CONTRACT_ID|PLAN_ID|SEGMENT_ID|CONTRACT_NAME|PLAN_NAME|FORMULARY_ID|PREMIUM|DEDUCTIBLE|MA_REGION_CODE|PDP_REGION_CODE|STATE|COUNTY_CODE|SNP|PLAN_SUPPRESSED_YN
H0022|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan)|00025045|0.00|0| | |OH|36110|0|N
H0022|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan)|00025045|0.00|0| | |OH|36170|0|N
H0022|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan)|00025045|0.00|0| | |OH|36260|0|N
H0022|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan)|00025045|0.00|0| | |OH|36280|0|N
H0022|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan)|00025045|0.00|0| | |OH|36290|0|N
H0022|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan)|00025045|0.00|0| | |OH|36440|0|N
H0022|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan)|00025045|0.00|0| | |OH|36480|0|N
H0022|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan)|00025045|0.00|0| | |OH|36490|0|N
H0022|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan)|00025045|0.00|0| | |OH|36530|0|N
H0022|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan)|00025045|0.00|0| | |OH|36580|0|N
H0022|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan)|00025045|0.00|0| | |OH|36630|0|N
H0022|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Buckeye Health Plan - MyCare Ohio (Medicare-Medicaid Plan)|00025045|0.00|0| | |OH|36880|0|N
H0028|007|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP)|00025456|50.60|590| | |NE|28100|2|N
H0028|007|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP)|00025456|50.60|590| | |NE|28110|2|N
H0028|007|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP)|00025456|50.60|590| | |NE|28120|2|N
H0028|007|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP)|00025456|50.60|590| | |NE|28180|2|N
H0028|007|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP)|00025456|50.60|590| | |NE|28190|2|N
H0028|007|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP)|00025456|50.60|590| | |NE|28210|2|N
H0028|007|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP)|00025456|50.60|590| | |NE|28250|2|N
H0028|007|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP)|00025456|50.60|590| | |NE|28260|2|N
H0028|007|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP)|00025456|50.60|590| | |NE|28270|2|N
H0028|007|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP)|00025456|50.60|590| | |NE|28290|2|N
H0028|007|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP)|00025456|50.60|590| | |NE|28470|2|N
H0028|007|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP)|00025456|50.60|590| | |NE|28540|2|N
H0028|007|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP)|00025456|50.60|590| | |NE|28590|2|N
H0028|007|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP)|00025456|50.60|590| | |NE|28620|2|N
H0028|007|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP)|00025456|50.60|590| | |NE|28630|2|N
H0028|007|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP)|00025456|50.60|590| | |NE|28700|2|N
H0028|007|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP)|00025456|50.60|590| | |NE|28710|2|N
H0028|007|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP)|00025456|50.60|590| | |NE|28750|2|N
H0028|007|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP)|00025456|50.60|590| | |NE|28760|2|N
H0028|007|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP)|00025456|50.60|590| | |NE|28770|2|N
H0028|007|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP)|00025456|50.60|590| | |NE|28790|2|N
H0028|007|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP)|00025456|50.60|590| | |NE|28840|2|N
H0028|007|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP)|00025456|50.60|590| | |NE|28860|2|N
H0028|007|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP)|00025456|50.60|590| | |NE|28880|2|N
H0028|007|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP)|00025456|50.60|590| | |NE|28890|2|N
H0028|007|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP)|00025456|50.60|590| | |NE|28920|2|N
H0028|014|000|CHA HMO, INC.|Humana Gold Plus H0028-014 (HMO)|00025458|0.00|250| | |IL|14020|0|N
H0028|014|000|CHA HMO, INC.|Humana Gold Plus H0028-014 (HMO)|00025458|0.00|250| | |IL|14060|0|N
H0028|014|000|CHA HMO, INC.|Humana Gold Plus H0028-014 (HMO)|00025458|0.00|250| | |IL|14130|0|N
H0028|014|000|CHA HMO, INC.|Humana Gold Plus H0028-014 (HMO)|00025458|0.00|250| | |IL|14500|0|N
H0028|014|000|CHA HMO, INC.|Humana Gold Plus H0028-014 (HMO)|00025458|0.00|250| | |IL|14680|0|N
H0028|014|000|CHA HMO, INC.|Humana Gold Plus H0028-014 (HMO)|00025458|0.00|250| | |IL|14900|0|N
H0028|014|000|CHA HMO, INC.|Humana Gold Plus H0028-014 (HMO)|00025458|0.00|250| | |MO|26030|0|N
H0028|014|000|CHA HMO, INC.|Humana Gold Plus H0028-014 (HMO)|00025458|0.00|250| | |MO|26090|0|N
H0028|014|000|CHA HMO, INC.|Humana Gold Plus H0028-014 (HMO)|00025458|0.00|250| | |MO|26130|0|N
H0028|014|000|CHA HMO, INC.|Humana Gold Plus H0028-014 (HMO)|00025458|0.00|250| | |MO|26270|0|N
H0028|014|000|CHA HMO, INC.|Humana Gold Plus H0028-014 (HMO)|00025458|0.00|250| | |MO|26350|0|N
H0028|014|000|CHA HMO, INC.|Humana Gold Plus H0028-014 (HMO)|00025458|0.00|250| | |MO|26460|0|N
H0028|014|000|CHA HMO, INC.|Humana Gold Plus H0028-014 (HMO)|00025458|0.00|250| | |MO|26490|0|N
H0028|014|000|CHA HMO, INC.|Humana Gold Plus H0028-014 (HMO)|00025458|0.00|250| | |MO|26560|0|N
H0028|014|000|CHA HMO, INC.|Humana Gold Plus H0028-014 (HMO)|00025458|0.00|250| | |MO|26601|0|N
H0028|014|000|CHA HMO, INC.|Humana Gold Plus H0028-014 (HMO)|00025458|0.00|250| | |MO|26780|0|N
H0028|014|000|CHA HMO, INC.|Humana Gold Plus H0028-014 (HMO)|00025458|0.00|250| | |MO|26810|0|N
H0028|014|000|CHA HMO, INC.|Humana Gold Plus H0028-014 (HMO)|00025458|0.00|250| | |MO|26910|0|N
H0028|014|000|CHA HMO, INC.|Humana Gold Plus H0028-014 (HMO)|00025458|0.00|250| | |MO|26930|0|N
H0028|014|000|CHA HMO, INC.|Humana Gold Plus H0028-014 (HMO)|00025458|0.00|250| | |MO|26940|0|N
H0028|014|000|CHA HMO, INC.|Humana Gold Plus H0028-014 (HMO)|00025458|0.00|250| | |MO|26950|0|N
H0028|014|000|CHA HMO, INC.|Humana Gold Plus H0028-014 (HMO)|00025458|0.00|250| | |MO|26991|0|N
H0028|014|000|CHA HMO, INC.|Humana Gold Plus H0028-014 (HMO)|00025458|0.00|250| | |MO|26992|0|N
H0028|015|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP)|00025456|0.00|590| | |MO|26040|2|N
H0028|015|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP)|00025456|0.00|590| | |MO|26180|2|N
H0028|015|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP)|00025456|0.00|590| | |MO|26190|2|N
H0028|015|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP)|00025456|0.00|590| | |MO|26210|2|N
H0028|015|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP)|00025456|0.00|590| | |MO|26230|2|N
H0028|015|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP)|00025456|0.00|590| | |MO|26270|2|N
H0028|015|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP)|00025456|0.00|590| | |MO|26280|2|N
H0028|015|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP)|00025456|0.00|590| | |MO|26290|2|N
H0028|015|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP)|00025456|0.00|590| | |MO|26330|2|N
H0028|015|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP)|00025456|0.00|590| | |MO|26380|2|N
H0028|015|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP)|00025456|0.00|590| | |MO|26450|2|N
H0028|015|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP)|00025456|0.00|590| | |MO|26460|2|N
H0028|015|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP)|00025456|0.00|590| | |MO|26470|2|N
H0028|015|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP)|00025456|0.00|590| | |MO|26480|2|N
H0028|015|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP)|00025456|0.00|590| | |MO|26490|2|N
H0028|015|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP)|00025456|0.00|590| | |MO|26500|2|N
H0028|015|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP)|00025456|0.00|590| | |MO|26520|2|N
H0028|015|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP)|00025456|0.00|590| | |MO|26530|2|N
H0028|015|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP)|00025456|0.00|590| | |MO|26540|2|N
H0028|015|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP)|00025456|0.00|590| | |MO|26590|2|N
H0028|015|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP)|00025456|0.00|590| | |MO|26601|2|N
H0028|015|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP)|00025456|0.00|590| | |MO|26720|2|N
H0028|015|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP)|00025456|0.00|590| | |MO|26780|2|N
H0028|015|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP)|00025456|0.00|590| | |MO|26810|2|N
H0028|015|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP)|00025456|0.00|590| | |MO|26820|2|N
H0028|015|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP)|00025456|0.00|590| | |MO|26821|2|N
H0028|015|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP)|00025456|0.00|590| | |MO|26840|2|N
H0028|015|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP)|00025456|0.00|590| | |MO|26910|2|N
H0028|015|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP)|00025456|0.00|590| | |MO|26930|2|N
H0028|015|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP)|00025456|0.00|590| | |MO|26940|2|N
H0028|015|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP)|00025456|0.00|590| | |MO|26950|2|N
H0028|015|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP)|00025456|0.00|590| | |MO|26986|2|N
H0028|015|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP)|00025456|0.00|590| | |MO|26988|2|N
H0028|015|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP)|00025456|0.00|590| | |MO|26991|2|N
H0028|015|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP)|00025456|0.00|590| | |MO|26992|2|N
H0028|015|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP)|00025456|0.00|590| | |MO|26994|2|N
H0028|015|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-015 (HMO-POS D-SNP)|00025456|0.00|590| | |MO|26996|2|N
H0028|016|000|CHA HMO, INC.|Humana Gold Plus H0028-016 (HMO-POS)|00025458|0.00|590| | |MO|26040|0|N
H0028|016|000|CHA HMO, INC.|Humana Gold Plus H0028-016 (HMO-POS)|00025458|0.00|590| | |MO|26190|0|N
H0028|016|000|CHA HMO, INC.|Humana Gold Plus H0028-016 (HMO-POS)|00025458|0.00|590| | |MO|26210|0|N
H0028|016|000|CHA HMO, INC.|Humana Gold Plus H0028-016 (HMO-POS)|00025458|0.00|590| | |MO|26280|0|N
H0028|016|000|CHA HMO, INC.|Humana Gold Plus H0028-016 (HMO-POS)|00025458|0.00|590| | |MO|26290|0|N
H0028|016|000|CHA HMO, INC.|Humana Gold Plus H0028-016 (HMO-POS)|00025458|0.00|590| | |MO|26330|0|N
H0028|016|000|CHA HMO, INC.|Humana Gold Plus H0028-016 (HMO-POS)|00025458|0.00|590| | |MO|26380|0|N
H0028|016|000|CHA HMO, INC.|Humana Gold Plus H0028-016 (HMO-POS)|00025458|0.00|590| | |MO|26411|0|N
H0028|016|000|CHA HMO, INC.|Humana Gold Plus H0028-016 (HMO-POS)|00025458|0.00|590| | |MO|26450|0|N
H0028|016|000|CHA HMO, INC.|Humana Gold Plus H0028-016 (HMO-POS)|00025458|0.00|590| | |MO|26480|0|N
H0028|016|000|CHA HMO, INC.|Humana Gold Plus H0028-016 (HMO-POS)|00025458|0.00|590| | |MO|26520|0|N
H0028|016|000|CHA HMO, INC.|Humana Gold Plus H0028-016 (HMO-POS)|00025458|0.00|590| | |MO|26540|0|N
H0028|016|000|CHA HMO, INC.|Humana Gold Plus H0028-016 (HMO-POS)|00025458|0.00|590| | |MO|26590|0|N
H0028|016|000|CHA HMO, INC.|Humana Gold Plus H0028-016 (HMO-POS)|00025458|0.00|590| | |MO|26720|0|N
H0028|016|000|CHA HMO, INC.|Humana Gold Plus H0028-016 (HMO-POS)|00025458|0.00|590| | |MO|26751|0|N
H0028|016|000|CHA HMO, INC.|Humana Gold Plus H0028-016 (HMO-POS)|00025458|0.00|590| | |MO|26821|0|N
H0028|016|000|CHA HMO, INC.|Humana Gold Plus H0028-016 (HMO-POS)|00025458|0.00|590| | |MO|26840|0|N
H0028|016|000|CHA HMO, INC.|Humana Gold Plus H0028-016 (HMO-POS)|00025458|0.00|590| | |MO|26911|0|N
H0028|016|000|CHA HMO, INC.|Humana Gold Plus H0028-016 (HMO-POS)|00025458|0.00|590| | |MO|26986|0|N
H0028|016|000|CHA HMO, INC.|Humana Gold Plus H0028-016 (HMO-POS)|00025458|0.00|590| | |MO|26988|0|N
H0028|016|000|CHA HMO, INC.|Humana Gold Plus H0028-016 (HMO-POS)|00025458|0.00|590| | |MO|26994|0|N
H0028|016|000|CHA HMO, INC.|Humana Gold Plus H0028-016 (HMO-POS)|00025458|0.00|590| | |MO|26996|0|N
H0028|017|000|CHA HMO, INC.|Humana Gold Plus H0028-017 (HMO)|00025458|19.00|250| | |KS|17220|0|N
H0028|017|000|CHA HMO, INC.|Humana Gold Plus H0028-017 (HMO)|00025458|19.00|250| | |KS|17430|0|N
H0028|017|000|CHA HMO, INC.|Humana Gold Plus H0028-017 (HMO)|00025458|19.00|250| | |KS|17450|0|N
H0028|017|000|CHA HMO, INC.|Humana Gold Plus H0028-017 (HMO)|00025458|19.00|250| | |KS|17510|0|N
H0028|017|000|CHA HMO, INC.|Humana Gold Plus H0028-017 (HMO)|00025458|19.00|250| | |KS|17600|0|N
H0028|017|000|CHA HMO, INC.|Humana Gold Plus H0028-017 (HMO)|00025458|19.00|250| | |KS|17880|0|N
H0028|017|000|CHA HMO, INC.|Humana Gold Plus H0028-017 (HMO)|00025458|19.00|250| | |KS|17986|0|N
H0028|017|000|CHA HMO, INC.|Humana Gold Plus H0028-017 (HMO)|00025458|19.00|250| | |MO|26230|0|N
H0028|017|000|CHA HMO, INC.|Humana Gold Plus H0028-017 (HMO)|00025458|19.00|250| | |MO|26470|0|N
H0028|017|000|CHA HMO, INC.|Humana Gold Plus H0028-017 (HMO)|00025458|19.00|250| | |MO|26530|0|N
H0028|017|000|CHA HMO, INC.|Humana Gold Plus H0028-017 (HMO)|00025458|19.00|250| | |MO|26820|0|N
H0028|017|000|CHA HMO, INC.|Humana Gold Plus H0028-017 (HMO)|00025458|19.00|250| | |MO|26880|0|N
H0028|019|000|CHA HMO, INC.|Humana Gold Plus H0028-019 (HMO)|00025458|0.00|0| | |NM|32000|0|N
H0028|019|000|CHA HMO, INC.|Humana Gold Plus H0028-019 (HMO)|00025458|0.00|0| | |NM|32210|0|N
H0028|019|000|CHA HMO, INC.|Humana Gold Plus H0028-019 (HMO)|00025458|0.00|0| | |NM|32230|0|N
H0028|019|000|CHA HMO, INC.|Humana Gold Plus H0028-019 (HMO)|00025458|0.00|0| | |NM|32240|0|N
H0028|019|000|CHA HMO, INC.|Humana Gold Plus H0028-019 (HMO)|00025458|0.00|0| | |NM|32280|0|N
H0028|019|000|CHA HMO, INC.|Humana Gold Plus H0028-019 (HMO)|00025458|0.00|0| | |NM|32300|0|N
H0028|021|000|CHA HMO, INC.|Humana Gold Plus H0028-021 (HMO)|00025458|0.00|250| | |AZ|03090|0|N
H0028|021|000|CHA HMO, INC.|Humana Gold Plus H0028-021 (HMO)|00025458|0.00|250| | |AZ|03100|0|N
H0028|023|000|CHA HMO, INC.|Humana Gold Plus H0028-023 (HMO)|00025456|0.00|225| | |AZ|03060|0|N
H0028|023|000|CHA HMO, INC.|Humana Gold Plus H0028-023 (HMO)|00025456|0.00|225| | |AZ|03070|0|N
H0028|023|000|CHA HMO, INC.|Humana Gold Plus H0028-023 (HMO)|00025456|0.00|225| | |AZ|03120|0|N
H0028|024|000|CHA HMO, INC.|Humana Gold Plus H0028-024 (HMO)|00025458|0.00|0| | |AZ|03070|0|N
H0028|025|001|CHA HMO, INC.|Humana Gold Plus H0028-025 (HMO)|00025458|0.00|0| | |CO|06000|0|N
H0028|025|001|CHA HMO, INC.|Humana Gold Plus H0028-025 (HMO)|00025458|0.00|0| | |CO|06020|0|N
H0028|025|001|CHA HMO, INC.|Humana Gold Plus H0028-025 (HMO)|00025458|0.00|0| | |CO|06150|0|N
H0028|025|001|CHA HMO, INC.|Humana Gold Plus H0028-025 (HMO)|00025458|0.00|0| | |CO|06170|0|N
H0028|025|001|CHA HMO, INC.|Humana Gold Plus H0028-025 (HMO)|00025458|0.00|0| | |CO|06290|0|N
H0028|025|001|CHA HMO, INC.|Humana Gold Plus H0028-025 (HMO)|00025458|0.00|0| | |CO|06630|0|N
H0028|025|002|CHA HMO, INC.|Humana Gold Plus H0028-025 (HMO)|00025458|0.00|0| | |CO|06060|0|N
H0028|025|002|CHA HMO, INC.|Humana Gold Plus H0028-025 (HMO)|00025458|0.00|0| | |CO|06090|0|N
H0028|025|002|CHA HMO, INC.|Humana Gold Plus H0028-025 (HMO)|00025458|0.00|0| | |CO|06190|0|N
H0028|025|002|CHA HMO, INC.|Humana Gold Plus H0028-025 (HMO)|00025458|0.00|0| | |CO|06200|0|N
H0028|025|002|CHA HMO, INC.|Humana Gold Plus H0028-025 (HMO)|00025458|0.00|0| | |CO|06210|0|N
H0028|025|002|CHA HMO, INC.|Humana Gold Plus H0028-025 (HMO)|00025458|0.00|0| | |CO|06340|0|N
H0028|025|002|CHA HMO, INC.|Humana Gold Plus H0028-025 (HMO)|00025458|0.00|0| | |CO|06500|0|N
H0028|025|002|CHA HMO, INC.|Humana Gold Plus H0028-025 (HMO)|00025458|0.00|0| | |CO|06590|0|N
H0028|025|002|CHA HMO, INC.|Humana Gold Plus H0028-025 (HMO)|00025458|0.00|0| | |CO|06610|0|N
H0028|027|000|CHA HMO, INC.|Humana Gold Plus H0028-027 (HMO)|00025458|0.00|0| | |AZ|03060|0|N
H0028|028|000|CHA HMO, INC.|Humana Gold Plus H0028-028 (HMO)|00025458|0.00|225| | |AZ|03060|0|N
H0028|028|000|CHA HMO, INC.|Humana Gold Plus H0028-028 (HMO)|00025458|0.00|225| | |AZ|03120|0|N
H0028|029|000|CHA HMO, INC.|Humana Gold Plus H0028-029 (HMO)|00025456|0.00|0| | |TX|45030|0|N
H0028|029|000|CHA HMO, INC.|Humana Gold Plus H0028-029 (HMO)|00025456|0.00|0| | |TX|45113|0|N
H0028|029|000|CHA HMO, INC.|Humana Gold Plus H0028-029 (HMO)|00025456|0.00|0| | |TX|45711|0|N
H0028|029|000|CHA HMO, INC.|Humana Gold Plus H0028-029 (HMO)|00025456|0.00|0| | |TX|45743|0|N
H0028|029|000|CHA HMO, INC.|Humana Gold Plus H0028-029 (HMO)|00025456|0.00|0| | |TX|45830|0|N
H0028|029|000|CHA HMO, INC.|Humana Gold Plus H0028-029 (HMO)|00025456|0.00|0| | |TX|45885|0|N
H0028|030|000|CHA HMO, INC.|Humana Gold Plus H0028-030 (HMO)|00025456|0.00|0| | |TX|45060|0|N
H0028|030|000|CHA HMO, INC.|Humana Gold Plus H0028-030 (HMO)|00025456|0.00|0| | |TX|45090|0|N
H0028|030|000|CHA HMO, INC.|Humana Gold Plus H0028-030 (HMO)|00025456|0.00|0| | |TX|45130|0|N
H0028|030|000|CHA HMO, INC.|Humana Gold Plus H0028-030 (HMO)|00025456|0.00|0| | |TX|45320|0|N
H0028|030|000|CHA HMO, INC.|Humana Gold Plus H0028-030 (HMO)|00025456|0.00|0| | |TX|45581|0|N
H0028|030|000|CHA HMO, INC.|Humana Gold Plus H0028-030 (HMO)|00025456|0.00|0| | |TX|45731|0|N
H0028|030|000|CHA HMO, INC.|Humana Gold Plus H0028-030 (HMO)|00025456|0.00|0| | |TX|45792|0|N
H0028|030|000|CHA HMO, INC.|Humana Gold Plus H0028-030 (HMO)|00025456|0.00|0| | |TX|45971|0|N
H0028|031|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP)|00025456|0.00|570| | |TX|45170|2|N
H0028|031|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP)|00025456|0.00|570| | |TX|45260|2|N
H0028|031|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP)|00025456|0.00|570| | |TX|45310|2|N
H0028|031|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP)|00025456|0.00|570| | |TX|45390|2|N
H0028|031|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP)|00025456|0.00|570| | |TX|45400|2|N
H0028|031|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP)|00025456|0.00|570| | |TX|45410|2|N
H0028|031|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP)|00025456|0.00|570| | |TX|45470|2|N
H0028|031|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP)|00025456|0.00|570| | |TX|45480|2|N
H0028|031|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP)|00025456|0.00|570| | |TX|45510|2|N
H0028|031|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP)|00025456|0.00|570| | |TX|45530|2|N
H0028|031|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP)|00025456|0.00|570| | |TX|45570|2|N
H0028|031|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP)|00025456|0.00|570| | |TX|45610|2|N
H0028|031|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP)|00025456|0.00|570| | |TX|45620|2|N
H0028|031|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP)|00025456|0.00|570| | |TX|45720|2|N
H0028|031|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP)|00025456|0.00|570| | |TX|45874|2|N
H0028|031|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP)|00025456|0.00|570| | |TX|45879|2|N
H0028|031|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP)|00025456|0.00|570| | |TX|45910|2|N
H0028|031|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP)|00025456|0.00|570| | |TX|45921|2|N
H0028|031|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-031 (HMO D-SNP)|00025456|0.00|570| | |TX|45973|2|N
H0028|032|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP)|00025456|0.00|590| | |TX|45000|2|N
H0028|032|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP)|00025456|0.00|590| | |TX|45020|2|N
H0028|032|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP)|00025456|0.00|590| | |TX|45170|2|N
H0028|032|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP)|00025456|0.00|590| | |TX|45260|2|N
H0028|032|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP)|00025456|0.00|590| | |TX|45310|2|N
H0028|032|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP)|00025456|0.00|590| | |TX|45340|2|N
H0028|032|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP)|00025456|0.00|590| | |TX|45390|2|N
H0028|032|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP)|00025456|0.00|590| | |TX|45400|2|N
H0028|032|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP)|00025456|0.00|590| | |TX|45410|2|N
H0028|032|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP)|00025456|0.00|590| | |TX|45470|2|N
H0028|032|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP)|00025456|0.00|590| | |TX|45510|2|N
H0028|032|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP)|00025456|0.00|590| | |TX|45540|2|N
H0028|032|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP)|00025456|0.00|590| | |TX|45564|2|N
H0028|032|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP)|00025456|0.00|590| | |TX|45570|2|N
H0028|032|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP)|00025456|0.00|590| | |TX|45620|2|N
H0028|032|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP)|00025456|0.00|590| | |TX|45640|2|N
H0028|032|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP)|00025456|0.00|590| | |TX|45720|2|N
H0028|032|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP)|00025456|0.00|590| | |TX|45730|2|N
H0028|032|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP)|00025456|0.00|590| | |TX|45750|2|N
H0028|032|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP)|00025456|0.00|590| | |TX|45756|2|N
H0028|032|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP)|00025456|0.00|590| | |TX|45800|2|N
H0028|032|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP)|00025456|0.00|590| | |TX|45810|2|N
H0028|032|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP)|00025456|0.00|590| | |TX|45820|2|N
H0028|032|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP)|00025456|0.00|590| | |TX|45843|2|N
H0028|032|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP)|00025456|0.00|590| | |TX|45874|2|N
H0028|032|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP)|00025456|0.00|590| | |TX|45879|2|N
H0028|032|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP)|00025456|0.00|590| | |TX|45881|2|N
H0028|032|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP)|00025456|0.00|590| | |TX|45892|2|N
H0028|032|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP)|00025456|0.00|590| | |TX|45910|2|N
H0028|032|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP)|00025456|0.00|590| | |TX|45921|2|N
H0028|032|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP)|00025456|0.00|590| | |TX|45943|2|N
H0028|032|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP)|00025456|0.00|590| | |TX|45947|2|N
H0028|032|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-032 (HMO D-SNP)|00025456|0.00|590| | |TX|45973|2|N
H0028|033|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-033 (HMO D-SNP)|00025456|0.00|590| | |TX|45180|2|N
H0028|033|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-033 (HMO D-SNP)|00025456|0.00|590| | |TX|45530|2|N
H0028|033|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-033 (HMO D-SNP)|00025456|0.00|590| | |TX|45550|2|N
H0028|033|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-033 (HMO D-SNP)|00025456|0.00|590| | |TX|45610|2|N
H0028|033|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-033 (HMO D-SNP)|00025456|0.00|590| | |TX|45700|2|N
H0028|033|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-033 (HMO D-SNP)|00025456|0.00|590| | |TX|45757|2|N
H0028|033|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-033 (HMO D-SNP)|00025456|0.00|590| | |TX|45801|2|N
H0028|033|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-033 (HMO D-SNP)|00025456|0.00|590| | |TX|45840|2|N
H0028|033|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-033 (HMO D-SNP)|00025456|0.00|590| | |TX|45884|2|N
H0028|034|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-034 (HMO D-SNP)|00025456|0.00|570| | |TX|45480|2|N
H0028|034|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-034 (HMO D-SNP)|00025456|0.00|570| | |TX|45662|2|N
H0028|035|000|CHA HMO, INC.|Humana Gold Plus H0028-035 (HMO)|00025456|0.00|0| | |TX|45480|0|N
H0028|035|000|CHA HMO, INC.|Humana Gold Plus H0028-035 (HMO)|00025456|0.00|0| | |TX|45662|0|N
H0028|036|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-036 (HMO D-SNP)|00025456|0.00|220| | |TX|45030|2|N
H0028|036|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-036 (HMO D-SNP)|00025456|0.00|220| | |TX|45060|2|N
H0028|036|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-036 (HMO D-SNP)|00025456|0.00|220| | |TX|45090|2|N
H0028|036|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-036 (HMO D-SNP)|00025456|0.00|220| | |TX|45113|2|N
H0028|036|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-036 (HMO D-SNP)|00025456|0.00|220| | |TX|45130|2|N
H0028|036|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-036 (HMO D-SNP)|00025456|0.00|220| | |TX|45320|2|N
H0028|036|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-036 (HMO D-SNP)|00025456|0.00|220| | |TX|45581|2|N
H0028|036|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-036 (HMO D-SNP)|00025456|0.00|220| | |TX|45711|2|N
H0028|036|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-036 (HMO D-SNP)|00025456|0.00|220| | |TX|45731|2|N
H0028|036|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-036 (HMO D-SNP)|00025456|0.00|220| | |TX|45743|2|N
H0028|036|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-036 (HMO D-SNP)|00025456|0.00|220| | |TX|45792|2|N
H0028|036|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-036 (HMO D-SNP)|00025456|0.00|220| | |TX|45830|2|N
H0028|036|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-036 (HMO D-SNP)|00025456|0.00|220| | |TX|45885|2|N
H0028|036|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-036 (HMO D-SNP)|00025456|0.00|220| | |TX|45971|2|N
H0028|037|000|CHA HMO, INC.|Humana Gold Plus H0028-037 (HMO)|00025456|0.00|0| | |TX|45100|0|N
H0028|037|000|CHA HMO, INC.|Humana Gold Plus H0028-037 (HMO)|00025456|0.00|0| | |TX|45140|0|N
H0028|037|000|CHA HMO, INC.|Humana Gold Plus H0028-037 (HMO)|00025456|0.00|0| | |TX|45222|0|N
H0028|037|000|CHA HMO, INC.|Humana Gold Plus H0028-037 (HMO)|00025456|0.00|0| | |TX|45631|0|N
H0028|037|000|CHA HMO, INC.|Humana Gold Plus H0028-037 (HMO)|00025456|0.00|0| | |TX|45761|0|N
H0028|037|000|CHA HMO, INC.|Humana Gold Plus H0028-037 (HMO)|00025456|0.00|0| | |TX|45940|0|N
H0028|037|000|CHA HMO, INC.|Humana Gold Plus H0028-037 (HMO)|00025456|0.00|0| | |TX|45970|0|N
H0028|039|000|CHA HMO, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|0| | |TX|45030|1|N
H0028|039|000|CHA HMO, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|0| | |TX|45060|1|N
H0028|039|000|CHA HMO, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|0| | |TX|45090|1|N
H0028|039|000|CHA HMO, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|0| | |TX|45113|1|N
H0028|039|000|CHA HMO, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|0| | |TX|45130|1|N
H0028|039|000|CHA HMO, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|0| | |TX|45240|1|N
H0028|039|000|CHA HMO, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|0| | |TX|45320|1|N
H0028|039|000|CHA HMO, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|0| | |TX|45480|1|N
H0028|039|000|CHA HMO, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|0| | |TX|45581|1|N
H0028|039|000|CHA HMO, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|0| | |TX|45650|1|N
H0028|039|000|CHA HMO, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|0| | |TX|45662|1|N
H0028|039|000|CHA HMO, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|0| | |TX|45711|1|N
H0028|039|000|CHA HMO, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|0| | |TX|45731|1|N
H0028|039|000|CHA HMO, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|0| | |TX|45743|1|N
H0028|039|000|CHA HMO, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|0| | |TX|45792|1|N
H0028|039|000|CHA HMO, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|0| | |TX|45830|1|N
H0028|039|000|CHA HMO, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|0| | |TX|45885|1|N
H0028|039|000|CHA HMO, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|0| | |TX|45962|1|N
H0028|039|000|CHA HMO, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|0| | |TX|45971|1|N
H0028|041|000|CHA HMO, INC.|Humana Gold Plus H0028-041 (HMO)|00025456|0.00|200| | |TX|45000|0|N
H0028|041|000|CHA HMO, INC.|Humana Gold Plus H0028-041 (HMO)|00025456|0.00|200| | |TX|45020|0|N
H0028|041|000|CHA HMO, INC.|Humana Gold Plus H0028-041 (HMO)|00025456|0.00|200| | |TX|45540|0|N
H0028|041|000|CHA HMO, INC.|Humana Gold Plus H0028-041 (HMO)|00025456|0.00|200| | |TX|45570|0|N
H0028|041|000|CHA HMO, INC.|Humana Gold Plus H0028-041 (HMO)|00025456|0.00|200| | |TX|45620|0|N
H0028|041|000|CHA HMO, INC.|Humana Gold Plus H0028-041 (HMO)|00025456|0.00|200| | |TX|45640|0|N
H0028|041|000|CHA HMO, INC.|Humana Gold Plus H0028-041 (HMO)|00025456|0.00|200| | |TX|45756|0|N
H0028|041|000|CHA HMO, INC.|Humana Gold Plus H0028-041 (HMO)|00025456|0.00|200| | |TX|45810|0|N
H0028|041|000|CHA HMO, INC.|Humana Gold Plus H0028-041 (HMO)|00025456|0.00|200| | |TX|45881|0|N
H0028|041|000|CHA HMO, INC.|Humana Gold Plus H0028-041 (HMO)|00025456|0.00|200| | |TX|45892|0|N
H0028|041|000|CHA HMO, INC.|Humana Gold Plus H0028-041 (HMO)|00025456|0.00|200| | |TX|45943|0|N
H0028|041|000|CHA HMO, INC.|Humana Gold Plus H0028-041 (HMO)|00025456|0.00|200| | |TX|45947|0|N
H0028|042|000|CHA HMO, INC.|Humana Gold Plus H0028-042 (HMO)|00025456|0.00|300| | |TX|45180|0|N
H0028|042|000|CHA HMO, INC.|Humana Gold Plus H0028-042 (HMO)|00025456|0.00|300| | |TX|45530|0|N
H0028|042|000|CHA HMO, INC.|Humana Gold Plus H0028-042 (HMO)|00025456|0.00|300| | |TX|45550|0|N
H0028|042|000|CHA HMO, INC.|Humana Gold Plus H0028-042 (HMO)|00025456|0.00|300| | |TX|45610|0|N
H0028|042|000|CHA HMO, INC.|Humana Gold Plus H0028-042 (HMO)|00025456|0.00|300| | |TX|45700|0|N
H0028|042|000|CHA HMO, INC.|Humana Gold Plus H0028-042 (HMO)|00025456|0.00|300| | |TX|45757|0|N
H0028|042|000|CHA HMO, INC.|Humana Gold Plus H0028-042 (HMO)|00025456|0.00|300| | |TX|45801|0|N
H0028|042|000|CHA HMO, INC.|Humana Gold Plus H0028-042 (HMO)|00025456|0.00|300| | |TX|45840|0|N
H0028|042|000|CHA HMO, INC.|Humana Gold Plus H0028-042 (HMO)|00025456|0.00|300| | |TX|45884|0|N
H0028|043|001|CHA HMO, INC.|Humana Gold Plus H0028-043 (HMO)|00025456|0.00|200| | |TX|45310|0|N
H0028|043|001|CHA HMO, INC.|Humana Gold Plus H0028-043 (HMO)|00025456|0.00|200| | |TX|45340|0|N
H0028|043|001|CHA HMO, INC.|Humana Gold Plus H0028-043 (HMO)|00025456|0.00|200| | |TX|45390|0|N
H0028|043|001|CHA HMO, INC.|Humana Gold Plus H0028-043 (HMO)|00025456|0.00|200| | |TX|45410|0|N
H0028|043|001|CHA HMO, INC.|Humana Gold Plus H0028-043 (HMO)|00025456|0.00|200| | |TX|45470|0|N
H0028|043|001|CHA HMO, INC.|Humana Gold Plus H0028-043 (HMO)|00025456|0.00|200| | |TX|45564|0|N
H0028|043|001|CHA HMO, INC.|Humana Gold Plus H0028-043 (HMO)|00025456|0.00|200| | |TX|45720|0|N
H0028|043|001|CHA HMO, INC.|Humana Gold Plus H0028-043 (HMO)|00025456|0.00|200| | |TX|45730|0|N
H0028|043|001|CHA HMO, INC.|Humana Gold Plus H0028-043 (HMO)|00025456|0.00|200| | |TX|45800|0|N
H0028|043|001|CHA HMO, INC.|Humana Gold Plus H0028-043 (HMO)|00025456|0.00|200| | |TX|45820|0|N
H0028|043|001|CHA HMO, INC.|Humana Gold Plus H0028-043 (HMO)|00025456|0.00|200| | |TX|45843|0|N
H0028|043|001|CHA HMO, INC.|Humana Gold Plus H0028-043 (HMO)|00025456|0.00|200| | |TX|45879|0|N
H0028|043|001|CHA HMO, INC.|Humana Gold Plus H0028-043 (HMO)|00025456|0.00|200| | |TX|45910|0|N
H0028|043|001|CHA HMO, INC.|Humana Gold Plus H0028-043 (HMO)|00025456|0.00|200| | |TX|45973|0|N
H0028|043|002|CHA HMO, INC.|Humana Gold Plus H0028-043 (HMO)|00025456|0.00|200| | |TX|45170|0|N
H0028|043|002|CHA HMO, INC.|Humana Gold Plus H0028-043 (HMO)|00025456|0.00|200| | |TX|45260|0|N
H0028|043|002|CHA HMO, INC.|Humana Gold Plus H0028-043 (HMO)|00025456|0.00|200| | |TX|45400|0|N
H0028|043|002|CHA HMO, INC.|Humana Gold Plus H0028-043 (HMO)|00025456|0.00|200| | |TX|45510|0|N
H0028|043|002|CHA HMO, INC.|Humana Gold Plus H0028-043 (HMO)|00025456|0.00|200| | |TX|45750|0|N
H0028|043|002|CHA HMO, INC.|Humana Gold Plus H0028-043 (HMO)|00025456|0.00|200| | |TX|45874|0|N
H0028|043|002|CHA HMO, INC.|Humana Gold Plus H0028-043 (HMO)|00025456|0.00|200| | |TX|45921|0|N
H0028|044|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-044 (HMO D-SNP)|00025456|0.00|590| | |TX|45100|2|N
H0028|044|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-044 (HMO D-SNP)|00025456|0.00|590| | |TX|45222|2|N
H0028|044|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-044 (HMO D-SNP)|00025456|0.00|590| | |TX|45631|2|N
H0028|044|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-044 (HMO D-SNP)|00025456|0.00|590| | |TX|45761|2|N
H0028|044|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-044 (HMO D-SNP)|00025456|0.00|590| | |TX|45940|2|N
H0028|044|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-044 (HMO D-SNP)|00025456|0.00|590| | |TX|45970|2|N
H0028|045|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-045 (HMO D-SNP)|00025456|0.00|230| | |TX|45240|2|N
H0028|045|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-045 (HMO D-SNP)|00025456|0.00|230| | |TX|45650|2|N
H0028|045|000|CHA HMO, INC.|Humana Gold Plus SNP-DE H0028-045 (HMO D-SNP)|00025456|0.00|230| | |TX|45962|2|N
H0028|046|000|CHA HMO, INC.|Humana Gold Plus H0028-046 (HMO)|00025456|0.00|0| | |TX|45240|0|N
H0028|046|000|CHA HMO, INC.|Humana Gold Plus H0028-046 (HMO)|00025456|0.00|0| | |TX|45650|0|N
H0028|046|000|CHA HMO, INC.|Humana Gold Plus H0028-046 (HMO)|00025456|0.00|0| | |TX|45962|0|N
H0028|047|000|CHA HMO, INC.|Humana Gold Plus H0028-047 (HMO)|00025458|0.00|0| | |CO|06000|0|N
H0028|047|000|CHA HMO, INC.|Humana Gold Plus H0028-047 (HMO)|00025458|0.00|0| | |CO|06020|0|N
H0028|047|000|CHA HMO, INC.|Humana Gold Plus H0028-047 (HMO)|00025458|0.00|0| | |CO|06060|0|N
H0028|047|000|CHA HMO, INC.|Humana Gold Plus H0028-047 (HMO)|00025458|0.00|0| | |CO|06090|0|N
H0028|047|000|CHA HMO, INC.|Humana Gold Plus H0028-047 (HMO)|00025458|0.00|0| | |CO|06170|0|N
H0028|047|000|CHA HMO, INC.|Humana Gold Plus H0028-047 (HMO)|00025458|0.00|0| | |CO|06190|0|N
H0028|047|000|CHA HMO, INC.|Humana Gold Plus H0028-047 (HMO)|00025458|0.00|0| | |CO|06200|0|N
H0028|047|000|CHA HMO, INC.|Humana Gold Plus H0028-047 (HMO)|00025458|0.00|0| | |CO|06210|0|N
H0028|047|000|CHA HMO, INC.|Humana Gold Plus H0028-047 (HMO)|00025458|0.00|0| | |CO|06290|0|N
H0028|047|000|CHA HMO, INC.|Humana Gold Plus H0028-047 (HMO)|00025458|0.00|0| | |CO|06340|0|N
H0028|047|000|CHA HMO, INC.|Humana Gold Plus H0028-047 (HMO)|00025458|0.00|0| | |CO|06500|0|N
H0028|047|000|CHA HMO, INC.|Humana Gold Plus H0028-047 (HMO)|00025458|0.00|0| | |CO|06590|0|N
H0028|047|000|CHA HMO, INC.|Humana Gold Plus H0028-047 (HMO)|00025458|0.00|0| | |CO|06610|0|N
H0028|047|000|CHA HMO, INC.|Humana Gold Plus H0028-047 (HMO)|00025458|0.00|0| | |CO|06630|0|N
H0028|048|001|CHA HMO, INC.|Humana Gold Plus H0028-048 (HMO)|00025458|0.00|0| | |HI|12020|0|N
H0028|048|002|CHA HMO, INC.|Humana Gold Plus H0028-048 (HMO)|00025458|0.00|0| | |HI|12040|0|N
H0028|048|002|CHA HMO, INC.|Humana Gold Plus H0028-048 (HMO)|00025458|0.00|0| | |HI|12050|0|N
H0028|051|000|CHA HMO, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|250| | |MO|26350|1|N
H0028|051|000|CHA HMO, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|250| | |MO|26490|1|N
H0028|051|000|CHA HMO, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|250| | |MO|26910|1|N
H0028|051|000|CHA HMO, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|250| | |MO|26940|1|N
H0028|051|000|CHA HMO, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|250| | |MO|26950|1|N
H0028|053|001|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |IA|16050|0|N
H0028|053|001|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |IA|16060|0|N
H0028|053|001|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |IA|16070|0|N
H0028|053|001|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |IA|16080|0|N
H0028|053|001|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |IA|16090|0|N
H0028|053|001|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |IA|16100|0|N
H0028|053|001|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |IA|16110|0|N
H0028|053|001|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |IA|16150|0|N
H0028|053|001|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |IA|16160|0|N
H0028|053|001|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |IA|16170|0|N
H0028|053|001|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |IA|16220|0|N
H0028|053|001|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |IA|16240|0|N
H0028|053|001|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |IA|16270|0|N
H0028|053|001|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |IA|16280|0|N
H0028|053|001|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |IA|16300|0|N
H0028|053|001|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |IA|16330|0|N
H0028|053|001|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |IA|16370|0|N
H0028|053|001|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |IA|16390|0|N
H0028|053|001|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |IA|16410|0|N
H0028|053|001|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |IA|16430|0|N
H0028|053|001|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |IA|16480|0|N
H0028|053|001|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |IA|16490|0|N
H0028|053|001|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |IA|16500|0|N
H0028|053|001|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |IA|16520|0|N
H0028|053|001|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |IA|16530|0|N
H0028|053|001|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |IA|16550|0|N
H0028|053|001|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |IA|16560|0|N
H0028|053|001|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |IA|16570|0|N
H0028|053|001|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |IA|16590|0|N
H0028|053|001|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |IA|16600|0|N
H0028|053|001|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |IA|16610|0|N
H0028|053|001|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |IA|16620|0|N
H0028|053|001|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |IA|16630|0|N
H0028|053|001|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |IA|16640|0|N
H0028|053|001|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |IA|16650|0|N
H0028|053|001|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |IA|16690|0|N
H0028|053|001|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |IA|16740|0|N
H0028|053|001|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |IA|16760|0|N
H0028|053|001|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |IA|16770|0|N
H0028|053|001|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |IA|16780|0|N
H0028|053|001|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |IA|16810|0|N
H0028|053|001|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |IA|16830|0|N
H0028|053|001|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |IA|16840|0|N
H0028|053|001|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |IA|16850|0|N
H0028|053|001|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |IA|16900|0|N
H0028|053|001|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |IA|16910|0|N
H0028|053|001|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |IA|16940|0|N
H0028|053|001|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |IA|16960|0|N
H0028|053|001|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |IA|16970|0|N
H0028|053|003|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |NE|28100|0|N
H0028|053|003|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |NE|28110|0|N
H0028|053|003|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |NE|28120|0|N
H0028|053|003|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |NE|28180|0|N
H0028|053|003|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |NE|28190|0|N
H0028|053|003|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |NE|28210|0|N
H0028|053|003|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |NE|28250|0|N
H0028|053|003|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |NE|28260|0|N
H0028|053|003|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |NE|28270|0|N
H0028|053|003|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |NE|28290|0|N
H0028|053|003|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |NE|28470|0|N
H0028|053|003|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |NE|28540|0|N
H0028|053|003|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |NE|28590|0|N
H0028|053|003|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |NE|28620|0|N
H0028|053|003|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |NE|28630|0|N
H0028|053|003|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |NE|28700|0|N
H0028|053|003|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |NE|28710|0|N
H0028|053|003|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |NE|28750|0|N
H0028|053|003|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |NE|28760|0|N
H0028|053|003|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |NE|28770|0|N
H0028|053|003|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |NE|28790|0|N
H0028|053|003|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |NE|28840|0|N
H0028|053|003|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |NE|28860|0|N
H0028|053|003|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |NE|28890|0|N
H0028|053|003|CHA HMO, INC.|Humana Gold Plus H0028-053 (HMO)|00025458|0.00|590| | |NE|28920|0|N
H0028|054|001|CHA HMO, INC.|Humana Gold Plus H0028-054 (HMO-POS)|00025458|0.00|250| | |KS|17290|0|N
H0028|054|001|CHA HMO, INC.|Humana Gold Plus H0028-054 (HMO-POS)|00025458|0.00|250| | |KS|17430|0|N
H0028|054|001|CHA HMO, INC.|Humana Gold Plus H0028-054 (HMO-POS)|00025458|0.00|250| | |KS|17450|0|N
H0028|054|001|CHA HMO, INC.|Humana Gold Plus H0028-054 (HMO-POS)|00025458|0.00|250| | |KS|17510|0|N
H0028|054|001|CHA HMO, INC.|Humana Gold Plus H0028-054 (HMO-POS)|00025458|0.00|250| | |KS|17600|0|N
H0028|054|001|CHA HMO, INC.|Humana Gold Plus H0028-054 (HMO-POS)|00025458|0.00|250| | |KS|17880|0|N
H0028|054|001|CHA HMO, INC.|Humana Gold Plus H0028-054 (HMO-POS)|00025458|0.00|250| | |KS|17986|0|N
H0028|054|001|CHA HMO, INC.|Humana Gold Plus H0028-054 (HMO-POS)|00025458|0.00|250| | |MO|26230|0|N
H0028|054|001|CHA HMO, INC.|Humana Gold Plus H0028-054 (HMO-POS)|00025458|0.00|250| | |MO|26470|0|N
H0028|054|001|CHA HMO, INC.|Humana Gold Plus H0028-054 (HMO-POS)|00025458|0.00|250| | |MO|26530|0|N
H0028|054|001|CHA HMO, INC.|Humana Gold Plus H0028-054 (HMO-POS)|00025458|0.00|250| | |MO|26820|0|N
H0028|054|001|CHA HMO, INC.|Humana Gold Plus H0028-054 (HMO-POS)|00025458|0.00|250| | |MO|26880|0|N
H0028|054|002|CHA HMO, INC.|Humana Gold Plus H0028-054 (HMO-POS)|00025458|0.00|250| | |KS|17070|0|N
H0028|054|002|CHA HMO, INC.|Humana Gold Plus H0028-054 (HMO-POS)|00025458|0.00|250| | |KS|17200|0|N
H0028|054|002|CHA HMO, INC.|Humana Gold Plus H0028-054 (HMO-POS)|00025458|0.00|250| | |KS|17390|0|N
H0028|054|002|CHA HMO, INC.|Humana Gold Plus H0028-054 (HMO-POS)|00025458|0.00|250| | |KS|17560|0|N
H0028|054|002|CHA HMO, INC.|Humana Gold Plus H0028-054 (HMO-POS)|00025458|0.00|250| | |KS|17570|0|N
H0028|054|002|CHA HMO, INC.|Humana Gold Plus H0028-054 (HMO-POS)|00025458|0.00|250| | |KS|17770|0|N
H0028|054|002|CHA HMO, INC.|Humana Gold Plus H0028-054 (HMO-POS)|00025458|0.00|250| | |KS|17840|0|N
H0028|054|002|CHA HMO, INC.|Humana Gold Plus H0028-054 (HMO-POS)|00025458|0.00|250| | |KS|17860|0|N
H0028|054|002|CHA HMO, INC.|Humana Gold Plus H0028-054 (HMO-POS)|00025458|0.00|250| | |KS|17950|0|N
H0028|055|000|CHA HMO, INC.|Humana Gold Plus - Diabetes and Heart (HMO-POS C-SNP)|00025460|0.00|250| | |MO|26210|1|N
H0028|055|000|CHA HMO, INC.|Humana Gold Plus - Diabetes and Heart (HMO-POS C-SNP)|00025460|0.00|250| | |MO|26380|1|N
H0028|055|000|CHA HMO, INC.|Humana Gold Plus - Diabetes and Heart (HMO-POS C-SNP)|00025460|0.00|250| | |MO|26480|1|N
H0028|055|000|CHA HMO, INC.|Humana Gold Plus - Diabetes and Heart (HMO-POS C-SNP)|00025460|0.00|250| | |MO|26720|1|N
H0028|055|000|CHA HMO, INC.|Humana Gold Plus - Diabetes and Heart (HMO-POS C-SNP)|00025460|0.00|250| | |MO|26994|1|N
H0028|056|000|CHA HMO, INC.|Humana Gold Plus - Diabetes and Heart (HMO-POS C-SNP)|00025460|0.00|250| | |KS|17770|1|N
H0028|056|000|CHA HMO, INC.|Humana Gold Plus - Diabetes and Heart (HMO-POS C-SNP)|00025460|0.00|250| | |KS|17860|1|N
H0028|059|000|CHA HMO, INC.|Humana Gold Plus H0028-059 (HMO)|00025456|0.00|200| | |TX|45310|0|N
H0028|059|000|CHA HMO, INC.|Humana Gold Plus H0028-059 (HMO)|00025456|0.00|200| | |TX|45340|0|N
H0028|059|000|CHA HMO, INC.|Humana Gold Plus H0028-059 (HMO)|00025456|0.00|200| | |TX|45390|0|N
H0028|059|000|CHA HMO, INC.|Humana Gold Plus H0028-059 (HMO)|00025456|0.00|200| | |TX|45410|0|N
H0028|059|000|CHA HMO, INC.|Humana Gold Plus H0028-059 (HMO)|00025456|0.00|200| | |TX|45470|0|N
H0028|059|000|CHA HMO, INC.|Humana Gold Plus H0028-059 (HMO)|00025456|0.00|200| | |TX|45720|0|N
H0028|059|000|CHA HMO, INC.|Humana Gold Plus H0028-059 (HMO)|00025456|0.00|200| | |TX|45730|0|N
H0028|059|000|CHA HMO, INC.|Humana Gold Plus H0028-059 (HMO)|00025456|0.00|200| | |TX|45800|0|N
H0028|059|000|CHA HMO, INC.|Humana Gold Plus H0028-059 (HMO)|00025456|0.00|200| | |TX|45820|0|N
H0028|059|000|CHA HMO, INC.|Humana Gold Plus H0028-059 (HMO)|00025456|0.00|200| | |TX|45843|0|N
H0028|059|000|CHA HMO, INC.|Humana Gold Plus H0028-059 (HMO)|00025456|0.00|200| | |TX|45879|0|N
H0028|059|000|CHA HMO, INC.|Humana Gold Plus H0028-059 (HMO)|00025456|0.00|200| | |TX|45910|0|N
H0028|059|000|CHA HMO, INC.|Humana Gold Plus H0028-059 (HMO)|00025456|0.00|200| | |TX|45973|0|N
H0028|060|000|CHA HMO, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |TX|45310|1|N
H0028|060|000|CHA HMO, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |TX|45390|1|N
H0028|060|000|CHA HMO, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |TX|45410|1|N
H0028|060|000|CHA HMO, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |TX|45470|1|N
H0028|060|000|CHA HMO, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |TX|45720|1|N
H0028|060|000|CHA HMO, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |TX|45730|1|N
H0028|060|000|CHA HMO, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |TX|45879|1|N
H0028|060|000|CHA HMO, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |TX|45910|1|N
H0028|060|000|CHA HMO, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |TX|45973|1|N
H0028|062|000|CHA HMO, INC.|Humana Gold Plus H0028-062 (HMO)|00025456|0.00|0| | |AZ|03120|0|N
H0028|063|000|CHA HMO, INC.|Humana Gold Plus Giveback H0028-063 (HMO)|00025456|0.00|0| | |CO|06000|0|N
H0028|063|000|CHA HMO, INC.|Humana Gold Plus Giveback H0028-063 (HMO)|00025456|0.00|0| | |CO|06020|0|N
H0028|063|000|CHA HMO, INC.|Humana Gold Plus Giveback H0028-063 (HMO)|00025456|0.00|0| | |CO|06060|0|N
H0028|063|000|CHA HMO, INC.|Humana Gold Plus Giveback H0028-063 (HMO)|00025456|0.00|0| | |CO|06150|0|N
H0028|063|000|CHA HMO, INC.|Humana Gold Plus Giveback H0028-063 (HMO)|00025456|0.00|0| | |CO|06170|0|N
H0028|063|000|CHA HMO, INC.|Humana Gold Plus Giveback H0028-063 (HMO)|00025456|0.00|0| | |CO|06290|0|N
H0028|063|000|CHA HMO, INC.|Humana Gold Plus Giveback H0028-063 (HMO)|00025456|0.00|0| | |CO|06630|0|N
H0028|065|000|CHA HMO, INC.|Humana Gold Plus Giveback H0028-065 (HMO)|00025458|0.00|250| | |IL|14020|0|N
H0028|065|000|CHA HMO, INC.|Humana Gold Plus Giveback H0028-065 (HMO)|00025458|0.00|250| | |IL|14060|0|N
H0028|065|000|CHA HMO, INC.|Humana Gold Plus Giveback H0028-065 (HMO)|00025458|0.00|250| | |IL|14130|0|N
H0028|065|000|CHA HMO, INC.|Humana Gold Plus Giveback H0028-065 (HMO)|00025458|0.00|250| | |IL|14500|0|N
H0028|065|000|CHA HMO, INC.|Humana Gold Plus Giveback H0028-065 (HMO)|00025458|0.00|250| | |IL|14680|0|N
H0028|065|000|CHA HMO, INC.|Humana Gold Plus Giveback H0028-065 (HMO)|00025458|0.00|250| | |IL|14900|0|N
H0028|065|000|CHA HMO, INC.|Humana Gold Plus Giveback H0028-065 (HMO)|00025458|0.00|250| | |MO|26030|0|N
H0028|065|000|CHA HMO, INC.|Humana Gold Plus Giveback H0028-065 (HMO)|00025458|0.00|250| | |MO|26090|0|N
H0028|065|000|CHA HMO, INC.|Humana Gold Plus Giveback H0028-065 (HMO)|00025458|0.00|250| | |MO|26130|0|N
H0028|065|000|CHA HMO, INC.|Humana Gold Plus Giveback H0028-065 (HMO)|00025458|0.00|250| | |MO|26270|0|N
H0028|065|000|CHA HMO, INC.|Humana Gold Plus Giveback H0028-065 (HMO)|00025458|0.00|250| | |MO|26350|0|N
H0028|065|000|CHA HMO, INC.|Humana Gold Plus Giveback H0028-065 (HMO)|00025458|0.00|250| | |MO|26460|0|N
H0028|065|000|CHA HMO, INC.|Humana Gold Plus Giveback H0028-065 (HMO)|00025458|0.00|250| | |MO|26490|0|N
H0028|065|000|CHA HMO, INC.|Humana Gold Plus Giveback H0028-065 (HMO)|00025458|0.00|250| | |MO|26560|0|N
H0028|065|000|CHA HMO, INC.|Humana Gold Plus Giveback H0028-065 (HMO)|00025458|0.00|250| | |MO|26601|0|N
H0028|065|000|CHA HMO, INC.|Humana Gold Plus Giveback H0028-065 (HMO)|00025458|0.00|250| | |MO|26780|0|N
H0028|065|000|CHA HMO, INC.|Humana Gold Plus Giveback H0028-065 (HMO)|00025458|0.00|250| | |MO|26810|0|N
H0028|065|000|CHA HMO, INC.|Humana Gold Plus Giveback H0028-065 (HMO)|00025458|0.00|250| | |MO|26910|0|N
H0028|065|000|CHA HMO, INC.|Humana Gold Plus Giveback H0028-065 (HMO)|00025458|0.00|250| | |MO|26930|0|N
H0028|065|000|CHA HMO, INC.|Humana Gold Plus Giveback H0028-065 (HMO)|00025458|0.00|250| | |MO|26940|0|N
H0028|065|000|CHA HMO, INC.|Humana Gold Plus Giveback H0028-065 (HMO)|00025458|0.00|250| | |MO|26950|0|N
H0028|065|000|CHA HMO, INC.|Humana Gold Plus Giveback H0028-065 (HMO)|00025458|0.00|250| | |MO|26991|0|N
H0028|065|000|CHA HMO, INC.|Humana Gold Plus Giveback H0028-065 (HMO)|00025458|0.00|250| | |MO|26992|0|N
H0028|066|000|CHA HMO, INC.|Humana Gold Plus Giveback H0028-066 (HMO-POS)|00025458|0.00|250| | |KS|17290|0|N
H0028|066|000|CHA HMO, INC.|Humana Gold Plus Giveback H0028-066 (HMO-POS)|00025458|0.00|250| | |KS|17430|0|N
H0028|066|000|CHA HMO, INC.|Humana Gold Plus Giveback H0028-066 (HMO-POS)|00025458|0.00|250| | |KS|17450|0|N
H0028|066|000|CHA HMO, INC.|Humana Gold Plus Giveback H0028-066 (HMO-POS)|00025458|0.00|250| | |KS|17510|0|N
H0028|066|000|CHA HMO, INC.|Humana Gold Plus Giveback H0028-066 (HMO-POS)|00025458|0.00|250| | |KS|17600|0|N
H0028|066|000|CHA HMO, INC.|Humana Gold Plus Giveback H0028-066 (HMO-POS)|00025458|0.00|250| | |KS|17880|0|N
H0028|066|000|CHA HMO, INC.|Humana Gold Plus Giveback H0028-066 (HMO-POS)|00025458|0.00|250| | |KS|17986|0|N
H0028|066|000|CHA HMO, INC.|Humana Gold Plus Giveback H0028-066 (HMO-POS)|00025458|0.00|250| | |MO|26230|0|N
H0028|066|000|CHA HMO, INC.|Humana Gold Plus Giveback H0028-066 (HMO-POS)|00025458|0.00|250| | |MO|26470|0|N
H0028|066|000|CHA HMO, INC.|Humana Gold Plus Giveback H0028-066 (HMO-POS)|00025458|0.00|250| | |MO|26530|0|N
H0028|066|000|CHA HMO, INC.|Humana Gold Plus Giveback H0028-066 (HMO-POS)|00025458|0.00|250| | |MO|26820|0|N
H0028|066|000|CHA HMO, INC.|Humana Gold Plus Giveback H0028-066 (HMO-POS)|00025458|0.00|250| | |MO|26880|0|N
H0028|067|000|CHA HMO, INC.|Humana Gold Plus - Diabetes and Heart (HMO-POS C-SNP)|00025460|40.90|590| | |KS|17220|1|N
H0028|067|000|CHA HMO, INC.|Humana Gold Plus - Diabetes and Heart (HMO-POS C-SNP)|00025460|40.90|590| | |KS|17430|1|N
H0028|067|000|CHA HMO, INC.|Humana Gold Plus - Diabetes and Heart (HMO-POS C-SNP)|00025460|40.90|590| | |KS|17450|1|N
H0028|067|000|CHA HMO, INC.|Humana Gold Plus - Diabetes and Heart (HMO-POS C-SNP)|00025460|40.90|590| | |KS|17510|1|N
H0028|067|000|CHA HMO, INC.|Humana Gold Plus - Diabetes and Heart (HMO-POS C-SNP)|00025460|40.90|590| | |KS|17600|1|N
H0028|067|000|CHA HMO, INC.|Humana Gold Plus - Diabetes and Heart (HMO-POS C-SNP)|00025460|40.90|590| | |KS|17770|1|N
H0028|067|000|CHA HMO, INC.|Humana Gold Plus - Diabetes and Heart (HMO-POS C-SNP)|00025460|40.90|590| | |KS|17860|1|N
H0028|067|000|CHA HMO, INC.|Humana Gold Plus - Diabetes and Heart (HMO-POS C-SNP)|00025460|40.90|590| | |KS|17880|1|N
H0028|067|000|CHA HMO, INC.|Humana Gold Plus - Diabetes and Heart (HMO-POS C-SNP)|00025460|40.90|590| | |KS|17986|1|N
H0028|068|000|CHA HMO, INC.|Humana Dual Select H0028-068 (HMO-POS D-SNP)|00025456|39.30|590| | |MO|26040|2|N
H0028|068|000|CHA HMO, INC.|Humana Dual Select H0028-068 (HMO-POS D-SNP)|00025456|39.30|590| | |MO|26180|2|N
H0028|068|000|CHA HMO, INC.|Humana Dual Select H0028-068 (HMO-POS D-SNP)|00025456|39.30|590| | |MO|26190|2|N
H0028|068|000|CHA HMO, INC.|Humana Dual Select H0028-068 (HMO-POS D-SNP)|00025456|39.30|590| | |MO|26210|2|N
H0028|068|000|CHA HMO, INC.|Humana Dual Select H0028-068 (HMO-POS D-SNP)|00025456|39.30|590| | |MO|26230|2|N
H0028|068|000|CHA HMO, INC.|Humana Dual Select H0028-068 (HMO-POS D-SNP)|00025456|39.30|590| | |MO|26270|2|N
H0028|068|000|CHA HMO, INC.|Humana Dual Select H0028-068 (HMO-POS D-SNP)|00025456|39.30|590| | |MO|26280|2|N
H0028|068|000|CHA HMO, INC.|Humana Dual Select H0028-068 (HMO-POS D-SNP)|00025456|39.30|590| | |MO|26290|2|N
H0028|068|000|CHA HMO, INC.|Humana Dual Select H0028-068 (HMO-POS D-SNP)|00025456|39.30|590| | |MO|26330|2|N
H0028|068|000|CHA HMO, INC.|Humana Dual Select H0028-068 (HMO-POS D-SNP)|00025456|39.30|590| | |MO|26380|2|N
H0028|068|000|CHA HMO, INC.|Humana Dual Select H0028-068 (HMO-POS D-SNP)|00025456|39.30|590| | |MO|26450|2|N
H0028|068|000|CHA HMO, INC.|Humana Dual Select H0028-068 (HMO-POS D-SNP)|00025456|39.30|590| | |MO|26460|2|N
H0028|068|000|CHA HMO, INC.|Humana Dual Select H0028-068 (HMO-POS D-SNP)|00025456|39.30|590| | |MO|26470|2|N
H0028|068|000|CHA HMO, INC.|Humana Dual Select H0028-068 (HMO-POS D-SNP)|00025456|39.30|590| | |MO|26480|2|N
H0028|068|000|CHA HMO, INC.|Humana Dual Select H0028-068 (HMO-POS D-SNP)|00025456|39.30|590| | |MO|26490|2|N
H0028|068|000|CHA HMO, INC.|Humana Dual Select H0028-068 (HMO-POS D-SNP)|00025456|39.30|590| | |MO|26500|2|N
H0028|068|000|CHA HMO, INC.|Humana Dual Select H0028-068 (HMO-POS D-SNP)|00025456|39.30|590| | |MO|26520|2|N
H0028|068|000|CHA HMO, INC.|Humana Dual Select H0028-068 (HMO-POS D-SNP)|00025456|39.30|590| | |MO|26530|2|N
H0028|068|000|CHA HMO, INC.|Humana Dual Select H0028-068 (HMO-POS D-SNP)|00025456|39.30|590| | |MO|26540|2|N
H0028|068|000|CHA HMO, INC.|Humana Dual Select H0028-068 (HMO-POS D-SNP)|00025456|39.30|590| | |MO|26590|2|N
H0028|068|000|CHA HMO, INC.|Humana Dual Select H0028-068 (HMO-POS D-SNP)|00025456|39.30|590| | |MO|26601|2|N
H0028|068|000|CHA HMO, INC.|Humana Dual Select H0028-068 (HMO-POS D-SNP)|00025456|39.30|590| | |MO|26720|2|N
H0028|068|000|CHA HMO, INC.|Humana Dual Select H0028-068 (HMO-POS D-SNP)|00025456|39.30|590| | |MO|26780|2|N
H0028|068|000|CHA HMO, INC.|Humana Dual Select H0028-068 (HMO-POS D-SNP)|00025456|39.30|590| | |MO|26810|2|N
H0028|068|000|CHA HMO, INC.|Humana Dual Select H0028-068 (HMO-POS D-SNP)|00025456|39.30|590| | |MO|26820|2|N
H0028|068|000|CHA HMO, INC.|Humana Dual Select H0028-068 (HMO-POS D-SNP)|00025456|39.30|590| | |MO|26821|2|N
H0028|068|000|CHA HMO, INC.|Humana Dual Select H0028-068 (HMO-POS D-SNP)|00025456|39.30|590| | |MO|26840|2|N
H0028|068|000|CHA HMO, INC.|Humana Dual Select H0028-068 (HMO-POS D-SNP)|00025456|39.30|590| | |MO|26910|2|N
H0028|068|000|CHA HMO, INC.|Humana Dual Select H0028-068 (HMO-POS D-SNP)|00025456|39.30|590| | |MO|26930|2|N
H0028|068|000|CHA HMO, INC.|Humana Dual Select H0028-068 (HMO-POS D-SNP)|00025456|39.30|590| | |MO|26940|2|N
H0028|068|000|CHA HMO, INC.|Humana Dual Select H0028-068 (HMO-POS D-SNP)|00025456|39.30|590| | |MO|26950|2|N
H0028|068|000|CHA HMO, INC.|Humana Dual Select H0028-068 (HMO-POS D-SNP)|00025456|39.30|590| | |MO|26986|2|N
H0028|068|000|CHA HMO, INC.|Humana Dual Select H0028-068 (HMO-POS D-SNP)|00025456|39.30|590| | |MO|26988|2|N
H0028|068|000|CHA HMO, INC.|Humana Dual Select H0028-068 (HMO-POS D-SNP)|00025456|39.30|590| | |MO|26991|2|N
H0028|068|000|CHA HMO, INC.|Humana Dual Select H0028-068 (HMO-POS D-SNP)|00025456|39.30|590| | |MO|26992|2|N
H0028|068|000|CHA HMO, INC.|Humana Dual Select H0028-068 (HMO-POS D-SNP)|00025456|39.30|590| | |MO|26994|2|N
H0028|068|000|CHA HMO, INC.|Humana Dual Select H0028-068 (HMO-POS D-SNP)|00025456|39.30|590| | |MO|26996|2|N
H0028|069|000|CHA HMO, INC.|Humana Gold Plus H0028-069 (HMO)|00025456|0.00|0| | |TX|45030|0|N
H0028|069|000|CHA HMO, INC.|Humana Gold Plus H0028-069 (HMO)|00025456|0.00|0| | |TX|45113|0|N
H0028|069|000|CHA HMO, INC.|Humana Gold Plus H0028-069 (HMO)|00025456|0.00|0| | |TX|45711|0|N
H0028|069|000|CHA HMO, INC.|Humana Gold Plus H0028-069 (HMO)|00025456|0.00|0| | |TX|45743|0|N
H0028|069|000|CHA HMO, INC.|Humana Gold Plus H0028-069 (HMO)|00025456|0.00|0| | |TX|45830|0|N
H0028|069|000|CHA HMO, INC.|Humana Gold Plus H0028-069 (HMO)|00025456|0.00|0| | |TX|45885|0|N
H0028|070|000|CHA HMO, INC.|Humana Gold Plus H0028-070 (HMO)|00025456|0.00|0| | |TX|45060|0|N
H0028|070|000|CHA HMO, INC.|Humana Gold Plus H0028-070 (HMO)|00025456|0.00|0| | |TX|45090|0|N
H0028|070|000|CHA HMO, INC.|Humana Gold Plus H0028-070 (HMO)|00025456|0.00|0| | |TX|45130|0|N
H0028|070|000|CHA HMO, INC.|Humana Gold Plus H0028-070 (HMO)|00025456|0.00|0| | |TX|45320|0|N
H0028|070|000|CHA HMO, INC.|Humana Gold Plus H0028-070 (HMO)|00025456|0.00|0| | |TX|45581|0|N
H0028|070|000|CHA HMO, INC.|Humana Gold Plus H0028-070 (HMO)|00025456|0.00|0| | |TX|45731|0|N
H0028|070|000|CHA HMO, INC.|Humana Gold Plus H0028-070 (HMO)|00025456|0.00|0| | |TX|45792|0|N
H0028|070|000|CHA HMO, INC.|Humana Gold Plus H0028-070 (HMO)|00025456|0.00|0| | |TX|45971|0|N
H0028|071|000|CHA HMO, INC.|Humana Gold Plus H0028-071 (HMO)|00025456|0.00|0| | |TX|45480|0|N
H0028|071|000|CHA HMO, INC.|Humana Gold Plus H0028-071 (HMO)|00025456|0.00|0| | |TX|45662|0|N
H0028|072|000|CHA HMO, INC.|Humana Gold Plus H0028-072 (HMO)|00025456|0.00|200| | |TX|45530|0|N
H0028|072|000|CHA HMO, INC.|Humana Gold Plus H0028-072 (HMO)|00025456|0.00|200| | |TX|45610|0|N
H0028|072|000|CHA HMO, INC.|Humana Gold Plus H0028-072 (HMO)|00025456|0.00|200| | |TX|45700|0|N
H0028|073|000|CHA HMO, INC.|Humana Gold Plus H0028-073 (HMO)|00025459|0.00|0| | |CO|06000|0|N
H0028|073|000|CHA HMO, INC.|Humana Gold Plus H0028-073 (HMO)|00025459|0.00|0| | |CO|06020|0|N
H0028|073|000|CHA HMO, INC.|Humana Gold Plus H0028-073 (HMO)|00025459|0.00|0| | |CO|06060|0|N
H0028|073|000|CHA HMO, INC.|Humana Gold Plus H0028-073 (HMO)|00025459|0.00|0| | |CO|06150|0|N
H0028|073|000|CHA HMO, INC.|Humana Gold Plus H0028-073 (HMO)|00025459|0.00|0| | |CO|06170|0|N
H0028|073|000|CHA HMO, INC.|Humana Gold Plus H0028-073 (HMO)|00025459|0.00|0| | |CO|06290|0|N
H0028|073|000|CHA HMO, INC.|Humana Gold Plus H0028-073 (HMO)|00025459|0.00|0| | |CO|06630|0|N
H0028|074|001|CHA HMO, INC.|Humana Gold Plus H0028-074 (HMO)|00025458|0.00|0| | |AZ|03060|0|N
H0028|074|002|CHA HMO, INC.|Humana Gold Plus H0028-074 (HMO)|00025458|0.00|0| | |AZ|03090|0|N
H0028|074|002|CHA HMO, INC.|Humana Gold Plus H0028-074 (HMO)|00025458|0.00|0| | |AZ|03100|0|N
H0028|075|000|CHA HMO, INC.|Humana Gold Plus H0028-075 (HMO)|00025458|0.00|250| | |CO|06190|0|N
H0028|075|000|CHA HMO, INC.|Humana Gold Plus H0028-075 (HMO)|00025458|0.00|250| | |CO|06200|0|N
H0028|075|000|CHA HMO, INC.|Humana Gold Plus H0028-075 (HMO)|00025458|0.00|250| | |CO|06210|0|N
H0028|075|000|CHA HMO, INC.|Humana Gold Plus H0028-075 (HMO)|00025458|0.00|250| | |CO|06340|0|N
H0028|075|000|CHA HMO, INC.|Humana Gold Plus H0028-075 (HMO)|00025458|0.00|250| | |CO|06500|0|N
H0028|075|000|CHA HMO, INC.|Humana Gold Plus H0028-075 (HMO)|00025458|0.00|250| | |CO|06590|0|N
H0028|075|000|CHA HMO, INC.|Humana Gold Plus H0028-075 (HMO)|00025458|0.00|250| | |CO|06610|0|N
H0028|076|000|CHA HMO, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|590| | |NM|32000|1|N
H0028|076|000|CHA HMO, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|590| | |NM|32210|1|N
H0028|076|000|CHA HMO, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|590| | |NM|32230|1|N
H0028|076|000|CHA HMO, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|590| | |NM|32240|1|N
H0028|076|000|CHA HMO, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|590| | |NM|32280|1|N
H0028|076|000|CHA HMO, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|590| | |NM|32300|1|N
H0028|077|000|CHA HMO, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|590| | |AZ|03060|1|N
H0028|078|000|CHA HMO, INC.|Humana Dual Select H0028-078 (HMO D-SNP)|00025456|12.10|590| | |CO|06000|2|N
H0028|078|000|CHA HMO, INC.|Humana Dual Select H0028-078 (HMO D-SNP)|00025456|12.10|590| | |CO|06020|2|N
H0028|078|000|CHA HMO, INC.|Humana Dual Select H0028-078 (HMO D-SNP)|00025456|12.10|590| | |CO|06060|2|N
H0028|078|000|CHA HMO, INC.|Humana Dual Select H0028-078 (HMO D-SNP)|00025456|12.10|590| | |CO|06150|2|N
H0028|078|000|CHA HMO, INC.|Humana Dual Select H0028-078 (HMO D-SNP)|00025456|12.10|590| | |CO|06170|2|N
H0028|078|000|CHA HMO, INC.|Humana Dual Select H0028-078 (HMO D-SNP)|00025456|12.10|590| | |CO|06290|2|N
H0028|078|000|CHA HMO, INC.|Humana Dual Select H0028-078 (HMO D-SNP)|00025456|12.10|590| | |CO|06630|2|N
H0028|079|000|CHA HMO, INC.|Humana Dual Select H0028-079 (HMO D-SNP)|00025456|16.00|590| | |CO|06190|2|N
H0028|079|000|CHA HMO, INC.|Humana Dual Select H0028-079 (HMO D-SNP)|00025456|16.00|590| | |CO|06200|2|N
H0028|079|000|CHA HMO, INC.|Humana Dual Select H0028-079 (HMO D-SNP)|00025456|16.00|590| | |CO|06210|2|N
H0028|079|000|CHA HMO, INC.|Humana Dual Select H0028-079 (HMO D-SNP)|00025456|16.00|590| | |CO|06340|2|N
H0028|079|000|CHA HMO, INC.|Humana Dual Select H0028-079 (HMO D-SNP)|00025456|16.00|590| | |CO|06500|2|N
H0028|079|000|CHA HMO, INC.|Humana Dual Select H0028-079 (HMO D-SNP)|00025456|16.00|590| | |CO|06590|2|N
H0028|079|000|CHA HMO, INC.|Humana Dual Select H0028-079 (HMO D-SNP)|00025456|16.00|590| | |CO|06610|2|N
H0029|007|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |WA|50000|2|N
H0029|007|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |WA|50010|2|N
H0029|007|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |WA|50030|2|N
H0029|007|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |WA|50040|2|N
H0029|007|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |WA|50050|2|N
H0029|007|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |WA|50060|2|N
H0029|007|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |WA|50070|2|N
H0029|007|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |WA|50080|2|N
H0029|007|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |WA|50090|2|N
H0029|007|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |WA|50110|2|N
H0029|007|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |WA|50120|2|N
H0029|007|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |WA|50130|2|N
H0029|007|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |WA|50140|2|N
H0029|007|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |WA|50150|2|N
H0029|007|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |WA|50160|2|N
H0029|007|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |WA|50170|2|N
H0029|007|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |WA|50180|2|N
H0029|007|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |WA|50190|2|N
H0029|007|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |WA|50200|2|N
H0029|007|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |WA|50210|2|N
H0029|007|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |WA|50220|2|N
H0029|007|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |WA|50230|2|N
H0029|007|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |WA|50240|2|N
H0029|007|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |WA|50250|2|N
H0029|007|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |WA|50260|2|N
H0029|007|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |WA|50270|2|N
H0029|007|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |WA|50280|2|N
H0029|007|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |WA|50290|2|N
H0029|007|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |WA|50300|2|N
H0029|007|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |WA|50310|2|N
H0029|007|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |WA|50330|2|N
H0029|007|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |WA|50340|2|N
H0029|007|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |WA|50360|2|N
H0029|007|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |WA|50370|2|N
H0029|007|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |WA|50380|2|N
H0029|008|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |WA|50000|2|N
H0029|008|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |WA|50010|2|N
H0029|008|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |WA|50030|2|N
H0029|008|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |WA|50040|2|N
H0029|008|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |WA|50050|2|N
H0029|008|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |WA|50060|2|N
H0029|008|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |WA|50070|2|N
H0029|008|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |WA|50080|2|N
H0029|008|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |WA|50090|2|N
H0029|008|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |WA|50110|2|N
H0029|008|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |WA|50120|2|N
H0029|008|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |WA|50130|2|N
H0029|008|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |WA|50140|2|N
H0029|008|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |WA|50150|2|N
H0029|008|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |WA|50160|2|N
H0029|008|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |WA|50170|2|N
H0029|008|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |WA|50180|2|N
H0029|008|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |WA|50190|2|N
H0029|008|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |WA|50200|2|N
H0029|008|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |WA|50210|2|N
H0029|008|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |WA|50220|2|N
H0029|008|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |WA|50230|2|N
H0029|008|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |WA|50240|2|N
H0029|008|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |WA|50250|2|N
H0029|008|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |WA|50260|2|N
H0029|008|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |WA|50270|2|N
H0029|008|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |WA|50280|2|N
H0029|008|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |WA|50290|2|N
H0029|008|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |WA|50300|2|N
H0029|008|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |WA|50310|2|N
H0029|008|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |WA|50330|2|N
H0029|008|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |WA|50340|2|N
H0029|008|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |WA|50360|2|N
H0029|008|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |WA|50370|2|N
H0029|008|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |WA|50380|2|N
H0029|009|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|385| | |WA|50000|0|N
H0029|009|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|385| | |WA|50010|0|N
H0029|009|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|385| | |WA|50030|0|N
H0029|009|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|385| | |WA|50040|0|N
H0029|009|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|385| | |WA|50050|0|N
H0029|009|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|385| | |WA|50060|0|N
H0029|009|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|385| | |WA|50070|0|N
H0029|009|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|385| | |WA|50080|0|N
H0029|009|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|385| | |WA|50090|0|N
H0029|009|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|385| | |WA|50110|0|N
H0029|009|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|385| | |WA|50120|0|N
H0029|009|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|385| | |WA|50130|0|N
H0029|009|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|385| | |WA|50140|0|N
H0029|009|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|385| | |WA|50150|0|N
H0029|009|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|385| | |WA|50160|0|N
H0029|009|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|385| | |WA|50170|0|N
H0029|009|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|385| | |WA|50180|0|N
H0029|009|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|385| | |WA|50190|0|N
H0029|009|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|385| | |WA|50200|0|N
H0029|009|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|385| | |WA|50210|0|N
H0029|009|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|385| | |WA|50220|0|N
H0029|009|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|385| | |WA|50230|0|N
H0029|009|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|385| | |WA|50240|0|N
H0029|009|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|385| | |WA|50250|0|N
H0029|009|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|385| | |WA|50260|0|N
H0029|009|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|385| | |WA|50270|0|N
H0029|009|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|385| | |WA|50280|0|N
H0029|009|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|385| | |WA|50290|0|N
H0029|009|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|385| | |WA|50300|0|N
H0029|009|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|385| | |WA|50310|0|N
H0029|009|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|385| | |WA|50330|0|N
H0029|009|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|385| | |WA|50340|0|N
H0029|009|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|385| | |WA|50360|0|N
H0029|009|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|385| | |WA|50370|0|N
H0029|009|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|385| | |WA|50380|0|N
H0029|010|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|21.90|590| | |WA|50000|2|N
H0029|010|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|21.90|590| | |WA|50010|2|N
H0029|010|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|21.90|590| | |WA|50030|2|N
H0029|010|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|21.90|590| | |WA|50040|2|N
H0029|010|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|21.90|590| | |WA|50050|2|N
H0029|010|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|21.90|590| | |WA|50060|2|N
H0029|010|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|21.90|590| | |WA|50070|2|N
H0029|010|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|21.90|590| | |WA|50080|2|N
H0029|010|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|21.90|590| | |WA|50090|2|N
H0029|010|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|21.90|590| | |WA|50110|2|N
H0029|010|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|21.90|590| | |WA|50120|2|N
H0029|010|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|21.90|590| | |WA|50130|2|N
H0029|010|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|21.90|590| | |WA|50140|2|N
H0029|010|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|21.90|590| | |WA|50150|2|N
H0029|010|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|21.90|590| | |WA|50160|2|N
H0029|010|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|21.90|590| | |WA|50170|2|N
H0029|010|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|21.90|590| | |WA|50180|2|N
H0029|010|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|21.90|590| | |WA|50190|2|N
H0029|010|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|21.90|590| | |WA|50200|2|N
H0029|010|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|21.90|590| | |WA|50210|2|N
H0029|010|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|21.90|590| | |WA|50220|2|N
H0029|010|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|21.90|590| | |WA|50230|2|N
H0029|010|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|21.90|590| | |WA|50240|2|N
H0029|010|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|21.90|590| | |WA|50250|2|N
H0029|010|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|21.90|590| | |WA|50260|2|N
H0029|010|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|21.90|590| | |WA|50270|2|N
H0029|010|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|21.90|590| | |WA|50280|2|N
H0029|010|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|21.90|590| | |WA|50290|2|N
H0029|010|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|21.90|590| | |WA|50300|2|N
H0029|010|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|21.90|590| | |WA|50310|2|N
H0029|010|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|21.90|590| | |WA|50330|2|N
H0029|010|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|21.90|590| | |WA|50340|2|N
H0029|010|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|21.90|590| | |WA|50360|2|N
H0029|010|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|21.90|590| | |WA|50370|2|N
H0029|010|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|21.90|590| | |WA|50380|2|N
H0029|011|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |WA|50000|0|N
H0029|011|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |WA|50010|0|N
H0029|011|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |WA|50030|0|N
H0029|011|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |WA|50040|0|N
H0029|011|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |WA|50050|0|N
H0029|011|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |WA|50060|0|N
H0029|011|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |WA|50070|0|N
H0029|011|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |WA|50080|0|N
H0029|011|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |WA|50090|0|N
H0029|011|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |WA|50110|0|N
H0029|011|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |WA|50120|0|N
H0029|011|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |WA|50130|0|N
H0029|011|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |WA|50140|0|N
H0029|011|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |WA|50150|0|N
H0029|011|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |WA|50160|0|N
H0029|011|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |WA|50170|0|N
H0029|011|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |WA|50180|0|N
H0029|011|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |WA|50190|0|N
H0029|011|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |WA|50200|0|N
H0029|011|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |WA|50210|0|N
H0029|011|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |WA|50220|0|N
H0029|011|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |WA|50230|0|N
H0029|011|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |WA|50240|0|N
H0029|011|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |WA|50250|0|N
H0029|011|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |WA|50260|0|N
H0029|011|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |WA|50270|0|N
H0029|011|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |WA|50280|0|N
H0029|011|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |WA|50290|0|N
H0029|011|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |WA|50300|0|N
H0029|011|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |WA|50310|0|N
H0029|011|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |WA|50330|0|N
H0029|011|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |WA|50340|0|N
H0029|011|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |WA|50360|0|N
H0029|011|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |WA|50370|0|N
H0029|011|000|COORDINATED CARE OF WASHINGTON, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |WA|50380|0|N
H0034|001|000|HAMASPIK, INC.|Hamaspik Medicare Select (HMO D-SNP)|00025014|0.00|590| | |NY|33000|2|N
H0034|001|000|HAMASPIK, INC.|Hamaspik Medicare Select (HMO D-SNP)|00025014|0.00|590| | |NY|33020|2|N
H0034|001|000|HAMASPIK, INC.|Hamaspik Medicare Select (HMO D-SNP)|00025014|0.00|590| | |NY|33200|2|N
H0034|001|000|HAMASPIK, INC.|Hamaspik Medicare Select (HMO D-SNP)|00025014|0.00|590| | |NY|33230|2|N
H0034|001|000|HAMASPIK, INC.|Hamaspik Medicare Select (HMO D-SNP)|00025014|0.00|590| | |NY|33300|2|N
H0034|001|000|HAMASPIK, INC.|Hamaspik Medicare Select (HMO D-SNP)|00025014|0.00|590| | |NY|33331|2|N
H0034|001|000|HAMASPIK, INC.|Hamaspik Medicare Select (HMO D-SNP)|00025014|0.00|590| | |NY|33380|2|N
H0034|001|000|HAMASPIK, INC.|Hamaspik Medicare Select (HMO D-SNP)|00025014|0.00|590| | |NY|33400|2|N
H0034|001|000|HAMASPIK, INC.|Hamaspik Medicare Select (HMO D-SNP)|00025014|0.00|590| | |NY|33420|2|N
H0034|001|000|HAMASPIK, INC.|Hamaspik Medicare Select (HMO D-SNP)|00025014|0.00|590| | |NY|33540|2|N
H0034|001|000|HAMASPIK, INC.|Hamaspik Medicare Select (HMO D-SNP)|00025014|0.00|590| | |NY|33580|2|N
H0034|001|000|HAMASPIK, INC.|Hamaspik Medicare Select (HMO D-SNP)|00025014|0.00|590| | |NY|33590|2|N
H0034|001|000|HAMASPIK, INC.|Hamaspik Medicare Select (HMO D-SNP)|00025014|0.00|590| | |NY|33600|2|N
H0034|001|000|HAMASPIK, INC.|Hamaspik Medicare Select (HMO D-SNP)|00025014|0.00|590| | |NY|33610|2|N
H0034|001|000|HAMASPIK, INC.|Hamaspik Medicare Select (HMO D-SNP)|00025014|0.00|590| | |NY|33620|2|N
H0034|001|000|HAMASPIK, INC.|Hamaspik Medicare Select (HMO D-SNP)|00025014|0.00|590| | |NY|33650|2|N
H0034|001|000|HAMASPIK, INC.|Hamaspik Medicare Select (HMO D-SNP)|00025014|0.00|590| | |NY|33710|2|N
H0034|001|000|HAMASPIK, INC.|Hamaspik Medicare Select (HMO D-SNP)|00025014|0.00|590| | |NY|33740|2|N
H0034|001|000|HAMASPIK, INC.|Hamaspik Medicare Select (HMO D-SNP)|00025014|0.00|590| | |NY|33800|2|N
H0034|002|000|HAMASPIK, INC.|Hamaspik Medicare Choice (HMO D-SNP)|00025014|0.00|590| | |NY|33020|2|N
H0034|002|000|HAMASPIK, INC.|Hamaspik Medicare Choice (HMO D-SNP)|00025014|0.00|590| | |NY|33230|2|N
H0034|002|000|HAMASPIK, INC.|Hamaspik Medicare Choice (HMO D-SNP)|00025014|0.00|590| | |NY|33331|2|N
H0034|002|000|HAMASPIK, INC.|Hamaspik Medicare Choice (HMO D-SNP)|00025014|0.00|590| | |NY|33400|2|N
H0034|002|000|HAMASPIK, INC.|Hamaspik Medicare Choice (HMO D-SNP)|00025014|0.00|590| | |NY|33420|2|N
H0034|002|000|HAMASPIK, INC.|Hamaspik Medicare Choice (HMO D-SNP)|00025014|0.00|590| | |NY|33540|2|N
H0034|002|000|HAMASPIK, INC.|Hamaspik Medicare Choice (HMO D-SNP)|00025014|0.00|590| | |NY|33580|2|N
H0034|002|000|HAMASPIK, INC.|Hamaspik Medicare Choice (HMO D-SNP)|00025014|0.00|590| | |NY|33590|2|N
H0034|002|000|HAMASPIK, INC.|Hamaspik Medicare Choice (HMO D-SNP)|00025014|0.00|590| | |NY|33610|2|N
H0034|002|000|HAMASPIK, INC.|Hamaspik Medicare Choice (HMO D-SNP)|00025014|0.00|590| | |NY|33620|2|N
H0034|002|000|HAMASPIK, INC.|Hamaspik Medicare Choice (HMO D-SNP)|00025014|0.00|590| | |NY|33710|2|N
H0034|002|000|HAMASPIK, INC.|Hamaspik Medicare Choice (HMO D-SNP)|00025014|0.00|590| | |NY|33740|2|N
H0034|002|000|HAMASPIK, INC.|Hamaspik Medicare Choice (HMO D-SNP)|00025014|0.00|590| | |NY|33800|2|N
H0074|001|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |MS|25030|0|N
H0074|001|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |MS|25050|0|N
H0074|001|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |MS|25070|0|N
H0074|001|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |MS|25100|0|N
H0074|001|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |MS|25110|0|N
H0074|001|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |MS|25130|0|N
H0074|001|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |MS|25140|0|N
H0074|001|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |MS|25150|0|N
H0074|001|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |MS|25160|0|N
H0074|001|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |MS|25170|0|N
H0074|001|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |MS|25190|0|N
H0074|001|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |MS|25200|0|N
H0074|001|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |MS|25220|0|N
H0074|001|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |MS|25230|0|N
H0074|001|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |MS|25240|0|N
H0074|001|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |MS|25250|0|N
H0074|001|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |MS|25260|0|N
H0074|001|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |MS|25270|0|N
H0074|001|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |MS|25290|0|N
H0074|001|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |MS|25300|0|N
H0074|001|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |MS|25320|0|N
H0074|001|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |MS|25330|0|N
H0074|001|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |MS|25340|0|N
H0074|001|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |MS|25370|0|N
H0074|001|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |MS|25380|0|N
H0074|001|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |MS|25390|0|N
H0074|001|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |MS|25410|0|N
H0074|001|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |MS|25420|0|N
H0074|001|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |MS|25440|0|N
H0074|001|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |MS|25450|0|N
H0074|001|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |MS|25460|0|N
H0074|001|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |MS|25480|0|N
H0074|001|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |MS|25490|0|N
H0074|001|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |MS|25500|0|N
H0074|001|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |MS|25530|0|N
H0074|001|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |MS|25550|0|N
H0074|001|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |MS|25560|0|N
H0074|001|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |MS|25590|0|N
H0074|001|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |MS|25600|0|N
H0074|001|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |MS|25610|0|N
H0074|001|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |MS|25620|0|N
H0074|001|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |MS|25630|0|N
H0074|001|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |MS|25640|0|N
H0074|001|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |MS|25650|0|N
H0074|001|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |MS|25670|0|N
H0074|001|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |MS|25680|0|N
H0074|001|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |MS|25710|0|N
H0074|001|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |MS|25730|0|N
H0074|001|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |MS|25740|0|N
H0074|001|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |MS|25750|0|N
H0074|001|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |MS|25760|0|N
H0074|001|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |MS|25800|0|N
H0074|001|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |MS|25810|0|N
H0074|004|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |MS|25030|2|N
H0074|004|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |MS|25050|2|N
H0074|004|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |MS|25070|2|N
H0074|004|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |MS|25100|2|N
H0074|004|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |MS|25110|2|N
H0074|004|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |MS|25130|2|N
H0074|004|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |MS|25140|2|N
H0074|004|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |MS|25150|2|N
H0074|004|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |MS|25160|2|N
H0074|004|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |MS|25170|2|N
H0074|004|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |MS|25190|2|N
H0074|004|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |MS|25200|2|N
H0074|004|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |MS|25220|2|N
H0074|004|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |MS|25230|2|N
H0074|004|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |MS|25240|2|N
H0074|004|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |MS|25250|2|N
H0074|004|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |MS|25260|2|N
H0074|004|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |MS|25270|2|N
H0074|004|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |MS|25290|2|N
H0074|004|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |MS|25300|2|N
H0074|004|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |MS|25320|2|N
H0074|004|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |MS|25330|2|N
H0074|004|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |MS|25340|2|N
H0074|004|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |MS|25370|2|N
H0074|004|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |MS|25380|2|N
H0074|004|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |MS|25390|2|N
H0074|004|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |MS|25410|2|N
H0074|004|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |MS|25420|2|N
H0074|004|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |MS|25440|2|N
H0074|004|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |MS|25450|2|N
H0074|004|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |MS|25460|2|N
H0074|004|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |MS|25480|2|N
H0074|004|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |MS|25490|2|N
H0074|004|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |MS|25500|2|N
H0074|004|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |MS|25530|2|N
H0074|004|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |MS|25550|2|N
H0074|004|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |MS|25560|2|N
H0074|004|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |MS|25590|2|N
H0074|004|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |MS|25600|2|N
H0074|004|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |MS|25610|2|N
H0074|004|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |MS|25620|2|N
H0074|004|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |MS|25630|2|N
H0074|004|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |MS|25640|2|N
H0074|004|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |MS|25650|2|N
H0074|004|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |MS|25670|2|N
H0074|004|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |MS|25680|2|N
H0074|004|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |MS|25710|2|N
H0074|004|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |MS|25730|2|N
H0074|004|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |MS|25740|2|N
H0074|004|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |MS|25750|2|N
H0074|004|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |MS|25760|2|N
H0074|004|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |MS|25800|2|N
H0074|004|000|WELLCARE OF MISSISSIPPI, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |MS|25810|2|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01000|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01020|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01040|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01050|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01060|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01070|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01080|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01090|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01110|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01120|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01130|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01140|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01150|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01160|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01170|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01180|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01190|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01200|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01210|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01220|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01230|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01240|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01250|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01260|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01270|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01280|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01290|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01300|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01310|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01320|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01330|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01340|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01350|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01370|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01380|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01390|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01400|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01410|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01420|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01430|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01440|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01450|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01460|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01470|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01490|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01500|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01510|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01520|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01530|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01540|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01550|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01560|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01570|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01590|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01600|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01610|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01620|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01640|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01650|0|N
H0104|012|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|0| | |AL|01660|0|N
H0104|014|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|150| | |AL|01010|0|N
H0104|014|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|150| | |AL|01030|0|N
H0104|014|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|150| | |AL|01100|0|N
H0104|014|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|150| | |AL|01360|0|N
H0104|014|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|150| | |AL|01480|0|N
H0104|014|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|150| | |AL|01580|0|N
H0104|014|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Complete (PPO)|00025435|0.00|150| | |AL|01630|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01000|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01010|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01020|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01030|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01040|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01050|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01060|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01070|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01080|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01090|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01100|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01110|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01120|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01130|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01140|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01150|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01160|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01170|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01180|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01190|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01200|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01210|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01220|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01230|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01240|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01250|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01260|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01270|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01280|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01290|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01300|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01310|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01320|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01330|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01340|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01350|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01360|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01370|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01380|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01390|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01400|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01410|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01420|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01430|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01440|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01450|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01460|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01470|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01480|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01490|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01500|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01510|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01520|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01530|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01540|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01550|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01560|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01570|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01580|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01590|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01600|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01610|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01620|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01630|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01640|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01650|0|N
H0104|015|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Premier (PPO)|00025434|37.80|0| | |AL|01660|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01000|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01020|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01040|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01050|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01060|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01070|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01080|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01090|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01110|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01120|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01130|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01140|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01150|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01160|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01170|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01180|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01190|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01200|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01210|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01220|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01230|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01240|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01250|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01260|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01270|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01280|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01290|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01300|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01310|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01320|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01330|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01340|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01350|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01370|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01380|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01390|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01400|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01410|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01420|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01430|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01440|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01450|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01460|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01470|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01490|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01500|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01510|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01520|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01530|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01540|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01550|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01560|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01570|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01590|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01600|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01610|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01620|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01640|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01650|0|N
H0104|016|000|BLUE CROSS AND BLUE SHIELD OF ALABAMA|Blue Advantage Choice (PPO)|00025432|0.00|440| | |AL|01660|0|N
H0107|003|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |MT|27000|0|N
H0107|003|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |MT|27010|0|N
H0107|003|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |MT|27030|0|N
H0107|003|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |MT|27040|0|N
H0107|003|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |MT|27060|0|N
H0107|003|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |MT|27070|0|N
H0107|003|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |MT|27080|0|N
H0107|003|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |MT|27110|0|N
H0107|003|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |MT|27130|0|N
H0107|003|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |MT|27140|0|N
H0107|003|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |MT|27150|0|N
H0107|003|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |MT|27170|0|N
H0107|003|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |MT|27180|0|N
H0107|003|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |MT|27190|0|N
H0107|003|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |MT|27200|0|N
H0107|003|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |MT|27210|0|N
H0107|003|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |MT|27220|0|N
H0107|003|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |MT|27230|0|N
H0107|003|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |MT|27240|0|N
H0107|003|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |MT|27250|0|N
H0107|003|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |MT|27260|0|N
H0107|003|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |MT|27280|0|N
H0107|003|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |MT|27290|0|N
H0107|003|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |MT|27300|0|N
H0107|003|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |MT|27310|0|N
H0107|003|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |MT|27320|0|N
H0107|003|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |MT|27330|0|N
H0107|003|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |MT|27360|0|N
H0107|003|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |MT|27380|0|N
H0107|003|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |MT|27400|0|N
H0107|003|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |MT|27430|0|N
H0107|003|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |MT|27440|0|N
H0107|003|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |MT|27460|0|N
H0107|003|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |MT|27470|0|N
H0107|003|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |MT|27480|0|N
H0107|003|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |MT|27490|0|N
H0107|003|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |MT|27500|0|N
H0107|003|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |MT|27530|0|N
H0107|003|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |MT|27550|0|N
H0107|004|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Optimum (PPO)|00025445|11.20|0| | |MT|27000|0|N
H0107|004|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Optimum (PPO)|00025445|11.20|0| | |MT|27010|0|N
H0107|004|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Optimum (PPO)|00025445|11.20|0| | |MT|27030|0|N
H0107|004|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Optimum (PPO)|00025445|11.20|0| | |MT|27040|0|N
H0107|004|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Optimum (PPO)|00025445|11.20|0| | |MT|27060|0|N
H0107|004|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Optimum (PPO)|00025445|11.20|0| | |MT|27070|0|N
H0107|004|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Optimum (PPO)|00025445|11.20|0| | |MT|27080|0|N
H0107|004|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Optimum (PPO)|00025445|11.20|0| | |MT|27110|0|N
H0107|004|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Optimum (PPO)|00025445|11.20|0| | |MT|27130|0|N
H0107|004|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Optimum (PPO)|00025445|11.20|0| | |MT|27140|0|N
H0107|004|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Optimum (PPO)|00025445|11.20|0| | |MT|27150|0|N
H0107|004|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Optimum (PPO)|00025445|11.20|0| | |MT|27170|0|N
H0107|004|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Optimum (PPO)|00025445|11.20|0| | |MT|27180|0|N
H0107|004|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Optimum (PPO)|00025445|11.20|0| | |MT|27190|0|N
H0107|004|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Optimum (PPO)|00025445|11.20|0| | |MT|27200|0|N
H0107|004|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Optimum (PPO)|00025445|11.20|0| | |MT|27210|0|N
H0107|004|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Optimum (PPO)|00025445|11.20|0| | |MT|27220|0|N
H0107|004|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Optimum (PPO)|00025445|11.20|0| | |MT|27230|0|N
H0107|004|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Optimum (PPO)|00025445|11.20|0| | |MT|27240|0|N
H0107|004|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Optimum (PPO)|00025445|11.20|0| | |MT|27250|0|N
H0107|004|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Optimum (PPO)|00025445|11.20|0| | |MT|27260|0|N
H0107|004|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Optimum (PPO)|00025445|11.20|0| | |MT|27280|0|N
H0107|004|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Optimum (PPO)|00025445|11.20|0| | |MT|27290|0|N
H0107|004|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Optimum (PPO)|00025445|11.20|0| | |MT|27300|0|N
H0107|004|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Optimum (PPO)|00025445|11.20|0| | |MT|27310|0|N
H0107|004|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Optimum (PPO)|00025445|11.20|0| | |MT|27320|0|N
H0107|004|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Optimum (PPO)|00025445|11.20|0| | |MT|27330|0|N
H0107|004|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Optimum (PPO)|00025445|11.20|0| | |MT|27360|0|N
H0107|004|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Optimum (PPO)|00025445|11.20|0| | |MT|27380|0|N
H0107|004|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Optimum (PPO)|00025445|11.20|0| | |MT|27400|0|N
H0107|004|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Optimum (PPO)|00025445|11.20|0| | |MT|27430|0|N
H0107|004|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Optimum (PPO)|00025445|11.20|0| | |MT|27440|0|N
H0107|004|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Optimum (PPO)|00025445|11.20|0| | |MT|27460|0|N
H0107|004|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Optimum (PPO)|00025445|11.20|0| | |MT|27470|0|N
H0107|004|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Optimum (PPO)|00025445|11.20|0| | |MT|27480|0|N
H0107|004|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Optimum (PPO)|00025445|11.20|0| | |MT|27490|0|N
H0107|004|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Optimum (PPO)|00025445|11.20|0| | |MT|27500|0|N
H0107|004|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Optimum (PPO)|00025445|11.20|0| | |MT|27530|0|N
H0107|004|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Optimum (PPO)|00025445|11.20|0| | |MT|27550|0|N
H0107|005|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Plus (PPO)|00025443|0.00|590| | |MT|27000|0|N
H0107|005|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Plus (PPO)|00025443|0.00|590| | |MT|27010|0|N
H0107|005|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Plus (PPO)|00025443|0.00|590| | |MT|27030|0|N
H0107|005|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Plus (PPO)|00025443|0.00|590| | |MT|27040|0|N
H0107|005|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Plus (PPO)|00025443|0.00|590| | |MT|27060|0|N
H0107|005|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Plus (PPO)|00025443|0.00|590| | |MT|27070|0|N
H0107|005|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Plus (PPO)|00025443|0.00|590| | |MT|27080|0|N
H0107|005|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Plus (PPO)|00025443|0.00|590| | |MT|27110|0|N
H0107|005|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Plus (PPO)|00025443|0.00|590| | |MT|27130|0|N
H0107|005|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Plus (PPO)|00025443|0.00|590| | |MT|27140|0|N
H0107|005|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Plus (PPO)|00025443|0.00|590| | |MT|27150|0|N
H0107|005|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Plus (PPO)|00025443|0.00|590| | |MT|27170|0|N
H0107|005|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Plus (PPO)|00025443|0.00|590| | |MT|27180|0|N
H0107|005|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Plus (PPO)|00025443|0.00|590| | |MT|27190|0|N
H0107|005|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Plus (PPO)|00025443|0.00|590| | |MT|27200|0|N
H0107|005|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Plus (PPO)|00025443|0.00|590| | |MT|27210|0|N
H0107|005|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Plus (PPO)|00025443|0.00|590| | |MT|27220|0|N
H0107|005|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Plus (PPO)|00025443|0.00|590| | |MT|27230|0|N
H0107|005|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Plus (PPO)|00025443|0.00|590| | |MT|27240|0|N
H0107|005|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Plus (PPO)|00025443|0.00|590| | |MT|27250|0|N
H0107|005|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Plus (PPO)|00025443|0.00|590| | |MT|27260|0|N
H0107|005|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Plus (PPO)|00025443|0.00|590| | |MT|27280|0|N
H0107|005|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Plus (PPO)|00025443|0.00|590| | |MT|27290|0|N
H0107|005|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Plus (PPO)|00025443|0.00|590| | |MT|27300|0|N
H0107|005|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Plus (PPO)|00025443|0.00|590| | |MT|27310|0|N
H0107|005|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Plus (PPO)|00025443|0.00|590| | |MT|27320|0|N
H0107|005|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Plus (PPO)|00025443|0.00|590| | |MT|27330|0|N
H0107|005|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Plus (PPO)|00025443|0.00|590| | |MT|27360|0|N
H0107|005|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Plus (PPO)|00025443|0.00|590| | |MT|27380|0|N
H0107|005|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Plus (PPO)|00025443|0.00|590| | |MT|27400|0|N
H0107|005|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Plus (PPO)|00025443|0.00|590| | |MT|27430|0|N
H0107|005|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Plus (PPO)|00025443|0.00|590| | |MT|27440|0|N
H0107|005|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Plus (PPO)|00025443|0.00|590| | |MT|27460|0|N
H0107|005|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Plus (PPO)|00025443|0.00|590| | |MT|27470|0|N
H0107|005|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Plus (PPO)|00025443|0.00|590| | |MT|27480|0|N
H0107|005|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Plus (PPO)|00025443|0.00|590| | |MT|27490|0|N
H0107|005|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Plus (PPO)|00025443|0.00|590| | |MT|27500|0|N
H0107|005|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Plus (PPO)|00025443|0.00|590| | |MT|27530|0|N
H0107|005|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Plus (PPO)|00025443|0.00|590| | |MT|27550|0|N
H0107|007|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |MT|27000|0|N
H0107|007|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |MT|27010|0|N
H0107|007|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |MT|27030|0|N
H0107|007|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |MT|27040|0|N
H0107|007|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |MT|27060|0|N
H0107|007|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |MT|27070|0|N
H0107|007|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |MT|27080|0|N
H0107|007|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |MT|27110|0|N
H0107|007|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |MT|27130|0|N
H0107|007|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |MT|27140|0|N
H0107|007|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |MT|27150|0|N
H0107|007|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |MT|27170|0|N
H0107|007|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |MT|27180|0|N
H0107|007|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |MT|27190|0|N
H0107|007|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |MT|27200|0|N
H0107|007|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |MT|27210|0|N
H0107|007|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |MT|27220|0|N
H0107|007|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |MT|27230|0|N
H0107|007|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |MT|27240|0|N
H0107|007|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |MT|27250|0|N
H0107|007|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |MT|27260|0|N
H0107|007|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |MT|27280|0|N
H0107|007|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |MT|27290|0|N
H0107|007|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |MT|27300|0|N
H0107|007|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |MT|27310|0|N
H0107|007|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |MT|27320|0|N
H0107|007|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |MT|27330|0|N
H0107|007|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |MT|27360|0|N
H0107|007|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |MT|27380|0|N
H0107|007|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |MT|27400|0|N
H0107|007|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |MT|27430|0|N
H0107|007|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |MT|27440|0|N
H0107|007|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |MT|27460|0|N
H0107|007|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |MT|27470|0|N
H0107|007|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |MT|27480|0|N
H0107|007|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |MT|27490|0|N
H0107|007|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |MT|27500|0|N
H0107|007|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |MT|27530|0|N
H0107|007|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |MT|27550|0|N
H0107|010|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |MT|27000|0|N
H0107|010|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |MT|27010|0|N
H0107|010|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |MT|27030|0|N
H0107|010|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |MT|27040|0|N
H0107|010|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |MT|27060|0|N
H0107|010|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |MT|27070|0|N
H0107|010|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |MT|27080|0|N
H0107|010|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |MT|27110|0|N
H0107|010|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |MT|27130|0|N
H0107|010|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |MT|27140|0|N
H0107|010|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |MT|27150|0|N
H0107|010|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |MT|27170|0|N
H0107|010|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |MT|27180|0|N
H0107|010|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |MT|27190|0|N
H0107|010|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |MT|27200|0|N
H0107|010|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |MT|27210|0|N
H0107|010|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |MT|27220|0|N
H0107|010|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |MT|27230|0|N
H0107|010|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |MT|27240|0|N
H0107|010|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |MT|27250|0|N
H0107|010|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |MT|27260|0|N
H0107|010|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |MT|27280|0|N
H0107|010|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |MT|27290|0|N
H0107|010|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |MT|27300|0|N
H0107|010|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |MT|27310|0|N
H0107|010|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |MT|27320|0|N
H0107|010|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |MT|27330|0|N
H0107|010|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |MT|27360|0|N
H0107|010|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |MT|27380|0|N
H0107|010|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |MT|27400|0|N
H0107|010|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |MT|27430|0|N
H0107|010|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |MT|27440|0|N
H0107|010|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |MT|27460|0|N
H0107|010|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |MT|27470|0|N
H0107|010|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |MT|27480|0|N
H0107|010|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |MT|27490|0|N
H0107|010|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |MT|27500|0|N
H0107|010|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |MT|27530|0|N
H0107|010|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |MT|27550|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11000|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11010|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11011|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11020|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11030|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11040|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11050|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11060|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11070|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11080|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11090|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11100|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11110|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11120|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11130|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11150|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11160|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11170|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11180|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11190|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11200|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11210|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11220|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11230|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11240|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11250|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11260|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11280|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11281|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11290|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11291|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11300|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11310|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11311|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11320|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11330|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11340|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11341|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11350|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11360|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11370|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11380|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11381|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11400|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11420|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11421|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11430|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11440|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11441|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11450|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11451|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11460|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11461|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11462|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11470|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11471|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11480|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11500|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11510|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11520|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11530|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11540|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11550|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11560|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11570|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11580|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11581|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11590|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11591|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11600|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11601|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11610|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11611|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11612|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11620|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11630|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11640|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11650|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11651|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11652|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11660|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11680|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11690|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11691|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11700|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11701|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11702|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11703|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11710|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11720|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11730|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11740|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11741|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11750|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11760|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11770|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11771|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11772|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11780|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11790|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11800|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11801|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11810|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11811|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11812|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11820|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11821|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11830|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11831|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11832|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11833|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11834|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11835|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11840|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11841|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11842|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11850|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11851|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11860|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11861|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11862|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11880|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11881|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11882|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11883|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11884|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11890|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11900|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11901|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11902|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11903|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11910|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11911|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11912|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11913|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11920|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11921|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11930|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11940|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11941|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11950|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11960|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11961|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11962|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11963|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11970|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11971|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11972|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11973|0|N
H0111|001|000|WELLCARE OF GEORGIA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |GA|11980|0|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11000|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11010|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11011|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11020|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11030|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11040|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11050|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11060|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11070|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11080|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11090|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11100|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11110|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11120|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11130|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11150|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11160|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11170|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11180|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11190|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11200|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11210|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11220|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11230|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11240|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11250|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11260|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11280|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11281|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11290|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11291|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11300|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11310|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11311|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11320|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11330|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11340|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11341|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11350|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11360|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11370|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11380|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11381|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11400|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11420|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11421|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11430|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11440|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11441|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11450|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11451|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11460|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11461|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11462|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11470|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11471|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11480|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11500|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11510|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11520|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11530|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11540|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11550|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11560|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11570|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11580|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11581|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11590|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11591|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11600|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11601|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11610|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11611|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11612|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11620|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11630|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11640|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11650|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11651|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11652|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11660|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11680|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11690|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11691|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11700|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11701|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11702|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11703|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11710|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11720|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11730|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11740|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11741|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11750|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11760|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11770|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11771|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11772|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11780|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11790|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11800|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11801|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11810|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11811|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11812|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11820|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11821|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11830|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11831|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11832|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11833|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11834|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11835|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11840|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11841|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11842|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11850|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11851|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11860|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11861|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11862|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11880|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11881|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11882|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11883|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11884|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11890|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11900|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11901|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11902|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11903|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11910|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11911|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11912|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11913|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11920|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11921|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11930|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11940|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11941|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11950|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11960|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11961|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11962|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11963|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11970|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11971|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11972|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11973|2|N
H0111|004|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|40.00|545| | |GA|11980|2|N
H0137|001|000|COMMONWEALTH CARE ALLIANCE, INC.|CCA One Care (Medicare-Medicaid Plan)|00025395|0.00|0| | |MA|22000|0|N
H0137|001|000|COMMONWEALTH CARE ALLIANCE, INC.|CCA One Care (Medicare-Medicaid Plan)|00025395|0.00|0| | |MA|22010|0|N
H0137|001|000|COMMONWEALTH CARE ALLIANCE, INC.|CCA One Care (Medicare-Medicaid Plan)|00025395|0.00|0| | |MA|22020|0|N
H0137|001|000|COMMONWEALTH CARE ALLIANCE, INC.|CCA One Care (Medicare-Medicaid Plan)|00025395|0.00|0| | |MA|22040|0|N
H0137|001|000|COMMONWEALTH CARE ALLIANCE, INC.|CCA One Care (Medicare-Medicaid Plan)|00025395|0.00|0| | |MA|22060|0|N
H0137|001|000|COMMONWEALTH CARE ALLIANCE, INC.|CCA One Care (Medicare-Medicaid Plan)|00025395|0.00|0| | |MA|22070|0|N
H0137|001|000|COMMONWEALTH CARE ALLIANCE, INC.|CCA One Care (Medicare-Medicaid Plan)|00025395|0.00|0| | |MA|22080|0|N
H0137|001|000|COMMONWEALTH CARE ALLIANCE, INC.|CCA One Care (Medicare-Medicaid Plan)|00025395|0.00|0| | |MA|22090|0|N
H0137|001|000|COMMONWEALTH CARE ALLIANCE, INC.|CCA One Care (Medicare-Medicaid Plan)|00025395|0.00|0| | |MA|22130|0|N
H0137|001|000|COMMONWEALTH CARE ALLIANCE, INC.|CCA One Care (Medicare-Medicaid Plan)|00025395|0.00|0| | |MA|22150|0|N
H0137|001|000|COMMONWEALTH CARE ALLIANCE, INC.|CCA One Care (Medicare-Medicaid Plan)|00025395|0.00|0| | |MA|22160|0|N
H0137|001|000|COMMONWEALTH CARE ALLIANCE, INC.|CCA One Care (Medicare-Medicaid Plan)|00025395|0.00|0| | |MA|22170|0|N
H0154|011|000|VIVA HEALTH, INC.|VIVA Medicare Premier (HMO)|00025332|75.50|100| | |AL|01000|0|N
H0154|011|000|VIVA HEALTH, INC.|VIVA Medicare Premier (HMO)|00025332|75.50|100| | |AL|01010|0|N
H0154|011|000|VIVA HEALTH, INC.|VIVA Medicare Premier (HMO)|00025332|75.50|100| | |AL|01030|0|N
H0154|011|000|VIVA HEALTH, INC.|VIVA Medicare Premier (HMO)|00025332|75.50|100| | |AL|01040|0|N
H0154|011|000|VIVA HEALTH, INC.|VIVA Medicare Premier (HMO)|00025332|75.50|100| | |AL|01050|0|N
H0154|011|000|VIVA HEALTH, INC.|VIVA Medicare Premier (HMO)|00025332|75.50|100| | |AL|01070|0|N
H0154|011|000|VIVA HEALTH, INC.|VIVA Medicare Premier (HMO)|00025332|75.50|100| | |AL|01080|0|N
H0154|011|000|VIVA HEALTH, INC.|VIVA Medicare Premier (HMO)|00025332|75.50|100| | |AL|01090|0|N
H0154|011|000|VIVA HEALTH, INC.|VIVA Medicare Premier (HMO)|00025332|75.50|100| | |AL|01100|0|N
H0154|011|000|VIVA HEALTH, INC.|VIVA Medicare Premier (HMO)|00025332|75.50|100| | |AL|01160|0|N
H0154|011|000|VIVA HEALTH, INC.|VIVA Medicare Premier (HMO)|00025332|75.50|100| | |AL|01200|0|N
H0154|011|000|VIVA HEALTH, INC.|VIVA Medicare Premier (HMO)|00025332|75.50|100| | |AL|01210|0|N
H0154|011|000|VIVA HEALTH, INC.|VIVA Medicare Premier (HMO)|00025332|75.50|100| | |AL|01220|0|N
H0154|011|000|VIVA HEALTH, INC.|VIVA Medicare Premier (HMO)|00025332|75.50|100| | |AL|01230|0|N
H0154|011|000|VIVA HEALTH, INC.|VIVA Medicare Premier (HMO)|00025332|75.50|100| | |AL|01250|0|N
H0154|011|000|VIVA HEALTH, INC.|VIVA Medicare Premier (HMO)|00025332|75.50|100| | |AL|01270|0|N
H0154|011|000|VIVA HEALTH, INC.|VIVA Medicare Premier (HMO)|00025332|75.50|100| | |AL|01280|0|N
H0154|011|000|VIVA HEALTH, INC.|VIVA Medicare Premier (HMO)|00025332|75.50|100| | |AL|01290|0|N
H0154|011|000|VIVA HEALTH, INC.|VIVA Medicare Premier (HMO)|00025332|75.50|100| | |AL|01300|0|N
H0154|011|000|VIVA HEALTH, INC.|VIVA Medicare Premier (HMO)|00025332|75.50|100| | |AL|01330|0|N
H0154|011|000|VIVA HEALTH, INC.|VIVA Medicare Premier (HMO)|00025332|75.50|100| | |AL|01340|0|N
H0154|011|000|VIVA HEALTH, INC.|VIVA Medicare Premier (HMO)|00025332|75.50|100| | |AL|01350|0|N
H0154|011|000|VIVA HEALTH, INC.|VIVA Medicare Premier (HMO)|00025332|75.50|100| | |AL|01360|0|N
H0154|011|000|VIVA HEALTH, INC.|VIVA Medicare Premier (HMO)|00025332|75.50|100| | |AL|01380|0|N
H0154|011|000|VIVA HEALTH, INC.|VIVA Medicare Premier (HMO)|00025332|75.50|100| | |AL|01400|0|N
H0154|011|000|VIVA HEALTH, INC.|VIVA Medicare Premier (HMO)|00025332|75.50|100| | |AL|01410|0|N
H0154|011|000|VIVA HEALTH, INC.|VIVA Medicare Premier (HMO)|00025332|75.50|100| | |AL|01420|0|N
H0154|011|000|VIVA HEALTH, INC.|VIVA Medicare Premier (HMO)|00025332|75.50|100| | |AL|01430|0|N
H0154|011|000|VIVA HEALTH, INC.|VIVA Medicare Premier (HMO)|00025332|75.50|100| | |AL|01440|0|N
H0154|011|000|VIVA HEALTH, INC.|VIVA Medicare Premier (HMO)|00025332|75.50|100| | |AL|01470|0|N
H0154|011|000|VIVA HEALTH, INC.|VIVA Medicare Premier (HMO)|00025332|75.50|100| | |AL|01480|0|N
H0154|011|000|VIVA HEALTH, INC.|VIVA Medicare Premier (HMO)|00025332|75.50|100| | |AL|01500|0|N
H0154|011|000|VIVA HEALTH, INC.|VIVA Medicare Premier (HMO)|00025332|75.50|100| | |AL|01510|0|N
H0154|011|000|VIVA HEALTH, INC.|VIVA Medicare Premier (HMO)|00025332|75.50|100| | |AL|01540|0|N
H0154|011|000|VIVA HEALTH, INC.|VIVA Medicare Premier (HMO)|00025332|75.50|100| | |AL|01570|0|N
H0154|011|000|VIVA HEALTH, INC.|VIVA Medicare Premier (HMO)|00025332|75.50|100| | |AL|01580|0|N
H0154|011|000|VIVA HEALTH, INC.|VIVA Medicare Premier (HMO)|00025332|75.50|100| | |AL|01600|0|N
H0154|011|000|VIVA HEALTH, INC.|VIVA Medicare Premier (HMO)|00025332|75.50|100| | |AL|01610|0|N
H0154|011|000|VIVA HEALTH, INC.|VIVA Medicare Premier (HMO)|00025332|75.50|100| | |AL|01620|0|N
H0154|011|000|VIVA HEALTH, INC.|VIVA Medicare Premier (HMO)|00025332|75.50|100| | |AL|01630|0|N
H0154|012|000|VIVA HEALTH, INC.|VIVA Medicare Extra Value (HMO D-SNP)|00025334|40.00|577| | |AL|01000|2|N
H0154|012|000|VIVA HEALTH, INC.|VIVA Medicare Extra Value (HMO D-SNP)|00025334|40.00|577| | |AL|01010|2|N
H0154|012|000|VIVA HEALTH, INC.|VIVA Medicare Extra Value (HMO D-SNP)|00025334|40.00|577| | |AL|01030|2|N
H0154|012|000|VIVA HEALTH, INC.|VIVA Medicare Extra Value (HMO D-SNP)|00025334|40.00|577| | |AL|01040|2|N
H0154|012|000|VIVA HEALTH, INC.|VIVA Medicare Extra Value (HMO D-SNP)|00025334|40.00|577| | |AL|01050|2|N
H0154|012|000|VIVA HEALTH, INC.|VIVA Medicare Extra Value (HMO D-SNP)|00025334|40.00|577| | |AL|01070|2|N
H0154|012|000|VIVA HEALTH, INC.|VIVA Medicare Extra Value (HMO D-SNP)|00025334|40.00|577| | |AL|01080|2|N
H0154|012|000|VIVA HEALTH, INC.|VIVA Medicare Extra Value (HMO D-SNP)|00025334|40.00|577| | |AL|01090|2|N
H0154|012|000|VIVA HEALTH, INC.|VIVA Medicare Extra Value (HMO D-SNP)|00025334|40.00|577| | |AL|01100|2|N
H0154|012|000|VIVA HEALTH, INC.|VIVA Medicare Extra Value (HMO D-SNP)|00025334|40.00|577| | |AL|01160|2|N
H0154|012|000|VIVA HEALTH, INC.|VIVA Medicare Extra Value (HMO D-SNP)|00025334|40.00|577| | |AL|01200|2|N
H0154|012|000|VIVA HEALTH, INC.|VIVA Medicare Extra Value (HMO D-SNP)|00025334|40.00|577| | |AL|01210|2|N
H0154|012|000|VIVA HEALTH, INC.|VIVA Medicare Extra Value (HMO D-SNP)|00025334|40.00|577| | |AL|01220|2|N
H0154|012|000|VIVA HEALTH, INC.|VIVA Medicare Extra Value (HMO D-SNP)|00025334|40.00|577| | |AL|01230|2|N
H0154|012|000|VIVA HEALTH, INC.|VIVA Medicare Extra Value (HMO D-SNP)|00025334|40.00|577| | |AL|01250|2|N
H0154|012|000|VIVA HEALTH, INC.|VIVA Medicare Extra Value (HMO D-SNP)|00025334|40.00|577| | |AL|01270|2|N
H0154|012|000|VIVA HEALTH, INC.|VIVA Medicare Extra Value (HMO D-SNP)|00025334|40.00|577| | |AL|01280|2|N
H0154|012|000|VIVA HEALTH, INC.|VIVA Medicare Extra Value (HMO D-SNP)|00025334|40.00|577| | |AL|01290|2|N
H0154|012|000|VIVA HEALTH, INC.|VIVA Medicare Extra Value (HMO D-SNP)|00025334|40.00|577| | |AL|01300|2|N
H0154|012|000|VIVA HEALTH, INC.|VIVA Medicare Extra Value (HMO D-SNP)|00025334|40.00|577| | |AL|01330|2|N
H0154|012|000|VIVA HEALTH, INC.|VIVA Medicare Extra Value (HMO D-SNP)|00025334|40.00|577| | |AL|01340|2|N
H0154|012|000|VIVA HEALTH, INC.|VIVA Medicare Extra Value (HMO D-SNP)|00025334|40.00|577| | |AL|01360|2|N
H0154|012|000|VIVA HEALTH, INC.|VIVA Medicare Extra Value (HMO D-SNP)|00025334|40.00|577| | |AL|01380|2|N
H0154|012|000|VIVA HEALTH, INC.|VIVA Medicare Extra Value (HMO D-SNP)|00025334|40.00|577| | |AL|01400|2|N
H0154|012|000|VIVA HEALTH, INC.|VIVA Medicare Extra Value (HMO D-SNP)|00025334|40.00|577| | |AL|01420|2|N
H0154|012|000|VIVA HEALTH, INC.|VIVA Medicare Extra Value (HMO D-SNP)|00025334|40.00|577| | |AL|01430|2|N
H0154|012|000|VIVA HEALTH, INC.|VIVA Medicare Extra Value (HMO D-SNP)|00025334|40.00|577| | |AL|01480|2|N
H0154|012|000|VIVA HEALTH, INC.|VIVA Medicare Extra Value (HMO D-SNP)|00025334|40.00|577| | |AL|01500|2|N
H0154|012|000|VIVA HEALTH, INC.|VIVA Medicare Extra Value (HMO D-SNP)|00025334|40.00|577| | |AL|01540|2|N
H0154|012|000|VIVA HEALTH, INC.|VIVA Medicare Extra Value (HMO D-SNP)|00025334|40.00|577| | |AL|01570|2|N
H0154|012|000|VIVA HEALTH, INC.|VIVA Medicare Extra Value (HMO D-SNP)|00025334|40.00|577| | |AL|01580|2|N
H0154|012|000|VIVA HEALTH, INC.|VIVA Medicare Extra Value (HMO D-SNP)|00025334|40.00|577| | |AL|01600|2|N
H0154|012|000|VIVA HEALTH, INC.|VIVA Medicare Extra Value (HMO D-SNP)|00025334|40.00|577| | |AL|01610|2|N
H0154|012|000|VIVA HEALTH, INC.|VIVA Medicare Extra Value (HMO D-SNP)|00025334|40.00|577| | |AL|01620|2|N
H0154|012|000|VIVA HEALTH, INC.|VIVA Medicare Extra Value (HMO D-SNP)|00025334|40.00|577| | |AL|01630|2|N
H0154|015|001|VIVA HEALTH, INC.|VIVA Medicare Plus (HMO)|00025332|0.00|300| | |AL|01010|0|N
H0154|015|001|VIVA HEALTH, INC.|VIVA Medicare Plus (HMO)|00025332|0.00|300| | |AL|01030|0|N
H0154|015|001|VIVA HEALTH, INC.|VIVA Medicare Plus (HMO)|00025332|0.00|300| | |AL|01040|0|N
H0154|015|001|VIVA HEALTH, INC.|VIVA Medicare Plus (HMO)|00025332|0.00|300| | |AL|01080|0|N
H0154|015|001|VIVA HEALTH, INC.|VIVA Medicare Plus (HMO)|00025332|0.00|300| | |AL|01220|0|N
H0154|015|001|VIVA HEALTH, INC.|VIVA Medicare Plus (HMO)|00025332|0.00|300| | |AL|01230|0|N
H0154|015|001|VIVA HEALTH, INC.|VIVA Medicare Plus (HMO)|00025332|0.00|300| | |AL|01300|0|N
H0154|015|001|VIVA HEALTH, INC.|VIVA Medicare Plus (HMO)|00025332|0.00|300| | |AL|01330|0|N
H0154|015|001|VIVA HEALTH, INC.|VIVA Medicare Plus (HMO)|00025332|0.00|300| | |AL|01340|0|N
H0154|015|001|VIVA HEALTH, INC.|VIVA Medicare Plus (HMO)|00025332|0.00|300| | |AL|01360|0|N
H0154|015|001|VIVA HEALTH, INC.|VIVA Medicare Plus (HMO)|00025332|0.00|300| | |AL|01400|0|N
H0154|015|001|VIVA HEALTH, INC.|VIVA Medicare Plus (HMO)|00025332|0.00|300| | |AL|01480|0|N
H0154|015|001|VIVA HEALTH, INC.|VIVA Medicare Plus (HMO)|00025332|0.00|300| | |AL|01500|0|N
H0154|015|001|VIVA HEALTH, INC.|VIVA Medicare Plus (HMO)|00025332|0.00|300| | |AL|01570|0|N
H0154|015|001|VIVA HEALTH, INC.|VIVA Medicare Plus (HMO)|00025332|0.00|300| | |AL|01580|0|N
H0154|015|001|VIVA HEALTH, INC.|VIVA Medicare Plus (HMO)|00025332|0.00|300| | |AL|01600|0|N
H0154|015|001|VIVA HEALTH, INC.|VIVA Medicare Plus (HMO)|00025332|0.00|300| | |AL|01620|0|N
H0154|015|001|VIVA HEALTH, INC.|VIVA Medicare Plus (HMO)|00025332|0.00|300| | |AL|01630|0|N
H0154|015|002|VIVA HEALTH, INC.|VIVA Medicare Plus (HMO)|00025332|0.00|300| | |AL|01000|0|N
H0154|015|002|VIVA HEALTH, INC.|VIVA Medicare Plus (HMO)|00025332|0.00|300| | |AL|01050|0|N
H0154|015|002|VIVA HEALTH, INC.|VIVA Medicare Plus (HMO)|00025332|0.00|300| | |AL|01070|0|N
H0154|015|002|VIVA HEALTH, INC.|VIVA Medicare Plus (HMO)|00025332|0.00|300| | |AL|01090|0|N
H0154|015|002|VIVA HEALTH, INC.|VIVA Medicare Plus (HMO)|00025332|0.00|300| | |AL|01100|0|N
H0154|015|002|VIVA HEALTH, INC.|VIVA Medicare Plus (HMO)|00025332|0.00|300| | |AL|01160|0|N
H0154|015|002|VIVA HEALTH, INC.|VIVA Medicare Plus (HMO)|00025332|0.00|300| | |AL|01200|0|N
H0154|015|002|VIVA HEALTH, INC.|VIVA Medicare Plus (HMO)|00025332|0.00|300| | |AL|01210|0|N
H0154|015|002|VIVA HEALTH, INC.|VIVA Medicare Plus (HMO)|00025332|0.00|300| | |AL|01250|0|N
H0154|015|002|VIVA HEALTH, INC.|VIVA Medicare Plus (HMO)|00025332|0.00|300| | |AL|01270|0|N
H0154|015|002|VIVA HEALTH, INC.|VIVA Medicare Plus (HMO)|00025332|0.00|300| | |AL|01280|0|N
H0154|015|002|VIVA HEALTH, INC.|VIVA Medicare Plus (HMO)|00025332|0.00|300| | |AL|01290|0|N
H0154|015|002|VIVA HEALTH, INC.|VIVA Medicare Plus (HMO)|00025332|0.00|300| | |AL|01380|0|N
H0154|015|002|VIVA HEALTH, INC.|VIVA Medicare Plus (HMO)|00025332|0.00|300| | |AL|01420|0|N
H0154|015|002|VIVA HEALTH, INC.|VIVA Medicare Plus (HMO)|00025332|0.00|300| | |AL|01430|0|N
H0154|015|002|VIVA HEALTH, INC.|VIVA Medicare Plus (HMO)|00025332|0.00|300| | |AL|01540|0|N
H0154|015|002|VIVA HEALTH, INC.|VIVA Medicare Plus (HMO)|00025332|0.00|300| | |AL|01610|0|N
H0154|016|000|VIVA HEALTH, INC.|VIVA Medicare Prime (HMO)|00025332|41.20|200| | |AL|01000|0|N
H0154|016|000|VIVA HEALTH, INC.|VIVA Medicare Prime (HMO)|00025332|41.20|200| | |AL|01010|0|N
H0154|016|000|VIVA HEALTH, INC.|VIVA Medicare Prime (HMO)|00025332|41.20|200| | |AL|01030|0|N
H0154|016|000|VIVA HEALTH, INC.|VIVA Medicare Prime (HMO)|00025332|41.20|200| | |AL|01040|0|N
H0154|016|000|VIVA HEALTH, INC.|VIVA Medicare Prime (HMO)|00025332|41.20|200| | |AL|01050|0|N
H0154|016|000|VIVA HEALTH, INC.|VIVA Medicare Prime (HMO)|00025332|41.20|200| | |AL|01070|0|N
H0154|016|000|VIVA HEALTH, INC.|VIVA Medicare Prime (HMO)|00025332|41.20|200| | |AL|01080|0|N
H0154|016|000|VIVA HEALTH, INC.|VIVA Medicare Prime (HMO)|00025332|41.20|200| | |AL|01090|0|N
H0154|016|000|VIVA HEALTH, INC.|VIVA Medicare Prime (HMO)|00025332|41.20|200| | |AL|01100|0|N
H0154|016|000|VIVA HEALTH, INC.|VIVA Medicare Prime (HMO)|00025332|41.20|200| | |AL|01160|0|N
H0154|016|000|VIVA HEALTH, INC.|VIVA Medicare Prime (HMO)|00025332|41.20|200| | |AL|01200|0|N
H0154|016|000|VIVA HEALTH, INC.|VIVA Medicare Prime (HMO)|00025332|41.20|200| | |AL|01210|0|N
H0154|016|000|VIVA HEALTH, INC.|VIVA Medicare Prime (HMO)|00025332|41.20|200| | |AL|01220|0|N
H0154|016|000|VIVA HEALTH, INC.|VIVA Medicare Prime (HMO)|00025332|41.20|200| | |AL|01230|0|N
H0154|016|000|VIVA HEALTH, INC.|VIVA Medicare Prime (HMO)|00025332|41.20|200| | |AL|01250|0|N
H0154|016|000|VIVA HEALTH, INC.|VIVA Medicare Prime (HMO)|00025332|41.20|200| | |AL|01270|0|N
H0154|016|000|VIVA HEALTH, INC.|VIVA Medicare Prime (HMO)|00025332|41.20|200| | |AL|01280|0|N
H0154|016|000|VIVA HEALTH, INC.|VIVA Medicare Prime (HMO)|00025332|41.20|200| | |AL|01290|0|N
H0154|016|000|VIVA HEALTH, INC.|VIVA Medicare Prime (HMO)|00025332|41.20|200| | |AL|01300|0|N
H0154|016|000|VIVA HEALTH, INC.|VIVA Medicare Prime (HMO)|00025332|41.20|200| | |AL|01330|0|N
H0154|016|000|VIVA HEALTH, INC.|VIVA Medicare Prime (HMO)|00025332|41.20|200| | |AL|01340|0|N
H0154|016|000|VIVA HEALTH, INC.|VIVA Medicare Prime (HMO)|00025332|41.20|200| | |AL|01360|0|N
H0154|016|000|VIVA HEALTH, INC.|VIVA Medicare Prime (HMO)|00025332|41.20|200| | |AL|01380|0|N
H0154|016|000|VIVA HEALTH, INC.|VIVA Medicare Prime (HMO)|00025332|41.20|200| | |AL|01400|0|N
H0154|016|000|VIVA HEALTH, INC.|VIVA Medicare Prime (HMO)|00025332|41.20|200| | |AL|01420|0|N
H0154|016|000|VIVA HEALTH, INC.|VIVA Medicare Prime (HMO)|00025332|41.20|200| | |AL|01430|0|N
H0154|016|000|VIVA HEALTH, INC.|VIVA Medicare Prime (HMO)|00025332|41.20|200| | |AL|01480|0|N
H0154|016|000|VIVA HEALTH, INC.|VIVA Medicare Prime (HMO)|00025332|41.20|200| | |AL|01500|0|N
H0154|016|000|VIVA HEALTH, INC.|VIVA Medicare Prime (HMO)|00025332|41.20|200| | |AL|01540|0|N
H0154|016|000|VIVA HEALTH, INC.|VIVA Medicare Prime (HMO)|00025332|41.20|200| | |AL|01570|0|N
H0154|016|000|VIVA HEALTH, INC.|VIVA Medicare Prime (HMO)|00025332|41.20|200| | |AL|01580|0|N
H0154|016|000|VIVA HEALTH, INC.|VIVA Medicare Prime (HMO)|00025332|41.20|200| | |AL|01600|0|N
H0154|016|000|VIVA HEALTH, INC.|VIVA Medicare Prime (HMO)|00025332|41.20|200| | |AL|01610|0|N
H0154|016|000|VIVA HEALTH, INC.|VIVA Medicare Prime (HMO)|00025332|41.20|200| | |AL|01620|0|N
H0154|016|000|VIVA HEALTH, INC.|VIVA Medicare Prime (HMO)|00025332|41.20|200| | |AL|01630|0|N
H0154|017|000|VIVA HEALTH, INC.|VIVA Medicare Classic (HMO)|00025332|0.00|300| | |AL|01350|0|N
H0154|017|000|VIVA HEALTH, INC.|VIVA Medicare Classic (HMO)|00025332|0.00|300| | |AL|01410|0|N
H0154|017|000|VIVA HEALTH, INC.|VIVA Medicare Classic (HMO)|00025332|0.00|300| | |AL|01440|0|N
H0154|017|000|VIVA HEALTH, INC.|VIVA Medicare Classic (HMO)|00025332|0.00|300| | |AL|01470|0|N
H0154|017|000|VIVA HEALTH, INC.|VIVA Medicare Classic (HMO)|00025332|0.00|300| | |AL|01510|0|N
H0154|019|000|VIVA HEALTH, INC.|VIVA Medicare Extra Care (HMO D-SNP)|00025334|40.00|577| | |AL|01350|2|N
H0154|019|000|VIVA HEALTH, INC.|VIVA Medicare Extra Care (HMO D-SNP)|00025334|40.00|577| | |AL|01410|2|N
H0154|019|000|VIVA HEALTH, INC.|VIVA Medicare Extra Care (HMO D-SNP)|00025334|40.00|577| | |AL|01440|2|N
H0154|019|000|VIVA HEALTH, INC.|VIVA Medicare Extra Care (HMO D-SNP)|00025334|40.00|577| | |AL|01470|2|N
H0154|019|000|VIVA HEALTH, INC.|VIVA Medicare Extra Care (HMO D-SNP)|00025334|40.00|577| | |AL|01510|2|N
H0154|020|000|VIVA HEALTH, INC.|VIVA Medicare Infirmary Health Advantage (HMO)|00025332|0.00|0| | |AL|01010|0|N
H0154|020|000|VIVA HEALTH, INC.|VIVA Medicare Infirmary Health Advantage (HMO)|00025332|0.00|0| | |AL|01480|0|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16000|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16020|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16030|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16050|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16060|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16070|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16080|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16090|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16100|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16110|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16120|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16130|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16140|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16150|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16160|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16170|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16180|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16190|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16200|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16210|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16220|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16230|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16240|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16250|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16270|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16280|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16290|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16320|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16330|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16340|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16360|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16370|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16380|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16390|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16400|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16410|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16430|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16440|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16450|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16460|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16470|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16480|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16490|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16500|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16510|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16520|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16530|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16540|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16550|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16560|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16570|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16580|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16590|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16600|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16610|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16620|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16630|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16640|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16660|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16670|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16690|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16700|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16740|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16750|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16760|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16770|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16780|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16800|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16810|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16830|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16840|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16850|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16880|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16890|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16900|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16910|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16920|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16930|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16940|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16950|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16960|2|N
H0169|001|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete IA-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |IA|16980|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26000|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26010|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26020|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26030|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26040|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26050|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26060|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26070|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26080|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26090|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26100|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26110|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26120|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26130|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26140|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26150|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26160|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26170|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26180|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26190|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26200|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26210|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26220|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26230|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26240|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26250|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26260|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26270|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26280|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26290|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26300|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26310|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26320|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26330|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26340|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26350|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26360|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26370|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26380|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26390|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26400|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26410|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26411|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26412|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26440|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26450|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26460|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26470|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26480|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26490|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26500|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26510|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26520|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26530|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26540|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26541|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26560|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26570|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26580|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26590|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26600|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26601|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26620|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26630|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26631|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26650|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26660|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26670|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26680|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26690|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26700|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26710|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26720|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26730|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26740|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26750|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26751|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26770|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26780|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26790|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26800|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26810|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26820|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26821|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26840|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26850|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26860|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26870|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26880|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26881|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26900|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26910|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26911|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26930|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26940|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26950|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26960|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26970|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26980|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26981|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26982|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26983|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26984|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26985|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26986|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26987|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26988|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26989|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26990|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26991|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26992|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26993|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26994|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26995|2|N
H0169|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26996|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28000|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28010|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28020|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28030|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28040|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28050|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28060|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28070|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28080|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28090|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28100|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28110|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28120|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28130|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28140|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28150|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28160|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28170|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28180|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28190|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28200|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28210|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28220|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28230|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28240|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28250|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28260|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28270|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28280|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28290|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28300|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28310|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28320|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28330|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28350|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28360|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28370|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28380|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28390|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28400|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28410|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28420|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28430|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28440|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28460|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28470|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28480|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28490|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28500|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28510|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28520|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28530|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28540|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28560|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28570|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28590|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28600|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28610|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28620|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28630|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28640|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28650|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28660|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28670|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28680|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28690|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28700|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28710|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28730|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28740|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28750|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28760|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28770|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28790|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28810|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28820|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28830|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28840|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28850|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28860|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28870|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28880|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28890|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28900|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28910|2|N
H0169|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28920|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17000|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17010|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17020|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17030|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17050|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17060|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17070|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17080|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17090|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17100|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17130|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17140|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17160|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17170|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17180|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17200|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17210|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17220|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17230|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17240|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17260|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17290|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17300|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17360|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17380|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17390|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17420|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17430|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17440|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17450|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17470|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17480|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17490|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17510|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17520|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17530|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17550|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17560|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17570|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17580|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17600|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17610|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17620|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17630|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17650|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17660|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17690|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17700|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17710|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17720|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17730|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17750|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17770|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17780|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17790|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17810|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17820|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17830|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17840|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17860|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17880|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17910|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17920|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17950|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17980|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17982|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17984|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17985|2|N
H0169|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KS-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17986|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28000|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28010|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28020|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28030|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28040|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28050|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28060|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28070|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28080|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28090|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28100|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28110|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28120|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28130|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28140|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28150|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28160|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28170|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28180|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28190|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28200|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28210|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28220|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28230|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28240|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28250|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28260|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28270|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28280|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28290|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28300|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28310|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28320|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28330|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28350|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28360|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28370|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28380|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28390|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28400|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28410|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28420|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28430|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28440|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28460|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28470|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28480|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28490|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28500|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28510|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28520|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28530|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28540|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28560|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28570|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28590|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28600|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28610|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28620|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28630|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28640|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28650|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28660|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28670|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28680|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28690|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28700|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28710|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28730|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28740|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28750|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28760|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28770|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28790|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28810|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28820|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28830|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28840|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28850|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28860|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28870|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28880|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28890|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28900|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28910|2|N
H0169|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NE-V001 (HMO-POS D-SNP)|00025002|50.60|590| | |NE|28920|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26000|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26010|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26020|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26030|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26040|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26050|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26060|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26070|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26080|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26090|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26100|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26110|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26120|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26130|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26140|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26150|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26160|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26170|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26180|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26190|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26200|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26210|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26220|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26230|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26240|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26250|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26260|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26270|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26280|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26290|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26300|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26310|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26320|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26330|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26340|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26350|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26360|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26370|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26380|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26390|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26400|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26410|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26411|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26412|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26440|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26450|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26460|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26470|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26480|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26490|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26500|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26510|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26520|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26530|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26540|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26541|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26560|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26570|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26580|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26590|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26600|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26601|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26620|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26630|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26631|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26650|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26660|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26670|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26680|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26690|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26700|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26710|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26720|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26730|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26740|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26750|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26751|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26770|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26780|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26790|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26800|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26810|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26820|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26821|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26840|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26850|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26860|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26870|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26880|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26881|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26900|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26910|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26911|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26930|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26940|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26950|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26960|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26970|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26980|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26981|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26982|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26983|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26984|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26985|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26986|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26987|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26988|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26989|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26990|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26991|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26992|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26993|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26994|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26995|2|N
H0169|008|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-V001 (HMO-POS D-SNP)|00025002|51.00|590| | |MO|26996|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26000|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26010|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26020|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26030|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26040|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26050|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26060|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26070|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26080|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26090|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26100|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26110|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26120|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26130|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26140|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26150|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26160|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26170|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26180|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26190|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26200|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26210|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26220|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26230|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26240|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26250|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26260|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26270|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26280|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26290|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26300|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26310|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26320|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26330|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26340|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26350|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26360|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26370|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26380|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26390|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26400|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26410|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26411|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26412|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26440|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26450|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26460|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26470|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26480|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26490|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26500|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26510|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26520|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26530|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26540|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26541|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26560|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26570|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26580|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26590|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26600|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26601|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26620|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26630|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26631|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26650|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26660|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26670|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26680|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26690|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26700|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26710|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26720|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26730|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26740|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26750|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26751|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26770|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26780|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26790|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26800|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26810|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26820|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26821|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26840|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26850|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26860|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26870|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26880|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26881|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26900|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26910|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26911|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26930|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26940|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26950|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26960|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26970|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26980|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26981|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26982|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26983|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26984|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26985|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26986|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26987|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26988|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26989|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26990|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26991|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26992|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26993|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26994|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26995|2|N
H0169|009|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MO-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |MO|26996|2|N
H0174|002|000|WELLCARE OF TEXAS, INC.|Wellcare Simple (HMO)|00025076|0.00|420| | |TX|45100|0|N
H0174|002|000|WELLCARE OF TEXAS, INC.|Wellcare Simple (HMO)|00025076|0.00|420| | |TX|45140|0|N
H0174|002|000|WELLCARE OF TEXAS, INC.|Wellcare Simple (HMO)|00025076|0.00|420| | |TX|45222|0|N
H0174|002|000|WELLCARE OF TEXAS, INC.|Wellcare Simple (HMO)|00025076|0.00|420| | |TX|45223|0|N
H0174|002|000|WELLCARE OF TEXAS, INC.|Wellcare Simple (HMO)|00025076|0.00|420| | |TX|45631|0|N
H0174|002|000|WELLCARE OF TEXAS, INC.|Wellcare Simple (HMO)|00025076|0.00|420| | |TX|45755|0|N
H0174|002|000|WELLCARE OF TEXAS, INC.|Wellcare Simple (HMO)|00025076|0.00|420| | |TX|45795|0|N
H0174|002|000|WELLCARE OF TEXAS, INC.|Wellcare Simple (HMO)|00025076|0.00|420| | |TX|45940|0|N
H0174|002|000|WELLCARE OF TEXAS, INC.|Wellcare Simple (HMO)|00025076|0.00|420| | |TX|45970|0|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45040|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45070|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45100|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45110|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45120|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45130|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45140|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45220|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45221|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45222|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45223|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45230|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45251|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45280|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45291|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45301|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45310|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45320|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45321|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45330|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45340|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45341|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45350|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45370|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45380|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45390|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45391|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45392|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45410|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45450|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45460|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45480|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45500|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45530|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45540|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45541|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45550|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45581|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45583|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45591|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45600|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45610|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45621|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45630|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45631|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45671|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45681|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45700|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45720|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45721|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45734|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45741|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45742|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45744|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45752|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45754|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45755|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45757|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45760|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45761|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45780|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45790|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45793|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45795|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45801|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45802|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45804|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45821|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45832|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45840|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45850|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45872|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45877|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45879|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45880|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45884|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45887|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45891|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45901|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45903|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45904|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45910|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45911|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45930|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45940|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45944|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45949|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45950|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45952|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45954|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45970|2|N
H0174|004|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |TX|45980|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45040|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45070|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45100|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45110|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45120|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45130|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45140|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45220|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45221|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45222|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45223|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45230|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45251|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45280|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45291|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45301|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45310|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45320|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45321|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45330|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45340|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45341|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45350|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45370|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45380|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45390|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45391|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45392|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45410|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45450|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45460|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45480|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45500|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45530|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45540|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45541|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45550|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45581|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45583|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45591|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45600|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45610|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45621|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45630|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45631|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45671|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45681|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45700|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45720|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45721|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45734|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45741|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45742|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45744|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45752|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45754|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45755|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45757|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45760|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45761|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45780|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45790|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45793|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45795|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45801|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45802|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45804|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45821|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45832|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45840|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45850|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45872|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45877|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45879|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45880|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45884|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45887|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45891|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45901|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45903|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45904|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45910|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45911|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45930|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45940|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45944|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45949|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45950|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45952|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45954|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45970|2|N
H0174|006|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |TX|45980|2|N
H0174|009|000|WELLCARE OF TEXAS, INC.|Wellcare Assist (HMO)|00025066|17.90|590| | |TX|45070|0|N
H0174|009|000|WELLCARE OF TEXAS, INC.|Wellcare Assist (HMO)|00025066|17.90|590| | |TX|45100|0|N
H0174|009|000|WELLCARE OF TEXAS, INC.|Wellcare Assist (HMO)|00025066|17.90|590| | |TX|45130|0|N
H0174|009|000|WELLCARE OF TEXAS, INC.|Wellcare Assist (HMO)|00025066|17.90|590| | |TX|45140|0|N
H0174|009|000|WELLCARE OF TEXAS, INC.|Wellcare Assist (HMO)|00025066|17.90|590| | |TX|45222|0|N
H0174|009|000|WELLCARE OF TEXAS, INC.|Wellcare Assist (HMO)|00025066|17.90|590| | |TX|45223|0|N
H0174|009|000|WELLCARE OF TEXAS, INC.|Wellcare Assist (HMO)|00025066|17.90|590| | |TX|45280|0|N
H0174|009|000|WELLCARE OF TEXAS, INC.|Wellcare Assist (HMO)|00025066|17.90|590| | |TX|45310|0|N
H0174|009|000|WELLCARE OF TEXAS, INC.|Wellcare Assist (HMO)|00025066|17.90|590| | |TX|45320|0|N
H0174|009|000|WELLCARE OF TEXAS, INC.|Wellcare Assist (HMO)|00025066|17.90|590| | |TX|45340|0|N
H0174|009|000|WELLCARE OF TEXAS, INC.|Wellcare Assist (HMO)|00025066|17.90|590| | |TX|45390|0|N
H0174|009|000|WELLCARE OF TEXAS, INC.|Wellcare Assist (HMO)|00025066|17.90|590| | |TX|45410|0|N
H0174|009|000|WELLCARE OF TEXAS, INC.|Wellcare Assist (HMO)|00025066|17.90|590| | |TX|45480|0|N
H0174|009|000|WELLCARE OF TEXAS, INC.|Wellcare Assist (HMO)|00025066|17.90|590| | |TX|45530|0|N
H0174|009|000|WELLCARE OF TEXAS, INC.|Wellcare Assist (HMO)|00025066|17.90|590| | |TX|45550|0|N
H0174|009|000|WELLCARE OF TEXAS, INC.|Wellcare Assist (HMO)|00025066|17.90|590| | |TX|45581|0|N
H0174|009|000|WELLCARE OF TEXAS, INC.|Wellcare Assist (HMO)|00025066|17.90|590| | |TX|45600|0|N
H0174|009|000|WELLCARE OF TEXAS, INC.|Wellcare Assist (HMO)|00025066|17.90|590| | |TX|45610|0|N
H0174|009|000|WELLCARE OF TEXAS, INC.|Wellcare Assist (HMO)|00025066|17.90|590| | |TX|45631|0|N
H0174|009|000|WELLCARE OF TEXAS, INC.|Wellcare Assist (HMO)|00025066|17.90|590| | |TX|45700|0|N
H0174|009|000|WELLCARE OF TEXAS, INC.|Wellcare Assist (HMO)|00025066|17.90|590| | |TX|45720|0|N
H0174|009|000|WELLCARE OF TEXAS, INC.|Wellcare Assist (HMO)|00025066|17.90|590| | |TX|45755|0|N
H0174|009|000|WELLCARE OF TEXAS, INC.|Wellcare Assist (HMO)|00025066|17.90|590| | |TX|45757|0|N
H0174|009|000|WELLCARE OF TEXAS, INC.|Wellcare Assist (HMO)|00025066|17.90|590| | |TX|45790|0|N
H0174|009|000|WELLCARE OF TEXAS, INC.|Wellcare Assist (HMO)|00025066|17.90|590| | |TX|45795|0|N
H0174|009|000|WELLCARE OF TEXAS, INC.|Wellcare Assist (HMO)|00025066|17.90|590| | |TX|45801|0|N
H0174|009|000|WELLCARE OF TEXAS, INC.|Wellcare Assist (HMO)|00025066|17.90|590| | |TX|45821|0|N
H0174|009|000|WELLCARE OF TEXAS, INC.|Wellcare Assist (HMO)|00025066|17.90|590| | |TX|45840|0|N
H0174|009|000|WELLCARE OF TEXAS, INC.|Wellcare Assist (HMO)|00025066|17.90|590| | |TX|45850|0|N
H0174|009|000|WELLCARE OF TEXAS, INC.|Wellcare Assist (HMO)|00025066|17.90|590| | |TX|45879|0|N
H0174|009|000|WELLCARE OF TEXAS, INC.|Wellcare Assist (HMO)|00025066|17.90|590| | |TX|45884|0|N
H0174|009|000|WELLCARE OF TEXAS, INC.|Wellcare Assist (HMO)|00025066|17.90|590| | |TX|45910|0|N
H0174|009|000|WELLCARE OF TEXAS, INC.|Wellcare Assist (HMO)|00025066|17.90|590| | |TX|45940|0|N
H0174|009|000|WELLCARE OF TEXAS, INC.|Wellcare Assist (HMO)|00025066|17.90|590| | |TX|45949|0|N
H0174|009|000|WELLCARE OF TEXAS, INC.|Wellcare Assist (HMO)|00025066|17.90|590| | |TX|45950|0|N
H0174|009|000|WELLCARE OF TEXAS, INC.|Wellcare Assist (HMO)|00025066|17.90|590| | |TX|45954|0|N
H0174|009|000|WELLCARE OF TEXAS, INC.|Wellcare Assist (HMO)|00025066|17.90|590| | |TX|45970|0|N
H0174|010|000|WELLCARE OF TEXAS, INC.|Wellcare Simple (HMO)|00025076|0.00|420| | |TX|45070|0|N
H0174|010|000|WELLCARE OF TEXAS, INC.|Wellcare Simple (HMO)|00025076|0.00|420| | |TX|45280|0|N
H0174|010|000|WELLCARE OF TEXAS, INC.|Wellcare Simple (HMO)|00025076|0.00|420| | |TX|45530|0|N
H0174|010|000|WELLCARE OF TEXAS, INC.|Wellcare Simple (HMO)|00025076|0.00|420| | |TX|45550|0|N
H0174|010|000|WELLCARE OF TEXAS, INC.|Wellcare Simple (HMO)|00025076|0.00|420| | |TX|45600|0|N
H0174|010|000|WELLCARE OF TEXAS, INC.|Wellcare Simple (HMO)|00025076|0.00|420| | |TX|45610|0|N
H0174|010|000|WELLCARE OF TEXAS, INC.|Wellcare Simple (HMO)|00025076|0.00|420| | |TX|45700|0|N
H0174|010|000|WELLCARE OF TEXAS, INC.|Wellcare Simple (HMO)|00025076|0.00|420| | |TX|45757|0|N
H0174|010|000|WELLCARE OF TEXAS, INC.|Wellcare Simple (HMO)|00025076|0.00|420| | |TX|45790|0|N
H0174|010|000|WELLCARE OF TEXAS, INC.|Wellcare Simple (HMO)|00025076|0.00|420| | |TX|45801|0|N
H0174|010|000|WELLCARE OF TEXAS, INC.|Wellcare Simple (HMO)|00025076|0.00|420| | |TX|45821|0|N
H0174|010|000|WELLCARE OF TEXAS, INC.|Wellcare Simple (HMO)|00025076|0.00|420| | |TX|45840|0|N
H0174|010|000|WELLCARE OF TEXAS, INC.|Wellcare Simple (HMO)|00025076|0.00|420| | |TX|45850|0|N
H0174|010|000|WELLCARE OF TEXAS, INC.|Wellcare Simple (HMO)|00025076|0.00|420| | |TX|45884|0|N
H0174|010|000|WELLCARE OF TEXAS, INC.|Wellcare Simple (HMO)|00025076|0.00|420| | |TX|45949|0|N
H0174|010|000|WELLCARE OF TEXAS, INC.|Wellcare Simple (HMO)|00025076|0.00|420| | |TX|45950|0|N
H0174|010|000|WELLCARE OF TEXAS, INC.|Wellcare Simple (HMO)|00025076|0.00|420| | |TX|45954|0|N
H0174|014|000|WELLCARE OF TEXAS, INC.|Wellcare Simple (HMO)|00025076|0.00|420| | |TX|45310|0|N
H0174|014|000|WELLCARE OF TEXAS, INC.|Wellcare Simple (HMO)|00025076|0.00|420| | |TX|45340|0|N
H0174|014|000|WELLCARE OF TEXAS, INC.|Wellcare Simple (HMO)|00025076|0.00|420| | |TX|45390|0|N
H0174|014|000|WELLCARE OF TEXAS, INC.|Wellcare Simple (HMO)|00025076|0.00|420| | |TX|45410|0|N
H0174|014|000|WELLCARE OF TEXAS, INC.|Wellcare Simple (HMO)|00025076|0.00|420| | |TX|45470|0|N
H0174|014|000|WELLCARE OF TEXAS, INC.|Wellcare Simple (HMO)|00025076|0.00|420| | |TX|45653|0|N
H0174|014|000|WELLCARE OF TEXAS, INC.|Wellcare Simple (HMO)|00025076|0.00|420| | |TX|45720|0|N
H0174|014|000|WELLCARE OF TEXAS, INC.|Wellcare Simple (HMO)|00025076|0.00|420| | |TX|45843|0|N
H0174|014|000|WELLCARE OF TEXAS, INC.|Wellcare Simple (HMO)|00025076|0.00|420| | |TX|45879|0|N
H0174|014|000|WELLCARE OF TEXAS, INC.|Wellcare Simple (HMO)|00025076|0.00|420| | |TX|45910|0|N
H0174|014|000|WELLCARE OF TEXAS, INC.|Wellcare Simple (HMO)|00025076|0.00|420| | |TX|45973|0|N
H0174|015|000|WELLCARE OF TEXAS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45130|0|N
H0174|015|000|WELLCARE OF TEXAS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45320|0|N
H0174|015|000|WELLCARE OF TEXAS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45581|0|N
H0174|016|000|WELLCARE OF TEXAS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45480|0|N
H0174|017|000|WELLCARE OF TEXAS, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45100|0|N
H0174|017|000|WELLCARE OF TEXAS, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45140|0|N
H0174|017|000|WELLCARE OF TEXAS, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45222|0|N
H0174|017|000|WELLCARE OF TEXAS, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45223|0|N
H0174|017|000|WELLCARE OF TEXAS, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45631|0|N
H0174|017|000|WELLCARE OF TEXAS, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45755|0|N
H0174|017|000|WELLCARE OF TEXAS, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45795|0|N
H0174|017|000|WELLCARE OF TEXAS, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45940|0|N
H0174|017|000|WELLCARE OF TEXAS, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45970|0|N
H0174|018|000|WELLCARE OF TEXAS, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45310|0|N
H0174|018|000|WELLCARE OF TEXAS, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45340|0|N
H0174|018|000|WELLCARE OF TEXAS, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45390|0|N
H0174|018|000|WELLCARE OF TEXAS, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45410|0|N
H0174|018|000|WELLCARE OF TEXAS, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45720|0|N
H0174|018|000|WELLCARE OF TEXAS, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45879|0|N
H0174|018|000|WELLCARE OF TEXAS, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45910|0|N
H0174|019|000|WELLCARE OF TEXAS, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45070|0|N
H0174|019|000|WELLCARE OF TEXAS, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45280|0|N
H0174|019|000|WELLCARE OF TEXAS, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45530|0|N
H0174|019|000|WELLCARE OF TEXAS, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45550|0|N
H0174|019|000|WELLCARE OF TEXAS, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45600|0|N
H0174|019|000|WELLCARE OF TEXAS, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45610|0|N
H0174|019|000|WELLCARE OF TEXAS, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45700|0|N
H0174|019|000|WELLCARE OF TEXAS, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45757|0|N
H0174|019|000|WELLCARE OF TEXAS, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45790|0|N
H0174|019|000|WELLCARE OF TEXAS, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45801|0|N
H0174|019|000|WELLCARE OF TEXAS, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45821|0|N
H0174|019|000|WELLCARE OF TEXAS, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45840|0|N
H0174|019|000|WELLCARE OF TEXAS, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45850|0|N
H0174|019|000|WELLCARE OF TEXAS, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45884|0|N
H0174|019|000|WELLCARE OF TEXAS, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45949|0|N
H0174|019|000|WELLCARE OF TEXAS, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45950|0|N
H0174|019|000|WELLCARE OF TEXAS, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45954|0|N
H0174|020|000|WELLCARE OF TEXAS, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45130|0|N
H0174|020|000|WELLCARE OF TEXAS, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45320|0|N
H0174|020|000|WELLCARE OF TEXAS, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45581|0|N
H0174|021|000|WELLCARE OF TEXAS, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45480|0|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45040|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45070|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45100|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45110|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45120|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45130|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45140|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45220|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45221|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45222|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45223|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45230|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45251|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45280|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45291|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45301|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45310|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45320|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45321|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45330|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45340|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45341|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45350|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45370|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45380|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45390|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45391|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45392|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45410|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45450|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45460|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45480|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45500|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45530|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45540|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45541|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45550|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45581|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45583|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45591|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45600|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45610|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45621|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45630|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45631|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45671|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45681|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45700|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45720|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45721|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45734|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45741|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45742|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45744|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45752|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45754|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45755|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45757|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45760|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45761|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45780|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45790|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45793|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45795|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45801|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45802|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45804|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45821|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45832|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45840|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45850|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45872|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45877|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45879|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45880|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45884|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45885|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45887|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45891|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45901|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45903|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45904|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45910|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45911|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45930|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45940|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45944|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45949|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45950|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45952|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45954|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45970|2|N
H0174|022|000|WELLCARE OF TEXAS, INC.|Wellcare Dual Reserve (HMO D-SNP)|00025035|18.30|590| | |TX|45980|2|N
H0192|001|000|AMERIHEALTH MICHIGAN, INC.|AmeriHealth Caritas VIP Care Plus (Medicare-Medicaid Plan)|00025403|0.00|0| | |MI|23490|0|N
H0192|001|000|AMERIHEALTH MICHIGAN, INC.|AmeriHealth Caritas VIP Care Plus (Medicare-Medicaid Plan)|00025403|0.00|0| | |MI|23810|0|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44000|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44010|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44020|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44030|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44040|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44050|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44060|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44070|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44080|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44090|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44100|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44110|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44120|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44130|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44140|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44150|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44160|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44170|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44180|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44190|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44200|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44210|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44220|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44230|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44240|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44250|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44260|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44270|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44280|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44290|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44300|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44310|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44320|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44330|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44340|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44350|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44360|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44370|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44380|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44390|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44400|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44410|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44420|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44430|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44440|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44450|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44460|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44470|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44480|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44490|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44500|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44510|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44520|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44530|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44540|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44550|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44560|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44570|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44580|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44590|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44600|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44610|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44620|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44630|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44640|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44650|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44660|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44670|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44680|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44690|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44700|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44710|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44720|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44730|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44740|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44750|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44760|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44770|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44780|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44790|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44800|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44810|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44820|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44830|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44840|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44850|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44860|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44870|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44880|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44890|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44900|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44910|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44920|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44930|2|N
H0251|002|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44940|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44000|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44010|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44020|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44030|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44040|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44050|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44060|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44070|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44080|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44090|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44100|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44110|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44120|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44130|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44140|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44150|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44160|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44170|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44180|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44190|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44200|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44210|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44220|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44230|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44240|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44250|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44260|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44270|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44280|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44290|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44300|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44310|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44320|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44330|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44340|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44350|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44360|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44370|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44380|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44390|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44400|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44410|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44420|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44430|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44440|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44450|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44460|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44470|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44480|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44490|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44500|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44510|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44520|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44530|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44540|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44550|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44560|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44570|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44580|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44590|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44600|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44610|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44620|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44630|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44640|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44650|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44660|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44670|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44680|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44690|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44700|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44710|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44720|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44730|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44740|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44750|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44760|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44770|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44780|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44790|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44800|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44810|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44820|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44830|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44840|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44850|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44860|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44870|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44880|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44890|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44900|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44910|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44920|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44930|2|N
H0251|004|000|UNITEDHEALTHCARE PLAN OF THE RIVER VALLEY, INC.|UHC Dual Complete TN-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |TN|44940|2|N
H0270|001|000|WELLCARE HEALTH INSURANCE COMPANY OF AMERICA|Wellcare Simple Open (PPO)|00025084|0.00|420| | |AR|04140|0|N
H0270|001|000|WELLCARE HEALTH INSURANCE COMPANY OF AMERICA|Wellcare Simple Open (PPO)|00025084|0.00|420| | |AR|04150|0|N
H0270|001|000|WELLCARE HEALTH INSURANCE COMPANY OF AMERICA|Wellcare Simple Open (PPO)|00025084|0.00|420| | |AR|04220|0|N
H0270|001|000|WELLCARE HEALTH INSURANCE COMPANY OF AMERICA|Wellcare Simple Open (PPO)|00025084|0.00|420| | |AR|04340|0|N
H0270|001|000|WELLCARE HEALTH INSURANCE COMPANY OF AMERICA|Wellcare Simple Open (PPO)|00025084|0.00|420| | |AR|04420|0|N
H0270|001|000|WELLCARE HEALTH INSURANCE COMPANY OF AMERICA|Wellcare Simple Open (PPO)|00025084|0.00|420| | |AR|04590|0|N
H0270|001|000|WELLCARE HEALTH INSURANCE COMPANY OF AMERICA|Wellcare Simple Open (PPO)|00025084|0.00|420| | |AR|04720|0|N
H0292|001|000|HUMANA HEALTH PLAN OF OHIO, INC.|Humana Community (HMO)|00025456|0.00|0| | |KY|18070|0|N
H0292|001|000|HUMANA HEALTH PLAN OF OHIO, INC.|Humana Community (HMO)|00025456|0.00|0| | |KY|18180|0|N
H0292|001|000|HUMANA HEALTH PLAN OF OHIO, INC.|Humana Community (HMO)|00025456|0.00|0| | |KY|18400|0|N
H0292|001|000|HUMANA HEALTH PLAN OF OHIO, INC.|Humana Community (HMO)|00025456|0.00|0| | |KY|18580|0|N
H0292|001|000|HUMANA HEALTH PLAN OF OHIO, INC.|Humana Community (HMO)|00025456|0.00|0| | |KY|18932|0|N
H0292|002|000|HUMANA HEALTH PLAN OF OHIO, INC.|Humana Gold Plus H0292-002 (HMO)|00025456|16.00|250| | |KY|18070|0|N
H0292|002|000|HUMANA HEALTH PLAN OF OHIO, INC.|Humana Gold Plus H0292-002 (HMO)|00025456|16.00|250| | |KY|18180|0|N
H0292|002|000|HUMANA HEALTH PLAN OF OHIO, INC.|Humana Gold Plus H0292-002 (HMO)|00025456|16.00|250| | |KY|18580|0|N
H0292|002|000|HUMANA HEALTH PLAN OF OHIO, INC.|Humana Gold Plus H0292-002 (HMO)|00025456|16.00|250| | |KY|18932|0|N
H0292|003|000|HUMANA HEALTH PLAN OF OHIO, INC.|Humana Gold Plus H0292-003 (HMO)|00025456|0.00|250| | |KY|18070|0|N
H0292|003|000|HUMANA HEALTH PLAN OF OHIO, INC.|Humana Gold Plus H0292-003 (HMO)|00025456|0.00|250| | |KY|18180|0|N
H0292|003|000|HUMANA HEALTH PLAN OF OHIO, INC.|Humana Gold Plus H0292-003 (HMO)|00025456|0.00|250| | |KY|18400|0|N
H0292|003|000|HUMANA HEALTH PLAN OF OHIO, INC.|Humana Gold Plus H0292-003 (HMO)|00025456|0.00|250| | |KY|18580|0|N
H0292|003|000|HUMANA HEALTH PLAN OF OHIO, INC.|Humana Gold Plus H0292-003 (HMO)|00025456|0.00|250| | |KY|18932|0|N
H0294|002|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care WI-1 (PPO C-SNP)|00025003|0.00|340| | |WI|52000|1|N
H0294|002|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care WI-1 (PPO C-SNP)|00025003|0.00|340| | |WI|52040|1|N
H0294|002|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care WI-1 (PPO C-SNP)|00025003|0.00|340| | |WI|52070|1|N
H0294|002|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care WI-1 (PPO C-SNP)|00025003|0.00|340| | |WI|52100|1|N
H0294|002|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care WI-1 (PPO C-SNP)|00025003|0.00|340| | |WI|52120|1|N
H0294|002|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care WI-1 (PPO C-SNP)|00025003|0.00|340| | |WI|52130|1|N
H0294|002|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care WI-1 (PPO C-SNP)|00025003|0.00|340| | |WI|52140|1|N
H0294|002|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care WI-1 (PPO C-SNP)|00025003|0.00|340| | |WI|52180|1|N
H0294|002|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care WI-1 (PPO C-SNP)|00025003|0.00|340| | |WI|52190|1|N
H0294|002|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care WI-1 (PPO C-SNP)|00025003|0.00|340| | |WI|52200|1|N
H0294|002|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care WI-1 (PPO C-SNP)|00025003|0.00|340| | |WI|52210|1|N
H0294|002|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care WI-1 (PPO C-SNP)|00025003|0.00|340| | |WI|52220|1|N
H0294|002|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care WI-1 (PPO C-SNP)|00025003|0.00|340| | |WI|52230|1|N
H0294|002|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care WI-1 (PPO C-SNP)|00025003|0.00|340| | |WI|52240|1|N
H0294|002|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care WI-1 (PPO C-SNP)|00025003|0.00|340| | |WI|52270|1|N
H0294|002|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care WI-1 (PPO C-SNP)|00025003|0.00|340| | |WI|52290|1|N
H0294|002|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care WI-1 (PPO C-SNP)|00025003|0.00|340| | |WI|52300|1|N
H0294|002|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care WI-1 (PPO C-SNP)|00025003|0.00|340| | |WI|52320|1|N
H0294|002|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care WI-1 (PPO C-SNP)|00025003|0.00|340| | |WI|52330|1|N
H0294|002|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care WI-1 (PPO C-SNP)|00025003|0.00|340| | |WI|52350|1|N
H0294|002|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care WI-1 (PPO C-SNP)|00025003|0.00|340| | |WI|52370|1|N
H0294|002|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care WI-1 (PPO C-SNP)|00025003|0.00|340| | |WI|52380|1|N
H0294|002|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care WI-1 (PPO C-SNP)|00025003|0.00|340| | |WI|52381|1|N
H0294|002|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care WI-1 (PPO C-SNP)|00025003|0.00|340| | |WI|52390|1|N
H0294|002|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care WI-1 (PPO C-SNP)|00025003|0.00|340| | |WI|52410|1|N
H0294|002|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care WI-1 (PPO C-SNP)|00025003|0.00|340| | |WI|52430|1|N
H0294|002|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care WI-1 (PPO C-SNP)|00025003|0.00|340| | |WI|52440|1|N
H0294|002|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care WI-1 (PPO C-SNP)|00025003|0.00|340| | |WI|52500|1|N
H0294|002|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care WI-1 (PPO C-SNP)|00025003|0.00|340| | |WI|52520|1|N
H0294|002|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care WI-1 (PPO C-SNP)|00025003|0.00|340| | |WI|52550|1|N
H0294|002|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care WI-1 (PPO C-SNP)|00025003|0.00|340| | |WI|52570|1|N
H0294|002|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care WI-1 (PPO C-SNP)|00025003|0.00|340| | |WI|52580|1|N
H0294|002|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care WI-1 (PPO C-SNP)|00025003|0.00|340| | |WI|52630|1|N
H0294|002|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care WI-1 (PPO C-SNP)|00025003|0.00|340| | |WI|52650|1|N
H0294|002|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care WI-1 (PPO C-SNP)|00025003|0.00|340| | |WI|52660|1|N
H0294|002|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care WI-1 (PPO C-SNP)|00025003|0.00|340| | |WI|52670|1|N
H0294|002|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care WI-1 (PPO C-SNP)|00025003|0.00|340| | |WI|52680|1|N
H0294|002|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care WI-1 (PPO C-SNP)|00025003|0.00|340| | |WI|52690|1|N
H0294|004|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0002 (PPO)|00025002|55.00|495| | |WI|52000|0|N
H0294|004|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0002 (PPO)|00025002|55.00|495| | |WI|52040|0|N
H0294|004|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0002 (PPO)|00025002|55.00|495| | |WI|52070|0|N
H0294|004|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0002 (PPO)|00025002|55.00|495| | |WI|52100|0|N
H0294|004|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0002 (PPO)|00025002|55.00|495| | |WI|52120|0|N
H0294|004|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0002 (PPO)|00025002|55.00|495| | |WI|52130|0|N
H0294|004|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0002 (PPO)|00025002|55.00|495| | |WI|52140|0|N
H0294|004|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0002 (PPO)|00025002|55.00|495| | |WI|52180|0|N
H0294|004|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0002 (PPO)|00025002|55.00|495| | |WI|52190|0|N
H0294|004|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0002 (PPO)|00025002|55.00|495| | |WI|52200|0|N
H0294|004|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0002 (PPO)|00025002|55.00|495| | |WI|52210|0|N
H0294|004|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0002 (PPO)|00025002|55.00|495| | |WI|52220|0|N
H0294|004|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0002 (PPO)|00025002|55.00|495| | |WI|52230|0|N
H0294|004|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0002 (PPO)|00025002|55.00|495| | |WI|52240|0|N
H0294|004|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0002 (PPO)|00025002|55.00|495| | |WI|52270|0|N
H0294|004|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0002 (PPO)|00025002|55.00|495| | |WI|52290|0|N
H0294|004|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0002 (PPO)|00025002|55.00|495| | |WI|52300|0|N
H0294|004|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0002 (PPO)|00025002|55.00|495| | |WI|52320|0|N
H0294|004|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0002 (PPO)|00025002|55.00|495| | |WI|52330|0|N
H0294|004|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0002 (PPO)|00025002|55.00|495| | |WI|52350|0|N
H0294|004|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0002 (PPO)|00025002|55.00|495| | |WI|52370|0|N
H0294|004|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0002 (PPO)|00025002|55.00|495| | |WI|52380|0|N
H0294|004|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0002 (PPO)|00025002|55.00|495| | |WI|52381|0|N
H0294|004|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0002 (PPO)|00025002|55.00|495| | |WI|52390|0|N
H0294|004|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0002 (PPO)|00025002|55.00|495| | |WI|52410|0|N
H0294|004|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0002 (PPO)|00025002|55.00|495| | |WI|52430|0|N
H0294|004|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0002 (PPO)|00025002|55.00|495| | |WI|52440|0|N
H0294|004|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0002 (PPO)|00025002|55.00|495| | |WI|52500|0|N
H0294|004|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0002 (PPO)|00025002|55.00|495| | |WI|52520|0|N
H0294|004|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0002 (PPO)|00025002|55.00|495| | |WI|52550|0|N
H0294|004|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0002 (PPO)|00025002|55.00|495| | |WI|52570|0|N
H0294|004|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0002 (PPO)|00025002|55.00|495| | |WI|52580|0|N
H0294|004|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0002 (PPO)|00025002|55.00|495| | |WI|52630|0|N
H0294|004|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0002 (PPO)|00025002|55.00|495| | |WI|52650|0|N
H0294|004|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0002 (PPO)|00025002|55.00|495| | |WI|52660|0|N
H0294|004|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0002 (PPO)|00025002|55.00|495| | |WI|52670|0|N
H0294|004|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0002 (PPO)|00025002|55.00|495| | |WI|52680|0|N
H0294|004|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0002 (PPO)|00025002|55.00|495| | |WI|52690|0|N
H0294|012|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0005 (PPO)|00025002|33.40|420| | |WI|52010|0|N
H0294|012|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0005 (PPO)|00025002|33.40|420| | |WI|52020|0|N
H0294|012|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0005 (PPO)|00025002|33.40|420| | |WI|52030|0|N
H0294|012|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0005 (PPO)|00025002|33.40|420| | |WI|52050|0|N
H0294|012|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0005 (PPO)|00025002|33.40|420| | |WI|52080|0|N
H0294|012|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0005 (PPO)|00025002|33.40|420| | |WI|52090|0|N
H0294|012|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0005 (PPO)|00025002|33.40|420| | |WI|52110|0|N
H0294|012|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0005 (PPO)|00025002|33.40|420| | |WI|52160|0|N
H0294|012|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0005 (PPO)|00025002|33.40|420| | |WI|52170|0|N
H0294|012|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0005 (PPO)|00025002|33.40|420| | |WI|52250|0|N
H0294|012|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0005 (PPO)|00025002|33.40|420| | |WI|52260|0|N
H0294|012|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0005 (PPO)|00025002|33.40|420| | |WI|52280|0|N
H0294|012|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0005 (PPO)|00025002|33.40|420| | |WI|52310|0|N
H0294|012|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0005 (PPO)|00025002|33.40|420| | |WI|52340|0|N
H0294|012|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0005 (PPO)|00025002|33.40|420| | |WI|52360|0|N
H0294|012|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0005 (PPO)|00025002|33.40|420| | |WI|52400|0|N
H0294|012|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0005 (PPO)|00025002|33.40|420| | |WI|52420|0|N
H0294|012|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0005 (PPO)|00025002|33.40|420| | |WI|52450|0|N
H0294|012|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0005 (PPO)|00025002|33.40|420| | |WI|52460|0|N
H0294|012|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0005 (PPO)|00025002|33.40|420| | |WI|52480|0|N
H0294|012|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0005 (PPO)|00025002|33.40|420| | |WI|52490|0|N
H0294|012|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0005 (PPO)|00025002|33.40|420| | |WI|52510|0|N
H0294|012|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0005 (PPO)|00025002|33.40|420| | |WI|52530|0|N
H0294|012|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0005 (PPO)|00025002|33.40|420| | |WI|52560|0|N
H0294|012|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0005 (PPO)|00025002|33.40|420| | |WI|52590|0|N
H0294|012|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0005 (PPO)|00025002|33.40|420| | |WI|52600|0|N
H0294|012|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0005 (PPO)|00025002|33.40|420| | |WI|52610|0|N
H0294|012|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0005 (PPO)|00025002|33.40|420| | |WI|52620|0|N
H0294|012|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0005 (PPO)|00025002|33.40|420| | |WI|52640|0|N
H0294|012|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0005 (PPO)|00025002|33.40|420| | |WI|52700|0|N
H0294|015|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-6 (PPO)|00025002|0.00|420| | |WI|52000|0|N
H0294|015|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-6 (PPO)|00025002|0.00|420| | |WI|52040|0|N
H0294|015|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-6 (PPO)|00025002|0.00|420| | |WI|52070|0|N
H0294|015|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-6 (PPO)|00025002|0.00|420| | |WI|52130|0|N
H0294|015|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-6 (PPO)|00025002|0.00|420| | |WI|52140|0|N
H0294|015|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-6 (PPO)|00025002|0.00|420| | |WI|52180|0|N
H0294|015|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-6 (PPO)|00025002|0.00|420| | |WI|52190|0|N
H0294|015|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-6 (PPO)|00025002|0.00|420| | |WI|52200|0|N
H0294|015|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-6 (PPO)|00025002|0.00|420| | |WI|52230|0|N
H0294|015|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-6 (PPO)|00025002|0.00|420| | |WI|52300|0|N
H0294|015|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-6 (PPO)|00025002|0.00|420| | |WI|52330|0|N
H0294|015|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-6 (PPO)|00025002|0.00|420| | |WI|52350|0|N
H0294|015|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-6 (PPO)|00025002|0.00|420| | |WI|52370|0|N
H0294|015|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-6 (PPO)|00025002|0.00|420| | |WI|52380|0|N
H0294|015|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-6 (PPO)|00025002|0.00|420| | |WI|52381|0|N
H0294|015|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-6 (PPO)|00025002|0.00|420| | |WI|52410|0|N
H0294|015|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-6 (PPO)|00025002|0.00|420| | |WI|52430|0|N
H0294|015|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-6 (PPO)|00025002|0.00|420| | |WI|52570|0|N
H0294|015|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-6 (PPO)|00025002|0.00|420| | |WI|52580|0|N
H0294|015|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-6 (PPO)|00025002|0.00|420| | |WI|52670|0|N
H0294|015|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-6 (PPO)|00025002|0.00|420| | |WI|52680|0|N
H0294|015|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-6 (PPO)|00025002|0.00|420| | |WI|52690|0|N
H0294|016|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0007 (PPO)|00025002|26.00|420| | |WI|52100|0|N
H0294|016|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0007 (PPO)|00025002|26.00|420| | |WI|52120|0|N
H0294|016|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0007 (PPO)|00025002|26.00|420| | |WI|52210|0|N
H0294|016|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0007 (PPO)|00025002|26.00|420| | |WI|52220|0|N
H0294|016|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0007 (PPO)|00025002|26.00|420| | |WI|52240|0|N
H0294|016|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0007 (PPO)|00025002|26.00|420| | |WI|52270|0|N
H0294|016|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0007 (PPO)|00025002|26.00|420| | |WI|52320|0|N
H0294|016|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0007 (PPO)|00025002|26.00|420| | |WI|52520|0|N
H0294|016|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0007 (PPO)|00025002|26.00|420| | |WI|52550|0|N
H0294|016|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0007 (PPO)|00025002|26.00|420| | |WI|52630|0|N
H0294|017|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0001 (PPO)|00025002|0.00|495| | |MI|23000|0|N
H0294|017|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0001 (PPO)|00025002|0.00|495| | |MI|23020|0|N
H0294|017|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0001 (PPO)|00025002|0.00|495| | |MI|23040|0|N
H0294|017|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0001 (PPO)|00025002|0.00|495| | |MI|23050|0|N
H0294|017|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0001 (PPO)|00025002|0.00|495| | |MI|23080|0|N
H0294|017|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0001 (PPO)|00025002|0.00|495| | |MI|23090|0|N
H0294|017|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0001 (PPO)|00025002|0.00|495| | |MI|23110|0|N
H0294|017|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0001 (PPO)|00025002|0.00|495| | |MI|23120|0|N
H0294|017|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0001 (PPO)|00025002|0.00|495| | |MI|23130|0|N
H0294|017|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0001 (PPO)|00025002|0.00|495| | |MI|23140|0|N
H0294|017|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0001 (PPO)|00025002|0.00|495| | |MI|23190|0|N
H0294|017|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0001 (PPO)|00025002|0.00|495| | |MI|23210|0|N
H0294|017|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0001 (PPO)|00025002|0.00|495| | |MI|23230|0|N
H0294|017|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0001 (PPO)|00025002|0.00|495| | |MI|23240|0|N
H0294|017|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0001 (PPO)|00025002|0.00|495| | |MI|23260|0|N
H0294|017|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0001 (PPO)|00025002|0.00|495| | |MI|23270|0|N
H0294|017|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0001 (PPO)|00025002|0.00|495| | |MI|23280|0|N
H0294|017|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0001 (PPO)|00025002|0.00|495| | |MI|23290|0|N
H0294|017|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0001 (PPO)|00025002|0.00|495| | |MI|23310|0|N
H0294|017|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0001 (PPO)|00025002|0.00|495| | |MI|23340|0|N
H0294|017|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0001 (PPO)|00025002|0.00|495| | |MI|23350|0|N
H0294|017|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0001 (PPO)|00025002|0.00|495| | |MI|23380|0|N
H0294|017|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0001 (PPO)|00025002|0.00|495| | |MI|23390|0|N
H0294|017|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0001 (PPO)|00025002|0.00|495| | |MI|23400|0|N
H0294|017|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0001 (PPO)|00025002|0.00|495| | |MI|23420|0|N
H0294|017|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0001 (PPO)|00025002|0.00|495| | |MI|23440|0|N
H0294|017|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0001 (PPO)|00025002|0.00|495| | |MI|23460|0|N
H0294|017|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0001 (PPO)|00025002|0.00|495| | |MI|23500|0|N
H0294|017|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0001 (PPO)|00025002|0.00|495| | |MI|23530|0|N
H0294|017|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0001 (PPO)|00025002|0.00|495| | |MI|23560|0|N
H0294|017|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0001 (PPO)|00025002|0.00|495| | |MI|23570|0|N
H0294|017|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0001 (PPO)|00025002|0.00|495| | |MI|23580|0|N
H0294|017|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0001 (PPO)|00025002|0.00|495| | |MI|23610|0|N
H0294|017|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0001 (PPO)|00025002|0.00|495| | |MI|23620|0|N
H0294|017|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0001 (PPO)|00025002|0.00|495| | |MI|23630|0|N
H0294|017|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0001 (PPO)|00025002|0.00|495| | |MI|23640|0|N
H0294|017|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0001 (PPO)|00025002|0.00|495| | |MI|23650|0|N
H0294|017|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0001 (PPO)|00025002|0.00|495| | |MI|23660|0|N
H0294|017|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0001 (PPO)|00025002|0.00|495| | |MI|23670|0|N
H0294|017|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0001 (PPO)|00025002|0.00|495| | |MI|23680|0|N
H0294|017|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0001 (PPO)|00025002|0.00|495| | |MI|23690|0|N
H0294|017|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0001 (PPO)|00025002|0.00|495| | |MI|23710|0|N
H0294|017|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0001 (PPO)|00025002|0.00|495| | |MI|23720|0|N
H0294|017|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0001 (PPO)|00025002|0.00|495| | |MI|23740|0|N
H0294|017|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0001 (PPO)|00025002|0.00|495| | |MI|23750|0|N
H0294|017|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0001 (PPO)|00025002|0.00|495| | |MI|23780|0|N
H0294|017|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0001 (PPO)|00025002|0.00|495| | |MI|23800|0|N
H0294|017|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0001 (PPO)|00025002|0.00|495| | |MI|23810|0|N
H0294|017|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0001 (PPO)|00025002|0.00|495| | |MI|23830|0|N
H0294|018|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0002 (PPO)|00025002|25.20|420| | |MI|23000|0|N
H0294|018|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0002 (PPO)|00025002|25.20|420| | |MI|23020|0|N
H0294|018|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0002 (PPO)|00025002|25.20|420| | |MI|23040|0|N
H0294|018|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0002 (PPO)|00025002|25.20|420| | |MI|23050|0|N
H0294|018|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0002 (PPO)|00025002|25.20|420| | |MI|23080|0|N
H0294|018|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0002 (PPO)|00025002|25.20|420| | |MI|23090|0|N
H0294|018|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0002 (PPO)|00025002|25.20|420| | |MI|23110|0|N
H0294|018|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0002 (PPO)|00025002|25.20|420| | |MI|23120|0|N
H0294|018|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0002 (PPO)|00025002|25.20|420| | |MI|23130|0|N
H0294|018|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0002 (PPO)|00025002|25.20|420| | |MI|23140|0|N
H0294|018|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0002 (PPO)|00025002|25.20|420| | |MI|23190|0|N
H0294|018|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0002 (PPO)|00025002|25.20|420| | |MI|23230|0|N
H0294|018|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0002 (PPO)|00025002|25.20|420| | |MI|23240|0|N
H0294|018|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0002 (PPO)|00025002|25.20|420| | |MI|23270|0|N
H0294|018|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0002 (PPO)|00025002|25.20|420| | |MI|23280|0|N
H0294|018|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0002 (PPO)|00025002|25.20|420| | |MI|23290|0|N
H0294|018|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0002 (PPO)|00025002|25.20|420| | |MI|23310|0|N
H0294|018|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0002 (PPO)|00025002|25.20|420| | |MI|23340|0|N
H0294|018|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0002 (PPO)|00025002|25.20|420| | |MI|23380|0|N
H0294|018|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0002 (PPO)|00025002|25.20|420| | |MI|23390|0|N
H0294|018|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0002 (PPO)|00025002|25.20|420| | |MI|23400|0|N
H0294|018|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0002 (PPO)|00025002|25.20|420| | |MI|23420|0|N
H0294|018|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0002 (PPO)|00025002|25.20|420| | |MI|23440|0|N
H0294|018|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0002 (PPO)|00025002|25.20|420| | |MI|23460|0|N
H0294|018|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0002 (PPO)|00025002|25.20|420| | |MI|23500|0|N
H0294|018|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0002 (PPO)|00025002|25.20|420| | |MI|23530|0|N
H0294|018|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0002 (PPO)|00025002|25.20|420| | |MI|23560|0|N
H0294|018|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0002 (PPO)|00025002|25.20|420| | |MI|23570|0|N
H0294|018|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0002 (PPO)|00025002|25.20|420| | |MI|23580|0|N
H0294|018|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0002 (PPO)|00025002|25.20|420| | |MI|23610|0|N
H0294|018|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0002 (PPO)|00025002|25.20|420| | |MI|23620|0|N
H0294|018|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0002 (PPO)|00025002|25.20|420| | |MI|23630|0|N
H0294|018|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0002 (PPO)|00025002|25.20|420| | |MI|23640|0|N
H0294|018|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0002 (PPO)|00025002|25.20|420| | |MI|23660|0|N
H0294|018|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0002 (PPO)|00025002|25.20|420| | |MI|23670|0|N
H0294|018|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0002 (PPO)|00025002|25.20|420| | |MI|23680|0|N
H0294|018|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0002 (PPO)|00025002|25.20|420| | |MI|23690|0|N
H0294|018|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0002 (PPO)|00025002|25.20|420| | |MI|23710|0|N
H0294|018|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0002 (PPO)|00025002|25.20|420| | |MI|23720|0|N
H0294|018|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0002 (PPO)|00025002|25.20|420| | |MI|23740|0|N
H0294|018|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0002 (PPO)|00025002|25.20|420| | |MI|23750|0|N
H0294|018|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0002 (PPO)|00025002|25.20|420| | |MI|23780|0|N
H0294|018|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0002 (PPO)|00025002|25.20|420| | |MI|23800|0|N
H0294|018|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0002 (PPO)|00025002|25.20|420| | |MI|23810|0|N
H0294|018|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC MI-0002 (PPO)|00025002|25.20|420| | |MI|23830|0|N
H0294|023|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0008 (PPO)|00025002|22.00|570| | |WI|52060|0|N
H0294|023|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0008 (PPO)|00025002|22.00|570| | |WI|52150|0|N
H0294|023|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0008 (PPO)|00025002|22.00|570| | |WI|52470|0|N
H0294|023|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0008 (PPO)|00025002|22.00|570| | |WI|52540|0|N
H0294|026|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0009 (PPO)|00025002|0.00|420| | |WI|52290|0|N
H0294|026|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0009 (PPO)|00025002|0.00|420| | |WI|52390|0|N
H0294|026|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0009 (PPO)|00025002|0.00|420| | |WI|52440|0|N
H0294|026|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0009 (PPO)|00025002|0.00|420| | |WI|52500|0|N
H0294|026|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0009 (PPO)|00025002|0.00|420| | |WI|52650|0|N
H0294|026|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC WI-0009 (PPO)|00025002|0.00|420| | |WI|52660|0|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52000|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52010|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52020|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52030|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52040|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52050|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52060|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52070|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52080|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52090|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52100|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52110|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52120|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52130|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52140|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52150|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52160|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52170|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52180|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52190|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52200|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52210|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52220|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52230|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52240|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52250|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52260|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52270|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52280|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52290|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52300|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52310|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52320|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52330|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52340|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52350|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52360|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52370|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52380|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52381|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52390|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52400|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52410|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52420|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52430|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52440|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52450|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52460|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52470|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52480|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52490|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52500|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52510|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52520|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52530|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52540|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52550|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52560|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52570|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52580|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52590|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52600|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52610|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52620|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52630|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52640|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52650|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52660|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52670|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52680|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52690|2|N
H0294|027|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete WI-D001 (PPO D-SNP)|00025002|43.50|590| | |WI|52700|2|N
H0294|032|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC CA-0024 (PPO)|00025002|18.40|420| | |CA|05520|0|N
H0294|037|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC CA-0029 (PPO)|00025002|0.00|570| | |CA|05200|0|N
H0294|037|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC CA-0029 (PPO)|00025002|0.00|570| | |CA|05210|0|N
H0294|038|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC CA-0030 (PPO)|00025002|0.00|570| | |CA|05400|0|N
H0294|039|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC CA-0031 (PPO)|00025002|0.00|570| | |CA|05430|0|N
H0294|039|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC CA-0031 (PPO)|00025002|0.00|570| | |CA|05460|0|N
H0294|043|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC CA-0035 (PPO)|00025002|16.70|420| | |CA|05470|0|N
H0294|044|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC CA-0036 (PPO)|00025002|26.20|420| | |CA|05140|0|N
H0294|046|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC CA-0038 (PPO)|00025002|49.00|420| | |CA|05660|0|N
H0294|047|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Advantage from UHC CA-0039 (PPO)|00025002|31.20|420| | |CA|05500|0|N
H0294|048|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care MI-3 (PPO C-SNP)|00025003|26.60|590| | |MI|23000|1|N
H0294|048|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care MI-3 (PPO C-SNP)|00025003|26.60|590| | |MI|23020|1|N
H0294|048|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care MI-3 (PPO C-SNP)|00025003|26.60|590| | |MI|23040|1|N
H0294|048|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care MI-3 (PPO C-SNP)|00025003|26.60|590| | |MI|23050|1|N
H0294|048|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care MI-3 (PPO C-SNP)|00025003|26.60|590| | |MI|23080|1|N
H0294|048|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care MI-3 (PPO C-SNP)|00025003|26.60|590| | |MI|23090|1|N
H0294|048|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care MI-3 (PPO C-SNP)|00025003|26.60|590| | |MI|23110|1|N
H0294|048|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care MI-3 (PPO C-SNP)|00025003|26.60|590| | |MI|23120|1|N
H0294|048|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care MI-3 (PPO C-SNP)|00025003|26.60|590| | |MI|23130|1|N
H0294|048|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care MI-3 (PPO C-SNP)|00025003|26.60|590| | |MI|23140|1|N
H0294|048|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care MI-3 (PPO C-SNP)|00025003|26.60|590| | |MI|23190|1|N
H0294|048|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care MI-3 (PPO C-SNP)|00025003|26.60|590| | |MI|23210|1|N
H0294|048|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care MI-3 (PPO C-SNP)|00025003|26.60|590| | |MI|23230|1|N
H0294|048|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care MI-3 (PPO C-SNP)|00025003|26.60|590| | |MI|23240|1|N
H0294|048|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care MI-3 (PPO C-SNP)|00025003|26.60|590| | |MI|23260|1|N
H0294|048|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care MI-3 (PPO C-SNP)|00025003|26.60|590| | |MI|23270|1|N
H0294|048|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care MI-3 (PPO C-SNP)|00025003|26.60|590| | |MI|23280|1|N
H0294|048|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care MI-3 (PPO C-SNP)|00025003|26.60|590| | |MI|23290|1|N
H0294|048|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care MI-3 (PPO C-SNP)|00025003|26.60|590| | |MI|23310|1|N
H0294|048|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care MI-3 (PPO C-SNP)|00025003|26.60|590| | |MI|23340|1|N
H0294|048|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care MI-3 (PPO C-SNP)|00025003|26.60|590| | |MI|23350|1|N
H0294|048|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care MI-3 (PPO C-SNP)|00025003|26.60|590| | |MI|23380|1|N
H0294|048|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care MI-3 (PPO C-SNP)|00025003|26.60|590| | |MI|23390|1|N
H0294|048|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care MI-3 (PPO C-SNP)|00025003|26.60|590| | |MI|23400|1|N
H0294|048|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care MI-3 (PPO C-SNP)|00025003|26.60|590| | |MI|23420|1|N
H0294|048|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care MI-3 (PPO C-SNP)|00025003|26.60|590| | |MI|23440|1|N
H0294|048|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care MI-3 (PPO C-SNP)|00025003|26.60|590| | |MI|23460|1|N
H0294|048|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care MI-3 (PPO C-SNP)|00025003|26.60|590| | |MI|23500|1|N
H0294|048|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care MI-3 (PPO C-SNP)|00025003|26.60|590| | |MI|23530|1|N
H0294|048|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care MI-3 (PPO C-SNP)|00025003|26.60|590| | |MI|23560|1|N
H0294|048|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care MI-3 (PPO C-SNP)|00025003|26.60|590| | |MI|23570|1|N
H0294|048|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care MI-3 (PPO C-SNP)|00025003|26.60|590| | |MI|23580|1|N
H0294|048|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care MI-3 (PPO C-SNP)|00025003|26.60|590| | |MI|23610|1|N
H0294|048|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care MI-3 (PPO C-SNP)|00025003|26.60|590| | |MI|23620|1|N
H0294|048|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care MI-3 (PPO C-SNP)|00025003|26.60|590| | |MI|23630|1|N
H0294|048|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care MI-3 (PPO C-SNP)|00025003|26.60|590| | |MI|23640|1|N
H0294|048|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care MI-3 (PPO C-SNP)|00025003|26.60|590| | |MI|23650|1|N
H0294|048|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care MI-3 (PPO C-SNP)|00025003|26.60|590| | |MI|23660|1|N
H0294|048|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care MI-3 (PPO C-SNP)|00025003|26.60|590| | |MI|23670|1|N
H0294|048|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care MI-3 (PPO C-SNP)|00025003|26.60|590| | |MI|23680|1|N
H0294|048|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care MI-3 (PPO C-SNP)|00025003|26.60|590| | |MI|23690|1|N
H0294|048|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care MI-3 (PPO C-SNP)|00025003|26.60|590| | |MI|23710|1|N
H0294|048|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care MI-3 (PPO C-SNP)|00025003|26.60|590| | |MI|23720|1|N
H0294|048|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care MI-3 (PPO C-SNP)|00025003|26.60|590| | |MI|23740|1|N
H0294|048|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care MI-3 (PPO C-SNP)|00025003|26.60|590| | |MI|23750|1|N
H0294|048|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care MI-3 (PPO C-SNP)|00025003|26.60|590| | |MI|23780|1|N
H0294|048|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care MI-3 (PPO C-SNP)|00025003|26.60|590| | |MI|23800|1|N
H0294|048|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care MI-3 (PPO C-SNP)|00025003|26.60|590| | |MI|23810|1|N
H0294|048|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Complete Care MI-3 (PPO C-SNP)|00025003|26.60|590| | |MI|23830|1|N
H0294|049|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-Y1 (PPO D-SNP)|00025002|0.00|590| | |NM|32000|2|N
H0294|049|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-Y1 (PPO D-SNP)|00025002|0.00|590| | |NM|32010|2|N
H0294|049|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-Y1 (PPO D-SNP)|00025002|0.00|590| | |NM|32020|2|N
H0294|049|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-Y1 (PPO D-SNP)|00025002|0.00|590| | |NM|32025|2|N
H0294|049|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-Y1 (PPO D-SNP)|00025002|0.00|590| | |NM|32030|2|N
H0294|049|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-Y1 (PPO D-SNP)|00025002|0.00|590| | |NM|32050|2|N
H0294|049|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-Y1 (PPO D-SNP)|00025002|0.00|590| | |NM|32060|2|N
H0294|049|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-Y1 (PPO D-SNP)|00025002|0.00|590| | |NM|32080|2|N
H0294|049|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-Y1 (PPO D-SNP)|00025002|0.00|590| | |NM|32090|2|N
H0294|049|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-Y1 (PPO D-SNP)|00025002|0.00|590| | |NM|32100|2|N
H0294|049|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-Y1 (PPO D-SNP)|00025002|0.00|590| | |NM|32110|2|N
H0294|049|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-Y1 (PPO D-SNP)|00025002|0.00|590| | |NM|32130|2|N
H0294|049|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-Y1 (PPO D-SNP)|00025002|0.00|590| | |NM|32131|2|N
H0294|049|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-Y1 (PPO D-SNP)|00025002|0.00|590| | |NM|32140|2|N
H0294|049|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-Y1 (PPO D-SNP)|00025002|0.00|590| | |NM|32160|2|N
H0294|049|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-Y1 (PPO D-SNP)|00025002|0.00|590| | |NM|32170|2|N
H0294|049|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-Y1 (PPO D-SNP)|00025002|0.00|590| | |NM|32190|2|N
H0294|049|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-Y1 (PPO D-SNP)|00025002|0.00|590| | |NM|32200|2|N
H0294|049|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-Y1 (PPO D-SNP)|00025002|0.00|590| | |NM|32210|2|N
H0294|049|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-Y1 (PPO D-SNP)|00025002|0.00|590| | |NM|32230|2|N
H0294|049|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-Y1 (PPO D-SNP)|00025002|0.00|590| | |NM|32240|2|N
H0294|049|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-Y1 (PPO D-SNP)|00025002|0.00|590| | |NM|32250|2|N
H0294|049|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-Y1 (PPO D-SNP)|00025002|0.00|590| | |NM|32260|2|N
H0294|049|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-Y1 (PPO D-SNP)|00025002|0.00|590| | |NM|32270|2|N
H0294|049|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-Y1 (PPO D-SNP)|00025002|0.00|590| | |NM|32280|2|N
H0294|049|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-Y1 (PPO D-SNP)|00025002|0.00|590| | |NM|32300|2|N
H0294|050|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-S1 (PPO D-SNP)|00025002|0.00|590| | |NM|32000|2|N
H0294|050|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-S1 (PPO D-SNP)|00025002|0.00|590| | |NM|32010|2|N
H0294|050|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-S1 (PPO D-SNP)|00025002|0.00|590| | |NM|32020|2|N
H0294|050|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-S1 (PPO D-SNP)|00025002|0.00|590| | |NM|32025|2|N
H0294|050|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-S1 (PPO D-SNP)|00025002|0.00|590| | |NM|32030|2|N
H0294|050|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-S1 (PPO D-SNP)|00025002|0.00|590| | |NM|32050|2|N
H0294|050|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-S1 (PPO D-SNP)|00025002|0.00|590| | |NM|32060|2|N
H0294|050|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-S1 (PPO D-SNP)|00025002|0.00|590| | |NM|32080|2|N
H0294|050|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-S1 (PPO D-SNP)|00025002|0.00|590| | |NM|32090|2|N
H0294|050|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-S1 (PPO D-SNP)|00025002|0.00|590| | |NM|32100|2|N
H0294|050|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-S1 (PPO D-SNP)|00025002|0.00|590| | |NM|32110|2|N
H0294|050|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-S1 (PPO D-SNP)|00025002|0.00|590| | |NM|32130|2|N
H0294|050|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-S1 (PPO D-SNP)|00025002|0.00|590| | |NM|32131|2|N
H0294|050|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-S1 (PPO D-SNP)|00025002|0.00|590| | |NM|32140|2|N
H0294|050|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-S1 (PPO D-SNP)|00025002|0.00|590| | |NM|32160|2|N
H0294|050|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-S1 (PPO D-SNP)|00025002|0.00|590| | |NM|32170|2|N
H0294|050|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-S1 (PPO D-SNP)|00025002|0.00|590| | |NM|32190|2|N
H0294|050|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-S1 (PPO D-SNP)|00025002|0.00|590| | |NM|32200|2|N
H0294|050|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-S1 (PPO D-SNP)|00025002|0.00|590| | |NM|32210|2|N
H0294|050|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-S1 (PPO D-SNP)|00025002|0.00|590| | |NM|32230|2|N
H0294|050|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-S1 (PPO D-SNP)|00025002|0.00|590| | |NM|32240|2|N
H0294|050|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-S1 (PPO D-SNP)|00025002|0.00|590| | |NM|32250|2|N
H0294|050|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-S1 (PPO D-SNP)|00025002|0.00|590| | |NM|32260|2|N
H0294|050|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-S1 (PPO D-SNP)|00025002|0.00|590| | |NM|32270|2|N
H0294|050|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-S1 (PPO D-SNP)|00025002|0.00|590| | |NM|32280|2|N
H0294|050|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-S1 (PPO D-SNP)|00025002|0.00|590| | |NM|32300|2|N
H0294|051|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-V1 (PPO D-SNP)|00025002|15.80|590| | |NM|32000|2|N
H0294|051|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-V1 (PPO D-SNP)|00025002|15.80|590| | |NM|32010|2|N
H0294|051|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-V1 (PPO D-SNP)|00025002|15.80|590| | |NM|32020|2|N
H0294|051|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-V1 (PPO D-SNP)|00025002|15.80|590| | |NM|32025|2|N
H0294|051|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-V1 (PPO D-SNP)|00025002|15.80|590| | |NM|32030|2|N
H0294|051|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-V1 (PPO D-SNP)|00025002|15.80|590| | |NM|32050|2|N
H0294|051|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-V1 (PPO D-SNP)|00025002|15.80|590| | |NM|32060|2|N
H0294|051|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-V1 (PPO D-SNP)|00025002|15.80|590| | |NM|32080|2|N
H0294|051|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-V1 (PPO D-SNP)|00025002|15.80|590| | |NM|32090|2|N
H0294|051|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-V1 (PPO D-SNP)|00025002|15.80|590| | |NM|32100|2|N
H0294|051|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-V1 (PPO D-SNP)|00025002|15.80|590| | |NM|32110|2|N
H0294|051|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-V1 (PPO D-SNP)|00025002|15.80|590| | |NM|32130|2|N
H0294|051|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-V1 (PPO D-SNP)|00025002|15.80|590| | |NM|32131|2|N
H0294|051|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-V1 (PPO D-SNP)|00025002|15.80|590| | |NM|32140|2|N
H0294|051|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-V1 (PPO D-SNP)|00025002|15.80|590| | |NM|32160|2|N
H0294|051|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-V1 (PPO D-SNP)|00025002|15.80|590| | |NM|32170|2|N
H0294|051|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-V1 (PPO D-SNP)|00025002|15.80|590| | |NM|32190|2|N
H0294|051|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-V1 (PPO D-SNP)|00025002|15.80|590| | |NM|32200|2|N
H0294|051|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-V1 (PPO D-SNP)|00025002|15.80|590| | |NM|32210|2|N
H0294|051|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-V1 (PPO D-SNP)|00025002|15.80|590| | |NM|32230|2|N
H0294|051|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-V1 (PPO D-SNP)|00025002|15.80|590| | |NM|32240|2|N
H0294|051|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-V1 (PPO D-SNP)|00025002|15.80|590| | |NM|32250|2|N
H0294|051|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-V1 (PPO D-SNP)|00025002|15.80|590| | |NM|32260|2|N
H0294|051|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-V1 (PPO D-SNP)|00025002|15.80|590| | |NM|32270|2|N
H0294|051|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-V1 (PPO D-SNP)|00025002|15.80|590| | |NM|32280|2|N
H0294|051|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Dual Complete NM-V1 (PPO D-SNP)|00025002|15.80|590| | |NM|32300|2|N
H0302|001|000|MEDISUN, INC.|Blue Best Life Plus (HMO)|00025387|28.00|0| | |AZ|03060|0|N
H0302|001|000|MEDISUN, INC.|Blue Best Life Plus (HMO)|00025387|28.00|0| | |AZ|03100|0|N
H0302|006|000|MEDISUN, INC.|Blue Best Life Classic (HMO)|00025387|0.00|0| | |AZ|03060|0|N
H0302|006|000|MEDISUN, INC.|Blue Best Life Classic (HMO)|00025387|0.00|0| | |AZ|03100|0|N
H0302|008|000|MEDISUN, INC.|Blue Best Life Classic (HMO)|00025387|0.00|0| | |AZ|03090|0|N
H0321|002|000|ARIZONA PHYSICIANS IPA, INC.|UHC Dual Complete AZ-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |AZ|03000|2|N
H0321|002|000|ARIZONA PHYSICIANS IPA, INC.|UHC Dual Complete AZ-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |AZ|03010|2|N
H0321|002|000|ARIZONA PHYSICIANS IPA, INC.|UHC Dual Complete AZ-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |AZ|03020|2|N
H0321|002|000|ARIZONA PHYSICIANS IPA, INC.|UHC Dual Complete AZ-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |AZ|03030|2|N
H0321|002|000|ARIZONA PHYSICIANS IPA, INC.|UHC Dual Complete AZ-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |AZ|03040|2|N
H0321|002|000|ARIZONA PHYSICIANS IPA, INC.|UHC Dual Complete AZ-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |AZ|03050|2|N
H0321|002|000|ARIZONA PHYSICIANS IPA, INC.|UHC Dual Complete AZ-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |AZ|03055|2|N
H0321|002|000|ARIZONA PHYSICIANS IPA, INC.|UHC Dual Complete AZ-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |AZ|03060|2|N
H0321|002|000|ARIZONA PHYSICIANS IPA, INC.|UHC Dual Complete AZ-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |AZ|03070|2|N
H0321|002|000|ARIZONA PHYSICIANS IPA, INC.|UHC Dual Complete AZ-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |AZ|03080|2|N
H0321|002|000|ARIZONA PHYSICIANS IPA, INC.|UHC Dual Complete AZ-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |AZ|03090|2|N
H0321|002|000|ARIZONA PHYSICIANS IPA, INC.|UHC Dual Complete AZ-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |AZ|03100|2|N
H0321|002|000|ARIZONA PHYSICIANS IPA, INC.|UHC Dual Complete AZ-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |AZ|03110|2|N
H0321|002|000|ARIZONA PHYSICIANS IPA, INC.|UHC Dual Complete AZ-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |AZ|03120|2|N
H0321|002|000|ARIZONA PHYSICIANS IPA, INC.|UHC Dual Complete AZ-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |AZ|03130|2|N
H0321|004|000|ARIZONA PHYSICIANS IPA, INC.|UHC Dual Complete AZ-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |AZ|03000|2|N
H0321|004|000|ARIZONA PHYSICIANS IPA, INC.|UHC Dual Complete AZ-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |AZ|03010|2|N
H0321|004|000|ARIZONA PHYSICIANS IPA, INC.|UHC Dual Complete AZ-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |AZ|03020|2|N
H0321|004|000|ARIZONA PHYSICIANS IPA, INC.|UHC Dual Complete AZ-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |AZ|03030|2|N
H0321|004|000|ARIZONA PHYSICIANS IPA, INC.|UHC Dual Complete AZ-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |AZ|03040|2|N
H0321|004|000|ARIZONA PHYSICIANS IPA, INC.|UHC Dual Complete AZ-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |AZ|03050|2|N
H0321|004|000|ARIZONA PHYSICIANS IPA, INC.|UHC Dual Complete AZ-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |AZ|03055|2|N
H0321|004|000|ARIZONA PHYSICIANS IPA, INC.|UHC Dual Complete AZ-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |AZ|03060|2|N
H0321|004|000|ARIZONA PHYSICIANS IPA, INC.|UHC Dual Complete AZ-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |AZ|03070|2|N
H0321|004|000|ARIZONA PHYSICIANS IPA, INC.|UHC Dual Complete AZ-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |AZ|03080|2|N
H0321|004|000|ARIZONA PHYSICIANS IPA, INC.|UHC Dual Complete AZ-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |AZ|03090|2|N
H0321|004|000|ARIZONA PHYSICIANS IPA, INC.|UHC Dual Complete AZ-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |AZ|03100|2|N
H0321|004|000|ARIZONA PHYSICIANS IPA, INC.|UHC Dual Complete AZ-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |AZ|03110|2|N
H0321|004|000|ARIZONA PHYSICIANS IPA, INC.|UHC Dual Complete AZ-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |AZ|03120|2|N
H0321|004|000|ARIZONA PHYSICIANS IPA, INC.|UHC Dual Complete AZ-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |AZ|03130|2|N
H0332|004|000|KS PLAN ADMINISTRATORS, LLC|KelseyCare Advantage Freedom (HMO-POS)|00025501|0.00|200| | |TX|45070|0|N
H0332|004|000|KS PLAN ADMINISTRATORS, LLC|KelseyCare Advantage Freedom (HMO-POS)|00025501|0.00|200| | |TX|45180|0|N
H0332|004|000|KS PLAN ADMINISTRATORS, LLC|KelseyCare Advantage Freedom (HMO-POS)|00025501|0.00|200| | |TX|45280|0|N
H0332|004|000|KS PLAN ADMINISTRATORS, LLC|KelseyCare Advantage Freedom (HMO-POS)|00025501|0.00|200| | |TX|45530|0|N
H0332|004|000|KS PLAN ADMINISTRATORS, LLC|KelseyCare Advantage Freedom (HMO-POS)|00025501|0.00|200| | |TX|45550|0|N
H0332|004|000|KS PLAN ADMINISTRATORS, LLC|KelseyCare Advantage Freedom (HMO-POS)|00025501|0.00|200| | |TX|45580|0|N
H0332|004|000|KS PLAN ADMINISTRATORS, LLC|KelseyCare Advantage Freedom (HMO-POS)|00025501|0.00|200| | |TX|45610|0|N
H0332|004|000|KS PLAN ADMINISTRATORS, LLC|KelseyCare Advantage Freedom (HMO-POS)|00025501|0.00|200| | |TX|45757|0|N
H0332|004|000|KS PLAN ADMINISTRATORS, LLC|KelseyCare Advantage Freedom (HMO-POS)|00025501|0.00|200| | |TX|45801|0|N
H0332|004|000|KS PLAN ADMINISTRATORS, LLC|KelseyCare Advantage Freedom (HMO-POS)|00025501|0.00|200| | |TX|45884|0|N
H0332|004|000|KS PLAN ADMINISTRATORS, LLC|KelseyCare Advantage Freedom (HMO-POS)|00025501|0.00|200| | |TX|45949|0|N
H0332|004|000|KS PLAN ADMINISTRATORS, LLC|KelseyCare Advantage Freedom (HMO-POS)|00025501|0.00|200| | |TX|45950|0|N
H0332|004|000|KS PLAN ADMINISTRATORS, LLC|KelseyCare Advantage Freedom (HMO-POS)|00025501|0.00|200| | |TX|45954|0|N
H0332|009|000|KS PLAN ADMINISTRATORS, LLC|KelseyCare Advantage Signature (HMO)|00025501|0.00|100| | |TX|45180|0|N
H0332|009|000|KS PLAN ADMINISTRATORS, LLC|KelseyCare Advantage Signature (HMO)|00025501|0.00|100| | |TX|45530|0|N
H0332|009|000|KS PLAN ADMINISTRATORS, LLC|KelseyCare Advantage Signature (HMO)|00025501|0.00|100| | |TX|45550|0|N
H0332|009|000|KS PLAN ADMINISTRATORS, LLC|KelseyCare Advantage Signature (HMO)|00025501|0.00|100| | |TX|45610|0|N
H0332|009|000|KS PLAN ADMINISTRATORS, LLC|KelseyCare Advantage Signature (HMO)|00025501|0.00|100| | |TX|45801|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14000|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14010|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14020|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14030|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14040|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14050|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14060|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14070|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14080|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14090|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14100|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14110|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14120|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14130|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14140|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14141|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14150|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14160|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14170|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14180|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14190|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14250|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14310|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14320|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14330|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14340|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14350|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14360|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14370|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14380|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14390|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14400|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14410|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14420|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14421|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14440|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14450|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14460|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14470|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14480|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14490|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14500|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14510|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14520|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14530|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14540|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14550|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14560|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14570|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14580|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14590|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14600|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14610|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14620|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14630|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14640|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14650|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14660|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14670|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14680|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14690|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14700|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14710|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14720|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14730|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14740|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14750|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14760|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14770|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14780|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14790|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14800|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14810|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14820|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14830|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14831|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14850|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14860|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14870|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14880|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14890|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14900|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14910|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14920|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14921|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14940|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14950|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14960|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14970|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14980|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14981|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14982|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14983|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14984|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14985|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14986|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14987|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14988|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14989|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14990|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14991|0|N
H0336|001|000|HUMANA HEALTH PLAN, INC.|Humana Gold Plus Integrated H0336-001 (Medicare-Medicaid Plan)|00025467|0.00|0| | |IL|14992|0|N
H0342|001|000|CAREPARTNERS OF CONNECTICUT, INC.|CarePartners Access (PPO)|00025502|0.00|0| | |CT|07010|0|N
H0342|001|000|CAREPARTNERS OF CONNECTICUT, INC.|CarePartners Access (PPO)|00025502|0.00|0| | |CT|07020|0|N
H0342|001|000|CAREPARTNERS OF CONNECTICUT, INC.|CarePartners Access (PPO)|00025502|0.00|0| | |CT|07030|0|N
H0342|001|000|CAREPARTNERS OF CONNECTICUT, INC.|CarePartners Access (PPO)|00025502|0.00|0| | |CT|07040|0|N
H0342|001|000|CAREPARTNERS OF CONNECTICUT, INC.|CarePartners Access (PPO)|00025502|0.00|0| | |CT|07050|0|N
H0342|001|000|CAREPARTNERS OF CONNECTICUT, INC.|CarePartners Access (PPO)|00025502|0.00|0| | |CT|07060|0|N
H0342|001|000|CAREPARTNERS OF CONNECTICUT, INC.|CarePartners Access (PPO)|00025502|0.00|0| | |CT|07070|0|N
H0351|038|000|HEALTH NET OF ARIZONA, INC.|Wellcare Specialty Simple (HMO C-SNP)|00025080|0.00|420| | |AZ|03060|1|N
H0351|038|000|HEALTH NET OF ARIZONA, INC.|Wellcare Specialty Simple (HMO C-SNP)|00025080|0.00|420| | |AZ|03090|1|N
H0351|038|000|HEALTH NET OF ARIZONA, INC.|Wellcare Specialty Simple (HMO C-SNP)|00025080|0.00|420| | |AZ|03100|1|N
H0351|053|000|HEALTH NET OF ARIZONA, INC.|Wellcare Simple (HMO)|00025076|0.00|420| | |AZ|03010|0|N
H0351|053|000|HEALTH NET OF ARIZONA, INC.|Wellcare Simple (HMO)|00025076|0.00|420| | |AZ|03020|0|N
H0351|053|000|HEALTH NET OF ARIZONA, INC.|Wellcare Simple (HMO)|00025076|0.00|420| | |AZ|03030|0|N
H0351|053|000|HEALTH NET OF ARIZONA, INC.|Wellcare Simple (HMO)|00025076|0.00|420| | |AZ|03040|0|N
H0351|053|000|HEALTH NET OF ARIZONA, INC.|Wellcare Simple (HMO)|00025076|0.00|420| | |AZ|03050|0|N
H0351|053|000|HEALTH NET OF ARIZONA, INC.|Wellcare Simple (HMO)|00025076|0.00|420| | |AZ|03055|0|N
H0351|053|000|HEALTH NET OF ARIZONA, INC.|Wellcare Simple (HMO)|00025076|0.00|420| | |AZ|03070|0|N
H0351|053|000|HEALTH NET OF ARIZONA, INC.|Wellcare Simple (HMO)|00025076|0.00|420| | |AZ|03110|0|N
H0351|053|000|HEALTH NET OF ARIZONA, INC.|Wellcare Simple (HMO)|00025076|0.00|420| | |AZ|03120|0|N
H0351|053|000|HEALTH NET OF ARIZONA, INC.|Wellcare Simple (HMO)|00025076|0.00|420| | |AZ|03130|0|N
H0351|054|000|HEALTH NET OF ARIZONA, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |AZ|03010|0|N
H0351|054|000|HEALTH NET OF ARIZONA, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |AZ|03020|0|N
H0351|054|000|HEALTH NET OF ARIZONA, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |AZ|03030|0|N
H0351|054|000|HEALTH NET OF ARIZONA, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |AZ|03040|0|N
H0351|054|000|HEALTH NET OF ARIZONA, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |AZ|03050|0|N
H0351|054|000|HEALTH NET OF ARIZONA, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |AZ|03055|0|N
H0351|054|000|HEALTH NET OF ARIZONA, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |AZ|03070|0|N
H0351|054|000|HEALTH NET OF ARIZONA, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |AZ|03110|0|N
H0351|054|000|HEALTH NET OF ARIZONA, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |AZ|03120|0|N
H0351|054|000|HEALTH NET OF ARIZONA, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |AZ|03130|0|N
H0351|057|000|HEALTH NET OF ARIZONA, INC.|Wellcare Specialty Simple (HMO C-SNP)|00025080|0.00|420| | |AZ|03010|1|N
H0351|057|000|HEALTH NET OF ARIZONA, INC.|Wellcare Specialty Simple (HMO C-SNP)|00025080|0.00|420| | |AZ|03070|1|N
H0351|057|000|HEALTH NET OF ARIZONA, INC.|Wellcare Specialty Simple (HMO C-SNP)|00025080|0.00|420| | |AZ|03110|1|N
H0351|057|000|HEALTH NET OF ARIZONA, INC.|Wellcare Specialty Simple (HMO C-SNP)|00025080|0.00|420| | |AZ|03120|1|N
H0351|057|000|HEALTH NET OF ARIZONA, INC.|Wellcare Specialty Simple (HMO C-SNP)|00025080|0.00|420| | |AZ|03130|1|N
H0351|063|000|HEALTH NET OF ARIZONA, INC.|Wellcare Simple (HMO)|00025076|0.00|420| | |AZ|03060|0|N
H0351|063|000|HEALTH NET OF ARIZONA, INC.|Wellcare Simple (HMO)|00025076|0.00|420| | |AZ|03090|0|N
H0351|063|000|HEALTH NET OF ARIZONA, INC.|Wellcare Simple (HMO)|00025076|0.00|420| | |AZ|03100|0|N
H0351|064|000|HEALTH NET OF ARIZONA, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |AZ|03060|0|N
H0351|064|000|HEALTH NET OF ARIZONA, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |AZ|03090|0|N
H0351|064|000|HEALTH NET OF ARIZONA, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |AZ|03100|0|N
H0351|065|000|HEALTH NET OF ARIZONA, INC.|Wellcare Simple Value (HMO)|00025076|0.00|420| | |AZ|03060|0|N
H0351|065|000|HEALTH NET OF ARIZONA, INC.|Wellcare Simple Value (HMO)|00025076|0.00|420| | |AZ|03090|0|N
H0351|065|000|HEALTH NET OF ARIZONA, INC.|Wellcare Simple Value (HMO)|00025076|0.00|420| | |AZ|03100|0|N
H0351|066|000|HEALTH NET OF ARIZONA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |NV|29010|2|N
H0351|066|000|HEALTH NET OF ARIZONA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |NV|29110|2|N
H0351|067|000|HEALTH NET OF ARIZONA, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |NV|29010|0|N
H0351|067|000|HEALTH NET OF ARIZONA, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |NV|29110|0|N
H0351|068|000|HEALTH NET OF ARIZONA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |NV|29000|2|N
H0351|068|000|HEALTH NET OF ARIZONA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |NV|29020|2|N
H0351|068|000|HEALTH NET OF ARIZONA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |NV|29090|2|N
H0351|068|000|HEALTH NET OF ARIZONA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |NV|29120|2|N
H0351|068|000|HEALTH NET OF ARIZONA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |NV|29140|2|N
H0351|068|000|HEALTH NET OF ARIZONA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |NV|29150|2|N
H0351|069|000|HEALTH NET OF ARIZONA, INC.|Wellcare Specialty Simple (HMO-POS C-SNP)|00025080|0.00|420| | |NV|29010|1|N
H0351|069|000|HEALTH NET OF ARIZONA, INC.|Wellcare Specialty Simple (HMO-POS C-SNP)|00025080|0.00|420| | |NV|29110|1|N
H0351|070|000|HEALTH NET OF ARIZONA, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |NV|29000|0|N
H0351|070|000|HEALTH NET OF ARIZONA, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |NV|29020|0|N
H0351|070|000|HEALTH NET OF ARIZONA, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |NV|29090|0|N
H0351|070|000|HEALTH NET OF ARIZONA, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |NV|29120|0|N
H0351|070|000|HEALTH NET OF ARIZONA, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |NV|29140|0|N
H0351|070|000|HEALTH NET OF ARIZONA, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |NV|29150|0|N
H0354|001|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |AZ|03060|0|N
H0354|001|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |AZ|03090|0|N
H0354|001|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |AZ|03100|0|N
H0354|027|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Achieve Medicare (HMO C-SNP)|00025273|0.00|0| | |AZ|03060|1|N
H0354|027|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Achieve Medicare (HMO C-SNP)|00025273|0.00|0| | |AZ|03090|1|N
H0354|027|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Achieve Medicare (HMO C-SNP)|00025273|0.00|0| | |AZ|03100|1|N
H0354|028|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Alliance Medicare (HMO)|00025271|0.00|0| | |AZ|03060|0|N
H0354|028|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Alliance Medicare (HMO)|00025271|0.00|0| | |AZ|03090|0|N
H0354|028|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Alliance Medicare (HMO)|00025271|0.00|0| | |AZ|03100|0|N
H0354|029|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |AZ|03060|0|N
H0354|029|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |AZ|03090|0|N
H0354|029|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |AZ|03100|0|N
H0354|030|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Full Savings Medicare (HMO)|00025271|0.00|0| | |AZ|03060|0|N
H0354|030|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Full Savings Medicare (HMO)|00025271|0.00|0| | |AZ|03090|0|N
H0354|030|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Full Savings Medicare (HMO)|00025271|0.00|0| | |AZ|03100|0|N
H0363|001|000|LONGEVITY HEALTH PLAN OF COLORADO, INC.|Longevity Health Plan (HMO I-SNP)|00025394|37.00|590| | |CO|06000|3|N
H0363|001|000|LONGEVITY HEALTH PLAN OF COLORADO, INC.|Longevity Health Plan (HMO I-SNP)|00025394|37.00|590| | |CO|06020|3|N
H0363|001|000|LONGEVITY HEALTH PLAN OF COLORADO, INC.|Longevity Health Plan (HMO I-SNP)|00025394|37.00|590| | |CO|06060|3|N
H0363|001|000|LONGEVITY HEALTH PLAN OF COLORADO, INC.|Longevity Health Plan (HMO I-SNP)|00025394|37.00|590| | |CO|06150|3|N
H0363|001|000|LONGEVITY HEALTH PLAN OF COLORADO, INC.|Longevity Health Plan (HMO I-SNP)|00025394|37.00|590| | |CO|06170|3|N
H0363|001|000|LONGEVITY HEALTH PLAN OF COLORADO, INC.|Longevity Health Plan (HMO I-SNP)|00025394|37.00|590| | |CO|06200|3|N
H0363|001|000|LONGEVITY HEALTH PLAN OF COLORADO, INC.|Longevity Health Plan (HMO I-SNP)|00025394|37.00|590| | |CO|06210|3|N
H0363|001|000|LONGEVITY HEALTH PLAN OF COLORADO, INC.|Longevity Health Plan (HMO I-SNP)|00025394|37.00|590| | |CO|06290|3|N
H0363|001|000|LONGEVITY HEALTH PLAN OF COLORADO, INC.|Longevity Health Plan (HMO I-SNP)|00025394|37.00|590| | |CO|06340|3|N
H0363|001|000|LONGEVITY HEALTH PLAN OF COLORADO, INC.|Longevity Health Plan (HMO I-SNP)|00025394|37.00|590| | |CO|06380|3|N
H0363|001|000|LONGEVITY HEALTH PLAN OF COLORADO, INC.|Longevity Health Plan (HMO I-SNP)|00025394|37.00|590| | |CO|06420|3|N
H0363|001|000|LONGEVITY HEALTH PLAN OF COLORADO, INC.|Longevity Health Plan (HMO I-SNP)|00025394|37.00|590| | |CO|06430|3|N
H0363|001|000|LONGEVITY HEALTH PLAN OF COLORADO, INC.|Longevity Health Plan (HMO I-SNP)|00025394|37.00|590| | |CO|06500|3|N
H0363|001|000|LONGEVITY HEALTH PLAN OF COLORADO, INC.|Longevity Health Plan (HMO I-SNP)|00025394|37.00|590| | |CO|06610|3|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49000|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49010|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49011|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49020|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49030|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49040|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49050|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49060|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49070|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49080|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49090|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49100|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49110|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49111|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49120|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49130|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49140|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49141|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49150|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49160|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49170|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49180|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49190|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49191|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49194|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49200|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49210|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49212|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49213|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49220|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49230|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49240|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49241|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49250|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49260|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49270|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49280|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49288|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49290|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49291|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49300|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49310|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49320|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49328|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49330|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49340|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49342|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49343|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49350|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49360|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49370|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49380|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49390|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49400|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49410|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49411|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49420|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49421|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49430|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49440|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49450|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49451|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49460|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49470|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49480|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49490|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49500|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49510|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49520|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49522|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49530|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49540|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49550|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49551|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49560|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49561|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49563|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49565|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49570|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49580|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49590|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49600|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49620|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49621|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49622|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49641|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49650|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49660|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49661|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49670|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49680|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49690|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49700|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49701|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49710|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49711|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49712|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49720|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49730|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49740|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49750|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49770|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49771|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49780|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49790|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49791|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49800|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49801|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49810|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49830|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49838|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49840|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49850|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49860|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49870|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49880|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49890|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49891|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49892|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49900|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49910|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49920|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49921|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49930|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49950|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49951|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49960|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49961|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49962|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49970|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49980|2|N
H0421|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete VA-Y4 (PPO D-SNP)|00025002|0.00|590| | |VA|49981|2|N
H0423|001|000|METROPLUS HEALTH PLAN, INC.|MetroPlus Advantage Plan (HMO D-SNP)|00025243|0.00|590| | |NY|33020|2|N
H0423|001|000|METROPLUS HEALTH PLAN, INC.|MetroPlus Advantage Plan (HMO D-SNP)|00025243|0.00|590| | |NY|33331|2|N
H0423|001|000|METROPLUS HEALTH PLAN, INC.|MetroPlus Advantage Plan (HMO D-SNP)|00025243|0.00|590| | |NY|33420|2|N
H0423|001|000|METROPLUS HEALTH PLAN, INC.|MetroPlus Advantage Plan (HMO D-SNP)|00025243|0.00|590| | |NY|33590|2|N
H0423|001|000|METROPLUS HEALTH PLAN, INC.|MetroPlus Advantage Plan (HMO D-SNP)|00025243|0.00|590| | |NY|33610|2|N
H0423|004|000|METROPLUS HEALTH PLAN, INC.|MetroPlus Platinum Plan (HMO)|00025243|92.00|590| | |NY|33020|0|N
H0423|004|000|METROPLUS HEALTH PLAN, INC.|MetroPlus Platinum Plan (HMO)|00025243|92.00|590| | |NY|33331|0|N
H0423|004|000|METROPLUS HEALTH PLAN, INC.|MetroPlus Platinum Plan (HMO)|00025243|92.00|590| | |NY|33420|0|N
H0423|004|000|METROPLUS HEALTH PLAN, INC.|MetroPlus Platinum Plan (HMO)|00025243|92.00|590| | |NY|33590|0|N
H0423|004|000|METROPLUS HEALTH PLAN, INC.|MetroPlus Platinum Plan (HMO)|00025243|92.00|590| | |NY|33610|0|N
H0423|007|000|METROPLUS HEALTH PLAN, INC.|MetroPlus UltraCare (HMO D-SNP)|00025243|0.00|590| | |NY|33020|2|N
H0423|007|000|METROPLUS HEALTH PLAN, INC.|MetroPlus UltraCare (HMO D-SNP)|00025243|0.00|590| | |NY|33331|2|N
H0423|007|000|METROPLUS HEALTH PLAN, INC.|MetroPlus UltraCare (HMO D-SNP)|00025243|0.00|590| | |NY|33420|2|N
H0423|007|000|METROPLUS HEALTH PLAN, INC.|MetroPlus UltraCare (HMO D-SNP)|00025243|0.00|590| | |NY|33590|2|N
H0423|007|000|METROPLUS HEALTH PLAN, INC.|MetroPlus UltraCare (HMO D-SNP)|00025243|0.00|590| | |NY|33610|2|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01000|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01010|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01020|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01030|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01040|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01050|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01060|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01070|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01080|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01090|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01100|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01110|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01120|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01130|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01140|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01150|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01160|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01170|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01180|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01190|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01200|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01210|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01220|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01230|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01240|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01250|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01260|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01270|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01280|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01290|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01300|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01310|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01320|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01330|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01340|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01350|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01360|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01370|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01380|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01390|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01400|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01410|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01420|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01430|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01440|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01450|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01460|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01470|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01480|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01490|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01500|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01510|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01520|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01530|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01540|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01550|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01560|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01570|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01580|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01590|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01600|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01610|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01620|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01630|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01640|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01650|0|N
H0432|003|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0001 (HMO-POS)|00025002|0.00|420| | |AL|01660|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01000|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01010|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01020|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01030|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01040|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01050|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01060|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01070|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01080|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01090|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01100|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01110|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01120|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01130|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01140|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01150|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01160|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01170|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01180|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01190|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01200|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01210|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01220|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01230|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01240|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01250|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01260|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01270|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01280|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01290|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01300|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01310|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01320|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01330|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01340|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01350|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01360|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01370|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01380|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01390|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01400|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01410|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01420|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01430|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01440|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01450|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01460|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01470|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01480|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01490|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01500|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01510|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01520|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01530|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01540|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01550|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01560|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01570|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01580|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01590|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01600|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01610|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01620|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01630|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01640|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01650|0|N
H0432|004|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0002 (HMO-POS)|00025002|31.80|340| | |AL|01660|0|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01000|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01010|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01020|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01030|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01040|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01050|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01060|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01070|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01080|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01090|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01100|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01110|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01120|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01130|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01140|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01150|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01160|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01170|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01180|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01190|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01200|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01210|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01220|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01230|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01240|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01250|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01260|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01270|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01280|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01290|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01300|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01310|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01320|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01330|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01340|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01350|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01360|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01370|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01380|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01390|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01400|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01410|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01420|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01430|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01440|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01450|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01460|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01470|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01480|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01490|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01500|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01510|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01520|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01530|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01540|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01550|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01560|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01570|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01580|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01590|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01600|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01610|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01620|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01630|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01640|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01650|2|N
H0432|009|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-D001 (HMO-POS D-SNP)|00025002|34.80|590| | |AL|01660|2|N
H0432|013|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V001 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01020|2|N
H0432|013|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V001 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01050|2|N
H0432|013|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V001 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01060|2|N
H0432|013|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V001 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01070|2|N
H0432|013|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V001 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01080|2|N
H0432|013|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V001 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01090|2|N
H0432|013|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V001 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01110|2|N
H0432|013|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V001 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01120|2|N
H0432|013|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V001 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01130|2|N
H0432|013|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V001 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01140|2|N
H0432|013|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V001 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01150|2|N
H0432|013|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V001 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01160|2|N
H0432|013|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V001 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01170|2|N
H0432|013|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V001 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01180|2|N
H0432|013|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V001 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01190|2|N
H0432|013|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V001 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01200|2|N
H0432|013|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V001 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01220|2|N
H0432|013|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V001 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01230|2|N
H0432|013|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V001 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01240|2|N
H0432|013|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V001 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01250|2|N
H0432|013|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V001 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01270|2|N
H0432|013|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V001 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01280|2|N
H0432|013|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V001 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01290|2|N
H0432|013|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V001 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01300|2|N
H0432|013|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V001 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01310|2|N
H0432|013|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V001 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01320|2|N
H0432|013|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V001 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01330|2|N
H0432|013|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V001 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01350|2|N
H0432|013|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V001 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01370|2|N
H0432|013|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V001 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01380|2|N
H0432|013|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V001 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01390|2|N
H0432|013|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V001 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01400|2|N
H0432|013|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V001 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01410|2|N
H0432|013|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V001 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01450|2|N
H0432|013|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V001 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01460|2|N
H0432|013|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V001 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01470|2|N
H0432|013|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V001 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01490|2|N
H0432|013|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V001 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01510|2|N
H0432|013|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V001 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01520|2|N
H0432|013|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V001 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01530|2|N
H0432|013|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V001 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01540|2|N
H0432|013|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V001 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01550|2|N
H0432|013|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V001 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01590|2|N
H0432|013|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V001 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01610|2|N
H0432|013|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V001 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01620|2|N
H0432|013|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V001 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01640|2|N
H0432|013|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V001 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01650|2|N
H0432|013|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V001 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01660|2|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01000|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01010|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01020|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01030|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01040|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01050|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01060|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01070|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01080|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01090|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01100|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01110|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01120|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01130|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01140|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01150|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01160|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01170|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01180|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01190|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01200|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01210|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01220|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01230|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01240|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01250|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01260|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01270|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01280|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01290|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01300|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01310|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01320|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01330|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01340|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01350|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01360|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01370|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01380|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01390|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01400|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01410|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01420|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01430|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01440|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01450|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01460|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01470|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01480|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01490|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01500|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01510|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01520|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01530|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01540|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01550|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01560|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01570|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01580|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01590|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01600|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01610|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01620|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01630|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01640|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01650|1|N
H0432|017|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care AL-5 (HMO-POS C-SNP)|00025003|0.00|340| | |AL|01660|1|N
H0439|002|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|32.80|590| | |GA|11040|2|N
H0439|002|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|32.80|590| | |GA|11050|2|N
H0439|002|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|32.80|590| | |GA|11060|2|N
H0439|002|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|32.80|590| | |GA|11130|2|N
H0439|002|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|32.80|590| | |GA|11160|2|N
H0439|002|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|32.80|590| | |GA|11190|2|N
H0439|002|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|32.80|590| | |GA|11220|2|N
H0439|002|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|32.80|590| | |GA|11240|2|N
H0439|002|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|32.80|590| | |GA|11250|2|N
H0439|002|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|32.80|590| | |GA|11260|2|N
H0439|002|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|32.80|590| | |GA|11280|2|N
H0439|002|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|32.80|590| | |GA|11290|2|N
H0439|002|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|32.80|590| | |GA|11320|2|N
H0439|002|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|32.80|590| | |GA|11350|2|N
H0439|002|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|32.80|590| | |GA|11370|2|N
H0439|002|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|32.80|590| | |GA|11400|2|N
H0439|002|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|32.80|590| | |GA|11421|2|N
H0439|002|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|32.80|590| | |GA|11451|2|N
H0439|002|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|32.80|590| | |GA|11460|2|N
H0439|002|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|32.80|590| | |GA|11461|2|N
H0439|002|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|32.80|590| | |GA|11462|2|N
H0439|002|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|32.80|590| | |GA|11470|2|N
H0439|002|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|32.80|590| | |GA|11500|2|N
H0439|002|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|32.80|590| | |GA|11520|2|N
H0439|002|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|32.80|590| | |GA|11530|2|N
H0439|002|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|32.80|590| | |GA|11540|2|N
H0439|002|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|32.80|590| | |GA|11550|2|N
H0439|002|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|32.80|590| | |GA|11570|2|N
H0439|002|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|32.80|590| | |GA|11580|2|N
H0439|002|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|32.80|590| | |GA|11590|2|N
H0439|002|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|32.80|590| | |GA|11591|2|N
H0439|002|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|32.80|590| | |GA|11610|2|N
H0439|002|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|32.80|590| | |GA|11701|2|N
H0439|002|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|32.80|590| | |GA|11720|2|N
H0439|002|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|32.80|590| | |GA|11771|2|N
H0439|002|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|32.80|590| | |GA|11780|2|N
H0439|002|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|32.80|590| | |GA|11790|2|N
H0439|002|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|32.80|590| | |GA|11800|2|N
H0439|002|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|32.80|590| | |GA|11801|2|N
H0439|002|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|32.80|590| | |GA|11810|2|N
H0439|002|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|32.80|590| | |GA|11812|2|N
H0439|002|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|32.80|590| | |GA|11830|2|N
H0439|002|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|32.80|590| | |GA|11841|2|N
H0439|002|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|32.80|590| | |GA|11860|2|N
H0439|002|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|32.80|590| | |GA|11861|2|N
H0439|002|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|32.80|590| | |GA|11910|2|N
H0439|002|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|32.80|590| | |GA|11930|2|N
H0439|002|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|32.80|590| | |GA|11963|2|N
H0439|003|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred GA Medicare (HMO)|00025271|0.00|0| | |GA|11050|0|N
H0439|003|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred GA Medicare (HMO)|00025271|0.00|0| | |GA|11160|0|N
H0439|003|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred GA Medicare (HMO)|00025271|0.00|0| | |GA|11260|0|N
H0439|003|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred GA Medicare (HMO)|00025271|0.00|0| | |GA|11280|0|N
H0439|003|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred GA Medicare (HMO)|00025271|0.00|0| | |GA|11370|0|N
H0439|003|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred GA Medicare (HMO)|00025271|0.00|0| | |GA|11400|0|N
H0439|003|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred GA Medicare (HMO)|00025271|0.00|0| | |GA|11462|0|N
H0439|003|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred GA Medicare (HMO)|00025271|0.00|0| | |GA|11470|0|N
H0439|003|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred GA Medicare (HMO)|00025271|0.00|0| | |GA|11520|0|N
H0439|003|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred GA Medicare (HMO)|00025271|0.00|0| | |GA|11530|0|N
H0439|003|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred GA Medicare (HMO)|00025271|0.00|0| | |GA|11591|0|N
H0439|003|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred GA Medicare (HMO)|00025271|0.00|0| | |GA|11720|0|N
H0439|003|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred GA Medicare (HMO)|00025271|0.00|0| | |GA|11771|0|N
H0439|003|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred GA Medicare (HMO)|00025271|0.00|0| | |GA|11790|0|N
H0439|003|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred GA Medicare (HMO)|00025271|0.00|0| | |GA|11800|0|N
H0439|003|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred GA Medicare (HMO)|00025271|0.00|0| | |GA|11801|0|N
H0439|003|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred GA Medicare (HMO)|00025271|0.00|0| | |GA|11841|0|N
H0439|003|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred GA Medicare (HMO)|00025271|0.00|0| | |GA|11860|0|N
H0439|003|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred GA Medicare (HMO)|00025271|0.00|0| | |GA|11930|0|N
H0439|003|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred GA Medicare (HMO)|00025271|19.00|0| | |GA|11040|0|N
H0439|003|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred GA Medicare (HMO)|00025271|19.00|0| | |GA|11060|0|N
H0439|003|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred GA Medicare (HMO)|00025271|19.00|0| | |GA|11240|0|N
H0439|003|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred GA Medicare (HMO)|00025271|19.00|0| | |GA|11250|0|N
H0439|003|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred GA Medicare (HMO)|00025271|19.00|0| | |GA|11290|0|N
H0439|003|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred GA Medicare (HMO)|00025271|19.00|0| | |GA|11320|0|N
H0439|003|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred GA Medicare (HMO)|00025271|19.00|0| | |GA|11350|0|N
H0439|003|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred GA Medicare (HMO)|00025271|19.00|0| | |GA|11451|0|N
H0439|003|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred GA Medicare (HMO)|00025271|19.00|0| | |GA|11460|0|N
H0439|003|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred GA Medicare (HMO)|00025271|19.00|0| | |GA|11461|0|N
H0439|003|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred GA Medicare (HMO)|00025271|19.00|0| | |GA|11500|0|N
H0439|003|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred GA Medicare (HMO)|00025271|19.00|0| | |GA|11540|0|N
H0439|003|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred GA Medicare (HMO)|00025271|19.00|0| | |GA|11550|0|N
H0439|003|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred GA Medicare (HMO)|00025271|19.00|0| | |GA|11610|0|N
H0439|003|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred GA Medicare (HMO)|00025271|19.00|0| | |GA|11701|0|N
H0439|003|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred GA Medicare (HMO)|00025271|19.00|0| | |GA|11810|0|N
H0439|003|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred GA Medicare (HMO)|00025271|19.00|0| | |GA|11812|0|N
H0439|003|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred GA Medicare (HMO)|00025271|19.00|0| | |GA|11830|0|N
H0439|003|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred GA Medicare (HMO)|00025271|19.00|0| | |GA|11861|0|N
H0439|003|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred GA Medicare (HMO)|00025271|19.00|0| | |GA|11963|0|N
H0439|006|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|18.00|0| | |GA|11040|0|N
H0439|006|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|18.00|0| | |GA|11050|0|N
H0439|006|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|18.00|0| | |GA|11060|0|N
H0439|006|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|18.00|0| | |GA|11160|0|N
H0439|006|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|18.00|0| | |GA|11240|0|N
H0439|006|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|18.00|0| | |GA|11250|0|N
H0439|006|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|18.00|0| | |GA|11260|0|N
H0439|006|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|18.00|0| | |GA|11280|0|N
H0439|006|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|18.00|0| | |GA|11290|0|N
H0439|006|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|18.00|0| | |GA|11320|0|N
H0439|006|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|18.00|0| | |GA|11350|0|N
H0439|006|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|18.00|0| | |GA|11370|0|N
H0439|006|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|18.00|0| | |GA|11400|0|N
H0439|006|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|18.00|0| | |GA|11451|0|N
H0439|006|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|18.00|0| | |GA|11460|0|N
H0439|006|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|18.00|0| | |GA|11461|0|N
H0439|006|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|18.00|0| | |GA|11462|0|N
H0439|006|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|18.00|0| | |GA|11470|0|N
H0439|006|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|18.00|0| | |GA|11500|0|N
H0439|006|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|18.00|0| | |GA|11520|0|N
H0439|006|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|18.00|0| | |GA|11530|0|N
H0439|006|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|18.00|0| | |GA|11540|0|N
H0439|006|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|18.00|0| | |GA|11550|0|N
H0439|006|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|18.00|0| | |GA|11591|0|N
H0439|006|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|18.00|0| | |GA|11610|0|N
H0439|006|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|18.00|0| | |GA|11701|0|N
H0439|006|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|18.00|0| | |GA|11720|0|N
H0439|006|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|18.00|0| | |GA|11771|0|N
H0439|006|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|18.00|0| | |GA|11790|0|N
H0439|006|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|18.00|0| | |GA|11800|0|N
H0439|006|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|18.00|0| | |GA|11801|0|N
H0439|006|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|18.00|0| | |GA|11810|0|N
H0439|006|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|18.00|0| | |GA|11812|0|N
H0439|006|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|18.00|0| | |GA|11830|0|N
H0439|006|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|18.00|0| | |GA|11841|0|N
H0439|006|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|18.00|0| | |GA|11860|0|N
H0439|006|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|18.00|0| | |GA|11861|0|N
H0439|006|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|18.00|0| | |GA|11910|0|N
H0439|006|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|18.00|0| | |GA|11930|0|N
H0439|006|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|18.00|0| | |GA|11963|0|N
H0439|008|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |GA|11290|0|N
H0439|008|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |GA|11400|0|N
H0439|008|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |GA|11810|0|N
H0439|009|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |GA|11260|0|N
H0439|009|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |GA|11462|0|N
H0439|009|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |GA|11520|0|N
H0439|009|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |GA|11720|0|N
H0439|009|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |GA|11771|0|N
H0439|009|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |GA|11800|0|N
H0439|009|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |GA|11801|0|N
H0439|009|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |GA|11930|0|N
H0439|010|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |GA|11040|0|N
H0439|010|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |GA|11350|0|N
H0439|010|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |GA|11540|0|N
H0439|010|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |GA|11550|0|N
H0439|010|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |GA|11610|0|N
H0439|010|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |GA|11701|0|N
H0439|010|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |GA|11861|0|N
H0439|010|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |GA|11963|0|N
H0439|011|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |GA|11060|0|N
H0439|011|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |GA|11240|0|N
H0439|011|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |GA|11460|0|N
H0439|011|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |GA|11500|0|N
H0439|011|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |GA|11570|0|N
H0439|011|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |GA|11830|0|N
H0439|012|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |GA|11040|2|N
H0439|012|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |GA|11050|2|N
H0439|012|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |GA|11060|2|N
H0439|012|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |GA|11130|2|N
H0439|012|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |GA|11160|2|N
H0439|012|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |GA|11190|2|N
H0439|012|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |GA|11220|2|N
H0439|012|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |GA|11240|2|N
H0439|012|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |GA|11250|2|N
H0439|012|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |GA|11260|2|N
H0439|012|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |GA|11280|2|N
H0439|012|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |GA|11290|2|N
H0439|012|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |GA|11320|2|N
H0439|012|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |GA|11350|2|N
H0439|012|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |GA|11370|2|N
H0439|012|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |GA|11400|2|N
H0439|012|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |GA|11421|2|N
H0439|012|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |GA|11451|2|N
H0439|012|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |GA|11460|2|N
H0439|012|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |GA|11461|2|N
H0439|012|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |GA|11462|2|N
H0439|012|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |GA|11470|2|N
H0439|012|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |GA|11500|2|N
H0439|012|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |GA|11520|2|N
H0439|012|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |GA|11530|2|N
H0439|012|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |GA|11540|2|N
H0439|012|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |GA|11550|2|N
H0439|012|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |GA|11570|2|N
H0439|012|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |GA|11580|2|N
H0439|012|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |GA|11590|2|N
H0439|012|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |GA|11591|2|N
H0439|012|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |GA|11610|2|N
H0439|012|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |GA|11701|2|N
H0439|012|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |GA|11720|2|N
H0439|012|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |GA|11771|2|N
H0439|012|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |GA|11780|2|N
H0439|012|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |GA|11790|2|N
H0439|012|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |GA|11800|2|N
H0439|012|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |GA|11801|2|N
H0439|012|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |GA|11810|2|N
H0439|012|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |GA|11812|2|N
H0439|012|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |GA|11830|2|N
H0439|012|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |GA|11841|2|N
H0439|012|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |GA|11860|2|N
H0439|012|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |GA|11861|2|N
H0439|012|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |GA|11910|2|N
H0439|012|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |GA|11930|2|N
H0439|012|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |GA|11963|2|N
H0439|013|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |GA|11130|0|N
H0439|013|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |GA|11220|0|N
H0439|013|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |GA|11421|0|N
H0439|015|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |GA|11050|0|N
H0439|015|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |GA|11160|0|N
H0439|015|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |GA|11190|0|N
H0439|015|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |GA|11320|0|N
H0439|015|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |GA|11451|0|N
H0439|015|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |GA|11461|0|N
H0439|015|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |GA|11470|0|N
H0439|015|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |GA|11590|0|N
H0439|015|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |GA|11591|0|N
H0439|015|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |GA|11790|0|N
H0439|015|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |GA|11812|0|N
H0439|015|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |GA|11841|0|N
H0439|015|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |GA|11860|0|N
H0439|015|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |GA|11910|0|N
H0439|015|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |GA|11250|0|N
H0439|015|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |GA|11280|0|N
H0439|015|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |GA|11370|0|N
H0439|015|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |GA|11530|0|N
H0473|001|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-001 (PPO)|00025456|3.00|250| | |TX|45120|0|N
H0473|001|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-001 (PPO)|00025456|3.00|250| | |TX|45190|0|N
H0473|001|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-001 (PPO)|00025456|3.00|250| | |TX|45221|0|N
H0473|001|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-001 (PPO)|00025456|3.00|250| | |TX|45500|0|N
H0473|001|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-001 (PPO)|00025456|3.00|250| | |TX|45795|0|N
H0473|001|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-001 (PPO)|00025456|3.00|250| | |TX|45878|0|N
H0473|003|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-003 (PPO)|00025456|47.30|200| | |TX|45631|0|N
H0473|003|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-003 (PPO)|00025456|47.30|200| | |TX|45940|0|N
H0473|003|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-003 (PPO)|00025456|47.30|200| | |TX|45970|0|N
H0473|004|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-004 (PPO)|00025456|0.00|350| | |TX|45010|0|N
H0473|004|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-004 (PPO)|00025456|0.00|350| | |TX|45210|0|N
H0473|004|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-004 (PPO)|00025456|0.00|350| | |TX|45300|0|N
H0473|004|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-004 (PPO)|00025456|0.00|350| | |TX|45330|0|N
H0473|004|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-004 (PPO)|00025456|0.00|350| | |TX|45362|0|N
H0473|004|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-004 (PPO)|00025456|0.00|350| | |TX|45391|0|N
H0473|004|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-004 (PPO)|00025456|0.00|350| | |TX|45420|0|N
H0473|004|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-004 (PPO)|00025456|0.00|350| | |TX|45421|0|N
H0473|004|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-004 (PPO)|00025456|0.00|350| | |TX|45440|0|N
H0473|004|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-004 (PPO)|00025456|0.00|350| | |TX|45551|0|N
H0473|004|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-004 (PPO)|00025456|0.00|350| | |TX|45552|0|N
H0473|004|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-004 (PPO)|00025456|0.00|350| | |TX|45561|0|N
H0473|004|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-004 (PPO)|00025456|0.00|350| | |TX|45562|0|N
H0473|004|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-004 (PPO)|00025456|0.00|350| | |TX|45563|0|N
H0473|004|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-004 (PPO)|00025456|0.00|350| | |TX|45582|0|N
H0473|004|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-004 (PPO)|00025456|0.00|350| | |TX|45583|0|N
H0473|004|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-004 (PPO)|00025456|0.00|350| | |TX|45621|0|N
H0473|004|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-004 (PPO)|00025456|0.00|350| | |TX|45652|0|N
H0473|004|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-004 (PPO)|00025456|0.00|350| | |TX|45661|0|N
H0473|004|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-004 (PPO)|00025456|0.00|350| | |TX|45662|0|N
H0473|004|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-004 (PPO)|00025456|0.00|350| | |TX|45671|0|N
H0473|004|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-004 (PPO)|00025456|0.00|350| | |TX|45672|0|N
H0473|004|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-004 (PPO)|00025456|0.00|350| | |TX|45710|0|N
H0473|004|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-004 (PPO)|00025456|0.00|350| | |TX|45751|0|N
H0473|004|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-004 (PPO)|00025456|0.00|350| | |TX|45760|0|N
H0473|004|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-004 (PPO)|00025456|0.00|350| | |TX|45770|0|N
H0473|004|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-004 (PPO)|00025456|0.00|350| | |TX|45771|0|N
H0473|004|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-004 (PPO)|00025456|0.00|350| | |TX|45794|0|N
H0473|004|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-004 (PPO)|00025456|0.00|350| | |TX|45860|0|N
H0473|004|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-004 (PPO)|00025456|0.00|350| | |TX|45871|0|N
H0473|004|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-004 (PPO)|00025456|0.00|350| | |TX|45886|0|N
H0473|004|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-004 (PPO)|00025456|0.00|350| | |TX|45887|0|N
H0473|004|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-004 (PPO)|00025456|0.00|350| | |TX|45900|0|N
H0473|004|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-004 (PPO)|00025456|0.00|350| | |TX|45913|0|N
H0473|004|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-004 (PPO)|00025456|0.00|350| | |TX|45945|0|N
H0473|004|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-004 (PPO)|00025456|0.00|350| | |TX|45946|0|N
H0473|004|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-004 (PPO)|00025456|0.00|350| | |TX|45953|0|N
H0473|004|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-004 (PPO)|00025456|0.00|350| | |TX|45982|0|N
H0473|005|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-005 (PPO)|00025456|11.00|250| | |TX|45040|0|N
H0473|005|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-005 (PPO)|00025456|11.00|250| | |TX|45110|0|N
H0473|005|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-005 (PPO)|00025456|11.00|250| | |TX|45281|0|N
H0473|005|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-005 (PPO)|00025456|11.00|250| | |TX|45291|0|N
H0473|005|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-005 (PPO)|00025456|11.00|250| | |TX|45540|0|N
H0473|005|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-005 (PPO)|00025456|11.00|250| | |TX|45550|0|N
H0473|005|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-005 (PPO)|00025456|11.00|250| | |TX|45564|0|N
H0473|005|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-005 (PPO)|00025456|11.00|250| | |TX|45654|0|N
H0473|005|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-005 (PPO)|00025456|11.00|250| | |TX|45681|0|N
H0473|005|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-005 (PPO)|00025456|11.00|250| | |TX|45754|0|N
H0473|005|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-005 (PPO)|00025456|11.00|250| | |TX|45810|0|N
H0473|005|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-005 (PPO)|00025456|11.00|250| | |TX|45820|0|N
H0473|005|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-005 (PPO)|00025456|11.00|250| | |TX|45821|0|N
H0473|005|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-005 (PPO)|00025456|11.00|250| | |TX|45842|0|N
H0473|005|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-005 (PPO)|00025456|11.00|250| | |TX|45882|0|N
H0473|005|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-005 (PPO)|00025456|11.00|250| | |TX|45883|0|N
H0473|005|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-005 (PPO)|00025456|11.00|250| | |TX|45893|0|N
H0473|005|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-005 (PPO)|00025456|11.00|250| | |TX|45901|0|N
H0473|005|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-005 (PPO)|00025456|11.00|250| | |TX|45920|0|N
H0473|005|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-005 (PPO)|00025456|11.00|250| | |TX|45960|0|N
H0473|005|000|HUMANA INSURANCE COMPANY OF KENTUCKY|HumanaChoice H0473-005 (PPO)|00025456|11.00|250| | |TX|45961|0|N
H0480|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|MeridianComplete (Medicare-Medicaid Plan)|00025047|0.00|0| | |MI|23070|0|N
H0480|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|MeridianComplete (Medicare-Medicaid Plan)|00025047|0.00|0| | |MI|23100|0|N
H0480|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|MeridianComplete (Medicare-Medicaid Plan)|00025047|0.00|0| | |MI|23110|0|N
H0480|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|MeridianComplete (Medicare-Medicaid Plan)|00025047|0.00|0| | |MI|23120|0|N
H0480|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|MeridianComplete (Medicare-Medicaid Plan)|00025047|0.00|0| | |MI|23130|0|N
H0480|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|MeridianComplete (Medicare-Medicaid Plan)|00025047|0.00|0| | |MI|23380|0|N
H0480|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|MeridianComplete (Medicare-Medicaid Plan)|00025047|0.00|0| | |MI|23490|0|N
H0480|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|MeridianComplete (Medicare-Medicaid Plan)|00025047|0.00|0| | |MI|23740|0|N
H0480|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|MeridianComplete (Medicare-Medicaid Plan)|00025047|0.00|0| | |MI|23790|0|N
H0480|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|MeridianComplete (Medicare-Medicaid Plan)|00025047|0.00|0| | |MI|23810|0|N
H0504|015|000|CALIFORNIA PHYSICIANS' SERVICE|Blue Shield 65 Plus (HMO)|00025355|0.00|0| | |CA|05200|0|N
H0504|015|000|CALIFORNIA PHYSICIANS' SERVICE|Blue Shield 65 Plus (HMO)|00025355|0.00|0| | |CA|05210|0|N
H0504|015|000|CALIFORNIA PHYSICIANS' SERVICE|Blue Shield 65 Plus (HMO)|00025355|0.00|0| | |CA|05400|0|N
H0504|017|000|CALIFORNIA PHYSICIANS' SERVICE|Blue Shield 65 Plus (HMO)|00025355|0.00|0| | |CA|05460|0|N
H0504|021|000|CALIFORNIA PHYSICIANS' SERVICE|Blue Shield 65 Plus Plan 2 (HMO)|00025355|0.00|0| | |CA|05200|0|N
H0504|021|000|CALIFORNIA PHYSICIANS' SERVICE|Blue Shield 65 Plus Plan 2 (HMO)|00025355|0.00|0| | |CA|05210|0|N
H0504|021|000|CALIFORNIA PHYSICIANS' SERVICE|Blue Shield 65 Plus Plan 2 (HMO)|00025355|0.00|0| | |CA|05400|0|N
H0504|026|000|CALIFORNIA PHYSICIANS' SERVICE|Blue Shield 65 Plus (HMO)|00025355|0.00|0| | |CA|05430|0|N
H0504|028|000|CALIFORNIA PHYSICIANS' SERVICE|Blue Shield 65 Plus (HMO)|00025355|0.00|0| | |CA|05470|0|N
H0504|038|000|CALIFORNIA PHYSICIANS' SERVICE|Blue Shield 65 Plus (HMO)|00025355|0.00|0| | |CA|05140|0|N
H0504|039|000|CALIFORNIA PHYSICIANS' SERVICE|Blue Shield 65 Plus (HMO)|00025355|3.60|0| | |CA|05500|0|N
H0504|039|000|CALIFORNIA PHYSICIANS' SERVICE|Blue Shield 65 Plus (HMO)|00025355|3.60|0| | |CA|05520|0|N
H0504|040|000|CALIFORNIA PHYSICIANS' SERVICE|Blue Shield 65 Plus Choice Plan (HMO)|00025355|0.00|0| | |CA|05430|0|N
H0504|040|000|CALIFORNIA PHYSICIANS' SERVICE|Blue Shield 65 Plus Choice Plan (HMO)|00025355|0.00|0| | |CA|05460|0|N
H0504|041|000|CALIFORNIA PHYSICIANS' SERVICE|Blue Shield Inspire (HMO)|00025355|4.00|0| | |CA|05000|0|N
H0504|041|000|CALIFORNIA PHYSICIANS' SERVICE|Blue Shield Inspire (HMO)|00025355|4.00|0| | |CA|05510|0|N
H0504|043|000|CALIFORNIA PHYSICIANS' SERVICE|Blue Shield Inspire (HMO)|00025355|0.00|0| | |CA|05200|0|N
H0504|043|000|CALIFORNIA PHYSICIANS' SERVICE|Blue Shield Inspire (HMO)|00025355|0.00|0| | |CA|05210|0|N
H0504|043|000|CALIFORNIA PHYSICIANS' SERVICE|Blue Shield Inspire (HMO)|00025355|0.00|0| | |CA|05400|0|N
H0504|047|000|CALIFORNIA PHYSICIANS' SERVICE|Blue Shield Inspire (HMO)|00025355|13.60|0| | |CA|05340|0|N
H0504|047|000|CALIFORNIA PHYSICIANS' SERVICE|Blue Shield Inspire (HMO)|00025355|13.60|0| | |CA|05490|0|N
H0504|047|000|CALIFORNIA PHYSICIANS' SERVICE|Blue Shield Inspire (HMO)|00025355|13.60|0| | |CA|05530|0|N
H0504|047|000|CALIFORNIA PHYSICIANS' SERVICE|Blue Shield Inspire (HMO)|00025355|13.60|0| | |CA|05600|0|N
H0523|022|000|AETNA HEALTH OF CALIFORNIA INC.|Aetna Medicare Select (HMO-POS)|00025101|0.00|590| | |CA|05140|0|N
H0523|022|000|AETNA HEALTH OF CALIFORNIA INC.|Aetna Medicare Select (HMO-POS)|00025101|0.00|590| | |CA|05200|0|N
H0523|022|000|AETNA HEALTH OF CALIFORNIA INC.|Aetna Medicare Select (HMO-POS)|00025101|0.00|590| | |CA|05210|0|N
H0523|022|000|AETNA HEALTH OF CALIFORNIA INC.|Aetna Medicare Select (HMO-POS)|00025101|0.00|590| | |CA|05400|0|N
H0523|022|000|AETNA HEALTH OF CALIFORNIA INC.|Aetna Medicare Select (HMO-POS)|00025101|0.00|590| | |CA|05430|0|N
H0523|022|000|AETNA HEALTH OF CALIFORNIA INC.|Aetna Medicare Select (HMO-POS)|00025101|0.00|590| | |CA|05460|0|N
H0523|022|000|AETNA HEALTH OF CALIFORNIA INC.|Aetna Medicare Select (HMO-POS)|00025101|0.00|590| | |CA|05470|0|N
H0523|065|000|AETNA HEALTH OF CALIFORNIA INC.|Aetna Medicare Select (HMO-POS)|00025101|0.00|590| | |CA|05440|0|N
H0523|065|000|AETNA HEALTH OF CALIFORNIA INC.|Aetna Medicare Select (HMO-POS)|00025101|0.00|590| | |CA|05490|0|N
H0523|065|000|AETNA HEALTH OF CALIFORNIA INC.|Aetna Medicare Select (HMO-POS)|00025101|0.00|590| | |CA|05670|0|N
H0523|070|000|AETNA HEALTH OF CALIFORNIA INC.|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |CA|05000|0|N
H0523|070|000|AETNA HEALTH OF CALIFORNIA INC.|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |CA|05480|0|N
H0523|070|000|AETNA HEALTH OF CALIFORNIA INC.|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |CA|05510|0|N
H0523|072|000|AETNA HEALTH OF CALIFORNIA INC.|Aetna Medicare Select (HMO-POS)|00025101|0.00|590| | |CA|05090|0|N
H0523|073|000|AETNA HEALTH OF CALIFORNIA INC.|Aetna Medicare Prime II (HMO-POS)|00025101|0.00|590| | |CA|05400|0|N
H0523|074|000|AETNA HEALTH OF CALIFORNIA INC.|Aetna Medicare Value Plus (HMO-POS)|00025101|8.50|250| | |CA|05440|0|N
H0523|074|000|AETNA HEALTH OF CALIFORNIA INC.|Aetna Medicare Value Plus (HMO-POS)|00025101|8.50|250| | |CA|05490|0|N
H0523|074|000|AETNA HEALTH OF CALIFORNIA INC.|Aetna Medicare Value Plus (HMO-POS)|00025101|8.50|250| | |CA|05670|0|N
H0523|075|000|AETNA HEALTH OF CALIFORNIA INC.|Aetna Medicare Classic Prime (HMO-POS)|00025101|0.00|0| | |CA|05470|0|N
H0523|076|000|AETNA HEALTH OF CALIFORNIA INC.|Aetna Medicare Value Plus (HMO-POS)|00025101|5.90|250| | |CA|05000|0|N
H0523|076|000|AETNA HEALTH OF CALIFORNIA INC.|Aetna Medicare Value Plus (HMO-POS)|00025101|5.90|250| | |CA|05480|0|N
H0523|076|000|AETNA HEALTH OF CALIFORNIA INC.|Aetna Medicare Value Plus (HMO-POS)|00025101|5.90|250| | |CA|05510|0|N
H0523|078|000|AETNA HEALTH OF CALIFORNIA INC.|Aetna Medicare Value Plus (HMO-POS)|00025101|11.00|250| | |CA|05090|0|N
H0523|080|000|AETNA HEALTH OF CALIFORNIA INC.|Aetna Medicare Value Plus (HMO-POS)|00025101|5.90|250| | |CA|05470|0|N
H0524|003|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Senior Advantage LA, Orange Co. (HMO)|00025415|0.00|0| | |CA|05200|0|N
H0524|003|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Senior Advantage LA, Orange Co. (HMO)|00025415|0.00|0| | |CA|05210|0|N
H0524|003|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Senior Advantage LA, Orange Co. (HMO)|00025415|0.00|0| | |CA|05400|0|N
H0524|008|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Senior Advantage Enhanced Solano (HMO)|00025415|11.50|0| | |CA|05580|0|N
H0524|013|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Sr Adv Enhanced Sac., Sonoma (HMO)|00025415|35.50|0| | |CA|05020|0|N
H0524|013|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Sr Adv Enhanced Sac., Sonoma (HMO)|00025415|35.50|0| | |CA|05080|0|N
H0524|013|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Sr Adv Enhanced Sac., Sonoma (HMO)|00025415|35.50|0| | |CA|05410|0|N
H0524|013|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Sr Adv Enhanced Sac., Sonoma (HMO)|00025415|35.50|0| | |CA|05440|0|N
H0524|013|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Sr Adv Enhanced Sac., Sonoma (HMO)|00025415|35.50|0| | |CA|05590|0|N
H0524|013|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Sr Adv Enhanced Sac., Sonoma (HMO)|00025415|35.50|0| | |CA|05610|0|N
H0524|013|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Sr Adv Enhanced Sac., Sonoma (HMO)|00025415|35.50|0| | |CA|05670|0|N
H0524|013|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Sr Adv Enhanced Sac., Sonoma (HMO)|00025415|35.50|0| | |CA|05680|0|N
H0524|015|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Senior Advantage Inland Empire (HMO)|00025415|0.00|0| | |CA|05430|0|N
H0524|015|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Senior Advantage Inland Empire (HMO)|00025415|0.00|0| | |CA|05460|0|N
H0524|031|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Sr Adv Enhanced Marin San Mateo (HMO)|00025415|24.10|0| | |CA|05310|0|N
H0524|031|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Sr Adv Enhanced Marin San Mateo (HMO)|00025415|24.10|0| | |CA|05510|0|N
H0524|032|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Senior Advantage Alam., SF, Napa (HMO)|00025415|25.00|0| | |CA|05000|0|N
H0524|032|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Senior Advantage Alam., SF, Napa (HMO)|00025415|25.00|0| | |CA|05380|0|N
H0524|032|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Senior Advantage Alam., SF, Napa (HMO)|00025415|25.00|0| | |CA|05480|0|N
H0524|033|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Sr Adv Enhanced Contra Costa (HMO)|00025415|24.00|0| | |CA|05060|0|N
H0524|034|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Senior Advantage Ventura (HMO)|00025415|0.00|0| | |CA|05660|0|N
H0524|035|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Senior Advantage Enhanced Kern (HMO)|00025415|11.10|0| | |CA|05140|0|N
H0524|036|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Senior Advantage Basic Kern (HMO)|00025415|0.00|0| | |CA|05140|0|N
H0524|037|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Senior Advantage San Diego (HMO)|00025415|0.00|0| | |CA|05470|0|N
H0524|038|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Senior Advantage Enhanced Fresno (HMO)|00025415|44.00|0| | |CA|05090|0|N
H0524|038|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Senior Advantage Enhanced Fresno (HMO)|00025415|44.00|0| | |CA|05150|0|N
H0524|038|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Senior Advantage Enhanced Fresno (HMO)|00025415|44.00|0| | |CA|05300|0|N
H0524|038|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Senior Advantage Enhanced Fresno (HMO)|00025415|44.00|0| | |CA|05320|0|N
H0524|038|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Senior Advantage Enhanced Fresno (HMO)|00025415|44.00|0| | |CA|05640|0|N
H0524|039|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Sr Adv Enhanced Santa Clara (HMO)|00025415|19.30|0| | |CA|05530|0|N
H0524|040|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Senior Advantage Enhanced Stanis (HMO)|00025415|6.10|0| | |CA|05600|0|N
H0524|041|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Senior Advantage Basic Stanis (HMO)|00025415|0.00|0| | |CA|05600|0|N
H0524|042|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Senior Advantage Enhanced SnJoaq (HMO)|00025415|24.80|0| | |CA|05490|0|N
H0524|043|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Senior Advantage Basic SnJoaq (HMO)|00025415|0.00|0| | |CA|05490|0|N
H0524|046|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Senior Advantage Basic Fresno (HMO)|00025415|0.00|0| | |CA|05090|0|N
H0524|046|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Senior Advantage Basic Fresno (HMO)|00025415|0.00|0| | |CA|05150|0|N
H0524|046|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Senior Advantage Basic Fresno (HMO)|00025415|0.00|0| | |CA|05300|0|N
H0524|046|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Senior Advantage Basic Fresno (HMO)|00025415|0.00|0| | |CA|05320|0|N
H0524|046|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Senior Advantage Basic Fresno (HMO)|00025415|0.00|0| | |CA|05640|0|N
H0524|051|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO)|00025415|0.00|0| | |CA|05020|0|N
H0524|051|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO)|00025415|0.00|0| | |CA|05080|0|N
H0524|051|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO)|00025415|0.00|0| | |CA|05410|0|N
H0524|051|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO)|00025415|0.00|0| | |CA|05440|0|N
H0524|051|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO)|00025415|0.00|0| | |CA|05590|0|N
H0524|051|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO)|00025415|0.00|0| | |CA|05610|0|N
H0524|051|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO)|00025415|0.00|0| | |CA|05670|0|N
H0524|051|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO)|00025415|0.00|0| | |CA|05680|0|N
H0524|054|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Senior Advantage Santa Cruz (HMO)|00025415|2.00|0| | |CA|05540|0|N
H0524|059|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Senior Advantage Basic Alameda (HMO)|00025415|0.00|0| | |CA|05000|0|N
H0524|060|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Senior Advantage Basic SF (HMO)|00025415|0.00|0| | |CA|05480|0|N
H0524|061|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Sr Adv Basic Contra Costa (HMO)|00025415|0.00|0| | |CA|05060|0|N
H0524|062|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Sr Adv Basic Santa Clara (HMO)|00025415|0.00|0| | |CA|05530|0|N
H0524|063|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Senior Advantage Basic Solano (HMO)|00025415|0.00|0| | |CA|05580|0|N
H0524|064|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Senior Advantage Basic Marin (HMO)|00025415|0.00|0| | |CA|05310|0|N
H0524|065|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Senior Advantage Basic San Mateo (HMO)|00025415|0.00|0| | |CA|05510|0|N
H0524|078|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Sr Advantage LA, Orange Value (HMO)|00025415|0.00|0| | |CA|05200|0|N
H0524|078|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Sr Advantage LA, Orange Value (HMO)|00025415|0.00|0| | |CA|05210|0|N
H0524|078|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Sr Advantage LA, Orange Value (HMO)|00025415|0.00|0| | |CA|05400|0|N
H0524|081|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Sr Advantage Inland Empire Value (HMO)|00025415|0.00|0| | |CA|05430|0|N
H0524|081|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Sr Advantage Inland Empire Value (HMO)|00025415|0.00|0| | |CA|05460|0|N
H0524|082|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Senior Advantage San Diego Value (HMO)|00025415|0.00|0| | |CA|05470|0|N
H0524|083|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Senior Advantage Ventura Value (HMO)|00025415|0.00|0| | |CA|05660|0|N
H0543|013|000|UHC OF CALIFORNIA|AARP Medicare Advantage from UHC CA-0001 (HMO-POS)|00025002|29.00|255| | |CA|05470|0|N
H0543|019|000|UHC OF CALIFORNIA|AARP Medicare Advantage from UHC CA-0002 (HMO-POS)|00025002|0.00|255| | |CA|05140|0|N
H0543|035|000|UHC OF CALIFORNIA|AARP Medicare Advantage from UHC CA-0005 (HMO-POS)|00025002|14.30|340| | |CA|05090|0|N
H0543|035|000|UHC OF CALIFORNIA|AARP Medicare Advantage from UHC CA-0005 (HMO-POS)|00025002|14.30|340| | |CA|05150|0|N
H0543|035|000|UHC OF CALIFORNIA|AARP Medicare Advantage from UHC CA-0005 (HMO-POS)|00025002|14.30|340| | |CA|05300|0|N
H0543|036|000|UHC OF CALIFORNIA|AARP Medicare Advantage from UHC CA-0006 (HMO-POS)|00025002|21.70|340| | |CA|05600|0|N
H0543|060|000|UHC OF CALIFORNIA|AARP Medicare Advantage from UHC CA-0007 (HMO-POS)|00025002|37.60|255| | |CA|05470|0|N
H0543|086|000|UHC OF CALIFORNIA|AARP Medicare Advantage from UHC CA-0008 (HMO-POS)|00025002|26.90|340| | |CA|05390|0|N
H0543|140|000|UHC OF CALIFORNIA|AARP Medicare Advantage from UHC CA-0010 (HMO-POS)|00025002|23.20|495| | |CA|05020|0|N
H0543|140|000|UHC OF CALIFORNIA|AARP Medicare Advantage from UHC CA-0010 (HMO-POS)|00025002|23.20|495| | |CA|05080|0|N
H0543|140|000|UHC OF CALIFORNIA|AARP Medicare Advantage from UHC CA-0010 (HMO-POS)|00025002|23.20|495| | |CA|05160|0|N
H0543|140|000|UHC OF CALIFORNIA|AARP Medicare Advantage from UHC CA-0010 (HMO-POS)|00025002|23.20|495| | |CA|05330|0|N
H0543|140|000|UHC OF CALIFORNIA|AARP Medicare Advantage from UHC CA-0010 (HMO-POS)|00025002|23.20|495| | |CA|05340|0|N
H0543|140|000|UHC OF CALIFORNIA|AARP Medicare Advantage from UHC CA-0010 (HMO-POS)|00025002|23.20|495| | |CA|05640|0|N
H0543|145|000|UHC OF CALIFORNIA|UHC Sharp Medicare Advantage CA-001P (HMO-POS)|00025002|0.00|175| | |CA|05470|0|N
H0543|146|000|UHC OF CALIFORNIA|AARP Medicare Advantage from UHC CA-002P (HMO-POS)|00025002|16.00|340| | |CA|05410|0|N
H0543|146|000|UHC OF CALIFORNIA|AARP Medicare Advantage from UHC CA-002P (HMO-POS)|00025002|16.00|340| | |CA|05440|0|N
H0543|146|000|UHC OF CALIFORNIA|AARP Medicare Advantage from UHC CA-002P (HMO-POS)|00025002|16.00|340| | |CA|05670|0|N
H0543|147|000|UHC OF CALIFORNIA|AARP Medicare Advantage from UHC CA-0011 (HMO-POS)|00025002|3.40|340| | |CA|05600|0|N
H0543|151|000|UHC OF CALIFORNIA|AARP Medicare Advantage from UHC CA-003P (HMO-POS)|00025002|0.00|255| | |CA|05200|0|N
H0543|151|000|UHC OF CALIFORNIA|AARP Medicare Advantage from UHC CA-003P (HMO-POS)|00025002|0.00|255| | |CA|05210|0|N
H0543|152|000|UHC OF CALIFORNIA|AARP Medicare Advantage from UHC CA-0012 (HMO-POS)|00025002|0.00|255| | |CA|05470|0|N
H0543|166|000|UHC OF CALIFORNIA|AARP Medicare Advantage from UHC CA-0015 (HMO-POS)|00025002|9.50|255| | |CA|05430|0|N
H0543|166|000|UHC OF CALIFORNIA|AARP Medicare Advantage from UHC CA-0015 (HMO-POS)|00025002|9.50|255| | |CA|05460|0|N
H0543|167|000|UHC OF CALIFORNIA|AARP Medicare Advantage from UHC CA-0016 (HMO-POS)|00025002|31.00|255| | |CA|05500|0|N
H0543|168|000|UHC OF CALIFORNIA|AARP Medicare Advantage from UHC CA-004P (HMO-POS)|00025002|0.00|255| | |CA|05200|0|N
H0543|168|000|UHC OF CALIFORNIA|AARP Medicare Advantage from UHC CA-004P (HMO-POS)|00025002|0.00|255| | |CA|05210|0|N
H0543|169|000|UHC OF CALIFORNIA|AARP Medicare Advantage from UHC CA-005P (HMO-POS)|00025002|0.00|255| | |CA|05400|0|N
H0543|170|000|UHC OF CALIFORNIA|AARP Medicare Advantage from UHC CA-006P (HMO-POS)|00025002|0.00|255| | |CA|05430|0|N
H0543|170|000|UHC OF CALIFORNIA|AARP Medicare Advantage from UHC CA-006P (HMO-POS)|00025002|0.00|255| | |CA|05460|0|N
H0543|176|000|UHC OF CALIFORNIA|AARP Medicare Advantage from UHC CA-0017 (HMO-POS)|00025002|39.00|340| | |CA|05310|0|N
H0543|188|000|UHC OF CALIFORNIA|AARP Medicare Advantage from UHC CA-7P (HMO-POS)|00025002|45.60|340| | |CA|05000|0|N
H0543|189|000|UHC OF CALIFORNIA|AARP Medicare Advantage from UHC CA-8P (HMO-POS)|00025002|59.00|340| | |CA|05060|0|N
H0543|191|000|UHC OF CALIFORNIA|AARP Medicare Advantage from UHC CA-9P (HMO-POS)|00025002|49.00|340| | |CA|05480|0|N
H0543|193|000|UHC OF CALIFORNIA|AARP Medicare Advantage from UHC CA-010P (HMO-POS)|00025002|0.00|340| | |CA|05530|0|N
H0543|196|000|UHC OF CALIFORNIA|AARP Medicare Advantage from UHC CA-011P (HMO-POS)|00025002|0.00|340| | |CA|05490|0|N
H0543|196|000|UHC OF CALIFORNIA|AARP Medicare Advantage from UHC CA-011P (HMO-POS)|00025002|0.00|340| | |CA|05600|0|N
H0543|204|000|UHC OF CALIFORNIA|UHC Sharp Medicare Advantage ValueRx CA-12P (HMO-POS)|00025002|0.00|175| | |CA|05470|0|N
H0543|214|000|UHC OF CALIFORNIA|UHC Complete Care CA-15P (HMO-POS C-SNP)|00025003|0.00|175| | |CA|05470|1|N
H0543|217|000|UHC OF CALIFORNIA|UHC Complete Care CA-18P (HMO-POS C-SNP)|00025003|0.00|255| | |CA|05200|1|N
H0543|217|000|UHC OF CALIFORNIA|UHC Complete Care CA-18P (HMO-POS C-SNP)|00025003|0.00|255| | |CA|05210|1|N
H0543|218|000|UHC OF CALIFORNIA|UHC Complete Care CA-19P (HMO-POS C-SNP)|00025003|0.00|255| | |CA|05400|1|N
H0543|219|000|UHC OF CALIFORNIA|UHC Complete Care CA-20P (HMO-POS C-SNP)|00025003|0.00|255| | |CA|05430|1|N
H0543|219|000|UHC OF CALIFORNIA|UHC Complete Care CA-20P (HMO-POS C-SNP)|00025003|0.00|255| | |CA|05460|1|N
H0543|220|000|UHC OF CALIFORNIA|AARP Medicare Advantage from UHC CA-021P (HMO-POS)|00025002|0.00|255| | |CA|05400|0|N
H0543|221|000|UHC OF CALIFORNIA|AARP Medicare Advantage from UHC CA-022P (HMO-POS)|00025002|0.00|255| | |CA|05430|0|N
H0543|221|000|UHC OF CALIFORNIA|AARP Medicare Advantage from UHC CA-022P (HMO-POS)|00025002|0.00|255| | |CA|05460|0|N
H0543|222|000|UHC OF CALIFORNIA|AARP Medicare Advantage from UHC CA-023P (HMO-POS)|00025002|0.00|340| | |CA|05410|0|N
H0543|222|000|UHC OF CALIFORNIA|AARP Medicare Advantage from UHC CA-023P (HMO-POS)|00025002|0.00|340| | |CA|05440|0|N
H0543|223|000|UHC OF CALIFORNIA|AARP Medicare Advantage from UHC CA-024P (HMO-POS)|00025002|0.00|340| | |CA|05090|0|N
H0543|223|000|UHC OF CALIFORNIA|AARP Medicare Advantage from UHC CA-024P (HMO-POS)|00025002|0.00|340| | |CA|05300|0|N
H0543|224|000|UHC OF CALIFORNIA|UHC Complete Care CA-25P (HMO-POS C-SNP)|00025003|29.00|340| | |CA|05310|1|N
H0543|225|000|UHC OF CALIFORNIA|AARP Medicare Advantage from UHC CA-026P (HMO-POS)|00025002|0.00|255| | |CA|05470|0|N
H0543|226|000|UHC OF CALIFORNIA|UHC Complete Care CA-27P (HMO-POS C-SNP)|00025003|0.00|255| | |CA|05140|1|N
H0543|228|000|UHC OF CALIFORNIA|AARP Medicare Advantage from UHC CA-029P (HMO-POS)|00025002|46.00|340| | |CA|05380|0|N
H0543|228|000|UHC OF CALIFORNIA|AARP Medicare Advantage from UHC CA-029P (HMO-POS)|00025002|46.00|340| | |CA|05590|0|N
H0543|232|000|UHC OF CALIFORNIA|AARP Medicare Advantage from UHC CA-033P (HMO-POS)|00025002|28.10|420| | |CA|05580|0|N
H0543|234|000|UHC OF CALIFORNIA|AARP Medicare Advantage from UHC CA-034P (HMO-POS)|00025002|24.00|340| | |CA|05490|0|N
H0543|236|000|UHC OF CALIFORNIA|AARP Medicare Advantage Giveback from UHC CA-19 (HMO-POS)|00025002|0.00|255| | |CA|05200|0|N
H0543|236|000|UHC OF CALIFORNIA|AARP Medicare Advantage Giveback from UHC CA-19 (HMO-POS)|00025002|0.00|255| | |CA|05210|0|N
H0543|237|000|UHC OF CALIFORNIA|AARP Medicare Advantage Giveback from UHC CA-20 (HMO-POS)|00025002|0.00|255| | |CA|05400|0|N
H0543|238|000|UHC OF CALIFORNIA|AARP Medicare Advantage Giveback from UHC CA-21 (HMO-POS)|00025002|0.00|255| | |CA|05430|0|N
H0543|238|000|UHC OF CALIFORNIA|AARP Medicare Advantage Giveback from UHC CA-21 (HMO-POS)|00025002|0.00|255| | |CA|05460|0|N
H0543|239|000|UHC OF CALIFORNIA|UHC Complete Care Support CA-1AP (HMO C-SNP)|00025003|29.70|590| | |CA|05200|1|N
H0543|239|000|UHC OF CALIFORNIA|UHC Complete Care Support CA-1AP (HMO C-SNP)|00025003|29.70|590| | |CA|05210|1|N
H0543|240|000|UHC OF CALIFORNIA|UHC Complete Care Support CA-2AP (HMO C-SNP)|00025003|29.70|590| | |CA|05400|1|N
H0543|241|000|UHC OF CALIFORNIA|UHC Complete Care Support CA-3AP (HMO C-SNP)|00025003|29.70|590| | |CA|05430|1|N
H0543|241|000|UHC OF CALIFORNIA|UHC Complete Care Support CA-3AP (HMO C-SNP)|00025003|29.70|590| | |CA|05460|1|N
H0543|242|000|UHC OF CALIFORNIA|UHC Complete Care Support CA-4AP (HMO C-SNP)|00025003|29.70|590| | |CA|05140|1|N
H0543|246|000|UHC OF CALIFORNIA|UHC Complete Care Support CA-6AP (HMO C-SNP)|00025003|29.70|590| | |CA|05470|1|N
H0543|247|000|UHC OF CALIFORNIA|UHC Complete Care Support CA-7AP (HMO C-SNP)|00025003|29.70|590| | |CA|05500|1|N
H0543|248|000|UHC OF CALIFORNIA|UHC Complete Care CA-36P (HMO-POS C-SNP)|00025003|0.00|255| | |CA|05500|1|N
H0543|249|000|UHC OF CALIFORNIA|UHC Complete Care Support CA-8AP (HMO C-SNP)|00025003|29.70|590| | |CA|05000|1|N
H0543|249|000|UHC OF CALIFORNIA|UHC Complete Care Support CA-8AP (HMO C-SNP)|00025003|29.70|590| | |CA|05060|1|N
H0543|249|000|UHC OF CALIFORNIA|UHC Complete Care Support CA-8AP (HMO C-SNP)|00025003|29.70|590| | |CA|05310|1|N
H0543|249|000|UHC OF CALIFORNIA|UHC Complete Care Support CA-8AP (HMO C-SNP)|00025003|29.70|590| | |CA|05410|1|N
H0543|249|000|UHC OF CALIFORNIA|UHC Complete Care Support CA-8AP (HMO C-SNP)|00025003|29.70|590| | |CA|05440|1|N
H0543|249|000|UHC OF CALIFORNIA|UHC Complete Care Support CA-8AP (HMO C-SNP)|00025003|29.70|590| | |CA|05480|1|N
H0543|249|000|UHC OF CALIFORNIA|UHC Complete Care Support CA-8AP (HMO C-SNP)|00025003|29.70|590| | |CA|05490|1|N
H0543|249|000|UHC OF CALIFORNIA|UHC Complete Care Support CA-8AP (HMO C-SNP)|00025003|29.70|590| | |CA|05580|1|N
H0543|251|000|UHC OF CALIFORNIA|AARP Medicare Advantage from UHC CA-37P (HMO-POS)|00025002|49.00|255| | |CA|05200|0|N
H0543|251|000|UHC OF CALIFORNIA|AARP Medicare Advantage from UHC CA-37P (HMO-POS)|00025002|49.00|255| | |CA|05210|0|N
H0544|002|000|BLUE CROSS OF CALIFORNIA|Anthem I Carelon Medicare Advantage 2 (HMO-POS)|00025064|0.00|0| | |CA|05200|0|N
H0544|002|000|BLUE CROSS OF CALIFORNIA|Anthem I Carelon Medicare Advantage 2 (HMO-POS)|00025064|0.00|0| | |CA|05210|0|N
H0544|002|000|BLUE CROSS OF CALIFORNIA|Anthem I Carelon Medicare Advantage 2 (HMO-POS)|00025064|0.00|0| | |CA|05400|0|N
H0544|004|000|BLUE CROSS OF CALIFORNIA|Anthem I Carelon Chronic Care (HMO-POS C-SNP)|00025064|0.00|0| | |CA|05200|1|N
H0544|004|000|BLUE CROSS OF CALIFORNIA|Anthem I Carelon Chronic Care (HMO-POS C-SNP)|00025064|0.00|0| | |CA|05210|1|N
H0544|004|000|BLUE CROSS OF CALIFORNIA|Anthem I Carelon Chronic Care (HMO-POS C-SNP)|00025064|0.00|0| | |CA|05400|1|N
H0544|005|000|BLUE CROSS OF CALIFORNIA|Anthem I Carelon Home Care (HMO I-SNP)|00025064|0.00|0| | |CA|05200|3|N
H0544|005|000|BLUE CROSS OF CALIFORNIA|Anthem I Carelon Home Care (HMO I-SNP)|00025064|0.00|0| | |CA|05210|3|N
H0544|005|000|BLUE CROSS OF CALIFORNIA|Anthem I Carelon Home Care (HMO I-SNP)|00025064|0.00|0| | |CA|05400|3|N
H0544|007|000|BLUE CROSS OF CALIFORNIA|Anthem I Carelon Premium Savings 2 (HMO-POS)|00025064|0.00|0| | |CA|05200|0|N
H0544|007|000|BLUE CROSS OF CALIFORNIA|Anthem I Carelon Premium Savings 2 (HMO-POS)|00025064|0.00|0| | |CA|05210|0|N
H0544|007|000|BLUE CROSS OF CALIFORNIA|Anthem I Carelon Premium Savings 2 (HMO-POS)|00025064|0.00|0| | |CA|05400|0|N
H0544|007|000|BLUE CROSS OF CALIFORNIA|Anthem I Carelon Premium Savings 2 (HMO-POS)|00025064|0.00|0| | |CA|05460|0|N
H0544|008|000|BLUE CROSS OF CALIFORNIA|Anthem I Carelon Medicare Advantage 2 (HMO-POS)|00025064|0.00|0| | |CA|05460|0|N
H0544|010|000|BLUE CROSS OF CALIFORNIA|Anthem I Carelon Chronic Care (HMO-POS C-SNP)|00025064|0.00|0| | |CA|05460|1|N
H0544|014|000|BLUE CROSS OF CALIFORNIA|Anthem I Carelon Lung Care (HMO-POS C-SNP)|00025064|0.00|0| | |CA|05200|1|N
H0544|014|000|BLUE CROSS OF CALIFORNIA|Anthem I Carelon Lung Care (HMO-POS C-SNP)|00025064|0.00|0| | |CA|05210|1|N
H0544|014|000|BLUE CROSS OF CALIFORNIA|Anthem I Carelon Lung Care (HMO-POS C-SNP)|00025064|0.00|0| | |CA|05400|1|N
H0544|015|000|BLUE CROSS OF CALIFORNIA|Anthem I Carelon Kidney Care (HMO-POS C-SNP)|00025064|0.00|0| | |CA|05200|1|N
H0544|015|000|BLUE CROSS OF CALIFORNIA|Anthem I Carelon Kidney Care (HMO-POS C-SNP)|00025064|0.00|0| | |CA|05210|1|N
H0544|015|000|BLUE CROSS OF CALIFORNIA|Anthem I Carelon Kidney Care (HMO-POS C-SNP)|00025064|0.00|0| | |CA|05400|1|N
H0544|019|000|BLUE CROSS OF CALIFORNIA|Anthem I Carelon Lung Care (HMO-POS C-SNP)|00025064|0.00|0| | |CA|05460|1|N
H0544|020|000|BLUE CROSS OF CALIFORNIA|Anthem I Carelon Kidney Care (HMO-POS C-SNP)|00025064|0.00|0| | |CA|05460|1|N
H0544|056|000|BLUE CROSS OF CALIFORNIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |CA|05090|0|N
H0544|056|000|BLUE CROSS OF CALIFORNIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |CA|05150|0|N
H0544|056|000|BLUE CROSS OF CALIFORNIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |CA|05300|0|N
H0544|056|000|BLUE CROSS OF CALIFORNIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |CA|05640|0|N
H0544|058|000|BLUE CROSS OF CALIFORNIA|Anthem Select (HMO-POS)|00025052|0.00|0| | |CA|05200|0|N
H0544|058|000|BLUE CROSS OF CALIFORNIA|Anthem Select (HMO-POS)|00025052|0.00|0| | |CA|05210|0|N
H0544|058|000|BLUE CROSS OF CALIFORNIA|Anthem Select (HMO-POS)|00025052|0.00|0| | |CA|05400|0|N
H0544|061|000|BLUE CROSS OF CALIFORNIA|Anthem Medicare Advantage (HMO-POS)|00025052|0.00|0| | |CA|05200|0|N
H0544|061|000|BLUE CROSS OF CALIFORNIA|Anthem Medicare Advantage (HMO-POS)|00025052|0.00|0| | |CA|05210|0|N
H0544|061|000|BLUE CROSS OF CALIFORNIA|Anthem Medicare Advantage (HMO-POS)|00025052|0.00|0| | |CA|05400|0|N
H0544|062|000|BLUE CROSS OF CALIFORNIA|Anthem Medicare Advantage (HMO-POS)|00025052|0.00|0| | |CA|05140|0|N
H0544|063|000|BLUE CROSS OF CALIFORNIA|Anthem Medicare Advantage (HMO-POS)|00025052|0.00|0| | |CA|05660|0|N
H0544|064|000|BLUE CROSS OF CALIFORNIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |CA|05440|0|N
H0544|064|000|BLUE CROSS OF CALIFORNIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |CA|05670|0|N
H0544|065|000|BLUE CROSS OF CALIFORNIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |CA|05470|0|N
H0544|066|000|BLUE CROSS OF CALIFORNIA|Anthem Select (HMO-POS)|00025052|0.00|0| | |CA|05430|0|N
H0544|066|000|BLUE CROSS OF CALIFORNIA|Anthem Select (HMO-POS)|00025052|0.00|0| | |CA|05460|0|N
H0544|069|000|BLUE CROSS OF CALIFORNIA|Anthem Select (HMO-POS)|00025052|0.00|0| | |CA|05480|0|N
H0544|091|000|BLUE CROSS OF CALIFORNIA|Anthem Select (HMO-POS)|00025052|0.00|0| | |CA|05470|0|N
H0544|095|000|BLUE CROSS OF CALIFORNIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |CA|05490|0|N
H0544|096|000|BLUE CROSS OF CALIFORNIA|Anthem Medicare Advantage (HMO-POS)|00025052|0.00|0| | |CA|05510|0|N
H0544|098|000|BLUE CROSS OF CALIFORNIA|Anthem Select (HMO-POS)|00025052|0.00|0| | |CA|05000|0|N
H0544|108|000|BLUE CROSS OF CALIFORNIA|Anthem Medicare Advantage (HMO-POS)|00025052|0.00|0| | |CA|05530|0|N
H0562|009|000|HEALTH NET OF CALIFORNIA, INC.|Wellcare Premium Ultra (HMO)|00025076|33.40|420| | |CA|05020|0|N
H0562|009|000|HEALTH NET OF CALIFORNIA, INC.|Wellcare Premium Ultra (HMO)|00025076|33.40|420| | |CA|05410|0|N
H0562|009|000|HEALTH NET OF CALIFORNIA, INC.|Wellcare Premium Ultra (HMO)|00025076|33.40|420| | |CA|05440|0|N
H0562|009|000|HEALTH NET OF CALIFORNIA, INC.|Wellcare Premium Ultra (HMO)|00025076|33.40|420| | |CA|05480|0|N
H0562|009|000|HEALTH NET OF CALIFORNIA, INC.|Wellcare Premium Ultra (HMO)|00025076|33.40|420| | |CA|05600|0|N
H0562|012|000|HEALTH NET OF CALIFORNIA, INC.|Wellcare Simple Focus (HMO)|00025076|0.00|420| | |CA|05120|0|N
H0562|012|000|HEALTH NET OF CALIFORNIA, INC.|Wellcare Simple Focus (HMO)|00025076|0.00|420| | |CA|05470|0|N
H0562|039|000|HEALTH NET OF CALIFORNIA, INC.|Wellcare Premium Ultra (HMO)|00025084|7.50|420| | |CA|05670|0|N
H0562|079|000|HEALTH NET OF CALIFORNIA, INC.|Wellcare Simple Ruby (HMO)|00025076|0.00|420| | |CA|05090|0|N
H0562|079|000|HEALTH NET OF CALIFORNIA, INC.|Wellcare Simple Ruby (HMO)|00025076|0.00|420| | |CA|05140|0|N
H0562|079|000|HEALTH NET OF CALIFORNIA, INC.|Wellcare Simple Ruby (HMO)|00025076|0.00|420| | |CA|05300|0|N
H0562|079|000|HEALTH NET OF CALIFORNIA, INC.|Wellcare Simple Ruby (HMO)|00025076|0.00|420| | |CA|05600|0|N
H0562|079|000|HEALTH NET OF CALIFORNIA, INC.|Wellcare Simple Ruby (HMO)|00025076|0.00|420| | |CA|05640|0|N
H0562|092|000|HEALTH NET OF CALIFORNIA, INC.|Wellcare Specialty Simple (HMO C-SNP)|00025080|0.00|300| | |CA|05140|1|N
H0562|092|000|HEALTH NET OF CALIFORNIA, INC.|Wellcare Specialty Simple (HMO C-SNP)|00025080|0.00|300| | |CA|05200|1|N
H0562|092|000|HEALTH NET OF CALIFORNIA, INC.|Wellcare Specialty Simple (HMO C-SNP)|00025080|0.00|300| | |CA|05210|1|N
H0562|092|000|HEALTH NET OF CALIFORNIA, INC.|Wellcare Specialty Simple (HMO C-SNP)|00025080|0.00|300| | |CA|05400|1|N
H0562|092|000|HEALTH NET OF CALIFORNIA, INC.|Wellcare Specialty Simple (HMO C-SNP)|00025080|0.00|300| | |CA|05430|1|N
H0562|092|000|HEALTH NET OF CALIFORNIA, INC.|Wellcare Specialty Simple (HMO C-SNP)|00025080|0.00|300| | |CA|05460|1|N
H0562|092|000|HEALTH NET OF CALIFORNIA, INC.|Wellcare Specialty Simple (HMO C-SNP)|00025080|0.00|300| | |CA|05470|1|N
H0562|097|000|HEALTH NET OF CALIFORNIA, INC.|Wellcare Simple Focus (HMO)|00025076|0.00|420| | |CA|05480|0|N
H0562|125|000|HEALTH NET OF CALIFORNIA, INC.|Wellcare Simple Focus (HMO)|00025084|0.00|420| | |CA|05200|0|N
H0562|125|000|HEALTH NET OF CALIFORNIA, INC.|Wellcare Simple Focus (HMO)|00025084|0.00|420| | |CA|05210|0|N
H0562|125|000|HEALTH NET OF CALIFORNIA, INC.|Wellcare Simple Focus (HMO)|00025084|0.00|420| | |CA|05400|0|N
H0562|126|000|HEALTH NET OF CALIFORNIA, INC.|Wellcare Simple Focus (HMO)|00025084|0.00|0| | |CA|05430|0|N
H0562|126|000|HEALTH NET OF CALIFORNIA, INC.|Wellcare Simple Focus (HMO)|00025084|0.00|0| | |CA|05460|0|N
H0562|133|000|HEALTH NET OF CALIFORNIA, INC.|Wellcare Low Premium (HMO)|00025084|0.00|420| | |CA|05020|0|N
H0562|133|000|HEALTH NET OF CALIFORNIA, INC.|Wellcare Low Premium (HMO)|00025084|0.00|420| | |CA|05510|0|N
H0562|133|000|HEALTH NET OF CALIFORNIA, INC.|Wellcare Low Premium (HMO)|00025084|0.00|420| | |CA|05530|0|N
H0562|133|000|HEALTH NET OF CALIFORNIA, INC.|Wellcare Low Premium (HMO)|00025084|0.00|420| | |CA|05580|0|N
H0562|133|000|HEALTH NET OF CALIFORNIA, INC.|Wellcare Low Premium (HMO)|00025084|0.00|420| | |CA|05670|0|N
H0562|136|000|HEALTH NET OF CALIFORNIA, INC.|Wellcare Low Premium (HMO)|00025084|7.00|420| | |CA|05200|0|N
H0562|136|000|HEALTH NET OF CALIFORNIA, INC.|Wellcare Low Premium (HMO)|00025084|7.00|420| | |CA|05210|0|N
H0562|136|000|HEALTH NET OF CALIFORNIA, INC.|Wellcare Low Premium (HMO)|00025084|7.00|420| | |CA|05400|0|N
H0562|137|000|HEALTH NET OF CALIFORNIA, INC.|Wellcare Low Premium (HMO)|00025084|7.00|420| | |CA|05120|0|N
H0562|137|000|HEALTH NET OF CALIFORNIA, INC.|Wellcare Low Premium (HMO)|00025084|7.00|420| | |CA|05430|0|N
H0562|137|000|HEALTH NET OF CALIFORNIA, INC.|Wellcare Low Premium (HMO)|00025084|7.00|420| | |CA|05460|0|N
H0562|137|000|HEALTH NET OF CALIFORNIA, INC.|Wellcare Low Premium (HMO)|00025084|7.00|420| | |CA|05470|0|N
H0571|001|000|CHINESE COMMUNITY HEALTH PLAN|CCHP Senior Program (HMO)|00025248|19.80|0| | |CA|05480|0|N
H0571|001|000|CHINESE COMMUNITY HEALTH PLAN|CCHP Senior Program (HMO)|00025248|19.80|0| | |CA|05510|0|N
H0571|005|000|CHINESE COMMUNITY HEALTH PLAN|CCHP Senior Select Program (HMO D-SNP)|00025247|0.00|590| | |CA|05480|2|N
H0571|007|000|CHINESE COMMUNITY HEALTH PLAN|CCHP Senior Value Program (HMO)|00025248|0.00|0| | |CA|05480|0|N
H0571|007|000|CHINESE COMMUNITY HEALTH PLAN|CCHP Senior Value Program (HMO)|00025248|0.00|0| | |CA|05510|0|N
H0571|010|000|CHINESE COMMUNITY HEALTH PLAN|CCHP Senior Program (HMO)|00025248|31.00|0| | |CA|05000|0|N
H0571|011|000|CHINESE COMMUNITY HEALTH PLAN|CCHP Senior Value Program (HMO)|00025248|0.00|0| | |CA|05000|0|N
H0609|007|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC CO-0001 (HMO-POS)|00025002|51.00|340| | |CO|06000|0|N
H0609|007|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC CO-0001 (HMO-POS)|00025002|51.00|340| | |CO|06020|0|N
H0609|007|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC CO-0001 (HMO-POS)|00025002|51.00|340| | |CO|06060|0|N
H0609|007|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC CO-0001 (HMO-POS)|00025002|51.00|340| | |CO|06090|0|N
H0609|007|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC CO-0001 (HMO-POS)|00025002|51.00|340| | |CO|06150|0|N
H0609|007|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC CO-0001 (HMO-POS)|00025002|51.00|340| | |CO|06170|0|N
H0609|007|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC CO-0001 (HMO-POS)|00025002|51.00|340| | |CO|06190|0|N
H0609|007|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC CO-0001 (HMO-POS)|00025002|51.00|340| | |CO|06290|0|N
H0609|007|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC CO-0001 (HMO-POS)|00025002|51.00|340| | |CO|06630|0|N
H0609|012|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC CO-2 (HMO-POS)|00025002|0.00|340| | |CO|06000|0|N
H0609|012|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC CO-2 (HMO-POS)|00025002|0.00|340| | |CO|06020|0|N
H0609|012|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC CO-2 (HMO-POS)|00025002|0.00|340| | |CO|06060|0|N
H0609|012|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC CO-2 (HMO-POS)|00025002|0.00|340| | |CO|06090|0|N
H0609|012|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC CO-2 (HMO-POS)|00025002|0.00|340| | |CO|06150|0|N
H0609|012|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC CO-2 (HMO-POS)|00025002|0.00|340| | |CO|06170|0|N
H0609|012|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC CO-2 (HMO-POS)|00025002|0.00|340| | |CO|06190|0|N
H0609|012|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC CO-2 (HMO-POS)|00025002|0.00|340| | |CO|06290|0|N
H0609|012|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC CO-2 (HMO-POS)|00025002|0.00|340| | |CO|06630|0|N
H0609|025|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC AZ-1 (HMO-POS)|00025002|0.00|255| | |AZ|03090|0|N
H0609|026|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC AZ-2 (HMO-POS)|00025002|0.00|340| | |AZ|03060|0|N
H0609|026|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC AZ-2 (HMO-POS)|00025002|0.00|340| | |AZ|03100|0|N
H0609|027|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC AZ-002P (HMO-POS)|00025002|0.00|340| | |AZ|03060|0|N
H0609|027|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC AZ-002P (HMO-POS)|00025002|0.00|340| | |AZ|03100|0|N
H0609|028|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC NV-0001 (HMO-POS)|00025002|0.00|175| | |NV|29010|0|N
H0609|028|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC NV-0001 (HMO-POS)|00025002|0.00|175| | |NV|29110|0|N
H0609|031|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC NV-0002 (HMO-POS)|00025002|15.80|175| | |NV|29010|0|N
H0609|031|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC NV-0002 (HMO-POS)|00025002|15.80|175| | |NV|29110|0|N
H0609|032|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Medicare Advantage NV-001P (HMO-POS)|00025002|0.00|175| | |NV|29010|0|N
H0609|032|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Medicare Advantage NV-001P (HMO-POS)|00025002|0.00|175| | |NV|29110|0|N
H0609|033|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC NV-0003 (HMO-POS)|00025002|21.00|340| | |NV|29090|0|N
H0609|033|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC NV-0003 (HMO-POS)|00025002|21.00|340| | |NV|29150|0|N
H0609|034|001|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC CO-0003 (HMO-POS)|00025002|17.50|340| | |CO|06340|0|N
H0609|034|001|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC CO-0003 (HMO-POS)|00025002|17.50|340| | |CO|06610|0|N
H0609|034|002|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC CO-0003 (HMO-POS)|00025002|17.50|340| | |CO|06200|0|N
H0609|034|002|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC CO-0003 (HMO-POS)|00025002|17.50|340| | |CO|06210|0|N
H0609|034|002|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC CO-0003 (HMO-POS)|00025002|17.50|340| | |CO|06500|0|N
H0609|034|002|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC CO-0003 (HMO-POS)|00025002|17.50|340| | |CO|06590|0|N
H0609|036|001|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC CO-4 (HMO-POS)|00025002|0.00|340| | |CO|06340|0|N
H0609|036|001|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC CO-4 (HMO-POS)|00025002|0.00|340| | |CO|06610|0|N
H0609|036|002|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC CO-4 (HMO-POS)|00025002|0.00|340| | |CO|06200|0|N
H0609|036|002|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC CO-4 (HMO-POS)|00025002|0.00|340| | |CO|06210|0|N
H0609|036|002|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC CO-4 (HMO-POS)|00025002|0.00|340| | |CO|06500|0|N
H0609|036|002|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC CO-4 (HMO-POS)|00025002|0.00|340| | |CO|06590|0|N
H0609|037|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care NV-4 (HMO-POS C-SNP)|00025003|0.00|175| | |NV|29010|1|N
H0609|037|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care NV-4 (HMO-POS C-SNP)|00025003|0.00|175| | |NV|29110|1|N
H0609|038|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials ValueRx NV-5 (HMO-POS)|00025002|0.00|175| | |NV|29010|0|N
H0609|038|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials ValueRx NV-5 (HMO-POS)|00025002|0.00|175| | |NV|29110|0|N
H0609|040|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC NV-0006 (HMO-POS)|00025002|0.00|340| | |NV|29090|0|N
H0609|040|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC NV-0006 (HMO-POS)|00025002|0.00|340| | |NV|29150|0|N
H0609|042|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care AZ-1P (HMO-POS C-SNP)|00025003|0.00|340| | |AZ|03060|1|N
H0609|042|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care AZ-1P (HMO-POS C-SNP)|00025003|0.00|340| | |AZ|03100|1|N
H0609|043|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care AZ-3P (HMO-POS C-SNP)|00025003|0.00|255| | |AZ|03090|1|N
H0609|044|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC AZ-0003 (HMO-POS)|00025002|42.00|340| | |AZ|03060|0|N
H0609|044|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC AZ-0003 (HMO-POS)|00025002|42.00|340| | |AZ|03100|0|N
H0609|045|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC AZ-4 (HMO-POS)|00025002|0.00|340| | |AZ|03090|0|N
H0609|046|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC AZ-5 (HMO-POS)|00025002|0.00|420| | |AZ|03060|0|N
H0609|046|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC AZ-5 (HMO-POS)|00025002|0.00|420| | |AZ|03100|0|N
H0609|047|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care CO-1P (HMO-POS C-SNP)|00025003|0.00|340| | |CO|06000|1|N
H0609|047|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care CO-1P (HMO-POS C-SNP)|00025003|0.00|340| | |CO|06020|1|N
H0609|047|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care CO-1P (HMO-POS C-SNP)|00025003|0.00|340| | |CO|06060|1|N
H0609|047|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care CO-1P (HMO-POS C-SNP)|00025003|0.00|340| | |CO|06150|1|N
H0609|047|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care CO-1P (HMO-POS C-SNP)|00025003|0.00|340| | |CO|06170|1|N
H0609|047|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care CO-1P (HMO-POS C-SNP)|00025003|0.00|340| | |CO|06290|1|N
H0609|047|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care CO-1P (HMO-POS C-SNP)|00025003|0.00|340| | |CO|06630|1|N
H0609|048|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC CO-5 (HMO-POS)|00025002|0.00|420| | |CO|06000|0|N
H0609|048|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC CO-5 (HMO-POS)|00025002|0.00|420| | |CO|06020|0|N
H0609|048|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC CO-5 (HMO-POS)|00025002|0.00|420| | |CO|06060|0|N
H0609|048|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC CO-5 (HMO-POS)|00025002|0.00|420| | |CO|06090|0|N
H0609|048|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC CO-5 (HMO-POS)|00025002|0.00|420| | |CO|06150|0|N
H0609|048|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC CO-5 (HMO-POS)|00025002|0.00|420| | |CO|06170|0|N
H0609|048|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC CO-5 (HMO-POS)|00025002|0.00|420| | |CO|06190|0|N
H0609|048|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC CO-5 (HMO-POS)|00025002|0.00|420| | |CO|06290|0|N
H0609|048|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC CO-5 (HMO-POS)|00025002|0.00|420| | |CO|06630|0|N
H0609|049|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care CO-2P (HMO-POS C-SNP)|00025003|0.00|340| | |CO|06200|1|N
H0609|050|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC TX-21 (HMO-POS)|00025002|0.00|340| | |TX|45060|0|N
H0609|050|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC TX-21 (HMO-POS)|00025002|0.00|340| | |TX|45090|0|N
H0609|050|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC TX-21 (HMO-POS)|00025002|0.00|340| | |TX|45130|0|N
H0609|050|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC TX-21 (HMO-POS)|00025002|0.00|340| | |TX|45320|0|N
H0609|050|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC TX-21 (HMO-POS)|00025002|0.00|340| | |TX|45581|0|N
H0609|050|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC TX-21 (HMO-POS)|00025002|0.00|340| | |TX|45731|0|N
H0609|050|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC TX-21 (HMO-POS)|00025002|0.00|340| | |TX|45792|0|N
H0609|050|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC TX-21 (HMO-POS)|00025002|0.00|340| | |TX|45971|0|N
H0609|051|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC TX-22 (HMO-POS)|00025002|0.00|340| | |TX|45160|0|N
H0609|051|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC TX-22 (HMO-POS)|00025002|0.00|340| | |TX|45310|0|N
H0609|051|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC TX-22 (HMO-POS)|00025002|0.00|340| | |TX|45340|0|N
H0609|051|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC TX-22 (HMO-POS)|00025002|0.00|340| | |TX|45341|0|N
H0609|051|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC TX-22 (HMO-POS)|00025002|0.00|340| | |TX|45390|0|N
H0609|051|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC TX-22 (HMO-POS)|00025002|0.00|340| | |TX|45410|0|N
H0609|051|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC TX-22 (HMO-POS)|00025002|0.00|340| | |TX|45450|0|N
H0609|051|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC TX-22 (HMO-POS)|00025002|0.00|340| | |TX|45470|0|N
H0609|051|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC TX-22 (HMO-POS)|00025002|0.00|340| | |TX|45490|0|N
H0609|051|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC TX-22 (HMO-POS)|00025002|0.00|340| | |TX|45510|0|N
H0609|051|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC TX-22 (HMO-POS)|00025002|0.00|340| | |TX|45564|0|N
H0609|051|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC TX-22 (HMO-POS)|00025002|0.00|340| | |TX|45590|0|N
H0609|051|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC TX-22 (HMO-POS)|00025002|0.00|340| | |TX|45653|0|N
H0609|051|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC TX-22 (HMO-POS)|00025002|0.00|340| | |TX|45670|0|N
H0609|051|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC TX-22 (HMO-POS)|00025002|0.00|340| | |TX|45680|0|N
H0609|051|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC TX-22 (HMO-POS)|00025002|0.00|340| | |TX|45720|0|N
H0609|051|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC TX-22 (HMO-POS)|00025002|0.00|340| | |TX|45730|0|N
H0609|051|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC TX-22 (HMO-POS)|00025002|0.00|340| | |TX|45752|0|N
H0609|051|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC TX-22 (HMO-POS)|00025002|0.00|340| | |TX|45796|0|N
H0609|051|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC TX-22 (HMO-POS)|00025002|0.00|340| | |TX|45800|0|N
H0609|051|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC TX-22 (HMO-POS)|00025002|0.00|340| | |TX|45841|0|N
H0609|051|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC TX-22 (HMO-POS)|00025002|0.00|340| | |TX|45843|0|N
H0609|051|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC TX-22 (HMO-POS)|00025002|0.00|340| | |TX|45879|0|N
H0609|051|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC TX-22 (HMO-POS)|00025002|0.00|340| | |TX|45893|0|N
H0609|051|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC TX-22 (HMO-POS)|00025002|0.00|340| | |TX|45910|0|N
H0609|051|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC TX-22 (HMO-POS)|00025002|0.00|340| | |TX|45947|0|N
H0609|051|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC TX-22 (HMO-POS)|00025002|0.00|340| | |TX|45973|0|N
H0609|052|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete TX-D004 (HMO-POS D-SNP)|00025002|1.40|590| | |TX|45030|2|N
H0609|052|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete TX-D004 (HMO-POS D-SNP)|00025002|1.40|590| | |TX|45060|2|N
H0609|052|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete TX-D004 (HMO-POS D-SNP)|00025002|1.40|590| | |TX|45113|2|N
H0609|052|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete TX-D004 (HMO-POS D-SNP)|00025002|1.40|590| | |TX|45130|2|N
H0609|052|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete TX-D004 (HMO-POS D-SNP)|00025002|1.40|590| | |TX|45310|2|N
H0609|052|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete TX-D004 (HMO-POS D-SNP)|00025002|1.40|590| | |TX|45320|2|N
H0609|052|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete TX-D004 (HMO-POS D-SNP)|00025002|1.40|590| | |TX|45390|2|N
H0609|052|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete TX-D004 (HMO-POS D-SNP)|00025002|1.40|590| | |TX|45410|2|N
H0609|052|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete TX-D004 (HMO-POS D-SNP)|00025002|1.40|590| | |TX|45470|2|N
H0609|052|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete TX-D004 (HMO-POS D-SNP)|00025002|1.40|590| | |TX|45581|2|N
H0609|052|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete TX-D004 (HMO-POS D-SNP)|00025002|1.40|590| | |TX|45711|2|N
H0609|052|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete TX-D004 (HMO-POS D-SNP)|00025002|1.40|590| | |TX|45720|2|N
H0609|052|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete TX-D004 (HMO-POS D-SNP)|00025002|1.40|590| | |TX|45730|2|N
H0609|052|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete TX-D004 (HMO-POS D-SNP)|00025002|1.40|590| | |TX|45731|2|N
H0609|052|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete TX-D004 (HMO-POS D-SNP)|00025002|1.40|590| | |TX|45743|2|N
H0609|052|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete TX-D004 (HMO-POS D-SNP)|00025002|1.40|590| | |TX|45830|2|N
H0609|052|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete TX-D004 (HMO-POS D-SNP)|00025002|1.40|590| | |TX|45879|2|N
H0609|052|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete TX-D004 (HMO-POS D-SNP)|00025002|1.40|590| | |TX|45885|2|N
H0609|052|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete TX-D004 (HMO-POS D-SNP)|00025002|1.40|590| | |TX|45910|2|N
H0609|052|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete TX-D004 (HMO-POS D-SNP)|00025002|1.40|590| | |TX|45971|2|N
H0609|054|000|UnitedHealthcare Benefits of Texas, Inc.|AARP SecureHorizons Medicare Advantage TX-0023 (HMO-POS)|00025002|0.00|495| | |TX|45113|0|N
H0609|054|000|UnitedHealthcare Benefits of Texas, Inc.|AARP SecureHorizons Medicare Advantage TX-0023 (HMO-POS)|00025002|0.00|495| | |TX|45711|0|N
H0609|054|000|UnitedHealthcare Benefits of Texas, Inc.|AARP SecureHorizons Medicare Advantage TX-0023 (HMO-POS)|00025002|0.00|495| | |TX|45830|0|N
H0609|054|000|UnitedHealthcare Benefits of Texas, Inc.|AARP SecureHorizons Medicare Advantage TX-0023 (HMO-POS)|00025002|0.00|495| | |TX|45885|0|N
H0609|054|000|UnitedHealthcare Benefits of Texas, Inc.|AARP SecureHorizons Medicare Advantage TX-0023 (HMO-POS)|00025002|0.00|495| | |TX|45948|0|N
H0609|058|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care TX-24 (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45060|1|N
H0609|058|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care TX-24 (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45090|1|N
H0609|058|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care TX-24 (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45130|1|N
H0609|058|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care TX-24 (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45320|1|N
H0609|058|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care TX-24 (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45581|1|N
H0609|058|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care TX-24 (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45731|1|N
H0609|058|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care TX-24 (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45792|1|N
H0609|058|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care TX-24 (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45971|1|N
H0609|059|000|UnitedHealthcare Benefits of Texas, Inc.|AARP SecureHorizons Medicare Advantage TX-0025 (HMO-POS)|00025002|34.20|340| | |TX|45160|0|N
H0609|059|000|UnitedHealthcare Benefits of Texas, Inc.|AARP SecureHorizons Medicare Advantage TX-0025 (HMO-POS)|00025002|34.20|340| | |TX|45310|0|N
H0609|059|000|UnitedHealthcare Benefits of Texas, Inc.|AARP SecureHorizons Medicare Advantage TX-0025 (HMO-POS)|00025002|34.20|340| | |TX|45340|0|N
H0609|059|000|UnitedHealthcare Benefits of Texas, Inc.|AARP SecureHorizons Medicare Advantage TX-0025 (HMO-POS)|00025002|34.20|340| | |TX|45341|0|N
H0609|059|000|UnitedHealthcare Benefits of Texas, Inc.|AARP SecureHorizons Medicare Advantage TX-0025 (HMO-POS)|00025002|34.20|340| | |TX|45390|0|N
H0609|059|000|UnitedHealthcare Benefits of Texas, Inc.|AARP SecureHorizons Medicare Advantage TX-0025 (HMO-POS)|00025002|34.20|340| | |TX|45410|0|N
H0609|059|000|UnitedHealthcare Benefits of Texas, Inc.|AARP SecureHorizons Medicare Advantage TX-0025 (HMO-POS)|00025002|34.20|340| | |TX|45450|0|N
H0609|059|000|UnitedHealthcare Benefits of Texas, Inc.|AARP SecureHorizons Medicare Advantage TX-0025 (HMO-POS)|00025002|34.20|340| | |TX|45470|0|N
H0609|059|000|UnitedHealthcare Benefits of Texas, Inc.|AARP SecureHorizons Medicare Advantage TX-0025 (HMO-POS)|00025002|34.20|340| | |TX|45490|0|N
H0609|059|000|UnitedHealthcare Benefits of Texas, Inc.|AARP SecureHorizons Medicare Advantage TX-0025 (HMO-POS)|00025002|34.20|340| | |TX|45510|0|N
H0609|059|000|UnitedHealthcare Benefits of Texas, Inc.|AARP SecureHorizons Medicare Advantage TX-0025 (HMO-POS)|00025002|34.20|340| | |TX|45564|0|N
H0609|059|000|UnitedHealthcare Benefits of Texas, Inc.|AARP SecureHorizons Medicare Advantage TX-0025 (HMO-POS)|00025002|34.20|340| | |TX|45590|0|N
H0609|059|000|UnitedHealthcare Benefits of Texas, Inc.|AARP SecureHorizons Medicare Advantage TX-0025 (HMO-POS)|00025002|34.20|340| | |TX|45653|0|N
H0609|059|000|UnitedHealthcare Benefits of Texas, Inc.|AARP SecureHorizons Medicare Advantage TX-0025 (HMO-POS)|00025002|34.20|340| | |TX|45670|0|N
H0609|059|000|UnitedHealthcare Benefits of Texas, Inc.|AARP SecureHorizons Medicare Advantage TX-0025 (HMO-POS)|00025002|34.20|340| | |TX|45680|0|N
H0609|059|000|UnitedHealthcare Benefits of Texas, Inc.|AARP SecureHorizons Medicare Advantage TX-0025 (HMO-POS)|00025002|34.20|340| | |TX|45720|0|N
H0609|059|000|UnitedHealthcare Benefits of Texas, Inc.|AARP SecureHorizons Medicare Advantage TX-0025 (HMO-POS)|00025002|34.20|340| | |TX|45730|0|N
H0609|059|000|UnitedHealthcare Benefits of Texas, Inc.|AARP SecureHorizons Medicare Advantage TX-0025 (HMO-POS)|00025002|34.20|340| | |TX|45752|0|N
H0609|059|000|UnitedHealthcare Benefits of Texas, Inc.|AARP SecureHorizons Medicare Advantage TX-0025 (HMO-POS)|00025002|34.20|340| | |TX|45796|0|N
H0609|059|000|UnitedHealthcare Benefits of Texas, Inc.|AARP SecureHorizons Medicare Advantage TX-0025 (HMO-POS)|00025002|34.20|340| | |TX|45800|0|N
H0609|059|000|UnitedHealthcare Benefits of Texas, Inc.|AARP SecureHorizons Medicare Advantage TX-0025 (HMO-POS)|00025002|34.20|340| | |TX|45841|0|N
H0609|059|000|UnitedHealthcare Benefits of Texas, Inc.|AARP SecureHorizons Medicare Advantage TX-0025 (HMO-POS)|00025002|34.20|340| | |TX|45843|0|N
H0609|059|000|UnitedHealthcare Benefits of Texas, Inc.|AARP SecureHorizons Medicare Advantage TX-0025 (HMO-POS)|00025002|34.20|340| | |TX|45879|0|N
H0609|059|000|UnitedHealthcare Benefits of Texas, Inc.|AARP SecureHorizons Medicare Advantage TX-0025 (HMO-POS)|00025002|34.20|340| | |TX|45893|0|N
H0609|059|000|UnitedHealthcare Benefits of Texas, Inc.|AARP SecureHorizons Medicare Advantage TX-0025 (HMO-POS)|00025002|34.20|340| | |TX|45910|0|N
H0609|059|000|UnitedHealthcare Benefits of Texas, Inc.|AARP SecureHorizons Medicare Advantage TX-0025 (HMO-POS)|00025002|34.20|340| | |TX|45947|0|N
H0609|059|000|UnitedHealthcare Benefits of Texas, Inc.|AARP SecureHorizons Medicare Advantage TX-0025 (HMO-POS)|00025002|34.20|340| | |TX|45973|0|N
H0609|060|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0026 (HMO-POS)|00025002|0.00|340| | |TX|45000|0|N
H0609|060|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0026 (HMO-POS)|00025002|0.00|340| | |TX|45020|0|N
H0609|060|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0026 (HMO-POS)|00025002|0.00|340| | |TX|45281|0|N
H0609|060|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0026 (HMO-POS)|00025002|0.00|340| | |TX|45400|0|N
H0609|060|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0026 (HMO-POS)|00025002|0.00|340| | |TX|45570|0|N
H0609|060|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0026 (HMO-POS)|00025002|0.00|340| | |TX|45620|0|N
H0609|060|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0026 (HMO-POS)|00025002|0.00|340| | |TX|45640|0|N
H0609|060|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0026 (HMO-POS)|00025002|0.00|340| | |TX|45654|0|N
H0609|060|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0026 (HMO-POS)|00025002|0.00|340| | |TX|45660|0|N
H0609|060|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0026 (HMO-POS)|00025002|0.00|340| | |TX|45810|0|N
H0609|060|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0026 (HMO-POS)|00025002|0.00|340| | |TX|45820|0|N
H0609|060|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0026 (HMO-POS)|00025002|0.00|340| | |TX|45842|0|N
H0609|060|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0026 (HMO-POS)|00025002|0.00|340| | |TX|45850|0|N
H0609|060|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0026 (HMO-POS)|00025002|0.00|340| | |TX|45870|0|N
H0609|060|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0026 (HMO-POS)|00025002|0.00|340| | |TX|45881|0|N
H0609|060|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0026 (HMO-POS)|00025002|0.00|340| | |TX|45883|0|N
H0609|060|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0026 (HMO-POS)|00025002|0.00|340| | |TX|45884|0|N
H0609|060|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0026 (HMO-POS)|00025002|0.00|340| | |TX|45890|0|N
H0609|060|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0026 (HMO-POS)|00025002|0.00|340| | |TX|45892|0|N
H0609|060|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0026 (HMO-POS)|00025002|0.00|340| | |TX|45941|0|N
H0609|060|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0026 (HMO-POS)|00025002|0.00|340| | |TX|45942|0|N
H0609|060|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0026 (HMO-POS)|00025002|0.00|340| | |TX|45949|0|N
H0609|060|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0026 (HMO-POS)|00025002|0.00|340| | |TX|45974|0|N
H0609|061|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC TX-27 (HMO-POS)|00025002|0.00|420| | |TX|45160|0|N
H0609|061|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC TX-27 (HMO-POS)|00025002|0.00|420| | |TX|45310|0|N
H0609|061|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC TX-27 (HMO-POS)|00025002|0.00|420| | |TX|45340|0|N
H0609|061|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC TX-27 (HMO-POS)|00025002|0.00|420| | |TX|45341|0|N
H0609|061|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC TX-27 (HMO-POS)|00025002|0.00|420| | |TX|45390|0|N
H0609|061|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC TX-27 (HMO-POS)|00025002|0.00|420| | |TX|45410|0|N
H0609|061|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC TX-27 (HMO-POS)|00025002|0.00|420| | |TX|45450|0|N
H0609|061|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC TX-27 (HMO-POS)|00025002|0.00|420| | |TX|45470|0|N
H0609|061|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC TX-27 (HMO-POS)|00025002|0.00|420| | |TX|45490|0|N
H0609|061|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC TX-27 (HMO-POS)|00025002|0.00|420| | |TX|45510|0|N
H0609|061|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC TX-27 (HMO-POS)|00025002|0.00|420| | |TX|45564|0|N
H0609|061|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC TX-27 (HMO-POS)|00025002|0.00|420| | |TX|45590|0|N
H0609|061|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC TX-27 (HMO-POS)|00025002|0.00|420| | |TX|45653|0|N
H0609|061|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC TX-27 (HMO-POS)|00025002|0.00|420| | |TX|45670|0|N
H0609|061|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC TX-27 (HMO-POS)|00025002|0.00|420| | |TX|45680|0|N
H0609|061|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC TX-27 (HMO-POS)|00025002|0.00|420| | |TX|45720|0|N
H0609|061|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC TX-27 (HMO-POS)|00025002|0.00|420| | |TX|45730|0|N
H0609|061|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC TX-27 (HMO-POS)|00025002|0.00|420| | |TX|45752|0|N
H0609|061|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC TX-27 (HMO-POS)|00025002|0.00|420| | |TX|45796|0|N
H0609|061|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC TX-27 (HMO-POS)|00025002|0.00|420| | |TX|45800|0|N
H0609|061|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC TX-27 (HMO-POS)|00025002|0.00|420| | |TX|45841|0|N
H0609|061|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC TX-27 (HMO-POS)|00025002|0.00|420| | |TX|45843|0|N
H0609|061|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC TX-27 (HMO-POS)|00025002|0.00|420| | |TX|45879|0|N
H0609|061|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC TX-27 (HMO-POS)|00025002|0.00|420| | |TX|45893|0|N
H0609|061|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC TX-27 (HMO-POS)|00025002|0.00|420| | |TX|45910|0|N
H0609|061|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC TX-27 (HMO-POS)|00025002|0.00|420| | |TX|45947|0|N
H0609|061|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC TX-27 (HMO-POS)|00025002|0.00|420| | |TX|45973|0|N
H0609|062|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care TX-3P (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45160|1|N
H0609|062|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care TX-3P (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45310|1|N
H0609|062|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care TX-3P (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45340|1|N
H0609|062|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care TX-3P (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45341|1|N
H0609|062|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care TX-3P (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45390|1|N
H0609|062|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care TX-3P (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45410|1|N
H0609|062|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care TX-3P (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45450|1|N
H0609|062|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care TX-3P (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45470|1|N
H0609|062|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care TX-3P (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45490|1|N
H0609|062|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care TX-3P (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45510|1|N
H0609|062|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care TX-3P (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45564|1|N
H0609|062|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care TX-3P (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45590|1|N
H0609|062|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care TX-3P (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45653|1|N
H0609|062|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care TX-3P (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45670|1|N
H0609|062|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care TX-3P (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45680|1|N
H0609|062|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care TX-3P (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45720|1|N
H0609|062|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care TX-3P (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45730|1|N
H0609|062|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care TX-3P (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45752|1|N
H0609|062|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care TX-3P (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45796|1|N
H0609|062|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care TX-3P (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45800|1|N
H0609|062|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care TX-3P (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45841|1|N
H0609|062|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care TX-3P (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45843|1|N
H0609|062|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care TX-3P (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45879|1|N
H0609|062|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care TX-3P (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45893|1|N
H0609|062|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care TX-3P (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45910|1|N
H0609|062|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care TX-3P (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45947|1|N
H0609|062|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care TX-3P (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45973|1|N
H0609|063|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC TX-28 (HMO-POS)|00025002|0.00|420| | |TX|45060|0|N
H0609|063|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC TX-28 (HMO-POS)|00025002|0.00|420| | |TX|45090|0|N
H0609|063|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC TX-28 (HMO-POS)|00025002|0.00|420| | |TX|45130|0|N
H0609|063|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC TX-28 (HMO-POS)|00025002|0.00|420| | |TX|45320|0|N
H0609|063|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC TX-28 (HMO-POS)|00025002|0.00|420| | |TX|45581|0|N
H0609|063|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC TX-28 (HMO-POS)|00025002|0.00|420| | |TX|45731|0|N
H0609|063|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC TX-28 (HMO-POS)|00025002|0.00|420| | |TX|45792|0|N
H0609|063|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC TX-28 (HMO-POS)|00025002|0.00|420| | |TX|45971|0|N
H0609|065|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete TX-V007 (HMO-POS D-SNP)|00025002|3.00|590| | |TX|45060|2|N
H0609|065|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete TX-V007 (HMO-POS D-SNP)|00025002|3.00|590| | |TX|45130|2|N
H0609|065|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete TX-V007 (HMO-POS D-SNP)|00025002|3.00|590| | |TX|45310|2|N
H0609|065|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete TX-V007 (HMO-POS D-SNP)|00025002|3.00|590| | |TX|45320|2|N
H0609|065|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete TX-V007 (HMO-POS D-SNP)|00025002|3.00|590| | |TX|45390|2|N
H0609|065|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete TX-V007 (HMO-POS D-SNP)|00025002|3.00|590| | |TX|45410|2|N
H0609|065|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete TX-V007 (HMO-POS D-SNP)|00025002|3.00|590| | |TX|45470|2|N
H0609|065|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete TX-V007 (HMO-POS D-SNP)|00025002|3.00|590| | |TX|45581|2|N
H0609|065|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete TX-V007 (HMO-POS D-SNP)|00025002|3.00|590| | |TX|45720|2|N
H0609|065|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete TX-V007 (HMO-POS D-SNP)|00025002|3.00|590| | |TX|45730|2|N
H0609|065|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete TX-V007 (HMO-POS D-SNP)|00025002|3.00|590| | |TX|45731|2|N
H0609|065|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete TX-V007 (HMO-POS D-SNP)|00025002|3.00|590| | |TX|45879|2|N
H0609|065|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete TX-V007 (HMO-POS D-SNP)|00025002|3.00|590| | |TX|45910|2|N
H0609|065|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete TX-V007 (HMO-POS D-SNP)|00025002|3.00|590| | |TX|45971|2|N
H0609|066|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-39 (HMO-POS)|00025002|0.00|495| | |TX|45160|0|N
H0609|066|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-39 (HMO-POS)|00025002|0.00|495| | |TX|45310|0|N
H0609|066|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-39 (HMO-POS)|00025002|0.00|495| | |TX|45340|0|N
H0609|066|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-39 (HMO-POS)|00025002|0.00|495| | |TX|45341|0|N
H0609|066|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-39 (HMO-POS)|00025002|0.00|495| | |TX|45390|0|N
H0609|066|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-39 (HMO-POS)|00025002|0.00|495| | |TX|45410|0|N
H0609|066|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-39 (HMO-POS)|00025002|0.00|495| | |TX|45450|0|N
H0609|066|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-39 (HMO-POS)|00025002|0.00|495| | |TX|45470|0|N
H0609|066|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-39 (HMO-POS)|00025002|0.00|495| | |TX|45490|0|N
H0609|066|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-39 (HMO-POS)|00025002|0.00|495| | |TX|45510|0|N
H0609|066|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-39 (HMO-POS)|00025002|0.00|495| | |TX|45564|0|N
H0609|066|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-39 (HMO-POS)|00025002|0.00|495| | |TX|45590|0|N
H0609|066|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-39 (HMO-POS)|00025002|0.00|495| | |TX|45653|0|N
H0609|066|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-39 (HMO-POS)|00025002|0.00|495| | |TX|45670|0|N
H0609|066|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-39 (HMO-POS)|00025002|0.00|495| | |TX|45680|0|N
H0609|066|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-39 (HMO-POS)|00025002|0.00|495| | |TX|45720|0|N
H0609|066|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-39 (HMO-POS)|00025002|0.00|495| | |TX|45730|0|N
H0609|066|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-39 (HMO-POS)|00025002|0.00|495| | |TX|45752|0|N
H0609|066|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-39 (HMO-POS)|00025002|0.00|495| | |TX|45796|0|N
H0609|066|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-39 (HMO-POS)|00025002|0.00|495| | |TX|45800|0|N
H0609|066|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-39 (HMO-POS)|00025002|0.00|495| | |TX|45841|0|N
H0609|066|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-39 (HMO-POS)|00025002|0.00|495| | |TX|45843|0|N
H0609|066|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-39 (HMO-POS)|00025002|0.00|495| | |TX|45879|0|N
H0609|066|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-39 (HMO-POS)|00025002|0.00|495| | |TX|45893|0|N
H0609|066|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-39 (HMO-POS)|00025002|0.00|495| | |TX|45910|0|N
H0609|066|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-39 (HMO-POS)|00025002|0.00|495| | |TX|45947|0|N
H0609|066|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-39 (HMO-POS)|00025002|0.00|495| | |TX|45973|0|N
H0609|067|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-40 (HMO-POS)|00025002|0.00|495| | |TX|45060|0|N
H0609|067|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-40 (HMO-POS)|00025002|0.00|495| | |TX|45090|0|N
H0609|067|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-40 (HMO-POS)|00025002|0.00|495| | |TX|45130|0|N
H0609|067|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-40 (HMO-POS)|00025002|0.00|495| | |TX|45320|0|N
H0609|067|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-40 (HMO-POS)|00025002|0.00|495| | |TX|45581|0|N
H0609|067|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-40 (HMO-POS)|00025002|0.00|495| | |TX|45731|0|N
H0609|067|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-40 (HMO-POS)|00025002|0.00|495| | |TX|45792|0|N
H0609|067|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-40 (HMO-POS)|00025002|0.00|495| | |TX|45971|0|N
H0609|068|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-41 (HMO-POS)|00025002|0.00|495| | |TX|45000|0|N
H0609|068|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-41 (HMO-POS)|00025002|0.00|495| | |TX|45020|0|N
H0609|068|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-41 (HMO-POS)|00025002|0.00|495| | |TX|45281|0|N
H0609|068|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-41 (HMO-POS)|00025002|0.00|495| | |TX|45400|0|N
H0609|068|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-41 (HMO-POS)|00025002|0.00|495| | |TX|45570|0|N
H0609|068|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-41 (HMO-POS)|00025002|0.00|495| | |TX|45620|0|N
H0609|068|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-41 (HMO-POS)|00025002|0.00|495| | |TX|45640|0|N
H0609|068|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-41 (HMO-POS)|00025002|0.00|495| | |TX|45654|0|N
H0609|068|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-41 (HMO-POS)|00025002|0.00|495| | |TX|45660|0|N
H0609|068|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-41 (HMO-POS)|00025002|0.00|495| | |TX|45810|0|N
H0609|068|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-41 (HMO-POS)|00025002|0.00|495| | |TX|45820|0|N
H0609|068|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-41 (HMO-POS)|00025002|0.00|495| | |TX|45842|0|N
H0609|068|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-41 (HMO-POS)|00025002|0.00|495| | |TX|45850|0|N
H0609|068|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-41 (HMO-POS)|00025002|0.00|495| | |TX|45870|0|N
H0609|068|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-41 (HMO-POS)|00025002|0.00|495| | |TX|45881|0|N
H0609|068|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-41 (HMO-POS)|00025002|0.00|495| | |TX|45883|0|N
H0609|068|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-41 (HMO-POS)|00025002|0.00|495| | |TX|45884|0|N
H0609|068|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-41 (HMO-POS)|00025002|0.00|495| | |TX|45890|0|N
H0609|068|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-41 (HMO-POS)|00025002|0.00|495| | |TX|45892|0|N
H0609|068|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-41 (HMO-POS)|00025002|0.00|495| | |TX|45941|0|N
H0609|068|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-41 (HMO-POS)|00025002|0.00|495| | |TX|45942|0|N
H0609|068|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-41 (HMO-POS)|00025002|0.00|495| | |TX|45949|0|N
H0609|068|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Giveback from UHC TX-41 (HMO-POS)|00025002|0.00|495| | |TX|45974|0|N
H0609|070|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0042 (HMO-POS)|00025002|29.00|340| | |TX|45160|0|N
H0609|070|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0042 (HMO-POS)|00025002|29.00|340| | |TX|45310|0|N
H0609|070|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0042 (HMO-POS)|00025002|29.00|340| | |TX|45340|0|N
H0609|070|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0042 (HMO-POS)|00025002|29.00|340| | |TX|45341|0|N
H0609|070|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0042 (HMO-POS)|00025002|29.00|340| | |TX|45390|0|N
H0609|070|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0042 (HMO-POS)|00025002|29.00|340| | |TX|45410|0|N
H0609|070|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0042 (HMO-POS)|00025002|29.00|340| | |TX|45450|0|N
H0609|070|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0042 (HMO-POS)|00025002|29.00|340| | |TX|45470|0|N
H0609|070|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0042 (HMO-POS)|00025002|29.00|340| | |TX|45490|0|N
H0609|070|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0042 (HMO-POS)|00025002|29.00|340| | |TX|45510|0|N
H0609|070|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0042 (HMO-POS)|00025002|29.00|340| | |TX|45564|0|N
H0609|070|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0042 (HMO-POS)|00025002|29.00|340| | |TX|45590|0|N
H0609|070|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0042 (HMO-POS)|00025002|29.00|340| | |TX|45653|0|N
H0609|070|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0042 (HMO-POS)|00025002|29.00|340| | |TX|45670|0|N
H0609|070|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0042 (HMO-POS)|00025002|29.00|340| | |TX|45680|0|N
H0609|070|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0042 (HMO-POS)|00025002|29.00|340| | |TX|45720|0|N
H0609|070|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0042 (HMO-POS)|00025002|29.00|340| | |TX|45730|0|N
H0609|070|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0042 (HMO-POS)|00025002|29.00|340| | |TX|45752|0|N
H0609|070|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0042 (HMO-POS)|00025002|29.00|340| | |TX|45796|0|N
H0609|070|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0042 (HMO-POS)|00025002|29.00|340| | |TX|45800|0|N
H0609|070|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0042 (HMO-POS)|00025002|29.00|340| | |TX|45841|0|N
H0609|070|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0042 (HMO-POS)|00025002|29.00|340| | |TX|45843|0|N
H0609|070|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0042 (HMO-POS)|00025002|29.00|340| | |TX|45879|0|N
H0609|070|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0042 (HMO-POS)|00025002|29.00|340| | |TX|45893|0|N
H0609|070|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0042 (HMO-POS)|00025002|29.00|340| | |TX|45910|0|N
H0609|070|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0042 (HMO-POS)|00025002|29.00|340| | |TX|45947|0|N
H0609|070|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0042 (HMO-POS)|00025002|29.00|340| | |TX|45973|0|N
H0609|071|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0043 (HMO-POS)|00025002|28.00|340| | |TX|45060|0|N
H0609|071|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0043 (HMO-POS)|00025002|28.00|340| | |TX|45090|0|N
H0609|071|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0043 (HMO-POS)|00025002|28.00|340| | |TX|45130|0|N
H0609|071|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0043 (HMO-POS)|00025002|28.00|340| | |TX|45320|0|N
H0609|071|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0043 (HMO-POS)|00025002|28.00|340| | |TX|45581|0|N
H0609|071|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0043 (HMO-POS)|00025002|28.00|340| | |TX|45731|0|N
H0609|071|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0043 (HMO-POS)|00025002|28.00|340| | |TX|45792|0|N
H0609|071|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC TX-0043 (HMO-POS)|00025002|28.00|340| | |TX|45971|0|N
H0609|072|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care CO-19 (HMO-POS C-SNP)|00025003|0.00|340| | |CO|06090|1|N
H0609|072|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care CO-19 (HMO-POS C-SNP)|00025003|0.00|340| | |CO|06190|1|N
H0609|072|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care CO-19 (HMO-POS C-SNP)|00025003|0.00|340| | |CO|06210|1|N
H0609|072|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care CO-19 (HMO-POS C-SNP)|00025003|0.00|340| | |CO|06340|1|N
H0609|072|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care CO-19 (HMO-POS C-SNP)|00025003|0.00|340| | |CO|06500|1|N
H0609|072|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care CO-19 (HMO-POS C-SNP)|00025003|0.00|340| | |CO|06590|1|N
H0609|072|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care CO-19 (HMO-POS C-SNP)|00025003|0.00|340| | |CO|06610|1|N
H0609|073|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC CO-20 (HMO-POS)|00025002|0.00|420| | |CO|06200|0|N
H0609|073|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC CO-20 (HMO-POS)|00025002|0.00|420| | |CO|06210|0|N
H0609|073|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC CO-20 (HMO-POS)|00025002|0.00|420| | |CO|06500|0|N
H0609|073|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC CO-20 (HMO-POS)|00025002|0.00|420| | |CO|06590|0|N
H0609|075|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras ValueRx NV-10 (HMO-POS)|00025002|0.00|255| | |NV|29010|0|N
H0609|075|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras ValueRx NV-10 (HMO-POS)|00025002|0.00|255| | |NV|29110|0|N
H0609|076|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care Support NV-11 (HMO-POS C-SNP)|00025003|12.90|590| | |NV|29010|1|N
H0609|076|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care Support NV-11 (HMO-POS C-SNP)|00025003|12.90|590| | |NV|29110|1|N
H0609|077|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage CareFlex from UHC TX-44 (HMO-POS)|00025002|0.00|495| | |TX|45160|0|N
H0609|077|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage CareFlex from UHC TX-44 (HMO-POS)|00025002|0.00|495| | |TX|45310|0|N
H0609|077|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage CareFlex from UHC TX-44 (HMO-POS)|00025002|0.00|495| | |TX|45340|0|N
H0609|077|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage CareFlex from UHC TX-44 (HMO-POS)|00025002|0.00|495| | |TX|45341|0|N
H0609|077|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage CareFlex from UHC TX-44 (HMO-POS)|00025002|0.00|495| | |TX|45390|0|N
H0609|077|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage CareFlex from UHC TX-44 (HMO-POS)|00025002|0.00|495| | |TX|45410|0|N
H0609|077|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage CareFlex from UHC TX-44 (HMO-POS)|00025002|0.00|495| | |TX|45450|0|N
H0609|077|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage CareFlex from UHC TX-44 (HMO-POS)|00025002|0.00|495| | |TX|45470|0|N
H0609|077|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage CareFlex from UHC TX-44 (HMO-POS)|00025002|0.00|495| | |TX|45490|0|N
H0609|077|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage CareFlex from UHC TX-44 (HMO-POS)|00025002|0.00|495| | |TX|45510|0|N
H0609|077|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage CareFlex from UHC TX-44 (HMO-POS)|00025002|0.00|495| | |TX|45564|0|N
H0609|077|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage CareFlex from UHC TX-44 (HMO-POS)|00025002|0.00|495| | |TX|45590|0|N
H0609|077|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage CareFlex from UHC TX-44 (HMO-POS)|00025002|0.00|495| | |TX|45653|0|N
H0609|077|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage CareFlex from UHC TX-44 (HMO-POS)|00025002|0.00|495| | |TX|45670|0|N
H0609|077|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage CareFlex from UHC TX-44 (HMO-POS)|00025002|0.00|495| | |TX|45680|0|N
H0609|077|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage CareFlex from UHC TX-44 (HMO-POS)|00025002|0.00|495| | |TX|45720|0|N
H0609|077|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage CareFlex from UHC TX-44 (HMO-POS)|00025002|0.00|495| | |TX|45730|0|N
H0609|077|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage CareFlex from UHC TX-44 (HMO-POS)|00025002|0.00|495| | |TX|45752|0|N
H0609|077|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage CareFlex from UHC TX-44 (HMO-POS)|00025002|0.00|495| | |TX|45796|0|N
H0609|077|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage CareFlex from UHC TX-44 (HMO-POS)|00025002|0.00|495| | |TX|45800|0|N
H0609|077|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage CareFlex from UHC TX-44 (HMO-POS)|00025002|0.00|495| | |TX|45841|0|N
H0609|077|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage CareFlex from UHC TX-44 (HMO-POS)|00025002|0.00|495| | |TX|45843|0|N
H0609|077|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage CareFlex from UHC TX-44 (HMO-POS)|00025002|0.00|495| | |TX|45879|0|N
H0609|077|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage CareFlex from UHC TX-44 (HMO-POS)|00025002|0.00|495| | |TX|45893|0|N
H0609|077|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage CareFlex from UHC TX-44 (HMO-POS)|00025002|0.00|495| | |TX|45910|0|N
H0609|077|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage CareFlex from UHC TX-44 (HMO-POS)|00025002|0.00|495| | |TX|45947|0|N
H0609|077|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage CareFlex from UHC TX-44 (HMO-POS)|00025002|0.00|495| | |TX|45973|0|N
H0609|078|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage CareFlex from UHC TX-45 (HMO-POS)|00025002|0.00|495| | |TX|45060|0|N
H0609|078|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage CareFlex from UHC TX-45 (HMO-POS)|00025002|0.00|495| | |TX|45090|0|N
H0609|078|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage CareFlex from UHC TX-45 (HMO-POS)|00025002|0.00|495| | |TX|45130|0|N
H0609|078|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage CareFlex from UHC TX-45 (HMO-POS)|00025002|0.00|495| | |TX|45320|0|N
H0609|078|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage CareFlex from UHC TX-45 (HMO-POS)|00025002|0.00|495| | |TX|45581|0|N
H0609|078|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage CareFlex from UHC TX-45 (HMO-POS)|00025002|0.00|495| | |TX|45731|0|N
H0609|078|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage CareFlex from UHC TX-45 (HMO-POS)|00025002|0.00|495| | |TX|45792|0|N
H0609|078|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage CareFlex from UHC TX-45 (HMO-POS)|00025002|0.00|495| | |TX|45971|0|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06000|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06010|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06020|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06030|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06040|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06050|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06060|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06070|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06080|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06090|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06100|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06110|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06120|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06130|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06140|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06150|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06160|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06170|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06180|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06190|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06200|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06210|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06220|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06230|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06240|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06250|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06260|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06270|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06280|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06290|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06300|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06310|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06320|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06330|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06340|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06350|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06360|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06370|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06380|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06390|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06400|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06410|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06420|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06430|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06440|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06450|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06460|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06470|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06480|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06490|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06500|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06510|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06520|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06530|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06540|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06550|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06560|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06570|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06580|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06590|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06600|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06610|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06620|2|N
H0624|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06630|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06000|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06010|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06020|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06030|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06040|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06050|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06060|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06070|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06080|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06090|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06100|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06110|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06120|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06130|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06140|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06150|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06160|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06170|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06180|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06190|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06200|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06210|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06220|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06230|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06240|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06250|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06260|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06270|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06280|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06290|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06300|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06310|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06320|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06330|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06340|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06350|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06360|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06370|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06380|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06390|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06400|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06410|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06420|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06430|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06440|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06450|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06460|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06470|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06480|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06490|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06500|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06510|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06520|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06530|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06540|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06550|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06560|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06570|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06580|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06590|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06600|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06610|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06620|2|N
H0624|006|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete CO-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |CO|06630|2|N
H0628|001|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36010|0|N
H0628|001|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36050|0|N
H0628|001|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36160|0|N
H0628|001|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36200|0|N
H0628|001|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36220|0|N
H0628|001|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36260|0|N
H0628|001|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36330|0|N
H0628|001|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36340|0|N
H0628|001|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36360|0|N
H0628|001|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36400|0|N
H0628|001|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36490|0|N
H0628|001|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36550|0|N
H0628|001|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36630|0|N
H0628|001|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36640|0|N
H0628|001|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36700|0|N
H0628|001|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36730|0|N
H0628|001|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36750|0|N
H0628|001|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36820|0|N
H0628|001|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36870|0|N
H0628|001|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36880|0|N
H0628|001|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36890|0|N
H0628|003|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |OH|36110|0|N
H0628|003|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |OH|36120|0|N
H0628|003|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |OH|36310|0|N
H0628|003|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |OH|36580|0|N
H0628|003|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |OH|36840|0|N
H0628|005|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36020|0|N
H0628|005|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36060|0|N
H0628|005|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36090|0|N
H0628|005|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36140|0|N
H0628|005|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36170|0|N
H0628|005|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36350|0|N
H0628|005|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36390|0|N
H0628|005|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36420|0|N
H0628|005|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36480|0|N
H0628|005|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36510|0|N
H0628|005|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36530|0|N
H0628|005|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36680|0|N
H0628|005|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36770|0|N
H0628|005|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36780|0|N
H0628|005|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36790|0|N
H0628|005|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36800|0|N
H0628|007|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |KY|18040|0|N
H0628|007|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |KY|18130|0|N
H0628|007|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |KY|18150|0|N
H0628|007|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |KY|18170|0|N
H0628|007|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |KY|18230|0|N
H0628|007|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |KY|18291|0|N
H0628|007|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |KY|18410|0|N
H0628|007|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |KY|18420|0|N
H0628|007|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |KY|18450|0|N
H0628|007|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |KY|18460|0|N
H0628|007|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |KY|18490|0|N
H0628|007|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |KY|18500|0|N
H0628|007|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |KY|18530|0|N
H0628|007|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |KY|18610|0|N
H0628|007|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |KY|18700|0|N
H0628|007|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |KY|18720|0|N
H0628|007|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |KY|18740|0|N
H0628|007|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |KY|18780|0|N
H0628|007|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |KY|18801|0|N
H0628|007|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |KY|18880|0|N
H0628|007|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |KY|18910|0|N
H0628|007|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |KY|18982|0|N
H0628|007|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |KY|18986|0|N
H0628|007|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |KY|18989|0|N
H0628|008|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |KY|18240|0|N
H0628|008|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |KY|18330|0|N
H0628|008|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |KY|18360|0|N
H0628|008|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |KY|18560|0|N
H0628|008|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |KY|18620|0|N
H0628|008|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |KY|18730|0|N
H0628|008|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |KY|18750|0|N
H0628|008|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |KY|18860|0|N
H0628|008|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |KY|18900|0|N
H0628|008|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |KY|18972|0|N
H0628|008|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |KY|18976|0|N
H0628|008|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |KY|18977|0|N
H0628|008|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |KY|18981|0|N
H0628|008|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |KY|18988|0|N
H0628|008|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |KY|18990|0|N
H0628|008|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |KY|18992|0|N
H0628|010|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |KY|18090|0|N
H0628|010|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |KY|18210|0|N
H0628|010|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |KY|18350|0|N
H0628|010|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |KY|18440|0|N
H0628|010|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |KY|18590|0|N
H0628|010|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |KY|18600|0|N
H0628|010|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |KY|18660|0|N
H0628|010|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |KY|18670|0|N
H0628|010|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |KY|18790|0|N
H0628|010|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |KY|18970|0|N
H0628|010|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |KY|18975|0|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18040|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18070|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18090|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18110|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18130|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18140|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18150|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18170|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18180|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18191|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18210|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18230|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18240|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18291|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18330|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18350|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18360|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18362|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18400|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18410|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18420|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18440|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18450|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18460|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18480|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18490|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18500|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18510|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18530|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18550|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18560|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18580|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18590|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18600|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18610|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18620|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18660|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18670|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18700|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18720|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18730|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18740|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18750|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18780|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18790|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18800|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18801|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18860|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18880|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18890|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18900|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18910|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18920|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18930|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18932|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18970|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18972|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18973|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18975|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18976|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18977|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18978|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18980|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18981|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18982|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18984|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18986|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18988|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18989|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18990|2|N
H0628|012|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |KY|18992|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36000|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36010|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36020|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36030|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36040|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36050|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36060|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36070|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36080|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36090|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36100|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36110|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36120|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36130|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36140|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36150|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36160|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36170|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36190|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36200|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36210|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36220|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36230|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36240|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36250|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36260|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36270|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36280|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36290|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36300|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36310|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36330|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36340|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36350|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36360|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36370|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36380|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36390|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36400|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36410|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36420|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36430|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36440|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36450|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36460|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36470|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36480|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36490|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36500|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36510|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36520|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36530|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36540|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36550|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36560|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36570|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36580|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36590|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36600|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36610|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36620|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36630|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36640|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36650|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36660|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36670|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36680|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36690|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36700|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36710|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36720|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36730|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36740|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36750|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36760|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36770|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36780|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36790|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36800|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36810|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36820|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36830|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36840|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36850|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36860|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36870|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36880|2|N
H0628|013|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Assure 1 (HMO D-SNP)|00025101|0.00|590| | |OH|36890|2|N
H0628|017|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36040|0|N
H0628|017|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36210|0|N
H0628|017|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36230|0|N
H0628|017|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36250|0|N
H0628|017|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36270|0|N
H0628|017|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36300|0|N
H0628|017|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36410|0|N
H0628|017|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36430|0|N
H0628|017|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36450|0|N
H0628|017|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36460|0|N
H0628|017|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36500|0|N
H0628|017|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36520|0|N
H0628|017|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36540|0|N
H0628|017|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36570|0|N
H0628|017|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36590|0|N
H0628|017|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36600|0|N
H0628|017|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36610|0|N
H0628|017|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36620|0|N
H0628|017|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36660|0|N
H0628|017|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36720|0|N
H0628|017|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36740|0|N
H0628|017|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36810|0|N
H0628|017|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36830|0|N
H0628|017|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |OH|36850|0|N
H0628|018|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Longevity (HMO I-SNP)|00025101|39.30|590| | |OH|36080|3|N
H0628|018|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Longevity (HMO I-SNP)|00025101|39.30|590| | |OH|36120|3|N
H0628|018|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Longevity (HMO I-SNP)|00025101|39.30|590| | |OH|36130|3|N
H0628|018|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Longevity (HMO I-SNP)|00025101|39.30|590| | |OH|36210|3|N
H0628|018|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Longevity (HMO I-SNP)|00025101|39.30|590| | |OH|36250|3|N
H0628|018|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Longevity (HMO I-SNP)|00025101|39.30|590| | |OH|36260|3|N
H0628|018|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Longevity (HMO I-SNP)|00025101|39.30|590| | |OH|36310|3|N
H0628|018|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Longevity (HMO I-SNP)|00025101|39.30|590| | |OH|36490|3|N
H0628|018|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Longevity (HMO I-SNP)|00025101|39.30|590| | |OH|36500|3|N
H0628|018|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Longevity (HMO I-SNP)|00025101|39.30|590| | |OH|36630|3|N
H0628|018|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Longevity (HMO I-SNP)|00025101|39.30|590| | |OH|36660|3|N
H0628|018|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Longevity (HMO I-SNP)|00025101|39.30|590| | |OH|36810|3|N
H0628|018|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Longevity (HMO I-SNP)|00025101|39.30|590| | |OH|36840|3|N
H0628|018|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Longevity (HMO I-SNP)|00025101|39.30|590| | |OH|36880|3|N
H0628|019|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Select (HMO-POS)|00025101|32.00|590| | |OH|36040|0|N
H0628|019|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Select (HMO-POS)|00025101|32.00|590| | |OH|36210|0|N
H0628|019|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Select (HMO-POS)|00025101|32.00|590| | |OH|36230|0|N
H0628|019|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Select (HMO-POS)|00025101|32.00|590| | |OH|36250|0|N
H0628|019|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Select (HMO-POS)|00025101|32.00|590| | |OH|36300|0|N
H0628|019|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Select (HMO-POS)|00025101|32.00|590| | |OH|36430|0|N
H0628|019|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Select (HMO-POS)|00025101|32.00|590| | |OH|36460|0|N
H0628|019|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Select (HMO-POS)|00025101|32.00|590| | |OH|36500|0|N
H0628|019|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Select (HMO-POS)|00025101|32.00|590| | |OH|36520|0|N
H0628|019|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Select (HMO-POS)|00025101|32.00|590| | |OH|36590|0|N
H0628|019|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Select (HMO-POS)|00025101|32.00|590| | |OH|36600|0|N
H0628|019|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Select (HMO-POS)|00025101|32.00|590| | |OH|36610|0|N
H0628|019|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Select (HMO-POS)|00025101|32.00|590| | |OH|36660|0|N
H0628|019|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Select (HMO-POS)|00025101|32.00|590| | |OH|36720|0|N
H0628|019|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Select (HMO-POS)|00025101|32.00|590| | |OH|36810|0|N
H0628|019|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Select (HMO-POS)|00025101|32.00|590| | |OH|36850|0|N
H0628|021|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|250| | |OH|36000|0|N
H0628|021|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|250| | |OH|36070|0|N
H0628|021|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|250| | |OH|36080|0|N
H0628|021|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|250| | |OH|36100|0|N
H0628|021|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|250| | |OH|36190|0|N
H0628|021|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|250| | |OH|36290|0|N
H0628|021|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|250| | |OH|36470|0|N
H0628|021|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|250| | |OH|36560|0|N
H0628|021|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|250| | |OH|36760|0|N
H0628|023|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|250| | |KY|18070|0|N
H0628|023|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|250| | |KY|18110|0|N
H0628|023|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|250| | |KY|18180|0|N
H0628|023|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|250| | |KY|18191|0|N
H0628|023|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|250| | |KY|18362|0|N
H0628|023|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|250| | |KY|18400|0|N
H0628|023|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|250| | |KY|18480|0|N
H0628|023|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|250| | |KY|18580|0|N
H0628|023|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|250| | |KY|18800|0|N
H0628|023|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|250| | |KY|18932|0|N
H0628|023|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|250| | |KY|18973|0|N
H0628|024|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|250| | |KY|18140|0|N
H0628|024|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|250| | |KY|18510|0|N
H0628|024|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|250| | |KY|18550|0|N
H0628|024|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|250| | |KY|18890|0|N
H0628|024|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|250| | |KY|18920|0|N
H0628|024|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|250| | |KY|18930|0|N
H0628|024|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|250| | |KY|18978|0|N
H0628|024|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|250| | |KY|18980|0|N
H0628|024|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|250| | |KY|18984|0|N
H0628|027|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Select (HMO-POS)|00025100|35.90|590| | |OH|36000|0|N
H0628|027|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Select (HMO-POS)|00025100|35.90|590| | |OH|36070|0|N
H0628|027|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Select (HMO-POS)|00025100|35.90|590| | |OH|36080|0|N
H0628|027|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Select (HMO-POS)|00025100|35.90|590| | |OH|36100|0|N
H0628|027|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Select (HMO-POS)|00025100|35.90|590| | |OH|36110|0|N
H0628|027|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Select (HMO-POS)|00025100|35.90|590| | |OH|36120|0|N
H0628|027|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Select (HMO-POS)|00025100|35.90|590| | |OH|36190|0|N
H0628|027|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Select (HMO-POS)|00025100|35.90|590| | |OH|36290|0|N
H0628|027|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Select (HMO-POS)|00025100|35.90|590| | |OH|36310|0|N
H0628|027|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Select (HMO-POS)|00025100|35.90|590| | |OH|36470|0|N
H0628|027|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Select (HMO-POS)|00025100|35.90|590| | |OH|36560|0|N
H0628|027|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Select (HMO-POS)|00025100|35.90|590| | |OH|36580|0|N
H0628|027|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Select (HMO-POS)|00025100|35.90|590| | |OH|36760|0|N
H0628|027|000|AETNA HEALTH OF OHIO INC.|Aetna Medicare Select (HMO-POS)|00025100|35.90|590| | |OH|36840|0|N
H0630|013|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Core DM (HMO)|00025415|0.00|0| | |CO|06000|0|N
H0630|013|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Core DM (HMO)|00025415|0.00|0| | |CO|06020|0|N
H0630|013|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Core DM (HMO)|00025415|0.00|0| | |CO|06060|0|N
H0630|013|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Core DM (HMO)|00025415|0.00|0| | |CO|06090|0|N
H0630|013|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Core DM (HMO)|00025415|0.00|0| | |CO|06150|0|N
H0630|013|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Core DM (HMO)|00025415|0.00|0| | |CO|06170|0|N
H0630|013|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Core DM (HMO)|00025415|0.00|0| | |CO|06190|0|N
H0630|013|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Core DM (HMO)|00025415|0.00|0| | |CO|06230|0|N
H0630|013|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Core DM (HMO)|00025415|0.00|0| | |CO|06290|0|N
H0630|013|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Core DM (HMO)|00025415|0.00|0| | |CO|06460|0|N
H0630|013|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Core DM (HMO)|00025415|0.00|0| | |CO|06630|0|N
H0630|014|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Dual Essential (HMO D-SNP)|00025415|0.00|530| | |CO|06000|2|N
H0630|014|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Dual Essential (HMO D-SNP)|00025415|0.00|530| | |CO|06020|2|N
H0630|014|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Dual Essential (HMO D-SNP)|00025415|0.00|530| | |CO|06060|2|N
H0630|014|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Dual Essential (HMO D-SNP)|00025415|0.00|530| | |CO|06090|2|N
H0630|014|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Dual Essential (HMO D-SNP)|00025415|0.00|530| | |CO|06150|2|N
H0630|014|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Dual Essential (HMO D-SNP)|00025415|0.00|530| | |CO|06170|2|N
H0630|014|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Dual Essential (HMO D-SNP)|00025415|0.00|530| | |CO|06190|2|N
H0630|014|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Dual Essential (HMO D-SNP)|00025415|0.00|530| | |CO|06230|2|N
H0630|014|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Dual Essential (HMO D-SNP)|00025415|0.00|530| | |CO|06290|2|N
H0630|014|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Dual Essential (HMO D-SNP)|00025415|0.00|530| | |CO|06460|2|N
H0630|014|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Dual Essential (HMO D-SNP)|00025415|0.00|530| | |CO|06630|2|N
H0630|015|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Silver DM (HMO-POS)|00025415|0.00|0| | |CO|06000|0|N
H0630|015|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Silver DM (HMO-POS)|00025415|0.00|0| | |CO|06020|0|N
H0630|015|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Silver DM (HMO-POS)|00025415|0.00|0| | |CO|06060|0|N
H0630|015|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Silver DM (HMO-POS)|00025415|0.00|0| | |CO|06090|0|N
H0630|015|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Silver DM (HMO-POS)|00025415|0.00|0| | |CO|06150|0|N
H0630|015|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Silver DM (HMO-POS)|00025415|0.00|0| | |CO|06170|0|N
H0630|015|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Silver DM (HMO-POS)|00025415|0.00|0| | |CO|06190|0|N
H0630|015|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Silver DM (HMO-POS)|00025415|0.00|0| | |CO|06230|0|N
H0630|015|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Silver DM (HMO-POS)|00025415|0.00|0| | |CO|06290|0|N
H0630|015|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Silver DM (HMO-POS)|00025415|0.00|0| | |CO|06460|0|N
H0630|015|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Silver DM (HMO-POS)|00025415|0.00|0| | |CO|06630|0|N
H0630|016|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Gold (HMO-POS)|00025415|17.30|0| | |CO|06000|0|N
H0630|016|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Gold (HMO-POS)|00025415|17.30|0| | |CO|06020|0|N
H0630|016|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Gold (HMO-POS)|00025415|17.30|0| | |CO|06060|0|N
H0630|016|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Gold (HMO-POS)|00025415|17.30|0| | |CO|06090|0|N
H0630|016|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Gold (HMO-POS)|00025415|17.30|0| | |CO|06150|0|N
H0630|016|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Gold (HMO-POS)|00025415|17.30|0| | |CO|06170|0|N
H0630|016|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Gold (HMO-POS)|00025415|17.30|0| | |CO|06190|0|N
H0630|016|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Gold (HMO-POS)|00025415|17.30|0| | |CO|06230|0|N
H0630|016|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Gold (HMO-POS)|00025415|17.30|0| | |CO|06290|0|N
H0630|016|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Gold (HMO-POS)|00025415|17.30|0| | |CO|06460|0|N
H0630|016|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Gold (HMO-POS)|00025415|17.30|0| | |CO|06630|0|N
H0630|017|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Core South (HMO)|00025415|0.00|0| | |CO|06200|0|N
H0630|017|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Core South (HMO)|00025415|0.00|0| | |CO|06210|0|N
H0630|017|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Core South (HMO)|00025415|0.00|0| | |CO|06500|0|N
H0630|017|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Core South (HMO)|00025415|0.00|0| | |CO|06590|0|N
H0630|020|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Core North (HMO)|00025415|0.00|0| | |CO|06340|0|N
H0630|020|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Core North (HMO)|00025415|0.00|0| | |CO|06610|0|N
H0630|021|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Silver North (HMO-POS)|00025415|0.00|0| | |CO|06340|0|N
H0630|021|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Silver North (HMO-POS)|00025415|0.00|0| | |CO|06610|0|N
H0630|023|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Enhanced (HMO-POS)|00025415|0.00|0| | |CO|06200|0|N
H0630|023|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Enhanced (HMO-POS)|00025415|0.00|0| | |CO|06210|0|N
H0630|023|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Enhanced (HMO-POS)|00025415|0.00|0| | |CO|06500|0|N
H0630|023|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Enhanced (HMO-POS)|00025415|0.00|0| | |CO|06590|0|N
H0630|024|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Dual Complete Pueblo (HMO D-SNP)|00025415|0.00|590| | |CO|06500|2|N
H0630|025|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Bronze DM (HMO-POS)|00025415|0.00|0| | |CO|06000|0|N
H0630|025|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Bronze DM (HMO-POS)|00025415|0.00|0| | |CO|06020|0|N
H0630|025|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Bronze DM (HMO-POS)|00025415|0.00|0| | |CO|06060|0|N
H0630|025|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Bronze DM (HMO-POS)|00025415|0.00|0| | |CO|06090|0|N
H0630|025|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Bronze DM (HMO-POS)|00025415|0.00|0| | |CO|06150|0|N
H0630|025|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Bronze DM (HMO-POS)|00025415|0.00|0| | |CO|06170|0|N
H0630|025|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Bronze DM (HMO-POS)|00025415|0.00|0| | |CO|06190|0|N
H0630|025|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Bronze DM (HMO-POS)|00025415|0.00|0| | |CO|06230|0|N
H0630|025|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Bronze DM (HMO-POS)|00025415|0.00|0| | |CO|06290|0|N
H0630|025|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Bronze DM (HMO-POS)|00025415|0.00|0| | |CO|06460|0|N
H0630|025|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Bronze DM (HMO-POS)|00025415|0.00|0| | |CO|06630|0|N
H0630|026|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Bronze North (HMO-POS)|00025415|0.00|0| | |CO|06340|0|N
H0630|026|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Senior Advantage Bronze North (HMO-POS)|00025415|0.00|0| | |CO|06610|0|N
H0630|027|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Dual Complete (HMO D-SNP)|00025415|0.00|230| | |CO|06000|2|N
H0630|027|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Dual Complete (HMO D-SNP)|00025415|0.00|230| | |CO|06020|2|N
H0630|027|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Dual Complete (HMO D-SNP)|00025415|0.00|230| | |CO|06060|2|N
H0630|027|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Dual Complete (HMO D-SNP)|00025415|0.00|230| | |CO|06090|2|N
H0630|027|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Dual Complete (HMO D-SNP)|00025415|0.00|230| | |CO|06150|2|N
H0630|027|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Dual Complete (HMO D-SNP)|00025415|0.00|230| | |CO|06170|2|N
H0630|027|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Dual Complete (HMO D-SNP)|00025415|0.00|230| | |CO|06190|2|N
H0630|027|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Dual Complete (HMO D-SNP)|00025415|0.00|230| | |CO|06230|2|N
H0630|027|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Dual Complete (HMO D-SNP)|00025415|0.00|230| | |CO|06290|2|N
H0630|027|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Dual Complete (HMO D-SNP)|00025415|0.00|230| | |CO|06460|2|N
H0630|027|000|KAISER FOUNDATION HP OF CO|Kaiser Permanente Dual Complete (HMO D-SNP)|00025415|0.00|230| | |CO|06630|2|N
H0672|001|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |CO|06000|0|N
H0672|001|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |CO|06020|0|N
H0672|001|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |CO|06060|0|N
H0672|001|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |CO|06150|0|N
H0672|001|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |CO|06170|0|N
H0672|001|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |CO|06290|0|N
H0672|001|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |CO|06630|0|N
H0672|003|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |CO|06340|0|N
H0672|003|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |CO|06610|0|N
H0672|004|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |CO|06090|0|N
H0672|004|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |CO|06200|0|N
H0672|004|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |CO|06210|0|N
H0672|004|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |CO|06500|0|N
H0672|004|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |CO|06590|0|N
H0672|005|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |NM|32000|0|N
H0672|005|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |NM|32190|0|N
H0672|005|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |NM|32210|0|N
H0672|005|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |NM|32220|0|N
H0672|005|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |NM|32230|0|N
H0672|005|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |NM|32240|0|N
H0672|005|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |NM|32270|0|N
H0672|005|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |NM|32280|0|N
H0672|005|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |NM|32300|0|N
H0672|006|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |OH|36170|0|N
H0672|006|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |OH|36280|0|N
H0672|006|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |OH|36440|0|N
H0672|006|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |OH|36480|0|N
H0672|006|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |OH|36510|0|N
H0672|006|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |OH|36530|0|N
H0672|006|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |OH|36680|0|N
H0672|006|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |OH|36770|0|N
H0672|006|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |OH|36780|0|N
H0672|006|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |OH|36790|0|N
H0672|008|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |CO|06140|0|N
H0672|008|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |CO|06330|0|N
H0672|008|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |CO|06380|0|N
H0672|008|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |CO|06410|0|N
H0672|009|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare (HMO D-SNP)|00025271|27.80|590| | |CO|06000|2|N
H0672|009|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare (HMO D-SNP)|00025271|27.80|590| | |CO|06020|2|N
H0672|009|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare (HMO D-SNP)|00025271|27.80|590| | |CO|06060|2|N
H0672|009|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare (HMO D-SNP)|00025271|27.80|590| | |CO|06090|2|N
H0672|009|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare (HMO D-SNP)|00025271|27.80|590| | |CO|06140|2|N
H0672|009|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare (HMO D-SNP)|00025271|27.80|590| | |CO|06150|2|N
H0672|009|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare (HMO D-SNP)|00025271|27.80|590| | |CO|06170|2|N
H0672|009|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare (HMO D-SNP)|00025271|27.80|590| | |CO|06200|2|N
H0672|009|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare (HMO D-SNP)|00025271|27.80|590| | |CO|06210|2|N
H0672|009|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare (HMO D-SNP)|00025271|27.80|590| | |CO|06290|2|N
H0672|009|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare (HMO D-SNP)|00025271|27.80|590| | |CO|06330|2|N
H0672|009|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare (HMO D-SNP)|00025271|27.80|590| | |CO|06340|2|N
H0672|009|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare (HMO D-SNP)|00025271|27.80|590| | |CO|06380|2|N
H0672|009|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare (HMO D-SNP)|00025271|27.80|590| | |CO|06410|2|N
H0672|009|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare (HMO D-SNP)|00025271|27.80|590| | |CO|06500|2|N
H0672|009|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare (HMO D-SNP)|00025271|27.80|590| | |CO|06590|2|N
H0672|009|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare (HMO D-SNP)|00025271|27.80|590| | |CO|06610|2|N
H0672|009|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare (HMO D-SNP)|00025271|27.80|590| | |CO|06630|2|N
H0672|010|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |CO|06000|2|N
H0672|010|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |CO|06020|2|N
H0672|010|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |CO|06060|2|N
H0672|010|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |CO|06090|2|N
H0672|010|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |CO|06140|2|N
H0672|010|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |CO|06150|2|N
H0672|010|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |CO|06170|2|N
H0672|010|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |CO|06200|2|N
H0672|010|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |CO|06210|2|N
H0672|010|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |CO|06290|2|N
H0672|010|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |CO|06330|2|N
H0672|010|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |CO|06340|2|N
H0672|010|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |CO|06380|2|N
H0672|010|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |CO|06410|2|N
H0672|010|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |CO|06500|2|N
H0672|010|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |CO|06590|2|N
H0672|010|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |CO|06610|2|N
H0672|010|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |CO|06630|2|N
H0672|011|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|27.00|0| | |OH|36170|0|N
H0672|011|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|27.00|0| | |OH|36280|0|N
H0672|011|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|27.00|0| | |OH|36440|0|N
H0672|011|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|27.00|0| | |OH|36480|0|N
H0672|011|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|27.00|0| | |OH|36510|0|N
H0672|011|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|27.00|0| | |OH|36530|0|N
H0672|011|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|27.00|0| | |OH|36680|0|N
H0672|011|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|27.00|0| | |OH|36770|0|N
H0672|011|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|27.00|0| | |OH|36780|0|N
H0672|011|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|27.00|0| | |OH|36790|0|N
H0672|013|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |KY|18070|0|N
H0672|013|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |KY|18180|0|N
H0672|013|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |KY|18400|0|N
H0672|013|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |KY|18580|0|N
H0672|013|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |KY|18932|0|N
H0672|013|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |OH|36070|0|N
H0672|013|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |OH|36080|0|N
H0672|013|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |OH|36100|0|N
H0672|013|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |OH|36110|0|N
H0672|013|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |OH|36120|0|N
H0672|013|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |OH|36190|0|N
H0672|013|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |OH|36290|0|N
H0672|013|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |OH|36310|0|N
H0672|013|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |OH|36560|0|N
H0672|013|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |OH|36580|0|N
H0672|013|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |OH|36690|0|N
H0672|013|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |OH|36760|0|N
H0672|013|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |OH|36840|0|N
H0672|014|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|27.00|0| | |KY|18070|0|N
H0672|014|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|27.00|0| | |KY|18180|0|N
H0672|014|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|27.00|0| | |KY|18400|0|N
H0672|014|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|27.00|0| | |KY|18580|0|N
H0672|014|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|27.00|0| | |KY|18932|0|N
H0672|014|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|27.00|0| | |OH|36070|0|N
H0672|014|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|27.00|0| | |OH|36080|0|N
H0672|014|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|27.00|0| | |OH|36100|0|N
H0672|014|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|27.00|0| | |OH|36110|0|N
H0672|014|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|27.00|0| | |OH|36120|0|N
H0672|014|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|27.00|0| | |OH|36190|0|N
H0672|014|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|27.00|0| | |OH|36290|0|N
H0672|014|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|27.00|0| | |OH|36310|0|N
H0672|014|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|27.00|0| | |OH|36560|0|N
H0672|014|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|27.00|0| | |OH|36580|0|N
H0672|014|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|27.00|0| | |OH|36690|0|N
H0672|014|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|27.00|0| | |OH|36760|0|N
H0672|014|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|27.00|0| | |OH|36840|0|N
H0672|015|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare (HMO D-SNP)|00025271|17.80|590| | |OH|36070|2|N
H0672|015|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare (HMO D-SNP)|00025271|17.80|590| | |OH|36080|2|N
H0672|015|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare (HMO D-SNP)|00025271|17.80|590| | |OH|36100|2|N
H0672|015|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare (HMO D-SNP)|00025271|17.80|590| | |OH|36110|2|N
H0672|015|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare (HMO D-SNP)|00025271|17.80|590| | |OH|36120|2|N
H0672|015|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare (HMO D-SNP)|00025271|17.80|590| | |OH|36170|2|N
H0672|015|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare (HMO D-SNP)|00025271|17.80|590| | |OH|36190|2|N
H0672|015|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare (HMO D-SNP)|00025271|17.80|590| | |OH|36280|2|N
H0672|015|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare (HMO D-SNP)|00025271|17.80|590| | |OH|36290|2|N
H0672|015|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare (HMO D-SNP)|00025271|17.80|590| | |OH|36310|2|N
H0672|015|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare (HMO D-SNP)|00025271|17.80|590| | |OH|36440|2|N
H0672|015|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare (HMO D-SNP)|00025271|17.80|590| | |OH|36480|2|N
H0672|015|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare (HMO D-SNP)|00025271|17.80|590| | |OH|36510|2|N
H0672|015|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare (HMO D-SNP)|00025271|17.80|590| | |OH|36530|2|N
H0672|015|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare (HMO D-SNP)|00025271|17.80|590| | |OH|36560|2|N
H0672|015|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare (HMO D-SNP)|00025271|17.80|590| | |OH|36580|2|N
H0672|015|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare (HMO D-SNP)|00025271|17.80|590| | |OH|36680|2|N
H0672|015|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare (HMO D-SNP)|00025271|17.80|590| | |OH|36690|2|N
H0672|015|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare (HMO D-SNP)|00025271|17.80|590| | |OH|36760|2|N
H0672|015|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare (HMO D-SNP)|00025271|17.80|590| | |OH|36770|2|N
H0672|015|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare (HMO D-SNP)|00025271|17.80|590| | |OH|36780|2|N
H0672|015|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare (HMO D-SNP)|00025271|17.80|590| | |OH|36790|2|N
H0672|015|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare (HMO D-SNP)|00025271|17.80|590| | |OH|36840|2|N
H0672|016|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |OH|36170|0|N
H0672|016|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |OH|36280|0|N
H0672|016|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |OH|36440|0|N
H0672|016|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |OH|36480|0|N
H0672|016|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |OH|36510|0|N
H0672|016|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |OH|36530|0|N
H0672|016|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |OH|36680|0|N
H0672|016|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |OH|36770|0|N
H0672|016|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |OH|36780|0|N
H0672|016|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |OH|36790|0|N
H0672|017|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |KY|18070|0|N
H0672|017|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |KY|18180|0|N
H0672|017|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |KY|18400|0|N
H0672|017|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |KY|18580|0|N
H0672|017|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |KY|18932|0|N
H0672|017|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |OH|36070|0|N
H0672|017|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |OH|36080|0|N
H0672|017|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |OH|36100|0|N
H0672|017|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |OH|36110|0|N
H0672|017|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |OH|36120|0|N
H0672|017|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |OH|36190|0|N
H0672|017|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |OH|36290|0|N
H0672|017|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |OH|36310|0|N
H0672|017|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |OH|36560|0|N
H0672|017|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |OH|36580|0|N
H0672|017|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |OH|36690|0|N
H0672|017|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |OH|36760|0|N
H0672|017|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |OH|36840|0|N
H0672|018|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |OH|36070|2|N
H0672|018|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |OH|36080|2|N
H0672|018|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |OH|36100|2|N
H0672|018|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |OH|36110|2|N
H0672|018|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |OH|36120|2|N
H0672|018|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |OH|36170|2|N
H0672|018|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |OH|36190|2|N
H0672|018|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |OH|36280|2|N
H0672|018|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |OH|36290|2|N
H0672|018|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |OH|36310|2|N
H0672|018|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |OH|36440|2|N
H0672|018|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |OH|36480|2|N
H0672|018|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |OH|36510|2|N
H0672|018|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |OH|36530|2|N
H0672|018|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |OH|36560|2|N
H0672|018|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |OH|36580|2|N
H0672|018|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |OH|36680|2|N
H0672|018|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |OH|36690|2|N
H0672|018|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |OH|36760|2|N
H0672|018|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |OH|36770|2|N
H0672|018|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |OH|36780|2|N
H0672|018|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |OH|36790|2|N
H0672|018|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |OH|36840|2|N
H0672|019|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Premier Medicare (HMO-POS)|00025271|0.00|0| | |CO|06000|0|N
H0672|019|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Premier Medicare (HMO-POS)|00025271|0.00|0| | |CO|06020|0|N
H0672|019|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Premier Medicare (HMO-POS)|00025271|0.00|0| | |CO|06060|0|N
H0672|019|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Premier Medicare (HMO-POS)|00025271|0.00|0| | |CO|06150|0|N
H0672|019|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Premier Medicare (HMO-POS)|00025271|0.00|0| | |CO|06170|0|N
H0672|019|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Premier Medicare (HMO-POS)|00025271|0.00|0| | |CO|06290|0|N
H0672|019|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Premier Medicare (HMO-POS)|00025271|0.00|0| | |CO|06630|0|N
H0672|020|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Premier Medicare (HMO-POS)|00025271|0.00|0| | |CO|06340|0|N
H0672|020|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Premier Medicare (HMO-POS)|00025271|0.00|0| | |CO|06610|0|N
H0672|021|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Premier Medicare (HMO-POS)|00025271|0.00|0| | |CO|06090|0|N
H0672|021|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Premier Medicare (HMO-POS)|00025271|0.00|0| | |CO|06200|0|N
H0672|021|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Premier Medicare (HMO-POS)|00025271|0.00|0| | |CO|06210|0|N
H0672|021|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Premier Medicare (HMO-POS)|00025271|0.00|0| | |CO|06500|0|N
H0672|021|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Premier Medicare (HMO-POS)|00025271|0.00|0| | |CO|06590|0|N
H0672|022|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Premier Medicare (HMO-POS)|00025271|0.00|0| | |CO|06140|0|N
H0672|022|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Premier Medicare (HMO-POS)|00025271|0.00|0| | |CO|06330|0|N
H0672|022|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Premier Medicare (HMO-POS)|00025271|0.00|0| | |CO|06380|0|N
H0672|022|000|CIGNA HEALTHCARE OF COLORADO, INC.|Cigna Premier Medicare (HMO-POS)|00025271|0.00|0| | |CO|06410|0|N
H0710|004|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F001 (PPO I-SNP)|00025002|38.40|590| | |AL|01000|3|N
H0710|004|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F001 (PPO I-SNP)|00025002|38.40|590| | |AL|01010|3|N
H0710|004|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F001 (PPO I-SNP)|00025002|38.40|590| | |AL|01040|3|N
H0710|004|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F001 (PPO I-SNP)|00025002|38.40|590| | |AL|01070|3|N
H0710|004|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F001 (PPO I-SNP)|00025002|38.40|590| | |AL|01250|3|N
H0710|004|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F001 (PPO I-SNP)|00025002|38.40|590| | |AL|01360|3|N
H0710|004|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F001 (PPO I-SNP)|00025002|38.40|590| | |AL|01440|3|N
H0710|004|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F001 (PPO I-SNP)|00025002|38.40|590| | |AL|01470|3|N
H0710|004|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F001 (PPO I-SNP)|00025002|38.40|590| | |AL|01480|3|N
H0710|004|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F001 (PPO I-SNP)|00025002|38.40|590| | |AL|01500|3|N
H0710|004|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F001 (PPO I-SNP)|00025002|38.40|590| | |AL|01560|3|N
H0710|004|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F001 (PPO I-SNP)|00025002|38.40|590| | |AL|01570|3|N
H0710|004|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F001 (PPO I-SNP)|00025002|38.40|590| | |FL|10160|3|N
H0710|004|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F001 (PPO I-SNP)|00025002|38.40|590| | |FL|10450|3|N
H0710|004|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F001 (PPO I-SNP)|00025002|38.40|590| | |FL|10560|3|N
H0710|004|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F001 (PPO I-SNP)|00025002|38.40|590| | |MS|25230|3|N
H0710|004|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F001 (PPO I-SNP)|00025002|38.40|590| | |MS|25240|3|N
H0710|004|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F001 (PPO I-SNP)|00025002|38.40|590| | |MS|25290|3|N
H0710|004|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F001 (PPO I-SNP)|00025002|38.40|590| | |MS|25370|3|N
H0710|004|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F001 (PPO I-SNP)|00025002|38.40|590| | |MS|25400|3|N
H0710|004|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F001 (PPO I-SNP)|00025002|38.40|590| | |MS|25470|3|N
H0710|004|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F001 (PPO I-SNP)|00025002|38.40|590| | |MS|25600|3|N
H0710|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan AZ-F001 (PPO I-SNP)|00025002|30.10|590| | |AZ|03060|3|N
H0710|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan AZ-F001 (PPO I-SNP)|00025002|30.10|590| | |AZ|03090|3|N
H0710|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan AZ-F001 (PPO I-SNP)|00025002|30.10|590| | |AZ|03100|3|N
H0710|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan AZ-F001 (PPO I-SNP)|00025002|30.10|590| | |AZ|03120|3|N
H0710|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan CO-F001 (PPO I-SNP)|00025002|37.00|590| | |CO|06000|3|N
H0710|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan CO-F001 (PPO I-SNP)|00025002|37.00|590| | |CO|06020|3|N
H0710|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan CO-F001 (PPO I-SNP)|00025002|37.00|590| | |CO|06060|3|N
H0710|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan CO-F001 (PPO I-SNP)|00025002|37.00|590| | |CO|06150|3|N
H0710|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan CO-F001 (PPO I-SNP)|00025002|37.00|590| | |CO|06170|3|N
H0710|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan CO-F001 (PPO I-SNP)|00025002|37.00|590| | |CO|06200|3|N
H0710|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan CO-F001 (PPO I-SNP)|00025002|37.00|590| | |CO|06210|3|N
H0710|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan CO-F001 (PPO I-SNP)|00025002|37.00|590| | |CO|06290|3|N
H0710|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan CO-F001 (PPO I-SNP)|00025002|37.00|590| | |CO|06340|3|N
H0710|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan CO-F001 (PPO I-SNP)|00025002|37.00|590| | |CO|06500|3|N
H0710|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan CO-F001 (PPO I-SNP)|00025002|37.00|590| | |CO|06610|3|N
H0710|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan CO-F001 (PPO I-SNP)|00025002|37.00|590| | |CO|06630|3|N
H0710|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan FL-F001 (PPO I-SNP)|00025002|20.30|590| | |FL|10000|3|N
H0710|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan FL-F001 (PPO I-SNP)|00025002|20.30|590| | |FL|10040|3|N
H0710|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan FL-F001 (PPO I-SNP)|00025002|20.30|590| | |FL|10050|3|N
H0710|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan FL-F001 (PPO I-SNP)|00025002|20.30|590| | |FL|10070|3|N
H0710|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan FL-F001 (PPO I-SNP)|00025002|20.30|590| | |FL|10080|3|N
H0710|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan FL-F001 (PPO I-SNP)|00025002|20.30|590| | |FL|10090|3|N
H0710|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan FL-F001 (PPO I-SNP)|00025002|20.30|590| | |FL|10100|3|N
H0710|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan FL-F001 (PPO I-SNP)|00025002|20.30|590| | |FL|10120|3|N
H0710|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan FL-F001 (PPO I-SNP)|00025002|20.30|590| | |FL|10150|3|N
H0710|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan FL-F001 (PPO I-SNP)|00025002|20.30|590| | |FL|10260|3|N
H0710|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan FL-F001 (PPO I-SNP)|00025002|20.30|590| | |FL|10300|3|N
H0710|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan FL-F001 (PPO I-SNP)|00025002|20.30|590| | |FL|10340|3|N
H0710|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan FL-F001 (PPO I-SNP)|00025002|20.30|590| | |FL|10350|3|N
H0710|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan FL-F001 (PPO I-SNP)|00025002|20.30|590| | |FL|10400|3|N
H0710|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan FL-F001 (PPO I-SNP)|00025002|20.30|590| | |FL|10410|3|N
H0710|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan FL-F001 (PPO I-SNP)|00025002|20.30|590| | |FL|10420|3|N
H0710|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan FL-F001 (PPO I-SNP)|00025002|20.30|590| | |FL|10440|3|N
H0710|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan FL-F001 (PPO I-SNP)|00025002|20.30|590| | |FL|10470|3|N
H0710|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan FL-F001 (PPO I-SNP)|00025002|20.30|590| | |FL|10480|3|N
H0710|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan FL-F001 (PPO I-SNP)|00025002|20.30|590| | |FL|10490|3|N
H0710|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan FL-F001 (PPO I-SNP)|00025002|20.30|590| | |FL|10500|3|N
H0710|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan FL-F001 (PPO I-SNP)|00025002|20.30|590| | |FL|10510|3|N
H0710|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan FL-F001 (PPO I-SNP)|00025002|20.30|590| | |FL|10520|3|N
H0710|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan FL-F001 (PPO I-SNP)|00025002|20.30|590| | |FL|10550|3|N
H0710|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan FL-F001 (PPO I-SNP)|00025002|20.30|590| | |FL|10570|3|N
H0710|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan FL-F001 (PPO I-SNP)|00025002|20.30|590| | |FL|10580|3|N
H0710|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan FL-F001 (PPO I-SNP)|00025002|20.30|590| | |FL|10630|3|N
H0710|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan IN-F001 (PPO I-SNP)|00025002|49.60|590| | |IN|15010|3|N
H0710|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan IN-F001 (PPO I-SNP)|00025002|49.60|590| | |IN|15050|3|N
H0710|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan IN-F001 (PPO I-SNP)|00025002|49.60|590| | |IN|15090|3|N
H0710|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan IN-F001 (PPO I-SNP)|00025002|49.60|590| | |IN|15160|3|N
H0710|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan IN-F001 (PPO I-SNP)|00025002|49.60|590| | |IN|15170|3|N
H0710|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan IN-F001 (PPO I-SNP)|00025002|49.60|590| | |IN|15180|3|N
H0710|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan IN-F001 (PPO I-SNP)|00025002|49.60|590| | |IN|15190|3|N
H0710|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan IN-F001 (PPO I-SNP)|00025002|49.60|590| | |IN|15210|3|N
H0710|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan IN-F001 (PPO I-SNP)|00025002|49.60|590| | |IN|15260|3|N
H0710|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan IN-F001 (PPO I-SNP)|00025002|49.60|590| | |IN|15280|3|N
H0710|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan IN-F001 (PPO I-SNP)|00025002|49.60|590| | |IN|15290|3|N
H0710|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan IN-F001 (PPO I-SNP)|00025002|49.60|590| | |IN|15310|3|N
H0710|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan IN-F001 (PPO I-SNP)|00025002|49.60|590| | |IN|15330|3|N
H0710|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan IN-F001 (PPO I-SNP)|00025002|49.60|590| | |IN|15340|3|N
H0710|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan IN-F001 (PPO I-SNP)|00025002|49.60|590| | |IN|15400|3|N
H0710|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan IN-F001 (PPO I-SNP)|00025002|49.60|590| | |IN|15420|3|N
H0710|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan IN-F001 (PPO I-SNP)|00025002|49.60|590| | |IN|15440|3|N
H0710|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan IN-F001 (PPO I-SNP)|00025002|49.60|590| | |IN|15450|3|N
H0710|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan IN-F001 (PPO I-SNP)|00025002|49.60|590| | |IN|15470|3|N
H0710|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan IN-F001 (PPO I-SNP)|00025002|49.60|590| | |IN|15480|3|N
H0710|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan IN-F001 (PPO I-SNP)|00025002|49.60|590| | |IN|15490|3|N
H0710|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan IN-F001 (PPO I-SNP)|00025002|49.60|590| | |IN|15520|3|N
H0710|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan IN-F001 (PPO I-SNP)|00025002|49.60|590| | |IN|15530|3|N
H0710|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan IN-F001 (PPO I-SNP)|00025002|49.60|590| | |IN|15540|3|N
H0710|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan IN-F001 (PPO I-SNP)|00025002|49.60|590| | |IN|15560|3|N
H0710|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan IN-F001 (PPO I-SNP)|00025002|49.60|590| | |IN|15630|3|N
H0710|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan IN-F001 (PPO I-SNP)|00025002|49.60|590| | |IN|15700|3|N
H0710|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan IN-F001 (PPO I-SNP)|00025002|49.60|590| | |IN|15720|3|N
H0710|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan IN-F001 (PPO I-SNP)|00025002|49.60|590| | |IN|15780|3|N
H0710|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan IN-F001 (PPO I-SNP)|00025002|49.60|590| | |IN|15810|3|N
H0710|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan IN-F001 (PPO I-SNP)|00025002|49.60|590| | |IN|15840|3|N
H0710|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan IN-F001 (PPO I-SNP)|00025002|49.60|590| | |IN|15860|3|N
H0710|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan IN-F001 (PPO I-SNP)|00025002|49.60|590| | |IN|15890|3|N
H0710|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan MO-F001 (PPO I-SNP)|00025002|51.00|590| | |MO|26010|3|N
H0710|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan MO-F001 (PPO I-SNP)|00025002|51.00|590| | |MO|26100|3|N
H0710|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan MO-F001 (PPO I-SNP)|00025002|51.00|590| | |MO|26210|3|N
H0710|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan MO-F001 (PPO I-SNP)|00025002|51.00|590| | |MO|26230|3|N
H0710|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan MO-F001 (PPO I-SNP)|00025002|51.00|590| | |MO|26350|3|N
H0710|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan MO-F001 (PPO I-SNP)|00025002|51.00|590| | |MO|26380|3|N
H0710|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan MO-F001 (PPO I-SNP)|00025002|51.00|590| | |MO|26470|3|N
H0710|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan MO-F001 (PPO I-SNP)|00025002|51.00|590| | |MO|26480|3|N
H0710|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan MO-F001 (PPO I-SNP)|00025002|51.00|590| | |MO|26490|3|N
H0710|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan MO-F001 (PPO I-SNP)|00025002|51.00|590| | |MO|26720|3|N
H0710|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan MO-F001 (PPO I-SNP)|00025002|51.00|590| | |MO|26910|3|N
H0710|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan MO-F001 (PPO I-SNP)|00025002|51.00|590| | |MO|26930|3|N
H0710|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan MO-F001 (PPO I-SNP)|00025002|51.00|590| | |MO|26940|3|N
H0710|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan MO-F001 (PPO I-SNP)|00025002|51.00|590| | |MO|26950|3|N
H0710|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F002 (PPO I-SNP)|00025002|48.20|590| | |DE|08000|3|N
H0710|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F002 (PPO I-SNP)|00025002|48.20|590| | |DE|08010|3|N
H0710|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F002 (PPO I-SNP)|00025002|48.20|590| | |DE|08020|3|N
H0710|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F002 (PPO I-SNP)|00025002|48.20|590| | |PA|39000|3|N
H0710|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F002 (PPO I-SNP)|00025002|48.20|590| | |PA|39010|3|N
H0710|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F002 (PPO I-SNP)|00025002|48.20|590| | |PA|39080|3|N
H0710|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F002 (PPO I-SNP)|00025002|48.20|590| | |PA|39110|3|N
H0710|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F002 (PPO I-SNP)|00025002|48.20|590| | |PA|39120|3|N
H0710|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F002 (PPO I-SNP)|00025002|48.20|590| | |PA|39140|3|N
H0710|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F002 (PPO I-SNP)|00025002|48.20|590| | |PA|39150|3|N
H0710|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F002 (PPO I-SNP)|00025002|48.20|590| | |PA|39160|3|N
H0710|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F002 (PPO I-SNP)|00025002|48.20|590| | |PA|39190|3|N
H0710|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F002 (PPO I-SNP)|00025002|48.20|590| | |PA|39200|3|N
H0710|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F002 (PPO I-SNP)|00025002|48.20|590| | |PA|39210|3|N
H0710|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F002 (PPO I-SNP)|00025002|48.20|590| | |PA|39220|3|N
H0710|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F002 (PPO I-SNP)|00025002|48.20|590| | |PA|39230|3|N
H0710|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F002 (PPO I-SNP)|00025002|48.20|590| | |PA|39250|3|N
H0710|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F002 (PPO I-SNP)|00025002|48.20|590| | |PA|39260|3|N
H0710|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F002 (PPO I-SNP)|00025002|48.20|590| | |PA|39270|3|N
H0710|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F002 (PPO I-SNP)|00025002|48.20|590| | |PA|39280|3|N
H0710|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F002 (PPO I-SNP)|00025002|48.20|590| | |PA|39290|3|N
H0710|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F002 (PPO I-SNP)|00025002|48.20|590| | |PA|39320|3|N
H0710|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F002 (PPO I-SNP)|00025002|48.20|590| | |PA|39350|3|N
H0710|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F002 (PPO I-SNP)|00025002|48.20|590| | |PA|39380|3|N
H0710|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F002 (PPO I-SNP)|00025002|48.20|590| | |PA|39390|3|N
H0710|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F002 (PPO I-SNP)|00025002|48.20|590| | |PA|39400|3|N
H0710|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F002 (PPO I-SNP)|00025002|48.20|590| | |PA|39420|3|N
H0710|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F002 (PPO I-SNP)|00025002|48.20|590| | |PA|39440|3|N
H0710|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F002 (PPO I-SNP)|00025002|48.20|590| | |PA|39450|3|N
H0710|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F002 (PPO I-SNP)|00025002|48.20|590| | |PA|39460|3|N
H0710|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F002 (PPO I-SNP)|00025002|48.20|590| | |PA|39470|3|N
H0710|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F002 (PPO I-SNP)|00025002|48.20|590| | |PA|39480|3|N
H0710|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F002 (PPO I-SNP)|00025002|48.20|590| | |PA|39510|3|N
H0710|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F002 (PPO I-SNP)|00025002|48.20|590| | |PA|39530|3|N
H0710|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F002 (PPO I-SNP)|00025002|48.20|590| | |PA|39540|3|N
H0710|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F002 (PPO I-SNP)|00025002|48.20|590| | |PA|39550|3|N
H0710|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F002 (PPO I-SNP)|00025002|48.20|590| | |PA|39560|3|N
H0710|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F002 (PPO I-SNP)|00025002|48.20|590| | |PA|39590|3|N
H0710|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F002 (PPO I-SNP)|00025002|48.20|590| | |PA|39600|3|N
H0710|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F002 (PPO I-SNP)|00025002|48.20|590| | |PA|39610|3|N
H0710|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F002 (PPO I-SNP)|00025002|48.20|590| | |PA|39620|3|N
H0710|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F002 (PPO I-SNP)|00025002|48.20|590| | |PA|39650|3|N
H0710|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F002 (PPO I-SNP)|00025002|48.20|590| | |PA|39680|3|N
H0710|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F002 (PPO I-SNP)|00025002|48.20|590| | |PA|39730|3|N
H0710|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F002 (PPO I-SNP)|00025002|48.20|590| | |PA|39750|3|N
H0710|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F002 (PPO I-SNP)|00025002|48.20|590| | |PA|39760|3|N
H0710|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F002 (PPO I-SNP)|00025002|48.20|590| | |PA|39770|3|N
H0710|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F002 (PPO I-SNP)|00025002|48.20|590| | |PA|39800|3|N
H0710|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan TX-F001 (PPO I-SNP)|00025002|18.30|590| | |TX|45120|3|N
H0710|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan TX-F001 (PPO I-SNP)|00025002|18.30|590| | |TX|45130|3|N
H0710|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan TX-F001 (PPO I-SNP)|00025002|18.30|590| | |TX|45180|3|N
H0710|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan TX-F001 (PPO I-SNP)|00025002|18.30|590| | |TX|45310|3|N
H0710|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan TX-F001 (PPO I-SNP)|00025002|18.30|590| | |TX|45390|3|N
H0710|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan TX-F001 (PPO I-SNP)|00025002|18.30|590| | |TX|45410|3|N
H0710|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan TX-F001 (PPO I-SNP)|00025002|18.30|590| | |TX|45530|3|N
H0710|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan TX-F001 (PPO I-SNP)|00025002|18.30|590| | |TX|45550|3|N
H0710|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan TX-F001 (PPO I-SNP)|00025002|18.30|590| | |TX|45610|3|N
H0710|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan TX-F001 (PPO I-SNP)|00025002|18.30|590| | |TX|45780|3|N
H0710|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan TX-F001 (PPO I-SNP)|00025002|18.30|590| | |TX|45801|3|N
H0710|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan TX-F001 (PPO I-SNP)|00025002|18.30|590| | |TX|45910|3|N
H0710|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan TX-F001 (PPO I-SNP)|00025002|18.30|590| | |TX|45940|3|N
H0710|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan TX-F001 (PPO I-SNP)|00025002|18.30|590| | |TX|45970|3|N
H0710|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F003 (PPO I-SNP)|00025002|53.10|590| | |CT|07000|3|N
H0710|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F003 (PPO I-SNP)|00025002|53.10|590| | |CT|07010|3|N
H0710|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F003 (PPO I-SNP)|00025002|53.10|590| | |CT|07020|3|N
H0710|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F003 (PPO I-SNP)|00025002|53.10|590| | |CT|07030|3|N
H0710|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F003 (PPO I-SNP)|00025002|53.10|590| | |CT|07040|3|N
H0710|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F003 (PPO I-SNP)|00025002|53.10|590| | |CT|07050|3|N
H0710|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F003 (PPO I-SNP)|00025002|53.10|590| | |CT|07060|3|N
H0710|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F003 (PPO I-SNP)|00025002|53.10|590| | |CT|07070|3|N
H0710|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F003 (PPO I-SNP)|00025002|53.10|590| | |ME|20020|3|N
H0710|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F003 (PPO I-SNP)|00025002|53.10|590| | |ME|20030|3|N
H0710|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F003 (PPO I-SNP)|00025002|53.10|590| | |ME|20050|3|N
H0710|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F003 (PPO I-SNP)|00025002|53.10|590| | |ME|20080|3|N
H0710|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F003 (PPO I-SNP)|00025002|53.10|590| | |ME|20090|3|N
H0710|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F003 (PPO I-SNP)|00025002|53.10|590| | |ME|20120|3|N
H0710|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F003 (PPO I-SNP)|00025002|53.10|590| | |ME|20150|3|N
H0710|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F003 (PPO I-SNP)|00025002|53.10|590| | |NH|30000|3|N
H0710|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F003 (PPO I-SNP)|00025002|53.10|590| | |NH|30010|3|N
H0710|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F003 (PPO I-SNP)|00025002|53.10|590| | |NH|30020|3|N
H0710|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F003 (PPO I-SNP)|00025002|53.10|590| | |NH|30030|3|N
H0710|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F003 (PPO I-SNP)|00025002|53.10|590| | |NH|30040|3|N
H0710|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F003 (PPO I-SNP)|00025002|53.10|590| | |NH|30050|3|N
H0710|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F003 (PPO I-SNP)|00025002|53.10|590| | |NH|30060|3|N
H0710|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F003 (PPO I-SNP)|00025002|53.10|590| | |NH|30070|3|N
H0710|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F003 (PPO I-SNP)|00025002|53.10|590| | |NH|30080|3|N
H0710|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F003 (PPO I-SNP)|00025002|53.10|590| | |NH|30090|3|N
H0710|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F003 (PPO I-SNP)|00025002|53.10|590| | |NJ|31000|3|N
H0710|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F003 (PPO I-SNP)|00025002|53.10|590| | |NJ|31100|3|N
H0710|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F003 (PPO I-SNP)|00025002|53.10|590| | |NJ|31150|3|N
H0710|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F003 (PPO I-SNP)|00025002|53.10|590| | |NJ|31160|3|N
H0710|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F003 (PPO I-SNP)|00025002|53.10|590| | |NJ|31180|3|N
H0710|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F003 (PPO I-SNP)|00025002|53.10|590| | |NJ|31190|3|N
H0710|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F003 (PPO I-SNP)|00025002|53.10|590| | |NJ|31200|3|N
H0710|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F003 (PPO I-SNP)|00025002|53.10|590| | |NJ|31220|3|N
H0710|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F003 (PPO I-SNP)|00025002|53.10|590| | |NJ|31230|3|N
H0710|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F003 (PPO I-SNP)|00025002|53.10|590| | |NJ|31260|3|N
H0710|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F003 (PPO I-SNP)|00025002|53.10|590| | |NJ|31270|3|N
H0710|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F003 (PPO I-SNP)|00025002|53.10|590| | |NJ|31290|3|N
H0710|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F003 (PPO I-SNP)|00025002|53.10|590| | |NJ|31300|3|N
H0710|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F003 (PPO I-SNP)|00025002|53.10|590| | |NJ|31310|3|N
H0710|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F003 (PPO I-SNP)|00025002|53.10|590| | |NJ|31320|3|N
H0710|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F003 (PPO I-SNP)|00025002|53.10|590| | |NJ|31350|3|N
H0710|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F003 (PPO I-SNP)|00025002|53.10|590| | |NJ|31370|3|N
H0710|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan OH-F001 (PPO I-SNP)|00025002|39.30|590| | |OH|36000|3|N
H0710|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan OH-F001 (PPO I-SNP)|00025002|39.30|590| | |OH|36020|3|N
H0710|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan OH-F001 (PPO I-SNP)|00025002|39.30|590| | |OH|36080|3|N
H0710|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan OH-F001 (PPO I-SNP)|00025002|39.30|590| | |OH|36100|3|N
H0710|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan OH-F001 (PPO I-SNP)|00025002|39.30|590| | |OH|36110|3|N
H0710|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan OH-F001 (PPO I-SNP)|00025002|39.30|590| | |OH|36120|3|N
H0710|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan OH-F001 (PPO I-SNP)|00025002|39.30|590| | |OH|36130|3|N
H0710|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan OH-F001 (PPO I-SNP)|00025002|39.30|590| | |OH|36140|3|N
H0710|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan OH-F001 (PPO I-SNP)|00025002|39.30|590| | |OH|36170|3|N
H0710|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan OH-F001 (PPO I-SNP)|00025002|39.30|590| | |OH|36230|3|N
H0710|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan OH-F001 (PPO I-SNP)|00025002|39.30|590| | |OH|36250|3|N
H0710|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan OH-F001 (PPO I-SNP)|00025002|39.30|590| | |OH|36290|3|N
H0710|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan OH-F001 (PPO I-SNP)|00025002|39.30|590| | |OH|36310|3|N
H0710|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan OH-F001 (PPO I-SNP)|00025002|39.30|590| | |OH|36420|3|N
H0710|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan OH-F001 (PPO I-SNP)|00025002|39.30|590| | |OH|36430|3|N
H0710|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan OH-F001 (PPO I-SNP)|00025002|39.30|590| | |OH|36440|3|N
H0710|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan OH-F001 (PPO I-SNP)|00025002|39.30|590| | |OH|36470|3|N
H0710|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan OH-F001 (PPO I-SNP)|00025002|39.30|590| | |OH|36480|3|N
H0710|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan OH-F001 (PPO I-SNP)|00025002|39.30|590| | |OH|36490|3|N
H0710|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan OH-F001 (PPO I-SNP)|00025002|39.30|590| | |OH|36500|3|N
H0710|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan OH-F001 (PPO I-SNP)|00025002|39.30|590| | |OH|36510|3|N
H0710|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan OH-F001 (PPO I-SNP)|00025002|39.30|590| | |OH|36530|3|N
H0710|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan OH-F001 (PPO I-SNP)|00025002|39.30|590| | |OH|36560|3|N
H0710|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan OH-F001 (PPO I-SNP)|00025002|39.30|590| | |OH|36580|3|N
H0710|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan OH-F001 (PPO I-SNP)|00025002|39.30|590| | |OH|36680|3|N
H0710|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan OH-F001 (PPO I-SNP)|00025002|39.30|590| | |OH|36730|3|N
H0710|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan OH-F001 (PPO I-SNP)|00025002|39.30|590| | |OH|36770|3|N
H0710|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan OH-F001 (PPO I-SNP)|00025002|39.30|590| | |OH|36780|3|N
H0710|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan OH-F001 (PPO I-SNP)|00025002|39.30|590| | |OH|36790|3|N
H0710|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan OH-F001 (PPO I-SNP)|00025002|39.30|590| | |OH|36800|3|N
H0710|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan OH-F001 (PPO I-SNP)|00025002|39.30|590| | |OH|36840|3|N
H0710|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan OH-F001 (PPO I-SNP)|00025002|39.30|590| | |OH|36860|3|N
H0710|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan OH-F001 (PPO I-SNP)|00025002|39.30|590| | |OH|36880|3|N
H0710|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Care Advantage WA-E001 (PPO I-SNP)|00025003|26.20|195| | |WA|50020|3|N
H0710|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Care Advantage WA-E001 (PPO I-SNP)|00025003|26.20|195| | |WA|50050|3|N
H0710|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Care Advantage WA-E001 (PPO I-SNP)|00025003|26.20|195| | |WA|50070|3|N
H0710|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Care Advantage WA-E001 (PPO I-SNP)|00025003|26.20|195| | |WA|50100|3|N
H0710|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Care Advantage WA-E001 (PPO I-SNP)|00025003|26.20|195| | |WA|50160|3|N
H0710|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Care Advantage WA-E001 (PPO I-SNP)|00025003|26.20|195| | |WA|50170|3|N
H0710|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Care Advantage WA-E001 (PPO I-SNP)|00025003|26.20|195| | |WA|50200|3|N
H0710|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Care Advantage WA-E001 (PPO I-SNP)|00025003|26.20|195| | |WA|50220|3|N
H0710|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Care Advantage WA-E001 (PPO I-SNP)|00025003|26.20|195| | |WA|50260|3|N
H0710|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Care Advantage WA-E001 (PPO I-SNP)|00025003|26.20|195| | |WA|50280|3|N
H0710|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Care Advantage WA-E001 (PPO I-SNP)|00025003|26.20|195| | |WA|50300|3|N
H0710|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Care Advantage WA-E001 (PPO I-SNP)|00025003|26.20|195| | |WA|50310|3|N
H0710|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Care Advantage WA-E001 (PPO I-SNP)|00025003|26.20|195| | |WA|50330|3|N
H0710|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Care Advantage WA-E001 (PPO I-SNP)|00025003|26.20|195| | |WA|50360|3|N
H0710|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Care Advantage WA-E001 (PPO I-SNP)|00025003|26.20|195| | |WA|50380|3|N
H0710|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan WA-F001 (PPO I-SNP)|00025002|26.20|590| | |WA|50020|3|N
H0710|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan WA-F001 (PPO I-SNP)|00025002|26.20|590| | |WA|50050|3|N
H0710|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan WA-F001 (PPO I-SNP)|00025002|26.20|590| | |WA|50070|3|N
H0710|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan WA-F001 (PPO I-SNP)|00025002|26.20|590| | |WA|50100|3|N
H0710|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan WA-F001 (PPO I-SNP)|00025002|26.20|590| | |WA|50160|3|N
H0710|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan WA-F001 (PPO I-SNP)|00025002|26.20|590| | |WA|50170|3|N
H0710|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan WA-F001 (PPO I-SNP)|00025002|26.20|590| | |WA|50200|3|N
H0710|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan WA-F001 (PPO I-SNP)|00025002|26.20|590| | |WA|50220|3|N
H0710|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan WA-F001 (PPO I-SNP)|00025002|26.20|590| | |WA|50260|3|N
H0710|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan WA-F001 (PPO I-SNP)|00025002|26.20|590| | |WA|50280|3|N
H0710|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan WA-F001 (PPO I-SNP)|00025002|26.20|590| | |WA|50300|3|N
H0710|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan WA-F001 (PPO I-SNP)|00025002|26.20|590| | |WA|50310|3|N
H0710|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan WA-F001 (PPO I-SNP)|00025002|26.20|590| | |WA|50330|3|N
H0710|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan WA-F001 (PPO I-SNP)|00025002|26.20|590| | |WA|50360|3|N
H0710|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan WA-F001 (PPO I-SNP)|00025002|26.20|590| | |WA|50380|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |DC|09000|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |MD|21010|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |MD|21020|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |MD|21030|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |MD|21060|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |MD|21080|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |MD|21100|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |MD|21120|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |MD|21130|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |MD|21150|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |MD|21160|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |MD|21170|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |MD|21190|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |MD|21210|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |MD|21220|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |VA|49000|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |VA|49010|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |VA|49011|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |VA|49060|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |VA|49070|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |VA|49150|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |VA|49170|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |VA|49194|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |VA|49200|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |VA|49241|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |VA|49288|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |VA|49290|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |VA|49330|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |VA|49343|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |VA|49360|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |VA|49370|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |VA|49410|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |VA|49411|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |VA|49420|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |VA|49430|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |VA|49451|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |VA|49470|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |VA|49510|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |VA|49530|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |VA|49551|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |VA|49560|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |VA|49580|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |VA|49590|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |VA|49622|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |VA|49641|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |VA|49710|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |VA|49711|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |VA|49730|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |VA|49750|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |VA|49791|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |VA|49800|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |VA|49801|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |VA|49840|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |VA|49880|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |VA|49890|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |VA|49892|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |VA|49921|3|N
H0710|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F004 (PPO I-SNP)|00025002|39.00|590| | |VA|49981|3|N
H0710|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan GA-F001 (PPO I-SNP)|00025002|40.00|590| | |GA|11050|3|N
H0710|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan GA-F001 (PPO I-SNP)|00025002|40.00|590| | |GA|11140|3|N
H0710|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan GA-F001 (PPO I-SNP)|00025002|40.00|590| | |GA|11160|3|N
H0710|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan GA-F001 (PPO I-SNP)|00025002|40.00|590| | |GA|11220|3|N
H0710|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan GA-F001 (PPO I-SNP)|00025002|40.00|590| | |GA|11250|3|N
H0710|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan GA-F001 (PPO I-SNP)|00025002|40.00|590| | |GA|11280|3|N
H0710|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan GA-F001 (PPO I-SNP)|00025002|40.00|590| | |GA|11290|3|N
H0710|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan GA-F001 (PPO I-SNP)|00025002|40.00|590| | |GA|11310|3|N
H0710|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan GA-F001 (PPO I-SNP)|00025002|40.00|590| | |GA|11370|3|N
H0710|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan GA-F001 (PPO I-SNP)|00025002|40.00|590| | |GA|11381|3|N
H0710|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan GA-F001 (PPO I-SNP)|00025002|40.00|590| | |GA|11400|3|N
H0710|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan GA-F001 (PPO I-SNP)|00025002|40.00|590| | |GA|11451|3|N
H0710|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan GA-F001 (PPO I-SNP)|00025002|40.00|590| | |GA|11461|3|N
H0710|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan GA-F001 (PPO I-SNP)|00025002|40.00|590| | |GA|11470|3|N
H0710|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan GA-F001 (PPO I-SNP)|00025002|40.00|590| | |GA|11530|3|N
H0710|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan GA-F001 (PPO I-SNP)|00025002|40.00|590| | |GA|11550|3|N
H0710|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan GA-F001 (PPO I-SNP)|00025002|40.00|590| | |GA|11570|3|N
H0710|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan GA-F001 (PPO I-SNP)|00025002|40.00|590| | |GA|11591|3|N
H0710|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan GA-F001 (PPO I-SNP)|00025002|40.00|590| | |GA|11600|3|N
H0710|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan GA-F001 (PPO I-SNP)|00025002|40.00|590| | |GA|11610|3|N
H0710|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan GA-F001 (PPO I-SNP)|00025002|40.00|590| | |GA|11660|3|N
H0710|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan GA-F001 (PPO I-SNP)|00025002|40.00|590| | |GA|11780|3|N
H0710|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan GA-F001 (PPO I-SNP)|00025002|40.00|590| | |GA|11830|3|N
H0710|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan GA-F001 (PPO I-SNP)|00025002|40.00|590| | |GA|11840|3|N
H0710|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan GA-F001 (PPO I-SNP)|00025002|40.00|590| | |GA|11841|3|N
H0710|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan GA-F001 (PPO I-SNP)|00025002|40.00|590| | |GA|11884|3|N
H0710|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan GA-F001 (PPO I-SNP)|00025002|40.00|590| | |GA|11930|3|N
H0710|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan GA-F001 (PPO I-SNP)|00025002|40.00|590| | |GA|11950|3|N
H0710|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan GA-F001 (PPO I-SNP)|00025002|40.00|590| | |GA|11962|3|N
H0710|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan GA-F001 (PPO I-SNP)|00025002|40.00|590| | |GA|11971|3|N
H0710|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NC-F001 (PPO I-SNP)|00025002|51.20|590| | |NC|34000|3|N
H0710|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NC-F001 (PPO I-SNP)|00025002|51.20|590| | |NC|34030|3|N
H0710|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NC-F001 (PPO I-SNP)|00025002|51.20|590| | |NC|34090|3|N
H0710|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NC-F001 (PPO I-SNP)|00025002|51.20|590| | |NC|34100|3|N
H0710|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NC-F001 (PPO I-SNP)|00025002|51.20|590| | |NC|34110|3|N
H0710|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NC-F001 (PPO I-SNP)|00025002|51.20|590| | |NC|34120|3|N
H0710|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NC-F001 (PPO I-SNP)|00025002|51.20|590| | |NC|34130|3|N
H0710|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NC-F001 (PPO I-SNP)|00025002|51.20|590| | |NC|34170|3|N
H0710|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NC-F001 (PPO I-SNP)|00025002|51.20|590| | |NC|34180|3|N
H0710|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NC-F001 (PPO I-SNP)|00025002|51.20|590| | |NC|34220|3|N
H0710|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NC-F001 (PPO I-SNP)|00025002|51.20|590| | |NC|34230|3|N
H0710|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NC-F001 (PPO I-SNP)|00025002|51.20|590| | |NC|34250|3|N
H0710|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NC-F001 (PPO I-SNP)|00025002|51.20|590| | |NC|34280|3|N
H0710|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NC-F001 (PPO I-SNP)|00025002|51.20|590| | |NC|34290|3|N
H0710|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NC-F001 (PPO I-SNP)|00025002|51.20|590| | |NC|34310|3|N
H0710|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NC-F001 (PPO I-SNP)|00025002|51.20|590| | |NC|34330|3|N
H0710|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NC-F001 (PPO I-SNP)|00025002|51.20|590| | |NC|34350|3|N
H0710|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NC-F001 (PPO I-SNP)|00025002|51.20|590| | |NC|34400|3|N
H0710|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NC-F001 (PPO I-SNP)|00025002|51.20|590| | |NC|34420|3|N
H0710|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NC-F001 (PPO I-SNP)|00025002|51.20|590| | |NC|34430|3|N
H0710|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NC-F001 (PPO I-SNP)|00025002|51.20|590| | |NC|34440|3|N
H0710|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NC-F001 (PPO I-SNP)|00025002|51.20|590| | |NC|34460|3|N
H0710|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NC-F001 (PPO I-SNP)|00025002|51.20|590| | |NC|34500|3|N
H0710|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NC-F001 (PPO I-SNP)|00025002|51.20|590| | |NC|34550|3|N
H0710|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NC-F001 (PPO I-SNP)|00025002|51.20|590| | |NC|34590|3|N
H0710|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NC-F001 (PPO I-SNP)|00025002|51.20|590| | |NC|34610|3|N
H0710|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NC-F001 (PPO I-SNP)|00025002|51.20|590| | |NC|34630|3|N
H0710|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NC-F001 (PPO I-SNP)|00025002|51.20|590| | |NC|34750|3|N
H0710|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NC-F001 (PPO I-SNP)|00025002|51.20|590| | |NC|34780|3|N
H0710|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NC-F001 (PPO I-SNP)|00025002|51.20|590| | |NC|34790|3|N
H0710|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NC-F001 (PPO I-SNP)|00025002|51.20|590| | |NC|34800|3|N
H0710|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NC-F001 (PPO I-SNP)|00025002|51.20|590| | |NC|34830|3|N
H0710|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NC-F001 (PPO I-SNP)|00025002|51.20|590| | |NC|34840|3|N
H0710|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NC-F001 (PPO I-SNP)|00025002|51.20|590| | |NC|34890|3|N
H0710|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NC-F001 (PPO I-SNP)|00025002|51.20|590| | |NC|34910|3|N
H0710|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NC-F001 (PPO I-SNP)|00025002|51.20|590| | |NC|34950|3|N
H0710|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NC-F001 (PPO I-SNP)|00025002|51.20|590| | |NC|34960|3|N
H0710|035|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan RI-F001 (PPO I-SNP)|00025002|52.50|590| | |RI|41000|3|N
H0710|035|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan RI-F001 (PPO I-SNP)|00025002|52.50|590| | |RI|41010|3|N
H0710|035|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan RI-F001 (PPO I-SNP)|00025002|52.50|590| | |RI|41020|3|N
H0710|035|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan RI-F001 (PPO I-SNP)|00025002|52.50|590| | |RI|41030|3|N
H0710|035|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan RI-F001 (PPO I-SNP)|00025002|52.50|590| | |RI|41050|3|N
H0710|036|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan OR-F001 (PPO I-SNP)|00025002|26.20|590| | |OR|38010|3|N
H0710|036|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan OR-F001 (PPO I-SNP)|00025002|26.20|590| | |OR|38020|3|N
H0710|036|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan OR-F001 (PPO I-SNP)|00025002|26.20|590| | |OR|38140|3|N
H0710|036|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan OR-F001 (PPO I-SNP)|00025002|26.20|590| | |OR|38160|3|N
H0710|036|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan OR-F001 (PPO I-SNP)|00025002|26.20|590| | |OR|38190|3|N
H0710|036|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan OR-F001 (PPO I-SNP)|00025002|26.20|590| | |OR|38210|3|N
H0710|036|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan OR-F001 (PPO I-SNP)|00025002|26.20|590| | |OR|38230|3|N
H0710|036|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan OR-F001 (PPO I-SNP)|00025002|26.20|590| | |OR|38250|3|N
H0710|036|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan OR-F001 (PPO I-SNP)|00025002|26.20|590| | |OR|38260|3|N
H0710|036|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan OR-F001 (PPO I-SNP)|00025002|26.20|590| | |OR|38330|3|N
H0710|036|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan OR-F001 (PPO I-SNP)|00025002|26.20|590| | |OR|38350|3|N
H0710|037|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Care Advantage OR-E001 (PPO I-SNP)|00025003|26.20|195| | |OR|38010|3|N
H0710|037|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Care Advantage OR-E001 (PPO I-SNP)|00025003|26.20|195| | |OR|38020|3|N
H0710|037|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Care Advantage OR-E001 (PPO I-SNP)|00025003|26.20|195| | |OR|38140|3|N
H0710|037|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Care Advantage OR-E001 (PPO I-SNP)|00025003|26.20|195| | |OR|38160|3|N
H0710|037|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Care Advantage OR-E001 (PPO I-SNP)|00025003|26.20|195| | |OR|38190|3|N
H0710|037|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Care Advantage OR-E001 (PPO I-SNP)|00025003|26.20|195| | |OR|38210|3|N
H0710|037|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Care Advantage OR-E001 (PPO I-SNP)|00025003|26.20|195| | |OR|38230|3|N
H0710|037|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Care Advantage OR-E001 (PPO I-SNP)|00025003|26.20|195| | |OR|38250|3|N
H0710|037|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Care Advantage OR-E001 (PPO I-SNP)|00025003|26.20|195| | |OR|38260|3|N
H0710|037|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Care Advantage OR-E001 (PPO I-SNP)|00025003|26.20|195| | |OR|38330|3|N
H0710|037|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Care Advantage OR-E001 (PPO I-SNP)|00025003|26.20|195| | |OR|38350|3|N
H0710|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan FL-F002 (PPO I-SNP)|00025002|20.30|590| | |FL|10280|3|N
H0710|039|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan IL-F001 (PPO I-SNP)|00025002|22.80|590| | |IL|14030|3|N
H0710|039|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan IL-F001 (PPO I-SNP)|00025002|22.80|590| | |IL|14141|3|N
H0710|039|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan IL-F001 (PPO I-SNP)|00025002|22.80|590| | |IL|14250|3|N
H0710|039|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan IL-F001 (PPO I-SNP)|00025002|22.80|590| | |IL|14530|3|N
H0710|039|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan IL-F001 (PPO I-SNP)|00025002|22.80|590| | |IL|14570|3|N
H0710|039|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan IL-F001 (PPO I-SNP)|00025002|22.80|590| | |IL|14580|3|N
H0710|039|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan IL-F001 (PPO I-SNP)|00025002|22.80|590| | |IL|14650|3|N
H0710|039|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan IL-F001 (PPO I-SNP)|00025002|22.80|590| | |IL|14800|3|N
H0710|039|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan IL-F001 (PPO I-SNP)|00025002|22.80|590| | |IL|14980|3|N
H0710|039|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan IL-F001 (PPO I-SNP)|00025002|22.80|590| | |IL|14991|3|N
H0710|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan MN-F001 (PPO I-SNP)|00025002|50.60|590| | |MN|24010|3|N
H0710|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan MN-F001 (PPO I-SNP)|00025002|50.60|590| | |MN|24260|3|N
H0710|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan MN-F001 (PPO I-SNP)|00025002|50.60|590| | |MN|24680|3|N
H0710|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan MN-F001 (PPO I-SNP)|00025002|50.60|590| | |MN|24810|3|N
H0710|051|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan UT-F001 (PPO I-SNP)|00025002|54.70|590| | |UT|46010|3|N
H0710|051|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan UT-F001 (PPO I-SNP)|00025002|54.70|590| | |UT|46020|3|N
H0710|051|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan UT-F001 (PPO I-SNP)|00025002|54.70|590| | |UT|46050|3|N
H0710|051|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan UT-F001 (PPO I-SNP)|00025002|54.70|590| | |UT|46100|3|N
H0710|051|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan UT-F001 (PPO I-SNP)|00025002|54.70|590| | |UT|46170|3|N
H0710|051|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan UT-F001 (PPO I-SNP)|00025002|54.70|590| | |UT|46220|3|N
H0710|051|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan UT-F001 (PPO I-SNP)|00025002|54.70|590| | |UT|46240|3|N
H0710|051|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan UT-F001 (PPO I-SNP)|00025002|54.70|590| | |UT|46250|3|N
H0710|051|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan UT-F001 (PPO I-SNP)|00025002|54.70|590| | |UT|46260|3|N
H0710|051|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan UT-F001 (PPO I-SNP)|00025002|54.70|590| | |UT|46280|3|N
H0710|052|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan OK-F001 (PPO I-SNP)|00025002|49.80|590| | |OK|37080|3|N
H0710|052|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan OK-F001 (PPO I-SNP)|00025002|49.80|590| | |OK|37130|3|N
H0710|052|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan OK-F001 (PPO I-SNP)|00025002|49.80|590| | |OK|37500|3|N
H0710|052|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan OK-F001 (PPO I-SNP)|00025002|49.80|590| | |OK|37540|3|N
H0710|052|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan OK-F001 (PPO I-SNP)|00025002|49.80|590| | |OK|37550|3|N
H0710|052|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan OK-F001 (PPO I-SNP)|00025002|49.80|590| | |OK|37710|3|N
H0710|053|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan SC-F001 (PPO I-SNP)|00025002|46.60|590| | |SC|42030|3|N
H0710|053|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan SC-F001 (PPO I-SNP)|00025002|46.60|590| | |SC|42060|3|N
H0710|053|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan SC-F001 (PPO I-SNP)|00025002|46.60|590| | |SC|42090|3|N
H0710|053|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan SC-F001 (PPO I-SNP)|00025002|46.60|590| | |SC|42220|3|N
H0710|053|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan SC-F001 (PPO I-SNP)|00025002|46.60|590| | |SC|42250|3|N
H0710|053|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan SC-F001 (PPO I-SNP)|00025002|46.60|590| | |SC|42310|3|N
H0710|053|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan SC-F001 (PPO I-SNP)|00025002|46.60|590| | |SC|42370|3|N
H0710|053|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan SC-F001 (PPO I-SNP)|00025002|46.60|590| | |SC|42380|3|N
H0710|053|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan SC-F001 (PPO I-SNP)|00025002|46.60|590| | |SC|42390|3|N
H0710|053|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan SC-F001 (PPO I-SNP)|00025002|46.60|590| | |SC|42410|3|N
H0710|053|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan SC-F001 (PPO I-SNP)|00025002|46.60|590| | |SC|42450|3|N
H0710|057|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Care Advantage OH-E001 (PPO I-SNP)|00025003|39.30|195| | |OH|36080|3|N
H0710|057|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Care Advantage OH-E001 (PPO I-SNP)|00025003|39.30|195| | |OH|36170|3|N
H0710|057|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Care Advantage OH-E001 (PPO I-SNP)|00025003|39.30|195| | |OH|36250|3|N
H0710|057|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Care Advantage OH-E001 (PPO I-SNP)|00025003|39.30|195| | |OH|36310|3|N
H0710|057|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Care Advantage OH-E001 (PPO I-SNP)|00025003|39.30|195| | |OH|36440|3|N
H0710|057|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Care Advantage OH-E001 (PPO I-SNP)|00025003|39.30|195| | |OH|36480|3|N
H0710|057|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Care Advantage OH-E001 (PPO I-SNP)|00025003|39.30|195| | |OH|36560|3|N
H0710|057|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Care Advantage OH-E001 (PPO I-SNP)|00025003|39.30|195| | |OH|36580|3|N
H0710|057|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Care Advantage OH-E001 (PPO I-SNP)|00025003|39.30|195| | |OH|36770|3|N
H0710|057|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Care Advantage OH-E001 (PPO I-SNP)|00025003|39.30|195| | |OH|36780|3|N
H0710|057|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Care Advantage OH-E001 (PPO I-SNP)|00025003|39.30|195| | |OH|36840|3|N
H0712|005|000|WELLCARE OF CONNECTICUT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |CT|07000|2|N
H0712|005|000|WELLCARE OF CONNECTICUT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |CT|07010|2|N
H0712|005|000|WELLCARE OF CONNECTICUT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |CT|07020|2|N
H0712|005|000|WELLCARE OF CONNECTICUT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |CT|07030|2|N
H0712|005|000|WELLCARE OF CONNECTICUT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |CT|07040|2|N
H0712|005|000|WELLCARE OF CONNECTICUT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |CT|07050|2|N
H0712|005|000|WELLCARE OF CONNECTICUT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |CT|07060|2|N
H0712|005|000|WELLCARE OF CONNECTICUT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |CT|07070|2|N
H0712|019|000|WELLCARE OF CONNECTICUT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |CT|07000|0|N
H0712|019|000|WELLCARE OF CONNECTICUT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |CT|07010|0|N
H0712|019|000|WELLCARE OF CONNECTICUT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |CT|07020|0|N
H0712|019|000|WELLCARE OF CONNECTICUT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |CT|07030|0|N
H0712|019|000|WELLCARE OF CONNECTICUT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |CT|07040|0|N
H0712|019|000|WELLCARE OF CONNECTICUT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |CT|07050|0|N
H0712|019|000|WELLCARE OF CONNECTICUT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |CT|07060|0|N
H0712|019|000|WELLCARE OF CONNECTICUT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |CT|07070|0|N
H0712|029|000|WELLCARE OF CONNECTICUT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |CT|07000|2|N
H0712|029|000|WELLCARE OF CONNECTICUT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |CT|07010|2|N
H0712|029|000|WELLCARE OF CONNECTICUT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |CT|07020|2|N
H0712|029|000|WELLCARE OF CONNECTICUT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |CT|07030|2|N
H0712|029|000|WELLCARE OF CONNECTICUT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |CT|07040|2|N
H0712|029|000|WELLCARE OF CONNECTICUT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |CT|07050|2|N
H0712|029|000|WELLCARE OF CONNECTICUT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |CT|07060|2|N
H0712|029|000|WELLCARE OF CONNECTICUT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |CT|07070|2|N
H0712|032|000|WELLCARE OF CONNECTICUT, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |CT|07000|0|N
H0712|032|000|WELLCARE OF CONNECTICUT, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |CT|07010|0|N
H0712|032|000|WELLCARE OF CONNECTICUT, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |CT|07020|0|N
H0712|032|000|WELLCARE OF CONNECTICUT, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |CT|07030|0|N
H0712|032|000|WELLCARE OF CONNECTICUT, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |CT|07040|0|N
H0712|032|000|WELLCARE OF CONNECTICUT, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |CT|07050|0|N
H0712|032|000|WELLCARE OF CONNECTICUT, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |CT|07060|0|N
H0712|032|000|WELLCARE OF CONNECTICUT, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |CT|07070|0|N
H0738|001|000|AmeriHealth Caritas VIP Next, Inc.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025401|0.00|590| | |DE|08000|2|N
H0738|001|000|AmeriHealth Caritas VIP Next, Inc.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025401|0.00|590| | |DE|08010|2|N
H0738|001|000|AmeriHealth Caritas VIP Next, Inc.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025401|0.00|590| | |DE|08020|2|N
H0755|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage CT-0001 (HMO-POS)|00025002|23.30|255| | |CT|07000|0|N
H0755|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage CT-0001 (HMO-POS)|00025002|23.30|255| | |CT|07010|0|N
H0755|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage CT-0001 (HMO-POS)|00025002|23.30|255| | |CT|07020|0|N
H0755|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage CT-0001 (HMO-POS)|00025002|23.30|255| | |CT|07030|0|N
H0755|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage CT-0001 (HMO-POS)|00025002|23.30|255| | |CT|07040|0|N
H0755|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage CT-0001 (HMO-POS)|00025002|23.30|255| | |CT|07050|0|N
H0755|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage CT-0001 (HMO-POS)|00025002|23.30|255| | |CT|07060|0|N
H0755|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage CT-0001 (HMO-POS)|00025002|23.30|255| | |CT|07070|0|N
H0755|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage CT-0002 (HMO-POS)|00025002|39.00|340| | |CT|07000|0|N
H0755|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage CT-0002 (HMO-POS)|00025002|39.00|340| | |CT|07010|0|N
H0755|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage CT-0002 (HMO-POS)|00025002|39.00|340| | |CT|07020|0|N
H0755|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage CT-0002 (HMO-POS)|00025002|39.00|340| | |CT|07030|0|N
H0755|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage CT-0002 (HMO-POS)|00025002|39.00|340| | |CT|07040|0|N
H0755|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage CT-0002 (HMO-POS)|00025002|39.00|340| | |CT|07050|0|N
H0755|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage CT-0002 (HMO-POS)|00025002|39.00|340| | |CT|07060|0|N
H0755|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage CT-0002 (HMO-POS)|00025002|39.00|340| | |CT|07070|0|N
H0755|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage CT-0003 (HMO-POS)|00025002|0.00|340| | |CT|07000|0|N
H0755|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage CT-0003 (HMO-POS)|00025002|0.00|340| | |CT|07010|0|N
H0755|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage CT-0003 (HMO-POS)|00025002|0.00|340| | |CT|07020|0|N
H0755|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage CT-0003 (HMO-POS)|00025002|0.00|340| | |CT|07030|0|N
H0755|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage CT-0003 (HMO-POS)|00025002|0.00|340| | |CT|07040|0|N
H0755|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage CT-0003 (HMO-POS)|00025002|0.00|340| | |CT|07050|0|N
H0755|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage CT-0003 (HMO-POS)|00025002|0.00|340| | |CT|07060|0|N
H0755|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage CT-0003 (HMO-POS)|00025002|0.00|340| | |CT|07070|0|N
H0755|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0001 (HMO-POS)|00025002|0.00|340| | |NJ|31000|0|N
H0755|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0001 (HMO-POS)|00025002|0.00|340| | |NJ|31100|0|N
H0755|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0001 (HMO-POS)|00025002|0.00|340| | |NJ|31150|0|N
H0755|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0001 (HMO-POS)|00025002|0.00|340| | |NJ|31160|0|N
H0755|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0001 (HMO-POS)|00025002|0.00|340| | |NJ|31200|0|N
H0755|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0001 (HMO-POS)|00025002|0.00|340| | |NJ|31230|0|N
H0755|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0001 (HMO-POS)|00025002|0.00|340| | |NJ|31250|0|N
H0755|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0001 (HMO-POS)|00025002|0.00|340| | |NJ|31260|0|N
H0755|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0001 (HMO-POS)|00025002|0.00|340| | |NJ|31270|0|N
H0755|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0001 (HMO-POS)|00025002|0.00|340| | |NJ|31290|0|N
H0755|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0001 (HMO-POS)|00025002|0.00|340| | |NJ|31300|0|N
H0755|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0001 (HMO-POS)|00025002|0.00|340| | |NJ|31310|0|N
H0755|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0001 (HMO-POS)|00025002|0.00|340| | |NJ|31320|0|N
H0755|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0001 (HMO-POS)|00025002|0.00|340| | |NJ|31350|0|N
H0755|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0001 (HMO-POS)|00025002|0.00|340| | |NJ|31360|0|N
H0755|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0001 (HMO-POS)|00025002|0.00|340| | |NJ|31370|0|N
H0755|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0001 (HMO-POS)|00025002|0.00|340| | |NJ|31390|0|N
H0755|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0002 (HMO-POS)|00025002|55.00|340| | |NJ|31000|0|N
H0755|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0002 (HMO-POS)|00025002|55.00|340| | |NJ|31100|0|N
H0755|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0002 (HMO-POS)|00025002|55.00|340| | |NJ|31150|0|N
H0755|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0002 (HMO-POS)|00025002|55.00|340| | |NJ|31160|0|N
H0755|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0002 (HMO-POS)|00025002|55.00|340| | |NJ|31200|0|N
H0755|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0002 (HMO-POS)|00025002|55.00|340| | |NJ|31230|0|N
H0755|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0002 (HMO-POS)|00025002|55.00|340| | |NJ|31250|0|N
H0755|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0002 (HMO-POS)|00025002|55.00|340| | |NJ|31260|0|N
H0755|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0002 (HMO-POS)|00025002|55.00|340| | |NJ|31270|0|N
H0755|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0002 (HMO-POS)|00025002|55.00|340| | |NJ|31290|0|N
H0755|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0002 (HMO-POS)|00025002|55.00|340| | |NJ|31300|0|N
H0755|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0002 (HMO-POS)|00025002|55.00|340| | |NJ|31310|0|N
H0755|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0002 (HMO-POS)|00025002|55.00|340| | |NJ|31320|0|N
H0755|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0002 (HMO-POS)|00025002|55.00|340| | |NJ|31350|0|N
H0755|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0002 (HMO-POS)|00025002|55.00|340| | |NJ|31360|0|N
H0755|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0002 (HMO-POS)|00025002|55.00|340| | |NJ|31370|0|N
H0755|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0002 (HMO-POS)|00025002|55.00|340| | |NJ|31390|0|N
H0755|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0003 (HMO-POS)|00025002|89.00|340| | |NJ|31000|0|N
H0755|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0003 (HMO-POS)|00025002|89.00|340| | |NJ|31100|0|N
H0755|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0003 (HMO-POS)|00025002|89.00|340| | |NJ|31150|0|N
H0755|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0003 (HMO-POS)|00025002|89.00|340| | |NJ|31160|0|N
H0755|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0003 (HMO-POS)|00025002|89.00|340| | |NJ|31200|0|N
H0755|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0003 (HMO-POS)|00025002|89.00|340| | |NJ|31230|0|N
H0755|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0003 (HMO-POS)|00025002|89.00|340| | |NJ|31250|0|N
H0755|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0003 (HMO-POS)|00025002|89.00|340| | |NJ|31260|0|N
H0755|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0003 (HMO-POS)|00025002|89.00|340| | |NJ|31270|0|N
H0755|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0003 (HMO-POS)|00025002|89.00|340| | |NJ|31290|0|N
H0755|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0003 (HMO-POS)|00025002|89.00|340| | |NJ|31300|0|N
H0755|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0003 (HMO-POS)|00025002|89.00|340| | |NJ|31310|0|N
H0755|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0003 (HMO-POS)|00025002|89.00|340| | |NJ|31320|0|N
H0755|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0003 (HMO-POS)|00025002|89.00|340| | |NJ|31350|0|N
H0755|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0003 (HMO-POS)|00025002|89.00|340| | |NJ|31360|0|N
H0755|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0003 (HMO-POS)|00025002|89.00|340| | |NJ|31370|0|N
H0755|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0003 (HMO-POS)|00025002|89.00|340| | |NJ|31390|0|N
H0764|001|000|UNITEDHEALTHCARE OF NEW ENGLAND, INC.|UHC Dual Complete RI-S001 (PPO D-SNP)|00025002|0.00|590| | |RI|41000|2|N
H0764|001|000|UNITEDHEALTHCARE OF NEW ENGLAND, INC.|UHC Dual Complete RI-S001 (PPO D-SNP)|00025002|0.00|590| | |RI|41010|2|N
H0764|001|000|UNITEDHEALTHCARE OF NEW ENGLAND, INC.|UHC Dual Complete RI-S001 (PPO D-SNP)|00025002|0.00|590| | |RI|41020|2|N
H0764|001|000|UNITEDHEALTHCARE OF NEW ENGLAND, INC.|UHC Dual Complete RI-S001 (PPO D-SNP)|00025002|0.00|590| | |RI|41030|2|N
H0764|001|000|UNITEDHEALTHCARE OF NEW ENGLAND, INC.|UHC Dual Complete RI-S001 (PPO D-SNP)|00025002|0.00|590| | |RI|41050|2|N
H0783|002|000|HUMANA BENEFIT PLAN OF TEXAS, INC.|Humana Gold Plus H0783-002 (HMO)|00025456|0.00|0| | |TX|45240|0|N
H0783|002|000|HUMANA BENEFIT PLAN OF TEXAS, INC.|Humana Gold Plus H0783-002 (HMO)|00025456|0.00|0| | |TX|45650|0|N
H0783|002|000|HUMANA BENEFIT PLAN OF TEXAS, INC.|Humana Gold Plus H0783-002 (HMO)|00025456|0.00|0| | |TX|45962|0|N
H0783|003|000|HUMANA BENEFIT PLAN OF TEXAS, INC.|Humana Gold Plus H0783-003 (HMO)|00025456|0.00|200| | |TX|45190|0|N
H0783|003|000|HUMANA BENEFIT PLAN OF TEXAS, INC.|Humana Gold Plus H0783-003 (HMO)|00025456|0.00|200| | |TX|45221|0|N
H0783|003|000|HUMANA BENEFIT PLAN OF TEXAS, INC.|Humana Gold Plus H0783-003 (HMO)|00025456|0.00|200| | |TX|45580|0|N
H0783|003|000|HUMANA BENEFIT PLAN OF TEXAS, INC.|Humana Gold Plus H0783-003 (HMO)|00025456|0.00|200| | |TX|45952|0|N
H0783|004|000|HUMANA BENEFIT PLAN OF TEXAS, INC.|Humana Gold Plus H0783-004 (HMO)|00025456|0.00|200| | |TX|45362|0|N
H0783|004|000|HUMANA BENEFIT PLAN OF TEXAS, INC.|Humana Gold Plus H0783-004 (HMO)|00025456|0.00|200| | |TX|45582|0|N
H0783|004|000|HUMANA BENEFIT PLAN OF TEXAS, INC.|Humana Gold Plus H0783-004 (HMO)|00025456|0.00|200| | |TX|45652|0|N
H0783|004|000|HUMANA BENEFIT PLAN OF TEXAS, INC.|Humana Gold Plus H0783-004 (HMO)|00025456|0.00|200| | |TX|45770|0|N
H0783|004|000|HUMANA BENEFIT PLAN OF TEXAS, INC.|Humana Gold Plus H0783-004 (HMO)|00025456|0.00|200| | |TX|45771|0|N
H0885|001|000|HEALTHIER NEW JERSEY INSURANCE COMPANY|Braven Medicare Choice (PPO)|00025176|0.00|200| | |NJ|31100|0|N
H0885|001|000|HEALTHIER NEW JERSEY INSURANCE COMPANY|Braven Medicare Choice (PPO)|00025176|0.00|200| | |NJ|31200|0|N
H0885|001|000|HEALTHIER NEW JERSEY INSURANCE COMPANY|Braven Medicare Choice (PPO)|00025176|0.00|200| | |NJ|31230|0|N
H0885|001|000|HEALTHIER NEW JERSEY INSURANCE COMPANY|Braven Medicare Choice (PPO)|00025176|0.00|200| | |NJ|31270|0|N
H0885|001|000|HEALTHIER NEW JERSEY INSURANCE COMPANY|Braven Medicare Choice (PPO)|00025176|0.00|200| | |NJ|31290|0|N
H0885|001|000|HEALTHIER NEW JERSEY INSURANCE COMPANY|Braven Medicare Choice (PPO)|00025176|0.00|200| | |NJ|31310|0|N
H0885|001|000|HEALTHIER NEW JERSEY INSURANCE COMPANY|Braven Medicare Choice (PPO)|00025176|0.00|200| | |NJ|31320|0|N
H0885|001|000|HEALTHIER NEW JERSEY INSURANCE COMPANY|Braven Medicare Choice (PPO)|00025176|0.00|200| | |NJ|31370|0|N
H0885|002|000|HEALTHIER NEW JERSEY INSURANCE COMPANY|Braven Medicare Freedom (PPO)|00025176|30.00|200| | |NJ|31100|0|N
H0885|002|000|HEALTHIER NEW JERSEY INSURANCE COMPANY|Braven Medicare Freedom (PPO)|00025176|30.00|200| | |NJ|31200|0|N
H0885|002|000|HEALTHIER NEW JERSEY INSURANCE COMPANY|Braven Medicare Freedom (PPO)|00025176|30.00|200| | |NJ|31230|0|N
H0885|002|000|HEALTHIER NEW JERSEY INSURANCE COMPANY|Braven Medicare Freedom (PPO)|00025176|30.00|200| | |NJ|31270|0|N
H0885|002|000|HEALTHIER NEW JERSEY INSURANCE COMPANY|Braven Medicare Freedom (PPO)|00025176|30.00|200| | |NJ|31290|0|N
H0885|002|000|HEALTHIER NEW JERSEY INSURANCE COMPANY|Braven Medicare Freedom (PPO)|00025176|30.00|200| | |NJ|31310|0|N
H0885|002|000|HEALTHIER NEW JERSEY INSURANCE COMPANY|Braven Medicare Freedom (PPO)|00025176|30.00|200| | |NJ|31320|0|N
H0885|002|000|HEALTHIER NEW JERSEY INSURANCE COMPANY|Braven Medicare Freedom (PPO)|00025176|30.00|200| | |NJ|31370|0|N
H0885|003|000|HEALTHIER NEW JERSEY INSURANCE COMPANY|Braven Medicare Choice (PPO)|00025176|0.00|200| | |NJ|31250|0|N
H0885|003|000|HEALTHIER NEW JERSEY INSURANCE COMPANY|Braven Medicare Choice (PPO)|00025176|0.00|200| | |NJ|31260|0|N
H0885|005|000|HEALTHIER NEW JERSEY INSURANCE COMPANY|Braven Medicare Choice (PPO)|00025176|0.00|200| | |NJ|31150|0|N
H0885|005|000|HEALTHIER NEW JERSEY INSURANCE COMPANY|Braven Medicare Choice (PPO)|00025176|0.00|200| | |NJ|31160|0|N
H0885|005|000|HEALTHIER NEW JERSEY INSURANCE COMPANY|Braven Medicare Choice (PPO)|00025176|0.00|200| | |NJ|31190|0|N
H0885|005|000|HEALTHIER NEW JERSEY INSURANCE COMPANY|Braven Medicare Choice (PPO)|00025176|0.00|200| | |NJ|31220|0|N
H0885|005|000|HEALTHIER NEW JERSEY INSURANCE COMPANY|Braven Medicare Choice (PPO)|00025176|0.00|200| | |NJ|31340|0|N
H0885|006|000|HEALTHIER NEW JERSEY INSURANCE COMPANY|Braven Medicare Choice (PPO)|00025176|0.00|200| | |NJ|31000|0|N
H0885|006|000|HEALTHIER NEW JERSEY INSURANCE COMPANY|Braven Medicare Choice (PPO)|00025176|0.00|200| | |NJ|31180|0|N
H0885|007|000|HEALTHIER NEW JERSEY INSURANCE COMPANY|Braven Medicare Choice Plus (PPO)|00025176|0.00|175| | |NJ|31200|0|N
H0885|007|000|HEALTHIER NEW JERSEY INSURANCE COMPANY|Braven Medicare Choice Plus (PPO)|00025176|0.00|175| | |NJ|31230|0|N
H0885|007|000|HEALTHIER NEW JERSEY INSURANCE COMPANY|Braven Medicare Choice Plus (PPO)|00025176|0.00|175| | |NJ|31370|0|N
H0885|008|000|HEALTHIER NEW JERSEY INSURANCE COMPANY|Braven Medicare Freedom (PPO)|00025176|13.70|300| | |NJ|31300|0|N
H0885|008|000|HEALTHIER NEW JERSEY INSURANCE COMPANY|Braven Medicare Freedom (PPO)|00025176|13.70|300| | |NJ|31350|0|N
H0885|008|000|HEALTHIER NEW JERSEY INSURANCE COMPANY|Braven Medicare Freedom (PPO)|00025176|13.70|300| | |NJ|31360|0|N
H0885|008|000|HEALTHIER NEW JERSEY INSURANCE COMPANY|Braven Medicare Freedom (PPO)|00025176|13.70|300| | |NJ|31390|0|N
H0885|009|000|HEALTHIER NEW JERSEY INSURANCE COMPANY|Braven Medicare Freedom (PPO)|00025176|35.00|150| | |NJ|31000|0|N
H0885|009|000|HEALTHIER NEW JERSEY INSURANCE COMPANY|Braven Medicare Freedom (PPO)|00025176|35.00|150| | |NJ|31150|0|N
H0885|009|000|HEALTHIER NEW JERSEY INSURANCE COMPANY|Braven Medicare Freedom (PPO)|00025176|35.00|150| | |NJ|31160|0|N
H0885|009|000|HEALTHIER NEW JERSEY INSURANCE COMPANY|Braven Medicare Freedom (PPO)|00025176|35.00|150| | |NJ|31180|0|N
H0885|009|000|HEALTHIER NEW JERSEY INSURANCE COMPANY|Braven Medicare Freedom (PPO)|00025176|35.00|150| | |NJ|31190|0|N
H0885|009|000|HEALTHIER NEW JERSEY INSURANCE COMPANY|Braven Medicare Freedom (PPO)|00025176|35.00|150| | |NJ|31220|0|N
H0885|009|000|HEALTHIER NEW JERSEY INSURANCE COMPANY|Braven Medicare Freedom (PPO)|00025176|35.00|150| | |NJ|31250|0|N
H0885|009|000|HEALTHIER NEW JERSEY INSURANCE COMPANY|Braven Medicare Freedom (PPO)|00025176|35.00|150| | |NJ|31260|0|N
H0885|009|000|HEALTHIER NEW JERSEY INSURANCE COMPANY|Braven Medicare Freedom (PPO)|00025176|35.00|150| | |NJ|31340|0|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16000|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16010|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16020|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16030|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16040|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16050|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16060|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16070|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16080|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16090|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16100|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16110|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16120|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16130|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16140|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16150|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16160|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16170|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16180|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16190|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16200|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16210|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16220|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16230|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16240|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16250|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16260|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16270|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16280|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16290|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16300|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16310|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16320|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16330|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16340|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16350|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16360|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16370|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16380|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16390|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16400|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16410|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16420|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16430|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16440|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16450|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16460|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16470|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16480|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16490|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16500|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16510|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16520|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16530|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16540|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16550|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16560|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16570|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16580|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16590|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16600|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16610|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16620|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16630|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16640|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16650|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16660|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16670|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16680|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16690|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16700|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16710|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16720|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16730|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16740|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16750|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16760|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16770|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16780|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16790|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16800|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16810|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16820|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16830|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16840|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16850|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16860|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16870|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16880|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16890|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16900|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16910|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16920|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16930|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16940|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16950|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16960|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16970|2|N
H0907|001|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16980|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16000|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16010|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16020|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16030|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16040|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16050|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16060|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16070|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16080|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16090|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16100|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16110|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16120|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16130|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16140|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16150|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16160|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16170|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16180|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16190|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16200|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16210|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16220|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16230|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16240|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16250|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16260|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16270|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16280|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16290|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16300|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16310|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16320|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16330|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16340|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16350|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16360|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16370|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16380|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16390|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16400|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16410|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16420|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16430|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16440|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16450|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16460|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16470|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16480|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16490|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16500|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16510|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16520|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16530|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16540|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16550|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16560|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16570|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16580|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16590|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16600|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16610|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16620|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16630|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16640|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16650|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16660|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16670|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16680|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16690|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16700|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16710|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16720|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16730|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16740|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16750|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16760|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16770|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16780|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16790|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16800|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16810|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16820|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16830|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16840|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16850|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16860|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16870|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16880|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16890|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16900|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16910|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16920|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16930|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16940|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16950|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16960|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16970|2|N
H0907|002|000|WELLPOINT IOWA, INC.|Wellpoint Dual Advantage (HMO-POS D-SNP)|00025049|6.80|590| | |IA|16980|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16000|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16010|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16020|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16030|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16040|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16050|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16060|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16070|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16080|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16090|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16100|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16110|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16120|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16130|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16140|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16150|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16160|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16170|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16180|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16190|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16200|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16210|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16220|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16230|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16240|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16250|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16260|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16270|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16280|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16290|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16300|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16310|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16320|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16330|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16340|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16350|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16360|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16370|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16380|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16390|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16400|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16410|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16420|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16430|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16440|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16450|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16460|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16470|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16480|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16490|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16500|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16510|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16520|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16530|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16540|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16550|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16560|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16570|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16580|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16590|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16600|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16610|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16620|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16630|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16640|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16650|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16660|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16670|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16680|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16690|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16700|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16710|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16720|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16730|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16740|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16750|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16760|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16770|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16780|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16790|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16800|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16810|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16820|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16830|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16840|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16850|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16860|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16870|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16880|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16890|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16900|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16910|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16920|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16930|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16940|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16950|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16960|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16970|2|N
H0907|003|000|WELLPOINT IOWA, INC.|Wellpoint Full Dual Advantage 2 (HMO-POS D-SNP)|00025049|0.00|590| | |IA|16980|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36000|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36010|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36020|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36030|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36040|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36050|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36060|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36070|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36080|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36090|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36100|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36110|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36120|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36130|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36140|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36150|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36160|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36170|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36190|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36200|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36210|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36220|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36230|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36240|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36250|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36260|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36270|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36280|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36290|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36300|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36310|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36330|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36340|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36350|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36360|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36370|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36380|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36390|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36400|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36410|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36420|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36430|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36440|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36450|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36460|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36470|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36480|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36490|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36500|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36510|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36520|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36530|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36540|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36550|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36560|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36570|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36580|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36590|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36600|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36610|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36620|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36630|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36640|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36650|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36660|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36670|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36680|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36690|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36700|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36710|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36720|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36730|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36740|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36750|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36760|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36770|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36780|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36790|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36800|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36810|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36820|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36830|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36840|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36850|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36860|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36870|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36880|2|N
H0908|001|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|380| | |OH|36890|2|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36000|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36010|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36020|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36030|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36040|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36050|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36060|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36070|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36080|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36090|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36100|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36110|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36120|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36130|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36140|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36150|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36160|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36170|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36190|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36200|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36210|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36220|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36230|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36240|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36250|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36260|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36270|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36280|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36290|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36300|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36310|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36330|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36340|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36350|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36360|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36370|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36380|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36390|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36400|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36410|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36420|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36430|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36440|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36450|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36460|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36470|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36480|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36490|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36500|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36510|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36520|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36530|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36540|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36550|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36560|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36570|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36580|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36590|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36600|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36610|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36620|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36630|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36640|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36650|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36660|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36670|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36680|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36690|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36700|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36710|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36720|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36730|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36740|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36750|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36760|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36770|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36780|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36790|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36800|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36810|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36820|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36830|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36840|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36850|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36860|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36870|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36880|0|N
H0908|003|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |OH|36890|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36000|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36010|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36020|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36030|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36040|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36050|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36060|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36070|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36080|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36090|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36100|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36110|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36120|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36130|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36140|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36150|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36160|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36170|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36190|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36200|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36210|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36220|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36230|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36240|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36250|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36260|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36270|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36280|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36290|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36300|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36310|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36330|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36340|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36350|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36360|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36370|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36380|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36390|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36400|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36410|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36420|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36430|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36440|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36450|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36460|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36470|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36480|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36490|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36500|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36510|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36520|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36530|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36540|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36550|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36560|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36570|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36580|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36590|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36600|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36610|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36620|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36630|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36640|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36650|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36660|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36670|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36680|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36690|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36700|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36710|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36720|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36730|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36740|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36750|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36760|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36770|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36780|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36790|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36800|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36810|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36820|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36830|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36840|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36850|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36860|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36870|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36880|0|N
H0908|004|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|32.30|590| | |OH|36890|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36000|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36010|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36020|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36030|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36040|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36050|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36060|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36070|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36080|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36090|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36100|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36110|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36120|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36130|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36140|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36150|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36160|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36170|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36190|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36200|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36210|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36220|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36230|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36240|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36250|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36260|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36270|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36280|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36290|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36300|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36310|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36330|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36340|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36350|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36360|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36370|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36380|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36390|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36400|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36410|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36420|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36430|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36440|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36450|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36460|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36470|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36480|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36490|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36500|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36510|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36520|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36530|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36540|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36550|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36560|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36570|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36580|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36590|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36600|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36610|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36620|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36630|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36640|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36650|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36660|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36670|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36680|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36690|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36700|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36710|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36720|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36730|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36740|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36750|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36760|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36770|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36780|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36790|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36800|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36810|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36820|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36830|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36840|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36850|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36860|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36870|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36880|0|N
H0908|005|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |OH|36890|0|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36000|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36010|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36020|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36030|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36040|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36050|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36060|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36070|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36080|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36090|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36100|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36110|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36120|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36130|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36140|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36150|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36160|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36170|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36190|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36200|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36210|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36220|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36230|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36240|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36250|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36260|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36270|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36280|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36290|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36300|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36310|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36330|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36340|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36350|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36360|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36370|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36380|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36390|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36400|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36410|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36420|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36430|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36440|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36450|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36460|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36470|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36480|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36490|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36500|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36510|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36520|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36530|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36540|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36550|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36560|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36570|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36580|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36590|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36600|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36610|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36620|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36630|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36640|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36650|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36660|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36670|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36680|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36690|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36700|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36710|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36720|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36730|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36740|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36750|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36760|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36770|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36780|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36790|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36800|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36810|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36820|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36830|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36840|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36850|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36860|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36870|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36880|2|N
H0908|006|000|BUCKEYE COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|35.90|590| | |OH|36890|2|N
H0913|002|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NJ|31000|0|N
H0913|002|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NJ|31100|0|N
H0913|002|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NJ|31150|0|N
H0913|002|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NJ|31160|0|N
H0913|002|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NJ|31180|0|N
H0913|002|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NJ|31190|0|N
H0913|002|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NJ|31200|0|N
H0913|002|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NJ|31220|0|N
H0913|002|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NJ|31230|0|N
H0913|002|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NJ|31260|0|N
H0913|002|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NJ|31270|0|N
H0913|002|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NJ|31290|0|N
H0913|002|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NJ|31300|0|N
H0913|002|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NJ|31310|0|N
H0913|002|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NJ|31320|0|N
H0913|002|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NJ|31340|0|N
H0913|002|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NJ|31350|0|N
H0913|002|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NJ|31360|0|N
H0913|002|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NJ|31370|0|N
H0913|002|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NJ|31390|0|N
H0913|013|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025066|0.00|550| | |NJ|31000|2|N
H0913|013|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025066|0.00|550| | |NJ|31100|2|N
H0913|013|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025066|0.00|550| | |NJ|31150|2|N
H0913|013|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025066|0.00|550| | |NJ|31160|2|N
H0913|013|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025066|0.00|550| | |NJ|31180|2|N
H0913|013|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025066|0.00|550| | |NJ|31190|2|N
H0913|013|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025066|0.00|550| | |NJ|31200|2|N
H0913|013|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025066|0.00|550| | |NJ|31220|2|N
H0913|013|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025066|0.00|550| | |NJ|31230|2|N
H0913|013|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025066|0.00|550| | |NJ|31260|2|N
H0913|013|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025066|0.00|550| | |NJ|31270|2|N
H0913|013|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025066|0.00|550| | |NJ|31290|2|N
H0913|013|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025066|0.00|550| | |NJ|31300|2|N
H0913|013|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025066|0.00|550| | |NJ|31310|2|N
H0913|013|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025066|0.00|550| | |NJ|31320|2|N
H0913|013|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025066|0.00|550| | |NJ|31340|2|N
H0913|013|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025066|0.00|550| | |NJ|31350|2|N
H0913|013|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025066|0.00|550| | |NJ|31360|2|N
H0913|013|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025066|0.00|550| | |NJ|31370|2|N
H0913|013|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025066|0.00|550| | |NJ|31390|2|N
H0913|015|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Assist (HMO-POS)|00025066|41.00|590| | |NJ|31000|0|N
H0913|015|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Assist (HMO-POS)|00025066|41.00|590| | |NJ|31100|0|N
H0913|015|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Assist (HMO-POS)|00025066|41.00|590| | |NJ|31150|0|N
H0913|015|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Assist (HMO-POS)|00025066|41.00|590| | |NJ|31160|0|N
H0913|015|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Assist (HMO-POS)|00025066|41.00|590| | |NJ|31180|0|N
H0913|015|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Assist (HMO-POS)|00025066|41.00|590| | |NJ|31190|0|N
H0913|015|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Assist (HMO-POS)|00025066|41.00|590| | |NJ|31200|0|N
H0913|015|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Assist (HMO-POS)|00025066|41.00|590| | |NJ|31220|0|N
H0913|015|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Assist (HMO-POS)|00025066|41.00|590| | |NJ|31230|0|N
H0913|015|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Assist (HMO-POS)|00025066|41.00|590| | |NJ|31260|0|N
H0913|015|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Assist (HMO-POS)|00025066|41.00|590| | |NJ|31270|0|N
H0913|015|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Assist (HMO-POS)|00025066|41.00|590| | |NJ|31290|0|N
H0913|015|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Assist (HMO-POS)|00025066|41.00|590| | |NJ|31300|0|N
H0913|015|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Assist (HMO-POS)|00025066|41.00|590| | |NJ|31310|0|N
H0913|015|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Assist (HMO-POS)|00025066|41.00|590| | |NJ|31320|0|N
H0913|015|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Assist (HMO-POS)|00025066|41.00|590| | |NJ|31340|0|N
H0913|015|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Assist (HMO-POS)|00025066|41.00|590| | |NJ|31350|0|N
H0913|015|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Assist (HMO-POS)|00025066|41.00|590| | |NJ|31360|0|N
H0913|015|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Assist (HMO-POS)|00025066|41.00|590| | |NJ|31370|0|N
H0913|015|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Assist (HMO-POS)|00025066|41.00|590| | |NJ|31390|0|N
H0913|017|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Simple Focus (HMO-POS)|00025084|0.00|420| | |NJ|31100|0|N
H0913|017|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Simple Focus (HMO-POS)|00025084|0.00|420| | |NJ|31230|0|N
H0913|017|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Simple Focus (HMO-POS)|00025084|0.00|420| | |NJ|31270|0|N
H0913|021|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NJ|31000|0|N
H0913|021|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NJ|31100|0|N
H0913|021|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NJ|31150|0|N
H0913|021|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NJ|31160|0|N
H0913|021|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NJ|31180|0|N
H0913|021|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NJ|31190|0|N
H0913|021|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NJ|31200|0|N
H0913|021|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NJ|31220|0|N
H0913|021|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NJ|31230|0|N
H0913|021|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NJ|31260|0|N
H0913|021|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NJ|31270|0|N
H0913|021|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NJ|31290|0|N
H0913|021|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NJ|31300|0|N
H0913|021|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NJ|31310|0|N
H0913|021|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NJ|31320|0|N
H0913|021|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NJ|31340|0|N
H0913|021|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NJ|31350|0|N
H0913|021|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NJ|31360|0|N
H0913|021|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NJ|31370|0|N
H0913|021|000|WELLCARE HEALTH PLANS OF NEW JERSEY, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NJ|31390|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14000|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14010|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14020|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14030|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14040|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14050|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14060|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14070|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14080|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14090|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14100|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14110|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14120|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14130|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14140|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14141|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14150|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14160|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14170|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14180|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14190|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14250|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14310|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14320|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14330|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14340|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14350|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14360|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14370|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14380|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14390|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14400|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14410|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14420|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14421|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14440|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14450|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14460|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14470|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14480|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14490|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14500|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14510|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14520|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14530|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14540|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14550|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14560|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14570|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14580|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14590|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14600|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14610|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14620|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14630|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14640|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14650|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14660|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14670|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14680|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14690|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14700|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14710|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14720|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14730|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14740|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14750|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14760|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14770|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14780|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14790|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14800|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14810|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14820|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14830|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14831|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14850|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14860|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14870|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14880|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14890|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14900|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14910|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14920|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14921|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14940|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14950|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14960|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14970|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14980|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14981|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14982|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14983|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14984|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14985|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14986|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14987|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14988|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14989|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14990|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14991|0|N
H0927|001|000|HEALTH CARE SERVICE CORPORATION|Blue Medicare Advantage (Medicare-Medicaid Plan)|00025440|0.00|0| | |IL|14992|0|N
H0976|001|000|SCAN HEALTH PLAN|SCAN Connections (HMO D-SNP)|00025409|0.00|590| | |CA|05200|2|N
H0976|001|000|SCAN HEALTH PLAN|SCAN Connections (HMO D-SNP)|00025409|0.00|590| | |CA|05210|2|N
H0976|001|000|SCAN HEALTH PLAN|SCAN Connections (HMO D-SNP)|00025409|0.00|590| | |CA|05430|2|N
H0976|001|000|SCAN HEALTH PLAN|SCAN Connections (HMO D-SNP)|00025409|0.00|590| | |CA|05460|2|N
H0976|001|000|SCAN HEALTH PLAN|SCAN Connections (HMO D-SNP)|00025409|0.00|590| | |CA|05470|2|N
H0976|002|000|SCAN HEALTH PLAN|SCAN Connections at Home (HMO D-SNP)|00025409|0.00|590| | |CA|05200|2|N
H0976|002|000|SCAN HEALTH PLAN|SCAN Connections at Home (HMO D-SNP)|00025409|0.00|590| | |CA|05210|2|N
H0976|002|000|SCAN HEALTH PLAN|SCAN Connections at Home (HMO D-SNP)|00025409|0.00|590| | |CA|05430|2|N
H0976|002|000|SCAN HEALTH PLAN|SCAN Connections at Home (HMO D-SNP)|00025409|0.00|590| | |CA|05460|2|N
H0976|002|000|SCAN HEALTH PLAN|SCAN Connections at Home (HMO D-SNP)|00025409|0.00|590| | |CA|05470|2|N
H0978|001|000|SCAN HEALTH PLAN NEVADA, INC.|SCAN Classic (HMO)|00025409|0.00|0| | |NV|29010|0|N
H0978|001|000|SCAN HEALTH PLAN NEVADA, INC.|SCAN Classic (HMO)|00025409|0.00|0| | |NV|29110|0|N
H0978|002|000|SCAN HEALTH PLAN NEVADA, INC.|SCAN Balance (HMO C-SNP)|00025409|0.00|0| | |NV|29010|1|N
H0978|002|000|SCAN HEALTH PLAN NEVADA, INC.|SCAN Balance (HMO C-SNP)|00025409|0.00|0| | |NV|29110|1|N
H0978|009|000|SCAN HEALTH PLAN NEVADA, INC.|SCAN Compass (HMO)|00025409|0.00|0| | |NV|29010|0|N
H0978|009|000|SCAN HEALTH PLAN NEVADA, INC.|SCAN Compass (HMO)|00025409|0.00|0| | |NV|29110|0|N
H0978|010|000|SCAN HEALTH PLAN NEVADA, INC.|SCAN Strive (HMO C-SNP)|00025409|21.30|590| | |NV|29010|1|N
H0978|011|000|SCAN HEALTH PLAN NEVADA, INC.|SCAN MyChoice (HMO)|00025409|0.00|0| | |NV|29010|0|N
H0982|002|000|SOLIS HEALTH PLANS, INC.|Solis Guardian Plan (HMO D-SNP)|00025278|20.30|590| | |FL|10120|2|N
H0982|007|000|SOLIS HEALTH PLANS, INC.|Solis Healthy Living Plan (HMO)|00025278|0.00|0| | |FL|10050|0|N
H0982|008|000|SOLIS HEALTH PLANS, INC.|Solis Healthy Living Plan (HMO)|00025278|0.00|0| | |FL|10490|0|N
H0982|009|000|SOLIS HEALTH PLANS, INC.|Solis Healthy Living Plan (HMO)|00025278|0.00|0| | |FL|10280|0|N
H0982|009|000|SOLIS HEALTH PLANS, INC.|Solis Healthy Living Plan (HMO)|00025278|0.00|0| | |FL|10500|0|N
H0982|009|000|SOLIS HEALTH PLANS, INC.|Solis Healthy Living Plan (HMO)|00025278|0.00|0| | |FL|10510|0|N
H0982|010|000|SOLIS HEALTH PLANS, INC.|Solis Guardian Plan (HMO D-SNP)|00025278|20.30|590| | |FL|10280|2|N
H0982|010|000|SOLIS HEALTH PLANS, INC.|Solis Guardian Plan (HMO D-SNP)|00025278|20.30|590| | |FL|10500|2|N
H0982|010|000|SOLIS HEALTH PLANS, INC.|Solis Guardian Plan (HMO D-SNP)|00025278|20.30|590| | |FL|10510|2|N
H0982|012|000|SOLIS HEALTH PLANS, INC.|Solis Guardian Plan (HMO D-SNP)|00025278|20.30|590| | |FL|10050|2|N
H0982|013|000|SOLIS HEALTH PLANS, INC.|Solis Guardian Plan (HMO D-SNP)|00025278|20.30|590| | |FL|10490|2|N
H0982|016|000|SOLIS HEALTH PLANS, INC.|Solis Wellness Plan (HMO C-SNP)|00025278|0.00|0| | |FL|10120|1|N
H0982|017|000|SOLIS HEALTH PLANS, INC.|Solis Wellness Plan (HMO C-SNP)|00025278|0.00|0| | |FL|10050|1|N
H0982|018|000|SOLIS HEALTH PLANS, INC.|Solis Wellness Plan (HMO C-SNP)|00025278|0.00|0| | |FL|10490|1|N
H0982|019|000|SOLIS HEALTH PLANS, INC.|Solis Wellness Plan (HMO C-SNP)|00025278|0.00|0| | |FL|10280|1|N
H0982|019|000|SOLIS HEALTH PLANS, INC.|Solis Wellness Plan (HMO C-SNP)|00025278|0.00|0| | |FL|10500|1|N
H0982|019|000|SOLIS HEALTH PLANS, INC.|Solis Wellness Plan (HMO C-SNP)|00025278|0.00|0| | |FL|10510|1|N
H0982|020|000|SOLIS HEALTH PLANS, INC.|Solis Healthy Living Plan (HMO)|00025278|0.00|0| | |FL|10520|0|N
H0982|021|000|SOLIS HEALTH PLANS, INC.|Solis Wellness Plan (HMO C-SNP)|00025278|0.00|0| | |FL|10520|1|N
H0982|022|000|SOLIS HEALTH PLANS, INC.|Solis Healthy Living Plan (HMO)|00025278|0.00|0| | |FL|10120|0|N
H0982|023|000|SOLIS HEALTH PLANS, INC.|Solis Guardian Plan (HMO D-SNP)|00025278|20.30|590| | |FL|10520|2|N
H0982|024|000|SOLIS HEALTH PLANS, INC.|Solis Healthy Living Plan (HMO)|00025278|0.00|0| | |FL|10470|0|N
H0982|024|000|SOLIS HEALTH PLANS, INC.|Solis Healthy Living Plan (HMO)|00025278|0.00|0| | |FL|10480|0|N
H0982|024|000|SOLIS HEALTH PLANS, INC.|Solis Healthy Living Plan (HMO)|00025278|0.00|0| | |FL|10580|0|N
H0982|025|000|SOLIS HEALTH PLANS, INC.|Solis Guardian Plan (HMO D-SNP)|00025278|20.30|590| | |FL|10470|2|N
H0982|025|000|SOLIS HEALTH PLANS, INC.|Solis Guardian Plan (HMO D-SNP)|00025278|20.30|590| | |FL|10480|2|N
H0982|025|000|SOLIS HEALTH PLANS, INC.|Solis Guardian Plan (HMO D-SNP)|00025278|20.30|590| | |FL|10580|2|N
H0982|026|000|SOLIS HEALTH PLANS, INC.|Solis Wellness Plan (HMO C-SNP)|00025278|0.00|0| | |FL|10470|1|N
H0982|026|000|SOLIS HEALTH PLANS, INC.|Solis Wellness Plan (HMO C-SNP)|00025278|0.00|0| | |FL|10480|1|N
H0982|026|000|SOLIS HEALTH PLANS, INC.|Solis Wellness Plan (HMO C-SNP)|00025278|0.00|0| | |FL|10580|1|N
H0982|027|000|SOLIS HEALTH PLANS, INC.|Solis Balanced Plan (HMO C-SNP)|00025278|0.00|0| | |FL|10120|1|N
H1016|001|000|AVMED, INC.|AvMed Medicare Choice (HMO)|00025518|0.00|0| | |FL|10120|0|N
H1016|021|000|AVMED, INC.|AvMed Medicare Choice (HMO)|00025518|0.00|0| | |FL|10050|0|N
H1016|023|000|AVMED, INC.|AvMed Medicare Circle (HMO)|00025518|0.00|0| | |FL|10120|0|N
H1016|024|000|AVMED, INC.|AvMed Medicare Circle (HMO)|00025518|0.00|0| | |FL|10050|0|N
H1016|025|000|AVMED, INC.|AvMed Medicare Access (HMO-POS)|00025518|0.00|0| | |FL|10120|0|N
H1016|026|000|AVMED, INC.|AvMed Medicare Access (HMO-POS)|00025518|0.00|0| | |FL|10050|0|N
H1016|031|000|AVMED, INC.|AvMed Medicare One (HMO)|00025518|0.00|0| | |FL|10120|0|N
H1016|032|000|AVMED, INC.|AvMed Medicare One (HMO)|00025518|0.00|0| | |FL|10050|0|N
H1016|033|000|AVMED, INC.|AvMed Medicare One (HMO)|00025518|0.00|0| | |FL|10490|0|N
H1016|034|000|AVMED, INC.|AvMed Medicare One (HMO)|00025518|0.00|0| | |FL|10470|0|N
H1016|034|000|AVMED, INC.|AvMed Medicare One (HMO)|00025518|0.00|0| | |FL|10480|0|N
H1016|034|000|AVMED, INC.|AvMed Medicare One (HMO)|00025518|0.00|0| | |FL|10580|0|N
H1019|001|000|CAREPLUS HEALTH PLANS, INC.|CareOne Plus (HMO-POS)|00025461|0.00|0| | |FL|10050|0|N
H1019|001|000|CAREPLUS HEALTH PLANS, INC.|CareOne Plus (HMO-POS)|00025461|0.00|0| | |FL|10490|0|N
H1019|006|000|CAREPLUS HEALTH PLANS, INC.|CareOne Plus (HMO)|00025461|0.00|0| | |FL|10120|0|N
H1019|023|000|CAREPLUS HEALTH PLANS, INC.|CareNeeds Platinum (HMO D-SNP)|00025461|0.00|500| | |FL|10050|2|N
H1019|023|000|CAREPLUS HEALTH PLANS, INC.|CareNeeds Platinum (HMO D-SNP)|00025461|0.00|500| | |FL|10120|2|N
H1019|023|000|CAREPLUS HEALTH PLANS, INC.|CareNeeds Platinum (HMO D-SNP)|00025461|0.00|500| | |FL|10490|2|N
H1019|043|000|CAREPLUS HEALTH PLANS, INC.|CareOne Plus (HMO-POS)|00025461|0.00|0| | |FL|10040|0|N
H1019|043|000|CAREPLUS HEALTH PLANS, INC.|CareOne Plus (HMO-POS)|00025461|0.00|0| | |FL|10300|0|N
H1019|057|000|CAREPLUS HEALTH PLANS, INC.|CareOne Plus (HMO-POS)|00025461|0.00|0| | |FL|10340|0|N
H1019|057|000|CAREPLUS HEALTH PLANS, INC.|CareOne Plus (HMO-POS)|00025461|0.00|0| | |FL|10410|0|N
H1019|057|000|CAREPLUS HEALTH PLANS, INC.|CareOne Plus (HMO-POS)|00025461|0.00|0| | |FL|10470|0|N
H1019|057|000|CAREPLUS HEALTH PLANS, INC.|CareOne Plus (HMO-POS)|00025461|0.00|0| | |FL|10480|0|N
H1019|057|000|CAREPLUS HEALTH PLANS, INC.|CareOne Plus (HMO-POS)|00025461|0.00|0| | |FL|10580|0|N
H1019|057|000|CAREPLUS HEALTH PLANS, INC.|CareOne Plus (HMO-POS)|00025461|0.00|0| | |FL|10590|0|N
H1019|065|000|CAREPLUS HEALTH PLANS, INC.|CareFree Giveback (HMO)|00025461|0.00|0| | |FL|10050|0|N
H1019|065|000|CAREPLUS HEALTH PLANS, INC.|CareFree Giveback (HMO)|00025461|0.00|0| | |FL|10490|0|N
H1019|073|000|CAREPLUS HEALTH PLANS, INC.|CareNeeds Plus (HMO D-SNP)|00025461|0.00|590| | |FL|10040|2|N
H1019|073|000|CAREPLUS HEALTH PLANS, INC.|CareNeeds Plus (HMO D-SNP)|00025461|0.00|590| | |FL|10090|2|N
H1019|073|000|CAREPLUS HEALTH PLANS, INC.|CareNeeds Plus (HMO D-SNP)|00025461|0.00|590| | |FL|10150|2|N
H1019|073|000|CAREPLUS HEALTH PLANS, INC.|CareNeeds Plus (HMO D-SNP)|00025461|0.00|590| | |FL|10170|2|N
H1019|073|000|CAREPLUS HEALTH PLANS, INC.|CareNeeds Plus (HMO D-SNP)|00025461|0.00|590| | |FL|10280|2|N
H1019|073|000|CAREPLUS HEALTH PLANS, INC.|CareNeeds Plus (HMO D-SNP)|00025461|0.00|590| | |FL|10300|2|N
H1019|073|000|CAREPLUS HEALTH PLANS, INC.|CareNeeds Plus (HMO D-SNP)|00025461|0.00|590| | |FL|10340|2|N
H1019|073|000|CAREPLUS HEALTH PLANS, INC.|CareNeeds Plus (HMO D-SNP)|00025461|0.00|590| | |FL|10410|2|N
H1019|073|000|CAREPLUS HEALTH PLANS, INC.|CareNeeds Plus (HMO D-SNP)|00025461|0.00|590| | |FL|10470|2|N
H1019|073|000|CAREPLUS HEALTH PLANS, INC.|CareNeeds Plus (HMO D-SNP)|00025461|0.00|590| | |FL|10480|2|N
H1019|073|000|CAREPLUS HEALTH PLANS, INC.|CareNeeds Plus (HMO D-SNP)|00025461|0.00|590| | |FL|10500|2|N
H1019|073|000|CAREPLUS HEALTH PLANS, INC.|CareNeeds Plus (HMO D-SNP)|00025461|0.00|590| | |FL|10510|2|N
H1019|073|000|CAREPLUS HEALTH PLANS, INC.|CareNeeds Plus (HMO D-SNP)|00025461|0.00|590| | |FL|10520|2|N
H1019|073|000|CAREPLUS HEALTH PLANS, INC.|CareNeeds Plus (HMO D-SNP)|00025461|0.00|590| | |FL|10540|2|N
H1019|073|000|CAREPLUS HEALTH PLANS, INC.|CareNeeds Plus (HMO D-SNP)|00025461|0.00|590| | |FL|10580|2|N
H1019|073|000|CAREPLUS HEALTH PLANS, INC.|CareNeeds Plus (HMO D-SNP)|00025461|0.00|590| | |FL|10590|2|N
H1019|073|000|CAREPLUS HEALTH PLANS, INC.|CareNeeds Plus (HMO D-SNP)|00025461|0.00|590| | |FL|10630|2|N
H1019|076|000|CAREPLUS HEALTH PLANS, INC.|CareFree Giveback (HMO)|00025461|0.00|0| | |FL|10120|0|N
H1019|094|000|CAREPLUS HEALTH PLANS, INC.|CareFree Platinum Giveback (HMO)|00025461|0.00|0| | |FL|10090|0|N
H1019|094|000|CAREPLUS HEALTH PLANS, INC.|CareFree Platinum Giveback (HMO)|00025461|0.00|0| | |FL|10150|0|N
H1019|094|000|CAREPLUS HEALTH PLANS, INC.|CareFree Platinum Giveback (HMO)|00025461|0.00|0| | |FL|10540|0|N
H1019|098|000|CAREPLUS HEALTH PLANS, INC.|CareOne Plus (HMO)|00025461|0.00|0| | |FL|10170|0|N
H1019|098|000|CAREPLUS HEALTH PLANS, INC.|CareOne Plus (HMO)|00025461|0.00|0| | |FL|10630|0|N
H1019|103|001|CAREPLUS HEALTH PLANS, INC.|CareOne Plus (HMO)|00025461|0.00|0| | |FL|10520|0|N
H1019|103|002|CAREPLUS HEALTH PLANS, INC.|CareOne Plus (HMO)|00025461|0.00|0| | |FL|10280|0|N
H1019|103|002|CAREPLUS HEALTH PLANS, INC.|CareOne Plus (HMO)|00025461|0.00|0| | |FL|10500|0|N
H1019|103|002|CAREPLUS HEALTH PLANS, INC.|CareOne Plus (HMO)|00025461|0.00|0| | |FL|10510|0|N
H1019|104|001|CAREPLUS HEALTH PLANS, INC.|CareFree Giveback (HMO)|00025461|0.00|0| | |FL|10520|0|N
H1019|104|002|CAREPLUS HEALTH PLANS, INC.|CareFree Giveback (HMO)|00025461|0.00|0| | |FL|10280|0|N
H1019|104|002|CAREPLUS HEALTH PLANS, INC.|CareFree Giveback (HMO)|00025461|0.00|0| | |FL|10500|0|N
H1019|104|002|CAREPLUS HEALTH PLANS, INC.|CareFree Giveback (HMO)|00025461|0.00|0| | |FL|10510|0|N
H1019|108|000|CAREPLUS HEALTH PLANS, INC.|CareComplete Platinum (HMO C-SNP)|00025464|0.00|0| | |FL|10040|1|N
H1019|108|000|CAREPLUS HEALTH PLANS, INC.|CareComplete Platinum (HMO C-SNP)|00025464|0.00|0| | |FL|10170|1|N
H1019|108|000|CAREPLUS HEALTH PLANS, INC.|CareComplete Platinum (HMO C-SNP)|00025464|0.00|0| | |FL|10300|1|N
H1019|108|000|CAREPLUS HEALTH PLANS, INC.|CareComplete Platinum (HMO C-SNP)|00025464|0.00|0| | |FL|10630|1|N
H1019|109|000|CAREPLUS HEALTH PLANS, INC.|CareComplete Platinum (HMO C-SNP)|00025464|0.00|0| | |FL|10090|1|N
H1019|109|000|CAREPLUS HEALTH PLANS, INC.|CareComplete Platinum (HMO C-SNP)|00025464|0.00|0| | |FL|10150|1|N
H1019|109|000|CAREPLUS HEALTH PLANS, INC.|CareComplete Platinum (HMO C-SNP)|00025464|0.00|0| | |FL|10540|1|N
H1019|113|000|CAREPLUS HEALTH PLANS, INC.|CareOne Plus (HMO)|00025461|0.00|0| | |FL|10090|0|N
H1019|113|000|CAREPLUS HEALTH PLANS, INC.|CareOne Plus (HMO)|00025461|0.00|0| | |FL|10150|0|N
H1019|113|000|CAREPLUS HEALTH PLANS, INC.|CareOne Plus (HMO)|00025461|0.00|0| | |FL|10540|0|N
H1019|117|000|CAREPLUS HEALTH PLANS, INC.|CareBreeze Platinum (HMO C-SNP)|00025464|0.00|0| | |FL|10040|1|N
H1019|117|000|CAREPLUS HEALTH PLANS, INC.|CareBreeze Platinum (HMO C-SNP)|00025464|0.00|0| | |FL|10170|1|N
H1019|117|000|CAREPLUS HEALTH PLANS, INC.|CareBreeze Platinum (HMO C-SNP)|00025464|0.00|0| | |FL|10300|1|N
H1019|117|000|CAREPLUS HEALTH PLANS, INC.|CareBreeze Platinum (HMO C-SNP)|00025464|0.00|0| | |FL|10630|1|N
H1019|118|000|CAREPLUS HEALTH PLANS, INC.|CareBreeze Platinum (HMO C-SNP)|00025464|0.00|0| | |FL|10090|1|N
H1019|118|000|CAREPLUS HEALTH PLANS, INC.|CareBreeze Platinum (HMO C-SNP)|00025464|0.00|0| | |FL|10150|1|N
H1019|118|000|CAREPLUS HEALTH PLANS, INC.|CareBreeze Platinum (HMO C-SNP)|00025464|0.00|0| | |FL|10540|1|N
H1019|121|000|CAREPLUS HEALTH PLANS, INC.|CareComplete Platinum (HMO C-SNP)|00025464|0.00|0| | |FL|10120|1|N
H1019|123|000|CAREPLUS HEALTH PLANS, INC.|CareBreeze Platinum (HMO C-SNP)|00025464|0.00|0| | |FL|10120|1|N
H1019|124|000|CAREPLUS HEALTH PLANS, INC.|CareBreeze Platinum (HMO C-SNP)|00025464|0.00|0| | |FL|10050|1|N
H1019|124|000|CAREPLUS HEALTH PLANS, INC.|CareBreeze Platinum (HMO C-SNP)|00025464|0.00|0| | |FL|10490|1|N
H1019|130|000|CAREPLUS HEALTH PLANS, INC.|CareComplete Platinum (HMO C-SNP)|00025464|0.00|0| | |FL|10050|1|N
H1019|130|000|CAREPLUS HEALTH PLANS, INC.|CareComplete Platinum (HMO C-SNP)|00025464|0.00|0| | |FL|10490|1|N
H1019|134|000|CAREPLUS HEALTH PLANS, INC.|CareFree Giveback (HMO)|00025461|0.00|0| | |FL|10040|0|N
H1019|134|000|CAREPLUS HEALTH PLANS, INC.|CareFree Giveback (HMO)|00025461|0.00|0| | |FL|10300|0|N
H1019|135|000|CAREPLUS HEALTH PLANS, INC.|CareFree Platinum Giveback (HMO-POS)|00025461|0.00|0| | |FL|10050|0|N
H1019|135|000|CAREPLUS HEALTH PLANS, INC.|CareFree Platinum Giveback (HMO-POS)|00025461|0.00|0| | |FL|10490|0|N
H1019|136|000|CAREPLUS HEALTH PLANS, INC.|CareFree Platinum Giveback (HMO)|00025461|0.00|0| | |FL|10120|0|N
H1019|138|000|CAREPLUS HEALTH PLANS, INC.|CareFree Platinum Giveback (HMO)|00025461|0.00|0| | |FL|10340|0|N
H1019|138|000|CAREPLUS HEALTH PLANS, INC.|CareFree Platinum Giveback (HMO)|00025461|0.00|0| | |FL|10410|0|N
H1019|138|000|CAREPLUS HEALTH PLANS, INC.|CareFree Platinum Giveback (HMO)|00025461|0.00|0| | |FL|10470|0|N
H1019|138|000|CAREPLUS HEALTH PLANS, INC.|CareFree Platinum Giveback (HMO)|00025461|0.00|0| | |FL|10480|0|N
H1019|138|000|CAREPLUS HEALTH PLANS, INC.|CareFree Platinum Giveback (HMO)|00025461|0.00|0| | |FL|10580|0|N
H1019|138|000|CAREPLUS HEALTH PLANS, INC.|CareFree Platinum Giveback (HMO)|00025461|0.00|0| | |FL|10590|0|N
H1019|139|000|CAREPLUS HEALTH PLANS, INC.|CareFree Platinum Giveback (HMO)|00025461|0.00|0| | |FL|10040|0|N
H1019|139|000|CAREPLUS HEALTH PLANS, INC.|CareFree Platinum Giveback (HMO)|00025461|0.00|0| | |FL|10300|0|N
H1019|140|000|CAREPLUS HEALTH PLANS, INC.|CareFree Platinum Giveback (HMO)|00025461|0.00|0| | |FL|10170|0|N
H1019|140|000|CAREPLUS HEALTH PLANS, INC.|CareFree Platinum Giveback (HMO)|00025461|0.00|0| | |FL|10630|0|N
H1019|144|000|CAREPLUS HEALTH PLANS, INC.|CareAccess (HMO)|00025461|0.00|0| | |FL|10040|0|N
H1019|144|000|CAREPLUS HEALTH PLANS, INC.|CareAccess (HMO)|00025461|0.00|0| | |FL|10090|0|N
H1019|144|000|CAREPLUS HEALTH PLANS, INC.|CareAccess (HMO)|00025461|0.00|0| | |FL|10150|0|N
H1019|144|000|CAREPLUS HEALTH PLANS, INC.|CareAccess (HMO)|00025461|0.00|0| | |FL|10170|0|N
H1019|144|000|CAREPLUS HEALTH PLANS, INC.|CareAccess (HMO)|00025461|0.00|0| | |FL|10280|0|N
H1019|144|000|CAREPLUS HEALTH PLANS, INC.|CareAccess (HMO)|00025461|0.00|0| | |FL|10300|0|N
H1019|144|000|CAREPLUS HEALTH PLANS, INC.|CareAccess (HMO)|00025461|0.00|0| | |FL|10340|0|N
H1019|144|000|CAREPLUS HEALTH PLANS, INC.|CareAccess (HMO)|00025461|0.00|0| | |FL|10410|0|N
H1019|144|000|CAREPLUS HEALTH PLANS, INC.|CareAccess (HMO)|00025461|0.00|0| | |FL|10470|0|N
H1019|144|000|CAREPLUS HEALTH PLANS, INC.|CareAccess (HMO)|00025461|0.00|0| | |FL|10480|0|N
H1019|144|000|CAREPLUS HEALTH PLANS, INC.|CareAccess (HMO)|00025461|0.00|0| | |FL|10500|0|N
H1019|144|000|CAREPLUS HEALTH PLANS, INC.|CareAccess (HMO)|00025461|0.00|0| | |FL|10510|0|N
H1019|144|000|CAREPLUS HEALTH PLANS, INC.|CareAccess (HMO)|00025461|0.00|0| | |FL|10520|0|N
H1019|144|000|CAREPLUS HEALTH PLANS, INC.|CareAccess (HMO)|00025461|0.00|0| | |FL|10540|0|N
H1019|144|000|CAREPLUS HEALTH PLANS, INC.|CareAccess (HMO)|00025461|0.00|0| | |FL|10580|0|N
H1019|144|000|CAREPLUS HEALTH PLANS, INC.|CareAccess (HMO)|00025461|0.00|0| | |FL|10590|0|N
H1019|144|000|CAREPLUS HEALTH PLANS, INC.|CareAccess (HMO)|00025461|0.00|0| | |FL|10630|0|N
H1019|146|000|CAREPLUS HEALTH PLANS, INC.|CareNeeds Platinum (HMO D-SNP)|00025461|0.00|510| | |FL|10040|2|N
H1019|146|000|CAREPLUS HEALTH PLANS, INC.|CareNeeds Platinum (HMO D-SNP)|00025461|0.00|510| | |FL|10090|2|N
H1019|146|000|CAREPLUS HEALTH PLANS, INC.|CareNeeds Platinum (HMO D-SNP)|00025461|0.00|510| | |FL|10150|2|N
H1019|146|000|CAREPLUS HEALTH PLANS, INC.|CareNeeds Platinum (HMO D-SNP)|00025461|0.00|510| | |FL|10170|2|N
H1019|146|000|CAREPLUS HEALTH PLANS, INC.|CareNeeds Platinum (HMO D-SNP)|00025461|0.00|510| | |FL|10280|2|N
H1019|146|000|CAREPLUS HEALTH PLANS, INC.|CareNeeds Platinum (HMO D-SNP)|00025461|0.00|510| | |FL|10300|2|N
H1019|146|000|CAREPLUS HEALTH PLANS, INC.|CareNeeds Platinum (HMO D-SNP)|00025461|0.00|510| | |FL|10340|2|N
H1019|146|000|CAREPLUS HEALTH PLANS, INC.|CareNeeds Platinum (HMO D-SNP)|00025461|0.00|510| | |FL|10410|2|N
H1019|146|000|CAREPLUS HEALTH PLANS, INC.|CareNeeds Platinum (HMO D-SNP)|00025461|0.00|510| | |FL|10470|2|N
H1019|146|000|CAREPLUS HEALTH PLANS, INC.|CareNeeds Platinum (HMO D-SNP)|00025461|0.00|510| | |FL|10480|2|N
H1019|146|000|CAREPLUS HEALTH PLANS, INC.|CareNeeds Platinum (HMO D-SNP)|00025461|0.00|510| | |FL|10500|2|N
H1019|146|000|CAREPLUS HEALTH PLANS, INC.|CareNeeds Platinum (HMO D-SNP)|00025461|0.00|510| | |FL|10510|2|N
H1019|146|000|CAREPLUS HEALTH PLANS, INC.|CareNeeds Platinum (HMO D-SNP)|00025461|0.00|510| | |FL|10520|2|N
H1019|146|000|CAREPLUS HEALTH PLANS, INC.|CareNeeds Platinum (HMO D-SNP)|00025461|0.00|510| | |FL|10540|2|N
H1019|146|000|CAREPLUS HEALTH PLANS, INC.|CareNeeds Platinum (HMO D-SNP)|00025461|0.00|510| | |FL|10580|2|N
H1019|146|000|CAREPLUS HEALTH PLANS, INC.|CareNeeds Platinum (HMO D-SNP)|00025461|0.00|510| | |FL|10590|2|N
H1019|146|000|CAREPLUS HEALTH PLANS, INC.|CareNeeds Platinum (HMO D-SNP)|00025461|0.00|510| | |FL|10630|2|N
H1019|147|001|CAREPLUS HEALTH PLANS, INC.|CareComplete Platinum (HMO C-SNP)|00025464|0.00|0| | |FL|10340|1|N
H1019|147|001|CAREPLUS HEALTH PLANS, INC.|CareComplete Platinum (HMO C-SNP)|00025464|0.00|0| | |FL|10410|1|N
H1019|147|001|CAREPLUS HEALTH PLANS, INC.|CareComplete Platinum (HMO C-SNP)|00025464|0.00|0| | |FL|10470|1|N
H1019|147|001|CAREPLUS HEALTH PLANS, INC.|CareComplete Platinum (HMO C-SNP)|00025464|0.00|0| | |FL|10480|1|N
H1019|147|001|CAREPLUS HEALTH PLANS, INC.|CareComplete Platinum (HMO C-SNP)|00025464|0.00|0| | |FL|10580|1|N
H1019|147|001|CAREPLUS HEALTH PLANS, INC.|CareComplete Platinum (HMO C-SNP)|00025464|0.00|0| | |FL|10590|1|N
H1019|147|002|CAREPLUS HEALTH PLANS, INC.|CareComplete Platinum (HMO C-SNP)|00025464|0.00|0| | |FL|10280|1|N
H1019|147|002|CAREPLUS HEALTH PLANS, INC.|CareComplete Platinum (HMO C-SNP)|00025464|0.00|0| | |FL|10500|1|N
H1019|147|002|CAREPLUS HEALTH PLANS, INC.|CareComplete Platinum (HMO C-SNP)|00025464|0.00|0| | |FL|10510|1|N
H1019|147|002|CAREPLUS HEALTH PLANS, INC.|CareComplete Platinum (HMO C-SNP)|00025464|0.00|0| | |FL|10520|1|N
H1019|148|000|CAREPLUS HEALTH PLANS, INC.|CareAccess (HMO)|00025461|0.00|0| | |FL|10050|0|N
H1019|148|000|CAREPLUS HEALTH PLANS, INC.|CareAccess (HMO)|00025461|0.00|0| | |FL|10120|0|N
H1019|148|000|CAREPLUS HEALTH PLANS, INC.|CareAccess (HMO)|00025461|0.00|0| | |FL|10490|0|N
H1019|149|000|CAREPLUS HEALTH PLANS, INC.|CareFree Giveback (HMO)|00025461|0.00|0| | |FL|10340|0|N
H1019|149|000|CAREPLUS HEALTH PLANS, INC.|CareFree Giveback (HMO)|00025461|0.00|0| | |FL|10410|0|N
H1019|149|000|CAREPLUS HEALTH PLANS, INC.|CareFree Giveback (HMO)|00025461|0.00|0| | |FL|10470|0|N
H1019|149|000|CAREPLUS HEALTH PLANS, INC.|CareFree Giveback (HMO)|00025461|0.00|0| | |FL|10480|0|N
H1019|149|000|CAREPLUS HEALTH PLANS, INC.|CareFree Giveback (HMO)|00025461|0.00|0| | |FL|10580|0|N
H1019|149|000|CAREPLUS HEALTH PLANS, INC.|CareFree Giveback (HMO)|00025461|0.00|0| | |FL|10590|0|N
H1019|150|000|CAREPLUS HEALTH PLANS, INC.|CareComplete (HMO C-SNP)|00025464|0.00|0| | |FL|10040|1|N
H1019|150|000|CAREPLUS HEALTH PLANS, INC.|CareComplete (HMO C-SNP)|00025464|0.00|0| | |FL|10050|1|N
H1019|150|000|CAREPLUS HEALTH PLANS, INC.|CareComplete (HMO C-SNP)|00025464|0.00|0| | |FL|10090|1|N
H1019|150|000|CAREPLUS HEALTH PLANS, INC.|CareComplete (HMO C-SNP)|00025464|0.00|0| | |FL|10120|1|N
H1019|150|000|CAREPLUS HEALTH PLANS, INC.|CareComplete (HMO C-SNP)|00025464|0.00|0| | |FL|10150|1|N
H1019|150|000|CAREPLUS HEALTH PLANS, INC.|CareComplete (HMO C-SNP)|00025464|0.00|0| | |FL|10170|1|N
H1019|150|000|CAREPLUS HEALTH PLANS, INC.|CareComplete (HMO C-SNP)|00025464|0.00|0| | |FL|10280|1|N
H1019|150|000|CAREPLUS HEALTH PLANS, INC.|CareComplete (HMO C-SNP)|00025464|0.00|0| | |FL|10300|1|N
H1019|150|000|CAREPLUS HEALTH PLANS, INC.|CareComplete (HMO C-SNP)|00025464|0.00|0| | |FL|10340|1|N
H1019|150|000|CAREPLUS HEALTH PLANS, INC.|CareComplete (HMO C-SNP)|00025464|0.00|0| | |FL|10410|1|N
H1019|150|000|CAREPLUS HEALTH PLANS, INC.|CareComplete (HMO C-SNP)|00025464|0.00|0| | |FL|10470|1|N
H1019|150|000|CAREPLUS HEALTH PLANS, INC.|CareComplete (HMO C-SNP)|00025464|0.00|0| | |FL|10480|1|N
H1019|150|000|CAREPLUS HEALTH PLANS, INC.|CareComplete (HMO C-SNP)|00025464|0.00|0| | |FL|10490|1|N
H1019|150|000|CAREPLUS HEALTH PLANS, INC.|CareComplete (HMO C-SNP)|00025464|0.00|0| | |FL|10500|1|N
H1019|150|000|CAREPLUS HEALTH PLANS, INC.|CareComplete (HMO C-SNP)|00025464|0.00|0| | |FL|10510|1|N
H1019|150|000|CAREPLUS HEALTH PLANS, INC.|CareComplete (HMO C-SNP)|00025464|0.00|0| | |FL|10520|1|N
H1019|150|000|CAREPLUS HEALTH PLANS, INC.|CareComplete (HMO C-SNP)|00025464|0.00|0| | |FL|10540|1|N
H1019|150|000|CAREPLUS HEALTH PLANS, INC.|CareComplete (HMO C-SNP)|00025464|0.00|0| | |FL|10580|1|N
H1019|150|000|CAREPLUS HEALTH PLANS, INC.|CareComplete (HMO C-SNP)|00025464|0.00|0| | |FL|10590|1|N
H1019|150|000|CAREPLUS HEALTH PLANS, INC.|CareComplete (HMO C-SNP)|00025464|0.00|0| | |FL|10630|1|N
H1019|151|001|CAREPLUS HEALTH PLANS, INC.|CareBreeze Platinum (HMO C-SNP)|00025464|0.00|0| | |FL|10340|1|N
H1019|151|001|CAREPLUS HEALTH PLANS, INC.|CareBreeze Platinum (HMO C-SNP)|00025464|0.00|0| | |FL|10410|1|N
H1019|151|001|CAREPLUS HEALTH PLANS, INC.|CareBreeze Platinum (HMO C-SNP)|00025464|0.00|0| | |FL|10470|1|N
H1019|151|001|CAREPLUS HEALTH PLANS, INC.|CareBreeze Platinum (HMO C-SNP)|00025464|0.00|0| | |FL|10480|1|N
H1019|151|001|CAREPLUS HEALTH PLANS, INC.|CareBreeze Platinum (HMO C-SNP)|00025464|0.00|0| | |FL|10580|1|N
H1019|151|001|CAREPLUS HEALTH PLANS, INC.|CareBreeze Platinum (HMO C-SNP)|00025464|0.00|0| | |FL|10590|1|N
H1019|151|002|CAREPLUS HEALTH PLANS, INC.|CareBreeze Platinum (HMO C-SNP)|00025464|0.00|0| | |FL|10280|1|N
H1019|151|002|CAREPLUS HEALTH PLANS, INC.|CareBreeze Platinum (HMO C-SNP)|00025464|0.00|0| | |FL|10500|1|N
H1019|151|002|CAREPLUS HEALTH PLANS, INC.|CareBreeze Platinum (HMO C-SNP)|00025464|0.00|0| | |FL|10510|1|N
H1019|151|002|CAREPLUS HEALTH PLANS, INC.|CareBreeze Platinum (HMO C-SNP)|00025464|0.00|0| | |FL|10520|1|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10000|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10010|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10020|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10030|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10040|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10050|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10060|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10070|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10080|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10090|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10100|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10110|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10120|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10130|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10140|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10150|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10160|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10170|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10180|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10190|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10200|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10210|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10220|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10230|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10240|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10250|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10260|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10270|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10280|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10290|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10300|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10310|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10320|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10330|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10340|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10350|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10360|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10370|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10380|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10390|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10400|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10410|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10420|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10440|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10450|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10460|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10470|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10480|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10490|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10500|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10510|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10520|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10530|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10540|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10550|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10560|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10570|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10580|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10590|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10600|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10610|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10620|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10630|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10640|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10650|2|N
H1032|124|000|Sunshine State Health Plan, Inc.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |FL|10660|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10000|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10010|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10020|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10030|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10040|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10050|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10060|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10070|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10080|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10090|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10100|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10110|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10120|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10130|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10140|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10150|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10160|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10170|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10180|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10190|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10200|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10210|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10220|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10230|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10240|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10250|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10260|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10270|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10280|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10290|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10300|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10310|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10320|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10330|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10340|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10350|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10360|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10370|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10380|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10390|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10400|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10410|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10420|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10440|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10450|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10460|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10470|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10480|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10490|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10500|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10510|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10520|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10530|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10540|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10550|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10560|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10570|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10580|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10590|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10600|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10610|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10620|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10630|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10640|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10650|2|N
H1032|175|000|Sunshine State Health Plan, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |FL|10660|2|N
H1032|190|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10000|0|N
H1032|190|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10030|0|N
H1032|190|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10370|0|N
H1032|190|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10530|0|N
H1032|190|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10620|0|N
H1032|191|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10000|0|N
H1032|191|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10010|0|N
H1032|191|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10020|0|N
H1032|191|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10060|0|N
H1032|191|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10110|0|N
H1032|191|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10140|0|N
H1032|191|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10160|0|N
H1032|191|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10180|0|N
H1032|191|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10190|0|N
H1032|191|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10200|0|N
H1032|191|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10220|0|N
H1032|191|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10230|0|N
H1032|191|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10290|0|N
H1032|191|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10310|0|N
H1032|191|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10320|0|N
H1032|191|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10330|0|N
H1032|191|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10360|0|N
H1032|191|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10370|0|N
H1032|191|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10380|0|N
H1032|191|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10390|0|N
H1032|191|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10450|0|N
H1032|191|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10530|0|N
H1032|191|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10560|0|N
H1032|191|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10600|0|N
H1032|191|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10610|0|N
H1032|191|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10620|0|N
H1032|191|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10640|0|N
H1032|191|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10650|0|N
H1032|191|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10660|0|N
H1032|192|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10020|0|N
H1032|192|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10060|0|N
H1032|192|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10160|0|N
H1032|192|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10180|0|N
H1032|192|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10190|0|N
H1032|192|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10220|0|N
H1032|192|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10290|0|N
H1032|192|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10310|0|N
H1032|192|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10380|0|N
H1032|192|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10450|0|N
H1032|192|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10560|0|N
H1032|192|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10650|0|N
H1032|192|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10660|0|N
H1032|193|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10040|0|N
H1032|193|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10300|0|N
H1032|193|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10340|0|N
H1032|193|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10410|0|N
H1032|193|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10590|0|N
H1032|193|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10630|0|N
H1032|194|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10040|0|N
H1032|194|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10300|0|N
H1032|194|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10340|0|N
H1032|194|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10410|0|N
H1032|194|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10590|0|N
H1032|194|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10630|0|N
H1032|195|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10050|0|N
H1032|195|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10490|0|N
H1032|196|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10050|0|N
H1032|196|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10490|0|N
H1032|198|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10070|0|N
H1032|198|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10100|0|N
H1032|198|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10210|0|N
H1032|198|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10250|0|N
H1032|198|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10270|0|N
H1032|198|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10350|0|N
H1032|198|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10400|0|N
H1032|198|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10460|0|N
H1032|198|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10570|0|N
H1032|199|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10070|0|N
H1032|199|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10100|0|N
H1032|199|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10130|0|N
H1032|199|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10210|0|N
H1032|199|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10240|0|N
H1032|199|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10250|0|N
H1032|199|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10270|0|N
H1032|199|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10350|0|N
H1032|199|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10400|0|N
H1032|199|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10460|0|N
H1032|199|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10570|0|N
H1032|200|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10080|0|N
H1032|200|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10260|0|N
H1032|200|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10280|0|N
H1032|200|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10500|0|N
H1032|200|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10510|0|N
H1032|200|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10520|0|N
H1032|201|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10080|0|N
H1032|201|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10260|0|N
H1032|201|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10280|0|N
H1032|201|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10500|0|N
H1032|201|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10510|0|N
H1032|201|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10520|0|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10000|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10010|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10020|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10030|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10040|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10050|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10060|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10070|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10080|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10090|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10100|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10110|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10120|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10130|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10140|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10150|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10160|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10170|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10180|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10190|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10200|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10210|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10220|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10230|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10240|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10250|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10260|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10270|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10280|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10290|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10300|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10310|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10320|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10330|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10340|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10350|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10360|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10370|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10380|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10390|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10400|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10410|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10420|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10440|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10450|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10460|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10470|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10480|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10490|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10500|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10510|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10520|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10530|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10540|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10550|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10560|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10570|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10580|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10590|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10600|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10610|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10620|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10630|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10640|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10650|2|N
H1032|202|000|Sunshine State Health Plan, Inc.|Wellcare Dual Reserve (HMO D-SNP)|00025040|20.30|590| | |FL|10660|2|N
H1032|204|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10090|0|N
H1032|204|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10150|0|N
H1032|204|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10170|0|N
H1032|204|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10440|0|N
H1032|204|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10540|0|N
H1032|205|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10090|0|N
H1032|205|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10150|0|N
H1032|205|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10170|0|N
H1032|205|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10440|0|N
H1032|205|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10540|0|N
H1032|210|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10420|0|N
H1032|210|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10550|0|N
H1032|211|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10420|0|N
H1032|211|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10550|0|N
H1032|212|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10470|0|N
H1032|212|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10480|0|N
H1032|212|000|Sunshine State Health Plan, Inc.|Wellcare Giveback (HMO)|00025076|0.00|420| | |FL|10580|0|N
H1032|213|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10470|0|N
H1032|213|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10480|0|N
H1032|213|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10580|0|N
H1032|218|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10010|0|N
H1032|218|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10110|0|N
H1032|218|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10140|0|N
H1032|218|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10200|0|N
H1032|218|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10230|0|N
H1032|218|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10320|0|N
H1032|218|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10330|0|N
H1032|218|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10360|0|N
H1032|218|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10390|0|N
H1032|218|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10600|0|N
H1032|218|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10610|0|N
H1032|218|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|420| | |FL|10640|0|N
H1032|237|000|Sunshine State Health Plan, Inc.|Wellcare Simple (HMO)|00025076|0.00|0| | |FL|10120|0|N
H1035|002|000|FLORIDA BLUE MEDICARE, INC.|FHCP Medicare Rx Plus (HMO-POS)|00025419|49.00|0| | |FL|10040|0|N
H1035|002|000|FLORIDA BLUE MEDICARE, INC.|FHCP Medicare Rx Plus (HMO-POS)|00025419|49.00|0| | |FL|10170|0|N
H1035|002|000|FLORIDA BLUE MEDICARE, INC.|FHCP Medicare Rx Plus (HMO-POS)|00025419|49.00|0| | |FL|10540|0|N
H1035|002|000|FLORIDA BLUE MEDICARE, INC.|FHCP Medicare Rx Plus (HMO-POS)|00025419|49.00|0| | |FL|10580|0|N
H1035|002|000|FLORIDA BLUE MEDICARE, INC.|FHCP Medicare Rx Plus (HMO-POS)|00025419|49.00|0| | |FL|10630|0|N
H1035|014|000|FLORIDA BLUE MEDICARE, INC.|FHCP Medicare Rx Savings (HMO)|00025419|0.00|590| | |FL|10040|0|N
H1035|014|000|FLORIDA BLUE MEDICARE, INC.|FHCP Medicare Rx Savings (HMO)|00025419|0.00|590| | |FL|10170|0|N
H1035|014|000|FLORIDA BLUE MEDICARE, INC.|FHCP Medicare Rx Savings (HMO)|00025419|0.00|590| | |FL|10540|0|N
H1035|014|000|FLORIDA BLUE MEDICARE, INC.|FHCP Medicare Rx Savings (HMO)|00025419|0.00|590| | |FL|10580|0|N
H1035|014|000|FLORIDA BLUE MEDICARE, INC.|FHCP Medicare Rx Savings (HMO)|00025419|0.00|590| | |FL|10630|0|N
H1035|017|000|FLORIDA BLUE MEDICARE, INC.|BlueMedicare Classic (HMO)|00025310|0.00|0| | |FL|10120|0|N
H1035|019|000|FLORIDA BLUE MEDICARE, INC.|BlueMedicare Classic (HMO)|00025313|0.00|0| | |FL|10020|0|N
H1035|019|000|FLORIDA BLUE MEDICARE, INC.|BlueMedicare Classic (HMO)|00025313|0.00|0| | |FL|10040|0|N
H1035|019|000|FLORIDA BLUE MEDICARE, INC.|BlueMedicare Classic (HMO)|00025313|0.00|0| | |FL|10050|0|N
H1035|019|000|FLORIDA BLUE MEDICARE, INC.|BlueMedicare Classic (HMO)|00025313|0.00|0| | |FL|10070|0|N
H1035|019|000|FLORIDA BLUE MEDICARE, INC.|BlueMedicare Classic (HMO)|00025313|0.00|0| | |FL|10080|0|N
H1035|019|000|FLORIDA BLUE MEDICARE, INC.|BlueMedicare Classic (HMO)|00025313|0.00|0| | |FL|10090|0|N
H1035|019|000|FLORIDA BLUE MEDICARE, INC.|BlueMedicare Classic (HMO)|00025313|0.00|0| | |FL|10100|0|N
H1035|019|000|FLORIDA BLUE MEDICARE, INC.|BlueMedicare Classic (HMO)|00025313|0.00|0| | |FL|10150|0|N
H1035|019|000|FLORIDA BLUE MEDICARE, INC.|BlueMedicare Classic (HMO)|00025313|0.00|0| | |FL|10160|0|N
H1035|019|000|FLORIDA BLUE MEDICARE, INC.|BlueMedicare Classic (HMO)|00025313|0.00|0| | |FL|10340|0|N
H1035|019|000|FLORIDA BLUE MEDICARE, INC.|BlueMedicare Classic (HMO)|00025313|0.00|0| | |FL|10350|0|N
H1035|019|000|FLORIDA BLUE MEDICARE, INC.|BlueMedicare Classic (HMO)|00025313|0.00|0| | |FL|10400|0|N
H1035|019|000|FLORIDA BLUE MEDICARE, INC.|BlueMedicare Classic (HMO)|00025313|0.00|0| | |FL|10410|0|N
H1035|019|000|FLORIDA BLUE MEDICARE, INC.|BlueMedicare Classic (HMO)|00025313|0.00|0| | |FL|10420|0|N
H1035|019|000|FLORIDA BLUE MEDICARE, INC.|BlueMedicare Classic (HMO)|00025313|0.00|0| | |FL|10450|0|N
H1035|019|000|FLORIDA BLUE MEDICARE, INC.|BlueMedicare Classic (HMO)|00025313|0.00|0| | |FL|10540|0|N
H1035|019|000|FLORIDA BLUE MEDICARE, INC.|BlueMedicare Classic (HMO)|00025313|0.00|0| | |FL|10550|0|N
H1035|019|000|FLORIDA BLUE MEDICARE, INC.|BlueMedicare Classic (HMO)|00025313|0.00|0| | |FL|10560|0|N
H1035|019|000|FLORIDA BLUE MEDICARE, INC.|BlueMedicare Classic (HMO)|00025313|0.00|0| | |FL|10570|0|N
H1035|019|000|FLORIDA BLUE MEDICARE, INC.|BlueMedicare Classic (HMO)|00025313|0.00|0| | |FL|10590|0|N
H1035|019|000|FLORIDA BLUE MEDICARE, INC.|BlueMedicare Classic (HMO)|00025313|0.00|0| | |FL|10650|0|N
H1035|020|000|FLORIDA BLUE MEDICARE, INC.|BlueMedicare Classic (HMO)|00025313|0.00|0| | |FL|10470|0|N
H1035|020|000|FLORIDA BLUE MEDICARE, INC.|BlueMedicare Classic (HMO)|00025313|0.00|0| | |FL|10480|0|N
H1035|020|000|FLORIDA BLUE MEDICARE, INC.|BlueMedicare Classic (HMO)|00025313|0.00|0| | |FL|10580|0|N
H1035|021|000|FLORIDA BLUE MEDICARE, INC.|BlueMedicare Classic (HMO)|00025313|0.00|0| | |FL|10260|0|N
H1035|021|000|FLORIDA BLUE MEDICARE, INC.|BlueMedicare Classic (HMO)|00025313|0.00|0| | |FL|10280|0|N
H1035|021|000|FLORIDA BLUE MEDICARE, INC.|BlueMedicare Classic (HMO)|00025313|0.00|0| | |FL|10500|0|N
H1035|021|000|FLORIDA BLUE MEDICARE, INC.|BlueMedicare Classic (HMO)|00025313|0.00|0| | |FL|10520|0|N
H1035|022|000|FLORIDA BLUE MEDICARE, INC.|BlueMedicare Premier (HMO)|00025310|0.00|0| | |FL|10490|0|N
H1035|025|000|FLORIDA BLUE MEDICARE, INC.|BlueMedicare Premier (HMO)|00025310|0.00|0| | |FL|10050|0|N
H1035|026|000|FLORIDA BLUE MEDICARE, INC.|BlueMedicare Premier (HMO)|00025310|0.00|0| | |FL|10470|0|N
H1035|026|000|FLORIDA BLUE MEDICARE, INC.|BlueMedicare Premier (HMO)|00025310|0.00|0| | |FL|10480|0|N
H1035|033|000|FLORIDA BLUE MEDICARE, INC.|BlueMedicare Premier (HMO)|00025310|0.00|0| | |FL|10090|0|N
H1035|033|000|FLORIDA BLUE MEDICARE, INC.|BlueMedicare Premier (HMO)|00025310|0.00|0| | |FL|10150|0|N
H1035|034|000|FLORIDA BLUE MEDICARE, INC.|BlueMedicare Premier (HMO)|00025310|0.00|0| | |FL|10260|0|N
H1035|034|000|FLORIDA BLUE MEDICARE, INC.|BlueMedicare Premier (HMO)|00025310|0.00|0| | |FL|10510|0|N
H1035|040|000|FLORIDA BLUE MEDICARE, INC.|FHCP Medicare Premier Advantage (HMO)|00025419|0.00|295| | |FL|10040|0|N
H1035|040|000|FLORIDA BLUE MEDICARE, INC.|FHCP Medicare Premier Advantage (HMO)|00025419|0.00|295| | |FL|10170|0|N
H1035|040|000|FLORIDA BLUE MEDICARE, INC.|FHCP Medicare Premier Advantage (HMO)|00025419|0.00|295| | |FL|10540|0|N
H1035|040|000|FLORIDA BLUE MEDICARE, INC.|FHCP Medicare Premier Advantage (HMO)|00025419|0.00|295| | |FL|10580|0|N
H1035|040|000|FLORIDA BLUE MEDICARE, INC.|FHCP Medicare Premier Advantage (HMO)|00025419|0.00|295| | |FL|10630|0|N
H1035|043|000|FLORIDA BLUE MEDICARE, INC.|BlueMedicare Premier (HMO)|00025310|0.00|0| | |FL|10340|0|N
H1035|043|000|FLORIDA BLUE MEDICARE, INC.|BlueMedicare Premier (HMO)|00025310|0.00|0| | |FL|10410|0|N
H1035|043|000|FLORIDA BLUE MEDICARE, INC.|BlueMedicare Premier (HMO)|00025310|0.00|0| | |FL|10590|0|N
H1035|045|000|FLORIDA BLUE MEDICARE, INC.|BlueMedicare Premier (HMO)|00025310|0.00|0| | |FL|10070|0|N
H1035|045|000|FLORIDA BLUE MEDICARE, INC.|BlueMedicare Premier (HMO)|00025310|0.00|0| | |FL|10100|0|N
H1035|045|000|FLORIDA BLUE MEDICARE, INC.|BlueMedicare Premier (HMO)|00025310|0.00|0| | |FL|10350|0|N
H1035|045|000|FLORIDA BLUE MEDICARE, INC.|BlueMedicare Premier (HMO)|00025310|0.00|0| | |FL|10400|0|N
H1035|045|000|FLORIDA BLUE MEDICARE, INC.|BlueMedicare Premier (HMO)|00025310|0.00|0| | |FL|10570|0|N
H1035|048|000|FLORIDA BLUE MEDICARE, INC.|BlueMedicare Premier (HMO)|00025310|0.00|0| | |FL|10040|0|N
H1035|048|000|FLORIDA BLUE MEDICARE, INC.|BlueMedicare Premier (HMO)|00025310|0.00|0| | |FL|10550|0|N
H1035|052|000|FLORIDA BLUE MEDICARE, INC.|BlueMedicare Preferred (HMO)|00025310|0.00|0| | |FL|10280|0|N
H1035|052|000|FLORIDA BLUE MEDICARE, INC.|BlueMedicare Preferred (HMO)|00025310|0.00|0| | |FL|10520|0|N
H1036|025|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-025 (HMO)|00025461|0.00|0| | |FL|10260|0|N
H1036|025|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-025 (HMO)|00025461|0.00|0| | |FL|10280|0|N
H1036|025|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-025 (HMO)|00025461|0.00|0| | |FL|10500|0|N
H1036|025|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-025 (HMO)|00025461|0.00|0| | |FL|10510|0|N
H1036|044|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-044 (HMO)|00025461|0.00|0| | |FL|10170|0|N
H1036|044|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-044 (HMO)|00025461|0.00|0| | |FL|10630|0|N
H1036|054|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-054C (HMO)|00025461|0.00|0| | |FL|10120|0|N
H1036|062|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-062C (HMO)|00025461|0.00|0| | |FL|10490|0|N
H1036|065|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-065C (HMO)|00025461|0.00|0| | |FL|10050|0|N
H1036|068|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-068 (HMO)|00025461|0.00|0| | |FL|10000|0|N
H1036|068|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-068 (HMO)|00025461|0.00|0| | |FL|10010|0|N
H1036|068|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-068 (HMO)|00025461|0.00|0| | |FL|10030|0|N
H1036|068|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-068 (HMO)|00025461|0.00|0| | |FL|10090|0|N
H1036|068|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-068 (HMO)|00025461|0.00|0| | |FL|10110|0|N
H1036|068|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-068 (HMO)|00025461|0.00|0| | |FL|10150|0|N
H1036|068|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-068 (HMO)|00025461|0.00|0| | |FL|10440|0|N
H1036|068|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-068 (HMO)|00025461|0.00|0| | |FL|10530|0|N
H1036|068|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-068 (HMO)|00025461|0.00|0| | |FL|10540|0|N
H1036|074|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-074 (HMO)|00025461|0.00|0| | |FL|10080|0|N
H1036|074|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-074 (HMO)|00025461|0.00|0| | |FL|10400|0|N
H1036|074|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-074 (HMO)|00025461|0.00|0| | |FL|10570|0|N
H1036|077|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-077A (HMO D-SNP)|00025461|0.00|500| | |FL|10050|2|N
H1036|077|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-077A (HMO D-SNP)|00025461|0.00|500| | |FL|10120|2|N
H1036|077|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-077A (HMO D-SNP)|00025461|0.00|500| | |FL|10490|2|N
H1036|102|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-102 (HMO D-SNP)|00025461|0.00|500| | |FL|10080|2|N
H1036|102|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-102 (HMO D-SNP)|00025461|0.00|500| | |FL|10240|2|N
H1036|102|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-102 (HMO D-SNP)|00025461|0.00|500| | |FL|10260|2|N
H1036|102|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-102 (HMO D-SNP)|00025461|0.00|500| | |FL|10270|2|N
H1036|102|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-102 (HMO D-SNP)|00025461|0.00|500| | |FL|10280|2|N
H1036|102|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-102 (HMO D-SNP)|00025461|0.00|500| | |FL|10400|2|N
H1036|102|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-102 (HMO D-SNP)|00025461|0.00|500| | |FL|10500|2|N
H1036|102|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-102 (HMO D-SNP)|00025461|0.00|500| | |FL|10510|2|N
H1036|102|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-102 (HMO D-SNP)|00025461|0.00|500| | |FL|10520|2|N
H1036|102|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-102 (HMO D-SNP)|00025461|0.00|500| | |FL|10570|2|N
H1036|121|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025464|0.00|0| | |FL|10050|1|N
H1036|121|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025464|0.00|0| | |FL|10120|1|N
H1036|121|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025464|0.00|0| | |FL|10490|1|N
H1036|137|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-137 (HMO-POS)|00025456|0.00|350| | |NC|34010|0|N
H1036|137|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-137 (HMO-POS)|00025456|0.00|350| | |NC|34030|0|N
H1036|137|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-137 (HMO-POS)|00025456|0.00|350| | |NC|34110|0|N
H1036|137|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-137 (HMO-POS)|00025456|0.00|350| | |NC|34120|0|N
H1036|137|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-137 (HMO-POS)|00025456|0.00|350| | |NC|34130|0|N
H1036|137|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-137 (HMO-POS)|00025456|0.00|350| | |NC|34170|0|N
H1036|137|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-137 (HMO-POS)|00025456|0.00|350| | |NC|34220|0|N
H1036|137|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-137 (HMO-POS)|00025456|0.00|350| | |NC|34350|0|N
H1036|137|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-137 (HMO-POS)|00025456|0.00|350| | |NC|34480|0|N
H1036|137|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-137 (HMO-POS)|00025456|0.00|350| | |NC|34540|0|N
H1036|137|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-137 (HMO-POS)|00025456|0.00|350| | |NC|34590|0|N
H1036|137|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-137 (HMO-POS)|00025456|0.00|350| | |NC|34610|0|N
H1036|137|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-137 (HMO-POS)|00025456|0.00|350| | |NC|34760|0|N
H1036|137|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-137 (HMO-POS)|00025456|0.00|350| | |NC|34790|0|N
H1036|137|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-137 (HMO-POS)|00025456|0.00|350| | |NC|34890|0|N
H1036|143|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-143 (HMO)|00025461|0.00|0| | |FL|10020|0|N
H1036|143|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-143 (HMO)|00025461|0.00|0| | |FL|10160|0|N
H1036|143|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-143 (HMO)|00025461|0.00|0| | |FL|10450|0|N
H1036|143|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-143 (HMO)|00025461|0.00|0| | |FL|10560|0|N
H1036|143|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-143 (HMO)|00025461|0.00|0| | |FL|10650|0|N
H1036|146|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-146 (HMO)|00025461|0.00|0| | |FL|10340|0|N
H1036|146|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-146 (HMO)|00025461|0.00|0| | |FL|10410|0|N
H1036|146|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-146 (HMO)|00025461|0.00|0| | |FL|10470|0|N
H1036|146|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-146 (HMO)|00025461|0.00|0| | |FL|10480|0|N
H1036|146|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-146 (HMO)|00025461|0.00|0| | |FL|10580|0|N
H1036|146|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-146 (HMO)|00025461|0.00|0| | |FL|10590|0|N
H1036|151|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-151 (HMO)|00025456|0.00|590| | |MS|25030|0|N
H1036|151|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-151 (HMO)|00025456|0.00|590| | |MS|25140|0|N
H1036|151|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-151 (HMO)|00025456|0.00|590| | |MS|25160|0|N
H1036|151|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-151 (HMO)|00025456|0.00|590| | |MS|25220|0|N
H1036|151|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-151 (HMO)|00025456|0.00|590| | |MS|25230|0|N
H1036|151|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-151 (HMO)|00025456|0.00|590| | |MS|25240|0|N
H1036|151|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-151 (HMO)|00025456|0.00|590| | |MS|25290|0|N
H1036|151|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-151 (HMO)|00025456|0.00|590| | |MS|25440|0|N
H1036|151|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-151 (HMO)|00025456|0.00|590| | |MS|25540|0|N
H1036|151|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-151 (HMO)|00025456|0.00|590| | |MS|25600|0|N
H1036|153|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-153 (HMO)|00025456|0.00|100| | |OR|38020|0|N
H1036|153|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-153 (HMO)|00025456|0.00|100| | |OR|38040|0|N
H1036|153|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-153 (HMO)|00025456|0.00|100| | |OR|38250|0|N
H1036|153|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-153 (HMO)|00025456|0.00|100| | |OR|38330|0|N
H1036|157|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-157 (HMO)|00025461|0.00|0| | |FL|10170|0|N
H1036|157|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-157 (HMO)|00025461|0.00|0| | |FL|10630|0|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34000|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34010|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34020|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34030|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34040|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34050|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34060|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34070|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34080|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34090|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34100|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34110|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34120|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34130|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34140|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34160|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34170|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34180|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34190|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34200|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34210|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34220|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34230|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34250|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34251|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34280|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34290|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34300|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34310|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34320|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34330|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34340|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34350|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34360|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34370|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34380|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34390|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34400|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34410|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34420|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34430|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34440|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34450|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34460|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34470|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34480|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34490|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34500|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34510|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34520|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34530|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34540|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34550|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34560|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34570|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34580|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34590|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34600|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34610|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34620|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34630|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34640|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34650|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34670|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34680|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34690|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34700|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34710|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34720|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34730|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34740|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34750|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34760|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34770|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34780|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34790|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34800|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34810|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34820|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34830|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34840|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34850|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34860|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34870|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34880|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34890|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34900|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34910|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34920|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34930|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34940|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34950|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34960|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34970|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34980|2|N
H1036|167|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-167 (HMO D-SNP)|00025456|0.00|590| | |NC|34981|2|N
H1036|209|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-209 (HMO D-SNP)|00025461|0.00|530| | |FL|10170|2|N
H1036|209|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-209 (HMO D-SNP)|00025461|0.00|530| | |FL|10630|2|N
H1036|210|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-210 (HMO D-SNP)|00025461|0.00|540| | |FL|10000|2|N
H1036|210|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-210 (HMO D-SNP)|00025461|0.00|540| | |FL|10010|2|N
H1036|210|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-210 (HMO D-SNP)|00025461|0.00|540| | |FL|10030|2|N
H1036|210|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-210 (HMO D-SNP)|00025461|0.00|540| | |FL|10090|2|N
H1036|210|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-210 (HMO D-SNP)|00025461|0.00|540| | |FL|10110|2|N
H1036|210|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-210 (HMO D-SNP)|00025461|0.00|540| | |FL|10150|2|N
H1036|210|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-210 (HMO D-SNP)|00025461|0.00|540| | |FL|10440|2|N
H1036|210|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-210 (HMO D-SNP)|00025461|0.00|540| | |FL|10530|2|N
H1036|210|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-210 (HMO D-SNP)|00025461|0.00|540| | |FL|10540|2|N
H1036|213|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-213 (HMO D-SNP)|00025461|0.00|560| | |FL|10340|2|N
H1036|213|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-213 (HMO D-SNP)|00025461|0.00|560| | |FL|10410|2|N
H1036|213|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-213 (HMO D-SNP)|00025461|0.00|560| | |FL|10470|2|N
H1036|213|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-213 (HMO D-SNP)|00025461|0.00|560| | |FL|10480|2|N
H1036|213|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-213 (HMO D-SNP)|00025461|0.00|560| | |FL|10580|2|N
H1036|213|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-213 (HMO D-SNP)|00025461|0.00|560| | |FL|10590|2|N
H1036|214|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-214 (HMO D-SNP)|00025461|8.10|590| | |FL|10160|2|N
H1036|214|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-214 (HMO D-SNP)|00025461|8.10|590| | |FL|10560|2|N
H1036|214|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-214 (HMO D-SNP)|00025461|8.10|590| | |FL|10650|2|N
H1036|217|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-217 (HMO)|00025461|0.00|0| | |FL|10070|0|N
H1036|217|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-217 (HMO)|00025461|0.00|0| | |FL|10100|0|N
H1036|217|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-217 (HMO)|00025461|0.00|0| | |FL|10130|0|N
H1036|217|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-217 (HMO)|00025461|0.00|0| | |FL|10350|0|N
H1036|222|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-222 (HMO D-SNP)|00025456|0.00|590| | |MS|25030|2|N
H1036|222|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-222 (HMO D-SNP)|00025456|0.00|590| | |MS|25140|2|N
H1036|222|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-222 (HMO D-SNP)|00025456|0.00|590| | |MS|25160|2|N
H1036|222|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-222 (HMO D-SNP)|00025456|0.00|590| | |MS|25220|2|N
H1036|222|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-222 (HMO D-SNP)|00025456|0.00|590| | |MS|25230|2|N
H1036|222|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-222 (HMO D-SNP)|00025456|0.00|590| | |MS|25240|2|N
H1036|222|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-222 (HMO D-SNP)|00025456|0.00|590| | |MS|25290|2|N
H1036|222|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-222 (HMO D-SNP)|00025456|0.00|590| | |MS|25440|2|N
H1036|222|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-222 (HMO D-SNP)|00025456|0.00|590| | |MS|25540|2|N
H1036|222|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-222 (HMO D-SNP)|00025456|0.00|590| | |MS|25600|2|N
H1036|226|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-226 (HMO D-SNP)|00025456|0.00|590| | |FL|10210|2|N
H1036|226|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-226 (HMO D-SNP)|00025456|0.00|590| | |FL|10300|2|N
H1036|226|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-226 (HMO D-SNP)|00025456|0.00|590| | |FL|10420|2|N
H1036|226|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-226 (HMO D-SNP)|00025456|0.00|590| | |FL|10460|2|N
H1036|226|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-226 (HMO D-SNP)|00025456|0.00|590| | |FL|10550|2|N
H1036|229|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-229 (HMO)|00025458|0.00|0| | |FL|10210|0|N
H1036|229|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-229 (HMO)|00025458|0.00|0| | |FL|10300|0|N
H1036|229|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-229 (HMO)|00025458|0.00|0| | |FL|10420|0|N
H1036|229|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-229 (HMO)|00025458|0.00|0| | |FL|10460|0|N
H1036|229|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-229 (HMO)|00025458|0.00|0| | |FL|10550|0|N
H1036|230|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-230 (HMO)|00025461|0.00|0| | |FL|10240|0|N
H1036|230|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-230 (HMO)|00025461|0.00|0| | |FL|10270|0|N
H1036|230|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-230 (HMO)|00025461|0.00|0| | |FL|10520|0|N
H1036|233|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-233 (HMO-POS)|00025456|0.00|350| | |NC|34910|0|N
H1036|234|000|HUMANA MEDICAL PLAN, INC.|Humana Community HMO Diabetes and Heart (HMO C-SNP)|00025460|0.00|590| | |KY|18550|1|N
H1036|235|000|HUMANA MEDICAL PLAN, INC.|Humana Community HMO SNP-DE (HMO D-SNP)|00025456|0.00|590| | |KY|18550|2|N
H1036|236|000|HUMANA MEDICAL PLAN, INC.|Humana Community (HMO)|00025456|0.00|0| | |KY|18550|0|N
H1036|265|001|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-265 (HMO)|00025461|0.00|0| | |FL|10080|0|N
H1036|265|001|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-265 (HMO)|00025461|0.00|0| | |FL|10240|0|N
H1036|265|001|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-265 (HMO)|00025461|0.00|0| | |FL|10260|0|N
H1036|265|001|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-265 (HMO)|00025461|0.00|0| | |FL|10270|0|N
H1036|265|001|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-265 (HMO)|00025461|0.00|0| | |FL|10280|0|N
H1036|265|001|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-265 (HMO)|00025461|0.00|0| | |FL|10500|0|N
H1036|265|001|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-265 (HMO)|00025461|0.00|0| | |FL|10510|0|N
H1036|265|002|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-265 (HMO)|00025461|0.00|0| | |FL|10400|0|N
H1036|265|002|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-265 (HMO)|00025461|0.00|0| | |FL|10570|0|N
H1036|266|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-266 (HMO)|00025461|0.00|0| | |FL|10080|0|N
H1036|266|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-266 (HMO)|00025461|0.00|0| | |FL|10240|0|N
H1036|266|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-266 (HMO)|00025461|0.00|0| | |FL|10270|0|N
H1036|266|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-266 (HMO)|00025461|0.00|0| | |FL|10520|0|N
H1036|269|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-269 (HMO)|00025461|0.00|0| | |FL|10340|0|N
H1036|269|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-269 (HMO)|00025461|0.00|0| | |FL|10410|0|N
H1036|269|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-269 (HMO)|00025461|0.00|0| | |FL|10470|0|N
H1036|269|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-269 (HMO)|00025461|0.00|0| | |FL|10480|0|N
H1036|269|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-269 (HMO)|00025461|0.00|0| | |FL|10580|0|N
H1036|269|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-269 (HMO)|00025461|0.00|0| | |FL|10590|0|N
H1036|270|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-270 (HMO)|00025461|0.00|0| | |FL|10000|0|N
H1036|270|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-270 (HMO)|00025461|0.00|0| | |FL|10010|0|N
H1036|270|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-270 (HMO)|00025461|0.00|0| | |FL|10030|0|N
H1036|270|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-270 (HMO)|00025461|0.00|0| | |FL|10090|0|N
H1036|270|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-270 (HMO)|00025461|0.00|0| | |FL|10110|0|N
H1036|270|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-270 (HMO)|00025461|0.00|0| | |FL|10150|0|N
H1036|270|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-270 (HMO)|00025461|0.00|0| | |FL|10440|0|N
H1036|270|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-270 (HMO)|00025461|0.00|0| | |FL|10530|0|N
H1036|270|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-270 (HMO)|00025461|0.00|0| | |FL|10540|0|N
H1036|271|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-271 (HMO)|00025461|0.00|0| | |FL|10160|0|N
H1036|271|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-271 (HMO)|00025461|0.00|0| | |FL|10450|0|N
H1036|271|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-271 (HMO)|00025461|0.00|0| | |FL|10560|0|N
H1036|271|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-271 (HMO)|00025461|0.00|0| | |FL|10650|0|N
H1036|278|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-278 (HMO)|00025461|0.00|0| | |FL|10070|0|N
H1036|278|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-278 (HMO)|00025461|0.00|0| | |FL|10100|0|N
H1036|278|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-278 (HMO)|00025461|0.00|0| | |FL|10130|0|N
H1036|278|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-278 (HMO)|00025461|0.00|0| | |FL|10350|0|N
H1036|280|000|HUMANA MEDICAL PLAN, INC.|Humana Fully Integrated H1036-280 (HMO D-SNP)|00025461|0.00|450| | |FL|10050|2|N
H1036|280|000|HUMANA MEDICAL PLAN, INC.|Humana Fully Integrated H1036-280 (HMO D-SNP)|00025461|0.00|450| | |FL|10080|2|N
H1036|280|000|HUMANA MEDICAL PLAN, INC.|Humana Fully Integrated H1036-280 (HMO D-SNP)|00025461|0.00|450| | |FL|10120|2|N
H1036|280|000|HUMANA MEDICAL PLAN, INC.|Humana Fully Integrated H1036-280 (HMO D-SNP)|00025461|0.00|450| | |FL|10170|2|N
H1036|280|000|HUMANA MEDICAL PLAN, INC.|Humana Fully Integrated H1036-280 (HMO D-SNP)|00025461|0.00|450| | |FL|10240|2|N
H1036|280|000|HUMANA MEDICAL PLAN, INC.|Humana Fully Integrated H1036-280 (HMO D-SNP)|00025461|0.00|450| | |FL|10260|2|N
H1036|280|000|HUMANA MEDICAL PLAN, INC.|Humana Fully Integrated H1036-280 (HMO D-SNP)|00025461|0.00|450| | |FL|10270|2|N
H1036|280|000|HUMANA MEDICAL PLAN, INC.|Humana Fully Integrated H1036-280 (HMO D-SNP)|00025461|0.00|450| | |FL|10280|2|N
H1036|280|000|HUMANA MEDICAL PLAN, INC.|Humana Fully Integrated H1036-280 (HMO D-SNP)|00025461|0.00|450| | |FL|10340|2|N
H1036|280|000|HUMANA MEDICAL PLAN, INC.|Humana Fully Integrated H1036-280 (HMO D-SNP)|00025461|0.00|450| | |FL|10400|2|N
H1036|280|000|HUMANA MEDICAL PLAN, INC.|Humana Fully Integrated H1036-280 (HMO D-SNP)|00025461|0.00|450| | |FL|10410|2|N
H1036|280|000|HUMANA MEDICAL PLAN, INC.|Humana Fully Integrated H1036-280 (HMO D-SNP)|00025461|0.00|450| | |FL|10470|2|N
H1036|280|000|HUMANA MEDICAL PLAN, INC.|Humana Fully Integrated H1036-280 (HMO D-SNP)|00025461|0.00|450| | |FL|10480|2|N
H1036|280|000|HUMANA MEDICAL PLAN, INC.|Humana Fully Integrated H1036-280 (HMO D-SNP)|00025461|0.00|450| | |FL|10490|2|N
H1036|280|000|HUMANA MEDICAL PLAN, INC.|Humana Fully Integrated H1036-280 (HMO D-SNP)|00025461|0.00|450| | |FL|10500|2|N
H1036|280|000|HUMANA MEDICAL PLAN, INC.|Humana Fully Integrated H1036-280 (HMO D-SNP)|00025461|0.00|450| | |FL|10510|2|N
H1036|280|000|HUMANA MEDICAL PLAN, INC.|Humana Fully Integrated H1036-280 (HMO D-SNP)|00025461|0.00|450| | |FL|10520|2|N
H1036|280|000|HUMANA MEDICAL PLAN, INC.|Humana Fully Integrated H1036-280 (HMO D-SNP)|00025461|0.00|450| | |FL|10570|2|N
H1036|280|000|HUMANA MEDICAL PLAN, INC.|Humana Fully Integrated H1036-280 (HMO D-SNP)|00025461|0.00|450| | |FL|10580|2|N
H1036|280|000|HUMANA MEDICAL PLAN, INC.|Humana Fully Integrated H1036-280 (HMO D-SNP)|00025461|0.00|450| | |FL|10590|2|N
H1036|280|000|HUMANA MEDICAL PLAN, INC.|Humana Fully Integrated H1036-280 (HMO D-SNP)|00025461|0.00|450| | |FL|10630|2|N
H1036|285|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-285 (HMO D-SNP)|00025461|0.00|320| | |FL|10070|2|N
H1036|285|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-285 (HMO D-SNP)|00025461|0.00|320| | |FL|10100|2|N
H1036|285|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-285 (HMO D-SNP)|00025461|0.00|320| | |FL|10130|2|N
H1036|285|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-285 (HMO D-SNP)|00025461|0.00|320| | |FL|10350|2|N
H1036|286|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-286 (HMO)|00025458|0.00|0| | |FL|10300|0|N
H1036|286|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-286 (HMO)|00025458|0.00|0| | |FL|10420|0|N
H1036|286|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-286 (HMO)|00025458|0.00|0| | |FL|10550|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34000|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34010|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34020|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34030|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34040|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34050|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34060|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34090|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34100|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34110|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34120|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34130|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34160|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34170|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34180|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34210|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34220|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34230|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34250|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34251|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34280|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34290|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34300|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34310|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34320|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34330|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34340|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34360|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34370|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34380|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34390|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34400|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34410|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34420|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34430|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34440|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34450|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34460|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34470|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34480|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34490|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34500|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34510|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34520|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34530|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34540|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34550|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34570|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34580|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34590|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34610|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34620|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34630|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34640|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34650|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34670|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34680|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34690|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34700|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34710|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34720|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34750|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34760|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34770|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34780|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34790|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34800|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34810|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34840|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34850|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34870|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34880|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34890|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34900|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34910|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34920|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34940|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34950|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34960|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34970|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34980|0|N
H1036|291|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus H1036-291 (HMO-POS)|00025456|0.00|250| | |NC|34981|0|N
H1036|292|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025463|0.00|0| | |FL|10210|1|N
H1036|292|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025463|0.00|0| | |FL|10300|1|N
H1036|292|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025463|0.00|0| | |FL|10420|1|N
H1036|292|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025463|0.00|0| | |FL|10460|1|N
H1036|292|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025463|0.00|0| | |FL|10550|1|N
H1036|295|000|HUMANA MEDICAL PLAN, INC.|Humana Community (HMO)|00025461|0.00|0| | |FL|10340|0|N
H1036|295|000|HUMANA MEDICAL PLAN, INC.|Humana Community (HMO)|00025461|0.00|0| | |FL|10410|0|N
H1036|295|000|HUMANA MEDICAL PLAN, INC.|Humana Community (HMO)|00025461|0.00|0| | |FL|10590|0|N
H1036|297|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Lung (HMO C-SNP)|00025464|0.00|0| | |FL|10050|1|N
H1036|297|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Lung (HMO C-SNP)|00025464|0.00|0| | |FL|10120|1|N
H1036|297|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Lung (HMO C-SNP)|00025464|0.00|0| | |FL|10490|1|N
H1036|298|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Lung (HMO C-SNP)|00025463|0.00|0| | |FL|10210|1|N
H1036|298|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Lung (HMO C-SNP)|00025463|0.00|0| | |FL|10300|1|N
H1036|298|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Lung (HMO C-SNP)|00025463|0.00|0| | |FL|10420|1|N
H1036|298|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Lung (HMO C-SNP)|00025463|0.00|0| | |FL|10460|1|N
H1036|298|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Lung (HMO C-SNP)|00025463|0.00|0| | |FL|10550|1|N
H1036|299|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025462|0.00|0| | |FL|10080|1|N
H1036|299|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025462|0.00|0| | |FL|10240|1|N
H1036|299|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025462|0.00|0| | |FL|10260|1|N
H1036|299|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025462|0.00|0| | |FL|10270|1|N
H1036|299|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025462|0.00|0| | |FL|10280|1|N
H1036|299|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025462|0.00|0| | |FL|10400|1|N
H1036|299|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025462|0.00|0| | |FL|10500|1|N
H1036|299|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025462|0.00|0| | |FL|10510|1|N
H1036|299|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025462|0.00|0| | |FL|10520|1|N
H1036|299|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025462|0.00|0| | |FL|10570|1|N
H1036|300|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025462|0.00|0| | |FL|10340|1|N
H1036|300|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025462|0.00|0| | |FL|10410|1|N
H1036|300|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025462|0.00|0| | |FL|10470|1|N
H1036|300|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025462|0.00|0| | |FL|10480|1|N
H1036|300|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025462|0.00|0| | |FL|10580|1|N
H1036|300|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025462|0.00|0| | |FL|10590|1|N
H1036|301|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025462|0.00|0| | |FL|10170|1|N
H1036|301|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025462|0.00|0| | |FL|10630|1|N
H1036|302|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025462|0.00|0| | |FL|10000|1|N
H1036|302|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025462|0.00|0| | |FL|10010|1|N
H1036|302|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025462|0.00|0| | |FL|10020|1|N
H1036|302|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025462|0.00|0| | |FL|10030|1|N
H1036|302|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025462|0.00|0| | |FL|10090|1|N
H1036|302|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025462|0.00|0| | |FL|10110|1|N
H1036|302|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025462|0.00|0| | |FL|10150|1|N
H1036|302|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025462|0.00|0| | |FL|10160|1|N
H1036|302|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025462|0.00|0| | |FL|10440|1|N
H1036|302|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025462|0.00|0| | |FL|10450|1|N
H1036|302|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025462|0.00|0| | |FL|10530|1|N
H1036|302|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025462|0.00|0| | |FL|10540|1|N
H1036|302|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025462|0.00|0| | |FL|10560|1|N
H1036|302|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025462|0.00|0| | |FL|10650|1|N
H1036|304|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-304 (HMO D-SNP)|00025461|0.00|480| | |FL|10050|2|N
H1036|304|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-304 (HMO D-SNP)|00025461|0.00|480| | |FL|10120|2|N
H1036|304|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-304 (HMO D-SNP)|00025461|0.00|480| | |FL|10490|2|N
H1036|305|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-305 (HMO)|00025461|0.00|0| | |FL|10050|0|N
H1036|305|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-305 (HMO)|00025461|0.00|0| | |FL|10120|0|N
H1036|305|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-305 (HMO)|00025461|0.00|0| | |FL|10490|0|N
H1036|306|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes (HMO C-SNP)|00025464|0.00|350| | |OR|38020|1|N
H1036|306|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes (HMO C-SNP)|00025464|0.00|350| | |OR|38040|1|N
H1036|306|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes (HMO C-SNP)|00025464|0.00|350| | |OR|38250|1|N
H1036|306|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes (HMO C-SNP)|00025464|0.00|350| | |OR|38330|1|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34000|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34010|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34020|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34030|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34040|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34050|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34060|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34070|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34080|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34090|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34100|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34110|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34120|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34130|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34140|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34160|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34170|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34180|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34190|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34200|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34210|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34220|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34230|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34250|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34251|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34280|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34290|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34300|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34310|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34320|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34330|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34340|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34350|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34360|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34370|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34380|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34390|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34400|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34410|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34420|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34430|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34440|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34450|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34460|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34470|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34480|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34490|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34500|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34510|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34520|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34530|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34540|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34550|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34560|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34570|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34580|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34590|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34600|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34610|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34620|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34630|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34640|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34650|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34670|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34680|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34690|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34700|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34710|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34720|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34730|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34740|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34750|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34760|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34770|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34780|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34790|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34800|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34810|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34820|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34830|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34840|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34850|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34860|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34870|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34880|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34890|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34900|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34910|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34920|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34930|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34940|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34950|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34960|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34970|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34980|2|N
H1036|307|000|HUMANA MEDICAL PLAN, INC.|Humana Dual Select H1036-307 (HMO D-SNP)|00025456|51.20|590| | |NC|34981|2|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34000|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34010|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34020|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34030|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34040|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34050|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34060|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34070|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34080|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34090|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34100|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34110|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34120|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34130|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34140|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34160|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34170|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34180|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34190|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34200|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34210|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34220|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34230|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34250|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34251|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34280|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34290|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34300|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34310|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34320|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34330|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34340|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34350|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34360|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34370|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34380|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34390|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34400|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34410|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34420|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34430|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34440|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34450|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34460|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34470|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34480|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34490|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34500|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34510|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34520|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34530|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34540|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34550|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34560|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34570|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34580|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34590|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34600|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34610|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34620|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34630|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34640|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34650|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34670|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34680|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34690|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34700|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34710|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34720|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34730|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34740|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34750|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34760|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34770|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34780|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34790|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34800|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34810|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34820|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34830|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34840|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34850|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34860|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34870|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34880|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34890|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34900|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34910|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34920|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34930|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34940|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34950|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34960|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34970|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34980|1|N
H1036|308|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |NC|34981|1|N
H1036|310|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Lung (HMO C-SNP)|00025462|0.00|0| | |FL|10070|1|N
H1036|310|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Lung (HMO C-SNP)|00025462|0.00|0| | |FL|10100|1|N
H1036|310|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Lung (HMO C-SNP)|00025462|0.00|0| | |FL|10130|1|N
H1036|310|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Lung (HMO C-SNP)|00025462|0.00|0| | |FL|10350|1|N
H1036|311|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025462|0.00|0| | |FL|10070|1|N
H1036|311|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025462|0.00|0| | |FL|10100|1|N
H1036|311|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025462|0.00|0| | |FL|10130|1|N
H1036|311|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025462|0.00|0| | |FL|10350|1|N
H1036|312|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Lung (HMO C-SNP)|00025462|0.00|0| | |FL|10080|1|N
H1036|312|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Lung (HMO C-SNP)|00025462|0.00|0| | |FL|10240|1|N
H1036|312|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Lung (HMO C-SNP)|00025462|0.00|0| | |FL|10260|1|N
H1036|312|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Lung (HMO C-SNP)|00025462|0.00|0| | |FL|10270|1|N
H1036|312|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Lung (HMO C-SNP)|00025462|0.00|0| | |FL|10280|1|N
H1036|312|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Lung (HMO C-SNP)|00025462|0.00|0| | |FL|10400|1|N
H1036|312|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Lung (HMO C-SNP)|00025462|0.00|0| | |FL|10500|1|N
H1036|312|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Lung (HMO C-SNP)|00025462|0.00|0| | |FL|10510|1|N
H1036|312|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Lung (HMO C-SNP)|00025462|0.00|0| | |FL|10520|1|N
H1036|312|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Lung (HMO C-SNP)|00025462|0.00|0| | |FL|10570|1|N
H1036|313|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Lung (HMO C-SNP)|00025462|0.00|0| | |FL|10340|1|N
H1036|313|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Lung (HMO C-SNP)|00025462|0.00|0| | |FL|10410|1|N
H1036|313|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Lung (HMO C-SNP)|00025462|0.00|0| | |FL|10470|1|N
H1036|313|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Lung (HMO C-SNP)|00025462|0.00|0| | |FL|10480|1|N
H1036|313|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Lung (HMO C-SNP)|00025462|0.00|0| | |FL|10580|1|N
H1036|313|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Lung (HMO C-SNP)|00025462|0.00|0| | |FL|10590|1|N
H1036|314|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP)|00025461|0.00|520| | |FL|10000|2|N
H1036|314|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP)|00025461|0.00|520| | |FL|10010|2|N
H1036|314|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP)|00025461|0.00|520| | |FL|10020|2|N
H1036|314|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP)|00025461|0.00|520| | |FL|10030|2|N
H1036|314|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP)|00025461|0.00|520| | |FL|10070|2|N
H1036|314|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP)|00025461|0.00|520| | |FL|10080|2|N
H1036|314|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP)|00025461|0.00|520| | |FL|10090|2|N
H1036|314|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP)|00025461|0.00|520| | |FL|10100|2|N
H1036|314|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP)|00025461|0.00|520| | |FL|10110|2|N
H1036|314|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP)|00025461|0.00|520| | |FL|10130|2|N
H1036|314|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP)|00025461|0.00|520| | |FL|10150|2|N
H1036|314|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP)|00025461|0.00|520| | |FL|10160|2|N
H1036|314|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP)|00025461|0.00|520| | |FL|10170|2|N
H1036|314|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP)|00025461|0.00|520| | |FL|10240|2|N
H1036|314|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP)|00025461|0.00|520| | |FL|10260|2|N
H1036|314|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP)|00025461|0.00|520| | |FL|10270|2|N
H1036|314|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP)|00025461|0.00|520| | |FL|10280|2|N
H1036|314|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP)|00025461|0.00|520| | |FL|10340|2|N
H1036|314|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP)|00025461|0.00|520| | |FL|10350|2|N
H1036|314|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP)|00025461|0.00|520| | |FL|10400|2|N
H1036|314|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP)|00025461|0.00|520| | |FL|10410|2|N
H1036|314|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP)|00025461|0.00|520| | |FL|10440|2|N
H1036|314|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP)|00025461|0.00|520| | |FL|10450|2|N
H1036|314|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP)|00025461|0.00|520| | |FL|10470|2|N
H1036|314|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP)|00025461|0.00|520| | |FL|10480|2|N
H1036|314|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP)|00025461|0.00|520| | |FL|10500|2|N
H1036|314|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP)|00025461|0.00|520| | |FL|10510|2|N
H1036|314|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP)|00025461|0.00|520| | |FL|10520|2|N
H1036|314|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP)|00025461|0.00|520| | |FL|10530|2|N
H1036|314|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP)|00025461|0.00|520| | |FL|10540|2|N
H1036|314|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP)|00025461|0.00|520| | |FL|10560|2|N
H1036|314|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP)|00025461|0.00|520| | |FL|10570|2|N
H1036|314|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP)|00025461|0.00|520| | |FL|10580|2|N
H1036|314|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP)|00025461|0.00|520| | |FL|10590|2|N
H1036|314|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP)|00025461|0.00|520| | |FL|10630|2|N
H1036|314|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus SNP-DE H1036-314 (HMO D-SNP)|00025461|0.00|520| | |FL|10650|2|N
H1036|315|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Lung (HMO C-SNP)|00025462|0.00|0| | |FL|10170|1|N
H1036|315|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Lung (HMO C-SNP)|00025462|0.00|0| | |FL|10630|1|N
H1036|316|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Lung (HMO C-SNP)|00025462|0.00|0| | |FL|10000|1|N
H1036|316|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Lung (HMO C-SNP)|00025462|0.00|0| | |FL|10010|1|N
H1036|316|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Lung (HMO C-SNP)|00025462|0.00|0| | |FL|10020|1|N
H1036|316|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Lung (HMO C-SNP)|00025462|0.00|0| | |FL|10030|1|N
H1036|316|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Lung (HMO C-SNP)|00025462|0.00|0| | |FL|10090|1|N
H1036|316|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Lung (HMO C-SNP)|00025462|0.00|0| | |FL|10110|1|N
H1036|316|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Lung (HMO C-SNP)|00025462|0.00|0| | |FL|10150|1|N
H1036|316|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Lung (HMO C-SNP)|00025462|0.00|0| | |FL|10160|1|N
H1036|316|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Lung (HMO C-SNP)|00025462|0.00|0| | |FL|10440|1|N
H1036|316|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Lung (HMO C-SNP)|00025462|0.00|0| | |FL|10450|1|N
H1036|316|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Lung (HMO C-SNP)|00025462|0.00|0| | |FL|10530|1|N
H1036|316|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Lung (HMO C-SNP)|00025462|0.00|0| | |FL|10540|1|N
H1036|316|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Lung (HMO C-SNP)|00025462|0.00|0| | |FL|10560|1|N
H1036|316|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Lung (HMO C-SNP)|00025462|0.00|0| | |FL|10650|1|N
H1036|317|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes (HMO C-SNP)|00025460|0.00|590| | |OR|38020|1|N
H1036|317|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes (HMO C-SNP)|00025460|0.00|590| | |OR|38040|1|N
H1036|317|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes (HMO C-SNP)|00025460|0.00|590| | |OR|38250|1|N
H1036|317|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus - Diabetes (HMO C-SNP)|00025460|0.00|590| | |OR|38330|1|N
H1036|318|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-318 (HMO-POS)|00025456|0.00|450| | |NC|34000|0|N
H1036|318|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-318 (HMO-POS)|00025456|0.00|450| | |NC|34010|0|N
H1036|318|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-318 (HMO-POS)|00025456|0.00|450| | |NC|34030|0|N
H1036|318|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-318 (HMO-POS)|00025456|0.00|450| | |NC|34110|0|N
H1036|318|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-318 (HMO-POS)|00025456|0.00|450| | |NC|34120|0|N
H1036|318|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-318 (HMO-POS)|00025456|0.00|450| | |NC|34130|0|N
H1036|318|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-318 (HMO-POS)|00025456|0.00|450| | |NC|34160|0|N
H1036|318|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-318 (HMO-POS)|00025456|0.00|450| | |NC|34170|0|N
H1036|318|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-318 (HMO-POS)|00025456|0.00|450| | |NC|34180|0|N
H1036|318|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-318 (HMO-POS)|00025456|0.00|450| | |NC|34220|0|N
H1036|318|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-318 (HMO-POS)|00025456|0.00|450| | |NC|34250|0|N
H1036|318|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-318 (HMO-POS)|00025456|0.00|450| | |NC|34280|0|N
H1036|318|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-318 (HMO-POS)|00025456|0.00|450| | |NC|34290|0|N
H1036|318|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-318 (HMO-POS)|00025456|0.00|450| | |NC|34310|0|N
H1036|318|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-318 (HMO-POS)|00025456|0.00|450| | |NC|34330|0|N
H1036|318|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-318 (HMO-POS)|00025456|0.00|450| | |NC|34340|0|N
H1036|318|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-318 (HMO-POS)|00025456|0.00|450| | |NC|34380|0|N
H1036|318|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-318 (HMO-POS)|00025456|0.00|450| | |NC|34400|0|N
H1036|318|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-318 (HMO-POS)|00025456|0.00|450| | |NC|34420|0|N
H1036|318|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-318 (HMO-POS)|00025456|0.00|450| | |NC|34460|0|N
H1036|318|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-318 (HMO-POS)|00025456|0.00|450| | |NC|34480|0|N
H1036|318|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-318 (HMO-POS)|00025456|0.00|450| | |NC|34500|0|N
H1036|318|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-318 (HMO-POS)|00025456|0.00|450| | |NC|34520|0|N
H1036|318|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-318 (HMO-POS)|00025456|0.00|450| | |NC|34540|0|N
H1036|318|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-318 (HMO-POS)|00025456|0.00|450| | |NC|34590|0|N
H1036|318|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-318 (HMO-POS)|00025456|0.00|450| | |NC|34610|0|N
H1036|318|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-318 (HMO-POS)|00025456|0.00|450| | |NC|34620|0|N
H1036|318|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-318 (HMO-POS)|00025456|0.00|450| | |NC|34670|0|N
H1036|318|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-318 (HMO-POS)|00025456|0.00|450| | |NC|34720|0|N
H1036|318|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-318 (HMO-POS)|00025456|0.00|450| | |NC|34750|0|N
H1036|318|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-318 (HMO-POS)|00025456|0.00|450| | |NC|34760|0|N
H1036|318|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-318 (HMO-POS)|00025456|0.00|450| | |NC|34770|0|N
H1036|318|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-318 (HMO-POS)|00025456|0.00|450| | |NC|34780|0|N
H1036|318|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-318 (HMO-POS)|00025456|0.00|450| | |NC|34790|0|N
H1036|318|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-318 (HMO-POS)|00025456|0.00|450| | |NC|34840|0|N
H1036|318|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-318 (HMO-POS)|00025456|0.00|450| | |NC|34850|0|N
H1036|318|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-318 (HMO-POS)|00025456|0.00|450| | |NC|34890|0|N
H1036|318|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-318 (HMO-POS)|00025456|0.00|450| | |NC|34910|0|N
H1036|318|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-318 (HMO-POS)|00025456|0.00|450| | |NC|34960|0|N
H1036|318|000|HUMANA MEDICAL PLAN, INC.|Humana Gold Plus Giveback H1036-318 (HMO-POS)|00025456|0.00|450| | |NC|34980|0|N
H1045|001|000|PREFERRED CARE PARTNERS, INC.|UHC Preferred Medicare Advantage FL-0001 (HMO)|00025002|0.00|0| | |FL|10120|0|N
H1045|005|000|PREFERRED CARE PARTNERS, INC.|UHC Preferred Medicare Advantage FL-0002 (HMO)|00025002|0.00|175| | |FL|10050|0|N
H1045|012|000|PREFERRED CARE PARTNERS, INC.|UHC Preferred Dual Complete FL-D001 (HMO D-SNP)|00025002|20.30|590| | |FL|10050|2|N
H1045|012|000|PREFERRED CARE PARTNERS, INC.|UHC Preferred Dual Complete FL-D001 (HMO D-SNP)|00025002|20.30|590| | |FL|10120|2|N
H1045|018|000|PREFERRED CARE PARTNERS, INC.|UHC Preferred Complete Care FL-0003 (HMO C-SNP)|00025003|0.00|0| | |FL|10120|1|N
H1045|025|000|PREFERRED CARE PARTNERS, INC.|UHC The Villages Medicare Advantage FL-0004 (HMO-POS)|00025002|0.00|175| | |FL|10340|0|N
H1045|025|000|PREFERRED CARE PARTNERS, INC.|UHC The Villages Medicare Advantage FL-0004 (HMO-POS)|00025002|0.00|175| | |FL|10410|0|N
H1045|025|000|PREFERRED CARE PARTNERS, INC.|UHC The Villages Medicare Advantage FL-0004 (HMO-POS)|00025002|0.00|175| | |FL|10590|0|N
H1045|026|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0005 (HMO-POS)|00025002|0.00|175| | |FL|10010|0|N
H1045|026|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0005 (HMO-POS)|00025002|0.00|175| | |FL|10090|0|N
H1045|026|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0005 (HMO-POS)|00025002|0.00|175| | |FL|10150|0|N
H1045|026|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0005 (HMO-POS)|00025002|0.00|175| | |FL|10170|0|N
H1045|026|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0005 (HMO-POS)|00025002|0.00|175| | |FL|10440|0|N
H1045|026|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0005 (HMO-POS)|00025002|0.00|175| | |FL|10530|0|N
H1045|026|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0005 (HMO-POS)|00025002|0.00|175| | |FL|10540|0|N
H1045|026|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0005 (HMO-POS)|00025002|0.00|175| | |FL|10630|0|N
H1045|028|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0006 (HMO-POS)|00025002|0.00|175| | |FL|10070|0|N
H1045|028|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0006 (HMO-POS)|00025002|0.00|175| | |FL|10260|0|N
H1045|028|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0006 (HMO-POS)|00025002|0.00|175| | |FL|10280|0|N
H1045|028|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0006 (HMO-POS)|00025002|0.00|175| | |FL|10300|0|N
H1045|028|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0006 (HMO-POS)|00025002|0.00|175| | |FL|10350|0|N
H1045|028|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0006 (HMO-POS)|00025002|0.00|175| | |FL|10400|0|N
H1045|028|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0006 (HMO-POS)|00025002|0.00|175| | |FL|10420|0|N
H1045|028|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0006 (HMO-POS)|00025002|0.00|175| | |FL|10500|0|N
H1045|028|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0006 (HMO-POS)|00025002|0.00|175| | |FL|10510|0|N
H1045|028|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0006 (HMO-POS)|00025002|0.00|175| | |FL|10520|0|N
H1045|028|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0006 (HMO-POS)|00025002|0.00|175| | |FL|10550|0|N
H1045|028|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0006 (HMO-POS)|00025002|0.00|175| | |FL|10570|0|N
H1045|030|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0007 (HMO-POS)|00025002|0.00|175| | |FL|10040|0|N
H1045|030|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0007 (HMO-POS)|00025002|0.00|175| | |FL|10470|0|N
H1045|030|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0007 (HMO-POS)|00025002|0.00|175| | |FL|10480|0|N
H1045|030|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0007 (HMO-POS)|00025002|0.00|175| | |FL|10580|0|N
H1045|031|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0008 (HMO-POS)|00025002|0.00|175| | |FL|10020|0|N
H1045|031|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0008 (HMO-POS)|00025002|0.00|175| | |FL|10160|0|N
H1045|031|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0008 (HMO-POS)|00025002|0.00|175| | |FL|10450|0|N
H1045|031|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0008 (HMO-POS)|00025002|0.00|175| | |FL|10560|0|N
H1045|031|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0008 (HMO-POS)|00025002|0.00|175| | |FL|10650|0|N
H1045|033|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0009 (HMO-POS)|00025002|0.00|175| | |FL|10000|0|N
H1045|033|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0009 (HMO-POS)|00025002|0.00|175| | |FL|10030|0|N
H1045|033|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0009 (HMO-POS)|00025002|0.00|175| | |FL|10110|0|N
H1045|033|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0009 (HMO-POS)|00025002|0.00|175| | |FL|10140|0|N
H1045|033|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0009 (HMO-POS)|00025002|0.00|175| | |FL|10200|0|N
H1045|033|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0009 (HMO-POS)|00025002|0.00|175| | |FL|10230|0|N
H1045|033|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0009 (HMO-POS)|00025002|0.00|175| | |FL|10330|0|N
H1045|033|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0009 (HMO-POS)|00025002|0.00|175| | |FL|10600|0|N
H1045|033|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0009 (HMO-POS)|00025002|0.00|175| | |FL|10620|0|N
H1045|034|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0010 (HMO-POS)|00025002|0.00|175| | |FL|10070|0|N
H1045|034|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0010 (HMO-POS)|00025002|0.00|175| | |FL|10100|0|N
H1045|034|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0010 (HMO-POS)|00025002|0.00|175| | |FL|10210|0|N
H1045|034|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0010 (HMO-POS)|00025002|0.00|175| | |FL|10250|0|N
H1045|034|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0010 (HMO-POS)|00025002|0.00|175| | |FL|10350|0|N
H1045|034|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0010 (HMO-POS)|00025002|0.00|175| | |FL|10400|0|N
H1045|034|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0010 (HMO-POS)|00025002|0.00|175| | |FL|10570|0|N
H1045|036|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-001P (HMO-POS)|00025002|0.00|175| | |FL|10300|0|N
H1045|036|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-001P (HMO-POS)|00025002|0.00|175| | |FL|10420|0|N
H1045|036|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-001P (HMO-POS)|00025002|0.00|175| | |FL|10460|0|N
H1045|036|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-001P (HMO-POS)|00025002|0.00|175| | |FL|10550|0|N
H1045|037|000|PREFERRED CARE PARTNERS, INC.|UHC Preferred Medicare Advantage FL-002P (HMO)|00025002|0.00|175| | |FL|10490|0|N
H1045|038|000|PREFERRED CARE PARTNERS, INC.|UHC Preferred Dual Complete FL-D01P (HMO D-SNP)|00025002|20.30|590| | |FL|10490|2|N
H1045|039|000|PREFERRED CARE PARTNERS, INC.|UHC Dual Complete FL-D002 (HMO-POS D-SNP)|00025002|17.20|590| | |FL|10040|2|N
H1045|039|000|PREFERRED CARE PARTNERS, INC.|UHC Dual Complete FL-D002 (HMO-POS D-SNP)|00025002|17.20|590| | |FL|10070|2|N
H1045|039|000|PREFERRED CARE PARTNERS, INC.|UHC Dual Complete FL-D002 (HMO-POS D-SNP)|00025002|17.20|590| | |FL|10090|2|N
H1045|039|000|PREFERRED CARE PARTNERS, INC.|UHC Dual Complete FL-D002 (HMO-POS D-SNP)|00025002|17.20|590| | |FL|10100|2|N
H1045|039|000|PREFERRED CARE PARTNERS, INC.|UHC Dual Complete FL-D002 (HMO-POS D-SNP)|00025002|17.20|590| | |FL|10150|2|N
H1045|039|000|PREFERRED CARE PARTNERS, INC.|UHC Dual Complete FL-D002 (HMO-POS D-SNP)|00025002|17.20|590| | |FL|10170|2|N
H1045|039|000|PREFERRED CARE PARTNERS, INC.|UHC Dual Complete FL-D002 (HMO-POS D-SNP)|00025002|17.20|590| | |FL|10260|2|N
H1045|039|000|PREFERRED CARE PARTNERS, INC.|UHC Dual Complete FL-D002 (HMO-POS D-SNP)|00025002|17.20|590| | |FL|10280|2|N
H1045|039|000|PREFERRED CARE PARTNERS, INC.|UHC Dual Complete FL-D002 (HMO-POS D-SNP)|00025002|17.20|590| | |FL|10300|2|N
H1045|039|000|PREFERRED CARE PARTNERS, INC.|UHC Dual Complete FL-D002 (HMO-POS D-SNP)|00025002|17.20|590| | |FL|10340|2|N
H1045|039|000|PREFERRED CARE PARTNERS, INC.|UHC Dual Complete FL-D002 (HMO-POS D-SNP)|00025002|17.20|590| | |FL|10350|2|N
H1045|039|000|PREFERRED CARE PARTNERS, INC.|UHC Dual Complete FL-D002 (HMO-POS D-SNP)|00025002|17.20|590| | |FL|10400|2|N
H1045|039|000|PREFERRED CARE PARTNERS, INC.|UHC Dual Complete FL-D002 (HMO-POS D-SNP)|00025002|17.20|590| | |FL|10410|2|N
H1045|039|000|PREFERRED CARE PARTNERS, INC.|UHC Dual Complete FL-D002 (HMO-POS D-SNP)|00025002|17.20|590| | |FL|10470|2|N
H1045|039|000|PREFERRED CARE PARTNERS, INC.|UHC Dual Complete FL-D002 (HMO-POS D-SNP)|00025002|17.20|590| | |FL|10480|2|N
H1045|039|000|PREFERRED CARE PARTNERS, INC.|UHC Dual Complete FL-D002 (HMO-POS D-SNP)|00025002|17.20|590| | |FL|10500|2|N
H1045|039|000|PREFERRED CARE PARTNERS, INC.|UHC Dual Complete FL-D002 (HMO-POS D-SNP)|00025002|17.20|590| | |FL|10510|2|N
H1045|039|000|PREFERRED CARE PARTNERS, INC.|UHC Dual Complete FL-D002 (HMO-POS D-SNP)|00025002|17.20|590| | |FL|10520|2|N
H1045|039|000|PREFERRED CARE PARTNERS, INC.|UHC Dual Complete FL-D002 (HMO-POS D-SNP)|00025002|17.20|590| | |FL|10540|2|N
H1045|039|000|PREFERRED CARE PARTNERS, INC.|UHC Dual Complete FL-D002 (HMO-POS D-SNP)|00025002|17.20|590| | |FL|10550|2|N
H1045|039|000|PREFERRED CARE PARTNERS, INC.|UHC Dual Complete FL-D002 (HMO-POS D-SNP)|00025002|17.20|590| | |FL|10570|2|N
H1045|039|000|PREFERRED CARE PARTNERS, INC.|UHC Dual Complete FL-D002 (HMO-POS D-SNP)|00025002|17.20|590| | |FL|10580|2|N
H1045|039|000|PREFERRED CARE PARTNERS, INC.|UHC Dual Complete FL-D002 (HMO-POS D-SNP)|00025002|17.20|590| | |FL|10590|2|N
H1045|039|000|PREFERRED CARE PARTNERS, INC.|UHC Dual Complete FL-D002 (HMO-POS D-SNP)|00025002|17.20|590| | |FL|10630|2|N
H1045|041|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0011 (HMO-POS)|00025002|0.00|175| | |FL|10060|0|N
H1045|041|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0011 (HMO-POS)|00025002|0.00|175| | |FL|10180|0|N
H1045|041|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0011 (HMO-POS)|00025002|0.00|175| | |FL|10190|0|N
H1045|041|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0011 (HMO-POS)|00025002|0.00|175| | |FL|10220|0|N
H1045|041|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0011 (HMO-POS)|00025002|0.00|175| | |FL|10290|0|N
H1045|041|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0011 (HMO-POS)|00025002|0.00|175| | |FL|10310|0|N
H1045|041|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0011 (HMO-POS)|00025002|0.00|175| | |FL|10320|0|N
H1045|041|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0011 (HMO-POS)|00025002|0.00|175| | |FL|10360|0|N
H1045|041|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0011 (HMO-POS)|00025002|0.00|175| | |FL|10380|0|N
H1045|041|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0011 (HMO-POS)|00025002|0.00|175| | |FL|10390|0|N
H1045|041|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0011 (HMO-POS)|00025002|0.00|175| | |FL|10610|0|N
H1045|041|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0011 (HMO-POS)|00025002|0.00|175| | |FL|10640|0|N
H1045|041|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0011 (HMO-POS)|00025002|0.00|175| | |FL|10660|0|N
H1045|042|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0012 (HMO-POS)|00025002|0.00|175| | |FL|10130|0|N
H1045|042|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0012 (HMO-POS)|00025002|0.00|175| | |FL|10240|0|N
H1045|042|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0012 (HMO-POS)|00025002|0.00|175| | |FL|10270|0|N
H1045|043|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0013 (HMO-POS)|00025002|0.00|175| | |FL|10080|0|N
H1045|043|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0013 (HMO-POS)|00025002|0.00|175| | |FL|10260|0|N
H1045|043|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0013 (HMO-POS)|00025002|0.00|175| | |FL|10370|0|N
H1045|045|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-003P (HMO-POS)|00025002|0.00|175| | |FL|10280|0|N
H1045|045|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-003P (HMO-POS)|00025002|0.00|175| | |FL|10500|0|N
H1045|045|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-003P (HMO-POS)|00025002|0.00|175| | |FL|10510|0|N
H1045|045|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-003P (HMO-POS)|00025002|0.00|175| | |FL|10520|0|N
H1045|048|001|PREFERRED CARE PARTNERS, INC.|UHC Complete Care FL-14 (HMO-POS C-SNP)|00025003|0.00|175| | |FL|10040|1|N
H1045|048|001|PREFERRED CARE PARTNERS, INC.|UHC Complete Care FL-14 (HMO-POS C-SNP)|00025003|0.00|175| | |FL|10300|1|N
H1045|048|001|PREFERRED CARE PARTNERS, INC.|UHC Complete Care FL-14 (HMO-POS C-SNP)|00025003|0.00|175| | |FL|10420|1|N
H1045|048|001|PREFERRED CARE PARTNERS, INC.|UHC Complete Care FL-14 (HMO-POS C-SNP)|00025003|0.00|175| | |FL|10460|1|N
H1045|048|001|PREFERRED CARE PARTNERS, INC.|UHC Complete Care FL-14 (HMO-POS C-SNP)|00025003|0.00|175| | |FL|10470|1|N
H1045|048|001|PREFERRED CARE PARTNERS, INC.|UHC Complete Care FL-14 (HMO-POS C-SNP)|00025003|0.00|175| | |FL|10480|1|N
H1045|048|001|PREFERRED CARE PARTNERS, INC.|UHC Complete Care FL-14 (HMO-POS C-SNP)|00025003|0.00|175| | |FL|10550|1|N
H1045|048|001|PREFERRED CARE PARTNERS, INC.|UHC Complete Care FL-14 (HMO-POS C-SNP)|00025003|0.00|175| | |FL|10580|1|N
H1045|048|001|PREFERRED CARE PARTNERS, INC.|UHC Complete Care FL-14 (HMO-POS C-SNP)|00025003|0.00|175| | |FL|10630|1|N
H1045|048|002|PREFERRED CARE PARTNERS, INC.|UHC Complete Care FL-14 (HMO-POS C-SNP)|00025003|0.00|175| | |FL|10070|1|N
H1045|048|002|PREFERRED CARE PARTNERS, INC.|UHC Complete Care FL-14 (HMO-POS C-SNP)|00025003|0.00|175| | |FL|10100|1|N
H1045|048|002|PREFERRED CARE PARTNERS, INC.|UHC Complete Care FL-14 (HMO-POS C-SNP)|00025003|0.00|175| | |FL|10130|1|N
H1045|048|002|PREFERRED CARE PARTNERS, INC.|UHC Complete Care FL-14 (HMO-POS C-SNP)|00025003|0.00|175| | |FL|10210|1|N
H1045|048|002|PREFERRED CARE PARTNERS, INC.|UHC Complete Care FL-14 (HMO-POS C-SNP)|00025003|0.00|175| | |FL|10240|1|N
H1045|048|002|PREFERRED CARE PARTNERS, INC.|UHC Complete Care FL-14 (HMO-POS C-SNP)|00025003|0.00|175| | |FL|10250|1|N
H1045|048|002|PREFERRED CARE PARTNERS, INC.|UHC Complete Care FL-14 (HMO-POS C-SNP)|00025003|0.00|175| | |FL|10350|1|N
H1045|048|002|PREFERRED CARE PARTNERS, INC.|UHC Complete Care FL-14 (HMO-POS C-SNP)|00025003|0.00|175| | |FL|10400|1|N
H1045|048|002|PREFERRED CARE PARTNERS, INC.|UHC Complete Care FL-14 (HMO-POS C-SNP)|00025003|0.00|175| | |FL|10570|1|N
H1045|048|003|PREFERRED CARE PARTNERS, INC.|UHC Complete Care FL-14 (HMO-POS C-SNP)|00025003|0.00|175| | |FL|10080|1|N
H1045|048|003|PREFERRED CARE PARTNERS, INC.|UHC Complete Care FL-14 (HMO-POS C-SNP)|00025003|0.00|175| | |FL|10260|1|N
H1045|048|003|PREFERRED CARE PARTNERS, INC.|UHC Complete Care FL-14 (HMO-POS C-SNP)|00025003|0.00|175| | |FL|10270|1|N
H1045|048|003|PREFERRED CARE PARTNERS, INC.|UHC Complete Care FL-14 (HMO-POS C-SNP)|00025003|0.00|175| | |FL|10280|1|N
H1045|048|003|PREFERRED CARE PARTNERS, INC.|UHC Complete Care FL-14 (HMO-POS C-SNP)|00025003|0.00|175| | |FL|10370|1|N
H1045|048|003|PREFERRED CARE PARTNERS, INC.|UHC Complete Care FL-14 (HMO-POS C-SNP)|00025003|0.00|175| | |FL|10500|1|N
H1045|048|003|PREFERRED CARE PARTNERS, INC.|UHC Complete Care FL-14 (HMO-POS C-SNP)|00025003|0.00|175| | |FL|10510|1|N
H1045|048|003|PREFERRED CARE PARTNERS, INC.|UHC Complete Care FL-14 (HMO-POS C-SNP)|00025003|0.00|175| | |FL|10520|1|N
H1045|048|004|PREFERRED CARE PARTNERS, INC.|UHC Complete Care FL-14 (HMO-POS C-SNP)|00025003|0.00|175| | |FL|10000|1|N
H1045|048|004|PREFERRED CARE PARTNERS, INC.|UHC Complete Care FL-14 (HMO-POS C-SNP)|00025003|0.00|175| | |FL|10340|1|N
H1045|048|004|PREFERRED CARE PARTNERS, INC.|UHC Complete Care FL-14 (HMO-POS C-SNP)|00025003|0.00|175| | |FL|10410|1|N
H1045|048|004|PREFERRED CARE PARTNERS, INC.|UHC Complete Care FL-14 (HMO-POS C-SNP)|00025003|0.00|175| | |FL|10590|1|N
H1045|055|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage from UHC FL-0015 (HMO-POS)|00025002|0.00|175| | |FL|10490|0|N
H1045|056|000|PREFERRED CARE PARTNERS, INC.|UHC The Villages Medicare Advantage FL-004P (HMO-POS)|00025002|0.00|175| | |FL|10340|0|N
H1045|056|000|PREFERRED CARE PARTNERS, INC.|UHC The Villages Medicare Advantage FL-004P (HMO-POS)|00025002|0.00|175| | |FL|10410|0|N
H1045|056|000|PREFERRED CARE PARTNERS, INC.|UHC The Villages Medicare Advantage FL-004P (HMO-POS)|00025002|0.00|175| | |FL|10590|0|N
H1045|057|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage CareFlex from UHC FL-32 (HMO-POS)|00025002|0.00|495| | |FL|10080|0|N
H1045|057|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage CareFlex from UHC FL-32 (HMO-POS)|00025002|0.00|495| | |FL|10260|0|N
H1045|057|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage CareFlex from UHC FL-32 (HMO-POS)|00025002|0.00|495| | |FL|10370|0|N
H1045|058|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage CareFlex from UHC FL-33 (HMO-POS)|00025002|0.00|495| | |FL|10130|0|N
H1045|058|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage CareFlex from UHC FL-33 (HMO-POS)|00025002|0.00|495| | |FL|10240|0|N
H1045|058|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage CareFlex from UHC FL-33 (HMO-POS)|00025002|0.00|495| | |FL|10270|0|N
H1045|059|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage CareFlex from UHC FL-34 (HMO-POS)|00025002|0.00|495| | |FL|10070|0|N
H1045|059|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage CareFlex from UHC FL-34 (HMO-POS)|00025002|0.00|495| | |FL|10100|0|N
H1045|059|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage CareFlex from UHC FL-34 (HMO-POS)|00025002|0.00|495| | |FL|10210|0|N
H1045|059|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage CareFlex from UHC FL-34 (HMO-POS)|00025002|0.00|495| | |FL|10250|0|N
H1045|059|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage CareFlex from UHC FL-34 (HMO-POS)|00025002|0.00|495| | |FL|10280|0|N
H1045|059|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage CareFlex from UHC FL-34 (HMO-POS)|00025002|0.00|495| | |FL|10350|0|N
H1045|059|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage CareFlex from UHC FL-34 (HMO-POS)|00025002|0.00|495| | |FL|10400|0|N
H1045|059|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage CareFlex from UHC FL-34 (HMO-POS)|00025002|0.00|495| | |FL|10500|0|N
H1045|059|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage CareFlex from UHC FL-34 (HMO-POS)|00025002|0.00|495| | |FL|10510|0|N
H1045|059|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage CareFlex from UHC FL-34 (HMO-POS)|00025002|0.00|495| | |FL|10520|0|N
H1045|059|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage CareFlex from UHC FL-34 (HMO-POS)|00025002|0.00|495| | |FL|10570|0|N
H1045|060|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage CareFlex from UHC FL-35 (HMO-POS)|00025002|0.00|495| | |FL|10300|0|N
H1045|060|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage CareFlex from UHC FL-35 (HMO-POS)|00025002|0.00|495| | |FL|10420|0|N
H1045|060|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage CareFlex from UHC FL-35 (HMO-POS)|00025002|0.00|495| | |FL|10460|0|N
H1045|060|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage CareFlex from UHC FL-35 (HMO-POS)|00025002|0.00|495| | |FL|10550|0|N
H1045|061|000|PREFERRED CARE PARTNERS, INC.|UHC Preferred Dual Complete FL-V1 (HMO D-SNP)|00025002|20.30|590| | |FL|10050|2|N
H1045|061|000|PREFERRED CARE PARTNERS, INC.|UHC Preferred Dual Complete FL-V1 (HMO D-SNP)|00025002|20.30|590| | |FL|10120|2|N
H1045|063|000|PREFERRED CARE PARTNERS, INC.|UHC Preferred Dual Complete FL-Y2 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10050|2|N
H1045|063|000|PREFERRED CARE PARTNERS, INC.|UHC Preferred Dual Complete FL-Y2 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10120|2|N
H1045|064|000|PREFERRED CARE PARTNERS, INC.|UHC Preferred Dual Complete FL-V2 (HMO D-SNP)|00025002|20.30|590| | |FL|10490|2|N
H1045|065|000|PREFERRED CARE PARTNERS, INC.|UHC Preferred Dual Complete FL-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10490|2|N
H1045|067|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage CareFlex from UHC FL-37 (HMO-POS)|00025002|0.00|495| | |FL|10010|0|N
H1045|067|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage CareFlex from UHC FL-37 (HMO-POS)|00025002|0.00|495| | |FL|10090|0|N
H1045|067|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage CareFlex from UHC FL-37 (HMO-POS)|00025002|0.00|495| | |FL|10150|0|N
H1045|067|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage CareFlex from UHC FL-37 (HMO-POS)|00025002|0.00|495| | |FL|10170|0|N
H1045|067|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage CareFlex from UHC FL-37 (HMO-POS)|00025002|0.00|495| | |FL|10440|0|N
H1045|067|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage CareFlex from UHC FL-37 (HMO-POS)|00025002|0.00|495| | |FL|10530|0|N
H1045|067|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage CareFlex from UHC FL-37 (HMO-POS)|00025002|0.00|495| | |FL|10540|0|N
H1045|067|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage CareFlex from UHC FL-37 (HMO-POS)|00025002|0.00|495| | |FL|10630|0|N
H1045|069|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage CareFlex from UHC FL-39 (HMO-POS)|00025002|0.00|495| | |FL|10040|0|N
H1045|069|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage CareFlex from UHC FL-39 (HMO-POS)|00025002|0.00|495| | |FL|10470|0|N
H1045|069|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage CareFlex from UHC FL-39 (HMO-POS)|00025002|0.00|495| | |FL|10480|0|N
H1045|069|000|PREFERRED CARE PARTNERS, INC.|AARP Medicare Advantage CareFlex from UHC FL-39 (HMO-POS)|00025002|0.00|495| | |FL|10580|0|N
H1099|001|000|HEALTH FIRST HEALTH PLANS|Health First Classic H1099-001 (HMO-POS)|00025520|41.50|0| | |FL|10040|0|N
H1099|001|000|HEALTH FIRST HEALTH PLANS|Health First Classic H1099-001 (HMO-POS)|00025520|41.50|0| | |FL|10300|0|N
H1099|006|000|HEALTH FIRST HEALTH PLANS|Health First Value H1099-006 (HMO)|00025520|29.70|0| | |FL|10040|0|N
H1099|006|000|HEALTH FIRST HEALTH PLANS|Health First Value H1099-006 (HMO)|00025520|29.70|0| | |FL|10300|0|N
H1099|014|000|HEALTH FIRST HEALTH PLANS|Health First Rewards H1099-014 (HMO)|00025520|0.00|0| | |FL|10040|0|N
H1099|014|000|HEALTH FIRST HEALTH PLANS|Health First Rewards H1099-014 (HMO)|00025520|0.00|0| | |FL|10300|0|N
H1099|016|000|HEALTH FIRST HEALTH PLANS|Health First SunSaver H1099-016 (HMO)|00025520|0.00|0| | |FL|10170|0|N
H1099|016|000|HEALTH FIRST HEALTH PLANS|Health First SunSaver H1099-016 (HMO)|00025520|0.00|0| | |FL|10240|0|N
H1099|016|000|HEALTH FIRST HEALTH PLANS|Health First SunSaver H1099-016 (HMO)|00025520|0.00|0| | |FL|10270|0|N
H1099|016|000|HEALTH FIRST HEALTH PLANS|Health First SunSaver H1099-016 (HMO)|00025520|0.00|0| | |FL|10630|0|N
H1099|023|000|HEALTH FIRST HEALTH PLANS|Health First Complete Care H1099-023 (HMO)|00025520|0.00|0| | |FL|10340|0|N
H1099|023|000|HEALTH FIRST HEALTH PLANS|Health First Complete Care H1099-023 (HMO)|00025520|0.00|0| | |FL|10470|0|N
H1099|023|000|HEALTH FIRST HEALTH PLANS|Health First Complete Care H1099-023 (HMO)|00025520|0.00|0| | |FL|10580|0|N
H1099|024|000|HEALTH FIRST HEALTH PLANS|Health First Emerald Plus H1099-024 (HMO)|00025520|0.00|150| | |FL|10340|0|N
H1099|024|000|HEALTH FIRST HEALTH PLANS|Health First Emerald Plus H1099-024 (HMO)|00025520|0.00|150| | |FL|10470|0|N
H1099|024|000|HEALTH FIRST HEALTH PLANS|Health First Emerald Plus H1099-024 (HMO)|00025520|0.00|150| | |FL|10580|0|N
H1099|025|000|HEALTH FIRST HEALTH PLANS|Health First Easy Access H1099-025 (HMO-POS)|00025520|0.00|200| | |FL|10340|0|N
H1099|025|000|HEALTH FIRST HEALTH PLANS|Health First Easy Access H1099-025 (HMO-POS)|00025520|0.00|200| | |FL|10470|0|N
H1099|025|000|HEALTH FIRST HEALTH PLANS|Health First Easy Access H1099-025 (HMO-POS)|00025520|0.00|200| | |FL|10580|0|N
H1099|026|000|HEALTH FIRST HEALTH PLANS|Health First Emerald Plus H1099-026 (HMO)|00025520|0.00|350| | |FL|10300|0|N
H1099|027|000|HEALTH FIRST HEALTH PLANS|Health First Easy Access H1099-027 (HMO-POS)|00025520|0.00|200| | |FL|10170|0|N
H1099|027|000|HEALTH FIRST HEALTH PLANS|Health First Easy Access H1099-027 (HMO-POS)|00025520|0.00|200| | |FL|10240|0|N
H1099|027|000|HEALTH FIRST HEALTH PLANS|Health First Easy Access H1099-027 (HMO-POS)|00025520|0.00|200| | |FL|10270|0|N
H1099|027|000|HEALTH FIRST HEALTH PLANS|Health First Easy Access H1099-027 (HMO-POS)|00025520|0.00|200| | |FL|10630|0|N
H1109|005|000|AETNA HEALTH INC.(GA)|Aetna Medicare Select (HMO)|00025101|0.00|590| | |GA|11090|0|N
H1109|005|000|AETNA HEALTH INC.(GA)|Aetna Medicare Select (HMO)|00025101|0.00|590| | |GA|11330|0|N
H1109|005|000|AETNA HEALTH INC.(GA)|Aetna Medicare Select (HMO)|00025101|0.00|590| | |GA|11530|0|N
H1109|005|000|AETNA HEALTH INC.(GA)|Aetna Medicare Select (HMO)|00025101|0.00|590| | |GA|11550|0|N
H1109|005|000|AETNA HEALTH INC.(GA)|Aetna Medicare Select (HMO)|00025101|0.00|590| | |GA|11811|0|N
H1109|005|000|AETNA HEALTH INC.(GA)|Aetna Medicare Select (HMO)|00025101|0.00|590| | |GA|11912|0|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11000|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11010|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11011|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11020|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11030|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11040|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11050|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11060|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11070|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11080|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11090|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11100|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11110|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11120|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11130|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11150|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11160|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11170|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11180|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11190|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11200|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11210|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11220|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11230|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11240|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11250|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11260|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11280|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11281|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11290|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11291|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11300|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11310|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11311|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11320|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11330|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11340|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11341|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11350|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11360|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11370|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11380|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11381|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11400|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11420|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11421|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11430|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11440|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11441|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11450|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11451|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11460|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11461|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11462|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11470|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11471|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11480|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11500|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11510|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11520|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11530|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11540|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11550|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11560|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11570|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11580|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11581|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11590|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11591|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11600|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11601|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11610|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11611|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11612|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11620|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11630|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11640|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11650|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11651|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11652|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11660|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11680|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11690|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11691|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11700|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11701|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11702|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11703|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11710|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11720|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11730|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11740|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11741|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11750|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11760|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11770|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11771|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11772|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11780|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11790|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11800|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11801|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11810|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11811|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11812|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11820|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11821|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11830|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11831|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11832|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11833|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11834|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11835|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11840|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11841|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11842|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11850|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11851|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11860|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11861|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11862|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11880|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11881|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11882|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11883|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11884|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11890|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11900|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11901|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11902|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11903|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11910|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11911|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11912|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11913|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11920|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11921|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11930|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11940|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11941|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11950|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11960|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11961|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11962|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11963|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11970|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11971|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11972|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11973|2|N
H1112|006|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|35.10|590| | |GA|11980|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11000|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11010|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11011|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11020|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11030|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11040|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11050|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11060|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11070|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11080|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11090|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11100|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11110|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11120|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11130|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11150|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11160|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11170|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11180|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11190|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11200|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11210|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11220|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11230|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11240|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11250|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11260|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11280|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11281|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11290|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11291|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11300|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11310|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11311|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11320|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11330|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11340|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11341|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11350|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11360|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11370|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11380|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11381|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11400|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11420|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11421|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11430|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11440|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11441|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11450|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11451|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11460|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11461|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11462|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11470|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11471|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11480|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11500|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11510|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11520|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11530|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11540|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11550|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11560|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11570|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11580|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11581|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11590|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11591|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11600|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11601|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11610|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11611|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11612|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11620|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11630|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11640|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11650|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11651|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11652|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11660|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11680|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11690|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11691|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11700|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11701|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11702|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11703|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11710|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11720|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11730|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11740|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11741|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11750|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11760|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11770|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11771|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11772|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11780|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11790|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11800|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11801|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11810|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11811|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11812|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11820|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11821|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11830|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11831|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11832|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11833|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11834|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11835|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11840|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11841|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11842|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11850|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11851|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11860|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11861|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11862|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11880|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11881|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11882|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11883|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11884|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11890|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11900|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11901|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11902|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11903|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11910|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11911|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11912|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11913|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11920|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11921|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11930|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11940|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11941|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11950|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11960|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11961|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11962|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11963|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11970|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11971|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11972|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11973|2|N
H1112|033|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|40.00|590| | |GA|11980|2|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11040|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11050|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11060|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11160|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11190|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11200|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11230|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11240|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11250|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11260|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11280|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11290|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11320|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11341|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11350|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11370|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11400|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11430|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11450|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11451|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11460|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11461|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11462|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11470|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11471|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11500|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11520|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11530|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11540|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11550|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11560|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11570|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11580|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11581|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11590|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11591|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11610|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11611|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11651|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11701|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11720|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11771|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11772|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11780|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11790|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11800|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11801|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11810|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11812|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11821|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11830|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11832|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11834|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11841|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11860|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11861|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11902|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11910|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11913|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11920|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11921|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11930|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11963|0|N
H1112|038|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11970|0|N
H1112|039|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11000|0|N
H1112|039|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11011|0|N
H1112|039|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11110|0|N
H1112|039|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11130|0|N
H1112|039|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11150|0|N
H1112|039|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11170|0|N
H1112|039|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11180|0|N
H1112|039|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11210|0|N
H1112|039|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11220|0|N
H1112|039|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11230|0|N
H1112|039|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11310|0|N
H1112|039|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11421|0|N
H1112|039|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11440|0|N
H1112|039|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11441|0|N
H1112|039|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11480|0|N
H1112|039|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11580|0|N
H1112|039|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11620|0|N
H1112|039|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11630|0|N
H1112|039|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11640|0|N
H1112|039|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11680|0|N
H1112|039|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11690|0|N
H1112|039|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11691|0|N
H1112|039|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11702|0|N
H1112|039|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11703|0|N
H1112|039|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11730|0|N
H1112|039|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11740|0|N
H1112|039|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11741|0|N
H1112|039|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11780|0|N
H1112|039|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11820|0|N
H1112|039|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11833|0|N
H1112|039|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11835|0|N
H1112|039|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11840|0|N
H1112|039|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11842|0|N
H1112|039|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11850|0|N
H1112|039|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11862|0|N
H1112|039|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11880|0|N
H1112|039|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11882|0|N
H1112|039|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11883|0|N
H1112|039|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11901|0|N
H1112|039|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11903|0|N
H1112|039|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11910|0|N
H1112|039|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11940|0|N
H1112|039|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11941|0|N
H1112|039|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11950|0|N
H1112|039|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11960|0|N
H1112|039|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11961|0|N
H1112|039|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11972|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11000|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11010|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11011|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11020|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11030|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11040|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11050|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11060|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11070|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11080|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11090|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11100|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11110|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11120|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11130|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11150|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11160|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11170|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11180|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11190|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11200|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11210|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11220|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11230|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11240|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11250|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11260|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11280|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11281|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11290|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11291|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11300|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11310|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11311|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11320|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11330|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11340|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11341|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11350|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11360|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11370|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11380|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11381|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11400|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11420|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11421|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11430|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11440|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11441|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11450|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11451|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11460|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11461|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11462|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11470|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11471|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11480|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11500|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11510|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11520|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11530|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11540|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11550|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11560|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11570|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11580|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11581|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11590|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11591|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11600|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11601|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11610|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11611|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11612|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11620|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11630|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11640|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11650|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11651|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11652|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11660|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11680|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11690|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11691|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11700|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11701|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11702|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11703|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11710|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11720|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11730|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11740|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11741|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11750|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11760|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11770|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11771|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11772|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11780|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11790|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11800|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11801|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11810|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11811|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11812|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11820|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11821|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11830|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11831|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11832|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11833|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11834|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11835|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11840|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11841|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11842|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11850|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11851|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11860|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11861|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11862|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11880|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11881|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11882|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11883|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11884|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11890|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11900|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11901|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11902|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11903|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11910|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11911|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11912|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11913|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11920|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11921|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11930|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11940|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11941|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11950|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11960|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11961|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11962|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11963|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11970|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11971|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11972|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11973|0|N
H1112|042|000|WELLCARE OF GEORGIA, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |GA|11980|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11000|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11010|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11011|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11020|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11030|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11040|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11050|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11060|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11070|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11080|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11090|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11100|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11110|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11120|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11130|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11150|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11160|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11170|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11180|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11190|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11200|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11210|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11220|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11230|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11240|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11250|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11260|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11280|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11281|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11290|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11291|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11300|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11310|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11311|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11320|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11330|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11340|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11341|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11350|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11360|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11370|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11380|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11381|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11400|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11420|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11421|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11430|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11440|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11441|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11450|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11451|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11460|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11461|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11462|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11470|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11471|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11480|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11500|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11510|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11520|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11530|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11540|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11550|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11560|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11570|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11580|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11581|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11590|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11591|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11600|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11601|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11610|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11611|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11612|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11620|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11630|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11640|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11650|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11651|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11652|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11660|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11680|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11690|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11691|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11700|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11701|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11702|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11703|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11710|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11720|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11730|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11740|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11741|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11750|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11760|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11770|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11771|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11772|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11780|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11790|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11800|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11801|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11810|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11811|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11812|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11820|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11821|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11830|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11831|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11832|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11833|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11834|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11835|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11840|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11841|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11842|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11850|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11851|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11860|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11861|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11862|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11880|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11881|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11882|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11883|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11884|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11890|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11900|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11901|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11902|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11903|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11910|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11911|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11912|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11913|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11920|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11921|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11930|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11940|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11941|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11950|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11960|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11961|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11962|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11963|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11970|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11971|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11972|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11973|0|N
H1112|043|000|WELLCARE OF GEORGIA, INC.|Wellcare Assist (HMO-POS)|00025066|31.70|590| | |GA|11980|0|N
H1112|044|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11010|0|N
H1112|044|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11020|0|N
H1112|044|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11030|0|N
H1112|044|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11070|0|N
H1112|044|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11080|0|N
H1112|044|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11090|0|N
H1112|044|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11100|0|N
H1112|044|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11120|0|N
H1112|044|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11230|0|N
H1112|044|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11281|0|N
H1112|044|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11291|0|N
H1112|044|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11300|0|N
H1112|044|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11311|0|N
H1112|044|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11330|0|N
H1112|044|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11340|0|N
H1112|044|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11360|0|N
H1112|044|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11380|0|N
H1112|044|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11381|0|N
H1112|044|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11420|0|N
H1112|044|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11510|0|N
H1112|044|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11580|0|N
H1112|044|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11600|0|N
H1112|044|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11601|0|N
H1112|044|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11612|0|N
H1112|044|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11650|0|N
H1112|044|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11652|0|N
H1112|044|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11660|0|N
H1112|044|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11700|0|N
H1112|044|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11710|0|N
H1112|044|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11730|0|N
H1112|044|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11750|0|N
H1112|044|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11760|0|N
H1112|044|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11770|0|N
H1112|044|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11780|0|N
H1112|044|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11811|0|N
H1112|044|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11831|0|N
H1112|044|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11842|0|N
H1112|044|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11851|0|N
H1112|044|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11862|0|N
H1112|044|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11880|0|N
H1112|044|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11883|0|N
H1112|044|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11884|0|N
H1112|044|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11890|0|N
H1112|044|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11900|0|N
H1112|044|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11911|0|N
H1112|044|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11912|0|N
H1112|044|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11961|0|N
H1112|044|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11962|0|N
H1112|044|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11971|0|N
H1112|044|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11973|0|N
H1112|044|000|WELLCARE OF GEORGIA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |GA|11980|0|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11000|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11010|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11011|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11020|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11030|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11040|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11050|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11060|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11070|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11080|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11090|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11100|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11110|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11120|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11130|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11150|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11160|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11170|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11180|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11190|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11200|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11210|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11220|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11230|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11240|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11250|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11260|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11280|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11281|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11290|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11291|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11300|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11310|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11311|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11320|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11330|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11340|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11341|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11350|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11360|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11370|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11380|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11381|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11400|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11420|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11421|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11430|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11440|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11441|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11450|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11451|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11460|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11461|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11462|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11470|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11471|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11480|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11500|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11510|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11520|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11530|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11540|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11550|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11560|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11570|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11580|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11581|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11590|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11591|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11600|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11601|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11610|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11611|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11612|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11620|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11630|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11640|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11650|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11651|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11652|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11660|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11680|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11690|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11691|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11700|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11701|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11702|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11703|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11710|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11720|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11730|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11740|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11741|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11750|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11760|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11770|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11771|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11772|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11780|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11790|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11800|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11801|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11810|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11811|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11812|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11820|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11821|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11830|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11831|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11832|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11833|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11834|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11835|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11840|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11841|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11842|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11850|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11851|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11860|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11861|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11862|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11880|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11881|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11882|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11883|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11884|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11890|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11900|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11901|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11902|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11903|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11910|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11911|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11912|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11913|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11920|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11921|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11930|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11940|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11941|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11950|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11960|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11961|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11962|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11963|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11970|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11971|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11972|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11973|2|N
H1112|046|000|WELLCARE OF GEORGIA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|33.50|590| | |GA|11980|2|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36000|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36010|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36020|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36030|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36050|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36060|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36070|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36080|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36090|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36100|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36110|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36120|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36130|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36140|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36150|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36160|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36170|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36190|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36200|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36220|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36230|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36240|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36260|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36270|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36280|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36290|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36300|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36310|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36330|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36340|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36350|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36360|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36370|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36380|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36390|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36400|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36410|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36420|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36430|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36440|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36460|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36470|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36480|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36490|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36500|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36510|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36530|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36540|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36550|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36560|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36570|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36580|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36590|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36600|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36610|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36620|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36630|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36640|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36650|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36660|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36670|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36680|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36690|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36700|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36720|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36730|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36750|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36760|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36770|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36780|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36790|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36800|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36820|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36830|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36840|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36850|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36860|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36870|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36880|3|N
H1119|001|000|TSG GUARD, INC.|Valor Health Plan (HMO I-SNP)|00025265|39.30|590| | |OH|36890|3|N
H1170|002|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Senior Advantage Enhanced 1 (HMO)|00025415|22.00|0| | |GA|11250|0|N
H1170|002|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Senior Advantage Enhanced 1 (HMO)|00025415|22.00|0| | |GA|11280|0|N
H1170|002|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Senior Advantage Enhanced 1 (HMO)|00025415|22.00|0| | |GA|11290|0|N
H1170|002|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Senior Advantage Enhanced 1 (HMO)|00025415|22.00|0| | |GA|11320|0|N
H1170|002|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Senior Advantage Enhanced 1 (HMO)|00025415|22.00|0| | |GA|11370|0|N
H1170|002|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Senior Advantage Enhanced 1 (HMO)|00025415|22.00|0| | |GA|11400|0|N
H1170|002|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Senior Advantage Enhanced 1 (HMO)|00025415|22.00|0| | |GA|11451|0|N
H1170|002|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Senior Advantage Enhanced 1 (HMO)|00025415|22.00|0| | |GA|11461|0|N
H1170|002|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Senior Advantage Enhanced 1 (HMO)|00025415|22.00|0| | |GA|11470|0|N
H1170|002|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Senior Advantage Enhanced 1 (HMO)|00025415|22.00|0| | |GA|11530|0|N
H1170|002|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Senior Advantage Enhanced 1 (HMO)|00025415|22.00|0| | |GA|11591|0|N
H1170|002|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Senior Advantage Enhanced 1 (HMO)|00025415|22.00|0| | |GA|11810|0|N
H1170|008|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Dual Essential Plan 1 (HMO D-SNP)|00025415|0.00|400| | |GA|11250|2|N
H1170|008|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Dual Essential Plan 1 (HMO D-SNP)|00025415|0.00|400| | |GA|11280|2|N
H1170|008|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Dual Essential Plan 1 (HMO D-SNP)|00025415|0.00|400| | |GA|11290|2|N
H1170|008|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Dual Essential Plan 1 (HMO D-SNP)|00025415|0.00|400| | |GA|11320|2|N
H1170|008|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Dual Essential Plan 1 (HMO D-SNP)|00025415|0.00|400| | |GA|11370|2|N
H1170|008|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Dual Essential Plan 1 (HMO D-SNP)|00025415|0.00|400| | |GA|11400|2|N
H1170|008|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Dual Essential Plan 1 (HMO D-SNP)|00025415|0.00|400| | |GA|11451|2|N
H1170|008|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Dual Essential Plan 1 (HMO D-SNP)|00025415|0.00|400| | |GA|11461|2|N
H1170|008|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Dual Essential Plan 1 (HMO D-SNP)|00025415|0.00|400| | |GA|11470|2|N
H1170|008|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Dual Essential Plan 1 (HMO D-SNP)|00025415|0.00|400| | |GA|11530|2|N
H1170|008|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Dual Essential Plan 1 (HMO D-SNP)|00025415|0.00|400| | |GA|11591|2|N
H1170|008|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Dual Essential Plan 1 (HMO D-SNP)|00025415|0.00|400| | |GA|11810|2|N
H1170|009|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Senior Advantage Basic 1 (HMO)|00025415|0.00|0| | |GA|11250|0|N
H1170|009|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Senior Advantage Basic 1 (HMO)|00025415|0.00|0| | |GA|11280|0|N
H1170|009|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Senior Advantage Basic 1 (HMO)|00025415|0.00|0| | |GA|11290|0|N
H1170|009|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Senior Advantage Basic 1 (HMO)|00025415|0.00|0| | |GA|11320|0|N
H1170|009|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Senior Advantage Basic 1 (HMO)|00025415|0.00|0| | |GA|11370|0|N
H1170|009|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Senior Advantage Basic 1 (HMO)|00025415|0.00|0| | |GA|11400|0|N
H1170|009|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Senior Advantage Basic 1 (HMO)|00025415|0.00|0| | |GA|11451|0|N
H1170|009|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Senior Advantage Basic 1 (HMO)|00025415|0.00|0| | |GA|11461|0|N
H1170|009|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Senior Advantage Basic 1 (HMO)|00025415|0.00|0| | |GA|11470|0|N
H1170|009|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Senior Advantage Basic 1 (HMO)|00025415|0.00|0| | |GA|11530|0|N
H1170|009|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Senior Advantage Basic 1 (HMO)|00025415|0.00|0| | |GA|11591|0|N
H1170|009|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Senior Advantage Basic 1 (HMO)|00025415|0.00|0| | |GA|11810|0|N
H1170|011|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Dual Essential Plan 2 (HMO D-SNP)|00025415|0.00|320| | |GA|11050|2|N
H1170|011|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Dual Essential Plan 2 (HMO D-SNP)|00025415|0.00|320| | |GA|11160|2|N
H1170|011|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Dual Essential Plan 2 (HMO D-SNP)|00025415|0.00|320| | |GA|11790|2|N
H1170|011|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Dual Essential Plan 2 (HMO D-SNP)|00025415|0.00|320| | |GA|11841|2|N
H1170|011|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Dual Essential Plan 2 (HMO D-SNP)|00025415|0.00|320| | |GA|11860|2|N
H1170|011|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Dual Essential Plan 2 (HMO D-SNP)|00025415|0.00|320| | |GA|11930|2|N
H1170|012|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Senior Advantage Basic 2 (HMO)|00025415|0.00|0| | |GA|11050|0|N
H1170|012|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Senior Advantage Basic 2 (HMO)|00025415|0.00|0| | |GA|11160|0|N
H1170|012|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Senior Advantage Basic 2 (HMO)|00025415|0.00|0| | |GA|11790|0|N
H1170|012|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Senior Advantage Basic 2 (HMO)|00025415|0.00|0| | |GA|11841|0|N
H1170|012|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Senior Advantage Basic 2 (HMO)|00025415|0.00|0| | |GA|11860|0|N
H1170|012|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Senior Advantage Basic 2 (HMO)|00025415|0.00|0| | |GA|11930|0|N
H1170|013|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Senior Advantage Care Plus (HMO-POS)|00025415|0.00|0| | |GA|11250|0|N
H1170|013|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Senior Advantage Care Plus (HMO-POS)|00025415|0.00|0| | |GA|11280|0|N
H1170|013|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Senior Advantage Care Plus (HMO-POS)|00025415|0.00|0| | |GA|11290|0|N
H1170|013|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Senior Advantage Care Plus (HMO-POS)|00025415|0.00|0| | |GA|11320|0|N
H1170|013|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Senior Advantage Care Plus (HMO-POS)|00025415|0.00|0| | |GA|11370|0|N
H1170|013|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Senior Advantage Care Plus (HMO-POS)|00025415|0.00|0| | |GA|11400|0|N
H1170|013|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Senior Advantage Care Plus (HMO-POS)|00025415|0.00|0| | |GA|11451|0|N
H1170|013|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Senior Advantage Care Plus (HMO-POS)|00025415|0.00|0| | |GA|11461|0|N
H1170|013|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Senior Advantage Care Plus (HMO-POS)|00025415|0.00|0| | |GA|11470|0|N
H1170|013|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Senior Advantage Care Plus (HMO-POS)|00025415|0.00|0| | |GA|11530|0|N
H1170|013|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Senior Advantage Care Plus (HMO-POS)|00025415|0.00|0| | |GA|11591|0|N
H1170|013|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Senior Advantage Care Plus (HMO-POS)|00025415|0.00|0| | |GA|11810|0|N
H1170|015|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Dual Complete (HMO D-SNP)|00025415|0.00|385| | |GA|11250|2|N
H1170|015|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Dual Complete (HMO D-SNP)|00025415|0.00|385| | |GA|11280|2|N
H1170|015|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Dual Complete (HMO D-SNP)|00025415|0.00|385| | |GA|11290|2|N
H1170|015|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Dual Complete (HMO D-SNP)|00025415|0.00|385| | |GA|11320|2|N
H1170|015|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Dual Complete (HMO D-SNP)|00025415|0.00|385| | |GA|11370|2|N
H1170|015|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Dual Complete (HMO D-SNP)|00025415|0.00|385| | |GA|11400|2|N
H1170|015|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Dual Complete (HMO D-SNP)|00025415|0.00|385| | |GA|11451|2|N
H1170|015|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Dual Complete (HMO D-SNP)|00025415|0.00|385| | |GA|11461|2|N
H1170|015|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Dual Complete (HMO D-SNP)|00025415|0.00|385| | |GA|11470|2|N
H1170|015|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Dual Complete (HMO D-SNP)|00025415|0.00|385| | |GA|11530|2|N
H1170|015|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Dual Complete (HMO D-SNP)|00025415|0.00|385| | |GA|11591|2|N
H1170|015|000|KAISER FOUNDATION HP OF GA, INC.|Kaiser Permanente Dual Complete (HMO D-SNP)|00025415|0.00|385| | |GA|11810|2|N
H1189|002|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Plus (HMO)|00025132|0.00|0| | |NM|32000|0|N
H1189|002|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Plus (HMO)|00025132|0.00|0| | |NM|32131|0|N
H1189|002|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Plus (HMO)|00025132|0.00|0| | |NM|32170|0|N
H1189|002|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Plus (HMO)|00025132|0.00|0| | |NM|32190|0|N
H1189|002|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Plus (HMO)|00025132|0.00|0| | |NM|32210|0|N
H1189|002|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Plus (HMO)|00025132|0.00|0| | |NM|32230|0|N
H1189|002|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Plus (HMO)|00025132|0.00|0| | |NM|32240|0|N
H1189|002|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Plus (HMO)|00025132|0.00|0| | |NM|32270|0|N
H1189|003|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Complete (HMO)|00025132|0.00|0| | |TX|45170|0|N
H1189|003|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Complete (HMO)|00025132|0.00|0| | |TX|45250|0|N
H1189|003|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Complete (HMO)|00025132|0.00|0| | |TX|45260|0|N
H1189|003|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Complete (HMO)|00025132|0.00|0| | |TX|45281|0|N
H1189|003|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Complete (HMO)|00025132|0.00|0| | |TX|45531|0|N
H1189|003|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Complete (HMO)|00025132|0.00|0| | |TX|45570|0|N
H1189|003|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Complete (HMO)|00025132|0.00|0| | |TX|45620|0|N
H1189|003|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Complete (HMO)|00025132|0.00|0| | |TX|45640|0|N
H1189|003|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Complete (HMO)|00025132|0.00|0| | |TX|45654|0|N
H1189|003|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Complete (HMO)|00025132|0.00|0| | |TX|45783|0|N
H1189|003|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Complete (HMO)|00025132|0.00|0| | |TX|45803|0|N
H1189|003|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Complete (HMO)|00025132|0.00|0| | |TX|45842|0|N
H1189|003|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Complete (HMO)|00025132|0.00|0| | |TX|45874|0|N
H1189|003|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Complete (HMO)|00025132|0.00|0| | |TX|45881|0|N
H1189|003|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Complete (HMO)|00025132|0.00|0| | |TX|45892|0|N
H1189|003|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Complete (HMO)|00025132|0.00|0| | |TX|45921|0|N
H1189|003|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Complete (HMO)|00025132|0.00|0| | |TX|45943|0|N
H1189|003|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Complete (HMO)|00025132|0.00|0| | |TX|45947|0|N
H1189|003|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Complete (HMO)|00025132|0.00|0| | |TX|45974|0|N
H1189|004|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Plus (HMO)|00025132|0.00|0| | |TX|45170|0|N
H1189|004|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Plus (HMO)|00025132|0.00|0| | |TX|45250|0|N
H1189|004|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Plus (HMO)|00025132|0.00|0| | |TX|45260|0|N
H1189|004|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Plus (HMO)|00025132|0.00|0| | |TX|45281|0|N
H1189|004|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Plus (HMO)|00025132|0.00|0| | |TX|45531|0|N
H1189|004|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Plus (HMO)|00025132|0.00|0| | |TX|45570|0|N
H1189|004|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Plus (HMO)|00025132|0.00|0| | |TX|45620|0|N
H1189|004|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Plus (HMO)|00025132|0.00|0| | |TX|45640|0|N
H1189|004|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Plus (HMO)|00025132|0.00|0| | |TX|45654|0|N
H1189|004|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Plus (HMO)|00025132|0.00|0| | |TX|45783|0|N
H1189|004|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Plus (HMO)|00025132|0.00|0| | |TX|45803|0|N
H1189|004|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Plus (HMO)|00025132|0.00|0| | |TX|45842|0|N
H1189|004|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Plus (HMO)|00025132|0.00|0| | |TX|45874|0|N
H1189|004|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Plus (HMO)|00025132|0.00|0| | |TX|45881|0|N
H1189|004|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Plus (HMO)|00025132|0.00|0| | |TX|45892|0|N
H1189|004|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Plus (HMO)|00025132|0.00|0| | |TX|45921|0|N
H1189|004|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Plus (HMO)|00025132|0.00|0| | |TX|45943|0|N
H1189|004|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Plus (HMO)|00025132|0.00|0| | |TX|45947|0|N
H1189|004|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Plus (HMO)|00025132|0.00|0| | |TX|45974|0|N
H1189|005|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Plus (HMO)|00025132|0.00|0| | |TX|45030|0|N
H1189|005|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Plus (HMO)|00025132|0.00|0| | |TX|45113|0|N
H1189|005|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Plus (HMO)|00025132|0.00|0| | |TX|45711|0|N
H1189|005|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Plus (HMO)|00025132|0.00|0| | |TX|45743|0|N
H1189|005|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Plus (HMO)|00025132|0.00|0| | |TX|45830|0|N
H1189|005|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Plus (HMO)|00025132|0.00|0| | |TX|45876|0|N
H1189|005|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Plus (HMO)|00025132|0.00|0| | |TX|45885|0|N
H1189|009|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Plus (HMO)|00025132|0.00|0| | |TX|45223|0|N
H1189|009|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Plus (HMO)|00025132|0.00|0| | |TX|45320|0|N
H1189|009|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Plus (HMO)|00025132|0.00|0| | |TX|45581|0|N
H1189|010|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Plus (HMO)|00025132|0.00|0| | |TX|45600|0|N
H1189|010|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Plus (HMO)|00025132|0.00|0| | |TX|45690|0|N
H1189|010|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Plus (HMO)|00025132|0.00|0| | |TX|45700|0|N
H1189|010|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Plus (HMO)|00025132|0.00|0| | |TX|45821|0|N
H1189|010|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Plus (HMO)|00025132|0.00|0| | |TX|45840|0|N
H1189|010|000|CHRISTUS HEALTH PLAN|CHRISTUS Health Medicare Plus (HMO)|00025132|0.00|0| | |TX|45942|0|N
H1206|002|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |WI|52290|0|N
H1206|002|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |WI|52390|0|N
H1206|002|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |WI|52440|0|N
H1206|002|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |WI|52500|0|N
H1206|002|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |WI|52580|0|N
H1206|002|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |WI|52630|0|N
H1206|002|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |WI|52650|0|N
H1206|002|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |WI|52660|0|N
H1206|003|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (HMO-POS)|00025100|0.00|590| | |IL|14141|0|N
H1206|003|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (HMO-POS)|00025100|0.00|590| | |IL|14250|0|N
H1206|003|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (HMO-POS)|00025100|0.00|590| | |IL|14400|0|N
H1206|003|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (HMO-POS)|00025100|0.00|590| | |IL|14530|0|N
H1206|003|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (HMO-POS)|00025100|0.00|590| | |IL|14540|0|N
H1206|003|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (HMO-POS)|00025100|0.00|590| | |IL|14570|0|N
H1206|003|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (HMO-POS)|00025100|0.00|590| | |IL|14640|0|N
H1206|003|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (HMO-POS)|00025100|0.00|590| | |IL|14989|0|N
H1206|004|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Prime Chronic Care (HMO C-SNP)|00025105|0.00|300| | |IL|14141|1|N
H1206|004|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Prime Chronic Care (HMO C-SNP)|00025105|0.00|300| | |IL|14250|1|N
H1206|004|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Prime Chronic Care (HMO C-SNP)|00025105|0.00|300| | |IL|14400|1|N
H1206|004|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Prime Chronic Care (HMO C-SNP)|00025105|0.00|300| | |IL|14640|1|N
H1206|004|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Prime Chronic Care (HMO C-SNP)|00025105|0.00|300| | |IL|14989|1|N
H1206|005|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Prime Chronic Value (HMO C-SNP)|00025101|22.80|590| | |IL|14141|1|N
H1206|005|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Prime Chronic Value (HMO C-SNP)|00025101|22.80|590| | |IL|14250|1|N
H1206|005|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Prime Chronic Value (HMO C-SNP)|00025101|22.80|590| | |IL|14400|1|N
H1206|005|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Prime Chronic Value (HMO C-SNP)|00025101|22.80|590| | |IL|14640|1|N
H1206|005|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Prime Chronic Value (HMO C-SNP)|00025101|22.80|590| | |IL|14989|1|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28000|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28010|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28030|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28040|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28050|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28070|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28090|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28100|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28110|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28120|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28130|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28170|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28180|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28190|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28200|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28230|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28250|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28260|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28270|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28290|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28300|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28310|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28320|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28330|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28350|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28360|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28380|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28390|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28400|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28410|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28420|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28430|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28440|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28460|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28470|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28480|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28490|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28500|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28530|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28540|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28550|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28560|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28590|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28600|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28620|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28630|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28650|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28660|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28670|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28680|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28690|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28710|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28750|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28760|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28770|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28780|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28790|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28810|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28830|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28840|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28870|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28880|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28890|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28900|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28910|2|N
H1215|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|0.00|510| | |NE|28920|2|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28000|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28010|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28030|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28040|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28050|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28070|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28090|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28100|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28110|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28120|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28130|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28170|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28180|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28190|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28200|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28230|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28250|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28260|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28270|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28290|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28300|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28310|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28320|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28330|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28350|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28360|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28380|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28390|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28400|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28410|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28420|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28430|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28440|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28460|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28470|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28480|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28490|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28500|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28530|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28540|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28550|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28560|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28590|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28600|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28620|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28630|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28650|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28660|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28670|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28680|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28690|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28710|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28750|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28760|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28770|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28780|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28790|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28810|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28830|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28840|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28870|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28880|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28890|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28900|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28910|0|N
H1215|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |NE|28920|0|N
H1224|001|000|LOCAL INITIATIVE HEALTH AUTHORITY FOR LA COUNTY|L.A. Care Medicare Plus (HMO D-SNP)|00025098|0.00|590| | |CA|05200|2|N
H1224|001|000|LOCAL INITIATIVE HEALTH AUTHORITY FOR LA COUNTY|L.A. Care Medicare Plus (HMO D-SNP)|00025098|0.00|590| | |CA|05210|2|N
H1225|001|000|HOPKINS HEALTH ADVANTAGE, INC.|Johns Hopkins Advantage MD (HMO)|00025227|6.60|590| | |MD|21010|0|N
H1225|001|000|HOPKINS HEALTH ADVANTAGE, INC.|Johns Hopkins Advantage MD (HMO)|00025227|6.60|590| | |MD|21020|0|N
H1225|001|000|HOPKINS HEALTH ADVANTAGE, INC.|Johns Hopkins Advantage MD (HMO)|00025227|6.60|590| | |MD|21060|0|N
H1225|001|000|HOPKINS HEALTH ADVANTAGE, INC.|Johns Hopkins Advantage MD (HMO)|00025227|6.60|590| | |MD|21100|0|N
H1225|001|000|HOPKINS HEALTH ADVANTAGE, INC.|Johns Hopkins Advantage MD (HMO)|00025227|6.60|590| | |MD|21130|0|N
H1225|001|000|HOPKINS HEALTH ADVANTAGE, INC.|Johns Hopkins Advantage MD (HMO)|00025227|6.60|590| | |MD|21150|0|N
H1225|001|000|HOPKINS HEALTH ADVANTAGE, INC.|Johns Hopkins Advantage MD (HMO)|00025227|6.60|590| | |MD|21190|0|N
H1225|001|000|HOPKINS HEALTH ADVANTAGE, INC.|Johns Hopkins Advantage MD (HMO)|00025227|6.60|590| | |MD|21210|0|N
H1225|001|000|HOPKINS HEALTH ADVANTAGE, INC.|Johns Hopkins Advantage MD (HMO)|00025227|6.60|590| | |MD|21220|0|N
H1225|001|000|HOPKINS HEALTH ADVANTAGE, INC.|Johns Hopkins Advantage MD (HMO)|00025227|6.60|590| | |MD|21230|0|N
H1225|003|000|HOPKINS HEALTH ADVANTAGE, INC.|Johns Hopkins Advantage MD D-SNP (HMO D-SNP)|00025229|0.00|590| | |MD|21010|2|N
H1225|003|000|HOPKINS HEALTH ADVANTAGE, INC.|Johns Hopkins Advantage MD D-SNP (HMO D-SNP)|00025229|0.00|590| | |MD|21020|2|N
H1225|003|000|HOPKINS HEALTH ADVANTAGE, INC.|Johns Hopkins Advantage MD D-SNP (HMO D-SNP)|00025229|0.00|590| | |MD|21060|2|N
H1225|003|000|HOPKINS HEALTH ADVANTAGE, INC.|Johns Hopkins Advantage MD D-SNP (HMO D-SNP)|00025229|0.00|590| | |MD|21100|2|N
H1225|003|000|HOPKINS HEALTH ADVANTAGE, INC.|Johns Hopkins Advantage MD D-SNP (HMO D-SNP)|00025229|0.00|590| | |MD|21130|2|N
H1225|003|000|HOPKINS HEALTH ADVANTAGE, INC.|Johns Hopkins Advantage MD D-SNP (HMO D-SNP)|00025229|0.00|590| | |MD|21150|2|N
H1225|003|000|HOPKINS HEALTH ADVANTAGE, INC.|Johns Hopkins Advantage MD D-SNP (HMO D-SNP)|00025229|0.00|590| | |MD|21190|2|N
H1225|003|000|HOPKINS HEALTH ADVANTAGE, INC.|Johns Hopkins Advantage MD D-SNP (HMO D-SNP)|00025229|0.00|590| | |MD|21210|2|N
H1225|003|000|HOPKINS HEALTH ADVANTAGE, INC.|Johns Hopkins Advantage MD D-SNP (HMO D-SNP)|00025229|0.00|590| | |MD|21220|2|N
H1225|003|000|HOPKINS HEALTH ADVANTAGE, INC.|Johns Hopkins Advantage MD D-SNP (HMO D-SNP)|00025229|0.00|590| | |MD|21230|2|N
H1230|001|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Senior Advantage Enhanced (HMO)|00025415|34.70|0| | |HI|12020|0|N
H1230|003|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Senior Advantage Basic (HMO)|00025415|0.00|0| | |HI|12020|0|N
H1230|008|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Dual Complete (HMO D-SNP)|00025415|0.00|580| | |HI|12020|2|N
H1230|008|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Dual Complete (HMO D-SNP)|00025415|0.00|580| | |HI|12050|2|N
H1230|013|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Senior Advantage Maui (HMO)|00025415|39.30|0| | |HI|12050|0|N
H1230|014|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Senior Advantage Hawaii Island (HMO)|00025415|48.70|0| | |HI|12010|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19000|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19010|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19020|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19030|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19040|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19050|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19060|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19070|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19080|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19090|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19100|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19110|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19120|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19130|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19140|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19150|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19160|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19170|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19180|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19190|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19200|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19210|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19220|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19230|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19240|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19250|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19260|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19270|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19280|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19290|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19300|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19310|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19320|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19330|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19340|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19350|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19360|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19370|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19380|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19390|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19400|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19410|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19420|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19430|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19440|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19450|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19460|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19470|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19480|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19490|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19500|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19510|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19520|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19530|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19540|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19550|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19560|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19570|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19580|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19590|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19600|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19610|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19620|0|N
H1248|004|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Premier (PPO)|00025328|111.80|0| | |LA|19630|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19000|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19010|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19020|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19030|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19040|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19050|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19060|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19070|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19080|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19090|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19100|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19110|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19120|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19130|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19140|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19150|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19160|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19170|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19180|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19190|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19200|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19210|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19220|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19230|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19240|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19250|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19260|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19270|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19280|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19290|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19300|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19310|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19320|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19330|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19340|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19350|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19360|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19370|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19380|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19390|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19400|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19410|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19420|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19430|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19440|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19450|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19460|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19470|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19480|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19490|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19500|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19510|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19520|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19530|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19540|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19550|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19560|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19570|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19580|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19590|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19600|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19610|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19620|0|N
H1248|007|000|LOUISIANA HEALTH SERVICE & INDEMNITY COMPANY|Blue adVantage Liberty (PPO)|00025328|0.00|195| | |LA|19630|0|N
H1277|001|000|ALIGN SENIOR CARE, INC.|Premier Care (HMO-POS I-SNP)|00025048|0.00|0| | |VA|49010|3|N
H1277|001|000|ALIGN SENIOR CARE, INC.|Premier Care (HMO-POS I-SNP)|00025048|0.00|0| | |VA|49191|3|N
H1277|001|000|ALIGN SENIOR CARE, INC.|Premier Care (HMO-POS I-SNP)|00025048|0.00|0| | |VA|49194|3|N
H1277|001|000|ALIGN SENIOR CARE, INC.|Premier Care (HMO-POS I-SNP)|00025048|0.00|0| | |VA|49200|3|N
H1277|001|000|ALIGN SENIOR CARE, INC.|Premier Care (HMO-POS I-SNP)|00025048|0.00|0| | |VA|49411|3|N
H1277|001|000|ALIGN SENIOR CARE, INC.|Premier Care (HMO-POS I-SNP)|00025048|0.00|0| | |VA|49430|3|N
H1277|001|000|ALIGN SENIOR CARE, INC.|Premier Care (HMO-POS I-SNP)|00025048|0.00|0| | |VA|49451|3|N
H1277|001|000|ALIGN SENIOR CARE, INC.|Premier Care (HMO-POS I-SNP)|00025048|0.00|0| | |VA|49641|3|N
H1277|001|000|ALIGN SENIOR CARE, INC.|Premier Care (HMO-POS I-SNP)|00025048|0.00|0| | |VA|49711|3|N
H1277|001|000|ALIGN SENIOR CARE, INC.|Premier Care (HMO-POS I-SNP)|00025048|0.00|0| | |VA|49791|3|N
H1277|001|000|ALIGN SENIOR CARE, INC.|Premier Care (HMO-POS I-SNP)|00025048|0.00|0| | |VA|49892|3|N
H1277|001|000|ALIGN SENIOR CARE, INC.|Premier Care (HMO-POS I-SNP)|00025048|0.00|0| | |VA|49921|3|N
H1278|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0001 (PPO)|00025002|0.00|420| | |TX|45010|0|N
H1278|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0001 (PPO)|00025002|0.00|420| | |TX|45050|0|N
H1278|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0001 (PPO)|00025002|0.00|420| | |TX|45080|0|N
H1278|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0001 (PPO)|00025002|0.00|420| | |TX|45251|0|N
H1278|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0001 (PPO)|00025002|0.00|420| | |TX|45270|0|N
H1278|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0001 (PPO)|00025002|0.00|420| | |TX|45362|0|N
H1278|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0001 (PPO)|00025002|0.00|420| | |TX|45391|0|N
H1278|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0001 (PPO)|00025002|0.00|420| | |TX|45392|0|N
H1278|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0001 (PPO)|00025002|0.00|420| | |TX|45451|0|N
H1278|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0001 (PPO)|00025002|0.00|420| | |TX|45521|0|N
H1278|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0001 (PPO)|00025002|0.00|420| | |TX|45551|0|N
H1278|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0001 (PPO)|00025002|0.00|420| | |TX|45563|0|N
H1278|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0001 (PPO)|00025002|0.00|420| | |TX|45582|0|N
H1278|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0001 (PPO)|00025002|0.00|420| | |TX|45652|0|N
H1278|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0001 (PPO)|00025002|0.00|420| | |TX|45661|0|N
H1278|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0001 (PPO)|00025002|0.00|420| | |TX|45671|0|N
H1278|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0001 (PPO)|00025002|0.00|420| | |TX|45721|0|N
H1278|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0001 (PPO)|00025002|0.00|420| | |TX|45751|0|N
H1278|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0001 (PPO)|00025002|0.00|420| | |TX|45770|0|N
H1278|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0001 (PPO)|00025002|0.00|420| | |TX|45771|0|N
H1278|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0001 (PPO)|00025002|0.00|420| | |TX|45794|0|N
H1278|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0001 (PPO)|00025002|0.00|420| | |TX|45802|0|N
H1278|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0001 (PPO)|00025002|0.00|420| | |TX|45822|0|N
H1278|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0001 (PPO)|00025002|0.00|420| | |TX|45845|0|N
H1278|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0001 (PPO)|00025002|0.00|420| | |TX|45860|0|N
H1278|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0001 (PPO)|00025002|0.00|420| | |TX|45861|0|N
H1278|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0001 (PPO)|00025002|0.00|420| | |TX|45871|0|N
H1278|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0001 (PPO)|00025002|0.00|420| | |TX|45905|0|N
H1278|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0001 (PPO)|00025002|0.00|420| | |TX|45911|0|N
H1278|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0001 (PPO)|00025002|0.00|420| | |TX|45913|0|N
H1278|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0001 (PPO)|00025002|0.00|420| | |TX|45930|0|N
H1278|004|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-2 (PPO)|00025002|0.00|420| | |TX|45100|0|N
H1278|004|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-2 (PPO)|00025002|0.00|420| | |TX|45120|0|N
H1278|004|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-2 (PPO)|00025002|0.00|420| | |TX|45140|0|N
H1278|004|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-2 (PPO)|00025002|0.00|420| | |TX|45222|0|N
H1278|004|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-2 (PPO)|00025002|0.00|420| | |TX|45223|0|N
H1278|004|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-2 (PPO)|00025002|0.00|420| | |TX|45500|0|N
H1278|004|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-2 (PPO)|00025002|0.00|420| | |TX|45552|0|N
H1278|004|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-2 (PPO)|00025002|0.00|420| | |TX|45562|0|N
H1278|004|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-2 (PPO)|00025002|0.00|420| | |TX|45631|0|N
H1278|004|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-2 (PPO)|00025002|0.00|420| | |TX|45651|0|N
H1278|004|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-2 (PPO)|00025002|0.00|420| | |TX|45761|0|N
H1278|004|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-2 (PPO)|00025002|0.00|420| | |TX|45780|0|N
H1278|004|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-2 (PPO)|00025002|0.00|420| | |TX|45795|0|N
H1278|004|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-2 (PPO)|00025002|0.00|420| | |TX|45940|0|N
H1278|004|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-2 (PPO)|00025002|0.00|420| | |TX|45970|0|N
H1278|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0003 (PPO)|00025002|0.00|420| | |TX|45060|0|N
H1278|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0003 (PPO)|00025002|0.00|420| | |TX|45090|0|N
H1278|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0003 (PPO)|00025002|0.00|420| | |TX|45130|0|N
H1278|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0003 (PPO)|00025002|0.00|420| | |TX|45320|0|N
H1278|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0003 (PPO)|00025002|0.00|420| | |TX|45581|0|N
H1278|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0003 (PPO)|00025002|0.00|420| | |TX|45731|0|N
H1278|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0003 (PPO)|00025002|0.00|420| | |TX|45734|0|N
H1278|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0003 (PPO)|00025002|0.00|420| | |TX|45792|0|N
H1278|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0003 (PPO)|00025002|0.00|420| | |TX|45971|0|N
H1278|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SI-0001 (PPO)|00025002|24.00|495| | |IA|16170|0|N
H1278|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SI-0001 (PPO)|00025002|24.00|495| | |IA|16460|0|N
H1278|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SI-0001 (PPO)|00025002|24.00|495| | |IA|16590|0|N
H1278|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SI-0001 (PPO)|00025002|24.00|495| | |IA|16660|0|N
H1278|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SI-0001 (PPO)|00025002|24.00|495| | |IA|16700|0|N
H1278|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SI-0001 (PPO)|00025002|24.00|495| | |IA|16710|0|N
H1278|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SI-0001 (PPO)|00025002|24.00|495| | |IA|16740|0|N
H1278|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SI-0001 (PPO)|00025002|24.00|495| | |IA|16830|0|N
H1278|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SI-0001 (PPO)|00025002|24.00|495| | |IA|16960|0|N
H1278|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SI-0001 (PPO)|00025002|24.00|495| | |MN|24400|0|N
H1278|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SI-0001 (PPO)|00025002|24.00|495| | |MN|24500|0|N
H1278|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SI-0001 (PPO)|00025002|24.00|495| | |MN|24520|0|N
H1278|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SI-0001 (PPO)|00025002|24.00|495| | |MN|24580|0|N
H1278|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SI-0001 (PPO)|00025002|24.00|495| | |MN|24660|0|N
H1278|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SI-0001 (PPO)|00025002|24.00|495| | |NE|28130|0|N
H1278|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SI-0001 (PPO)|00025002|24.00|495| | |NE|28210|0|N
H1278|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SI-0001 (PPO)|00025002|24.00|495| | |NE|28250|0|N
H1278|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SI-0001 (PPO)|00025002|24.00|495| | |NE|28530|0|N
H1278|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SI-0001 (PPO)|00025002|24.00|495| | |SD|43010|0|N
H1278|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SI-0001 (PPO)|00025002|24.00|495| | |SD|43020|0|N
H1278|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SI-0001 (PPO)|00025002|24.00|495| | |SD|43040|0|N
H1278|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SI-0001 (PPO)|00025002|24.00|495| | |SD|43050|0|N
H1278|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SI-0001 (PPO)|00025002|24.00|495| | |SD|43060|0|N
H1278|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SI-0001 (PPO)|00025002|24.00|495| | |SD|43110|0|N
H1278|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SI-0001 (PPO)|00025002|24.00|495| | |SD|43120|0|N
H1278|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SI-0001 (PPO)|00025002|24.00|495| | |SD|43130|0|N
H1278|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SI-0001 (PPO)|00025002|24.00|495| | |SD|43140|0|N
H1278|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SI-0001 (PPO)|00025002|24.00|495| | |SD|43170|0|N
H1278|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SI-0001 (PPO)|00025002|24.00|495| | |SD|43180|0|N
H1278|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SI-0001 (PPO)|00025002|24.00|495| | |SD|43190|0|N
H1278|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SI-0001 (PPO)|00025002|24.00|495| | |SD|43210|0|N
H1278|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SI-0001 (PPO)|00025002|24.00|495| | |SD|43280|0|N
H1278|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SI-0001 (PPO)|00025002|24.00|495| | |SD|43300|0|N
H1278|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SI-0001 (PPO)|00025002|24.00|495| | |SD|43330|0|N
H1278|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SI-0001 (PPO)|00025002|24.00|495| | |SD|43380|0|N
H1278|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SI-0001 (PPO)|00025002|24.00|495| | |SD|43390|0|N
H1278|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SI-0001 (PPO)|00025002|24.00|495| | |SD|43410|0|N
H1278|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SI-0001 (PPO)|00025002|24.00|495| | |SD|43430|0|N
H1278|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SI-0001 (PPO)|00025002|24.00|495| | |SD|43450|0|N
H1278|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SI-0001 (PPO)|00025002|24.00|495| | |SD|43480|0|N
H1278|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SI-0001 (PPO)|00025002|24.00|495| | |SD|43490|0|N
H1278|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SI-0001 (PPO)|00025002|24.00|495| | |SD|43500|0|N
H1278|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SI-0001 (PPO)|00025002|24.00|495| | |SD|43540|0|N
H1278|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SI-0001 (PPO)|00025002|24.00|495| | |SD|43550|0|N
H1278|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SI-0001 (PPO)|00025002|24.00|495| | |SD|43570|0|N
H1278|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SI-0001 (PPO)|00025002|24.00|495| | |SD|43620|0|N
H1278|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SI-0001 (PPO)|00025002|24.00|495| | |SD|43630|0|N
H1278|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SI-0001 (PPO)|00025002|24.00|495| | |SD|43670|0|N
H1278|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SD-0001 (PPO)|00025002|57.00|495| | |SD|43090|0|N
H1278|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SD-0001 (PPO)|00025002|57.00|495| | |SD|43100|0|N
H1278|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SD-0001 (PPO)|00025002|57.00|495| | |SD|43150|0|N
H1278|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SD-0001 (PPO)|00025002|57.00|495| | |SD|43160|0|N
H1278|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SD-0001 (PPO)|00025002|57.00|495| | |SD|43200|0|N
H1278|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SD-0001 (PPO)|00025002|57.00|495| | |SD|43230|0|N
H1278|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SD-0001 (PPO)|00025002|57.00|495| | |SD|43270|0|N
H1278|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SD-0001 (PPO)|00025002|57.00|495| | |SD|43310|0|N
H1278|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SD-0001 (PPO)|00025002|57.00|495| | |SD|43350|0|N
H1278|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SD-0001 (PPO)|00025002|57.00|495| | |SD|43400|0|N
H1278|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SD-0001 (PPO)|00025002|57.00|495| | |SD|43460|0|N
H1278|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SD-0001 (PPO)|00025002|57.00|495| | |SD|43510|0|N
H1278|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SD-0001 (PPO)|00025002|57.00|495| | |SD|43520|0|N
H1278|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SD-0001 (PPO)|00025002|57.00|495| | |SD|43640|0|N
H1278|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SD-0001 (PPO)|00025002|57.00|495| | |SD|43680|0|N
H1278|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0004 (PPO)|00025002|0.00|420| | |TX|45240|0|N
H1278|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0004 (PPO)|00025002|0.00|420| | |TX|45650|0|N
H1278|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0004 (PPO)|00025002|0.00|420| | |TX|45791|0|N
H1278|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0004 (PPO)|00025002|0.00|420| | |TX|45900|0|N
H1278|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0004 (PPO)|00025002|0.00|420| | |TX|45945|0|N
H1278|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0004 (PPO)|00025002|0.00|420| | |TX|45953|0|N
H1278|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0004 (PPO)|00025002|0.00|420| | |TX|45962|0|N
H1278|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0004 (PPO)|00025002|0.00|420| | |TX|45983|0|N
H1278|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0005 (PPO)|00025002|0.00|420| | |TX|45160|0|N
H1278|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0005 (PPO)|00025002|0.00|420| | |TX|45310|0|N
H1278|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0005 (PPO)|00025002|0.00|420| | |TX|45340|0|N
H1278|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0005 (PPO)|00025002|0.00|420| | |TX|45341|0|N
H1278|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0005 (PPO)|00025002|0.00|420| | |TX|45390|0|N
H1278|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0005 (PPO)|00025002|0.00|420| | |TX|45410|0|N
H1278|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0005 (PPO)|00025002|0.00|420| | |TX|45450|0|N
H1278|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0005 (PPO)|00025002|0.00|420| | |TX|45470|0|N
H1278|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0005 (PPO)|00025002|0.00|420| | |TX|45510|0|N
H1278|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0005 (PPO)|00025002|0.00|420| | |TX|45564|0|N
H1278|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0005 (PPO)|00025002|0.00|420| | |TX|45590|0|N
H1278|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0005 (PPO)|00025002|0.00|420| | |TX|45653|0|N
H1278|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0005 (PPO)|00025002|0.00|420| | |TX|45670|0|N
H1278|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0005 (PPO)|00025002|0.00|420| | |TX|45680|0|N
H1278|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0005 (PPO)|00025002|0.00|420| | |TX|45720|0|N
H1278|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0005 (PPO)|00025002|0.00|420| | |TX|45730|0|N
H1278|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0005 (PPO)|00025002|0.00|420| | |TX|45752|0|N
H1278|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0005 (PPO)|00025002|0.00|420| | |TX|45796|0|N
H1278|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0005 (PPO)|00025002|0.00|420| | |TX|45800|0|N
H1278|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0005 (PPO)|00025002|0.00|420| | |TX|45841|0|N
H1278|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0005 (PPO)|00025002|0.00|420| | |TX|45843|0|N
H1278|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0005 (PPO)|00025002|0.00|420| | |TX|45879|0|N
H1278|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0005 (PPO)|00025002|0.00|420| | |TX|45893|0|N
H1278|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0005 (PPO)|00025002|0.00|420| | |TX|45910|0|N
H1278|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0005 (PPO)|00025002|0.00|420| | |TX|45947|0|N
H1278|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0005 (PPO)|00025002|0.00|420| | |TX|45960|0|N
H1278|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0005 (PPO)|00025002|0.00|420| | |TX|45973|0|N
H1278|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0006 (PPO)|00025002|0.00|420| | |TX|45070|0|N
H1278|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0006 (PPO)|00025002|0.00|420| | |TX|45180|0|N
H1278|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0006 (PPO)|00025002|0.00|420| | |TX|45190|0|N
H1278|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0006 (PPO)|00025002|0.00|420| | |TX|45530|0|N
H1278|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0006 (PPO)|00025002|0.00|420| | |TX|45550|0|N
H1278|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0006 (PPO)|00025002|0.00|420| | |TX|45580|0|N
H1278|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0006 (PPO)|00025002|0.00|420| | |TX|45600|0|N
H1278|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0006 (PPO)|00025002|0.00|420| | |TX|45610|0|N
H1278|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0006 (PPO)|00025002|0.00|420| | |TX|45700|0|N
H1278|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0006 (PPO)|00025002|0.00|420| | |TX|45757|0|N
H1278|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0006 (PPO)|00025002|0.00|420| | |TX|45790|0|N
H1278|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0006 (PPO)|00025002|0.00|420| | |TX|45801|0|N
H1278|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0006 (PPO)|00025002|0.00|420| | |TX|45840|0|N
H1278|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0006 (PPO)|00025002|0.00|420| | |TX|45954|0|N
H1278|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0007 (PPO)|00025002|0.00|420| | |TX|45000|0|N
H1278|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0007 (PPO)|00025002|0.00|420| | |TX|45020|0|N
H1278|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0007 (PPO)|00025002|0.00|420| | |TX|45281|0|N
H1278|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0007 (PPO)|00025002|0.00|420| | |TX|45400|0|N
H1278|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0007 (PPO)|00025002|0.00|420| | |TX|45540|0|N
H1278|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0007 (PPO)|00025002|0.00|420| | |TX|45570|0|N
H1278|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0007 (PPO)|00025002|0.00|420| | |TX|45620|0|N
H1278|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0007 (PPO)|00025002|0.00|420| | |TX|45640|0|N
H1278|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0007 (PPO)|00025002|0.00|420| | |TX|45654|0|N
H1278|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0007 (PPO)|00025002|0.00|420| | |TX|45660|0|N
H1278|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0007 (PPO)|00025002|0.00|420| | |TX|45690|0|N
H1278|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0007 (PPO)|00025002|0.00|420| | |TX|45756|0|N
H1278|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0007 (PPO)|00025002|0.00|420| | |TX|45758|0|N
H1278|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0007 (PPO)|00025002|0.00|420| | |TX|45782|0|N
H1278|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0007 (PPO)|00025002|0.00|420| | |TX|45810|0|N
H1278|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0007 (PPO)|00025002|0.00|420| | |TX|45820|0|N
H1278|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0007 (PPO)|00025002|0.00|420| | |TX|45842|0|N
H1278|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0007 (PPO)|00025002|0.00|420| | |TX|45850|0|N
H1278|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0007 (PPO)|00025002|0.00|420| | |TX|45870|0|N
H1278|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0007 (PPO)|00025002|0.00|420| | |TX|45878|0|N
H1278|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0007 (PPO)|00025002|0.00|420| | |TX|45881|0|N
H1278|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0007 (PPO)|00025002|0.00|420| | |TX|45882|0|N
H1278|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0007 (PPO)|00025002|0.00|420| | |TX|45883|0|N
H1278|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0007 (PPO)|00025002|0.00|420| | |TX|45884|0|N
H1278|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0007 (PPO)|00025002|0.00|420| | |TX|45890|0|N
H1278|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0007 (PPO)|00025002|0.00|420| | |TX|45892|0|N
H1278|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0007 (PPO)|00025002|0.00|420| | |TX|45941|0|N
H1278|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0007 (PPO)|00025002|0.00|420| | |TX|45942|0|N
H1278|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0007 (PPO)|00025002|0.00|420| | |TX|45949|0|N
H1278|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0007 (PPO)|00025002|0.00|420| | |TX|45974|0|N
H1278|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0008 (PPO)|00025002|0.00|420| | |TX|45030|0|N
H1278|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0008 (PPO)|00025002|0.00|420| | |TX|45113|0|N
H1278|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0008 (PPO)|00025002|0.00|420| | |TX|45711|0|N
H1278|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0008 (PPO)|00025002|0.00|420| | |TX|45743|0|N
H1278|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0008 (PPO)|00025002|0.00|420| | |TX|45830|0|N
H1278|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0008 (PPO)|00025002|0.00|420| | |TX|45948|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |IA|16140|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |IA|16350|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |IA|16420|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |IA|16640|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |IA|16680|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |IA|16720|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |IA|16770|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |IA|16820|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |NE|28000|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |NE|28010|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |NE|28050|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |NE|28070|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |NE|28090|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |NE|28100|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |NE|28110|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |NE|28120|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |NE|28170|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |NE|28180|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |NE|28190|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |NE|28200|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |NE|28260|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |NE|28270|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |NE|28290|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |NE|28300|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |NE|28330|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |NE|28350|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |NE|28380|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |NE|28390|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |NE|28400|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |NE|28440|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |NE|28460|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |NE|28470|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |NE|28480|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |NE|28490|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |NE|28540|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |NE|28590|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |NE|28600|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |NE|28620|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |NE|28630|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |NE|28640|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |NE|28650|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |NE|28660|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |NE|28690|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |NE|28700|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |NE|28710|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |NE|28730|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |NE|28750|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |NE|28760|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |NE|28770|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |NE|28790|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |NE|28810|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |NE|28830|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |NE|28840|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |NE|28860|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |NE|28870|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |NE|28880|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |NE|28890|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |NE|28900|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |NE|28910|0|N
H1278|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NE-0002 (PPO)|00025002|35.00|420| | |NE|28920|0|N
H1278|021|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC TX-31 (PPO)|00025002|0.00|495| | |TX|45070|0|N
H1278|021|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC TX-31 (PPO)|00025002|0.00|495| | |TX|45180|0|N
H1278|021|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC TX-31 (PPO)|00025002|0.00|495| | |TX|45190|0|N
H1278|021|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC TX-31 (PPO)|00025002|0.00|495| | |TX|45530|0|N
H1278|021|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC TX-31 (PPO)|00025002|0.00|495| | |TX|45550|0|N
H1278|021|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC TX-31 (PPO)|00025002|0.00|495| | |TX|45580|0|N
H1278|021|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC TX-31 (PPO)|00025002|0.00|495| | |TX|45600|0|N
H1278|021|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC TX-31 (PPO)|00025002|0.00|495| | |TX|45610|0|N
H1278|021|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC TX-31 (PPO)|00025002|0.00|495| | |TX|45700|0|N
H1278|021|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC TX-31 (PPO)|00025002|0.00|495| | |TX|45757|0|N
H1278|021|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC TX-31 (PPO)|00025002|0.00|495| | |TX|45790|0|N
H1278|021|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC TX-31 (PPO)|00025002|0.00|495| | |TX|45801|0|N
H1278|021|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC TX-31 (PPO)|00025002|0.00|495| | |TX|45840|0|N
H1278|021|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC TX-31 (PPO)|00025002|0.00|495| | |TX|45954|0|N
H1278|022|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC TX-32 (PPO)|00025002|0.00|495| | |TX|45100|0|N
H1278|022|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC TX-32 (PPO)|00025002|0.00|495| | |TX|45120|0|N
H1278|022|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC TX-32 (PPO)|00025002|0.00|495| | |TX|45140|0|N
H1278|022|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC TX-32 (PPO)|00025002|0.00|495| | |TX|45222|0|N
H1278|022|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC TX-32 (PPO)|00025002|0.00|495| | |TX|45223|0|N
H1278|022|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC TX-32 (PPO)|00025002|0.00|495| | |TX|45500|0|N
H1278|022|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC TX-32 (PPO)|00025002|0.00|495| | |TX|45552|0|N
H1278|022|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC TX-32 (PPO)|00025002|0.00|495| | |TX|45562|0|N
H1278|022|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC TX-32 (PPO)|00025002|0.00|495| | |TX|45631|0|N
H1278|022|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC TX-32 (PPO)|00025002|0.00|495| | |TX|45651|0|N
H1278|022|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC TX-32 (PPO)|00025002|0.00|495| | |TX|45761|0|N
H1278|022|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC TX-32 (PPO)|00025002|0.00|495| | |TX|45780|0|N
H1278|022|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC TX-32 (PPO)|00025002|0.00|495| | |TX|45795|0|N
H1278|022|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC TX-32 (PPO)|00025002|0.00|495| | |TX|45940|0|N
H1278|022|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC TX-32 (PPO)|00025002|0.00|495| | |TX|45970|0|N
H1278|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0033 (PPO)|00025002|29.00|420| | |TX|45100|0|N
H1278|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0033 (PPO)|00025002|29.00|420| | |TX|45120|0|N
H1278|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0033 (PPO)|00025002|29.00|420| | |TX|45140|0|N
H1278|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0033 (PPO)|00025002|29.00|420| | |TX|45222|0|N
H1278|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0033 (PPO)|00025002|29.00|420| | |TX|45223|0|N
H1278|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0033 (PPO)|00025002|29.00|420| | |TX|45500|0|N
H1278|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0033 (PPO)|00025002|29.00|420| | |TX|45552|0|N
H1278|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0033 (PPO)|00025002|29.00|420| | |TX|45562|0|N
H1278|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0033 (PPO)|00025002|29.00|420| | |TX|45631|0|N
H1278|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0033 (PPO)|00025002|29.00|420| | |TX|45651|0|N
H1278|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0033 (PPO)|00025002|29.00|420| | |TX|45761|0|N
H1278|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0033 (PPO)|00025002|29.00|420| | |TX|45780|0|N
H1278|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0033 (PPO)|00025002|29.00|420| | |TX|45795|0|N
H1278|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0033 (PPO)|00025002|29.00|420| | |TX|45940|0|N
H1278|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC TX-0033 (PPO)|00025002|29.00|420| | |TX|45970|0|N
H1278|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC TX-34 (PPO)|00025002|0.00|495| | |TX|45010|0|N
H1278|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC TX-34 (PPO)|00025002|0.00|495| | |TX|45050|0|N
H1278|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC TX-34 (PPO)|00025002|0.00|495| | |TX|45362|0|N
H1278|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC TX-34 (PPO)|00025002|0.00|495| | |TX|45392|0|N
H1278|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC TX-34 (PPO)|00025002|0.00|495| | |TX|45451|0|N
H1278|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC TX-34 (PPO)|00025002|0.00|495| | |TX|45521|0|N
H1278|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC TX-34 (PPO)|00025002|0.00|495| | |TX|45551|0|N
H1278|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC TX-34 (PPO)|00025002|0.00|495| | |TX|45582|0|N
H1278|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC TX-34 (PPO)|00025002|0.00|495| | |TX|45661|0|N
H1278|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC TX-34 (PPO)|00025002|0.00|495| | |TX|45770|0|N
H1278|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC TX-34 (PPO)|00025002|0.00|495| | |TX|45771|0|N
H1278|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC TX-34 (PPO)|00025002|0.00|495| | |TX|45794|0|N
H1278|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC TX-34 (PPO)|00025002|0.00|495| | |TX|45822|0|N
H1278|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC TX-34 (PPO)|00025002|0.00|495| | |TX|45860|0|N
H1278|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC TX-34 (PPO)|00025002|0.00|495| | |TX|45871|0|N
H1278|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC TX-34 (PPO)|00025002|0.00|495| | |TX|45911|0|N
H1278|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC TX-34 (PPO)|00025002|0.00|495| | |TX|45913|0|N
H1278|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC TX-34 (PPO)|00025002|0.00|495| | |TX|45930|0|N
H1278|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WA-0001 (PPO)|00025002|0.00|570| | |WA|50310|0|N
H1278|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WA-0002 (PPO)|00025002|0.00|570| | |WA|50050|0|N
H1278|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WA-0002 (PPO)|00025002|0.00|570| | |WA|50070|0|N
H1278|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WA-0002 (PPO)|00025002|0.00|570| | |WA|50140|0|N
H1278|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WA-0002 (PPO)|00025002|0.00|570| | |WA|50160|0|N
H1278|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WA-0002 (PPO)|00025002|0.00|570| | |WA|50300|0|N
H1278|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WA-0002 (PPO)|00025002|0.00|570| | |WA|50330|0|N
H1278|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WA-0003 (PPO)|00025002|32.00|495| | |WA|50100|0|N
H1278|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WA-0003 (PPO)|00025002|32.00|495| | |WA|50170|0|N
H1278|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WA-0003 (PPO)|00025002|32.00|495| | |WA|50200|0|N
H1278|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WA-0003 (PPO)|00025002|32.00|495| | |WA|50260|0|N
H1278|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WA-0003 (PPO)|00025002|32.00|495| | |WA|50280|0|N
H1278|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WA-0003 (PPO)|00025002|32.00|495| | |WA|50360|0|N
H1278|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WA-0003 (PPO)|00025002|32.00|495| | |WA|50380|0|N
H1278|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WA-0004 (PPO)|00025002|46.00|495| | |WA|50050|0|N
H1278|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WA-0004 (PPO)|00025002|46.00|495| | |WA|50070|0|N
H1278|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WA-0004 (PPO)|00025002|46.00|495| | |WA|50140|0|N
H1278|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WA-0004 (PPO)|00025002|46.00|495| | |WA|50160|0|N
H1278|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WA-0004 (PPO)|00025002|46.00|495| | |WA|50300|0|N
H1278|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WA-0004 (PPO)|00025002|46.00|495| | |WA|50330|0|N
H1280|001|000|ETERNALHEALTH, INC.|eternalHealth Forever (HMO)|00025380|0.00|185| | |MA|22020|0|Y
H1280|001|000|ETERNALHEALTH, INC.|eternalHealth Forever (HMO)|00025380|0.00|185| | |MA|22090|0|Y
H1280|001|000|ETERNALHEALTH, INC.|eternalHealth Forever (HMO)|00025380|0.00|185| | |MA|22130|0|Y
H1280|001|000|ETERNALHEALTH, INC.|eternalHealth Forever (HMO)|00025380|0.00|185| | |MA|22150|0|Y
H1280|001|000|ETERNALHEALTH, INC.|eternalHealth Forever (HMO)|00025380|0.00|185| | |MA|22160|0|Y
H1280|001|000|ETERNALHEALTH, INC.|eternalHealth Forever (HMO)|00025380|0.00|185| | |MA|22170|0|Y
H1285|001|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S2 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36080|2|N
H1285|001|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S2 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36110|2|N
H1285|001|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S2 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36170|2|N
H1285|001|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S2 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36250|2|N
H1285|001|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S2 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36290|2|N
H1285|001|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S2 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36310|2|N
H1285|001|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S2 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36500|2|N
H1285|001|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S2 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36510|2|N
H1285|001|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S2 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36580|2|N
H1285|001|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S2 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36770|2|N
H1285|001|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S2 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36780|2|N
H1285|001|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S2 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36790|2|N
H1285|001|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S2 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36840|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36000|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36010|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36020|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36030|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36040|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36050|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36060|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36070|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36090|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36100|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36120|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36130|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36140|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36150|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36160|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36190|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36200|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36210|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36220|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36230|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36240|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36260|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36270|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36280|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36300|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36330|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36340|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36350|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36360|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36370|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36380|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36390|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36400|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36410|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36420|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36430|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36440|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36450|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36460|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36470|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36480|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36490|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36520|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36530|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36540|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36550|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36560|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36570|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36590|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36600|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36610|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36620|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36630|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36640|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36650|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36660|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36670|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36680|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36690|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36700|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36710|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36720|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36730|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36740|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36750|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36760|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36800|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36810|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36820|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36830|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36850|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36860|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36870|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36880|2|N
H1285|002|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UHC Dual Complete OH-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |OH|36890|2|N
H1290|001|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted CORE Florida (HMO)|00025183|0.00|590| | |FL|10120|0|N
H1290|002|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted CORE Florida (HMO)|00025183|0.00|590| | |FL|10050|0|N
H1290|003|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted CORE Florida (HMO)|00025183|0.00|590| | |FL|10490|0|N
H1290|005|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted CORE Florida (HMO)|00025183|0.00|590| | |FL|10470|0|N
H1290|005|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted CORE Florida (HMO)|00025183|0.00|590| | |FL|10480|0|N
H1290|005|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted CORE Florida (HMO)|00025183|0.00|590| | |FL|10580|0|N
H1290|013|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted GIVEBACK Florida (HMO)|00025183|0.00|590| | |FL|10120|0|N
H1290|014|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted GIVEBACK Florida (HMO)|00025183|0.00|590| | |FL|10050|0|N
H1290|015|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted GIVEBACK Florida (HMO)|00025183|0.00|590| | |FL|10490|0|N
H1290|018|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted GIVEBACK Florida (HMO)|00025183|0.00|590| | |FL|10470|0|N
H1290|018|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted GIVEBACK Florida (HMO)|00025183|0.00|590| | |FL|10480|0|N
H1290|018|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted GIVEBACK Florida (HMO)|00025183|0.00|590| | |FL|10580|0|N
H1290|019|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted DUAL Florida (HMO D-SNP)|00025187|8.90|590| | |FL|10120|2|N
H1290|020|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted DUAL Florida (HMO D-SNP)|00025187|6.90|590| | |FL|10050|2|N
H1290|021|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted DUAL Florida (HMO D-SNP)|00025187|10.50|590| | |FL|10490|2|N
H1290|022|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted DUAL Florida (HMO D-SNP)|00025187|2.40|590| | |FL|10470|2|N
H1290|022|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted DUAL Florida (HMO D-SNP)|00025187|2.40|590| | |FL|10480|2|N
H1290|022|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted DUAL Florida (HMO D-SNP)|00025187|2.40|590| | |FL|10580|2|N
H1290|023|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted DUAL Florida (HMO D-SNP)|00025187|3.10|590| | |FL|10090|2|N
H1290|023|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted DUAL Florida (HMO D-SNP)|00025187|3.10|590| | |FL|10150|2|N
H1290|023|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted DUAL Florida (HMO D-SNP)|00025187|3.10|590| | |FL|10440|2|N
H1290|023|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted DUAL Florida (HMO D-SNP)|00025187|3.10|590| | |FL|10540|2|N
H1290|024|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted DUAL Florida (HMO D-SNP)|00025187|6.20|590| | |FL|10260|2|N
H1290|024|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted DUAL Florida (HMO D-SNP)|00025187|6.20|590| | |FL|10280|2|N
H1290|024|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted DUAL Florida (HMO D-SNP)|00025187|6.20|590| | |FL|10500|2|N
H1290|024|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted DUAL Florida (HMO D-SNP)|00025187|6.20|590| | |FL|10510|2|N
H1290|024|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted DUAL Florida (HMO D-SNP)|00025187|6.20|590| | |FL|10520|2|N
H1290|025|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted CORE Florida (HMO)|00025183|0.00|590| | |FL|10400|0|N
H1290|027|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted CORE Florida (HMO)|00025183|0.00|590| | |FL|10340|0|N
H1290|027|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted CORE Florida (HMO)|00025183|0.00|590| | |FL|10410|0|N
H1290|027|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted CORE Florida (HMO)|00025183|0.00|590| | |FL|10590|0|N
H1290|029|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted CORE Florida (HMO)|00025183|0.00|590| | |FL|10090|0|N
H1290|029|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted CORE Florida (HMO)|00025183|0.00|590| | |FL|10150|0|N
H1290|029|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted CORE Florida (HMO)|00025183|0.00|590| | |FL|10440|0|N
H1290|029|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted CORE Florida (HMO)|00025183|0.00|590| | |FL|10540|0|N
H1290|031|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted GIVEBACK Florida (HMO)|00025183|0.00|590| | |FL|10090|0|N
H1290|031|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted GIVEBACK Florida (HMO)|00025183|0.00|590| | |FL|10150|0|N
H1290|031|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted GIVEBACK Florida (HMO)|00025183|0.00|590| | |FL|10440|0|N
H1290|031|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted GIVEBACK Florida (HMO)|00025183|0.00|590| | |FL|10540|0|N
H1290|032|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted GIVEBACK Florida (HMO)|00025183|0.00|590| | |FL|10400|0|N
H1290|033|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted DUAL Florida (HMO D-SNP)|00025187|1.60|590| | |FL|10340|2|N
H1290|033|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted DUAL Florida (HMO D-SNP)|00025187|1.60|590| | |FL|10410|2|N
H1290|033|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted DUAL Florida (HMO D-SNP)|00025187|1.60|590| | |FL|10590|2|N
H1290|034|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted DUAL Florida (HMO D-SNP)|00025187|5.20|590| | |FL|10400|2|N
H1290|035|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted GIVEBACK Florida (HMO)|00025183|0.00|590| | |FL|10340|0|N
H1290|035|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted GIVEBACK Florida (HMO)|00025183|0.00|590| | |FL|10410|0|N
H1290|035|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted GIVEBACK Florida (HMO)|00025183|0.00|590| | |FL|10590|0|N
H1290|036|001|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted CORE Florida (HMO)|00025183|0.00|590| | |FL|10260|0|N
H1290|036|001|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted CORE Florida (HMO)|00025183|0.00|590| | |FL|10280|0|N
H1290|036|001|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted CORE Florida (HMO)|00025183|0.00|590| | |FL|10500|0|N
H1290|036|002|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted CORE Florida (HMO)|00025183|0.00|590| | |FL|10510|0|N
H1290|036|002|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted CORE Florida (HMO)|00025183|0.00|590| | |FL|10520|0|N
H1290|037|001|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted PREMIUM Florida (HMO)|00025183|8.70|590| | |FL|10120|0|N
H1290|037|002|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted PREMIUM Florida (HMO)|00025183|8.70|590| | |FL|10050|0|N
H1290|037|003|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted PREMIUM Florida (HMO)|00025183|8.70|590| | |FL|10490|0|N
H1290|037|004|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted PREMIUM Florida (HMO)|00025183|8.70|590| | |FL|10470|0|N
H1290|037|004|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted PREMIUM Florida (HMO)|00025183|8.70|590| | |FL|10480|0|N
H1290|037|004|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted PREMIUM Florida (HMO)|00025183|8.70|590| | |FL|10580|0|N
H1290|037|005|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted PREMIUM Florida (HMO)|00025183|8.70|590| | |FL|10260|0|N
H1290|037|005|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted PREMIUM Florida (HMO)|00025183|8.70|590| | |FL|10280|0|N
H1290|037|005|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted PREMIUM Florida (HMO)|00025183|8.70|590| | |FL|10500|0|N
H1290|037|005|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted PREMIUM Florida (HMO)|00025183|8.70|590| | |FL|10510|0|N
H1290|037|005|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted PREMIUM Florida (HMO)|00025183|8.70|590| | |FL|10520|0|N
H1290|039|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted DUAL Florida (HMO D-SNP)|00025187|1.80|590| | |FL|10040|2|N
H1290|039|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted DUAL Florida (HMO D-SNP)|00025187|1.80|590| | |FL|10300|2|N
H1290|039|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted DUAL Florida (HMO D-SNP)|00025187|1.80|590| | |FL|10420|2|N
H1290|039|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted DUAL Florida (HMO D-SNP)|00025187|1.80|590| | |FL|10550|2|N
H1290|041|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted DUAL Florida (HMO D-SNP)|00025187|4.00|590| | |FL|10170|2|N
H1290|041|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted DUAL Florida (HMO D-SNP)|00025187|4.00|590| | |FL|10630|2|N
H1290|042|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted DUAL PLUS Florida (HMO D-SNP)|00025183|0.00|590| | |FL|10160|2|N
H1290|042|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted DUAL PLUS Florida (HMO D-SNP)|00025183|0.00|590| | |FL|10560|2|N
H1290|043|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted DUAL Florida (HMO D-SNP)|00025183|11.20|590| | |FL|10160|2|N
H1290|043|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted DUAL Florida (HMO D-SNP)|00025183|11.20|590| | |FL|10560|2|N
H1290|044|001|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted SELECT Florida (HMO)|00025183|0.00|590| | |FL|10340|0|N
H1290|044|001|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted SELECT Florida (HMO)|00025183|0.00|590| | |FL|10410|0|N
H1290|044|001|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted SELECT Florida (HMO)|00025183|0.00|590| | |FL|10590|0|N
H1290|044|002|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted SELECT Florida (HMO)|00025183|0.00|590| | |FL|10090|0|N
H1290|044|002|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted SELECT Florida (HMO)|00025183|0.00|590| | |FL|10150|0|N
H1290|044|002|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted SELECT Florida (HMO)|00025183|0.00|590| | |FL|10440|0|N
H1290|044|003|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted SELECT Florida (HMO)|00025183|0.00|590| | |FL|10400|0|N
H1290|045|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted GIVEBACK Florida (HMO)|00025183|0.00|590| | |FL|10040|0|N
H1290|045|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted GIVEBACK Florida (HMO)|00025183|0.00|590| | |FL|10300|0|N
H1290|045|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted GIVEBACK Florida (HMO)|00025183|0.00|590| | |FL|10420|0|N
H1290|045|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted GIVEBACK Florida (HMO)|00025183|0.00|590| | |FL|10550|0|N
H1290|046|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted CORE Florida (HMO)|00025183|0.00|590| | |FL|10040|0|N
H1290|046|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted CORE Florida (HMO)|00025183|0.00|590| | |FL|10300|0|N
H1290|046|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted CORE Florida (HMO)|00025183|0.00|590| | |FL|10420|0|N
H1290|046|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted CORE Florida (HMO)|00025183|0.00|590| | |FL|10550|0|N
H1290|049|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted GIVEBACK Florida (HMO)|00025183|0.00|590| | |FL|10170|0|N
H1290|049|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted GIVEBACK Florida (HMO)|00025183|0.00|590| | |FL|10630|0|N
H1290|050|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted CORE Florida (HMO)|00025183|0.00|590| | |FL|10170|0|N
H1290|050|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted CORE Florida (HMO)|00025183|0.00|590| | |FL|10630|0|N
H1290|051|001|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted GIVEBACK Florida (HMO)|00025183|0.00|590| | |FL|10260|0|N
H1290|051|001|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted GIVEBACK Florida (HMO)|00025183|0.00|590| | |FL|10280|0|N
H1290|051|001|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted GIVEBACK Florida (HMO)|00025183|0.00|590| | |FL|10500|0|N
H1290|051|002|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted GIVEBACK Florida (HMO)|00025183|0.00|590| | |FL|10510|0|N
H1290|052|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted DUAL PLUS Florida (HMO D-SNP)|00025187|0.00|590| | |FL|10040|2|N
H1290|052|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted DUAL PLUS Florida (HMO D-SNP)|00025187|0.00|590| | |FL|10090|2|N
H1290|052|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted DUAL PLUS Florida (HMO D-SNP)|00025187|0.00|590| | |FL|10150|2|N
H1290|052|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted DUAL PLUS Florida (HMO D-SNP)|00025187|0.00|590| | |FL|10170|2|N
H1290|052|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted DUAL PLUS Florida (HMO D-SNP)|00025187|0.00|590| | |FL|10260|2|N
H1290|052|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted DUAL PLUS Florida (HMO D-SNP)|00025187|0.00|590| | |FL|10280|2|N
H1290|052|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted DUAL PLUS Florida (HMO D-SNP)|00025187|0.00|590| | |FL|10300|2|N
H1290|052|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted DUAL PLUS Florida (HMO D-SNP)|00025187|0.00|590| | |FL|10340|2|N
H1290|052|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted DUAL PLUS Florida (HMO D-SNP)|00025187|0.00|590| | |FL|10400|2|N
H1290|052|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted DUAL PLUS Florida (HMO D-SNP)|00025187|0.00|590| | |FL|10410|2|N
H1290|052|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted DUAL PLUS Florida (HMO D-SNP)|00025187|0.00|590| | |FL|10420|2|N
H1290|052|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted DUAL PLUS Florida (HMO D-SNP)|00025187|0.00|590| | |FL|10440|2|N
H1290|052|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted DUAL PLUS Florida (HMO D-SNP)|00025187|0.00|590| | |FL|10470|2|N
H1290|052|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted DUAL PLUS Florida (HMO D-SNP)|00025187|0.00|590| | |FL|10480|2|N
H1290|052|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted DUAL PLUS Florida (HMO D-SNP)|00025187|0.00|590| | |FL|10500|2|N
H1290|052|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted DUAL PLUS Florida (HMO D-SNP)|00025187|0.00|590| | |FL|10510|2|N
H1290|052|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted DUAL PLUS Florida (HMO D-SNP)|00025187|0.00|590| | |FL|10520|2|N
H1290|052|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted DUAL PLUS Florida (HMO D-SNP)|00025187|0.00|590| | |FL|10540|2|N
H1290|052|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted DUAL PLUS Florida (HMO D-SNP)|00025187|0.00|590| | |FL|10550|2|N
H1290|052|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted DUAL PLUS Florida (HMO D-SNP)|00025187|0.00|590| | |FL|10580|2|N
H1290|052|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted DUAL PLUS Florida (HMO D-SNP)|00025187|0.00|590| | |FL|10590|2|N
H1290|052|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted DUAL PLUS Florida (HMO D-SNP)|00025187|0.00|590| | |FL|10630|2|N
H1290|053|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted DUAL PLUS Florida (HMO D-SNP)|00025187|0.00|590| | |FL|10120|2|N
H1290|054|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted DUAL PLUS Florida (HMO D-SNP)|00025187|0.00|590| | |FL|10050|2|N
H1290|055|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted DUAL PLUS Florida (HMO D-SNP)|00025187|0.00|590| | |FL|10490|2|N
H1290|056|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted EXTRA Florida (HMO)|00025188|0.00|590| | |FL|10050|0|N
H1290|057|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted EXTRA Florida (HMO)|00025188|0.00|590| | |FL|10170|0|N
H1290|057|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted EXTRA Florida (HMO)|00025188|0.00|590| | |FL|10630|0|N
H1290|058|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted EXTRA Florida (HMO)|00025188|0.00|590| | |FL|10260|0|N
H1290|058|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted EXTRA Florida (HMO)|00025188|0.00|590| | |FL|10280|0|N
H1290|058|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted EXTRA Florida (HMO)|00025188|0.00|590| | |FL|10500|0|N
H1290|059|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted EXTRA Florida (HMO)|00025188|0.00|590| | |FL|10090|0|N
H1290|059|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted EXTRA Florida (HMO)|00025188|0.00|590| | |FL|10150|0|N
H1290|059|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted EXTRA Florida (HMO)|00025188|0.00|590| | |FL|10440|0|N
H1290|059|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted EXTRA Florida (HMO)|00025188|0.00|590| | |FL|10540|0|N
H1290|060|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted EXTRA Florida (HMO)|00025188|0.00|590| | |FL|10340|0|N
H1290|060|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted EXTRA Florida (HMO)|00025188|0.00|590| | |FL|10410|0|N
H1290|060|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted EXTRA Florida (HMO)|00025188|0.00|590| | |FL|10590|0|N
H1290|061|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted EXTRA Florida (HMO)|00025188|0.00|590| | |FL|10400|0|N
H1290|062|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted EXTRA Florida (HMO)|00025188|0.00|590| | |FL|10120|0|N
H1290|063|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted EXTRA Florida (HMO)|00025188|0.00|590| | |FL|10470|0|N
H1290|063|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted EXTRA Florida (HMO)|00025188|0.00|590| | |FL|10480|0|N
H1290|063|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted EXTRA Florida (HMO)|00025188|0.00|590| | |FL|10580|0|N
H1290|064|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted EXTRA Florida (HMO)|00025188|0.00|590| | |FL|10490|0|N
H1290|065|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted EXTRA Florida (HMO)|00025188|0.00|590| | |FL|10510|0|N
H1290|065|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted EXTRA Florida (HMO)|00025188|0.00|590| | |FL|10520|0|N
H1290|066|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted EXTRA Florida (HMO)|00025188|0.00|590| | |FL|10040|0|N
H1290|066|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted EXTRA Florida (HMO)|00025188|0.00|590| | |FL|10300|0|N
H1290|066|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted EXTRA Florida (HMO)|00025188|0.00|590| | |FL|10420|0|N
H1290|066|000|DEVOTED HEALTH PLAN OF FLORIDA, INC.|Devoted EXTRA Florida (HMO)|00025188|0.00|590| | |FL|10550|0|N
H1304|004|000|REGENCE BLUESHIELD OF IDAHO, INC.|Regence MedAdvantage + Rx Enhanced (PPO)|00025106|43.70|0| | |ID|13080|0|N
H1304|004|000|REGENCE BLUESHIELD OF IDAHO, INC.|Regence MedAdvantage + Rx Enhanced (PPO)|00025106|43.70|0| | |ID|13270|0|N
H1304|004|000|REGENCE BLUESHIELD OF IDAHO, INC.|Regence MedAdvantage + Rx Enhanced (PPO)|00025106|43.70|0| | |ID|13280|0|N
H1304|004|000|REGENCE BLUESHIELD OF IDAHO, INC.|Regence MedAdvantage + Rx Enhanced (PPO)|00025106|43.70|0| | |ID|13340|0|N
H1304|011|001|REGENCE BLUESHIELD OF IDAHO, INC.|Regence MedAdvantage + Rx Primary (PPO)|00025106|0.00|225| | |ID|13000|0|N
H1304|011|001|REGENCE BLUESHIELD OF IDAHO, INC.|Regence MedAdvantage + Rx Primary (PPO)|00025106|0.00|225| | |ID|13070|0|N
H1304|011|001|REGENCE BLUESHIELD OF IDAHO, INC.|Regence MedAdvantage + Rx Primary (PPO)|00025106|0.00|225| | |ID|13130|0|N
H1304|011|001|REGENCE BLUESHIELD OF IDAHO, INC.|Regence MedAdvantage + Rx Primary (PPO)|00025106|0.00|225| | |ID|13220|0|N
H1304|011|001|REGENCE BLUESHIELD OF IDAHO, INC.|Regence MedAdvantage + Rx Primary (PPO)|00025106|0.00|225| | |ID|13360|0|N
H1304|011|002|REGENCE BLUESHIELD OF IDAHO, INC.|Regence MedAdvantage + Rx Primary (PPO)|00025106|0.60|225| | |ID|13080|0|N
H1304|011|002|REGENCE BLUESHIELD OF IDAHO, INC.|Regence MedAdvantage + Rx Primary (PPO)|00025106|0.60|225| | |ID|13100|0|N
H1304|011|002|REGENCE BLUESHIELD OF IDAHO, INC.|Regence MedAdvantage + Rx Primary (PPO)|00025106|0.60|225| | |ID|13270|0|N
H1304|011|002|REGENCE BLUESHIELD OF IDAHO, INC.|Regence MedAdvantage + Rx Primary (PPO)|00025106|0.60|225| | |ID|13340|0|N
H1304|013|000|REGENCE BLUESHIELD OF IDAHO, INC.|Regence MedAdvantage + Rx Classic (PPO)|00025106|8.50|200| | |ID|13080|0|N
H1304|013|000|REGENCE BLUESHIELD OF IDAHO, INC.|Regence MedAdvantage + Rx Classic (PPO)|00025106|8.50|200| | |ID|13100|0|N
H1304|013|000|REGENCE BLUESHIELD OF IDAHO, INC.|Regence MedAdvantage + Rx Classic (PPO)|00025106|8.50|200| | |ID|13270|0|N
H1304|013|000|REGENCE BLUESHIELD OF IDAHO, INC.|Regence MedAdvantage + Rx Classic (PPO)|00025106|8.50|200| | |ID|13280|0|N
H1304|013|000|REGENCE BLUESHIELD OF IDAHO, INC.|Regence MedAdvantage + Rx Classic (PPO)|00025106|8.50|200| | |ID|13340|0|N
H1339|001|000|JOHNS HOPKINS HEALTH PLAN OF VIRGINIA, INC.|Johns Hopkins Advantage MD Select (HMO)|00025227|0.00|590| | |VA|49060|0|N
H1339|001|000|JOHNS HOPKINS HEALTH PLAN OF VIRGINIA, INC.|Johns Hopkins Advantage MD Select (HMO)|00025227|0.00|590| | |VA|49288|0|N
H1339|001|000|JOHNS HOPKINS HEALTH PLAN OF VIRGINIA, INC.|Johns Hopkins Advantage MD Select (HMO)|00025227|0.00|590| | |VA|49291|0|N
H1347|001|000|PATRIUS HEALTH, INC.|Blue Advantage Plus (PPO)|00025432|0.00|0| | |MS|25220|0|N
H1347|001|000|PATRIUS HEALTH, INC.|Blue Advantage Plus (PPO)|00025432|0.00|0| | |MS|25230|0|N
H1347|001|000|PATRIUS HEALTH, INC.|Blue Advantage Plus (PPO)|00025432|0.00|0| | |MS|25290|0|N
H1347|001|000|PATRIUS HEALTH, INC.|Blue Advantage Plus (PPO)|00025432|0.00|0| | |MS|25650|0|N
H1347|002|000|PATRIUS HEALTH, INC.|Blue Advantage Capital (PPO)|00025432|0.00|0| | |MS|25240|0|N
H1347|002|000|PATRIUS HEALTH, INC.|Blue Advantage Capital (PPO)|00025432|0.00|0| | |MS|25440|0|N
H1347|002|000|PATRIUS HEALTH, INC.|Blue Advantage Capital (PPO)|00025432|0.00|0| | |MS|25600|0|N
H1347|003|000|PATRIUS HEALTH, INC.|Blue Advantage Magnolia (PPO)|00025432|0.00|0| | |MS|25060|0|N
H1347|003|000|PATRIUS HEALTH, INC.|Blue Advantage Magnolia (PPO)|00025432|0.00|0| | |MS|25080|0|N
H1347|003|000|PATRIUS HEALTH, INC.|Blue Advantage Magnolia (PPO)|00025432|0.00|0| | |MS|25120|0|N
H1347|003|000|PATRIUS HEALTH, INC.|Blue Advantage Magnolia (PPO)|00025432|0.00|0| | |MS|25280|0|N
H1347|003|000|PATRIUS HEALTH, INC.|Blue Advantage Magnolia (PPO)|00025432|0.00|0| | |MS|25400|0|N
H1347|003|000|PATRIUS HEALTH, INC.|Blue Advantage Magnolia (PPO)|00025432|0.00|0| | |MS|25470|0|N
H1347|003|000|PATRIUS HEALTH, INC.|Blue Advantage Magnolia (PPO)|00025432|0.00|0| | |MS|25570|0|N
H1347|003|000|PATRIUS HEALTH, INC.|Blue Advantage Magnolia (PPO)|00025432|0.00|0| | |MS|25700|0|N
H1347|003|000|PATRIUS HEALTH, INC.|Blue Advantage Magnolia (PPO)|00025432|0.00|0| | |MS|25720|0|N
H1350|023|001|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Extend (HMO)|00025370|0.00|100| | |ID|13000|0|N
H1350|023|001|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Extend (HMO)|00025370|0.00|100| | |ID|13070|0|N
H1350|023|001|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Extend (HMO)|00025370|0.00|100| | |ID|13130|0|N
H1350|023|001|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Extend (HMO)|00025370|0.00|100| | |ID|13220|0|N
H1350|023|001|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Extend (HMO)|00025370|0.00|100| | |ID|13360|0|N
H1350|023|001|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Extend (HMO)|00025370|0.00|100| | |ID|13370|0|N
H1350|023|002|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Extend (HMO)|00025370|0.00|100| | |ID|13230|0|N
H1350|023|002|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Extend (HMO)|00025370|0.00|100| | |ID|13260|0|N
H1350|023|002|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Extend (HMO)|00025370|0.00|100| | |ID|13410|0|N
H1350|024|001|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Gem (HMO)|00025370|0.00|175| | |ID|13000|0|N
H1350|024|001|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Gem (HMO)|00025370|0.00|175| | |ID|13010|0|N
H1350|024|001|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Gem (HMO)|00025370|0.00|175| | |ID|13070|0|N
H1350|024|001|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Gem (HMO)|00025370|0.00|175| | |ID|13130|0|N
H1350|024|001|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Gem (HMO)|00025370|0.00|175| | |ID|13190|0|N
H1350|024|001|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Gem (HMO)|00025370|0.00|175| | |ID|13220|0|N
H1350|024|001|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Gem (HMO)|00025370|0.00|175| | |ID|13360|0|N
H1350|024|001|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Gem (HMO)|00025370|0.00|175| | |ID|13370|0|N
H1350|024|001|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Gem (HMO)|00025370|0.00|175| | |ID|13420|0|N
H1350|024|001|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Gem (HMO)|00025370|0.00|175| | |ID|13430|0|N
H1350|024|002|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Gem (HMO)|00025370|0.00|175| | |ID|13020|0|N
H1350|024|002|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Gem (HMO)|00025370|0.00|175| | |ID|13050|0|N
H1350|024|002|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Gem (HMO)|00025370|0.00|175| | |ID|13090|0|N
H1350|024|002|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Gem (HMO)|00025370|0.00|175| | |ID|13150|0|N
H1350|024|002|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Gem (HMO)|00025370|0.00|175| | |ID|13210|0|N
H1350|024|002|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Gem (HMO)|00025370|0.00|175| | |ID|13230|0|N
H1350|024|002|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Gem (HMO)|00025370|0.00|175| | |ID|13250|0|N
H1350|024|002|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Gem (HMO)|00025370|0.00|175| | |ID|13260|0|N
H1350|024|002|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Gem (HMO)|00025370|0.00|175| | |ID|13320|0|N
H1350|024|002|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Gem (HMO)|00025370|0.00|175| | |ID|13330|0|N
H1350|024|002|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Gem (HMO)|00025370|0.00|175| | |ID|13380|0|N
H1350|024|002|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Gem (HMO)|00025370|0.00|175| | |ID|13410|0|N
H1350|024|003|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Gem (HMO)|00025370|0.00|175| | |ID|13080|0|N
H1350|024|003|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Gem (HMO)|00025370|0.00|175| | |ID|13100|0|N
H1350|024|003|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Gem (HMO)|00025370|0.00|175| | |ID|13160|0|N
H1350|024|003|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Gem (HMO)|00025370|0.00|175| | |ID|13270|0|N
H1350|024|003|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Gem (HMO)|00025370|0.00|175| | |ID|13280|0|N
H1350|024|003|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Gem (HMO)|00025370|0.00|175| | |ID|13340|0|N
H1350|024|003|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Gem (HMO)|00025370|0.00|175| | |ID|13390|0|N
H1350|026|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Essentials (HMO)|00025370|0.00|275| | |ID|13000|0|N
H1350|026|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Essentials (HMO)|00025370|0.00|275| | |ID|13010|0|N
H1350|026|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Essentials (HMO)|00025370|0.00|275| | |ID|13020|0|N
H1350|026|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Essentials (HMO)|00025370|0.00|275| | |ID|13050|0|N
H1350|026|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Essentials (HMO)|00025370|0.00|275| | |ID|13060|0|N
H1350|026|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Essentials (HMO)|00025370|0.00|275| | |ID|13070|0|N
H1350|026|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Essentials (HMO)|00025370|0.00|275| | |ID|13080|0|N
H1350|026|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Essentials (HMO)|00025370|0.00|275| | |ID|13090|0|N
H1350|026|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Essentials (HMO)|00025370|0.00|275| | |ID|13100|0|N
H1350|026|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Essentials (HMO)|00025370|0.00|275| | |ID|13130|0|N
H1350|026|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Essentials (HMO)|00025370|0.00|275| | |ID|13150|0|N
H1350|026|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Essentials (HMO)|00025370|0.00|275| | |ID|13160|0|N
H1350|026|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Essentials (HMO)|00025370|0.00|275| | |ID|13190|0|N
H1350|026|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Essentials (HMO)|00025370|0.00|275| | |ID|13210|0|N
H1350|026|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Essentials (HMO)|00025370|0.00|275| | |ID|13220|0|N
H1350|026|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Essentials (HMO)|00025370|0.00|275| | |ID|13230|0|N
H1350|026|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Essentials (HMO)|00025370|0.00|275| | |ID|13250|0|N
H1350|026|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Essentials (HMO)|00025370|0.00|275| | |ID|13260|0|N
H1350|026|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Essentials (HMO)|00025370|0.00|275| | |ID|13270|0|N
H1350|026|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Essentials (HMO)|00025370|0.00|275| | |ID|13280|0|N
H1350|026|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Essentials (HMO)|00025370|0.00|275| | |ID|13310|0|N
H1350|026|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Essentials (HMO)|00025370|0.00|275| | |ID|13320|0|N
H1350|026|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Essentials (HMO)|00025370|0.00|275| | |ID|13330|0|N
H1350|026|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Essentials (HMO)|00025370|0.00|275| | |ID|13340|0|N
H1350|026|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Essentials (HMO)|00025370|0.00|275| | |ID|13360|0|N
H1350|026|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Essentials (HMO)|00025370|0.00|275| | |ID|13370|0|N
H1350|026|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Essentials (HMO)|00025370|0.00|275| | |ID|13380|0|N
H1350|026|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Essentials (HMO)|00025370|0.00|275| | |ID|13390|0|N
H1350|026|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Essentials (HMO)|00025370|0.00|275| | |ID|13410|0|N
H1350|026|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Essentials (HMO)|00025370|0.00|275| | |ID|13420|0|N
H1350|026|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Essentials (HMO)|00025370|0.00|275| | |ID|13430|0|N
H1350|028|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option I (HMO)|00025370|45.60|0| | |ID|13000|0|N
H1350|028|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option I (HMO)|00025370|45.60|0| | |ID|13010|0|N
H1350|028|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option I (HMO)|00025370|45.60|0| | |ID|13020|0|N
H1350|028|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option I (HMO)|00025370|45.60|0| | |ID|13050|0|N
H1350|028|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option I (HMO)|00025370|45.60|0| | |ID|13070|0|N
H1350|028|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option I (HMO)|00025370|45.60|0| | |ID|13080|0|N
H1350|028|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option I (HMO)|00025370|45.60|0| | |ID|13090|0|N
H1350|028|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option I (HMO)|00025370|45.60|0| | |ID|13100|0|N
H1350|028|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option I (HMO)|00025370|45.60|0| | |ID|13130|0|N
H1350|028|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option I (HMO)|00025370|45.60|0| | |ID|13150|0|N
H1350|028|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option I (HMO)|00025370|45.60|0| | |ID|13160|0|N
H1350|028|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option I (HMO)|00025370|45.60|0| | |ID|13190|0|N
H1350|028|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option I (HMO)|00025370|45.60|0| | |ID|13210|0|N
H1350|028|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option I (HMO)|00025370|45.60|0| | |ID|13220|0|N
H1350|028|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option I (HMO)|00025370|45.60|0| | |ID|13230|0|N
H1350|028|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option I (HMO)|00025370|45.60|0| | |ID|13250|0|N
H1350|028|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option I (HMO)|00025370|45.60|0| | |ID|13260|0|N
H1350|028|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option I (HMO)|00025370|45.60|0| | |ID|13270|0|N
H1350|028|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option I (HMO)|00025370|45.60|0| | |ID|13280|0|N
H1350|028|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option I (HMO)|00025370|45.60|0| | |ID|13320|0|N
H1350|028|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option I (HMO)|00025370|45.60|0| | |ID|13330|0|N
H1350|028|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option I (HMO)|00025370|45.60|0| | |ID|13340|0|N
H1350|028|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option I (HMO)|00025370|45.60|0| | |ID|13360|0|N
H1350|028|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option I (HMO)|00025370|45.60|0| | |ID|13370|0|N
H1350|028|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option I (HMO)|00025370|45.60|0| | |ID|13380|0|N
H1350|028|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option I (HMO)|00025370|45.60|0| | |ID|13390|0|N
H1350|028|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option I (HMO)|00025370|45.60|0| | |ID|13410|0|N
H1350|028|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option I (HMO)|00025370|45.60|0| | |ID|13420|0|N
H1350|028|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option I (HMO)|00025370|45.60|0| | |ID|13430|0|N
H1350|029|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option II (HMO)|00025370|28.10|250| | |ID|13000|0|N
H1350|029|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option II (HMO)|00025370|28.10|250| | |ID|13010|0|N
H1350|029|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option II (HMO)|00025370|28.10|250| | |ID|13020|0|N
H1350|029|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option II (HMO)|00025370|28.10|250| | |ID|13050|0|N
H1350|029|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option II (HMO)|00025370|28.10|250| | |ID|13070|0|N
H1350|029|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option II (HMO)|00025370|28.10|250| | |ID|13080|0|N
H1350|029|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option II (HMO)|00025370|28.10|250| | |ID|13090|0|N
H1350|029|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option II (HMO)|00025370|28.10|250| | |ID|13100|0|N
H1350|029|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option II (HMO)|00025370|28.10|250| | |ID|13130|0|N
H1350|029|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option II (HMO)|00025370|28.10|250| | |ID|13150|0|N
H1350|029|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option II (HMO)|00025370|28.10|250| | |ID|13160|0|N
H1350|029|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option II (HMO)|00025370|28.10|250| | |ID|13190|0|N
H1350|029|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option II (HMO)|00025370|28.10|250| | |ID|13210|0|N
H1350|029|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option II (HMO)|00025370|28.10|250| | |ID|13220|0|N
H1350|029|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option II (HMO)|00025370|28.10|250| | |ID|13230|0|N
H1350|029|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option II (HMO)|00025370|28.10|250| | |ID|13250|0|N
H1350|029|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option II (HMO)|00025370|28.10|250| | |ID|13260|0|N
H1350|029|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option II (HMO)|00025370|28.10|250| | |ID|13270|0|N
H1350|029|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option II (HMO)|00025370|28.10|250| | |ID|13280|0|N
H1350|029|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option II (HMO)|00025370|28.10|250| | |ID|13320|0|N
H1350|029|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option II (HMO)|00025370|28.10|250| | |ID|13330|0|N
H1350|029|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option II (HMO)|00025370|28.10|250| | |ID|13340|0|N
H1350|029|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option II (HMO)|00025370|28.10|250| | |ID|13360|0|N
H1350|029|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option II (HMO)|00025370|28.10|250| | |ID|13370|0|N
H1350|029|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option II (HMO)|00025370|28.10|250| | |ID|13380|0|N
H1350|029|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option II (HMO)|00025370|28.10|250| | |ID|13390|0|N
H1350|029|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option II (HMO)|00025370|28.10|250| | |ID|13410|0|N
H1350|029|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option II (HMO)|00025370|28.10|250| | |ID|13420|0|N
H1350|029|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Option II (HMO)|00025370|28.10|250| | |ID|13430|0|N
H1350|030|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx (HMO)|00025370|24.90|175| | |ID|13000|0|N
H1350|030|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx (HMO)|00025370|24.90|175| | |ID|13010|0|N
H1350|030|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx (HMO)|00025370|24.90|175| | |ID|13020|0|N
H1350|030|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx (HMO)|00025370|24.90|175| | |ID|13050|0|N
H1350|030|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx (HMO)|00025370|24.90|175| | |ID|13070|0|N
H1350|030|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx (HMO)|00025370|24.90|175| | |ID|13080|0|N
H1350|030|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx (HMO)|00025370|24.90|175| | |ID|13090|0|N
H1350|030|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx (HMO)|00025370|24.90|175| | |ID|13100|0|N
H1350|030|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx (HMO)|00025370|24.90|175| | |ID|13130|0|N
H1350|030|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx (HMO)|00025370|24.90|175| | |ID|13150|0|N
H1350|030|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx (HMO)|00025370|24.90|175| | |ID|13160|0|N
H1350|030|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx (HMO)|00025370|24.90|175| | |ID|13190|0|N
H1350|030|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx (HMO)|00025370|24.90|175| | |ID|13210|0|N
H1350|030|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx (HMO)|00025370|24.90|175| | |ID|13220|0|N
H1350|030|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx (HMO)|00025370|24.90|175| | |ID|13230|0|N
H1350|030|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx (HMO)|00025370|24.90|175| | |ID|13250|0|N
H1350|030|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx (HMO)|00025370|24.90|175| | |ID|13260|0|N
H1350|030|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx (HMO)|00025370|24.90|175| | |ID|13270|0|N
H1350|030|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx (HMO)|00025370|24.90|175| | |ID|13280|0|N
H1350|030|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx (HMO)|00025370|24.90|175| | |ID|13320|0|N
H1350|030|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx (HMO)|00025370|24.90|175| | |ID|13330|0|N
H1350|030|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx (HMO)|00025370|24.90|175| | |ID|13340|0|N
H1350|030|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx (HMO)|00025370|24.90|175| | |ID|13360|0|N
H1350|030|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx (HMO)|00025370|24.90|175| | |ID|13370|0|N
H1350|030|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx (HMO)|00025370|24.90|175| | |ID|13380|0|N
H1350|030|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx (HMO)|00025370|24.90|175| | |ID|13390|0|N
H1350|030|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx (HMO)|00025370|24.90|175| | |ID|13410|0|N
H1350|030|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx (HMO)|00025370|24.90|175| | |ID|13420|0|N
H1350|030|000|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx (HMO)|00025370|24.90|175| | |ID|13430|0|N
H1350|031|001|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Preferred (HMO)|00025370|0.00|175| | |ID|13000|0|N
H1350|031|001|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Preferred (HMO)|00025370|0.00|175| | |ID|13070|0|N
H1350|031|001|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Preferred (HMO)|00025370|0.00|175| | |ID|13130|0|N
H1350|031|001|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Preferred (HMO)|00025370|0.00|175| | |ID|13220|0|N
H1350|031|001|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Preferred (HMO)|00025370|0.00|175| | |ID|13360|0|N
H1350|031|002|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Preferred (HMO)|00025370|0.00|175| | |ID|13020|0|N
H1350|031|002|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Preferred (HMO)|00025370|0.00|175| | |ID|13050|0|N
H1350|031|002|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Preferred (HMO)|00025370|0.00|175| | |ID|13090|0|N
H1350|031|002|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Preferred (HMO)|00025370|0.00|175| | |ID|13250|0|N
H1350|031|002|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Preferred (HMO)|00025370|0.00|175| | |ID|13320|0|N
H1350|031|003|BLUE CROSS OF IDAHO CARE PLUS, INC.|True Blue Rx Preferred (HMO)|00025370|0.00|175| | |ID|13270|0|N
H1360|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete NV-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NV|29010|2|N
H1360|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete NV-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NV|29110|2|N
H1360|001|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Dual Complete NV-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |NV|29150|2|N
H1365|001|000|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Select (PPO)|00025236|15.70|275| | |ME|20000|0|N
H1365|001|000|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Select (PPO)|00025236|15.70|275| | |ME|20010|0|N
H1365|001|000|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Select (PPO)|00025236|15.70|275| | |ME|20020|0|N
H1365|001|000|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Select (PPO)|00025236|15.70|275| | |ME|20030|0|N
H1365|001|000|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Select (PPO)|00025236|15.70|275| | |ME|20040|0|N
H1365|001|000|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Select (PPO)|00025236|15.70|275| | |ME|20050|0|N
H1365|001|000|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Select (PPO)|00025236|15.70|275| | |ME|20060|0|N
H1365|001|000|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Select (PPO)|00025236|15.70|275| | |ME|20070|0|N
H1365|001|000|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Select (PPO)|00025236|15.70|275| | |ME|20080|0|N
H1365|001|000|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Select (PPO)|00025236|15.70|275| | |ME|20090|0|N
H1365|001|000|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Select (PPO)|00025236|15.70|275| | |ME|20100|0|N
H1365|001|000|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Select (PPO)|00025236|15.70|275| | |ME|20110|0|N
H1365|001|000|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Select (PPO)|00025236|15.70|275| | |ME|20120|0|N
H1365|001|000|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Select (PPO)|00025236|15.70|275| | |ME|20130|0|N
H1365|001|000|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Select (PPO)|00025236|15.70|275| | |ME|20140|0|N
H1365|001|000|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Select (PPO)|00025236|15.70|275| | |ME|20150|0|N
H1365|001|000|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Select (PPO)|00025236|15.70|275| | |NH|30020|0|N
H1365|001|000|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Select (PPO)|00025236|15.70|275| | |NH|30030|0|N
H1365|001|000|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Select (PPO)|00025236|15.70|275| | |NH|30050|0|N
H1365|001|000|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Select (PPO)|00025236|15.70|275| | |NH|30060|0|N
H1365|001|000|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Select (PPO)|00025236|15.70|275| | |NH|30070|0|N
H1365|001|000|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Select (PPO)|00025236|15.70|275| | |NH|30080|0|N
H1365|001|000|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Select (PPO)|00025236|15.70|275| | |NH|30090|0|N
H1365|004|002|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Access (PPO)|00025237|0.00|200| | |NH|30000|0|N
H1365|004|002|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Access (PPO)|00025237|0.00|200| | |NH|30010|0|N
H1365|004|002|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Access (PPO)|00025237|0.00|200| | |NH|30030|0|N
H1365|004|002|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Access (PPO)|00025237|0.00|200| | |NH|30040|0|N
H1365|004|003|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Access (PPO)|00025237|0.00|200| | |NH|30020|0|N
H1365|004|003|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Access (PPO)|00025237|0.00|200| | |NH|30050|0|N
H1365|004|003|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Access (PPO)|00025237|0.00|200| | |NH|30060|0|N
H1365|004|003|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Access (PPO)|00025237|0.00|200| | |NH|30070|0|N
H1365|004|003|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Access (PPO)|00025237|0.00|200| | |NH|30080|0|N
H1365|004|003|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Access (PPO)|00025237|0.00|200| | |NH|30090|0|N
H1372|001|000|MARQUIS ADVANTAGE, INC.|AgeRight Advantage Health Plan (HMO I-SNP)|00025029|26.20|590| | |OR|38010|3|N
H1372|001|000|MARQUIS ADVANTAGE, INC.|AgeRight Advantage Health Plan (HMO I-SNP)|00025029|26.20|590| | |OR|38020|3|N
H1372|001|000|MARQUIS ADVANTAGE, INC.|AgeRight Advantage Health Plan (HMO I-SNP)|00025029|26.20|590| | |OR|38140|3|N
H1372|001|000|MARQUIS ADVANTAGE, INC.|AgeRight Advantage Health Plan (HMO I-SNP)|00025029|26.20|590| | |OR|38160|3|N
H1372|001|000|MARQUIS ADVANTAGE, INC.|AgeRight Advantage Health Plan (HMO I-SNP)|00025029|26.20|590| | |OR|38170|3|N
H1372|001|000|MARQUIS ADVANTAGE, INC.|AgeRight Advantage Health Plan (HMO I-SNP)|00025029|26.20|590| | |OR|38190|3|N
H1372|001|000|MARQUIS ADVANTAGE, INC.|AgeRight Advantage Health Plan (HMO I-SNP)|00025029|26.20|590| | |OR|38210|3|N
H1372|001|000|MARQUIS ADVANTAGE, INC.|AgeRight Advantage Health Plan (HMO I-SNP)|00025029|26.20|590| | |OR|38230|3|N
H1372|001|000|MARQUIS ADVANTAGE, INC.|AgeRight Advantage Health Plan (HMO I-SNP)|00025029|26.20|590| | |OR|38250|3|N
H1372|001|000|MARQUIS ADVANTAGE, INC.|AgeRight Advantage Health Plan (HMO I-SNP)|00025029|26.20|590| | |OR|38330|3|N
H1372|001|000|MARQUIS ADVANTAGE, INC.|AgeRight Advantage Health Plan (HMO I-SNP)|00025029|26.20|590| | |OR|38350|3|N
H1372|002|000|MARQUIS ADVANTAGE, INC.|AgeRight Advantage Plus Health Plan (HMO I-SNP)|00025039|55.00|300| | |OR|38010|3|N
H1372|002|000|MARQUIS ADVANTAGE, INC.|AgeRight Advantage Plus Health Plan (HMO I-SNP)|00025039|55.00|300| | |OR|38020|3|N
H1372|002|000|MARQUIS ADVANTAGE, INC.|AgeRight Advantage Plus Health Plan (HMO I-SNP)|00025039|55.00|300| | |OR|38140|3|N
H1372|002|000|MARQUIS ADVANTAGE, INC.|AgeRight Advantage Plus Health Plan (HMO I-SNP)|00025039|55.00|300| | |OR|38160|3|N
H1372|002|000|MARQUIS ADVANTAGE, INC.|AgeRight Advantage Plus Health Plan (HMO I-SNP)|00025039|55.00|300| | |OR|38170|3|N
H1372|002|000|MARQUIS ADVANTAGE, INC.|AgeRight Advantage Plus Health Plan (HMO I-SNP)|00025039|55.00|300| | |OR|38190|3|N
H1372|002|000|MARQUIS ADVANTAGE, INC.|AgeRight Advantage Plus Health Plan (HMO I-SNP)|00025039|55.00|300| | |OR|38210|3|N
H1372|002|000|MARQUIS ADVANTAGE, INC.|AgeRight Advantage Plus Health Plan (HMO I-SNP)|00025039|55.00|300| | |OR|38230|3|N
H1372|002|000|MARQUIS ADVANTAGE, INC.|AgeRight Advantage Plus Health Plan (HMO I-SNP)|00025039|55.00|300| | |OR|38250|3|N
H1372|002|000|MARQUIS ADVANTAGE, INC.|AgeRight Advantage Plus Health Plan (HMO I-SNP)|00025039|55.00|300| | |OR|38330|3|N
H1372|002|000|MARQUIS ADVANTAGE, INC.|AgeRight Advantage Plus Health Plan (HMO I-SNP)|00025039|55.00|300| | |OR|38350|3|N
H1372|003|000|MARQUIS ADVANTAGE, INC.|AgeRight Advantage Premier Health Plan (HMO C-SNP)|00025039|55.00|300| | |OR|38010|1|N
H1372|003|000|MARQUIS ADVANTAGE, INC.|AgeRight Advantage Premier Health Plan (HMO C-SNP)|00025039|55.00|300| | |OR|38020|1|N
H1372|003|000|MARQUIS ADVANTAGE, INC.|AgeRight Advantage Premier Health Plan (HMO C-SNP)|00025039|55.00|300| | |OR|38140|1|N
H1372|003|000|MARQUIS ADVANTAGE, INC.|AgeRight Advantage Premier Health Plan (HMO C-SNP)|00025039|55.00|300| | |OR|38160|1|N
H1372|003|000|MARQUIS ADVANTAGE, INC.|AgeRight Advantage Premier Health Plan (HMO C-SNP)|00025039|55.00|300| | |OR|38170|1|N
H1372|003|000|MARQUIS ADVANTAGE, INC.|AgeRight Advantage Premier Health Plan (HMO C-SNP)|00025039|55.00|300| | |OR|38190|1|N
H1372|003|000|MARQUIS ADVANTAGE, INC.|AgeRight Advantage Premier Health Plan (HMO C-SNP)|00025039|55.00|300| | |OR|38210|1|N
H1372|003|000|MARQUIS ADVANTAGE, INC.|AgeRight Advantage Premier Health Plan (HMO C-SNP)|00025039|55.00|300| | |OR|38230|1|N
H1372|003|000|MARQUIS ADVANTAGE, INC.|AgeRight Advantage Premier Health Plan (HMO C-SNP)|00025039|55.00|300| | |OR|38250|1|N
H1372|003|000|MARQUIS ADVANTAGE, INC.|AgeRight Advantage Premier Health Plan (HMO C-SNP)|00025039|55.00|300| | |OR|38330|1|N
H1372|003|000|MARQUIS ADVANTAGE, INC.|AgeRight Advantage Premier Health Plan (HMO C-SNP)|00025039|55.00|300| | |OR|38350|1|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28000|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28010|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28030|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28040|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28050|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28070|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28090|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28100|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28110|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28120|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28130|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28170|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28180|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28190|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28200|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28230|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28250|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28260|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28270|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28290|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28300|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28310|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28320|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28330|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28350|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28360|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28380|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28390|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28400|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28410|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28420|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28430|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28440|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28460|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28470|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28480|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28490|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28500|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28530|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28540|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28550|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28560|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28590|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28600|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28620|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28630|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28650|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28660|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28670|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28680|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28690|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28710|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28750|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28760|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28770|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28780|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28790|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28810|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28830|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28840|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28870|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28880|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28890|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28900|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28910|2|N
H1395|001|000|NEBRASKA TOTAL CARE, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|390| | |NE|28920|2|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28000|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28010|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28030|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28040|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28050|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28070|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28090|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28100|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28110|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28120|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28130|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28170|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28180|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28190|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28200|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28230|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28250|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28260|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28270|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28290|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28300|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28310|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28320|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28330|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28350|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28360|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28380|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28390|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28400|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28410|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28420|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28430|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28440|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28460|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28470|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28480|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28490|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28500|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28530|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28540|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28550|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28560|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28590|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28600|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28620|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28630|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28650|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28660|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28670|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28680|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28690|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28710|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28750|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28760|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28770|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28780|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28790|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28810|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28830|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28840|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28870|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28880|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28890|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28900|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28910|0|N
H1395|002|000|NEBRASKA TOTAL CARE, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NE|28920|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28000|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28010|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28030|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28040|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28050|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28070|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28090|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28100|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28110|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28120|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28130|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28170|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28180|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28190|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28200|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28230|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28250|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28260|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28270|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28290|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28300|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28310|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28320|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28330|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28350|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28360|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28380|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28390|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28400|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28410|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28420|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28430|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28440|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28460|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28470|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28480|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28490|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28500|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28530|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28540|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28550|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28560|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28590|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28600|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28620|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28630|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28650|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28660|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28670|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28680|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28690|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28710|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28750|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28760|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28770|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28780|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28790|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28810|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28830|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28840|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28870|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28880|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28890|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28900|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28910|0|N
H1395|003|000|NEBRASKA TOTAL CARE, INC.|Wellcare Assist Open (PPO)|00025066|30.60|580| | |NE|28920|0|N
H1416|009|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |IL|14090|0|N
H1416|009|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |IL|14141|0|N
H1416|009|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |IL|14530|0|N
H1416|009|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |IL|14540|0|N
H1416|009|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |IL|14560|0|N
H1416|009|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |IL|14570|0|N
H1416|009|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |IL|14680|0|N
H1416|009|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |IL|14800|0|N
H1416|009|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |IL|14980|0|N
H1416|009|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |IL|14982|0|N
H1416|009|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |IL|14989|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25030|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25050|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25070|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25100|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25110|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25130|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25140|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25150|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25160|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25170|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25190|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25200|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25210|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25220|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25230|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25240|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25250|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25260|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25270|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25290|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25300|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25320|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25330|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25340|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25350|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25360|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25370|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25380|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25390|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25410|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25420|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25440|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25450|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25460|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25480|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25490|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25500|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25530|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25540|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25550|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25560|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25590|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25600|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25610|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25620|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25630|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25640|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25650|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25660|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25670|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25680|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25710|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25730|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25740|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25750|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25760|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25800|0|N
H1416|026|000|HARMONY HEALTH PLAN,  INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MS|25810|0|N
H1416|033|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access Harmony (HMO-POS D-SNP)|00025035|16.70|590| | |AR|04000|2|N
H1416|033|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access Harmony (HMO-POS D-SNP)|00025035|16.70|590| | |AR|04010|2|N
H1416|033|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access Harmony (HMO-POS D-SNP)|00025035|16.70|590| | |AR|04050|2|N
H1416|033|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access Harmony (HMO-POS D-SNP)|00025035|16.70|590| | |AR|04060|2|N
H1416|033|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access Harmony (HMO-POS D-SNP)|00025035|16.70|590| | |AR|04070|2|N
H1416|033|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access Harmony (HMO-POS D-SNP)|00025035|16.70|590| | |AR|04080|2|N
H1416|033|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access Harmony (HMO-POS D-SNP)|00025035|16.70|590| | |AR|04090|2|N
H1416|033|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access Harmony (HMO-POS D-SNP)|00025035|16.70|590| | |AR|04100|2|N
H1416|033|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access Harmony (HMO-POS D-SNP)|00025035|16.70|590| | |AR|04110|2|N
H1416|033|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access Harmony (HMO-POS D-SNP)|00025035|16.70|590| | |AR|04120|2|N
H1416|033|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access Harmony (HMO-POS D-SNP)|00025035|16.70|590| | |AR|04140|2|N
H1416|033|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access Harmony (HMO-POS D-SNP)|00025035|16.70|590| | |AR|04150|2|N
H1416|033|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access Harmony (HMO-POS D-SNP)|00025035|16.70|590| | |AR|04170|2|N
H1416|033|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access Harmony (HMO-POS D-SNP)|00025035|16.70|590| | |AR|04180|2|N
H1416|033|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access Harmony (HMO-POS D-SNP)|00025035|16.70|590| | |AR|04190|2|N
H1416|033|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access Harmony (HMO-POS D-SNP)|00025035|16.70|590| | |AR|04200|2|N
H1416|033|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access Harmony (HMO-POS D-SNP)|00025035|16.70|590| | |AR|04210|2|N
H1416|033|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access Harmony (HMO-POS D-SNP)|00025035|16.70|590| | |AR|04240|2|N
H1416|033|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access Harmony (HMO-POS D-SNP)|00025035|16.70|590| | |AR|04250|2|N
H1416|033|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access Harmony (HMO-POS D-SNP)|00025035|16.70|590| | |AR|04260|2|N
H1416|033|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access Harmony (HMO-POS D-SNP)|00025035|16.70|590| | |AR|04270|2|N
H1416|033|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access Harmony (HMO-POS D-SNP)|00025035|16.70|590| | |AR|04290|2|N
H1416|033|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access Harmony (HMO-POS D-SNP)|00025035|16.70|590| | |AR|04310|2|N
H1416|033|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access Harmony (HMO-POS D-SNP)|00025035|16.70|590| | |AR|04320|2|N
H1416|033|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access Harmony (HMO-POS D-SNP)|00025035|16.70|590| | |AR|04330|2|N
H1416|033|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access Harmony (HMO-POS D-SNP)|00025035|16.70|590| | |AR|04340|2|N
H1416|033|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access Harmony (HMO-POS D-SNP)|00025035|16.70|590| | |AR|04370|2|N
H1416|033|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access Harmony (HMO-POS D-SNP)|00025035|16.70|590| | |AR|04380|2|N
H1416|033|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access Harmony (HMO-POS D-SNP)|00025035|16.70|590| | |AR|04390|2|N
H1416|033|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access Harmony (HMO-POS D-SNP)|00025035|16.70|590| | |AR|04420|2|N
H1416|033|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access Harmony (HMO-POS D-SNP)|00025035|16.70|590| | |AR|04440|2|N
H1416|033|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access Harmony (HMO-POS D-SNP)|00025035|16.70|590| | |AR|04460|2|N
H1416|033|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access Harmony (HMO-POS D-SNP)|00025035|16.70|590| | |AR|04470|2|N
H1416|033|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access Harmony (HMO-POS D-SNP)|00025035|16.70|590| | |AR|04480|2|N
H1416|033|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access Harmony (HMO-POS D-SNP)|00025035|16.70|590| | |AR|04490|2|N
H1416|033|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access Harmony (HMO-POS D-SNP)|00025035|16.70|590| | |AR|04500|2|N
H1416|033|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access Harmony (HMO-POS D-SNP)|00025035|16.70|590| | |AR|04510|2|N
H1416|033|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access Harmony (HMO-POS D-SNP)|00025035|16.70|590| | |AR|04520|2|N
H1416|033|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access Harmony (HMO-POS D-SNP)|00025035|16.70|590| | |AR|04530|2|N
H1416|033|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access Harmony (HMO-POS D-SNP)|00025035|16.70|590| | |AR|04540|2|N
H1416|033|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access Harmony (HMO-POS D-SNP)|00025035|16.70|590| | |AR|04550|2|N
H1416|033|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access Harmony (HMO-POS D-SNP)|00025035|16.70|590| | |AR|04580|2|N
H1416|033|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access Harmony (HMO-POS D-SNP)|00025035|16.70|590| | |AR|04590|2|N
H1416|033|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access Harmony (HMO-POS D-SNP)|00025035|16.70|590| | |AR|04600|2|N
H1416|033|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access Harmony (HMO-POS D-SNP)|00025035|16.70|590| | |AR|04610|2|N
H1416|033|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access Harmony (HMO-POS D-SNP)|00025035|16.70|590| | |AR|04620|2|N
H1416|033|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access Harmony (HMO-POS D-SNP)|00025035|16.70|590| | |AR|04640|2|N
H1416|033|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access Harmony (HMO-POS D-SNP)|00025035|16.70|590| | |AR|04670|2|N
H1416|033|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access Harmony (HMO-POS D-SNP)|00025035|16.70|590| | |AR|04680|2|N
H1416|033|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access Harmony (HMO-POS D-SNP)|00025035|16.70|590| | |AR|04690|2|N
H1416|033|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access Harmony (HMO-POS D-SNP)|00025035|16.70|590| | |AR|04700|2|N
H1416|033|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access Harmony (HMO-POS D-SNP)|00025035|16.70|590| | |AR|04720|2|N
H1416|033|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access Harmony (HMO-POS D-SNP)|00025035|16.70|590| | |AR|04730|2|N
H1416|033|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access Harmony (HMO-POS D-SNP)|00025035|16.70|590| | |AR|04740|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25030|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25050|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25070|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25100|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25110|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25130|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25140|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25150|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25160|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25170|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25190|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25200|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25210|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25220|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25230|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25240|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25250|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25260|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25270|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25290|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25300|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25320|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25330|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25340|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25350|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25360|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25370|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25380|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25390|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25410|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25420|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25440|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25450|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25460|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25480|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25490|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25500|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25530|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25540|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25550|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25560|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25590|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25600|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25610|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25620|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25630|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25640|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25650|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25660|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25670|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25680|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25710|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25730|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25740|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25750|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25760|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25800|2|N
H1416|034|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25810|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44000|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44010|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44020|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44030|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44040|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44050|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44060|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44070|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44080|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44090|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44100|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44110|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44120|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44130|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44140|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44150|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44160|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44170|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44180|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44190|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44200|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44210|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44220|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44230|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44240|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44250|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44260|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44270|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44280|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44290|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44300|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44310|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44320|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44330|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44340|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44350|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44360|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44370|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44380|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44390|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44400|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44410|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44420|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44430|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44440|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44450|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44460|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44470|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44480|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44490|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44500|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44510|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44520|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44530|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44540|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44550|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44560|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44570|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44580|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44590|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44600|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44610|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44620|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44630|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44640|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44650|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44660|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44670|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44680|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44690|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44700|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44710|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44720|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44730|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44740|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44750|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44760|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44770|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44780|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44790|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44800|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44810|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44820|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44830|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44840|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44850|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44860|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44870|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44880|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44890|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44900|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44910|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44920|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44930|2|N
H1416|035|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |TN|44940|2|N
H1416|036|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |SC|42000|2|N
H1416|036|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |SC|42100|2|N
H1416|036|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |SC|42220|2|N
H1416|036|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |SC|42230|2|N
H1416|036|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |SC|42320|2|N
H1416|036|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |SC|42350|2|N
H1416|036|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |SC|42380|2|N
H1416|036|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |SC|42400|2|N
H1416|036|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |SC|42410|2|N
H1416|036|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |SC|42430|2|N
H1416|041|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist Compass (HMO-POS)|00025066|17.30|450| | |AR|04000|0|N
H1416|041|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist Compass (HMO-POS)|00025066|17.30|450| | |AR|04010|0|N
H1416|041|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist Compass (HMO-POS)|00025066|17.30|450| | |AR|04050|0|N
H1416|041|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist Compass (HMO-POS)|00025066|17.30|450| | |AR|04060|0|N
H1416|041|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist Compass (HMO-POS)|00025066|17.30|450| | |AR|04070|0|N
H1416|041|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist Compass (HMO-POS)|00025066|17.30|450| | |AR|04080|0|N
H1416|041|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist Compass (HMO-POS)|00025066|17.30|450| | |AR|04090|0|N
H1416|041|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist Compass (HMO-POS)|00025066|17.30|450| | |AR|04100|0|N
H1416|041|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist Compass (HMO-POS)|00025066|17.30|450| | |AR|04110|0|N
H1416|041|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist Compass (HMO-POS)|00025066|17.30|450| | |AR|04120|0|N
H1416|041|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist Compass (HMO-POS)|00025066|17.30|450| | |AR|04140|0|N
H1416|041|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist Compass (HMO-POS)|00025066|17.30|450| | |AR|04150|0|N
H1416|041|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist Compass (HMO-POS)|00025066|17.30|450| | |AR|04170|0|N
H1416|041|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist Compass (HMO-POS)|00025066|17.30|450| | |AR|04180|0|N
H1416|041|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist Compass (HMO-POS)|00025066|17.30|450| | |AR|04190|0|N
H1416|041|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist Compass (HMO-POS)|00025066|17.30|450| | |AR|04200|0|N
H1416|041|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist Compass (HMO-POS)|00025066|17.30|450| | |AR|04210|0|N
H1416|041|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist Compass (HMO-POS)|00025066|17.30|450| | |AR|04240|0|N
H1416|041|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist Compass (HMO-POS)|00025066|17.30|450| | |AR|04250|0|N
H1416|041|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist Compass (HMO-POS)|00025066|17.30|450| | |AR|04260|0|N
H1416|041|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist Compass (HMO-POS)|00025066|17.30|450| | |AR|04270|0|N
H1416|041|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist Compass (HMO-POS)|00025066|17.30|450| | |AR|04290|0|N
H1416|041|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist Compass (HMO-POS)|00025066|17.30|450| | |AR|04310|0|N
H1416|041|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist Compass (HMO-POS)|00025066|17.30|450| | |AR|04320|0|N
H1416|041|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist Compass (HMO-POS)|00025066|17.30|450| | |AR|04330|0|N
H1416|041|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist Compass (HMO-POS)|00025066|17.30|450| | |AR|04340|0|N
H1416|041|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist Compass (HMO-POS)|00025066|17.30|450| | |AR|04370|0|N
H1416|041|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist Compass (HMO-POS)|00025066|17.30|450| | |AR|04380|0|N
H1416|041|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist Compass (HMO-POS)|00025066|17.30|450| | |AR|04390|0|N
H1416|041|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist Compass (HMO-POS)|00025066|17.30|450| | |AR|04420|0|N
H1416|041|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist Compass (HMO-POS)|00025066|17.30|450| | |AR|04440|0|N
H1416|041|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist Compass (HMO-POS)|00025066|17.30|450| | |AR|04460|0|N
H1416|041|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist Compass (HMO-POS)|00025066|17.30|450| | |AR|04470|0|N
H1416|041|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist Compass (HMO-POS)|00025066|17.30|450| | |AR|04480|0|N
H1416|041|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist Compass (HMO-POS)|00025066|17.30|450| | |AR|04490|0|N
H1416|041|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist Compass (HMO-POS)|00025066|17.30|450| | |AR|04500|0|N
H1416|041|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist Compass (HMO-POS)|00025066|17.30|450| | |AR|04510|0|N
H1416|041|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist Compass (HMO-POS)|00025066|17.30|450| | |AR|04520|0|N
H1416|041|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist Compass (HMO-POS)|00025066|17.30|450| | |AR|04530|0|N
H1416|041|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist Compass (HMO-POS)|00025066|17.30|450| | |AR|04540|0|N
H1416|041|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist Compass (HMO-POS)|00025066|17.30|450| | |AR|04550|0|N
H1416|041|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist Compass (HMO-POS)|00025066|17.30|450| | |AR|04580|0|N
H1416|041|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist Compass (HMO-POS)|00025066|17.30|450| | |AR|04590|0|N
H1416|041|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist Compass (HMO-POS)|00025066|17.30|450| | |AR|04600|0|N
H1416|041|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist Compass (HMO-POS)|00025066|17.30|450| | |AR|04610|0|N
H1416|041|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist Compass (HMO-POS)|00025066|17.30|450| | |AR|04620|0|N
H1416|041|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist Compass (HMO-POS)|00025066|17.30|450| | |AR|04640|0|N
H1416|041|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist Compass (HMO-POS)|00025066|17.30|450| | |AR|04670|0|N
H1416|041|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist Compass (HMO-POS)|00025066|17.30|450| | |AR|04680|0|N
H1416|041|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist Compass (HMO-POS)|00025066|17.30|450| | |AR|04690|0|N
H1416|041|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist Compass (HMO-POS)|00025066|17.30|450| | |AR|04700|0|N
H1416|041|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist Compass (HMO-POS)|00025066|17.30|450| | |AR|04720|0|N
H1416|041|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist Compass (HMO-POS)|00025066|17.30|450| | |AR|04730|0|N
H1416|041|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist Compass (HMO-POS)|00025066|17.30|450| | |AR|04740|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44000|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44010|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44020|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44030|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44040|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44050|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44060|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44070|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44080|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44090|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44100|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44110|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44120|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44130|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44140|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44150|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44160|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44170|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44180|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44190|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44200|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44210|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44220|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44230|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44240|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44250|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44260|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44270|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44280|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44290|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44300|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44310|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44320|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44330|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44340|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44350|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44360|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44370|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44380|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44390|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44400|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44410|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44420|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44430|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44440|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44450|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44460|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44470|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44480|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44490|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44500|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44510|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44520|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44530|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44540|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44550|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44560|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44570|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44580|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44590|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44600|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44610|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44620|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44630|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44640|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44650|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44660|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44670|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44680|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44690|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44700|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44710|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44720|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44730|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44740|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44750|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44760|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44770|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44780|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44790|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44800|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44810|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44820|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44830|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44840|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44850|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44860|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44870|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44880|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44890|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44900|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44910|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44920|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44930|0|N
H1416|042|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|30.20|520| | |TN|44940|0|N
H1416|043|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty Nurture (HMO-POS D-SNP)|00025040|17.50|590| | |AR|04000|2|N
H1416|043|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty Nurture (HMO-POS D-SNP)|00025040|17.50|590| | |AR|04010|2|N
H1416|043|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty Nurture (HMO-POS D-SNP)|00025040|17.50|590| | |AR|04050|2|N
H1416|043|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty Nurture (HMO-POS D-SNP)|00025040|17.50|590| | |AR|04060|2|N
H1416|043|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty Nurture (HMO-POS D-SNP)|00025040|17.50|590| | |AR|04070|2|N
H1416|043|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty Nurture (HMO-POS D-SNP)|00025040|17.50|590| | |AR|04080|2|N
H1416|043|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty Nurture (HMO-POS D-SNP)|00025040|17.50|590| | |AR|04090|2|N
H1416|043|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty Nurture (HMO-POS D-SNP)|00025040|17.50|590| | |AR|04100|2|N
H1416|043|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty Nurture (HMO-POS D-SNP)|00025040|17.50|590| | |AR|04110|2|N
H1416|043|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty Nurture (HMO-POS D-SNP)|00025040|17.50|590| | |AR|04120|2|N
H1416|043|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty Nurture (HMO-POS D-SNP)|00025040|17.50|590| | |AR|04140|2|N
H1416|043|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty Nurture (HMO-POS D-SNP)|00025040|17.50|590| | |AR|04150|2|N
H1416|043|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty Nurture (HMO-POS D-SNP)|00025040|17.50|590| | |AR|04170|2|N
H1416|043|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty Nurture (HMO-POS D-SNP)|00025040|17.50|590| | |AR|04180|2|N
H1416|043|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty Nurture (HMO-POS D-SNP)|00025040|17.50|590| | |AR|04190|2|N
H1416|043|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty Nurture (HMO-POS D-SNP)|00025040|17.50|590| | |AR|04200|2|N
H1416|043|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty Nurture (HMO-POS D-SNP)|00025040|17.50|590| | |AR|04210|2|N
H1416|043|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty Nurture (HMO-POS D-SNP)|00025040|17.50|590| | |AR|04240|2|N
H1416|043|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty Nurture (HMO-POS D-SNP)|00025040|17.50|590| | |AR|04250|2|N
H1416|043|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty Nurture (HMO-POS D-SNP)|00025040|17.50|590| | |AR|04260|2|N
H1416|043|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty Nurture (HMO-POS D-SNP)|00025040|17.50|590| | |AR|04270|2|N
H1416|043|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty Nurture (HMO-POS D-SNP)|00025040|17.50|590| | |AR|04290|2|N
H1416|043|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty Nurture (HMO-POS D-SNP)|00025040|17.50|590| | |AR|04310|2|N
H1416|043|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty Nurture (HMO-POS D-SNP)|00025040|17.50|590| | |AR|04320|2|N
H1416|043|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty Nurture (HMO-POS D-SNP)|00025040|17.50|590| | |AR|04330|2|N
H1416|043|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty Nurture (HMO-POS D-SNP)|00025040|17.50|590| | |AR|04340|2|N
H1416|043|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty Nurture (HMO-POS D-SNP)|00025040|17.50|590| | |AR|04370|2|N
H1416|043|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty Nurture (HMO-POS D-SNP)|00025040|17.50|590| | |AR|04380|2|N
H1416|043|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty Nurture (HMO-POS D-SNP)|00025040|17.50|590| | |AR|04390|2|N
H1416|043|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty Nurture (HMO-POS D-SNP)|00025040|17.50|590| | |AR|04420|2|N
H1416|043|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty Nurture (HMO-POS D-SNP)|00025040|17.50|590| | |AR|04440|2|N
H1416|043|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty Nurture (HMO-POS D-SNP)|00025040|17.50|590| | |AR|04460|2|N
H1416|043|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty Nurture (HMO-POS D-SNP)|00025040|17.50|590| | |AR|04470|2|N
H1416|043|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty Nurture (HMO-POS D-SNP)|00025040|17.50|590| | |AR|04480|2|N
H1416|043|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty Nurture (HMO-POS D-SNP)|00025040|17.50|590| | |AR|04490|2|N
H1416|043|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty Nurture (HMO-POS D-SNP)|00025040|17.50|590| | |AR|04500|2|N
H1416|043|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty Nurture (HMO-POS D-SNP)|00025040|17.50|590| | |AR|04510|2|N
H1416|043|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty Nurture (HMO-POS D-SNP)|00025040|17.50|590| | |AR|04520|2|N
H1416|043|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty Nurture (HMO-POS D-SNP)|00025040|17.50|590| | |AR|04530|2|N
H1416|043|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty Nurture (HMO-POS D-SNP)|00025040|17.50|590| | |AR|04540|2|N
H1416|043|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty Nurture (HMO-POS D-SNP)|00025040|17.50|590| | |AR|04550|2|N
H1416|043|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty Nurture (HMO-POS D-SNP)|00025040|17.50|590| | |AR|04580|2|N
H1416|043|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty Nurture (HMO-POS D-SNP)|00025040|17.50|590| | |AR|04590|2|N
H1416|043|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty Nurture (HMO-POS D-SNP)|00025040|17.50|590| | |AR|04600|2|N
H1416|043|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty Nurture (HMO-POS D-SNP)|00025040|17.50|590| | |AR|04610|2|N
H1416|043|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty Nurture (HMO-POS D-SNP)|00025040|17.50|590| | |AR|04620|2|N
H1416|043|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty Nurture (HMO-POS D-SNP)|00025040|17.50|590| | |AR|04640|2|N
H1416|043|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty Nurture (HMO-POS D-SNP)|00025040|17.50|590| | |AR|04670|2|N
H1416|043|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty Nurture (HMO-POS D-SNP)|00025040|17.50|590| | |AR|04680|2|N
H1416|043|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty Nurture (HMO-POS D-SNP)|00025040|17.50|590| | |AR|04690|2|N
H1416|043|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty Nurture (HMO-POS D-SNP)|00025040|17.50|590| | |AR|04700|2|N
H1416|043|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty Nurture (HMO-POS D-SNP)|00025040|17.50|590| | |AR|04720|2|N
H1416|043|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty Nurture (HMO-POS D-SNP)|00025040|17.50|590| | |AR|04730|2|N
H1416|043|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty Nurture (HMO-POS D-SNP)|00025040|17.50|590| | |AR|04740|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25030|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25050|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25070|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25100|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25110|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25130|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25140|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25150|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25160|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25170|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25190|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25200|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25210|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25220|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25230|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25240|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25250|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25260|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25270|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25290|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25300|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25320|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25330|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25340|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25350|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25360|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25370|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25380|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25390|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25410|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25420|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25440|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25450|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25460|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25480|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25490|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25500|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25530|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25540|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25550|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25560|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25590|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25600|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25610|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25620|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25630|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25640|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25650|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25660|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25670|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25680|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25710|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25730|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25740|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25750|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25760|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25800|2|N
H1416|044|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |MS|25810|2|N
H1416|055|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Preferred (HMO-POS)|00025084|0.00|420| | |AR|04000|0|N
H1416|055|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Preferred (HMO-POS)|00025084|0.00|420| | |AR|04010|0|N
H1416|055|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Preferred (HMO-POS)|00025084|0.00|420| | |AR|04050|0|N
H1416|055|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Preferred (HMO-POS)|00025084|0.00|420| | |AR|04060|0|N
H1416|055|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Preferred (HMO-POS)|00025084|0.00|420| | |AR|04070|0|N
H1416|055|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Preferred (HMO-POS)|00025084|0.00|420| | |AR|04080|0|N
H1416|055|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Preferred (HMO-POS)|00025084|0.00|420| | |AR|04090|0|N
H1416|055|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Preferred (HMO-POS)|00025084|0.00|420| | |AR|04100|0|N
H1416|055|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Preferred (HMO-POS)|00025084|0.00|420| | |AR|04110|0|N
H1416|055|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Preferred (HMO-POS)|00025084|0.00|420| | |AR|04120|0|N
H1416|055|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Preferred (HMO-POS)|00025084|0.00|420| | |AR|04140|0|N
H1416|055|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Preferred (HMO-POS)|00025084|0.00|420| | |AR|04150|0|N
H1416|055|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Preferred (HMO-POS)|00025084|0.00|420| | |AR|04170|0|N
H1416|055|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Preferred (HMO-POS)|00025084|0.00|420| | |AR|04180|0|N
H1416|055|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Preferred (HMO-POS)|00025084|0.00|420| | |AR|04190|0|N
H1416|055|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Preferred (HMO-POS)|00025084|0.00|420| | |AR|04200|0|N
H1416|055|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Preferred (HMO-POS)|00025084|0.00|420| | |AR|04210|0|N
H1416|055|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Preferred (HMO-POS)|00025084|0.00|420| | |AR|04240|0|N
H1416|055|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Preferred (HMO-POS)|00025084|0.00|420| | |AR|04250|0|N
H1416|055|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Preferred (HMO-POS)|00025084|0.00|420| | |AR|04260|0|N
H1416|055|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Preferred (HMO-POS)|00025084|0.00|420| | |AR|04270|0|N
H1416|055|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Preferred (HMO-POS)|00025084|0.00|420| | |AR|04290|0|N
H1416|055|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Preferred (HMO-POS)|00025084|0.00|420| | |AR|04310|0|N
H1416|055|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Preferred (HMO-POS)|00025084|0.00|420| | |AR|04320|0|N
H1416|055|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Preferred (HMO-POS)|00025084|0.00|420| | |AR|04330|0|N
H1416|055|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Preferred (HMO-POS)|00025084|0.00|420| | |AR|04340|0|N
H1416|055|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Preferred (HMO-POS)|00025084|0.00|420| | |AR|04370|0|N
H1416|055|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Preferred (HMO-POS)|00025084|0.00|420| | |AR|04380|0|N
H1416|055|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Preferred (HMO-POS)|00025084|0.00|420| | |AR|04390|0|N
H1416|055|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Preferred (HMO-POS)|00025084|0.00|420| | |AR|04420|0|N
H1416|055|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Preferred (HMO-POS)|00025084|0.00|420| | |AR|04440|0|N
H1416|055|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Preferred (HMO-POS)|00025084|0.00|420| | |AR|04460|0|N
H1416|055|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Preferred (HMO-POS)|00025084|0.00|420| | |AR|04470|0|N
H1416|055|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Preferred (HMO-POS)|00025084|0.00|420| | |AR|04480|0|N
H1416|055|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Preferred (HMO-POS)|00025084|0.00|420| | |AR|04490|0|N
H1416|055|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Preferred (HMO-POS)|00025084|0.00|420| | |AR|04500|0|N
H1416|055|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Preferred (HMO-POS)|00025084|0.00|420| | |AR|04510|0|N
H1416|055|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Preferred (HMO-POS)|00025084|0.00|420| | |AR|04520|0|N
H1416|055|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Preferred (HMO-POS)|00025084|0.00|420| | |AR|04530|0|N
H1416|055|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Preferred (HMO-POS)|00025084|0.00|420| | |AR|04540|0|N
H1416|055|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Preferred (HMO-POS)|00025084|0.00|420| | |AR|04550|0|N
H1416|055|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Preferred (HMO-POS)|00025084|0.00|420| | |AR|04580|0|N
H1416|055|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Preferred (HMO-POS)|00025084|0.00|420| | |AR|04590|0|N
H1416|055|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Preferred (HMO-POS)|00025084|0.00|420| | |AR|04600|0|N
H1416|055|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Preferred (HMO-POS)|00025084|0.00|420| | |AR|04610|0|N
H1416|055|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Preferred (HMO-POS)|00025084|0.00|420| | |AR|04620|0|N
H1416|055|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Preferred (HMO-POS)|00025084|0.00|420| | |AR|04640|0|N
H1416|055|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Preferred (HMO-POS)|00025084|0.00|420| | |AR|04670|0|N
H1416|055|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Preferred (HMO-POS)|00025084|0.00|420| | |AR|04680|0|N
H1416|055|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Preferred (HMO-POS)|00025084|0.00|420| | |AR|04690|0|N
H1416|055|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Preferred (HMO-POS)|00025084|0.00|420| | |AR|04700|0|N
H1416|055|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Preferred (HMO-POS)|00025084|0.00|420| | |AR|04720|0|N
H1416|055|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Preferred (HMO-POS)|00025084|0.00|420| | |AR|04730|0|N
H1416|055|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Preferred (HMO-POS)|00025084|0.00|420| | |AR|04740|0|N
H1416|064|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback Dividend (HMO-POS)|00025076|0.00|420| | |AR|04000|0|N
H1416|064|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback Dividend (HMO-POS)|00025076|0.00|420| | |AR|04010|0|N
H1416|064|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback Dividend (HMO-POS)|00025076|0.00|420| | |AR|04050|0|N
H1416|064|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback Dividend (HMO-POS)|00025076|0.00|420| | |AR|04060|0|N
H1416|064|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback Dividend (HMO-POS)|00025076|0.00|420| | |AR|04070|0|N
H1416|064|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback Dividend (HMO-POS)|00025076|0.00|420| | |AR|04080|0|N
H1416|064|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback Dividend (HMO-POS)|00025076|0.00|420| | |AR|04090|0|N
H1416|064|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback Dividend (HMO-POS)|00025076|0.00|420| | |AR|04100|0|N
H1416|064|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback Dividend (HMO-POS)|00025076|0.00|420| | |AR|04110|0|N
H1416|064|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback Dividend (HMO-POS)|00025076|0.00|420| | |AR|04120|0|N
H1416|064|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback Dividend (HMO-POS)|00025076|0.00|420| | |AR|04140|0|N
H1416|064|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback Dividend (HMO-POS)|00025076|0.00|420| | |AR|04150|0|N
H1416|064|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback Dividend (HMO-POS)|00025076|0.00|420| | |AR|04170|0|N
H1416|064|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback Dividend (HMO-POS)|00025076|0.00|420| | |AR|04180|0|N
H1416|064|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback Dividend (HMO-POS)|00025076|0.00|420| | |AR|04190|0|N
H1416|064|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback Dividend (HMO-POS)|00025076|0.00|420| | |AR|04200|0|N
H1416|064|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback Dividend (HMO-POS)|00025076|0.00|420| | |AR|04210|0|N
H1416|064|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback Dividend (HMO-POS)|00025076|0.00|420| | |AR|04240|0|N
H1416|064|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback Dividend (HMO-POS)|00025076|0.00|420| | |AR|04250|0|N
H1416|064|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback Dividend (HMO-POS)|00025076|0.00|420| | |AR|04260|0|N
H1416|064|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback Dividend (HMO-POS)|00025076|0.00|420| | |AR|04270|0|N
H1416|064|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback Dividend (HMO-POS)|00025076|0.00|420| | |AR|04290|0|N
H1416|064|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback Dividend (HMO-POS)|00025076|0.00|420| | |AR|04310|0|N
H1416|064|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback Dividend (HMO-POS)|00025076|0.00|420| | |AR|04320|0|N
H1416|064|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback Dividend (HMO-POS)|00025076|0.00|420| | |AR|04330|0|N
H1416|064|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback Dividend (HMO-POS)|00025076|0.00|420| | |AR|04340|0|N
H1416|064|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback Dividend (HMO-POS)|00025076|0.00|420| | |AR|04370|0|N
H1416|064|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback Dividend (HMO-POS)|00025076|0.00|420| | |AR|04380|0|N
H1416|064|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback Dividend (HMO-POS)|00025076|0.00|420| | |AR|04390|0|N
H1416|064|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback Dividend (HMO-POS)|00025076|0.00|420| | |AR|04420|0|N
H1416|064|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback Dividend (HMO-POS)|00025076|0.00|420| | |AR|04440|0|N
H1416|064|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback Dividend (HMO-POS)|00025076|0.00|420| | |AR|04460|0|N
H1416|064|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback Dividend (HMO-POS)|00025076|0.00|420| | |AR|04470|0|N
H1416|064|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback Dividend (HMO-POS)|00025076|0.00|420| | |AR|04480|0|N
H1416|064|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback Dividend (HMO-POS)|00025076|0.00|420| | |AR|04490|0|N
H1416|064|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback Dividend (HMO-POS)|00025076|0.00|420| | |AR|04500|0|N
H1416|064|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback Dividend (HMO-POS)|00025076|0.00|420| | |AR|04510|0|N
H1416|064|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback Dividend (HMO-POS)|00025076|0.00|420| | |AR|04520|0|N
H1416|064|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback Dividend (HMO-POS)|00025076|0.00|420| | |AR|04530|0|N
H1416|064|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback Dividend (HMO-POS)|00025076|0.00|420| | |AR|04540|0|N
H1416|064|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback Dividend (HMO-POS)|00025076|0.00|420| | |AR|04550|0|N
H1416|064|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback Dividend (HMO-POS)|00025076|0.00|420| | |AR|04580|0|N
H1416|064|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback Dividend (HMO-POS)|00025076|0.00|420| | |AR|04590|0|N
H1416|064|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback Dividend (HMO-POS)|00025076|0.00|420| | |AR|04600|0|N
H1416|064|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback Dividend (HMO-POS)|00025076|0.00|420| | |AR|04610|0|N
H1416|064|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback Dividend (HMO-POS)|00025076|0.00|420| | |AR|04620|0|N
H1416|064|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback Dividend (HMO-POS)|00025076|0.00|420| | |AR|04640|0|N
H1416|064|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback Dividend (HMO-POS)|00025076|0.00|420| | |AR|04670|0|N
H1416|064|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback Dividend (HMO-POS)|00025076|0.00|420| | |AR|04680|0|N
H1416|064|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback Dividend (HMO-POS)|00025076|0.00|420| | |AR|04690|0|N
H1416|064|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback Dividend (HMO-POS)|00025076|0.00|420| | |AR|04700|0|N
H1416|064|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback Dividend (HMO-POS)|00025076|0.00|420| | |AR|04720|0|N
H1416|064|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback Dividend (HMO-POS)|00025076|0.00|420| | |AR|04730|0|N
H1416|064|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback Dividend (HMO-POS)|00025076|0.00|420| | |AR|04740|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25030|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25050|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25070|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25100|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25110|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25130|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25140|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25150|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25160|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25170|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25190|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25200|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25210|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25220|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25230|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25240|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25250|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25260|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25270|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25290|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25300|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25320|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25330|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25340|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25350|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25360|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25370|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25380|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25390|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25410|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25420|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25440|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25450|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25460|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25480|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25490|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25500|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25530|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25540|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25550|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25560|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25590|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25600|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25610|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25620|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25630|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25640|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25650|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25660|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25670|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25680|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25710|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25730|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25740|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25750|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25760|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25800|0|N
H1416|065|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MS|25810|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25030|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25050|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25070|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25100|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25110|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25130|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25140|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25150|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25160|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25170|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25190|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25200|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25210|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25220|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25230|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25240|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25250|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25260|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25270|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25290|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25300|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25320|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25330|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25340|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25350|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25360|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25370|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25380|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25390|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25410|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25420|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25440|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25450|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25460|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25480|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25490|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25500|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25530|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25540|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25550|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25560|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25590|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25600|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25610|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25620|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25630|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25640|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25650|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25660|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25670|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25680|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25710|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25730|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25740|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25750|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25760|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25800|0|N
H1416|068|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|22.80|590| | |MS|25810|0|N
H1416|071|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MS|25030|0|N
H1416|071|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MS|25050|0|N
H1416|071|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MS|25070|0|N
H1416|071|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MS|25100|0|N
H1416|071|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MS|25110|0|N
H1416|071|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MS|25130|0|N
H1416|071|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MS|25140|0|N
H1416|071|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MS|25150|0|N
H1416|071|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MS|25170|0|N
H1416|071|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MS|25200|0|N
H1416|071|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MS|25210|0|N
H1416|071|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MS|25240|0|N
H1416|071|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MS|25250|0|N
H1416|071|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MS|25260|0|N
H1416|071|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MS|25270|0|N
H1416|071|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MS|25300|0|N
H1416|071|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MS|25320|0|N
H1416|071|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MS|25330|0|N
H1416|071|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MS|25340|0|N
H1416|071|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MS|25350|0|N
H1416|071|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MS|25360|0|N
H1416|071|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MS|25370|0|N
H1416|071|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MS|25380|0|N
H1416|071|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MS|25390|0|N
H1416|071|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MS|25410|0|N
H1416|071|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MS|25420|0|N
H1416|071|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MS|25440|0|N
H1416|071|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MS|25450|0|N
H1416|071|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MS|25480|0|N
H1416|071|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MS|25490|0|N
H1416|071|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MS|25500|0|N
H1416|071|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MS|25550|0|N
H1416|071|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MS|25560|0|N
H1416|071|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MS|25590|0|N
H1416|071|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MS|25600|0|N
H1416|071|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MS|25610|0|N
H1416|071|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MS|25620|0|N
H1416|071|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MS|25630|0|N
H1416|071|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MS|25640|0|N
H1416|071|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MS|25650|0|N
H1416|071|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MS|25660|0|N
H1416|071|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MS|25670|0|N
H1416|071|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MS|25730|0|N
H1416|071|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MS|25740|0|N
H1416|071|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MS|25750|0|N
H1416|071|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MS|25760|0|N
H1416|071|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MS|25800|0|N
H1416|071|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MS|25810|0|N
H1416|072|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MS|25160|0|N
H1416|072|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MS|25190|0|N
H1416|072|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MS|25220|0|N
H1416|072|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MS|25230|0|N
H1416|072|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MS|25290|0|N
H1416|072|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MS|25460|0|N
H1416|072|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MS|25530|0|N
H1416|072|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MS|25540|0|N
H1416|072|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MS|25680|0|N
H1416|072|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MS|25710|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44000|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44010|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44020|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44030|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44040|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44050|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44060|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44070|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44080|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44090|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44100|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44110|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44120|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44130|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44140|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44150|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44160|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44170|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44180|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44190|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44200|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44210|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44220|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44230|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44240|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44250|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44260|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44270|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44280|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44290|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44300|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44310|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44320|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44330|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44340|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44350|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44360|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44370|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44380|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44390|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44400|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44410|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44420|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44430|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44440|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44450|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44460|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44470|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44480|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44490|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44500|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44510|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44520|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44530|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44540|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44550|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44560|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44570|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44580|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44590|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44600|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44610|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44620|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44630|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44640|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44650|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44660|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44670|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44680|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44690|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44700|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44710|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44720|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44730|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44740|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44750|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44760|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44770|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44780|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44790|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44800|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44810|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44820|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44830|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44840|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44850|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44860|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44870|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44880|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44890|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44900|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44910|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44920|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44930|0|N
H1416|077|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |TN|44940|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44000|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44010|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44020|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44030|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44040|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44050|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44060|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44070|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44080|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44090|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44100|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44110|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44120|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44130|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44140|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44150|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44160|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44170|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44180|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44190|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44200|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44210|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44220|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44230|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44240|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44250|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44260|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44270|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44280|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44290|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44300|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44310|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44320|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44330|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44340|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44350|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44360|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44370|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44380|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44390|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44400|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44410|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44420|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44430|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44440|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44450|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44460|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44470|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44480|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44490|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44500|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44510|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44520|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44530|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44540|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44550|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44560|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44570|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44580|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44590|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44600|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44610|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44620|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44630|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44640|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44650|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44660|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44670|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44680|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44690|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44700|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44710|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44720|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44730|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44740|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44750|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44760|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44770|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44780|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44790|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44800|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44810|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44820|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44830|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44840|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44850|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44860|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44870|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44880|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44890|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44900|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44910|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44920|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44930|0|N
H1416|079|000|HARMONY HEALTH PLAN,  INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |TN|44940|0|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25030|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25050|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25070|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25100|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25110|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25130|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25140|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25150|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25160|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25170|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25190|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25200|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25210|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25220|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25230|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25240|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25250|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25260|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25270|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25290|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25300|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25320|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25330|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25340|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25350|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25360|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25370|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25380|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25390|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25410|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25420|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25440|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25450|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25460|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25480|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25490|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25500|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25530|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25540|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25550|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25560|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25590|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25600|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25610|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25620|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25630|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25640|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25650|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25660|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25670|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25680|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25710|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25730|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25740|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25750|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25760|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25800|2|N
H1416|081|000|HARMONY HEALTH PLAN,  INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|30.90|590| | |MS|25810|2|N
H1416|082|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |IL|14090|0|N
H1416|082|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |IL|14141|0|N
H1416|082|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |IL|14530|0|N
H1416|082|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |IL|14540|0|N
H1416|082|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |IL|14560|0|N
H1416|082|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |IL|14570|0|N
H1416|082|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |IL|14680|0|N
H1416|082|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |IL|14800|0|N
H1416|082|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |IL|14980|0|N
H1416|082|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |IL|14982|0|N
H1416|082|000|HARMONY HEALTH PLAN,  INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |IL|14989|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44000|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44010|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44020|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44030|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44040|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44050|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44060|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44070|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44080|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44090|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44100|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44110|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44120|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44130|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44140|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44150|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44160|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44170|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44180|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44190|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44200|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44210|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44220|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44230|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44240|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44250|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44260|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44270|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44280|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44290|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44300|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44310|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44320|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44330|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44340|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44350|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44360|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44370|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44380|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44390|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44400|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44410|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44420|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44430|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44440|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44450|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44460|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44470|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44480|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44490|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44500|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44510|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44520|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44530|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44540|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44550|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44560|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44570|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44580|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44590|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44600|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44610|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44620|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44630|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44640|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44650|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44660|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44670|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44680|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44690|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44700|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44710|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44720|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44730|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44740|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44750|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44760|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44770|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44780|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44790|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44800|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44810|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44820|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44830|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44840|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44850|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44860|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44870|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44880|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44890|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44900|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44910|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44920|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44930|0|N
H1416|083|000|HARMONY HEALTH PLAN,  INC.|Wellcare Assist (HMO-POS)|00025066|26.70|590| | |TN|44940|0|N
H1423|001|000|WELLPOINT OHIO, INC.|Wellpoint Lung Care (HMO-POS C-SNP)|00025064|0.00|0| | |AZ|03090|1|N
H1423|002|000|WELLPOINT OHIO, INC.|Wellpoint Chronic Care (HMO-POS C-SNP)|00025064|0.00|0| | |AZ|03090|1|N
H1423|004|000|WELLPOINT OHIO, INC.|Wellpoint Medicare Advantage 1 (HMO-POS)|00025064|0.00|0| | |AZ|03090|0|N
H1423|005|000|WELLPOINT OHIO, INC.|Wellpoint Premium Savings (HMO)|00025064|0.00|0| | |AZ|03090|0|N
H1423|007|000|WELLPOINT OHIO, INC.|Wellpoint I Carelon Home Care (HMO I-SNP)|00025064|0.00|0| | |AZ|03090|3|N
H1423|008|000|WELLPOINT OHIO, INC.|Wellpoint I Carelon Home Care (HMO I-SNP)|00025064|0.00|0| | |AZ|03060|3|N
H1423|009|000|WELLPOINT OHIO, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025052|0.00|0| | |AZ|03020|0|N
H1423|009|000|WELLPOINT OHIO, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025052|0.00|0| | |AZ|03060|0|N
H1423|009|000|WELLPOINT OHIO, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025052|0.00|0| | |AZ|03100|0|N
H1423|009|000|WELLPOINT OHIO, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025052|0.00|0| | |AZ|03110|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IA|16810|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14030|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14040|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14050|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14070|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14080|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14090|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14100|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14110|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14120|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14140|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14150|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14160|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14170|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14180|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14190|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14310|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14320|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14330|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14340|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14350|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14360|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14370|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14380|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14400|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14410|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14420|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14440|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14450|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14460|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14470|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14480|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14490|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14510|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14520|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14540|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14560|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14580|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14590|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14600|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14610|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14620|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14630|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14650|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14660|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14670|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14690|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14700|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14710|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14730|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14740|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14760|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14770|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14780|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14790|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14800|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14810|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14820|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14830|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14860|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14880|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14890|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14910|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14920|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14921|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14940|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14950|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14960|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14970|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14980|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14981|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14982|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14983|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14984|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14986|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14987|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14988|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14990|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14991|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IL|14992|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IN|15030|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IN|15130|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IN|15220|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IN|15410|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IN|15550|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IN|15620|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IN|15820|0|N
H1463|003|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare HMO 20 Rx (HMO)|00025411|8.90|0| | |IN|15850|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IA|16810|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14030|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14040|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14050|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14070|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14080|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14090|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14100|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14110|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14120|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14140|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14150|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14160|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14170|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14180|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14190|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14310|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14320|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14330|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14340|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14350|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14360|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14370|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14380|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14400|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14410|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14420|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14440|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14450|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14460|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14470|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14480|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14490|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14510|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14520|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14540|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14560|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14580|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14590|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14600|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14610|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14620|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14630|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14650|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14660|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14670|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14690|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14700|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14710|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14730|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14740|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14760|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14770|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14780|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14790|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14800|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14810|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14820|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14830|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14860|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14880|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14890|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14910|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14920|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14921|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14940|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14950|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14960|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14970|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14980|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14981|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14982|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14983|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14984|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14986|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14987|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14988|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14990|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14991|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IL|14992|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IN|15030|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IN|15130|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IN|15220|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IN|15410|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IN|15550|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IN|15620|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IN|15820|0|N
H1463|015|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Basic Rx (HMO-POS)|00025411|72.00|0| | |IN|15850|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IA|16810|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14030|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14040|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14050|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14070|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14080|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14090|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14100|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14110|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14120|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14140|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14150|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14160|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14170|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14180|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14190|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14310|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14320|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14330|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14340|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14350|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14360|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14370|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14380|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14400|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14410|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14420|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14440|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14450|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14460|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14470|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14480|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14490|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14510|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14520|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14540|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14560|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14580|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14590|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14600|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14610|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14620|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14630|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14650|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14660|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14670|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14690|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14700|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14710|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14730|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14740|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14760|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14770|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14780|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14790|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14800|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14810|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14820|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14830|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14860|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14880|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14890|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14910|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14920|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14921|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14940|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14950|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14960|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14970|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14980|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14981|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14982|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14983|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14984|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14986|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14987|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14988|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14990|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14991|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IL|14992|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IN|15030|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IN|15130|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IN|15220|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IN|15410|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IN|15550|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IN|15620|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IN|15820|0|N
H1463|019|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS 10 Rx (HMO-POS)|00025411|60.40|0| | |IN|15850|0|N
H1463|042|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Enrich Rx (HMO-POS)|00025411|41.10|250| | |IL|14030|0|N
H1463|042|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Enrich Rx (HMO-POS)|00025411|41.10|250| | |IL|14050|0|N
H1463|042|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Enrich Rx (HMO-POS)|00025411|41.10|250| | |IL|14180|0|N
H1463|042|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Enrich Rx (HMO-POS)|00025411|41.10|250| | |IL|14440|0|N
H1463|042|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Enrich Rx (HMO-POS)|00025411|41.10|250| | |IL|14450|0|N
H1463|042|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Enrich Rx (HMO-POS)|00025411|41.10|250| | |IL|14560|0|N
H1463|042|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Enrich Rx (HMO-POS)|00025411|41.10|250| | |IL|14580|0|N
H1463|042|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Enrich Rx (HMO-POS)|00025411|41.10|250| | |IL|14610|0|N
H1463|042|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Enrich Rx (HMO-POS)|00025411|41.10|250| | |IL|14650|0|N
H1463|042|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Enrich Rx (HMO-POS)|00025411|41.10|250| | |IL|14700|0|N
H1463|042|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Enrich Rx (HMO-POS)|00025411|41.10|250| | |IL|14800|0|N
H1463|042|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Enrich Rx (HMO-POS)|00025411|41.10|250| | |IL|14860|0|N
H1463|042|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Enrich Rx (HMO-POS)|00025411|41.10|250| | |IL|14960|0|N
H1463|042|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Enrich Rx (HMO-POS)|00025411|41.10|250| | |IL|14980|0|N
H1463|042|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Enrich Rx (HMO-POS)|00025411|41.10|250| | |IL|14984|0|N
H1463|042|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Enrich Rx (HMO-POS)|00025411|41.10|250| | |IL|14991|0|N
H1463|042|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Enrich Rx (HMO-POS)|00025411|41.10|250| | |IL|14992|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IA|16810|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14030|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14040|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14050|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14070|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14080|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14090|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14100|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14110|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14120|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14140|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14150|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14160|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14170|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14180|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14190|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14310|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14320|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14330|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14340|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14350|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14360|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14370|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14380|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14400|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14410|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14420|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14440|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14450|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14460|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14470|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14480|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14490|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14510|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14520|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14540|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14560|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14580|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14590|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14600|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14610|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14620|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14630|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14650|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14660|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14670|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14690|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14700|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14710|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14730|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14740|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14760|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14770|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14780|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14790|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14800|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14810|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14820|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14830|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14860|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14880|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14890|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14910|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14920|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14921|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14940|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14950|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14960|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14970|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14980|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14981|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14982|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14983|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14984|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14986|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14987|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14988|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14990|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14991|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IL|14992|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IN|15030|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IN|15130|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IN|15220|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IN|15410|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IN|15550|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IN|15620|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IN|15820|0|N
H1463|044|000|HEALTH ALLIANCE CONNECT, INC.|Health Alliance Medicare POS Choice Rx (HMO-POS)|00025411|0.00|0| | |IN|15850|0|N
H1468|007|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Gold Plus H1468-007 (HMO)|00025456|0.00|250| | |IL|14030|0|N
H1468|007|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Gold Plus H1468-007 (HMO)|00025456|0.00|250| | |IL|14450|0|N
H1468|007|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Gold Plus H1468-007 (HMO)|00025456|0.00|250| | |IL|14560|0|N
H1468|007|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Gold Plus H1468-007 (HMO)|00025456|0.00|250| | |IL|14580|0|N
H1468|007|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Gold Plus H1468-007 (HMO)|00025456|0.00|250| | |IL|14610|0|N
H1468|007|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Gold Plus H1468-007 (HMO)|00025456|0.00|250| | |IL|14650|0|N
H1468|007|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Gold Plus H1468-007 (HMO)|00025456|0.00|250| | |IL|14700|0|N
H1468|007|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Gold Plus H1468-007 (HMO)|00025456|0.00|250| | |IL|14790|0|N
H1468|007|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Gold Plus H1468-007 (HMO)|00025456|0.00|250| | |IL|14800|0|N
H1468|007|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Gold Plus H1468-007 (HMO)|00025456|0.00|250| | |IL|14890|0|N
H1468|007|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Gold Plus H1468-007 (HMO)|00025456|0.00|250| | |IL|14960|0|N
H1468|007|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Gold Plus H1468-007 (HMO)|00025456|0.00|250| | |IL|14970|0|N
H1468|007|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Gold Plus H1468-007 (HMO)|00025456|0.00|250| | |IL|14980|0|N
H1468|007|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Gold Plus H1468-007 (HMO)|00025456|0.00|250| | |IL|14991|0|N
H1468|007|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Gold Plus H1468-007 (HMO)|00025456|0.00|250| | |IL|14992|0|N
H1468|013|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Gold Plus H1468-013 (HMO)|00025456|0.00|0| | |IL|14141|0|N
H1468|013|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Gold Plus H1468-013 (HMO)|00025456|0.00|0| | |IL|14250|0|N
H1468|013|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Gold Plus H1468-013 (HMO)|00025456|0.00|0| | |IL|14540|0|N
H1468|013|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Gold Plus H1468-013 (HMO)|00025456|0.00|0| | |IL|14570|0|N
H1468|013|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Gold Plus H1468-013 (HMO)|00025456|0.00|0| | |IL|14989|0|N
H1468|014|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Gold Plus H1468-014 (HMO)|00025456|0.00|250| | |IL|14170|0|N
H1468|014|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Gold Plus H1468-014 (HMO)|00025456|0.00|250| | |IL|14530|0|N
H1468|014|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Gold Plus H1468-014 (HMO)|00025456|0.00|250| | |IL|14550|0|N
H1468|014|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Gold Plus H1468-014 (HMO)|00025456|0.00|250| | |IL|14640|0|N
H1468|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Community HMO Diabetes and Heart (HMO C-SNP)|00025460|0.00|0| | |IL|14141|1|N
H1468|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Community HMO Diabetes and Heart (HMO C-SNP)|00025460|0.00|0| | |IL|14250|1|N
H1468|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Community HMO Diabetes and Heart (HMO C-SNP)|00025460|0.00|0| | |IL|14989|1|N
H1468|018|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Community Select (HMO)|00025456|0.00|0| | |IL|14530|0|N
H1468|018|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Community Select (HMO)|00025456|0.00|0| | |IL|14550|0|N
H1468|018|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Community Select (HMO)|00025456|0.00|0| | |IL|14640|0|N
H1468|021|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Gold Plus Giveback H1468-021 (HMO)|00025456|0.00|250| | |IL|14141|0|N
H1468|021|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Gold Plus Giveback H1468-021 (HMO)|00025456|0.00|250| | |IL|14250|0|N
H1468|021|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Gold Plus Giveback H1468-021 (HMO)|00025456|0.00|250| | |IL|14570|0|N
H1468|021|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Gold Plus Giveback H1468-021 (HMO)|00025456|0.00|250| | |IL|14989|0|N
H1468|022|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|6.20|590| | |IL|14141|1|N
H1468|022|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|6.20|590| | |IL|14250|1|N
H1468|022|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|6.20|590| | |IL|14989|1|N
H1526|001|000|GOLD KIDNEY OF FLORIDA INC|Gold Heart & Diabetes (HMO-POS C-SNP)|00025216|0.00|0| | |FL|10010|1|N
H1526|001|000|GOLD KIDNEY OF FLORIDA INC|Gold Heart & Diabetes (HMO-POS C-SNP)|00025216|0.00|0| | |FL|10050|1|N
H1526|001|000|GOLD KIDNEY OF FLORIDA INC|Gold Heart & Diabetes (HMO-POS C-SNP)|00025216|0.00|0| | |FL|10090|1|N
H1526|001|000|GOLD KIDNEY OF FLORIDA INC|Gold Heart & Diabetes (HMO-POS C-SNP)|00025216|0.00|0| | |FL|10130|1|N
H1526|001|000|GOLD KIDNEY OF FLORIDA INC|Gold Heart & Diabetes (HMO-POS C-SNP)|00025216|0.00|0| | |FL|10150|1|N
H1526|001|000|GOLD KIDNEY OF FLORIDA INC|Gold Heart & Diabetes (HMO-POS C-SNP)|00025216|0.00|0| | |FL|10240|1|N
H1526|001|000|GOLD KIDNEY OF FLORIDA INC|Gold Heart & Diabetes (HMO-POS C-SNP)|00025216|0.00|0| | |FL|10250|1|N
H1526|001|000|GOLD KIDNEY OF FLORIDA INC|Gold Heart & Diabetes (HMO-POS C-SNP)|00025216|0.00|0| | |FL|10260|1|N
H1526|001|000|GOLD KIDNEY OF FLORIDA INC|Gold Heart & Diabetes (HMO-POS C-SNP)|00025216|0.00|0| | |FL|10280|1|N
H1526|001|000|GOLD KIDNEY OF FLORIDA INC|Gold Heart & Diabetes (HMO-POS C-SNP)|00025216|0.00|0| | |FL|10300|1|N
H1526|001|000|GOLD KIDNEY OF FLORIDA INC|Gold Heart & Diabetes (HMO-POS C-SNP)|00025216|0.00|0| | |FL|10400|1|N
H1526|001|000|GOLD KIDNEY OF FLORIDA INC|Gold Heart & Diabetes (HMO-POS C-SNP)|00025216|0.00|0| | |FL|10420|1|N
H1526|001|000|GOLD KIDNEY OF FLORIDA INC|Gold Heart & Diabetes (HMO-POS C-SNP)|00025216|0.00|0| | |FL|10460|1|N
H1526|001|000|GOLD KIDNEY OF FLORIDA INC|Gold Heart & Diabetes (HMO-POS C-SNP)|00025216|0.00|0| | |FL|10480|1|N
H1526|001|000|GOLD KIDNEY OF FLORIDA INC|Gold Heart & Diabetes (HMO-POS C-SNP)|00025216|0.00|0| | |FL|10490|1|N
H1526|001|000|GOLD KIDNEY OF FLORIDA INC|Gold Heart & Diabetes (HMO-POS C-SNP)|00025216|0.00|0| | |FL|10500|1|N
H1526|001|000|GOLD KIDNEY OF FLORIDA INC|Gold Heart & Diabetes (HMO-POS C-SNP)|00025216|0.00|0| | |FL|10510|1|N
H1526|001|000|GOLD KIDNEY OF FLORIDA INC|Gold Heart & Diabetes (HMO-POS C-SNP)|00025216|0.00|0| | |FL|10550|1|N
H1526|001|000|GOLD KIDNEY OF FLORIDA INC|Gold Heart & Diabetes (HMO-POS C-SNP)|00025216|0.00|0| | |FL|10570|1|N
H1526|001|000|GOLD KIDNEY OF FLORIDA INC|Gold Heart & Diabetes (HMO-POS C-SNP)|00025216|0.00|0| | |FL|10580|1|N
H1526|001|000|GOLD KIDNEY OF FLORIDA INC|Gold Heart & Diabetes (HMO-POS C-SNP)|00025216|0.00|0| | |FL|10590|1|N
H1526|002|000|GOLD KIDNEY OF FLORIDA INC|Gold Heart & Diabetes Complete (HMO-POS C-SNP)|00025318|20.30|590| | |FL|10010|1|N
H1526|002|000|GOLD KIDNEY OF FLORIDA INC|Gold Heart & Diabetes Complete (HMO-POS C-SNP)|00025318|20.30|590| | |FL|10050|1|N
H1526|002|000|GOLD KIDNEY OF FLORIDA INC|Gold Heart & Diabetes Complete (HMO-POS C-SNP)|00025318|20.30|590| | |FL|10090|1|N
H1526|002|000|GOLD KIDNEY OF FLORIDA INC|Gold Heart & Diabetes Complete (HMO-POS C-SNP)|00025318|20.30|590| | |FL|10120|1|N
H1526|002|000|GOLD KIDNEY OF FLORIDA INC|Gold Heart & Diabetes Complete (HMO-POS C-SNP)|00025318|20.30|590| | |FL|10130|1|N
H1526|002|000|GOLD KIDNEY OF FLORIDA INC|Gold Heart & Diabetes Complete (HMO-POS C-SNP)|00025318|20.30|590| | |FL|10150|1|N
H1526|002|000|GOLD KIDNEY OF FLORIDA INC|Gold Heart & Diabetes Complete (HMO-POS C-SNP)|00025318|20.30|590| | |FL|10240|1|N
H1526|002|000|GOLD KIDNEY OF FLORIDA INC|Gold Heart & Diabetes Complete (HMO-POS C-SNP)|00025318|20.30|590| | |FL|10250|1|N
H1526|002|000|GOLD KIDNEY OF FLORIDA INC|Gold Heart & Diabetes Complete (HMO-POS C-SNP)|00025318|20.30|590| | |FL|10260|1|N
H1526|002|000|GOLD KIDNEY OF FLORIDA INC|Gold Heart & Diabetes Complete (HMO-POS C-SNP)|00025318|20.30|590| | |FL|10280|1|N
H1526|002|000|GOLD KIDNEY OF FLORIDA INC|Gold Heart & Diabetes Complete (HMO-POS C-SNP)|00025318|20.30|590| | |FL|10300|1|N
H1526|002|000|GOLD KIDNEY OF FLORIDA INC|Gold Heart & Diabetes Complete (HMO-POS C-SNP)|00025318|20.30|590| | |FL|10400|1|N
H1526|002|000|GOLD KIDNEY OF FLORIDA INC|Gold Heart & Diabetes Complete (HMO-POS C-SNP)|00025318|20.30|590| | |FL|10420|1|N
H1526|002|000|GOLD KIDNEY OF FLORIDA INC|Gold Heart & Diabetes Complete (HMO-POS C-SNP)|00025318|20.30|590| | |FL|10460|1|N
H1526|002|000|GOLD KIDNEY OF FLORIDA INC|Gold Heart & Diabetes Complete (HMO-POS C-SNP)|00025318|20.30|590| | |FL|10480|1|N
H1526|002|000|GOLD KIDNEY OF FLORIDA INC|Gold Heart & Diabetes Complete (HMO-POS C-SNP)|00025318|20.30|590| | |FL|10490|1|N
H1526|002|000|GOLD KIDNEY OF FLORIDA INC|Gold Heart & Diabetes Complete (HMO-POS C-SNP)|00025318|20.30|590| | |FL|10500|1|N
H1526|002|000|GOLD KIDNEY OF FLORIDA INC|Gold Heart & Diabetes Complete (HMO-POS C-SNP)|00025318|20.30|590| | |FL|10510|1|N
H1526|002|000|GOLD KIDNEY OF FLORIDA INC|Gold Heart & Diabetes Complete (HMO-POS C-SNP)|00025318|20.30|590| | |FL|10550|1|N
H1526|002|000|GOLD KIDNEY OF FLORIDA INC|Gold Heart & Diabetes Complete (HMO-POS C-SNP)|00025318|20.30|590| | |FL|10570|1|N
H1526|002|000|GOLD KIDNEY OF FLORIDA INC|Gold Heart & Diabetes Complete (HMO-POS C-SNP)|00025318|20.30|590| | |FL|10580|1|N
H1526|002|000|GOLD KIDNEY OF FLORIDA INC|Gold Heart & Diabetes Complete (HMO-POS C-SNP)|00025318|20.30|590| | |FL|10590|1|N
H1526|003|000|GOLD KIDNEY OF FLORIDA INC|Gold Dialysis (HMO-POS C-SNP)|00025216|0.00|0| | |FL|10010|1|N
H1526|003|000|GOLD KIDNEY OF FLORIDA INC|Gold Dialysis (HMO-POS C-SNP)|00025216|0.00|0| | |FL|10050|1|N
H1526|003|000|GOLD KIDNEY OF FLORIDA INC|Gold Dialysis (HMO-POS C-SNP)|00025216|0.00|0| | |FL|10090|1|N
H1526|003|000|GOLD KIDNEY OF FLORIDA INC|Gold Dialysis (HMO-POS C-SNP)|00025216|0.00|0| | |FL|10130|1|N
H1526|003|000|GOLD KIDNEY OF FLORIDA INC|Gold Dialysis (HMO-POS C-SNP)|00025216|0.00|0| | |FL|10150|1|N
H1526|003|000|GOLD KIDNEY OF FLORIDA INC|Gold Dialysis (HMO-POS C-SNP)|00025216|0.00|0| | |FL|10240|1|N
H1526|003|000|GOLD KIDNEY OF FLORIDA INC|Gold Dialysis (HMO-POS C-SNP)|00025216|0.00|0| | |FL|10250|1|N
H1526|003|000|GOLD KIDNEY OF FLORIDA INC|Gold Dialysis (HMO-POS C-SNP)|00025216|0.00|0| | |FL|10260|1|N
H1526|003|000|GOLD KIDNEY OF FLORIDA INC|Gold Dialysis (HMO-POS C-SNP)|00025216|0.00|0| | |FL|10280|1|N
H1526|003|000|GOLD KIDNEY OF FLORIDA INC|Gold Dialysis (HMO-POS C-SNP)|00025216|0.00|0| | |FL|10300|1|N
H1526|003|000|GOLD KIDNEY OF FLORIDA INC|Gold Dialysis (HMO-POS C-SNP)|00025216|0.00|0| | |FL|10400|1|N
H1526|003|000|GOLD KIDNEY OF FLORIDA INC|Gold Dialysis (HMO-POS C-SNP)|00025216|0.00|0| | |FL|10420|1|N
H1526|003|000|GOLD KIDNEY OF FLORIDA INC|Gold Dialysis (HMO-POS C-SNP)|00025216|0.00|0| | |FL|10460|1|N
H1526|003|000|GOLD KIDNEY OF FLORIDA INC|Gold Dialysis (HMO-POS C-SNP)|00025216|0.00|0| | |FL|10480|1|N
H1526|003|000|GOLD KIDNEY OF FLORIDA INC|Gold Dialysis (HMO-POS C-SNP)|00025216|0.00|0| | |FL|10490|1|N
H1526|003|000|GOLD KIDNEY OF FLORIDA INC|Gold Dialysis (HMO-POS C-SNP)|00025216|0.00|0| | |FL|10500|1|N
H1526|003|000|GOLD KIDNEY OF FLORIDA INC|Gold Dialysis (HMO-POS C-SNP)|00025216|0.00|0| | |FL|10510|1|N
H1526|003|000|GOLD KIDNEY OF FLORIDA INC|Gold Dialysis (HMO-POS C-SNP)|00025216|0.00|0| | |FL|10550|1|N
H1526|003|000|GOLD KIDNEY OF FLORIDA INC|Gold Dialysis (HMO-POS C-SNP)|00025216|0.00|0| | |FL|10570|1|N
H1526|003|000|GOLD KIDNEY OF FLORIDA INC|Gold Dialysis (HMO-POS C-SNP)|00025216|0.00|0| | |FL|10580|1|N
H1526|003|000|GOLD KIDNEY OF FLORIDA INC|Gold Dialysis (HMO-POS C-SNP)|00025216|0.00|0| | |FL|10590|1|N
H1526|004|000|GOLD KIDNEY OF FLORIDA INC|Gold Dialysis Complete (HMO-POS C-SNP)|00025318|8.70|590| | |FL|10010|1|N
H1526|004|000|GOLD KIDNEY OF FLORIDA INC|Gold Dialysis Complete (HMO-POS C-SNP)|00025318|8.70|590| | |FL|10050|1|N
H1526|004|000|GOLD KIDNEY OF FLORIDA INC|Gold Dialysis Complete (HMO-POS C-SNP)|00025318|8.70|590| | |FL|10090|1|N
H1526|004|000|GOLD KIDNEY OF FLORIDA INC|Gold Dialysis Complete (HMO-POS C-SNP)|00025318|8.70|590| | |FL|10120|1|N
H1526|004|000|GOLD KIDNEY OF FLORIDA INC|Gold Dialysis Complete (HMO-POS C-SNP)|00025318|8.70|590| | |FL|10130|1|N
H1526|004|000|GOLD KIDNEY OF FLORIDA INC|Gold Dialysis Complete (HMO-POS C-SNP)|00025318|8.70|590| | |FL|10150|1|N
H1526|004|000|GOLD KIDNEY OF FLORIDA INC|Gold Dialysis Complete (HMO-POS C-SNP)|00025318|8.70|590| | |FL|10240|1|N
H1526|004|000|GOLD KIDNEY OF FLORIDA INC|Gold Dialysis Complete (HMO-POS C-SNP)|00025318|8.70|590| | |FL|10250|1|N
H1526|004|000|GOLD KIDNEY OF FLORIDA INC|Gold Dialysis Complete (HMO-POS C-SNP)|00025318|8.70|590| | |FL|10260|1|N
H1526|004|000|GOLD KIDNEY OF FLORIDA INC|Gold Dialysis Complete (HMO-POS C-SNP)|00025318|8.70|590| | |FL|10280|1|N
H1526|004|000|GOLD KIDNEY OF FLORIDA INC|Gold Dialysis Complete (HMO-POS C-SNP)|00025318|8.70|590| | |FL|10300|1|N
H1526|004|000|GOLD KIDNEY OF FLORIDA INC|Gold Dialysis Complete (HMO-POS C-SNP)|00025318|8.70|590| | |FL|10400|1|N
H1526|004|000|GOLD KIDNEY OF FLORIDA INC|Gold Dialysis Complete (HMO-POS C-SNP)|00025318|8.70|590| | |FL|10420|1|N
H1526|004|000|GOLD KIDNEY OF FLORIDA INC|Gold Dialysis Complete (HMO-POS C-SNP)|00025318|8.70|590| | |FL|10460|1|N
H1526|004|000|GOLD KIDNEY OF FLORIDA INC|Gold Dialysis Complete (HMO-POS C-SNP)|00025318|8.70|590| | |FL|10480|1|N
H1526|004|000|GOLD KIDNEY OF FLORIDA INC|Gold Dialysis Complete (HMO-POS C-SNP)|00025318|8.70|590| | |FL|10490|1|N
H1526|004|000|GOLD KIDNEY OF FLORIDA INC|Gold Dialysis Complete (HMO-POS C-SNP)|00025318|8.70|590| | |FL|10500|1|N
H1526|004|000|GOLD KIDNEY OF FLORIDA INC|Gold Dialysis Complete (HMO-POS C-SNP)|00025318|8.70|590| | |FL|10510|1|N
H1526|004|000|GOLD KIDNEY OF FLORIDA INC|Gold Dialysis Complete (HMO-POS C-SNP)|00025318|8.70|590| | |FL|10550|1|N
H1526|004|000|GOLD KIDNEY OF FLORIDA INC|Gold Dialysis Complete (HMO-POS C-SNP)|00025318|8.70|590| | |FL|10570|1|N
H1526|004|000|GOLD KIDNEY OF FLORIDA INC|Gold Dialysis Complete (HMO-POS C-SNP)|00025318|8.70|590| | |FL|10580|1|N
H1526|004|000|GOLD KIDNEY OF FLORIDA INC|Gold Dialysis Complete (HMO-POS C-SNP)|00025318|8.70|590| | |FL|10590|1|N
H1526|005|000|GOLD KIDNEY OF FLORIDA INC|Gold Advantage (HMO-POS)|00025318|0.00|0| | |FL|10010|0|N
H1526|005|000|GOLD KIDNEY OF FLORIDA INC|Gold Advantage (HMO-POS)|00025318|0.00|0| | |FL|10050|0|N
H1526|005|000|GOLD KIDNEY OF FLORIDA INC|Gold Advantage (HMO-POS)|00025318|0.00|0| | |FL|10090|0|N
H1526|005|000|GOLD KIDNEY OF FLORIDA INC|Gold Advantage (HMO-POS)|00025318|0.00|0| | |FL|10130|0|N
H1526|005|000|GOLD KIDNEY OF FLORIDA INC|Gold Advantage (HMO-POS)|00025318|0.00|0| | |FL|10150|0|N
H1526|005|000|GOLD KIDNEY OF FLORIDA INC|Gold Advantage (HMO-POS)|00025318|0.00|0| | |FL|10240|0|N
H1526|005|000|GOLD KIDNEY OF FLORIDA INC|Gold Advantage (HMO-POS)|00025318|0.00|0| | |FL|10250|0|N
H1526|005|000|GOLD KIDNEY OF FLORIDA INC|Gold Advantage (HMO-POS)|00025318|0.00|0| | |FL|10260|0|N
H1526|005|000|GOLD KIDNEY OF FLORIDA INC|Gold Advantage (HMO-POS)|00025318|0.00|0| | |FL|10280|0|N
H1526|005|000|GOLD KIDNEY OF FLORIDA INC|Gold Advantage (HMO-POS)|00025318|0.00|0| | |FL|10300|0|N
H1526|005|000|GOLD KIDNEY OF FLORIDA INC|Gold Advantage (HMO-POS)|00025318|0.00|0| | |FL|10400|0|N
H1526|005|000|GOLD KIDNEY OF FLORIDA INC|Gold Advantage (HMO-POS)|00025318|0.00|0| | |FL|10420|0|N
H1526|005|000|GOLD KIDNEY OF FLORIDA INC|Gold Advantage (HMO-POS)|00025318|0.00|0| | |FL|10460|0|N
H1526|005|000|GOLD KIDNEY OF FLORIDA INC|Gold Advantage (HMO-POS)|00025318|0.00|0| | |FL|10480|0|N
H1526|005|000|GOLD KIDNEY OF FLORIDA INC|Gold Advantage (HMO-POS)|00025318|0.00|0| | |FL|10490|0|N
H1526|005|000|GOLD KIDNEY OF FLORIDA INC|Gold Advantage (HMO-POS)|00025318|0.00|0| | |FL|10500|0|N
H1526|005|000|GOLD KIDNEY OF FLORIDA INC|Gold Advantage (HMO-POS)|00025318|0.00|0| | |FL|10510|0|N
H1526|005|000|GOLD KIDNEY OF FLORIDA INC|Gold Advantage (HMO-POS)|00025318|0.00|0| | |FL|10550|0|N
H1526|005|000|GOLD KIDNEY OF FLORIDA INC|Gold Advantage (HMO-POS)|00025318|0.00|0| | |FL|10570|0|N
H1526|005|000|GOLD KIDNEY OF FLORIDA INC|Gold Advantage (HMO-POS)|00025318|0.00|0| | |FL|10580|0|N
H1526|005|000|GOLD KIDNEY OF FLORIDA INC|Gold Advantage (HMO-POS)|00025318|0.00|0| | |FL|10590|0|N
H1526|008|000|GOLD KIDNEY OF FLORIDA INC|Gold Health (HMO-POS C-SNP)|00025216|0.00|0| | |FL|10120|1|N
H1526|009|000|GOLD KIDNEY OF FLORIDA INC|Gold Dialysis (HMO-POS C-SNP)|00025216|0.00|0| | |FL|10120|1|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04000|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04010|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04020|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04030|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04040|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04050|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04060|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04070|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04080|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04090|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04100|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04110|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04120|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04130|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04140|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04150|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04160|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04170|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04180|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04190|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04200|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04210|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04220|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04230|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04240|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04250|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04260|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04270|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04280|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04290|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04300|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04310|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04320|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04330|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04340|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04350|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04360|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04370|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04380|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04390|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04400|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04410|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04420|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04430|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04440|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04450|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04460|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04470|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04480|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04490|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04500|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04510|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04520|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04530|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04540|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04550|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04560|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04570|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04580|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04590|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04600|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04610|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04620|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04630|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04640|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04650|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04660|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04670|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04680|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04690|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04700|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04710|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04720|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04730|2|N
H1587|001|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Advantage (HMO-POS D-SNP)|00025490|0.00|590| | |AR|04740|2|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04000|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04010|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04020|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04030|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04040|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04050|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04060|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04070|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04080|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04090|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04100|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04110|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04120|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04130|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04140|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04150|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04160|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04170|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04180|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04190|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04200|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04210|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04220|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04230|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04240|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04250|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04260|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04270|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04280|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04290|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04300|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04310|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04320|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04330|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04340|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04350|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04360|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04370|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04380|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04390|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04400|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04410|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04420|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04430|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04440|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04450|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04460|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04470|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04480|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04490|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04500|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04510|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04520|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04530|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04540|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04550|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04560|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04570|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04580|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04590|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04600|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04610|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04620|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04630|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04640|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04650|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04660|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04670|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04680|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04690|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04700|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04710|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04720|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04730|3|N
H1587|003|000|ARKANSAS SUPERIOR SELECT, INC.|Tribute Select (HMO-POS I-SNP)|00025490|20.90|590| | |AR|04740|3|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15010|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15020|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15030|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15040|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15050|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15060|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15070|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15080|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15090|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15100|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15110|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15130|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15140|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15150|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15160|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15170|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15180|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15190|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15200|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15210|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15220|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15230|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15250|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15260|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15270|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15280|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15290|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15300|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15310|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15330|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15340|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15350|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15370|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15380|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15390|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15400|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15410|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15420|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15430|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15440|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15450|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15470|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15480|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15500|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15520|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15540|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15550|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15560|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15570|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15600|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15610|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15620|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15630|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15640|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15660|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15670|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15700|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15710|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15720|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15730|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15770|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15780|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15790|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15800|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15810|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15820|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15830|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15840|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15850|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15860|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15870|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15880|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15890|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15900|0|N
H1607|012|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|61.50|60| | |IN|15910|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15000|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15010|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15020|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15030|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15040|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15050|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15060|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15070|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15080|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15090|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15100|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15110|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15120|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15130|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15140|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15150|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15160|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15170|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15180|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15190|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15200|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15210|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15220|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15230|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15240|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15250|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15260|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15270|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15280|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15290|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15300|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15310|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15320|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15330|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15340|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15350|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15360|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15370|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15380|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15390|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15400|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15410|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15420|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15430|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15440|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15450|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15460|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15470|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15480|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15490|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15500|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15510|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15520|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15530|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15540|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15550|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15560|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15570|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15580|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15590|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15600|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15610|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15620|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15630|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15640|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15650|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15660|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15670|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15680|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15690|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15700|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15710|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15720|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15730|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15740|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15750|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15760|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15770|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15780|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15790|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15800|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15810|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15820|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15830|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15840|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15850|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15860|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15870|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15880|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15890|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15900|0|N
H1607|015|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|23.10|295| | |IN|15910|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16000|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16010|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16020|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16030|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16040|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16050|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16060|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16070|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16080|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16090|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16100|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16110|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16120|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16130|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16140|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16150|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16160|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16170|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16180|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16190|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16200|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16210|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16220|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16230|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16240|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16250|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16260|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16270|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16280|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16290|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16310|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16320|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16330|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16340|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16350|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16360|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16370|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16380|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16390|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16400|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16410|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16420|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16430|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16440|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16450|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16460|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16470|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16480|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16490|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16500|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16510|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16520|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16530|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16540|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16550|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16560|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16570|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16580|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16590|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16600|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16610|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16620|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16630|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16640|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16650|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16660|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16670|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16680|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16690|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16700|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16710|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16720|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16730|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16740|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16750|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16760|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16770|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16780|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16790|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16800|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16810|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16820|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16830|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16840|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16850|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16860|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16870|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16880|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16890|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16900|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16910|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16920|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16930|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16940|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16950|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16960|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16970|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |IA|16980|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |SD|43010|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |SD|43020|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |SD|43040|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |SD|43050|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |SD|43070|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |SD|43080|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |SD|43100|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |SD|43110|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |SD|43120|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |SD|43130|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |SD|43150|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |SD|43170|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |SD|43180|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |SD|43190|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |SD|43210|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |SD|43260|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |SD|43280|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |SD|43300|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |SD|43330|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |SD|43360|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |SD|43380|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |SD|43390|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |SD|43410|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |SD|43430|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |SD|43450|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |SD|43480|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |SD|43490|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |SD|43500|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |SD|43550|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |SD|43570|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |SD|43620|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |SD|43630|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |SD|43640|0|N
H1608|001|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |SD|43670|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28000|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28010|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28030|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28050|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28070|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28080|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28090|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28100|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28110|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28120|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28130|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28160|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28170|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28180|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28190|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28200|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28210|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28250|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28260|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28270|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28290|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28300|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28310|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28320|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28330|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28350|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28360|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28380|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28390|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28400|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28410|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28440|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28460|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28470|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28480|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28490|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28520|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28530|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28540|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28570|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28590|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28600|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28610|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28620|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28630|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28640|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28650|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28660|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28680|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28690|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28700|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28710|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28730|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28740|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28750|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28760|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28770|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28790|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28810|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28830|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28840|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28860|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28870|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28880|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28890|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28900|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28910|0|N
H1608|012|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NE|28920|0|N
H1608|013|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|40.00|590| | |IL|14020|0|N
H1608|013|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|40.00|590| | |IL|14060|0|N
H1608|013|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|40.00|590| | |IL|14130|0|N
H1608|013|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|40.00|590| | |IL|14390|0|N
H1608|013|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|40.00|590| | |IL|14500|0|N
H1608|013|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|40.00|590| | |IL|14680|0|N
H1608|013|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|40.00|590| | |IL|14750|0|N
H1608|013|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|40.00|590| | |IL|14870|0|N
H1608|013|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|40.00|590| | |IL|14900|0|N
H1608|013|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|40.00|590| | |IL|14985|0|N
H1608|013|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|40.00|590| | |MO|26030|0|N
H1608|013|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|40.00|590| | |MO|26090|0|N
H1608|013|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|40.00|590| | |MO|26130|0|N
H1608|013|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|40.00|590| | |MO|26250|0|N
H1608|013|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|40.00|590| | |MO|26260|0|N
H1608|013|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|40.00|590| | |MO|26270|0|N
H1608|013|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|40.00|590| | |MO|26350|0|N
H1608|013|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|40.00|590| | |MO|26360|0|N
H1608|013|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|40.00|590| | |MO|26440|0|N
H1608|013|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|40.00|590| | |MO|26490|0|N
H1608|013|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|40.00|590| | |MO|26510|0|N
H1608|013|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|40.00|590| | |MO|26541|0|N
H1608|013|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|40.00|590| | |MO|26560|0|N
H1608|013|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|40.00|590| | |MO|26620|0|N
H1608|013|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|40.00|590| | |MO|26630|0|N
H1608|013|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|40.00|590| | |MO|26650|0|N
H1608|013|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|40.00|590| | |MO|26670|0|N
H1608|013|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|40.00|590| | |MO|26680|0|N
H1608|013|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|40.00|590| | |MO|26690|0|N
H1608|013|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|40.00|590| | |MO|26750|0|N
H1608|013|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|40.00|590| | |MO|26780|0|N
H1608|013|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|40.00|590| | |MO|26810|0|N
H1608|013|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|40.00|590| | |MO|26860|0|N
H1608|013|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|40.00|590| | |MO|26910|0|N
H1608|013|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|40.00|590| | |MO|26930|0|N
H1608|013|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|40.00|590| | |MO|26940|0|N
H1608|013|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|40.00|590| | |MO|26950|0|N
H1608|013|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|40.00|590| | |MO|26960|0|N
H1608|013|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|40.00|590| | |MO|26984|0|N
H1608|013|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|40.00|590| | |MO|26991|0|N
H1608|013|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|40.00|590| | |MO|26992|0|N
H1608|016|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |KS|17000|0|N
H1608|016|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |KS|17010|0|N
H1608|016|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |KS|17020|0|N
H1608|016|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |KS|17050|0|N
H1608|016|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |KS|17220|0|N
H1608|016|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |KS|17290|0|N
H1608|016|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |KS|17430|0|N
H1608|016|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |KS|17450|0|N
H1608|016|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |KS|17510|0|N
H1608|016|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |KS|17530|0|N
H1608|016|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |KS|17600|0|N
H1608|016|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |KS|17986|0|N
H1608|016|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |MO|26060|0|N
H1608|016|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |MO|26070|0|N
H1608|016|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |MO|26120|0|N
H1608|016|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |MO|26160|0|N
H1608|016|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |MO|26180|0|N
H1608|016|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |MO|26230|0|N
H1608|016|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |MO|26240|0|N
H1608|016|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |MO|26410|0|N
H1608|016|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |MO|26470|0|N
H1608|016|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |MO|26500|0|N
H1608|016|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |MO|26530|0|N
H1608|016|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |MO|26580|0|N
H1608|016|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |MO|26790|0|N
H1608|016|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |MO|26820|0|N
H1608|016|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |MO|26880|0|N
H1608|016|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |MO|26970|0|N
H1608|016|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |MO|26990|0|N
H1608|017|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |KS|17030|0|N
H1608|017|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |KS|17070|0|N
H1608|017|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |KS|17080|0|N
H1608|017|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |KS|17090|0|N
H1608|017|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |KS|17170|0|N
H1608|017|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |KS|17240|0|N
H1608|017|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |KS|17360|0|N
H1608|017|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |KS|17380|0|N
H1608|017|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |KS|17390|0|N
H1608|017|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |KS|17470|0|N
H1608|017|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |KS|17570|0|N
H1608|017|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |KS|17860|0|N
H1608|017|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |KS|17950|0|N
H1608|017|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |KS|17985|0|N
H1608|018|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|250| | |KS|17100|0|N
H1608|018|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|250| | |KS|17180|0|N
H1608|018|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|250| | |KS|17490|0|N
H1608|018|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|250| | |KS|17620|0|N
H1608|018|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|250| | |KS|17660|0|N
H1608|018|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|250| | |KS|17984|0|N
H1608|018|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|250| | |MO|26040|0|N
H1608|018|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|250| | |MO|26050|0|N
H1608|018|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|250| | |MO|26190|0|N
H1608|018|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|250| | |MO|26210|0|N
H1608|018|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|250| | |MO|26280|0|N
H1608|018|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|250| | |MO|26290|0|N
H1608|018|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|250| | |MO|26330|0|N
H1608|018|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|250| | |MO|26380|0|N
H1608|018|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|250| | |MO|26411|0|N
H1608|018|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|250| | |MO|26480|0|N
H1608|018|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|250| | |MO|26520|0|N
H1608|018|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|250| | |MO|26540|0|N
H1608|018|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|250| | |MO|26590|0|N
H1608|018|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|250| | |MO|26720|0|N
H1608|018|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|250| | |MO|26751|0|N
H1608|018|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|250| | |MO|26821|0|N
H1608|018|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|250| | |MO|26911|0|N
H1608|018|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|250| | |MO|26986|0|N
H1608|018|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|250| | |MO|26988|0|N
H1608|018|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|250| | |MO|26994|0|N
H1608|018|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|250| | |MO|26996|0|N
H1608|021|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |AR|04030|0|N
H1608|021|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |AR|04040|0|N
H1608|021|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |AR|04070|0|N
H1608|021|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |AR|04090|0|N
H1608|021|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |AR|04110|0|N
H1608|021|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |AR|04140|0|N
H1608|021|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |AR|04160|0|N
H1608|021|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |AR|04230|0|N
H1608|021|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |AR|04250|0|N
H1608|021|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |AR|04290|0|N
H1608|021|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |AR|04350|0|N
H1608|021|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |AR|04410|0|N
H1608|021|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |AR|04430|0|N
H1608|021|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |AR|04440|0|N
H1608|021|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |AR|04480|0|N
H1608|021|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |AR|04500|0|N
H1608|021|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |AR|04520|0|N
H1608|021|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |AR|04540|0|N
H1608|021|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |AR|04560|0|N
H1608|021|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |AR|04590|0|N
H1608|021|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |AR|04630|0|N
H1608|021|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |AR|04640|0|N
H1608|021|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |AR|04650|0|N
H1608|021|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |AR|04680|0|N
H1608|021|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |AR|04700|0|N
H1608|021|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |AR|04710|0|N
H1608|021|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |AR|04740|0|N
H1608|024|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus 2 (PPO)|00025101|0.00|590| | |KS|17130|0|N
H1608|024|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus 2 (PPO)|00025101|0.00|590| | |KS|17150|0|N
H1608|024|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus 2 (PPO)|00025101|0.00|590| | |KS|17300|0|N
H1608|024|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus 2 (PPO)|00025101|0.00|590| | |KS|17420|0|N
H1608|024|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus 2 (PPO)|00025101|0.00|590| | |KS|17430|0|N
H1608|024|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus 2 (PPO)|00025101|0.00|590| | |KS|17550|0|N
H1608|024|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus 2 (PPO)|00025101|0.00|590| | |KS|17580|0|N
H1608|024|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus 2 (PPO)|00025101|0.00|590| | |KS|17630|0|N
H1608|024|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus 2 (PPO)|00025101|0.00|590| | |KS|17650|0|N
H1608|024|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus 2 (PPO)|00025101|0.00|590| | |KS|17690|0|N
H1608|024|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus 2 (PPO)|00025101|0.00|590| | |KS|17740|0|N
H1608|024|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus 2 (PPO)|00025101|0.00|590| | |KS|17800|0|N
H1608|024|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus 2 (PPO)|00025101|0.00|590| | |KS|17880|0|N
H1608|024|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus 2 (PPO)|00025101|0.00|590| | |KS|17980|0|N
H1608|024|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus 2 (PPO)|00025101|0.00|590| | |KS|17982|0|N
H1608|027|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Gold (PPO)|00025101|12.00|590| | |WV|51030|0|N
H1608|027|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Gold (PPO)|00025101|12.00|590| | |WV|51050|0|N
H1608|027|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Gold (PPO)|00025101|12.00|590| | |WV|51060|0|N
H1608|027|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Gold (PPO)|00025101|12.00|590| | |WV|51070|0|N
H1608|027|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Gold (PPO)|00025101|12.00|590| | |WV|51090|0|N
H1608|027|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Gold (PPO)|00025101|12.00|590| | |WV|51100|0|N
H1608|027|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Gold (PPO)|00025101|12.00|590| | |WV|51120|0|N
H1608|027|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Gold (PPO)|00025101|12.00|590| | |WV|51170|0|N
H1608|027|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Gold (PPO)|00025101|12.00|590| | |WV|51190|0|N
H1608|027|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Gold (PPO)|00025101|12.00|590| | |WV|51210|0|N
H1608|027|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Gold (PPO)|00025101|12.00|590| | |WV|51230|0|N
H1608|027|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Gold (PPO)|00025101|12.00|590| | |WV|51260|0|N
H1608|027|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Gold (PPO)|00025101|12.00|590| | |WV|51270|0|N
H1608|027|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Gold (PPO)|00025101|12.00|590| | |WV|51290|0|N
H1608|027|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Gold (PPO)|00025101|12.00|590| | |WV|51330|0|N
H1608|027|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Gold (PPO)|00025101|12.00|590| | |WV|51350|0|N
H1608|027|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Gold (PPO)|00025101|12.00|590| | |WV|51360|0|N
H1608|027|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Gold (PPO)|00025101|12.00|590| | |WV|51370|0|N
H1608|027|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Gold (PPO)|00025101|12.00|590| | |WV|51390|0|N
H1608|027|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Gold (PPO)|00025101|12.00|590| | |WV|51400|0|N
H1608|027|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Gold (PPO)|00025101|12.00|590| | |WV|51490|0|N
H1608|027|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Gold (PPO)|00025101|12.00|590| | |WV|51500|0|N
H1608|027|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Gold (PPO)|00025101|12.00|590| | |WV|51520|0|N
H1608|027|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Gold (PPO)|00025101|12.00|590| | |WV|51530|0|N
H1608|027|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Gold (PPO)|00025101|12.00|590| | |WV|51540|0|N
H1608|028|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Preferred (PPO)|00025101|43.00|0| | |GA|11130|0|N
H1608|028|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Preferred (PPO)|00025101|43.00|0| | |GA|11170|0|N
H1608|028|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Preferred (PPO)|00025101|43.00|0| | |GA|11220|0|N
H1608|028|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Preferred (PPO)|00025101|43.00|0| | |GA|11290|0|N
H1608|028|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Preferred (PPO)|00025101|43.00|0| | |GA|11320|0|N
H1608|028|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Preferred (PPO)|00025101|43.00|0| | |GA|11370|0|N
H1608|028|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Preferred (PPO)|00025101|43.00|0| | |GA|11400|0|N
H1608|028|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Preferred (PPO)|00025101|43.00|0| | |GA|11451|0|N
H1608|028|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Preferred (PPO)|00025101|43.00|0| | |GA|11680|0|N
H1608|028|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Preferred (PPO)|00025101|43.00|0| | |GA|11703|0|N
H1608|028|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Preferred (PPO)|00025101|43.00|0| | |GA|11790|0|N
H1608|028|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Preferred (PPO)|00025101|43.00|0| | |GA|11810|0|N
H1608|029|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Silver (PPO)|00025101|0.00|590| | |OH|36060|0|N
H1608|029|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Silver (PPO)|00025101|0.00|590| | |OH|36140|0|N
H1608|029|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Silver (PPO)|00025101|0.00|590| | |OH|36170|0|N
H1608|029|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Silver (PPO)|00025101|0.00|590| | |OH|36280|0|N
H1608|029|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Silver (PPO)|00025101|0.00|590| | |OH|36350|0|N
H1608|029|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Silver (PPO)|00025101|0.00|590| | |OH|36420|0|N
H1608|029|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Silver (PPO)|00025101|0.00|590| | |OH|36440|0|N
H1608|029|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Silver (PPO)|00025101|0.00|590| | |OH|36480|0|N
H1608|029|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Silver (PPO)|00025101|0.00|590| | |OH|36510|0|N
H1608|029|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Silver (PPO)|00025101|0.00|590| | |OH|36530|0|N
H1608|029|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Silver (PPO)|00025101|0.00|590| | |OH|36790|0|N
H1608|031|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |WV|51000|0|N
H1608|031|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |WV|51010|0|N
H1608|031|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |WV|51030|0|N
H1608|031|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |WV|51040|0|N
H1608|031|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |WV|51050|0|N
H1608|031|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |WV|51060|0|N
H1608|031|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |WV|51070|0|N
H1608|031|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |WV|51080|0|N
H1608|031|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |WV|51090|0|N
H1608|031|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |WV|51100|0|N
H1608|031|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |WV|51110|0|N
H1608|031|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |WV|51120|0|N
H1608|031|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |WV|51130|0|N
H1608|031|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |WV|51140|0|N
H1608|031|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |WV|51150|0|N
H1608|031|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |WV|51160|0|N
H1608|031|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |WV|51170|0|N
H1608|031|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |WV|51180|0|N
H1608|031|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |WV|51190|0|N
H1608|031|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |WV|51200|0|N
H1608|031|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |WV|51210|0|N
H1608|031|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |WV|51230|0|N
H1608|031|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |WV|51240|0|N
H1608|031|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |WV|51250|0|N
H1608|031|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |WV|51260|0|N
H1608|031|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |WV|51270|0|N
H1608|031|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |WV|51280|0|N
H1608|031|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |WV|51290|0|N
H1608|031|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |WV|51300|0|N
H1608|031|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |WV|51320|0|N
H1608|031|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |WV|51330|0|N
H1608|031|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |WV|51340|0|N
H1608|031|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |WV|51350|0|N
H1608|031|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |WV|51360|0|N
H1608|031|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |WV|51370|0|N
H1608|031|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |WV|51380|0|N
H1608|031|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |WV|51390|0|N
H1608|031|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |WV|51400|0|N
H1608|031|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |WV|51410|0|N
H1608|031|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |WV|51450|0|N
H1608|031|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |WV|51460|0|N
H1608|031|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |WV|51470|0|N
H1608|031|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |WV|51480|0|N
H1608|031|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |WV|51490|0|N
H1608|031|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |WV|51500|0|N
H1608|031|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |WV|51510|0|N
H1608|031|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |WV|51520|0|N
H1608|031|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |WV|51530|0|N
H1608|031|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |WV|51540|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16000|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16010|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16020|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16030|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16040|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16050|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16060|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16070|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16080|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16090|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16100|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16110|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16120|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16130|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16140|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16150|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16160|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16170|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16180|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16190|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16200|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16210|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16220|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16230|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16240|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16250|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16260|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16270|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16280|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16290|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16310|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16320|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16330|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16340|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16350|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16360|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16370|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16380|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16390|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16400|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16410|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16420|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16430|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16440|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16450|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16460|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16470|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16480|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16490|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16500|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16510|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16520|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16530|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16540|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16550|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16560|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16570|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16580|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16590|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16600|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16610|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16620|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16630|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16640|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16650|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16660|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16670|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16680|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16690|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16700|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16710|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16720|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16730|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16740|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16750|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16760|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16770|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16780|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16790|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16800|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16810|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16820|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16830|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16840|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16850|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16860|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16870|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16880|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16890|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16900|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16910|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16920|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16930|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16940|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16950|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16960|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16970|0|N
H1608|037|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IA|16980|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28000|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28010|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28030|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28050|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28070|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28080|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28090|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28100|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28110|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28120|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28130|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28160|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28170|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28180|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28190|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28200|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28210|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28250|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28260|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28270|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28290|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28300|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28310|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28320|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28330|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28350|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28360|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28380|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28390|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28400|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28410|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28440|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28460|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28470|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28480|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28490|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28520|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28530|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28540|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28570|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28590|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28600|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28610|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28620|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28630|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28640|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28650|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28660|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28680|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28690|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28700|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28710|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28730|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28740|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28750|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28760|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28770|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28790|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28810|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28830|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28840|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28860|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28870|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28880|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28890|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28900|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28910|0|N
H1608|038|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |NE|28920|0|N
H1608|040|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Value (PPO)|00025101|0.00|590| | |WV|51030|0|N
H1608|040|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Value (PPO)|00025101|0.00|590| | |WV|51050|0|N
H1608|040|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Value (PPO)|00025101|0.00|590| | |WV|51060|0|N
H1608|040|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Value (PPO)|00025101|0.00|590| | |WV|51070|0|N
H1608|040|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Value (PPO)|00025101|0.00|590| | |WV|51090|0|N
H1608|040|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Value (PPO)|00025101|0.00|590| | |WV|51100|0|N
H1608|040|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Value (PPO)|00025101|0.00|590| | |WV|51120|0|N
H1608|040|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Value (PPO)|00025101|0.00|590| | |WV|51170|0|N
H1608|040|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Value (PPO)|00025101|0.00|590| | |WV|51190|0|N
H1608|040|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Value (PPO)|00025101|0.00|590| | |WV|51210|0|N
H1608|040|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Value (PPO)|00025101|0.00|590| | |WV|51230|0|N
H1608|040|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Value (PPO)|00025101|0.00|590| | |WV|51260|0|N
H1608|040|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Value (PPO)|00025101|0.00|590| | |WV|51270|0|N
H1608|040|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Value (PPO)|00025101|0.00|590| | |WV|51290|0|N
H1608|040|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Value (PPO)|00025101|0.00|590| | |WV|51330|0|N
H1608|040|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Value (PPO)|00025101|0.00|590| | |WV|51350|0|N
H1608|040|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Value (PPO)|00025101|0.00|590| | |WV|51360|0|N
H1608|040|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Value (PPO)|00025101|0.00|590| | |WV|51370|0|N
H1608|040|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Value (PPO)|00025101|0.00|590| | |WV|51390|0|N
H1608|040|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Value (PPO)|00025101|0.00|590| | |WV|51400|0|N
H1608|040|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Value (PPO)|00025101|0.00|590| | |WV|51490|0|N
H1608|040|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Value (PPO)|00025101|0.00|590| | |WV|51500|0|N
H1608|040|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Value (PPO)|00025101|0.00|590| | |WV|51520|0|N
H1608|040|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Value (PPO)|00025101|0.00|590| | |WV|51530|0|N
H1608|040|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Value (PPO)|00025101|0.00|590| | |WV|51540|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IL|14020|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IL|14060|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IL|14130|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IL|14390|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IL|14500|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IL|14680|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IL|14750|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IL|14870|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IL|14900|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |IL|14985|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26000|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26030|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26090|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26130|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26140|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26170|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26200|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26250|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26260|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26270|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26320|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26350|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26360|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26440|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26450|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26460|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26490|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26510|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26541|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26560|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26570|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26600|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26620|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26630|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26650|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26670|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26680|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26690|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26700|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26740|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26750|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26780|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26800|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26810|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26840|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26860|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26870|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26881|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26900|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26910|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26930|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26940|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26950|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26960|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26983|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26984|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26989|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26991|0|N
H1608|050|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26992|0|N
H1608|051|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |MO|26080|0|N
H1608|051|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |MO|26110|0|N
H1608|051|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |MO|26150|0|N
H1608|051|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |MO|26601|0|N
H1608|051|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |MO|26660|0|N
H1608|051|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |MO|26710|0|N
H1608|051|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |MO|26770|0|N
H1608|051|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |MO|26982|0|N
H1608|051|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |MO|26985|0|N
H1608|051|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |MO|26993|0|N
H1608|052|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |KS|17060|0|N
H1608|052|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |KS|17210|0|N
H1608|052|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26010|0|N
H1608|052|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26020|0|N
H1608|052|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26100|0|N
H1608|052|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26300|0|N
H1608|052|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26310|0|N
H1608|052|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26370|0|N
H1608|052|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26390|0|N
H1608|052|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26400|0|N
H1608|052|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26412|0|N
H1608|052|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26631|0|N
H1608|052|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26730|0|N
H1608|052|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |MO|26995|0|N
H1608|054|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |AR|04030|0|N
H1608|054|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |AR|04040|0|N
H1608|054|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |AR|04070|0|N
H1608|054|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |AR|04090|0|N
H1608|054|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |AR|04110|0|N
H1608|054|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |AR|04160|0|N
H1608|054|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |AR|04220|0|N
H1608|054|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |AR|04230|0|N
H1608|054|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |AR|04250|0|N
H1608|054|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |AR|04350|0|N
H1608|054|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |AR|04410|0|N
H1608|054|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |AR|04430|0|N
H1608|054|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |AR|04440|0|N
H1608|054|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |AR|04480|0|N
H1608|054|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |AR|04500|0|N
H1608|054|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |AR|04520|0|N
H1608|054|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |AR|04540|0|N
H1608|054|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |AR|04570|0|N
H1608|054|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |AR|04590|0|N
H1608|054|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |AR|04620|0|N
H1608|054|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |AR|04630|0|N
H1608|054|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |AR|04640|0|N
H1608|054|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |AR|04650|0|N
H1608|054|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |AR|04680|0|N
H1608|054|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |AR|04700|0|N
H1608|054|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |AR|04710|0|N
H1608|054|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |AR|04740|0|N
H1608|062|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |SD|43010|2|N
H1608|062|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |SD|43020|2|N
H1608|062|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |SD|43040|2|N
H1608|062|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |SD|43050|2|N
H1608|062|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |SD|43070|2|N
H1608|062|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |SD|43080|2|N
H1608|062|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |SD|43100|2|N
H1608|062|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |SD|43110|2|N
H1608|062|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |SD|43120|2|N
H1608|062|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |SD|43130|2|N
H1608|062|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |SD|43150|2|N
H1608|062|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |SD|43170|2|N
H1608|062|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |SD|43180|2|N
H1608|062|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |SD|43190|2|N
H1608|062|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |SD|43210|2|N
H1608|062|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |SD|43260|2|N
H1608|062|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |SD|43280|2|N
H1608|062|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |SD|43300|2|N
H1608|062|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |SD|43330|2|N
H1608|062|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |SD|43360|2|N
H1608|062|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |SD|43380|2|N
H1608|062|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |SD|43390|2|N
H1608|062|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |SD|43410|2|N
H1608|062|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |SD|43430|2|N
H1608|062|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |SD|43450|2|N
H1608|062|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |SD|43480|2|N
H1608|062|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |SD|43490|2|N
H1608|062|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |SD|43500|2|N
H1608|062|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |SD|43550|2|N
H1608|062|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |SD|43570|2|N
H1608|062|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |SD|43620|2|N
H1608|062|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |SD|43630|2|N
H1608|062|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |SD|43640|2|N
H1608|062|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |SD|43670|2|N
H1608|064|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.50|250| | |SD|43010|0|N
H1608|064|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.50|250| | |SD|43020|0|N
H1608|064|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.50|250| | |SD|43040|0|N
H1608|064|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.50|250| | |SD|43050|0|N
H1608|064|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.50|250| | |SD|43070|0|N
H1608|064|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.50|250| | |SD|43080|0|N
H1608|064|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.50|250| | |SD|43100|0|N
H1608|064|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.50|250| | |SD|43110|0|N
H1608|064|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.50|250| | |SD|43120|0|N
H1608|064|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.50|250| | |SD|43130|0|N
H1608|064|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.50|250| | |SD|43150|0|N
H1608|064|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.50|250| | |SD|43170|0|N
H1608|064|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.50|250| | |SD|43180|0|N
H1608|064|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.50|250| | |SD|43190|0|N
H1608|064|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.50|250| | |SD|43210|0|N
H1608|064|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.50|250| | |SD|43260|0|N
H1608|064|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.50|250| | |SD|43280|0|N
H1608|064|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.50|250| | |SD|43300|0|N
H1608|064|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.50|250| | |SD|43330|0|N
H1608|064|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.50|250| | |SD|43360|0|N
H1608|064|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.50|250| | |SD|43380|0|N
H1608|064|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.50|250| | |SD|43390|0|N
H1608|064|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.50|250| | |SD|43410|0|N
H1608|064|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.50|250| | |SD|43430|0|N
H1608|064|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.50|250| | |SD|43450|0|N
H1608|064|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.50|250| | |SD|43480|0|N
H1608|064|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.50|250| | |SD|43490|0|N
H1608|064|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.50|250| | |SD|43500|0|N
H1608|064|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.50|250| | |SD|43550|0|N
H1608|064|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.50|250| | |SD|43570|0|N
H1608|064|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.50|250| | |SD|43620|0|N
H1608|064|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.50|250| | |SD|43630|0|N
H1608|064|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.50|250| | |SD|43640|0|N
H1608|064|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.50|250| | |SD|43670|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IL|14020|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IL|14060|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IL|14130|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IL|14390|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IL|14500|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IL|14680|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IL|14750|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IL|14870|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IL|14900|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IL|14985|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MO|26000|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MO|26030|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MO|26090|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MO|26130|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MO|26140|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MO|26170|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MO|26200|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MO|26220|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MO|26250|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MO|26260|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MO|26270|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MO|26320|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MO|26350|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MO|26360|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MO|26440|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MO|26450|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MO|26460|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MO|26490|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MO|26510|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MO|26541|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MO|26560|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MO|26570|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MO|26600|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MO|26620|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MO|26630|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MO|26650|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MO|26670|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MO|26680|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MO|26690|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MO|26700|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MO|26740|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MO|26750|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MO|26780|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MO|26800|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MO|26810|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MO|26840|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MO|26850|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MO|26860|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MO|26870|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MO|26881|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MO|26900|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MO|26910|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MO|26930|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MO|26940|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MO|26950|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MO|26960|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MO|26980|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MO|26981|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MO|26983|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MO|26984|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MO|26987|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MO|26989|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MO|26991|0|N
H1608|067|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MO|26992|0|N
H1608|070|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Core (PPO)|00025101|0.00|590| | |KS|17030|0|N
H1608|070|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Core (PPO)|00025101|0.00|590| | |KS|17070|0|N
H1608|070|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Core (PPO)|00025101|0.00|590| | |KS|17080|0|N
H1608|070|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Core (PPO)|00025101|0.00|590| | |KS|17090|0|N
H1608|070|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Core (PPO)|00025101|0.00|590| | |KS|17170|0|N
H1608|070|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Core (PPO)|00025101|0.00|590| | |KS|17240|0|N
H1608|070|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Core (PPO)|00025101|0.00|590| | |KS|17360|0|N
H1608|070|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Core (PPO)|00025101|0.00|590| | |KS|17380|0|N
H1608|070|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Core (PPO)|00025101|0.00|590| | |KS|17390|0|N
H1608|070|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Core (PPO)|00025101|0.00|590| | |KS|17470|0|N
H1608|070|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Core (PPO)|00025101|0.00|590| | |KS|17570|0|N
H1608|070|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Core (PPO)|00025101|0.00|590| | |KS|17860|0|N
H1608|070|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Core (PPO)|00025101|0.00|590| | |KS|17950|0|N
H1608|070|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Core (PPO)|00025101|0.00|590| | |KS|17985|0|N
H1608|072|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Core (PPO)|00025101|0.00|590| | |KS|17140|0|N
H1608|072|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Core (PPO)|00025101|0.00|590| | |KS|17200|0|N
H1608|072|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Core (PPO)|00025101|0.00|590| | |KS|17440|0|N
H1608|072|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Core (PPO)|00025101|0.00|590| | |KS|17520|0|N
H1608|072|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Core (PPO)|00025101|0.00|590| | |KS|17560|0|N
H1608|072|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Core (PPO)|00025101|0.00|590| | |KS|17610|0|N
H1608|072|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Core (PPO)|00025101|0.00|590| | |KS|17700|0|N
H1608|072|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Core (PPO)|00025101|0.00|590| | |KS|17710|0|N
H1608|072|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Core (PPO)|00025101|0.00|590| | |KS|17780|0|N
H1608|072|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Core (PPO)|00025101|0.00|590| | |KS|17840|0|N
H1608|073|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |AR|04000|0|N
H1608|073|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |AR|04060|0|N
H1608|073|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |AR|04130|0|N
H1608|073|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |AR|04170|0|N
H1608|073|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |AR|04180|0|N
H1608|073|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |AR|04190|0|N
H1608|073|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |AR|04260|0|N
H1608|073|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |AR|04270|0|N
H1608|073|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |AR|04280|0|N
H1608|073|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |AR|04300|0|N
H1608|073|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |AR|04310|0|N
H1608|073|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |AR|04330|0|N
H1608|073|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |AR|04340|0|N
H1608|073|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |AR|04360|0|N
H1608|073|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |AR|04370|0|N
H1608|073|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |AR|04380|0|N
H1608|073|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |AR|04400|0|N
H1608|073|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |AR|04420|0|N
H1608|073|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |AR|04450|0|N
H1608|073|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |AR|04460|0|N
H1608|073|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |AR|04470|0|N
H1608|073|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |AR|04490|0|N
H1608|073|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |AR|04510|0|N
H1608|073|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |AR|04530|0|N
H1608|073|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |AR|04550|0|N
H1608|073|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |AR|04580|0|N
H1608|073|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |AR|04610|0|N
H1608|073|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |AR|04660|0|N
H1608|073|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |AR|04690|0|N
H1608|073|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |AR|04720|0|N
H1608|073|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |AR|04730|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04000|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04030|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04040|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04060|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04070|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04090|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04110|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04130|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04140|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04160|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04170|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04180|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04190|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04220|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04230|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04250|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04260|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04270|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04280|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04290|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04300|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04310|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04330|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04340|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04350|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04360|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04370|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04380|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04400|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04410|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04420|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04430|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04440|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04450|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04460|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04470|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04480|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04490|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04500|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04510|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04520|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04530|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04540|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04550|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04560|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04570|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04580|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04590|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04610|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04620|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04630|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04640|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04650|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04660|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04680|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04690|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04700|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04710|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04720|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04730|0|N
H1608|075|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|1.10|590| | |AR|04740|0|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04000|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04030|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04040|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04060|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04070|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04090|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04110|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04130|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04140|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04160|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04170|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04180|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04190|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04220|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04230|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04250|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04260|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04270|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04280|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04290|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04300|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04310|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04330|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04340|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04350|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04360|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04370|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04380|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04400|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04410|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04420|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04430|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04440|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04450|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04460|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04470|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04480|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04490|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04500|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04510|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04520|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04530|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04540|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04550|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04560|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04570|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04580|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04590|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04610|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04620|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04630|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04640|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04650|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04660|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04680|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04690|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04700|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04710|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04720|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04730|2|N
H1608|076|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |AR|04740|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04000|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04030|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04040|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04060|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04070|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04090|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04110|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04130|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04140|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04160|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04170|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04180|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04190|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04220|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04230|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04250|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04260|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04270|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04280|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04290|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04300|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04310|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04330|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04340|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04350|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04360|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04370|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04380|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04400|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04410|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04420|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04430|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04440|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04450|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04460|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04470|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04480|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04490|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04500|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04510|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04520|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04530|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04540|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04550|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04560|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04570|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04580|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04590|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04610|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04620|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04630|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04640|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04650|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04660|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04680|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04690|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04700|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04710|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04720|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04730|2|N
H1608|077|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|5.00|590| | |AR|04740|2|N
H1608|078|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AR|04030|0|N
H1608|078|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AR|04040|0|N
H1608|078|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AR|04070|0|N
H1608|078|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AR|04090|0|N
H1608|078|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AR|04110|0|N
H1608|078|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AR|04140|0|N
H1608|078|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AR|04160|0|N
H1608|078|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AR|04220|0|N
H1608|078|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AR|04230|0|N
H1608|078|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AR|04250|0|N
H1608|078|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AR|04290|0|N
H1608|078|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AR|04350|0|N
H1608|078|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AR|04410|0|N
H1608|078|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AR|04430|0|N
H1608|078|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AR|04440|0|N
H1608|078|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AR|04480|0|N
H1608|078|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AR|04500|0|N
H1608|078|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AR|04520|0|N
H1608|078|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AR|04540|0|N
H1608|078|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AR|04560|0|N
H1608|078|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AR|04570|0|N
H1608|078|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AR|04590|0|N
H1608|078|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AR|04620|0|N
H1608|078|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AR|04630|0|N
H1608|078|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AR|04640|0|N
H1608|078|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AR|04650|0|N
H1608|078|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AR|04680|0|N
H1608|078|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AR|04700|0|N
H1608|078|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AR|04710|0|N
H1608|078|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AR|04740|0|N
H1608|079|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Giveback Choice (PPO)|00025101|0.00|590| | |AR|04030|0|N
H1608|079|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Giveback Choice (PPO)|00025101|0.00|590| | |AR|04160|0|N
H1608|079|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Giveback Choice (PPO)|00025101|0.00|590| | |AR|04220|0|N
H1608|079|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Giveback Choice (PPO)|00025101|0.00|590| | |AR|04250|0|N
H1608|079|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Giveback Choice (PPO)|00025101|0.00|590| | |AR|04340|0|N
H1608|079|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Giveback Choice (PPO)|00025101|0.00|590| | |AR|04420|0|N
H1608|079|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Giveback Choice (PPO)|00025101|0.00|590| | |AR|04590|0|N
H1608|079|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Giveback Choice (PPO)|00025101|0.00|590| | |AR|04620|0|N
H1608|079|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Giveback Choice (PPO)|00025101|0.00|590| | |AR|04650|0|N
H1608|079|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Giveback Choice (PPO)|00025101|0.00|590| | |AR|04710|0|N
H1608|079|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Giveback Choice (PPO)|00025101|0.00|590| | |AR|04720|0|N
H1608|080|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|48.30|590| | |SD|43010|0|N
H1608|080|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|48.30|590| | |SD|43020|0|N
H1608|080|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|48.30|590| | |SD|43040|0|N
H1608|080|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|48.30|590| | |SD|43050|0|N
H1608|080|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|48.30|590| | |SD|43070|0|N
H1608|080|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|48.30|590| | |SD|43080|0|N
H1608|080|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|48.30|590| | |SD|43100|0|N
H1608|080|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|48.30|590| | |SD|43110|0|N
H1608|080|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|48.30|590| | |SD|43120|0|N
H1608|080|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|48.30|590| | |SD|43130|0|N
H1608|080|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|48.30|590| | |SD|43150|0|N
H1608|080|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|48.30|590| | |SD|43170|0|N
H1608|080|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|48.30|590| | |SD|43180|0|N
H1608|080|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|48.30|590| | |SD|43190|0|N
H1608|080|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|48.30|590| | |SD|43210|0|N
H1608|080|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|48.30|590| | |SD|43260|0|N
H1608|080|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|48.30|590| | |SD|43280|0|N
H1608|080|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|48.30|590| | |SD|43300|0|N
H1608|080|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|48.30|590| | |SD|43330|0|N
H1608|080|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|48.30|590| | |SD|43360|0|N
H1608|080|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|48.30|590| | |SD|43380|0|N
H1608|080|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|48.30|590| | |SD|43390|0|N
H1608|080|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|48.30|590| | |SD|43410|0|N
H1608|080|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|48.30|590| | |SD|43430|0|N
H1608|080|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|48.30|590| | |SD|43450|0|N
H1608|080|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|48.30|590| | |SD|43480|0|N
H1608|080|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|48.30|590| | |SD|43490|0|N
H1608|080|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|48.30|590| | |SD|43500|0|N
H1608|080|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|48.30|590| | |SD|43550|0|N
H1608|080|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|48.30|590| | |SD|43570|0|N
H1608|080|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|48.30|590| | |SD|43620|0|N
H1608|080|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|48.30|590| | |SD|43630|0|N
H1608|080|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|48.30|590| | |SD|43640|0|N
H1608|080|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|48.30|590| | |SD|43670|0|N
H1608|081|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025100|0.00|590| | |ND|35010|0|N
H1608|081|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025100|0.00|590| | |ND|35070|0|N
H1608|081|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025100|0.00|590| | |ND|35080|0|N
H1608|081|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025100|0.00|590| | |ND|35100|0|N
H1608|081|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025100|0.00|590| | |ND|35130|0|N
H1608|081|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025100|0.00|590| | |ND|35140|0|N
H1608|081|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025100|0.00|590| | |ND|35150|0|N
H1608|081|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025100|0.00|590| | |ND|35170|0|N
H1608|081|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025100|0.00|590| | |ND|35180|0|N
H1608|081|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025100|0.00|590| | |ND|35190|0|N
H1608|081|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025100|0.00|590| | |ND|35210|0|N
H1608|081|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025100|0.00|590| | |ND|35220|0|N
H1608|081|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025100|0.00|590| | |ND|35230|0|N
H1608|081|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025100|0.00|590| | |ND|35250|0|N
H1608|081|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025100|0.00|590| | |ND|35270|0|N
H1608|081|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025100|0.00|590| | |ND|35280|0|N
H1608|081|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025100|0.00|590| | |ND|35290|0|N
H1608|081|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025100|0.00|590| | |ND|35310|0|N
H1608|081|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025100|0.00|590| | |ND|35320|0|N
H1608|081|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025100|0.00|590| | |ND|35360|0|N
H1608|081|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025100|0.00|590| | |ND|35380|0|N
H1608|081|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025100|0.00|590| | |ND|35400|0|N
H1608|081|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025100|0.00|590| | |ND|35410|0|N
H1608|081|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025100|0.00|590| | |ND|35420|0|N
H1608|081|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025100|0.00|590| | |ND|35450|0|N
H1608|081|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025100|0.00|590| | |ND|35460|0|N
H1608|081|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025100|0.00|590| | |ND|35480|0|N
H1608|081|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025100|0.00|590| | |ND|35490|0|N
H1608|081|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025100|0.00|590| | |ND|35510|0|N
H1608|082|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025100|40.20|590| | |NE|28000|0|N
H1608|082|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025100|40.20|590| | |NE|28010|0|N
H1608|082|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025100|40.20|590| | |NE|28030|0|N
H1608|082|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025100|40.20|590| | |NE|28050|0|N
H1608|082|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025100|40.20|590| | |NE|28070|0|N
H1608|082|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025100|40.20|590| | |NE|28080|0|N
H1608|082|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025100|40.20|590| | |NE|28090|0|N
H1608|082|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025100|40.20|590| | |NE|28160|0|N
H1608|082|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025100|40.20|590| | |NE|28170|0|N
H1608|082|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025100|40.20|590| | |NE|28200|0|N
H1608|082|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025100|40.20|590| | |NE|28290|0|N
H1608|082|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025100|40.20|590| | |NE|28300|0|N
H1608|082|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025100|40.20|590| | |NE|28310|0|N
H1608|082|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025100|40.20|590| | |NE|28320|0|N
H1608|082|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025100|40.20|590| | |NE|28350|0|N
H1608|082|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025100|40.20|590| | |NE|28360|0|N
H1608|082|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025100|40.20|590| | |NE|28380|0|N
H1608|082|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025100|40.20|590| | |NE|28390|0|N
H1608|082|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025100|40.20|590| | |NE|28400|0|N
H1608|082|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025100|40.20|590| | |NE|28410|0|N
H1608|082|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025100|40.20|590| | |NE|28440|0|N
H1608|082|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025100|40.20|590| | |NE|28460|0|N
H1608|082|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025100|40.20|590| | |NE|28490|0|N
H1608|082|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025100|40.20|590| | |NE|28520|0|N
H1608|082|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025100|40.20|590| | |NE|28530|0|N
H1608|082|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025100|40.20|590| | |NE|28570|0|N
H1608|082|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025100|40.20|590| | |NE|28590|0|N
H1608|082|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025100|40.20|590| | |NE|28600|0|N
H1608|082|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025100|40.20|590| | |NE|28610|0|N
H1608|082|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025100|40.20|590| | |NE|28620|0|N
H1608|082|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025100|40.20|590| | |NE|28640|0|N
H1608|082|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025100|40.20|590| | |NE|28680|0|N
H1608|082|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025100|40.20|590| | |NE|28690|0|N
H1608|082|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025100|40.20|590| | |NE|28700|0|N
H1608|082|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025100|40.20|590| | |NE|28710|0|N
H1608|082|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025100|40.20|590| | |NE|28740|0|N
H1608|082|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025100|40.20|590| | |NE|28810|0|N
H1608|082|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025100|40.20|590| | |NE|28840|0|N
H1608|082|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025100|40.20|590| | |NE|28870|0|N
H1608|082|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025100|40.20|590| | |NE|28900|0|N
H1608|082|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025100|40.20|590| | |NE|28910|0|N
H1608|082|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025100|40.20|590| | |NE|28920|0|N
H1608|083|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |WV|51020|2|N
H1608|083|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |WV|51050|2|N
H1608|083|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |WV|51070|2|N
H1608|083|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |WV|51090|2|N
H1608|083|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |WV|51120|2|N
H1608|083|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |WV|51170|2|N
H1608|083|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |WV|51190|2|N
H1608|083|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |WV|51210|2|N
H1608|083|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |WV|51220|2|N
H1608|083|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |WV|51230|2|N
H1608|083|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |WV|51260|2|N
H1608|083|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |WV|51270|2|N
H1608|083|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |WV|51290|2|N
H1608|083|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |WV|51330|2|N
H1608|083|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |WV|51390|2|N
H1608|083|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |WV|51400|2|N
H1608|083|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |WV|51430|2|N
H1608|083|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |WV|51490|2|N
H1608|083|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |WV|51530|2|N
H1608|083|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |WV|51540|2|N
H1608|085|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|49.50|590| | |WV|51000|0|N
H1608|085|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|49.50|590| | |WV|51010|0|N
H1608|085|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|49.50|590| | |WV|51020|0|N
H1608|085|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|49.50|590| | |WV|51030|0|N
H1608|085|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|49.50|590| | |WV|51040|0|N
H1608|085|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|49.50|590| | |WV|51050|0|N
H1608|085|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|49.50|590| | |WV|51060|0|N
H1608|085|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|49.50|590| | |WV|51070|0|N
H1608|085|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|49.50|590| | |WV|51080|0|N
H1608|085|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|49.50|590| | |WV|51090|0|N
H1608|085|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|49.50|590| | |WV|51100|0|N
H1608|085|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|49.50|590| | |WV|51110|0|N
H1608|085|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|49.50|590| | |WV|51120|0|N
H1608|085|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|49.50|590| | |WV|51130|0|N
H1608|085|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|49.50|590| | |WV|51140|0|N
H1608|085|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|49.50|590| | |WV|51150|0|N
H1608|085|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|49.50|590| | |WV|51160|0|N
H1608|085|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|49.50|590| | |WV|51170|0|N
H1608|085|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|49.50|590| | |WV|51180|0|N
H1608|085|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|49.50|590| | |WV|51190|0|N
H1608|085|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|49.50|590| | |WV|51200|0|N
H1608|085|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|49.50|590| | |WV|51210|0|N
H1608|085|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|49.50|590| | |WV|51220|0|N
H1608|085|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|49.50|590| | |WV|51230|0|N
H1608|085|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|49.50|590| | |WV|51240|0|N
H1608|085|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|49.50|590| | |WV|51250|0|N
H1608|085|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|49.50|590| | |WV|51260|0|N
H1608|085|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|49.50|590| | |WV|51270|0|N
H1608|085|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|49.50|590| | |WV|51280|0|N
H1608|085|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|49.50|590| | |WV|51290|0|N
H1608|085|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|49.50|590| | |WV|51300|0|N
H1608|085|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|49.50|590| | |WV|51310|0|N
H1608|085|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|49.50|590| | |WV|51320|0|N
H1608|085|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|49.50|590| | |WV|51330|0|N
H1608|085|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|49.50|590| | |WV|51340|0|N
H1608|085|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|49.50|590| | |WV|51350|0|N
H1608|085|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|49.50|590| | |WV|51360|0|N
H1608|085|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|49.50|590| | |WV|51370|0|N
H1608|085|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|49.50|590| | |WV|51380|0|N
H1608|085|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|49.50|590| | |WV|51390|0|N
H1608|085|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|49.50|590| | |WV|51400|0|N
H1608|085|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|49.50|590| | |WV|51410|0|N
H1608|085|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|49.50|590| | |WV|51420|0|N
H1608|085|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|49.50|590| | |WV|51430|0|N
H1608|085|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|49.50|590| | |WV|51440|0|N
H1608|085|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|49.50|590| | |WV|51450|0|N
H1608|085|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|49.50|590| | |WV|51460|0|N
H1608|085|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|49.50|590| | |WV|51470|0|N
H1608|085|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|49.50|590| | |WV|51480|0|N
H1608|085|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|49.50|590| | |WV|51490|0|N
H1608|085|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|49.50|590| | |WV|51500|0|N
H1608|085|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|49.50|590| | |WV|51510|0|N
H1608|085|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|49.50|590| | |WV|51520|0|N
H1608|085|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|49.50|590| | |WV|51530|0|N
H1608|085|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|49.50|590| | |WV|51540|0|N
H1608|105|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |AR|04140|0|N
H1608|105|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |AR|04220|0|N
H1608|105|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |AR|04290|0|N
H1608|105|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |AR|04560|0|N
H1608|105|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |AR|04570|0|N
H1608|105|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|590| | |AR|04620|0|N
H1608|109|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Preferred (PPO)|00025101|0.00|590| | |GA|11470|0|N
H1608|109|000|COVENTRY HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Advantra Preferred (PPO)|00025101|0.00|590| | |GA|11841|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16000|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16010|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16020|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16030|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16040|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16050|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16060|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16070|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16080|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16090|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16100|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16110|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16120|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16130|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16140|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16150|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16160|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16170|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16180|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16190|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16200|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16210|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16220|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16230|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16240|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16250|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16260|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16270|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16280|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16290|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16310|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16320|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16330|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16340|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16350|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16360|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16370|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16380|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16390|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16400|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16410|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16420|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16430|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16440|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16450|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16460|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16470|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16480|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16490|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16500|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16510|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16520|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16530|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16540|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16550|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16560|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16570|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16580|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16590|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16600|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16610|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16620|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16630|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16640|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16650|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16660|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16670|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16680|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16690|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16700|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16710|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16720|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16730|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16740|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16750|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16760|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16770|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16780|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16790|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16800|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16810|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16820|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16830|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16840|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16850|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16860|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16870|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16880|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16890|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16900|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16910|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16920|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16930|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16940|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16950|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16960|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16970|0|N
H1609|001|000|AETNA HEALTH INC. (FL)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IA|16980|0|N
H1609|017|000|AETNA HEALTH INC. (FL)|Aetna Medicare Assure (HMO D-SNP)|00025101|16.20|590| | |FL|10050|2|N
H1609|017|000|AETNA HEALTH INC. (FL)|Aetna Medicare Assure (HMO D-SNP)|00025101|16.20|590| | |FL|10120|2|N
H1609|018|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Select (HMO)|00025101|0.00|0| | |FL|10050|0|N
H1609|019|000|AETNA HEALTH INC. (FL)|Aetna Medicare Assure (HMO D-SNP)|00025101|19.10|590| | |FL|10260|2|N
H1609|019|000|AETNA HEALTH INC. (FL)|Aetna Medicare Assure (HMO D-SNP)|00025101|19.10|590| | |FL|10280|2|N
H1609|019|000|AETNA HEALTH INC. (FL)|Aetna Medicare Assure (HMO D-SNP)|00025101|19.10|590| | |FL|10490|2|N
H1609|019|000|AETNA HEALTH INC. (FL)|Aetna Medicare Assure (HMO D-SNP)|00025101|19.10|590| | |FL|10500|2|N
H1609|019|000|AETNA HEALTH INC. (FL)|Aetna Medicare Assure (HMO D-SNP)|00025101|19.10|590| | |FL|10510|2|N
H1609|019|000|AETNA HEALTH INC. (FL)|Aetna Medicare Assure (HMO D-SNP)|00025101|19.10|590| | |FL|10520|2|N
H1609|019|000|AETNA HEALTH INC. (FL)|Aetna Medicare Assure (HMO D-SNP)|00025101|19.10|590| | |FL|10550|2|N
H1609|020|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Select (HMO)|00025101|0.00|0| | |FL|10490|0|N
H1609|021|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Select (HMO)|00025101|0.00|0| | |FL|10000|0|N
H1609|021|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Select (HMO)|00025101|0.00|0| | |FL|10090|0|N
H1609|021|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Select (HMO)|00025101|0.00|0| | |FL|10150|0|N
H1609|021|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Select (HMO)|00025101|0.00|0| | |FL|10410|0|N
H1609|021|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Select (HMO)|00025101|0.00|0| | |FL|10440|0|N
H1609|021|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Select (HMO)|00025101|0.00|0| | |FL|10530|0|N
H1609|021|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Select (HMO)|00025101|0.00|0| | |FL|10540|0|N
H1609|021|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Select (HMO)|00025101|0.00|0| | |FL|10550|0|N
H1609|022|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Select (HMO)|00025101|0.00|0| | |FL|10520|0|N
H1609|025|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Select (HMO)|00025101|0.00|0| | |FL|10400|0|N
H1609|025|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Select (HMO)|00025101|0.00|0| | |FL|10570|0|N
H1609|026|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value (HMO)|00025101|0.00|0| | |FL|10070|0|N
H1609|026|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value (HMO)|00025101|0.00|0| | |FL|10400|0|N
H1609|026|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value (HMO)|00025101|0.00|0| | |FL|10570|0|N
H1609|027|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Select (HMO)|00025101|0.00|0| | |FL|10070|0|N
H1609|027|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Select (HMO)|00025101|0.00|0| | |FL|10100|0|N
H1609|027|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Select (HMO)|00025101|0.00|0| | |FL|10350|0|N
H1609|028|000|AETNA HEALTH INC. (FL)|Aetna Medicare Choice (HMO-POS)|00025101|0.00|590| | |FL|10050|0|N
H1609|028|000|AETNA HEALTH INC. (FL)|Aetna Medicare Choice (HMO-POS)|00025101|0.00|590| | |FL|10070|0|N
H1609|028|000|AETNA HEALTH INC. (FL)|Aetna Medicare Choice (HMO-POS)|00025101|0.00|590| | |FL|10090|0|N
H1609|028|000|AETNA HEALTH INC. (FL)|Aetna Medicare Choice (HMO-POS)|00025101|0.00|590| | |FL|10150|0|N
H1609|028|000|AETNA HEALTH INC. (FL)|Aetna Medicare Choice (HMO-POS)|00025101|0.00|590| | |FL|10280|0|N
H1609|028|000|AETNA HEALTH INC. (FL)|Aetna Medicare Choice (HMO-POS)|00025101|0.00|590| | |FL|10400|0|N
H1609|028|000|AETNA HEALTH INC. (FL)|Aetna Medicare Choice (HMO-POS)|00025101|0.00|590| | |FL|10410|0|N
H1609|028|000|AETNA HEALTH INC. (FL)|Aetna Medicare Choice (HMO-POS)|00025101|0.00|590| | |FL|10420|0|N
H1609|028|000|AETNA HEALTH INC. (FL)|Aetna Medicare Choice (HMO-POS)|00025101|0.00|590| | |FL|10470|0|N
H1609|028|000|AETNA HEALTH INC. (FL)|Aetna Medicare Choice (HMO-POS)|00025101|0.00|590| | |FL|10480|0|N
H1609|028|000|AETNA HEALTH INC. (FL)|Aetna Medicare Choice (HMO-POS)|00025101|0.00|590| | |FL|10490|0|N
H1609|028|000|AETNA HEALTH INC. (FL)|Aetna Medicare Choice (HMO-POS)|00025101|0.00|590| | |FL|10510|0|N
H1609|028|000|AETNA HEALTH INC. (FL)|Aetna Medicare Choice (HMO-POS)|00025101|0.00|590| | |FL|10520|0|N
H1609|028|000|AETNA HEALTH INC. (FL)|Aetna Medicare Choice (HMO-POS)|00025101|0.00|590| | |FL|10540|0|N
H1609|028|000|AETNA HEALTH INC. (FL)|Aetna Medicare Choice (HMO-POS)|00025101|0.00|590| | |FL|10550|0|N
H1609|028|000|AETNA HEALTH INC. (FL)|Aetna Medicare Choice (HMO-POS)|00025101|0.00|590| | |FL|10570|0|N
H1609|028|000|AETNA HEALTH INC. (FL)|Aetna Medicare Choice (HMO-POS)|00025101|0.00|590| | |FL|10580|0|N
H1609|035|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Select (HMO)|00025101|0.00|0| | |FL|10270|0|N
H1609|038|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Select (HMO)|00025101|0.00|0| | |FL|10080|0|N
H1609|041|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Select (HMO)|00025101|0.00|0| | |FL|10160|0|N
H1609|041|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Select (HMO)|00025101|0.00|0| | |FL|10560|0|N
H1609|042|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Select (HMO)|00025101|0.00|0| | |FL|10040|0|N
H1609|042|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Select (HMO)|00025101|0.00|0| | |FL|10340|0|N
H1609|042|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Select (HMO)|00025101|0.00|0| | |FL|10470|0|N
H1609|042|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Select (HMO)|00025101|0.00|0| | |FL|10480|0|N
H1609|042|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Select (HMO)|00025101|0.00|0| | |FL|10580|0|N
H1609|042|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Select (HMO)|00025101|0.00|0| | |FL|10590|0|N
H1609|043|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Dual Select (HMO D-SNP)|00025101|15.40|590| | |FL|10050|2|N
H1609|043|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Dual Select (HMO D-SNP)|00025101|15.40|590| | |FL|10120|2|N
H1609|044|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Dual Select (HMO D-SNP)|00025101|20.30|590| | |FL|10260|2|N
H1609|044|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Dual Select (HMO D-SNP)|00025101|20.30|590| | |FL|10280|2|N
H1609|044|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Dual Select (HMO D-SNP)|00025101|20.30|590| | |FL|10500|2|N
H1609|044|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Dual Select (HMO D-SNP)|00025101|20.30|590| | |FL|10510|2|N
H1609|045|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Dual Select (HMO D-SNP)|00025101|6.50|590| | |FL|10000|2|N
H1609|045|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Dual Select (HMO D-SNP)|00025101|6.50|590| | |FL|10090|2|N
H1609|045|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Dual Select (HMO D-SNP)|00025101|6.50|590| | |FL|10150|2|N
H1609|045|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Dual Select (HMO D-SNP)|00025101|6.50|590| | |FL|10410|2|N
H1609|045|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Dual Select (HMO D-SNP)|00025101|6.50|590| | |FL|10440|2|N
H1609|045|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Dual Select (HMO D-SNP)|00025101|6.50|590| | |FL|10530|2|N
H1609|045|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Dual Select (HMO D-SNP)|00025101|6.50|590| | |FL|10540|2|N
H1609|045|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Dual Select (HMO D-SNP)|00025101|6.50|590| | |FL|10550|2|N
H1609|046|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Dual Select (HMO D-SNP)|00025101|15.50|590| | |FL|10040|2|N
H1609|046|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Dual Select (HMO D-SNP)|00025101|15.50|590| | |FL|10340|2|N
H1609|046|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Dual Select (HMO D-SNP)|00025101|15.50|590| | |FL|10470|2|N
H1609|046|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Dual Select (HMO D-SNP)|00025101|15.50|590| | |FL|10480|2|N
H1609|046|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Dual Select (HMO D-SNP)|00025101|15.50|590| | |FL|10580|2|N
H1609|046|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Dual Select (HMO D-SNP)|00025101|15.50|590| | |FL|10590|2|N
H1609|047|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Dual Select (HMO D-SNP)|00025101|20.30|590| | |FL|10400|2|N
H1609|047|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Dual Select (HMO D-SNP)|00025101|20.30|590| | |FL|10570|2|N
H1609|048|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Dual Select (HMO D-SNP)|00025101|20.00|590| | |FL|10490|2|N
H1609|049|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Dual Select (HMO D-SNP)|00025101|13.30|590| | |FL|10520|2|N
H1609|055|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Dual Select (HMO D-SNP)|00025101|6.90|590| | |FL|10170|2|N
H1609|055|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Dual Select (HMO D-SNP)|00025101|6.90|590| | |FL|10630|2|N
H1609|056|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Dual Select (HMO D-SNP)|00025101|9.00|590| | |FL|10070|2|N
H1609|056|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Dual Select (HMO D-SNP)|00025101|9.00|590| | |FL|10100|2|N
H1609|056|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Dual Select (HMO D-SNP)|00025101|9.00|590| | |FL|10350|2|N
H1609|059|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Select (HMO)|00025101|0.00|0| | |FL|10170|0|N
H1609|059|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Select (HMO)|00025101|0.00|0| | |FL|10630|0|N
H1609|061|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Dual Select (HMO D-SNP)|00025101|12.30|590| | |FL|10080|2|N
H1609|062|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Dual Select (HMO D-SNP)|00025101|20.30|590| | |FL|10300|2|N
H1609|063|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Select (HMO)|00025101|0.00|0| | |FL|10300|0|N
H1609|063|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Select (HMO)|00025101|0.00|0| | |FL|10420|0|N
H1609|064|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Dual Select (HMO D-SNP)|00025101|20.30|590| | |FL|10160|2|N
H1609|064|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Dual Select (HMO D-SNP)|00025101|20.30|590| | |FL|10560|2|N
H1609|065|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Dual Select (HMO D-SNP)|00025101|20.30|590| | |FL|10270|2|N
H1609|066|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Select (HMO)|00025101|0.00|0| | |FL|10120|0|N
H1609|067|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Select (HMO)|00025101|0.00|0| | |FL|10260|0|N
H1609|067|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Select (HMO)|00025101|0.00|0| | |FL|10280|0|N
H1609|067|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Select (HMO)|00025101|0.00|0| | |FL|10500|0|N
H1609|067|000|AETNA HEALTH INC. (FL)|Aetna Medicare FL Select (HMO)|00025101|0.00|0| | |FL|10510|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16000|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16010|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16020|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16030|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16040|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16050|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16060|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16070|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16080|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16090|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16100|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16110|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16120|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16130|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16140|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16150|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16160|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16170|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16180|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16190|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16200|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16210|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16220|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16230|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16240|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16250|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16260|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16270|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16280|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16290|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16310|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16320|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16330|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16340|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16350|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16360|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16370|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16380|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16390|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16400|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16410|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16420|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16430|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16440|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16450|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16460|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16470|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16480|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16490|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16500|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16510|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16520|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16530|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16540|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16550|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16560|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16570|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16580|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16590|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16600|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16610|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16620|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16630|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16640|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16650|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16660|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16670|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16680|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16690|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16700|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16710|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16720|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16730|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16740|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16750|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16760|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16770|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16780|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16790|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16800|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16810|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16820|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16830|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16840|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16850|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16860|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16870|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16880|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16890|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16900|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16910|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16920|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16930|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16940|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16950|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16960|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16970|0|N
H1609|068|000|AETNA HEALTH INC. (FL)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.50|590| | |IA|16980|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16000|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16010|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16020|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16030|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16040|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16050|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16060|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16070|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16080|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16090|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16100|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16110|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16120|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16130|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16140|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16150|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16160|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16170|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16180|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16190|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16200|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16210|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16220|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16230|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16240|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16250|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16260|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16270|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16280|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16290|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16310|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16320|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16330|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16340|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16350|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16360|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16370|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16380|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16390|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16400|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16410|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16420|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16430|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16440|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16450|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16460|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16470|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16480|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16490|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16500|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16510|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16520|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16530|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16540|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16550|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16560|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16570|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16580|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16590|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16600|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16610|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16620|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16630|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16640|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16650|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16660|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16670|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16680|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16690|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16700|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16710|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16720|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16730|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16740|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16750|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16760|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16770|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16780|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16790|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16800|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16810|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16820|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16830|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16840|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16850|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16860|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16870|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16880|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16890|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16900|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16910|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16920|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16930|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16940|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16950|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16960|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16970|0|N
H1609|069|000|AETNA HEALTH INC. (FL)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |IA|16980|0|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49000|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49010|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49011|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49020|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49030|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49040|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49050|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49060|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49070|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49080|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49090|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49100|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49110|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49111|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49120|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49130|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49140|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49141|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49150|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49160|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49170|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49180|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49190|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49191|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49194|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49200|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49210|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49212|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49213|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49220|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49230|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49240|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49241|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49250|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49260|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49270|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49280|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49288|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49290|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49291|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49300|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49310|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49320|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49328|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49330|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49340|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49342|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49343|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49350|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49360|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49370|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49380|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49390|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49400|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49410|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49411|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49420|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49421|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49430|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49440|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49450|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49451|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49460|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49470|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49480|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49490|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49500|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49510|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49520|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49522|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49530|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49540|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49550|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49551|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49560|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49561|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49563|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49565|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49570|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49580|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49590|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49600|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49620|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49621|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49622|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49641|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49650|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49660|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49661|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49670|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49680|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49690|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49700|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49701|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49710|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49711|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49712|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49720|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49730|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49740|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49750|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49770|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49771|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49780|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49790|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49791|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49800|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49801|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49810|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49820|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49830|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49838|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49840|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49850|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49860|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49870|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49880|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49890|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49891|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49892|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49900|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49910|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49920|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49921|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49930|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49950|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49951|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49960|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49961|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49962|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49970|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49980|2|N
H1610|001|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Better Health (HMO D-SNP)|00025101|0.00|590| | |VA|49981|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49000|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49010|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49011|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49020|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49030|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49040|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49050|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49060|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49070|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49080|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49090|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49100|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49110|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49111|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49120|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49130|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49140|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49141|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49150|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49160|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49170|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49180|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49190|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49191|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49194|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49200|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49210|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49212|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49213|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49220|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49230|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49240|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49241|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49250|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49260|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49270|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49280|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49288|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49290|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49291|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49300|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49310|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49320|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49328|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49330|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49340|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49342|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49343|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49350|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49360|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49370|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49380|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49390|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49400|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49410|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49411|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49420|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49421|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49430|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49440|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49450|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49451|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49460|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49470|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49480|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49490|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49500|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49510|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49520|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49522|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49530|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49540|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49550|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49551|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49560|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49561|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49563|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49565|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49570|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49580|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49590|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49600|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49620|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49621|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49622|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49641|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49650|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49660|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49661|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49670|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49680|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49690|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49700|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49701|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49710|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49711|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49712|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49720|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49730|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49740|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49750|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49770|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49771|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49780|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49790|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49791|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49800|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49801|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49810|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49820|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49830|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49838|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49840|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49850|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49860|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49870|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49880|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49890|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49891|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49892|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49900|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49910|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49920|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49921|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49930|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49950|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49951|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49960|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49961|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49962|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49970|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49980|2|N
H1610|003|000|COVENTRY HEALTH CARE OF VIRGINIA, INC.|Aetna Medicare Assure Value (HMO D-SNP)|00025101|0.00|590| | |VA|49981|2|N
H1619|001|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex (PPO)|00025398|0.00|0| | |PA|39000|0|N
H1619|001|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex (PPO)|00025398|0.00|0| | |PA|39110|0|N
H1619|001|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex (PPO)|00025398|0.00|0| | |PA|39130|0|N
H1619|001|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex (PPO)|00025398|0.00|0| | |PA|39140|0|N
H1619|001|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex (PPO)|00025398|0.00|0| | |PA|39190|0|N
H1619|001|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex (PPO)|00025398|0.00|0| | |PA|39210|0|N
H1619|001|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex (PPO)|00025398|0.00|0| | |PA|39270|0|N
H1619|001|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex (PPO)|00025398|0.00|0| | |PA|39280|0|N
H1619|001|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex (PPO)|00025398|0.00|0| | |PA|39290|0|N
H1619|001|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex (PPO)|00025398|0.00|0| | |PA|39350|0|N
H1619|001|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex (PPO)|00025398|0.00|0| | |PA|39440|0|N
H1619|001|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex (PPO)|00025398|0.00|0| | |PA|39460|0|N
H1619|001|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex (PPO)|00025398|0.00|0| | |PA|39470|0|N
H1619|001|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex (PPO)|00025398|0.00|0| | |PA|39550|0|N
H1619|001|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex (PPO)|00025398|0.00|0| | |PA|39560|0|N
H1619|001|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex (PPO)|00025398|0.00|0| | |PA|39590|0|N
H1619|001|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex (PPO)|00025398|0.00|0| | |PA|39610|0|N
H1619|001|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex (PPO)|00025398|0.00|0| | |PA|39620|0|N
H1619|001|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex (PPO)|00025398|0.00|0| | |PA|39650|0|N
H1619|001|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex (PPO)|00025398|0.00|0| | |PA|39800|0|N
H1619|002|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex Plus (PPO)|00025396|37.00|0| | |PA|39000|0|N
H1619|002|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex Plus (PPO)|00025396|37.00|0| | |PA|39110|0|N
H1619|002|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex Plus (PPO)|00025396|37.00|0| | |PA|39130|0|N
H1619|002|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex Plus (PPO)|00025396|37.00|0| | |PA|39140|0|N
H1619|002|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex Plus (PPO)|00025396|37.00|0| | |PA|39190|0|N
H1619|002|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex Plus (PPO)|00025396|37.00|0| | |PA|39210|0|N
H1619|002|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex Plus (PPO)|00025396|37.00|0| | |PA|39270|0|N
H1619|002|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex Plus (PPO)|00025396|37.00|0| | |PA|39280|0|N
H1619|002|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex Plus (PPO)|00025396|37.00|0| | |PA|39290|0|N
H1619|002|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex Plus (PPO)|00025396|37.00|0| | |PA|39350|0|N
H1619|002|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex Plus (PPO)|00025396|37.00|0| | |PA|39440|0|N
H1619|002|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex Plus (PPO)|00025396|37.00|0| | |PA|39460|0|N
H1619|002|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex Plus (PPO)|00025396|37.00|0| | |PA|39470|0|N
H1619|002|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex Plus (PPO)|00025396|37.00|0| | |PA|39550|0|N
H1619|002|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex Plus (PPO)|00025396|37.00|0| | |PA|39560|0|N
H1619|002|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex Plus (PPO)|00025396|37.00|0| | |PA|39590|0|N
H1619|002|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex Plus (PPO)|00025396|37.00|0| | |PA|39610|0|N
H1619|002|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex Plus (PPO)|00025396|37.00|0| | |PA|39620|0|N
H1619|002|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex Plus (PPO)|00025396|37.00|0| | |PA|39650|0|N
H1619|002|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex Plus (PPO)|00025396|37.00|0| | |PA|39800|0|N
H1619|003|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex Pro (PPO)|00025396|20.00|0| | |PA|39000|0|N
H1619|003|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex Pro (PPO)|00025396|20.00|0| | |PA|39110|0|N
H1619|003|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex Pro (PPO)|00025396|20.00|0| | |PA|39130|0|N
H1619|003|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex Pro (PPO)|00025396|20.00|0| | |PA|39140|0|N
H1619|003|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex Pro (PPO)|00025396|20.00|0| | |PA|39190|0|N
H1619|003|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex Pro (PPO)|00025396|20.00|0| | |PA|39210|0|N
H1619|003|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex Pro (PPO)|00025396|20.00|0| | |PA|39270|0|N
H1619|003|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex Pro (PPO)|00025396|20.00|0| | |PA|39280|0|N
H1619|003|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex Pro (PPO)|00025396|20.00|0| | |PA|39290|0|N
H1619|003|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex Pro (PPO)|00025396|20.00|0| | |PA|39350|0|N
H1619|003|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex Pro (PPO)|00025396|20.00|0| | |PA|39440|0|N
H1619|003|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex Pro (PPO)|00025396|20.00|0| | |PA|39460|0|N
H1619|003|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex Pro (PPO)|00025396|20.00|0| | |PA|39470|0|N
H1619|003|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex Pro (PPO)|00025396|20.00|0| | |PA|39550|0|N
H1619|003|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex Pro (PPO)|00025396|20.00|0| | |PA|39560|0|N
H1619|003|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex Pro (PPO)|00025396|20.00|0| | |PA|39590|0|N
H1619|003|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex Pro (PPO)|00025396|20.00|0| | |PA|39610|0|N
H1619|003|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex Pro (PPO)|00025396|20.00|0| | |PA|39620|0|N
H1619|003|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex Pro (PPO)|00025396|20.00|0| | |PA|39650|0|N
H1619|003|000|PARTNERS INSURANCE COMPANY INC|Jefferson Health Plans Flex Pro (PPO)|00025396|20.00|0| | |PA|39800|0|N
H1644|001|000|LONGEVITY HEALTH PLAN OF FLORIDA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|20.30|590| | |FL|10000|3|N
H1644|001|000|LONGEVITY HEALTH PLAN OF FLORIDA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|20.30|590| | |FL|10040|3|N
H1644|001|000|LONGEVITY HEALTH PLAN OF FLORIDA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|20.30|590| | |FL|10050|3|N
H1644|001|000|LONGEVITY HEALTH PLAN OF FLORIDA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|20.30|590| | |FL|10070|3|N
H1644|001|000|LONGEVITY HEALTH PLAN OF FLORIDA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|20.30|590| | |FL|10080|3|N
H1644|001|000|LONGEVITY HEALTH PLAN OF FLORIDA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|20.30|590| | |FL|10090|3|N
H1644|001|000|LONGEVITY HEALTH PLAN OF FLORIDA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|20.30|590| | |FL|10120|3|N
H1644|001|000|LONGEVITY HEALTH PLAN OF FLORIDA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|20.30|590| | |FL|10150|3|N
H1644|001|000|LONGEVITY HEALTH PLAN OF FLORIDA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|20.30|590| | |FL|10260|3|N
H1644|001|000|LONGEVITY HEALTH PLAN OF FLORIDA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|20.30|590| | |FL|10280|3|N
H1644|001|000|LONGEVITY HEALTH PLAN OF FLORIDA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|20.30|590| | |FL|10300|3|N
H1644|001|000|LONGEVITY HEALTH PLAN OF FLORIDA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|20.30|590| | |FL|10340|3|N
H1644|001|000|LONGEVITY HEALTH PLAN OF FLORIDA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|20.30|590| | |FL|10350|3|N
H1644|001|000|LONGEVITY HEALTH PLAN OF FLORIDA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|20.30|590| | |FL|10400|3|N
H1644|001|000|LONGEVITY HEALTH PLAN OF FLORIDA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|20.30|590| | |FL|10410|3|N
H1644|001|000|LONGEVITY HEALTH PLAN OF FLORIDA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|20.30|590| | |FL|10420|3|N
H1644|001|000|LONGEVITY HEALTH PLAN OF FLORIDA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|20.30|590| | |FL|10470|3|N
H1644|001|000|LONGEVITY HEALTH PLAN OF FLORIDA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|20.30|590| | |FL|10480|3|N
H1644|001|000|LONGEVITY HEALTH PLAN OF FLORIDA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|20.30|590| | |FL|10490|3|N
H1644|001|000|LONGEVITY HEALTH PLAN OF FLORIDA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|20.30|590| | |FL|10500|3|N
H1644|001|000|LONGEVITY HEALTH PLAN OF FLORIDA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|20.30|590| | |FL|10510|3|N
H1644|001|000|LONGEVITY HEALTH PLAN OF FLORIDA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|20.30|590| | |FL|10520|3|N
H1644|001|000|LONGEVITY HEALTH PLAN OF FLORIDA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|20.30|590| | |FL|10550|3|N
H1644|001|000|LONGEVITY HEALTH PLAN OF FLORIDA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|20.30|590| | |FL|10570|3|N
H1644|001|000|LONGEVITY HEALTH PLAN OF FLORIDA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|20.30|590| | |FL|10580|3|N
H1644|001|000|LONGEVITY HEALTH PLAN OF FLORIDA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|20.30|590| | |FL|10590|3|N
H1644|001|000|LONGEVITY HEALTH PLAN OF FLORIDA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|20.30|590| | |FL|10630|3|N
H1659|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage VA-0001 (PPO)|00025002|34.00|255| | |VA|49040|0|N
H1659|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage VA-0001 (PPO)|00025002|34.00|255| | |VA|49050|0|N
H1659|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage VA-0001 (PPO)|00025002|34.00|255| | |VA|49090|0|N
H1659|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage VA-0001 (PPO)|00025002|34.00|255| | |VA|49150|0|N
H1659|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage VA-0001 (PPO)|00025002|34.00|255| | |VA|49190|0|N
H1659|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage VA-0001 (PPO)|00025002|34.00|255| | |VA|49241|0|N
H1659|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage VA-0001 (PPO)|00025002|34.00|255| | |VA|49410|0|N
H1659|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage VA-0001 (PPO)|00025002|34.00|255| | |VA|49551|0|N
H1659|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage VA-0001 (PPO)|00025002|34.00|255| | |VA|49710|0|N
H1659|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage VA-0001 (PPO)|00025002|34.00|255| | |VA|49730|0|N
H1664|001|000|HOME STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MO|26030|0|N
H1664|001|000|HOME STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MO|26040|0|N
H1664|001|000|HOME STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MO|26050|0|N
H1664|001|000|HOME STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MO|26060|0|N
H1664|001|000|HOME STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MO|26090|0|N
H1664|001|000|HOME STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MO|26130|0|N
H1664|001|000|HOME STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MO|26180|0|N
H1664|001|000|HOME STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MO|26210|0|N
H1664|001|000|HOME STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MO|26230|0|N
H1664|001|000|HOME STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MO|26240|0|N
H1664|001|000|HOME STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MO|26250|0|N
H1664|001|000|HOME STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MO|26260|0|N
H1664|001|000|HOME STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MO|26270|0|N
H1664|001|000|HOME STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MO|26280|0|N
H1664|001|000|HOME STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MO|26290|0|N
H1664|001|000|HOME STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MO|26330|0|N
H1664|001|000|HOME STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MO|26350|0|N
H1664|001|000|HOME STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MO|26360|0|N
H1664|001|000|HOME STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MO|26380|0|N
H1664|001|000|HOME STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MO|26410|0|N
H1664|001|000|HOME STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MO|26470|0|N
H1664|001|000|HOME STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MO|26480|0|N
H1664|001|000|HOME STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MO|26490|0|N
H1664|001|000|HOME STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MO|26500|0|N
H1664|001|000|HOME STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MO|26520|0|N
H1664|001|000|HOME STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MO|26530|0|N
H1664|001|000|HOME STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MO|26540|0|N
H1664|001|000|HOME STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MO|26560|0|N
H1664|001|000|HOME STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MO|26590|0|N
H1664|001|000|HOME STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MO|26620|0|N
H1664|001|000|HOME STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MO|26650|0|N
H1664|001|000|HOME STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MO|26670|0|N
H1664|001|000|HOME STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MO|26690|0|N
H1664|001|000|HOME STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MO|26700|0|N
H1664|001|000|HOME STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MO|26720|0|N
H1664|001|000|HOME STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MO|26750|0|N
H1664|001|000|HOME STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MO|26820|0|N
H1664|001|000|HOME STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MO|26821|0|N
H1664|001|000|HOME STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MO|26880|0|N
H1664|001|000|HOME STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MO|26910|0|N
H1664|001|000|HOME STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MO|26940|0|N
H1664|001|000|HOME STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MO|26950|0|N
H1664|001|000|HOME STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MO|26986|0|N
H1664|001|000|HOME STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MO|26988|0|N
H1664|001|000|HOME STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MO|26990|0|N
H1664|001|000|HOME STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MO|26991|0|N
H1664|001|000|HOME STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MO|26992|0|N
H1664|001|000|HOME STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MO|26994|0|N
H1664|001|000|HOME STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |MO|26996|0|N
H1664|005|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|435| | |MO|26030|2|N
H1664|005|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|435| | |MO|26040|2|N
H1664|005|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|435| | |MO|26050|2|N
H1664|005|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|435| | |MO|26060|2|N
H1664|005|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|435| | |MO|26090|2|N
H1664|005|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|435| | |MO|26130|2|N
H1664|005|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|435| | |MO|26180|2|N
H1664|005|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|435| | |MO|26210|2|N
H1664|005|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|435| | |MO|26230|2|N
H1664|005|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|435| | |MO|26240|2|N
H1664|005|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|435| | |MO|26250|2|N
H1664|005|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|435| | |MO|26260|2|N
H1664|005|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|435| | |MO|26270|2|N
H1664|005|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|435| | |MO|26280|2|N
H1664|005|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|435| | |MO|26290|2|N
H1664|005|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|435| | |MO|26330|2|N
H1664|005|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|435| | |MO|26350|2|N
H1664|005|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|435| | |MO|26360|2|N
H1664|005|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|435| | |MO|26380|2|N
H1664|005|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|435| | |MO|26410|2|N
H1664|005|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|435| | |MO|26470|2|N
H1664|005|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|435| | |MO|26480|2|N
H1664|005|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|435| | |MO|26490|2|N
H1664|005|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|435| | |MO|26500|2|N
H1664|005|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|435| | |MO|26520|2|N
H1664|005|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|435| | |MO|26530|2|N
H1664|005|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|435| | |MO|26540|2|N
H1664|005|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|435| | |MO|26560|2|N
H1664|005|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|435| | |MO|26590|2|N
H1664|005|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|435| | |MO|26620|2|N
H1664|005|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|435| | |MO|26650|2|N
H1664|005|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|435| | |MO|26670|2|N
H1664|005|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|435| | |MO|26690|2|N
H1664|005|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|435| | |MO|26700|2|N
H1664|005|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|435| | |MO|26720|2|N
H1664|005|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|435| | |MO|26750|2|N
H1664|005|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|435| | |MO|26820|2|N
H1664|005|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|435| | |MO|26821|2|N
H1664|005|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|435| | |MO|26880|2|N
H1664|005|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|435| | |MO|26910|2|N
H1664|005|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|435| | |MO|26940|2|N
H1664|005|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|435| | |MO|26950|2|N
H1664|005|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|435| | |MO|26986|2|N
H1664|005|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|435| | |MO|26988|2|N
H1664|005|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|435| | |MO|26990|2|N
H1664|005|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|435| | |MO|26991|2|N
H1664|005|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|435| | |MO|26992|2|N
H1664|005|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|435| | |MO|26994|2|N
H1664|005|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|435| | |MO|26996|2|N
H1664|006|000|HOME STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MO|26030|0|N
H1664|006|000|HOME STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MO|26040|0|N
H1664|006|000|HOME STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MO|26050|0|N
H1664|006|000|HOME STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MO|26060|0|N
H1664|006|000|HOME STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MO|26090|0|N
H1664|006|000|HOME STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MO|26130|0|N
H1664|006|000|HOME STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MO|26180|0|N
H1664|006|000|HOME STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MO|26210|0|N
H1664|006|000|HOME STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MO|26230|0|N
H1664|006|000|HOME STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MO|26240|0|N
H1664|006|000|HOME STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MO|26250|0|N
H1664|006|000|HOME STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MO|26260|0|N
H1664|006|000|HOME STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MO|26270|0|N
H1664|006|000|HOME STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MO|26280|0|N
H1664|006|000|HOME STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MO|26290|0|N
H1664|006|000|HOME STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MO|26330|0|N
H1664|006|000|HOME STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MO|26350|0|N
H1664|006|000|HOME STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MO|26360|0|N
H1664|006|000|HOME STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MO|26380|0|N
H1664|006|000|HOME STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MO|26410|0|N
H1664|006|000|HOME STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MO|26470|0|N
H1664|006|000|HOME STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MO|26480|0|N
H1664|006|000|HOME STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MO|26490|0|N
H1664|006|000|HOME STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MO|26500|0|N
H1664|006|000|HOME STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MO|26520|0|N
H1664|006|000|HOME STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MO|26530|0|N
H1664|006|000|HOME STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MO|26540|0|N
H1664|006|000|HOME STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MO|26560|0|N
H1664|006|000|HOME STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MO|26590|0|N
H1664|006|000|HOME STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MO|26620|0|N
H1664|006|000|HOME STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MO|26650|0|N
H1664|006|000|HOME STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MO|26670|0|N
H1664|006|000|HOME STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MO|26690|0|N
H1664|006|000|HOME STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MO|26700|0|N
H1664|006|000|HOME STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MO|26720|0|N
H1664|006|000|HOME STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MO|26750|0|N
H1664|006|000|HOME STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MO|26820|0|N
H1664|006|000|HOME STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MO|26821|0|N
H1664|006|000|HOME STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MO|26880|0|N
H1664|006|000|HOME STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MO|26910|0|N
H1664|006|000|HOME STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MO|26940|0|N
H1664|006|000|HOME STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MO|26950|0|N
H1664|006|000|HOME STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MO|26986|0|N
H1664|006|000|HOME STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MO|26988|0|N
H1664|006|000|HOME STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MO|26990|0|N
H1664|006|000|HOME STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MO|26991|0|N
H1664|006|000|HOME STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MO|26992|0|N
H1664|006|000|HOME STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MO|26994|0|N
H1664|006|000|HOME STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MO|26996|0|N
H1664|012|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|45.50|590| | |MO|26030|2|N
H1664|012|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|45.50|590| | |MO|26040|2|N
H1664|012|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|45.50|590| | |MO|26050|2|N
H1664|012|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|45.50|590| | |MO|26060|2|N
H1664|012|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|45.50|590| | |MO|26090|2|N
H1664|012|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|45.50|590| | |MO|26130|2|N
H1664|012|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|45.50|590| | |MO|26180|2|N
H1664|012|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|45.50|590| | |MO|26210|2|N
H1664|012|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|45.50|590| | |MO|26230|2|N
H1664|012|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|45.50|590| | |MO|26240|2|N
H1664|012|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|45.50|590| | |MO|26250|2|N
H1664|012|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|45.50|590| | |MO|26260|2|N
H1664|012|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|45.50|590| | |MO|26270|2|N
H1664|012|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|45.50|590| | |MO|26280|2|N
H1664|012|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|45.50|590| | |MO|26290|2|N
H1664|012|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|45.50|590| | |MO|26330|2|N
H1664|012|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|45.50|590| | |MO|26350|2|N
H1664|012|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|45.50|590| | |MO|26360|2|N
H1664|012|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|45.50|590| | |MO|26380|2|N
H1664|012|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|45.50|590| | |MO|26410|2|N
H1664|012|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|45.50|590| | |MO|26470|2|N
H1664|012|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|45.50|590| | |MO|26480|2|N
H1664|012|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|45.50|590| | |MO|26490|2|N
H1664|012|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|45.50|590| | |MO|26500|2|N
H1664|012|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|45.50|590| | |MO|26520|2|N
H1664|012|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|45.50|590| | |MO|26530|2|N
H1664|012|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|45.50|590| | |MO|26540|2|N
H1664|012|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|45.50|590| | |MO|26560|2|N
H1664|012|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|45.50|590| | |MO|26590|2|N
H1664|012|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|45.50|590| | |MO|26620|2|N
H1664|012|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|45.50|590| | |MO|26650|2|N
H1664|012|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|45.50|590| | |MO|26670|2|N
H1664|012|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|45.50|590| | |MO|26690|2|N
H1664|012|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|45.50|590| | |MO|26700|2|N
H1664|012|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|45.50|590| | |MO|26720|2|N
H1664|012|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|45.50|590| | |MO|26750|2|N
H1664|012|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|45.50|590| | |MO|26820|2|N
H1664|012|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|45.50|590| | |MO|26821|2|N
H1664|012|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|45.50|590| | |MO|26880|2|N
H1664|012|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|45.50|590| | |MO|26910|2|N
H1664|012|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|45.50|590| | |MO|26940|2|N
H1664|012|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|45.50|590| | |MO|26950|2|N
H1664|012|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|45.50|590| | |MO|26986|2|N
H1664|012|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|45.50|590| | |MO|26988|2|N
H1664|012|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|45.50|590| | |MO|26990|2|N
H1664|012|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|45.50|590| | |MO|26991|2|N
H1664|012|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|45.50|590| | |MO|26992|2|N
H1664|012|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|45.50|590| | |MO|26994|2|N
H1664|012|000|HOME STATE HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|45.50|590| | |MO|26996|2|N
H1666|003|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025445|43.00|250| | |TX|45100|0|N
H1666|003|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025445|43.00|250| | |TX|45222|0|N
H1666|003|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025445|43.00|250| | |TX|45223|0|N
H1666|003|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025445|43.00|250| | |TX|45280|0|N
H1666|003|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025445|43.00|250| | |TX|45310|0|N
H1666|003|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025445|43.00|250| | |TX|45312|0|N
H1666|003|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025445|43.00|250| | |TX|45340|0|N
H1666|003|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025445|43.00|250| | |TX|45390|0|N
H1666|003|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025445|43.00|250| | |TX|45410|0|N
H1666|003|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025445|43.00|250| | |TX|45510|0|N
H1666|003|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025445|43.00|250| | |TX|45511|0|N
H1666|003|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025445|43.00|250| | |TX|45530|0|N
H1666|003|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025445|43.00|250| | |TX|45550|0|N
H1666|003|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025445|43.00|250| | |TX|45600|0|N
H1666|003|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025445|43.00|250| | |TX|45610|0|N
H1666|003|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025445|43.00|250| | |TX|45631|0|N
H1666|003|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025445|43.00|250| | |TX|45651|0|N
H1666|003|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025445|43.00|250| | |TX|45653|0|N
H1666|003|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025445|43.00|250| | |TX|45700|0|N
H1666|003|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025445|43.00|250| | |TX|45720|0|N
H1666|003|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025445|43.00|250| | |TX|45752|0|N
H1666|003|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025445|43.00|250| | |TX|45755|0|N
H1666|003|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025445|43.00|250| | |TX|45757|0|N
H1666|003|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025445|43.00|250| | |TX|45761|0|N
H1666|003|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025445|43.00|250| | |TX|45790|0|N
H1666|003|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025445|43.00|250| | |TX|45795|0|N
H1666|003|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025445|43.00|250| | |TX|45801|0|N
H1666|003|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025445|43.00|250| | |TX|45820|0|N
H1666|003|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025445|43.00|250| | |TX|45879|0|N
H1666|003|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025445|43.00|250| | |TX|45910|0|N
H1666|003|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025445|43.00|250| | |TX|45940|0|N
H1666|003|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025445|43.00|250| | |TX|45954|0|N
H1666|003|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025445|43.00|250| | |TX|45970|0|N
H1666|003|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025445|43.00|250| | |TX|45973|0|N
H1666|006|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|0.00|590| | |TX|45100|0|N
H1666|006|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|0.00|590| | |TX|45222|0|N
H1666|006|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|0.00|590| | |TX|45223|0|N
H1666|006|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|0.00|590| | |TX|45280|0|N
H1666|006|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|0.00|590| | |TX|45310|0|N
H1666|006|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|0.00|590| | |TX|45312|0|N
H1666|006|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|0.00|590| | |TX|45340|0|N
H1666|006|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|0.00|590| | |TX|45390|0|N
H1666|006|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|0.00|590| | |TX|45410|0|N
H1666|006|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|0.00|590| | |TX|45510|0|N
H1666|006|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|0.00|590| | |TX|45511|0|N
H1666|006|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|0.00|590| | |TX|45530|0|N
H1666|006|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|0.00|590| | |TX|45550|0|N
H1666|006|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|0.00|590| | |TX|45600|0|N
H1666|006|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|0.00|590| | |TX|45610|0|N
H1666|006|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|0.00|590| | |TX|45631|0|N
H1666|006|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|0.00|590| | |TX|45651|0|N
H1666|006|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|0.00|590| | |TX|45653|0|N
H1666|006|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|0.00|590| | |TX|45700|0|N
H1666|006|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|0.00|590| | |TX|45720|0|N
H1666|006|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|0.00|590| | |TX|45752|0|N
H1666|006|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|0.00|590| | |TX|45755|0|N
H1666|006|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|0.00|590| | |TX|45757|0|N
H1666|006|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|0.00|590| | |TX|45761|0|N
H1666|006|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|0.00|590| | |TX|45790|0|N
H1666|006|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|0.00|590| | |TX|45795|0|N
H1666|006|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|0.00|590| | |TX|45801|0|N
H1666|006|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|0.00|590| | |TX|45820|0|N
H1666|006|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|0.00|590| | |TX|45879|0|N
H1666|006|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|0.00|590| | |TX|45910|0|N
H1666|006|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|0.00|590| | |TX|45940|0|N
H1666|006|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|0.00|590| | |TX|45954|0|N
H1666|006|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|0.00|590| | |TX|45970|0|N
H1666|006|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|0.00|590| | |TX|45973|0|N
H1666|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|0.00|0| | |TX|45060|0|N
H1666|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|0.00|0| | |TX|45090|0|N
H1666|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|0.00|0| | |TX|45130|0|N
H1666|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|0.00|0| | |TX|45240|0|N
H1666|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|0.00|0| | |TX|45320|0|N
H1666|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|0.00|0| | |TX|45480|0|N
H1666|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|0.00|0| | |TX|45562|0|N
H1666|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|0.00|0| | |TX|45581|0|N
H1666|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|0.00|0| | |TX|45650|0|N
H1666|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|0.00|0| | |TX|45731|0|N
H1666|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|0.00|0| | |TX|45781|0|N
H1666|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|0.00|0| | |TX|45792|0|N
H1666|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|0.00|0| | |TX|45873|0|N
H1666|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|0.00|0| | |TX|45962|0|N
H1666|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|0.00|0| | |TX|45971|0|N
H1666|012|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025443|0.00|0| | |NM|32000|0|N
H1666|012|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025443|0.00|0| | |NM|32010|0|N
H1666|012|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025443|0.00|0| | |NM|32020|0|N
H1666|012|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025443|0.00|0| | |NM|32025|0|N
H1666|012|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025443|0.00|0| | |NM|32030|0|N
H1666|012|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025443|0.00|0| | |NM|32040|0|N
H1666|012|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025443|0.00|0| | |NM|32050|0|N
H1666|012|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025443|0.00|0| | |NM|32060|0|N
H1666|012|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025443|0.00|0| | |NM|32070|0|N
H1666|012|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025443|0.00|0| | |NM|32080|0|N
H1666|012|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025443|0.00|0| | |NM|32090|0|N
H1666|012|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025443|0.00|0| | |NM|32100|0|N
H1666|012|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025443|0.00|0| | |NM|32120|0|N
H1666|012|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025443|0.00|0| | |NM|32130|0|N
H1666|012|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025443|0.00|0| | |NM|32131|0|N
H1666|012|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025443|0.00|0| | |NM|32140|0|N
H1666|012|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025443|0.00|0| | |NM|32150|0|N
H1666|012|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025443|0.00|0| | |NM|32160|0|N
H1666|012|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025443|0.00|0| | |NM|32170|0|N
H1666|012|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025443|0.00|0| | |NM|32180|0|N
H1666|012|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025443|0.00|0| | |NM|32190|0|N
H1666|012|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025443|0.00|0| | |NM|32200|0|N
H1666|012|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025443|0.00|0| | |NM|32210|0|N
H1666|012|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025443|0.00|0| | |NM|32220|0|N
H1666|012|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025443|0.00|0| | |NM|32230|0|N
H1666|012|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025443|0.00|0| | |NM|32240|0|N
H1666|012|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025443|0.00|0| | |NM|32250|0|N
H1666|012|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025443|0.00|0| | |NM|32260|0|N
H1666|012|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025443|0.00|0| | |NM|32270|0|N
H1666|012|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025443|0.00|0| | |NM|32280|0|N
H1666|012|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Choice Premier (PPO)|00025443|0.00|0| | |NM|32300|0|N
H1666|014|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |NM|32000|0|N
H1666|014|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |NM|32010|0|N
H1666|014|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |NM|32020|0|N
H1666|014|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |NM|32025|0|N
H1666|014|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |NM|32030|0|N
H1666|014|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |NM|32040|0|N
H1666|014|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |NM|32050|0|N
H1666|014|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |NM|32060|0|N
H1666|014|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |NM|32070|0|N
H1666|014|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |NM|32080|0|N
H1666|014|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |NM|32090|0|N
H1666|014|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |NM|32100|0|N
H1666|014|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |NM|32120|0|N
H1666|014|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |NM|32130|0|N
H1666|014|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |NM|32131|0|N
H1666|014|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |NM|32140|0|N
H1666|014|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |NM|32150|0|N
H1666|014|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |NM|32160|0|N
H1666|014|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |NM|32170|0|N
H1666|014|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |NM|32180|0|N
H1666|014|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |NM|32190|0|N
H1666|014|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |NM|32200|0|N
H1666|014|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |NM|32210|0|N
H1666|014|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |NM|32220|0|N
H1666|014|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |NM|32230|0|N
H1666|014|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |NM|32240|0|N
H1666|014|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |NM|32250|0|N
H1666|014|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |NM|32260|0|N
H1666|014|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |NM|32270|0|N
H1666|014|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |NM|32280|0|N
H1666|014|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |NM|32300|0|N
H1666|015|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |NM|32000|0|N
H1666|015|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |NM|32010|0|N
H1666|015|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |NM|32020|0|N
H1666|015|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |NM|32025|0|N
H1666|015|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |NM|32030|0|N
H1666|015|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |NM|32040|0|N
H1666|015|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |NM|32050|0|N
H1666|015|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |NM|32060|0|N
H1666|015|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |NM|32070|0|N
H1666|015|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |NM|32080|0|N
H1666|015|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |NM|32090|0|N
H1666|015|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |NM|32100|0|N
H1666|015|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |NM|32120|0|N
H1666|015|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |NM|32130|0|N
H1666|015|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |NM|32131|0|N
H1666|015|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |NM|32140|0|N
H1666|015|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |NM|32150|0|N
H1666|015|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |NM|32160|0|N
H1666|015|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |NM|32170|0|N
H1666|015|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |NM|32180|0|N
H1666|015|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |NM|32190|0|N
H1666|015|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |NM|32200|0|N
H1666|015|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |NM|32210|0|N
H1666|015|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |NM|32220|0|N
H1666|015|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |NM|32230|0|N
H1666|015|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |NM|32240|0|N
H1666|015|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |NM|32250|0|N
H1666|015|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |NM|32260|0|N
H1666|015|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |NM|32270|0|N
H1666|015|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |NM|32280|0|N
H1666|015|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |NM|32300|0|N
H1666|016|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |NM|32000|0|N
H1666|016|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |NM|32010|0|N
H1666|016|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |NM|32020|0|N
H1666|016|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |NM|32025|0|N
H1666|016|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |NM|32030|0|N
H1666|016|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |NM|32040|0|N
H1666|016|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |NM|32050|0|N
H1666|016|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |NM|32060|0|N
H1666|016|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |NM|32070|0|N
H1666|016|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |NM|32080|0|N
H1666|016|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |NM|32090|0|N
H1666|016|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |NM|32100|0|N
H1666|016|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |NM|32120|0|N
H1666|016|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |NM|32130|0|N
H1666|016|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |NM|32131|0|N
H1666|016|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |NM|32140|0|N
H1666|016|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |NM|32150|0|N
H1666|016|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |NM|32160|0|N
H1666|016|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |NM|32170|0|N
H1666|016|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |NM|32180|0|N
H1666|016|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |NM|32190|0|N
H1666|016|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |NM|32200|0|N
H1666|016|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |NM|32210|0|N
H1666|016|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |NM|32220|0|N
H1666|016|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |NM|32230|0|N
H1666|016|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |NM|32240|0|N
H1666|016|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |NM|32250|0|N
H1666|016|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |NM|32260|0|N
H1666|016|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |NM|32270|0|N
H1666|016|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |NM|32280|0|N
H1666|016|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |NM|32300|0|N
H1666|019|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|0.00|250| | |NM|32000|0|N
H1666|019|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|0.00|250| | |NM|32020|0|N
H1666|019|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|0.00|250| | |NM|32040|0|N
H1666|019|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|0.00|250| | |NM|32060|0|N
H1666|019|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|0.00|250| | |NM|32170|0|N
H1666|019|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|0.00|250| | |NM|32180|0|N
H1666|019|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|0.00|250| | |NM|32200|0|N
H1666|019|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|0.00|250| | |NM|32210|0|N
H1666|019|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|0.00|250| | |NM|32240|0|N
H1666|019|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|0.00|250| | |NM|32270|0|N
H1666|019|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|0.00|250| | |NM|32280|0|N
H1666|019|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|0.00|250| | |NM|32300|0|N
H1666|020|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|8.20|0| | |NM|32000|0|N
H1666|020|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|8.20|0| | |NM|32020|0|N
H1666|020|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|8.20|0| | |NM|32040|0|N
H1666|020|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|8.20|0| | |NM|32060|0|N
H1666|020|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|8.20|0| | |NM|32170|0|N
H1666|020|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|8.20|0| | |NM|32180|0|N
H1666|020|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|8.20|0| | |NM|32200|0|N
H1666|020|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|8.20|0| | |NM|32210|0|N
H1666|020|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|8.20|0| | |NM|32240|0|N
H1666|020|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|8.20|0| | |NM|32270|0|N
H1666|020|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|8.20|0| | |NM|32280|0|N
H1666|020|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|8.20|0| | |NM|32300|0|N
H1666|021|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Access (PPO)|00025443|18.60|590| | |NM|32010|0|N
H1666|021|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Access (PPO)|00025443|18.60|590| | |NM|32025|0|N
H1666|021|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Access (PPO)|00025443|18.60|590| | |NM|32030|0|N
H1666|021|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Access (PPO)|00025443|18.60|590| | |NM|32050|0|N
H1666|021|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Access (PPO)|00025443|18.60|590| | |NM|32070|0|N
H1666|021|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Access (PPO)|00025443|18.60|590| | |NM|32080|0|N
H1666|021|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Access (PPO)|00025443|18.60|590| | |NM|32090|0|N
H1666|021|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Access (PPO)|00025443|18.60|590| | |NM|32100|0|N
H1666|021|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Access (PPO)|00025443|18.60|590| | |NM|32120|0|N
H1666|021|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Access (PPO)|00025443|18.60|590| | |NM|32130|0|N
H1666|021|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Access (PPO)|00025443|18.60|590| | |NM|32131|0|N
H1666|021|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Access (PPO)|00025443|18.60|590| | |NM|32140|0|N
H1666|021|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Access (PPO)|00025443|18.60|590| | |NM|32150|0|N
H1666|021|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Access (PPO)|00025443|18.60|590| | |NM|32160|0|N
H1666|021|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Access (PPO)|00025443|18.60|590| | |NM|32190|0|N
H1666|021|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Access (PPO)|00025443|18.60|590| | |NM|32220|0|N
H1666|021|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Access (PPO)|00025443|18.60|590| | |NM|32230|0|N
H1666|021|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Access (PPO)|00025443|18.60|590| | |NM|32250|0|N
H1666|021|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Access (PPO)|00025443|18.60|590| | |NM|32260|0|N
H1666|022|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|30.00|0| | |TX|45100|0|N
H1666|022|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|30.00|0| | |TX|45222|0|N
H1666|022|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|30.00|0| | |TX|45223|0|N
H1666|022|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|30.00|0| | |TX|45280|0|N
H1666|022|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|30.00|0| | |TX|45310|0|N
H1666|022|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|30.00|0| | |TX|45312|0|N
H1666|022|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|30.00|0| | |TX|45340|0|N
H1666|022|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|30.00|0| | |TX|45390|0|N
H1666|022|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|30.00|0| | |TX|45410|0|N
H1666|022|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|30.00|0| | |TX|45510|0|N
H1666|022|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|30.00|0| | |TX|45511|0|N
H1666|022|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|30.00|0| | |TX|45530|0|N
H1666|022|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|30.00|0| | |TX|45550|0|N
H1666|022|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|30.00|0| | |TX|45600|0|N
H1666|022|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|30.00|0| | |TX|45610|0|N
H1666|022|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|30.00|0| | |TX|45631|0|N
H1666|022|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|30.00|0| | |TX|45651|0|N
H1666|022|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|30.00|0| | |TX|45653|0|N
H1666|022|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|30.00|0| | |TX|45700|0|N
H1666|022|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|30.00|0| | |TX|45720|0|N
H1666|022|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|30.00|0| | |TX|45752|0|N
H1666|022|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|30.00|0| | |TX|45755|0|N
H1666|022|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|30.00|0| | |TX|45757|0|N
H1666|022|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|30.00|0| | |TX|45761|0|N
H1666|022|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|30.00|0| | |TX|45790|0|N
H1666|022|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|30.00|0| | |TX|45795|0|N
H1666|022|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|30.00|0| | |TX|45801|0|N
H1666|022|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|30.00|0| | |TX|45820|0|N
H1666|022|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|30.00|0| | |TX|45879|0|N
H1666|022|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|30.00|0| | |TX|45910|0|N
H1666|022|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|30.00|0| | |TX|45940|0|N
H1666|022|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|30.00|0| | |TX|45954|0|N
H1666|022|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|30.00|0| | |TX|45970|0|N
H1666|022|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|30.00|0| | |TX|45973|0|N
H1666|023|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|26.40|250| | |TX|45060|0|N
H1666|023|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|26.40|250| | |TX|45090|0|N
H1666|023|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|26.40|250| | |TX|45130|0|N
H1666|023|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|26.40|250| | |TX|45240|0|N
H1666|023|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|26.40|250| | |TX|45320|0|N
H1666|023|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|26.40|250| | |TX|45480|0|N
H1666|023|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|26.40|250| | |TX|45562|0|N
H1666|023|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|26.40|250| | |TX|45581|0|N
H1666|023|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|26.40|250| | |TX|45650|0|N
H1666|023|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|26.40|250| | |TX|45731|0|N
H1666|023|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|26.40|250| | |TX|45781|0|N
H1666|023|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|26.40|250| | |TX|45792|0|N
H1666|023|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|26.40|250| | |TX|45873|0|N
H1666|023|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|26.40|250| | |TX|45962|0|N
H1666|023|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|26.40|250| | |TX|45971|0|N
H1666|024|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|37.00|0| | |TX|45060|0|N
H1666|024|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|37.00|0| | |TX|45090|0|N
H1666|024|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|37.00|0| | |TX|45130|0|N
H1666|024|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|37.00|0| | |TX|45240|0|N
H1666|024|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|37.00|0| | |TX|45320|0|N
H1666|024|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|37.00|0| | |TX|45480|0|N
H1666|024|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|37.00|0| | |TX|45562|0|N
H1666|024|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|37.00|0| | |TX|45581|0|N
H1666|024|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|37.00|0| | |TX|45650|0|N
H1666|024|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|37.00|0| | |TX|45731|0|N
H1666|024|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|37.00|0| | |TX|45781|0|N
H1666|024|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|37.00|0| | |TX|45792|0|N
H1666|024|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|37.00|0| | |TX|45873|0|N
H1666|024|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|37.00|0| | |TX|45962|0|N
H1666|024|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|37.00|0| | |TX|45971|0|N
H1692|002|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Silver (HMO)|00025101|0.00|450| | |WV|51030|0|N
H1692|002|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Silver (HMO)|00025101|0.00|450| | |WV|51050|0|N
H1692|002|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Silver (HMO)|00025101|0.00|450| | |WV|51060|0|N
H1692|002|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Silver (HMO)|00025101|0.00|450| | |WV|51070|0|N
H1692|002|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Silver (HMO)|00025101|0.00|450| | |WV|51090|0|N
H1692|002|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Silver (HMO)|00025101|0.00|450| | |WV|51100|0|N
H1692|002|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Silver (HMO)|00025101|0.00|450| | |WV|51110|0|N
H1692|002|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Silver (HMO)|00025101|0.00|450| | |WV|51120|0|N
H1692|002|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Silver (HMO)|00025101|0.00|450| | |WV|51130|0|N
H1692|002|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Silver (HMO)|00025101|0.00|450| | |WV|51170|0|N
H1692|002|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Silver (HMO)|00025101|0.00|450| | |WV|51190|0|N
H1692|002|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Silver (HMO)|00025101|0.00|450| | |WV|51210|0|N
H1692|002|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Silver (HMO)|00025101|0.00|450| | |WV|51230|0|N
H1692|002|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Silver (HMO)|00025101|0.00|450| | |WV|51260|0|N
H1692|002|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Silver (HMO)|00025101|0.00|450| | |WV|51270|0|N
H1692|002|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Silver (HMO)|00025101|0.00|450| | |WV|51290|0|N
H1692|002|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Silver (HMO)|00025101|0.00|450| | |WV|51330|0|N
H1692|002|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Silver (HMO)|00025101|0.00|450| | |WV|51350|0|N
H1692|002|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Silver (HMO)|00025101|0.00|450| | |WV|51360|0|N
H1692|002|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Silver (HMO)|00025101|0.00|450| | |WV|51370|0|N
H1692|002|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Silver (HMO)|00025101|0.00|450| | |WV|51390|0|N
H1692|002|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Silver (HMO)|00025101|0.00|450| | |WV|51400|0|N
H1692|002|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Silver (HMO)|00025101|0.00|450| | |WV|51460|0|N
H1692|002|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Silver (HMO)|00025101|0.00|450| | |WV|51470|0|N
H1692|002|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Silver (HMO)|00025101|0.00|450| | |WV|51490|0|N
H1692|002|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Silver (HMO)|00025101|0.00|450| | |WV|51500|0|N
H1692|002|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Silver (HMO)|00025101|0.00|450| | |WV|51520|0|N
H1692|002|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Silver (HMO)|00025101|0.00|450| | |WV|51530|0|N
H1692|002|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Silver (HMO)|00025101|0.00|450| | |WV|51540|0|N
H1692|003|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Elite (HMO)|00025101|0.00|590| | |WV|51000|0|N
H1692|003|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Elite (HMO)|00025101|0.00|590| | |WV|51010|0|N
H1692|003|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Elite (HMO)|00025101|0.00|590| | |WV|51040|0|N
H1692|003|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Elite (HMO)|00025101|0.00|590| | |WV|51080|0|N
H1692|003|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Elite (HMO)|00025101|0.00|590| | |WV|51110|0|N
H1692|003|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Elite (HMO)|00025101|0.00|590| | |WV|51130|0|N
H1692|003|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Elite (HMO)|00025101|0.00|590| | |WV|51140|0|N
H1692|003|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Elite (HMO)|00025101|0.00|590| | |WV|51150|0|N
H1692|003|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Elite (HMO)|00025101|0.00|590| | |WV|51160|0|N
H1692|003|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Elite (HMO)|00025101|0.00|590| | |WV|51180|0|N
H1692|003|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Elite (HMO)|00025101|0.00|590| | |WV|51200|0|N
H1692|003|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Elite (HMO)|00025101|0.00|590| | |WV|51240|0|N
H1692|003|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Elite (HMO)|00025101|0.00|590| | |WV|51250|0|N
H1692|003|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Elite (HMO)|00025101|0.00|590| | |WV|51280|0|N
H1692|003|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Elite (HMO)|00025101|0.00|590| | |WV|51300|0|N
H1692|003|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Elite (HMO)|00025101|0.00|590| | |WV|51320|0|N
H1692|003|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Elite (HMO)|00025101|0.00|590| | |WV|51340|0|N
H1692|003|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Elite (HMO)|00025101|0.00|590| | |WV|51380|0|N
H1692|003|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Elite (HMO)|00025101|0.00|590| | |WV|51410|0|N
H1692|003|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Elite (HMO)|00025101|0.00|590| | |WV|51450|0|N
H1692|003|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Elite (HMO)|00025101|0.00|590| | |WV|51460|0|N
H1692|003|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Elite (HMO)|00025101|0.00|590| | |WV|51470|0|N
H1692|003|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Elite (HMO)|00025101|0.00|590| | |WV|51480|0|N
H1692|003|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Elite (HMO)|00025101|0.00|590| | |WV|51510|0|N
H1692|005|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |WV|51000|2|N
H1692|005|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |WV|51010|2|N
H1692|005|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |WV|51030|2|N
H1692|005|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |WV|51040|2|N
H1692|005|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |WV|51050|2|N
H1692|005|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |WV|51060|2|N
H1692|005|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |WV|51070|2|N
H1692|005|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |WV|51080|2|N
H1692|005|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |WV|51090|2|N
H1692|005|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |WV|51100|2|N
H1692|005|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |WV|51110|2|N
H1692|005|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |WV|51120|2|N
H1692|005|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |WV|51130|2|N
H1692|005|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |WV|51140|2|N
H1692|005|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |WV|51150|2|N
H1692|005|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |WV|51160|2|N
H1692|005|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |WV|51170|2|N
H1692|005|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |WV|51180|2|N
H1692|005|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |WV|51190|2|N
H1692|005|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |WV|51200|2|N
H1692|005|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |WV|51210|2|N
H1692|005|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |WV|51230|2|N
H1692|005|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |WV|51240|2|N
H1692|005|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |WV|51250|2|N
H1692|005|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |WV|51260|2|N
H1692|005|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |WV|51270|2|N
H1692|005|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |WV|51280|2|N
H1692|005|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |WV|51290|2|N
H1692|005|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |WV|51300|2|N
H1692|005|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |WV|51320|2|N
H1692|005|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |WV|51330|2|N
H1692|005|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |WV|51340|2|N
H1692|005|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |WV|51350|2|N
H1692|005|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |WV|51360|2|N
H1692|005|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |WV|51370|2|N
H1692|005|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |WV|51380|2|N
H1692|005|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |WV|51390|2|N
H1692|005|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |WV|51400|2|N
H1692|005|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |WV|51410|2|N
H1692|005|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |WV|51450|2|N
H1692|005|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |WV|51460|2|N
H1692|005|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |WV|51470|2|N
H1692|005|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |WV|51480|2|N
H1692|005|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |WV|51490|2|N
H1692|005|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |WV|51500|2|N
H1692|005|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |WV|51510|2|N
H1692|005|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |WV|51520|2|N
H1692|005|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |WV|51530|2|N
H1692|005|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |WV|51540|2|N
H1692|007|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Silver (HMO)|00025101|0.00|590| | |WV|51000|0|N
H1692|007|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Silver (HMO)|00025101|0.00|590| | |WV|51010|0|N
H1692|007|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Silver (HMO)|00025101|0.00|590| | |WV|51040|0|N
H1692|007|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Silver (HMO)|00025101|0.00|590| | |WV|51080|0|N
H1692|007|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Silver (HMO)|00025101|0.00|590| | |WV|51110|0|N
H1692|007|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Silver (HMO)|00025101|0.00|590| | |WV|51130|0|N
H1692|007|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Silver (HMO)|00025101|0.00|590| | |WV|51140|0|N
H1692|007|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Silver (HMO)|00025101|0.00|590| | |WV|51150|0|N
H1692|007|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Silver (HMO)|00025101|0.00|590| | |WV|51160|0|N
H1692|007|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Silver (HMO)|00025101|0.00|590| | |WV|51180|0|N
H1692|007|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Silver (HMO)|00025101|0.00|590| | |WV|51200|0|N
H1692|007|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Silver (HMO)|00025101|0.00|590| | |WV|51240|0|N
H1692|007|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Silver (HMO)|00025101|0.00|590| | |WV|51250|0|N
H1692|007|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Silver (HMO)|00025101|0.00|590| | |WV|51280|0|N
H1692|007|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Silver (HMO)|00025101|0.00|590| | |WV|51300|0|N
H1692|007|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Silver (HMO)|00025101|0.00|590| | |WV|51320|0|N
H1692|007|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Silver (HMO)|00025101|0.00|590| | |WV|51340|0|N
H1692|007|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Silver (HMO)|00025101|0.00|590| | |WV|51380|0|N
H1692|007|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Silver (HMO)|00025101|0.00|590| | |WV|51410|0|N
H1692|007|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Silver (HMO)|00025101|0.00|590| | |WV|51450|0|N
H1692|007|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Silver (HMO)|00025101|0.00|590| | |WV|51460|0|N
H1692|007|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Silver (HMO)|00025101|0.00|590| | |WV|51470|0|N
H1692|007|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Silver (HMO)|00025101|0.00|590| | |WV|51480|0|N
H1692|007|000|COVENTRY HEALTH CARE OF WEST VIRGINIA, INC.|Aetna Medicare Silver (HMO)|00025101|0.00|590| | |WV|51510|0|N
H1722|002|000|HEALTHFIRST HEALTH PLAN, INC.|Healthfirst Signature (HMO)|00025210|0.00|590| | |NY|33540|0|N
H1722|002|000|HEALTHFIRST HEALTH PLAN, INC.|Healthfirst Signature (HMO)|00025210|0.00|590| | |NY|33620|0|N
H1722|002|000|HEALTHFIRST HEALTH PLAN, INC.|Healthfirst Signature (HMO)|00025210|0.00|590| | |NY|33710|0|N
H1722|002|000|HEALTHFIRST HEALTH PLAN, INC.|Healthfirst Signature (HMO)|00025210|0.00|590| | |NY|33800|0|N
H1723|001|000|ABSOLUTE TOTAL CARE, INC.|Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan)|00025050|0.00|0| | |SC|42000|0|N
H1723|001|000|ABSOLUTE TOTAL CARE, INC.|Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan)|00025050|0.00|0| | |SC|42010|0|N
H1723|001|000|ABSOLUTE TOTAL CARE, INC.|Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan)|00025050|0.00|0| | |SC|42020|0|N
H1723|001|000|ABSOLUTE TOTAL CARE, INC.|Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan)|00025050|0.00|0| | |SC|42030|0|N
H1723|001|000|ABSOLUTE TOTAL CARE, INC.|Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan)|00025050|0.00|0| | |SC|42040|0|N
H1723|001|000|ABSOLUTE TOTAL CARE, INC.|Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan)|00025050|0.00|0| | |SC|42050|0|N
H1723|001|000|ABSOLUTE TOTAL CARE, INC.|Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan)|00025050|0.00|0| | |SC|42060|0|N
H1723|001|000|ABSOLUTE TOTAL CARE, INC.|Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan)|00025050|0.00|0| | |SC|42070|0|N
H1723|001|000|ABSOLUTE TOTAL CARE, INC.|Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan)|00025050|0.00|0| | |SC|42080|0|N
H1723|001|000|ABSOLUTE TOTAL CARE, INC.|Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan)|00025050|0.00|0| | |SC|42090|0|N
H1723|001|000|ABSOLUTE TOTAL CARE, INC.|Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan)|00025050|0.00|0| | |SC|42100|0|N
H1723|001|000|ABSOLUTE TOTAL CARE, INC.|Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan)|00025050|0.00|0| | |SC|42110|0|N
H1723|001|000|ABSOLUTE TOTAL CARE, INC.|Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan)|00025050|0.00|0| | |SC|42120|0|N
H1723|001|000|ABSOLUTE TOTAL CARE, INC.|Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan)|00025050|0.00|0| | |SC|42130|0|N
H1723|001|000|ABSOLUTE TOTAL CARE, INC.|Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan)|00025050|0.00|0| | |SC|42140|0|N
H1723|001|000|ABSOLUTE TOTAL CARE, INC.|Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan)|00025050|0.00|0| | |SC|42150|0|N
H1723|001|000|ABSOLUTE TOTAL CARE, INC.|Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan)|00025050|0.00|0| | |SC|42160|0|N
H1723|001|000|ABSOLUTE TOTAL CARE, INC.|Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan)|00025050|0.00|0| | |SC|42170|0|N
H1723|001|000|ABSOLUTE TOTAL CARE, INC.|Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan)|00025050|0.00|0| | |SC|42180|0|N
H1723|001|000|ABSOLUTE TOTAL CARE, INC.|Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan)|00025050|0.00|0| | |SC|42190|0|N
H1723|001|000|ABSOLUTE TOTAL CARE, INC.|Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan)|00025050|0.00|0| | |SC|42200|0|N
H1723|001|000|ABSOLUTE TOTAL CARE, INC.|Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan)|00025050|0.00|0| | |SC|42210|0|N
H1723|001|000|ABSOLUTE TOTAL CARE, INC.|Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan)|00025050|0.00|0| | |SC|42220|0|N
H1723|001|000|ABSOLUTE TOTAL CARE, INC.|Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan)|00025050|0.00|0| | |SC|42230|0|N
H1723|001|000|ABSOLUTE TOTAL CARE, INC.|Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan)|00025050|0.00|0| | |SC|42240|0|N
H1723|001|000|ABSOLUTE TOTAL CARE, INC.|Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan)|00025050|0.00|0| | |SC|42250|0|N
H1723|001|000|ABSOLUTE TOTAL CARE, INC.|Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan)|00025050|0.00|0| | |SC|42260|0|N
H1723|001|000|ABSOLUTE TOTAL CARE, INC.|Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan)|00025050|0.00|0| | |SC|42270|0|N
H1723|001|000|ABSOLUTE TOTAL CARE, INC.|Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan)|00025050|0.00|0| | |SC|42280|0|N
H1723|001|000|ABSOLUTE TOTAL CARE, INC.|Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan)|00025050|0.00|0| | |SC|42290|0|N
H1723|001|000|ABSOLUTE TOTAL CARE, INC.|Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan)|00025050|0.00|0| | |SC|42300|0|N
H1723|001|000|ABSOLUTE TOTAL CARE, INC.|Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan)|00025050|0.00|0| | |SC|42310|0|N
H1723|001|000|ABSOLUTE TOTAL CARE, INC.|Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan)|00025050|0.00|0| | |SC|42320|0|N
H1723|001|000|ABSOLUTE TOTAL CARE, INC.|Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan)|00025050|0.00|0| | |SC|42330|0|N
H1723|001|000|ABSOLUTE TOTAL CARE, INC.|Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan)|00025050|0.00|0| | |SC|42340|0|N
H1723|001|000|ABSOLUTE TOTAL CARE, INC.|Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan)|00025050|0.00|0| | |SC|42350|0|N
H1723|001|000|ABSOLUTE TOTAL CARE, INC.|Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan)|00025050|0.00|0| | |SC|42360|0|N
H1723|001|000|ABSOLUTE TOTAL CARE, INC.|Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan)|00025050|0.00|0| | |SC|42370|0|N
H1723|001|000|ABSOLUTE TOTAL CARE, INC.|Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan)|00025050|0.00|0| | |SC|42380|0|N
H1723|001|000|ABSOLUTE TOTAL CARE, INC.|Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan)|00025050|0.00|0| | |SC|42390|0|N
H1723|001|000|ABSOLUTE TOTAL CARE, INC.|Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan)|00025050|0.00|0| | |SC|42400|0|N
H1723|001|000|ABSOLUTE TOTAL CARE, INC.|Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan)|00025050|0.00|0| | |SC|42410|0|N
H1723|001|000|ABSOLUTE TOTAL CARE, INC.|Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan)|00025050|0.00|0| | |SC|42420|0|N
H1723|001|000|ABSOLUTE TOTAL CARE, INC.|Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan)|00025050|0.00|0| | |SC|42430|0|N
H1723|001|000|ABSOLUTE TOTAL CARE, INC.|Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan)|00025050|0.00|0| | |SC|42440|0|N
H1723|001|000|ABSOLUTE TOTAL CARE, INC.|Wellcare Prime by Absolute Total Care (Medicare-Medicaid Plan)|00025050|0.00|0| | |SC|42450|0|N
H1737|001|000|HEALTH ALLIANCE - MIDWEST, INC.|Health Alliance Medicare Guide HMO Rx (HMO)|00025411|0.00|0| | |IA|16810|0|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11000|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11020|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11040|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11050|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11090|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11100|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11130|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11150|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11160|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11180|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11220|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11230|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11250|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11260|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11280|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11281|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11290|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11310|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11320|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11330|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11370|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11380|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11381|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11400|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11440|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11451|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11461|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11470|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11480|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11520|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11530|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11560|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11570|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11580|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11590|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11591|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11611|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11620|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11630|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11640|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11650|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11651|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11690|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11691|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11702|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11703|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11710|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11720|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11730|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11740|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11760|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11770|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11771|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11780|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11790|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11800|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11801|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11810|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11811|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11821|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11830|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11832|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11833|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11835|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11840|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11841|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11842|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11850|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11860|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11862|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11880|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11881|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11883|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11903|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11912|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11920|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11930|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11941|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11950|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11960|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11961|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11971|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11972|1|N
H1748|003|000|SONDER HEALTH PLANS, INC.|Sonder Diabetes Wellness (HMO C-SNP)|00025262|0.00|0| | |GA|11973|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11000|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11020|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11040|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11050|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11090|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11100|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11130|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11150|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11160|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11180|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11220|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11230|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11250|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11260|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11280|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11281|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11290|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11310|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11320|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11330|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11370|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11380|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11381|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11400|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11440|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11451|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11461|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11470|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11480|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11520|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11530|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11560|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11570|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11580|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11590|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11591|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11611|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11620|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11630|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11640|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11650|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11651|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11690|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11691|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11702|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11703|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11710|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11720|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11730|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11740|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11760|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11770|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11771|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11780|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11790|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11800|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11801|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11810|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11811|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11821|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11830|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11832|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11833|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11835|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11840|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11841|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11842|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11850|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11860|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11862|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11880|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11881|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11883|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11903|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11912|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11920|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11930|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11941|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11950|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11960|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11961|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11971|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11972|1|N
H1748|004|000|SONDER HEALTH PLANS, INC.|Sonder Heart Healthy (HMO C-SNP)|00025262|0.00|0| | |GA|11973|1|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11000|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11020|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11040|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11050|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11090|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11100|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11130|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11150|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11160|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11180|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11220|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11230|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11250|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11260|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11280|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11281|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11290|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11310|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11320|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11330|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11370|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11380|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11381|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11400|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11440|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11451|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11461|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11470|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11480|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11520|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11530|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11560|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11570|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11580|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11590|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11591|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11611|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11620|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11630|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11640|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11650|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11651|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11690|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11691|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11702|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11703|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11710|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11720|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11730|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11740|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11760|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11770|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11771|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11780|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11790|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11800|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11801|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11810|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11811|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11821|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11830|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11832|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11833|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11835|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11840|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11841|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11842|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11850|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11860|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11862|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11880|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11881|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11883|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11903|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11912|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11920|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11930|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11941|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11950|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11960|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11961|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11971|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11972|2|N
H1748|005|000|SONDER HEALTH PLANS, INC.|Sonder Dual Complete (HMO D-SNP)|00025263|0.00|590| | |GA|11973|2|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11000|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11020|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11040|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11050|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11090|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11100|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11130|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11150|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11160|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11180|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11220|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11230|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11250|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11260|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11280|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11281|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11290|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11310|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11320|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11330|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11370|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11380|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11381|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11400|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11440|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11451|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11461|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11470|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11480|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11520|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11530|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11560|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11570|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11580|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11590|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11591|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11611|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11620|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11630|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11640|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11650|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11651|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11690|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11691|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11702|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11703|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11710|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11720|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11730|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11740|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11760|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11770|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11771|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11780|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11790|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11800|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11801|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11810|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11811|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11821|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11830|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11832|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11833|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11835|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11840|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11841|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11842|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11850|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11860|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11862|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11880|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11881|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11883|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11903|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11912|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11920|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11930|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11941|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11950|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11960|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11961|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11971|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11972|0|N
H1748|010|000|SONDER HEALTH PLANS, INC.|Sonder My Choice Medicare Advantage (HMO)|00025263|0.00|0| | |GA|11973|0|N
H1748|011|000|SONDER HEALTH PLANS, INC.|Sonder Mind Matters (HMO C-SNP)|00025262|0.00|0| | |GA|11150|1|N
H1748|011|000|SONDER HEALTH PLANS, INC.|Sonder Mind Matters (HMO C-SNP)|00025262|0.00|0| | |GA|11160|1|N
H1748|011|000|SONDER HEALTH PLANS, INC.|Sonder Mind Matters (HMO C-SNP)|00025262|0.00|0| | |GA|11230|1|N
H1748|011|000|SONDER HEALTH PLANS, INC.|Sonder Mind Matters (HMO C-SNP)|00025262|0.00|0| | |GA|11250|1|N
H1748|011|000|SONDER HEALTH PLANS, INC.|Sonder Mind Matters (HMO C-SNP)|00025262|0.00|0| | |GA|11280|1|N
H1748|011|000|SONDER HEALTH PLANS, INC.|Sonder Mind Matters (HMO C-SNP)|00025262|0.00|0| | |GA|11290|1|N
H1748|011|000|SONDER HEALTH PLANS, INC.|Sonder Mind Matters (HMO C-SNP)|00025262|0.00|0| | |GA|11310|1|N
H1748|011|000|SONDER HEALTH PLANS, INC.|Sonder Mind Matters (HMO C-SNP)|00025262|0.00|0| | |GA|11320|1|N
H1748|011|000|SONDER HEALTH PLANS, INC.|Sonder Mind Matters (HMO C-SNP)|00025262|0.00|0| | |GA|11370|1|N
H1748|011|000|SONDER HEALTH PLANS, INC.|Sonder Mind Matters (HMO C-SNP)|00025262|0.00|0| | |GA|11400|1|N
H1748|011|000|SONDER HEALTH PLANS, INC.|Sonder Mind Matters (HMO C-SNP)|00025262|0.00|0| | |GA|11451|1|N
H1748|011|000|SONDER HEALTH PLANS, INC.|Sonder Mind Matters (HMO C-SNP)|00025262|0.00|0| | |GA|11461|1|N
H1748|011|000|SONDER HEALTH PLANS, INC.|Sonder Mind Matters (HMO C-SNP)|00025262|0.00|0| | |GA|11470|1|N
H1748|011|000|SONDER HEALTH PLANS, INC.|Sonder Mind Matters (HMO C-SNP)|00025262|0.00|0| | |GA|11480|1|N
H1748|011|000|SONDER HEALTH PLANS, INC.|Sonder Mind Matters (HMO C-SNP)|00025262|0.00|0| | |GA|11520|1|N
H1748|011|000|SONDER HEALTH PLANS, INC.|Sonder Mind Matters (HMO C-SNP)|00025262|0.00|0| | |GA|11530|1|N
H1748|011|000|SONDER HEALTH PLANS, INC.|Sonder Mind Matters (HMO C-SNP)|00025262|0.00|0| | |GA|11560|1|N
H1748|011|000|SONDER HEALTH PLANS, INC.|Sonder Mind Matters (HMO C-SNP)|00025262|0.00|0| | |GA|11570|1|N
H1748|011|000|SONDER HEALTH PLANS, INC.|Sonder Mind Matters (HMO C-SNP)|00025262|0.00|0| | |GA|11580|1|N
H1748|011|000|SONDER HEALTH PLANS, INC.|Sonder Mind Matters (HMO C-SNP)|00025262|0.00|0| | |GA|11590|1|N
H1748|011|000|SONDER HEALTH PLANS, INC.|Sonder Mind Matters (HMO C-SNP)|00025262|0.00|0| | |GA|11591|1|N
H1748|011|000|SONDER HEALTH PLANS, INC.|Sonder Mind Matters (HMO C-SNP)|00025262|0.00|0| | |GA|11611|1|N
H1748|011|000|SONDER HEALTH PLANS, INC.|Sonder Mind Matters (HMO C-SNP)|00025262|0.00|0| | |GA|11620|1|N
H1748|011|000|SONDER HEALTH PLANS, INC.|Sonder Mind Matters (HMO C-SNP)|00025262|0.00|0| | |GA|11651|1|N
H1748|011|000|SONDER HEALTH PLANS, INC.|Sonder Mind Matters (HMO C-SNP)|00025262|0.00|0| | |GA|11690|1|N
H1748|011|000|SONDER HEALTH PLANS, INC.|Sonder Mind Matters (HMO C-SNP)|00025262|0.00|0| | |GA|11702|1|N
H1748|011|000|SONDER HEALTH PLANS, INC.|Sonder Mind Matters (HMO C-SNP)|00025262|0.00|0| | |GA|11730|1|N
H1748|011|000|SONDER HEALTH PLANS, INC.|Sonder Mind Matters (HMO C-SNP)|00025262|0.00|0| | |GA|11740|1|N
H1748|011|000|SONDER HEALTH PLANS, INC.|Sonder Mind Matters (HMO C-SNP)|00025262|0.00|0| | |GA|11771|1|N
H1748|011|000|SONDER HEALTH PLANS, INC.|Sonder Mind Matters (HMO C-SNP)|00025262|0.00|0| | |GA|11780|1|N
H1748|011|000|SONDER HEALTH PLANS, INC.|Sonder Mind Matters (HMO C-SNP)|00025262|0.00|0| | |GA|11790|1|N
H1748|011|000|SONDER HEALTH PLANS, INC.|Sonder Mind Matters (HMO C-SNP)|00025262|0.00|0| | |GA|11810|1|N
H1748|011|000|SONDER HEALTH PLANS, INC.|Sonder Mind Matters (HMO C-SNP)|00025262|0.00|0| | |GA|11821|1|N
H1748|011|000|SONDER HEALTH PLANS, INC.|Sonder Mind Matters (HMO C-SNP)|00025262|0.00|0| | |GA|11832|1|N
H1748|011|000|SONDER HEALTH PLANS, INC.|Sonder Mind Matters (HMO C-SNP)|00025262|0.00|0| | |GA|11840|1|N
H1748|011|000|SONDER HEALTH PLANS, INC.|Sonder Mind Matters (HMO C-SNP)|00025262|0.00|0| | |GA|11841|1|N
H1748|011|000|SONDER HEALTH PLANS, INC.|Sonder Mind Matters (HMO C-SNP)|00025262|0.00|0| | |GA|11842|1|N
H1748|011|000|SONDER HEALTH PLANS, INC.|Sonder Mind Matters (HMO C-SNP)|00025262|0.00|0| | |GA|11860|1|N
H1748|011|000|SONDER HEALTH PLANS, INC.|Sonder Mind Matters (HMO C-SNP)|00025262|0.00|0| | |GA|11862|1|N
H1748|011|000|SONDER HEALTH PLANS, INC.|Sonder Mind Matters (HMO C-SNP)|00025262|0.00|0| | |GA|11880|1|N
H1748|011|000|SONDER HEALTH PLANS, INC.|Sonder Mind Matters (HMO C-SNP)|00025262|0.00|0| | |GA|11881|1|N
H1748|011|000|SONDER HEALTH PLANS, INC.|Sonder Mind Matters (HMO C-SNP)|00025262|0.00|0| | |GA|11883|1|N
H1748|011|000|SONDER HEALTH PLANS, INC.|Sonder Mind Matters (HMO C-SNP)|00025262|0.00|0| | |GA|11920|1|N
H1748|011|000|SONDER HEALTH PLANS, INC.|Sonder Mind Matters (HMO C-SNP)|00025262|0.00|0| | |GA|11930|1|N
H1748|011|000|SONDER HEALTH PLANS, INC.|Sonder Mind Matters (HMO C-SNP)|00025262|0.00|0| | |GA|11941|1|N
H1748|011|000|SONDER HEALTH PLANS, INC.|Sonder Mind Matters (HMO C-SNP)|00025262|0.00|0| | |GA|11950|1|N
H1748|011|000|SONDER HEALTH PLANS, INC.|Sonder Mind Matters (HMO C-SNP)|00025262|0.00|0| | |GA|11961|1|N
H1748|011|000|SONDER HEALTH PLANS, INC.|Sonder Mind Matters (HMO C-SNP)|00025262|0.00|0| | |GA|11972|1|N
H1748|012|000|SONDER HEALTH PLANS, INC.|Sonder Renal Health (HMO C-SNP)|00025262|0.00|0| | |GA|11040|1|N
H1748|012|000|SONDER HEALTH PLANS, INC.|Sonder Renal Health (HMO C-SNP)|00025262|0.00|0| | |GA|11050|1|N
H1748|012|000|SONDER HEALTH PLANS, INC.|Sonder Renal Health (HMO C-SNP)|00025262|0.00|0| | |GA|11250|1|N
H1748|012|000|SONDER HEALTH PLANS, INC.|Sonder Renal Health (HMO C-SNP)|00025262|0.00|0| | |GA|11260|1|N
H1748|012|000|SONDER HEALTH PLANS, INC.|Sonder Renal Health (HMO C-SNP)|00025262|0.00|0| | |GA|11280|1|N
H1748|012|000|SONDER HEALTH PLANS, INC.|Sonder Renal Health (HMO C-SNP)|00025262|0.00|0| | |GA|11290|1|N
H1748|012|000|SONDER HEALTH PLANS, INC.|Sonder Renal Health (HMO C-SNP)|00025262|0.00|0| | |GA|11320|1|N
H1748|012|000|SONDER HEALTH PLANS, INC.|Sonder Renal Health (HMO C-SNP)|00025262|0.00|0| | |GA|11370|1|N
H1748|012|000|SONDER HEALTH PLANS, INC.|Sonder Renal Health (HMO C-SNP)|00025262|0.00|0| | |GA|11400|1|N
H1748|012|000|SONDER HEALTH PLANS, INC.|Sonder Renal Health (HMO C-SNP)|00025262|0.00|0| | |GA|11451|1|N
H1748|012|000|SONDER HEALTH PLANS, INC.|Sonder Renal Health (HMO C-SNP)|00025262|0.00|0| | |GA|11470|1|N
H1748|012|000|SONDER HEALTH PLANS, INC.|Sonder Renal Health (HMO C-SNP)|00025262|0.00|0| | |GA|11530|1|N
H1748|012|000|SONDER HEALTH PLANS, INC.|Sonder Renal Health (HMO C-SNP)|00025262|0.00|0| | |GA|11591|1|N
H1748|012|000|SONDER HEALTH PLANS, INC.|Sonder Renal Health (HMO C-SNP)|00025262|0.00|0| | |GA|11720|1|N
H1748|012|000|SONDER HEALTH PLANS, INC.|Sonder Renal Health (HMO C-SNP)|00025262|0.00|0| | |GA|11800|1|N
H1748|012|000|SONDER HEALTH PLANS, INC.|Sonder Renal Health (HMO C-SNP)|00025262|0.00|0| | |GA|11801|1|N
H1748|012|000|SONDER HEALTH PLANS, INC.|Sonder Renal Health (HMO C-SNP)|00025262|0.00|0| | |GA|11810|1|N
H1748|012|000|SONDER HEALTH PLANS, INC.|Sonder Renal Health (HMO C-SNP)|00025262|0.00|0| | |GA|11841|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11000|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11020|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11040|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11050|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11090|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11100|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11130|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11150|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11160|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11180|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11220|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11230|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11250|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11260|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11280|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11281|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11290|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11310|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11320|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11330|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11370|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11380|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11381|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11400|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11440|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11451|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11461|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11470|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11480|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11520|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11530|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11560|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11570|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11580|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11590|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11591|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11611|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11620|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11630|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11640|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11650|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11651|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11690|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11691|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11702|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11703|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11710|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11720|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11730|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11740|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11760|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11770|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11771|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11780|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11790|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11800|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11801|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11810|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11811|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11821|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11830|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11832|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11833|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11835|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11840|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11841|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11842|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11850|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11860|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11862|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11880|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11881|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11883|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11903|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11912|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11920|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11930|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11941|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11950|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11960|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11961|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11971|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11972|1|N
H1748|013|000|SONDER HEALTH PLANS, INC.|Sonder Breathe Well (HMO C-SNP)|00025262|0.00|0| | |GA|11973|1|N
H1748|014|000|SONDER HEALTH PLANS, INC.|Sonder Harmony & Soul (HMO)|00025263|0.00|0| | |GA|11290|0|N
H1748|014|000|SONDER HEALTH PLANS, INC.|Sonder Harmony & Soul (HMO)|00025263|0.00|0| | |GA|11370|0|N
H1748|014|000|SONDER HEALTH PLANS, INC.|Sonder Harmony & Soul (HMO)|00025263|0.00|0| | |GA|11470|0|N
H1748|014|000|SONDER HEALTH PLANS, INC.|Sonder Harmony & Soul (HMO)|00025263|0.00|0| | |GA|11530|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11000|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11020|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11040|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11050|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11090|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11100|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11130|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11150|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11160|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11180|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11220|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11230|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11250|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11260|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11280|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11281|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11290|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11310|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11320|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11330|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11370|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11380|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11381|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11400|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11440|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11451|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11461|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11470|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11480|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11520|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11530|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11560|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11570|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11580|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11590|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11591|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11611|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11620|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11630|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11640|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11650|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11651|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11690|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11691|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11702|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11703|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11710|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11720|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11730|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11740|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11760|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11770|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11771|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11780|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11790|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11800|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11801|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11810|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11811|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11821|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11830|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11832|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11833|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11835|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11840|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11841|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11842|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11850|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11860|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11862|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11880|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11881|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11883|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11903|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11912|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11920|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11930|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11941|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11950|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11960|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11961|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11971|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11972|0|N
H1748|015|000|SONDER HEALTH PLANS, INC.|Sonder Complete Health Advantage (HMO)|00025263|0.00|0| | |GA|11973|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11000|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11020|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11040|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11050|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11090|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11100|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11130|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11150|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11160|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11180|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11220|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11230|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11250|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11260|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11280|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11281|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11290|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11310|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11320|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11330|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11370|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11380|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11381|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11400|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11440|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11451|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11461|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11470|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11480|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11520|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11530|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11560|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11570|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11580|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11590|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11591|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11611|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11620|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11630|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11640|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11650|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11651|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11690|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11691|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11702|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11703|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11710|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11720|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11730|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11740|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11760|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11770|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11771|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11780|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11790|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11800|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11801|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11810|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11811|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11821|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11830|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11832|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11833|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11835|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11840|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11841|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11842|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11850|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11860|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11862|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11880|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11881|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11883|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11903|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11912|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11920|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11930|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11941|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11950|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11960|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11961|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11971|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11972|0|N
H1748|016|000|SONDER HEALTH PLANS, INC.|Sonder Vitality Matters (HMO)|00025263|0.00|0| | |GA|11973|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11000|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11020|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11040|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11050|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11090|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11100|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11130|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11150|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11160|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11180|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11220|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11230|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11250|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11260|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11280|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11281|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11290|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11310|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11320|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11330|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11370|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11380|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11381|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11400|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11440|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11451|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11461|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11470|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11480|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11520|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11530|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11560|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11570|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11580|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11590|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11591|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11611|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11620|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11630|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11640|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11650|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11651|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11690|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11691|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11702|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11703|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11710|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11720|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11730|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11740|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11760|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11770|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11771|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11780|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11790|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11800|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11801|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11810|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11811|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11821|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11830|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11832|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11833|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11835|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11840|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11841|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11842|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11850|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11860|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11862|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11880|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11881|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11883|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11903|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11912|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11920|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11930|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11941|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11950|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11960|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11961|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11971|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11972|0|N
H1748|017|000|SONDER HEALTH PLANS, INC.|Sonder Medicare Valorous (HMO)|00025263|0.00|0| | |GA|11973|0|N
H1774|001|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple Open (PPO)|00025084|0.00|420| | |IN|15050|0|N
H1774|001|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple Open (PPO)|00025084|0.00|420| | |IN|15080|0|N
H1774|001|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple Open (PPO)|00025084|0.00|420| | |IN|15110|0|N
H1774|001|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple Open (PPO)|00025084|0.00|420| | |IN|15250|0|N
H1774|001|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple Open (PPO)|00025084|0.00|420| | |IN|15280|0|N
H1774|001|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple Open (PPO)|00025084|0.00|420| | |IN|15290|0|N
H1774|001|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple Open (PPO)|00025084|0.00|420| | |IN|15310|0|N
H1774|001|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple Open (PPO)|00025084|0.00|420| | |IN|15320|0|N
H1774|001|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple Open (PPO)|00025084|0.00|420| | |IN|15330|0|N
H1774|001|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple Open (PPO)|00025084|0.00|420| | |IN|15470|0|N
H1774|001|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple Open (PPO)|00025084|0.00|420| | |IN|15510|0|N
H1774|001|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple Open (PPO)|00025084|0.00|420| | |IN|15530|0|N
H1774|001|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple Open (PPO)|00025084|0.00|420| | |IN|15640|0|N
H1774|001|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple Open (PPO)|00025084|0.00|420| | |IN|15660|0|N
H1774|001|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple Open (PPO)|00025084|0.00|420| | |IN|15670|0|N
H1774|001|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple Open (PPO)|00025084|0.00|420| | |IN|15720|0|N
H1774|001|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple Open (PPO)|00025084|0.00|420| | |IN|15790|0|N
H1774|001|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple Open (PPO)|00025084|0.00|420| | |IN|15810|0|N
H1774|001|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple Open (PPO)|00025084|0.00|420| | |IN|15860|0|N
H1787|001|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |IA|16590|3|N
H1787|001|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |IA|16740|3|N
H1787|001|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |SD|43040|3|N
H1787|001|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |SD|43050|3|N
H1787|001|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |SD|43110|3|N
H1787|001|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |SD|43140|3|N
H1787|001|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |SD|43160|3|N
H1787|001|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |SD|43170|3|N
H1787|001|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |SD|43180|3|N
H1787|001|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |SD|43190|3|N
H1787|001|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |SD|43210|3|N
H1787|001|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |SD|43290|3|N
H1787|001|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |SD|43380|3|N
H1787|001|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |SD|43400|3|N
H1787|001|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |SD|43410|3|N
H1787|001|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |SD|43430|3|N
H1787|001|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |SD|43460|3|N
H1787|001|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |SD|43480|3|N
H1787|001|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |SD|43490|3|N
H1787|001|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |SD|43500|3|N
H1787|001|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |SD|43510|3|N
H1787|001|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |SD|43540|3|N
H1787|001|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |SD|43610|3|N
H1787|001|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |SD|43620|3|N
H1787|001|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |SD|43630|3|N
H1787|002|000|SANFORD HEALTH PLAN|Great Plain Medicare Advantage Gold (HMO I-SNP)|00025382|20.30|0| | |IA|16590|3|N
H1787|002|000|SANFORD HEALTH PLAN|Great Plain Medicare Advantage Gold (HMO I-SNP)|00025382|20.30|0| | |IA|16740|3|N
H1787|002|000|SANFORD HEALTH PLAN|Great Plain Medicare Advantage Gold (HMO I-SNP)|00025382|20.30|0| | |SD|43040|3|N
H1787|002|000|SANFORD HEALTH PLAN|Great Plain Medicare Advantage Gold (HMO I-SNP)|00025382|20.30|0| | |SD|43050|3|N
H1787|002|000|SANFORD HEALTH PLAN|Great Plain Medicare Advantage Gold (HMO I-SNP)|00025382|20.30|0| | |SD|43110|3|N
H1787|002|000|SANFORD HEALTH PLAN|Great Plain Medicare Advantage Gold (HMO I-SNP)|00025382|20.30|0| | |SD|43140|3|N
H1787|002|000|SANFORD HEALTH PLAN|Great Plain Medicare Advantage Gold (HMO I-SNP)|00025382|20.30|0| | |SD|43160|3|N
H1787|002|000|SANFORD HEALTH PLAN|Great Plain Medicare Advantage Gold (HMO I-SNP)|00025382|20.30|0| | |SD|43170|3|N
H1787|002|000|SANFORD HEALTH PLAN|Great Plain Medicare Advantage Gold (HMO I-SNP)|00025382|20.30|0| | |SD|43180|3|N
H1787|002|000|SANFORD HEALTH PLAN|Great Plain Medicare Advantage Gold (HMO I-SNP)|00025382|20.30|0| | |SD|43190|3|N
H1787|002|000|SANFORD HEALTH PLAN|Great Plain Medicare Advantage Gold (HMO I-SNP)|00025382|20.30|0| | |SD|43210|3|N
H1787|002|000|SANFORD HEALTH PLAN|Great Plain Medicare Advantage Gold (HMO I-SNP)|00025382|20.30|0| | |SD|43290|3|N
H1787|002|000|SANFORD HEALTH PLAN|Great Plain Medicare Advantage Gold (HMO I-SNP)|00025382|20.30|0| | |SD|43380|3|N
H1787|002|000|SANFORD HEALTH PLAN|Great Plain Medicare Advantage Gold (HMO I-SNP)|00025382|20.30|0| | |SD|43400|3|N
H1787|002|000|SANFORD HEALTH PLAN|Great Plain Medicare Advantage Gold (HMO I-SNP)|00025382|20.30|0| | |SD|43410|3|N
H1787|002|000|SANFORD HEALTH PLAN|Great Plain Medicare Advantage Gold (HMO I-SNP)|00025382|20.30|0| | |SD|43430|3|N
H1787|002|000|SANFORD HEALTH PLAN|Great Plain Medicare Advantage Gold (HMO I-SNP)|00025382|20.30|0| | |SD|43460|3|N
H1787|002|000|SANFORD HEALTH PLAN|Great Plain Medicare Advantage Gold (HMO I-SNP)|00025382|20.30|0| | |SD|43480|3|N
H1787|002|000|SANFORD HEALTH PLAN|Great Plain Medicare Advantage Gold (HMO I-SNP)|00025382|20.30|0| | |SD|43490|3|N
H1787|002|000|SANFORD HEALTH PLAN|Great Plain Medicare Advantage Gold (HMO I-SNP)|00025382|20.30|0| | |SD|43500|3|N
H1787|002|000|SANFORD HEALTH PLAN|Great Plain Medicare Advantage Gold (HMO I-SNP)|00025382|20.30|0| | |SD|43510|3|N
H1787|002|000|SANFORD HEALTH PLAN|Great Plain Medicare Advantage Gold (HMO I-SNP)|00025382|20.30|0| | |SD|43540|3|N
H1787|002|000|SANFORD HEALTH PLAN|Great Plain Medicare Advantage Gold (HMO I-SNP)|00025382|20.30|0| | |SD|43610|3|N
H1787|002|000|SANFORD HEALTH PLAN|Great Plain Medicare Advantage Gold (HMO I-SNP)|00025382|20.30|0| | |SD|43620|3|N
H1787|002|000|SANFORD HEALTH PLAN|Great Plain Medicare Advantage Gold (HMO I-SNP)|00025382|20.30|0| | |SD|43630|3|N
H1799|003|001|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18140|2|N
H1799|003|001|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18460|2|N
H1799|003|001|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18510|2|N
H1799|003|001|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18550|2|N
H1799|003|001|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18801|2|N
H1799|003|001|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18890|2|N
H1799|003|001|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18920|2|N
H1799|003|001|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18978|2|N
H1799|003|001|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18980|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18000|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18020|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18040|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18050|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18080|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18100|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18110|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18120|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18130|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18150|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18191|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18210|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18220|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18240|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18271|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18291|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18310|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18320|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18330|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18340|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18360|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18362|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18390|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18400|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18420|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18421|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18450|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18480|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18490|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18540|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18560|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18610|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18630|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18640|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18670|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18680|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18740|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18750|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18760|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18770|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18802|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18830|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18831|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18850|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18860|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18861|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18900|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18910|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18930|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18931|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18932|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18971|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18972|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18973|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18974|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18975|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18976|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18977|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18981|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18984|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18985|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18987|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18988|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18989|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18991|2|N
H1799|003|002|MOLINA HEALTHCARE OF KENTUCKY, INC.|Passport Advantage (HMO D-SNP)|00025316|0.00|590| | |KY|18992|2|N
H1822|001|000|SCAN DESERT HEALTH PLAN, INC.|SCAN Classic (HMO)|00025409|0.00|0| | |AZ|03060|0|N
H1822|001|000|SCAN DESERT HEALTH PLAN, INC.|SCAN Classic (HMO)|00025409|0.00|0| | |AZ|03090|0|N
H1822|001|000|SCAN DESERT HEALTH PLAN, INC.|SCAN Classic (HMO)|00025409|0.00|0| | |AZ|03100|0|N
H1822|002|000|SCAN DESERT HEALTH PLAN, INC.|SCAN Balance (HMO C-SNP)|00025409|0.00|0| | |AZ|03060|1|N
H1822|002|000|SCAN DESERT HEALTH PLAN, INC.|SCAN Balance (HMO C-SNP)|00025409|0.00|0| | |AZ|03090|1|N
H1822|002|000|SCAN DESERT HEALTH PLAN, INC.|SCAN Balance (HMO C-SNP)|00025409|0.00|0| | |AZ|03100|1|N
H1822|004|000|SCAN DESERT HEALTH PLAN, INC.|SCAN Venture (HMO)|00025409|0.00|0| | |AZ|03060|0|N
H1822|004|000|SCAN DESERT HEALTH PLAN, INC.|SCAN Venture (HMO)|00025409|0.00|0| | |AZ|03090|0|N
H1822|004|000|SCAN DESERT HEALTH PLAN, INC.|SCAN Venture (HMO)|00025409|0.00|0| | |AZ|03100|0|N
H1822|005|000|SCAN DESERT HEALTH PLAN, INC.|SCAN Embrace (HMO-POS I-SNP)|00025409|0.00|0| | |AZ|03060|3|N
H1822|005|000|SCAN DESERT HEALTH PLAN, INC.|SCAN Embrace (HMO-POS I-SNP)|00025409|0.00|0| | |AZ|03090|3|N
H1822|006|000|SCAN DESERT HEALTH PLAN, INC.|SCAN Strive (HMO C-SNP)|00025409|29.90|590| | |AZ|03060|1|N
H1822|006|000|SCAN DESERT HEALTH PLAN, INC.|SCAN Strive (HMO C-SNP)|00025409|29.90|590| | |AZ|03090|1|N
H1822|007|000|SCAN DESERT HEALTH PLAN, INC.|SCAN MyChoice (HMO)|00025409|0.00|0| | |AZ|03060|0|N
H1822|007|000|SCAN DESERT HEALTH PLAN, INC.|SCAN MyChoice (HMO)|00025409|0.00|0| | |AZ|03090|0|N
H1822|007|000|SCAN DESERT HEALTH PLAN, INC.|SCAN MyChoice (HMO)|00025409|0.00|0| | |AZ|03100|0|N
H1846|005|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Premium Choice (PPO)|00025291|13.00|150| | |OH|36000|0|N
H1846|005|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Premium Choice (PPO)|00025291|13.00|150| | |OH|36050|0|N
H1846|005|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Premium Choice (PPO)|00025291|13.00|150| | |OH|36070|0|N
H1846|005|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Premium Choice (PPO)|00025291|13.00|150| | |OH|36080|0|N
H1846|005|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Premium Choice (PPO)|00025291|13.00|150| | |OH|36100|0|N
H1846|005|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Premium Choice (PPO)|00025291|13.00|150| | |OH|36110|0|N
H1846|005|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Premium Choice (PPO)|00025291|13.00|150| | |OH|36120|0|N
H1846|005|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Premium Choice (PPO)|00025291|13.00|150| | |OH|36130|0|N
H1846|005|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Premium Choice (PPO)|00025291|13.00|150| | |OH|36150|0|N
H1846|005|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Premium Choice (PPO)|00025291|13.00|150| | |OH|36190|0|N
H1846|005|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Premium Choice (PPO)|00025291|13.00|150| | |OH|36210|0|N
H1846|005|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Premium Choice (PPO)|00025291|13.00|150| | |OH|36230|0|N
H1846|005|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Premium Choice (PPO)|00025291|13.00|150| | |OH|36240|0|N
H1846|005|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Premium Choice (PPO)|00025291|13.00|150| | |OH|36250|0|N
H1846|005|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Premium Choice (PPO)|00025291|13.00|150| | |OH|36270|0|N
H1846|005|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Premium Choice (PPO)|00025291|13.00|150| | |OH|36290|0|N
H1846|005|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Premium Choice (PPO)|00025291|13.00|150| | |OH|36300|0|N
H1846|005|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Premium Choice (PPO)|00025291|13.00|150| | |OH|36310|0|N
H1846|005|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Premium Choice (PPO)|00025291|13.00|150| | |OH|36350|0|N
H1846|005|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Premium Choice (PPO)|00025291|13.00|150| | |OH|36370|0|N
H1846|005|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Premium Choice (PPO)|00025291|13.00|150| | |OH|36380|0|N
H1846|005|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Premium Choice (PPO)|00025291|13.00|150| | |OH|36390|0|N
H1846|005|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Premium Choice (PPO)|00025291|13.00|150| | |OH|36410|0|N
H1846|005|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Premium Choice (PPO)|00025291|13.00|150| | |OH|36430|0|N
H1846|005|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Premium Choice (PPO)|00025291|13.00|150| | |OH|36460|0|N
H1846|005|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Premium Choice (PPO)|00025291|13.00|150| | |OH|36470|0|N
H1846|005|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Premium Choice (PPO)|00025291|13.00|150| | |OH|36500|0|N
H1846|005|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Premium Choice (PPO)|00025291|13.00|150| | |OH|36540|0|N
H1846|005|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Premium Choice (PPO)|00025291|13.00|150| | |OH|36560|0|N
H1846|005|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Premium Choice (PPO)|00025291|13.00|150| | |OH|36570|0|N
H1846|005|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Premium Choice (PPO)|00025291|13.00|150| | |OH|36580|0|N
H1846|005|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Premium Choice (PPO)|00025291|13.00|150| | |OH|36590|0|N
H1846|005|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Premium Choice (PPO)|00025291|13.00|150| | |OH|36610|0|N
H1846|005|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Premium Choice (PPO)|00025291|13.00|150| | |OH|36620|0|N
H1846|005|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Premium Choice (PPO)|00025291|13.00|150| | |OH|36650|0|N
H1846|005|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Premium Choice (PPO)|00025291|13.00|150| | |OH|36660|0|N
H1846|005|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Premium Choice (PPO)|00025291|13.00|150| | |OH|36670|0|N
H1846|005|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Premium Choice (PPO)|00025291|13.00|150| | |OH|36690|0|N
H1846|005|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Premium Choice (PPO)|00025291|13.00|150| | |OH|36710|0|N
H1846|005|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Premium Choice (PPO)|00025291|13.00|150| | |OH|36720|0|N
H1846|005|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Premium Choice (PPO)|00025291|13.00|150| | |OH|36760|0|N
H1846|005|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Premium Choice (PPO)|00025291|13.00|150| | |OH|36810|0|N
H1846|005|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Premium Choice (PPO)|00025291|13.00|150| | |OH|36830|0|N
H1846|005|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Premium Choice (PPO)|00025291|13.00|150| | |OH|36840|0|N
H1846|005|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Premium Choice (PPO)|00025291|13.00|150| | |OH|36850|0|N
H1846|006|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Choice (PPO)|00025291|0.00|150| | |OH|36010|0|N
H1846|006|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Choice (PPO)|00025291|0.00|150| | |OH|36160|0|N
H1846|006|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Choice (PPO)|00025291|0.00|150| | |OH|36200|0|N
H1846|006|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Choice (PPO)|00025291|0.00|150| | |OH|36260|0|N
H1846|006|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Choice (PPO)|00025291|0.00|150| | |OH|36330|0|N
H1846|006|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Choice (PPO)|00025291|0.00|150| | |OH|36340|0|N
H1846|006|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Choice (PPO)|00025291|0.00|150| | |OH|36360|0|N
H1846|006|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Choice (PPO)|00025291|0.00|150| | |OH|36490|0|N
H1846|006|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Choice (PPO)|00025291|0.00|150| | |OH|36550|0|N
H1846|006|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Choice (PPO)|00025291|0.00|150| | |OH|36600|0|N
H1846|006|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Choice (PPO)|00025291|0.00|150| | |OH|36630|0|N
H1846|006|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Choice (PPO)|00025291|0.00|150| | |OH|36640|0|N
H1846|006|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Choice (PPO)|00025291|0.00|150| | |OH|36700|0|N
H1846|006|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Choice (PPO)|00025291|0.00|150| | |OH|36750|0|N
H1846|006|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Choice (PPO)|00025291|0.00|150| | |OH|36820|0|N
H1846|006|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Choice (PPO)|00025291|0.00|150| | |OH|36880|0|N
H1846|006|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|Mount Carmel MediGold Choice (PPO)|00025291|0.00|150| | |OH|36890|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16000|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16010|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16030|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16050|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16060|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16070|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16080|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16090|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16110|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16150|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16160|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16170|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16180|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16190|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16210|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16220|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16240|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16270|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16320|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16330|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16340|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16360|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16370|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16380|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16390|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16400|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16410|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16430|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16450|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16460|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16480|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16490|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16520|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16530|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16540|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16570|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16580|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16600|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16610|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16620|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16650|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16660|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16670|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16690|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16740|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16760|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16780|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16790|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16810|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16830|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16850|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16870|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16900|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16920|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16940|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16960|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16970|0|N
H1846|007|000|MOUNT CARMEL HEALTH INSURANCE COMPANY|MercyOne Health Plan Choice (PPO)|00025291|0.00|0| | |IA|16980|0|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16000|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16010|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16030|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16040|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16050|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16070|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16080|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16090|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16110|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16150|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16160|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16170|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16180|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16210|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16220|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16230|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16240|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16250|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16270|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16280|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16320|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16330|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16340|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16350|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16370|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16400|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16410|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16420|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16430|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16460|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16470|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16480|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16490|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16500|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16510|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16520|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16530|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16540|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16550|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16560|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16570|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16600|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16610|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16620|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16640|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16660|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16670|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16680|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16690|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16760|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16770|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16790|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16810|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16820|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16830|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16850|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16870|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16880|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16900|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16910|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16920|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16940|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16960|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16970|2|N
H1862|003|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |IA|16980|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16000|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16010|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16030|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16040|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16050|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16070|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16080|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16090|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16110|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16150|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16160|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16170|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16180|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16210|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16220|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16230|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16240|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16250|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16270|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16280|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16320|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16330|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16340|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16350|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16370|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16400|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16410|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16420|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16430|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16460|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16470|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16480|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16490|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16500|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16510|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16520|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16530|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16540|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16550|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16560|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16570|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16600|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16610|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16620|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16640|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16660|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16670|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16680|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16690|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16760|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16770|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16790|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16810|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16820|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16830|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16850|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16870|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16880|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16900|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16910|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16920|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16940|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16960|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16970|2|N
H1862|004|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |IA|16980|2|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16000|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16010|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16030|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16040|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16050|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16070|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16080|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16090|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16110|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16150|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16160|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16170|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16180|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16210|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16220|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16230|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16240|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16250|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16270|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16280|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16320|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16330|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16340|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16350|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16370|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16400|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16410|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16420|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16430|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16460|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16470|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16480|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16490|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16500|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16510|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16520|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16530|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16540|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16550|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16560|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16570|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16600|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16610|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16620|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16640|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16660|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16670|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16680|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16690|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16760|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16770|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16790|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16810|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16820|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16830|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16850|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16870|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16880|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16900|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16910|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16920|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16940|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16960|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16970|0|N
H1862|005|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |IA|16980|0|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16000|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16010|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16030|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16040|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16050|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16070|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16080|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16090|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16110|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16150|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16160|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16170|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16180|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16210|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16220|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16230|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16240|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16250|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16270|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16280|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16320|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16330|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16340|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16350|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16370|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16400|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16410|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16420|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16430|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16460|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16470|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16480|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16490|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16500|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16510|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16520|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16530|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16540|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16550|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16560|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16570|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16600|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16610|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16620|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16640|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16660|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16670|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16680|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16690|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16760|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16770|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16790|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16810|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16820|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16830|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16850|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16870|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16880|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16900|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16910|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16920|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16940|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16960|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16970|2|N
H1862|006|000|WELLCARE HEALTH PLANS OF VERMONT, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|38.00|590| | |IA|16980|2|N
H1889|002|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10000|2|N
H1889|002|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10010|2|N
H1889|002|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10020|2|N
H1889|002|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10030|2|N
H1889|002|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10040|2|N
H1889|002|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10060|2|N
H1889|002|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10080|2|N
H1889|002|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10090|2|N
H1889|002|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10110|2|N
H1889|002|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10140|2|N
H1889|002|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10150|2|N
H1889|002|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10160|2|N
H1889|002|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10170|2|N
H1889|002|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10180|2|N
H1889|002|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10190|2|N
H1889|002|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10200|2|N
H1889|002|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10220|2|N
H1889|002|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10230|2|N
H1889|002|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10260|2|N
H1889|002|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10270|2|N
H1889|002|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10280|2|N
H1889|002|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10290|2|N
H1889|002|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10300|2|N
H1889|002|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10310|2|N
H1889|002|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10320|2|N
H1889|002|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10330|2|N
H1889|002|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10340|2|N
H1889|002|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10360|2|N
H1889|002|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10370|2|N
H1889|002|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10380|2|N
H1889|002|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10390|2|N
H1889|002|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10410|2|N
H1889|002|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10420|2|N
H1889|002|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10440|2|N
H1889|002|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10450|2|N
H1889|002|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10460|2|N
H1889|002|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10470|2|N
H1889|002|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10480|2|N
H1889|002|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10500|2|N
H1889|002|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10510|2|N
H1889|002|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10520|2|N
H1889|002|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10530|2|N
H1889|002|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10540|2|N
H1889|002|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10550|2|N
H1889|002|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10560|2|N
H1889|002|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10580|2|N
H1889|002|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10590|2|N
H1889|002|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10600|2|N
H1889|002|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10610|2|N
H1889|002|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10620|2|N
H1889|002|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10630|2|N
H1889|002|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10640|2|N
H1889|002|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10650|2|N
H1889|002|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10660|2|N
H1889|002|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10050|2|N
H1889|002|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10070|2|N
H1889|002|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10100|2|N
H1889|002|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10120|2|N
H1889|002|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10130|2|N
H1889|002|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10210|2|N
H1889|002|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10240|2|N
H1889|002|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10250|2|N
H1889|002|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10350|2|N
H1889|002|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10400|2|N
H1889|002|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10490|2|N
H1889|002|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D003 (PPO D-SNP)|00025002|20.30|590| | |FL|10570|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34000|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34010|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34020|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34030|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34040|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34050|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34060|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34070|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34080|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34090|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34100|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34110|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34120|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34130|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34140|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34150|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34160|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34170|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34180|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34190|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34200|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34210|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34220|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34230|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34240|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34250|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34251|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34270|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34280|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34290|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34300|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34310|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34320|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34330|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34340|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34350|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34360|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34370|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34380|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34390|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34400|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34410|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34420|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34430|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34440|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34450|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34460|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34470|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34480|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34490|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34500|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34510|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34520|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34530|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34540|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34550|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34560|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34570|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34580|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34590|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34600|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34610|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34620|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34630|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34650|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34660|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34670|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34680|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34690|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34700|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34710|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34720|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34730|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34740|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34750|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34760|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34770|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34780|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34790|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34800|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34810|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34820|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34830|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34840|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34850|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34860|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34870|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34880|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34890|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34900|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34910|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34920|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34930|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34940|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34950|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34960|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34970|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34980|2|N
H1889|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S001 (PPO D-SNP)|00025002|0.00|590| | |NC|34981|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39000|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39010|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39070|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39080|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39100|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39110|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39120|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39130|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39140|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39150|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39160|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39180|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39190|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39200|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39210|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39220|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39230|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39240|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39250|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39260|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39270|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39280|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39290|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39310|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39320|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39330|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39340|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39350|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39360|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39370|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39380|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39390|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39400|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39410|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39420|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39440|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39450|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39460|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39470|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39480|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39510|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39520|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39530|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39540|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39550|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39560|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39580|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39590|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39600|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39610|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39620|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39630|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39640|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39650|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39670|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39680|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39690|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39700|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39710|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39720|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39730|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39740|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39750|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39760|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39770|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39790|2|N
H1889|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete PA-S001 (PPO D-SNP)|00025002|0.00|590| | |PA|39800|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18000|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18010|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18020|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18030|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18040|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18050|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18060|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18070|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18080|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18090|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18100|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18110|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18120|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18130|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18140|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18150|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18160|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18170|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18180|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18190|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18191|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18210|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18220|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18230|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18240|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18250|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18260|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18270|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18271|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18290|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18291|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18310|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18320|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18330|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18340|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18350|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18360|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18361|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18362|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18390|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18400|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18410|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18420|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18421|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18440|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18450|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18460|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18470|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18480|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18490|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18500|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18510|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18511|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18530|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18540|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18550|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18560|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18570|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18580|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18590|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18600|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18610|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18620|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18630|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18640|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18650|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18660|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18670|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18680|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18690|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18700|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18710|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18720|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18730|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18740|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18750|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18760|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18770|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18780|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18790|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18800|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18801|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18802|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18830|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18831|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18850|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18860|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18861|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18880|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18890|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18900|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18910|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18920|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18930|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18931|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18932|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18960|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18970|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18971|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18972|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18973|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18974|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18975|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18976|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18977|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18978|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18979|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18980|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18981|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18982|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18983|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18984|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18985|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18986|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18987|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18988|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18989|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18990|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18991|2|N
H1889|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S001 (PPO D-SNP)|00025002|0.00|590| | |KY|18992|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01000|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01010|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01020|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01030|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01040|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01050|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01060|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01070|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01080|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01090|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01100|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01110|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01120|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01130|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01140|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01150|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01160|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01170|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01180|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01190|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01200|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01210|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01220|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01230|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01240|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01250|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01260|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01270|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01280|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01290|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01300|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01310|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01320|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01330|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01340|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01350|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01360|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01370|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01380|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01390|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01400|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01410|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01420|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01430|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01440|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01450|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01460|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01470|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01480|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01490|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01500|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01510|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01520|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01530|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01540|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01550|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01560|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01570|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01580|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01590|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01600|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01610|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01620|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01630|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01640|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01650|2|N
H1889|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete AL-D002 (PPO D-SNP)|00025002|40.00|590| | |AL|01660|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19000|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19010|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19020|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19030|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19040|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19050|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19060|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19070|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19080|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19090|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19100|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19110|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19120|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19130|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19140|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19150|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19160|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19170|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19180|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19190|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19200|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19210|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19220|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19230|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19240|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19250|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19260|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19270|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19280|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19290|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19300|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19310|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19320|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19330|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19340|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19350|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19360|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19370|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19380|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19390|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19400|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19410|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19420|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19430|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19440|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19450|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19460|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19470|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19480|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19490|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19500|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19510|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19520|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19530|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19540|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19550|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19560|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19570|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19580|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19590|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19600|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19610|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19620|2|N
H1889|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S001 (PPO D-SNP)|00025002|0.00|590| | |LA|19630|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25000|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25010|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25020|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25030|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25040|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25050|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25060|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25070|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25080|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25090|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25100|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25110|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25120|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25130|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25140|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25150|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25160|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25170|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25180|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25190|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25200|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25210|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25220|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25230|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25240|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25250|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25260|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25270|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25280|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25290|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25300|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25310|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25320|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25330|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25340|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25350|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25370|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25380|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25390|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25400|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25410|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25420|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25440|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25450|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25460|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25470|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25480|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25490|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25500|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25510|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25520|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25530|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25540|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25550|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25560|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25570|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25580|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25590|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25600|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25610|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25620|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25630|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25640|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25650|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25660|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25670|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25680|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25690|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25700|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25710|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25720|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25730|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25740|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25750|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25760|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25770|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25780|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25790|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25800|2|N
H1889|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S001 (PPO D-SNP)|00025002|0.00|590| | |MS|25810|2|N
H1889|012|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NV-S002 (PPO D-SNP)|00025002|0.00|590| | |NV|29010|2|N
H1889|012|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NV-S002 (PPO D-SNP)|00025002|0.00|590| | |NV|29110|2|N
H1889|012|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NV-S002 (PPO D-SNP)|00025002|0.00|590| | |NV|29150|2|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11000|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11010|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11011|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11020|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11030|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11040|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11050|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11060|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11070|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11080|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11090|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11100|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11110|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11120|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11130|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11140|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11150|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11160|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11161|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11170|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11180|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11200|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11210|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11220|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11230|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11240|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11250|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11260|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11270|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11280|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11281|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11291|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11300|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11310|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11311|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11320|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11330|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11340|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11341|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11350|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11360|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11370|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11380|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11381|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11400|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11410|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11420|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11421|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11430|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11440|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11441|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11450|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11451|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11460|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11461|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11462|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11471|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11480|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11490|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11500|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11510|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11520|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11530|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11540|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11550|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11560|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11570|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11580|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11581|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11590|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11591|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11600|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11601|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11610|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11611|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11612|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11620|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11630|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11640|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11650|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11651|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11652|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11660|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11670|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11680|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11690|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11691|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11700|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11701|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11702|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11703|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11710|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11720|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11730|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11740|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11741|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11750|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11760|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11770|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11771|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11772|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11780|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11790|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11800|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11801|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11810|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11811|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11812|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11820|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11821|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11830|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11831|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11832|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11833|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11834|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11835|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11840|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11841|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11842|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11850|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11851|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11860|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11861|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11862|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11870|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11880|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11881|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11882|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11883|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11884|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11885|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11890|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11900|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11901|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11902|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11903|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11910|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11911|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11912|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11913|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11920|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11921|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11930|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11940|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11941|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11950|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11960|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11961|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11962|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11963|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11970|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11971|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11972|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11973|0|N
H1889|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage Essentials GA-2 (PPO)|00025002|0.00|420| | |GA|11980|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04000|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04010|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04020|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04030|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04040|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04050|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04060|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04070|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04080|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04090|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04100|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04110|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04120|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04130|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04140|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04150|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04160|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04170|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04180|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04190|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04200|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04210|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04220|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04230|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04240|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04250|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04260|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04270|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04280|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04290|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04300|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04310|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04320|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04330|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04340|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04350|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04360|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04370|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04380|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04390|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04400|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04410|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04420|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04430|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04440|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04450|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04460|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04470|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04480|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04490|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04500|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04510|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04520|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04530|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04540|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04550|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04560|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04580|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04590|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04600|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04610|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04620|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04630|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04640|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04650|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04660|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04670|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04680|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04690|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04700|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04710|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04720|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04730|0|N
H1889|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AR-0004 (PPO)|00025002|0.00|420| | |AR|04740|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01000|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01010|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01020|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01030|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01040|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01050|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01060|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01070|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01080|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01090|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01100|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01110|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01120|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01130|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01140|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01150|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01160|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01170|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01180|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01190|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01200|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01210|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01220|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01230|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01240|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01250|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01260|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01270|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01280|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01290|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01300|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01310|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01320|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01330|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01340|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01350|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01360|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01370|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01380|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01390|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01400|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01410|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01420|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01430|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01440|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01450|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01460|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01470|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01480|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01490|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01500|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01510|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01520|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01530|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01540|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01550|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01560|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01570|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01580|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01590|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01600|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01610|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01620|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01630|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01640|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01650|0|N
H1889|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AL-0004 (PPO)|00025002|0.00|420| | |AL|01660|0|N
H1889|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WY-0001 (PPO)|00025002|42.00|420| | |WY|53000|0|N
H1889|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WY-0001 (PPO)|00025002|42.00|420| | |WY|53010|0|N
H1889|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WY-0001 (PPO)|00025002|42.00|420| | |WY|53020|0|N
H1889|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WY-0001 (PPO)|00025002|42.00|420| | |WY|53030|0|N
H1889|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WY-0001 (PPO)|00025002|42.00|420| | |WY|53040|0|N
H1889|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WY-0001 (PPO)|00025002|42.00|420| | |WY|53050|0|N
H1889|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WY-0001 (PPO)|00025002|42.00|420| | |WY|53060|0|N
H1889|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WY-0001 (PPO)|00025002|42.00|420| | |WY|53070|0|N
H1889|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WY-0001 (PPO)|00025002|42.00|420| | |WY|53080|0|N
H1889|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WY-0001 (PPO)|00025002|42.00|420| | |WY|53090|0|N
H1889|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WY-0001 (PPO)|00025002|42.00|420| | |WY|53100|0|N
H1889|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WY-0001 (PPO)|00025002|42.00|420| | |WY|53110|0|N
H1889|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WY-0001 (PPO)|00025002|42.00|420| | |WY|53120|0|N
H1889|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WY-0001 (PPO)|00025002|42.00|420| | |WY|53130|0|N
H1889|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WY-0001 (PPO)|00025002|42.00|420| | |WY|53140|0|N
H1889|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WY-0001 (PPO)|00025002|42.00|420| | |WY|53150|0|N
H1889|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WY-0001 (PPO)|00025002|42.00|420| | |WY|53170|0|N
H1889|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WY-0001 (PPO)|00025002|42.00|420| | |WY|53180|0|N
H1889|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WY-0001 (PPO)|00025002|42.00|420| | |WY|53190|0|N
H1889|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WY-0001 (PPO)|00025002|42.00|420| | |WY|53200|0|N
H1889|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WY-0001 (PPO)|00025002|42.00|420| | |WY|53210|0|N
H1889|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WY-0001 (PPO)|00025002|42.00|420| | |WY|53220|0|N
H1889|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WY-0002 (PPO)|00025002|0.00|420| | |WY|53000|0|N
H1889|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WY-0002 (PPO)|00025002|0.00|420| | |WY|53010|0|N
H1889|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WY-0002 (PPO)|00025002|0.00|420| | |WY|53020|0|N
H1889|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WY-0002 (PPO)|00025002|0.00|420| | |WY|53030|0|N
H1889|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WY-0002 (PPO)|00025002|0.00|420| | |WY|53040|0|N
H1889|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WY-0002 (PPO)|00025002|0.00|420| | |WY|53050|0|N
H1889|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WY-0002 (PPO)|00025002|0.00|420| | |WY|53060|0|N
H1889|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WY-0002 (PPO)|00025002|0.00|420| | |WY|53070|0|N
H1889|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WY-0002 (PPO)|00025002|0.00|420| | |WY|53080|0|N
H1889|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WY-0002 (PPO)|00025002|0.00|420| | |WY|53090|0|N
H1889|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WY-0002 (PPO)|00025002|0.00|420| | |WY|53100|0|N
H1889|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WY-0002 (PPO)|00025002|0.00|420| | |WY|53110|0|N
H1889|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WY-0002 (PPO)|00025002|0.00|420| | |WY|53120|0|N
H1889|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WY-0002 (PPO)|00025002|0.00|420| | |WY|53130|0|N
H1889|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WY-0002 (PPO)|00025002|0.00|420| | |WY|53140|0|N
H1889|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WY-0002 (PPO)|00025002|0.00|420| | |WY|53150|0|N
H1889|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WY-0002 (PPO)|00025002|0.00|420| | |WY|53170|0|N
H1889|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WY-0002 (PPO)|00025002|0.00|420| | |WY|53180|0|N
H1889|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WY-0002 (PPO)|00025002|0.00|420| | |WY|53190|0|N
H1889|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WY-0002 (PPO)|00025002|0.00|420| | |WY|53200|0|N
H1889|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WY-0002 (PPO)|00025002|0.00|420| | |WY|53210|0|N
H1889|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WY-0002 (PPO)|00025002|0.00|420| | |WY|53220|0|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04000|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04010|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04020|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04030|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04040|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04050|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04060|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04070|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04080|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04090|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04100|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04110|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04120|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04130|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04140|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04150|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04160|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04170|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04180|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04190|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04200|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04210|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04220|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04230|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04240|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04250|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04260|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04270|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04280|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04290|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04300|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04310|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04320|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04330|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04340|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04350|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04360|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04370|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04380|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04390|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04400|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04410|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04420|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04430|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04440|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04450|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04460|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04470|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04480|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04490|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04500|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04510|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04520|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04530|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04540|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04550|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04560|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04580|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04590|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04600|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04610|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04620|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04630|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04640|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04650|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04660|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04670|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04680|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04690|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04700|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04710|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04720|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04730|1|N
H1889|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-5 (PPO C-SNP)|00025003|0.00|340| | |AR|04740|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11000|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11010|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11011|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11020|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11030|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11040|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11050|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11060|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11070|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11080|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11090|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11100|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11110|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11120|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11130|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11140|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11150|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11160|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11161|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11170|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11180|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11200|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11210|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11220|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11230|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11240|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11250|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11260|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11270|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11280|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11281|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11290|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11291|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11300|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11310|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11311|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11320|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11330|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11340|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11341|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11350|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11360|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11370|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11380|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11381|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11400|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11410|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11420|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11421|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11430|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11440|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11441|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11450|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11451|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11460|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11461|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11462|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11470|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11471|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11480|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11490|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11500|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11510|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11520|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11530|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11540|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11550|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11560|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11570|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11580|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11581|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11590|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11591|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11600|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11601|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11610|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11611|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11612|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11620|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11630|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11640|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11650|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11651|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11652|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11660|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11670|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11680|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11690|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11691|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11700|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11701|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11702|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11703|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11710|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11720|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11730|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11740|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11741|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11750|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11760|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11770|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11771|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11772|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11780|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11790|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11800|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11801|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11810|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11811|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11812|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11820|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11821|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11830|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11831|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11832|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11833|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11834|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11835|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11840|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11841|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11842|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11850|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11851|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11860|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11861|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11862|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11870|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11880|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11881|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11882|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11883|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11884|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11885|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11890|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11900|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11901|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11902|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11903|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11910|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11911|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11912|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11913|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11920|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11921|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11930|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11940|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11941|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11950|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11960|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11961|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11962|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11963|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11970|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11971|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11972|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11973|1|N
H1889|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GA-3 (PPO C-SNP)|00025003|0.00|420| | |GA|11980|1|N
H1889|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC GA-7 (PPO)|00025002|0.00|420| | |GA|11290|0|N
H1889|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC GA-7 (PPO)|00025002|0.00|420| | |GA|11470|0|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04000|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04010|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04020|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04030|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04040|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04050|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04060|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04070|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04080|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04090|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04100|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04110|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04120|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04130|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04140|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04150|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04160|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04170|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04180|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04190|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04200|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04210|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04220|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04230|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04240|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04250|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04260|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04270|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04280|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04290|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04300|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04310|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04320|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04330|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04340|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04350|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04360|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04370|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04380|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04390|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04400|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04410|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04420|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04430|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04440|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04450|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04460|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04470|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04480|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04490|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04500|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04510|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04520|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04530|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04540|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04550|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04560|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04580|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04590|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04600|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04610|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04620|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04630|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04640|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04650|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04660|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04670|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04680|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04690|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04700|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04710|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04720|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04730|1|N
H1889|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AR-6 (PPO C-SNP)|00025003|0.00|340| | |AR|04740|1|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10000|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10010|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10020|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10030|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10040|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10050|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10060|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10070|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10080|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10090|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10100|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10110|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10120|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10130|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10140|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10150|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10160|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10170|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10180|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10190|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10200|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10210|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10220|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10230|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10240|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10250|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10260|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10270|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10280|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10290|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10300|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10310|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10320|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10330|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10340|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10350|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10360|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10370|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10380|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10390|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10400|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10410|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10420|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10440|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10450|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10460|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10470|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10480|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10490|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10500|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10510|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10520|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10530|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10540|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10550|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10560|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10570|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10580|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10590|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10600|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10610|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10620|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10630|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10640|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10650|2|N
H1889|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-Y4 (PPO D-SNP)|00025002|0.00|590| | |FL|10660|2|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11000|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11010|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11011|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11020|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11030|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11040|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11050|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11060|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11070|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11080|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11090|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11100|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11110|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11120|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11130|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11140|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11150|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11160|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11161|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11170|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11180|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11200|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11210|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11220|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11230|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11240|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11250|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11260|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11270|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11280|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11281|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11290|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11291|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11300|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11310|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11311|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11320|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11330|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11340|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11341|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11350|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11360|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11370|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11380|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11381|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11400|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11410|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11420|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11421|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11430|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11440|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11441|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11450|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11451|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11460|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11461|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11462|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11470|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11471|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11480|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11490|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11500|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11510|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11520|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11530|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11540|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11550|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11560|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11570|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11580|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11581|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11590|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11591|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11600|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11601|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11610|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11611|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11612|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11620|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11630|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11640|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11650|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11651|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11652|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11660|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11670|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11680|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11690|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11691|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11700|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11701|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11702|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11703|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11710|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11720|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11730|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11740|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11741|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11750|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11760|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11770|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11771|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11772|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11780|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11790|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11800|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11801|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11810|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11811|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11812|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11820|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11821|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11830|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11831|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11832|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11833|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11834|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11835|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11840|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11841|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11842|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11850|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11851|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11860|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11861|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11862|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11870|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11880|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11881|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11882|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11883|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11884|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11885|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11890|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11900|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11901|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11902|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11903|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11910|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11911|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11912|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11913|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11920|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11921|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11930|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11940|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11941|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11950|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11960|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11961|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11962|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11963|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11970|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11971|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11972|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11973|0|N
H1889|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC GA-8 (PPO)|00025002|0.00|495| | |GA|11980|0|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11000|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11010|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11011|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11020|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11030|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11040|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11050|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11060|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11070|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11080|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11090|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11100|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11110|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11120|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11130|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11140|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11150|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11160|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11161|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11170|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11180|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11200|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11210|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11220|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11230|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11240|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11250|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11260|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11270|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11280|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11281|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11290|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11291|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11300|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11310|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11311|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11320|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11330|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11340|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11341|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11350|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11360|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11370|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11380|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11381|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11400|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11410|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11420|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11421|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11430|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11440|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11441|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11450|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11451|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11460|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11461|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11462|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11470|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11471|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11480|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11490|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11500|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11510|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11520|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11530|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11540|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11550|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11560|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11570|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11580|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11581|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11590|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11591|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11600|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11601|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11610|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11611|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11612|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11620|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11630|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11640|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11650|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11651|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11652|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11660|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11670|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11680|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11690|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11691|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11700|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11701|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11702|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11703|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11710|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11720|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11730|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11740|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11741|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11750|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11760|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11770|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11771|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11772|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11780|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11790|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11800|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11801|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11810|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11811|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11812|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11820|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11821|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11830|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11831|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11832|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11833|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11834|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11835|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11840|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11841|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11842|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11850|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11851|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11860|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11861|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11862|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11870|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11880|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11881|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11882|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11883|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11884|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11885|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11890|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11900|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11901|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11902|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11903|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11910|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11911|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11912|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11913|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11920|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11921|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11930|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11940|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11941|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11950|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11960|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11961|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11962|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11963|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11970|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11971|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11972|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11973|1|N
H1889|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GA-9 (PPO C-SNP)|00025003|40.00|590| | |GA|11980|1|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18000|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18010|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18020|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18030|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18040|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18050|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18060|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18070|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18080|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18090|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18100|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18110|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18120|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18130|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18140|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18150|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18160|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18170|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18180|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18190|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18191|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18210|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18220|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18230|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18240|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18250|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18260|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18270|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18271|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18290|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18291|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18310|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18320|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18330|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18340|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18350|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18360|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18361|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18362|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18390|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18400|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18410|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18420|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18421|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18440|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18450|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18460|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18470|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18480|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18490|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18500|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18510|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18511|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18530|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18540|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18550|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18560|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18570|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18580|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18590|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18600|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18610|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18620|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18630|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18640|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18650|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18660|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18670|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18680|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18690|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18700|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18710|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18720|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18730|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18740|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18750|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18760|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18770|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18780|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18790|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18800|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18801|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18802|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18830|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18831|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18850|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18860|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18861|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18880|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18890|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18900|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18910|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18920|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18930|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18931|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18932|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18960|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18970|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18971|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18972|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18973|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18974|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18975|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18976|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18977|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18978|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18979|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18980|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18981|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18982|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18983|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18984|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18985|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18986|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18987|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18988|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18989|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18990|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18991|2|N
H1889|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KY-S3 (PPO D-SNP)|00025002|0.00|590| | |KY|18992|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19000|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19010|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19020|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19030|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19040|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19050|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19060|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19070|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19080|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19090|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19100|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19110|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19120|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19130|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19140|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19150|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19160|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19170|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19180|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19190|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19200|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19210|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19220|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19230|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19240|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19250|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19260|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19270|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19280|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19290|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19300|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19310|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19320|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19330|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19340|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19350|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19360|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19370|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19380|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19390|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19400|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19410|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19420|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19430|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19440|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19450|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19460|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19470|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19480|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19490|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19500|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19510|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19520|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19530|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19540|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19550|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19560|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19570|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19580|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19590|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19600|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19610|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19620|2|N
H1889|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S4 (PPO D-SNP)|00025002|0.00|590| | |LA|19630|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25000|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25010|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25020|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25030|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25040|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25050|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25060|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25070|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25080|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25090|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25100|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25110|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25120|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25130|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25140|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25150|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25160|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25170|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25180|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25190|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25200|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25210|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25220|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25230|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25240|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25250|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25260|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25270|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25280|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25290|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25300|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25310|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25320|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25330|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25340|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25350|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25370|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25380|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25390|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25400|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25410|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25420|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25440|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25450|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25460|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25470|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25480|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25490|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25500|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25510|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25520|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25530|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25540|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25550|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25560|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25570|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25580|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25590|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25600|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25610|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25620|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25630|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25640|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25650|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25660|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25670|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25680|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25690|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25700|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25710|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25720|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25730|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25740|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25750|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25760|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25770|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25780|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25790|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25800|2|N
H1889|032|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S3 (PPO D-SNP)|00025002|0.00|590| | |MS|25810|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34000|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34010|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34020|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34030|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34040|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34050|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34060|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34070|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34080|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34090|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34100|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34110|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34120|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34130|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34140|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34150|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34160|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34170|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34180|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34190|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34200|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34210|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34220|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34230|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34240|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34250|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34251|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34270|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34280|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34290|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34300|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34310|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34320|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34330|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34340|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34350|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34360|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34370|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34380|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34390|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34400|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34410|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34420|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34430|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34440|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34450|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34460|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34470|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34480|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34490|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34500|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34510|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34520|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34530|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34540|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34550|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34560|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34570|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34580|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34590|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34600|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34610|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34620|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34630|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34650|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34660|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34670|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34680|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34690|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34700|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34710|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34720|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34730|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34740|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34750|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34760|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34770|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34780|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34790|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34800|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34810|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34820|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34830|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34840|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34850|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34860|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34870|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34880|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34890|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34900|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34910|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34920|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34930|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34940|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34950|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34960|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34970|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34980|2|N
H1889|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NC-S2 (PPO D-SNP)|00025002|0.00|590| | |NC|34981|2|N
H1889|035|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NV-S3 (PPO D-SNP)|00025002|0.00|590| | |NV|29010|2|N
H1889|035|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NV-S3 (PPO D-SNP)|00025002|0.00|590| | |NV|29110|2|N
H1889|035|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete NV-S3 (PPO D-SNP)|00025002|0.00|590| | |NV|29150|2|N
H1894|002|000|WELLPOINT WASHINGTON, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WA|50040|2|N
H1894|002|000|WELLPOINT WASHINGTON, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WA|50050|2|N
H1894|002|000|WELLPOINT WASHINGTON, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WA|50060|2|N
H1894|002|000|WELLPOINT WASHINGTON, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WA|50070|2|N
H1894|002|000|WELLPOINT WASHINGTON, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WA|50090|2|N
H1894|002|000|WELLPOINT WASHINGTON, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WA|50110|2|N
H1894|002|000|WELLPOINT WASHINGTON, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WA|50130|2|N
H1894|002|000|WELLPOINT WASHINGTON, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WA|50150|2|N
H1894|002|000|WELLPOINT WASHINGTON, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WA|50160|2|N
H1894|002|000|WELLPOINT WASHINGTON, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WA|50170|2|N
H1894|002|000|WELLPOINT WASHINGTON, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WA|50200|2|N
H1894|002|000|WELLPOINT WASHINGTON, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WA|50210|2|N
H1894|002|000|WELLPOINT WASHINGTON, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WA|50220|2|N
H1894|002|000|WELLPOINT WASHINGTON, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WA|50240|2|N
H1894|002|000|WELLPOINT WASHINGTON, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WA|50250|2|N
H1894|002|000|WELLPOINT WASHINGTON, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WA|50260|2|N
H1894|002|000|WELLPOINT WASHINGTON, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WA|50270|2|N
H1894|002|000|WELLPOINT WASHINGTON, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WA|50280|2|N
H1894|002|000|WELLPOINT WASHINGTON, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WA|50290|2|N
H1894|002|000|WELLPOINT WASHINGTON, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WA|50300|2|N
H1894|002|000|WELLPOINT WASHINGTON, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WA|50310|2|N
H1894|002|000|WELLPOINT WASHINGTON, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WA|50330|2|N
H1894|002|000|WELLPOINT WASHINGTON, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WA|50340|2|N
H1894|008|000|WELLPOINT WASHINGTON, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |WA|50160|1|N
H1894|008|000|WELLPOINT WASHINGTON, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |WA|50170|1|N
H1894|008|000|WELLPOINT WASHINGTON, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |WA|50260|1|N
H1894|008|000|WELLPOINT WASHINGTON, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |WA|50300|1|N
H1894|008|000|WELLPOINT WASHINGTON, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |WA|50310|1|N
H1894|008|000|WELLPOINT WASHINGTON, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |WA|50330|1|N
H1894|011|000|WELLPOINT WASHINGTON, INC.|Wellpoint Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WA|50040|2|N
H1894|011|000|WELLPOINT WASHINGTON, INC.|Wellpoint Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WA|50050|2|N
H1894|011|000|WELLPOINT WASHINGTON, INC.|Wellpoint Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WA|50060|2|N
H1894|011|000|WELLPOINT WASHINGTON, INC.|Wellpoint Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WA|50070|2|N
H1894|011|000|WELLPOINT WASHINGTON, INC.|Wellpoint Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WA|50090|2|N
H1894|011|000|WELLPOINT WASHINGTON, INC.|Wellpoint Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WA|50110|2|N
H1894|011|000|WELLPOINT WASHINGTON, INC.|Wellpoint Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WA|50130|2|N
H1894|011|000|WELLPOINT WASHINGTON, INC.|Wellpoint Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WA|50150|2|N
H1894|011|000|WELLPOINT WASHINGTON, INC.|Wellpoint Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WA|50160|2|N
H1894|011|000|WELLPOINT WASHINGTON, INC.|Wellpoint Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WA|50170|2|N
H1894|011|000|WELLPOINT WASHINGTON, INC.|Wellpoint Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WA|50200|2|N
H1894|011|000|WELLPOINT WASHINGTON, INC.|Wellpoint Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WA|50210|2|N
H1894|011|000|WELLPOINT WASHINGTON, INC.|Wellpoint Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WA|50220|2|N
H1894|011|000|WELLPOINT WASHINGTON, INC.|Wellpoint Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WA|50240|2|N
H1894|011|000|WELLPOINT WASHINGTON, INC.|Wellpoint Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WA|50250|2|N
H1894|011|000|WELLPOINT WASHINGTON, INC.|Wellpoint Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WA|50260|2|N
H1894|011|000|WELLPOINT WASHINGTON, INC.|Wellpoint Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WA|50270|2|N
H1894|011|000|WELLPOINT WASHINGTON, INC.|Wellpoint Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WA|50280|2|N
H1894|011|000|WELLPOINT WASHINGTON, INC.|Wellpoint Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WA|50290|2|N
H1894|011|000|WELLPOINT WASHINGTON, INC.|Wellpoint Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WA|50300|2|N
H1894|011|000|WELLPOINT WASHINGTON, INC.|Wellpoint Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WA|50310|2|N
H1894|011|000|WELLPOINT WASHINGTON, INC.|Wellpoint Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WA|50330|2|N
H1894|011|000|WELLPOINT WASHINGTON, INC.|Wellpoint Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WA|50340|2|N
H1914|001|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |CT|07000|0|N
H1914|001|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |CT|07010|0|N
H1914|001|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |CT|07020|0|N
H1914|001|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |CT|07030|0|N
H1914|001|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |CT|07040|0|N
H1914|001|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |CT|07050|0|N
H1914|001|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |CT|07060|0|N
H1914|001|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |CT|07070|0|N
H1914|002|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |CT|07000|0|N
H1914|002|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |CT|07010|0|N
H1914|002|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |CT|07020|0|N
H1914|002|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |CT|07030|0|N
H1914|002|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |CT|07040|0|N
H1914|002|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |CT|07050|0|N
H1914|002|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |CT|07060|0|N
H1914|002|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |CT|07070|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34010|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34020|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34030|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34040|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34050|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34080|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34100|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34110|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34120|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34130|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34160|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34170|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34180|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34210|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34220|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34230|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34250|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34280|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34290|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34300|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34310|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34330|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34340|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34350|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34370|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34380|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34390|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34400|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34420|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34430|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34440|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34460|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34480|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34490|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34500|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34540|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34550|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34560|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34570|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34590|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34600|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34610|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34620|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34670|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34720|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34740|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34760|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34790|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34800|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34810|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34820|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34830|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34840|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34860|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34870|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34890|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34900|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34910|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34920|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34940|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34960|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34980|0|N
H1914|007|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NC|34981|0|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34010|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34020|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34030|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34040|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34050|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34080|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34100|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34110|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34120|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34130|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34160|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34170|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34180|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34210|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34220|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34230|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34250|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34280|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34290|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34300|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34310|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34330|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34340|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34350|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34370|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34380|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34390|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34400|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34420|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34430|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34440|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34460|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34480|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34490|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34500|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34540|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34550|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34560|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34570|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34590|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34600|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34610|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34620|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34670|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34720|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34740|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34760|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34790|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34800|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34810|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34820|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34830|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34840|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34860|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34870|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34890|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34900|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34910|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34920|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34940|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34960|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34980|2|N
H1914|008|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|39.20|590| | |NC|34981|2|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34010|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34020|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34030|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34040|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34050|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34080|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34100|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34110|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34120|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34130|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34160|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34170|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34180|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34210|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34220|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34230|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34250|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34280|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34290|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34300|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34310|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34330|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34340|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34350|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34370|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34380|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34390|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34400|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34420|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34430|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34440|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34460|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34480|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34490|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34500|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34540|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34550|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34560|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34570|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34590|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34600|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34610|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34620|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34670|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34720|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34740|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34760|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34790|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34800|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34810|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34820|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34830|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34840|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34860|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34870|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34890|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34900|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34910|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34920|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34940|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34960|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34980|0|N
H1914|009|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Assist Open (PPO)|00025066|32.20|500| | |NC|34981|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34010|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34020|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34030|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34040|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34050|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34080|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34100|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34110|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34120|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34130|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34160|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34170|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34180|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34210|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34220|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34230|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34250|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34280|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34290|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34300|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34310|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34330|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34340|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34350|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34370|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34380|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34390|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34400|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34420|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34430|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34440|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34460|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34480|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34490|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34500|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34540|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34550|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34560|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34570|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34590|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34600|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34610|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34620|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34670|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34720|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34740|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34760|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34790|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34800|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34810|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34820|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34830|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34840|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34860|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34870|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34890|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34900|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34910|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34920|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34940|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34960|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34980|0|N
H1914|010|000|WELLCARE HEALTH INSURANCE OF CONNECTICUT, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|410| | |NC|34981|0|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19000|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19010|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19020|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19030|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19040|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19050|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19060|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19070|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19080|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19090|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19100|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19110|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19120|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19130|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19140|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19150|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19160|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19170|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19180|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19190|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19200|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19210|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19220|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19230|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19240|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19250|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19260|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19270|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19280|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19290|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19300|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19310|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19320|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19330|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19340|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19350|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19360|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19370|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19380|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19390|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19400|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19410|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19420|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19430|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19440|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19450|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19460|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19470|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19480|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19490|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19500|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19510|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19520|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19530|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19540|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19550|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19560|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19570|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19580|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19590|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19600|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19610|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19620|2|N
H1947|001|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |LA|19630|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19000|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19010|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19020|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19030|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19040|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19050|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19060|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19070|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19080|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19090|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19100|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19110|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19120|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19130|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19140|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19150|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19160|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19170|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19180|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19190|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19200|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19210|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19220|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19230|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19240|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19250|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19260|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19270|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19280|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19290|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19300|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19310|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19320|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19330|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19340|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19350|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19360|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19370|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19380|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19390|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19400|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19410|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19420|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19430|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19440|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19450|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19460|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19470|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19480|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19490|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19500|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19510|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19520|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19530|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19540|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19550|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19560|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19570|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19580|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19590|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19600|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19610|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19620|2|N
H1947|003|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Enhanced Care (HMO D-SNP)|00025049|19.80|590| | |LA|19630|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19000|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19010|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19020|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19030|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19040|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19050|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19060|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19070|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19080|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19090|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19100|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19110|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19120|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19130|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19140|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19150|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19160|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19170|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19180|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19190|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19200|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19210|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19220|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19230|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19240|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19250|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19260|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19270|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19280|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19290|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19300|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19310|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19320|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19330|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19340|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19350|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19360|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19370|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19380|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19390|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19400|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19410|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19420|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19430|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19440|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19450|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19460|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19470|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19480|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19490|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19500|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19510|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19520|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19530|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19540|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19550|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19560|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19570|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19580|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19590|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19600|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19610|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19620|2|N
H1947|004|000|COMMUNITY CARE HEALTH PLAN OF LOUISIANA, INC.|Healthy Blue Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |LA|19630|2|N
H1951|013|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-013 (HMO)|00025456|21.00|500| | |LA|19070|0|N
H1951|013|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-013 (HMO)|00025456|21.00|500| | |LA|19080|0|N
H1951|013|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-013 (HMO)|00025456|21.00|500| | |LA|19590|0|N
H1951|024|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-024 (HMO)|00025456|24.00|325| | |LA|19520|0|N
H1951|028|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-028 (HMO)|00025456|21.00|0| | |LA|19510|0|N
H1951|028|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-028 (HMO)|00025456|21.00|0| | |LA|19580|0|N
H1951|032|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP)|00025456|0.00|590| | |LA|19020|2|N
H1951|032|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP)|00025456|0.00|590| | |LA|19030|2|N
H1951|032|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP)|00025456|0.00|590| | |LA|19160|2|N
H1951|032|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP)|00025456|0.00|590| | |LA|19180|2|N
H1951|032|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP)|00025456|0.00|590| | |LA|19230|2|N
H1951|032|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP)|00025456|0.00|590| | |LA|19250|2|N
H1951|032|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP)|00025456|0.00|590| | |LA|19280|2|N
H1951|032|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP)|00025456|0.00|590| | |LA|19310|2|N
H1951|032|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP)|00025456|0.00|590| | |LA|19350|2|N
H1951|032|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP)|00025456|0.00|590| | |LA|19370|2|N
H1951|032|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP)|00025456|0.00|590| | |LA|19380|2|N
H1951|032|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP)|00025456|0.00|590| | |LA|19430|2|N
H1951|032|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP)|00025456|0.00|590| | |LA|19440|2|N
H1951|032|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP)|00025456|0.00|590| | |LA|19450|2|N
H1951|032|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP)|00025456|0.00|590| | |LA|19460|2|N
H1951|032|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP)|00025456|0.00|590| | |LA|19470|2|N
H1951|032|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP)|00025456|0.00|590| | |LA|19510|2|N
H1951|032|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP)|00025456|0.00|590| | |LA|19540|2|N
H1951|032|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP)|00025456|0.00|590| | |LA|19580|2|N
H1951|032|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP)|00025456|0.00|590| | |LA|19600|2|N
H1951|038|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Select Partner Plan H1951-038 (HMO)|00025456|0.00|0| | |LA|19250|0|N
H1951|038|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Select Partner Plan H1951-038 (HMO)|00025456|0.00|0| | |LA|19350|0|N
H1951|038|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Select Partner Plan H1951-038 (HMO)|00025456|0.00|0| | |LA|19440|0|N
H1951|039|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Select Partner Plan H1951-039 (HMO)|00025456|0.00|0| | |LA|19160|0|N
H1951|039|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Select Partner Plan H1951-039 (HMO)|00025456|0.00|0| | |LA|19180|0|N
H1951|039|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Select Partner Plan H1951-039 (HMO)|00025456|0.00|0| | |LA|19230|0|N
H1951|039|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Select Partner Plan H1951-039 (HMO)|00025456|0.00|0| | |LA|19310|0|N
H1951|039|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Select Partner Plan H1951-039 (HMO)|00025456|0.00|0| | |LA|19450|0|N
H1951|039|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Select Partner Plan H1951-039 (HMO)|00025456|0.00|0| | |LA|19600|0|N
H1951|041|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP)|00025456|0.00|590| | |LA|19000|2|N
H1951|041|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP)|00025456|0.00|590| | |LA|19010|2|N
H1951|041|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP)|00025456|0.00|590| | |LA|19040|2|N
H1951|041|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP)|00025456|0.00|590| | |LA|19050|2|N
H1951|041|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP)|00025456|0.00|590| | |LA|19060|2|N
H1951|041|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP)|00025456|0.00|590| | |LA|19070|2|N
H1951|041|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP)|00025456|0.00|590| | |LA|19080|2|N
H1951|041|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP)|00025456|0.00|590| | |LA|19090|2|N
H1951|041|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP)|00025456|0.00|590| | |LA|19100|2|N
H1951|041|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP)|00025456|0.00|590| | |LA|19110|2|N
H1951|041|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP)|00025456|0.00|590| | |LA|19120|2|N
H1951|041|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP)|00025456|0.00|590| | |LA|19130|2|N
H1951|041|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP)|00025456|0.00|590| | |LA|19140|2|N
H1951|041|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP)|00025456|0.00|590| | |LA|19150|2|N
H1951|041|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP)|00025456|0.00|590| | |LA|19170|2|N
H1951|041|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP)|00025456|0.00|590| | |LA|19190|2|N
H1951|041|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP)|00025456|0.00|590| | |LA|19200|2|N
H1951|041|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP)|00025456|0.00|590| | |LA|19210|2|N
H1951|041|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP)|00025456|0.00|590| | |LA|19220|2|N
H1951|041|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP)|00025456|0.00|590| | |LA|19240|2|N
H1951|041|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP)|00025456|0.00|590| | |LA|19260|2|N
H1951|041|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP)|00025456|0.00|590| | |LA|19270|2|N
H1951|041|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP)|00025456|0.00|590| | |LA|19290|2|N
H1951|041|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP)|00025456|0.00|590| | |LA|19300|2|N
H1951|041|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP)|00025456|0.00|590| | |LA|19320|2|N
H1951|041|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP)|00025456|0.00|590| | |LA|19330|2|N
H1951|041|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP)|00025456|0.00|590| | |LA|19340|2|N
H1951|041|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP)|00025456|0.00|590| | |LA|19360|2|N
H1951|041|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP)|00025456|0.00|590| | |LA|19390|2|N
H1951|041|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP)|00025456|0.00|590| | |LA|19400|2|N
H1951|041|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP)|00025456|0.00|590| | |LA|19410|2|N
H1951|041|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP)|00025456|0.00|590| | |LA|19420|2|N
H1951|041|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP)|00025456|0.00|590| | |LA|19480|2|N
H1951|041|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP)|00025456|0.00|590| | |LA|19490|2|N
H1951|041|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP)|00025456|0.00|590| | |LA|19500|2|N
H1951|041|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP)|00025456|0.00|590| | |LA|19520|2|N
H1951|041|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP)|00025456|0.00|590| | |LA|19530|2|N
H1951|041|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP)|00025456|0.00|590| | |LA|19550|2|N
H1951|041|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP)|00025456|0.00|590| | |LA|19560|2|N
H1951|041|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP)|00025456|0.00|590| | |LA|19570|2|N
H1951|041|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP)|00025456|0.00|590| | |LA|19590|2|N
H1951|041|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP)|00025456|0.00|590| | |LA|19610|2|N
H1951|041|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP)|00025456|0.00|590| | |LA|19630|2|N
H1951|044|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025462|0.00|0| | |LA|19250|1|N
H1951|044|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025462|0.00|0| | |LA|19350|1|N
H1951|047|001|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-047 (HMO)|00025456|0.00|350| | |LA|19250|0|N
H1951|047|001|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-047 (HMO)|00025456|0.00|350| | |LA|19350|0|N
H1951|047|001|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-047 (HMO)|00025456|0.00|350| | |LA|19440|0|N
H1951|047|002|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-047 (HMO)|00025456|0.00|350| | |LA|19030|0|N
H1951|047|002|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-047 (HMO)|00025456|0.00|350| | |LA|19280|0|N
H1951|047|002|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-047 (HMO)|00025456|0.00|350| | |LA|19370|0|N
H1951|047|002|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-047 (HMO)|00025456|0.00|350| | |LA|19430|0|N
H1951|047|002|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-047 (HMO)|00025456|0.00|350| | |LA|19460|0|N
H1951|047|002|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-047 (HMO)|00025456|0.00|350| | |LA|19470|0|N
H1951|047|002|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-047 (HMO)|00025456|0.00|350| | |LA|19540|0|N
H1951|048|001|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-048 (HMO)|00025456|0.00|500| | |LA|19020|0|N
H1951|048|001|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-048 (HMO)|00025456|0.00|500| | |LA|19160|0|N
H1951|048|001|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-048 (HMO)|00025456|0.00|500| | |LA|19310|0|N
H1951|048|001|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-048 (HMO)|00025456|0.00|500| | |LA|19600|0|N
H1951|048|002|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-048 (HMO)|00025456|21.00|500| | |LA|19180|0|N
H1951|048|002|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-048 (HMO)|00025456|21.00|500| | |LA|19230|0|N
H1951|048|002|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-048 (HMO)|00025456|21.00|500| | |LA|19380|0|N
H1951|048|002|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-048 (HMO)|00025456|21.00|500| | |LA|19450|0|N
H1951|049|001|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-049 (HMO)|00025456|5.00|590| | |LA|19090|0|N
H1951|049|001|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-049 (HMO)|00025456|5.00|590| | |LA|19110|0|N
H1951|049|002|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-049 (HMO)|00025456|0.00|590| | |LA|19000|0|N
H1951|049|002|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-049 (HMO)|00025456|0.00|590| | |LA|19210|0|N
H1951|049|002|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-049 (HMO)|00025456|0.00|590| | |LA|19220|0|N
H1951|049|002|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-049 (HMO)|00025456|0.00|590| | |LA|19270|0|N
H1951|049|002|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-049 (HMO)|00025456|0.00|590| | |LA|19390|0|N
H1951|049|002|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-049 (HMO)|00025456|0.00|590| | |LA|19480|0|N
H1951|049|002|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-049 (HMO)|00025456|0.00|590| | |LA|19490|0|N
H1951|049|002|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-049 (HMO)|00025456|0.00|590| | |LA|19500|0|N
H1951|049|002|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-049 (HMO)|00025456|0.00|590| | |LA|19560|0|N
H1951|049|003|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-049 (HMO)|00025456|0.00|590| | |LA|19100|0|N
H1951|049|003|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-049 (HMO)|00025456|0.00|590| | |LA|19120|0|N
H1951|049|003|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-049 (HMO)|00025456|0.00|590| | |LA|19170|0|N
H1951|049|003|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-049 (HMO)|00025456|0.00|590| | |LA|19200|0|N
H1951|049|003|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-049 (HMO)|00025456|0.00|590| | |LA|19240|0|N
H1951|049|003|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-049 (HMO)|00025456|0.00|590| | |LA|19300|0|N
H1951|049|003|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-049 (HMO)|00025456|0.00|590| | |LA|19320|0|N
H1951|049|003|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-049 (HMO)|00025456|0.00|590| | |LA|19330|0|N
H1951|049|003|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-049 (HMO)|00025456|0.00|590| | |LA|19360|0|N
H1951|049|003|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-049 (HMO)|00025456|0.00|590| | |LA|19410|0|N
H1951|049|003|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-049 (HMO)|00025456|0.00|590| | |LA|19530|0|N
H1951|049|003|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-049 (HMO)|00025456|0.00|590| | |LA|19550|0|N
H1951|049|003|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-049 (HMO)|00025456|0.00|590| | |LA|19610|0|N
H1951|051|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana LCMC Advantage H1951-051 (HMO)|00025456|0.00|590| | |LA|19250|0|N
H1951|051|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana LCMC Advantage H1951-051 (HMO)|00025456|0.00|590| | |LA|19350|0|N
H1951|051|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana LCMC Advantage H1951-051 (HMO)|00025456|0.00|590| | |LA|19440|0|N
H1951|052|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-052 (HMO)|00025456|12.00|590| | |LA|19010|0|N
H1951|052|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-052 (HMO)|00025456|12.00|590| | |LA|19040|0|N
H1951|052|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-052 (HMO)|00025456|12.00|590| | |LA|19050|0|N
H1951|052|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-052 (HMO)|00025456|12.00|590| | |LA|19060|0|N
H1951|052|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-052 (HMO)|00025456|12.00|590| | |LA|19130|0|N
H1951|052|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-052 (HMO)|00025456|12.00|590| | |LA|19140|0|N
H1951|052|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-052 (HMO)|00025456|12.00|590| | |LA|19150|0|N
H1951|052|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-052 (HMO)|00025456|12.00|590| | |LA|19190|0|N
H1951|052|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-052 (HMO)|00025456|12.00|590| | |LA|19260|0|N
H1951|052|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-052 (HMO)|00025456|12.00|590| | |LA|19290|0|N
H1951|052|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-052 (HMO)|00025456|12.00|590| | |LA|19340|0|N
H1951|052|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-052 (HMO)|00025456|12.00|590| | |LA|19400|0|N
H1951|052|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-052 (HMO)|00025456|12.00|590| | |LA|19420|0|N
H1951|052|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-052 (HMO)|00025456|12.00|590| | |LA|19570|0|N
H1951|052|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-052 (HMO)|00025456|12.00|590| | |LA|19630|0|N
H1951|053|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana FMOL Baton Rouge H1951-053 (HMO)|00025456|0.00|590| | |LA|19020|0|N
H1951|053|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana FMOL Baton Rouge H1951-053 (HMO)|00025456|0.00|590| | |LA|19160|0|N
H1951|053|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana FMOL Baton Rouge H1951-053 (HMO)|00025456|0.00|590| | |LA|19310|0|N
H1951|053|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana FMOL Baton Rouge H1951-053 (HMO)|00025456|0.00|590| | |LA|19600|0|N
H1951|054|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana FMOL Lafayette H1951-054 (HMO)|00025456|0.00|500| | |LA|19270|0|N
H1951|055|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana BR Clinic-BR Gen H1951-055 (HMO)|00025456|0.00|590| | |LA|19020|0|N
H1951|055|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana BR Clinic-BR Gen H1951-055 (HMO)|00025456|0.00|590| | |LA|19160|0|N
H1951|055|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana BR Clinic-BR Gen H1951-055 (HMO)|00025456|0.00|590| | |LA|19310|0|N
H1951|055|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana BR Clinic-BR Gen H1951-055 (HMO)|00025456|0.00|590| | |LA|19600|0|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19000|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19010|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19020|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19030|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19040|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19050|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19060|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19070|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19080|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19090|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19100|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19110|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19120|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19130|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19140|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19150|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19160|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19170|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19180|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19190|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19200|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19210|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19220|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19230|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19240|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19250|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19260|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19270|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19280|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19290|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19300|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19310|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19320|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19330|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19340|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19350|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19360|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19370|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19380|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19390|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19400|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19410|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19420|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19430|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19440|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19450|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19460|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19470|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19480|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19490|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19500|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19510|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19520|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19530|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19540|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19550|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19560|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19570|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19580|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19590|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19600|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19610|2|N
H1951|056|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Dual Select H1951-056 (HMO D-SNP)|00025456|55.60|590| | |LA|19630|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19000|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19010|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19020|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19030|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19040|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19050|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19060|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19070|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19080|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19090|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19100|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19110|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19120|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19130|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19140|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19150|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19160|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19170|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19180|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19190|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19200|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19210|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19220|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19230|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19240|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19250|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19260|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19270|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19280|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19290|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19300|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19310|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19320|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19330|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19340|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19350|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19360|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19370|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19380|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19390|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19400|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19410|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19420|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19430|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19440|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19450|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19460|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19470|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19480|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19490|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19500|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19510|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19520|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19530|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19540|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19550|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19560|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19570|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19580|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19590|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19600|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19610|2|N
H1951|057|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)|00025456|0.00|590| | |LA|19630|2|N
H1951|058|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-058 (HMO)|00025456|25.00|0| | |LA|19020|0|N
H1951|058|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-058 (HMO)|00025456|25.00|0| | |LA|19160|0|N
H1951|058|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-058 (HMO)|00025456|25.00|0| | |LA|19310|0|N
H1951|058|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-058 (HMO)|00025456|25.00|0| | |LA|19600|0|N
H1951|059|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-059 (HMO)|00025456|25.00|0| | |LA|19250|0|N
H1951|059|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-059 (HMO)|00025456|25.00|0| | |LA|19350|0|N
H1951|059|000|HUMANA HEALTH BENEFIT PLAN OF LOUISIANA, INC.|Humana Gold Plus H1951-059 (HMO)|00025456|25.00|0| | |LA|19440|0|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19000|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19010|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19020|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19030|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19040|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19050|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19060|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19070|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19080|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19090|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19100|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19110|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19120|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19130|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19140|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19150|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19160|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19170|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19180|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19190|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19200|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19210|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19220|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19230|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19240|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19250|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19260|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19270|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19280|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19290|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19300|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19310|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19320|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19330|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19340|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19350|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19360|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19370|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19380|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19390|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19400|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19410|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19420|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19430|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19440|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19450|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19460|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19470|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19480|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19490|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19500|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19510|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19520|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19530|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19540|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19550|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19560|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19570|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19580|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19590|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19600|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19610|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19620|2|N
H1961|003|000|PEOPLES HEALTH, INC.|Peoples Health Secure Health (HMO-POS D-SNP)|00025002|55.60|590| | |LA|19630|2|N
H1961|014|001|PEOPLES HEALTH, INC.|Peoples Health Choices 65 (HMO-POS)|00025002|0.00|255| | |LA|19020|0|N
H1961|014|001|PEOPLES HEALTH, INC.|Peoples Health Choices 65 (HMO-POS)|00025002|0.00|255| | |LA|19160|0|N
H1961|014|001|PEOPLES HEALTH, INC.|Peoples Health Choices 65 (HMO-POS)|00025002|0.00|255| | |LA|19180|0|N
H1961|014|001|PEOPLES HEALTH, INC.|Peoples Health Choices 65 (HMO-POS)|00025002|0.00|255| | |LA|19230|0|N
H1961|014|001|PEOPLES HEALTH, INC.|Peoples Health Choices 65 (HMO-POS)|00025002|0.00|255| | |LA|19250|0|N
H1961|014|001|PEOPLES HEALTH, INC.|Peoples Health Choices 65 (HMO-POS)|00025002|0.00|255| | |LA|19310|0|N
H1961|014|001|PEOPLES HEALTH, INC.|Peoples Health Choices 65 (HMO-POS)|00025002|0.00|255| | |LA|19350|0|N
H1961|014|001|PEOPLES HEALTH, INC.|Peoples Health Choices 65 (HMO-POS)|00025002|0.00|255| | |LA|19440|0|N
H1961|014|001|PEOPLES HEALTH, INC.|Peoples Health Choices 65 (HMO-POS)|00025002|0.00|255| | |LA|19450|0|N
H1961|014|001|PEOPLES HEALTH, INC.|Peoples Health Choices 65 (HMO-POS)|00025002|0.00|255| | |LA|19600|0|N
H1961|014|002|PEOPLES HEALTH, INC.|Peoples Health Choices 65 (HMO-POS)|00025002|0.00|255| | |LA|19510|0|N
H1961|014|002|PEOPLES HEALTH, INC.|Peoples Health Choices 65 (HMO-POS)|00025002|0.00|255| | |LA|19520|0|N
H1961|014|002|PEOPLES HEALTH, INC.|Peoples Health Choices 65 (HMO-POS)|00025002|0.00|255| | |LA|19580|0|N
H1961|014|003|PEOPLES HEALTH, INC.|Peoples Health Choices 65 (HMO-POS)|00025002|0.00|255| | |LA|19030|0|N
H1961|014|003|PEOPLES HEALTH, INC.|Peoples Health Choices 65 (HMO-POS)|00025002|0.00|255| | |LA|19280|0|N
H1961|014|003|PEOPLES HEALTH, INC.|Peoples Health Choices 65 (HMO-POS)|00025002|0.00|255| | |LA|19500|0|N
H1961|014|003|PEOPLES HEALTH, INC.|Peoples Health Choices 65 (HMO-POS)|00025002|0.00|255| | |LA|19540|0|N
H1961|014|004|PEOPLES HEALTH, INC.|Peoples Health Choices 65 (HMO-POS)|00025002|0.00|255| | |LA|19370|0|N
H1961|014|004|PEOPLES HEALTH, INC.|Peoples Health Choices 65 (HMO-POS)|00025002|0.00|255| | |LA|19380|0|N
H1961|014|004|PEOPLES HEALTH, INC.|Peoples Health Choices 65 (HMO-POS)|00025002|0.00|255| | |LA|19430|0|N
H1961|014|004|PEOPLES HEALTH, INC.|Peoples Health Choices 65 (HMO-POS)|00025002|0.00|255| | |LA|19460|0|N
H1961|014|004|PEOPLES HEALTH, INC.|Peoples Health Choices 65 (HMO-POS)|00025002|0.00|255| | |LA|19470|0|N
H1961|014|004|PEOPLES HEALTH, INC.|Peoples Health Choices 65 (HMO-POS)|00025002|0.00|255| | |LA|19620|0|N
H1961|017|000|PEOPLES HEALTH, INC.|Peoples Health Choices Gold (HMO-POS)|00025002|0.00|255| | |LA|19000|0|N
H1961|017|000|PEOPLES HEALTH, INC.|Peoples Health Choices Gold (HMO-POS)|00025002|0.00|255| | |LA|19070|0|N
H1961|017|000|PEOPLES HEALTH, INC.|Peoples Health Choices Gold (HMO-POS)|00025002|0.00|255| | |LA|19080|0|N
H1961|017|000|PEOPLES HEALTH, INC.|Peoples Health Choices Gold (HMO-POS)|00025002|0.00|255| | |LA|19090|0|N
H1961|017|000|PEOPLES HEALTH, INC.|Peoples Health Choices Gold (HMO-POS)|00025002|0.00|255| | |LA|19110|0|N
H1961|017|000|PEOPLES HEALTH, INC.|Peoples Health Choices Gold (HMO-POS)|00025002|0.00|255| | |LA|19190|0|N
H1961|017|000|PEOPLES HEALTH, INC.|Peoples Health Choices Gold (HMO-POS)|00025002|0.00|255| | |LA|19220|0|N
H1961|017|000|PEOPLES HEALTH, INC.|Peoples Health Choices Gold (HMO-POS)|00025002|0.00|255| | |LA|19270|0|N
H1961|017|000|PEOPLES HEALTH, INC.|Peoples Health Choices Gold (HMO-POS)|00025002|0.00|255| | |LA|19360|0|N
H1961|017|000|PEOPLES HEALTH, INC.|Peoples Health Choices Gold (HMO-POS)|00025002|0.00|255| | |LA|19390|0|N
H1961|017|000|PEOPLES HEALTH, INC.|Peoples Health Choices Gold (HMO-POS)|00025002|0.00|255| | |LA|19480|0|N
H1961|017|000|PEOPLES HEALTH, INC.|Peoples Health Choices Gold (HMO-POS)|00025002|0.00|255| | |LA|19490|0|N
H1961|017|000|PEOPLES HEALTH, INC.|Peoples Health Choices Gold (HMO-POS)|00025002|0.00|255| | |LA|19560|0|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19000|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19010|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19020|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19030|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19040|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19050|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19060|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19070|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19080|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19090|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19100|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19110|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19120|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19130|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19140|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19150|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19160|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19170|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19180|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19190|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19200|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19210|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19220|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19230|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19240|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19250|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19260|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19270|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19280|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19290|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19300|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19310|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19320|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19330|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19340|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19350|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19360|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19370|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19380|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19390|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19400|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19410|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19420|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19430|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19440|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19450|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19460|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19470|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19480|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19490|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19500|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19510|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19520|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19530|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19540|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19550|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19560|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19570|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19580|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19590|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19600|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19610|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19620|2|N
H1961|019|000|PEOPLES HEALTH, INC.|Peoples Health Secure Complete (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19630|2|N
H1961|020|000|PEOPLES HEALTH, INC.|Peoples Health Medicare Advantage Giveback LA-4 (HMO-POS)|00025002|0.00|340| | |LA|19020|0|N
H1961|020|000|PEOPLES HEALTH, INC.|Peoples Health Medicare Advantage Giveback LA-4 (HMO-POS)|00025002|0.00|340| | |LA|19160|0|N
H1961|020|000|PEOPLES HEALTH, INC.|Peoples Health Medicare Advantage Giveback LA-4 (HMO-POS)|00025002|0.00|340| | |LA|19180|0|N
H1961|020|000|PEOPLES HEALTH, INC.|Peoples Health Medicare Advantage Giveback LA-4 (HMO-POS)|00025002|0.00|340| | |LA|19230|0|N
H1961|020|000|PEOPLES HEALTH, INC.|Peoples Health Medicare Advantage Giveback LA-4 (HMO-POS)|00025002|0.00|340| | |LA|19250|0|N
H1961|020|000|PEOPLES HEALTH, INC.|Peoples Health Medicare Advantage Giveback LA-4 (HMO-POS)|00025002|0.00|340| | |LA|19310|0|N
H1961|020|000|PEOPLES HEALTH, INC.|Peoples Health Medicare Advantage Giveback LA-4 (HMO-POS)|00025002|0.00|340| | |LA|19350|0|N
H1961|020|000|PEOPLES HEALTH, INC.|Peoples Health Medicare Advantage Giveback LA-4 (HMO-POS)|00025002|0.00|340| | |LA|19440|0|N
H1961|020|000|PEOPLES HEALTH, INC.|Peoples Health Medicare Advantage Giveback LA-4 (HMO-POS)|00025002|0.00|340| | |LA|19450|0|N
H1961|020|000|PEOPLES HEALTH, INC.|Peoples Health Medicare Advantage Giveback LA-4 (HMO-POS)|00025002|0.00|340| | |LA|19600|0|N
H1961|022|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-5 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19020|1|N
H1961|022|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-5 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19160|1|N
H1961|022|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-5 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19180|1|N
H1961|022|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-5 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19230|1|N
H1961|022|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-5 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19250|1|N
H1961|022|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-5 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19310|1|N
H1961|022|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-5 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19350|1|N
H1961|022|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-5 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19440|1|N
H1961|022|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-5 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19450|1|N
H1961|022|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-5 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19600|1|N
H1961|023|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-6 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19000|1|N
H1961|023|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-6 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19010|1|N
H1961|023|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-6 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19040|1|N
H1961|023|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-6 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19050|1|N
H1961|023|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-6 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19060|1|N
H1961|023|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-6 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19070|1|N
H1961|023|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-6 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19080|1|N
H1961|023|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-6 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19090|1|N
H1961|023|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-6 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19100|1|N
H1961|023|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-6 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19110|1|N
H1961|023|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-6 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19120|1|N
H1961|023|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-6 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19130|1|N
H1961|023|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-6 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19140|1|N
H1961|023|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-6 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19150|1|N
H1961|023|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-6 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19170|1|N
H1961|023|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-6 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19190|1|N
H1961|023|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-6 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19200|1|N
H1961|023|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-6 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19210|1|N
H1961|023|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-6 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19220|1|N
H1961|023|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-6 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19240|1|N
H1961|023|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-6 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19260|1|N
H1961|023|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-6 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19270|1|N
H1961|023|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-6 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19290|1|N
H1961|023|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-6 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19300|1|N
H1961|023|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-6 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19320|1|N
H1961|023|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-6 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19330|1|N
H1961|023|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-6 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19340|1|N
H1961|023|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-6 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19360|1|N
H1961|023|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-6 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19390|1|N
H1961|023|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-6 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19400|1|N
H1961|023|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-6 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19410|1|N
H1961|023|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-6 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19420|1|N
H1961|023|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-6 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19480|1|N
H1961|023|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-6 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19490|1|N
H1961|023|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-6 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19510|1|N
H1961|023|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-6 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19520|1|N
H1961|023|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-6 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19530|1|N
H1961|023|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-6 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19550|1|N
H1961|023|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-6 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19560|1|N
H1961|023|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-6 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19570|1|N
H1961|023|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-6 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19580|1|N
H1961|023|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-6 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19590|1|N
H1961|023|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-6 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19610|1|N
H1961|023|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-6 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19630|1|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19000|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19010|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19020|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19030|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19040|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19050|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19060|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19070|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19080|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19090|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19100|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19110|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19120|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19130|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19140|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19150|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19160|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19170|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19180|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19190|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19200|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19210|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19220|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19230|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19240|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19250|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19260|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19270|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19280|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19290|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19300|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19310|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19320|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19330|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19340|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19350|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19360|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19370|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19380|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19390|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19400|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19410|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19420|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19430|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19440|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19450|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19460|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19470|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19480|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19490|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19500|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19510|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19520|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19530|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19540|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19550|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19560|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19570|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19580|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19590|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19600|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19610|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19620|2|N
H1961|024|000|PEOPLES HEALTH, INC.|Peoples Health Dual Complete LA-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19630|2|N
H1961|025|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-7 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19030|1|N
H1961|025|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-7 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19280|1|N
H1961|025|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-7 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19370|1|N
H1961|025|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-7 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19380|1|N
H1961|025|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-7 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19430|1|N
H1961|025|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-7 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19460|1|N
H1961|025|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-7 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19470|1|N
H1961|025|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-7 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19500|1|N
H1961|025|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-7 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19540|1|N
H1961|025|000|PEOPLES HEALTH, INC.|Peoples Health Complete Care LA-7 (HMO-POS C-SNP)|00025003|0.00|255| | |LA|19620|1|N
H1969|002|000|REGENCE BLUESHIELD OF IDAHO, INC.|Regence Blue MedAdvantage HMO (HMO)|00025106|0.00|0| | |ID|13000|0|N
H1969|002|000|REGENCE BLUESHIELD OF IDAHO, INC.|Regence Blue MedAdvantage HMO (HMO)|00025106|0.00|0| | |ID|13130|0|N
H1977|001|000|UPPER PENINSULA HEALTH PLAN, LLC|Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan)|00025016|0.00|0| | |MI|23010|0|N
H1977|001|000|UPPER PENINSULA HEALTH PLAN, LLC|Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan)|00025016|0.00|0| | |MI|23060|0|N
H1977|001|000|UPPER PENINSULA HEALTH PLAN, LLC|Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan)|00025016|0.00|0| | |MI|23160|0|N
H1977|001|000|UPPER PENINSULA HEALTH PLAN, LLC|Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan)|00025016|0.00|0| | |MI|23200|0|N
H1977|001|000|UPPER PENINSULA HEALTH PLAN, LLC|Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan)|00025016|0.00|0| | |MI|23210|0|N
H1977|001|000|UPPER PENINSULA HEALTH PLAN, LLC|Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan)|00025016|0.00|0| | |MI|23260|0|N
H1977|001|000|UPPER PENINSULA HEALTH PLAN, LLC|Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan)|00025016|0.00|0| | |MI|23300|0|N
H1977|001|000|UPPER PENINSULA HEALTH PLAN, LLC|Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan)|00025016|0.00|0| | |MI|23350|0|N
H1977|001|000|UPPER PENINSULA HEALTH PLAN, LLC|Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan)|00025016|0.00|0| | |MI|23410|0|N
H1977|001|000|UPPER PENINSULA HEALTH PLAN, LLC|Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan)|00025016|0.00|0| | |MI|23470|0|N
H1977|001|000|UPPER PENINSULA HEALTH PLAN, LLC|Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan)|00025016|0.00|0| | |MI|23480|0|N
H1977|001|000|UPPER PENINSULA HEALTH PLAN, LLC|Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan)|00025016|0.00|0| | |MI|23510|0|N
H1977|001|000|UPPER PENINSULA HEALTH PLAN, LLC|Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan)|00025016|0.00|0| | |MI|23540|0|N
H1977|001|000|UPPER PENINSULA HEALTH PLAN, LLC|Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan)|00025016|0.00|0| | |MI|23650|0|N
H1977|001|000|UPPER PENINSULA HEALTH PLAN, LLC|Upper Peninsula Health Plan MI Health Link (Medicare-Medicaid Plan)|00025016|0.00|0| | |MI|23760|0|N
H1993|001|000|ASTIVA HEALTH, INC.|Astiva Health Savings Plan (HMO)|00025256|0.00|0| | |CA|05200|0|N
H1993|001|000|ASTIVA HEALTH, INC.|Astiva Health Savings Plan (HMO)|00025256|0.00|0| | |CA|05210|0|N
H1993|001|000|ASTIVA HEALTH, INC.|Astiva Health Savings Plan (HMO)|00025256|0.00|0| | |CA|05400|0|N
H1993|001|000|ASTIVA HEALTH, INC.|Astiva Health Savings Plan (HMO)|00025256|0.00|0| | |CA|05430|0|N
H1993|001|000|ASTIVA HEALTH, INC.|Astiva Health Savings Plan (HMO)|00025256|0.00|0| | |CA|05460|0|N
H1993|001|000|ASTIVA HEALTH, INC.|Astiva Health Savings Plan (HMO)|00025256|0.00|0| | |CA|05470|0|N
H1993|007|000|ASTIVA HEALTH, INC.|Astiva Health C-SNP Deluxe (HMO C-SNP)|00025256|0.00|0| | |CA|05200|1|N
H1993|007|000|ASTIVA HEALTH, INC.|Astiva Health C-SNP Deluxe (HMO C-SNP)|00025256|0.00|0| | |CA|05210|1|N
H1993|007|000|ASTIVA HEALTH, INC.|Astiva Health C-SNP Deluxe (HMO C-SNP)|00025256|0.00|0| | |CA|05400|1|N
H1993|007|000|ASTIVA HEALTH, INC.|Astiva Health C-SNP Deluxe (HMO C-SNP)|00025256|0.00|0| | |CA|05430|1|N
H1993|007|000|ASTIVA HEALTH, INC.|Astiva Health C-SNP Deluxe (HMO C-SNP)|00025256|0.00|0| | |CA|05460|1|N
H1993|007|000|ASTIVA HEALTH, INC.|Astiva Health C-SNP Deluxe (HMO C-SNP)|00025256|0.00|0| | |CA|05470|1|N
H1993|008|000|ASTIVA HEALTH, INC.|Astiva Health C-SNP WOW (HMO C-SNP)|00025256|29.70|590| | |CA|05200|1|N
H1993|008|000|ASTIVA HEALTH, INC.|Astiva Health C-SNP WOW (HMO C-SNP)|00025256|29.70|590| | |CA|05210|1|N
H1993|008|000|ASTIVA HEALTH, INC.|Astiva Health C-SNP WOW (HMO C-SNP)|00025256|29.70|590| | |CA|05400|1|N
H1993|008|000|ASTIVA HEALTH, INC.|Astiva Health C-SNP WOW (HMO C-SNP)|00025256|29.70|590| | |CA|05430|1|N
H1993|008|000|ASTIVA HEALTH, INC.|Astiva Health C-SNP WOW (HMO C-SNP)|00025256|29.70|590| | |CA|05460|1|N
H1993|008|000|ASTIVA HEALTH, INC.|Astiva Health C-SNP WOW (HMO C-SNP)|00025256|29.70|590| | |CA|05470|1|N
H1993|010|000|ASTIVA HEALTH, INC.|Astiva Health Premier Plan (HMO)|00025256|0.00|0| | |CA|05200|0|N
H1993|010|000|ASTIVA HEALTH, INC.|Astiva Health Premier Plan (HMO)|00025256|0.00|0| | |CA|05210|0|N
H1993|010|000|ASTIVA HEALTH, INC.|Astiva Health Premier Plan (HMO)|00025256|0.00|0| | |CA|05400|0|N
H1993|010|000|ASTIVA HEALTH, INC.|Astiva Health Premier Plan (HMO)|00025256|0.00|0| | |CA|05430|0|N
H1993|010|000|ASTIVA HEALTH, INC.|Astiva Health Premier Plan (HMO)|00025256|0.00|0| | |CA|05460|0|N
H1993|010|000|ASTIVA HEALTH, INC.|Astiva Health Premier Plan (HMO)|00025256|0.00|0| | |CA|05470|0|N
H1993|011|000|ASTIVA HEALTH, INC.|Astiva Health Savings Plan - NorCal (HMO)|00025256|0.00|0| | |CA|05530|0|N
H1993|012|000|ASTIVA HEALTH, INC.|Astiva Health Premier Plan - NorCal (HMO)|00025256|0.00|0| | |CA|05530|0|N
H1993|013|000|ASTIVA HEALTH, INC.|Astiva Health C-SNP WOW - NorCal (HMO C-SNP)|00025256|29.70|590| | |CA|05530|1|N
H1994|001|000|SELECTHEALTH, INC.|Select Health Medicare Essential (HMO)|00025015|0.00|200| | |ID|13200|0|N
H1994|001|000|SELECTHEALTH, INC.|Select Health Medicare Essential (HMO)|00025015|0.00|200| | |UT|46010|0|N
H1994|001|000|SELECTHEALTH, INC.|Select Health Medicare Essential (HMO)|00025015|0.00|200| | |UT|46020|0|N
H1994|001|000|SELECTHEALTH, INC.|Select Health Medicare Essential (HMO)|00025015|0.00|200| | |UT|46050|0|N
H1994|001|000|SELECTHEALTH, INC.|Select Health Medicare Essential (HMO)|00025015|0.00|200| | |UT|46140|0|N
H1994|001|000|SELECTHEALTH, INC.|Select Health Medicare Essential (HMO)|00025015|0.00|200| | |UT|46160|0|N
H1994|001|000|SELECTHEALTH, INC.|Select Health Medicare Essential (HMO)|00025015|0.00|200| | |UT|46170|0|N
H1994|001|000|SELECTHEALTH, INC.|Select Health Medicare Essential (HMO)|00025015|0.00|200| | |UT|46210|0|N
H1994|001|000|SELECTHEALTH, INC.|Select Health Medicare Essential (HMO)|00025015|0.00|200| | |UT|46220|0|N
H1994|001|000|SELECTHEALTH, INC.|Select Health Medicare Essential (HMO)|00025015|0.00|200| | |UT|46240|0|N
H1994|001|000|SELECTHEALTH, INC.|Select Health Medicare Essential (HMO)|00025015|0.00|200| | |UT|46250|0|N
H1994|001|000|SELECTHEALTH, INC.|Select Health Medicare Essential (HMO)|00025015|0.00|200| | |UT|46280|0|N
H1994|002|000|SELECTHEALTH, INC.|Select Health Medicare Classic (HMO)|00025015|59.00|200| | |UT|46060|0|N
H1994|002|000|SELECTHEALTH, INC.|Select Health Medicare Classic (HMO)|00025015|59.00|200| | |UT|46080|0|N
H1994|002|000|SELECTHEALTH, INC.|Select Health Medicare Classic (HMO)|00025015|59.00|200| | |UT|46090|0|N
H1994|002|000|SELECTHEALTH, INC.|Select Health Medicare Classic (HMO)|00025015|59.00|200| | |UT|46100|0|N
H1994|002|000|SELECTHEALTH, INC.|Select Health Medicare Classic (HMO)|00025015|59.00|200| | |UT|46110|0|N
H1994|002|000|SELECTHEALTH, INC.|Select Health Medicare Classic (HMO)|00025015|59.00|200| | |UT|46130|0|N
H1994|002|000|SELECTHEALTH, INC.|Select Health Medicare Classic (HMO)|00025015|59.00|200| | |UT|46150|0|N
H1994|002|000|SELECTHEALTH, INC.|Select Health Medicare Classic (HMO)|00025015|59.00|200| | |UT|46190|0|N
H1994|002|000|SELECTHEALTH, INC.|Select Health Medicare Classic (HMO)|00025015|59.00|200| | |UT|46200|0|N
H1994|002|000|SELECTHEALTH, INC.|Select Health Medicare Classic (HMO)|00025015|59.00|200| | |UT|46230|0|N
H1994|002|000|SELECTHEALTH, INC.|Select Health Medicare Classic (HMO)|00025015|59.00|200| | |UT|46260|0|N
H1994|002|000|SELECTHEALTH, INC.|Select Health Medicare Classic (HMO)|00025015|59.00|200| | |UT|46270|0|N
H1994|007|000|SELECTHEALTH, INC.|Select Health Medicare Enhanced (HMO)|00025019|63.00|0| | |ID|13200|0|N
H1994|007|000|SELECTHEALTH, INC.|Select Health Medicare Enhanced (HMO)|00025019|63.00|0| | |UT|46010|0|N
H1994|007|000|SELECTHEALTH, INC.|Select Health Medicare Enhanced (HMO)|00025019|63.00|0| | |UT|46020|0|N
H1994|007|000|SELECTHEALTH, INC.|Select Health Medicare Enhanced (HMO)|00025019|63.00|0| | |UT|46050|0|N
H1994|007|000|SELECTHEALTH, INC.|Select Health Medicare Enhanced (HMO)|00025019|63.00|0| | |UT|46140|0|N
H1994|007|000|SELECTHEALTH, INC.|Select Health Medicare Enhanced (HMO)|00025019|63.00|0| | |UT|46160|0|N
H1994|007|000|SELECTHEALTH, INC.|Select Health Medicare Enhanced (HMO)|00025019|63.00|0| | |UT|46170|0|N
H1994|007|000|SELECTHEALTH, INC.|Select Health Medicare Enhanced (HMO)|00025019|63.00|0| | |UT|46210|0|N
H1994|007|000|SELECTHEALTH, INC.|Select Health Medicare Enhanced (HMO)|00025019|63.00|0| | |UT|46220|0|N
H1994|007|000|SELECTHEALTH, INC.|Select Health Medicare Enhanced (HMO)|00025019|63.00|0| | |UT|46240|0|N
H1994|007|000|SELECTHEALTH, INC.|Select Health Medicare Enhanced (HMO)|00025019|63.00|0| | |UT|46250|0|N
H1994|007|000|SELECTHEALTH, INC.|Select Health Medicare Enhanced (HMO)|00025019|63.00|0| | |UT|46280|0|N
H1994|012|000|SELECTHEALTH, INC.|Select Health Medicare Essential (HMO)|00025015|0.00|0| | |NV|29010|0|N
H1994|012|000|SELECTHEALTH, INC.|Select Health Medicare Essential (HMO)|00025015|0.00|0| | |NV|29110|0|N
H1994|015|000|SELECTHEALTH, INC.|Select Health Medicare Dual (HMO D-SNP)|00025015|0.00|590| | |UT|46050|2|N
H1994|015|000|SELECTHEALTH, INC.|Select Health Medicare Dual (HMO D-SNP)|00025015|0.00|590| | |UT|46100|2|N
H1994|015|000|SELECTHEALTH, INC.|Select Health Medicare Dual (HMO D-SNP)|00025015|0.00|590| | |UT|46170|2|N
H1994|015|000|SELECTHEALTH, INC.|Select Health Medicare Dual (HMO D-SNP)|00025015|0.00|590| | |UT|46240|2|N
H1994|015|000|SELECTHEALTH, INC.|Select Health Medicare Dual (HMO D-SNP)|00025015|0.00|590| | |UT|46260|2|N
H1994|015|000|SELECTHEALTH, INC.|Select Health Medicare Dual (HMO D-SNP)|00025015|0.00|590| | |UT|46280|2|N
H1994|017|000|SELECTHEALTH, INC.|Select Health Medicare Essential (HMO)|00025015|0.00|200| | |UT|46100|0|N
H1994|017|000|SELECTHEALTH, INC.|Select Health Medicare Essential (HMO)|00025015|0.00|200| | |UT|46190|0|N
H1994|017|000|SELECTHEALTH, INC.|Select Health Medicare Essential (HMO)|00025015|0.00|200| | |UT|46200|0|N
H1994|017|000|SELECTHEALTH, INC.|Select Health Medicare Essential (HMO)|00025015|0.00|200| | |UT|46260|0|N
H1994|017|000|SELECTHEALTH, INC.|Select Health Medicare Essential (HMO)|00025015|0.00|200| | |UT|46270|0|N
H1994|021|000|SELECTHEALTH, INC.|Select Health Medicare + Kroger (HMO)|00025015|0.00|0| | |NV|29010|0|N
H1994|021|000|SELECTHEALTH, INC.|Select Health Medicare + Kroger (HMO)|00025015|0.00|0| | |NV|29110|0|N
H1994|022|000|SELECTHEALTH, INC.|Select Health Medicare + Kroger (HMO)|00025015|0.00|0| | |UT|46010|0|N
H1994|022|000|SELECTHEALTH, INC.|Select Health Medicare + Kroger (HMO)|00025015|0.00|0| | |UT|46020|0|N
H1994|022|000|SELECTHEALTH, INC.|Select Health Medicare + Kroger (HMO)|00025015|0.00|0| | |UT|46050|0|N
H1994|022|000|SELECTHEALTH, INC.|Select Health Medicare + Kroger (HMO)|00025015|0.00|0| | |UT|46100|0|N
H1994|022|000|SELECTHEALTH, INC.|Select Health Medicare + Kroger (HMO)|00025015|0.00|0| | |UT|46140|0|N
H1994|022|000|SELECTHEALTH, INC.|Select Health Medicare + Kroger (HMO)|00025015|0.00|0| | |UT|46160|0|N
H1994|022|000|SELECTHEALTH, INC.|Select Health Medicare + Kroger (HMO)|00025015|0.00|0| | |UT|46170|0|N
H1994|022|000|SELECTHEALTH, INC.|Select Health Medicare + Kroger (HMO)|00025015|0.00|0| | |UT|46210|0|N
H1994|022|000|SELECTHEALTH, INC.|Select Health Medicare + Kroger (HMO)|00025015|0.00|0| | |UT|46220|0|N
H1994|022|000|SELECTHEALTH, INC.|Select Health Medicare + Kroger (HMO)|00025015|0.00|0| | |UT|46240|0|N
H1994|022|000|SELECTHEALTH, INC.|Select Health Medicare + Kroger (HMO)|00025015|0.00|0| | |UT|46250|0|N
H1994|022|000|SELECTHEALTH, INC.|Select Health Medicare + Kroger (HMO)|00025015|0.00|0| | |UT|46260|0|N
H1994|022|000|SELECTHEALTH, INC.|Select Health Medicare + Kroger (HMO)|00025015|0.00|0| | |UT|46280|0|N
H1994|025|000|SELECTHEALTH, INC.|Select Health Medicare Essential (HMO)|00025015|0.00|200| | |ID|13090|0|N
H1994|027|000|SELECTHEALTH, INC.|Select Health Medicare Essential (HMO)|00025015|0.00|0| | |CO|06000|0|N
H1994|027|000|SELECTHEALTH, INC.|Select Health Medicare Essential (HMO)|00025015|0.00|0| | |CO|06020|0|N
H1994|027|000|SELECTHEALTH, INC.|Select Health Medicare Essential (HMO)|00025015|0.00|0| | |CO|06060|0|N
H1994|027|000|SELECTHEALTH, INC.|Select Health Medicare Essential (HMO)|00025015|0.00|0| | |CO|06090|0|N
H1994|027|000|SELECTHEALTH, INC.|Select Health Medicare Essential (HMO)|00025015|0.00|0| | |CO|06150|0|N
H1994|027|000|SELECTHEALTH, INC.|Select Health Medicare Essential (HMO)|00025015|0.00|0| | |CO|06170|0|N
H1994|027|000|SELECTHEALTH, INC.|Select Health Medicare Essential (HMO)|00025015|0.00|0| | |CO|06190|0|N
H1994|027|000|SELECTHEALTH, INC.|Select Health Medicare Essential (HMO)|00025015|0.00|0| | |CO|06200|0|N
H1994|027|000|SELECTHEALTH, INC.|Select Health Medicare Essential (HMO)|00025015|0.00|0| | |CO|06230|0|N
H1994|027|000|SELECTHEALTH, INC.|Select Health Medicare Essential (HMO)|00025015|0.00|0| | |CO|06290|0|N
H1994|027|000|SELECTHEALTH, INC.|Select Health Medicare Essential (HMO)|00025015|0.00|0| | |CO|06340|0|N
H1994|027|000|SELECTHEALTH, INC.|Select Health Medicare Essential (HMO)|00025015|0.00|0| | |CO|06460|0|N
H1994|027|000|SELECTHEALTH, INC.|Select Health Medicare Essential (HMO)|00025015|0.00|0| | |CO|06500|0|N
H1994|027|000|SELECTHEALTH, INC.|Select Health Medicare Essential (HMO)|00025015|0.00|0| | |CO|06590|0|N
H1994|027|000|SELECTHEALTH, INC.|Select Health Medicare Essential (HMO)|00025015|0.00|0| | |CO|06610|0|N
H1994|027|000|SELECTHEALTH, INC.|Select Health Medicare Essential (HMO)|00025015|0.00|0| | |CO|06630|0|N
H1994|028|000|SELECTHEALTH, INC.|Select Health Medicare Dual (HMO D-SNP)|00025015|0.00|410| | |CO|06000|2|N
H1994|028|000|SELECTHEALTH, INC.|Select Health Medicare Dual (HMO D-SNP)|00025015|0.00|410| | |CO|06020|2|N
H1994|028|000|SELECTHEALTH, INC.|Select Health Medicare Dual (HMO D-SNP)|00025015|0.00|410| | |CO|06060|2|N
H1994|028|000|SELECTHEALTH, INC.|Select Health Medicare Dual (HMO D-SNP)|00025015|0.00|410| | |CO|06150|2|N
H1994|028|000|SELECTHEALTH, INC.|Select Health Medicare Dual (HMO D-SNP)|00025015|0.00|410| | |CO|06170|2|N
H1994|028|000|SELECTHEALTH, INC.|Select Health Medicare Dual (HMO D-SNP)|00025015|0.00|410| | |CO|06200|2|N
H1994|028|000|SELECTHEALTH, INC.|Select Health Medicare Dual (HMO D-SNP)|00025015|0.00|410| | |CO|06290|2|N
H1994|028|000|SELECTHEALTH, INC.|Select Health Medicare Dual (HMO D-SNP)|00025015|0.00|410| | |CO|06340|2|N
H1994|028|000|SELECTHEALTH, INC.|Select Health Medicare Dual (HMO D-SNP)|00025015|0.00|410| | |CO|06610|2|N
H1994|028|000|SELECTHEALTH, INC.|Select Health Medicare Dual (HMO D-SNP)|00025015|0.00|410| | |CO|06630|2|N
H1994|029|000|SELECTHEALTH, INC.|Select Health Medicare Essential (HMO)|00025015|0.00|0| | |CO|06140|0|N
H1994|029|000|SELECTHEALTH, INC.|Select Health Medicare Essential (HMO)|00025015|0.00|0| | |CO|06380|0|N
H1994|030|000|SELECTHEALTH, INC.|Select Health Medicare + Kroger (HMO)|00025015|0.00|0| | |CO|06000|0|N
H1994|030|000|SELECTHEALTH, INC.|Select Health Medicare + Kroger (HMO)|00025015|0.00|0| | |CO|06020|0|N
H1994|030|000|SELECTHEALTH, INC.|Select Health Medicare + Kroger (HMO)|00025015|0.00|0| | |CO|06060|0|N
H1994|030|000|SELECTHEALTH, INC.|Select Health Medicare + Kroger (HMO)|00025015|0.00|0| | |CO|06090|0|N
H1994|030|000|SELECTHEALTH, INC.|Select Health Medicare + Kroger (HMO)|00025015|0.00|0| | |CO|06150|0|N
H1994|030|000|SELECTHEALTH, INC.|Select Health Medicare + Kroger (HMO)|00025015|0.00|0| | |CO|06170|0|N
H1994|030|000|SELECTHEALTH, INC.|Select Health Medicare + Kroger (HMO)|00025015|0.00|0| | |CO|06190|0|N
H1994|030|000|SELECTHEALTH, INC.|Select Health Medicare + Kroger (HMO)|00025015|0.00|0| | |CO|06200|0|N
H1994|030|000|SELECTHEALTH, INC.|Select Health Medicare + Kroger (HMO)|00025015|0.00|0| | |CO|06230|0|N
H1994|030|000|SELECTHEALTH, INC.|Select Health Medicare + Kroger (HMO)|00025015|0.00|0| | |CO|06290|0|N
H1994|030|000|SELECTHEALTH, INC.|Select Health Medicare + Kroger (HMO)|00025015|0.00|0| | |CO|06340|0|N
H1994|030|000|SELECTHEALTH, INC.|Select Health Medicare + Kroger (HMO)|00025015|0.00|0| | |CO|06460|0|N
H1994|030|000|SELECTHEALTH, INC.|Select Health Medicare + Kroger (HMO)|00025015|0.00|0| | |CO|06500|0|N
H1994|030|000|SELECTHEALTH, INC.|Select Health Medicare + Kroger (HMO)|00025015|0.00|0| | |CO|06590|0|N
H1994|030|000|SELECTHEALTH, INC.|Select Health Medicare + Kroger (HMO)|00025015|0.00|0| | |CO|06610|0|N
H1994|030|000|SELECTHEALTH, INC.|Select Health Medicare + Kroger (HMO)|00025015|0.00|0| | |CO|06630|0|N
H1994|031|000|SELECTHEALTH, INC.|Select Health Medicare Flex (HMO)|00025015|0.00|200| | |CO|06000|0|N
H1994|031|000|SELECTHEALTH, INC.|Select Health Medicare Flex (HMO)|00025015|0.00|200| | |CO|06020|0|N
H1994|031|000|SELECTHEALTH, INC.|Select Health Medicare Flex (HMO)|00025015|0.00|200| | |CO|06060|0|N
H1994|031|000|SELECTHEALTH, INC.|Select Health Medicare Flex (HMO)|00025015|0.00|200| | |CO|06090|0|N
H1994|031|000|SELECTHEALTH, INC.|Select Health Medicare Flex (HMO)|00025015|0.00|200| | |CO|06140|0|N
H1994|031|000|SELECTHEALTH, INC.|Select Health Medicare Flex (HMO)|00025015|0.00|200| | |CO|06150|0|N
H1994|031|000|SELECTHEALTH, INC.|Select Health Medicare Flex (HMO)|00025015|0.00|200| | |CO|06170|0|N
H1994|031|000|SELECTHEALTH, INC.|Select Health Medicare Flex (HMO)|00025015|0.00|200| | |CO|06190|0|N
H1994|031|000|SELECTHEALTH, INC.|Select Health Medicare Flex (HMO)|00025015|0.00|200| | |CO|06200|0|N
H1994|031|000|SELECTHEALTH, INC.|Select Health Medicare Flex (HMO)|00025015|0.00|200| | |CO|06230|0|N
H1994|031|000|SELECTHEALTH, INC.|Select Health Medicare Flex (HMO)|00025015|0.00|200| | |CO|06290|0|N
H1994|031|000|SELECTHEALTH, INC.|Select Health Medicare Flex (HMO)|00025015|0.00|200| | |CO|06340|0|N
H1994|031|000|SELECTHEALTH, INC.|Select Health Medicare Flex (HMO)|00025015|0.00|200| | |CO|06380|0|N
H1994|031|000|SELECTHEALTH, INC.|Select Health Medicare Flex (HMO)|00025015|0.00|200| | |CO|06460|0|N
H1994|031|000|SELECTHEALTH, INC.|Select Health Medicare Flex (HMO)|00025015|0.00|200| | |CO|06500|0|N
H1994|031|000|SELECTHEALTH, INC.|Select Health Medicare Flex (HMO)|00025015|0.00|200| | |CO|06590|0|N
H1994|031|000|SELECTHEALTH, INC.|Select Health Medicare Flex (HMO)|00025015|0.00|200| | |CO|06610|0|N
H1994|031|000|SELECTHEALTH, INC.|Select Health Medicare Flex (HMO)|00025015|0.00|200| | |CO|06630|0|N
H1994|034|000|SELECTHEALTH, INC.|Select Health Medicare + Kroger (HMO)|00025015|0.00|0| | |CO|06140|0|N
H1994|034|000|SELECTHEALTH, INC.|Select Health Medicare + Kroger (HMO)|00025015|0.00|0| | |CO|06380|0|N
H1994|035|000|SELECTHEALTH, INC.|Select Health Medicare Active (HMO)|00025015|0.00|200| | |CO|06000|0|N
H1994|035|000|SELECTHEALTH, INC.|Select Health Medicare Active (HMO)|00025015|0.00|200| | |CO|06020|0|N
H1994|035|000|SELECTHEALTH, INC.|Select Health Medicare Active (HMO)|00025015|0.00|200| | |CO|06060|0|N
H1994|035|000|SELECTHEALTH, INC.|Select Health Medicare Active (HMO)|00025015|0.00|200| | |CO|06090|0|N
H1994|035|000|SELECTHEALTH, INC.|Select Health Medicare Active (HMO)|00025015|0.00|200| | |CO|06140|0|N
H1994|035|000|SELECTHEALTH, INC.|Select Health Medicare Active (HMO)|00025015|0.00|200| | |CO|06150|0|N
H1994|035|000|SELECTHEALTH, INC.|Select Health Medicare Active (HMO)|00025015|0.00|200| | |CO|06170|0|N
H1994|035|000|SELECTHEALTH, INC.|Select Health Medicare Active (HMO)|00025015|0.00|200| | |CO|06190|0|N
H1994|035|000|SELECTHEALTH, INC.|Select Health Medicare Active (HMO)|00025015|0.00|200| | |CO|06200|0|N
H1994|035|000|SELECTHEALTH, INC.|Select Health Medicare Active (HMO)|00025015|0.00|200| | |CO|06230|0|N
H1994|035|000|SELECTHEALTH, INC.|Select Health Medicare Active (HMO)|00025015|0.00|200| | |CO|06290|0|N
H1994|035|000|SELECTHEALTH, INC.|Select Health Medicare Active (HMO)|00025015|0.00|200| | |CO|06340|0|N
H1994|035|000|SELECTHEALTH, INC.|Select Health Medicare Active (HMO)|00025015|0.00|200| | |CO|06380|0|N
H1994|035|000|SELECTHEALTH, INC.|Select Health Medicare Active (HMO)|00025015|0.00|200| | |CO|06460|0|N
H1994|035|000|SELECTHEALTH, INC.|Select Health Medicare Active (HMO)|00025015|0.00|200| | |CO|06500|0|N
H1994|035|000|SELECTHEALTH, INC.|Select Health Medicare Active (HMO)|00025015|0.00|200| | |CO|06590|0|N
H1994|035|000|SELECTHEALTH, INC.|Select Health Medicare Active (HMO)|00025015|0.00|200| | |CO|06610|0|N
H1994|035|000|SELECTHEALTH, INC.|Select Health Medicare Active (HMO)|00025015|0.00|200| | |CO|06630|0|N
H1994|038|000|SELECTHEALTH, INC.|Select Health Medicare + Kroger (HMO)|00025015|0.00|200| | |ID|13090|0|N
H1994|040|000|SELECTHEALTH, INC.|Select Health Medicare Dual (HMO D-SNP)|00025015|0.00|590| | |NV|29010|2|N
H1994|040|000|SELECTHEALTH, INC.|Select Health Medicare Dual (HMO D-SNP)|00025015|0.00|590| | |NV|29110|2|N
H1997|013|000|REGENCE BLUESHIELD|Regence BlueAdvantage HMO (HMO)|00025106|0.00|200| | |WA|50300|0|N
H2001|010|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC ME-0003 (PPO)|00025002|69.00|495| | |ME|20000|0|N
H2001|010|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC ME-0003 (PPO)|00025002|69.00|495| | |ME|20020|0|N
H2001|010|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC ME-0003 (PPO)|00025002|69.00|495| | |ME|20050|0|N
H2001|010|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC ME-0003 (PPO)|00025002|69.00|495| | |ME|20150|0|N
H2001|017|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC UT-0001 (PPO)|00025002|27.60|420| | |UT|46100|0|N
H2001|017|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC UT-0001 (PPO)|00025002|27.60|420| | |UT|46260|0|N
H2001|019|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC ME-0005 (PPO)|00025002|0.00|420| | |ME|20000|0|N
H2001|019|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC ME-0005 (PPO)|00025002|0.00|420| | |ME|20020|0|N
H2001|019|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC ME-0005 (PPO)|00025002|0.00|420| | |ME|20050|0|N
H2001|019|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC ME-0005 (PPO)|00025002|0.00|420| | |ME|20150|0|N
H2001|023|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC UT-0002 (PPO)|00025002|0.00|420| | |UT|46100|0|N
H2001|023|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC UT-0002 (PPO)|00025002|0.00|420| | |UT|46260|0|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15000|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15010|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15020|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15030|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15040|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15050|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15060|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15070|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15080|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15090|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15100|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15110|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15120|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15130|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15140|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15150|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15160|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15170|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15180|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15190|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15200|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15210|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15220|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15230|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15240|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15250|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15260|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15270|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15280|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15290|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15300|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15310|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15320|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15330|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15340|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15350|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15360|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15370|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15380|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15390|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15400|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15410|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15420|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15430|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15440|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15450|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15460|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15470|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15480|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15490|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15500|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15510|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15520|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15530|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15540|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15550|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15560|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15570|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15580|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15590|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15600|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15610|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15620|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15630|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15640|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15650|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15660|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15670|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15680|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15690|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15700|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15710|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15720|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15730|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15740|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15750|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15760|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15770|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15780|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15790|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15800|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15810|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15820|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15830|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15840|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15850|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15860|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15870|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15880|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15890|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15900|2|N
H2001|027|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S002 (PPO D-SNP)|00025002|0.00|590| | |IN|15910|2|N
H2001|028|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage NH-001A (PPO)|00025002|33.80|590| | |NH|30000|0|N
H2001|028|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage NH-001A (PPO)|00025002|33.80|590| | |NH|30010|0|N
H2001|028|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage NH-001A (PPO)|00025002|33.80|590| | |NH|30020|0|N
H2001|028|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage NH-001A (PPO)|00025002|33.80|590| | |NH|30030|0|N
H2001|028|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage NH-001A (PPO)|00025002|33.80|590| | |NH|30040|0|N
H2001|028|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage NH-001A (PPO)|00025002|33.80|590| | |NH|30050|0|N
H2001|028|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage NH-001A (PPO)|00025002|33.80|590| | |NH|30060|0|N
H2001|028|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage NH-001A (PPO)|00025002|33.80|590| | |NH|30070|0|N
H2001|028|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage NH-001A (PPO)|00025002|33.80|590| | |NH|30080|0|N
H2001|028|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage NH-001A (PPO)|00025002|33.80|590| | |NH|30090|0|N
H2001|029|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage VT-001A (PPO)|00025002|52.50|590| | |VT|47000|0|N
H2001|029|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage VT-001A (PPO)|00025002|52.50|590| | |VT|47010|0|N
H2001|029|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage VT-001A (PPO)|00025002|52.50|590| | |VT|47020|0|N
H2001|029|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage VT-001A (PPO)|00025002|52.50|590| | |VT|47030|0|N
H2001|029|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage VT-001A (PPO)|00025002|52.50|590| | |VT|47040|0|N
H2001|029|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage VT-001A (PPO)|00025002|52.50|590| | |VT|47050|0|N
H2001|029|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage VT-001A (PPO)|00025002|52.50|590| | |VT|47060|0|N
H2001|029|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage VT-001A (PPO)|00025002|52.50|590| | |VT|47070|0|N
H2001|029|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage VT-001A (PPO)|00025002|52.50|590| | |VT|47080|0|N
H2001|029|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage VT-001A (PPO)|00025002|52.50|590| | |VT|47090|0|N
H2001|029|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage VT-001A (PPO)|00025002|52.50|590| | |VT|47100|0|N
H2001|029|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage VT-001A (PPO)|00025002|52.50|590| | |VT|47110|0|N
H2001|029|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage VT-001A (PPO)|00025002|52.50|590| | |VT|47120|0|N
H2001|029|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage VT-001A (PPO)|00025002|52.50|590| | |VT|47130|0|N
H2001|030|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S001 (PPO D-SNP)|00025002|0.00|590| | |WV|51000|2|N
H2001|030|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S001 (PPO D-SNP)|00025002|0.00|590| | |WV|51010|2|N
H2001|030|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S001 (PPO D-SNP)|00025002|0.00|590| | |WV|51020|2|N
H2001|030|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S001 (PPO D-SNP)|00025002|0.00|590| | |WV|51030|2|N
H2001|030|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S001 (PPO D-SNP)|00025002|0.00|590| | |WV|51040|2|N
H2001|030|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S001 (PPO D-SNP)|00025002|0.00|590| | |WV|51050|2|N
H2001|030|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S001 (PPO D-SNP)|00025002|0.00|590| | |WV|51060|2|N
H2001|030|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S001 (PPO D-SNP)|00025002|0.00|590| | |WV|51070|2|N
H2001|030|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S001 (PPO D-SNP)|00025002|0.00|590| | |WV|51080|2|N
H2001|030|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S001 (PPO D-SNP)|00025002|0.00|590| | |WV|51090|2|N
H2001|030|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S001 (PPO D-SNP)|00025002|0.00|590| | |WV|51100|2|N
H2001|030|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S001 (PPO D-SNP)|00025002|0.00|590| | |WV|51110|2|N
H2001|030|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S001 (PPO D-SNP)|00025002|0.00|590| | |WV|51120|2|N
H2001|030|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S001 (PPO D-SNP)|00025002|0.00|590| | |WV|51130|2|N
H2001|030|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S001 (PPO D-SNP)|00025002|0.00|590| | |WV|51140|2|N
H2001|030|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S001 (PPO D-SNP)|00025002|0.00|590| | |WV|51150|2|N
H2001|030|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S001 (PPO D-SNP)|00025002|0.00|590| | |WV|51160|2|N
H2001|030|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S001 (PPO D-SNP)|00025002|0.00|590| | |WV|51170|2|N
H2001|030|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S001 (PPO D-SNP)|00025002|0.00|590| | |WV|51180|2|N
H2001|030|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S001 (PPO D-SNP)|00025002|0.00|590| | |WV|51190|2|N
H2001|030|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S001 (PPO D-SNP)|00025002|0.00|590| | |WV|51200|2|N
H2001|030|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S001 (PPO D-SNP)|00025002|0.00|590| | |WV|51210|2|N
H2001|030|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S001 (PPO D-SNP)|00025002|0.00|590| | |WV|51220|2|N
H2001|030|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S001 (PPO D-SNP)|00025002|0.00|590| | |WV|51230|2|N
H2001|030|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S001 (PPO D-SNP)|00025002|0.00|590| | |WV|51240|2|N
H2001|030|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S001 (PPO D-SNP)|00025002|0.00|590| | |WV|51250|2|N
H2001|030|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S001 (PPO D-SNP)|00025002|0.00|590| | |WV|51260|2|N
H2001|030|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S001 (PPO D-SNP)|00025002|0.00|590| | |WV|51270|2|N
H2001|030|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S001 (PPO D-SNP)|00025002|0.00|590| | |WV|51280|2|N
H2001|030|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S001 (PPO D-SNP)|00025002|0.00|590| | |WV|51290|2|N
H2001|030|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S001 (PPO D-SNP)|00025002|0.00|590| | |WV|51300|2|N
H2001|030|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S001 (PPO D-SNP)|00025002|0.00|590| | |WV|51310|2|N
H2001|030|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S001 (PPO D-SNP)|00025002|0.00|590| | |WV|51320|2|N
H2001|030|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S001 (PPO D-SNP)|00025002|0.00|590| | |WV|51330|2|N
H2001|030|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S001 (PPO D-SNP)|00025002|0.00|590| | |WV|51340|2|N
H2001|030|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S001 (PPO D-SNP)|00025002|0.00|590| | |WV|51350|2|N
H2001|030|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S001 (PPO D-SNP)|00025002|0.00|590| | |WV|51360|2|N
H2001|030|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S001 (PPO D-SNP)|00025002|0.00|590| | |WV|51370|2|N
H2001|030|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S001 (PPO D-SNP)|00025002|0.00|590| | |WV|51380|2|N
H2001|030|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S001 (PPO D-SNP)|00025002|0.00|590| | |WV|51390|2|N
H2001|030|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S001 (PPO D-SNP)|00025002|0.00|590| | |WV|51400|2|N
H2001|030|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S001 (PPO D-SNP)|00025002|0.00|590| | |WV|51410|2|N
H2001|030|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S001 (PPO D-SNP)|00025002|0.00|590| | |WV|51420|2|N
H2001|030|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S001 (PPO D-SNP)|00025002|0.00|590| | |WV|51430|2|N
H2001|030|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S001 (PPO D-SNP)|00025002|0.00|590| | |WV|51440|2|N
H2001|030|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S001 (PPO D-SNP)|00025002|0.00|590| | |WV|51450|2|N
H2001|030|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S001 (PPO D-SNP)|00025002|0.00|590| | |WV|51460|2|N
H2001|030|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S001 (PPO D-SNP)|00025002|0.00|590| | |WV|51470|2|N
H2001|030|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S001 (PPO D-SNP)|00025002|0.00|590| | |WV|51480|2|N
H2001|030|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S001 (PPO D-SNP)|00025002|0.00|590| | |WV|51490|2|N
H2001|030|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S001 (PPO D-SNP)|00025002|0.00|590| | |WV|51500|2|N
H2001|030|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S001 (PPO D-SNP)|00025002|0.00|590| | |WV|51510|2|N
H2001|030|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S001 (PPO D-SNP)|00025002|0.00|590| | |WV|51520|2|N
H2001|030|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S001 (PPO D-SNP)|00025002|0.00|590| | |WV|51530|2|N
H2001|030|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S001 (PPO D-SNP)|00025002|0.00|590| | |WV|51540|2|N
H2001|031|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CT-S001 (PPO D-SNP)|00025002|0.00|590| | |CT|07000|2|N
H2001|031|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CT-S001 (PPO D-SNP)|00025002|0.00|590| | |CT|07010|2|N
H2001|031|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CT-S001 (PPO D-SNP)|00025002|0.00|590| | |CT|07020|2|N
H2001|031|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CT-S001 (PPO D-SNP)|00025002|0.00|590| | |CT|07030|2|N
H2001|031|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CT-S001 (PPO D-SNP)|00025002|0.00|590| | |CT|07040|2|N
H2001|031|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CT-S001 (PPO D-SNP)|00025002|0.00|590| | |CT|07050|2|N
H2001|031|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CT-S001 (PPO D-SNP)|00025002|0.00|590| | |CT|07060|2|N
H2001|031|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CT-S001 (PPO D-SNP)|00025002|0.00|590| | |CT|07070|2|N
H2001|032|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S001 (PPO D-SNP)|00025002|0.00|590| | |SC|42000|2|N
H2001|032|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S001 (PPO D-SNP)|00025002|0.00|590| | |SC|42010|2|N
H2001|032|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S001 (PPO D-SNP)|00025002|0.00|590| | |SC|42020|2|N
H2001|032|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S001 (PPO D-SNP)|00025002|0.00|590| | |SC|42030|2|N
H2001|032|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S001 (PPO D-SNP)|00025002|0.00|590| | |SC|42040|2|N
H2001|032|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S001 (PPO D-SNP)|00025002|0.00|590| | |SC|42050|2|N
H2001|032|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S001 (PPO D-SNP)|00025002|0.00|590| | |SC|42060|2|N
H2001|032|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S001 (PPO D-SNP)|00025002|0.00|590| | |SC|42070|2|N
H2001|032|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S001 (PPO D-SNP)|00025002|0.00|590| | |SC|42080|2|N
H2001|032|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S001 (PPO D-SNP)|00025002|0.00|590| | |SC|42090|2|N
H2001|032|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S001 (PPO D-SNP)|00025002|0.00|590| | |SC|42100|2|N
H2001|032|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S001 (PPO D-SNP)|00025002|0.00|590| | |SC|42110|2|N
H2001|032|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S001 (PPO D-SNP)|00025002|0.00|590| | |SC|42120|2|N
H2001|032|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S001 (PPO D-SNP)|00025002|0.00|590| | |SC|42130|2|N
H2001|032|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S001 (PPO D-SNP)|00025002|0.00|590| | |SC|42140|2|N
H2001|032|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S001 (PPO D-SNP)|00025002|0.00|590| | |SC|42150|2|N
H2001|032|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S001 (PPO D-SNP)|00025002|0.00|590| | |SC|42160|2|N
H2001|032|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S001 (PPO D-SNP)|00025002|0.00|590| | |SC|42170|2|N
H2001|032|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S001 (PPO D-SNP)|00025002|0.00|590| | |SC|42180|2|N
H2001|032|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S001 (PPO D-SNP)|00025002|0.00|590| | |SC|42190|2|N
H2001|032|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S001 (PPO D-SNP)|00025002|0.00|590| | |SC|42200|2|N
H2001|032|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S001 (PPO D-SNP)|00025002|0.00|590| | |SC|42210|2|N
H2001|032|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S001 (PPO D-SNP)|00025002|0.00|590| | |SC|42220|2|N
H2001|032|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S001 (PPO D-SNP)|00025002|0.00|590| | |SC|42230|2|N
H2001|032|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S001 (PPO D-SNP)|00025002|0.00|590| | |SC|42240|2|N
H2001|032|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S001 (PPO D-SNP)|00025002|0.00|590| | |SC|42250|2|N
H2001|032|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S001 (PPO D-SNP)|00025002|0.00|590| | |SC|42260|2|N
H2001|032|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S001 (PPO D-SNP)|00025002|0.00|590| | |SC|42270|2|N
H2001|032|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S001 (PPO D-SNP)|00025002|0.00|590| | |SC|42280|2|N
H2001|032|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S001 (PPO D-SNP)|00025002|0.00|590| | |SC|42290|2|N
H2001|032|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S001 (PPO D-SNP)|00025002|0.00|590| | |SC|42300|2|N
H2001|032|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S001 (PPO D-SNP)|00025002|0.00|590| | |SC|42310|2|N
H2001|032|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S001 (PPO D-SNP)|00025002|0.00|590| | |SC|42320|2|N
H2001|032|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S001 (PPO D-SNP)|00025002|0.00|590| | |SC|42330|2|N
H2001|032|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S001 (PPO D-SNP)|00025002|0.00|590| | |SC|42340|2|N
H2001|032|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S001 (PPO D-SNP)|00025002|0.00|590| | |SC|42350|2|N
H2001|032|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S001 (PPO D-SNP)|00025002|0.00|590| | |SC|42360|2|N
H2001|032|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S001 (PPO D-SNP)|00025002|0.00|590| | |SC|42370|2|N
H2001|032|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S001 (PPO D-SNP)|00025002|0.00|590| | |SC|42380|2|N
H2001|032|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S001 (PPO D-SNP)|00025002|0.00|590| | |SC|42390|2|N
H2001|032|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S001 (PPO D-SNP)|00025002|0.00|590| | |SC|42400|2|N
H2001|032|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S001 (PPO D-SNP)|00025002|0.00|590| | |SC|42410|2|N
H2001|032|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S001 (PPO D-SNP)|00025002|0.00|590| | |SC|42430|2|N
H2001|032|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S001 (PPO D-SNP)|00025002|0.00|590| | |SC|42440|2|N
H2001|032|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S001 (PPO D-SNP)|00025002|0.00|590| | |SC|42450|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04000|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04010|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04020|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04030|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04040|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04050|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04060|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04070|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04080|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04090|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04100|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04110|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04120|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04130|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04140|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04150|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04160|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04170|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04180|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04190|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04200|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04210|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04220|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04230|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04240|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04250|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04260|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04270|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04280|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04290|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04300|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04310|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04320|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04330|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04340|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04350|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04360|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04370|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04380|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04390|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04400|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04410|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04420|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04430|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04440|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04450|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04460|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04470|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04480|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04490|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04500|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04510|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04520|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04530|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04540|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04550|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04560|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04570|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04580|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04590|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04600|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04610|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04620|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04630|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04640|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04650|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04660|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04670|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04680|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04690|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04700|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04710|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04720|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04730|2|N
H2001|034|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S001 (PPO D-SNP)|00025002|0.00|590| | |AR|04740|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04000|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04010|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04020|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04030|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04040|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04050|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04060|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04070|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04080|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04090|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04100|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04110|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04120|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04130|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04140|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04150|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04160|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04170|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04180|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04190|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04200|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04210|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04220|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04230|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04240|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04250|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04260|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04270|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04280|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04290|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04300|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04310|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04320|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04330|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04340|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04350|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04360|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04370|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04380|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04390|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04400|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04410|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04420|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04430|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04440|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04450|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04460|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04470|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04480|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04490|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04500|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04510|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04520|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04530|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04540|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04550|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04560|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04570|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04580|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04590|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04600|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04610|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04620|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04630|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04640|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04650|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04660|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04670|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04680|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04690|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04700|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04710|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04720|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04730|2|N
H2001|035|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-V001 (PPO D-SNP)|00025002|20.90|590| | |AR|04740|2|N
H2001|036|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support AZ-1A (PPO C-SNP)|00025003|12.70|590| | |AZ|03010|1|N
H2001|036|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support AZ-1A (PPO C-SNP)|00025003|12.70|590| | |AZ|03040|1|N
H2001|036|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support AZ-1A (PPO C-SNP)|00025003|12.70|590| | |AZ|03050|1|N
H2001|036|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support AZ-1A (PPO C-SNP)|00025003|12.70|590| | |AZ|03110|1|N
H2001|036|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support AZ-1A (PPO C-SNP)|00025003|12.70|590| | |AZ|03120|1|N
H2001|036|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support AZ-1A (PPO C-SNP)|00025003|12.70|590| | |AZ|03130|1|N
H2001|037|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ST-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14000|1|N
H2001|037|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ST-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14010|1|N
H2001|037|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ST-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14020|1|N
H2001|037|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ST-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14060|1|N
H2001|037|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ST-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14130|1|N
H2001|037|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ST-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14340|1|N
H2001|037|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ST-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14390|1|N
H2001|037|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ST-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14470|1|N
H2001|037|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ST-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14500|1|N
H2001|037|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ST-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14670|1|N
H2001|037|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ST-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14680|1|N
H2001|037|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ST-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14690|1|N
H2001|037|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ST-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14750|1|N
H2001|037|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ST-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14760|1|N
H2001|037|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ST-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14810|1|N
H2001|037|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ST-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14830|1|N
H2001|037|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ST-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14870|1|N
H2001|037|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ST-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14900|1|N
H2001|037|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ST-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14981|1|N
H2001|037|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ST-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14985|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14030|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14040|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14050|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14070|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14080|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14100|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14110|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14120|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14140|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14141|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14150|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14160|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14170|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14180|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14190|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14250|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14310|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14320|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14330|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14350|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14360|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14370|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14380|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14400|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14410|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14420|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14421|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14440|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14450|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14460|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14480|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14490|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14510|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14520|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14530|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14540|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14550|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14560|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14570|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14580|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14590|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14600|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14610|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14620|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14630|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14640|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14650|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14700|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14710|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14720|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14730|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14740|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14770|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14780|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14790|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14800|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14820|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14831|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14850|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14860|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14880|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14890|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14910|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14920|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14921|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14940|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14950|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14960|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14970|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14980|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14982|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14983|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14984|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14986|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14987|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14988|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14989|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14991|1|N
H2001|038|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support IL-1A (PPO C-SNP)|00025003|22.80|590| | |IL|14992|1|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23000|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23020|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23040|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23050|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23070|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23080|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23090|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23100|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23110|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23120|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23130|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23140|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23170|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23190|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23210|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23230|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23240|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23250|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23260|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23270|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23280|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23290|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23310|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23340|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23350|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23370|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23380|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23390|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23400|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23420|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23430|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23440|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23460|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23500|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23520|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23530|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23550|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23560|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23570|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23580|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23600|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23610|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23620|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23630|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23640|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23650|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23660|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23670|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23680|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23690|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23710|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23720|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23740|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23750|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23770|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23780|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23790|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23800|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23810|2|N
H2001|039|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MI-S001 (PPO D-SNP)|00025002|0.00|590| | |MI|23830|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26000|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26010|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26020|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26030|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26040|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26050|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26060|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26070|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26080|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26090|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26100|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26110|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26120|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26130|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26140|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26150|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26160|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26170|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26180|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26190|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26200|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26210|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26220|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26230|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26240|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26250|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26260|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26270|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26280|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26290|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26300|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26310|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26320|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26330|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26340|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26360|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26370|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26380|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26390|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26400|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26410|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26411|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26412|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26440|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26450|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26460|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26470|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26480|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26490|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26500|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26510|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26520|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26530|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26540|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26541|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26560|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26570|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26580|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26590|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26600|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26601|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26620|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26630|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26631|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26650|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26660|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26670|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26680|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26690|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26700|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26710|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26720|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26730|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26740|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26750|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26751|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26770|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26780|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26790|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26800|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26810|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26820|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26821|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26840|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26850|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26860|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26870|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26880|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26881|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26900|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26910|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26911|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26930|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26940|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26950|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26960|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26970|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26980|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26981|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26982|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26983|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26984|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26985|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26986|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26987|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26988|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26989|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26990|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26991|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26992|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26993|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26994|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26995|2|N
H2001|040|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MO-S002 (PPO D-SNP)|00025002|0.00|590| | |MO|26996|2|N
H2001|041|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MT-S001 (PPO D-SNP)|00025002|0.00|590| | |MT|27010|2|N
H2001|041|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MT-S001 (PPO D-SNP)|00025002|0.00|590| | |MT|27030|2|N
H2001|041|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MT-S001 (PPO D-SNP)|00025002|0.00|590| | |MT|27040|2|N
H2001|041|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MT-S001 (PPO D-SNP)|00025002|0.00|590| | |MT|27050|2|N
H2001|041|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MT-S001 (PPO D-SNP)|00025002|0.00|590| | |MT|27060|2|N
H2001|041|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MT-S001 (PPO D-SNP)|00025002|0.00|590| | |MT|27070|2|N
H2001|041|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MT-S001 (PPO D-SNP)|00025002|0.00|590| | |MT|27100|2|N
H2001|041|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MT-S001 (PPO D-SNP)|00025002|0.00|590| | |MT|27140|2|N
H2001|041|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MT-S001 (PPO D-SNP)|00025002|0.00|590| | |MT|27150|2|N
H2001|041|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MT-S001 (PPO D-SNP)|00025002|0.00|590| | |MT|27170|2|N
H2001|041|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MT-S001 (PPO D-SNP)|00025002|0.00|590| | |MT|27180|2|N
H2001|041|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MT-S001 (PPO D-SNP)|00025002|0.00|590| | |MT|27210|2|N
H2001|041|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MT-S001 (PPO D-SNP)|00025002|0.00|590| | |MT|27220|2|N
H2001|041|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MT-S001 (PPO D-SNP)|00025002|0.00|590| | |MT|27230|2|N
H2001|041|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MT-S001 (PPO D-SNP)|00025002|0.00|590| | |MT|27260|2|N
H2001|041|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MT-S001 (PPO D-SNP)|00025002|0.00|590| | |MT|27280|2|N
H2001|041|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MT-S001 (PPO D-SNP)|00025002|0.00|590| | |MT|27290|2|N
H2001|041|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MT-S001 (PPO D-SNP)|00025002|0.00|590| | |MT|27300|2|N
H2001|041|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MT-S001 (PPO D-SNP)|00025002|0.00|590| | |MT|27320|2|N
H2001|041|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MT-S001 (PPO D-SNP)|00025002|0.00|590| | |MT|27330|2|N
H2001|041|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MT-S001 (PPO D-SNP)|00025002|0.00|590| | |MT|27360|2|N
H2001|041|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MT-S001 (PPO D-SNP)|00025002|0.00|590| | |MT|27380|2|N
H2001|041|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MT-S001 (PPO D-SNP)|00025002|0.00|590| | |MT|27410|2|N
H2001|041|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MT-S001 (PPO D-SNP)|00025002|0.00|590| | |MT|27430|2|N
H2001|041|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MT-S001 (PPO D-SNP)|00025002|0.00|590| | |MT|27440|2|N
H2001|041|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MT-S001 (PPO D-SNP)|00025002|0.00|590| | |MT|27450|2|N
H2001|041|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MT-S001 (PPO D-SNP)|00025002|0.00|590| | |MT|27470|2|N
H2001|041|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MT-S001 (PPO D-SNP)|00025002|0.00|590| | |MT|27480|2|N
H2001|041|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MT-S001 (PPO D-SNP)|00025002|0.00|590| | |MT|27490|2|N
H2001|041|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MT-S001 (PPO D-SNP)|00025002|0.00|590| | |MT|27500|2|N
H2001|041|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MT-S001 (PPO D-SNP)|00025002|0.00|590| | |MT|27510|2|N
H2001|041|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MT-S001 (PPO D-SNP)|00025002|0.00|590| | |MT|27530|2|N
H2001|041|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MT-S001 (PPO D-SNP)|00025002|0.00|590| | |MT|27540|2|N
H2001|041|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete MT-S001 (PPO D-SNP)|00025002|0.00|590| | |MT|27550|2|N
H2001|042|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support NM-1A (PPO C-SNP)|00025003|0.00|580| | |NM|32000|1|N
H2001|042|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support NM-1A (PPO C-SNP)|00025003|0.00|580| | |NM|32131|1|N
H2001|042|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support NM-1A (PPO C-SNP)|00025003|0.00|580| | |NM|32160|1|N
H2001|042|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support NM-1A (PPO C-SNP)|00025003|0.00|580| | |NM|32190|1|N
H2001|042|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support NM-1A (PPO C-SNP)|00025003|0.00|580| | |NM|32210|1|N
H2001|042|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support NM-1A (PPO C-SNP)|00025003|0.00|580| | |NM|32230|1|N
H2001|042|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support NM-1A (PPO C-SNP)|00025003|0.00|580| | |NM|32240|1|N
H2001|042|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support NM-1A (PPO C-SNP)|00025003|0.00|580| | |NM|32280|1|N
H2001|042|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support NM-1A (PPO C-SNP)|00025003|0.00|580| | |NM|32300|1|N
H2001|043|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support EP-1A (PPO C-SNP)|00025003|6.50|590| | |NM|32060|1|N
H2001|043|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support EP-1A (PPO C-SNP)|00025003|6.50|590| | |NM|32080|1|N
H2001|043|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support EP-1A (PPO C-SNP)|00025003|6.50|590| | |NM|32110|1|N
H2001|043|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support EP-1A (PPO C-SNP)|00025003|6.50|590| | |NM|32140|1|N
H2001|043|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support EP-1A (PPO C-SNP)|00025003|6.50|590| | |NM|32250|1|N
H2001|044|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support NM-2A (PPO C-SNP)|00025003|3.20|590| | |NM|32010|1|N
H2001|044|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support NM-2A (PPO C-SNP)|00025003|3.20|590| | |NM|32025|1|N
H2001|044|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support NM-2A (PPO C-SNP)|00025003|3.20|590| | |NM|32030|1|N
H2001|044|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support NM-2A (PPO C-SNP)|00025003|3.20|590| | |NM|32050|1|N
H2001|044|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support NM-2A (PPO C-SNP)|00025003|3.20|590| | |NM|32090|1|N
H2001|044|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support NM-2A (PPO C-SNP)|00025003|3.20|590| | |NM|32100|1|N
H2001|044|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support NM-2A (PPO C-SNP)|00025003|3.20|590| | |NM|32130|1|N
H2001|044|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support NM-2A (PPO C-SNP)|00025003|3.20|590| | |NM|32170|1|N
H2001|044|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support NM-2A (PPO C-SNP)|00025003|3.20|590| | |NM|32180|1|N
H2001|044|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support NM-2A (PPO C-SNP)|00025003|3.20|590| | |NM|32200|1|N
H2001|044|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support NM-2A (PPO C-SNP)|00025003|3.20|590| | |NM|32260|1|N
H2001|044|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support NM-2A (PPO C-SNP)|00025003|3.20|590| | |NM|32270|1|N
H2001|045|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support OR-1A (PPO C-SNP)|00025003|26.20|590| | |OR|38020|1|N
H2001|045|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support OR-1A (PPO C-SNP)|00025003|26.20|590| | |OR|38040|1|N
H2001|045|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support OR-1A (PPO C-SNP)|00025003|26.20|590| | |OR|38140|1|N
H2001|045|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support OR-1A (PPO C-SNP)|00025003|26.20|590| | |OR|38160|1|N
H2001|045|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support OR-1A (PPO C-SNP)|00025003|26.20|590| | |OR|38190|1|N
H2001|045|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support OR-1A (PPO C-SNP)|00025003|26.20|590| | |OR|38210|1|N
H2001|045|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support OR-1A (PPO C-SNP)|00025003|26.20|590| | |OR|38230|1|N
H2001|045|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support OR-1A (PPO C-SNP)|00025003|26.20|590| | |OR|38250|1|N
H2001|045|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support OR-1A (PPO C-SNP)|00025003|26.20|590| | |OR|38260|1|N
H2001|045|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support OR-1A (PPO C-SNP)|00025003|26.20|590| | |OR|38330|1|N
H2001|045|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support OR-1A (PPO C-SNP)|00025003|26.20|590| | |OR|38350|1|N
H2001|046|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-Q1 (PPO D-SNP)|00025002|0.00|590| | |SD|43010|2|N
H2001|046|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-Q1 (PPO D-SNP)|00025002|0.00|590| | |SD|43020|2|N
H2001|046|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-Q1 (PPO D-SNP)|00025002|0.00|590| | |SD|43040|2|N
H2001|046|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-Q1 (PPO D-SNP)|00025002|0.00|590| | |SD|43050|2|N
H2001|046|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-Q1 (PPO D-SNP)|00025002|0.00|590| | |SD|43060|2|N
H2001|046|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-Q1 (PPO D-SNP)|00025002|0.00|590| | |SD|43090|2|N
H2001|046|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-Q1 (PPO D-SNP)|00025002|0.00|590| | |SD|43100|2|N
H2001|046|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-Q1 (PPO D-SNP)|00025002|0.00|590| | |SD|43110|2|N
H2001|046|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-Q1 (PPO D-SNP)|00025002|0.00|590| | |SD|43120|2|N
H2001|046|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-Q1 (PPO D-SNP)|00025002|0.00|590| | |SD|43130|2|N
H2001|046|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-Q1 (PPO D-SNP)|00025002|0.00|590| | |SD|43140|2|N
H2001|046|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-Q1 (PPO D-SNP)|00025002|0.00|590| | |SD|43150|2|N
H2001|046|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-Q1 (PPO D-SNP)|00025002|0.00|590| | |SD|43160|2|N
H2001|046|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-Q1 (PPO D-SNP)|00025002|0.00|590| | |SD|43170|2|N
H2001|046|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-Q1 (PPO D-SNP)|00025002|0.00|590| | |SD|43180|2|N
H2001|046|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-Q1 (PPO D-SNP)|00025002|0.00|590| | |SD|43190|2|N
H2001|046|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-Q1 (PPO D-SNP)|00025002|0.00|590| | |SD|43200|2|N
H2001|046|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-Q1 (PPO D-SNP)|00025002|0.00|590| | |SD|43210|2|N
H2001|046|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-Q1 (PPO D-SNP)|00025002|0.00|590| | |SD|43230|2|N
H2001|046|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-Q1 (PPO D-SNP)|00025002|0.00|590| | |SD|43270|2|N
H2001|046|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-Q1 (PPO D-SNP)|00025002|0.00|590| | |SD|43280|2|N
H2001|046|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-Q1 (PPO D-SNP)|00025002|0.00|590| | |SD|43300|2|N
H2001|046|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-Q1 (PPO D-SNP)|00025002|0.00|590| | |SD|43310|2|N
H2001|046|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-Q1 (PPO D-SNP)|00025002|0.00|590| | |SD|43320|2|N
H2001|046|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-Q1 (PPO D-SNP)|00025002|0.00|590| | |SD|43330|2|N
H2001|046|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-Q1 (PPO D-SNP)|00025002|0.00|590| | |SD|43350|2|N
H2001|046|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-Q1 (PPO D-SNP)|00025002|0.00|590| | |SD|43380|2|N
H2001|046|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-Q1 (PPO D-SNP)|00025002|0.00|590| | |SD|43390|2|N
H2001|046|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-Q1 (PPO D-SNP)|00025002|0.00|590| | |SD|43400|2|N
H2001|046|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-Q1 (PPO D-SNP)|00025002|0.00|590| | |SD|43410|2|N
H2001|046|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-Q1 (PPO D-SNP)|00025002|0.00|590| | |SD|43430|2|N
H2001|046|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-Q1 (PPO D-SNP)|00025002|0.00|590| | |SD|43450|2|N
H2001|046|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-Q1 (PPO D-SNP)|00025002|0.00|590| | |SD|43460|2|N
H2001|046|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-Q1 (PPO D-SNP)|00025002|0.00|590| | |SD|43480|2|N
H2001|046|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-Q1 (PPO D-SNP)|00025002|0.00|590| | |SD|43490|2|N
H2001|046|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-Q1 (PPO D-SNP)|00025002|0.00|590| | |SD|43500|2|N
H2001|046|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-Q1 (PPO D-SNP)|00025002|0.00|590| | |SD|43510|2|N
H2001|046|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-Q1 (PPO D-SNP)|00025002|0.00|590| | |SD|43520|2|N
H2001|046|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-Q1 (PPO D-SNP)|00025002|0.00|590| | |SD|43540|2|N
H2001|046|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-Q1 (PPO D-SNP)|00025002|0.00|590| | |SD|43550|2|N
H2001|046|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-Q1 (PPO D-SNP)|00025002|0.00|590| | |SD|43570|2|N
H2001|046|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-Q1 (PPO D-SNP)|00025002|0.00|590| | |SD|43580|2|N
H2001|046|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-Q1 (PPO D-SNP)|00025002|0.00|590| | |SD|43620|2|N
H2001|046|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-Q1 (PPO D-SNP)|00025002|0.00|590| | |SD|43630|2|N
H2001|046|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-Q1 (PPO D-SNP)|00025002|0.00|590| | |SD|43640|2|N
H2001|046|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-Q1 (PPO D-SNP)|00025002|0.00|590| | |SD|43670|2|N
H2001|046|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-Q1 (PPO D-SNP)|00025002|0.00|590| | |SD|43680|2|N
H2001|047|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete UT-S001 (PPO D-SNP)|00025002|54.70|590| | |UT|46000|2|N
H2001|047|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete UT-S001 (PPO D-SNP)|00025002|54.70|590| | |UT|46010|2|N
H2001|047|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete UT-S001 (PPO D-SNP)|00025002|54.70|590| | |UT|46020|2|N
H2001|047|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete UT-S001 (PPO D-SNP)|00025002|54.70|590| | |UT|46040|2|N
H2001|047|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete UT-S001 (PPO D-SNP)|00025002|54.70|590| | |UT|46050|2|N
H2001|047|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete UT-S001 (PPO D-SNP)|00025002|54.70|590| | |UT|46060|2|N
H2001|047|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete UT-S001 (PPO D-SNP)|00025002|54.70|590| | |UT|46070|2|N
H2001|047|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete UT-S001 (PPO D-SNP)|00025002|54.70|590| | |UT|46080|2|N
H2001|047|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete UT-S001 (PPO D-SNP)|00025002|54.70|590| | |UT|46090|2|N
H2001|047|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete UT-S001 (PPO D-SNP)|00025002|54.70|590| | |UT|46100|2|N
H2001|047|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete UT-S001 (PPO D-SNP)|00025002|54.70|590| | |UT|46110|2|N
H2001|047|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete UT-S001 (PPO D-SNP)|00025002|54.70|590| | |UT|46120|2|N
H2001|047|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete UT-S001 (PPO D-SNP)|00025002|54.70|590| | |UT|46130|2|N
H2001|047|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete UT-S001 (PPO D-SNP)|00025002|54.70|590| | |UT|46140|2|N
H2001|047|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete UT-S001 (PPO D-SNP)|00025002|54.70|590| | |UT|46150|2|N
H2001|047|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete UT-S001 (PPO D-SNP)|00025002|54.70|590| | |UT|46160|2|N
H2001|047|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete UT-S001 (PPO D-SNP)|00025002|54.70|590| | |UT|46170|2|N
H2001|047|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete UT-S001 (PPO D-SNP)|00025002|54.70|590| | |UT|46180|2|N
H2001|047|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete UT-S001 (PPO D-SNP)|00025002|54.70|590| | |UT|46190|2|N
H2001|047|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete UT-S001 (PPO D-SNP)|00025002|54.70|590| | |UT|46200|2|N
H2001|047|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete UT-S001 (PPO D-SNP)|00025002|54.70|590| | |UT|46210|2|N
H2001|047|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete UT-S001 (PPO D-SNP)|00025002|54.70|590| | |UT|46220|2|N
H2001|047|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete UT-S001 (PPO D-SNP)|00025002|54.70|590| | |UT|46230|2|N
H2001|047|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete UT-S001 (PPO D-SNP)|00025002|54.70|590| | |UT|46240|2|N
H2001|047|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete UT-S001 (PPO D-SNP)|00025002|54.70|590| | |UT|46250|2|N
H2001|047|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete UT-S001 (PPO D-SNP)|00025002|54.70|590| | |UT|46260|2|N
H2001|047|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete UT-S001 (PPO D-SNP)|00025002|54.70|590| | |UT|46270|2|N
H2001|047|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete UT-S001 (PPO D-SNP)|00025002|54.70|590| | |UT|46280|2|N
H2001|048|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete UT-V001 (PPO D-SNP)|00025002|54.70|590| | |UT|46000|2|N
H2001|048|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete UT-V001 (PPO D-SNP)|00025002|54.70|590| | |UT|46010|2|N
H2001|048|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete UT-V001 (PPO D-SNP)|00025002|54.70|590| | |UT|46020|2|N
H2001|048|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete UT-V001 (PPO D-SNP)|00025002|54.70|590| | |UT|46040|2|N
H2001|048|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete UT-V001 (PPO D-SNP)|00025002|54.70|590| | |UT|46050|2|N
H2001|048|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete UT-V001 (PPO D-SNP)|00025002|54.70|590| | |UT|46060|2|N
H2001|048|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete UT-V001 (PPO D-SNP)|00025002|54.70|590| | |UT|46070|2|N
H2001|048|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete UT-V001 (PPO D-SNP)|00025002|54.70|590| | |UT|46080|2|N
H2001|048|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete UT-V001 (PPO D-SNP)|00025002|54.70|590| | |UT|46090|2|N
H2001|048|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete UT-V001 (PPO D-SNP)|00025002|54.70|590| | |UT|46100|2|N
H2001|048|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete UT-V001 (PPO D-SNP)|00025002|54.70|590| | |UT|46110|2|N
H2001|048|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete UT-V001 (PPO D-SNP)|00025002|54.70|590| | |UT|46120|2|N
H2001|048|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete UT-V001 (PPO D-SNP)|00025002|54.70|590| | |UT|46130|2|N
H2001|048|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete UT-V001 (PPO D-SNP)|00025002|54.70|590| | |UT|46140|2|N
H2001|048|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete UT-V001 (PPO D-SNP)|00025002|54.70|590| | |UT|46150|2|N
H2001|048|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete UT-V001 (PPO D-SNP)|00025002|54.70|590| | |UT|46160|2|N
H2001|048|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete UT-V001 (PPO D-SNP)|00025002|54.70|590| | |UT|46170|2|N
H2001|048|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete UT-V001 (PPO D-SNP)|00025002|54.70|590| | |UT|46180|2|N
H2001|048|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete UT-V001 (PPO D-SNP)|00025002|54.70|590| | |UT|46190|2|N
H2001|048|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete UT-V001 (PPO D-SNP)|00025002|54.70|590| | |UT|46200|2|N
H2001|048|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete UT-V001 (PPO D-SNP)|00025002|54.70|590| | |UT|46210|2|N
H2001|048|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete UT-V001 (PPO D-SNP)|00025002|54.70|590| | |UT|46220|2|N
H2001|048|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete UT-V001 (PPO D-SNP)|00025002|54.70|590| | |UT|46230|2|N
H2001|048|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete UT-V001 (PPO D-SNP)|00025002|54.70|590| | |UT|46240|2|N
H2001|048|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete UT-V001 (PPO D-SNP)|00025002|54.70|590| | |UT|46250|2|N
H2001|048|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete UT-V001 (PPO D-SNP)|00025002|54.70|590| | |UT|46260|2|N
H2001|048|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete UT-V001 (PPO D-SNP)|00025002|54.70|590| | |UT|46270|2|N
H2001|048|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete UT-V001 (PPO D-SNP)|00025002|54.70|590| | |UT|46280|2|N
H2001|049|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WY-S001 (PPO D-SNP)|00025002|0.00|590| | |WY|53000|2|N
H2001|049|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WY-S001 (PPO D-SNP)|00025002|0.00|590| | |WY|53010|2|N
H2001|049|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WY-S001 (PPO D-SNP)|00025002|0.00|590| | |WY|53020|2|N
H2001|049|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WY-S001 (PPO D-SNP)|00025002|0.00|590| | |WY|53030|2|N
H2001|049|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WY-S001 (PPO D-SNP)|00025002|0.00|590| | |WY|53040|2|N
H2001|049|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WY-S001 (PPO D-SNP)|00025002|0.00|590| | |WY|53050|2|N
H2001|049|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WY-S001 (PPO D-SNP)|00025002|0.00|590| | |WY|53070|2|N
H2001|049|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WY-S001 (PPO D-SNP)|00025002|0.00|590| | |WY|53080|2|N
H2001|049|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WY-S001 (PPO D-SNP)|00025002|0.00|590| | |WY|53090|2|N
H2001|049|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WY-S001 (PPO D-SNP)|00025002|0.00|590| | |WY|53100|2|N
H2001|049|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WY-S001 (PPO D-SNP)|00025002|0.00|590| | |WY|53110|2|N
H2001|049|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WY-S001 (PPO D-SNP)|00025002|0.00|590| | |WY|53120|2|N
H2001|049|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WY-S001 (PPO D-SNP)|00025002|0.00|590| | |WY|53130|2|N
H2001|049|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WY-S001 (PPO D-SNP)|00025002|0.00|590| | |WY|53140|2|N
H2001|049|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WY-S001 (PPO D-SNP)|00025002|0.00|590| | |WY|53150|2|N
H2001|049|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WY-S001 (PPO D-SNP)|00025002|0.00|590| | |WY|53170|2|N
H2001|049|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WY-S001 (PPO D-SNP)|00025002|0.00|590| | |WY|53180|2|N
H2001|049|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WY-S001 (PPO D-SNP)|00025002|0.00|590| | |WY|53190|2|N
H2001|049|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WY-S001 (PPO D-SNP)|00025002|0.00|590| | |WY|53200|2|N
H2001|049|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WY-S001 (PPO D-SNP)|00025002|0.00|590| | |WY|53210|2|N
H2001|049|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WY-S001 (PPO D-SNP)|00025002|0.00|590| | |WY|53220|2|N
H2001|050|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ID-1A (PPO C-SNP)|00025003|49.30|590| | |ID|13000|1|N
H2001|050|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ID-1A (PPO C-SNP)|00025003|49.30|590| | |ID|13010|1|N
H2001|050|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ID-1A (PPO C-SNP)|00025003|49.30|590| | |ID|13020|1|N
H2001|050|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ID-1A (PPO C-SNP)|00025003|49.30|590| | |ID|13030|1|N
H2001|050|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ID-1A (PPO C-SNP)|00025003|49.30|590| | |ID|13040|1|N
H2001|050|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ID-1A (PPO C-SNP)|00025003|49.30|590| | |ID|13050|1|N
H2001|050|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ID-1A (PPO C-SNP)|00025003|49.30|590| | |ID|13060|1|N
H2001|050|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ID-1A (PPO C-SNP)|00025003|49.30|590| | |ID|13070|1|N
H2001|050|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ID-1A (PPO C-SNP)|00025003|49.30|590| | |ID|13080|1|N
H2001|050|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ID-1A (PPO C-SNP)|00025003|49.30|590| | |ID|13090|1|N
H2001|050|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ID-1A (PPO C-SNP)|00025003|49.30|590| | |ID|13100|1|N
H2001|050|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ID-1A (PPO C-SNP)|00025003|49.30|590| | |ID|13120|1|N
H2001|050|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ID-1A (PPO C-SNP)|00025003|49.30|590| | |ID|13130|1|N
H2001|050|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ID-1A (PPO C-SNP)|00025003|49.30|590| | |ID|13140|1|N
H2001|050|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ID-1A (PPO C-SNP)|00025003|49.30|590| | |ID|13150|1|N
H2001|050|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ID-1A (PPO C-SNP)|00025003|49.30|590| | |ID|13170|1|N
H2001|050|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ID-1A (PPO C-SNP)|00025003|49.30|590| | |ID|13180|1|N
H2001|050|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ID-1A (PPO C-SNP)|00025003|49.30|590| | |ID|13190|1|N
H2001|050|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ID-1A (PPO C-SNP)|00025003|49.30|590| | |ID|13200|1|N
H2001|050|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ID-1A (PPO C-SNP)|00025003|49.30|590| | |ID|13210|1|N
H2001|050|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ID-1A (PPO C-SNP)|00025003|49.30|590| | |ID|13220|1|N
H2001|050|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ID-1A (PPO C-SNP)|00025003|49.30|590| | |ID|13230|1|N
H2001|050|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ID-1A (PPO C-SNP)|00025003|49.30|590| | |ID|13240|1|N
H2001|050|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ID-1A (PPO C-SNP)|00025003|49.30|590| | |ID|13250|1|N
H2001|050|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ID-1A (PPO C-SNP)|00025003|49.30|590| | |ID|13260|1|N
H2001|050|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ID-1A (PPO C-SNP)|00025003|49.30|590| | |ID|13270|1|N
H2001|050|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ID-1A (PPO C-SNP)|00025003|49.30|590| | |ID|13280|1|N
H2001|050|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ID-1A (PPO C-SNP)|00025003|49.30|590| | |ID|13290|1|N
H2001|050|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ID-1A (PPO C-SNP)|00025003|49.30|590| | |ID|13300|1|N
H2001|050|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ID-1A (PPO C-SNP)|00025003|49.30|590| | |ID|13310|1|N
H2001|050|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ID-1A (PPO C-SNP)|00025003|49.30|590| | |ID|13320|1|N
H2001|050|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ID-1A (PPO C-SNP)|00025003|49.30|590| | |ID|13330|1|N
H2001|050|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ID-1A (PPO C-SNP)|00025003|49.30|590| | |ID|13340|1|N
H2001|050|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ID-1A (PPO C-SNP)|00025003|49.30|590| | |ID|13350|1|N
H2001|050|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ID-1A (PPO C-SNP)|00025003|49.30|590| | |ID|13360|1|N
H2001|050|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ID-1A (PPO C-SNP)|00025003|49.30|590| | |ID|13370|1|N
H2001|050|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ID-1A (PPO C-SNP)|00025003|49.30|590| | |ID|13390|1|N
H2001|050|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ID-1A (PPO C-SNP)|00025003|49.30|590| | |ID|13400|1|N
H2001|050|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ID-1A (PPO C-SNP)|00025003|49.30|590| | |ID|13410|1|N
H2001|050|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ID-1A (PPO C-SNP)|00025003|49.30|590| | |ID|13420|1|N
H2001|050|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support ID-1A (PPO C-SNP)|00025003|49.30|590| | |ID|13430|1|N
H2001|051|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-S5 (PPO D-SNP)|00025002|0.00|590| | |WA|50040|2|N
H2001|051|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-S5 (PPO D-SNP)|00025002|0.00|590| | |WA|50070|2|N
H2001|051|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-S5 (PPO D-SNP)|00025002|0.00|590| | |WA|50140|2|N
H2001|051|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-S5 (PPO D-SNP)|00025002|0.00|590| | |WA|50150|2|N
H2001|051|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-S5 (PPO D-SNP)|00025002|0.00|590| | |WA|50160|2|N
H2001|051|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-S5 (PPO D-SNP)|00025002|0.00|590| | |WA|50170|2|N
H2001|051|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-S5 (PPO D-SNP)|00025002|0.00|590| | |WA|50200|2|N
H2001|051|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-S5 (PPO D-SNP)|00025002|0.00|590| | |WA|50220|2|N
H2001|051|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-S5 (PPO D-SNP)|00025002|0.00|590| | |WA|50240|2|N
H2001|051|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-S5 (PPO D-SNP)|00025002|0.00|590| | |WA|50260|2|N
H2001|051|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-S5 (PPO D-SNP)|00025002|0.00|590| | |WA|50270|2|N
H2001|051|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-S5 (PPO D-SNP)|00025002|0.00|590| | |WA|50280|2|N
H2001|051|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-S5 (PPO D-SNP)|00025002|0.00|590| | |WA|50300|2|N
H2001|051|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-S5 (PPO D-SNP)|00025002|0.00|590| | |WA|50330|2|N
H2001|051|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-S5 (PPO D-SNP)|00025002|0.00|590| | |WA|50340|2|N
H2001|051|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-S5 (PPO D-SNP)|00025002|0.00|590| | |WA|50360|2|N
H2001|052|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-V001 (PPO D-SNP)|00025002|13.50|590| | |CO|06000|2|N
H2001|052|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-V001 (PPO D-SNP)|00025002|13.50|590| | |CO|06010|2|N
H2001|052|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-V001 (PPO D-SNP)|00025002|13.50|590| | |CO|06020|2|N
H2001|052|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-V001 (PPO D-SNP)|00025002|13.50|590| | |CO|06050|2|N
H2001|052|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-V001 (PPO D-SNP)|00025002|13.50|590| | |CO|06060|2|N
H2001|052|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-V001 (PPO D-SNP)|00025002|13.50|590| | |CO|06070|2|N
H2001|052|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-V001 (PPO D-SNP)|00025002|13.50|590| | |CO|06080|2|N
H2001|052|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-V001 (PPO D-SNP)|00025002|13.50|590| | |CO|06090|2|N
H2001|052|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-V001 (PPO D-SNP)|00025002|13.50|590| | |CO|06100|2|N
H2001|052|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-V001 (PPO D-SNP)|00025002|13.50|590| | |CO|06110|2|N
H2001|052|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-V001 (PPO D-SNP)|00025002|13.50|590| | |CO|06120|2|N
H2001|052|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-V001 (PPO D-SNP)|00025002|13.50|590| | |CO|06130|2|N
H2001|052|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-V001 (PPO D-SNP)|00025002|13.50|590| | |CO|06150|2|N
H2001|052|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-V001 (PPO D-SNP)|00025002|13.50|590| | |CO|06170|2|N
H2001|052|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-V001 (PPO D-SNP)|00025002|13.50|590| | |CO|06190|2|N
H2001|052|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-V001 (PPO D-SNP)|00025002|13.50|590| | |CO|06200|2|N
H2001|052|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-V001 (PPO D-SNP)|00025002|13.50|590| | |CO|06210|2|N
H2001|052|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-V001 (PPO D-SNP)|00025002|13.50|590| | |CO|06230|2|N
H2001|052|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-V001 (PPO D-SNP)|00025002|13.50|590| | |CO|06240|2|N
H2001|052|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-V001 (PPO D-SNP)|00025002|13.50|590| | |CO|06270|2|N
H2001|052|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-V001 (PPO D-SNP)|00025002|13.50|590| | |CO|06290|2|N
H2001|052|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-V001 (PPO D-SNP)|00025002|13.50|590| | |CO|06300|2|N
H2001|052|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-V001 (PPO D-SNP)|00025002|13.50|590| | |CO|06310|2|N
H2001|052|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-V001 (PPO D-SNP)|00025002|13.50|590| | |CO|06320|2|N
H2001|052|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-V001 (PPO D-SNP)|00025002|13.50|590| | |CO|06340|2|N
H2001|052|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-V001 (PPO D-SNP)|00025002|13.50|590| | |CO|06350|2|N
H2001|052|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-V001 (PPO D-SNP)|00025002|13.50|590| | |CO|06360|2|N
H2001|052|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-V001 (PPO D-SNP)|00025002|13.50|590| | |CO|06370|2|N
H2001|052|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-V001 (PPO D-SNP)|00025002|13.50|590| | |CO|06430|2|N
H2001|052|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-V001 (PPO D-SNP)|00025002|13.50|590| | |CO|06440|2|N
H2001|052|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-V001 (PPO D-SNP)|00025002|13.50|590| | |CO|06460|2|N
H2001|052|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-V001 (PPO D-SNP)|00025002|13.50|590| | |CO|06470|2|N
H2001|052|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-V001 (PPO D-SNP)|00025002|13.50|590| | |CO|06490|2|N
H2001|052|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-V001 (PPO D-SNP)|00025002|13.50|590| | |CO|06500|2|N
H2001|052|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-V001 (PPO D-SNP)|00025002|13.50|590| | |CO|06570|2|N
H2001|052|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-V001 (PPO D-SNP)|00025002|13.50|590| | |CO|06590|2|N
H2001|052|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-V001 (PPO D-SNP)|00025002|13.50|590| | |CO|06600|2|N
H2001|052|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-V001 (PPO D-SNP)|00025002|13.50|590| | |CO|06610|2|N
H2001|052|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-V001 (PPO D-SNP)|00025002|13.50|590| | |CO|06620|2|N
H2001|052|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-V001 (PPO D-SNP)|00025002|13.50|590| | |CO|06630|2|N
H2001|053|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-S001 (PPO D-SNP)|00025002|0.00|590| | |CO|06000|2|N
H2001|053|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-S001 (PPO D-SNP)|00025002|0.00|590| | |CO|06010|2|N
H2001|053|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-S001 (PPO D-SNP)|00025002|0.00|590| | |CO|06020|2|N
H2001|053|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-S001 (PPO D-SNP)|00025002|0.00|590| | |CO|06050|2|N
H2001|053|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-S001 (PPO D-SNP)|00025002|0.00|590| | |CO|06060|2|N
H2001|053|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-S001 (PPO D-SNP)|00025002|0.00|590| | |CO|06070|2|N
H2001|053|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-S001 (PPO D-SNP)|00025002|0.00|590| | |CO|06080|2|N
H2001|053|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-S001 (PPO D-SNP)|00025002|0.00|590| | |CO|06090|2|N
H2001|053|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-S001 (PPO D-SNP)|00025002|0.00|590| | |CO|06100|2|N
H2001|053|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-S001 (PPO D-SNP)|00025002|0.00|590| | |CO|06110|2|N
H2001|053|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-S001 (PPO D-SNP)|00025002|0.00|590| | |CO|06120|2|N
H2001|053|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-S001 (PPO D-SNP)|00025002|0.00|590| | |CO|06130|2|N
H2001|053|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-S001 (PPO D-SNP)|00025002|0.00|590| | |CO|06150|2|N
H2001|053|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-S001 (PPO D-SNP)|00025002|0.00|590| | |CO|06170|2|N
H2001|053|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-S001 (PPO D-SNP)|00025002|0.00|590| | |CO|06190|2|N
H2001|053|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-S001 (PPO D-SNP)|00025002|0.00|590| | |CO|06200|2|N
H2001|053|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-S001 (PPO D-SNP)|00025002|0.00|590| | |CO|06210|2|N
H2001|053|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-S001 (PPO D-SNP)|00025002|0.00|590| | |CO|06230|2|N
H2001|053|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-S001 (PPO D-SNP)|00025002|0.00|590| | |CO|06240|2|N
H2001|053|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-S001 (PPO D-SNP)|00025002|0.00|590| | |CO|06270|2|N
H2001|053|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-S001 (PPO D-SNP)|00025002|0.00|590| | |CO|06290|2|N
H2001|053|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-S001 (PPO D-SNP)|00025002|0.00|590| | |CO|06300|2|N
H2001|053|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-S001 (PPO D-SNP)|00025002|0.00|590| | |CO|06310|2|N
H2001|053|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-S001 (PPO D-SNP)|00025002|0.00|590| | |CO|06320|2|N
H2001|053|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-S001 (PPO D-SNP)|00025002|0.00|590| | |CO|06340|2|N
H2001|053|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-S001 (PPO D-SNP)|00025002|0.00|590| | |CO|06350|2|N
H2001|053|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-S001 (PPO D-SNP)|00025002|0.00|590| | |CO|06360|2|N
H2001|053|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-S001 (PPO D-SNP)|00025002|0.00|590| | |CO|06370|2|N
H2001|053|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-S001 (PPO D-SNP)|00025002|0.00|590| | |CO|06430|2|N
H2001|053|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-S001 (PPO D-SNP)|00025002|0.00|590| | |CO|06440|2|N
H2001|053|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-S001 (PPO D-SNP)|00025002|0.00|590| | |CO|06460|2|N
H2001|053|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-S001 (PPO D-SNP)|00025002|0.00|590| | |CO|06470|2|N
H2001|053|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-S001 (PPO D-SNP)|00025002|0.00|590| | |CO|06490|2|N
H2001|053|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-S001 (PPO D-SNP)|00025002|0.00|590| | |CO|06500|2|N
H2001|053|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-S001 (PPO D-SNP)|00025002|0.00|590| | |CO|06570|2|N
H2001|053|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-S001 (PPO D-SNP)|00025002|0.00|590| | |CO|06590|2|N
H2001|053|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-S001 (PPO D-SNP)|00025002|0.00|590| | |CO|06600|2|N
H2001|053|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-S001 (PPO D-SNP)|00025002|0.00|590| | |CO|06610|2|N
H2001|053|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-S001 (PPO D-SNP)|00025002|0.00|590| | |CO|06620|2|N
H2001|053|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CO-S001 (PPO D-SNP)|00025002|0.00|590| | |CO|06630|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28000|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28010|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28020|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28030|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28040|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28050|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28060|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28070|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28080|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28090|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28100|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28110|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28120|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28130|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28140|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28150|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28160|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28170|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28180|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28190|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28200|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28210|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28220|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28230|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28240|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28250|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28260|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28270|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28280|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28290|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28300|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28310|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28320|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28330|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28350|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28360|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28370|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28380|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28390|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28400|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28410|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28420|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28430|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28440|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28460|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28470|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28480|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28490|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28500|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28510|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28520|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28530|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28540|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28560|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28570|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28590|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28600|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28610|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28620|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28630|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28640|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28650|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28660|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28670|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28680|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28690|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28700|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28710|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28730|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28740|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28750|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28760|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28770|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28790|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28810|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28820|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28830|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28840|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28850|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28860|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28870|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28880|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28890|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28900|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28910|2|N
H2001|054|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NE-S002 (PPO D-SNP)|00025002|0.00|590| | |NE|28920|2|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26000|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26010|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26020|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26030|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26040|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26050|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26060|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26070|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26080|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26090|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26100|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26110|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26120|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26130|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26140|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26150|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26160|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26170|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26180|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26190|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26200|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26210|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26220|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26230|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26240|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26250|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26260|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26270|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26280|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26290|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26300|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26310|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26320|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26330|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26340|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26360|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26370|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26380|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26390|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26400|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26410|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26411|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26412|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26440|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26450|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26460|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26470|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26480|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26490|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26500|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26510|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26520|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26530|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26540|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26541|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26560|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26570|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26580|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26590|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26600|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26601|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26620|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26630|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26631|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26650|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26660|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26670|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26680|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26690|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26700|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26710|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26720|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26730|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26740|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26750|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26751|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26770|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26780|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26790|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26800|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26810|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26820|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26821|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26840|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26850|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26860|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26870|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26880|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26881|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26900|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26910|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26911|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26930|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26940|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26950|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26960|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26970|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26980|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26981|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26982|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26983|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26984|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26985|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26986|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26987|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26988|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26989|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26990|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26991|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26992|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26993|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26994|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26995|1|N
H2001|055|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MO-1 (PPO C-SNP)|00025003|0.00|340| | |MO|26996|1|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37000|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37010|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37020|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37030|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37040|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37050|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37060|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37070|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37080|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37090|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37100|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37110|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37120|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37130|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37140|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37150|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37160|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37170|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37180|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37190|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37200|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37210|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37220|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37230|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37240|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37250|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37260|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37270|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37280|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37290|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37300|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37310|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37320|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37330|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37340|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37350|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37360|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37370|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37380|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37390|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37400|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37410|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37420|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37430|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37440|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37450|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37460|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37470|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37480|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37490|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37500|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37510|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37520|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37530|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37540|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37550|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37560|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37570|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37580|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37600|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37620|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37630|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37640|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37660|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37670|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37680|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37700|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37710|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37720|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37730|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37740|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37750|2|N
H2001|056|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OK-S001 (PPO D-SNP)|00025002|49.80|590| | |OK|37760|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15000|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15010|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15020|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15030|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15040|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15050|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15060|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15070|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15080|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15090|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15100|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15110|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15120|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15130|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15140|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15150|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15160|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15170|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15180|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15190|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15200|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15210|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15220|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15230|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15240|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15250|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15260|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15270|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15280|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15290|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15300|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15310|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15320|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15330|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15340|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15350|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15360|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15370|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15380|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15390|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15400|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15410|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15420|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15430|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15440|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15450|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15460|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15470|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15480|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15490|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15500|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15510|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15520|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15530|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15540|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15550|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15560|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15570|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15580|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15590|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15600|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15610|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15620|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15630|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15640|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15650|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15660|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15670|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15680|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15690|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15700|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15710|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15720|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15730|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15740|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15750|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15760|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15770|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15780|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15790|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15800|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15810|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15820|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15830|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15840|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15850|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15860|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15870|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15880|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15890|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15900|2|N
H2001|057|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-D001 (PPO D-SNP)|00025002|49.60|590| | |IN|15910|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36000|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36010|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36020|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36030|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36040|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36050|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36060|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36070|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36080|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36090|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36100|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36110|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36120|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36130|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36140|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36150|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36160|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36170|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36190|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36200|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36210|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36220|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36230|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36240|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36250|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36260|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36270|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36280|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36290|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36300|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36310|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36330|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36340|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36350|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36360|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36370|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36380|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36390|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36400|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36410|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36420|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36430|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36440|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36450|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36460|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36470|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36480|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36490|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36500|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36510|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36520|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36530|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36540|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36550|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36560|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36570|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36580|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36590|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36600|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36610|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36620|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36630|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36640|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36650|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36660|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36670|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36680|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36690|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36700|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36710|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36720|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36730|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36740|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36750|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36760|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36770|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36780|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36790|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36800|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36810|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36820|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36830|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36840|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36850|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36860|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36870|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36880|2|N
H2001|058|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete OH-S001 (PPO D-SNP)|00025002|0.00|590| | |OH|36890|2|N
H2001|059|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-V001 (PPO D-SNP)|00025002|46.60|590| | |SC|42000|2|N
H2001|059|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-V001 (PPO D-SNP)|00025002|46.60|590| | |SC|42010|2|N
H2001|059|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-V001 (PPO D-SNP)|00025002|46.60|590| | |SC|42020|2|N
H2001|059|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-V001 (PPO D-SNP)|00025002|46.60|590| | |SC|42030|2|N
H2001|059|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-V001 (PPO D-SNP)|00025002|46.60|590| | |SC|42040|2|N
H2001|059|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-V001 (PPO D-SNP)|00025002|46.60|590| | |SC|42050|2|N
H2001|059|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-V001 (PPO D-SNP)|00025002|46.60|590| | |SC|42060|2|N
H2001|059|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-V001 (PPO D-SNP)|00025002|46.60|590| | |SC|42070|2|N
H2001|059|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-V001 (PPO D-SNP)|00025002|46.60|590| | |SC|42080|2|N
H2001|059|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-V001 (PPO D-SNP)|00025002|46.60|590| | |SC|42090|2|N
H2001|059|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-V001 (PPO D-SNP)|00025002|46.60|590| | |SC|42100|2|N
H2001|059|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-V001 (PPO D-SNP)|00025002|46.60|590| | |SC|42110|2|N
H2001|059|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-V001 (PPO D-SNP)|00025002|46.60|590| | |SC|42120|2|N
H2001|059|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-V001 (PPO D-SNP)|00025002|46.60|590| | |SC|42130|2|N
H2001|059|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-V001 (PPO D-SNP)|00025002|46.60|590| | |SC|42140|2|N
H2001|059|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-V001 (PPO D-SNP)|00025002|46.60|590| | |SC|42150|2|N
H2001|059|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-V001 (PPO D-SNP)|00025002|46.60|590| | |SC|42160|2|N
H2001|059|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-V001 (PPO D-SNP)|00025002|46.60|590| | |SC|42170|2|N
H2001|059|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-V001 (PPO D-SNP)|00025002|46.60|590| | |SC|42180|2|N
H2001|059|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-V001 (PPO D-SNP)|00025002|46.60|590| | |SC|42190|2|N
H2001|059|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-V001 (PPO D-SNP)|00025002|46.60|590| | |SC|42200|2|N
H2001|059|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-V001 (PPO D-SNP)|00025002|46.60|590| | |SC|42210|2|N
H2001|059|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-V001 (PPO D-SNP)|00025002|46.60|590| | |SC|42220|2|N
H2001|059|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-V001 (PPO D-SNP)|00025002|46.60|590| | |SC|42230|2|N
H2001|059|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-V001 (PPO D-SNP)|00025002|46.60|590| | |SC|42240|2|N
H2001|059|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-V001 (PPO D-SNP)|00025002|46.60|590| | |SC|42250|2|N
H2001|059|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-V001 (PPO D-SNP)|00025002|46.60|590| | |SC|42260|2|N
H2001|059|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-V001 (PPO D-SNP)|00025002|46.60|590| | |SC|42270|2|N
H2001|059|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-V001 (PPO D-SNP)|00025002|46.60|590| | |SC|42280|2|N
H2001|059|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-V001 (PPO D-SNP)|00025002|46.60|590| | |SC|42290|2|N
H2001|059|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-V001 (PPO D-SNP)|00025002|46.60|590| | |SC|42300|2|N
H2001|059|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-V001 (PPO D-SNP)|00025002|46.60|590| | |SC|42310|2|N
H2001|059|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-V001 (PPO D-SNP)|00025002|46.60|590| | |SC|42320|2|N
H2001|059|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-V001 (PPO D-SNP)|00025002|46.60|590| | |SC|42330|2|N
H2001|059|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-V001 (PPO D-SNP)|00025002|46.60|590| | |SC|42340|2|N
H2001|059|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-V001 (PPO D-SNP)|00025002|46.60|590| | |SC|42350|2|N
H2001|059|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-V001 (PPO D-SNP)|00025002|46.60|590| | |SC|42360|2|N
H2001|059|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-V001 (PPO D-SNP)|00025002|46.60|590| | |SC|42370|2|N
H2001|059|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-V001 (PPO D-SNP)|00025002|46.60|590| | |SC|42380|2|N
H2001|059|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-V001 (PPO D-SNP)|00025002|46.60|590| | |SC|42390|2|N
H2001|059|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-V001 (PPO D-SNP)|00025002|46.60|590| | |SC|42400|2|N
H2001|059|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-V001 (PPO D-SNP)|00025002|46.60|590| | |SC|42410|2|N
H2001|059|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-V001 (PPO D-SNP)|00025002|46.60|590| | |SC|42430|2|N
H2001|059|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-V001 (PPO D-SNP)|00025002|46.60|590| | |SC|42440|2|N
H2001|059|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-V001 (PPO D-SNP)|00025002|46.60|590| | |SC|42450|2|N
H2001|060|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care SC-1 (PPO C-SNP)|00025003|0.00|340| | |SC|42000|1|N
H2001|060|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care SC-1 (PPO C-SNP)|00025003|0.00|340| | |SC|42010|1|N
H2001|060|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care SC-1 (PPO C-SNP)|00025003|0.00|340| | |SC|42020|1|N
H2001|060|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care SC-1 (PPO C-SNP)|00025003|0.00|340| | |SC|42030|1|N
H2001|060|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care SC-1 (PPO C-SNP)|00025003|0.00|340| | |SC|42040|1|N
H2001|060|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care SC-1 (PPO C-SNP)|00025003|0.00|340| | |SC|42050|1|N
H2001|060|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care SC-1 (PPO C-SNP)|00025003|0.00|340| | |SC|42060|1|N
H2001|060|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care SC-1 (PPO C-SNP)|00025003|0.00|340| | |SC|42070|1|N
H2001|060|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care SC-1 (PPO C-SNP)|00025003|0.00|340| | |SC|42080|1|N
H2001|060|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care SC-1 (PPO C-SNP)|00025003|0.00|340| | |SC|42090|1|N
H2001|060|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care SC-1 (PPO C-SNP)|00025003|0.00|340| | |SC|42100|1|N
H2001|060|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care SC-1 (PPO C-SNP)|00025003|0.00|340| | |SC|42110|1|N
H2001|060|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care SC-1 (PPO C-SNP)|00025003|0.00|340| | |SC|42120|1|N
H2001|060|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care SC-1 (PPO C-SNP)|00025003|0.00|340| | |SC|42130|1|N
H2001|060|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care SC-1 (PPO C-SNP)|00025003|0.00|340| | |SC|42140|1|N
H2001|060|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care SC-1 (PPO C-SNP)|00025003|0.00|340| | |SC|42150|1|N
H2001|060|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care SC-1 (PPO C-SNP)|00025003|0.00|340| | |SC|42160|1|N
H2001|060|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care SC-1 (PPO C-SNP)|00025003|0.00|340| | |SC|42170|1|N
H2001|060|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care SC-1 (PPO C-SNP)|00025003|0.00|340| | |SC|42180|1|N
H2001|060|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care SC-1 (PPO C-SNP)|00025003|0.00|340| | |SC|42190|1|N
H2001|060|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care SC-1 (PPO C-SNP)|00025003|0.00|340| | |SC|42200|1|N
H2001|060|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care SC-1 (PPO C-SNP)|00025003|0.00|340| | |SC|42210|1|N
H2001|060|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care SC-1 (PPO C-SNP)|00025003|0.00|340| | |SC|42220|1|N
H2001|060|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care SC-1 (PPO C-SNP)|00025003|0.00|340| | |SC|42230|1|N
H2001|060|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care SC-1 (PPO C-SNP)|00025003|0.00|340| | |SC|42240|1|N
H2001|060|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care SC-1 (PPO C-SNP)|00025003|0.00|340| | |SC|42250|1|N
H2001|060|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care SC-1 (PPO C-SNP)|00025003|0.00|340| | |SC|42260|1|N
H2001|060|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care SC-1 (PPO C-SNP)|00025003|0.00|340| | |SC|42270|1|N
H2001|060|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care SC-1 (PPO C-SNP)|00025003|0.00|340| | |SC|42280|1|N
H2001|060|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care SC-1 (PPO C-SNP)|00025003|0.00|340| | |SC|42290|1|N
H2001|060|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care SC-1 (PPO C-SNP)|00025003|0.00|340| | |SC|42300|1|N
H2001|060|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care SC-1 (PPO C-SNP)|00025003|0.00|340| | |SC|42310|1|N
H2001|060|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care SC-1 (PPO C-SNP)|00025003|0.00|340| | |SC|42320|1|N
H2001|060|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care SC-1 (PPO C-SNP)|00025003|0.00|340| | |SC|42330|1|N
H2001|060|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care SC-1 (PPO C-SNP)|00025003|0.00|340| | |SC|42340|1|N
H2001|060|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care SC-1 (PPO C-SNP)|00025003|0.00|340| | |SC|42350|1|N
H2001|060|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care SC-1 (PPO C-SNP)|00025003|0.00|340| | |SC|42360|1|N
H2001|060|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care SC-1 (PPO C-SNP)|00025003|0.00|340| | |SC|42370|1|N
H2001|060|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care SC-1 (PPO C-SNP)|00025003|0.00|340| | |SC|42380|1|N
H2001|060|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care SC-1 (PPO C-SNP)|00025003|0.00|340| | |SC|42390|1|N
H2001|060|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care SC-1 (PPO C-SNP)|00025003|0.00|340| | |SC|42400|1|N
H2001|060|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care SC-1 (PPO C-SNP)|00025003|0.00|340| | |SC|42410|1|N
H2001|060|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care SC-1 (PPO C-SNP)|00025003|0.00|340| | |SC|42430|1|N
H2001|060|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care SC-1 (PPO C-SNP)|00025003|0.00|340| | |SC|42440|1|N
H2001|060|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care SC-1 (PPO C-SNP)|00025003|0.00|340| | |SC|42450|1|N
H2001|061|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-V001 (PPO D-SNP)|00025002|48.40|590| | |WV|51000|2|N
H2001|061|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-V001 (PPO D-SNP)|00025002|48.40|590| | |WV|51010|2|N
H2001|061|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-V001 (PPO D-SNP)|00025002|48.40|590| | |WV|51020|2|N
H2001|061|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-V001 (PPO D-SNP)|00025002|48.40|590| | |WV|51030|2|N
H2001|061|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-V001 (PPO D-SNP)|00025002|48.40|590| | |WV|51040|2|N
H2001|061|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-V001 (PPO D-SNP)|00025002|48.40|590| | |WV|51050|2|N
H2001|061|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-V001 (PPO D-SNP)|00025002|48.40|590| | |WV|51060|2|N
H2001|061|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-V001 (PPO D-SNP)|00025002|48.40|590| | |WV|51070|2|N
H2001|061|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-V001 (PPO D-SNP)|00025002|48.40|590| | |WV|51080|2|N
H2001|061|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-V001 (PPO D-SNP)|00025002|48.40|590| | |WV|51090|2|N
H2001|061|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-V001 (PPO D-SNP)|00025002|48.40|590| | |WV|51100|2|N
H2001|061|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-V001 (PPO D-SNP)|00025002|48.40|590| | |WV|51110|2|N
H2001|061|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-V001 (PPO D-SNP)|00025002|48.40|590| | |WV|51120|2|N
H2001|061|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-V001 (PPO D-SNP)|00025002|48.40|590| | |WV|51130|2|N
H2001|061|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-V001 (PPO D-SNP)|00025002|48.40|590| | |WV|51140|2|N
H2001|061|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-V001 (PPO D-SNP)|00025002|48.40|590| | |WV|51150|2|N
H2001|061|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-V001 (PPO D-SNP)|00025002|48.40|590| | |WV|51160|2|N
H2001|061|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-V001 (PPO D-SNP)|00025002|48.40|590| | |WV|51170|2|N
H2001|061|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-V001 (PPO D-SNP)|00025002|48.40|590| | |WV|51180|2|N
H2001|061|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-V001 (PPO D-SNP)|00025002|48.40|590| | |WV|51190|2|N
H2001|061|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-V001 (PPO D-SNP)|00025002|48.40|590| | |WV|51200|2|N
H2001|061|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-V001 (PPO D-SNP)|00025002|48.40|590| | |WV|51210|2|N
H2001|061|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-V001 (PPO D-SNP)|00025002|48.40|590| | |WV|51220|2|N
H2001|061|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-V001 (PPO D-SNP)|00025002|48.40|590| | |WV|51230|2|N
H2001|061|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-V001 (PPO D-SNP)|00025002|48.40|590| | |WV|51240|2|N
H2001|061|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-V001 (PPO D-SNP)|00025002|48.40|590| | |WV|51250|2|N
H2001|061|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-V001 (PPO D-SNP)|00025002|48.40|590| | |WV|51260|2|N
H2001|061|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-V001 (PPO D-SNP)|00025002|48.40|590| | |WV|51270|2|N
H2001|061|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-V001 (PPO D-SNP)|00025002|48.40|590| | |WV|51280|2|N
H2001|061|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-V001 (PPO D-SNP)|00025002|48.40|590| | |WV|51290|2|N
H2001|061|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-V001 (PPO D-SNP)|00025002|48.40|590| | |WV|51300|2|N
H2001|061|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-V001 (PPO D-SNP)|00025002|48.40|590| | |WV|51310|2|N
H2001|061|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-V001 (PPO D-SNP)|00025002|48.40|590| | |WV|51320|2|N
H2001|061|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-V001 (PPO D-SNP)|00025002|48.40|590| | |WV|51330|2|N
H2001|061|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-V001 (PPO D-SNP)|00025002|48.40|590| | |WV|51340|2|N
H2001|061|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-V001 (PPO D-SNP)|00025002|48.40|590| | |WV|51350|2|N
H2001|061|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-V001 (PPO D-SNP)|00025002|48.40|590| | |WV|51360|2|N
H2001|061|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-V001 (PPO D-SNP)|00025002|48.40|590| | |WV|51370|2|N
H2001|061|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-V001 (PPO D-SNP)|00025002|48.40|590| | |WV|51380|2|N
H2001|061|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-V001 (PPO D-SNP)|00025002|48.40|590| | |WV|51390|2|N
H2001|061|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-V001 (PPO D-SNP)|00025002|48.40|590| | |WV|51400|2|N
H2001|061|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-V001 (PPO D-SNP)|00025002|48.40|590| | |WV|51410|2|N
H2001|061|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-V001 (PPO D-SNP)|00025002|48.40|590| | |WV|51420|2|N
H2001|061|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-V001 (PPO D-SNP)|00025002|48.40|590| | |WV|51430|2|N
H2001|061|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-V001 (PPO D-SNP)|00025002|48.40|590| | |WV|51440|2|N
H2001|061|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-V001 (PPO D-SNP)|00025002|48.40|590| | |WV|51450|2|N
H2001|061|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-V001 (PPO D-SNP)|00025002|48.40|590| | |WV|51460|2|N
H2001|061|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-V001 (PPO D-SNP)|00025002|48.40|590| | |WV|51470|2|N
H2001|061|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-V001 (PPO D-SNP)|00025002|48.40|590| | |WV|51480|2|N
H2001|061|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-V001 (PPO D-SNP)|00025002|48.40|590| | |WV|51490|2|N
H2001|061|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-V001 (PPO D-SNP)|00025002|48.40|590| | |WV|51500|2|N
H2001|061|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-V001 (PPO D-SNP)|00025002|48.40|590| | |WV|51510|2|N
H2001|061|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-V001 (PPO D-SNP)|00025002|48.40|590| | |WV|51520|2|N
H2001|061|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-V001 (PPO D-SNP)|00025002|48.40|590| | |WV|51530|2|N
H2001|061|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-V001 (PPO D-SNP)|00025002|48.40|590| | |WV|51540|2|N
H2001|062|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CT-Q001 (PPO D-SNP)|00025002|0.00|590| | |CT|07000|2|N
H2001|062|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CT-Q001 (PPO D-SNP)|00025002|0.00|590| | |CT|07010|2|N
H2001|062|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CT-Q001 (PPO D-SNP)|00025002|0.00|590| | |CT|07020|2|N
H2001|062|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CT-Q001 (PPO D-SNP)|00025002|0.00|590| | |CT|07030|2|N
H2001|062|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CT-Q001 (PPO D-SNP)|00025002|0.00|590| | |CT|07040|2|N
H2001|062|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CT-Q001 (PPO D-SNP)|00025002|0.00|590| | |CT|07050|2|N
H2001|062|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CT-Q001 (PPO D-SNP)|00025002|0.00|590| | |CT|07060|2|N
H2001|062|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CT-Q001 (PPO D-SNP)|00025002|0.00|590| | |CT|07070|2|N
H2001|063|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33000|2|N
H2001|063|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33010|2|N
H2001|063|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33030|2|N
H2001|063|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33040|2|N
H2001|063|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33050|2|N
H2001|063|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33060|2|N
H2001|063|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33070|2|N
H2001|063|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33080|2|N
H2001|063|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33090|2|N
H2001|063|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33200|2|N
H2001|063|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33210|2|N
H2001|063|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33220|2|N
H2001|063|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33230|2|N
H2001|063|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33240|2|N
H2001|063|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33260|2|N
H2001|063|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33270|2|N
H2001|063|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33280|2|N
H2001|063|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33290|2|N
H2001|063|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33300|2|N
H2001|063|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33310|2|N
H2001|063|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33320|2|N
H2001|063|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33330|2|N
H2001|063|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33340|2|N
H2001|063|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33350|2|N
H2001|063|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33360|2|N
H2001|063|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33370|2|N
H2001|063|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33380|2|N
H2001|063|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33500|2|N
H2001|063|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33510|2|N
H2001|063|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33520|2|N
H2001|063|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33530|2|N
H2001|063|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33540|2|N
H2001|063|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33550|2|N
H2001|063|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33560|2|N
H2001|063|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33570|2|N
H2001|063|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33580|2|N
H2001|063|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33600|2|N
H2001|063|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33620|2|N
H2001|063|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33630|2|N
H2001|063|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33640|2|N
H2001|063|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33650|2|N
H2001|063|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33660|2|N
H2001|063|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33670|2|N
H2001|063|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33680|2|N
H2001|063|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33690|2|N
H2001|063|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33710|2|N
H2001|063|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33720|2|N
H2001|063|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33740|2|N
H2001|063|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33750|2|N
H2001|063|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33760|2|N
H2001|063|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33770|2|N
H2001|063|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33800|2|N
H2001|063|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33900|2|N
H2001|063|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33910|2|N
H2001|063|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33020|2|N
H2001|063|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33331|2|N
H2001|063|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33400|2|N
H2001|063|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33420|2|N
H2001|063|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33590|2|N
H2001|063|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33610|2|N
H2001|063|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete NY-S001 (PPO D-SNP)|00025002|0.00|590| | |NY|33700|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15000|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15010|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15020|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15030|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15040|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15050|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15060|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15070|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15080|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15090|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15100|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15110|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15120|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15130|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15140|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15150|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15160|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15170|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15180|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15190|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15200|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15210|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15220|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15230|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15240|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15250|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15260|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15270|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15280|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15290|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15300|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15310|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15320|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15330|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15340|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15350|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15360|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15370|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15380|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15390|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15400|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15410|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15420|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15430|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15440|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15450|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15460|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15470|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15480|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15490|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15500|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15510|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15520|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15530|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15540|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15550|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15560|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15570|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15580|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15590|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15600|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15610|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15620|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15630|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15640|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15650|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15660|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15670|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15680|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15690|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15700|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15710|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15720|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15730|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15740|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15750|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15760|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15770|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15780|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15790|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15800|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15810|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15820|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15830|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15840|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15850|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15860|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15870|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15880|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15890|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15900|2|N
H2001|064|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S001 (PPO D-SNP)|00025002|0.00|590| | |IN|15910|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04000|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04010|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04020|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04030|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04040|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04050|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04060|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04070|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04080|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04090|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04100|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04110|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04120|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04130|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04140|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04150|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04160|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04170|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04180|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04190|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04200|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04210|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04220|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04230|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04240|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04250|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04260|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04270|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04280|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04290|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04300|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04310|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04320|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04330|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04340|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04350|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04360|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04370|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04380|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04390|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04400|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04410|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04420|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04430|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04440|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04450|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04460|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04470|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04480|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04490|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04500|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04510|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04520|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04530|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04540|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04550|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04560|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04570|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04580|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04590|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04600|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04610|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04620|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04630|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04640|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04650|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04660|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04670|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04680|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04690|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04700|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04710|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04720|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04730|2|N
H2001|065|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete AR-S2 (PPO D-SNP)|00025002|0.00|590| | |AR|04740|2|N
H2001|066|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CT-S2 (PPO D-SNP)|00025002|0.00|590| | |CT|07000|2|N
H2001|066|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CT-S2 (PPO D-SNP)|00025002|0.00|590| | |CT|07010|2|N
H2001|066|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CT-S2 (PPO D-SNP)|00025002|0.00|590| | |CT|07020|2|N
H2001|066|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CT-S2 (PPO D-SNP)|00025002|0.00|590| | |CT|07030|2|N
H2001|066|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CT-S2 (PPO D-SNP)|00025002|0.00|590| | |CT|07040|2|N
H2001|066|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CT-S2 (PPO D-SNP)|00025002|0.00|590| | |CT|07050|2|N
H2001|066|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CT-S2 (PPO D-SNP)|00025002|0.00|590| | |CT|07060|2|N
H2001|066|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete CT-S2 (PPO D-SNP)|00025002|0.00|590| | |CT|07070|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15000|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15010|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15020|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15030|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15040|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15050|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15060|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15070|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15080|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15090|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15100|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15110|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15120|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15130|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15140|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15150|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15160|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15170|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15180|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15190|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15200|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15210|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15220|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15230|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15240|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15250|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15260|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15270|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15280|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15290|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15300|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15310|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15320|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15330|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15340|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15350|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15360|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15370|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15380|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15390|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15400|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15410|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15420|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15430|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15440|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15450|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15460|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15470|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15480|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15490|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15500|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15510|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15520|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15530|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15540|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15550|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15560|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15570|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15580|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15590|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15600|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15610|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15620|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15630|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15640|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15650|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15660|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15670|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15680|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15690|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15700|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15710|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15720|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15730|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15740|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15750|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15760|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15770|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15780|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15790|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15800|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15810|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15820|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15830|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15840|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15850|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15860|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15870|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15880|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15890|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15900|2|N
H2001|067|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete IN-S3 (PPO D-SNP)|00025002|0.00|590| | |IN|15910|2|N
H2001|068|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete ME-S1 (PPO D-SNP)|00025002|0.00|590| | |ME|20000|2|N
H2001|068|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete ME-S1 (PPO D-SNP)|00025002|0.00|590| | |ME|20020|2|N
H2001|068|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete ME-S1 (PPO D-SNP)|00025002|0.00|590| | |ME|20050|2|N
H2001|068|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete ME-S1 (PPO D-SNP)|00025002|0.00|590| | |ME|20150|2|N
H2001|068|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete ME-S1 (PPO D-SNP)|00025002|0.00|590| | |ME|20010|2|N
H2001|068|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete ME-S1 (PPO D-SNP)|00025002|0.00|590| | |ME|20030|2|N
H2001|068|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete ME-S1 (PPO D-SNP)|00025002|0.00|590| | |ME|20040|2|N
H2001|068|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete ME-S1 (PPO D-SNP)|00025002|0.00|590| | |ME|20060|2|N
H2001|068|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete ME-S1 (PPO D-SNP)|00025002|0.00|590| | |ME|20070|2|N
H2001|068|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete ME-S1 (PPO D-SNP)|00025002|0.00|590| | |ME|20080|2|N
H2001|068|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete ME-S1 (PPO D-SNP)|00025002|0.00|590| | |ME|20090|2|N
H2001|068|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete ME-S1 (PPO D-SNP)|00025002|0.00|590| | |ME|20100|2|N
H2001|068|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete ME-S1 (PPO D-SNP)|00025002|0.00|590| | |ME|20110|2|N
H2001|068|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete ME-S1 (PPO D-SNP)|00025002|0.00|590| | |ME|20120|2|N
H2001|068|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete ME-S1 (PPO D-SNP)|00025002|0.00|590| | |ME|20130|2|N
H2001|068|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete ME-S1 (PPO D-SNP)|00025002|0.00|590| | |ME|20140|2|N
H2001|069|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete ME-S2 (PPO D-SNP)|00025002|0.00|590| | |ME|20000|2|N
H2001|069|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete ME-S2 (PPO D-SNP)|00025002|0.00|590| | |ME|20020|2|N
H2001|069|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete ME-S2 (PPO D-SNP)|00025002|0.00|590| | |ME|20050|2|N
H2001|069|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete ME-S2 (PPO D-SNP)|00025002|0.00|590| | |ME|20150|2|N
H2001|069|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete ME-S2 (PPO D-SNP)|00025002|0.00|590| | |ME|20010|2|N
H2001|069|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete ME-S2 (PPO D-SNP)|00025002|0.00|590| | |ME|20030|2|N
H2001|069|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete ME-S2 (PPO D-SNP)|00025002|0.00|590| | |ME|20040|2|N
H2001|069|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete ME-S2 (PPO D-SNP)|00025002|0.00|590| | |ME|20060|2|N
H2001|069|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete ME-S2 (PPO D-SNP)|00025002|0.00|590| | |ME|20070|2|N
H2001|069|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete ME-S2 (PPO D-SNP)|00025002|0.00|590| | |ME|20080|2|N
H2001|069|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete ME-S2 (PPO D-SNP)|00025002|0.00|590| | |ME|20090|2|N
H2001|069|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete ME-S2 (PPO D-SNP)|00025002|0.00|590| | |ME|20100|2|N
H2001|069|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete ME-S2 (PPO D-SNP)|00025002|0.00|590| | |ME|20110|2|N
H2001|069|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete ME-S2 (PPO D-SNP)|00025002|0.00|590| | |ME|20120|2|N
H2001|069|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete ME-S2 (PPO D-SNP)|00025002|0.00|590| | |ME|20130|2|N
H2001|069|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete ME-S2 (PPO D-SNP)|00025002|0.00|590| | |ME|20140|2|N
H2001|070|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care NM-11 (PPO C-SNP)|00025003|0.00|340| | |NM|32000|1|N
H2001|070|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care NM-11 (PPO C-SNP)|00025003|0.00|340| | |NM|32131|1|N
H2001|070|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care NM-11 (PPO C-SNP)|00025003|0.00|340| | |NM|32160|1|N
H2001|070|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care NM-11 (PPO C-SNP)|00025003|0.00|340| | |NM|32190|1|N
H2001|070|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care NM-11 (PPO C-SNP)|00025003|0.00|340| | |NM|32210|1|N
H2001|070|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care NM-11 (PPO C-SNP)|00025003|0.00|340| | |NM|32230|1|N
H2001|070|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care NM-11 (PPO C-SNP)|00025003|0.00|340| | |NM|32240|1|N
H2001|070|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care NM-11 (PPO C-SNP)|00025003|0.00|340| | |NM|32280|1|N
H2001|070|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care NM-11 (PPO C-SNP)|00025003|0.00|340| | |NM|32300|1|N
H2001|075|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S2 (PPO D-SNP)|00025002|0.00|590| | |SC|42000|2|N
H2001|075|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S2 (PPO D-SNP)|00025002|0.00|590| | |SC|42010|2|N
H2001|075|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S2 (PPO D-SNP)|00025002|0.00|590| | |SC|42020|2|N
H2001|075|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S2 (PPO D-SNP)|00025002|0.00|590| | |SC|42030|2|N
H2001|075|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S2 (PPO D-SNP)|00025002|0.00|590| | |SC|42040|2|N
H2001|075|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S2 (PPO D-SNP)|00025002|0.00|590| | |SC|42050|2|N
H2001|075|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S2 (PPO D-SNP)|00025002|0.00|590| | |SC|42060|2|N
H2001|075|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S2 (PPO D-SNP)|00025002|0.00|590| | |SC|42070|2|N
H2001|075|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S2 (PPO D-SNP)|00025002|0.00|590| | |SC|42080|2|N
H2001|075|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S2 (PPO D-SNP)|00025002|0.00|590| | |SC|42090|2|N
H2001|075|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S2 (PPO D-SNP)|00025002|0.00|590| | |SC|42100|2|N
H2001|075|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S2 (PPO D-SNP)|00025002|0.00|590| | |SC|42110|2|N
H2001|075|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S2 (PPO D-SNP)|00025002|0.00|590| | |SC|42120|2|N
H2001|075|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S2 (PPO D-SNP)|00025002|0.00|590| | |SC|42130|2|N
H2001|075|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S2 (PPO D-SNP)|00025002|0.00|590| | |SC|42140|2|N
H2001|075|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S2 (PPO D-SNP)|00025002|0.00|590| | |SC|42150|2|N
H2001|075|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S2 (PPO D-SNP)|00025002|0.00|590| | |SC|42160|2|N
H2001|075|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S2 (PPO D-SNP)|00025002|0.00|590| | |SC|42170|2|N
H2001|075|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S2 (PPO D-SNP)|00025002|0.00|590| | |SC|42180|2|N
H2001|075|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S2 (PPO D-SNP)|00025002|0.00|590| | |SC|42190|2|N
H2001|075|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S2 (PPO D-SNP)|00025002|0.00|590| | |SC|42200|2|N
H2001|075|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S2 (PPO D-SNP)|00025002|0.00|590| | |SC|42210|2|N
H2001|075|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S2 (PPO D-SNP)|00025002|0.00|590| | |SC|42220|2|N
H2001|075|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S2 (PPO D-SNP)|00025002|0.00|590| | |SC|42230|2|N
H2001|075|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S2 (PPO D-SNP)|00025002|0.00|590| | |SC|42240|2|N
H2001|075|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S2 (PPO D-SNP)|00025002|0.00|590| | |SC|42250|2|N
H2001|075|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S2 (PPO D-SNP)|00025002|0.00|590| | |SC|42260|2|N
H2001|075|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S2 (PPO D-SNP)|00025002|0.00|590| | |SC|42270|2|N
H2001|075|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S2 (PPO D-SNP)|00025002|0.00|590| | |SC|42280|2|N
H2001|075|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S2 (PPO D-SNP)|00025002|0.00|590| | |SC|42290|2|N
H2001|075|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S2 (PPO D-SNP)|00025002|0.00|590| | |SC|42300|2|N
H2001|075|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S2 (PPO D-SNP)|00025002|0.00|590| | |SC|42310|2|N
H2001|075|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S2 (PPO D-SNP)|00025002|0.00|590| | |SC|42320|2|N
H2001|075|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S2 (PPO D-SNP)|00025002|0.00|590| | |SC|42330|2|N
H2001|075|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S2 (PPO D-SNP)|00025002|0.00|590| | |SC|42340|2|N
H2001|075|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S2 (PPO D-SNP)|00025002|0.00|590| | |SC|42350|2|N
H2001|075|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S2 (PPO D-SNP)|00025002|0.00|590| | |SC|42360|2|N
H2001|075|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S2 (PPO D-SNP)|00025002|0.00|590| | |SC|42370|2|N
H2001|075|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S2 (PPO D-SNP)|00025002|0.00|590| | |SC|42380|2|N
H2001|075|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S2 (PPO D-SNP)|00025002|0.00|590| | |SC|42390|2|N
H2001|075|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S2 (PPO D-SNP)|00025002|0.00|590| | |SC|42400|2|N
H2001|075|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S2 (PPO D-SNP)|00025002|0.00|590| | |SC|42410|2|N
H2001|075|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S2 (PPO D-SNP)|00025002|0.00|590| | |SC|42430|2|N
H2001|075|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S2 (PPO D-SNP)|00025002|0.00|590| | |SC|42440|2|N
H2001|075|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SC-S2 (PPO D-SNP)|00025002|0.00|590| | |SC|42450|2|N
H2001|076|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support SC-7 (PPO C-SNP)|00025003|46.60|590| | |SC|42000|1|N
H2001|076|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support SC-7 (PPO C-SNP)|00025003|46.60|590| | |SC|42010|1|N
H2001|076|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support SC-7 (PPO C-SNP)|00025003|46.60|590| | |SC|42020|1|N
H2001|076|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support SC-7 (PPO C-SNP)|00025003|46.60|590| | |SC|42030|1|N
H2001|076|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support SC-7 (PPO C-SNP)|00025003|46.60|590| | |SC|42040|1|N
H2001|076|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support SC-7 (PPO C-SNP)|00025003|46.60|590| | |SC|42050|1|N
H2001|076|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support SC-7 (PPO C-SNP)|00025003|46.60|590| | |SC|42060|1|N
H2001|076|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support SC-7 (PPO C-SNP)|00025003|46.60|590| | |SC|42070|1|N
H2001|076|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support SC-7 (PPO C-SNP)|00025003|46.60|590| | |SC|42080|1|N
H2001|076|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support SC-7 (PPO C-SNP)|00025003|46.60|590| | |SC|42090|1|N
H2001|076|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support SC-7 (PPO C-SNP)|00025003|46.60|590| | |SC|42100|1|N
H2001|076|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support SC-7 (PPO C-SNP)|00025003|46.60|590| | |SC|42110|1|N
H2001|076|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support SC-7 (PPO C-SNP)|00025003|46.60|590| | |SC|42120|1|N
H2001|076|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support SC-7 (PPO C-SNP)|00025003|46.60|590| | |SC|42130|1|N
H2001|076|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support SC-7 (PPO C-SNP)|00025003|46.60|590| | |SC|42140|1|N
H2001|076|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support SC-7 (PPO C-SNP)|00025003|46.60|590| | |SC|42150|1|N
H2001|076|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support SC-7 (PPO C-SNP)|00025003|46.60|590| | |SC|42160|1|N
H2001|076|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support SC-7 (PPO C-SNP)|00025003|46.60|590| | |SC|42170|1|N
H2001|076|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support SC-7 (PPO C-SNP)|00025003|46.60|590| | |SC|42180|1|N
H2001|076|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support SC-7 (PPO C-SNP)|00025003|46.60|590| | |SC|42190|1|N
H2001|076|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support SC-7 (PPO C-SNP)|00025003|46.60|590| | |SC|42200|1|N
H2001|076|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support SC-7 (PPO C-SNP)|00025003|46.60|590| | |SC|42210|1|N
H2001|076|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support SC-7 (PPO C-SNP)|00025003|46.60|590| | |SC|42220|1|N
H2001|076|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support SC-7 (PPO C-SNP)|00025003|46.60|590| | |SC|42230|1|N
H2001|076|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support SC-7 (PPO C-SNP)|00025003|46.60|590| | |SC|42240|1|N
H2001|076|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support SC-7 (PPO C-SNP)|00025003|46.60|590| | |SC|42250|1|N
H2001|076|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support SC-7 (PPO C-SNP)|00025003|46.60|590| | |SC|42260|1|N
H2001|076|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support SC-7 (PPO C-SNP)|00025003|46.60|590| | |SC|42270|1|N
H2001|076|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support SC-7 (PPO C-SNP)|00025003|46.60|590| | |SC|42280|1|N
H2001|076|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support SC-7 (PPO C-SNP)|00025003|46.60|590| | |SC|42290|1|N
H2001|076|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support SC-7 (PPO C-SNP)|00025003|46.60|590| | |SC|42300|1|N
H2001|076|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support SC-7 (PPO C-SNP)|00025003|46.60|590| | |SC|42310|1|N
H2001|076|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support SC-7 (PPO C-SNP)|00025003|46.60|590| | |SC|42320|1|N
H2001|076|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support SC-7 (PPO C-SNP)|00025003|46.60|590| | |SC|42330|1|N
H2001|076|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support SC-7 (PPO C-SNP)|00025003|46.60|590| | |SC|42340|1|N
H2001|076|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support SC-7 (PPO C-SNP)|00025003|46.60|590| | |SC|42350|1|N
H2001|076|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support SC-7 (PPO C-SNP)|00025003|46.60|590| | |SC|42360|1|N
H2001|076|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support SC-7 (PPO C-SNP)|00025003|46.60|590| | |SC|42370|1|N
H2001|076|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support SC-7 (PPO C-SNP)|00025003|46.60|590| | |SC|42380|1|N
H2001|076|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support SC-7 (PPO C-SNP)|00025003|46.60|590| | |SC|42390|1|N
H2001|076|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support SC-7 (PPO C-SNP)|00025003|46.60|590| | |SC|42400|1|N
H2001|076|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support SC-7 (PPO C-SNP)|00025003|46.60|590| | |SC|42410|1|N
H2001|076|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support SC-7 (PPO C-SNP)|00025003|46.60|590| | |SC|42430|1|N
H2001|076|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support SC-7 (PPO C-SNP)|00025003|46.60|590| | |SC|42440|1|N
H2001|076|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support SC-7 (PPO C-SNP)|00025003|46.60|590| | |SC|42450|1|N
H2001|077|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-S2 (PPO D-SNP)|00025002|0.00|590| | |SD|43010|2|N
H2001|077|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-S2 (PPO D-SNP)|00025002|0.00|590| | |SD|43020|2|N
H2001|077|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-S2 (PPO D-SNP)|00025002|0.00|590| | |SD|43040|2|N
H2001|077|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-S2 (PPO D-SNP)|00025002|0.00|590| | |SD|43050|2|N
H2001|077|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-S2 (PPO D-SNP)|00025002|0.00|590| | |SD|43060|2|N
H2001|077|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-S2 (PPO D-SNP)|00025002|0.00|590| | |SD|43090|2|N
H2001|077|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-S2 (PPO D-SNP)|00025002|0.00|590| | |SD|43100|2|N
H2001|077|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-S2 (PPO D-SNP)|00025002|0.00|590| | |SD|43110|2|N
H2001|077|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-S2 (PPO D-SNP)|00025002|0.00|590| | |SD|43120|2|N
H2001|077|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-S2 (PPO D-SNP)|00025002|0.00|590| | |SD|43130|2|N
H2001|077|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-S2 (PPO D-SNP)|00025002|0.00|590| | |SD|43140|2|N
H2001|077|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-S2 (PPO D-SNP)|00025002|0.00|590| | |SD|43150|2|N
H2001|077|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-S2 (PPO D-SNP)|00025002|0.00|590| | |SD|43160|2|N
H2001|077|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-S2 (PPO D-SNP)|00025002|0.00|590| | |SD|43170|2|N
H2001|077|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-S2 (PPO D-SNP)|00025002|0.00|590| | |SD|43180|2|N
H2001|077|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-S2 (PPO D-SNP)|00025002|0.00|590| | |SD|43190|2|N
H2001|077|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-S2 (PPO D-SNP)|00025002|0.00|590| | |SD|43200|2|N
H2001|077|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-S2 (PPO D-SNP)|00025002|0.00|590| | |SD|43210|2|N
H2001|077|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-S2 (PPO D-SNP)|00025002|0.00|590| | |SD|43230|2|N
H2001|077|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-S2 (PPO D-SNP)|00025002|0.00|590| | |SD|43270|2|N
H2001|077|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-S2 (PPO D-SNP)|00025002|0.00|590| | |SD|43280|2|N
H2001|077|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-S2 (PPO D-SNP)|00025002|0.00|590| | |SD|43300|2|N
H2001|077|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-S2 (PPO D-SNP)|00025002|0.00|590| | |SD|43310|2|N
H2001|077|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-S2 (PPO D-SNP)|00025002|0.00|590| | |SD|43320|2|N
H2001|077|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-S2 (PPO D-SNP)|00025002|0.00|590| | |SD|43330|2|N
H2001|077|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-S2 (PPO D-SNP)|00025002|0.00|590| | |SD|43350|2|N
H2001|077|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-S2 (PPO D-SNP)|00025002|0.00|590| | |SD|43380|2|N
H2001|077|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-S2 (PPO D-SNP)|00025002|0.00|590| | |SD|43390|2|N
H2001|077|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-S2 (PPO D-SNP)|00025002|0.00|590| | |SD|43400|2|N
H2001|077|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-S2 (PPO D-SNP)|00025002|0.00|590| | |SD|43410|2|N
H2001|077|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-S2 (PPO D-SNP)|00025002|0.00|590| | |SD|43430|2|N
H2001|077|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-S2 (PPO D-SNP)|00025002|0.00|590| | |SD|43450|2|N
H2001|077|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-S2 (PPO D-SNP)|00025002|0.00|590| | |SD|43460|2|N
H2001|077|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-S2 (PPO D-SNP)|00025002|0.00|590| | |SD|43480|2|N
H2001|077|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-S2 (PPO D-SNP)|00025002|0.00|590| | |SD|43490|2|N
H2001|077|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-S2 (PPO D-SNP)|00025002|0.00|590| | |SD|43500|2|N
H2001|077|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-S2 (PPO D-SNP)|00025002|0.00|590| | |SD|43510|2|N
H2001|077|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-S2 (PPO D-SNP)|00025002|0.00|590| | |SD|43520|2|N
H2001|077|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-S2 (PPO D-SNP)|00025002|0.00|590| | |SD|43540|2|N
H2001|077|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-S2 (PPO D-SNP)|00025002|0.00|590| | |SD|43550|2|N
H2001|077|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-S2 (PPO D-SNP)|00025002|0.00|590| | |SD|43570|2|N
H2001|077|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-S2 (PPO D-SNP)|00025002|0.00|590| | |SD|43580|2|N
H2001|077|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-S2 (PPO D-SNP)|00025002|0.00|590| | |SD|43620|2|N
H2001|077|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-S2 (PPO D-SNP)|00025002|0.00|590| | |SD|43630|2|N
H2001|077|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-S2 (PPO D-SNP)|00025002|0.00|590| | |SD|43640|2|N
H2001|077|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-S2 (PPO D-SNP)|00025002|0.00|590| | |SD|43670|2|N
H2001|077|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete SD-S2 (PPO D-SNP)|00025002|0.00|590| | |SD|43680|2|N
H2001|078|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-S1 (PPO D-SNP)|00025002|0.00|590| | |WA|50020|2|N
H2001|078|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-S1 (PPO D-SNP)|00025002|0.00|590| | |WA|50050|2|N
H2001|078|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-S1 (PPO D-SNP)|00025002|0.00|590| | |WA|50060|2|N
H2001|078|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-S1 (PPO D-SNP)|00025002|0.00|590| | |WA|50080|2|N
H2001|078|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-S1 (PPO D-SNP)|00025002|0.00|590| | |WA|50100|2|N
H2001|078|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-S1 (PPO D-SNP)|00025002|0.00|590| | |WA|50110|2|N
H2001|078|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-S1 (PPO D-SNP)|00025002|0.00|590| | |WA|50180|2|N
H2001|078|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-S1 (PPO D-SNP)|00025002|0.00|590| | |WA|50210|2|N
H2001|078|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-S1 (PPO D-SNP)|00025002|0.00|590| | |WA|50250|2|N
H2001|078|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-S1 (PPO D-SNP)|00025002|0.00|590| | |WA|50290|2|N
H2001|078|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-S1 (PPO D-SNP)|00025002|0.00|590| | |WA|50310|2|N
H2001|078|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-S1 (PPO D-SNP)|00025002|0.00|590| | |WA|50350|2|N
H2001|078|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-S1 (PPO D-SNP)|00025002|0.00|590| | |WA|50370|2|N
H2001|078|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-S1 (PPO D-SNP)|00025002|0.00|590| | |WA|50380|2|N
H2001|079|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-Q1 (PPO D-SNP)|00025002|0.00|590| | |WA|50020|2|N
H2001|079|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-Q1 (PPO D-SNP)|00025002|0.00|590| | |WA|50040|2|N
H2001|079|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-Q1 (PPO D-SNP)|00025002|0.00|590| | |WA|50050|2|N
H2001|079|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-Q1 (PPO D-SNP)|00025002|0.00|590| | |WA|50060|2|N
H2001|079|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-Q1 (PPO D-SNP)|00025002|0.00|590| | |WA|50070|2|N
H2001|079|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-Q1 (PPO D-SNP)|00025002|0.00|590| | |WA|50080|2|N
H2001|079|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-Q1 (PPO D-SNP)|00025002|0.00|590| | |WA|50100|2|N
H2001|079|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-Q1 (PPO D-SNP)|00025002|0.00|590| | |WA|50110|2|N
H2001|079|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-Q1 (PPO D-SNP)|00025002|0.00|590| | |WA|50140|2|N
H2001|079|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-Q1 (PPO D-SNP)|00025002|0.00|590| | |WA|50150|2|N
H2001|079|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-Q1 (PPO D-SNP)|00025002|0.00|590| | |WA|50160|2|N
H2001|079|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-Q1 (PPO D-SNP)|00025002|0.00|590| | |WA|50170|2|N
H2001|079|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-Q1 (PPO D-SNP)|00025002|0.00|590| | |WA|50180|2|N
H2001|079|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-Q1 (PPO D-SNP)|00025002|0.00|590| | |WA|50200|2|N
H2001|079|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-Q1 (PPO D-SNP)|00025002|0.00|590| | |WA|50210|2|N
H2001|079|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-Q1 (PPO D-SNP)|00025002|0.00|590| | |WA|50220|2|N
H2001|079|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-Q1 (PPO D-SNP)|00025002|0.00|590| | |WA|50240|2|N
H2001|079|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-Q1 (PPO D-SNP)|00025002|0.00|590| | |WA|50250|2|N
H2001|079|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-Q1 (PPO D-SNP)|00025002|0.00|590| | |WA|50260|2|N
H2001|079|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-Q1 (PPO D-SNP)|00025002|0.00|590| | |WA|50270|2|N
H2001|079|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-Q1 (PPO D-SNP)|00025002|0.00|590| | |WA|50280|2|N
H2001|079|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-Q1 (PPO D-SNP)|00025002|0.00|590| | |WA|50290|2|N
H2001|079|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-Q1 (PPO D-SNP)|00025002|0.00|590| | |WA|50300|2|N
H2001|079|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-Q1 (PPO D-SNP)|00025002|0.00|590| | |WA|50310|2|N
H2001|079|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-Q1 (PPO D-SNP)|00025002|0.00|590| | |WA|50330|2|N
H2001|079|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-Q1 (PPO D-SNP)|00025002|0.00|590| | |WA|50340|2|N
H2001|079|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-Q1 (PPO D-SNP)|00025002|0.00|590| | |WA|50350|2|N
H2001|079|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-Q1 (PPO D-SNP)|00025002|0.00|590| | |WA|50360|2|N
H2001|079|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-Q1 (PPO D-SNP)|00025002|0.00|590| | |WA|50370|2|N
H2001|079|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-Q1 (PPO D-SNP)|00025002|0.00|590| | |WA|50380|2|N
H2001|080|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-V2 (PPO D-SNP)|00025002|26.20|590| | |WA|50020|2|N
H2001|080|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-V2 (PPO D-SNP)|00025002|26.20|590| | |WA|50040|2|N
H2001|080|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-V2 (PPO D-SNP)|00025002|26.20|590| | |WA|50050|2|N
H2001|080|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-V2 (PPO D-SNP)|00025002|26.20|590| | |WA|50060|2|N
H2001|080|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-V2 (PPO D-SNP)|00025002|26.20|590| | |WA|50070|2|N
H2001|080|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-V2 (PPO D-SNP)|00025002|26.20|590| | |WA|50080|2|N
H2001|080|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-V2 (PPO D-SNP)|00025002|26.20|590| | |WA|50100|2|N
H2001|080|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-V2 (PPO D-SNP)|00025002|26.20|590| | |WA|50110|2|N
H2001|080|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-V2 (PPO D-SNP)|00025002|26.20|590| | |WA|50140|2|N
H2001|080|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-V2 (PPO D-SNP)|00025002|26.20|590| | |WA|50150|2|N
H2001|080|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-V2 (PPO D-SNP)|00025002|26.20|590| | |WA|50160|2|N
H2001|080|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-V2 (PPO D-SNP)|00025002|26.20|590| | |WA|50170|2|N
H2001|080|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-V2 (PPO D-SNP)|00025002|26.20|590| | |WA|50180|2|N
H2001|080|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-V2 (PPO D-SNP)|00025002|26.20|590| | |WA|50200|2|N
H2001|080|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-V2 (PPO D-SNP)|00025002|26.20|590| | |WA|50210|2|N
H2001|080|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-V2 (PPO D-SNP)|00025002|26.20|590| | |WA|50220|2|N
H2001|080|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-V2 (PPO D-SNP)|00025002|26.20|590| | |WA|50240|2|N
H2001|080|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-V2 (PPO D-SNP)|00025002|26.20|590| | |WA|50250|2|N
H2001|080|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-V2 (PPO D-SNP)|00025002|26.20|590| | |WA|50260|2|N
H2001|080|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-V2 (PPO D-SNP)|00025002|26.20|590| | |WA|50270|2|N
H2001|080|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-V2 (PPO D-SNP)|00025002|26.20|590| | |WA|50280|2|N
H2001|080|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-V2 (PPO D-SNP)|00025002|26.20|590| | |WA|50290|2|N
H2001|080|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-V2 (PPO D-SNP)|00025002|26.20|590| | |WA|50300|2|N
H2001|080|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-V2 (PPO D-SNP)|00025002|26.20|590| | |WA|50310|2|N
H2001|080|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-V2 (PPO D-SNP)|00025002|26.20|590| | |WA|50330|2|N
H2001|080|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-V2 (PPO D-SNP)|00025002|26.20|590| | |WA|50340|2|N
H2001|080|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-V2 (PPO D-SNP)|00025002|26.20|590| | |WA|50350|2|N
H2001|080|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-V2 (PPO D-SNP)|00025002|26.20|590| | |WA|50360|2|N
H2001|080|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-V2 (PPO D-SNP)|00025002|26.20|590| | |WA|50370|2|N
H2001|080|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-V2 (PPO D-SNP)|00025002|26.20|590| | |WA|50380|2|N
H2001|081|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-S2 (PPO D-SNP)|00025002|0.00|590| | |WA|50160|2|N
H2001|081|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-S2 (PPO D-SNP)|00025002|0.00|590| | |WA|50260|2|N
H2001|081|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WA-S2 (PPO D-SNP)|00025002|0.00|590| | |WA|50300|2|N
H2001|082|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S2 (PPO D-SNP)|00025002|0.00|590| | |WV|51000|2|N
H2001|082|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S2 (PPO D-SNP)|00025002|0.00|590| | |WV|51010|2|N
H2001|082|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S2 (PPO D-SNP)|00025002|0.00|590| | |WV|51020|2|N
H2001|082|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S2 (PPO D-SNP)|00025002|0.00|590| | |WV|51030|2|N
H2001|082|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S2 (PPO D-SNP)|00025002|0.00|590| | |WV|51040|2|N
H2001|082|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S2 (PPO D-SNP)|00025002|0.00|590| | |WV|51050|2|N
H2001|082|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S2 (PPO D-SNP)|00025002|0.00|590| | |WV|51060|2|N
H2001|082|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S2 (PPO D-SNP)|00025002|0.00|590| | |WV|51070|2|N
H2001|082|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S2 (PPO D-SNP)|00025002|0.00|590| | |WV|51080|2|N
H2001|082|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S2 (PPO D-SNP)|00025002|0.00|590| | |WV|51090|2|N
H2001|082|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S2 (PPO D-SNP)|00025002|0.00|590| | |WV|51100|2|N
H2001|082|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S2 (PPO D-SNP)|00025002|0.00|590| | |WV|51110|2|N
H2001|082|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S2 (PPO D-SNP)|00025002|0.00|590| | |WV|51120|2|N
H2001|082|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S2 (PPO D-SNP)|00025002|0.00|590| | |WV|51130|2|N
H2001|082|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S2 (PPO D-SNP)|00025002|0.00|590| | |WV|51140|2|N
H2001|082|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S2 (PPO D-SNP)|00025002|0.00|590| | |WV|51150|2|N
H2001|082|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S2 (PPO D-SNP)|00025002|0.00|590| | |WV|51160|2|N
H2001|082|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S2 (PPO D-SNP)|00025002|0.00|590| | |WV|51170|2|N
H2001|082|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S2 (PPO D-SNP)|00025002|0.00|590| | |WV|51180|2|N
H2001|082|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S2 (PPO D-SNP)|00025002|0.00|590| | |WV|51190|2|N
H2001|082|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S2 (PPO D-SNP)|00025002|0.00|590| | |WV|51200|2|N
H2001|082|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S2 (PPO D-SNP)|00025002|0.00|590| | |WV|51210|2|N
H2001|082|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S2 (PPO D-SNP)|00025002|0.00|590| | |WV|51220|2|N
H2001|082|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S2 (PPO D-SNP)|00025002|0.00|590| | |WV|51230|2|N
H2001|082|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S2 (PPO D-SNP)|00025002|0.00|590| | |WV|51240|2|N
H2001|082|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S2 (PPO D-SNP)|00025002|0.00|590| | |WV|51250|2|N
H2001|082|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S2 (PPO D-SNP)|00025002|0.00|590| | |WV|51260|2|N
H2001|082|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S2 (PPO D-SNP)|00025002|0.00|590| | |WV|51270|2|N
H2001|082|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S2 (PPO D-SNP)|00025002|0.00|590| | |WV|51280|2|N
H2001|082|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S2 (PPO D-SNP)|00025002|0.00|590| | |WV|51290|2|N
H2001|082|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S2 (PPO D-SNP)|00025002|0.00|590| | |WV|51300|2|N
H2001|082|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S2 (PPO D-SNP)|00025002|0.00|590| | |WV|51310|2|N
H2001|082|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S2 (PPO D-SNP)|00025002|0.00|590| | |WV|51320|2|N
H2001|082|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S2 (PPO D-SNP)|00025002|0.00|590| | |WV|51330|2|N
H2001|082|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S2 (PPO D-SNP)|00025002|0.00|590| | |WV|51340|2|N
H2001|082|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S2 (PPO D-SNP)|00025002|0.00|590| | |WV|51350|2|N
H2001|082|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S2 (PPO D-SNP)|00025002|0.00|590| | |WV|51360|2|N
H2001|082|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S2 (PPO D-SNP)|00025002|0.00|590| | |WV|51370|2|N
H2001|082|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S2 (PPO D-SNP)|00025002|0.00|590| | |WV|51380|2|N
H2001|082|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S2 (PPO D-SNP)|00025002|0.00|590| | |WV|51390|2|N
H2001|082|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S2 (PPO D-SNP)|00025002|0.00|590| | |WV|51400|2|N
H2001|082|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S2 (PPO D-SNP)|00025002|0.00|590| | |WV|51410|2|N
H2001|082|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S2 (PPO D-SNP)|00025002|0.00|590| | |WV|51420|2|N
H2001|082|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S2 (PPO D-SNP)|00025002|0.00|590| | |WV|51430|2|N
H2001|082|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S2 (PPO D-SNP)|00025002|0.00|590| | |WV|51440|2|N
H2001|082|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S2 (PPO D-SNP)|00025002|0.00|590| | |WV|51450|2|N
H2001|082|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S2 (PPO D-SNP)|00025002|0.00|590| | |WV|51460|2|N
H2001|082|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S2 (PPO D-SNP)|00025002|0.00|590| | |WV|51470|2|N
H2001|082|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S2 (PPO D-SNP)|00025002|0.00|590| | |WV|51480|2|N
H2001|082|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S2 (PPO D-SNP)|00025002|0.00|590| | |WV|51490|2|N
H2001|082|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S2 (PPO D-SNP)|00025002|0.00|590| | |WV|51500|2|N
H2001|082|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S2 (PPO D-SNP)|00025002|0.00|590| | |WV|51510|2|N
H2001|082|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S2 (PPO D-SNP)|00025002|0.00|590| | |WV|51520|2|N
H2001|082|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S2 (PPO D-SNP)|00025002|0.00|590| | |WV|51530|2|N
H2001|082|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete WV-S2 (PPO D-SNP)|00025002|0.00|590| | |WV|51540|2|N
H2001|083|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC ME-0002 (PPO)|00025002|0.00|420| | |ME|20000|0|N
H2001|083|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC ME-0002 (PPO)|00025002|0.00|420| | |ME|20020|0|N
H2001|083|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC ME-0002 (PPO)|00025002|0.00|420| | |ME|20050|0|N
H2001|083|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC ME-0002 (PPO)|00025002|0.00|420| | |ME|20150|0|N
H2001|083|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC ME-0002 (PPO)|00025002|0.00|420| | |ME|20010|0|N
H2001|083|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC ME-0002 (PPO)|00025002|0.00|420| | |ME|20030|0|N
H2001|083|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC ME-0002 (PPO)|00025002|0.00|420| | |ME|20040|0|N
H2001|083|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC ME-0002 (PPO)|00025002|0.00|420| | |ME|20060|0|N
H2001|083|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC ME-0002 (PPO)|00025002|0.00|420| | |ME|20070|0|N
H2001|083|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC ME-0002 (PPO)|00025002|0.00|420| | |ME|20080|0|N
H2001|083|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC ME-0002 (PPO)|00025002|0.00|420| | |ME|20090|0|N
H2001|083|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC ME-0002 (PPO)|00025002|0.00|420| | |ME|20100|0|N
H2001|083|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC ME-0002 (PPO)|00025002|0.00|420| | |ME|20110|0|N
H2001|083|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC ME-0002 (PPO)|00025002|0.00|420| | |ME|20120|0|N
H2001|083|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC ME-0002 (PPO)|00025002|0.00|420| | |ME|20130|0|N
H2001|083|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC ME-0002 (PPO)|00025002|0.00|420| | |ME|20140|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34000|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34010|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34020|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34030|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34040|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34050|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34060|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34070|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34080|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34090|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34100|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34110|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34120|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34130|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34140|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34160|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34170|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34180|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34190|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34200|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34210|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34220|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34230|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34240|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34251|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34270|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34280|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34290|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34300|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34310|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34320|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34330|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34340|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34350|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34360|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34370|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34380|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34390|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34400|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34410|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34420|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34430|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34440|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34450|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34460|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34470|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34480|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34490|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34500|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34510|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34520|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34530|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34540|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34550|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34560|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34570|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34580|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34590|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34600|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34610|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34620|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34630|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34640|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34650|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34660|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34670|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34680|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34690|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34700|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34710|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34720|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34730|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34740|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34750|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34760|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34770|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34780|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34790|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34800|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34810|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34820|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34830|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34840|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34850|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34860|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34870|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34880|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34890|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34900|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34910|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34920|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34930|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34940|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34950|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34960|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34970|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34980|0|N
H2001|084|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC NC-23 (PPO)|00025002|119.20|570| | |NC|34981|0|N
H2001|085|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete ND-S1 (PPO D-SNP)|00025002|0.00|590| | |ND|35010|2|N
H2001|085|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete ND-S1 (PPO D-SNP)|00025002|0.00|590| | |ND|35020|2|N
H2001|085|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete ND-S1 (PPO D-SNP)|00025002|0.00|590| | |ND|35070|2|N
H2001|085|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete ND-S1 (PPO D-SNP)|00025002|0.00|590| | |ND|35080|2|N
H2001|085|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete ND-S1 (PPO D-SNP)|00025002|0.00|590| | |ND|35170|2|N
H2001|085|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete ND-S1 (PPO D-SNP)|00025002|0.00|590| | |ND|35210|2|N
H2001|085|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete ND-S1 (PPO D-SNP)|00025002|0.00|590| | |ND|35240|2|N
H2001|085|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete ND-S1 (PPO D-SNP)|00025002|0.00|590| | |ND|35270|2|N
H2001|085|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete ND-S1 (PPO D-SNP)|00025002|0.00|590| | |ND|35280|2|N
H2001|085|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete ND-S1 (PPO D-SNP)|00025002|0.00|590| | |ND|35290|2|N
H2001|085|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete ND-S1 (PPO D-SNP)|00025002|0.00|590| | |ND|35300|2|N
H2001|085|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete ND-S1 (PPO D-SNP)|00025002|0.00|590| | |ND|35320|2|N
H2001|085|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete ND-S1 (PPO D-SNP)|00025002|0.00|590| | |ND|35330|2|N
H2001|085|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete ND-S1 (PPO D-SNP)|00025002|0.00|590| | |ND|35350|2|N
H2001|085|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete ND-S1 (PPO D-SNP)|00025002|0.00|590| | |ND|35360|2|N
H2001|085|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete ND-S1 (PPO D-SNP)|00025002|0.00|590| | |ND|35380|2|N
H2001|085|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete ND-S1 (PPO D-SNP)|00025002|0.00|590| | |ND|35460|2|N
H2001|085|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete ND-S1 (PPO D-SNP)|00025002|0.00|590| | |ND|35480|2|N
H2001|085|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Dual Complete ND-S1 (PPO D-SNP)|00025002|0.00|590| | |ND|35490|2|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44000|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44010|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44020|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44030|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44040|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44050|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44060|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44070|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44080|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44090|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44100|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44110|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44120|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44130|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44140|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44150|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44160|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44170|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44180|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44190|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44200|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44210|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44220|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44230|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44240|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44250|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44270|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44280|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44290|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44300|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44310|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44320|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44330|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44340|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44350|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44370|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44380|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44390|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44400|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44410|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44420|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44430|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44440|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44450|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44460|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44470|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44480|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44490|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44500|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44510|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44520|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44540|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44550|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44570|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44580|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44590|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44600|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44610|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44620|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44630|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44640|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44660|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44670|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44680|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44690|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44700|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44710|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44720|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44730|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44740|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44750|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44760|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44770|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44780|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44790|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44800|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44810|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44820|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44830|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44840|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44850|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44860|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44870|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44880|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44890|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44900|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44910|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44920|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44930|0|N
H2001|086|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC TN-7 (PPO)|00025002|94.10|570| | |TN|44940|0|N
H2001|087|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC WA-12 (PPO)|00025002|0.00|420| | |WA|50020|0|N
H2001|087|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC WA-12 (PPO)|00025002|0.00|420| | |WA|50040|0|N
H2001|087|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC WA-12 (PPO)|00025002|0.00|420| | |WA|50050|0|N
H2001|087|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC WA-12 (PPO)|00025002|0.00|420| | |WA|50070|0|N
H2001|087|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC WA-12 (PPO)|00025002|0.00|420| | |WA|50100|0|N
H2001|087|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC WA-12 (PPO)|00025002|0.00|420| | |WA|50140|0|N
H2001|087|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC WA-12 (PPO)|00025002|0.00|420| | |WA|50150|0|N
H2001|087|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC WA-12 (PPO)|00025002|0.00|420| | |WA|50160|0|N
H2001|087|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC WA-12 (PPO)|00025002|0.00|420| | |WA|50170|0|N
H2001|087|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC WA-12 (PPO)|00025002|0.00|420| | |WA|50200|0|N
H2001|087|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC WA-12 (PPO)|00025002|0.00|420| | |WA|50220|0|N
H2001|087|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC WA-12 (PPO)|00025002|0.00|420| | |WA|50260|0|N
H2001|087|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC WA-12 (PPO)|00025002|0.00|420| | |WA|50280|0|N
H2001|087|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC WA-12 (PPO)|00025002|0.00|420| | |WA|50300|0|N
H2001|087|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC WA-12 (PPO)|00025002|0.00|420| | |WA|50330|0|N
H2001|087|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC WA-12 (PPO)|00025002|0.00|420| | |WA|50350|0|N
H2001|087|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC WA-12 (PPO)|00025002|0.00|420| | |WA|50360|0|N
H2001|087|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC WA-12 (PPO)|00025002|0.00|420| | |WA|50380|0|N
H2001|088|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC CO-0006 (PPO)|00025002|0.00|420| | |CO|06180|0|N
H2001|088|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC CO-0006 (PPO)|00025002|0.00|420| | |CO|06230|0|N
H2001|088|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC CO-0006 (PPO)|00025002|0.00|420| | |CO|06240|0|N
H2001|088|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC CO-0006 (PPO)|00025002|0.00|420| | |CO|06320|0|N
H2001|088|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC CO-0006 (PPO)|00025002|0.00|420| | |CO|06340|0|N
H2001|088|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC CO-0006 (PPO)|00025002|0.00|420| | |CO|06370|0|N
H2001|088|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC CO-0006 (PPO)|00025002|0.00|420| | |CO|06430|0|N
H2001|088|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC CO-0006 (PPO)|00025002|0.00|420| | |CO|06580|0|N
H2001|088|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC CO-0006 (PPO)|00025002|0.00|420| | |CO|06600|0|N
H2001|088|001|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC CO-0006 (PPO)|00025002|0.00|420| | |CO|06610|0|N
H2001|088|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC CO-0006 (PPO)|00025002|0.00|420| | |CO|06010|0|N
H2001|088|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC CO-0006 (PPO)|00025002|0.00|420| | |CO|06030|0|N
H2001|088|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC CO-0006 (PPO)|00025002|0.00|420| | |CO|06050|0|N
H2001|088|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC CO-0006 (PPO)|00025002|0.00|420| | |CO|06070|0|N
H2001|088|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC CO-0006 (PPO)|00025002|0.00|420| | |CO|06100|0|N
H2001|088|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC CO-0006 (PPO)|00025002|0.00|420| | |CO|06110|0|N
H2001|088|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC CO-0006 (PPO)|00025002|0.00|420| | |CO|06120|0|N
H2001|088|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC CO-0006 (PPO)|00025002|0.00|420| | |CO|06130|0|N
H2001|088|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC CO-0006 (PPO)|00025002|0.00|420| | |CO|06200|0|N
H2001|088|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC CO-0006 (PPO)|00025002|0.00|420| | |CO|06210|0|N
H2001|088|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC CO-0006 (PPO)|00025002|0.00|420| | |CO|06270|0|N
H2001|088|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC CO-0006 (PPO)|00025002|0.00|420| | |CO|06350|0|N
H2001|088|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC CO-0006 (PPO)|00025002|0.00|420| | |CO|06360|0|N
H2001|088|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC CO-0006 (PPO)|00025002|0.00|420| | |CO|06440|0|N
H2001|088|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC CO-0006 (PPO)|00025002|0.00|420| | |CO|06460|0|N
H2001|088|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC CO-0006 (PPO)|00025002|0.00|420| | |CO|06500|0|N
H2001|088|002|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC CO-0006 (PPO)|00025002|0.00|420| | |CO|06590|0|N
H2001|089|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC CO-0007 (PPO)|00025002|0.00|420| | |CO|06000|0|N
H2001|089|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC CO-0007 (PPO)|00025002|0.00|420| | |CO|06020|0|N
H2001|089|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC CO-0007 (PPO)|00025002|0.00|420| | |CO|06060|0|N
H2001|089|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC CO-0007 (PPO)|00025002|0.00|420| | |CO|06090|0|N
H2001|089|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC CO-0007 (PPO)|00025002|0.00|420| | |CO|06150|0|N
H2001|089|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC CO-0007 (PPO)|00025002|0.00|420| | |CO|06170|0|N
H2001|089|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC CO-0007 (PPO)|00025002|0.00|420| | |CO|06190|0|N
H2001|089|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC CO-0007 (PPO)|00025002|0.00|420| | |CO|06290|0|N
H2001|089|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC CO-0007 (PPO)|00025002|0.00|420| | |CO|06630|0|N
H2001|090|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0001 (PPO)|00025002|0.00|255| | |NC|34030|0|N
H2001|090|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0001 (PPO)|00025002|0.00|255| | |NC|34060|0|N
H2001|090|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0001 (PPO)|00025002|0.00|255| | |NC|34070|0|N
H2001|090|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0001 (PPO)|00025002|0.00|255| | |NC|34080|0|N
H2001|090|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0001 (PPO)|00025002|0.00|255| | |NC|34140|0|N
H2001|090|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0001 (PPO)|00025002|0.00|255| | |NC|34200|0|N
H2001|090|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0001 (PPO)|00025002|0.00|255| | |NC|34230|0|N
H2001|090|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0001 (PPO)|00025002|0.00|255| | |NC|34240|0|N
H2001|090|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0001 (PPO)|00025002|0.00|255| | |NC|34251|0|N
H2001|090|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0001 (PPO)|00025002|0.00|255| | |NC|34270|0|N
H2001|090|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0001 (PPO)|00025002|0.00|255| | |NC|34300|0|N
H2001|090|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0001 (PPO)|00025002|0.00|255| | |NC|34320|0|N
H2001|090|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0001 (PPO)|00025002|0.00|255| | |NC|34360|0|N
H2001|090|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0001 (PPO)|00025002|0.00|255| | |NC|34390|0|N
H2001|090|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0001 (PPO)|00025002|0.00|255| | |NC|34410|0|N
H2001|090|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0001 (PPO)|00025002|0.00|255| | |NC|34450|0|N
H2001|090|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0001 (PPO)|00025002|0.00|255| | |NC|34460|0|N
H2001|090|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0001 (PPO)|00025002|0.00|255| | |NC|34470|0|N
H2001|090|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0001 (PPO)|00025002|0.00|255| | |NC|34510|0|N
H2001|090|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0001 (PPO)|00025002|0.00|255| | |NC|34530|0|N
H2001|090|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0001 (PPO)|00025002|0.00|255| | |NC|34580|0|N
H2001|090|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0001 (PPO)|00025002|0.00|255| | |NC|34610|0|N
H2001|090|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0001 (PPO)|00025002|0.00|255| | |NC|34620|0|N
H2001|090|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0001 (PPO)|00025002|0.00|255| | |NC|34650|0|N
H2001|090|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0001 (PPO)|00025002|0.00|255| | |NC|34660|0|N
H2001|090|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0001 (PPO)|00025002|0.00|255| | |NC|34680|0|N
H2001|090|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0001 (PPO)|00025002|0.00|255| | |NC|34690|0|N
H2001|090|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0001 (PPO)|00025002|0.00|255| | |NC|34700|0|N
H2001|090|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0001 (PPO)|00025002|0.00|255| | |NC|34710|0|N
H2001|090|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0001 (PPO)|00025002|0.00|255| | |NC|34730|0|N
H2001|090|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0001 (PPO)|00025002|0.00|255| | |NC|34770|0|N
H2001|090|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0001 (PPO)|00025002|0.00|255| | |NC|34820|0|N
H2001|090|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0001 (PPO)|00025002|0.00|255| | |NC|34830|0|N
H2001|090|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0001 (PPO)|00025002|0.00|255| | |NC|34880|0|N
H2001|090|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0001 (PPO)|00025002|0.00|255| | |NC|34920|0|N
H2001|090|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0001 (PPO)|00025002|0.00|255| | |NC|34930|0|N
H2001|091|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC SC-2 (PPO)|00025002|0.00|420| | |SC|42000|0|N
H2001|091|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC SC-2 (PPO)|00025002|0.00|420| | |SC|42010|0|N
H2001|091|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC SC-2 (PPO)|00025002|0.00|420| | |SC|42020|0|N
H2001|091|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC SC-2 (PPO)|00025002|0.00|420| | |SC|42030|0|N
H2001|091|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC SC-2 (PPO)|00025002|0.00|420| | |SC|42040|0|N
H2001|091|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC SC-2 (PPO)|00025002|0.00|420| | |SC|42050|0|N
H2001|091|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC SC-2 (PPO)|00025002|0.00|420| | |SC|42060|0|N
H2001|091|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC SC-2 (PPO)|00025002|0.00|420| | |SC|42070|0|N
H2001|091|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC SC-2 (PPO)|00025002|0.00|420| | |SC|42080|0|N
H2001|091|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC SC-2 (PPO)|00025002|0.00|420| | |SC|42090|0|N
H2001|091|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC SC-2 (PPO)|00025002|0.00|420| | |SC|42100|0|N
H2001|091|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC SC-2 (PPO)|00025002|0.00|420| | |SC|42110|0|N
H2001|091|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC SC-2 (PPO)|00025002|0.00|420| | |SC|42120|0|N
H2001|091|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC SC-2 (PPO)|00025002|0.00|420| | |SC|42130|0|N
H2001|091|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC SC-2 (PPO)|00025002|0.00|420| | |SC|42140|0|N
H2001|091|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC SC-2 (PPO)|00025002|0.00|420| | |SC|42150|0|N
H2001|091|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC SC-2 (PPO)|00025002|0.00|420| | |SC|42160|0|N
H2001|091|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC SC-2 (PPO)|00025002|0.00|420| | |SC|42170|0|N
H2001|091|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC SC-2 (PPO)|00025002|0.00|420| | |SC|42180|0|N
H2001|091|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC SC-2 (PPO)|00025002|0.00|420| | |SC|42190|0|N
H2001|091|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC SC-2 (PPO)|00025002|0.00|420| | |SC|42200|0|N
H2001|091|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC SC-2 (PPO)|00025002|0.00|420| | |SC|42210|0|N
H2001|091|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC SC-2 (PPO)|00025002|0.00|420| | |SC|42220|0|N
H2001|091|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC SC-2 (PPO)|00025002|0.00|420| | |SC|42230|0|N
H2001|091|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC SC-2 (PPO)|00025002|0.00|420| | |SC|42240|0|N
H2001|091|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC SC-2 (PPO)|00025002|0.00|420| | |SC|42250|0|N
H2001|091|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC SC-2 (PPO)|00025002|0.00|420| | |SC|42260|0|N
H2001|091|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC SC-2 (PPO)|00025002|0.00|420| | |SC|42270|0|N
H2001|091|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC SC-2 (PPO)|00025002|0.00|420| | |SC|42280|0|N
H2001|091|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC SC-2 (PPO)|00025002|0.00|420| | |SC|42290|0|N
H2001|091|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC SC-2 (PPO)|00025002|0.00|420| | |SC|42300|0|N
H2001|091|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC SC-2 (PPO)|00025002|0.00|420| | |SC|42310|0|N
H2001|091|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC SC-2 (PPO)|00025002|0.00|420| | |SC|42320|0|N
H2001|091|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC SC-2 (PPO)|00025002|0.00|420| | |SC|42330|0|N
H2001|091|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC SC-2 (PPO)|00025002|0.00|420| | |SC|42340|0|N
H2001|091|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC SC-2 (PPO)|00025002|0.00|420| | |SC|42350|0|N
H2001|091|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC SC-2 (PPO)|00025002|0.00|420| | |SC|42360|0|N
H2001|091|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC SC-2 (PPO)|00025002|0.00|420| | |SC|42370|0|N
H2001|091|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC SC-2 (PPO)|00025002|0.00|420| | |SC|42380|0|N
H2001|091|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC SC-2 (PPO)|00025002|0.00|420| | |SC|42390|0|N
H2001|091|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC SC-2 (PPO)|00025002|0.00|420| | |SC|42400|0|N
H2001|091|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC SC-2 (PPO)|00025002|0.00|420| | |SC|42410|0|N
H2001|091|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC SC-2 (PPO)|00025002|0.00|420| | |SC|42430|0|N
H2001|091|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC SC-2 (PPO)|00025002|0.00|420| | |SC|42440|0|N
H2001|091|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC SC-2 (PPO)|00025002|0.00|420| | |SC|42450|0|N
H2001|092|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Essentials from UHC SC-3 (PPO)|00025002|0.00|255| | |SC|42000|0|N
H2001|092|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Essentials from UHC SC-3 (PPO)|00025002|0.00|255| | |SC|42010|0|N
H2001|092|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Essentials from UHC SC-3 (PPO)|00025002|0.00|255| | |SC|42020|0|N
H2001|092|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Essentials from UHC SC-3 (PPO)|00025002|0.00|255| | |SC|42030|0|N
H2001|092|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Essentials from UHC SC-3 (PPO)|00025002|0.00|255| | |SC|42040|0|N
H2001|092|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Essentials from UHC SC-3 (PPO)|00025002|0.00|255| | |SC|42050|0|N
H2001|092|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Essentials from UHC SC-3 (PPO)|00025002|0.00|255| | |SC|42060|0|N
H2001|092|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Essentials from UHC SC-3 (PPO)|00025002|0.00|255| | |SC|42070|0|N
H2001|092|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Essentials from UHC SC-3 (PPO)|00025002|0.00|255| | |SC|42080|0|N
H2001|092|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Essentials from UHC SC-3 (PPO)|00025002|0.00|255| | |SC|42090|0|N
H2001|092|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Essentials from UHC SC-3 (PPO)|00025002|0.00|255| | |SC|42100|0|N
H2001|092|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Essentials from UHC SC-3 (PPO)|00025002|0.00|255| | |SC|42110|0|N
H2001|092|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Essentials from UHC SC-3 (PPO)|00025002|0.00|255| | |SC|42120|0|N
H2001|092|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Essentials from UHC SC-3 (PPO)|00025002|0.00|255| | |SC|42130|0|N
H2001|092|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Essentials from UHC SC-3 (PPO)|00025002|0.00|255| | |SC|42140|0|N
H2001|092|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Essentials from UHC SC-3 (PPO)|00025002|0.00|255| | |SC|42150|0|N
H2001|092|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Essentials from UHC SC-3 (PPO)|00025002|0.00|255| | |SC|42160|0|N
H2001|092|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Essentials from UHC SC-3 (PPO)|00025002|0.00|255| | |SC|42170|0|N
H2001|092|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Essentials from UHC SC-3 (PPO)|00025002|0.00|255| | |SC|42180|0|N
H2001|092|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Essentials from UHC SC-3 (PPO)|00025002|0.00|255| | |SC|42190|0|N
H2001|092|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Essentials from UHC SC-3 (PPO)|00025002|0.00|255| | |SC|42200|0|N
H2001|092|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Essentials from UHC SC-3 (PPO)|00025002|0.00|255| | |SC|42210|0|N
H2001|092|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Essentials from UHC SC-3 (PPO)|00025002|0.00|255| | |SC|42220|0|N
H2001|092|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Essentials from UHC SC-3 (PPO)|00025002|0.00|255| | |SC|42230|0|N
H2001|092|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Essentials from UHC SC-3 (PPO)|00025002|0.00|255| | |SC|42240|0|N
H2001|092|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Essentials from UHC SC-3 (PPO)|00025002|0.00|255| | |SC|42250|0|N
H2001|092|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Essentials from UHC SC-3 (PPO)|00025002|0.00|255| | |SC|42260|0|N
H2001|092|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Essentials from UHC SC-3 (PPO)|00025002|0.00|255| | |SC|42270|0|N
H2001|092|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Essentials from UHC SC-3 (PPO)|00025002|0.00|255| | |SC|42280|0|N
H2001|092|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Essentials from UHC SC-3 (PPO)|00025002|0.00|255| | |SC|42290|0|N
H2001|092|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Essentials from UHC SC-3 (PPO)|00025002|0.00|255| | |SC|42300|0|N
H2001|092|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Essentials from UHC SC-3 (PPO)|00025002|0.00|255| | |SC|42310|0|N
H2001|092|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Essentials from UHC SC-3 (PPO)|00025002|0.00|255| | |SC|42320|0|N
H2001|092|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Essentials from UHC SC-3 (PPO)|00025002|0.00|255| | |SC|42330|0|N
H2001|092|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Essentials from UHC SC-3 (PPO)|00025002|0.00|255| | |SC|42340|0|N
H2001|092|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Essentials from UHC SC-3 (PPO)|00025002|0.00|255| | |SC|42350|0|N
H2001|092|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Essentials from UHC SC-3 (PPO)|00025002|0.00|255| | |SC|42360|0|N
H2001|092|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Essentials from UHC SC-3 (PPO)|00025002|0.00|255| | |SC|42370|0|N
H2001|092|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Essentials from UHC SC-3 (PPO)|00025002|0.00|255| | |SC|42380|0|N
H2001|092|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Essentials from UHC SC-3 (PPO)|00025002|0.00|255| | |SC|42390|0|N
H2001|092|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Essentials from UHC SC-3 (PPO)|00025002|0.00|255| | |SC|42400|0|N
H2001|092|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Essentials from UHC SC-3 (PPO)|00025002|0.00|255| | |SC|42410|0|N
H2001|092|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Essentials from UHC SC-3 (PPO)|00025002|0.00|255| | |SC|42430|0|N
H2001|092|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Essentials from UHC SC-3 (PPO)|00025002|0.00|255| | |SC|42440|0|N
H2001|092|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Essentials from UHC SC-3 (PPO)|00025002|0.00|255| | |SC|42450|0|N
H2001|093|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC TN-0001 (PPO)|00025002|0.00|255| | |TN|44010|0|N
H2001|093|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC TN-0001 (PPO)|00025002|0.00|255| | |TN|44070|0|N
H2001|093|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC TN-0001 (PPO)|00025002|0.00|255| | |TN|44100|0|N
H2001|093|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC TN-0001 (PPO)|00025002|0.00|255| | |TN|44150|0|N
H2001|093|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC TN-0001 (PPO)|00025002|0.00|255| | |TN|44180|0|N
H2001|093|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC TN-0001 (PPO)|00025002|0.00|255| | |TN|44200|0|N
H2001|093|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC TN-0001 (PPO)|00025002|0.00|255| | |TN|44210|0|N
H2001|093|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC TN-0001 (PPO)|00025002|0.00|255| | |TN|44270|0|N
H2001|093|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC TN-0001 (PPO)|00025002|0.00|255| | |TN|44400|0|N
H2001|093|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC TN-0001 (PPO)|00025002|0.00|255| | |TN|44410|0|N
H2001|093|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC TN-0001 (PPO)|00025002|0.00|255| | |TN|44420|0|N
H2001|093|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC TN-0001 (PPO)|00025002|0.00|255| | |TN|44430|0|N
H2001|093|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC TN-0001 (PPO)|00025002|0.00|255| | |TN|44490|0|N
H2001|093|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC TN-0001 (PPO)|00025002|0.00|255| | |TN|44500|0|N
H2001|093|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC TN-0001 (PPO)|00025002|0.00|255| | |TN|44510|0|N
H2001|093|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC TN-0001 (PPO)|00025002|0.00|255| | |TN|44550|0|N
H2001|093|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC TN-0001 (PPO)|00025002|0.00|255| | |TN|44580|0|N
H2001|093|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC TN-0001 (PPO)|00025002|0.00|255| | |TN|44590|0|N
H2001|093|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC TN-0001 (PPO)|00025002|0.00|255| | |TN|44620|0|N
H2001|093|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC TN-0001 (PPO)|00025002|0.00|255| | |TN|44630|0|N
H2001|093|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC TN-0001 (PPO)|00025002|0.00|255| | |TN|44670|0|N
H2001|093|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC TN-0001 (PPO)|00025002|0.00|255| | |TN|44730|0|N
H2001|093|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC TN-0001 (PPO)|00025002|0.00|255| | |TN|44740|0|N
H2001|093|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC TN-0001 (PPO)|00025002|0.00|255| | |TN|44790|0|N
H2001|093|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC TN-0001 (PPO)|00025002|0.00|255| | |TN|44800|0|N
H2001|093|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC TN-0001 (PPO)|00025002|0.00|255| | |TN|44820|0|N
H2001|093|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC TN-0001 (PPO)|00025002|0.00|255| | |TN|44840|0|N
H2001|093|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC TN-0001 (PPO)|00025002|0.00|255| | |TN|44900|0|N
H2001|093|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC TN-0001 (PPO)|00025002|0.00|255| | |TN|44930|0|N
H2001|093|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC TN-0001 (PPO)|00025002|0.00|255| | |TN|44940|0|N
H2001|094|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC TN-0002 (PPO)|00025002|0.00|255| | |TN|44020|0|N
H2001|094|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC TN-0002 (PPO)|00025002|0.00|255| | |TN|44080|0|N
H2001|094|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC TN-0002 (PPO)|00025002|0.00|255| | |TN|44110|0|N
H2001|094|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC TN-0002 (PPO)|00025002|0.00|255| | |TN|44160|0|N
H2001|094|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC TN-0002 (PPO)|00025002|0.00|255| | |TN|44190|0|N
H2001|094|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC TN-0002 (PPO)|00025002|0.00|255| | |TN|44220|0|N
H2001|094|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC TN-0002 (PPO)|00025002|0.00|255| | |TN|44230|0|N
H2001|094|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC TN-0002 (PPO)|00025002|0.00|255| | |TN|44340|0|N
H2001|094|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC TN-0002 (PPO)|00025002|0.00|255| | |TN|44350|0|N
H2001|094|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC TN-0002 (PPO)|00025002|0.00|255| | |TN|44370|0|N
H2001|094|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC TN-0002 (PPO)|00025002|0.00|255| | |TN|44380|0|N
H2001|094|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC TN-0002 (PPO)|00025002|0.00|255| | |TN|44390|0|N
H2001|094|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC TN-0002 (PPO)|00025002|0.00|255| | |TN|44470|0|N
H2001|094|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC TN-0002 (PPO)|00025002|0.00|255| | |TN|44480|0|N
H2001|094|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC TN-0002 (PPO)|00025002|0.00|255| | |TN|44540|0|N
H2001|094|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC TN-0002 (PPO)|00025002|0.00|255| | |TN|44780|0|N
H2001|094|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC TN-0002 (PPO)|00025002|0.00|255| | |TN|44830|0|N
H2001|094|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC TN-0002 (PPO)|00025002|0.00|255| | |TN|44910|0|N
H2001|095|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0003 (PPO)|00025002|0.00|495| | |VA|49011|0|N
H2001|095|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0003 (PPO)|00025002|0.00|495| | |VA|49060|0|N
H2001|095|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0003 (PPO)|00025002|0.00|495| | |VA|49288|0|N
H2001|095|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0003 (PPO)|00025002|0.00|495| | |VA|49290|0|N
H2001|095|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0003 (PPO)|00025002|0.00|495| | |VA|49291|0|N
H2001|095|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0003 (PPO)|00025002|0.00|495| | |VA|49530|0|N
H2001|095|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0003 (PPO)|00025002|0.00|495| | |VA|49563|0|N
H2001|095|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0003 (PPO)|00025002|0.00|495| | |VA|49565|0|N
H2001|095|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0003 (PPO)|00025002|0.00|495| | |VA|49750|0|N
H2001|096|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0004 (PPO)|00025002|0.00|255| | |VA|49194|0|N
H2001|096|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0004 (PPO)|00025002|0.00|255| | |VA|49411|0|N
H2001|096|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0004 (PPO)|00025002|0.00|255| | |VA|49460|0|N
H2001|096|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0004 (PPO)|00025002|0.00|255| | |VA|49470|0|N
H2001|096|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0004 (PPO)|00025002|0.00|255| | |VA|49622|0|N
H2001|096|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0004 (PPO)|00025002|0.00|255| | |VA|49641|0|N
H2001|096|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0004 (PPO)|00025002|0.00|255| | |VA|49711|0|N
H2001|096|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0004 (PPO)|00025002|0.00|255| | |VA|49712|0|N
H2001|096|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0004 (PPO)|00025002|0.00|255| | |VA|49892|0|N
H2001|096|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0004 (PPO)|00025002|0.00|255| | |VA|49921|0|N
H2001|096|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0004 (PPO)|00025002|0.00|255| | |VA|49961|0|N
H2001|096|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0004 (PPO)|00025002|0.00|255| | |VA|49981|0|N
H2001|097|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0005 (PPO)|00025002|0.00|255| | |VA|49030|0|N
H2001|097|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0005 (PPO)|00025002|0.00|255| | |VA|49180|0|N
H2001|097|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0005 (PPO)|00025002|0.00|255| | |VA|49200|0|N
H2001|097|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0005 (PPO)|00025002|0.00|255| | |VA|49212|0|N
H2001|097|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0005 (PPO)|00025002|0.00|255| | |VA|49370|0|N
H2001|097|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0005 (PPO)|00025002|0.00|255| | |VA|49420|0|N
H2001|097|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0005 (PPO)|00025002|0.00|255| | |VA|49430|0|N
H2001|097|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0005 (PPO)|00025002|0.00|255| | |VA|49451|0|N
H2001|097|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0005 (PPO)|00025002|0.00|255| | |VA|49621|0|N
H2001|097|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0005 (PPO)|00025002|0.00|255| | |VA|49701|0|N
H2001|097|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0005 (PPO)|00025002|0.00|255| | |VA|49720|0|N
H2001|097|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0005 (PPO)|00025002|0.00|255| | |VA|49791|0|N
H2001|098|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0006 (PPO)|00025002|0.00|255| | |VA|49000|0|N
H2001|098|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0006 (PPO)|00025002|0.00|255| | |VA|49010|0|N
H2001|098|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0006 (PPO)|00025002|0.00|255| | |VA|49080|0|N
H2001|098|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0006 (PPO)|00025002|0.00|255| | |VA|49120|0|N
H2001|098|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0006 (PPO)|00025002|0.00|255| | |VA|49140|0|N
H2001|098|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0006 (PPO)|00025002|0.00|255| | |VA|49160|0|N
H2001|098|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0006 (PPO)|00025002|0.00|255| | |VA|49170|0|N
H2001|098|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0006 (PPO)|00025002|0.00|255| | |VA|49191|0|N
H2001|098|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0006 (PPO)|00025002|0.00|255| | |VA|49210|0|N
H2001|098|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0006 (PPO)|00025002|0.00|255| | |VA|49230|0|N
H2001|098|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0006 (PPO)|00025002|0.00|255| | |VA|49240|0|N
H2001|098|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0006 (PPO)|00025002|0.00|255| | |VA|49260|0|N
H2001|098|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0006 (PPO)|00025002|0.00|255| | |VA|49270|0|N
H2001|098|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0006 (PPO)|00025002|0.00|255| | |VA|49280|0|N
H2001|098|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0006 (PPO)|00025002|0.00|255| | |VA|49300|0|N
H2001|098|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0006 (PPO)|00025002|0.00|255| | |VA|49320|0|N
H2001|098|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0006 (PPO)|00025002|0.00|255| | |VA|49328|0|N
H2001|098|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0006 (PPO)|00025002|0.00|255| | |VA|49340|0|N
H2001|098|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0006 (PPO)|00025002|0.00|255| | |VA|49342|0|N
H2001|098|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0006 (PPO)|00025002|0.00|255| | |VA|49343|0|N
H2001|098|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0006 (PPO)|00025002|0.00|255| | |VA|49350|0|N
H2001|098|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0006 (PPO)|00025002|0.00|255| | |VA|49360|0|N
H2001|098|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0006 (PPO)|00025002|0.00|255| | |VA|49390|0|N
H2001|098|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0006 (PPO)|00025002|0.00|255| | |VA|49400|0|N
H2001|098|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0006 (PPO)|00025002|0.00|255| | |VA|49450|0|N
H2001|098|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0006 (PPO)|00025002|0.00|255| | |VA|49480|0|N
H2001|098|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0006 (PPO)|00025002|0.00|255| | |VA|49490|0|N
H2001|098|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0006 (PPO)|00025002|0.00|255| | |VA|49500|0|N
H2001|098|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0006 (PPO)|00025002|0.00|255| | |VA|49510|0|N
H2001|098|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0006 (PPO)|00025002|0.00|255| | |VA|49540|0|N
H2001|098|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0006 (PPO)|00025002|0.00|255| | |VA|49550|0|N
H2001|098|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0006 (PPO)|00025002|0.00|255| | |VA|49560|0|N
H2001|098|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0006 (PPO)|00025002|0.00|255| | |VA|49570|0|N
H2001|098|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0006 (PPO)|00025002|0.00|255| | |VA|49580|0|N
H2001|098|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0006 (PPO)|00025002|0.00|255| | |VA|49590|0|N
H2001|098|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0006 (PPO)|00025002|0.00|255| | |VA|49620|0|N
H2001|098|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0006 (PPO)|00025002|0.00|255| | |VA|49650|0|N
H2001|098|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0006 (PPO)|00025002|0.00|255| | |VA|49660|0|N
H2001|098|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0006 (PPO)|00025002|0.00|255| | |VA|49670|0|N
H2001|098|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0006 (PPO)|00025002|0.00|255| | |VA|49680|0|N
H2001|098|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0006 (PPO)|00025002|0.00|255| | |VA|49690|0|N
H2001|098|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0006 (PPO)|00025002|0.00|255| | |VA|49700|0|N
H2001|098|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0006 (PPO)|00025002|0.00|255| | |VA|49740|0|N
H2001|098|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0006 (PPO)|00025002|0.00|255| | |VA|49770|0|N
H2001|098|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0006 (PPO)|00025002|0.00|255| | |VA|49780|0|N
H2001|098|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0006 (PPO)|00025002|0.00|255| | |VA|49790|0|N
H2001|098|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0006 (PPO)|00025002|0.00|255| | |VA|49850|0|N
H2001|098|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0006 (PPO)|00025002|0.00|255| | |VA|49870|0|N
H2001|098|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0006 (PPO)|00025002|0.00|255| | |VA|49880|0|N
H2001|098|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0006 (PPO)|00025002|0.00|255| | |VA|49890|0|N
H2001|098|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0006 (PPO)|00025002|0.00|255| | |VA|49900|0|N
H2001|098|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0006 (PPO)|00025002|0.00|255| | |VA|49910|0|N
H2001|098|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0006 (PPO)|00025002|0.00|255| | |VA|49930|0|N
H2001|098|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0006 (PPO)|00025002|0.00|255| | |VA|49960|0|N
H2001|098|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0006 (PPO)|00025002|0.00|255| | |VA|49962|0|N
H2001|100|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0002 (PPO)|00025002|0.00|495| | |NC|34020|0|N
H2001|100|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0002 (PPO)|00025002|0.00|495| | |NC|34040|0|N
H2001|100|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0002 (PPO)|00025002|0.00|495| | |NC|34050|0|N
H2001|100|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0002 (PPO)|00025002|0.00|495| | |NC|34100|0|N
H2001|100|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0002 (PPO)|00025002|0.00|495| | |NC|34110|0|N
H2001|100|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0002 (PPO)|00025002|0.00|495| | |NC|34190|0|N
H2001|100|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0002 (PPO)|00025002|0.00|495| | |NC|34210|0|N
H2001|100|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0002 (PPO)|00025002|0.00|495| | |NC|34370|0|N
H2001|100|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0002 (PPO)|00025002|0.00|495| | |NC|34430|0|N
H2001|100|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0002 (PPO)|00025002|0.00|495| | |NC|34440|0|N
H2001|100|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0002 (PPO)|00025002|0.00|495| | |NC|34490|0|N
H2001|100|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0002 (PPO)|00025002|0.00|495| | |NC|34550|0|N
H2001|100|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0002 (PPO)|00025002|0.00|495| | |NC|34560|0|N
H2001|100|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0002 (PPO)|00025002|0.00|495| | |NC|34570|0|N
H2001|100|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0002 (PPO)|00025002|0.00|495| | |NC|34600|0|N
H2001|100|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0002 (PPO)|00025002|0.00|495| | |NC|34740|0|N
H2001|100|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0002 (PPO)|00025002|0.00|495| | |NC|34800|0|N
H2001|100|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0002 (PPO)|00025002|0.00|495| | |NC|34860|0|N
H2001|100|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0002 (PPO)|00025002|0.00|495| | |NC|34870|0|N
H2001|100|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0002 (PPO)|00025002|0.00|495| | |NC|34940|0|N
H2001|100|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0002 (PPO)|00025002|0.00|495| | |NC|34981|0|N
H2001|101|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0003 (PPO)|00025002|0.00|420| | |NC|34310|0|N
H2001|101|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0003 (PPO)|00025002|0.00|420| | |NC|34340|0|N
H2001|101|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0003 (PPO)|00025002|0.00|420| | |NC|34380|0|N
H2001|101|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0003 (PPO)|00025002|0.00|420| | |NC|34420|0|N
H2001|101|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0003 (PPO)|00025002|0.00|420| | |NC|34500|0|N
H2001|101|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0003 (PPO)|00025002|0.00|420| | |NC|34520|0|N
H2001|101|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0003 (PPO)|00025002|0.00|420| | |NC|34630|0|N
H2001|101|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0003 (PPO)|00025002|0.00|420| | |NC|34810|0|N
H2001|101|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0003 (PPO)|00025002|0.00|420| | |NC|34900|0|N
H2001|101|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0003 (PPO)|00025002|0.00|420| | |NC|34910|0|N
H2001|101|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0003 (PPO)|00025002|0.00|420| | |NC|34950|0|N
H2001|101|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0003 (PPO)|00025002|0.00|420| | |NC|34970|0|N
H2001|102|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0004 (PPO)|00025002|22.00|255| | |NC|34030|0|N
H2001|102|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0004 (PPO)|00025002|22.00|255| | |NC|34060|0|N
H2001|102|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0004 (PPO)|00025002|22.00|255| | |NC|34070|0|N
H2001|102|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0004 (PPO)|00025002|22.00|255| | |NC|34080|0|N
H2001|102|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0004 (PPO)|00025002|22.00|255| | |NC|34140|0|N
H2001|102|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0004 (PPO)|00025002|22.00|255| | |NC|34200|0|N
H2001|102|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0004 (PPO)|00025002|22.00|255| | |NC|34230|0|N
H2001|102|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0004 (PPO)|00025002|22.00|255| | |NC|34240|0|N
H2001|102|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0004 (PPO)|00025002|22.00|255| | |NC|34251|0|N
H2001|102|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0004 (PPO)|00025002|22.00|255| | |NC|34270|0|N
H2001|102|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0004 (PPO)|00025002|22.00|255| | |NC|34300|0|N
H2001|102|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0004 (PPO)|00025002|22.00|255| | |NC|34320|0|N
H2001|102|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0004 (PPO)|00025002|22.00|255| | |NC|34360|0|N
H2001|102|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0004 (PPO)|00025002|22.00|255| | |NC|34390|0|N
H2001|102|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0004 (PPO)|00025002|22.00|255| | |NC|34410|0|N
H2001|102|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0004 (PPO)|00025002|22.00|255| | |NC|34450|0|N
H2001|102|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0004 (PPO)|00025002|22.00|255| | |NC|34460|0|N
H2001|102|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0004 (PPO)|00025002|22.00|255| | |NC|34470|0|N
H2001|102|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0004 (PPO)|00025002|22.00|255| | |NC|34510|0|N
H2001|102|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0004 (PPO)|00025002|22.00|255| | |NC|34530|0|N
H2001|102|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0004 (PPO)|00025002|22.00|255| | |NC|34580|0|N
H2001|102|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0004 (PPO)|00025002|22.00|255| | |NC|34610|0|N
H2001|102|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0004 (PPO)|00025002|22.00|255| | |NC|34620|0|N
H2001|102|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0004 (PPO)|00025002|22.00|255| | |NC|34650|0|N
H2001|102|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0004 (PPO)|00025002|22.00|255| | |NC|34660|0|N
H2001|102|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0004 (PPO)|00025002|22.00|255| | |NC|34680|0|N
H2001|102|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0004 (PPO)|00025002|22.00|255| | |NC|34690|0|N
H2001|102|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0004 (PPO)|00025002|22.00|255| | |NC|34700|0|N
H2001|102|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0004 (PPO)|00025002|22.00|255| | |NC|34710|0|N
H2001|102|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0004 (PPO)|00025002|22.00|255| | |NC|34730|0|N
H2001|102|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0004 (PPO)|00025002|22.00|255| | |NC|34770|0|N
H2001|102|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0004 (PPO)|00025002|22.00|255| | |NC|34820|0|N
H2001|102|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0004 (PPO)|00025002|22.00|255| | |NC|34830|0|N
H2001|102|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0004 (PPO)|00025002|22.00|255| | |NC|34880|0|N
H2001|102|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0004 (PPO)|00025002|22.00|255| | |NC|34920|0|N
H2001|102|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0004 (PPO)|00025002|22.00|255| | |NC|34930|0|N
H2001|104|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage TC-0001 (PPO)|00025002|0.00|255| | |TN|44000|0|N
H2001|104|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage TC-0001 (PPO)|00025002|0.00|255| | |TN|44030|0|N
H2001|104|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage TC-0001 (PPO)|00025002|0.00|255| | |TN|44040|0|N
H2001|104|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage TC-0001 (PPO)|00025002|0.00|255| | |TN|44050|0|N
H2001|104|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage TC-0001 (PPO)|00025002|0.00|255| | |TN|44060|0|N
H2001|104|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage TC-0001 (PPO)|00025002|0.00|255| | |TN|44090|0|N
H2001|104|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage TC-0001 (PPO)|00025002|0.00|255| | |TN|44120|0|N
H2001|104|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage TC-0001 (PPO)|00025002|0.00|255| | |TN|44130|0|N
H2001|104|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage TC-0001 (PPO)|00025002|0.00|255| | |TN|44140|0|N
H2001|104|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage TC-0001 (PPO)|00025002|0.00|255| | |TN|44170|0|N
H2001|104|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage TC-0001 (PPO)|00025002|0.00|255| | |TN|44240|0|N
H2001|104|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage TC-0001 (PPO)|00025002|0.00|255| | |TN|44250|0|N
H2001|104|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage TC-0001 (PPO)|00025002|0.00|255| | |TN|44280|0|N
H2001|104|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage TC-0001 (PPO)|00025002|0.00|255| | |TN|44290|0|N
H2001|104|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage TC-0001 (PPO)|00025002|0.00|255| | |TN|44300|0|N
H2001|104|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage TC-0001 (PPO)|00025002|0.00|255| | |TN|44310|0|N
H2001|104|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage TC-0001 (PPO)|00025002|0.00|255| | |TN|44320|0|N
H2001|104|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage TC-0001 (PPO)|00025002|0.00|255| | |TN|44330|0|N
H2001|104|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage TC-0001 (PPO)|00025002|0.00|255| | |TN|44440|0|N
H2001|104|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage TC-0001 (PPO)|00025002|0.00|255| | |TN|44450|0|N
H2001|104|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage TC-0001 (PPO)|00025002|0.00|255| | |TN|44460|0|N
H2001|104|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage TC-0001 (PPO)|00025002|0.00|255| | |TN|44520|0|N
H2001|104|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage TC-0001 (PPO)|00025002|0.00|255| | |TN|44570|0|N
H2001|104|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage TC-0001 (PPO)|00025002|0.00|255| | |TN|44600|0|N
H2001|104|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage TC-0001 (PPO)|00025002|0.00|255| | |TN|44610|0|N
H2001|104|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage TC-0001 (PPO)|00025002|0.00|255| | |TN|44640|0|N
H2001|104|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage TC-0001 (PPO)|00025002|0.00|255| | |TN|44660|0|N
H2001|104|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage TC-0001 (PPO)|00025002|0.00|255| | |TN|44680|0|N
H2001|104|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage TC-0001 (PPO)|00025002|0.00|255| | |TN|44690|0|N
H2001|104|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage TC-0001 (PPO)|00025002|0.00|255| | |TN|44700|0|N
H2001|104|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage TC-0001 (PPO)|00025002|0.00|255| | |TN|44710|0|N
H2001|104|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage TC-0001 (PPO)|00025002|0.00|255| | |TN|44720|0|N
H2001|104|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage TC-0001 (PPO)|00025002|0.00|255| | |TN|44750|0|N
H2001|104|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage TC-0001 (PPO)|00025002|0.00|255| | |TN|44760|0|N
H2001|104|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage TC-0001 (PPO)|00025002|0.00|255| | |TN|44770|0|N
H2001|104|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage TC-0001 (PPO)|00025002|0.00|255| | |TN|44810|0|N
H2001|104|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage TC-0001 (PPO)|00025002|0.00|255| | |TN|44850|0|N
H2001|104|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage TC-0001 (PPO)|00025002|0.00|255| | |TN|44860|0|N
H2001|104|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage TC-0001 (PPO)|00025002|0.00|255| | |TN|44870|0|N
H2001|104|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage TC-0001 (PPO)|00025002|0.00|255| | |TN|44880|0|N
H2001|104|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage TC-0001 (PPO)|00025002|0.00|255| | |TN|44890|0|N
H2001|104|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage TC-0001 (PPO)|00025002|0.00|255| | |TN|44920|0|N
H2001|104|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage TC-0001 (PPO)|00025002|0.00|255| | |VA|49100|0|N
H2001|104|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage TC-0001 (PPO)|00025002|0.00|255| | |VA|49111|0|N
H2001|104|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage TC-0001 (PPO)|00025002|0.00|255| | |VA|49130|0|N
H2001|104|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage TC-0001 (PPO)|00025002|0.00|255| | |VA|49250|0|N
H2001|104|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage TC-0001 (PPO)|00025002|0.00|255| | |VA|49380|0|N
H2001|104|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage TC-0001 (PPO)|00025002|0.00|255| | |VA|49520|0|N
H2001|104|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage TC-0001 (PPO)|00025002|0.00|255| | |VA|49661|0|N
H2001|104|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage TC-0001 (PPO)|00025002|0.00|255| | |VA|49830|0|N
H2001|104|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage TC-0001 (PPO)|00025002|0.00|255| | |VA|49840|0|N
H2001|104|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage TC-0001 (PPO)|00025002|0.00|255| | |VA|49860|0|N
H2001|104|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage TC-0001 (PPO)|00025002|0.00|255| | |VA|49920|0|N
H2001|104|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage TC-0001 (PPO)|00025002|0.00|255| | |VA|49950|0|N
H2001|104|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage TC-0001 (PPO)|00025002|0.00|255| | |VA|49970|0|N
H2001|104|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Medicare Advantage TC-0001 (PPO)|00025002|0.00|255| | |VA|49980|0|N
H2001|105|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC PA-0014 (PPO)|00025002|31.00|255| | |PA|39010|0|N
H2001|105|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC PA-0014 (PPO)|00025002|31.00|255| | |PA|39070|0|N
H2001|105|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC PA-0014 (PPO)|00025002|31.00|255| | |PA|39080|0|N
H2001|105|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC PA-0014 (PPO)|00025002|31.00|255| | |PA|39100|0|N
H2001|105|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC PA-0014 (PPO)|00025002|31.00|255| | |PA|39120|0|N
H2001|105|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC PA-0014 (PPO)|00025002|31.00|255| | |PA|39150|0|N
H2001|105|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC PA-0014 (PPO)|00025002|31.00|255| | |PA|39160|0|N
H2001|105|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC PA-0014 (PPO)|00025002|31.00|255| | |PA|39180|0|N
H2001|105|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC PA-0014 (PPO)|00025002|31.00|255| | |PA|39200|0|N
H2001|105|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC PA-0014 (PPO)|00025002|31.00|255| | |PA|39220|0|N
H2001|105|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC PA-0014 (PPO)|00025002|31.00|255| | |PA|39230|0|N
H2001|105|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC PA-0014 (PPO)|00025002|31.00|255| | |PA|39240|0|N
H2001|105|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC PA-0014 (PPO)|00025002|31.00|255| | |PA|39260|0|N
H2001|105|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC PA-0014 (PPO)|00025002|31.00|255| | |PA|39310|0|N
H2001|105|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC PA-0014 (PPO)|00025002|31.00|255| | |PA|39330|0|N
H2001|105|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC PA-0014 (PPO)|00025002|31.00|255| | |PA|39340|0|N
H2001|105|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC PA-0014 (PPO)|00025002|31.00|255| | |PA|39360|0|N
H2001|105|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC PA-0014 (PPO)|00025002|31.00|255| | |PA|39370|0|N
H2001|105|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC PA-0014 (PPO)|00025002|31.00|255| | |PA|39380|0|N
H2001|105|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC PA-0014 (PPO)|00025002|31.00|255| | |PA|39400|0|N
H2001|105|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC PA-0014 (PPO)|00025002|31.00|255| | |PA|39450|0|N
H2001|105|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC PA-0014 (PPO)|00025002|31.00|255| | |PA|39510|0|N
H2001|105|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC PA-0014 (PPO)|00025002|31.00|255| | |PA|39520|0|N
H2001|105|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC PA-0014 (PPO)|00025002|31.00|255| | |PA|39530|0|N
H2001|105|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC PA-0014 (PPO)|00025002|31.00|255| | |PA|39640|0|N
H2001|105|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC PA-0014 (PPO)|00025002|31.00|255| | |PA|39680|0|N
H2001|105|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC PA-0014 (PPO)|00025002|31.00|255| | |PA|39710|0|N
H2001|105|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC PA-0014 (PPO)|00025002|31.00|255| | |PA|39730|0|N
H2001|105|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC PA-0014 (PPO)|00025002|31.00|255| | |PA|39740|0|N
H2001|105|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC PA-0014 (PPO)|00025002|31.00|255| | |PA|39750|0|N
H2001|105|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC PA-0014 (PPO)|00025002|31.00|255| | |PA|39770|0|N
H2001|108|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC SC-0004 (PPO)|00025002|37.00|340| | |SC|42000|0|N
H2001|108|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC SC-0004 (PPO)|00025002|37.00|340| | |SC|42010|0|N
H2001|108|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC SC-0004 (PPO)|00025002|37.00|340| | |SC|42020|0|N
H2001|108|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC SC-0004 (PPO)|00025002|37.00|340| | |SC|42030|0|N
H2001|108|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC SC-0004 (PPO)|00025002|37.00|340| | |SC|42040|0|N
H2001|108|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC SC-0004 (PPO)|00025002|37.00|340| | |SC|42050|0|N
H2001|108|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC SC-0004 (PPO)|00025002|37.00|340| | |SC|42060|0|N
H2001|108|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC SC-0004 (PPO)|00025002|37.00|340| | |SC|42070|0|N
H2001|108|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC SC-0004 (PPO)|00025002|37.00|340| | |SC|42080|0|N
H2001|108|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC SC-0004 (PPO)|00025002|37.00|340| | |SC|42090|0|N
H2001|108|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC SC-0004 (PPO)|00025002|37.00|340| | |SC|42100|0|N
H2001|108|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC SC-0004 (PPO)|00025002|37.00|340| | |SC|42110|0|N
H2001|108|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC SC-0004 (PPO)|00025002|37.00|340| | |SC|42120|0|N
H2001|108|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC SC-0004 (PPO)|00025002|37.00|340| | |SC|42130|0|N
H2001|108|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC SC-0004 (PPO)|00025002|37.00|340| | |SC|42140|0|N
H2001|108|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC SC-0004 (PPO)|00025002|37.00|340| | |SC|42150|0|N
H2001|108|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC SC-0004 (PPO)|00025002|37.00|340| | |SC|42160|0|N
H2001|108|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC SC-0004 (PPO)|00025002|37.00|340| | |SC|42170|0|N
H2001|108|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC SC-0004 (PPO)|00025002|37.00|340| | |SC|42180|0|N
H2001|108|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC SC-0004 (PPO)|00025002|37.00|340| | |SC|42190|0|N
H2001|108|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC SC-0004 (PPO)|00025002|37.00|340| | |SC|42200|0|N
H2001|108|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC SC-0004 (PPO)|00025002|37.00|340| | |SC|42210|0|N
H2001|108|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC SC-0004 (PPO)|00025002|37.00|340| | |SC|42220|0|N
H2001|108|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC SC-0004 (PPO)|00025002|37.00|340| | |SC|42230|0|N
H2001|108|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC SC-0004 (PPO)|00025002|37.00|340| | |SC|42240|0|N
H2001|108|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC SC-0004 (PPO)|00025002|37.00|340| | |SC|42250|0|N
H2001|108|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC SC-0004 (PPO)|00025002|37.00|340| | |SC|42260|0|N
H2001|108|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC SC-0004 (PPO)|00025002|37.00|340| | |SC|42270|0|N
H2001|108|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC SC-0004 (PPO)|00025002|37.00|340| | |SC|42280|0|N
H2001|108|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC SC-0004 (PPO)|00025002|37.00|340| | |SC|42290|0|N
H2001|108|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC SC-0004 (PPO)|00025002|37.00|340| | |SC|42300|0|N
H2001|108|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC SC-0004 (PPO)|00025002|37.00|340| | |SC|42310|0|N
H2001|108|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC SC-0004 (PPO)|00025002|37.00|340| | |SC|42320|0|N
H2001|108|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC SC-0004 (PPO)|00025002|37.00|340| | |SC|42330|0|N
H2001|108|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC SC-0004 (PPO)|00025002|37.00|340| | |SC|42340|0|N
H2001|108|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC SC-0004 (PPO)|00025002|37.00|340| | |SC|42350|0|N
H2001|108|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC SC-0004 (PPO)|00025002|37.00|340| | |SC|42360|0|N
H2001|108|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC SC-0004 (PPO)|00025002|37.00|340| | |SC|42370|0|N
H2001|108|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC SC-0004 (PPO)|00025002|37.00|340| | |SC|42380|0|N
H2001|108|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC SC-0004 (PPO)|00025002|37.00|340| | |SC|42390|0|N
H2001|108|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC SC-0004 (PPO)|00025002|37.00|340| | |SC|42400|0|N
H2001|108|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC SC-0004 (PPO)|00025002|37.00|340| | |SC|42410|0|N
H2001|108|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC SC-0004 (PPO)|00025002|37.00|340| | |SC|42430|0|N
H2001|108|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC SC-0004 (PPO)|00025002|37.00|340| | |SC|42440|0|N
H2001|108|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC SC-0004 (PPO)|00025002|37.00|340| | |SC|42450|0|N
H2001|109|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0007 (PPO)|00025002|0.00|255| | |VA|49020|0|N
H2001|109|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0007 (PPO)|00025002|0.00|255| | |VA|49040|0|N
H2001|109|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0007 (PPO)|00025002|0.00|255| | |VA|49050|0|N
H2001|109|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0007 (PPO)|00025002|0.00|255| | |VA|49070|0|N
H2001|109|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0007 (PPO)|00025002|0.00|255| | |VA|49090|0|N
H2001|109|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0007 (PPO)|00025002|0.00|255| | |VA|49110|0|N
H2001|109|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0007 (PPO)|00025002|0.00|255| | |VA|49141|0|N
H2001|109|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0007 (PPO)|00025002|0.00|255| | |VA|49150|0|N
H2001|109|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0007 (PPO)|00025002|0.00|255| | |VA|49190|0|N
H2001|109|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0007 (PPO)|00025002|0.00|255| | |VA|49213|0|N
H2001|109|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0007 (PPO)|00025002|0.00|255| | |VA|49220|0|N
H2001|109|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0007 (PPO)|00025002|0.00|255| | |VA|49241|0|N
H2001|109|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0007 (PPO)|00025002|0.00|255| | |VA|49310|0|N
H2001|109|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0007 (PPO)|00025002|0.00|255| | |VA|49330|0|N
H2001|109|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0007 (PPO)|00025002|0.00|255| | |VA|49410|0|N
H2001|109|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0007 (PPO)|00025002|0.00|255| | |VA|49440|0|N
H2001|109|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0007 (PPO)|00025002|0.00|255| | |VA|49522|0|N
H2001|109|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0007 (PPO)|00025002|0.00|255| | |VA|49551|0|N
H2001|109|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0007 (PPO)|00025002|0.00|255| | |VA|49561|0|N
H2001|109|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0007 (PPO)|00025002|0.00|255| | |VA|49600|0|N
H2001|109|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0007 (PPO)|00025002|0.00|255| | |VA|49710|0|N
H2001|109|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0007 (PPO)|00025002|0.00|255| | |VA|49730|0|N
H2001|109|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0007 (PPO)|00025002|0.00|255| | |VA|49771|0|N
H2001|109|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0007 (PPO)|00025002|0.00|255| | |VA|49800|0|N
H2001|109|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0007 (PPO)|00025002|0.00|255| | |VA|49801|0|N
H2001|109|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0007 (PPO)|00025002|0.00|255| | |VA|49810|0|N
H2001|109|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0007 (PPO)|00025002|0.00|255| | |VA|49838|0|N
H2001|109|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0007 (PPO)|00025002|0.00|255| | |VA|49891|0|N
H2001|109|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC VA-0007 (PPO)|00025002|0.00|255| | |VA|49951|0|N
H2001|110|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC PA-0015 (PPO)|00025002|0.00|255| | |PA|39000|0|N
H2001|110|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC PA-0015 (PPO)|00025002|0.00|255| | |PA|39130|0|N
H2001|110|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC PA-0015 (PPO)|00025002|0.00|255| | |PA|39190|0|N
H2001|110|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC PA-0015 (PPO)|00025002|0.00|255| | |PA|39250|0|N
H2001|110|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC PA-0015 (PPO)|00025002|0.00|255| | |PA|39350|0|N
H2001|110|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC PA-0015 (PPO)|00025002|0.00|255| | |PA|39410|0|N
H2001|110|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC PA-0015 (PPO)|00025002|0.00|255| | |PA|39420|0|N
H2001|110|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC PA-0015 (PPO)|00025002|0.00|255| | |PA|39480|0|N
H2001|110|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC PA-0015 (PPO)|00025002|0.00|255| | |PA|39540|0|N
H2001|110|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC PA-0015 (PPO)|00025002|0.00|255| | |PA|39550|0|N
H2001|110|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC PA-0015 (PPO)|00025002|0.00|255| | |PA|39580|0|N
H2001|110|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC PA-0015 (PPO)|00025002|0.00|255| | |PA|39610|0|N
H2001|110|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC PA-0015 (PPO)|00025002|0.00|255| | |PA|39650|0|N
H2001|110|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC PA-0015 (PPO)|00025002|0.00|255| | |PA|39670|0|N
H2001|110|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC PA-0015 (PPO)|00025002|0.00|255| | |PA|39690|0|N
H2001|110|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC PA-0015 (PPO)|00025002|0.00|255| | |PA|39700|0|N
H2001|110|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC PA-0015 (PPO)|00025002|0.00|255| | |PA|39760|0|N
H2001|110|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC PA-0015 (PPO)|00025002|0.00|255| | |PA|39790|0|N
H2001|111|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0005 (PPO)|00025002|0.00|255| | |NC|34090|0|N
H2001|111|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NC-0005 (PPO)|00025002|0.00|255| | |NC|34640|0|N
H2001|113|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Extras from UHC SC-8 (PPO)|00025002|0.00|420| | |SC|42000|0|N
H2001|113|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Extras from UHC SC-8 (PPO)|00025002|0.00|420| | |SC|42010|0|N
H2001|113|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Extras from UHC SC-8 (PPO)|00025002|0.00|420| | |SC|42020|0|N
H2001|113|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Extras from UHC SC-8 (PPO)|00025002|0.00|420| | |SC|42030|0|N
H2001|113|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Extras from UHC SC-8 (PPO)|00025002|0.00|420| | |SC|42040|0|N
H2001|113|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Extras from UHC SC-8 (PPO)|00025002|0.00|420| | |SC|42050|0|N
H2001|113|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Extras from UHC SC-8 (PPO)|00025002|0.00|420| | |SC|42060|0|N
H2001|113|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Extras from UHC SC-8 (PPO)|00025002|0.00|420| | |SC|42070|0|N
H2001|113|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Extras from UHC SC-8 (PPO)|00025002|0.00|420| | |SC|42080|0|N
H2001|113|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Extras from UHC SC-8 (PPO)|00025002|0.00|420| | |SC|42090|0|N
H2001|113|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Extras from UHC SC-8 (PPO)|00025002|0.00|420| | |SC|42100|0|N
H2001|113|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Extras from UHC SC-8 (PPO)|00025002|0.00|420| | |SC|42110|0|N
H2001|113|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Extras from UHC SC-8 (PPO)|00025002|0.00|420| | |SC|42120|0|N
H2001|113|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Extras from UHC SC-8 (PPO)|00025002|0.00|420| | |SC|42130|0|N
H2001|113|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Extras from UHC SC-8 (PPO)|00025002|0.00|420| | |SC|42140|0|N
H2001|113|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Extras from UHC SC-8 (PPO)|00025002|0.00|420| | |SC|42150|0|N
H2001|113|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Extras from UHC SC-8 (PPO)|00025002|0.00|420| | |SC|42160|0|N
H2001|113|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Extras from UHC SC-8 (PPO)|00025002|0.00|420| | |SC|42170|0|N
H2001|113|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Extras from UHC SC-8 (PPO)|00025002|0.00|420| | |SC|42180|0|N
H2001|113|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Extras from UHC SC-8 (PPO)|00025002|0.00|420| | |SC|42190|0|N
H2001|113|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Extras from UHC SC-8 (PPO)|00025002|0.00|420| | |SC|42200|0|N
H2001|113|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Extras from UHC SC-8 (PPO)|00025002|0.00|420| | |SC|42210|0|N
H2001|113|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Extras from UHC SC-8 (PPO)|00025002|0.00|420| | |SC|42220|0|N
H2001|113|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Extras from UHC SC-8 (PPO)|00025002|0.00|420| | |SC|42230|0|N
H2001|113|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Extras from UHC SC-8 (PPO)|00025002|0.00|420| | |SC|42240|0|N
H2001|113|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Extras from UHC SC-8 (PPO)|00025002|0.00|420| | |SC|42250|0|N
H2001|113|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Extras from UHC SC-8 (PPO)|00025002|0.00|420| | |SC|42260|0|N
H2001|113|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Extras from UHC SC-8 (PPO)|00025002|0.00|420| | |SC|42270|0|N
H2001|113|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Extras from UHC SC-8 (PPO)|00025002|0.00|420| | |SC|42280|0|N
H2001|113|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Extras from UHC SC-8 (PPO)|00025002|0.00|420| | |SC|42290|0|N
H2001|113|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Extras from UHC SC-8 (PPO)|00025002|0.00|420| | |SC|42300|0|N
H2001|113|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Extras from UHC SC-8 (PPO)|00025002|0.00|420| | |SC|42310|0|N
H2001|113|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Extras from UHC SC-8 (PPO)|00025002|0.00|420| | |SC|42320|0|N
H2001|113|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Extras from UHC SC-8 (PPO)|00025002|0.00|420| | |SC|42330|0|N
H2001|113|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Extras from UHC SC-8 (PPO)|00025002|0.00|420| | |SC|42340|0|N
H2001|113|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Extras from UHC SC-8 (PPO)|00025002|0.00|420| | |SC|42350|0|N
H2001|113|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Extras from UHC SC-8 (PPO)|00025002|0.00|420| | |SC|42360|0|N
H2001|113|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Extras from UHC SC-8 (PPO)|00025002|0.00|420| | |SC|42370|0|N
H2001|113|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Extras from UHC SC-8 (PPO)|00025002|0.00|420| | |SC|42380|0|N
H2001|113|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Extras from UHC SC-8 (PPO)|00025002|0.00|420| | |SC|42390|0|N
H2001|113|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Extras from UHC SC-8 (PPO)|00025002|0.00|420| | |SC|42400|0|N
H2001|113|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Extras from UHC SC-8 (PPO)|00025002|0.00|420| | |SC|42410|0|N
H2001|113|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Extras from UHC SC-8 (PPO)|00025002|0.00|420| | |SC|42430|0|N
H2001|113|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Extras from UHC SC-8 (PPO)|00025002|0.00|420| | |SC|42440|0|N
H2001|113|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Extras from UHC SC-8 (PPO)|00025002|0.00|420| | |SC|42450|0|N
H2001|115|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC VA-20 (PPO)|00025002|71.10|570| | |VA|49020|0|N
H2001|115|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC VA-20 (PPO)|00025002|71.10|570| | |VA|49030|0|N
H2001|115|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC VA-20 (PPO)|00025002|71.10|570| | |VA|49040|0|N
H2001|115|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC VA-20 (PPO)|00025002|71.10|570| | |VA|49050|0|N
H2001|115|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC VA-20 (PPO)|00025002|71.10|570| | |VA|49070|0|N
H2001|115|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC VA-20 (PPO)|00025002|71.10|570| | |VA|49090|0|N
H2001|115|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC VA-20 (PPO)|00025002|71.10|570| | |VA|49110|0|N
H2001|115|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC VA-20 (PPO)|00025002|71.10|570| | |VA|49141|0|N
H2001|115|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC VA-20 (PPO)|00025002|71.10|570| | |VA|49150|0|N
H2001|115|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC VA-20 (PPO)|00025002|71.10|570| | |VA|49180|0|N
H2001|115|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC VA-20 (PPO)|00025002|71.10|570| | |VA|49190|0|N
H2001|115|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC VA-20 (PPO)|00025002|71.10|570| | |VA|49194|0|N
H2001|115|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC VA-20 (PPO)|00025002|71.10|570| | |VA|49200|0|N
H2001|115|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC VA-20 (PPO)|00025002|71.10|570| | |VA|49212|0|N
H2001|115|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC VA-20 (PPO)|00025002|71.10|570| | |VA|49213|0|N
H2001|115|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC VA-20 (PPO)|00025002|71.10|570| | |VA|49220|0|N
H2001|115|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC VA-20 (PPO)|00025002|71.10|570| | |VA|49241|0|N
H2001|115|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC VA-20 (PPO)|00025002|71.10|570| | |VA|49310|0|N
H2001|115|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC VA-20 (PPO)|00025002|71.10|570| | |VA|49330|0|N
H2001|115|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC VA-20 (PPO)|00025002|71.10|570| | |VA|49350|0|N
H2001|115|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC VA-20 (PPO)|00025002|71.10|570| | |VA|49370|0|N
H2001|115|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC VA-20 (PPO)|00025002|71.10|570| | |VA|49410|0|N
H2001|115|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC VA-20 (PPO)|00025002|71.10|570| | |VA|49411|0|N
H2001|115|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC VA-20 (PPO)|00025002|71.10|570| | |VA|49420|0|N
H2001|115|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC VA-20 (PPO)|00025002|71.10|570| | |VA|49430|0|N
H2001|115|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC VA-20 (PPO)|00025002|71.10|570| | |VA|49440|0|N
H2001|115|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC VA-20 (PPO)|00025002|71.10|570| | |VA|49451|0|N
H2001|115|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC VA-20 (PPO)|00025002|71.10|570| | |VA|49460|0|N
H2001|115|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC VA-20 (PPO)|00025002|71.10|570| | |VA|49470|0|N
H2001|115|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC VA-20 (PPO)|00025002|71.10|570| | |VA|49522|0|N
H2001|115|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC VA-20 (PPO)|00025002|71.10|570| | |VA|49551|0|N
H2001|115|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC VA-20 (PPO)|00025002|71.10|570| | |VA|49561|0|N
H2001|115|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC VA-20 (PPO)|00025002|71.10|570| | |VA|49600|0|N
H2001|115|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC VA-20 (PPO)|00025002|71.10|570| | |VA|49621|0|N
H2001|115|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC VA-20 (PPO)|00025002|71.10|570| | |VA|49622|0|N
H2001|115|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC VA-20 (PPO)|00025002|71.10|570| | |VA|49641|0|N
H2001|115|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC VA-20 (PPO)|00025002|71.10|570| | |VA|49701|0|N
H2001|115|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC VA-20 (PPO)|00025002|71.10|570| | |VA|49710|0|N
H2001|115|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC VA-20 (PPO)|00025002|71.10|570| | |VA|49711|0|N
H2001|115|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC VA-20 (PPO)|00025002|71.10|570| | |VA|49712|0|N
H2001|115|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC VA-20 (PPO)|00025002|71.10|570| | |VA|49720|0|N
H2001|115|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC VA-20 (PPO)|00025002|71.10|570| | |VA|49730|0|N
H2001|115|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC VA-20 (PPO)|00025002|71.10|570| | |VA|49770|0|N
H2001|115|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC VA-20 (PPO)|00025002|71.10|570| | |VA|49771|0|N
H2001|115|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC VA-20 (PPO)|00025002|71.10|570| | |VA|49791|0|N
H2001|115|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC VA-20 (PPO)|00025002|71.10|570| | |VA|49800|0|N
H2001|115|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC VA-20 (PPO)|00025002|71.10|570| | |VA|49801|0|N
H2001|115|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC VA-20 (PPO)|00025002|71.10|570| | |VA|49810|0|N
H2001|115|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC VA-20 (PPO)|00025002|71.10|570| | |VA|49838|0|N
H2001|115|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC VA-20 (PPO)|00025002|71.10|570| | |VA|49891|0|N
H2001|115|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC VA-20 (PPO)|00025002|71.10|570| | |VA|49892|0|N
H2001|115|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC VA-20 (PPO)|00025002|71.10|570| | |VA|49921|0|N
H2001|115|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC VA-20 (PPO)|00025002|71.10|570| | |VA|49951|0|N
H2001|115|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC VA-20 (PPO)|00025002|71.10|570| | |VA|49961|0|N
H2001|115|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC VA-20 (PPO)|00025002|71.10|570| | |VA|49981|0|N
H2001|116|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0001 (PPO)|00025002|0.00|420| | |MN|24010|0|N
H2001|116|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0001 (PPO)|00025002|0.00|420| | |MN|24090|0|N
H2001|116|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0001 (PPO)|00025002|0.00|420| | |MN|24120|0|N
H2001|116|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0001 (PPO)|00025002|0.00|420| | |MN|24180|0|N
H2001|116|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0001 (PPO)|00025002|0.00|420| | |MN|24260|0|N
H2001|116|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0001 (PPO)|00025002|0.00|420| | |MN|24290|0|N
H2001|116|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0001 (PPO)|00025002|0.00|420| | |MN|24610|0|N
H2001|116|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0001 (PPO)|00025002|0.00|420| | |MN|24690|0|N
H2001|116|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0001 (PPO)|00025002|0.00|420| | |MN|24700|0|N
H2001|116|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0001 (PPO)|00025002|0.00|420| | |MN|24810|0|N
H2001|116|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0001 (PPO)|00025002|0.00|420| | |MN|24850|0|N
H2001|117|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0002 (PPO)|00025002|12.00|340| | |MN|24010|0|N
H2001|117|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0002 (PPO)|00025002|12.00|340| | |MN|24090|0|N
H2001|117|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0002 (PPO)|00025002|12.00|340| | |MN|24120|0|N
H2001|117|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0002 (PPO)|00025002|12.00|340| | |MN|24180|0|N
H2001|117|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0002 (PPO)|00025002|12.00|340| | |MN|24260|0|N
H2001|117|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0002 (PPO)|00025002|12.00|340| | |MN|24290|0|N
H2001|117|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0002 (PPO)|00025002|12.00|340| | |MN|24610|0|N
H2001|117|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0002 (PPO)|00025002|12.00|340| | |MN|24690|0|N
H2001|117|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0002 (PPO)|00025002|12.00|340| | |MN|24700|0|N
H2001|117|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0002 (PPO)|00025002|12.00|340| | |MN|24810|0|N
H2001|117|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0002 (PPO)|00025002|12.00|340| | |MN|24850|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24000|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24010|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24020|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24030|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24040|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24060|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24070|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24080|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24090|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24100|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24120|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24130|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24140|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24150|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24170|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24180|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24190|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24210|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24220|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24230|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24240|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24250|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24260|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24270|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24280|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24290|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24300|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24320|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24340|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24350|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24370|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24380|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24390|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24420|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24430|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24440|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24450|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24460|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24470|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24480|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24490|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24510|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24530|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24540|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24550|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24560|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24570|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24590|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24610|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24620|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24650|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24670|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24680|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24690|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24700|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24710|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24730|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24760|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24770|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24780|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24790|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24800|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24810|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24820|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24830|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24840|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |MN|24850|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |ND|35010|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |ND|35020|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |ND|35070|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |ND|35080|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |ND|35170|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |ND|35210|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |ND|35240|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |ND|35270|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |ND|35280|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |ND|35290|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |ND|35300|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |ND|35320|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |ND|35330|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |ND|35350|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |ND|35360|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |ND|35380|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |ND|35460|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |ND|35480|0|N
H2001|118|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0001 (PPO)|00025002|40.60|590| | |ND|35490|0|N
H2001|119|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0002 (PPO)|00025002|0.00|570| | |MN|24000|0|N
H2001|119|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0002 (PPO)|00025002|0.00|570| | |MN|24020|0|N
H2001|119|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0002 (PPO)|00025002|0.00|570| | |MN|24030|0|N
H2001|119|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0002 (PPO)|00025002|0.00|570| | |MN|24040|0|N
H2001|119|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0002 (PPO)|00025002|0.00|570| | |MN|24080|0|N
H2001|119|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0002 (PPO)|00025002|0.00|570| | |MN|24100|0|N
H2001|119|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0002 (PPO)|00025002|0.00|570| | |MN|24130|0|N
H2001|119|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0002 (PPO)|00025002|0.00|570| | |MN|24140|0|N
H2001|119|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0002 (PPO)|00025002|0.00|570| | |MN|24150|0|N
H2001|119|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0002 (PPO)|00025002|0.00|570| | |MN|24170|0|N
H2001|119|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0002 (PPO)|00025002|0.00|570| | |MN|24250|0|N
H2001|119|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0002 (PPO)|00025002|0.00|570| | |MN|24280|0|N
H2001|119|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0002 (PPO)|00025002|0.00|570| | |MN|24300|0|N
H2001|119|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0002 (PPO)|00025002|0.00|570| | |MN|24320|0|N
H2001|119|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0002 (PPO)|00025002|0.00|570| | |MN|24340|0|N
H2001|119|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0002 (PPO)|00025002|0.00|570| | |MN|24350|0|N
H2001|119|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0002 (PPO)|00025002|0.00|570| | |MN|24370|0|N
H2001|119|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0002 (PPO)|00025002|0.00|570| | |MN|24380|0|N
H2001|119|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0002 (PPO)|00025002|0.00|570| | |MN|24430|0|N
H2001|119|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0002 (PPO)|00025002|0.00|570| | |MN|24440|0|N
H2001|119|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0002 (PPO)|00025002|0.00|570| | |MN|24460|0|N
H2001|119|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0002 (PPO)|00025002|0.00|570| | |MN|24470|0|N
H2001|119|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0002 (PPO)|00025002|0.00|570| | |MN|24480|0|N
H2001|119|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0002 (PPO)|00025002|0.00|570| | |MN|24530|0|N
H2001|119|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0002 (PPO)|00025002|0.00|570| | |MN|24550|0|N
H2001|119|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0002 (PPO)|00025002|0.00|570| | |MN|24560|0|N
H2001|119|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0002 (PPO)|00025002|0.00|570| | |MN|24570|0|N
H2001|119|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0002 (PPO)|00025002|0.00|570| | |MN|24590|0|N
H2001|119|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0002 (PPO)|00025002|0.00|570| | |MN|24620|0|N
H2001|119|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0002 (PPO)|00025002|0.00|570| | |MN|24670|0|N
H2001|119|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0002 (PPO)|00025002|0.00|570| | |MN|24680|0|N
H2001|119|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0002 (PPO)|00025002|0.00|570| | |MN|24760|0|N
H2001|119|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0002 (PPO)|00025002|0.00|570| | |MN|24770|0|N
H2001|119|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0002 (PPO)|00025002|0.00|570| | |MN|24790|0|N
H2001|119|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0002 (PPO)|00025002|0.00|570| | |MN|24830|0|N
H2001|119|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0002 (PPO)|00025002|0.00|570| | |ND|35010|0|N
H2001|119|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0002 (PPO)|00025002|0.00|570| | |ND|35020|0|N
H2001|119|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0002 (PPO)|00025002|0.00|570| | |ND|35070|0|N
H2001|119|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0002 (PPO)|00025002|0.00|570| | |ND|35080|0|N
H2001|119|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0002 (PPO)|00025002|0.00|570| | |ND|35170|0|N
H2001|119|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0002 (PPO)|00025002|0.00|570| | |ND|35210|0|N
H2001|119|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0002 (PPO)|00025002|0.00|570| | |ND|35240|0|N
H2001|119|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0002 (PPO)|00025002|0.00|570| | |ND|35270|0|N
H2001|119|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0002 (PPO)|00025002|0.00|570| | |ND|35280|0|N
H2001|119|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0002 (PPO)|00025002|0.00|570| | |ND|35290|0|N
H2001|119|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0002 (PPO)|00025002|0.00|570| | |ND|35300|0|N
H2001|119|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0002 (PPO)|00025002|0.00|570| | |ND|35320|0|N
H2001|119|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0002 (PPO)|00025002|0.00|570| | |ND|35330|0|N
H2001|119|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0002 (PPO)|00025002|0.00|570| | |ND|35350|0|N
H2001|119|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0002 (PPO)|00025002|0.00|570| | |ND|35360|0|N
H2001|119|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0002 (PPO)|00025002|0.00|570| | |ND|35380|0|N
H2001|119|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0002 (PPO)|00025002|0.00|570| | |ND|35460|0|N
H2001|119|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0002 (PPO)|00025002|0.00|570| | |ND|35480|0|N
H2001|119|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0002 (PPO)|00025002|0.00|570| | |ND|35490|0|N
H2001|120|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0003 (PPO)|00025002|59.00|495| | |MN|24000|0|N
H2001|120|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0003 (PPO)|00025002|59.00|495| | |MN|24020|0|N
H2001|120|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0003 (PPO)|00025002|59.00|495| | |MN|24030|0|N
H2001|120|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0003 (PPO)|00025002|59.00|495| | |MN|24040|0|N
H2001|120|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0003 (PPO)|00025002|59.00|495| | |MN|24080|0|N
H2001|120|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0003 (PPO)|00025002|59.00|495| | |MN|24100|0|N
H2001|120|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0003 (PPO)|00025002|59.00|495| | |MN|24130|0|N
H2001|120|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0003 (PPO)|00025002|59.00|495| | |MN|24140|0|N
H2001|120|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0003 (PPO)|00025002|59.00|495| | |MN|24150|0|N
H2001|120|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0003 (PPO)|00025002|59.00|495| | |MN|24170|0|N
H2001|120|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0003 (PPO)|00025002|59.00|495| | |MN|24250|0|N
H2001|120|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0003 (PPO)|00025002|59.00|495| | |MN|24280|0|N
H2001|120|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0003 (PPO)|00025002|59.00|495| | |MN|24300|0|N
H2001|120|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0003 (PPO)|00025002|59.00|495| | |MN|24320|0|N
H2001|120|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0003 (PPO)|00025002|59.00|495| | |MN|24340|0|N
H2001|120|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0003 (PPO)|00025002|59.00|495| | |MN|24350|0|N
H2001|120|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0003 (PPO)|00025002|59.00|495| | |MN|24370|0|N
H2001|120|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0003 (PPO)|00025002|59.00|495| | |MN|24380|0|N
H2001|120|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0003 (PPO)|00025002|59.00|495| | |MN|24430|0|N
H2001|120|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0003 (PPO)|00025002|59.00|495| | |MN|24440|0|N
H2001|120|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0003 (PPO)|00025002|59.00|495| | |MN|24460|0|N
H2001|120|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0003 (PPO)|00025002|59.00|495| | |MN|24470|0|N
H2001|120|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0003 (PPO)|00025002|59.00|495| | |MN|24480|0|N
H2001|120|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0003 (PPO)|00025002|59.00|495| | |MN|24530|0|N
H2001|120|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0003 (PPO)|00025002|59.00|495| | |MN|24550|0|N
H2001|120|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0003 (PPO)|00025002|59.00|495| | |MN|24560|0|N
H2001|120|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0003 (PPO)|00025002|59.00|495| | |MN|24570|0|N
H2001|120|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0003 (PPO)|00025002|59.00|495| | |MN|24590|0|N
H2001|120|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0003 (PPO)|00025002|59.00|495| | |MN|24620|0|N
H2001|120|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0003 (PPO)|00025002|59.00|495| | |MN|24670|0|N
H2001|120|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0003 (PPO)|00025002|59.00|495| | |MN|24680|0|N
H2001|120|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0003 (PPO)|00025002|59.00|495| | |MN|24760|0|N
H2001|120|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0003 (PPO)|00025002|59.00|495| | |MN|24770|0|N
H2001|120|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0003 (PPO)|00025002|59.00|495| | |MN|24790|0|N
H2001|120|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0003 (PPO)|00025002|59.00|495| | |MN|24830|0|N
H2001|120|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0003 (PPO)|00025002|59.00|495| | |ND|35010|0|N
H2001|120|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0003 (PPO)|00025002|59.00|495| | |ND|35020|0|N
H2001|120|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0003 (PPO)|00025002|59.00|495| | |ND|35070|0|N
H2001|120|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0003 (PPO)|00025002|59.00|495| | |ND|35080|0|N
H2001|120|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0003 (PPO)|00025002|59.00|495| | |ND|35170|0|N
H2001|120|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0003 (PPO)|00025002|59.00|495| | |ND|35210|0|N
H2001|120|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0003 (PPO)|00025002|59.00|495| | |ND|35240|0|N
H2001|120|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0003 (PPO)|00025002|59.00|495| | |ND|35270|0|N
H2001|120|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0003 (PPO)|00025002|59.00|495| | |ND|35280|0|N
H2001|120|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0003 (PPO)|00025002|59.00|495| | |ND|35290|0|N
H2001|120|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0003 (PPO)|00025002|59.00|495| | |ND|35300|0|N
H2001|120|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0003 (PPO)|00025002|59.00|495| | |ND|35320|0|N
H2001|120|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0003 (PPO)|00025002|59.00|495| | |ND|35330|0|N
H2001|120|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0003 (PPO)|00025002|59.00|495| | |ND|35350|0|N
H2001|120|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0003 (PPO)|00025002|59.00|495| | |ND|35360|0|N
H2001|120|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0003 (PPO)|00025002|59.00|495| | |ND|35380|0|N
H2001|120|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0003 (PPO)|00025002|59.00|495| | |ND|35460|0|N
H2001|120|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0003 (PPO)|00025002|59.00|495| | |ND|35480|0|N
H2001|120|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC FG-0003 (PPO)|00025002|59.00|495| | |ND|35490|0|N
H2001|121|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0003 (PPO)|00025002|18.00|570| | |MN|24060|0|N
H2001|121|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0003 (PPO)|00025002|18.00|570| | |MN|24070|0|N
H2001|121|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0003 (PPO)|00025002|18.00|570| | |MN|24190|0|N
H2001|121|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0003 (PPO)|00025002|18.00|570| | |MN|24210|0|N
H2001|121|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0003 (PPO)|00025002|18.00|570| | |MN|24220|0|N
H2001|121|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0003 (PPO)|00025002|18.00|570| | |MN|24230|0|N
H2001|121|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0003 (PPO)|00025002|18.00|570| | |MN|24240|0|N
H2001|121|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0003 (PPO)|00025002|18.00|570| | |MN|24270|0|N
H2001|121|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0003 (PPO)|00025002|18.00|570| | |MN|24390|0|N
H2001|121|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0003 (PPO)|00025002|18.00|570| | |MN|24420|0|N
H2001|121|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0003 (PPO)|00025002|18.00|570| | |MN|24450|0|N
H2001|121|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0003 (PPO)|00025002|18.00|570| | |MN|24490|0|N
H2001|121|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0003 (PPO)|00025002|18.00|570| | |MN|24510|0|N
H2001|121|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0003 (PPO)|00025002|18.00|570| | |MN|24540|0|N
H2001|121|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0003 (PPO)|00025002|18.00|570| | |MN|24650|0|N
H2001|121|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0003 (PPO)|00025002|18.00|570| | |MN|24710|0|N
H2001|121|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0003 (PPO)|00025002|18.00|570| | |MN|24730|0|N
H2001|121|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0003 (PPO)|00025002|18.00|570| | |MN|24780|0|N
H2001|121|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0003 (PPO)|00025002|18.00|570| | |MN|24800|0|N
H2001|121|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0003 (PPO)|00025002|18.00|570| | |MN|24820|0|N
H2001|121|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0003 (PPO)|00025002|18.00|570| | |MN|24840|0|N
H2001|122|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0004 (PPO)|00025002|63.80|495| | |MN|24060|0|N
H2001|122|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0004 (PPO)|00025002|63.80|495| | |MN|24070|0|N
H2001|122|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0004 (PPO)|00025002|63.80|495| | |MN|24190|0|N
H2001|122|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0004 (PPO)|00025002|63.80|495| | |MN|24210|0|N
H2001|122|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0004 (PPO)|00025002|63.80|495| | |MN|24220|0|N
H2001|122|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0004 (PPO)|00025002|63.80|495| | |MN|24230|0|N
H2001|122|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0004 (PPO)|00025002|63.80|495| | |MN|24240|0|N
H2001|122|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0004 (PPO)|00025002|63.80|495| | |MN|24270|0|N
H2001|122|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0004 (PPO)|00025002|63.80|495| | |MN|24390|0|N
H2001|122|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0004 (PPO)|00025002|63.80|495| | |MN|24420|0|N
H2001|122|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0004 (PPO)|00025002|63.80|495| | |MN|24450|0|N
H2001|122|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0004 (PPO)|00025002|63.80|495| | |MN|24490|0|N
H2001|122|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0004 (PPO)|00025002|63.80|495| | |MN|24510|0|N
H2001|122|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0004 (PPO)|00025002|63.80|495| | |MN|24540|0|N
H2001|122|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0004 (PPO)|00025002|63.80|495| | |MN|24650|0|N
H2001|122|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0004 (PPO)|00025002|63.80|495| | |MN|24710|0|N
H2001|122|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0004 (PPO)|00025002|63.80|495| | |MN|24730|0|N
H2001|122|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0004 (PPO)|00025002|63.80|495| | |MN|24780|0|N
H2001|122|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0004 (PPO)|00025002|63.80|495| | |MN|24800|0|N
H2001|122|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0004 (PPO)|00025002|63.80|495| | |MN|24820|0|N
H2001|122|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0004 (PPO)|00025002|63.80|495| | |MN|24840|0|N
H2001|123|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0005 (PPO)|00025002|54.80|340| | |MN|24010|0|N
H2001|123|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0005 (PPO)|00025002|54.80|340| | |MN|24090|0|N
H2001|123|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0005 (PPO)|00025002|54.80|340| | |MN|24120|0|N
H2001|123|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0005 (PPO)|00025002|54.80|340| | |MN|24180|0|N
H2001|123|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0005 (PPO)|00025002|54.80|340| | |MN|24260|0|N
H2001|123|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0005 (PPO)|00025002|54.80|340| | |MN|24290|0|N
H2001|123|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0005 (PPO)|00025002|54.80|340| | |MN|24610|0|N
H2001|123|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0005 (PPO)|00025002|54.80|340| | |MN|24690|0|N
H2001|123|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0005 (PPO)|00025002|54.80|340| | |MN|24700|0|N
H2001|123|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0005 (PPO)|00025002|54.80|340| | |MN|24810|0|N
H2001|123|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC MN-0005 (PPO)|00025002|54.80|340| | |MN|24850|0|N
H2001|125|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NV-0007 (PPO)|00025002|0.00|420| | |NV|29010|0|N
H2001|125|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NV-0007 (PPO)|00025002|0.00|420| | |NV|29110|0|N
H2001|127|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC NV-8 (PPO)|00025002|0.00|495| | |NV|29010|0|N
H2001|127|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC NV-8 (PPO)|00025002|0.00|495| | |NV|29110|0|N
H2001|128|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC UT-0008 (PPO)|00025002|0.00|420| | |UT|46010|0|N
H2001|128|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC UT-0008 (PPO)|00025002|0.00|420| | |UT|46020|0|N
H2001|128|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC UT-0008 (PPO)|00025002|0.00|420| | |UT|46050|0|N
H2001|128|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC UT-0008 (PPO)|00025002|0.00|420| | |UT|46060|0|N
H2001|128|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC UT-0008 (PPO)|00025002|0.00|420| | |UT|46090|0|N
H2001|128|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC UT-0008 (PPO)|00025002|0.00|420| | |UT|46140|0|N
H2001|128|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC UT-0008 (PPO)|00025002|0.00|420| | |UT|46170|0|N
H2001|128|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC UT-0008 (PPO)|00025002|0.00|420| | |UT|46190|0|N
H2001|128|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC UT-0008 (PPO)|00025002|0.00|420| | |UT|46200|0|N
H2001|128|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC UT-0008 (PPO)|00025002|0.00|420| | |UT|46210|0|N
H2001|128|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC UT-0008 (PPO)|00025002|0.00|420| | |UT|46220|0|N
H2001|128|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC UT-0008 (PPO)|00025002|0.00|420| | |UT|46230|0|N
H2001|128|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC UT-0008 (PPO)|00025002|0.00|420| | |UT|46240|0|N
H2001|128|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC UT-0008 (PPO)|00025002|0.00|420| | |UT|46250|0|N
H2001|128|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC UT-0008 (PPO)|00025002|0.00|420| | |UT|46280|0|N
H2001|131|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC UT-9 (PPO)|00025002|0.00|570| | |UT|46010|0|N
H2001|131|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC UT-9 (PPO)|00025002|0.00|570| | |UT|46020|0|N
H2001|131|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC UT-9 (PPO)|00025002|0.00|570| | |UT|46050|0|N
H2001|131|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC UT-9 (PPO)|00025002|0.00|570| | |UT|46060|0|N
H2001|131|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC UT-9 (PPO)|00025002|0.00|570| | |UT|46090|0|N
H2001|131|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC UT-9 (PPO)|00025002|0.00|570| | |UT|46140|0|N
H2001|131|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC UT-9 (PPO)|00025002|0.00|570| | |UT|46170|0|N
H2001|131|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC UT-9 (PPO)|00025002|0.00|570| | |UT|46190|0|N
H2001|131|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC UT-9 (PPO)|00025002|0.00|570| | |UT|46200|0|N
H2001|131|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC UT-9 (PPO)|00025002|0.00|570| | |UT|46210|0|N
H2001|131|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC UT-9 (PPO)|00025002|0.00|570| | |UT|46220|0|N
H2001|131|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC UT-9 (PPO)|00025002|0.00|570| | |UT|46230|0|N
H2001|131|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC UT-9 (PPO)|00025002|0.00|570| | |UT|46240|0|N
H2001|131|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC UT-9 (PPO)|00025002|0.00|570| | |UT|46250|0|N
H2001|131|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Giveback from UHC UT-9 (PPO)|00025002|0.00|570| | |UT|46280|0|N
H2001|132|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NV-0009 (PPO)|00025002|0.00|420| | |NV|29090|0|N
H2001|132|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC NV-0009 (PPO)|00025002|0.00|420| | |NV|29150|0|N
H2001|133|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MN-7 (PPO C-SNP)|00025003|0.00|340| | |MN|24010|1|N
H2001|133|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MN-7 (PPO C-SNP)|00025003|0.00|340| | |MN|24090|1|N
H2001|133|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MN-7 (PPO C-SNP)|00025003|0.00|340| | |MN|24120|1|N
H2001|133|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MN-7 (PPO C-SNP)|00025003|0.00|340| | |MN|24180|1|N
H2001|133|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MN-7 (PPO C-SNP)|00025003|0.00|340| | |MN|24260|1|N
H2001|133|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MN-7 (PPO C-SNP)|00025003|0.00|340| | |MN|24290|1|N
H2001|133|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MN-7 (PPO C-SNP)|00025003|0.00|340| | |MN|24610|1|N
H2001|133|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MN-7 (PPO C-SNP)|00025003|0.00|340| | |MN|24690|1|N
H2001|133|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MN-7 (PPO C-SNP)|00025003|0.00|340| | |MN|24700|1|N
H2001|133|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MN-7 (PPO C-SNP)|00025003|0.00|340| | |MN|24810|1|N
H2001|133|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care MN-7 (PPO C-SNP)|00025003|0.00|340| | |MN|24850|1|N
H2001|134|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support MN-8 (PPO C-SNP)|00025003|46.40|590| | |MN|24010|1|N
H2001|134|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support MN-8 (PPO C-SNP)|00025003|46.40|590| | |MN|24090|1|N
H2001|134|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support MN-8 (PPO C-SNP)|00025003|46.40|590| | |MN|24120|1|N
H2001|134|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support MN-8 (PPO C-SNP)|00025003|46.40|590| | |MN|24180|1|N
H2001|134|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support MN-8 (PPO C-SNP)|00025003|46.40|590| | |MN|24260|1|N
H2001|134|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support MN-8 (PPO C-SNP)|00025003|46.40|590| | |MN|24290|1|N
H2001|134|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support MN-8 (PPO C-SNP)|00025003|46.40|590| | |MN|24610|1|N
H2001|134|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support MN-8 (PPO C-SNP)|00025003|46.40|590| | |MN|24690|1|N
H2001|134|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support MN-8 (PPO C-SNP)|00025003|46.40|590| | |MN|24700|1|N
H2001|134|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support MN-8 (PPO C-SNP)|00025003|46.40|590| | |MN|24810|1|N
H2001|134|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support MN-8 (PPO C-SNP)|00025003|46.40|590| | |MN|24850|1|N
H2001|135|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support FG-5 (PPO C-SNP)|00025003|36.60|590| | |MN|24030|1|N
H2001|135|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support FG-5 (PPO C-SNP)|00025003|36.60|590| | |MN|24130|1|N
H2001|135|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support FG-5 (PPO C-SNP)|00025003|36.60|590| | |MN|24170|1|N
H2001|135|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support FG-5 (PPO C-SNP)|00025003|36.60|590| | |MN|24300|1|N
H2001|135|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support FG-5 (PPO C-SNP)|00025003|36.60|590| | |MN|24680|1|N
H2001|135|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|UHC Complete Care Support FG-5 (PPO C-SNP)|00025003|36.60|590| | |ND|35080|1|N
H2001|136|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC WA-16 (PPO)|00025002|35.00|420| | |WA|50020|0|N
H2001|136|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC WA-16 (PPO)|00025002|35.00|420| | |WA|50040|0|N
H2001|136|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC WA-16 (PPO)|00025002|35.00|420| | |WA|50050|0|N
H2001|136|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC WA-16 (PPO)|00025002|35.00|420| | |WA|50070|0|N
H2001|136|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC WA-16 (PPO)|00025002|35.00|420| | |WA|50100|0|N
H2001|136|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC WA-16 (PPO)|00025002|35.00|420| | |WA|50140|0|N
H2001|136|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC WA-16 (PPO)|00025002|35.00|420| | |WA|50150|0|N
H2001|136|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC WA-16 (PPO)|00025002|35.00|420| | |WA|50160|0|N
H2001|136|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC WA-16 (PPO)|00025002|35.00|420| | |WA|50170|0|N
H2001|136|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC WA-16 (PPO)|00025002|35.00|420| | |WA|50200|0|N
H2001|136|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC WA-16 (PPO)|00025002|35.00|420| | |WA|50220|0|N
H2001|136|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC WA-16 (PPO)|00025002|35.00|420| | |WA|50260|0|N
H2001|136|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC WA-16 (PPO)|00025002|35.00|420| | |WA|50280|0|N
H2001|136|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC WA-16 (PPO)|00025002|35.00|420| | |WA|50300|0|N
H2001|136|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC WA-16 (PPO)|00025002|35.00|420| | |WA|50330|0|N
H2001|136|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC WA-16 (PPO)|00025002|35.00|420| | |WA|50350|0|N
H2001|136|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC WA-16 (PPO)|00025002|35.00|420| | |WA|50360|0|N
H2001|136|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC WA-16 (PPO)|00025002|35.00|420| | |WA|50380|0|N
H2001|137|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage from UHC WA-17 (PPO)|00025002|0.00|420| | |WA|50310|0|N
H2001|138|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC WA-11 (PPO)|00025002|88.20|570| | |WA|50050|0|N
H2001|138|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC WA-11 (PPO)|00025002|88.20|570| | |WA|50160|0|N
H2001|138|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC WA-11 (PPO)|00025002|88.20|570| | |WA|50260|0|N
H2001|138|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC WA-11 (PPO)|00025002|88.20|570| | |WA|50300|0|N
H2001|138|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|AARP Medicare Advantage Access from UHC WA-11 (PPO)|00025002|88.20|570| | |WA|50330|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40010|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40020|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40030|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40040|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40050|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40060|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40070|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40080|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40090|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40100|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40110|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40120|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40130|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40140|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40145|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40150|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40160|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40170|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40180|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40190|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40200|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40210|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40220|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40230|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40240|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40250|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40260|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40265|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40270|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40280|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40290|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40300|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40310|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40320|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40330|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40340|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40350|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40360|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40370|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40380|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40390|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40400|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40410|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40420|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40430|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40440|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40450|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40460|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40470|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40480|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40490|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40500|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40510|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40520|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40530|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40540|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40550|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40560|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40570|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40580|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40590|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40610|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40620|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40630|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40640|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40650|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40660|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40670|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40680|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40690|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40700|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40710|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40720|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40730|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40740|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40750|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40760|0|N
H2029|001|000|HUMANA INSURANCE OF PUERTO RICO, INC.|HumanaChoice Value H2029-001 (PPO)|00025454|46.00|0| | |PR|40770|0|N
H2032|001|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage (PPO)|00025473|0.00|300| | |TX|45310|0|N
H2032|001|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage (PPO)|00025473|0.00|300| | |TX|45390|0|N
H2032|001|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage (PPO)|00025473|0.00|300| | |TX|45410|0|N
H2032|001|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage (PPO)|00025473|0.00|300| | |TX|45470|0|N
H2032|001|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage (PPO)|00025473|0.00|300| | |TX|45879|0|N
H2032|001|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage (PPO)|00025473|0.00|300| | |TX|45910|0|N
H2032|002|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Basic (PPO)|00025473|0.00|250| | |TX|45120|0|N
H2032|002|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Basic (PPO)|00025473|0.00|250| | |TX|45140|0|N
H2032|002|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Basic (PPO)|00025473|0.00|250| | |TX|45160|0|N
H2032|002|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Basic (PPO)|00025473|0.00|250| | |TX|45190|0|N
H2032|002|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Basic (PPO)|00025473|0.00|250| | |TX|45221|0|N
H2032|002|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Basic (PPO)|00025473|0.00|250| | |TX|45222|0|N
H2032|002|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Basic (PPO)|00025473|0.00|250| | |TX|45341|0|N
H2032|002|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Basic (PPO)|00025473|0.00|250| | |TX|45500|0|N
H2032|002|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Basic (PPO)|00025473|0.00|250| | |TX|45511|0|N
H2032|002|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Basic (PPO)|00025473|0.00|250| | |TX|45540|0|N
H2032|002|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Basic (PPO)|00025473|0.00|250| | |TX|45552|0|N
H2032|002|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Basic (PPO)|00025473|0.00|250| | |TX|45580|0|N
H2032|002|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Basic (PPO)|00025473|0.00|250| | |TX|45590|0|N
H2032|002|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Basic (PPO)|00025473|0.00|250| | |TX|45651|0|N
H2032|002|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Basic (PPO)|00025473|0.00|250| | |TX|45752|0|N
H2032|002|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Basic (PPO)|00025473|0.00|250| | |TX|45755|0|N
H2032|002|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Basic (PPO)|00025473|0.00|250| | |TX|45756|0|N
H2032|002|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Basic (PPO)|00025473|0.00|250| | |TX|45758|0|N
H2032|002|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Basic (PPO)|00025473|0.00|250| | |TX|45761|0|N
H2032|002|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Basic (PPO)|00025473|0.00|250| | |TX|45780|0|N
H2032|002|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Basic (PPO)|00025473|0.00|250| | |TX|45782|0|N
H2032|002|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Basic (PPO)|00025473|0.00|250| | |TX|45795|0|N
H2032|002|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Basic (PPO)|00025473|0.00|250| | |TX|45796|0|N
H2032|002|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Basic (PPO)|00025473|0.00|250| | |TX|45820|0|N
H2032|002|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Basic (PPO)|00025473|0.00|250| | |TX|45878|0|N
H2032|002|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Basic (PPO)|00025473|0.00|250| | |TX|45886|0|N
H2032|002|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Basic (PPO)|00025473|0.00|250| | |TX|45893|0|N
H2032|002|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Basic (PPO)|00025473|0.00|250| | |TX|45952|0|N
H2032|002|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Basic (PPO)|00025473|0.00|250| | |TX|45970|0|N
H2032|003|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Platinum (PPO)|00025473|10.40|50| | |TX|45120|0|N
H2032|003|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Platinum (PPO)|00025473|10.40|50| | |TX|45140|0|N
H2032|003|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Platinum (PPO)|00025473|10.40|50| | |TX|45160|0|N
H2032|003|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Platinum (PPO)|00025473|10.40|50| | |TX|45190|0|N
H2032|003|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Platinum (PPO)|00025473|10.40|50| | |TX|45221|0|N
H2032|003|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Platinum (PPO)|00025473|10.40|50| | |TX|45222|0|N
H2032|003|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Platinum (PPO)|00025473|10.40|50| | |TX|45341|0|N
H2032|003|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Platinum (PPO)|00025473|10.40|50| | |TX|45500|0|N
H2032|003|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Platinum (PPO)|00025473|10.40|50| | |TX|45511|0|N
H2032|003|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Platinum (PPO)|00025473|10.40|50| | |TX|45540|0|N
H2032|003|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Platinum (PPO)|00025473|10.40|50| | |TX|45552|0|N
H2032|003|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Platinum (PPO)|00025473|10.40|50| | |TX|45580|0|N
H2032|003|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Platinum (PPO)|00025473|10.40|50| | |TX|45590|0|N
H2032|003|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Platinum (PPO)|00025473|10.40|50| | |TX|45651|0|N
H2032|003|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Platinum (PPO)|00025473|10.40|50| | |TX|45752|0|N
H2032|003|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Platinum (PPO)|00025473|10.40|50| | |TX|45755|0|N
H2032|003|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Platinum (PPO)|00025473|10.40|50| | |TX|45756|0|N
H2032|003|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Platinum (PPO)|00025473|10.40|50| | |TX|45758|0|N
H2032|003|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Platinum (PPO)|00025473|10.40|50| | |TX|45761|0|N
H2032|003|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Platinum (PPO)|00025473|10.40|50| | |TX|45780|0|N
H2032|003|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Platinum (PPO)|00025473|10.40|50| | |TX|45782|0|N
H2032|003|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Platinum (PPO)|00025473|10.40|50| | |TX|45795|0|N
H2032|003|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Platinum (PPO)|00025473|10.40|50| | |TX|45796|0|N
H2032|003|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Platinum (PPO)|00025473|10.40|50| | |TX|45820|0|N
H2032|003|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Platinum (PPO)|00025473|10.40|50| | |TX|45878|0|N
H2032|003|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Platinum (PPO)|00025473|10.40|50| | |TX|45886|0|N
H2032|003|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Platinum (PPO)|00025473|10.40|50| | |TX|45893|0|N
H2032|003|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Platinum (PPO)|00025473|10.40|50| | |TX|45952|0|N
H2032|003|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage Platinum (PPO)|00025473|10.40|50| | |TX|45970|0|N
H2032|004|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage (PPO)|00025473|0.00|300| | |TX|45362|0|N
H2032|004|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage (PPO)|00025473|0.00|300| | |TX|45521|0|N
H2032|004|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage (PPO)|00025473|0.00|300| | |TX|45551|0|N
H2032|004|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage (PPO)|00025473|0.00|300| | |TX|45582|0|N
H2032|004|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage (PPO)|00025473|0.00|300| | |TX|45652|0|N
H2032|004|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage (PPO)|00025473|0.00|300| | |TX|45751|0|N
H2032|004|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage (PPO)|00025473|0.00|300| | |TX|45770|0|N
H2032|004|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage (PPO)|00025473|0.00|300| | |TX|45771|0|N
H2032|004|000|Baylor Scott & White Insurance Company|BSW SeniorCare Advantage (PPO)|00025473|0.00|300| | |TX|45913|0|N
H2034|001|000|COMMUNITY CARE HEALTH PLAN, INC.|Community Care's  Partnership Program (HMO D-SNP)|00025393|0.00|590| | |WI|52070|2|N
H2034|001|000|COMMUNITY CARE HEALTH PLAN, INC.|Community Care's  Partnership Program (HMO D-SNP)|00025393|0.00|590| | |WI|52290|2|N
H2034|001|000|COMMUNITY CARE HEALTH PLAN, INC.|Community Care's  Partnership Program (HMO D-SNP)|00025393|0.00|590| | |WI|52390|2|N
H2034|001|000|COMMUNITY CARE HEALTH PLAN, INC.|Community Care's  Partnership Program (HMO D-SNP)|00025393|0.00|590| | |WI|52430|2|N
H2034|001|000|COMMUNITY CARE HEALTH PLAN, INC.|Community Care's  Partnership Program (HMO D-SNP)|00025393|0.00|590| | |WI|52440|2|N
H2034|001|000|COMMUNITY CARE HEALTH PLAN, INC.|Community Care's  Partnership Program (HMO D-SNP)|00025393|0.00|590| | |WI|52500|2|N
H2034|001|000|COMMUNITY CARE HEALTH PLAN, INC.|Community Care's  Partnership Program (HMO D-SNP)|00025393|0.00|590| | |WI|52650|2|N
H2034|001|000|COMMUNITY CARE HEALTH PLAN, INC.|Community Care's  Partnership Program (HMO D-SNP)|00025393|0.00|590| | |WI|52660|2|N
H2034|001|000|COMMUNITY CARE HEALTH PLAN, INC.|Community Care's  Partnership Program (HMO D-SNP)|00025393|0.00|590| | |WI|52670|2|N
H2041|001|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted CORE Missouri (HMO)|00025188|0.00|590| | |MO|26490|0|N
H2041|001|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted CORE Missouri (HMO)|00025188|0.00|590| | |MO|26690|0|N
H2041|001|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted CORE Missouri (HMO)|00025188|0.00|590| | |MO|26910|0|N
H2041|001|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted CORE Missouri (HMO)|00025188|0.00|590| | |MO|26940|0|N
H2041|001|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted CORE Missouri (HMO)|00025188|0.00|590| | |MO|26950|0|N
H2041|001|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted CORE Missouri (HMO)|00025188|0.00|590| | |MO|26991|0|N
H2041|002|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted GIVEBACK Missouri (HMO)|00025188|0.00|590| | |MO|26490|0|N
H2041|002|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted GIVEBACK Missouri (HMO)|00025188|0.00|590| | |MO|26690|0|N
H2041|002|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted GIVEBACK Missouri (HMO)|00025188|0.00|590| | |MO|26910|0|N
H2041|002|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted GIVEBACK Missouri (HMO)|00025188|0.00|590| | |MO|26940|0|N
H2041|002|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted GIVEBACK Missouri (HMO)|00025188|0.00|590| | |MO|26950|0|N
H2041|002|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted GIVEBACK Missouri (HMO)|00025188|0.00|590| | |MO|26991|0|N
H2041|003|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted CORE Missouri (HMO)|00025188|0.00|590| | |MO|26060|0|N
H2041|003|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted CORE Missouri (HMO)|00025188|0.00|590| | |MO|26120|0|N
H2041|003|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted CORE Missouri (HMO)|00025188|0.00|590| | |MO|26180|0|N
H2041|003|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted CORE Missouri (HMO)|00025188|0.00|590| | |MO|26470|0|N
H2041|003|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted CORE Missouri (HMO)|00025188|0.00|590| | |MO|26530|0|N
H2041|003|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted CORE Missouri (HMO)|00025188|0.00|590| | |MO|26820|0|N
H2041|003|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted CORE Missouri (HMO)|00025188|0.00|590| | |MO|26880|0|N
H2041|004|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted GIVEBACK Missouri (HMO)|00025188|0.00|590| | |MO|26060|0|N
H2041|004|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted GIVEBACK Missouri (HMO)|00025188|0.00|590| | |MO|26120|0|N
H2041|004|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted GIVEBACK Missouri (HMO)|00025188|0.00|590| | |MO|26180|0|N
H2041|004|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted GIVEBACK Missouri (HMO)|00025188|0.00|590| | |MO|26470|0|N
H2041|004|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted GIVEBACK Missouri (HMO)|00025188|0.00|590| | |MO|26530|0|N
H2041|004|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted GIVEBACK Missouri (HMO)|00025188|0.00|590| | |MO|26820|0|N
H2041|004|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted GIVEBACK Missouri (HMO)|00025188|0.00|590| | |MO|26880|0|N
H2041|005|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted CORE Missouri (HMO)|00025188|0.00|590| | |MO|26040|0|N
H2041|005|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted CORE Missouri (HMO)|00025188|0.00|590| | |MO|26050|0|N
H2041|005|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted CORE Missouri (HMO)|00025188|0.00|590| | |MO|26190|0|N
H2041|005|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted CORE Missouri (HMO)|00025188|0.00|590| | |MO|26210|0|N
H2041|005|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted CORE Missouri (HMO)|00025188|0.00|590| | |MO|26280|0|N
H2041|005|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted CORE Missouri (HMO)|00025188|0.00|590| | |MO|26290|0|N
H2041|005|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted CORE Missouri (HMO)|00025188|0.00|590| | |MO|26380|0|N
H2041|005|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted CORE Missouri (HMO)|00025188|0.00|590| | |MO|26480|0|N
H2041|005|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted CORE Missouri (HMO)|00025188|0.00|590| | |MO|26540|0|N
H2041|005|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted CORE Missouri (HMO)|00025188|0.00|590| | |MO|26590|0|N
H2041|005|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted CORE Missouri (HMO)|00025188|0.00|590| | |MO|26720|0|N
H2041|005|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted CORE Missouri (HMO)|00025188|0.00|590| | |MO|26821|0|N
H2041|005|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted CORE Missouri (HMO)|00025188|0.00|590| | |MO|26986|0|N
H2041|005|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted CORE Missouri (HMO)|00025188|0.00|590| | |MO|26988|0|N
H2041|005|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted CORE Missouri (HMO)|00025188|0.00|590| | |MO|26990|0|N
H2041|005|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted CORE Missouri (HMO)|00025188|0.00|590| | |MO|26994|0|N
H2041|006|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted GIVEBACK Missouri (HMO)|00025188|0.00|590| | |MO|26040|0|N
H2041|006|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted GIVEBACK Missouri (HMO)|00025188|0.00|590| | |MO|26050|0|N
H2041|006|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted GIVEBACK Missouri (HMO)|00025188|0.00|590| | |MO|26190|0|N
H2041|006|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted GIVEBACK Missouri (HMO)|00025188|0.00|590| | |MO|26210|0|N
H2041|006|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted GIVEBACK Missouri (HMO)|00025188|0.00|590| | |MO|26280|0|N
H2041|006|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted GIVEBACK Missouri (HMO)|00025188|0.00|590| | |MO|26290|0|N
H2041|006|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted GIVEBACK Missouri (HMO)|00025188|0.00|590| | |MO|26380|0|N
H2041|006|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted GIVEBACK Missouri (HMO)|00025188|0.00|590| | |MO|26480|0|N
H2041|006|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted GIVEBACK Missouri (HMO)|00025188|0.00|590| | |MO|26540|0|N
H2041|006|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted GIVEBACK Missouri (HMO)|00025188|0.00|590| | |MO|26590|0|N
H2041|006|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted GIVEBACK Missouri (HMO)|00025188|0.00|590| | |MO|26720|0|N
H2041|006|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted GIVEBACK Missouri (HMO)|00025188|0.00|590| | |MO|26821|0|N
H2041|006|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted GIVEBACK Missouri (HMO)|00025188|0.00|590| | |MO|26986|0|N
H2041|006|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted GIVEBACK Missouri (HMO)|00025188|0.00|590| | |MO|26988|0|N
H2041|006|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted GIVEBACK Missouri (HMO)|00025188|0.00|590| | |MO|26990|0|N
H2041|006|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted GIVEBACK Missouri (HMO)|00025188|0.00|590| | |MO|26994|0|N
H2041|007|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL PLUS Missouri (HMO D-SNP)|00025188|42.10|590| | |MO|26040|2|N
H2041|007|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL PLUS Missouri (HMO D-SNP)|00025188|42.10|590| | |MO|26050|2|N
H2041|007|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL PLUS Missouri (HMO D-SNP)|00025188|42.10|590| | |MO|26060|2|N
H2041|007|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL PLUS Missouri (HMO D-SNP)|00025188|42.10|590| | |MO|26120|2|N
H2041|007|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL PLUS Missouri (HMO D-SNP)|00025188|42.10|590| | |MO|26180|2|N
H2041|007|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL PLUS Missouri (HMO D-SNP)|00025188|42.10|590| | |MO|26190|2|N
H2041|007|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL PLUS Missouri (HMO D-SNP)|00025188|42.10|590| | |MO|26210|2|N
H2041|007|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL PLUS Missouri (HMO D-SNP)|00025188|42.10|590| | |MO|26280|2|N
H2041|007|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL PLUS Missouri (HMO D-SNP)|00025188|42.10|590| | |MO|26290|2|N
H2041|007|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL PLUS Missouri (HMO D-SNP)|00025188|42.10|590| | |MO|26380|2|N
H2041|007|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL PLUS Missouri (HMO D-SNP)|00025188|42.10|590| | |MO|26470|2|N
H2041|007|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL PLUS Missouri (HMO D-SNP)|00025188|42.10|590| | |MO|26480|2|N
H2041|007|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL PLUS Missouri (HMO D-SNP)|00025188|42.10|590| | |MO|26490|2|N
H2041|007|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL PLUS Missouri (HMO D-SNP)|00025188|42.10|590| | |MO|26530|2|N
H2041|007|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL PLUS Missouri (HMO D-SNP)|00025188|42.10|590| | |MO|26540|2|N
H2041|007|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL PLUS Missouri (HMO D-SNP)|00025188|42.10|590| | |MO|26590|2|N
H2041|007|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL PLUS Missouri (HMO D-SNP)|00025188|42.10|590| | |MO|26690|2|N
H2041|007|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL PLUS Missouri (HMO D-SNP)|00025188|42.10|590| | |MO|26720|2|N
H2041|007|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL PLUS Missouri (HMO D-SNP)|00025188|42.10|590| | |MO|26820|2|N
H2041|007|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL PLUS Missouri (HMO D-SNP)|00025188|42.10|590| | |MO|26821|2|N
H2041|007|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL PLUS Missouri (HMO D-SNP)|00025188|42.10|590| | |MO|26880|2|N
H2041|007|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL PLUS Missouri (HMO D-SNP)|00025188|42.10|590| | |MO|26910|2|N
H2041|007|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL PLUS Missouri (HMO D-SNP)|00025188|42.10|590| | |MO|26940|2|N
H2041|007|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL PLUS Missouri (HMO D-SNP)|00025188|42.10|590| | |MO|26950|2|N
H2041|007|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL PLUS Missouri (HMO D-SNP)|00025188|42.10|590| | |MO|26986|2|N
H2041|007|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL PLUS Missouri (HMO D-SNP)|00025188|42.10|590| | |MO|26988|2|N
H2041|007|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL PLUS Missouri (HMO D-SNP)|00025188|42.10|590| | |MO|26990|2|N
H2041|007|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL PLUS Missouri (HMO D-SNP)|00025188|42.10|590| | |MO|26991|2|N
H2041|007|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL PLUS Missouri (HMO D-SNP)|00025188|42.10|590| | |MO|26994|2|N
H2041|008|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL Missouri (HMO D-SNP)|00025188|43.70|590| | |MO|26040|2|N
H2041|008|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL Missouri (HMO D-SNP)|00025188|43.70|590| | |MO|26050|2|N
H2041|008|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL Missouri (HMO D-SNP)|00025188|43.70|590| | |MO|26060|2|N
H2041|008|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL Missouri (HMO D-SNP)|00025188|43.70|590| | |MO|26120|2|N
H2041|008|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL Missouri (HMO D-SNP)|00025188|43.70|590| | |MO|26180|2|N
H2041|008|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL Missouri (HMO D-SNP)|00025188|43.70|590| | |MO|26190|2|N
H2041|008|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL Missouri (HMO D-SNP)|00025188|43.70|590| | |MO|26210|2|N
H2041|008|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL Missouri (HMO D-SNP)|00025188|43.70|590| | |MO|26280|2|N
H2041|008|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL Missouri (HMO D-SNP)|00025188|43.70|590| | |MO|26290|2|N
H2041|008|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL Missouri (HMO D-SNP)|00025188|43.70|590| | |MO|26380|2|N
H2041|008|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL Missouri (HMO D-SNP)|00025188|43.70|590| | |MO|26470|2|N
H2041|008|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL Missouri (HMO D-SNP)|00025188|43.70|590| | |MO|26480|2|N
H2041|008|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL Missouri (HMO D-SNP)|00025188|43.70|590| | |MO|26490|2|N
H2041|008|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL Missouri (HMO D-SNP)|00025188|43.70|590| | |MO|26530|2|N
H2041|008|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL Missouri (HMO D-SNP)|00025188|43.70|590| | |MO|26540|2|N
H2041|008|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL Missouri (HMO D-SNP)|00025188|43.70|590| | |MO|26590|2|N
H2041|008|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL Missouri (HMO D-SNP)|00025188|43.70|590| | |MO|26690|2|N
H2041|008|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL Missouri (HMO D-SNP)|00025188|43.70|590| | |MO|26720|2|N
H2041|008|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL Missouri (HMO D-SNP)|00025188|43.70|590| | |MO|26820|2|N
H2041|008|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL Missouri (HMO D-SNP)|00025188|43.70|590| | |MO|26821|2|N
H2041|008|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL Missouri (HMO D-SNP)|00025188|43.70|590| | |MO|26880|2|N
H2041|008|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL Missouri (HMO D-SNP)|00025188|43.70|590| | |MO|26910|2|N
H2041|008|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL Missouri (HMO D-SNP)|00025188|43.70|590| | |MO|26940|2|N
H2041|008|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL Missouri (HMO D-SNP)|00025188|43.70|590| | |MO|26950|2|N
H2041|008|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL Missouri (HMO D-SNP)|00025188|43.70|590| | |MO|26986|2|N
H2041|008|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL Missouri (HMO D-SNP)|00025188|43.70|590| | |MO|26988|2|N
H2041|008|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL Missouri (HMO D-SNP)|00025188|43.70|590| | |MO|26990|2|N
H2041|008|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL Missouri (HMO D-SNP)|00025188|43.70|590| | |MO|26991|2|N
H2041|008|000|DEVOTED HEALTH PLAN OF MISSOURI INC|Devoted DUAL Missouri (HMO D-SNP)|00025188|43.70|590| | |MO|26994|2|N
H2056|003|000|AETNA BETTER HEALTH OF MICHIGAN INC.|Aetna Medicare Elite (HMO-POS)|00025101|0.00|0| | |OR|38020|0|N
H2056|003|000|AETNA BETTER HEALTH OF MICHIGAN INC.|Aetna Medicare Elite (HMO-POS)|00025101|0.00|0| | |OR|38040|0|N
H2056|003|000|AETNA BETTER HEALTH OF MICHIGAN INC.|Aetna Medicare Elite (HMO-POS)|00025101|0.00|0| | |OR|38210|0|N
H2056|003|000|AETNA BETTER HEALTH OF MICHIGAN INC.|Aetna Medicare Elite (HMO-POS)|00025101|0.00|0| | |OR|38230|0|N
H2056|003|000|AETNA BETTER HEALTH OF MICHIGAN INC.|Aetna Medicare Elite (HMO-POS)|00025101|0.00|0| | |OR|38250|0|N
H2056|003|000|AETNA BETTER HEALTH OF MICHIGAN INC.|Aetna Medicare Elite (HMO-POS)|00025101|0.00|0| | |OR|38330|0|N
H2056|003|000|AETNA BETTER HEALTH OF MICHIGAN INC.|Aetna Medicare Elite (HMO-POS)|00025101|0.00|0| | |OR|38350|0|N
H2056|004|000|AETNA BETTER HEALTH OF MICHIGAN INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |OR|38020|0|N
H2056|004|000|AETNA BETTER HEALTH OF MICHIGAN INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |OR|38040|0|N
H2056|004|000|AETNA BETTER HEALTH OF MICHIGAN INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |OR|38210|0|N
H2056|004|000|AETNA BETTER HEALTH OF MICHIGAN INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |OR|38230|0|N
H2056|004|000|AETNA BETTER HEALTH OF MICHIGAN INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |OR|38250|0|N
H2056|004|000|AETNA BETTER HEALTH OF MICHIGAN INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |OR|38330|0|N
H2056|004|000|AETNA BETTER HEALTH OF MICHIGAN INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |OR|38350|0|N
H2056|005|000|AETNA BETTER HEALTH OF MICHIGAN INC.|Aetna Medicare Elite (HMO-POS)|00025101|0.00|0| | |OR|38140|0|N
H2056|005|000|AETNA BETTER HEALTH OF MICHIGAN INC.|Aetna Medicare Elite (HMO-POS)|00025101|0.00|0| | |OR|38160|0|N
H2096|001|000|SHARED HEALTH INSURANCE COMPANY|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |TX|45530|2|N
H2096|001|000|SHARED HEALTH INSURANCE COMPANY|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |TX|45610|2|N
H2096|001|000|SHARED HEALTH INSURANCE COMPANY|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |TX|45801|2|N
H2108|022|000|BRAVO HEALTH MID-ATLANTIC, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|0.00|0| | |MD|21010|0|N
H2108|022|000|BRAVO HEALTH MID-ATLANTIC, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|0.00|0| | |MD|21020|0|N
H2108|022|000|BRAVO HEALTH MID-ATLANTIC, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|0.00|0| | |MD|21030|0|N
H2108|022|000|BRAVO HEALTH MID-ATLANTIC, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|0.00|0| | |MD|21120|0|N
H2108|029|000|BRAVO HEALTH MID-ATLANTIC, INC.|Cigna Achieve Medicare (HMO C-SNP)|00025273|0.00|0| | |DE|08000|1|N
H2108|029|000|BRAVO HEALTH MID-ATLANTIC, INC.|Cigna Achieve Medicare (HMO C-SNP)|00025273|0.00|0| | |DE|08010|1|N
H2108|029|000|BRAVO HEALTH MID-ATLANTIC, INC.|Cigna Achieve Medicare (HMO C-SNP)|00025273|0.00|0| | |DE|08020|1|N
H2108|030|000|BRAVO HEALTH MID-ATLANTIC, INC.|Cigna Achieve Medicare (HMO C-SNP)|00025273|7.00|0| | |MD|21010|1|N
H2108|030|000|BRAVO HEALTH MID-ATLANTIC, INC.|Cigna Achieve Medicare (HMO C-SNP)|00025273|7.00|0| | |MD|21020|1|N
H2108|030|000|BRAVO HEALTH MID-ATLANTIC, INC.|Cigna Achieve Medicare (HMO C-SNP)|00025273|7.00|0| | |MD|21030|1|N
H2108|030|000|BRAVO HEALTH MID-ATLANTIC, INC.|Cigna Achieve Medicare (HMO C-SNP)|00025273|7.00|0| | |MD|21120|1|N
H2108|036|000|BRAVO HEALTH MID-ATLANTIC, INC.|Cigna Alliance Medicare (HMO)|00025271|4.00|0| | |MD|21010|0|N
H2108|036|000|BRAVO HEALTH MID-ATLANTIC, INC.|Cigna Alliance Medicare (HMO)|00025271|4.00|0| | |MD|21020|0|N
H2108|036|000|BRAVO HEALTH MID-ATLANTIC, INC.|Cigna Alliance Medicare (HMO)|00025271|4.00|0| | |MD|21030|0|N
H2108|036|000|BRAVO HEALTH MID-ATLANTIC, INC.|Cigna Alliance Medicare (HMO)|00025271|4.00|0| | |MD|21120|0|N
H2108|039|000|BRAVO HEALTH MID-ATLANTIC, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |DE|08000|2|Y
H2108|039|000|BRAVO HEALTH MID-ATLANTIC, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |DE|08010|2|Y
H2108|039|000|BRAVO HEALTH MID-ATLANTIC, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |DE|08020|2|Y
H2108|040|000|BRAVO HEALTH MID-ATLANTIC, INC.|Cigna Preferred DC Medicare (HMO)|00025271|0.00|0| | |DC|09000|0|N
H2108|041|000|BRAVO HEALTH MID-ATLANTIC, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |MD|21010|2|N
H2108|041|000|BRAVO HEALTH MID-ATLANTIC, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |MD|21020|2|N
H2108|041|000|BRAVO HEALTH MID-ATLANTIC, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |MD|21030|2|N
H2108|041|000|BRAVO HEALTH MID-ATLANTIC, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |MD|21120|2|N
H2108|042|001|BRAVO HEALTH MID-ATLANTIC, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |DE|08000|0|N
H2108|042|001|BRAVO HEALTH MID-ATLANTIC, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |DE|08010|0|N
H2108|042|001|BRAVO HEALTH MID-ATLANTIC, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |DE|08020|0|N
H2108|042|002|BRAVO HEALTH MID-ATLANTIC, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |DC|09000|0|N
H2108|043|001|BRAVO HEALTH MID-ATLANTIC, INC.|Cigna TotalCare (HMO D-SNP)|00025271|23.20|590| | |DE|08000|2|N
H2108|043|001|BRAVO HEALTH MID-ATLANTIC, INC.|Cigna TotalCare (HMO D-SNP)|00025271|23.20|590| | |DE|08010|2|N
H2108|043|001|BRAVO HEALTH MID-ATLANTIC, INC.|Cigna TotalCare (HMO D-SNP)|00025271|23.20|590| | |DE|08020|2|N
H2108|043|002|BRAVO HEALTH MID-ATLANTIC, INC.|Cigna TotalCare (HMO D-SNP)|00025271|23.20|590| | |MD|21010|2|N
H2108|043|002|BRAVO HEALTH MID-ATLANTIC, INC.|Cigna TotalCare (HMO D-SNP)|00025271|23.20|590| | |MD|21020|2|N
H2108|043|002|BRAVO HEALTH MID-ATLANTIC, INC.|Cigna TotalCare (HMO D-SNP)|00025271|23.20|590| | |MD|21030|2|N
H2108|043|002|BRAVO HEALTH MID-ATLANTIC, INC.|Cigna TotalCare (HMO D-SNP)|00025271|23.20|590| | |MD|21120|2|N
H2117|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |MI|23020|0|N
H2117|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |MI|23050|0|N
H2117|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |MI|23070|0|N
H2117|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |MI|23080|0|N
H2117|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |MI|23110|0|N
H2117|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |MI|23120|0|N
H2117|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |MI|23130|0|N
H2117|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |MI|23190|0|N
H2117|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |MI|23220|0|N
H2117|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |MI|23240|0|N
H2117|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |MI|23250|0|N
H2117|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |MI|23280|0|N
H2117|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |MI|23290|0|N
H2117|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |MI|23310|0|N
H2117|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |MI|23320|0|N
H2117|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |MI|23340|0|N
H2117|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |MI|23370|0|N
H2117|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |MI|23380|0|N
H2117|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |MI|23390|0|N
H2117|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |MI|23400|0|N
H2117|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |MI|23420|0|N
H2117|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |MI|23430|0|N
H2117|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |MI|23460|0|N
H2117|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |MI|23490|0|N
H2117|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |MI|23530|0|N
H2117|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |MI|23560|0|N
H2117|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |MI|23570|0|N
H2117|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |MI|23580|0|N
H2117|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |MI|23600|0|N
H2117|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |MI|23610|0|N
H2117|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |MI|23620|0|N
H2117|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |MI|23630|0|N
H2117|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |MI|23640|0|N
H2117|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |MI|23660|0|N
H2117|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |MI|23670|0|N
H2117|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |MI|23680|0|N
H2117|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |MI|23690|0|N
H2117|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |MI|23710|0|N
H2117|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |MI|23720|0|N
H2117|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |MI|23730|0|N
H2117|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |MI|23740|0|N
H2117|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |MI|23750|0|N
H2117|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |MI|23770|0|N
H2117|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |MI|23780|0|N
H2117|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |MI|23790|0|N
H2117|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |MI|23800|0|N
H2117|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |MI|23810|0|N
H2117|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |MI|23830|0|N
H2117|002|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|260| | |MI|23020|2|N
H2117|002|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|260| | |MI|23050|2|N
H2117|002|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|260| | |MI|23070|2|N
H2117|002|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|260| | |MI|23080|2|N
H2117|002|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|260| | |MI|23110|2|N
H2117|002|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|260| | |MI|23120|2|N
H2117|002|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|260| | |MI|23130|2|N
H2117|002|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|260| | |MI|23240|2|N
H2117|002|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|260| | |MI|23250|2|N
H2117|002|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|260| | |MI|23280|2|N
H2117|002|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|260| | |MI|23290|2|N
H2117|002|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|260| | |MI|23310|2|N
H2117|002|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|260| | |MI|23370|2|N
H2117|002|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|260| | |MI|23380|2|N
H2117|002|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|260| | |MI|23400|2|N
H2117|002|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|260| | |MI|23420|2|N
H2117|002|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|260| | |MI|23430|2|N
H2117|002|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|260| | |MI|23460|2|N
H2117|002|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|260| | |MI|23490|2|N
H2117|002|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|260| | |MI|23530|2|N
H2117|002|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|260| | |MI|23570|2|N
H2117|002|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|260| | |MI|23580|2|N
H2117|002|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|260| | |MI|23600|2|N
H2117|002|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|260| | |MI|23610|2|N
H2117|002|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|260| | |MI|23620|2|N
H2117|002|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|260| | |MI|23630|2|N
H2117|002|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|260| | |MI|23660|2|N
H2117|002|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|260| | |MI|23690|2|N
H2117|002|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|260| | |MI|23720|2|N
H2117|002|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|260| | |MI|23730|2|N
H2117|002|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|260| | |MI|23740|2|N
H2117|002|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|260| | |MI|23750|2|N
H2117|002|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|260| | |MI|23770|2|N
H2117|002|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|260| | |MI|23780|2|N
H2117|002|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|260| | |MI|23790|2|N
H2117|002|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|260| | |MI|23800|2|N
H2117|002|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|260| | |MI|23810|2|N
H2117|005|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |MI|23020|0|N
H2117|005|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |MI|23050|0|N
H2117|005|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |MI|23070|0|N
H2117|005|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |MI|23080|0|N
H2117|005|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |MI|23110|0|N
H2117|005|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |MI|23120|0|N
H2117|005|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |MI|23130|0|N
H2117|005|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |MI|23190|0|N
H2117|005|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |MI|23220|0|N
H2117|005|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |MI|23240|0|N
H2117|005|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |MI|23250|0|N
H2117|005|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |MI|23280|0|N
H2117|005|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |MI|23290|0|N
H2117|005|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |MI|23310|0|N
H2117|005|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |MI|23320|0|N
H2117|005|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |MI|23340|0|N
H2117|005|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |MI|23370|0|N
H2117|005|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |MI|23380|0|N
H2117|005|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |MI|23390|0|N
H2117|005|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |MI|23400|0|N
H2117|005|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |MI|23420|0|N
H2117|005|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |MI|23430|0|N
H2117|005|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |MI|23460|0|N
H2117|005|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |MI|23490|0|N
H2117|005|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |MI|23530|0|N
H2117|005|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |MI|23560|0|N
H2117|005|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |MI|23570|0|N
H2117|005|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |MI|23580|0|N
H2117|005|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |MI|23600|0|N
H2117|005|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |MI|23610|0|N
H2117|005|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |MI|23620|0|N
H2117|005|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |MI|23630|0|N
H2117|005|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |MI|23640|0|N
H2117|005|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |MI|23660|0|N
H2117|005|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |MI|23670|0|N
H2117|005|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |MI|23680|0|N
H2117|005|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |MI|23690|0|N
H2117|005|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |MI|23710|0|N
H2117|005|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |MI|23720|0|N
H2117|005|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |MI|23730|0|N
H2117|005|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |MI|23740|0|N
H2117|005|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |MI|23750|0|N
H2117|005|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |MI|23770|0|N
H2117|005|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |MI|23780|0|N
H2117|005|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |MI|23790|0|N
H2117|005|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |MI|23800|0|N
H2117|005|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |MI|23810|0|N
H2117|005|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |MI|23830|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39000|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39010|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39070|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39080|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39100|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39110|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39120|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39130|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39140|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39150|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39160|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39180|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39190|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39200|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39210|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39220|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39230|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39240|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39260|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39270|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39280|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39290|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39310|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39320|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39330|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39340|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39350|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39360|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39370|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39380|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39390|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39400|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39410|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39420|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39440|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39450|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39460|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39470|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39480|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39510|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39520|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39530|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39540|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39550|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39560|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39580|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39590|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39610|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39620|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39640|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39650|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39670|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39680|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39690|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39700|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39710|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39720|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39730|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39740|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39750|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39760|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39770|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39790|0|N
H2128|002|000|CELTIC INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |PA|39800|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39000|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39010|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39070|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39080|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39100|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39110|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39120|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39130|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39140|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39150|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39160|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39180|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39190|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39200|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39210|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39220|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39230|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39240|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39260|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39270|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39280|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39290|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39310|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39320|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39330|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39340|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39350|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39360|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39370|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39380|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39390|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39400|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39410|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39420|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39440|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39450|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39460|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39470|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39480|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39510|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39520|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39530|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39540|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39550|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39560|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39580|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39590|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39610|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39620|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39640|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39650|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39670|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39680|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39690|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39700|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39710|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39720|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39730|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39740|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39750|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39760|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39770|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39790|0|N
H2128|004|000|CELTIC INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |PA|39800|0|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39000|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39010|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39070|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39080|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39100|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39110|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39120|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39130|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39140|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39150|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39160|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39180|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39190|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39200|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39210|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39220|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39230|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39240|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39260|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39270|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39280|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39290|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39310|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39320|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39330|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39340|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39350|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39360|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39370|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39380|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39390|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39400|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39410|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39420|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39440|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39450|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39460|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39470|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39480|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39510|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39520|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39530|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39540|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39550|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39560|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39580|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39590|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39610|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39620|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39640|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39650|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39670|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39680|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39690|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39700|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39710|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39720|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39730|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39740|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39750|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39760|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39770|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39790|2|N
H2128|005|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |PA|39800|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39000|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39010|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39070|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39080|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39100|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39110|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39120|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39130|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39140|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39150|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39160|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39180|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39190|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39200|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39210|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39220|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39230|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39240|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39260|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39270|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39280|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39290|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39310|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39320|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39330|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39340|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39350|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39360|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39370|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39380|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39390|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39400|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39410|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39420|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39440|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39450|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39460|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39470|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39480|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39510|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39520|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39530|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39540|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39550|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39560|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39580|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39590|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39610|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39620|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39640|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39650|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39670|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39680|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39690|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39700|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39710|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39720|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39730|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39740|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39750|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39760|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39770|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39790|2|N
H2128|006|000|CELTIC INSURANCE COMPANY|Wellcare Dual Reserve Open (PPO D-SNP)|00025066|47.40|520| | |PA|39800|2|N
H2168|001|000|VILLAGE SENIOR SERVICES CORPORATION|VillageCareMAX Medicare Health Advantage Plan (HMO D-SNP)|00025251|0.00|590| | |NY|33020|2|N
H2168|001|000|VILLAGE SENIOR SERVICES CORPORATION|VillageCareMAX Medicare Health Advantage Plan (HMO D-SNP)|00025251|0.00|590| | |NY|33331|2|N
H2168|001|000|VILLAGE SENIOR SERVICES CORPORATION|VillageCareMAX Medicare Health Advantage Plan (HMO D-SNP)|00025251|0.00|590| | |NY|33420|2|N
H2168|001|000|VILLAGE SENIOR SERVICES CORPORATION|VillageCareMAX Medicare Health Advantage Plan (HMO D-SNP)|00025251|0.00|590| | |NY|33580|2|N
H2168|001|000|VILLAGE SENIOR SERVICES CORPORATION|VillageCareMAX Medicare Health Advantage Plan (HMO D-SNP)|00025251|0.00|590| | |NY|33590|2|N
H2168|001|000|VILLAGE SENIOR SERVICES CORPORATION|VillageCareMAX Medicare Health Advantage Plan (HMO D-SNP)|00025251|0.00|590| | |NY|33610|2|N
H2168|001|000|VILLAGE SENIOR SERVICES CORPORATION|VillageCareMAX Medicare Health Advantage Plan (HMO D-SNP)|00025251|0.00|590| | |NY|33800|2|N
H2168|002|000|VILLAGE SENIOR SERVICES CORPORATION|VillageCareMAX Medicare Total Advantage Plan (HMO D-SNP)|00025251|0.00|590| | |NY|33020|2|N
H2168|002|000|VILLAGE SENIOR SERVICES CORPORATION|VillageCareMAX Medicare Total Advantage Plan (HMO D-SNP)|00025251|0.00|590| | |NY|33331|2|N
H2168|002|000|VILLAGE SENIOR SERVICES CORPORATION|VillageCareMAX Medicare Total Advantage Plan (HMO D-SNP)|00025251|0.00|590| | |NY|33400|2|N
H2168|002|000|VILLAGE SENIOR SERVICES CORPORATION|VillageCareMAX Medicare Total Advantage Plan (HMO D-SNP)|00025251|0.00|590| | |NY|33420|2|N
H2168|002|000|VILLAGE SENIOR SERVICES CORPORATION|VillageCareMAX Medicare Total Advantage Plan (HMO D-SNP)|00025251|0.00|590| | |NY|33580|2|N
H2168|002|000|VILLAGE SENIOR SERVICES CORPORATION|VillageCareMAX Medicare Total Advantage Plan (HMO D-SNP)|00025251|0.00|590| | |NY|33590|2|N
H2168|002|000|VILLAGE SENIOR SERVICES CORPORATION|VillageCareMAX Medicare Total Advantage Plan (HMO D-SNP)|00025251|0.00|590| | |NY|33610|2|N
H2168|002|000|VILLAGE SENIOR SERVICES CORPORATION|VillageCareMAX Medicare Total Advantage Plan (HMO D-SNP)|00025251|0.00|590| | |NY|33800|2|N
H2168|003|000|VILLAGE SENIOR SERVICES CORPORATION|VillageCareMAX Medicare Health Advantage FLEX Plan (HMO D-SNP)|00025251|0.00|590| | |NY|33020|2|N
H2168|003|000|VILLAGE SENIOR SERVICES CORPORATION|VillageCareMAX Medicare Health Advantage FLEX Plan (HMO D-SNP)|00025251|0.00|590| | |NY|33331|2|N
H2168|003|000|VILLAGE SENIOR SERVICES CORPORATION|VillageCareMAX Medicare Health Advantage FLEX Plan (HMO D-SNP)|00025251|0.00|590| | |NY|33420|2|N
H2168|003|000|VILLAGE SENIOR SERVICES CORPORATION|VillageCareMAX Medicare Health Advantage FLEX Plan (HMO D-SNP)|00025251|0.00|590| | |NY|33580|2|N
H2168|003|000|VILLAGE SENIOR SERVICES CORPORATION|VillageCareMAX Medicare Health Advantage FLEX Plan (HMO D-SNP)|00025251|0.00|590| | |NY|33590|2|N
H2168|003|000|VILLAGE SENIOR SERVICES CORPORATION|VillageCareMAX Medicare Health Advantage FLEX Plan (HMO D-SNP)|00025251|0.00|590| | |NY|33610|2|N
H2168|003|000|VILLAGE SENIOR SERVICES CORPORATION|VillageCareMAX Medicare Health Advantage FLEX Plan (HMO D-SNP)|00025251|0.00|590| | |NY|33800|2|N
H2168|004|000|VILLAGE SENIOR SERVICES CORPORATION|VillageCareMAX Medicare Select Advantage Plan (HMO)|00025251|72.30|590| | |NY|33020|0|N
H2168|004|000|VILLAGE SENIOR SERVICES CORPORATION|VillageCareMAX Medicare Select Advantage Plan (HMO)|00025251|72.30|590| | |NY|33331|0|N
H2168|004|000|VILLAGE SENIOR SERVICES CORPORATION|VillageCareMAX Medicare Select Advantage Plan (HMO)|00025251|72.30|590| | |NY|33400|0|N
H2168|004|000|VILLAGE SENIOR SERVICES CORPORATION|VillageCareMAX Medicare Select Advantage Plan (HMO)|00025251|72.30|590| | |NY|33420|0|N
H2168|004|000|VILLAGE SENIOR SERVICES CORPORATION|VillageCareMAX Medicare Select Advantage Plan (HMO)|00025251|72.30|590| | |NY|33580|0|N
H2168|004|000|VILLAGE SENIOR SERVICES CORPORATION|VillageCareMAX Medicare Select Advantage Plan (HMO)|00025251|72.30|590| | |NY|33590|0|N
H2168|004|000|VILLAGE SENIOR SERVICES CORPORATION|VillageCareMAX Medicare Select Advantage Plan (HMO)|00025251|72.30|590| | |NY|33610|0|N
H2168|004|000|VILLAGE SENIOR SERVICES CORPORATION|VillageCareMAX Medicare Select Advantage Plan (HMO)|00025251|72.30|590| | |NY|33800|0|N
H2172|001|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage High DC (HMO-POS)|00025415|19.80|0| | |DC|09000|0|N
H2172|002|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage High MD (HMO-POS)|00025415|20.20|0| | |MD|21010|0|N
H2172|002|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage High MD (HMO-POS)|00025415|20.20|0| | |MD|21020|0|N
H2172|002|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage High MD (HMO-POS)|00025415|20.20|0| | |MD|21030|0|N
H2172|002|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage High MD (HMO-POS)|00025415|20.20|0| | |MD|21040|0|N
H2172|002|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage High MD (HMO-POS)|00025415|20.20|0| | |MD|21060|0|N
H2172|002|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage High MD (HMO-POS)|00025415|20.20|0| | |MD|21080|0|N
H2172|002|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage High MD (HMO-POS)|00025415|20.20|0| | |MD|21100|0|N
H2172|002|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage High MD (HMO-POS)|00025415|20.20|0| | |MD|21120|0|N
H2172|002|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage High MD (HMO-POS)|00025415|20.20|0| | |MD|21130|0|N
H2172|002|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage High MD (HMO-POS)|00025415|20.20|0| | |MD|21150|0|N
H2172|002|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage High MD (HMO-POS)|00025415|20.20|0| | |MD|21160|0|N
H2172|003|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Standard DC (HMO-POS)|00025415|0.00|0| | |DC|09000|0|N
H2172|004|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Standard MD (HMO-POS)|00025415|0.00|0| | |MD|21010|0|N
H2172|004|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Standard MD (HMO-POS)|00025415|0.00|0| | |MD|21020|0|N
H2172|004|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Standard MD (HMO-POS)|00025415|0.00|0| | |MD|21030|0|N
H2172|004|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Standard MD (HMO-POS)|00025415|0.00|0| | |MD|21040|0|N
H2172|004|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Standard MD (HMO-POS)|00025415|0.00|0| | |MD|21060|0|N
H2172|004|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Standard MD (HMO-POS)|00025415|0.00|0| | |MD|21080|0|N
H2172|004|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Standard MD (HMO-POS)|00025415|0.00|0| | |MD|21100|0|N
H2172|004|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Standard MD (HMO-POS)|00025415|0.00|0| | |MD|21120|0|N
H2172|004|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Standard MD (HMO-POS)|00025415|0.00|0| | |MD|21130|0|N
H2172|004|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Standard MD (HMO-POS)|00025415|0.00|0| | |MD|21150|0|N
H2172|004|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Standard MD (HMO-POS)|00025415|0.00|0| | |MD|21160|0|N
H2172|006|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Value Balt (HMO)|00025415|0.00|0| | |MD|21020|0|N
H2172|006|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Value Balt (HMO)|00025415|0.00|0| | |MD|21030|0|N
H2172|008|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage High VA (HMO-POS)|00025415|53.20|0| | |VA|49011|0|N
H2172|008|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage High VA (HMO-POS)|00025415|53.20|0| | |VA|49060|0|N
H2172|008|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage High VA (HMO-POS)|00025415|53.20|0| | |VA|49288|0|N
H2172|008|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage High VA (HMO-POS)|00025415|53.20|0| | |VA|49290|0|N
H2172|008|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage High VA (HMO-POS)|00025415|53.20|0| | |VA|49291|0|N
H2172|008|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage High VA (HMO-POS)|00025415|53.20|0| | |VA|49342|0|N
H2172|008|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage High VA (HMO-POS)|00025415|53.20|0| | |VA|49530|0|N
H2172|008|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage High VA (HMO-POS)|00025415|53.20|0| | |VA|49563|0|N
H2172|008|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage High VA (HMO-POS)|00025415|53.20|0| | |VA|49565|0|N
H2172|008|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage High VA (HMO-POS)|00025415|53.20|0| | |VA|49750|0|N
H2172|008|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage High VA (HMO-POS)|00025415|53.20|0| | |VA|49880|0|N
H2172|008|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage High VA (HMO-POS)|00025415|53.20|0| | |VA|49890|0|N
H2172|009|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Standard VA (HMO-POS)|00025415|14.50|0| | |VA|49011|0|N
H2172|009|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Standard VA (HMO-POS)|00025415|14.50|0| | |VA|49060|0|N
H2172|009|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Standard VA (HMO-POS)|00025415|14.50|0| | |VA|49288|0|N
H2172|009|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Standard VA (HMO-POS)|00025415|14.50|0| | |VA|49290|0|N
H2172|009|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Standard VA (HMO-POS)|00025415|14.50|0| | |VA|49291|0|N
H2172|009|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Standard VA (HMO-POS)|00025415|14.50|0| | |VA|49342|0|N
H2172|009|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Standard VA (HMO-POS)|00025415|14.50|0| | |VA|49530|0|N
H2172|009|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Standard VA (HMO-POS)|00025415|14.50|0| | |VA|49563|0|N
H2172|009|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Standard VA (HMO-POS)|00025415|14.50|0| | |VA|49565|0|N
H2172|009|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Standard VA (HMO-POS)|00025415|14.50|0| | |VA|49750|0|N
H2172|009|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Standard VA (HMO-POS)|00025415|14.50|0| | |VA|49880|0|N
H2172|009|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Standard VA (HMO-POS)|00025415|14.50|0| | |VA|49890|0|N
H2172|010|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Value VA (HMO-POS)|00025415|0.00|0| | |VA|49011|0|N
H2172|010|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Value VA (HMO-POS)|00025415|0.00|0| | |VA|49060|0|N
H2172|010|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Value VA (HMO-POS)|00025415|0.00|0| | |VA|49288|0|N
H2172|010|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Value VA (HMO-POS)|00025415|0.00|0| | |VA|49290|0|N
H2172|010|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Value VA (HMO-POS)|00025415|0.00|0| | |VA|49291|0|N
H2172|010|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Value VA (HMO-POS)|00025415|0.00|0| | |VA|49342|0|N
H2172|010|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Value VA (HMO-POS)|00025415|0.00|0| | |VA|49530|0|N
H2172|010|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Value VA (HMO-POS)|00025415|0.00|0| | |VA|49563|0|N
H2172|010|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Value VA (HMO-POS)|00025415|0.00|0| | |VA|49565|0|N
H2172|010|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Value VA (HMO-POS)|00025415|0.00|0| | |VA|49750|0|N
H2172|010|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Value VA (HMO-POS)|00025415|0.00|0| | |VA|49880|0|N
H2172|010|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Value VA (HMO-POS)|00025415|0.00|0| | |VA|49890|0|N
H2172|011|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Value MD (HMO)|00025415|0.00|0| | |MD|21010|0|N
H2172|011|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Value MD (HMO)|00025415|0.00|0| | |MD|21040|0|N
H2172|011|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Value MD (HMO)|00025415|0.00|0| | |MD|21060|0|N
H2172|011|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Value MD (HMO)|00025415|0.00|0| | |MD|21080|0|N
H2172|011|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Value MD (HMO)|00025415|0.00|0| | |MD|21100|0|N
H2172|011|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Value MD (HMO)|00025415|0.00|0| | |MD|21120|0|N
H2172|011|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Value MD (HMO)|00025415|0.00|0| | |MD|21130|0|N
H2172|011|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Value MD (HMO)|00025415|0.00|0| | |MD|21150|0|N
H2172|011|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Value MD (HMO)|00025415|0.00|0| | |MD|21160|0|N
H2172|012|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Value DC (HMO-POS)|00025415|0.00|0| | |DC|09000|0|N
H2172|013|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Care Plus VA (HMO-POS)|00025415|18.40|0| | |VA|49011|0|N
H2172|013|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Care Plus VA (HMO-POS)|00025415|18.40|0| | |VA|49060|0|N
H2172|013|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Care Plus VA (HMO-POS)|00025415|18.40|0| | |VA|49288|0|N
H2172|013|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Care Plus VA (HMO-POS)|00025415|18.40|0| | |VA|49290|0|N
H2172|013|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Care Plus VA (HMO-POS)|00025415|18.40|0| | |VA|49291|0|N
H2172|013|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Care Plus VA (HMO-POS)|00025415|18.40|0| | |VA|49530|0|N
H2172|013|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Care Plus VA (HMO-POS)|00025415|18.40|0| | |VA|49563|0|N
H2172|013|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Care Plus VA (HMO-POS)|00025415|18.40|0| | |VA|49565|0|N
H2172|013|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Care Plus VA (HMO-POS)|00025415|18.40|0| | |VA|49750|0|N
H2172|014|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Care Plus MD (HMO-POS)|00025415|0.00|150| | |MD|21130|0|N
H2172|014|000|KAISER FDTN HLTH PLAN OF THE MID-ATLANTIC STATES|Kaiser Permanente Medicare Advantage Care Plus MD (HMO-POS)|00025415|0.00|150| | |MD|21150|0|N
H2174|001|000|TRILLIUM COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Select (HMO-POS D-SNP)|00025040|21.70|590| | |OR|38190|2|N
H2174|012|000|TRILLIUM COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|26.20|590| | |OR|38190|2|N
H2174|013|000|TRILLIUM COMMUNITY HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |OR|38190|2|N
H2185|001|000|LIFEWORKS ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025031|30.70|590| | |VA|49010|3|N
H2185|001|000|LIFEWORKS ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025031|30.70|590| | |VA|49020|3|N
H2185|001|000|LIFEWORKS ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025031|30.70|590| | |VA|49030|3|N
H2185|001|000|LIFEWORKS ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025031|30.70|590| | |VA|49050|3|N
H2185|001|000|LIFEWORKS ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025031|30.70|590| | |VA|49060|3|N
H2185|001|000|LIFEWORKS ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025031|30.70|590| | |VA|49110|3|N
H2185|001|000|LIFEWORKS ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025031|30.70|590| | |VA|49141|3|N
H2185|001|000|LIFEWORKS ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025031|30.70|590| | |VA|49160|3|N
H2185|001|000|LIFEWORKS ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025031|30.70|590| | |VA|49194|3|N
H2185|001|000|LIFEWORKS ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025031|30.70|590| | |VA|49200|3|N
H2185|001|000|LIFEWORKS ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025031|30.70|590| | |VA|49212|3|N
H2185|001|000|LIFEWORKS ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025031|30.70|590| | |VA|49230|3|N
H2185|001|000|LIFEWORKS ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025031|30.70|590| | |VA|49241|3|N
H2185|001|000|LIFEWORKS ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025031|30.70|590| | |VA|49260|3|N
H2185|001|000|LIFEWORKS ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025031|30.70|590| | |VA|49270|3|N
H2185|001|000|LIFEWORKS ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025031|30.70|590| | |VA|49280|3|N
H2185|001|000|LIFEWORKS ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025031|30.70|590| | |VA|49330|3|N
H2185|001|000|LIFEWORKS ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025031|30.70|590| | |VA|49370|3|N
H2185|001|000|LIFEWORKS ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025031|30.70|590| | |VA|49420|3|N
H2185|001|000|LIFEWORKS ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025031|30.70|590| | |VA|49430|3|N
H2185|001|000|LIFEWORKS ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025031|30.70|590| | |VA|49451|3|N
H2185|001|000|LIFEWORKS ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025031|30.70|590| | |VA|49522|3|N
H2185|001|000|LIFEWORKS ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025031|30.70|590| | |VA|49540|3|N
H2185|001|000|LIFEWORKS ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025031|30.70|590| | |VA|49600|3|N
H2185|001|000|LIFEWORKS ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025031|30.70|590| | |VA|49670|3|N
H2185|001|000|LIFEWORKS ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025031|30.70|590| | |VA|49680|3|N
H2185|001|000|LIFEWORKS ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025031|30.70|590| | |VA|49700|3|N
H2185|001|000|LIFEWORKS ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025031|30.70|590| | |VA|49710|3|N
H2185|001|000|LIFEWORKS ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025031|30.70|590| | |VA|49712|3|N
H2185|001|000|LIFEWORKS ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025031|30.70|590| | |VA|49770|3|N
H2185|001|000|LIFEWORKS ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025031|30.70|590| | |VA|49791|3|N
H2185|001|000|LIFEWORKS ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025031|30.70|590| | |VA|49800|3|N
H2185|001|000|LIFEWORKS ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025031|30.70|590| | |VA|49801|3|N
H2185|001|000|LIFEWORKS ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025031|30.70|590| | |VA|49810|3|N
H2185|001|000|LIFEWORKS ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025031|30.70|590| | |VA|49838|3|N
H2185|003|000|LIFEWORKS ADVANTAGE, LLC|Elite Care (HMO-POS I-SNP)|00025042|0.00|0| | |VA|49010|3|N
H2185|003|000|LIFEWORKS ADVANTAGE, LLC|Elite Care (HMO-POS I-SNP)|00025042|0.00|0| | |VA|49020|3|N
H2185|003|000|LIFEWORKS ADVANTAGE, LLC|Elite Care (HMO-POS I-SNP)|00025042|0.00|0| | |VA|49030|3|N
H2185|003|000|LIFEWORKS ADVANTAGE, LLC|Elite Care (HMO-POS I-SNP)|00025042|0.00|0| | |VA|49050|3|N
H2185|003|000|LIFEWORKS ADVANTAGE, LLC|Elite Care (HMO-POS I-SNP)|00025042|0.00|0| | |VA|49060|3|N
H2185|003|000|LIFEWORKS ADVANTAGE, LLC|Elite Care (HMO-POS I-SNP)|00025042|0.00|0| | |VA|49110|3|N
H2185|003|000|LIFEWORKS ADVANTAGE, LLC|Elite Care (HMO-POS I-SNP)|00025042|0.00|0| | |VA|49141|3|N
H2185|003|000|LIFEWORKS ADVANTAGE, LLC|Elite Care (HMO-POS I-SNP)|00025042|0.00|0| | |VA|49160|3|N
H2185|003|000|LIFEWORKS ADVANTAGE, LLC|Elite Care (HMO-POS I-SNP)|00025042|0.00|0| | |VA|49194|3|N
H2185|003|000|LIFEWORKS ADVANTAGE, LLC|Elite Care (HMO-POS I-SNP)|00025042|0.00|0| | |VA|49200|3|N
H2185|003|000|LIFEWORKS ADVANTAGE, LLC|Elite Care (HMO-POS I-SNP)|00025042|0.00|0| | |VA|49212|3|N
H2185|003|000|LIFEWORKS ADVANTAGE, LLC|Elite Care (HMO-POS I-SNP)|00025042|0.00|0| | |VA|49230|3|N
H2185|003|000|LIFEWORKS ADVANTAGE, LLC|Elite Care (HMO-POS I-SNP)|00025042|0.00|0| | |VA|49241|3|N
H2185|003|000|LIFEWORKS ADVANTAGE, LLC|Elite Care (HMO-POS I-SNP)|00025042|0.00|0| | |VA|49260|3|N
H2185|003|000|LIFEWORKS ADVANTAGE, LLC|Elite Care (HMO-POS I-SNP)|00025042|0.00|0| | |VA|49270|3|N
H2185|003|000|LIFEWORKS ADVANTAGE, LLC|Elite Care (HMO-POS I-SNP)|00025042|0.00|0| | |VA|49280|3|N
H2185|003|000|LIFEWORKS ADVANTAGE, LLC|Elite Care (HMO-POS I-SNP)|00025042|0.00|0| | |VA|49330|3|N
H2185|003|000|LIFEWORKS ADVANTAGE, LLC|Elite Care (HMO-POS I-SNP)|00025042|0.00|0| | |VA|49370|3|N
H2185|003|000|LIFEWORKS ADVANTAGE, LLC|Elite Care (HMO-POS I-SNP)|00025042|0.00|0| | |VA|49420|3|N
H2185|003|000|LIFEWORKS ADVANTAGE, LLC|Elite Care (HMO-POS I-SNP)|00025042|0.00|0| | |VA|49430|3|N
H2185|003|000|LIFEWORKS ADVANTAGE, LLC|Elite Care (HMO-POS I-SNP)|00025042|0.00|0| | |VA|49451|3|N
H2185|003|000|LIFEWORKS ADVANTAGE, LLC|Elite Care (HMO-POS I-SNP)|00025042|0.00|0| | |VA|49522|3|N
H2185|003|000|LIFEWORKS ADVANTAGE, LLC|Elite Care (HMO-POS I-SNP)|00025042|0.00|0| | |VA|49540|3|N
H2185|003|000|LIFEWORKS ADVANTAGE, LLC|Elite Care (HMO-POS I-SNP)|00025042|0.00|0| | |VA|49600|3|N
H2185|003|000|LIFEWORKS ADVANTAGE, LLC|Elite Care (HMO-POS I-SNP)|00025042|0.00|0| | |VA|49670|3|N
H2185|003|000|LIFEWORKS ADVANTAGE, LLC|Elite Care (HMO-POS I-SNP)|00025042|0.00|0| | |VA|49680|3|N
H2185|003|000|LIFEWORKS ADVANTAGE, LLC|Elite Care (HMO-POS I-SNP)|00025042|0.00|0| | |VA|49700|3|N
H2185|003|000|LIFEWORKS ADVANTAGE, LLC|Elite Care (HMO-POS I-SNP)|00025042|0.00|0| | |VA|49710|3|N
H2185|003|000|LIFEWORKS ADVANTAGE, LLC|Elite Care (HMO-POS I-SNP)|00025042|0.00|0| | |VA|49712|3|N
H2185|003|000|LIFEWORKS ADVANTAGE, LLC|Elite Care (HMO-POS I-SNP)|00025042|0.00|0| | |VA|49770|3|N
H2185|003|000|LIFEWORKS ADVANTAGE, LLC|Elite Care (HMO-POS I-SNP)|00025042|0.00|0| | |VA|49791|3|N
H2185|003|000|LIFEWORKS ADVANTAGE, LLC|Elite Care (HMO-POS I-SNP)|00025042|0.00|0| | |VA|49800|3|N
H2185|003|000|LIFEWORKS ADVANTAGE, LLC|Elite Care (HMO-POS I-SNP)|00025042|0.00|0| | |VA|49801|3|N
H2185|003|000|LIFEWORKS ADVANTAGE, LLC|Elite Care (HMO-POS I-SNP)|00025042|0.00|0| | |VA|49810|3|N
H2185|003|000|LIFEWORKS ADVANTAGE, LLC|Elite Care (HMO-POS I-SNP)|00025042|0.00|0| | |VA|49838|3|N
H2224|001|000|SENIOR WHOLE HEALTH, LLC|Senior Whole Health (HMO D-SNP)|00025316|0.00|590| | |MA|22020|2|N
H2224|001|000|SENIOR WHOLE HEALTH, LLC|Senior Whole Health (HMO D-SNP)|00025316|0.00|590| | |MA|22040|2|N
H2224|001|000|SENIOR WHOLE HEALTH, LLC|Senior Whole Health (HMO D-SNP)|00025316|0.00|590| | |MA|22070|2|N
H2224|001|000|SENIOR WHOLE HEALTH, LLC|Senior Whole Health (HMO D-SNP)|00025316|0.00|590| | |MA|22090|2|N
H2224|001|000|SENIOR WHOLE HEALTH, LLC|Senior Whole Health (HMO D-SNP)|00025316|0.00|590| | |MA|22130|2|N
H2224|001|000|SENIOR WHOLE HEALTH, LLC|Senior Whole Health (HMO D-SNP)|00025316|0.00|590| | |MA|22150|2|N
H2224|001|000|SENIOR WHOLE HEALTH, LLC|Senior Whole Health (HMO D-SNP)|00025316|0.00|590| | |MA|22160|2|N
H2224|001|000|SENIOR WHOLE HEALTH, LLC|Senior Whole Health (HMO D-SNP)|00025316|0.00|590| | |MA|22170|2|N
H2224|003|000|SENIOR WHOLE HEALTH, LLC|Senior Whole Health NHC (HMO D-SNP)|00025316|0.00|590| | |MA|22020|2|N
H2224|003|000|SENIOR WHOLE HEALTH, LLC|Senior Whole Health NHC (HMO D-SNP)|00025316|0.00|590| | |MA|22040|2|N
H2224|003|000|SENIOR WHOLE HEALTH, LLC|Senior Whole Health NHC (HMO D-SNP)|00025316|0.00|590| | |MA|22070|2|N
H2224|003|000|SENIOR WHOLE HEALTH, LLC|Senior Whole Health NHC (HMO D-SNP)|00025316|0.00|590| | |MA|22090|2|N
H2224|003|000|SENIOR WHOLE HEALTH, LLC|Senior Whole Health NHC (HMO D-SNP)|00025316|0.00|590| | |MA|22130|2|N
H2224|003|000|SENIOR WHOLE HEALTH, LLC|Senior Whole Health NHC (HMO D-SNP)|00025316|0.00|590| | |MA|22150|2|N
H2224|003|000|SENIOR WHOLE HEALTH, LLC|Senior Whole Health NHC (HMO D-SNP)|00025316|0.00|590| | |MA|22160|2|N
H2224|003|000|SENIOR WHOLE HEALTH, LLC|Senior Whole Health NHC (HMO D-SNP)|00025316|0.00|590| | |MA|22170|2|N
H2225|001|000|COMMONWEALTH CARE ALLIANCE, INC.|CCA Senior Care Options (HMO D-SNP)|00025477|0.00|590| | |MA|22020|2|N
H2225|001|000|COMMONWEALTH CARE ALLIANCE, INC.|CCA Senior Care Options (HMO D-SNP)|00025477|0.00|590| | |MA|22040|2|N
H2225|001|000|COMMONWEALTH CARE ALLIANCE, INC.|CCA Senior Care Options (HMO D-SNP)|00025477|0.00|590| | |MA|22060|2|N
H2225|001|000|COMMONWEALTH CARE ALLIANCE, INC.|CCA Senior Care Options (HMO D-SNP)|00025477|0.00|590| | |MA|22070|2|N
H2225|001|000|COMMONWEALTH CARE ALLIANCE, INC.|CCA Senior Care Options (HMO D-SNP)|00025477|0.00|590| | |MA|22080|2|N
H2225|001|000|COMMONWEALTH CARE ALLIANCE, INC.|CCA Senior Care Options (HMO D-SNP)|00025477|0.00|590| | |MA|22090|2|N
H2225|001|000|COMMONWEALTH CARE ALLIANCE, INC.|CCA Senior Care Options (HMO D-SNP)|00025477|0.00|590| | |MA|22130|2|N
H2225|001|000|COMMONWEALTH CARE ALLIANCE, INC.|CCA Senior Care Options (HMO D-SNP)|00025477|0.00|590| | |MA|22150|2|N
H2225|001|000|COMMONWEALTH CARE ALLIANCE, INC.|CCA Senior Care Options (HMO D-SNP)|00025477|0.00|590| | |MA|22160|2|N
H2225|001|000|COMMONWEALTH CARE ALLIANCE, INC.|CCA Senior Care Options (HMO D-SNP)|00025477|0.00|590| | |MA|22170|2|N
H2226|001|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Senior Care Options MA-Y001 (HMO D-SNP)|00025002|0.00|590| | |MA|22020|2|N
H2226|001|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Senior Care Options MA-Y001 (HMO D-SNP)|00025002|0.00|590| | |MA|22040|2|N
H2226|001|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Senior Care Options MA-Y001 (HMO D-SNP)|00025002|0.00|590| | |MA|22060|2|N
H2226|001|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Senior Care Options MA-Y001 (HMO D-SNP)|00025002|0.00|590| | |MA|22070|2|N
H2226|001|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Senior Care Options MA-Y001 (HMO D-SNP)|00025002|0.00|590| | |MA|22080|2|N
H2226|001|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Senior Care Options MA-Y001 (HMO D-SNP)|00025002|0.00|590| | |MA|22090|2|N
H2226|001|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Senior Care Options MA-Y001 (HMO D-SNP)|00025002|0.00|590| | |MA|22130|2|N
H2226|001|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Senior Care Options MA-Y001 (HMO D-SNP)|00025002|0.00|590| | |MA|22150|2|N
H2226|001|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Senior Care Options MA-Y001 (HMO D-SNP)|00025002|0.00|590| | |MA|22160|2|N
H2226|001|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Senior Care Options MA-Y001 (HMO D-SNP)|00025002|0.00|590| | |MA|22170|2|N
H2226|003|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Senior Care Options NHC MA-Y002 (HMO D-SNP)|00025002|0.00|590| | |MA|22020|2|N
H2226|003|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Senior Care Options NHC MA-Y002 (HMO D-SNP)|00025002|0.00|590| | |MA|22040|2|N
H2226|003|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Senior Care Options NHC MA-Y002 (HMO D-SNP)|00025002|0.00|590| | |MA|22060|2|N
H2226|003|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Senior Care Options NHC MA-Y002 (HMO D-SNP)|00025002|0.00|590| | |MA|22070|2|N
H2226|003|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Senior Care Options NHC MA-Y002 (HMO D-SNP)|00025002|0.00|590| | |MA|22080|2|N
H2226|003|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Senior Care Options NHC MA-Y002 (HMO D-SNP)|00025002|0.00|590| | |MA|22090|2|N
H2226|003|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Senior Care Options NHC MA-Y002 (HMO D-SNP)|00025002|0.00|590| | |MA|22130|2|N
H2226|003|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Senior Care Options NHC MA-Y002 (HMO D-SNP)|00025002|0.00|590| | |MA|22150|2|N
H2226|003|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Senior Care Options NHC MA-Y002 (HMO D-SNP)|00025002|0.00|590| | |MA|22160|2|N
H2226|003|000|UNITEDHEALTHCARE INSURANCE COMPANY|UHC Senior Care Options NHC MA-Y002 (HMO D-SNP)|00025002|0.00|590| | |MA|22170|2|N
H2230|002|000|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare PPO Blue PlusRx (PPO)|00025146|70.60|200| | |MA|22000|0|N
H2230|002|000|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare PPO Blue PlusRx (PPO)|00025146|70.60|200| | |MA|22020|0|N
H2230|002|000|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare PPO Blue PlusRx (PPO)|00025146|70.60|200| | |MA|22040|0|N
H2230|002|000|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare PPO Blue PlusRx (PPO)|00025146|70.60|200| | |MA|22060|0|N
H2230|002|000|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare PPO Blue PlusRx (PPO)|00025146|70.60|200| | |MA|22070|0|N
H2230|002|000|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare PPO Blue PlusRx (PPO)|00025146|70.60|200| | |MA|22080|0|N
H2230|002|000|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare PPO Blue PlusRx (PPO)|00025146|70.60|200| | |MA|22090|0|N
H2230|002|000|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare PPO Blue PlusRx (PPO)|00025146|70.60|200| | |MA|22130|0|N
H2230|002|000|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare PPO Blue PlusRx (PPO)|00025146|70.60|200| | |MA|22150|0|N
H2230|002|000|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare PPO Blue PlusRx (PPO)|00025146|70.60|200| | |MA|22160|0|N
H2230|002|000|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare PPO Blue PlusRx (PPO)|00025146|70.60|200| | |MA|22170|0|N
H2230|017|000|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare PPO Blue SaverRx (PPO)|00025146|0.00|0| | |MA|22000|0|N
H2230|017|000|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare PPO Blue SaverRx (PPO)|00025146|0.00|0| | |MA|22020|0|N
H2230|017|000|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare PPO Blue SaverRx (PPO)|00025146|0.00|0| | |MA|22040|0|N
H2230|017|000|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare PPO Blue SaverRx (PPO)|00025146|0.00|0| | |MA|22060|0|N
H2230|017|000|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare PPO Blue SaverRx (PPO)|00025146|0.00|0| | |MA|22070|0|N
H2230|017|000|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare PPO Blue SaverRx (PPO)|00025146|0.00|0| | |MA|22080|0|N
H2230|017|000|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare PPO Blue SaverRx (PPO)|00025146|0.00|0| | |MA|22090|0|N
H2230|017|000|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare PPO Blue SaverRx (PPO)|00025146|0.00|0| | |MA|22130|0|N
H2230|017|000|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare PPO Blue SaverRx (PPO)|00025146|0.00|0| | |MA|22150|0|N
H2230|017|000|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare PPO Blue SaverRx (PPO)|00025146|0.00|0| | |MA|22160|0|N
H2230|017|000|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare PPO Blue SaverRx (PPO)|00025146|0.00|0| | |MA|22170|0|N
H2230|018|001|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare PPO Blue ValueRx (PPO)|00025146|0.00|0| | |MA|22000|0|N
H2230|018|001|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare PPO Blue ValueRx (PPO)|00025146|0.00|0| | |MA|22020|0|N
H2230|018|001|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare PPO Blue ValueRx (PPO)|00025146|0.00|0| | |MA|22040|0|N
H2230|018|001|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare PPO Blue ValueRx (PPO)|00025146|0.00|0| | |MA|22060|0|N
H2230|018|001|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare PPO Blue ValueRx (PPO)|00025146|0.00|0| | |MA|22070|0|N
H2230|018|001|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare PPO Blue ValueRx (PPO)|00025146|0.00|0| | |MA|22080|0|N
H2230|018|001|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare PPO Blue ValueRx (PPO)|00025146|0.00|0| | |MA|22090|0|N
H2230|018|001|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare PPO Blue ValueRx (PPO)|00025146|0.00|0| | |MA|22130|0|N
H2230|018|001|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare PPO Blue ValueRx (PPO)|00025146|0.00|0| | |MA|22150|0|N
H2230|018|001|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare PPO Blue ValueRx (PPO)|00025146|0.00|0| | |MA|22160|0|N
H2230|018|002|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare PPO Blue ValueRx (PPO)|00025146|0.00|0| | |MA|22170|0|N
H2235|001|000|BAYCARE SELECT HEALTH PLANS, INC.|BayCarePlus Complete (HMO)|00025198|0.00|0| | |FL|10280|0|N
H2235|001|000|BAYCARE SELECT HEALTH PLANS, INC.|BayCarePlus Complete (HMO)|00025198|0.00|0| | |FL|10500|0|N
H2235|001|000|BAYCARE SELECT HEALTH PLANS, INC.|BayCarePlus Complete (HMO)|00025198|0.00|0| | |FL|10510|0|N
H2235|001|000|BAYCARE SELECT HEALTH PLANS, INC.|BayCarePlus Complete (HMO)|00025198|0.00|0| | |FL|10520|0|N
H2235|002|000|BAYCARE SELECT HEALTH PLANS, INC.|BayCarePlus Rewards (HMO)|00025198|0.00|0| | |FL|10280|0|N
H2235|002|000|BAYCARE SELECT HEALTH PLANS, INC.|BayCarePlus Rewards (HMO)|00025198|0.00|0| | |FL|10500|0|N
H2235|002|000|BAYCARE SELECT HEALTH PLANS, INC.|BayCarePlus Rewards (HMO)|00025198|0.00|0| | |FL|10510|0|N
H2235|002|000|BAYCARE SELECT HEALTH PLANS, INC.|BayCarePlus Rewards (HMO)|00025198|0.00|0| | |FL|10520|0|N
H2235|003|000|BAYCARE SELECT HEALTH PLANS, INC.|BayCarePlus Premier (HMO)|00025198|49.00|0| | |FL|10280|0|N
H2235|003|000|BAYCARE SELECT HEALTH PLANS, INC.|BayCarePlus Premier (HMO)|00025198|49.00|0| | |FL|10500|0|N
H2235|003|000|BAYCARE SELECT HEALTH PLANS, INC.|BayCarePlus Premier (HMO)|00025198|49.00|0| | |FL|10510|0|N
H2235|003|000|BAYCARE SELECT HEALTH PLANS, INC.|BayCarePlus Premier (HMO)|00025198|49.00|0| | |FL|10520|0|N
H2237|001|000|INDEPENDENT CARE HEALTH PLAN|iCare Medicare Plan SNP-DE (HMO D-SNP)|00025218|43.50|590| | |WI|52000|2|N
H2237|001|000|INDEPENDENT CARE HEALTH PLAN|iCare Medicare Plan SNP-DE (HMO D-SNP)|00025218|43.50|590| | |WI|52030|2|N
H2237|001|000|INDEPENDENT CARE HEALTH PLAN|iCare Medicare Plan SNP-DE (HMO D-SNP)|00025218|43.50|590| | |WI|52040|2|N
H2237|001|000|INDEPENDENT CARE HEALTH PLAN|iCare Medicare Plan SNP-DE (HMO D-SNP)|00025218|43.50|590| | |WI|52050|2|N
H2237|001|000|INDEPENDENT CARE HEALTH PLAN|iCare Medicare Plan SNP-DE (HMO D-SNP)|00025218|43.50|590| | |WI|52070|2|N
H2237|001|000|INDEPENDENT CARE HEALTH PLAN|iCare Medicare Plan SNP-DE (HMO D-SNP)|00025218|43.50|590| | |WI|52100|2|N
H2237|001|000|INDEPENDENT CARE HEALTH PLAN|iCare Medicare Plan SNP-DE (HMO D-SNP)|00025218|43.50|590| | |WI|52110|2|N
H2237|001|000|INDEPENDENT CARE HEALTH PLAN|iCare Medicare Plan SNP-DE (HMO D-SNP)|00025218|43.50|590| | |WI|52120|2|N
H2237|001|000|INDEPENDENT CARE HEALTH PLAN|iCare Medicare Plan SNP-DE (HMO D-SNP)|00025218|43.50|590| | |WI|52130|2|N
H2237|001|000|INDEPENDENT CARE HEALTH PLAN|iCare Medicare Plan SNP-DE (HMO D-SNP)|00025218|43.50|590| | |WI|52140|2|N
H2237|001|000|INDEPENDENT CARE HEALTH PLAN|iCare Medicare Plan SNP-DE (HMO D-SNP)|00025218|43.50|590| | |WI|52150|2|N
H2237|001|000|INDEPENDENT CARE HEALTH PLAN|iCare Medicare Plan SNP-DE (HMO D-SNP)|00025218|43.50|590| | |WI|52180|2|N
H2237|001|000|INDEPENDENT CARE HEALTH PLAN|iCare Medicare Plan SNP-DE (HMO D-SNP)|00025218|43.50|590| | |WI|52190|2|N
H2237|001|000|INDEPENDENT CARE HEALTH PLAN|iCare Medicare Plan SNP-DE (HMO D-SNP)|00025218|43.50|590| | |WI|52210|2|N
H2237|001|000|INDEPENDENT CARE HEALTH PLAN|iCare Medicare Plan SNP-DE (HMO D-SNP)|00025218|43.50|590| | |WI|52220|2|N
H2237|001|000|INDEPENDENT CARE HEALTH PLAN|iCare Medicare Plan SNP-DE (HMO D-SNP)|00025218|43.50|590| | |WI|52230|2|N
H2237|001|000|INDEPENDENT CARE HEALTH PLAN|iCare Medicare Plan SNP-DE (HMO D-SNP)|00025218|43.50|590| | |WI|52240|2|N
H2237|001|000|INDEPENDENT CARE HEALTH PLAN|iCare Medicare Plan SNP-DE (HMO D-SNP)|00025218|43.50|590| | |WI|52250|2|N
H2237|001|000|INDEPENDENT CARE HEALTH PLAN|iCare Medicare Plan SNP-DE (HMO D-SNP)|00025218|43.50|590| | |WI|52260|2|N
H2237|001|000|INDEPENDENT CARE HEALTH PLAN|iCare Medicare Plan SNP-DE (HMO D-SNP)|00025218|43.50|590| | |WI|52270|2|N
H2237|001|000|INDEPENDENT CARE HEALTH PLAN|iCare Medicare Plan SNP-DE (HMO D-SNP)|00025218|43.50|590| | |WI|52280|2|N
H2237|001|000|INDEPENDENT CARE HEALTH PLAN|iCare Medicare Plan SNP-DE (HMO D-SNP)|00025218|43.50|590| | |WI|52290|2|N
H2237|001|000|INDEPENDENT CARE HEALTH PLAN|iCare Medicare Plan SNP-DE (HMO D-SNP)|00025218|43.50|590| | |WI|52300|2|N
H2237|001|000|INDEPENDENT CARE HEALTH PLAN|iCare Medicare Plan SNP-DE (HMO D-SNP)|00025218|43.50|590| | |WI|52310|2|N
H2237|001|000|INDEPENDENT CARE HEALTH PLAN|iCare Medicare Plan SNP-DE (HMO D-SNP)|00025218|43.50|590| | |WI|52320|2|N
H2237|001|000|INDEPENDENT CARE HEALTH PLAN|iCare Medicare Plan SNP-DE (HMO D-SNP)|00025218|43.50|590| | |WI|52350|2|N
H2237|001|000|INDEPENDENT CARE HEALTH PLAN|iCare Medicare Plan SNP-DE (HMO D-SNP)|00025218|43.50|590| | |WI|52370|2|N
H2237|001|000|INDEPENDENT CARE HEALTH PLAN|iCare Medicare Plan SNP-DE (HMO D-SNP)|00025218|43.50|590| | |WI|52380|2|N
H2237|001|000|INDEPENDENT CARE HEALTH PLAN|iCare Medicare Plan SNP-DE (HMO D-SNP)|00025218|43.50|590| | |WI|52381|2|N
H2237|001|000|INDEPENDENT CARE HEALTH PLAN|iCare Medicare Plan SNP-DE (HMO D-SNP)|00025218|43.50|590| | |WI|52390|2|N
H2237|001|000|INDEPENDENT CARE HEALTH PLAN|iCare Medicare Plan SNP-DE (HMO D-SNP)|00025218|43.50|590| | |WI|52400|2|N
H2237|001|000|INDEPENDENT CARE HEALTH PLAN|iCare Medicare Plan SNP-DE (HMO D-SNP)|00025218|43.50|590| | |WI|52410|2|N
H2237|001|000|INDEPENDENT CARE HEALTH PLAN|iCare Medicare Plan SNP-DE (HMO D-SNP)|00025218|43.50|590| | |WI|52430|2|N
H2237|001|000|INDEPENDENT CARE HEALTH PLAN|iCare Medicare Plan SNP-DE (HMO D-SNP)|00025218|43.50|590| | |WI|52440|2|N
H2237|001|000|INDEPENDENT CARE HEALTH PLAN|iCare Medicare Plan SNP-DE (HMO D-SNP)|00025218|43.50|590| | |WI|52450|2|N
H2237|001|000|INDEPENDENT CARE HEALTH PLAN|iCare Medicare Plan SNP-DE (HMO D-SNP)|00025218|43.50|590| | |WI|52460|2|N
H2237|001|000|INDEPENDENT CARE HEALTH PLAN|iCare Medicare Plan SNP-DE (HMO D-SNP)|00025218|43.50|590| | |WI|52500|2|N
H2237|001|000|INDEPENDENT CARE HEALTH PLAN|iCare Medicare Plan SNP-DE (HMO D-SNP)|00025218|43.50|590| | |WI|52510|2|N
H2237|001|000|INDEPENDENT CARE HEALTH PLAN|iCare Medicare Plan SNP-DE (HMO D-SNP)|00025218|43.50|590| | |WI|52520|2|N
H2237|001|000|INDEPENDENT CARE HEALTH PLAN|iCare Medicare Plan SNP-DE (HMO D-SNP)|00025218|43.50|590| | |WI|52550|2|N
H2237|001|000|INDEPENDENT CARE HEALTH PLAN|iCare Medicare Plan SNP-DE (HMO D-SNP)|00025218|43.50|590| | |WI|52570|2|N
H2237|001|000|INDEPENDENT CARE HEALTH PLAN|iCare Medicare Plan SNP-DE (HMO D-SNP)|00025218|43.50|590| | |WI|52580|2|N
H2237|001|000|INDEPENDENT CARE HEALTH PLAN|iCare Medicare Plan SNP-DE (HMO D-SNP)|00025218|43.50|590| | |WI|52600|2|N
H2237|001|000|INDEPENDENT CARE HEALTH PLAN|iCare Medicare Plan SNP-DE (HMO D-SNP)|00025218|43.50|590| | |WI|52610|2|N
H2237|001|000|INDEPENDENT CARE HEALTH PLAN|iCare Medicare Plan SNP-DE (HMO D-SNP)|00025218|43.50|590| | |WI|52630|2|N
H2237|001|000|INDEPENDENT CARE HEALTH PLAN|iCare Medicare Plan SNP-DE (HMO D-SNP)|00025218|43.50|590| | |WI|52650|2|N
H2237|001|000|INDEPENDENT CARE HEALTH PLAN|iCare Medicare Plan SNP-DE (HMO D-SNP)|00025218|43.50|590| | |WI|52660|2|N
H2237|001|000|INDEPENDENT CARE HEALTH PLAN|iCare Medicare Plan SNP-DE (HMO D-SNP)|00025218|43.50|590| | |WI|52670|2|N
H2237|001|000|INDEPENDENT CARE HEALTH PLAN|iCare Medicare Plan SNP-DE (HMO D-SNP)|00025218|43.50|590| | |WI|52680|2|N
H2237|001|000|INDEPENDENT CARE HEALTH PLAN|iCare Medicare Plan SNP-DE (HMO D-SNP)|00025218|43.50|590| | |WI|52690|2|N
H2237|007|000|INDEPENDENT CARE HEALTH PLAN|iCare Family Care Partnership (HMO D-SNP)|00025218|0.00|590| | |WI|52000|2|N
H2237|007|000|INDEPENDENT CARE HEALTH PLAN|iCare Family Care Partnership (HMO D-SNP)|00025218|0.00|590| | |WI|52100|2|N
H2237|007|000|INDEPENDENT CARE HEALTH PLAN|iCare Family Care Partnership (HMO D-SNP)|00025218|0.00|590| | |WI|52120|2|N
H2237|007|000|INDEPENDENT CARE HEALTH PLAN|iCare Family Care Partnership (HMO D-SNP)|00025218|0.00|590| | |WI|52130|2|N
H2237|007|000|INDEPENDENT CARE HEALTH PLAN|iCare Family Care Partnership (HMO D-SNP)|00025218|0.00|590| | |WI|52230|2|N
H2237|007|000|INDEPENDENT CARE HEALTH PLAN|iCare Family Care Partnership (HMO D-SNP)|00025218|0.00|590| | |WI|52270|2|N
H2237|007|000|INDEPENDENT CARE HEALTH PLAN|iCare Family Care Partnership (HMO D-SNP)|00025218|0.00|590| | |WI|52290|2|N
H2237|007|000|INDEPENDENT CARE HEALTH PLAN|iCare Family Care Partnership (HMO D-SNP)|00025218|0.00|590| | |WI|52380|2|N
H2237|007|000|INDEPENDENT CARE HEALTH PLAN|iCare Family Care Partnership (HMO D-SNP)|00025218|0.00|590| | |WI|52390|2|N
H2237|007|000|INDEPENDENT CARE HEALTH PLAN|iCare Family Care Partnership (HMO D-SNP)|00025218|0.00|590| | |WI|52500|2|N
H2237|007|000|INDEPENDENT CARE HEALTH PLAN|iCare Family Care Partnership (HMO D-SNP)|00025218|0.00|590| | |WI|52520|2|N
H2237|007|000|INDEPENDENT CARE HEALTH PLAN|iCare Family Care Partnership (HMO D-SNP)|00025218|0.00|590| | |WI|52550|2|N
H2237|007|000|INDEPENDENT CARE HEALTH PLAN|iCare Family Care Partnership (HMO D-SNP)|00025218|0.00|590| | |WI|52680|2|N
H2246|018|000|SELECTHEALTH, INC.|Select Health Medicare Choice (PPO)|00025015|14.00|100| | |ID|13200|0|N
H2246|018|000|SELECTHEALTH, INC.|Select Health Medicare Choice (PPO)|00025015|14.00|100| | |UT|46010|0|N
H2246|018|000|SELECTHEALTH, INC.|Select Health Medicare Choice (PPO)|00025015|14.00|100| | |UT|46020|0|N
H2246|018|000|SELECTHEALTH, INC.|Select Health Medicare Choice (PPO)|00025015|14.00|100| | |UT|46050|0|N
H2246|018|000|SELECTHEALTH, INC.|Select Health Medicare Choice (PPO)|00025015|14.00|100| | |UT|46100|0|N
H2246|018|000|SELECTHEALTH, INC.|Select Health Medicare Choice (PPO)|00025015|14.00|100| | |UT|46140|0|N
H2246|018|000|SELECTHEALTH, INC.|Select Health Medicare Choice (PPO)|00025015|14.00|100| | |UT|46160|0|N
H2246|018|000|SELECTHEALTH, INC.|Select Health Medicare Choice (PPO)|00025015|14.00|100| | |UT|46170|0|N
H2246|018|000|SELECTHEALTH, INC.|Select Health Medicare Choice (PPO)|00025015|14.00|100| | |UT|46210|0|N
H2246|018|000|SELECTHEALTH, INC.|Select Health Medicare Choice (PPO)|00025015|14.00|100| | |UT|46220|0|N
H2246|018|000|SELECTHEALTH, INC.|Select Health Medicare Choice (PPO)|00025015|14.00|100| | |UT|46240|0|N
H2246|018|000|SELECTHEALTH, INC.|Select Health Medicare Choice (PPO)|00025015|14.00|100| | |UT|46250|0|N
H2246|018|000|SELECTHEALTH, INC.|Select Health Medicare Choice (PPO)|00025015|14.00|100| | |UT|46260|0|N
H2246|018|000|SELECTHEALTH, INC.|Select Health Medicare Choice (PPO)|00025015|14.00|100| | |UT|46280|0|N
H2246|019|000|SELECTHEALTH, INC.|Select Health Medicare Choice (PPO)|00025015|0.00|0| | |NV|29010|0|N
H2246|019|000|SELECTHEALTH, INC.|Select Health Medicare Choice (PPO)|00025015|0.00|0| | |NV|29110|0|N
H2246|026|000|SELECTHEALTH, INC.|Select Health Medicare Choice (PPO)|00025015|45.00|200| | |ID|13090|0|N
H2246|032|000|SELECTHEALTH, INC.|Select Health Medicare Choice (PPO)|00025015|0.00|0| | |CO|06000|0|N
H2246|032|000|SELECTHEALTH, INC.|Select Health Medicare Choice (PPO)|00025015|0.00|0| | |CO|06020|0|N
H2246|032|000|SELECTHEALTH, INC.|Select Health Medicare Choice (PPO)|00025015|0.00|0| | |CO|06060|0|N
H2246|032|000|SELECTHEALTH, INC.|Select Health Medicare Choice (PPO)|00025015|0.00|0| | |CO|06090|0|N
H2246|032|000|SELECTHEALTH, INC.|Select Health Medicare Choice (PPO)|00025015|0.00|0| | |CO|06150|0|N
H2246|032|000|SELECTHEALTH, INC.|Select Health Medicare Choice (PPO)|00025015|0.00|0| | |CO|06170|0|N
H2246|032|000|SELECTHEALTH, INC.|Select Health Medicare Choice (PPO)|00025015|0.00|0| | |CO|06190|0|N
H2246|032|000|SELECTHEALTH, INC.|Select Health Medicare Choice (PPO)|00025015|0.00|0| | |CO|06200|0|N
H2246|032|000|SELECTHEALTH, INC.|Select Health Medicare Choice (PPO)|00025015|0.00|0| | |CO|06230|0|N
H2246|032|000|SELECTHEALTH, INC.|Select Health Medicare Choice (PPO)|00025015|0.00|0| | |CO|06290|0|N
H2246|032|000|SELECTHEALTH, INC.|Select Health Medicare Choice (PPO)|00025015|0.00|0| | |CO|06460|0|N
H2246|032|000|SELECTHEALTH, INC.|Select Health Medicare Choice (PPO)|00025015|0.00|0| | |CO|06500|0|N
H2246|032|000|SELECTHEALTH, INC.|Select Health Medicare Choice (PPO)|00025015|0.00|0| | |CO|06590|0|N
H2246|032|000|SELECTHEALTH, INC.|Select Health Medicare Choice (PPO)|00025015|0.00|0| | |CO|06630|0|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23000|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23020|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23030|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23040|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23050|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23070|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23080|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23090|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23100|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23110|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23120|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23130|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23140|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23170|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23190|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23210|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23230|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23240|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23250|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23260|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23270|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23280|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23290|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23310|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23340|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23350|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23370|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23380|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23390|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23400|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23420|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23430|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23440|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23460|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23500|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23520|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23530|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23550|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23560|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23570|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23580|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23590|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23600|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23610|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23620|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23630|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23640|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23650|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23660|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23670|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23680|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23690|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23710|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23720|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23740|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23750|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23770|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23780|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23790|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23800|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23810|2|N
H2247|001|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MI|23830|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23000|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23020|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23030|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23040|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23050|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23070|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23080|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23090|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23100|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23110|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23120|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23130|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23140|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23170|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23190|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23210|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23230|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23240|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23250|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23260|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23270|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23280|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23290|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23310|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23340|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23350|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23370|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23380|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23390|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23400|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23420|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23430|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23440|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23460|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23500|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23520|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23530|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23550|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23560|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23570|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23580|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23590|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23600|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23610|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23620|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23630|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23640|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23650|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23660|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23670|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23680|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23690|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23710|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23720|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23740|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23750|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23770|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23780|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23790|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23800|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23810|2|N
H2247|003|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-V001 (HMO-POS D-SNP)|00025002|26.60|590| | |MI|23830|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23000|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23020|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23030|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23040|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23050|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23070|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23080|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23090|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23100|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23110|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23120|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23130|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23140|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23170|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23190|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23210|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23230|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23240|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23250|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23260|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23270|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23280|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23290|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23310|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23340|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23350|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23370|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23380|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23390|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23400|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23420|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23430|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23440|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23460|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23500|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23520|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23530|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23550|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23560|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23570|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23580|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23590|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23600|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23610|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23620|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23630|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23640|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23650|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23660|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23670|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23680|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23690|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23710|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23720|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23740|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23750|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23770|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23780|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23790|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23800|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23810|2|N
H2247|004|000|UNITEDHEALTHCARE COMMUNITY PLAN, INC.|UHC Dual Complete MI-S3 (HMO D-SNP)|00025002|0.00|590| | |MI|23830|2|N
H2256|001|001|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Prime Rx Plus (HMO)|00025502|68.00|0| | |MA|22040|0|N
H2256|001|001|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Prime Rx Plus (HMO)|00025502|68.00|0| | |MA|22160|0|N
H2256|001|002|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Prime Rx Plus (HMO)|00025502|67.00|0| | |MA|22000|0|N
H2256|001|002|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Prime Rx Plus (HMO)|00025502|67.00|0| | |MA|22020|0|N
H2256|001|002|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Prime Rx Plus (HMO)|00025502|67.00|0| | |MA|22090|0|N
H2256|001|002|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Prime Rx Plus (HMO)|00025502|67.00|0| | |MA|22130|0|N
H2256|001|002|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Prime Rx Plus (HMO)|00025502|67.00|0| | |MA|22150|0|N
H2256|001|006|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Prime Rx Plus (HMO)|00025502|64.00|0| | |MA|22070|0|N
H2256|001|006|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Prime Rx Plus (HMO)|00025502|64.00|0| | |MA|22080|0|N
H2256|015|001|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Prime Rx (HMO)|00025502|40.90|0| | |MA|22040|0|N
H2256|015|001|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Prime Rx (HMO)|00025502|40.90|0| | |MA|22160|0|N
H2256|015|002|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Prime Rx (HMO)|00025502|39.90|0| | |MA|22000|0|N
H2256|015|002|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Prime Rx (HMO)|00025502|39.90|0| | |MA|22020|0|N
H2256|015|002|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Prime Rx (HMO)|00025502|39.90|0| | |MA|22090|0|N
H2256|015|002|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Prime Rx (HMO)|00025502|39.90|0| | |MA|22130|0|N
H2256|015|002|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Prime Rx (HMO)|00025502|39.90|0| | |MA|22150|0|N
H2256|015|006|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Prime Rx (HMO)|00025502|41.30|0| | |MA|22070|0|N
H2256|015|006|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Prime Rx (HMO)|00025502|41.30|0| | |MA|22080|0|N
H2256|018|001|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Value Rx (HMO)|00025502|46.90|0| | |MA|22040|0|N
H2256|018|001|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Value Rx (HMO)|00025502|46.90|0| | |MA|22160|0|N
H2256|018|007|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Value Rx (HMO)|00025502|44.90|0| | |MA|22000|0|N
H2256|018|007|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Value Rx (HMO)|00025502|44.90|0| | |MA|22020|0|N
H2256|018|007|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Value Rx (HMO)|00025502|44.90|0| | |MA|22090|0|N
H2256|018|007|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Value Rx (HMO)|00025502|44.90|0| | |MA|22130|0|N
H2256|018|007|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Value Rx (HMO)|00025502|44.90|0| | |MA|22150|0|N
H2256|018|008|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Value Rx (HMO)|00025502|51.90|0| | |MA|22070|0|N
H2256|018|008|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Value Rx (HMO)|00025502|51.90|0| | |MA|22080|0|N
H2256|026|001|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Basic Rx (HMO)|00025502|21.90|0| | |MA|22040|0|N
H2256|026|001|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Basic Rx (HMO)|00025502|21.90|0| | |MA|22160|0|N
H2256|026|002|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Basic Rx (HMO)|00025502|26.90|0| | |MA|22000|0|N
H2256|026|002|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Basic Rx (HMO)|00025502|26.90|0| | |MA|22020|0|N
H2256|026|002|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Basic Rx (HMO)|00025502|26.90|0| | |MA|22090|0|N
H2256|026|002|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Basic Rx (HMO)|00025502|26.90|0| | |MA|22130|0|N
H2256|026|002|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Basic Rx (HMO)|00025502|26.90|0| | |MA|22150|0|N
H2256|026|003|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Basic Rx (HMO)|00025502|10.90|0| | |MA|22070|0|N
H2256|026|003|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Basic Rx (HMO)|00025502|10.90|0| | |MA|22080|0|N
H2256|028|000|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Saver Rx (HMO)|00025502|0.00|0| | |MA|22000|0|N
H2256|028|000|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Saver Rx (HMO)|00025502|0.00|0| | |MA|22020|0|N
H2256|028|000|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Saver Rx (HMO)|00025502|0.00|0| | |MA|22040|0|N
H2256|028|000|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Saver Rx (HMO)|00025502|0.00|0| | |MA|22070|0|N
H2256|028|000|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Saver Rx (HMO)|00025502|0.00|0| | |MA|22080|0|N
H2256|028|000|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Saver Rx (HMO)|00025502|0.00|0| | |MA|22090|0|N
H2256|028|000|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Saver Rx (HMO)|00025502|0.00|0| | |MA|22130|0|N
H2256|028|000|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Saver Rx (HMO)|00025502|0.00|0| | |MA|22150|0|N
H2256|028|000|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Saver Rx (HMO)|00025502|0.00|0| | |MA|22160|0|N
H2256|028|000|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Saver Rx (HMO)|00025502|0.00|0| | |MA|22170|0|N
H2256|033|000|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Prime Rx (HMO)|00025502|25.90|0| | |MA|22170|0|N
H2256|034|000|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Value Rx (HMO)|00025502|14.60|0| | |MA|22170|0|N
H2256|036|000|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Basic Rx (HMO)|00025502|0.10|0| | |MA|22170|0|N
H2256|046|000|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Smart Saver Rx (HMO)|00025502|0.00|0| | |MA|22000|0|N
H2256|046|000|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Smart Saver Rx (HMO)|00025502|0.00|0| | |MA|22020|0|N
H2256|046|000|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Smart Saver Rx (HMO)|00025502|0.00|0| | |MA|22040|0|N
H2256|046|000|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Smart Saver Rx (HMO)|00025502|0.00|0| | |MA|22070|0|N
H2256|046|000|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Smart Saver Rx (HMO)|00025502|0.00|0| | |MA|22080|0|N
H2256|046|000|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Smart Saver Rx (HMO)|00025502|0.00|0| | |MA|22090|0|N
H2256|046|000|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Smart Saver Rx (HMO)|00025502|0.00|0| | |MA|22130|0|N
H2256|046|000|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Smart Saver Rx (HMO)|00025502|0.00|0| | |MA|22150|0|N
H2256|046|000|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Smart Saver Rx (HMO)|00025502|0.00|0| | |MA|22160|0|N
H2256|046|000|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred HMO Smart Saver Rx (HMO)|00025502|0.00|0| | |MA|22170|0|N
H2261|005|000|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare HMO Blue PlusRx (HMO)|00025146|25.10|200| | |MA|22000|0|N
H2261|005|000|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare HMO Blue PlusRx (HMO)|00025146|25.10|200| | |MA|22020|0|N
H2261|005|000|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare HMO Blue PlusRx (HMO)|00025146|25.10|200| | |MA|22040|0|N
H2261|005|000|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare HMO Blue PlusRx (HMO)|00025146|25.10|200| | |MA|22060|0|N
H2261|005|000|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare HMO Blue PlusRx (HMO)|00025146|25.10|200| | |MA|22070|0|N
H2261|005|000|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare HMO Blue PlusRx (HMO)|00025146|25.10|200| | |MA|22080|0|N
H2261|005|000|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare HMO Blue PlusRx (HMO)|00025146|25.10|200| | |MA|22090|0|N
H2261|005|000|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare HMO Blue PlusRx (HMO)|00025146|25.10|200| | |MA|22130|0|N
H2261|005|000|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare HMO Blue PlusRx (HMO)|00025146|25.10|200| | |MA|22150|0|N
H2261|005|000|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare HMO Blue PlusRx (HMO)|00025146|25.10|200| | |MA|22160|0|N
H2261|005|000|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare HMO Blue PlusRx (HMO)|00025146|25.10|200| | |MA|22170|0|N
H2261|022|001|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare HMO Blue ValueRx (HMO)|00025146|0.00|320| | |MA|22000|0|N
H2261|022|001|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare HMO Blue ValueRx (HMO)|00025146|0.00|320| | |MA|22020|0|N
H2261|022|001|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare HMO Blue ValueRx (HMO)|00025146|0.00|320| | |MA|22040|0|N
H2261|022|001|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare HMO Blue ValueRx (HMO)|00025146|0.00|320| | |MA|22060|0|N
H2261|022|001|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare HMO Blue ValueRx (HMO)|00025146|0.00|320| | |MA|22070|0|N
H2261|022|001|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare HMO Blue ValueRx (HMO)|00025146|0.00|320| | |MA|22080|0|N
H2261|022|001|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare HMO Blue ValueRx (HMO)|00025146|0.00|320| | |MA|22090|0|N
H2261|022|001|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare HMO Blue ValueRx (HMO)|00025146|0.00|320| | |MA|22130|0|N
H2261|022|001|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare HMO Blue ValueRx (HMO)|00025146|0.00|320| | |MA|22150|0|N
H2261|022|001|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare HMO Blue ValueRx (HMO)|00025146|0.00|320| | |MA|22160|0|N
H2261|022|002|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare HMO Blue ValueRx (HMO)|00025146|0.00|320| | |MA|22170|0|N
H2261|023|001|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare HMO Blue FlexRx (HMO-POS)|00025146|0.00|260| | |MA|22000|0|N
H2261|023|001|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare HMO Blue FlexRx (HMO-POS)|00025146|0.00|260| | |MA|22020|0|N
H2261|023|001|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare HMO Blue FlexRx (HMO-POS)|00025146|0.00|260| | |MA|22040|0|N
H2261|023|001|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare HMO Blue FlexRx (HMO-POS)|00025146|0.00|260| | |MA|22060|0|N
H2261|023|001|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare HMO Blue FlexRx (HMO-POS)|00025146|0.00|260| | |MA|22070|0|N
H2261|023|001|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare HMO Blue FlexRx (HMO-POS)|00025146|0.00|260| | |MA|22080|0|N
H2261|023|001|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare HMO Blue FlexRx (HMO-POS)|00025146|0.00|260| | |MA|22090|0|N
H2261|023|001|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare HMO Blue FlexRx (HMO-POS)|00025146|0.00|260| | |MA|22130|0|N
H2261|023|001|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare HMO Blue FlexRx (HMO-POS)|00025146|0.00|260| | |MA|22150|0|N
H2261|023|001|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare HMO Blue FlexRx (HMO-POS)|00025146|0.00|260| | |MA|22160|0|N
H2261|023|002|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare HMO Blue FlexRx (HMO-POS)|00025146|0.00|260| | |MA|22170|0|N
H2261|024|000|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare HMO Blue SaverRx (HMO-POS)|00025146|0.00|0| | |MA|22000|0|N
H2261|024|000|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare HMO Blue SaverRx (HMO-POS)|00025146|0.00|0| | |MA|22020|0|N
H2261|024|000|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare HMO Blue SaverRx (HMO-POS)|00025146|0.00|0| | |MA|22040|0|N
H2261|024|000|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare HMO Blue SaverRx (HMO-POS)|00025146|0.00|0| | |MA|22060|0|N
H2261|024|000|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare HMO Blue SaverRx (HMO-POS)|00025146|0.00|0| | |MA|22070|0|N
H2261|024|000|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare HMO Blue SaverRx (HMO-POS)|00025146|0.00|0| | |MA|22080|0|N
H2261|024|000|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare HMO Blue SaverRx (HMO-POS)|00025146|0.00|0| | |MA|22090|0|N
H2261|024|000|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare HMO Blue SaverRx (HMO-POS)|00025146|0.00|0| | |MA|22130|0|N
H2261|024|000|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare HMO Blue SaverRx (HMO-POS)|00025146|0.00|0| | |MA|22150|0|N
H2261|024|000|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare HMO Blue SaverRx (HMO-POS)|00025146|0.00|0| | |MA|22160|0|N
H2261|024|000|BCBS  OF MASSACHUSETTS HMO BLUE, INC.|Medicare HMO Blue SaverRx (HMO-POS)|00025146|0.00|0| | |MA|22170|0|N
H2272|001|000|UNITEDHEALTHCARE OF NEW ENGLAND, INC.|UHC Dual Complete RI-V001 (HMO-POS D-SNP)|00025002|12.00|590| | |RI|41000|2|N
H2272|001|000|UNITEDHEALTHCARE OF NEW ENGLAND, INC.|UHC Dual Complete RI-V001 (HMO-POS D-SNP)|00025002|12.00|590| | |RI|41010|2|N
H2272|001|000|UNITEDHEALTHCARE OF NEW ENGLAND, INC.|UHC Dual Complete RI-V001 (HMO-POS D-SNP)|00025002|12.00|590| | |RI|41020|2|N
H2272|001|000|UNITEDHEALTHCARE OF NEW ENGLAND, INC.|UHC Dual Complete RI-V001 (HMO-POS D-SNP)|00025002|12.00|590| | |RI|41030|2|N
H2272|001|000|UNITEDHEALTHCARE OF NEW ENGLAND, INC.|UHC Dual Complete RI-V001 (HMO-POS D-SNP)|00025002|12.00|590| | |RI|41050|2|N
H2272|003|000|UNITEDHEALTHCARE OF NEW ENGLAND, INC.|UHC Dual Complete RI-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |RI|41000|2|N
H2272|003|000|UNITEDHEALTHCARE OF NEW ENGLAND, INC.|UHC Dual Complete RI-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |RI|41010|2|N
H2272|003|000|UNITEDHEALTHCARE OF NEW ENGLAND, INC.|UHC Dual Complete RI-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |RI|41020|2|N
H2272|003|000|UNITEDHEALTHCARE OF NEW ENGLAND, INC.|UHC Dual Complete RI-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |RI|41030|2|N
H2272|003|000|UNITEDHEALTHCARE OF NEW ENGLAND, INC.|UHC Dual Complete RI-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |RI|41050|2|N
H2292|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NY-F001 (PPO I-SNP)|00025002|68.60|590| | |NY|33000|3|N
H2292|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NY-F001 (PPO I-SNP)|00025002|68.60|590| | |NY|33030|3|N
H2292|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NY-F001 (PPO I-SNP)|00025002|68.60|590| | |NY|33040|3|N
H2292|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NY-F001 (PPO I-SNP)|00025002|68.60|590| | |NY|33050|3|N
H2292|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NY-F001 (PPO I-SNP)|00025002|68.60|590| | |NY|33060|3|N
H2292|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NY-F001 (PPO I-SNP)|00025002|68.60|590| | |NY|33070|3|N
H2292|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NY-F001 (PPO I-SNP)|00025002|68.60|590| | |NY|33080|3|N
H2292|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NY-F001 (PPO I-SNP)|00025002|68.60|590| | |NY|33200|3|N
H2292|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NY-F001 (PPO I-SNP)|00025002|68.60|590| | |NY|33210|3|N
H2292|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NY-F001 (PPO I-SNP)|00025002|68.60|590| | |NY|33240|3|N
H2292|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NY-F001 (PPO I-SNP)|00025002|68.60|590| | |NY|33280|3|N
H2292|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NY-F001 (PPO I-SNP)|00025002|68.60|590| | |NY|33290|3|N
H2292|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NY-F001 (PPO I-SNP)|00025002|68.60|590| | |NY|33330|3|N
H2292|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NY-F001 (PPO I-SNP)|00025002|68.60|590| | |NY|33360|3|N
H2292|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NY-F001 (PPO I-SNP)|00025002|68.60|590| | |NY|33370|3|N
H2292|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NY-F001 (PPO I-SNP)|00025002|68.60|590| | |NY|33380|3|N
H2292|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NY-F001 (PPO I-SNP)|00025002|68.60|590| | |NY|33500|3|N
H2292|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NY-F001 (PPO I-SNP)|00025002|68.60|590| | |NY|33510|3|N
H2292|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NY-F001 (PPO I-SNP)|00025002|68.60|590| | |NY|33520|3|N
H2292|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NY-F001 (PPO I-SNP)|00025002|68.60|590| | |NY|33560|3|N
H2292|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NY-F001 (PPO I-SNP)|00025002|68.60|590| | |NY|33570|3|N
H2292|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NY-F001 (PPO I-SNP)|00025002|68.60|590| | |NY|33600|3|N
H2292|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NY-F001 (PPO I-SNP)|00025002|68.60|590| | |NY|33630|3|N
H2292|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NY-F001 (PPO I-SNP)|00025002|68.60|590| | |NY|33640|3|N
H2292|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NY-F001 (PPO I-SNP)|00025002|68.60|590| | |NY|33650|3|N
H2292|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NY-F001 (PPO I-SNP)|00025002|68.60|590| | |NY|33690|3|N
H2292|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NY-F001 (PPO I-SNP)|00025002|68.60|590| | |NY|33750|3|N
H2292|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NY-F001 (PPO I-SNP)|00025002|68.60|590| | |NY|33760|3|N
H2292|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NY-F001 (PPO I-SNP)|00025002|68.60|590| | |NY|33770|3|N
H2292|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NY-F001 (PPO I-SNP)|00025002|68.60|590| | |NY|33900|3|N
H2292|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NY-F002 (PPO I-SNP)|00025002|35.80|590| | |NY|33020|3|N
H2292|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NY-F002 (PPO I-SNP)|00025002|35.80|590| | |NY|33230|3|N
H2292|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NY-F002 (PPO I-SNP)|00025002|35.80|590| | |NY|33331|3|N
H2292|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NY-F002 (PPO I-SNP)|00025002|35.80|590| | |NY|33400|3|N
H2292|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NY-F002 (PPO I-SNP)|00025002|35.80|590| | |NY|33420|3|N
H2292|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NY-F002 (PPO I-SNP)|00025002|35.80|590| | |NY|33540|3|N
H2292|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NY-F002 (PPO I-SNP)|00025002|35.80|590| | |NY|33590|3|N
H2292|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NY-F002 (PPO I-SNP)|00025002|35.80|590| | |NY|33610|3|N
H2292|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NY-F002 (PPO I-SNP)|00025002|35.80|590| | |NY|33620|3|N
H2292|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NY-F002 (PPO I-SNP)|00025002|35.80|590| | |NY|33700|3|N
H2292|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NY-F002 (PPO I-SNP)|00025002|35.80|590| | |NY|33740|3|N
H2292|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan NY-F002 (PPO I-SNP)|00025002|35.80|590| | |NY|33800|3|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11000|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11010|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11011|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11020|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11030|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11060|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11070|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11080|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11090|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11100|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11110|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11120|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11130|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11150|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11160|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11161|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11180|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11200|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11210|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11220|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11240|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11260|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11270|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11281|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11291|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11300|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11310|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11311|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11330|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11340|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11341|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11350|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11360|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11380|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11381|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11390|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11410|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11420|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11430|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11440|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11441|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11471|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11480|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11490|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11510|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11520|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11540|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11560|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11570|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11581|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11590|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11601|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11611|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11612|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11620|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11630|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11640|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11650|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11651|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11652|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11660|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11680|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11690|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11691|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11700|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11702|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11703|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11710|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11720|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11740|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11741|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11750|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11760|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11770|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11771|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11800|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11811|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11820|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11830|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11831|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11832|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11833|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11835|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11840|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11842|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11850|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11851|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11861|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11862|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11880|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11881|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11882|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11883|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11884|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11890|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11901|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11903|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11910|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11911|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11912|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11913|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11920|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11941|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11950|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11961|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11962|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11970|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11971|0|N
H2293|001|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.00|590| | |GA|11973|0|N
H2293|002|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|30.70|590| | |GA|11250|2|N
H2293|002|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|30.70|590| | |GA|11280|2|N
H2293|002|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|30.70|590| | |GA|11290|2|N
H2293|002|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|30.70|590| | |GA|11320|2|N
H2293|002|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|30.70|590| | |GA|11370|2|N
H2293|002|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|30.70|590| | |GA|11400|2|N
H2293|002|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|30.70|590| | |GA|11451|2|N
H2293|002|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|30.70|590| | |GA|11461|2|N
H2293|002|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|30.70|590| | |GA|11470|2|N
H2293|002|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|30.70|590| | |GA|11530|2|N
H2293|002|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|30.70|590| | |GA|11591|2|N
H2293|002|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|30.70|590| | |GA|11810|2|N
H2293|002|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|30.70|590| | |GA|11841|2|N
H2293|002|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|30.70|590| | |GA|11860|2|N
H2293|003|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Select (PPO D-SNP)|00025101|31.40|590| | |GA|11250|2|N
H2293|003|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Select (PPO D-SNP)|00025101|31.40|590| | |GA|11280|2|N
H2293|003|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Select (PPO D-SNP)|00025101|31.40|590| | |GA|11290|2|N
H2293|003|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Select (PPO D-SNP)|00025101|31.40|590| | |GA|11320|2|N
H2293|003|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Select (PPO D-SNP)|00025101|31.40|590| | |GA|11370|2|N
H2293|003|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Select (PPO D-SNP)|00025101|31.40|590| | |GA|11400|2|N
H2293|003|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Select (PPO D-SNP)|00025101|31.40|590| | |GA|11451|2|N
H2293|003|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Select (PPO D-SNP)|00025101|31.40|590| | |GA|11461|2|N
H2293|003|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Select (PPO D-SNP)|00025101|31.40|590| | |GA|11470|2|N
H2293|003|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Select (PPO D-SNP)|00025101|31.40|590| | |GA|11530|2|N
H2293|003|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Select (PPO D-SNP)|00025101|31.40|590| | |GA|11591|2|N
H2293|003|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Select (PPO D-SNP)|00025101|31.40|590| | |GA|11810|2|N
H2293|003|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Select (PPO D-SNP)|00025101|31.40|590| | |GA|11841|2|N
H2293|003|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Select (PPO D-SNP)|00025101|31.40|590| | |GA|11860|2|N
H2293|004|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Select (PPO D-SNP)|00025101|21.10|590| | |GA|11030|2|N
H2293|004|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Select (PPO D-SNP)|00025101|21.10|590| | |GA|11090|2|N
H2293|004|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Select (PPO D-SNP)|00025101|21.10|590| | |GA|11100|2|N
H2293|004|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Select (PPO D-SNP)|00025101|21.10|590| | |GA|11130|2|N
H2293|004|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Select (PPO D-SNP)|00025101|21.10|590| | |GA|11150|2|N
H2293|004|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Select (PPO D-SNP)|00025101|21.10|590| | |GA|11170|2|N
H2293|004|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Select (PPO D-SNP)|00025101|21.10|590| | |GA|11220|2|N
H2293|004|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Select (PPO D-SNP)|00025101|21.10|590| | |GA|11230|2|N
H2293|004|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Select (PPO D-SNP)|00025101|21.10|590| | |GA|11310|2|N
H2293|004|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Select (PPO D-SNP)|00025101|21.10|590| | |GA|11330|2|N
H2293|004|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Select (PPO D-SNP)|00025101|21.10|590| | |GA|11381|2|N
H2293|004|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Select (PPO D-SNP)|00025101|21.10|590| | |GA|11421|2|N
H2293|004|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Select (PPO D-SNP)|00025101|21.10|590| | |GA|11480|2|N
H2293|004|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Select (PPO D-SNP)|00025101|21.10|590| | |GA|11490|2|N
H2293|004|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Select (PPO D-SNP)|00025101|21.10|590| | |GA|11560|2|N
H2293|004|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Select (PPO D-SNP)|00025101|21.10|590| | |GA|11580|2|N
H2293|004|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Select (PPO D-SNP)|00025101|21.10|590| | |GA|11600|2|N
H2293|004|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Select (PPO D-SNP)|00025101|21.10|590| | |GA|11620|2|N
H2293|004|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Select (PPO D-SNP)|00025101|21.10|590| | |GA|11630|2|N
H2293|004|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Select (PPO D-SNP)|00025101|21.10|590| | |GA|11650|2|N
H2293|004|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Select (PPO D-SNP)|00025101|21.10|590| | |GA|11651|2|N
H2293|004|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Select (PPO D-SNP)|00025101|21.10|590| | |GA|11680|2|N
H2293|004|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Select (PPO D-SNP)|00025101|21.10|590| | |GA|11690|2|N
H2293|004|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Select (PPO D-SNP)|00025101|21.10|590| | |GA|11691|2|N
H2293|004|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Select (PPO D-SNP)|00025101|21.10|590| | |GA|11702|2|N
H2293|004|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Select (PPO D-SNP)|00025101|21.10|590| | |GA|11703|2|N
H2293|004|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Select (PPO D-SNP)|00025101|21.10|590| | |GA|11710|2|N
H2293|004|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Select (PPO D-SNP)|00025101|21.10|590| | |GA|11730|2|N
H2293|004|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Select (PPO D-SNP)|00025101|21.10|590| | |GA|11760|2|N
H2293|004|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Select (PPO D-SNP)|00025101|21.10|590| | |GA|11780|2|N
H2293|004|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Select (PPO D-SNP)|00025101|21.10|590| | |GA|11811|2|N
H2293|004|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Select (PPO D-SNP)|00025101|21.10|590| | |GA|11831|2|N
H2293|004|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Select (PPO D-SNP)|00025101|21.10|590| | |GA|11840|2|N
H2293|004|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Select (PPO D-SNP)|00025101|21.10|590| | |GA|11850|2|N
H2293|004|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Select (PPO D-SNP)|00025101|21.10|590| | |GA|11883|2|N
H2293|004|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Select (PPO D-SNP)|00025101|21.10|590| | |GA|11912|2|N
H2293|004|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Select (PPO D-SNP)|00025101|21.10|590| | |GA|11941|2|N
H2293|004|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Select (PPO D-SNP)|00025101|21.10|590| | |GA|11960|2|N
H2293|004|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Select (PPO D-SNP)|00025101|21.10|590| | |GA|11973|2|N
H2293|005|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|24.10|590| | |GA|11030|2|N
H2293|005|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|24.10|590| | |GA|11090|2|N
H2293|005|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|24.10|590| | |GA|11100|2|N
H2293|005|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|24.10|590| | |GA|11130|2|N
H2293|005|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|24.10|590| | |GA|11150|2|N
H2293|005|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|24.10|590| | |GA|11170|2|N
H2293|005|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|24.10|590| | |GA|11220|2|N
H2293|005|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|24.10|590| | |GA|11230|2|N
H2293|005|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|24.10|590| | |GA|11310|2|N
H2293|005|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|24.10|590| | |GA|11330|2|N
H2293|005|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|24.10|590| | |GA|11381|2|N
H2293|005|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|24.10|590| | |GA|11421|2|N
H2293|005|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|24.10|590| | |GA|11480|2|N
H2293|005|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|24.10|590| | |GA|11490|2|N
H2293|005|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|24.10|590| | |GA|11560|2|N
H2293|005|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|24.10|590| | |GA|11580|2|N
H2293|005|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|24.10|590| | |GA|11600|2|N
H2293|005|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|24.10|590| | |GA|11620|2|N
H2293|005|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|24.10|590| | |GA|11630|2|N
H2293|005|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|24.10|590| | |GA|11650|2|N
H2293|005|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|24.10|590| | |GA|11651|2|N
H2293|005|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|24.10|590| | |GA|11680|2|N
H2293|005|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|24.10|590| | |GA|11690|2|N
H2293|005|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|24.10|590| | |GA|11691|2|N
H2293|005|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|24.10|590| | |GA|11702|2|N
H2293|005|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|24.10|590| | |GA|11703|2|N
H2293|005|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|24.10|590| | |GA|11710|2|N
H2293|005|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|24.10|590| | |GA|11730|2|N
H2293|005|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|24.10|590| | |GA|11760|2|N
H2293|005|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|24.10|590| | |GA|11780|2|N
H2293|005|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|24.10|590| | |GA|11811|2|N
H2293|005|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|24.10|590| | |GA|11831|2|N
H2293|005|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|24.10|590| | |GA|11840|2|N
H2293|005|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|24.10|590| | |GA|11850|2|N
H2293|005|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|24.10|590| | |GA|11883|2|N
H2293|005|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|24.10|590| | |GA|11912|2|N
H2293|005|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|24.10|590| | |GA|11941|2|N
H2293|005|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|24.10|590| | |GA|11960|2|N
H2293|005|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|24.10|590| | |GA|11973|2|N
H2293|010|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Giveback Choice Plus (PPO)|00025100|0.00|590| | |GA|11160|0|N
H2293|010|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Giveback Choice Plus (PPO)|00025100|0.00|590| | |GA|11280|0|N
H2293|010|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Giveback Choice Plus (PPO)|00025100|0.00|590| | |GA|11320|0|N
H2293|010|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Giveback Choice Plus (PPO)|00025100|0.00|590| | |GA|11350|0|N
H2293|010|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Giveback Choice Plus (PPO)|00025100|0.00|590| | |GA|11370|0|N
H2293|010|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Giveback Choice Plus (PPO)|00025100|0.00|590| | |GA|11400|0|N
H2293|010|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Giveback Choice Plus (PPO)|00025100|0.00|590| | |GA|11451|0|N
H2293|010|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Giveback Choice Plus (PPO)|00025100|0.00|590| | |GA|11460|0|N
H2293|010|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Giveback Choice Plus (PPO)|00025100|0.00|590| | |GA|11470|0|N
H2293|010|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Giveback Choice Plus (PPO)|00025100|0.00|590| | |GA|11530|0|N
H2293|010|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Giveback Choice Plus (PPO)|00025100|0.00|590| | |GA|11570|0|N
H2293|010|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Giveback Choice Plus (PPO)|00025100|0.00|590| | |GA|11591|0|N
H2293|010|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Giveback Choice Plus (PPO)|00025100|0.00|590| | |GA|11611|0|N
H2293|010|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Giveback Choice Plus (PPO)|00025100|0.00|590| | |GA|11790|0|N
H2293|010|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Giveback Choice Plus (PPO)|00025100|0.00|590| | |GA|11830|0|N
H2293|010|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Giveback Choice Plus (PPO)|00025100|0.00|590| | |GA|11841|0|N
H2293|010|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Giveback Choice Plus (PPO)|00025100|0.00|590| | |GA|11860|0|N
H2293|010|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Giveback Choice Plus (PPO)|00025100|0.00|590| | |GA|11930|0|N
H2293|011|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.00|590| | |GA|11290|0|N
H2293|011|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.00|590| | |GA|11810|0|N
H2293|014|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Preferred (PPO)|00025101|0.00|590| | |TX|45000|0|N
H2293|014|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Preferred (PPO)|00025101|0.00|590| | |TX|45120|0|N
H2293|014|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Preferred (PPO)|00025101|0.00|590| | |TX|45160|0|N
H2293|014|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Preferred (PPO)|00025101|0.00|590| | |TX|45170|0|N
H2293|014|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Preferred (PPO)|00025101|0.00|590| | |TX|45260|0|N
H2293|014|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Preferred (PPO)|00025101|0.00|590| | |TX|45281|0|N
H2293|014|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Preferred (PPO)|00025101|0.00|590| | |TX|45470|0|N
H2293|014|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Preferred (PPO)|00025101|0.00|590| | |TX|45510|0|N
H2293|014|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Preferred (PPO)|00025101|0.00|590| | |TX|45564|0|N
H2293|014|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Preferred (PPO)|00025101|0.00|590| | |TX|45570|0|N
H2293|014|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Preferred (PPO)|00025101|0.00|590| | |TX|45620|0|N
H2293|014|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Preferred (PPO)|00025101|0.00|590| | |TX|45640|0|N
H2293|014|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Preferred (PPO)|00025101|0.00|590| | |TX|45651|0|N
H2293|014|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Preferred (PPO)|00025101|0.00|590| | |TX|45653|0|N
H2293|014|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Preferred (PPO)|00025101|0.00|590| | |TX|45670|0|N
H2293|014|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Preferred (PPO)|00025101|0.00|590| | |TX|45720|0|N
H2293|014|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Preferred (PPO)|00025101|0.00|590| | |TX|45730|0|N
H2293|014|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Preferred (PPO)|00025101|0.00|590| | |TX|45758|0|N
H2293|014|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Preferred (PPO)|00025101|0.00|590| | |TX|45780|0|N
H2293|014|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Preferred (PPO)|00025101|0.00|590| | |TX|45783|0|N
H2293|014|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Preferred (PPO)|00025101|0.00|590| | |TX|45800|0|N
H2293|014|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Preferred (PPO)|00025101|0.00|590| | |TX|45810|0|N
H2293|014|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Preferred (PPO)|00025101|0.00|590| | |TX|45820|0|N
H2293|014|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Preferred (PPO)|00025101|0.00|590| | |TX|45843|0|N
H2293|014|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Preferred (PPO)|00025101|0.00|590| | |TX|45870|0|N
H2293|014|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Preferred (PPO)|00025101|0.00|590| | |TX|45879|0|N
H2293|014|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Preferred (PPO)|00025101|0.00|590| | |TX|45881|0|N
H2293|014|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Preferred (PPO)|00025101|0.00|590| | |TX|45892|0|N
H2293|014|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Preferred (PPO)|00025101|0.00|590| | |TX|45893|0|N
H2293|014|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Preferred (PPO)|00025101|0.00|590| | |TX|45943|0|N
H2293|014|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Preferred (PPO)|00025101|0.00|590| | |TX|45947|0|N
H2293|014|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Preferred (PPO)|00025101|0.00|590| | |TX|45973|0|N
H2293|014|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Preferred (PPO)|00025101|0.00|590| | |TX|45974|0|N
H2293|016|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |TX|45070|0|N
H2293|016|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |TX|45180|0|N
H2293|016|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |TX|45190|0|N
H2293|016|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |TX|45280|0|N
H2293|016|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |TX|45530|0|N
H2293|016|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |TX|45580|0|N
H2293|016|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |TX|45600|0|N
H2293|016|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |TX|45610|0|N
H2293|016|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |TX|45690|0|N
H2293|016|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |TX|45801|0|N
H2293|016|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |TX|45850|0|N
H2293|016|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |TX|45884|0|N
H2293|016|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |TX|45942|0|N
H2293|016|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |TX|45949|0|N
H2293|016|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |TX|45950|0|N
H2293|016|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |TX|45952|0|N
H2293|017|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |TX|45240|0|N
H2293|017|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |TX|45650|0|N
H2293|017|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |TX|45830|0|N
H2293|017|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |TX|45953|0|N
H2293|017|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |TX|45962|0|N
H2293|019|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |TX|45060|0|N
H2293|019|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |TX|45090|0|N
H2293|019|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |TX|45130|0|N
H2293|019|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |TX|45320|0|N
H2293|019|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |TX|45581|0|N
H2293|019|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |TX|45731|0|N
H2293|019|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |TX|45792|0|N
H2293|019|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |TX|45971|0|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11000|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11010|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11011|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11020|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11040|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11050|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11060|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11070|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11080|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11110|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11120|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11160|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11161|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11180|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11190|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11200|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11210|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11230|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11240|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11260|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11270|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11281|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11291|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11300|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11311|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11340|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11341|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11350|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11360|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11380|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11390|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11410|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11420|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11430|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11440|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11441|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11450|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11460|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11462|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11471|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11500|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11510|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11520|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11540|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11550|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11570|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11580|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11581|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11590|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11601|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11610|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11611|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11612|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11640|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11652|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11660|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11670|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11700|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11701|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11720|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11730|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11740|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11741|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11750|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11770|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11771|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11772|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11780|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11790|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11800|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11801|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11812|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11820|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11821|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11830|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11832|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11833|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11834|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11835|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11842|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11851|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11861|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11862|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11870|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11880|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11881|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11882|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11884|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11885|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11890|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11900|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11901|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11902|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11903|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11910|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11911|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11913|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11920|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11921|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11930|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11940|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11950|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11961|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11962|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11963|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11970|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11971|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11972|2|N
H2293|021|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|18.40|590| | |GA|11980|2|N
H2293|023|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|16.30|590| | |GA|11030|0|N
H2293|023|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|16.30|590| | |GA|11090|0|N
H2293|023|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|16.30|590| | |GA|11100|0|N
H2293|023|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|16.30|590| | |GA|11130|0|N
H2293|023|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|16.30|590| | |GA|11150|0|N
H2293|023|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|16.30|590| | |GA|11170|0|N
H2293|023|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|16.30|590| | |GA|11220|0|N
H2293|023|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|16.30|590| | |GA|11310|0|N
H2293|023|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|16.30|590| | |GA|11330|0|N
H2293|023|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|16.30|590| | |GA|11381|0|N
H2293|023|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|16.30|590| | |GA|11421|0|N
H2293|023|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|16.30|590| | |GA|11480|0|N
H2293|023|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|16.30|590| | |GA|11490|0|N
H2293|023|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|16.30|590| | |GA|11560|0|N
H2293|023|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|16.30|590| | |GA|11600|0|N
H2293|023|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|16.30|590| | |GA|11620|0|N
H2293|023|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|16.30|590| | |GA|11630|0|N
H2293|023|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|16.30|590| | |GA|11650|0|N
H2293|023|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|16.30|590| | |GA|11651|0|N
H2293|023|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|16.30|590| | |GA|11680|0|N
H2293|023|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|16.30|590| | |GA|11690|0|N
H2293|023|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|16.30|590| | |GA|11691|0|N
H2293|023|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|16.30|590| | |GA|11702|0|N
H2293|023|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|16.30|590| | |GA|11703|0|N
H2293|023|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|16.30|590| | |GA|11710|0|N
H2293|023|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|16.30|590| | |GA|11760|0|N
H2293|023|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|16.30|590| | |GA|11780|0|N
H2293|023|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|16.30|590| | |GA|11811|0|N
H2293|023|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|16.30|590| | |GA|11831|0|N
H2293|023|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|16.30|590| | |GA|11840|0|N
H2293|023|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|16.30|590| | |GA|11850|0|N
H2293|023|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|16.30|590| | |GA|11883|0|N
H2293|023|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|16.30|590| | |GA|11912|0|N
H2293|023|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|16.30|590| | |GA|11941|0|N
H2293|023|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|16.30|590| | |GA|11960|0|N
H2293|023|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|16.30|590| | |GA|11973|0|N
H2293|025|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|27.00|590| | |TX|45310|0|N
H2293|025|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|27.00|590| | |TX|45390|0|N
H2293|025|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|27.00|590| | |TX|45564|0|N
H2293|025|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|27.00|590| | |TX|45670|0|N
H2293|025|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|27.00|590| | |TX|45730|0|N
H2293|025|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|27.00|590| | |TX|45843|0|N
H2293|025|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|27.00|590| | |TX|45910|0|N
H2293|025|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|27.00|590| | |TX|45973|0|N
H2293|026|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025100|0.00|590| | |TX|45631|0|N
H2293|026|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025100|0.00|590| | |TX|45940|0|N
H2293|026|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025100|0.00|590| | |TX|45970|0|N
H2293|028|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Signature (PPO)|00025100|0.00|590| | |GA|11290|0|N
H2293|028|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Signature (PPO)|00025100|0.00|590| | |GA|11810|0|N
H2293|029|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Signature (PPO)|00025101|0.00|590| | |GA|11030|0|N
H2293|029|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Signature (PPO)|00025101|0.00|590| | |GA|11090|0|N
H2293|029|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Signature (PPO)|00025101|0.00|590| | |GA|11100|0|N
H2293|029|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Signature (PPO)|00025101|0.00|590| | |GA|11150|0|N
H2293|029|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Signature (PPO)|00025101|0.00|590| | |GA|11170|0|N
H2293|029|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Signature (PPO)|00025101|0.00|590| | |GA|11381|0|N
H2293|029|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Signature (PPO)|00025101|0.00|590| | |GA|11460|0|N
H2293|029|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Signature (PPO)|00025101|0.00|590| | |GA|11480|0|N
H2293|029|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Signature (PPO)|00025101|0.00|590| | |GA|11600|0|N
H2293|029|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Signature (PPO)|00025101|0.00|590| | |GA|11620|0|N
H2293|029|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Signature (PPO)|00025101|0.00|590| | |GA|11630|0|N
H2293|029|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Signature (PPO)|00025101|0.00|590| | |GA|11651|0|N
H2293|029|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Signature (PPO)|00025101|0.00|590| | |GA|11680|0|N
H2293|029|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Signature (PPO)|00025101|0.00|590| | |GA|11691|0|N
H2293|029|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Signature (PPO)|00025101|0.00|590| | |GA|11702|0|N
H2293|029|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Signature (PPO)|00025101|0.00|590| | |GA|11710|0|N
H2293|029|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Signature (PPO)|00025101|0.00|590| | |GA|11760|0|N
H2293|029|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Signature (PPO)|00025101|0.00|590| | |GA|11780|0|N
H2293|029|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Signature (PPO)|00025101|0.00|590| | |GA|11811|0|N
H2293|029|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Signature (PPO)|00025101|0.00|590| | |GA|11831|0|N
H2293|029|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Signature (PPO)|00025101|0.00|590| | |GA|11840|0|N
H2293|029|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Signature (PPO)|00025101|0.00|590| | |GA|11850|0|N
H2293|029|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Signature (PPO)|00025101|0.00|590| | |GA|11912|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11000|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11010|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11011|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11020|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11040|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11050|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11060|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11070|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11080|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11110|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11120|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11130|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11160|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11161|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11180|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11190|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11200|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11210|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11220|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11230|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11240|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11260|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11270|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11281|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11291|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11300|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11310|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11311|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11330|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11340|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11341|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11350|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11360|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11380|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11390|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11410|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11420|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11421|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11430|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11440|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11441|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11450|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11462|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11471|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11490|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11500|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11510|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11520|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11540|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11550|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11560|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11570|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11580|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11581|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11590|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11601|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11610|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11611|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11612|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11640|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11650|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11652|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11660|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11670|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11690|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11700|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11701|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11703|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11720|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11730|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11740|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11741|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11750|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11770|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11771|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11772|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11790|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11800|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11801|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11810|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11812|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11820|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11821|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11830|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11832|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11833|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11834|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11835|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11842|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11851|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11861|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11862|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11870|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11880|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11881|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11882|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11883|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11884|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11885|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11890|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11900|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11901|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11902|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11903|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11910|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11911|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11913|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11920|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11921|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11930|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11940|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11941|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11950|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11960|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11961|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11962|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11963|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11970|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11971|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11972|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11973|0|N
H2293|031|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Freedom Plus (PPO)|00025100|0.00|590| | |GA|11980|0|N
H2293|033|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|15.70|590| | |GA|11040|0|N
H2293|033|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|15.70|590| | |GA|11050|0|N
H2293|033|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|15.70|590| | |GA|11170|0|N
H2293|033|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|15.70|590| | |GA|11190|0|N
H2293|033|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|15.70|590| | |GA|11230|0|N
H2293|033|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|15.70|590| | |GA|11421|0|N
H2293|033|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|15.70|590| | |GA|11450|0|N
H2293|033|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|15.70|590| | |GA|11460|0|N
H2293|033|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|15.70|590| | |GA|11462|0|N
H2293|033|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|15.70|590| | |GA|11500|0|N
H2293|033|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|15.70|590| | |GA|11550|0|N
H2293|033|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|15.70|590| | |GA|11580|0|N
H2293|033|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|15.70|590| | |GA|11600|0|N
H2293|033|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|15.70|590| | |GA|11610|0|N
H2293|033|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|15.70|590| | |GA|11670|0|N
H2293|033|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|15.70|590| | |GA|11701|0|N
H2293|033|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|15.70|590| | |GA|11730|0|N
H2293|033|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|15.70|590| | |GA|11772|0|N
H2293|033|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|15.70|590| | |GA|11780|0|N
H2293|033|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|15.70|590| | |GA|11790|0|N
H2293|033|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|15.70|590| | |GA|11801|0|N
H2293|033|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|15.70|590| | |GA|11812|0|N
H2293|033|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|15.70|590| | |GA|11821|0|N
H2293|033|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|15.70|590| | |GA|11834|0|N
H2293|033|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|15.70|590| | |GA|11870|0|N
H2293|033|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|15.70|590| | |GA|11885|0|N
H2293|033|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|15.70|590| | |GA|11900|0|N
H2293|033|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|15.70|590| | |GA|11902|0|N
H2293|033|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|15.70|590| | |GA|11921|0|N
H2293|033|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|15.70|590| | |GA|11930|0|N
H2293|033|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|15.70|590| | |GA|11940|0|N
H2293|033|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|15.70|590| | |GA|11960|0|N
H2293|033|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|15.70|590| | |GA|11963|0|N
H2293|033|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|15.70|590| | |GA|11972|0|N
H2293|033|000|SILVERSCRIPT INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|15.70|590| | |GA|11980|0|N
H2320|022|001|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23020|0|N
H2320|022|001|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23070|0|N
H2320|022|001|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23400|0|N
H2320|022|001|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23450|0|N
H2320|022|001|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23690|0|N
H2320|022|002|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23100|0|N
H2320|022|002|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23120|0|N
H2320|022|002|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23130|0|N
H2320|022|002|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23330|0|N
H2320|022|002|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23360|0|N
H2320|022|002|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23380|0|N
H2320|022|002|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23520|0|N
H2320|022|002|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23550|0|N
H2320|022|002|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23560|0|N
H2320|022|002|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23580|0|N
H2320|022|002|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23600|0|N
H2320|022|002|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23610|0|N
H2320|022|002|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23630|0|N
H2320|022|002|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23660|0|N
H2320|022|002|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23680|0|N
H2320|022|002|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23730|0|N
H2320|022|002|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23790|0|N
H2320|022|002|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23830|0|N
H2320|022|003|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23000|0|N
H2320|022|003|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23040|0|N
H2320|022|003|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23090|0|N
H2320|022|003|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23140|0|N
H2320|022|003|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23170|0|N
H2320|022|003|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23190|0|N
H2320|022|003|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23270|0|N
H2320|022|003|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23290|0|N
H2320|022|003|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23420|0|N
H2320|022|003|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23430|0|N
H2320|022|003|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23440|0|N
H2320|022|003|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23500|0|N
H2320|022|003|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23530|0|N
H2320|022|003|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23570|0|N
H2320|022|004|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23030|0|N
H2320|022|004|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23150|0|N
H2320|022|004|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23220|0|N
H2320|022|004|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23230|0|N
H2320|022|004|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23250|0|N
H2320|022|004|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23280|0|N
H2320|022|004|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23340|0|N
H2320|022|004|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23370|0|N
H2320|022|004|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23390|0|N
H2320|022|004|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23590|0|N
H2320|022|004|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23670|0|N
H2320|022|004|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23700|0|N
H2320|022|004|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23710|0|N
H2320|022|004|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23740|0|N
H2320|022|004|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23750|0|N
H2320|022|004|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23770|0|N
H2320|022|005|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23050|0|N
H2320|022|005|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23080|0|N
H2320|022|005|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23110|0|N
H2320|022|005|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23180|0|N
H2320|022|005|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23240|0|N
H2320|022|005|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23310|0|N
H2320|022|005|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23320|0|N
H2320|022|005|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23460|0|N
H2320|022|005|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23490|0|N
H2320|022|005|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23620|0|N
H2320|022|005|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23640|0|N
H2320|022|005|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23720|0|N
H2320|022|005|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23780|0|N
H2320|022|005|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23800|0|N
H2320|022|005|PRIORITY HEALTH|PriorityMedicare Key (HMO-POS)|00025361|0.00|0| | |MI|23810|0|N
H2320|028|001|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23020|0|N
H2320|028|001|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23070|0|N
H2320|028|001|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23400|0|N
H2320|028|001|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23450|0|N
H2320|028|001|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23690|0|N
H2320|028|002|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23100|0|N
H2320|028|002|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23120|0|N
H2320|028|002|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23130|0|N
H2320|028|002|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23330|0|N
H2320|028|002|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23360|0|N
H2320|028|002|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23380|0|N
H2320|028|002|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23520|0|N
H2320|028|002|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23550|0|N
H2320|028|002|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23560|0|N
H2320|028|002|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23580|0|N
H2320|028|002|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23600|0|N
H2320|028|002|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23610|0|N
H2320|028|002|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23630|0|N
H2320|028|002|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23660|0|N
H2320|028|002|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23680|0|N
H2320|028|002|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23730|0|N
H2320|028|002|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23790|0|N
H2320|028|002|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23830|0|N
H2320|028|003|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23000|0|N
H2320|028|003|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23040|0|N
H2320|028|003|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23090|0|N
H2320|028|003|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23140|0|N
H2320|028|003|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23170|0|N
H2320|028|003|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23190|0|N
H2320|028|003|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23270|0|N
H2320|028|003|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23290|0|N
H2320|028|003|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23420|0|N
H2320|028|003|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23430|0|N
H2320|028|003|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23440|0|N
H2320|028|003|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23500|0|N
H2320|028|003|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23530|0|N
H2320|028|003|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23570|0|N
H2320|028|004|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23030|0|N
H2320|028|004|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23150|0|N
H2320|028|004|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23220|0|N
H2320|028|004|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23230|0|N
H2320|028|004|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23250|0|N
H2320|028|004|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23280|0|N
H2320|028|004|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23340|0|N
H2320|028|004|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23370|0|N
H2320|028|004|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23390|0|N
H2320|028|004|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23590|0|N
H2320|028|004|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23670|0|N
H2320|028|004|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23700|0|N
H2320|028|004|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23710|0|N
H2320|028|004|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23740|0|N
H2320|028|004|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23750|0|N
H2320|028|004|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23770|0|N
H2320|028|005|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23050|0|N
H2320|028|005|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23080|0|N
H2320|028|005|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23110|0|N
H2320|028|005|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23180|0|N
H2320|028|005|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23240|0|N
H2320|028|005|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23310|0|N
H2320|028|005|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23320|0|N
H2320|028|005|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23460|0|N
H2320|028|005|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23490|0|N
H2320|028|005|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23620|0|N
H2320|028|005|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23640|0|N
H2320|028|005|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23720|0|N
H2320|028|005|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23780|0|N
H2320|028|005|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23800|0|N
H2320|028|005|PRIORITY HEALTH|PriorityMedicare (HMO-POS)|00025361|36.90|0| | |MI|23810|0|N
H2320|029|001|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23020|0|N
H2320|029|001|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23070|0|N
H2320|029|001|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23400|0|N
H2320|029|001|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23450|0|N
H2320|029|001|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23690|0|N
H2320|029|002|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23100|0|N
H2320|029|002|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23120|0|N
H2320|029|002|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23130|0|N
H2320|029|002|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23330|0|N
H2320|029|002|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23360|0|N
H2320|029|002|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23380|0|N
H2320|029|002|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23520|0|N
H2320|029|002|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23550|0|N
H2320|029|002|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23560|0|N
H2320|029|002|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23580|0|N
H2320|029|002|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23600|0|N
H2320|029|002|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23610|0|N
H2320|029|002|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23630|0|N
H2320|029|002|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23660|0|N
H2320|029|002|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23680|0|N
H2320|029|002|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23730|0|N
H2320|029|002|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23790|0|N
H2320|029|002|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23830|0|N
H2320|029|003|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23000|0|N
H2320|029|003|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23040|0|N
H2320|029|003|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23090|0|N
H2320|029|003|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23140|0|N
H2320|029|003|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23170|0|N
H2320|029|003|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23190|0|N
H2320|029|003|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23270|0|N
H2320|029|003|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23290|0|N
H2320|029|003|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23420|0|N
H2320|029|003|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23430|0|N
H2320|029|003|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23440|0|N
H2320|029|003|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23500|0|N
H2320|029|003|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23530|0|N
H2320|029|003|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23570|0|N
H2320|029|004|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23030|0|N
H2320|029|004|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23150|0|N
H2320|029|004|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23220|0|N
H2320|029|004|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23230|0|N
H2320|029|004|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23250|0|N
H2320|029|004|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23280|0|N
H2320|029|004|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23340|0|N
H2320|029|004|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23370|0|N
H2320|029|004|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23390|0|N
H2320|029|004|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23590|0|N
H2320|029|004|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23670|0|N
H2320|029|004|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23700|0|N
H2320|029|004|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23710|0|N
H2320|029|004|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23740|0|N
H2320|029|004|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23750|0|N
H2320|029|004|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23770|0|N
H2320|029|005|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23050|0|N
H2320|029|005|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23080|0|N
H2320|029|005|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23110|0|N
H2320|029|005|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23180|0|N
H2320|029|005|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23240|0|N
H2320|029|005|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23310|0|N
H2320|029|005|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23320|0|N
H2320|029|005|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23460|0|N
H2320|029|005|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23490|0|N
H2320|029|005|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23620|0|N
H2320|029|005|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23640|0|N
H2320|029|005|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23720|0|N
H2320|029|005|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23780|0|N
H2320|029|005|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23800|0|N
H2320|029|005|PRIORITY HEALTH|PriorityMedicare Value (HMO-POS)|00025361|17.60|0| | |MI|23810|0|N
H2320|031|000|PRIORITY HEALTH|PriorityMedicare Vintage (HMO-POS)|00025361|0.00|0| | |MI|23020|0|N
H2320|031|000|PRIORITY HEALTH|PriorityMedicare Vintage (HMO-POS)|00025361|0.00|0| | |MI|23050|0|N
H2320|031|000|PRIORITY HEALTH|PriorityMedicare Vintage (HMO-POS)|00025361|0.00|0| | |MI|23070|0|N
H2320|031|000|PRIORITY HEALTH|PriorityMedicare Vintage (HMO-POS)|00025361|0.00|0| | |MI|23080|0|N
H2320|031|000|PRIORITY HEALTH|PriorityMedicare Vintage (HMO-POS)|00025361|0.00|0| | |MI|23100|0|N
H2320|031|000|PRIORITY HEALTH|PriorityMedicare Vintage (HMO-POS)|00025361|0.00|0| | |MI|23110|0|N
H2320|031|000|PRIORITY HEALTH|PriorityMedicare Vintage (HMO-POS)|00025361|0.00|0| | |MI|23120|0|N
H2320|031|000|PRIORITY HEALTH|PriorityMedicare Vintage (HMO-POS)|00025361|0.00|0| | |MI|23130|0|N
H2320|031|000|PRIORITY HEALTH|PriorityMedicare Vintage (HMO-POS)|00025361|0.00|0| | |MI|23180|0|N
H2320|031|000|PRIORITY HEALTH|PriorityMedicare Vintage (HMO-POS)|00025361|0.00|0| | |MI|23240|0|N
H2320|031|000|PRIORITY HEALTH|PriorityMedicare Vintage (HMO-POS)|00025361|0.00|0| | |MI|23310|0|N
H2320|031|000|PRIORITY HEALTH|PriorityMedicare Vintage (HMO-POS)|00025361|0.00|0| | |MI|23320|0|N
H2320|031|000|PRIORITY HEALTH|PriorityMedicare Vintage (HMO-POS)|00025361|0.00|0| | |MI|23330|0|N
H2320|031|000|PRIORITY HEALTH|PriorityMedicare Vintage (HMO-POS)|00025361|0.00|0| | |MI|23360|0|N
H2320|031|000|PRIORITY HEALTH|PriorityMedicare Vintage (HMO-POS)|00025361|0.00|0| | |MI|23380|0|N
H2320|031|000|PRIORITY HEALTH|PriorityMedicare Vintage (HMO-POS)|00025361|0.00|0| | |MI|23400|0|N
H2320|031|000|PRIORITY HEALTH|PriorityMedicare Vintage (HMO-POS)|00025361|0.00|0| | |MI|23450|0|N
H2320|031|000|PRIORITY HEALTH|PriorityMedicare Vintage (HMO-POS)|00025361|0.00|0| | |MI|23460|0|N
H2320|031|000|PRIORITY HEALTH|PriorityMedicare Vintage (HMO-POS)|00025361|0.00|0| | |MI|23490|0|N
H2320|031|000|PRIORITY HEALTH|PriorityMedicare Vintage (HMO-POS)|00025361|0.00|0| | |MI|23520|0|N
H2320|031|000|PRIORITY HEALTH|PriorityMedicare Vintage (HMO-POS)|00025361|0.00|0| | |MI|23550|0|N
H2320|031|000|PRIORITY HEALTH|PriorityMedicare Vintage (HMO-POS)|00025361|0.00|0| | |MI|23560|0|N
H2320|031|000|PRIORITY HEALTH|PriorityMedicare Vintage (HMO-POS)|00025361|0.00|0| | |MI|23580|0|N
H2320|031|000|PRIORITY HEALTH|PriorityMedicare Vintage (HMO-POS)|00025361|0.00|0| | |MI|23600|0|N
H2320|031|000|PRIORITY HEALTH|PriorityMedicare Vintage (HMO-POS)|00025361|0.00|0| | |MI|23610|0|N
H2320|031|000|PRIORITY HEALTH|PriorityMedicare Vintage (HMO-POS)|00025361|0.00|0| | |MI|23620|0|N
H2320|031|000|PRIORITY HEALTH|PriorityMedicare Vintage (HMO-POS)|00025361|0.00|0| | |MI|23630|0|N
H2320|031|000|PRIORITY HEALTH|PriorityMedicare Vintage (HMO-POS)|00025361|0.00|0| | |MI|23640|0|N
H2320|031|000|PRIORITY HEALTH|PriorityMedicare Vintage (HMO-POS)|00025361|0.00|0| | |MI|23660|0|N
H2320|031|000|PRIORITY HEALTH|PriorityMedicare Vintage (HMO-POS)|00025361|0.00|0| | |MI|23680|0|N
H2320|031|000|PRIORITY HEALTH|PriorityMedicare Vintage (HMO-POS)|00025361|0.00|0| | |MI|23690|0|N
H2320|031|000|PRIORITY HEALTH|PriorityMedicare Vintage (HMO-POS)|00025361|0.00|0| | |MI|23720|0|N
H2320|031|000|PRIORITY HEALTH|PriorityMedicare Vintage (HMO-POS)|00025361|0.00|0| | |MI|23730|0|N
H2320|031|000|PRIORITY HEALTH|PriorityMedicare Vintage (HMO-POS)|00025361|0.00|0| | |MI|23780|0|N
H2320|031|000|PRIORITY HEALTH|PriorityMedicare Vintage (HMO-POS)|00025361|0.00|0| | |MI|23790|0|N
H2320|031|000|PRIORITY HEALTH|PriorityMedicare Vintage (HMO-POS)|00025361|0.00|0| | |MI|23800|0|N
H2320|031|000|PRIORITY HEALTH|PriorityMedicare Vintage (HMO-POS)|00025361|0.00|0| | |MI|23810|0|N
H2320|031|000|PRIORITY HEALTH|PriorityMedicare Vintage (HMO-POS)|00025361|0.00|0| | |MI|23830|0|N
H2322|008|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Senior Plus (PPO)|00025292|50.20|0| | |MI|23020|0|N
H2322|008|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Senior Plus (PPO)|00025292|50.20|0| | |MI|23050|0|N
H2322|008|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Senior Plus (PPO)|00025292|50.20|0| | |MI|23070|0|N
H2322|008|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Senior Plus (PPO)|00025292|50.20|0| | |MI|23080|0|N
H2322|008|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Senior Plus (PPO)|00025292|50.20|0| | |MI|23100|0|N
H2322|008|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Senior Plus (PPO)|00025292|50.20|0| | |MI|23110|0|N
H2322|008|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Senior Plus (PPO)|00025292|50.20|0| | |MI|23120|0|N
H2322|008|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Senior Plus (PPO)|00025292|50.20|0| | |MI|23170|0|N
H2322|008|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Senior Plus (PPO)|00025292|50.20|0| | |MI|23180|0|N
H2322|008|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Senior Plus (PPO)|00025292|50.20|0| | |MI|23220|0|N
H2322|008|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Senior Plus (PPO)|00025292|50.20|0| | |MI|23240|0|N
H2322|008|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Senior Plus (PPO)|00025292|50.20|0| | |MI|23250|0|N
H2322|008|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Senior Plus (PPO)|00025292|50.20|0| | |MI|23280|0|N
H2322|008|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Senior Plus (PPO)|00025292|50.20|0| | |MI|23290|0|N
H2322|008|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Senior Plus (PPO)|00025292|50.20|0| | |MI|23310|0|N
H2322|008|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Senior Plus (PPO)|00025292|50.20|0| | |MI|23320|0|N
H2322|008|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Senior Plus (PPO)|00025292|50.20|0| | |MI|23330|0|N
H2322|008|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Senior Plus (PPO)|00025292|50.20|0| | |MI|23340|0|N
H2322|008|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Senior Plus (PPO)|00025292|50.20|0| | |MI|23360|0|N
H2322|008|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Senior Plus (PPO)|00025292|50.20|0| | |MI|23370|0|N
H2322|008|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Senior Plus (PPO)|00025292|50.20|0| | |MI|23380|0|N
H2322|008|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Senior Plus (PPO)|00025292|50.20|0| | |MI|23400|0|N
H2322|008|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Senior Plus (PPO)|00025292|50.20|0| | |MI|23420|0|N
H2322|008|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Senior Plus (PPO)|00025292|50.20|0| | |MI|23430|0|N
H2322|008|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Senior Plus (PPO)|00025292|50.20|0| | |MI|23450|0|N
H2322|008|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Senior Plus (PPO)|00025292|50.20|0| | |MI|23460|0|N
H2322|008|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Senior Plus (PPO)|00025292|50.20|0| | |MI|23490|0|N
H2322|008|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Senior Plus (PPO)|00025292|50.20|0| | |MI|23520|0|N
H2322|008|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Senior Plus (PPO)|00025292|50.20|0| | |MI|23530|0|N
H2322|008|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Senior Plus (PPO)|00025292|50.20|0| | |MI|23550|0|N
H2322|008|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Senior Plus (PPO)|00025292|50.20|0| | |MI|23560|0|N
H2322|008|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Senior Plus (PPO)|00025292|50.20|0| | |MI|23570|0|N
H2322|008|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Senior Plus (PPO)|00025292|50.20|0| | |MI|23580|0|N
H2322|008|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Senior Plus (PPO)|00025292|50.20|0| | |MI|23610|0|N
H2322|008|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Senior Plus (PPO)|00025292|50.20|0| | |MI|23620|0|N
H2322|008|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Senior Plus (PPO)|00025292|50.20|0| | |MI|23630|0|N
H2322|008|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Senior Plus (PPO)|00025292|50.20|0| | |MI|23640|0|N
H2322|008|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Senior Plus (PPO)|00025292|50.20|0| | |MI|23660|0|N
H2322|008|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Senior Plus (PPO)|00025292|50.20|0| | |MI|23690|0|N
H2322|008|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Senior Plus (PPO)|00025292|50.20|0| | |MI|23710|0|N
H2322|008|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Senior Plus (PPO)|00025292|50.20|0| | |MI|23720|0|N
H2322|008|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Senior Plus (PPO)|00025292|50.20|0| | |MI|23730|0|N
H2322|008|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Senior Plus (PPO)|00025292|50.20|0| | |MI|23750|0|N
H2322|008|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Senior Plus (PPO)|00025292|50.20|0| | |MI|23770|0|N
H2322|008|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Senior Plus (PPO)|00025292|50.20|0| | |MI|23780|0|N
H2322|008|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Senior Plus (PPO)|00025292|50.20|0| | |MI|23790|0|N
H2322|008|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Senior Plus (PPO)|00025292|50.20|0| | |MI|23800|0|N
H2322|008|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Senior Plus (PPO)|00025292|50.20|0| | |MI|23810|0|N
H2322|011|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Explore (PPO)|00025292|0.00|300| | |MI|23020|0|N
H2322|011|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Explore (PPO)|00025292|0.00|300| | |MI|23050|0|N
H2322|011|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Explore (PPO)|00025292|0.00|300| | |MI|23070|0|N
H2322|011|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Explore (PPO)|00025292|0.00|300| | |MI|23080|0|N
H2322|011|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Explore (PPO)|00025292|0.00|300| | |MI|23100|0|N
H2322|011|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Explore (PPO)|00025292|0.00|300| | |MI|23110|0|N
H2322|011|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Explore (PPO)|00025292|0.00|300| | |MI|23120|0|N
H2322|011|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Explore (PPO)|00025292|0.00|300| | |MI|23170|0|N
H2322|011|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Explore (PPO)|00025292|0.00|300| | |MI|23180|0|N
H2322|011|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Explore (PPO)|00025292|0.00|300| | |MI|23220|0|N
H2322|011|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Explore (PPO)|00025292|0.00|300| | |MI|23240|0|N
H2322|011|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Explore (PPO)|00025292|0.00|300| | |MI|23250|0|N
H2322|011|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Explore (PPO)|00025292|0.00|300| | |MI|23280|0|N
H2322|011|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Explore (PPO)|00025292|0.00|300| | |MI|23290|0|N
H2322|011|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Explore (PPO)|00025292|0.00|300| | |MI|23310|0|N
H2322|011|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Explore (PPO)|00025292|0.00|300| | |MI|23320|0|N
H2322|011|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Explore (PPO)|00025292|0.00|300| | |MI|23330|0|N
H2322|011|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Explore (PPO)|00025292|0.00|300| | |MI|23340|0|N
H2322|011|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Explore (PPO)|00025292|0.00|300| | |MI|23360|0|N
H2322|011|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Explore (PPO)|00025292|0.00|300| | |MI|23370|0|N
H2322|011|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Explore (PPO)|00025292|0.00|300| | |MI|23380|0|N
H2322|011|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Explore (PPO)|00025292|0.00|300| | |MI|23400|0|N
H2322|011|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Explore (PPO)|00025292|0.00|300| | |MI|23420|0|N
H2322|011|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Explore (PPO)|00025292|0.00|300| | |MI|23430|0|N
H2322|011|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Explore (PPO)|00025292|0.00|300| | |MI|23450|0|N
H2322|011|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Explore (PPO)|00025292|0.00|300| | |MI|23460|0|N
H2322|011|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Explore (PPO)|00025292|0.00|300| | |MI|23490|0|N
H2322|011|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Explore (PPO)|00025292|0.00|300| | |MI|23520|0|N
H2322|011|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Explore (PPO)|00025292|0.00|300| | |MI|23530|0|N
H2322|011|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Explore (PPO)|00025292|0.00|300| | |MI|23550|0|N
H2322|011|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Explore (PPO)|00025292|0.00|300| | |MI|23560|0|N
H2322|011|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Explore (PPO)|00025292|0.00|300| | |MI|23570|0|N
H2322|011|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Explore (PPO)|00025292|0.00|300| | |MI|23580|0|N
H2322|011|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Explore (PPO)|00025292|0.00|300| | |MI|23610|0|N
H2322|011|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Explore (PPO)|00025292|0.00|300| | |MI|23620|0|N
H2322|011|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Explore (PPO)|00025292|0.00|300| | |MI|23630|0|N
H2322|011|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Explore (PPO)|00025292|0.00|300| | |MI|23640|0|N
H2322|011|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Explore (PPO)|00025292|0.00|300| | |MI|23660|0|N
H2322|011|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Explore (PPO)|00025292|0.00|300| | |MI|23690|0|N
H2322|011|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Explore (PPO)|00025292|0.00|300| | |MI|23710|0|N
H2322|011|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Explore (PPO)|00025292|0.00|300| | |MI|23720|0|N
H2322|011|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Explore (PPO)|00025292|0.00|300| | |MI|23730|0|N
H2322|011|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Explore (PPO)|00025292|0.00|300| | |MI|23750|0|N
H2322|011|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Explore (PPO)|00025292|0.00|300| | |MI|23770|0|N
H2322|011|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Explore (PPO)|00025292|0.00|300| | |MI|23780|0|N
H2322|011|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Explore (PPO)|00025292|0.00|300| | |MI|23790|0|N
H2322|011|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Explore (PPO)|00025292|0.00|300| | |MI|23800|0|N
H2322|011|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Explore (PPO)|00025292|0.00|300| | |MI|23810|0|N
H2322|016|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP MSU-HC Medicare Prime (PPO)|00025292|0.00|200| | |MI|23020|0|N
H2322|016|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP MSU-HC Medicare Prime (PPO)|00025292|0.00|200| | |MI|23050|0|N
H2322|016|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP MSU-HC Medicare Prime (PPO)|00025292|0.00|200| | |MI|23070|0|N
H2322|016|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP MSU-HC Medicare Prime (PPO)|00025292|0.00|200| | |MI|23080|0|N
H2322|016|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP MSU-HC Medicare Prime (PPO)|00025292|0.00|200| | |MI|23100|0|N
H2322|016|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP MSU-HC Medicare Prime (PPO)|00025292|0.00|200| | |MI|23110|0|N
H2322|016|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP MSU-HC Medicare Prime (PPO)|00025292|0.00|200| | |MI|23120|0|N
H2322|016|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP MSU-HC Medicare Prime (PPO)|00025292|0.00|200| | |MI|23170|0|N
H2322|016|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP MSU-HC Medicare Prime (PPO)|00025292|0.00|200| | |MI|23180|0|N
H2322|016|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP MSU-HC Medicare Prime (PPO)|00025292|0.00|200| | |MI|23220|0|N
H2322|016|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP MSU-HC Medicare Prime (PPO)|00025292|0.00|200| | |MI|23240|0|N
H2322|016|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP MSU-HC Medicare Prime (PPO)|00025292|0.00|200| | |MI|23250|0|N
H2322|016|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP MSU-HC Medicare Prime (PPO)|00025292|0.00|200| | |MI|23280|0|N
H2322|016|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP MSU-HC Medicare Prime (PPO)|00025292|0.00|200| | |MI|23290|0|N
H2322|016|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP MSU-HC Medicare Prime (PPO)|00025292|0.00|200| | |MI|23310|0|N
H2322|016|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP MSU-HC Medicare Prime (PPO)|00025292|0.00|200| | |MI|23320|0|N
H2322|016|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP MSU-HC Medicare Prime (PPO)|00025292|0.00|200| | |MI|23330|0|N
H2322|016|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP MSU-HC Medicare Prime (PPO)|00025292|0.00|200| | |MI|23340|0|N
H2322|016|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP MSU-HC Medicare Prime (PPO)|00025292|0.00|200| | |MI|23360|0|N
H2322|016|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP MSU-HC Medicare Prime (PPO)|00025292|0.00|200| | |MI|23370|0|N
H2322|016|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP MSU-HC Medicare Prime (PPO)|00025292|0.00|200| | |MI|23380|0|N
H2322|016|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP MSU-HC Medicare Prime (PPO)|00025292|0.00|200| | |MI|23400|0|N
H2322|016|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP MSU-HC Medicare Prime (PPO)|00025292|0.00|200| | |MI|23420|0|N
H2322|016|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP MSU-HC Medicare Prime (PPO)|00025292|0.00|200| | |MI|23430|0|N
H2322|016|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP MSU-HC Medicare Prime (PPO)|00025292|0.00|200| | |MI|23450|0|N
H2322|016|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP MSU-HC Medicare Prime (PPO)|00025292|0.00|200| | |MI|23460|0|N
H2322|016|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP MSU-HC Medicare Prime (PPO)|00025292|0.00|200| | |MI|23490|0|N
H2322|016|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP MSU-HC Medicare Prime (PPO)|00025292|0.00|200| | |MI|23520|0|N
H2322|016|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP MSU-HC Medicare Prime (PPO)|00025292|0.00|200| | |MI|23530|0|N
H2322|016|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP MSU-HC Medicare Prime (PPO)|00025292|0.00|200| | |MI|23550|0|N
H2322|016|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP MSU-HC Medicare Prime (PPO)|00025292|0.00|200| | |MI|23560|0|N
H2322|016|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP MSU-HC Medicare Prime (PPO)|00025292|0.00|200| | |MI|23570|0|N
H2322|016|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP MSU-HC Medicare Prime (PPO)|00025292|0.00|200| | |MI|23580|0|N
H2322|016|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP MSU-HC Medicare Prime (PPO)|00025292|0.00|200| | |MI|23610|0|N
H2322|016|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP MSU-HC Medicare Prime (PPO)|00025292|0.00|200| | |MI|23620|0|N
H2322|016|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP MSU-HC Medicare Prime (PPO)|00025292|0.00|200| | |MI|23630|0|N
H2322|016|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP MSU-HC Medicare Prime (PPO)|00025292|0.00|200| | |MI|23640|0|N
H2322|016|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP MSU-HC Medicare Prime (PPO)|00025292|0.00|200| | |MI|23660|0|N
H2322|016|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP MSU-HC Medicare Prime (PPO)|00025292|0.00|200| | |MI|23690|0|N
H2322|016|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP MSU-HC Medicare Prime (PPO)|00025292|0.00|200| | |MI|23710|0|N
H2322|016|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP MSU-HC Medicare Prime (PPO)|00025292|0.00|200| | |MI|23720|0|N
H2322|016|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP MSU-HC Medicare Prime (PPO)|00025292|0.00|200| | |MI|23730|0|N
H2322|016|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP MSU-HC Medicare Prime (PPO)|00025292|0.00|200| | |MI|23750|0|N
H2322|016|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP MSU-HC Medicare Prime (PPO)|00025292|0.00|200| | |MI|23770|0|N
H2322|016|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP MSU-HC Medicare Prime (PPO)|00025292|0.00|200| | |MI|23780|0|N
H2322|016|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP MSU-HC Medicare Prime (PPO)|00025292|0.00|200| | |MI|23790|0|N
H2322|016|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP MSU-HC Medicare Prime (PPO)|00025292|0.00|200| | |MI|23800|0|N
H2322|016|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP MSU-HC Medicare Prime (PPO)|00025292|0.00|200| | |MI|23810|0|N
H2322|017|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Member Assist (PPO)|00025292|26.60|590| | |MI|23020|0|N
H2322|017|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Member Assist (PPO)|00025292|26.60|590| | |MI|23050|0|N
H2322|017|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Member Assist (PPO)|00025292|26.60|590| | |MI|23070|0|N
H2322|017|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Member Assist (PPO)|00025292|26.60|590| | |MI|23080|0|N
H2322|017|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Member Assist (PPO)|00025292|26.60|590| | |MI|23100|0|N
H2322|017|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Member Assist (PPO)|00025292|26.60|590| | |MI|23110|0|N
H2322|017|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Member Assist (PPO)|00025292|26.60|590| | |MI|23120|0|N
H2322|017|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Member Assist (PPO)|00025292|26.60|590| | |MI|23170|0|N
H2322|017|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Member Assist (PPO)|00025292|26.60|590| | |MI|23180|0|N
H2322|017|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Member Assist (PPO)|00025292|26.60|590| | |MI|23220|0|N
H2322|017|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Member Assist (PPO)|00025292|26.60|590| | |MI|23240|0|N
H2322|017|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Member Assist (PPO)|00025292|26.60|590| | |MI|23250|0|N
H2322|017|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Member Assist (PPO)|00025292|26.60|590| | |MI|23280|0|N
H2322|017|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Member Assist (PPO)|00025292|26.60|590| | |MI|23290|0|N
H2322|017|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Member Assist (PPO)|00025292|26.60|590| | |MI|23310|0|N
H2322|017|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Member Assist (PPO)|00025292|26.60|590| | |MI|23320|0|N
H2322|017|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Member Assist (PPO)|00025292|26.60|590| | |MI|23330|0|N
H2322|017|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Member Assist (PPO)|00025292|26.60|590| | |MI|23340|0|N
H2322|017|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Member Assist (PPO)|00025292|26.60|590| | |MI|23360|0|N
H2322|017|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Member Assist (PPO)|00025292|26.60|590| | |MI|23370|0|N
H2322|017|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Member Assist (PPO)|00025292|26.60|590| | |MI|23380|0|N
H2322|017|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Member Assist (PPO)|00025292|26.60|590| | |MI|23400|0|N
H2322|017|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Member Assist (PPO)|00025292|26.60|590| | |MI|23420|0|N
H2322|017|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Member Assist (PPO)|00025292|26.60|590| | |MI|23430|0|N
H2322|017|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Member Assist (PPO)|00025292|26.60|590| | |MI|23450|0|N
H2322|017|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Member Assist (PPO)|00025292|26.60|590| | |MI|23460|0|N
H2322|017|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Member Assist (PPO)|00025292|26.60|590| | |MI|23490|0|N
H2322|017|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Member Assist (PPO)|00025292|26.60|590| | |MI|23520|0|N
H2322|017|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Member Assist (PPO)|00025292|26.60|590| | |MI|23530|0|N
H2322|017|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Member Assist (PPO)|00025292|26.60|590| | |MI|23550|0|N
H2322|017|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Member Assist (PPO)|00025292|26.60|590| | |MI|23560|0|N
H2322|017|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Member Assist (PPO)|00025292|26.60|590| | |MI|23570|0|N
H2322|017|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Member Assist (PPO)|00025292|26.60|590| | |MI|23580|0|N
H2322|017|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Member Assist (PPO)|00025292|26.60|590| | |MI|23610|0|N
H2322|017|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Member Assist (PPO)|00025292|26.60|590| | |MI|23620|0|N
H2322|017|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Member Assist (PPO)|00025292|26.60|590| | |MI|23630|0|N
H2322|017|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Member Assist (PPO)|00025292|26.60|590| | |MI|23640|0|N
H2322|017|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Member Assist (PPO)|00025292|26.60|590| | |MI|23660|0|N
H2322|017|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Member Assist (PPO)|00025292|26.60|590| | |MI|23690|0|N
H2322|017|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Member Assist (PPO)|00025292|26.60|590| | |MI|23710|0|N
H2322|017|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Member Assist (PPO)|00025292|26.60|590| | |MI|23720|0|N
H2322|017|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Member Assist (PPO)|00025292|26.60|590| | |MI|23730|0|N
H2322|017|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Member Assist (PPO)|00025292|26.60|590| | |MI|23750|0|N
H2322|017|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Member Assist (PPO)|00025292|26.60|590| | |MI|23770|0|N
H2322|017|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Member Assist (PPO)|00025292|26.60|590| | |MI|23780|0|N
H2322|017|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Member Assist (PPO)|00025292|26.60|590| | |MI|23790|0|N
H2322|017|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Member Assist (PPO)|00025292|26.60|590| | |MI|23800|0|N
H2322|017|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Member Assist (PPO)|00025292|26.60|590| | |MI|23810|0|N
H2322|020|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Complete Assist (PPO D-SNP)|00025292|0.00|590| | |MI|23020|2|N
H2322|020|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Complete Assist (PPO D-SNP)|00025292|0.00|590| | |MI|23050|2|N
H2322|020|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Complete Assist (PPO D-SNP)|00025292|0.00|590| | |MI|23070|2|N
H2322|020|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Complete Assist (PPO D-SNP)|00025292|0.00|590| | |MI|23080|2|N
H2322|020|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Complete Assist (PPO D-SNP)|00025292|0.00|590| | |MI|23100|2|N
H2322|020|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Complete Assist (PPO D-SNP)|00025292|0.00|590| | |MI|23110|2|N
H2322|020|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Complete Assist (PPO D-SNP)|00025292|0.00|590| | |MI|23120|2|N
H2322|020|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Complete Assist (PPO D-SNP)|00025292|0.00|590| | |MI|23170|2|N
H2322|020|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Complete Assist (PPO D-SNP)|00025292|0.00|590| | |MI|23180|2|N
H2322|020|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Complete Assist (PPO D-SNP)|00025292|0.00|590| | |MI|23220|2|N
H2322|020|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Complete Assist (PPO D-SNP)|00025292|0.00|590| | |MI|23240|2|N
H2322|020|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Complete Assist (PPO D-SNP)|00025292|0.00|590| | |MI|23250|2|N
H2322|020|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Complete Assist (PPO D-SNP)|00025292|0.00|590| | |MI|23280|2|N
H2322|020|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Complete Assist (PPO D-SNP)|00025292|0.00|590| | |MI|23290|2|N
H2322|020|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Complete Assist (PPO D-SNP)|00025292|0.00|590| | |MI|23310|2|N
H2322|020|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Complete Assist (PPO D-SNP)|00025292|0.00|590| | |MI|23320|2|N
H2322|020|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Complete Assist (PPO D-SNP)|00025292|0.00|590| | |MI|23330|2|N
H2322|020|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Complete Assist (PPO D-SNP)|00025292|0.00|590| | |MI|23340|2|N
H2322|020|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Complete Assist (PPO D-SNP)|00025292|0.00|590| | |MI|23360|2|N
H2322|020|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Complete Assist (PPO D-SNP)|00025292|0.00|590| | |MI|23370|2|N
H2322|020|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Complete Assist (PPO D-SNP)|00025292|0.00|590| | |MI|23380|2|N
H2322|020|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Complete Assist (PPO D-SNP)|00025292|0.00|590| | |MI|23400|2|N
H2322|020|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Complete Assist (PPO D-SNP)|00025292|0.00|590| | |MI|23420|2|N
H2322|020|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Complete Assist (PPO D-SNP)|00025292|0.00|590| | |MI|23430|2|N
H2322|020|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Complete Assist (PPO D-SNP)|00025292|0.00|590| | |MI|23450|2|N
H2322|020|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Complete Assist (PPO D-SNP)|00025292|0.00|590| | |MI|23460|2|N
H2322|020|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Complete Assist (PPO D-SNP)|00025292|0.00|590| | |MI|23490|2|N
H2322|020|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Complete Assist (PPO D-SNP)|00025292|0.00|590| | |MI|23520|2|N
H2322|020|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Complete Assist (PPO D-SNP)|00025292|0.00|590| | |MI|23530|2|N
H2322|020|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Complete Assist (PPO D-SNP)|00025292|0.00|590| | |MI|23550|2|N
H2322|020|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Complete Assist (PPO D-SNP)|00025292|0.00|590| | |MI|23560|2|N
H2322|020|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Complete Assist (PPO D-SNP)|00025292|0.00|590| | |MI|23570|2|N
H2322|020|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Complete Assist (PPO D-SNP)|00025292|0.00|590| | |MI|23580|2|N
H2322|020|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Complete Assist (PPO D-SNP)|00025292|0.00|590| | |MI|23610|2|N
H2322|020|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Complete Assist (PPO D-SNP)|00025292|0.00|590| | |MI|23620|2|N
H2322|020|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Complete Assist (PPO D-SNP)|00025292|0.00|590| | |MI|23630|2|N
H2322|020|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Complete Assist (PPO D-SNP)|00025292|0.00|590| | |MI|23640|2|N
H2322|020|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Complete Assist (PPO D-SNP)|00025292|0.00|590| | |MI|23660|2|N
H2322|020|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Complete Assist (PPO D-SNP)|00025292|0.00|590| | |MI|23690|2|N
H2322|020|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Complete Assist (PPO D-SNP)|00025292|0.00|590| | |MI|23710|2|N
H2322|020|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Complete Assist (PPO D-SNP)|00025292|0.00|590| | |MI|23720|2|N
H2322|020|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Complete Assist (PPO D-SNP)|00025292|0.00|590| | |MI|23730|2|N
H2322|020|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Complete Assist (PPO D-SNP)|00025292|0.00|590| | |MI|23750|2|N
H2322|020|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Complete Assist (PPO D-SNP)|00025292|0.00|590| | |MI|23770|2|N
H2322|020|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Complete Assist (PPO D-SNP)|00025292|0.00|590| | |MI|23780|2|N
H2322|020|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Complete Assist (PPO D-SNP)|00025292|0.00|590| | |MI|23790|2|N
H2322|020|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Complete Assist (PPO D-SNP)|00025292|0.00|590| | |MI|23800|2|N
H2322|020|000|ALLIANCE HEALTH AND LIFE INSURANCE COMPANY|HAP Medicare Complete Assist (PPO D-SNP)|00025292|0.00|590| | |MI|23810|2|N
H2354|015|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Connect (HMO)|00025292|0.00|150| | |MI|23020|0|N
H2354|015|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Connect (HMO)|00025292|0.00|150| | |MI|23050|0|N
H2354|015|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Connect (HMO)|00025292|0.00|150| | |MI|23070|0|N
H2354|015|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Connect (HMO)|00025292|0.00|150| | |MI|23080|0|N
H2354|015|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Connect (HMO)|00025292|0.00|150| | |MI|23100|0|N
H2354|015|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Connect (HMO)|00025292|0.00|150| | |MI|23110|0|N
H2354|015|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Connect (HMO)|00025292|0.00|150| | |MI|23120|0|N
H2354|015|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Connect (HMO)|00025292|0.00|150| | |MI|23130|0|N
H2354|015|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Connect (HMO)|00025292|0.00|150| | |MI|23170|0|N
H2354|015|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Connect (HMO)|00025292|0.00|150| | |MI|23180|0|N
H2354|015|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Connect (HMO)|00025292|0.00|150| | |MI|23220|0|N
H2354|015|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Connect (HMO)|00025292|0.00|150| | |MI|23240|0|N
H2354|015|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Connect (HMO)|00025292|0.00|150| | |MI|23250|0|N
H2354|015|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Connect (HMO)|00025292|0.00|150| | |MI|23280|0|N
H2354|015|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Connect (HMO)|00025292|0.00|150| | |MI|23290|0|N
H2354|015|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Connect (HMO)|00025292|0.00|150| | |MI|23310|0|N
H2354|015|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Connect (HMO)|00025292|0.00|150| | |MI|23320|0|N
H2354|015|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Connect (HMO)|00025292|0.00|150| | |MI|23330|0|N
H2354|015|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Connect (HMO)|00025292|0.00|150| | |MI|23340|0|N
H2354|015|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Connect (HMO)|00025292|0.00|150| | |MI|23360|0|N
H2354|015|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Connect (HMO)|00025292|0.00|150| | |MI|23370|0|N
H2354|015|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Connect (HMO)|00025292|0.00|150| | |MI|23380|0|N
H2354|015|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Connect (HMO)|00025292|0.00|150| | |MI|23400|0|N
H2354|015|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Connect (HMO)|00025292|0.00|150| | |MI|23420|0|N
H2354|015|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Connect (HMO)|00025292|0.00|150| | |MI|23430|0|N
H2354|015|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Connect (HMO)|00025292|0.00|150| | |MI|23450|0|N
H2354|015|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Connect (HMO)|00025292|0.00|150| | |MI|23460|0|N
H2354|015|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Connect (HMO)|00025292|0.00|150| | |MI|23490|0|N
H2354|015|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Connect (HMO)|00025292|0.00|150| | |MI|23520|0|N
H2354|015|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Connect (HMO)|00025292|0.00|150| | |MI|23530|0|N
H2354|015|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Connect (HMO)|00025292|0.00|150| | |MI|23550|0|N
H2354|015|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Connect (HMO)|00025292|0.00|150| | |MI|23570|0|N
H2354|015|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Connect (HMO)|00025292|0.00|150| | |MI|23580|0|N
H2354|015|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Connect (HMO)|00025292|0.00|150| | |MI|23600|0|N
H2354|015|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Connect (HMO)|00025292|0.00|150| | |MI|23610|0|N
H2354|015|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Connect (HMO)|00025292|0.00|150| | |MI|23620|0|N
H2354|015|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Connect (HMO)|00025292|0.00|150| | |MI|23630|0|N
H2354|015|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Connect (HMO)|00025292|0.00|150| | |MI|23640|0|N
H2354|015|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Connect (HMO)|00025292|0.00|150| | |MI|23660|0|N
H2354|015|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Connect (HMO)|00025292|0.00|150| | |MI|23690|0|N
H2354|015|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Connect (HMO)|00025292|0.00|150| | |MI|23720|0|N
H2354|015|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Connect (HMO)|00025292|0.00|150| | |MI|23730|0|N
H2354|015|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Connect (HMO)|00025292|0.00|150| | |MI|23750|0|N
H2354|015|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Connect (HMO)|00025292|0.00|150| | |MI|23770|0|N
H2354|015|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Connect (HMO)|00025292|0.00|150| | |MI|23780|0|N
H2354|015|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Connect (HMO)|00025292|0.00|150| | |MI|23790|0|N
H2354|015|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Connect (HMO)|00025292|0.00|150| | |MI|23800|0|N
H2354|015|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Connect (HMO)|00025292|0.00|150| | |MI|23810|0|N
H2354|018|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Senior Plus Henry Ford Tiered Access (HMO)|00025292|21.70|0| | |MI|23490|0|N
H2354|018|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Senior Plus Henry Ford Tiered Access (HMO)|00025292|21.70|0| | |MI|23620|0|N
H2354|018|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Senior Plus Henry Ford Tiered Access (HMO)|00025292|21.70|0| | |MI|23810|0|N
H2354|021|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Senior Plus (HMO-POS)|00025292|0.00|0| | |MI|23050|0|N
H2354|021|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Senior Plus (HMO-POS)|00025292|0.00|0| | |MI|23080|0|N
H2354|021|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Senior Plus (HMO-POS)|00025292|0.00|0| | |MI|23170|0|N
H2354|021|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Senior Plus (HMO-POS)|00025292|0.00|0| | |MI|23180|0|N
H2354|021|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Senior Plus (HMO-POS)|00025292|0.00|0| | |MI|23220|0|N
H2354|021|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Senior Plus (HMO-POS)|00025292|0.00|0| | |MI|23240|0|N
H2354|021|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Senior Plus (HMO-POS)|00025292|0.00|0| | |MI|23250|0|N
H2354|021|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Senior Plus (HMO-POS)|00025292|0.00|0| | |MI|23280|0|N
H2354|021|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Senior Plus (HMO-POS)|00025292|0.00|0| | |MI|23290|0|N
H2354|021|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Senior Plus (HMO-POS)|00025292|0.00|0| | |MI|23310|0|N
H2354|021|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Senior Plus (HMO-POS)|00025292|0.00|0| | |MI|23320|0|N
H2354|021|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Senior Plus (HMO-POS)|00025292|0.00|0| | |MI|23330|0|N
H2354|021|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Senior Plus (HMO-POS)|00025292|0.00|0| | |MI|23340|0|N
H2354|021|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Senior Plus (HMO-POS)|00025292|0.00|0| | |MI|23360|0|N
H2354|021|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Senior Plus (HMO-POS)|00025292|0.00|0| | |MI|23370|0|N
H2354|021|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Senior Plus (HMO-POS)|00025292|0.00|0| | |MI|23430|0|N
H2354|021|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Senior Plus (HMO-POS)|00025292|0.00|0| | |MI|23450|0|N
H2354|021|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Senior Plus (HMO-POS)|00025292|0.00|0| | |MI|23460|0|N
H2354|021|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Senior Plus (HMO-POS)|00025292|0.00|0| | |MI|23490|0|N
H2354|021|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Senior Plus (HMO-POS)|00025292|0.00|0| | |MI|23550|0|N
H2354|021|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Senior Plus (HMO-POS)|00025292|0.00|0| | |MI|23570|0|N
H2354|021|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Senior Plus (HMO-POS)|00025292|0.00|0| | |MI|23580|0|N
H2354|021|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Senior Plus (HMO-POS)|00025292|0.00|0| | |MI|23620|0|N
H2354|021|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Senior Plus (HMO-POS)|00025292|0.00|0| | |MI|23720|0|N
H2354|021|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Senior Plus (HMO-POS)|00025292|0.00|0| | |MI|23730|0|N
H2354|021|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Senior Plus (HMO-POS)|00025292|0.00|0| | |MI|23750|0|N
H2354|021|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Senior Plus (HMO-POS)|00025292|0.00|0| | |MI|23770|0|N
H2354|021|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Senior Plus (HMO-POS)|00025292|0.00|0| | |MI|23780|0|N
H2354|021|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Senior Plus (HMO-POS)|00025292|0.00|0| | |MI|23800|0|N
H2354|021|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Senior Plus (HMO-POS)|00025292|0.00|0| | |MI|23810|0|N
H2354|025|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Complete Duals (HMO D-SNP)|00025292|0.00|590| | |MI|23020|2|N
H2354|025|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Complete Duals (HMO D-SNP)|00025292|0.00|590| | |MI|23050|2|N
H2354|025|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Complete Duals (HMO D-SNP)|00025292|0.00|590| | |MI|23070|2|N
H2354|025|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Complete Duals (HMO D-SNP)|00025292|0.00|590| | |MI|23080|2|N
H2354|025|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Complete Duals (HMO D-SNP)|00025292|0.00|590| | |MI|23100|2|N
H2354|025|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Complete Duals (HMO D-SNP)|00025292|0.00|590| | |MI|23110|2|N
H2354|025|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Complete Duals (HMO D-SNP)|00025292|0.00|590| | |MI|23120|2|N
H2354|025|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Complete Duals (HMO D-SNP)|00025292|0.00|590| | |MI|23130|2|N
H2354|025|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Complete Duals (HMO D-SNP)|00025292|0.00|590| | |MI|23170|2|N
H2354|025|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Complete Duals (HMO D-SNP)|00025292|0.00|590| | |MI|23180|2|N
H2354|025|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Complete Duals (HMO D-SNP)|00025292|0.00|590| | |MI|23220|2|N
H2354|025|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Complete Duals (HMO D-SNP)|00025292|0.00|590| | |MI|23240|2|N
H2354|025|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Complete Duals (HMO D-SNP)|00025292|0.00|590| | |MI|23250|2|N
H2354|025|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Complete Duals (HMO D-SNP)|00025292|0.00|590| | |MI|23280|2|N
H2354|025|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Complete Duals (HMO D-SNP)|00025292|0.00|590| | |MI|23290|2|N
H2354|025|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Complete Duals (HMO D-SNP)|00025292|0.00|590| | |MI|23310|2|N
H2354|025|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Complete Duals (HMO D-SNP)|00025292|0.00|590| | |MI|23320|2|N
H2354|025|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Complete Duals (HMO D-SNP)|00025292|0.00|590| | |MI|23330|2|N
H2354|025|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Complete Duals (HMO D-SNP)|00025292|0.00|590| | |MI|23340|2|N
H2354|025|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Complete Duals (HMO D-SNP)|00025292|0.00|590| | |MI|23360|2|N
H2354|025|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Complete Duals (HMO D-SNP)|00025292|0.00|590| | |MI|23370|2|N
H2354|025|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Complete Duals (HMO D-SNP)|00025292|0.00|590| | |MI|23380|2|N
H2354|025|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Complete Duals (HMO D-SNP)|00025292|0.00|590| | |MI|23400|2|N
H2354|025|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Complete Duals (HMO D-SNP)|00025292|0.00|590| | |MI|23420|2|N
H2354|025|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Complete Duals (HMO D-SNP)|00025292|0.00|590| | |MI|23430|2|N
H2354|025|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Complete Duals (HMO D-SNP)|00025292|0.00|590| | |MI|23450|2|N
H2354|025|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Complete Duals (HMO D-SNP)|00025292|0.00|590| | |MI|23460|2|N
H2354|025|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Complete Duals (HMO D-SNP)|00025292|0.00|590| | |MI|23490|2|N
H2354|025|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Complete Duals (HMO D-SNP)|00025292|0.00|590| | |MI|23520|2|N
H2354|025|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Complete Duals (HMO D-SNP)|00025292|0.00|590| | |MI|23530|2|N
H2354|025|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Complete Duals (HMO D-SNP)|00025292|0.00|590| | |MI|23550|2|N
H2354|025|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Complete Duals (HMO D-SNP)|00025292|0.00|590| | |MI|23570|2|N
H2354|025|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Complete Duals (HMO D-SNP)|00025292|0.00|590| | |MI|23580|2|N
H2354|025|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Complete Duals (HMO D-SNP)|00025292|0.00|590| | |MI|23600|2|N
H2354|025|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Complete Duals (HMO D-SNP)|00025292|0.00|590| | |MI|23610|2|N
H2354|025|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Complete Duals (HMO D-SNP)|00025292|0.00|590| | |MI|23620|2|N
H2354|025|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Complete Duals (HMO D-SNP)|00025292|0.00|590| | |MI|23630|2|N
H2354|025|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Complete Duals (HMO D-SNP)|00025292|0.00|590| | |MI|23640|2|N
H2354|025|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Complete Duals (HMO D-SNP)|00025292|0.00|590| | |MI|23660|2|N
H2354|025|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Complete Duals (HMO D-SNP)|00025292|0.00|590| | |MI|23690|2|N
H2354|025|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Complete Duals (HMO D-SNP)|00025292|0.00|590| | |MI|23720|2|N
H2354|025|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Complete Duals (HMO D-SNP)|00025292|0.00|590| | |MI|23730|2|N
H2354|025|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Complete Duals (HMO D-SNP)|00025292|0.00|590| | |MI|23750|2|N
H2354|025|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Complete Duals (HMO D-SNP)|00025292|0.00|590| | |MI|23770|2|N
H2354|025|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Complete Duals (HMO D-SNP)|00025292|0.00|590| | |MI|23780|2|N
H2354|025|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Complete Duals (HMO D-SNP)|00025292|0.00|590| | |MI|23790|2|N
H2354|025|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Complete Duals (HMO D-SNP)|00025292|0.00|590| | |MI|23800|2|N
H2354|025|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP Medicare Complete Duals (HMO D-SNP)|00025292|0.00|590| | |MI|23810|2|N
H2354|028|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP MSU-HC Medicare (HMO)|00025292|0.00|150| | |MI|23020|0|N
H2354|028|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP MSU-HC Medicare (HMO)|00025292|0.00|150| | |MI|23050|0|N
H2354|028|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP MSU-HC Medicare (HMO)|00025292|0.00|150| | |MI|23070|0|N
H2354|028|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP MSU-HC Medicare (HMO)|00025292|0.00|150| | |MI|23080|0|N
H2354|028|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP MSU-HC Medicare (HMO)|00025292|0.00|150| | |MI|23100|0|N
H2354|028|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP MSU-HC Medicare (HMO)|00025292|0.00|150| | |MI|23110|0|N
H2354|028|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP MSU-HC Medicare (HMO)|00025292|0.00|150| | |MI|23120|0|N
H2354|028|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP MSU-HC Medicare (HMO)|00025292|0.00|150| | |MI|23130|0|N
H2354|028|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP MSU-HC Medicare (HMO)|00025292|0.00|150| | |MI|23170|0|N
H2354|028|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP MSU-HC Medicare (HMO)|00025292|0.00|150| | |MI|23180|0|N
H2354|028|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP MSU-HC Medicare (HMO)|00025292|0.00|150| | |MI|23220|0|N
H2354|028|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP MSU-HC Medicare (HMO)|00025292|0.00|150| | |MI|23240|0|N
H2354|028|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP MSU-HC Medicare (HMO)|00025292|0.00|150| | |MI|23250|0|N
H2354|028|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP MSU-HC Medicare (HMO)|00025292|0.00|150| | |MI|23280|0|N
H2354|028|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP MSU-HC Medicare (HMO)|00025292|0.00|150| | |MI|23290|0|N
H2354|028|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP MSU-HC Medicare (HMO)|00025292|0.00|150| | |MI|23310|0|N
H2354|028|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP MSU-HC Medicare (HMO)|00025292|0.00|150| | |MI|23320|0|N
H2354|028|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP MSU-HC Medicare (HMO)|00025292|0.00|150| | |MI|23330|0|N
H2354|028|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP MSU-HC Medicare (HMO)|00025292|0.00|150| | |MI|23340|0|N
H2354|028|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP MSU-HC Medicare (HMO)|00025292|0.00|150| | |MI|23360|0|N
H2354|028|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP MSU-HC Medicare (HMO)|00025292|0.00|150| | |MI|23370|0|N
H2354|028|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP MSU-HC Medicare (HMO)|00025292|0.00|150| | |MI|23380|0|N
H2354|028|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP MSU-HC Medicare (HMO)|00025292|0.00|150| | |MI|23400|0|N
H2354|028|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP MSU-HC Medicare (HMO)|00025292|0.00|150| | |MI|23420|0|N
H2354|028|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP MSU-HC Medicare (HMO)|00025292|0.00|150| | |MI|23430|0|N
H2354|028|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP MSU-HC Medicare (HMO)|00025292|0.00|150| | |MI|23450|0|N
H2354|028|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP MSU-HC Medicare (HMO)|00025292|0.00|150| | |MI|23460|0|N
H2354|028|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP MSU-HC Medicare (HMO)|00025292|0.00|150| | |MI|23490|0|N
H2354|028|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP MSU-HC Medicare (HMO)|00025292|0.00|150| | |MI|23520|0|N
H2354|028|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP MSU-HC Medicare (HMO)|00025292|0.00|150| | |MI|23530|0|N
H2354|028|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP MSU-HC Medicare (HMO)|00025292|0.00|150| | |MI|23550|0|N
H2354|028|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP MSU-HC Medicare (HMO)|00025292|0.00|150| | |MI|23570|0|N
H2354|028|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP MSU-HC Medicare (HMO)|00025292|0.00|150| | |MI|23580|0|N
H2354|028|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP MSU-HC Medicare (HMO)|00025292|0.00|150| | |MI|23600|0|N
H2354|028|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP MSU-HC Medicare (HMO)|00025292|0.00|150| | |MI|23610|0|N
H2354|028|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP MSU-HC Medicare (HMO)|00025292|0.00|150| | |MI|23620|0|N
H2354|028|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP MSU-HC Medicare (HMO)|00025292|0.00|150| | |MI|23630|0|N
H2354|028|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP MSU-HC Medicare (HMO)|00025292|0.00|150| | |MI|23640|0|N
H2354|028|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP MSU-HC Medicare (HMO)|00025292|0.00|150| | |MI|23660|0|N
H2354|028|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP MSU-HC Medicare (HMO)|00025292|0.00|150| | |MI|23690|0|N
H2354|028|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP MSU-HC Medicare (HMO)|00025292|0.00|150| | |MI|23720|0|N
H2354|028|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP MSU-HC Medicare (HMO)|00025292|0.00|150| | |MI|23730|0|N
H2354|028|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP MSU-HC Medicare (HMO)|00025292|0.00|150| | |MI|23750|0|N
H2354|028|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP MSU-HC Medicare (HMO)|00025292|0.00|150| | |MI|23770|0|N
H2354|028|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP MSU-HC Medicare (HMO)|00025292|0.00|150| | |MI|23780|0|N
H2354|028|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP MSU-HC Medicare (HMO)|00025292|0.00|150| | |MI|23790|0|N
H2354|028|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP MSU-HC Medicare (HMO)|00025292|0.00|150| | |MI|23800|0|N
H2354|028|000|HEALTH ALLIANCE PLAN OF MICHIGAN|HAP MSU-HC Medicare (HMO)|00025292|0.00|150| | |MI|23810|0|N
H2354|029|000|HEALTH ALLIANCE PLAN OF MICHIGAN|Henry Ford Select (HMO)|00025292|0.00|150| | |MI|23240|0|N
H2354|029|000|HEALTH ALLIANCE PLAN OF MICHIGAN|Henry Ford Select (HMO)|00025292|0.00|150| | |MI|23290|0|N
H2354|029|000|HEALTH ALLIANCE PLAN OF MICHIGAN|Henry Ford Select (HMO)|00025292|0.00|150| | |MI|23370|0|N
H2354|029|000|HEALTH ALLIANCE PLAN OF MICHIGAN|Henry Ford Select (HMO)|00025292|0.00|150| | |MI|23430|0|N
H2354|029|000|HEALTH ALLIANCE PLAN OF MICHIGAN|Henry Ford Select (HMO)|00025292|0.00|150| | |MI|23490|0|N
H2354|029|000|HEALTH ALLIANCE PLAN OF MICHIGAN|Henry Ford Select (HMO)|00025292|0.00|150| | |MI|23620|0|N
H2354|029|000|HEALTH ALLIANCE PLAN OF MICHIGAN|Henry Ford Select (HMO)|00025292|0.00|150| | |MI|23810|0|N
H2392|001|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage (HMO I-SNP)|00025484|51.70|590| | |KS|17000|3|N
H2392|001|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage (HMO I-SNP)|00025484|51.70|590| | |KS|17020|3|N
H2392|001|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage (HMO I-SNP)|00025484|51.70|590| | |KS|17050|3|N
H2392|001|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage (HMO I-SNP)|00025484|51.70|590| | |KS|17070|3|N
H2392|001|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage (HMO I-SNP)|00025484|51.70|590| | |KS|17080|3|N
H2392|001|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage (HMO I-SNP)|00025484|51.70|590| | |KS|17090|3|N
H2392|001|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage (HMO I-SNP)|00025484|51.70|590| | |KS|17100|3|N
H2392|001|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage (HMO I-SNP)|00025484|51.70|590| | |KS|17130|3|N
H2392|001|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage (HMO I-SNP)|00025484|51.70|590| | |KS|17170|3|N
H2392|001|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage (HMO I-SNP)|00025484|51.70|590| | |KS|17180|3|N
H2392|001|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage (HMO I-SNP)|00025484|51.70|590| | |KS|17210|3|N
H2392|001|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage (HMO I-SNP)|00025484|51.70|590| | |KS|17220|3|N
H2392|001|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage (HMO I-SNP)|00025484|51.70|590| | |KS|17230|3|N
H2392|001|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage (HMO I-SNP)|00025484|51.70|590| | |KS|17260|3|N
H2392|001|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage (HMO I-SNP)|00025484|51.70|590| | |KS|17270|3|N
H2392|001|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage (HMO I-SNP)|00025484|51.70|590| | |KS|17290|3|N
H2392|001|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage (HMO I-SNP)|00025484|51.70|590| | |KS|17300|3|N
H2392|001|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage (HMO I-SNP)|00025484|51.70|590| | |KS|17330|3|N
H2392|001|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage (HMO I-SNP)|00025484|51.70|590| | |KS|17360|3|N
H2392|001|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage (HMO I-SNP)|00025484|51.70|590| | |KS|17390|3|N
H2392|001|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage (HMO I-SNP)|00025484|51.70|590| | |KS|17420|3|N
H2392|001|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage (HMO I-SNP)|00025484|51.70|590| | |KS|17430|3|N
H2392|001|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage (HMO I-SNP)|00025484|51.70|590| | |KS|17450|3|N
H2392|001|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage (HMO I-SNP)|00025484|51.70|590| | |KS|17451|3|N
H2392|001|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage (HMO I-SNP)|00025484|51.70|590| | |KS|17470|3|N
H2392|001|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage (HMO I-SNP)|00025484|51.70|590| | |KS|17480|3|N
H2392|001|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage (HMO I-SNP)|00025484|51.70|590| | |KS|17490|3|N
H2392|001|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage (HMO I-SNP)|00025484|51.70|590| | |KS|17510|3|N
H2392|001|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage (HMO I-SNP)|00025484|51.70|590| | |KS|17550|3|N
H2392|001|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage (HMO I-SNP)|00025484|51.70|590| | |KS|17600|3|N
H2392|001|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage (HMO I-SNP)|00025484|51.70|590| | |KS|17620|3|N
H2392|001|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage (HMO I-SNP)|00025484|51.70|590| | |KS|17650|3|N
H2392|001|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage (HMO I-SNP)|00025484|51.70|590| | |KS|17660|3|N
H2392|001|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage (HMO I-SNP)|00025484|51.70|590| | |KS|17690|3|N
H2392|001|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage (HMO I-SNP)|00025484|51.70|590| | |KS|17710|3|N
H2392|001|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage (HMO I-SNP)|00025484|51.70|590| | |KS|17740|3|N
H2392|001|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage (HMO I-SNP)|00025484|51.70|590| | |KS|17750|3|N
H2392|001|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage (HMO I-SNP)|00025484|51.70|590| | |KS|17770|3|N
H2392|001|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage (HMO I-SNP)|00025484|51.70|590| | |KS|17790|3|N
H2392|001|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage (HMO I-SNP)|00025484|51.70|590| | |KS|17800|3|N
H2392|001|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage (HMO I-SNP)|00025484|51.70|590| | |KS|17830|3|N
H2392|001|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage (HMO I-SNP)|00025484|51.70|590| | |KS|17840|3|N
H2392|001|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage (HMO I-SNP)|00025484|51.70|590| | |KS|17860|3|N
H2392|001|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage (HMO I-SNP)|00025484|51.70|590| | |KS|17880|3|N
H2392|001|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage (HMO I-SNP)|00025484|51.70|590| | |KS|17950|3|N
H2392|001|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage (HMO I-SNP)|00025484|51.70|590| | |KS|17980|3|N
H2392|001|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage (HMO I-SNP)|00025484|51.70|590| | |KS|17984|3|N
H2392|001|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage (HMO I-SNP)|00025484|51.70|590| | |KS|17986|3|N
H2392|003|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage Choice (HMO I-SNP)|00025484|51.70|590| | |KS|17000|3|N
H2392|003|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage Choice (HMO I-SNP)|00025484|51.70|590| | |KS|17020|3|N
H2392|003|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage Choice (HMO I-SNP)|00025484|51.70|590| | |KS|17050|3|N
H2392|003|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage Choice (HMO I-SNP)|00025484|51.70|590| | |KS|17070|3|N
H2392|003|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage Choice (HMO I-SNP)|00025484|51.70|590| | |KS|17080|3|N
H2392|003|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage Choice (HMO I-SNP)|00025484|51.70|590| | |KS|17090|3|N
H2392|003|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage Choice (HMO I-SNP)|00025484|51.70|590| | |KS|17100|3|N
H2392|003|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage Choice (HMO I-SNP)|00025484|51.70|590| | |KS|17130|3|N
H2392|003|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage Choice (HMO I-SNP)|00025484|51.70|590| | |KS|17170|3|N
H2392|003|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage Choice (HMO I-SNP)|00025484|51.70|590| | |KS|17180|3|N
H2392|003|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage Choice (HMO I-SNP)|00025484|51.70|590| | |KS|17210|3|N
H2392|003|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage Choice (HMO I-SNP)|00025484|51.70|590| | |KS|17220|3|N
H2392|003|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage Choice (HMO I-SNP)|00025484|51.70|590| | |KS|17230|3|N
H2392|003|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage Choice (HMO I-SNP)|00025484|51.70|590| | |KS|17260|3|N
H2392|003|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage Choice (HMO I-SNP)|00025484|51.70|590| | |KS|17270|3|N
H2392|003|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage Choice (HMO I-SNP)|00025484|51.70|590| | |KS|17290|3|N
H2392|003|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage Choice (HMO I-SNP)|00025484|51.70|590| | |KS|17300|3|N
H2392|003|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage Choice (HMO I-SNP)|00025484|51.70|590| | |KS|17330|3|N
H2392|003|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage Choice (HMO I-SNP)|00025484|51.70|590| | |KS|17360|3|N
H2392|003|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage Choice (HMO I-SNP)|00025484|51.70|590| | |KS|17390|3|N
H2392|003|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage Choice (HMO I-SNP)|00025484|51.70|590| | |KS|17420|3|N
H2392|003|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage Choice (HMO I-SNP)|00025484|51.70|590| | |KS|17430|3|N
H2392|003|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage Choice (HMO I-SNP)|00025484|51.70|590| | |KS|17450|3|N
H2392|003|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage Choice (HMO I-SNP)|00025484|51.70|590| | |KS|17451|3|N
H2392|003|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage Choice (HMO I-SNP)|00025484|51.70|590| | |KS|17470|3|N
H2392|003|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage Choice (HMO I-SNP)|00025484|51.70|590| | |KS|17480|3|N
H2392|003|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage Choice (HMO I-SNP)|00025484|51.70|590| | |KS|17490|3|N
H2392|003|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage Choice (HMO I-SNP)|00025484|51.70|590| | |KS|17510|3|N
H2392|003|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage Choice (HMO I-SNP)|00025484|51.70|590| | |KS|17550|3|N
H2392|003|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage Choice (HMO I-SNP)|00025484|51.70|590| | |KS|17600|3|N
H2392|003|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage Choice (HMO I-SNP)|00025484|51.70|590| | |KS|17620|3|N
H2392|003|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage Choice (HMO I-SNP)|00025484|51.70|590| | |KS|17650|3|N
H2392|003|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage Choice (HMO I-SNP)|00025484|51.70|590| | |KS|17660|3|N
H2392|003|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage Choice (HMO I-SNP)|00025484|51.70|590| | |KS|17690|3|N
H2392|003|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage Choice (HMO I-SNP)|00025484|51.70|590| | |KS|17710|3|N
H2392|003|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage Choice (HMO I-SNP)|00025484|51.70|590| | |KS|17740|3|N
H2392|003|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage Choice (HMO I-SNP)|00025484|51.70|590| | |KS|17750|3|N
H2392|003|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage Choice (HMO I-SNP)|00025484|51.70|590| | |KS|17770|3|N
H2392|003|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage Choice (HMO I-SNP)|00025484|51.70|590| | |KS|17790|3|N
H2392|003|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage Choice (HMO I-SNP)|00025484|51.70|590| | |KS|17800|3|N
H2392|003|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage Choice (HMO I-SNP)|00025484|51.70|590| | |KS|17830|3|N
H2392|003|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage Choice (HMO I-SNP)|00025484|51.70|590| | |KS|17840|3|N
H2392|003|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage Choice (HMO I-SNP)|00025484|51.70|590| | |KS|17860|3|N
H2392|003|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage Choice (HMO I-SNP)|00025484|51.70|590| | |KS|17880|3|N
H2392|003|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage Choice (HMO I-SNP)|00025484|51.70|590| | |KS|17950|3|N
H2392|003|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage Choice (HMO I-SNP)|00025484|51.70|590| | |KS|17980|3|N
H2392|003|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage Choice (HMO I-SNP)|00025484|51.70|590| | |KS|17984|3|N
H2392|003|000|KANSAS SUPERIOR SELECT, INC.|Kansas Health Advantage Choice (HMO I-SNP)|00025484|51.70|590| | |KS|17986|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18000|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18010|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18020|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18040|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18050|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18080|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18100|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18110|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18130|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18140|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18150|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18191|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18220|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18240|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18250|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18260|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18271|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18290|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18291|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18320|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18330|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18340|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18362|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18450|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18460|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18480|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18490|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18500|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18510|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18530|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18540|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18550|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18560|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18600|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18610|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18640|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18680|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18700|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18730|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18740|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18750|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18770|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18801|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18802|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18830|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18831|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18850|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18860|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18880|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18890|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18900|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18910|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18920|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18930|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18931|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18971|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18972|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18973|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18974|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18976|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18977|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18978|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18979|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18980|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18981|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18982|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18983|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18984|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18985|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18986|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18987|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18988|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18989|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18990|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |KY|18992|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |TN|44030|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |TN|44050|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |TN|44060|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |TN|44090|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |TN|44100|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |TN|44130|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |TN|44180|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |TN|44200|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |TN|44240|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |TN|44290|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |TN|44300|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |TN|44320|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |TN|44330|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |TN|44360|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |TN|44370|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |TN|44400|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |TN|44410|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |TN|44430|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |TN|44450|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |TN|44500|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |TN|44550|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |TN|44570|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |TN|44620|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |TN|44630|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |TN|44640|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |TN|44660|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |TN|44680|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |TN|44690|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |TN|44700|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |TN|44710|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |TN|44730|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |TN|44750|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |TN|44760|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |TN|44780|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |TN|44790|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |TN|44810|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |TN|44820|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |TN|44840|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |TN|44870|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |TN|44880|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |TN|44890|3|N
H2400|001|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Plan (HMO I-SNP)|00025264|47.30|590| | |TN|44920|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18000|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18010|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18040|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18050|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18080|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18100|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18110|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18140|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18150|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18191|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18240|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18250|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18260|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18271|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18290|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18291|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18320|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18330|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18340|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18362|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18390|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18420|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18421|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18450|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18460|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18480|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18490|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18500|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18510|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18530|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18550|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18560|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18600|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18680|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18700|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18730|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18740|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18750|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18770|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18801|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18802|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18831|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18850|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18860|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18880|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18890|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18900|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18910|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18920|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18930|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18931|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18971|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18972|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18973|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18976|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18977|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18978|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18979|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18981|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18982|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18983|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18985|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18986|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18987|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18988|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18989|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18990|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |KY|18992|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |TN|44030|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |TN|44050|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |TN|44060|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |TN|44100|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |TN|44130|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |TN|44180|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |TN|44200|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |TN|44240|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |TN|44290|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |TN|44300|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |TN|44320|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |TN|44330|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |TN|44370|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |TN|44400|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |TN|44410|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |TN|44430|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |TN|44450|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |TN|44500|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |TN|44550|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |TN|44570|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |TN|44620|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |TN|44630|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |TN|44640|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |TN|44660|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |TN|44680|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |TN|44690|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |TN|44700|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |TN|44710|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |TN|44730|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |TN|44750|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |TN|44760|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |TN|44780|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |TN|44790|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |TN|44800|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |TN|44810|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |TN|44840|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |TN|44870|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |TN|44880|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |TN|44890|3|N
H2400|002|000|SIGNATURE ADVANTAGE, LLC|Signature Advantage Community (HMO I-SNP)|00025264|0.00|590| | |TN|44920|3|N
H2406|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0016 (PPO)|00025002|0.00|420| | |FL|10020|0|N
H2406|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0016 (PPO)|00025002|0.00|420| | |FL|10060|0|N
H2406|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0016 (PPO)|00025002|0.00|420| | |FL|10160|0|N
H2406|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0016 (PPO)|00025002|0.00|420| | |FL|10180|0|N
H2406|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0016 (PPO)|00025002|0.00|420| | |FL|10190|0|N
H2406|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0016 (PPO)|00025002|0.00|420| | |FL|10220|0|N
H2406|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0016 (PPO)|00025002|0.00|420| | |FL|10290|0|N
H2406|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0016 (PPO)|00025002|0.00|420| | |FL|10310|0|N
H2406|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0016 (PPO)|00025002|0.00|420| | |FL|10320|0|N
H2406|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0016 (PPO)|00025002|0.00|420| | |FL|10360|0|N
H2406|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0016 (PPO)|00025002|0.00|420| | |FL|10380|0|N
H2406|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0016 (PPO)|00025002|0.00|420| | |FL|10390|0|N
H2406|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0016 (PPO)|00025002|0.00|420| | |FL|10450|0|N
H2406|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0016 (PPO)|00025002|0.00|420| | |FL|10560|0|N
H2406|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0016 (PPO)|00025002|0.00|420| | |FL|10610|0|N
H2406|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0016 (PPO)|00025002|0.00|420| | |FL|10640|0|N
H2406|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0016 (PPO)|00025002|0.00|420| | |FL|10650|0|N
H2406|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0016 (PPO)|00025002|0.00|420| | |FL|10660|0|N
H2406|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0017 (PPO)|00025002|0.00|420| | |FL|10070|0|N
H2406|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0017 (PPO)|00025002|0.00|420| | |FL|10100|0|N
H2406|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0017 (PPO)|00025002|0.00|420| | |FL|10210|0|N
H2406|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0017 (PPO)|00025002|0.00|420| | |FL|10250|0|N
H2406|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0017 (PPO)|00025002|0.00|420| | |FL|10350|0|N
H2406|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0017 (PPO)|00025002|0.00|420| | |FL|10400|0|N
H2406|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0017 (PPO)|00025002|0.00|420| | |FL|10570|0|N
H2406|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0018 (PPO)|00025002|0.00|420| | |FL|10040|0|N
H2406|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0018 (PPO)|00025002|0.00|420| | |FL|10470|0|N
H2406|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0018 (PPO)|00025002|0.00|420| | |FL|10480|0|N
H2406|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0018 (PPO)|00025002|0.00|420| | |FL|10580|0|N
H2406|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0019 (PPO)|00025002|0.00|420| | |FL|10260|0|N
H2406|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0019 (PPO)|00025002|0.00|420| | |FL|10280|0|N
H2406|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0019 (PPO)|00025002|0.00|420| | |FL|10500|0|N
H2406|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0019 (PPO)|00025002|0.00|420| | |FL|10510|0|N
H2406|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0019 (PPO)|00025002|0.00|420| | |FL|10520|0|N
H2406|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0021 (PPO)|00025002|0.00|420| | |FL|10090|0|N
H2406|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0021 (PPO)|00025002|0.00|420| | |FL|10150|0|N
H2406|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0021 (PPO)|00025002|0.00|420| | |FL|10170|0|N
H2406|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0021 (PPO)|00025002|0.00|420| | |FL|10440|0|N
H2406|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0021 (PPO)|00025002|0.00|420| | |FL|10530|0|N
H2406|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0021 (PPO)|00025002|0.00|420| | |FL|10540|0|N
H2406|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0021 (PPO)|00025002|0.00|420| | |FL|10630|0|N
H2406|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0022 (PPO)|00025002|0.00|420| | |FL|10000|0|N
H2406|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0022 (PPO)|00025002|0.00|420| | |FL|10010|0|N
H2406|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0022 (PPO)|00025002|0.00|420| | |FL|10030|0|N
H2406|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0022 (PPO)|00025002|0.00|420| | |FL|10110|0|N
H2406|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0022 (PPO)|00025002|0.00|420| | |FL|10140|0|N
H2406|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0022 (PPO)|00025002|0.00|420| | |FL|10200|0|N
H2406|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0022 (PPO)|00025002|0.00|420| | |FL|10230|0|N
H2406|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0022 (PPO)|00025002|0.00|420| | |FL|10330|0|N
H2406|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0022 (PPO)|00025002|0.00|420| | |FL|10600|0|N
H2406|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0022 (PPO)|00025002|0.00|420| | |FL|10620|0|N
H2406|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0023 (PPO)|00025002|0.00|420| | |FL|10080|0|N
H2406|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0023 (PPO)|00025002|0.00|420| | |FL|10370|0|N
H2406|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0024 (PPO)|00025002|0.00|420| | |FL|10340|0|N
H2406|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0024 (PPO)|00025002|0.00|420| | |FL|10410|0|N
H2406|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0024 (PPO)|00025002|0.00|420| | |FL|10590|0|N
H2406|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0025 (PPO)|00025002|0.00|420| | |FL|10300|0|N
H2406|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0025 (PPO)|00025002|0.00|420| | |FL|10420|0|N
H2406|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0025 (PPO)|00025002|0.00|420| | |FL|10460|0|N
H2406|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0025 (PPO)|00025002|0.00|420| | |FL|10550|0|N
H2406|018|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0026 (PPO)|00025002|0.00|420| | |FL|10490|0|N
H2406|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0027 (PPO)|00025002|0.00|420| | |FL|10130|0|N
H2406|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0027 (PPO)|00025002|0.00|420| | |FL|10240|0|N
H2406|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0027 (PPO)|00025002|0.00|420| | |FL|10270|0|N
H2406|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F005 (PPO I-SNP)|00025002|45.80|590| | |DE|08000|3|N
H2406|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F005 (PPO I-SNP)|00025002|45.80|590| | |DE|08010|3|N
H2406|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F005 (PPO I-SNP)|00025002|45.80|590| | |DE|08020|3|N
H2406|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F005 (PPO I-SNP)|00025002|45.80|590| | |GA|11160|3|N
H2406|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F005 (PPO I-SNP)|00025002|45.80|590| | |GA|11220|3|N
H2406|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F005 (PPO I-SNP)|00025002|45.80|590| | |GA|11370|3|N
H2406|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F005 (PPO I-SNP)|00025002|45.80|590| | |GA|11470|3|N
H2406|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F005 (PPO I-SNP)|00025002|45.80|590| | |GA|11550|3|N
H2406|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F005 (PPO I-SNP)|00025002|45.80|590| | |GA|11591|3|N
H2406|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F005 (PPO I-SNP)|00025002|45.80|590| | |GA|11841|3|N
H2406|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F005 (PPO I-SNP)|00025002|45.80|590| | |GA|11950|3|N
H2406|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F005 (PPO I-SNP)|00025002|45.80|590| | |MD|21010|3|N
H2406|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F005 (PPO I-SNP)|00025002|45.80|590| | |MD|21020|3|N
H2406|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F005 (PPO I-SNP)|00025002|45.80|590| | |MD|21030|3|N
H2406|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F005 (PPO I-SNP)|00025002|45.80|590| | |MD|21080|3|N
H2406|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F005 (PPO I-SNP)|00025002|45.80|590| | |MD|21150|3|N
H2406|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F005 (PPO I-SNP)|00025002|45.80|590| | |MD|21160|3|N
H2406|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F005 (PPO I-SNP)|00025002|45.80|590| | |OH|36080|3|N
H2406|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F005 (PPO I-SNP)|00025002|45.80|590| | |OH|36170|3|N
H2406|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F005 (PPO I-SNP)|00025002|45.80|590| | |OH|36310|3|N
H2406|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F005 (PPO I-SNP)|00025002|45.80|590| | |OH|36580|3|N
H2406|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F005 (PPO I-SNP)|00025002|45.80|590| | |OH|36780|3|N
H2406|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F005 (PPO I-SNP)|00025002|45.80|590| | |RI|41010|3|N
H2406|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F005 (PPO I-SNP)|00025002|45.80|590| | |RI|41020|3|N
H2406|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F005 (PPO I-SNP)|00025002|45.80|590| | |RI|41030|3|N
H2406|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F005 (PPO I-SNP)|00025002|45.80|590| | |RI|41050|3|N
H2406|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan OR-F002 (PPO I-SNP)|00025002|26.20|590| | |OR|38190|3|N
H2406|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan OR-F002 (PPO I-SNP)|00025002|26.20|590| | |OR|38250|3|N
H2406|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0016 (PPO)|00025002|46.00|420| | |NC|34000|0|N
H2406|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0016 (PPO)|00025002|46.00|420| | |NC|34160|0|N
H2406|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0016 (PPO)|00025002|46.00|420| | |NC|34170|0|N
H2406|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0016 (PPO)|00025002|46.00|420| | |NC|34180|0|N
H2406|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0016 (PPO)|00025002|46.00|420| | |NC|34220|0|N
H2406|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0016 (PPO)|00025002|46.00|420| | |NC|34250|0|N
H2406|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0016 (PPO)|00025002|46.00|420| | |NC|34280|0|N
H2406|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0016 (PPO)|00025002|46.00|420| | |NC|34290|0|N
H2406|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0016 (PPO)|00025002|46.00|420| | |NC|34310|0|N
H2406|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0016 (PPO)|00025002|46.00|420| | |NC|34330|0|N
H2406|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0016 (PPO)|00025002|46.00|420| | |NC|34350|0|N
H2406|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0016 (PPO)|00025002|46.00|420| | |NC|34400|0|N
H2406|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0016 (PPO)|00025002|46.00|420| | |NC|34420|0|N
H2406|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0016 (PPO)|00025002|46.00|420| | |NC|34460|0|N
H2406|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0016 (PPO)|00025002|46.00|420| | |NC|34480|0|N
H2406|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0016 (PPO)|00025002|46.00|420| | |NC|34500|0|N
H2406|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0016 (PPO)|00025002|46.00|420| | |NC|34520|0|N
H2406|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0016 (PPO)|00025002|46.00|420| | |NC|34540|0|N
H2406|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0016 (PPO)|00025002|46.00|420| | |NC|34590|0|N
H2406|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0016 (PPO)|00025002|46.00|420| | |NC|34610|0|N
H2406|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0016 (PPO)|00025002|46.00|420| | |NC|34620|0|N
H2406|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0016 (PPO)|00025002|46.00|420| | |NC|34670|0|N
H2406|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0016 (PPO)|00025002|46.00|420| | |NC|34720|0|N
H2406|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0016 (PPO)|00025002|46.00|420| | |NC|34750|0|N
H2406|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0016 (PPO)|00025002|46.00|420| | |NC|34760|0|N
H2406|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0016 (PPO)|00025002|46.00|420| | |NC|34780|0|N
H2406|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0016 (PPO)|00025002|46.00|420| | |NC|34790|0|N
H2406|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0016 (PPO)|00025002|46.00|420| | |NC|34820|0|N
H2406|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0016 (PPO)|00025002|46.00|420| | |NC|34830|0|N
H2406|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0016 (PPO)|00025002|46.00|420| | |NC|34840|0|N
H2406|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0016 (PPO)|00025002|46.00|420| | |NC|34850|0|N
H2406|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0016 (PPO)|00025002|46.00|420| | |NC|34890|0|N
H2406|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0016 (PPO)|00025002|46.00|420| | |NC|34910|0|N
H2406|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0016 (PPO)|00025002|46.00|420| | |NC|34960|0|N
H2406|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0016 (PPO)|00025002|46.00|420| | |NC|34980|0|N
H2406|035|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0001 (PPO)|00025002|39.00|420| | |IN|15000|0|N
H2406|035|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0001 (PPO)|00025002|39.00|420| | |IN|15010|0|N
H2406|035|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0001 (PPO)|00025002|39.00|420| | |IN|15080|0|N
H2406|035|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0001 (PPO)|00025002|39.00|420| | |IN|15160|0|N
H2406|035|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0001 (PPO)|00025002|39.00|420| | |IN|15190|0|N
H2406|035|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0001 (PPO)|00025002|39.00|420| | |IN|15240|0|N
H2406|035|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0001 (PPO)|00025002|39.00|420| | |IN|15260|0|N
H2406|035|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0001 (PPO)|00025002|39.00|420| | |IN|15340|0|N
H2406|035|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0001 (PPO)|00025002|39.00|420| | |IN|15370|0|N
H2406|035|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0001 (PPO)|00025002|39.00|420| | |IN|15420|0|N
H2406|035|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0001 (PPO)|00025002|39.00|420| | |IN|15430|0|N
H2406|035|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0001 (PPO)|00025002|39.00|420| | |IN|15490|0|N
H2406|035|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0001 (PPO)|00025002|39.00|420| | |IN|15510|0|N
H2406|035|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0001 (PPO)|00025002|39.00|420| | |IN|15560|0|N
H2406|035|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0001 (PPO)|00025002|39.00|420| | |IN|15700|0|N
H2406|035|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0001 (PPO)|00025002|39.00|420| | |IN|15750|0|N
H2406|035|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0001 (PPO)|00025002|39.00|420| | |IN|15840|0|N
H2406|035|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0001 (PPO)|00025002|39.00|420| | |IN|15890|0|N
H2406|035|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0001 (PPO)|00025002|39.00|420| | |IN|15910|0|N
H2406|036|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-001P (PPO)|00025002|0.00|420| | |IN|15000|0|N
H2406|036|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-001P (PPO)|00025002|0.00|420| | |IN|15010|0|N
H2406|036|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-001P (PPO)|00025002|0.00|420| | |IN|15340|0|N
H2406|036|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-001P (PPO)|00025002|0.00|420| | |IN|15420|0|N
H2406|036|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-001P (PPO)|00025002|0.00|420| | |IN|15890|0|N
H2406|036|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-001P (PPO)|00025002|0.00|420| | |IN|15910|0|N
H2406|037|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0002 (PPO)|00025002|39.00|420| | |IN|15020|0|N
H2406|037|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0002 (PPO)|00025002|39.00|420| | |IN|15030|0|N
H2406|037|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0002 (PPO)|00025002|39.00|420| | |IN|15040|0|N
H2406|037|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0002 (PPO)|00025002|39.00|420| | |IN|15050|0|N
H2406|037|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0002 (PPO)|00025002|39.00|420| | |IN|15060|0|N
H2406|037|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0002 (PPO)|00025002|39.00|420| | |IN|15070|0|N
H2406|037|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0002 (PPO)|00025002|39.00|420| | |IN|15110|0|N
H2406|037|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0002 (PPO)|00025002|39.00|420| | |IN|15150|0|N
H2406|037|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0002 (PPO)|00025002|39.00|420| | |IN|15170|0|N
H2406|037|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0002 (PPO)|00025002|39.00|420| | |IN|15200|0|N
H2406|037|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0002 (PPO)|00025002|39.00|420| | |IN|15220|0|N
H2406|037|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0002 (PPO)|00025002|39.00|420| | |IN|15280|0|N
H2406|037|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0002 (PPO)|00025002|39.00|420| | |IN|15290|0|N
H2406|037|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0002 (PPO)|00025002|39.00|420| | |IN|15310|0|N
H2406|037|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0002 (PPO)|00025002|39.00|420| | |IN|15320|0|N
H2406|037|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0002 (PPO)|00025002|39.00|420| | |IN|15330|0|N
H2406|037|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0002 (PPO)|00025002|39.00|420| | |IN|15400|0|N
H2406|037|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0002 (PPO)|00025002|39.00|420| | |IN|15460|0|N
H2406|037|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0002 (PPO)|00025002|39.00|420| | |IN|15470|0|N
H2406|037|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0002 (PPO)|00025002|39.00|420| | |IN|15480|0|N
H2406|037|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0002 (PPO)|00025002|39.00|420| | |IN|15520|0|N
H2406|037|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0002 (PPO)|00025002|39.00|420| | |IN|15530|0|N
H2406|037|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0002 (PPO)|00025002|39.00|420| | |IN|15540|0|N
H2406|037|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0002 (PPO)|00025002|39.00|420| | |IN|15580|0|N
H2406|037|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0002 (PPO)|00025002|39.00|420| | |IN|15660|0|N
H2406|037|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0002 (PPO)|00025002|39.00|420| | |IN|15670|0|N
H2406|037|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0002 (PPO)|00025002|39.00|420| | |IN|15690|0|N
H2406|037|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0002 (PPO)|00025002|39.00|420| | |IN|15720|0|N
H2406|037|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0002 (PPO)|00025002|39.00|420| | |IN|15780|0|N
H2406|037|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0002 (PPO)|00025002|39.00|420| | |IN|15790|0|N
H2406|037|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0002 (PPO)|00025002|39.00|420| | |IN|15800|0|N
H2406|037|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0002 (PPO)|00025002|39.00|420| | |IN|15850|0|N
H2406|037|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0002 (PPO)|00025002|39.00|420| | |IN|15880|0|N
H2406|037|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0002 (PPO)|00025002|39.00|420| | |IN|15900|0|N
H2406|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0003 (PPO)|00025002|39.00|420| | |IN|15090|0|N
H2406|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0003 (PPO)|00025002|39.00|420| | |IN|15120|0|N
H2406|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0003 (PPO)|00025002|39.00|420| | |IN|15130|0|N
H2406|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0003 (PPO)|00025002|39.00|420| | |IN|15140|0|N
H2406|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0003 (PPO)|00025002|39.00|420| | |IN|15180|0|N
H2406|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0003 (PPO)|00025002|39.00|420| | |IN|15210|0|N
H2406|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0003 (PPO)|00025002|39.00|420| | |IN|15230|0|N
H2406|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0003 (PPO)|00025002|39.00|420| | |IN|15250|0|N
H2406|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0003 (PPO)|00025002|39.00|420| | |IN|15300|0|N
H2406|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0003 (PPO)|00025002|39.00|420| | |IN|15350|0|N
H2406|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0003 (PPO)|00025002|39.00|420| | |IN|15380|0|N
H2406|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0003 (PPO)|00025002|39.00|420| | |IN|15390|0|N
H2406|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0003 (PPO)|00025002|39.00|420| | |IN|15410|0|N
H2406|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0003 (PPO)|00025002|39.00|420| | |IN|15500|0|N
H2406|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0003 (PPO)|00025002|39.00|420| | |IN|15570|0|N
H2406|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0003 (PPO)|00025002|39.00|420| | |IN|15610|0|N
H2406|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0003 (PPO)|00025002|39.00|420| | |IN|15620|0|N
H2406|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0003 (PPO)|00025002|39.00|420| | |IN|15640|0|N
H2406|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0003 (PPO)|00025002|39.00|420| | |IN|15680|0|N
H2406|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0003 (PPO)|00025002|39.00|420| | |IN|15710|0|N
H2406|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0003 (PPO)|00025002|39.00|420| | |IN|15730|0|N
H2406|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0003 (PPO)|00025002|39.00|420| | |IN|15770|0|N
H2406|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0003 (PPO)|00025002|39.00|420| | |IN|15810|0|N
H2406|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0003 (PPO)|00025002|39.00|420| | |IN|15860|0|N
H2406|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0003 (PPO)|00025002|39.00|420| | |IN|15870|0|N
H2406|039|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC EP-1 (PPO)|00025002|0.00|340| | |NM|32060|0|N
H2406|039|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC EP-1 (PPO)|00025002|0.00|340| | |NM|32080|0|N
H2406|039|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC EP-1 (PPO)|00025002|0.00|340| | |NM|32110|0|N
H2406|039|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC EP-1 (PPO)|00025002|0.00|340| | |NM|32140|0|N
H2406|039|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC EP-1 (PPO)|00025002|0.00|340| | |NM|32250|0|N
H2406|039|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC EP-1 (PPO)|00025002|0.00|340| | |TX|45480|0|N
H2406|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC HI-0001 (PPO)|00025002|0.00|340| | |HI|12020|0|N
H2406|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OR-0001 (PPO)|00025002|49.00|420| | |OR|38010|0|N
H2406|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OR-0001 (PPO)|00025002|49.00|420| | |OR|38020|0|N
H2406|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OR-0001 (PPO)|00025002|49.00|420| | |OR|38040|0|N
H2406|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OR-0001 (PPO)|00025002|49.00|420| | |OR|38140|0|N
H2406|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OR-0001 (PPO)|00025002|49.00|420| | |OR|38160|0|N
H2406|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OR-0001 (PPO)|00025002|49.00|420| | |OR|38190|0|N
H2406|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OR-0001 (PPO)|00025002|49.00|420| | |OR|38210|0|N
H2406|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OR-0001 (PPO)|00025002|49.00|420| | |OR|38230|0|N
H2406|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OR-0001 (PPO)|00025002|49.00|420| | |OR|38250|0|N
H2406|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OR-0001 (PPO)|00025002|49.00|420| | |OR|38260|0|N
H2406|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OR-0001 (PPO)|00025002|49.00|420| | |OR|38330|0|N
H2406|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OR-0001 (PPO)|00025002|49.00|420| | |OR|38350|0|N
H2406|043|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-0001 (PPO)|00025002|44.00|420| | |IL|14000|0|N
H2406|043|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-0001 (PPO)|00025002|44.00|420| | |IL|14010|0|N
H2406|043|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-0001 (PPO)|00025002|44.00|420| | |IL|14020|0|N
H2406|043|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-0001 (PPO)|00025002|44.00|420| | |IL|14060|0|N
H2406|043|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-0001 (PPO)|00025002|44.00|420| | |IL|14130|0|N
H2406|043|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-0001 (PPO)|00025002|44.00|420| | |IL|14340|0|N
H2406|043|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-0001 (PPO)|00025002|44.00|420| | |IL|14390|0|N
H2406|043|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-0001 (PPO)|00025002|44.00|420| | |IL|14470|0|N
H2406|043|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-0001 (PPO)|00025002|44.00|420| | |IL|14500|0|N
H2406|043|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-0001 (PPO)|00025002|44.00|420| | |IL|14670|0|N
H2406|043|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-0001 (PPO)|00025002|44.00|420| | |IL|14680|0|N
H2406|043|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-0001 (PPO)|00025002|44.00|420| | |IL|14690|0|N
H2406|043|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-0001 (PPO)|00025002|44.00|420| | |IL|14750|0|N
H2406|043|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-0001 (PPO)|00025002|44.00|420| | |IL|14760|0|N
H2406|043|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-0001 (PPO)|00025002|44.00|420| | |IL|14810|0|N
H2406|043|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-0001 (PPO)|00025002|44.00|420| | |IL|14830|0|N
H2406|043|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-0001 (PPO)|00025002|44.00|420| | |IL|14870|0|N
H2406|043|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-0001 (PPO)|00025002|44.00|420| | |IL|14900|0|N
H2406|043|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-0001 (PPO)|00025002|44.00|420| | |IL|14981|0|N
H2406|043|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-0001 (PPO)|00025002|44.00|420| | |IL|14985|0|N
H2406|043|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-0001 (PPO)|00025002|44.00|420| | |MO|26270|0|N
H2406|043|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-0001 (PPO)|00025002|44.00|420| | |MO|26320|0|N
H2406|043|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-0001 (PPO)|00025002|44.00|420| | |MO|26350|0|N
H2406|043|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-0001 (PPO)|00025002|44.00|420| | |MO|26360|0|N
H2406|043|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-0001 (PPO)|00025002|44.00|420| | |MO|26490|0|N
H2406|043|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-0001 (PPO)|00025002|44.00|420| | |MO|26560|0|N
H2406|043|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-0001 (PPO)|00025002|44.00|420| | |MO|26800|0|N
H2406|043|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-0001 (PPO)|00025002|44.00|420| | |MO|26840|0|N
H2406|043|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-0001 (PPO)|00025002|44.00|420| | |MO|26910|0|N
H2406|043|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-0001 (PPO)|00025002|44.00|420| | |MO|26930|0|N
H2406|043|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-0001 (PPO)|00025002|44.00|420| | |MO|26940|0|N
H2406|043|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-0001 (PPO)|00025002|44.00|420| | |MO|26950|0|N
H2406|043|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-0001 (PPO)|00025002|44.00|420| | |MO|26960|0|N
H2406|043|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-0001 (PPO)|00025002|44.00|420| | |MO|26991|0|N
H2406|043|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-0001 (PPO)|00025002|44.00|420| | |MO|26992|0|N
H2406|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ID-0001 (PPO)|00025002|25.00|420| | |ID|13000|0|N
H2406|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ID-0001 (PPO)|00025002|25.00|420| | |ID|13130|0|N
H2406|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ID-0002 (PPO)|00025002|48.60|420| | |ID|13000|0|N
H2406|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ID-0002 (PPO)|00025002|48.60|420| | |ID|13130|0|N
H2406|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0007 (PPO)|00025002|35.00|420| | |PA|39000|0|N
H2406|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0007 (PPO)|00025002|35.00|420| | |PA|39110|0|N
H2406|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0007 (PPO)|00025002|35.00|420| | |PA|39130|0|N
H2406|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0007 (PPO)|00025002|35.00|420| | |PA|39190|0|N
H2406|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0007 (PPO)|00025002|35.00|420| | |PA|39250|0|N
H2406|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0007 (PPO)|00025002|35.00|420| | |PA|39270|0|N
H2406|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0007 (PPO)|00025002|35.00|420| | |PA|39280|0|N
H2406|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0007 (PPO)|00025002|35.00|420| | |PA|39320|0|N
H2406|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0007 (PPO)|00025002|35.00|420| | |PA|39350|0|N
H2406|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0007 (PPO)|00025002|35.00|420| | |PA|39410|0|N
H2406|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0007 (PPO)|00025002|35.00|420| | |PA|39420|0|N
H2406|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0007 (PPO)|00025002|35.00|420| | |PA|39440|0|N
H2406|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0007 (PPO)|00025002|35.00|420| | |PA|39460|0|N
H2406|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0007 (PPO)|00025002|35.00|420| | |PA|39470|0|N
H2406|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0007 (PPO)|00025002|35.00|420| | |PA|39480|0|N
H2406|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0007 (PPO)|00025002|35.00|420| | |PA|39510|0|N
H2406|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0007 (PPO)|00025002|35.00|420| | |PA|39540|0|N
H2406|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0007 (PPO)|00025002|35.00|420| | |PA|39550|0|N
H2406|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0007 (PPO)|00025002|35.00|420| | |PA|39580|0|N
H2406|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0007 (PPO)|00025002|35.00|420| | |PA|39590|0|N
H2406|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0007 (PPO)|00025002|35.00|420| | |PA|39600|0|N
H2406|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0007 (PPO)|00025002|35.00|420| | |PA|39610|0|N
H2406|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0007 (PPO)|00025002|35.00|420| | |PA|39630|0|N
H2406|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0007 (PPO)|00025002|35.00|420| | |PA|39650|0|N
H2406|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0007 (PPO)|00025002|35.00|420| | |PA|39670|0|N
H2406|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0007 (PPO)|00025002|35.00|420| | |PA|39690|0|N
H2406|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0007 (PPO)|00025002|35.00|420| | |PA|39700|0|N
H2406|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0007 (PPO)|00025002|35.00|420| | |PA|39710|0|N
H2406|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0007 (PPO)|00025002|35.00|420| | |PA|39720|0|N
H2406|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0007 (PPO)|00025002|35.00|420| | |PA|39760|0|N
H2406|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0007 (PPO)|00025002|35.00|420| | |PA|39790|0|N
H2406|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0007 (PPO)|00025002|35.00|420| | |PA|39800|0|N
H2406|047|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0008 (PPO)|00025002|63.80|420| | |PA|39110|0|N
H2406|047|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0008 (PPO)|00025002|63.80|420| | |PA|39270|0|N
H2406|047|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0008 (PPO)|00025002|63.80|420| | |PA|39280|0|N
H2406|047|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0008 (PPO)|00025002|63.80|420| | |PA|39320|0|N
H2406|047|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0008 (PPO)|00025002|63.80|420| | |PA|39440|0|N
H2406|047|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0008 (PPO)|00025002|63.80|420| | |PA|39460|0|N
H2406|047|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0008 (PPO)|00025002|63.80|420| | |PA|39470|0|N
H2406|047|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0008 (PPO)|00025002|63.80|420| | |PA|39590|0|N
H2406|047|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0008 (PPO)|00025002|63.80|420| | |PA|39800|0|N
H2406|048|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0009 (PPO)|00025002|59.00|420| | |PA|39140|0|N
H2406|048|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0009 (PPO)|00025002|59.00|420| | |PA|39210|0|N
H2406|048|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0009 (PPO)|00025002|59.00|420| | |PA|39290|0|N
H2406|048|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0009 (PPO)|00025002|59.00|420| | |PA|39560|0|N
H2406|048|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0009 (PPO)|00025002|59.00|420| | |PA|39620|0|N
H2406|050|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D001 (PPO D-SNP)|00025002|0.00|550| | |TX|45480|2|N
H2406|051|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete HI-S001 (PPO D-SNP)|00025002|0.00|590| | |HI|12010|2|N
H2406|051|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete HI-S001 (PPO D-SNP)|00025002|0.00|590| | |HI|12020|2|N
H2406|051|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete HI-S001 (PPO D-SNP)|00025002|0.00|590| | |HI|12030|2|N
H2406|051|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete HI-S001 (PPO D-SNP)|00025002|0.00|590| | |HI|12040|2|N
H2406|051|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete HI-S001 (PPO D-SNP)|00025002|0.00|590| | |HI|12050|2|N
H2406|052|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D001 (PPO D-SNP)|00025002|38.60|590| | |GA|11030|2|N
H2406|052|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D001 (PPO D-SNP)|00025002|38.60|590| | |GA|11090|2|N
H2406|052|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D001 (PPO D-SNP)|00025002|38.60|590| | |GA|11280|2|N
H2406|052|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D001 (PPO D-SNP)|00025002|38.60|590| | |GA|11290|2|N
H2406|052|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D001 (PPO D-SNP)|00025002|38.60|590| | |GA|11320|2|N
H2406|052|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D001 (PPO D-SNP)|00025002|38.60|590| | |GA|11370|2|N
H2406|052|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D001 (PPO D-SNP)|00025002|38.60|590| | |GA|11470|2|N
H2406|052|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D001 (PPO D-SNP)|00025002|38.60|590| | |GA|11530|2|N
H2406|052|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D001 (PPO D-SNP)|00025002|38.60|590| | |GA|11660|2|N
H2406|053|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Choice DC-Y2 (PPO D-SNP)|00025002|0.00|590| | |DC|09000|2|N
H2406|054|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NM-0001 (PPO)|00025002|27.00|420| | |NM|32000|0|N
H2406|054|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NM-0001 (PPO)|00025002|27.00|420| | |NM|32210|0|N
H2406|054|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NM-0001 (PPO)|00025002|27.00|420| | |NM|32280|0|N
H2406|054|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NM-0001 (PPO)|00025002|27.00|420| | |NM|32300|0|N
H2406|055|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NM-0002 (PPO)|00025002|19.50|420| | |NM|32131|0|N
H2406|055|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NM-0002 (PPO)|00025002|19.50|420| | |NM|32160|0|N
H2406|055|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NM-0002 (PPO)|00025002|19.50|420| | |NM|32190|0|N
H2406|055|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NM-0002 (PPO)|00025002|19.50|420| | |NM|32230|0|N
H2406|055|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NM-0002 (PPO)|00025002|19.50|420| | |NM|32240|0|N
H2406|056|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0004 (PPO)|00025002|39.00|420| | |IN|15360|0|N
H2406|056|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0004 (PPO)|00025002|39.00|420| | |IN|15440|0|N
H2406|056|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0004 (PPO)|00025002|39.00|420| | |IN|15450|0|N
H2406|056|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0004 (PPO)|00025002|39.00|420| | |IN|15550|0|N
H2406|056|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0004 (PPO)|00025002|39.00|420| | |IN|15630|0|N
H2406|056|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0004 (PPO)|00025002|39.00|420| | |IN|15650|0|N
H2406|056|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0004 (PPO)|00025002|39.00|420| | |IN|15740|0|N
H2406|058|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC HI-0002 (PPO)|00025002|49.00|340| | |HI|12020|0|N
H2406|059|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC HI-0003 (PPO)|00025002|19.00|340| | |HI|12040|0|N
H2406|059|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC HI-0003 (PPO)|00025002|19.00|340| | |HI|12050|0|N
H2406|060|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KC-0001 (PPO)|00025002|19.00|420| | |KS|17450|0|N
H2406|060|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KC-0001 (PPO)|00025002|19.00|420| | |MO|26470|0|N
H2406|061|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AZ-0006 (PPO)|00025002|0.00|420| | |AZ|03060|0|N
H2406|061|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AZ-0006 (PPO)|00025002|0.00|420| | |AZ|03100|0|N
H2406|062|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AZ-0007 (PPO)|00025002|0.00|420| | |AZ|03090|0|N
H2406|063|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AZ-0008 (PPO)|00025002|19.50|420| | |AZ|03000|0|N
H2406|063|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AZ-0008 (PPO)|00025002|19.50|420| | |AZ|03010|0|N
H2406|063|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AZ-0008 (PPO)|00025002|19.50|420| | |AZ|03020|0|N
H2406|063|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AZ-0008 (PPO)|00025002|19.50|420| | |AZ|03030|0|N
H2406|063|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AZ-0008 (PPO)|00025002|19.50|420| | |AZ|03040|0|N
H2406|063|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AZ-0008 (PPO)|00025002|19.50|420| | |AZ|03050|0|N
H2406|063|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AZ-0008 (PPO)|00025002|19.50|420| | |AZ|03055|0|N
H2406|063|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AZ-0008 (PPO)|00025002|19.50|420| | |AZ|03070|0|N
H2406|063|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AZ-0008 (PPO)|00025002|19.50|420| | |AZ|03080|0|N
H2406|063|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AZ-0008 (PPO)|00025002|19.50|420| | |AZ|03110|0|N
H2406|063|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AZ-0008 (PPO)|00025002|19.50|420| | |AZ|03120|0|N
H2406|063|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AZ-0008 (PPO)|00025002|19.50|420| | |AZ|03130|0|N
H2406|064|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC AZ-9 (PPO)|00025002|0.00|495| | |AZ|03060|0|N
H2406|064|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC AZ-9 (PPO)|00025002|0.00|495| | |AZ|03100|0|N
H2406|065|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ID-0003 (PPO)|00025002|0.00|420| | |ID|13000|0|N
H2406|065|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ID-0003 (PPO)|00025002|0.00|420| | |ID|13130|0|N
H2406|066|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0006 (PPO)|00025002|0.00|420| | |IN|15000|0|N
H2406|066|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0006 (PPO)|00025002|0.00|420| | |IN|15010|0|N
H2406|066|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0006 (PPO)|00025002|0.00|420| | |IN|15080|0|N
H2406|066|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0006 (PPO)|00025002|0.00|420| | |IN|15160|0|N
H2406|066|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0006 (PPO)|00025002|0.00|420| | |IN|15190|0|N
H2406|066|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0006 (PPO)|00025002|0.00|420| | |IN|15240|0|N
H2406|066|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0006 (PPO)|00025002|0.00|420| | |IN|15260|0|N
H2406|066|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0006 (PPO)|00025002|0.00|420| | |IN|15340|0|N
H2406|066|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0006 (PPO)|00025002|0.00|420| | |IN|15370|0|N
H2406|066|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0006 (PPO)|00025002|0.00|420| | |IN|15420|0|N
H2406|066|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0006 (PPO)|00025002|0.00|420| | |IN|15430|0|N
H2406|066|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0006 (PPO)|00025002|0.00|420| | |IN|15490|0|N
H2406|066|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0006 (PPO)|00025002|0.00|420| | |IN|15510|0|N
H2406|066|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0006 (PPO)|00025002|0.00|420| | |IN|15560|0|N
H2406|066|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0006 (PPO)|00025002|0.00|420| | |IN|15700|0|N
H2406|066|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0006 (PPO)|00025002|0.00|420| | |IN|15750|0|N
H2406|066|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0006 (PPO)|00025002|0.00|420| | |IN|15840|0|N
H2406|066|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0006 (PPO)|00025002|0.00|420| | |IN|15890|0|N
H2406|066|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0006 (PPO)|00025002|0.00|420| | |IN|15910|0|N
H2406|067|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0007 (PPO)|00025002|0.00|420| | |IN|15020|0|N
H2406|067|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0007 (PPO)|00025002|0.00|420| | |IN|15030|0|N
H2406|067|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0007 (PPO)|00025002|0.00|420| | |IN|15040|0|N
H2406|067|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0007 (PPO)|00025002|0.00|420| | |IN|15050|0|N
H2406|067|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0007 (PPO)|00025002|0.00|420| | |IN|15060|0|N
H2406|067|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0007 (PPO)|00025002|0.00|420| | |IN|15070|0|N
H2406|067|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0007 (PPO)|00025002|0.00|420| | |IN|15100|0|N
H2406|067|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0007 (PPO)|00025002|0.00|420| | |IN|15110|0|N
H2406|067|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0007 (PPO)|00025002|0.00|420| | |IN|15150|0|N
H2406|067|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0007 (PPO)|00025002|0.00|420| | |IN|15170|0|N
H2406|067|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0007 (PPO)|00025002|0.00|420| | |IN|15200|0|N
H2406|067|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0007 (PPO)|00025002|0.00|420| | |IN|15220|0|N
H2406|067|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0007 (PPO)|00025002|0.00|420| | |IN|15270|0|N
H2406|067|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0007 (PPO)|00025002|0.00|420| | |IN|15280|0|N
H2406|067|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0007 (PPO)|00025002|0.00|420| | |IN|15290|0|N
H2406|067|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0007 (PPO)|00025002|0.00|420| | |IN|15310|0|N
H2406|067|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0007 (PPO)|00025002|0.00|420| | |IN|15320|0|N
H2406|067|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0007 (PPO)|00025002|0.00|420| | |IN|15330|0|N
H2406|067|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0007 (PPO)|00025002|0.00|420| | |IN|15400|0|N
H2406|067|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0007 (PPO)|00025002|0.00|420| | |IN|15460|0|N
H2406|067|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0007 (PPO)|00025002|0.00|420| | |IN|15470|0|N
H2406|067|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0007 (PPO)|00025002|0.00|420| | |IN|15480|0|N
H2406|067|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0007 (PPO)|00025002|0.00|420| | |IN|15520|0|N
H2406|067|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0007 (PPO)|00025002|0.00|420| | |IN|15530|0|N
H2406|067|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0007 (PPO)|00025002|0.00|420| | |IN|15540|0|N
H2406|067|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0007 (PPO)|00025002|0.00|420| | |IN|15580|0|N
H2406|067|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0007 (PPO)|00025002|0.00|420| | |IN|15590|0|N
H2406|067|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0007 (PPO)|00025002|0.00|420| | |IN|15600|0|N
H2406|067|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0007 (PPO)|00025002|0.00|420| | |IN|15660|0|N
H2406|067|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0007 (PPO)|00025002|0.00|420| | |IN|15670|0|N
H2406|067|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0007 (PPO)|00025002|0.00|420| | |IN|15690|0|N
H2406|067|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0007 (PPO)|00025002|0.00|420| | |IN|15720|0|N
H2406|067|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0007 (PPO)|00025002|0.00|420| | |IN|15760|0|N
H2406|067|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0007 (PPO)|00025002|0.00|420| | |IN|15780|0|N
H2406|067|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0007 (PPO)|00025002|0.00|420| | |IN|15790|0|N
H2406|067|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0007 (PPO)|00025002|0.00|420| | |IN|15800|0|N
H2406|067|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0007 (PPO)|00025002|0.00|420| | |IN|15820|0|N
H2406|067|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0007 (PPO)|00025002|0.00|420| | |IN|15830|0|N
H2406|067|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0007 (PPO)|00025002|0.00|420| | |IN|15850|0|N
H2406|067|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0007 (PPO)|00025002|0.00|420| | |IN|15880|0|N
H2406|067|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0007 (PPO)|00025002|0.00|420| | |IN|15900|0|N
H2406|068|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0002 (PPO)|00025002|0.00|420| | |MO|26080|0|N
H2406|068|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0002 (PPO)|00025002|0.00|420| | |MO|26110|0|N
H2406|068|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0002 (PPO)|00025002|0.00|420| | |MO|26150|0|N
H2406|068|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0002 (PPO)|00025002|0.00|420| | |MO|26170|0|N
H2406|068|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0002 (PPO)|00025002|0.00|420| | |MO|26460|0|N
H2406|068|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0002 (PPO)|00025002|0.00|420| | |MO|26601|0|N
H2406|068|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0002 (PPO)|00025002|0.00|420| | |MO|26660|0|N
H2406|068|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0002 (PPO)|00025002|0.00|420| | |MO|26710|0|N
H2406|068|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0002 (PPO)|00025002|0.00|420| | |MO|26770|0|N
H2406|068|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0002 (PPO)|00025002|0.00|420| | |MO|26780|0|N
H2406|068|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0002 (PPO)|00025002|0.00|420| | |MO|26881|0|N
H2406|068|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0002 (PPO)|00025002|0.00|420| | |MO|26900|0|N
H2406|068|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0002 (PPO)|00025002|0.00|420| | |MO|26982|0|N
H2406|068|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0002 (PPO)|00025002|0.00|420| | |MO|26985|0|N
H2406|068|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0002 (PPO)|00025002|0.00|420| | |MO|26993|0|N
H2406|069|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-2 (PPO)|00025002|0.00|420| | |IL|14000|0|N
H2406|069|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-2 (PPO)|00025002|0.00|420| | |IL|14010|0|N
H2406|069|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-2 (PPO)|00025002|0.00|420| | |IL|14020|0|N
H2406|069|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-2 (PPO)|00025002|0.00|420| | |IL|14060|0|N
H2406|069|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-2 (PPO)|00025002|0.00|420| | |IL|14130|0|N
H2406|069|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-2 (PPO)|00025002|0.00|420| | |IL|14340|0|N
H2406|069|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-2 (PPO)|00025002|0.00|420| | |IL|14390|0|N
H2406|069|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-2 (PPO)|00025002|0.00|420| | |IL|14470|0|N
H2406|069|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-2 (PPO)|00025002|0.00|420| | |IL|14500|0|N
H2406|069|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-2 (PPO)|00025002|0.00|420| | |IL|14670|0|N
H2406|069|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-2 (PPO)|00025002|0.00|420| | |IL|14680|0|N
H2406|069|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-2 (PPO)|00025002|0.00|420| | |IL|14690|0|N
H2406|069|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-2 (PPO)|00025002|0.00|420| | |IL|14750|0|N
H2406|069|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-2 (PPO)|00025002|0.00|420| | |IL|14760|0|N
H2406|069|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-2 (PPO)|00025002|0.00|420| | |IL|14810|0|N
H2406|069|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-2 (PPO)|00025002|0.00|420| | |IL|14830|0|N
H2406|069|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-2 (PPO)|00025002|0.00|420| | |IL|14870|0|N
H2406|069|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-2 (PPO)|00025002|0.00|420| | |IL|14900|0|N
H2406|069|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-2 (PPO)|00025002|0.00|420| | |IL|14981|0|N
H2406|069|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-2 (PPO)|00025002|0.00|420| | |IL|14985|0|N
H2406|069|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-2 (PPO)|00025002|0.00|420| | |MO|26270|0|N
H2406|069|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-2 (PPO)|00025002|0.00|420| | |MO|26320|0|N
H2406|069|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-2 (PPO)|00025002|0.00|420| | |MO|26350|0|N
H2406|069|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-2 (PPO)|00025002|0.00|420| | |MO|26360|0|N
H2406|069|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-2 (PPO)|00025002|0.00|420| | |MO|26490|0|N
H2406|069|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-2 (PPO)|00025002|0.00|420| | |MO|26560|0|N
H2406|069|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-2 (PPO)|00025002|0.00|420| | |MO|26800|0|N
H2406|069|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-2 (PPO)|00025002|0.00|420| | |MO|26840|0|N
H2406|069|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-2 (PPO)|00025002|0.00|420| | |MO|26910|0|N
H2406|069|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-2 (PPO)|00025002|0.00|420| | |MO|26930|0|N
H2406|069|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-2 (PPO)|00025002|0.00|420| | |MO|26940|0|N
H2406|069|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-2 (PPO)|00025002|0.00|420| | |MO|26950|0|N
H2406|069|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-2 (PPO)|00025002|0.00|420| | |MO|26960|0|N
H2406|069|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-2 (PPO)|00025002|0.00|420| | |MO|26991|0|N
H2406|069|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ST-2 (PPO)|00025002|0.00|420| | |MO|26992|0|N
H2406|070|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OR-0002 (PPO)|00025002|0.00|420| | |OR|38010|0|N
H2406|070|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OR-0002 (PPO)|00025002|0.00|420| | |OR|38020|0|N
H2406|070|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OR-0002 (PPO)|00025002|0.00|420| | |OR|38040|0|N
H2406|070|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OR-0002 (PPO)|00025002|0.00|420| | |OR|38140|0|N
H2406|070|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OR-0002 (PPO)|00025002|0.00|420| | |OR|38160|0|N
H2406|070|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OR-0002 (PPO)|00025002|0.00|420| | |OR|38190|0|N
H2406|070|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OR-0002 (PPO)|00025002|0.00|420| | |OR|38230|0|N
H2406|070|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OR-0002 (PPO)|00025002|0.00|420| | |OR|38250|0|N
H2406|070|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OR-0002 (PPO)|00025002|0.00|420| | |OR|38260|0|N
H2406|070|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OR-0002 (PPO)|00025002|0.00|420| | |OR|38330|0|N
H2406|070|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OR-0002 (PPO)|00025002|0.00|420| | |OR|38350|0|N
H2406|071|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0010 (PPO)|00025002|0.00|420| | |PA|39140|0|N
H2406|071|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0010 (PPO)|00025002|0.00|420| | |PA|39210|0|N
H2406|071|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0010 (PPO)|00025002|0.00|420| | |PA|39290|0|N
H2406|071|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0010 (PPO)|00025002|0.00|420| | |PA|39560|0|N
H2406|071|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0010 (PPO)|00025002|0.00|420| | |PA|39620|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39000|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39010|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39070|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39080|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39100|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39110|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39120|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39130|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39150|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39160|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39180|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39190|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39200|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39220|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39230|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39240|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39250|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39260|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39270|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39280|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39310|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39320|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39330|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39340|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39350|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39360|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39370|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39380|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39390|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39400|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39410|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39420|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39440|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39450|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39460|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39470|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39480|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39510|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39520|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39530|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39540|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39550|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39580|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39590|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39600|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39610|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39630|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39640|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39650|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39670|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39680|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39690|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39700|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39710|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39720|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39730|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39740|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39750|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39760|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39770|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39790|0|N
H2406|072|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0011 (PPO)|00025002|0.00|420| | |PA|39800|0|N
H2406|075|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC DE-0001 (PPO)|00025002|0.00|420| | |DE|08000|0|N
H2406|075|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC DE-0001 (PPO)|00025002|0.00|420| | |DE|08010|0|N
H2406|075|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC DE-0001 (PPO)|00025002|0.00|420| | |DE|08020|0|N
H2406|076|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AZ-0010 (PPO)|00025002|0.00|420| | |AZ|03000|0|N
H2406|076|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AZ-0010 (PPO)|00025002|0.00|420| | |AZ|03010|0|N
H2406|076|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AZ-0010 (PPO)|00025002|0.00|420| | |AZ|03020|0|N
H2406|076|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AZ-0010 (PPO)|00025002|0.00|420| | |AZ|03030|0|N
H2406|076|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AZ-0010 (PPO)|00025002|0.00|420| | |AZ|03040|0|N
H2406|076|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AZ-0010 (PPO)|00025002|0.00|420| | |AZ|03050|0|N
H2406|076|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AZ-0010 (PPO)|00025002|0.00|420| | |AZ|03055|0|N
H2406|076|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AZ-0010 (PPO)|00025002|0.00|420| | |AZ|03070|0|N
H2406|076|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AZ-0010 (PPO)|00025002|0.00|420| | |AZ|03080|0|N
H2406|076|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AZ-0010 (PPO)|00025002|0.00|420| | |AZ|03110|0|N
H2406|076|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AZ-0010 (PPO)|00025002|0.00|420| | |AZ|03120|0|N
H2406|076|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AZ-0010 (PPO)|00025002|0.00|420| | |AZ|03130|0|N
H2406|078|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC AZ-0011 (PPO)|00025002|39.00|420| | |AZ|03090|0|N
H2406|081|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC DC-0001 (PPO)|00025002|0.00|420| | |DC|09000|0|N
H2406|082|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC DC-0002 (PPO)|00025002|46.00|420| | |DC|09000|0|N
H2406|083|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MD-0001 (PPO)|00025002|0.00|495| | |MD|21010|0|N
H2406|083|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MD-0001 (PPO)|00025002|0.00|495| | |MD|21040|0|N
H2406|083|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MD-0001 (PPO)|00025002|0.00|495| | |MD|21080|0|N
H2406|083|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MD-0001 (PPO)|00025002|0.00|495| | |MD|21100|0|N
H2406|083|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MD-0001 (PPO)|00025002|0.00|495| | |MD|21110|0|N
H2406|083|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MD-0001 (PPO)|00025002|0.00|495| | |MD|21130|0|N
H2406|083|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MD-0001 (PPO)|00025002|0.00|495| | |MD|21150|0|N
H2406|083|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MD-0001 (PPO)|00025002|0.00|495| | |MD|21160|0|N
H2406|083|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MD-0001 (PPO)|00025002|0.00|495| | |MD|21180|0|N
H2406|083|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MD-0001 (PPO)|00025002|0.00|495| | |MD|21210|0|N
H2406|084|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MD-0002 (PPO)|00025002|49.90|420| | |MD|21010|0|N
H2406|084|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MD-0002 (PPO)|00025002|49.90|420| | |MD|21040|0|N
H2406|084|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MD-0002 (PPO)|00025002|49.90|420| | |MD|21080|0|N
H2406|084|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MD-0002 (PPO)|00025002|49.90|420| | |MD|21100|0|N
H2406|084|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MD-0002 (PPO)|00025002|49.90|420| | |MD|21110|0|N
H2406|084|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MD-0002 (PPO)|00025002|49.90|420| | |MD|21130|0|N
H2406|084|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MD-0002 (PPO)|00025002|49.90|420| | |MD|21150|0|N
H2406|084|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MD-0002 (PPO)|00025002|49.90|420| | |MD|21160|0|N
H2406|084|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MD-0002 (PPO)|00025002|49.90|420| | |MD|21180|0|N
H2406|084|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MD-0002 (PPO)|00025002|49.90|420| | |MD|21210|0|N
H2406|086|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0008 (PPO)|00025002|0.00|420| | |IN|15360|0|N
H2406|086|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0008 (PPO)|00025002|0.00|420| | |IN|15440|0|N
H2406|086|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0008 (PPO)|00025002|0.00|420| | |IN|15450|0|N
H2406|086|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0008 (PPO)|00025002|0.00|420| | |IN|15550|0|N
H2406|086|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0008 (PPO)|00025002|0.00|420| | |IN|15630|0|N
H2406|086|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0008 (PPO)|00025002|0.00|420| | |IN|15650|0|N
H2406|086|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0008 (PPO)|00025002|0.00|420| | |IN|15740|0|N
H2406|087|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0009 (PPO)|00025002|0.00|420| | |IN|15090|0|N
H2406|087|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0009 (PPO)|00025002|0.00|420| | |IN|15120|0|N
H2406|087|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0009 (PPO)|00025002|0.00|420| | |IN|15130|0|N
H2406|087|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0009 (PPO)|00025002|0.00|420| | |IN|15140|0|N
H2406|087|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0009 (PPO)|00025002|0.00|420| | |IN|15180|0|N
H2406|087|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0009 (PPO)|00025002|0.00|420| | |IN|15210|0|N
H2406|087|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0009 (PPO)|00025002|0.00|420| | |IN|15230|0|N
H2406|087|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0009 (PPO)|00025002|0.00|420| | |IN|15250|0|N
H2406|087|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0009 (PPO)|00025002|0.00|420| | |IN|15300|0|N
H2406|087|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0009 (PPO)|00025002|0.00|420| | |IN|15350|0|N
H2406|087|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0009 (PPO)|00025002|0.00|420| | |IN|15380|0|N
H2406|087|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0009 (PPO)|00025002|0.00|420| | |IN|15390|0|N
H2406|087|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0009 (PPO)|00025002|0.00|420| | |IN|15410|0|N
H2406|087|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0009 (PPO)|00025002|0.00|420| | |IN|15500|0|N
H2406|087|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0009 (PPO)|00025002|0.00|420| | |IN|15570|0|N
H2406|087|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0009 (PPO)|00025002|0.00|420| | |IN|15610|0|N
H2406|087|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0009 (PPO)|00025002|0.00|420| | |IN|15620|0|N
H2406|087|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0009 (PPO)|00025002|0.00|420| | |IN|15640|0|N
H2406|087|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0009 (PPO)|00025002|0.00|420| | |IN|15680|0|N
H2406|087|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0009 (PPO)|00025002|0.00|420| | |IN|15710|0|N
H2406|087|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0009 (PPO)|00025002|0.00|420| | |IN|15730|0|N
H2406|087|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0009 (PPO)|00025002|0.00|420| | |IN|15770|0|N
H2406|087|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0009 (PPO)|00025002|0.00|420| | |IN|15810|0|N
H2406|087|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0009 (PPO)|00025002|0.00|420| | |IN|15860|0|N
H2406|087|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IN-0009 (PPO)|00025002|0.00|420| | |IN|15870|0|N
H2406|088|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NM-0003 (PPO)|00025002|28.00|420| | |NM|32010|0|N
H2406|088|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NM-0003 (PPO)|00025002|28.00|420| | |NM|32025|0|N
H2406|088|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NM-0003 (PPO)|00025002|28.00|420| | |NM|32030|0|N
H2406|088|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NM-0003 (PPO)|00025002|28.00|420| | |NM|32040|0|N
H2406|088|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NM-0003 (PPO)|00025002|28.00|420| | |NM|32050|0|N
H2406|088|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NM-0003 (PPO)|00025002|28.00|420| | |NM|32090|0|N
H2406|088|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NM-0003 (PPO)|00025002|28.00|420| | |NM|32100|0|N
H2406|088|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NM-0003 (PPO)|00025002|28.00|420| | |NM|32130|0|N
H2406|088|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NM-0003 (PPO)|00025002|28.00|420| | |NM|32170|0|N
H2406|088|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NM-0003 (PPO)|00025002|28.00|420| | |NM|32180|0|N
H2406|088|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NM-0003 (PPO)|00025002|28.00|420| | |NM|32200|0|N
H2406|088|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NM-0003 (PPO)|00025002|28.00|420| | |NM|32220|0|N
H2406|088|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NM-0003 (PPO)|00025002|28.00|420| | |NM|32260|0|N
H2406|088|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NM-0003 (PPO)|00025002|28.00|420| | |NM|32270|0|N
H2406|088|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NM-0003 (PPO)|00025002|28.00|420| | |NM|32290|0|N
H2406|089|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NM-0004 (PPO)|00025002|0.00|420| | |NM|32000|0|N
H2406|089|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NM-0004 (PPO)|00025002|0.00|420| | |NM|32210|0|N
H2406|089|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NM-0004 (PPO)|00025002|0.00|420| | |NM|32280|0|N
H2406|089|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NM-0004 (PPO)|00025002|0.00|420| | |NM|32300|0|N
H2406|090|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NM-0005 (PPO)|00025002|0.00|420| | |NM|32131|0|N
H2406|090|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NM-0005 (PPO)|00025002|0.00|420| | |NM|32160|0|N
H2406|090|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NM-0005 (PPO)|00025002|0.00|420| | |NM|32190|0|N
H2406|090|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NM-0005 (PPO)|00025002|0.00|420| | |NM|32230|0|N
H2406|090|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NM-0005 (PPO)|00025002|0.00|420| | |NM|32240|0|N
H2406|091|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NM-0006 (PPO)|00025002|0.00|420| | |NM|32010|0|N
H2406|091|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NM-0006 (PPO)|00025002|0.00|420| | |NM|32025|0|N
H2406|091|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NM-0006 (PPO)|00025002|0.00|420| | |NM|32030|0|N
H2406|091|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NM-0006 (PPO)|00025002|0.00|420| | |NM|32040|0|N
H2406|091|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NM-0006 (PPO)|00025002|0.00|420| | |NM|32050|0|N
H2406|091|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NM-0006 (PPO)|00025002|0.00|420| | |NM|32090|0|N
H2406|091|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NM-0006 (PPO)|00025002|0.00|420| | |NM|32100|0|N
H2406|091|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NM-0006 (PPO)|00025002|0.00|420| | |NM|32130|0|N
H2406|091|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NM-0006 (PPO)|00025002|0.00|420| | |NM|32170|0|N
H2406|091|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NM-0006 (PPO)|00025002|0.00|420| | |NM|32180|0|N
H2406|091|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NM-0006 (PPO)|00025002|0.00|420| | |NM|32200|0|N
H2406|091|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NM-0006 (PPO)|00025002|0.00|420| | |NM|32220|0|N
H2406|091|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NM-0006 (PPO)|00025002|0.00|420| | |NM|32260|0|N
H2406|091|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NM-0006 (PPO)|00025002|0.00|420| | |NM|32270|0|N
H2406|091|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NM-0006 (PPO)|00025002|0.00|420| | |NM|32290|0|N
H2406|093|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC HI-0004 (PPO)|00025002|15.00|420| | |HI|12010|0|N
H2406|095|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC ID-4 (PPO)|00025002|0.00|495| | |ID|13000|0|N
H2406|095|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC ID-4 (PPO)|00025002|0.00|495| | |ID|13130|0|N
H2406|096|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC NM-7 (PPO)|00025002|0.00|405| | |NM|32000|0|N
H2406|096|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC NM-7 (PPO)|00025002|0.00|405| | |NM|32210|0|N
H2406|096|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC NM-7 (PPO)|00025002|0.00|405| | |NM|32280|0|N
H2406|096|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC NM-7 (PPO)|00025002|0.00|405| | |NM|32300|0|N
H2406|097|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC NM-8 (PPO)|00025002|0.00|495| | |NM|32131|0|N
H2406|097|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC NM-8 (PPO)|00025002|0.00|495| | |NM|32160|0|N
H2406|097|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC NM-8 (PPO)|00025002|0.00|495| | |NM|32190|0|N
H2406|097|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC NM-8 (PPO)|00025002|0.00|495| | |NM|32230|0|N
H2406|097|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC NM-8 (PPO)|00025002|0.00|495| | |NM|32240|0|N
H2406|098|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0017 (PPO)|00025002|0.00|420| | |NC|34000|0|N
H2406|098|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0017 (PPO)|00025002|0.00|420| | |NC|34160|0|N
H2406|098|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0017 (PPO)|00025002|0.00|420| | |NC|34170|0|N
H2406|098|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0017 (PPO)|00025002|0.00|420| | |NC|34180|0|N
H2406|098|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0017 (PPO)|00025002|0.00|420| | |NC|34220|0|N
H2406|098|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0017 (PPO)|00025002|0.00|420| | |NC|34250|0|N
H2406|098|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0017 (PPO)|00025002|0.00|420| | |NC|34280|0|N
H2406|098|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0017 (PPO)|00025002|0.00|420| | |NC|34290|0|N
H2406|098|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0017 (PPO)|00025002|0.00|420| | |NC|34310|0|N
H2406|098|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0017 (PPO)|00025002|0.00|420| | |NC|34330|0|N
H2406|098|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0017 (PPO)|00025002|0.00|420| | |NC|34350|0|N
H2406|098|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0017 (PPO)|00025002|0.00|420| | |NC|34400|0|N
H2406|098|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0017 (PPO)|00025002|0.00|420| | |NC|34420|0|N
H2406|098|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0017 (PPO)|00025002|0.00|420| | |NC|34460|0|N
H2406|098|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0017 (PPO)|00025002|0.00|420| | |NC|34480|0|N
H2406|098|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0017 (PPO)|00025002|0.00|420| | |NC|34500|0|N
H2406|098|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0017 (PPO)|00025002|0.00|420| | |NC|34520|0|N
H2406|098|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0017 (PPO)|00025002|0.00|420| | |NC|34540|0|N
H2406|098|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0017 (PPO)|00025002|0.00|420| | |NC|34590|0|N
H2406|098|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0017 (PPO)|00025002|0.00|420| | |NC|34610|0|N
H2406|098|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0017 (PPO)|00025002|0.00|420| | |NC|34620|0|N
H2406|098|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0017 (PPO)|00025002|0.00|420| | |NC|34670|0|N
H2406|098|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0017 (PPO)|00025002|0.00|420| | |NC|34720|0|N
H2406|098|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0017 (PPO)|00025002|0.00|420| | |NC|34750|0|N
H2406|098|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0017 (PPO)|00025002|0.00|420| | |NC|34760|0|N
H2406|098|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0017 (PPO)|00025002|0.00|420| | |NC|34780|0|N
H2406|098|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0017 (PPO)|00025002|0.00|420| | |NC|34790|0|N
H2406|098|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0017 (PPO)|00025002|0.00|420| | |NC|34820|0|N
H2406|098|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0017 (PPO)|00025002|0.00|420| | |NC|34830|0|N
H2406|098|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0017 (PPO)|00025002|0.00|420| | |NC|34840|0|N
H2406|098|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0017 (PPO)|00025002|0.00|420| | |NC|34850|0|N
H2406|098|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0017 (PPO)|00025002|0.00|420| | |NC|34890|0|N
H2406|098|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0017 (PPO)|00025002|0.00|420| | |NC|34910|0|N
H2406|098|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0017 (PPO)|00025002|0.00|420| | |NC|34960|0|N
H2406|098|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0017 (PPO)|00025002|0.00|420| | |NC|34980|0|N
H2406|099|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Choice DC-Q001 (PPO D-SNP)|00025002|0.00|590| | |DC|09000|2|N
H2406|100|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC DE-0002 (PPO)|00025002|48.00|420| | |DE|08000|0|N
H2406|100|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC DE-0002 (PPO)|00025002|48.00|420| | |DE|08010|0|N
H2406|100|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC DE-0002 (PPO)|00025002|48.00|420| | |DE|08020|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39000|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39010|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39070|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39080|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39100|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39110|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39120|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39130|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39140|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39150|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39160|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39180|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39190|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39200|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39210|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39220|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39230|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39240|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39250|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39260|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39270|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39280|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39290|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39310|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39320|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39330|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39340|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39350|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39360|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39370|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39380|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39390|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39400|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39410|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39420|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39440|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39450|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39460|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39470|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39480|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39510|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39520|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39530|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39540|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39550|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39560|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39580|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39590|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39600|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39610|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39620|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39630|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39640|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39650|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39670|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39680|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39690|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39700|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39710|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39720|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39730|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39740|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39750|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39760|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39770|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39790|0|N
H2406|101|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC PA-12 (PPO)|00025002|0.00|495| | |PA|39800|0|N
H2406|102|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0013 (PPO)|00025002|0.00|420| | |PA|39140|0|N
H2406|102|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0013 (PPO)|00025002|0.00|420| | |PA|39210|0|N
H2406|102|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0013 (PPO)|00025002|0.00|420| | |PA|39290|0|N
H2406|102|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0013 (PPO)|00025002|0.00|420| | |PA|39560|0|N
H2406|102|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC PA-0013 (PPO)|00025002|0.00|420| | |PA|39620|0|N
H2406|103|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC CO-12 (PPO)|00025002|0.00|495| | |CO|06030|0|N
H2406|103|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC CO-12 (PPO)|00025002|0.00|495| | |CO|06040|0|N
H2406|103|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC CO-12 (PPO)|00025002|0.00|495| | |CO|06050|0|N
H2406|103|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC CO-12 (PPO)|00025002|0.00|495| | |CO|06070|0|N
H2406|103|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC CO-12 (PPO)|00025002|0.00|495| | |CO|06080|0|N
H2406|103|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC CO-12 (PPO)|00025002|0.00|495| | |CO|06100|0|N
H2406|103|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC CO-12 (PPO)|00025002|0.00|495| | |CO|06110|0|N
H2406|103|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC CO-12 (PPO)|00025002|0.00|495| | |CO|06120|0|N
H2406|103|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC CO-12 (PPO)|00025002|0.00|495| | |CO|06130|0|N
H2406|103|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC CO-12 (PPO)|00025002|0.00|495| | |CO|06180|0|N
H2406|103|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC CO-12 (PPO)|00025002|0.00|495| | |CO|06200|0|N
H2406|103|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC CO-12 (PPO)|00025002|0.00|495| | |CO|06210|0|N
H2406|103|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC CO-12 (PPO)|00025002|0.00|495| | |CO|06230|0|N
H2406|103|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC CO-12 (PPO)|00025002|0.00|495| | |CO|06240|0|N
H2406|103|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC CO-12 (PPO)|00025002|0.00|495| | |CO|06270|0|N
H2406|103|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC CO-12 (PPO)|00025002|0.00|495| | |CO|06300|0|N
H2406|103|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC CO-12 (PPO)|00025002|0.00|495| | |CO|06310|0|N
H2406|103|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC CO-12 (PPO)|00025002|0.00|495| | |CO|06320|0|N
H2406|103|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC CO-12 (PPO)|00025002|0.00|495| | |CO|06340|0|N
H2406|103|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC CO-12 (PPO)|00025002|0.00|495| | |CO|06350|0|N
H2406|103|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC CO-12 (PPO)|00025002|0.00|495| | |CO|06360|0|N
H2406|103|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC CO-12 (PPO)|00025002|0.00|495| | |CO|06370|0|N
H2406|103|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC CO-12 (PPO)|00025002|0.00|495| | |CO|06430|0|N
H2406|103|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC CO-12 (PPO)|00025002|0.00|495| | |CO|06440|0|N
H2406|103|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC CO-12 (PPO)|00025002|0.00|495| | |CO|06460|0|N
H2406|103|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC CO-12 (PPO)|00025002|0.00|495| | |CO|06470|0|N
H2406|103|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC CO-12 (PPO)|00025002|0.00|495| | |CO|06500|0|N
H2406|103|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC CO-12 (PPO)|00025002|0.00|495| | |CO|06580|0|N
H2406|103|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC CO-12 (PPO)|00025002|0.00|495| | |CO|06590|0|N
H2406|103|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC CO-12 (PPO)|00025002|0.00|495| | |CO|06600|0|N
H2406|103|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC CO-12 (PPO)|00025002|0.00|495| | |CO|06610|0|N
H2406|103|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC CO-12 (PPO)|00025002|0.00|495| | |CO|06620|0|N
H2406|104|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0013 (PPO)|00025002|0.00|420| | |CO|06180|0|N
H2406|104|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0013 (PPO)|00025002|0.00|420| | |CO|06230|0|N
H2406|104|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0013 (PPO)|00025002|0.00|420| | |CO|06240|0|N
H2406|104|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0013 (PPO)|00025002|0.00|420| | |CO|06320|0|N
H2406|104|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0013 (PPO)|00025002|0.00|420| | |CO|06340|0|N
H2406|104|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0013 (PPO)|00025002|0.00|420| | |CO|06370|0|N
H2406|104|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0013 (PPO)|00025002|0.00|420| | |CO|06430|0|N
H2406|104|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0013 (PPO)|00025002|0.00|420| | |CO|06470|0|N
H2406|104|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0013 (PPO)|00025002|0.00|420| | |CO|06580|0|N
H2406|104|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0013 (PPO)|00025002|0.00|420| | |CO|06600|0|N
H2406|104|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0013 (PPO)|00025002|0.00|420| | |CO|06610|0|N
H2406|104|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0013 (PPO)|00025002|0.00|420| | |CO|06620|0|N
H2406|105|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0014 (PPO)|00025002|0.00|420| | |CO|06030|0|N
H2406|105|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0014 (PPO)|00025002|0.00|420| | |CO|06040|0|N
H2406|105|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0014 (PPO)|00025002|0.00|420| | |CO|06050|0|N
H2406|105|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0014 (PPO)|00025002|0.00|420| | |CO|06070|0|N
H2406|105|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0014 (PPO)|00025002|0.00|420| | |CO|06080|0|N
H2406|105|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0014 (PPO)|00025002|0.00|420| | |CO|06100|0|N
H2406|105|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0014 (PPO)|00025002|0.00|420| | |CO|06110|0|N
H2406|105|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0014 (PPO)|00025002|0.00|420| | |CO|06120|0|N
H2406|105|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0014 (PPO)|00025002|0.00|420| | |CO|06130|0|N
H2406|105|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0014 (PPO)|00025002|0.00|420| | |CO|06200|0|N
H2406|105|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0014 (PPO)|00025002|0.00|420| | |CO|06210|0|N
H2406|105|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0014 (PPO)|00025002|0.00|420| | |CO|06270|0|N
H2406|105|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0014 (PPO)|00025002|0.00|420| | |CO|06300|0|N
H2406|105|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0014 (PPO)|00025002|0.00|420| | |CO|06310|0|N
H2406|105|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0014 (PPO)|00025002|0.00|420| | |CO|06350|0|N
H2406|105|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0014 (PPO)|00025002|0.00|420| | |CO|06360|0|N
H2406|105|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0014 (PPO)|00025002|0.00|420| | |CO|06440|0|N
H2406|105|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0014 (PPO)|00025002|0.00|420| | |CO|06460|0|N
H2406|105|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0014 (PPO)|00025002|0.00|420| | |CO|06500|0|N
H2406|105|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0014 (PPO)|00025002|0.00|420| | |CO|06590|0|N
H2406|106|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0015 (PPO)|00025002|0.00|420| | |CO|06000|0|N
H2406|106|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0015 (PPO)|00025002|0.00|420| | |CO|06020|0|N
H2406|106|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0015 (PPO)|00025002|0.00|420| | |CO|06060|0|N
H2406|106|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0015 (PPO)|00025002|0.00|420| | |CO|06090|0|N
H2406|106|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0015 (PPO)|00025002|0.00|420| | |CO|06150|0|N
H2406|106|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0015 (PPO)|00025002|0.00|420| | |CO|06170|0|N
H2406|106|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0015 (PPO)|00025002|0.00|420| | |CO|06190|0|N
H2406|106|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0015 (PPO)|00025002|0.00|420| | |CO|06290|0|N
H2406|106|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0015 (PPO)|00025002|0.00|420| | |CO|06630|0|N
H2406|110|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0017 (PPO)|00025002|49.00|420| | |CO|06180|0|N
H2406|110|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0017 (PPO)|00025002|49.00|420| | |CO|06230|0|N
H2406|110|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0017 (PPO)|00025002|49.00|420| | |CO|06240|0|N
H2406|110|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0017 (PPO)|00025002|49.00|420| | |CO|06320|0|N
H2406|110|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0017 (PPO)|00025002|49.00|420| | |CO|06340|0|N
H2406|110|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0017 (PPO)|00025002|49.00|420| | |CO|06370|0|N
H2406|110|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0017 (PPO)|00025002|49.00|420| | |CO|06430|0|N
H2406|110|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0017 (PPO)|00025002|49.00|420| | |CO|06470|0|N
H2406|110|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0017 (PPO)|00025002|49.00|420| | |CO|06580|0|N
H2406|110|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0017 (PPO)|00025002|49.00|420| | |CO|06600|0|N
H2406|110|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0017 (PPO)|00025002|49.00|420| | |CO|06610|0|N
H2406|110|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0017 (PPO)|00025002|49.00|420| | |CO|06620|0|N
H2406|111|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0018 (PPO)|00025002|44.00|420| | |CO|06030|0|N
H2406|111|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0018 (PPO)|00025002|44.00|420| | |CO|06040|0|N
H2406|111|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0018 (PPO)|00025002|44.00|420| | |CO|06050|0|N
H2406|111|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0018 (PPO)|00025002|44.00|420| | |CO|06070|0|N
H2406|111|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0018 (PPO)|00025002|44.00|420| | |CO|06080|0|N
H2406|111|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0018 (PPO)|00025002|44.00|420| | |CO|06100|0|N
H2406|111|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0018 (PPO)|00025002|44.00|420| | |CO|06110|0|N
H2406|111|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0018 (PPO)|00025002|44.00|420| | |CO|06120|0|N
H2406|111|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0018 (PPO)|00025002|44.00|420| | |CO|06130|0|N
H2406|111|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0018 (PPO)|00025002|44.00|420| | |CO|06200|0|N
H2406|111|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0018 (PPO)|00025002|44.00|420| | |CO|06210|0|N
H2406|111|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0018 (PPO)|00025002|44.00|420| | |CO|06270|0|N
H2406|111|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0018 (PPO)|00025002|44.00|420| | |CO|06300|0|N
H2406|111|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0018 (PPO)|00025002|44.00|420| | |CO|06310|0|N
H2406|111|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0018 (PPO)|00025002|44.00|420| | |CO|06350|0|N
H2406|111|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0018 (PPO)|00025002|44.00|420| | |CO|06360|0|N
H2406|111|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0018 (PPO)|00025002|44.00|420| | |CO|06440|0|N
H2406|111|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0018 (PPO)|00025002|44.00|420| | |CO|06460|0|N
H2406|111|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0018 (PPO)|00025002|44.00|420| | |CO|06500|0|N
H2406|111|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CO-0018 (PPO)|00025002|44.00|420| | |CO|06590|0|N
H2406|112|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ID-0010 (PPO)|00025002|0.00|420| | |ID|13080|0|N
H2406|112|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ID-0010 (PPO)|00025002|0.00|420| | |ID|13100|0|N
H2406|112|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ID-0010 (PPO)|00025002|0.00|420| | |ID|13240|0|N
H2406|112|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ID-0010 (PPO)|00025002|0.00|420| | |ID|13270|0|N
H2406|112|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ID-0010 (PPO)|00025002|0.00|420| | |ID|13280|0|N
H2406|112|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ID-0010 (PPO)|00025002|0.00|420| | |ID|13340|0|N
H2406|112|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ID-0010 (PPO)|00025002|0.00|420| | |ID|13390|0|N
H2406|113|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ID-0011 (PPO)|00025002|0.00|420| | |ID|13020|0|N
H2406|113|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ID-0011 (PPO)|00025002|0.00|420| | |ID|13050|0|N
H2406|113|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ID-0011 (PPO)|00025002|0.00|420| | |ID|13060|0|N
H2406|113|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ID-0011 (PPO)|00025002|0.00|420| | |ID|13090|0|N
H2406|113|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ID-0011 (PPO)|00025002|0.00|420| | |ID|13120|0|N
H2406|113|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ID-0011 (PPO)|00025002|0.00|420| | |ID|13150|0|N
H2406|113|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ID-0011 (PPO)|00025002|0.00|420| | |ID|13230|0|N
H2406|113|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ID-0011 (PPO)|00025002|0.00|420| | |ID|13250|0|N
H2406|113|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ID-0011 (PPO)|00025002|0.00|420| | |ID|13260|0|N
H2406|113|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ID-0011 (PPO)|00025002|0.00|420| | |ID|13310|0|N
H2406|113|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ID-0011 (PPO)|00025002|0.00|420| | |ID|13320|0|N
H2406|113|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ID-0011 (PPO)|00025002|0.00|420| | |ID|13330|0|N
H2406|113|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC ID-0011 (PPO)|00025002|0.00|420| | |ID|13410|0|N
H2406|115|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0019 (PPO)|00025002|27.00|420| | |NC|34200|0|N
H2406|115|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0019 (PPO)|00025002|27.00|420| | |NC|34230|0|N
H2406|115|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0019 (PPO)|00025002|27.00|420| | |NC|34251|0|N
H2406|115|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0019 (PPO)|00025002|27.00|420| | |NC|34270|0|N
H2406|115|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0019 (PPO)|00025002|27.00|420| | |NC|34300|0|N
H2406|115|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0019 (PPO)|00025002|27.00|420| | |NC|34320|0|N
H2406|115|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0019 (PPO)|00025002|27.00|420| | |NC|34360|0|N
H2406|115|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0019 (PPO)|00025002|27.00|420| | |NC|34390|0|N
H2406|115|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0019 (PPO)|00025002|27.00|420| | |NC|34410|0|N
H2406|115|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0019 (PPO)|00025002|27.00|420| | |NC|34450|0|N
H2406|115|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0019 (PPO)|00025002|27.00|420| | |NC|34460|0|N
H2406|115|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0019 (PPO)|00025002|27.00|420| | |NC|34470|0|N
H2406|115|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0019 (PPO)|00025002|27.00|420| | |NC|34510|0|N
H2406|115|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0019 (PPO)|00025002|27.00|420| | |NC|34530|0|N
H2406|115|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0019 (PPO)|00025002|27.00|420| | |NC|34580|0|N
H2406|115|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0019 (PPO)|00025002|27.00|420| | |NC|34610|0|N
H2406|115|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0019 (PPO)|00025002|27.00|420| | |NC|34620|0|N
H2406|115|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0019 (PPO)|00025002|27.00|420| | |NC|34650|0|N
H2406|115|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0019 (PPO)|00025002|27.00|420| | |NC|34660|0|N
H2406|115|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0019 (PPO)|00025002|27.00|420| | |NC|34680|0|N
H2406|115|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0019 (PPO)|00025002|27.00|420| | |NC|34690|0|N
H2406|115|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0019 (PPO)|00025002|27.00|420| | |NC|34700|0|N
H2406|115|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0019 (PPO)|00025002|27.00|420| | |NC|34710|0|N
H2406|115|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0019 (PPO)|00025002|27.00|420| | |NC|34730|0|N
H2406|115|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0019 (PPO)|00025002|27.00|420| | |NC|34770|0|N
H2406|115|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0019 (PPO)|00025002|27.00|420| | |NC|34820|0|N
H2406|115|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0019 (PPO)|00025002|27.00|420| | |NC|34830|0|N
H2406|115|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0019 (PPO)|00025002|27.00|420| | |NC|34880|0|N
H2406|115|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0019 (PPO)|00025002|27.00|420| | |NC|34920|0|N
H2406|115|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NC-0019 (PPO)|00025002|27.00|420| | |NC|34930|0|N
H2406|119|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC EP-2 (PPO)|00025002|0.00|495| | |NM|32060|0|N
H2406|119|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC EP-2 (PPO)|00025002|0.00|495| | |NM|32080|0|N
H2406|119|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC EP-2 (PPO)|00025002|0.00|495| | |NM|32110|0|N
H2406|119|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC EP-2 (PPO)|00025002|0.00|495| | |NM|32140|0|N
H2406|119|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC EP-2 (PPO)|00025002|0.00|495| | |NM|32250|0|N
H2406|119|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC EP-2 (PPO)|00025002|0.00|495| | |TX|45480|0|N
H2406|121|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC EP-3 (PPO)|00025002|0.00|420| | |NM|32060|0|N
H2406|121|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC EP-3 (PPO)|00025002|0.00|420| | |NM|32080|0|N
H2406|121|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC EP-3 (PPO)|00025002|0.00|420| | |NM|32110|0|N
H2406|121|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC EP-3 (PPO)|00025002|0.00|420| | |NM|32140|0|N
H2406|121|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC EP-3 (PPO)|00025002|0.00|420| | |NM|32250|0|N
H2406|121|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC EP-3 (PPO)|00025002|0.00|420| | |TX|45480|0|N
H2406|122|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0015 (PPO)|00025002|0.00|420| | |VA|49011|0|N
H2406|122|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0015 (PPO)|00025002|0.00|420| | |VA|49060|0|N
H2406|122|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0015 (PPO)|00025002|0.00|420| | |VA|49288|0|N
H2406|122|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0015 (PPO)|00025002|0.00|420| | |VA|49290|0|N
H2406|122|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0015 (PPO)|00025002|0.00|420| | |VA|49291|0|N
H2406|122|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0015 (PPO)|00025002|0.00|420| | |VA|49530|0|N
H2406|122|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0015 (PPO)|00025002|0.00|420| | |VA|49563|0|N
H2406|122|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0015 (PPO)|00025002|0.00|420| | |VA|49565|0|N
H2406|122|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0015 (PPO)|00025002|0.00|420| | |VA|49750|0|N
H2406|125|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0018 (PPO)|00025002|0.00|495| | |VA|49000|0|N
H2406|125|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0018 (PPO)|00025002|0.00|495| | |VA|49010|0|N
H2406|125|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0018 (PPO)|00025002|0.00|495| | |VA|49080|0|N
H2406|125|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0018 (PPO)|00025002|0.00|495| | |VA|49120|0|N
H2406|125|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0018 (PPO)|00025002|0.00|495| | |VA|49140|0|N
H2406|125|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0018 (PPO)|00025002|0.00|495| | |VA|49160|0|N
H2406|125|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0018 (PPO)|00025002|0.00|495| | |VA|49170|0|N
H2406|125|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0018 (PPO)|00025002|0.00|495| | |VA|49191|0|N
H2406|125|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0018 (PPO)|00025002|0.00|495| | |VA|49210|0|N
H2406|125|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0018 (PPO)|00025002|0.00|495| | |VA|49230|0|N
H2406|125|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0018 (PPO)|00025002|0.00|495| | |VA|49240|0|N
H2406|125|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0018 (PPO)|00025002|0.00|495| | |VA|49260|0|N
H2406|125|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0018 (PPO)|00025002|0.00|495| | |VA|49270|0|N
H2406|125|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0018 (PPO)|00025002|0.00|495| | |VA|49280|0|N
H2406|125|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0018 (PPO)|00025002|0.00|495| | |VA|49300|0|N
H2406|125|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0018 (PPO)|00025002|0.00|495| | |VA|49320|0|N
H2406|125|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0018 (PPO)|00025002|0.00|495| | |VA|49328|0|N
H2406|125|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0018 (PPO)|00025002|0.00|495| | |VA|49340|0|N
H2406|125|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0018 (PPO)|00025002|0.00|495| | |VA|49342|0|N
H2406|125|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0018 (PPO)|00025002|0.00|495| | |VA|49343|0|N
H2406|125|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0018 (PPO)|00025002|0.00|495| | |VA|49350|0|N
H2406|125|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0018 (PPO)|00025002|0.00|495| | |VA|49360|0|N
H2406|125|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0018 (PPO)|00025002|0.00|495| | |VA|49390|0|N
H2406|125|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0018 (PPO)|00025002|0.00|495| | |VA|49400|0|N
H2406|125|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0018 (PPO)|00025002|0.00|495| | |VA|49450|0|N
H2406|125|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0018 (PPO)|00025002|0.00|495| | |VA|49480|0|N
H2406|125|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0018 (PPO)|00025002|0.00|495| | |VA|49490|0|N
H2406|125|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0018 (PPO)|00025002|0.00|495| | |VA|49500|0|N
H2406|125|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0018 (PPO)|00025002|0.00|495| | |VA|49510|0|N
H2406|125|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0018 (PPO)|00025002|0.00|495| | |VA|49540|0|N
H2406|125|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0018 (PPO)|00025002|0.00|495| | |VA|49550|0|N
H2406|125|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0018 (PPO)|00025002|0.00|495| | |VA|49560|0|N
H2406|125|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0018 (PPO)|00025002|0.00|495| | |VA|49570|0|N
H2406|125|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0018 (PPO)|00025002|0.00|495| | |VA|49580|0|N
H2406|125|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0018 (PPO)|00025002|0.00|495| | |VA|49590|0|N
H2406|125|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0018 (PPO)|00025002|0.00|495| | |VA|49620|0|N
H2406|125|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0018 (PPO)|00025002|0.00|495| | |VA|49650|0|N
H2406|125|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0018 (PPO)|00025002|0.00|495| | |VA|49660|0|N
H2406|125|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0018 (PPO)|00025002|0.00|495| | |VA|49670|0|N
H2406|125|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0018 (PPO)|00025002|0.00|495| | |VA|49680|0|N
H2406|125|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0018 (PPO)|00025002|0.00|495| | |VA|49690|0|N
H2406|125|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0018 (PPO)|00025002|0.00|495| | |VA|49700|0|N
H2406|125|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0018 (PPO)|00025002|0.00|495| | |VA|49740|0|N
H2406|125|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0018 (PPO)|00025002|0.00|495| | |VA|49770|0|N
H2406|125|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0018 (PPO)|00025002|0.00|495| | |VA|49780|0|N
H2406|125|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0018 (PPO)|00025002|0.00|495| | |VA|49790|0|N
H2406|125|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0018 (PPO)|00025002|0.00|495| | |VA|49850|0|N
H2406|125|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0018 (PPO)|00025002|0.00|495| | |VA|49870|0|N
H2406|125|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0018 (PPO)|00025002|0.00|495| | |VA|49880|0|N
H2406|125|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0018 (PPO)|00025002|0.00|495| | |VA|49890|0|N
H2406|125|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0018 (PPO)|00025002|0.00|495| | |VA|49900|0|N
H2406|125|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0018 (PPO)|00025002|0.00|495| | |VA|49910|0|N
H2406|125|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0018 (PPO)|00025002|0.00|495| | |VA|49930|0|N
H2406|125|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0018 (PPO)|00025002|0.00|495| | |VA|49960|0|N
H2406|125|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC VA-0018 (PPO)|00025002|0.00|495| | |VA|49962|0|N
H2406|129|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Access from UHC AZ-15 (PPO)|00025002|32.30|570| | |AZ|03000|0|N
H2406|129|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Access from UHC AZ-15 (PPO)|00025002|32.30|570| | |AZ|03010|0|N
H2406|129|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Access from UHC AZ-15 (PPO)|00025002|32.30|570| | |AZ|03020|0|N
H2406|129|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Access from UHC AZ-15 (PPO)|00025002|32.30|570| | |AZ|03030|0|N
H2406|129|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Access from UHC AZ-15 (PPO)|00025002|32.30|570| | |AZ|03040|0|N
H2406|129|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Access from UHC AZ-15 (PPO)|00025002|32.30|570| | |AZ|03050|0|N
H2406|129|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Access from UHC AZ-15 (PPO)|00025002|32.30|570| | |AZ|03055|0|N
H2406|129|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Access from UHC AZ-15 (PPO)|00025002|32.30|570| | |AZ|03070|0|N
H2406|129|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Access from UHC AZ-15 (PPO)|00025002|32.30|570| | |AZ|03080|0|N
H2406|129|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Access from UHC AZ-15 (PPO)|00025002|32.30|570| | |AZ|03110|0|N
H2406|129|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Access from UHC AZ-15 (PPO)|00025002|32.30|570| | |AZ|03120|0|N
H2406|129|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Access from UHC AZ-15 (PPO)|00025002|32.30|570| | |AZ|03130|0|N
H2406|131|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC HI-5 (PPO)|00025002|47.70|590| | |HI|12010|0|N
H2406|131|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC HI-5 (PPO)|00025002|47.70|590| | |HI|12020|0|N
H2406|131|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC HI-5 (PPO)|00025002|47.70|590| | |HI|12040|0|N
H2406|131|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC HI-5 (PPO)|00025002|47.70|590| | |HI|12050|0|N
H2406|132|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete HI-Y1 (PPO D-SNP)|00025002|0.00|590| | |HI|12010|2|N
H2406|132|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete HI-Y1 (PPO D-SNP)|00025002|0.00|590| | |HI|12020|2|N
H2406|132|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete HI-Y1 (PPO D-SNP)|00025002|0.00|590| | |HI|12030|2|N
H2406|132|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete HI-Y1 (PPO D-SNP)|00025002|0.00|590| | |HI|12040|2|N
H2406|132|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete HI-Y1 (PPO D-SNP)|00025002|0.00|590| | |HI|12050|2|N
H2406|135|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC EP-4 (PPO)|00025002|29.00|340| | |NM|32060|0|N
H2406|135|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC EP-4 (PPO)|00025002|29.00|340| | |NM|32080|0|N
H2406|135|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC EP-4 (PPO)|00025002|29.00|340| | |NM|32110|0|N
H2406|135|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC EP-4 (PPO)|00025002|29.00|340| | |NM|32140|0|N
H2406|135|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC EP-4 (PPO)|00025002|29.00|340| | |NM|32250|0|N
H2406|135|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC EP-4 (PPO)|00025002|29.00|340| | |TX|45480|0|N
H2416|001|000|PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE|PrimeWest Senior Health Complete (HMO D-SNP)|00025244|0.00|590| | |MN|24030|2|N
H2416|001|000|PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE|PrimeWest Senior Health Complete (HMO D-SNP)|00025244|0.00|590| | |MN|24050|2|N
H2416|001|000|PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE|PrimeWest Senior Health Complete (HMO D-SNP)|00025244|0.00|590| | |MN|24110|2|N
H2416|001|000|PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE|PrimeWest Senior Health Complete (HMO D-SNP)|00025244|0.00|590| | |MN|24140|2|N
H2416|001|000|PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE|PrimeWest Senior Health Complete (HMO D-SNP)|00025244|0.00|590| | |MN|24160|2|N
H2416|001|000|PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE|PrimeWest Senior Health Complete (HMO D-SNP)|00025244|0.00|590| | |MN|24200|2|N
H2416|001|000|PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE|PrimeWest Senior Health Complete (HMO D-SNP)|00025244|0.00|590| | |MN|24250|2|N
H2416|001|000|PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE|PrimeWest Senior Health Complete (HMO D-SNP)|00025244|0.00|590| | |MN|24280|2|N
H2416|001|000|PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE|PrimeWest Senior Health Complete (HMO D-SNP)|00025244|0.00|590| | |MN|24310|2|N
H2416|001|000|PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE|PrimeWest Senior Health Complete (HMO D-SNP)|00025244|0.00|590| | |MN|24330|2|N
H2416|001|000|PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE|PrimeWest Senior Health Complete (HMO D-SNP)|00025244|0.00|590| | |MN|24360|2|N
H2416|001|000|PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE|PrimeWest Senior Health Complete (HMO D-SNP)|00025244|0.00|590| | |MN|24400|2|N
H2416|001|000|PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE|PrimeWest Senior Health Complete (HMO D-SNP)|00025244|0.00|590| | |MN|24410|2|N
H2416|001|000|PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE|PrimeWest Senior Health Complete (HMO D-SNP)|00025244|0.00|590| | |MN|24420|2|N
H2416|001|000|PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE|PrimeWest Senior Health Complete (HMO D-SNP)|00025244|0.00|590| | |MN|24460|2|N
H2416|001|000|PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE|PrimeWest Senior Health Complete (HMO D-SNP)|00025244|0.00|590| | |MN|24520|2|N
H2416|001|000|PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE|PrimeWest Senior Health Complete (HMO D-SNP)|00025244|0.00|590| | |MN|24580|2|N
H2416|001|000|PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE|PrimeWest Senior Health Complete (HMO D-SNP)|00025244|0.00|590| | |MN|24600|2|N
H2416|001|000|PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE|PrimeWest Senior Health Complete (HMO D-SNP)|00025244|0.00|590| | |MN|24630|2|N
H2416|001|000|PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE|PrimeWest Senior Health Complete (HMO D-SNP)|00025244|0.00|590| | |MN|24640|2|N
H2416|001|000|PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE|PrimeWest Senior Health Complete (HMO D-SNP)|00025244|0.00|590| | |MN|24740|2|N
H2416|001|000|PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE|PrimeWest Senior Health Complete (HMO D-SNP)|00025244|0.00|590| | |MN|24750|2|N
H2416|001|000|PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE|PrimeWest Senior Health Complete (HMO D-SNP)|00025244|0.00|590| | |MN|24770|2|N
H2416|001|000|PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE|PrimeWest Senior Health Complete (HMO D-SNP)|00025244|0.00|590| | |MN|24860|2|N
H2417|001|000|ITASCA MEDICAL CARE|IMCare Classic (HMO D-SNP)|00025224|0.00|590| | |MN|24300|2|N
H2419|001|000|SOUTH COUNTRY HEALTH ALLIANCE|SeniorCare Complete (HMO D-SNP)|00025406|0.00|590| | |MN|24070|2|N
H2419|001|000|SOUTH COUNTRY HEALTH ALLIANCE|SeniorCare Complete (HMO D-SNP)|00025406|0.00|590| | |MN|24190|2|N
H2419|001|000|SOUTH COUNTRY HEALTH ALLIANCE|SeniorCare Complete (HMO D-SNP)|00025406|0.00|590| | |MN|24240|2|N
H2419|001|000|SOUTH COUNTRY HEALTH ALLIANCE|SeniorCare Complete (HMO D-SNP)|00025406|0.00|590| | |MN|24710|2|N
H2419|001|000|SOUTH COUNTRY HEALTH ALLIANCE|SeniorCare Complete (HMO D-SNP)|00025406|0.00|590| | |MN|24730|2|N
H2419|001|000|SOUTH COUNTRY HEALTH ALLIANCE|SeniorCare Complete (HMO D-SNP)|00025406|0.00|590| | |MN|24780|2|N
H2419|001|000|SOUTH COUNTRY HEALTH ALLIANCE|SeniorCare Complete (HMO D-SNP)|00025406|0.00|590| | |MN|24800|2|N
H2422|002|000|HEALTHPARTNERS, INC.|HealthPartners Minnesota Senior Health Options (HMO D-SNP)|00025128|0.00|590| | |MN|24010|2|N
H2422|002|000|HEALTHPARTNERS, INC.|HealthPartners Minnesota Senior Health Options (HMO D-SNP)|00025128|0.00|590| | |MN|24040|2|N
H2422|002|000|HEALTHPARTNERS, INC.|HealthPartners Minnesota Senior Health Options (HMO D-SNP)|00025128|0.00|590| | |MN|24090|2|N
H2422|002|000|HEALTHPARTNERS, INC.|HealthPartners Minnesota Senior Health Options (HMO D-SNP)|00025128|0.00|590| | |MN|24120|2|N
H2422|002|000|HEALTHPARTNERS, INC.|HealthPartners Minnesota Senior Health Options (HMO D-SNP)|00025128|0.00|590| | |MN|24180|2|N
H2422|002|000|HEALTHPARTNERS, INC.|HealthPartners Minnesota Senior Health Options (HMO D-SNP)|00025128|0.00|590| | |MN|24260|2|N
H2422|002|000|HEALTHPARTNERS, INC.|HealthPartners Minnesota Senior Health Options (HMO D-SNP)|00025128|0.00|590| | |MN|24610|2|N
H2422|002|000|HEALTHPARTNERS, INC.|HealthPartners Minnesota Senior Health Options (HMO D-SNP)|00025128|0.00|590| | |MN|24690|2|N
H2422|002|000|HEALTHPARTNERS, INC.|HealthPartners Minnesota Senior Health Options (HMO D-SNP)|00025128|0.00|590| | |MN|24700|2|N
H2422|002|000|HEALTHPARTNERS, INC.|HealthPartners Minnesota Senior Health Options (HMO D-SNP)|00025128|0.00|590| | |MN|24720|2|N
H2422|002|000|HEALTHPARTNERS, INC.|HealthPartners Minnesota Senior Health Options (HMO D-SNP)|00025128|0.00|590| | |MN|24810|2|N
H2422|002|000|HEALTHPARTNERS, INC.|HealthPartners Minnesota Senior Health Options (HMO D-SNP)|00025128|0.00|590| | |MN|24850|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24000|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24010|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24020|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24030|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24040|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24050|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24060|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24070|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24080|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24090|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24100|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24110|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24120|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24130|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24140|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24150|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24160|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24170|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24180|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24190|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24200|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24210|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24220|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24230|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24240|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24250|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24260|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24270|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24280|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24290|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24300|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24310|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24320|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24330|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24340|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24350|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24360|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24370|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24380|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24390|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24400|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24410|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24420|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24430|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24440|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24450|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24460|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24470|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24480|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24490|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24500|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24510|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24520|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24530|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24540|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24550|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24560|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24570|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24580|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24590|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24600|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24610|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24620|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24630|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24640|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24650|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24660|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24670|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24680|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24690|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24700|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24710|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24720|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24730|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24740|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24750|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24760|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24770|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24780|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24790|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24800|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24810|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24820|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24830|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24840|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24850|2|N
H2425|001|000|HMO Minnesota|SecureBlue (HMO D-SNP)|00025304|0.00|590| | |MN|24860|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49010|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49020|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49030|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49040|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49050|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49070|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49080|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49090|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49100|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49110|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49111|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49120|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49130|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49140|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49141|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49150|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49160|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49170|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49180|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49190|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49191|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49194|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49200|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49210|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49212|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49213|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49220|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49230|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49240|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49241|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49250|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49260|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49270|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49280|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49291|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49300|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49310|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49320|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49328|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49330|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49340|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49342|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49343|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49350|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49360|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49370|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49380|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49390|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49400|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49410|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49411|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49420|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49421|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49430|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49440|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49450|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49451|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49460|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49470|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49480|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49490|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49500|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49510|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49520|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49522|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49530|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49540|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49550|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49551|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49560|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49561|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49563|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49565|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49570|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49580|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49590|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49600|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49620|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49621|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49622|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49641|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49650|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49660|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49661|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49670|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49680|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49690|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49700|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49701|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49710|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49711|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49712|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49720|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49730|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49740|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49770|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49771|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49780|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49790|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49791|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49800|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49801|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49810|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49820|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49830|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49838|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49840|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49850|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49860|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49870|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49880|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49890|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49891|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49892|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49900|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49910|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49920|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49921|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49930|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49950|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49951|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49960|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49961|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49962|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49970|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49980|2|N
H2441|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |VA|49981|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49000|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49010|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49011|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49020|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49030|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49040|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49050|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49060|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49070|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49080|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49090|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49100|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49110|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49111|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49120|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49130|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49140|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49141|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49150|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49160|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49170|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49180|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49190|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49191|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49194|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49200|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49210|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49212|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49213|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49220|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49230|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49240|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49241|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49250|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49260|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49270|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49280|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49288|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49290|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49291|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49300|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49310|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49320|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49328|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49330|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49340|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49342|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49343|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49350|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49360|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49370|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49380|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49390|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49400|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49410|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49411|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49420|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49421|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49430|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49440|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49450|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49451|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49460|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49470|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49480|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49490|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49500|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49510|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49520|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49522|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49530|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49540|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49550|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49551|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49560|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49561|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49563|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49565|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49570|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49580|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49590|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49600|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49620|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49621|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49622|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49641|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49650|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49660|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49661|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49670|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49680|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49690|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49700|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49701|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49710|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49711|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49712|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49720|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49730|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49740|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49750|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49770|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49771|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49780|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49790|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49791|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49800|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49801|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49810|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49830|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49838|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49840|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49850|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49860|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49870|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49880|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49890|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49891|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49892|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49900|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49910|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49920|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49921|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49930|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49950|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49951|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49960|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49961|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49962|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49970|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49980|2|N
H2445|001|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49981|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49000|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49010|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49011|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49020|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49030|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49040|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49050|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49060|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49070|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49080|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49090|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49100|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49110|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49111|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49120|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49130|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49140|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49141|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49150|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49160|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49170|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49180|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49190|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49191|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49194|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49200|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49210|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49212|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49213|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49220|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49230|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49240|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49241|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49250|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49260|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49270|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49280|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49288|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49290|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49291|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49300|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49310|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49320|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49328|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49330|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49340|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49342|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49343|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49350|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49360|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49370|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49380|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49390|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49400|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49410|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49411|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49420|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49421|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49430|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49440|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49450|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49451|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49460|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49470|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49480|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49490|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49500|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49510|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49520|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49522|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49530|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49540|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49550|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49551|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49560|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49561|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49563|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49565|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49570|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49580|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49590|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49600|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49620|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49621|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49622|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49641|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49650|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49660|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49661|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49670|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49680|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49690|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49700|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49701|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49710|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49711|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49712|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49720|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49730|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49740|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49750|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49770|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49771|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49780|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49790|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49791|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49800|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49801|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49810|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49830|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49838|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49840|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49850|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49860|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49870|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49880|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49890|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49891|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49892|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49900|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49910|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49920|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49921|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49930|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49950|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49951|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49960|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49961|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49962|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49970|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49980|2|N
H2445|002|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49981|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49000|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49010|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49011|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49020|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49030|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49040|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49050|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49060|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49070|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49080|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49090|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49100|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49110|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49111|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49120|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49130|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49140|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49141|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49150|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49160|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49170|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49180|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49190|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49191|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49194|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49200|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49210|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49212|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49213|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49220|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49230|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49240|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49241|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49250|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49260|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49270|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49280|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49288|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49290|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49291|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49300|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49310|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49320|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49328|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49330|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49340|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49342|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49343|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49350|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49360|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49370|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49380|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49390|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49400|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49410|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49411|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49420|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49421|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49430|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49440|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49450|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49451|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49460|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49470|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49480|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49490|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49500|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49510|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49520|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49522|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49530|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49540|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49550|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49551|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49560|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49561|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49563|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49565|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49570|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49580|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49590|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49600|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49620|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49621|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49622|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49641|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49650|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49660|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49661|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49670|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49680|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49690|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49700|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49701|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49710|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49711|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49712|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49720|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49730|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49740|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49750|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49770|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49771|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49780|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49790|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49791|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49800|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49801|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49810|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49830|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49838|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49840|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49850|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49860|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49870|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49880|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49890|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49891|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49892|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49900|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49910|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49920|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49921|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49930|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49950|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49951|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49960|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49961|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49962|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49970|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49980|2|N
H2445|003|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y002 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49981|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49000|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49010|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49011|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49020|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49030|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49040|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49050|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49060|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49070|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49080|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49090|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49100|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49110|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49111|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49120|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49130|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49140|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49141|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49150|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49160|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49170|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49180|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49190|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49191|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49194|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49200|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49210|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49212|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49213|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49220|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49230|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49240|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49241|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49250|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49260|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49270|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49280|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49288|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49290|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49291|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49300|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49310|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49320|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49328|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49330|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49340|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49342|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49343|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49350|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49360|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49370|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49380|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49390|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49400|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49410|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49411|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49420|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49421|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49430|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49440|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49450|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49451|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49460|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49470|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49480|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49490|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49500|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49510|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49520|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49522|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49530|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49540|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49550|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49551|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49560|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49561|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49563|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49565|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49570|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49580|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49590|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49600|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49620|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49621|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49622|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49641|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49650|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49660|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49661|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49670|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49680|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49690|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49700|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49701|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49710|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49711|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49712|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49720|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49730|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49740|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49750|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49770|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49771|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49780|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49790|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49791|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49800|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49801|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49810|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49830|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49838|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49840|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49850|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49860|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49870|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49880|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49890|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49891|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49892|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49900|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49910|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49920|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49921|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49930|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49950|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49951|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49960|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49961|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49962|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49970|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49980|2|N
H2445|004|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-V001 (HMO-POS D-SNP)|00025002|30.70|590| | |VA|49981|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49000|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49010|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49011|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49020|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49030|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49040|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49050|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49060|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49070|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49080|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49090|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49100|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49110|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49111|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49120|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49130|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49140|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49141|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49150|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49160|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49170|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49180|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49190|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49191|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49194|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49200|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49210|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49212|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49213|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49220|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49230|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49240|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49241|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49250|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49260|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49270|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49280|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49288|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49290|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49291|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49300|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49310|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49320|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49328|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49330|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49340|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49342|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49343|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49350|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49360|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49370|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49380|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49390|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49400|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49410|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49411|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49420|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49421|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49430|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49440|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49450|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49451|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49460|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49470|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49480|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49490|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49500|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49510|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49520|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49522|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49530|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49540|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49550|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49551|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49560|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49561|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49563|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49565|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49570|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49580|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49590|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49600|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49620|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49621|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49622|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49641|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49650|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49660|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49661|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49670|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49680|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49690|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49700|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49701|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49710|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49711|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49712|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49720|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49730|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49740|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49750|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49770|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49771|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49780|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49790|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49791|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49800|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49801|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49810|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49830|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49838|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49840|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49850|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49860|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49870|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49880|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49890|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49891|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49892|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49900|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49910|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49920|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49921|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49930|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49950|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49951|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49960|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49961|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49962|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49970|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49980|2|N
H2445|005|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete VA-Y3 (HMO-POS D-SNP)|00025002|0.00|590| | |VA|49981|2|N
H2450|001|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Basic w/Rx 2 (Cost)|00025152|109.90|250| | |MN|24000|0|N
H2450|001|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Basic w/Rx 2 (Cost)|00025152|109.90|250| | |MN|24080|0|N
H2450|001|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Basic w/Rx 2 (Cost)|00025152|109.90|250| | |MN|24150|0|N
H2450|001|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Basic w/Rx 2 (Cost)|00025152|109.90|250| | |MN|24240|0|N
H2450|001|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Basic w/Rx 2 (Cost)|00025152|109.90|250| | |MN|24300|0|N
H2450|001|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Basic w/Rx 2 (Cost)|00025152|109.90|250| | |MN|24320|0|N
H2450|001|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Basic w/Rx 2 (Cost)|00025152|109.90|250| | |MN|24350|0|N
H2450|001|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Basic w/Rx 2 (Cost)|00025152|109.90|250| | |MN|24370|0|N
H2450|001|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Basic w/Rx 2 (Cost)|00025152|109.90|250| | |MN|24390|0|N
H2450|001|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Basic w/Rx 2 (Cost)|00025152|109.90|250| | |MN|24420|0|N
H2450|001|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Basic w/Rx 2 (Cost)|00025152|109.90|250| | |MN|24460|0|N
H2450|001|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Basic w/Rx 2 (Cost)|00025152|109.90|250| | |MN|24470|0|N
H2450|001|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Basic w/Rx 2 (Cost)|00025152|109.90|250| | |MN|24570|0|N
H2450|001|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Basic w/Rx 2 (Cost)|00025152|109.90|250| | |MN|24580|0|N
H2450|001|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Basic w/Rx 2 (Cost)|00025152|109.90|250| | |MN|24650|0|N
H2450|001|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Basic w/Rx 2 (Cost)|00025152|109.90|250| | |MN|24660|0|N
H2450|001|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Basic w/Rx 2 (Cost)|00025152|109.90|250| | |MN|24680|0|N
H2450|001|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Basic w/Rx 2 (Cost)|00025152|109.90|250| | |MN|24710|0|N
H2450|001|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Basic w/Rx 2 (Cost)|00025152|109.90|250| | |MN|24740|0|N
H2450|001|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Basic w/Rx 2 (Cost)|00025152|109.90|250| | |MN|24770|0|N
H2450|001|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Basic w/Rx 2 (Cost)|00025152|109.90|250| | |MN|24860|0|N
H2450|002|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Enhanced w/Rx 2 (Cost)|00025152|74.70|250| | |MN|24000|0|N
H2450|002|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Enhanced w/Rx 2 (Cost)|00025152|74.70|250| | |MN|24080|0|N
H2450|002|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Enhanced w/Rx 2 (Cost)|00025152|74.70|250| | |MN|24150|0|N
H2450|002|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Enhanced w/Rx 2 (Cost)|00025152|74.70|250| | |MN|24240|0|N
H2450|002|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Enhanced w/Rx 2 (Cost)|00025152|74.70|250| | |MN|24300|0|N
H2450|002|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Enhanced w/Rx 2 (Cost)|00025152|74.70|250| | |MN|24320|0|N
H2450|002|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Enhanced w/Rx 2 (Cost)|00025152|74.70|250| | |MN|24350|0|N
H2450|002|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Enhanced w/Rx 2 (Cost)|00025152|74.70|250| | |MN|24370|0|N
H2450|002|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Enhanced w/Rx 2 (Cost)|00025152|74.70|250| | |MN|24390|0|N
H2450|002|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Enhanced w/Rx 2 (Cost)|00025152|74.70|250| | |MN|24420|0|N
H2450|002|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Enhanced w/Rx 2 (Cost)|00025152|74.70|250| | |MN|24460|0|N
H2450|002|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Enhanced w/Rx 2 (Cost)|00025152|74.70|250| | |MN|24470|0|N
H2450|002|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Enhanced w/Rx 2 (Cost)|00025152|74.70|250| | |MN|24570|0|N
H2450|002|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Enhanced w/Rx 2 (Cost)|00025152|74.70|250| | |MN|24580|0|N
H2450|002|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Enhanced w/Rx 2 (Cost)|00025152|74.70|250| | |MN|24650|0|N
H2450|002|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Enhanced w/Rx 2 (Cost)|00025152|74.70|250| | |MN|24660|0|N
H2450|002|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Enhanced w/Rx 2 (Cost)|00025152|74.70|250| | |MN|24680|0|N
H2450|002|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Enhanced w/Rx 2 (Cost)|00025152|74.70|250| | |MN|24710|0|N
H2450|002|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Enhanced w/Rx 2 (Cost)|00025152|74.70|250| | |MN|24740|0|N
H2450|002|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Enhanced w/Rx 2 (Cost)|00025152|74.70|250| | |MN|24770|0|N
H2450|002|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Enhanced w/Rx 2 (Cost)|00025152|74.70|250| | |MN|24860|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |MN|24000|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |MN|24080|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |MN|24150|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |MN|24240|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |MN|24300|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |MN|24320|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |MN|24350|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |MN|24370|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |MN|24390|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |MN|24420|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |MN|24460|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |MN|24470|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |MN|24570|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |MN|24580|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |MN|24650|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |MN|24660|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |MN|24680|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |MN|24710|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |MN|24740|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |MN|24770|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |MN|24860|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |ND|35000|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |ND|35010|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |ND|35020|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |ND|35030|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |ND|35040|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |ND|35050|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |ND|35060|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |ND|35080|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |ND|35090|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |ND|35100|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |ND|35120|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |ND|35130|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |ND|35140|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |ND|35150|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |ND|35180|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |ND|35190|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |ND|35200|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |ND|35210|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |ND|35220|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |ND|35230|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |ND|35240|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |ND|35250|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |ND|35270|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |ND|35280|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |ND|35300|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |ND|35310|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |ND|35320|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |ND|35330|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |ND|35340|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |ND|35350|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |ND|35360|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |ND|35370|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |ND|35380|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |ND|35390|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |ND|35400|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |ND|35410|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |ND|35420|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |ND|35430|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |ND|35440|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |ND|35450|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |ND|35470|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |ND|35480|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |ND|35490|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |ND|35500|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |ND|35510|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |ND|35520|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |SD|43010|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |SD|43020|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |SD|43030|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |SD|43040|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |SD|43060|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |SD|43070|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |SD|43080|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |SD|43090|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |SD|43100|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |SD|43110|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |SD|43130|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |SD|43150|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |SD|43160|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |SD|43200|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |SD|43210|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |SD|43220|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |SD|43230|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |SD|43240|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |SD|43250|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |SD|43260|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |SD|43270|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |SD|43290|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |SD|43300|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |SD|43310|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |SD|43320|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |SD|43330|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |SD|43340|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |SD|43350|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |SD|43360|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |SD|43370|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |SD|43390|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |SD|43400|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |SD|43410|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |SD|43420|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |SD|43430|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |SD|43440|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |SD|43460|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |SD|43470|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |SD|43480|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |SD|43490|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |SD|43500|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |SD|43510|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |SD|43520|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |SD|43530|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |SD|43560|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |SD|43580|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |SD|43590|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |SD|43600|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |SD|43610|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |SD|43620|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |SD|43630|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |SD|43640|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |SD|43670|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |SD|43680|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |WI|52010|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |WI|52020|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |WI|52030|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |WI|52050|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |WI|52060|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |WI|52080|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |WI|52150|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |WI|52160|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |WI|52170|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |WI|52250|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |WI|52260|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |WI|52450|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |WI|52460|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |WI|52470|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |WI|52530|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |WI|52540|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |WI|52560|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |WI|52640|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |WY|53000|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |WY|53020|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |WY|53050|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |WY|53070|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |WY|53100|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |WY|53130|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |WY|53150|0|N
H2450|007|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Thrift w/Rx (Cost)|00025152|48.80|590| | |WY|53220|0|N
H2450|016|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Basic w/Rx (Cost)|00025152|56.90|590| | |MN|24000|0|N
H2450|016|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Basic w/Rx (Cost)|00025152|56.90|590| | |MN|24080|0|N
H2450|016|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Basic w/Rx (Cost)|00025152|56.90|590| | |MN|24150|0|N
H2450|016|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Basic w/Rx (Cost)|00025152|56.90|590| | |MN|24240|0|N
H2450|016|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Basic w/Rx (Cost)|00025152|56.90|590| | |MN|24300|0|N
H2450|016|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Basic w/Rx (Cost)|00025152|56.90|590| | |MN|24320|0|N
H2450|016|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Basic w/Rx (Cost)|00025152|56.90|590| | |MN|24350|0|N
H2450|016|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Basic w/Rx (Cost)|00025152|56.90|590| | |MN|24370|0|N
H2450|016|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Basic w/Rx (Cost)|00025152|56.90|590| | |MN|24390|0|N
H2450|016|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Basic w/Rx (Cost)|00025152|56.90|590| | |MN|24420|0|N
H2450|016|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Basic w/Rx (Cost)|00025152|56.90|590| | |MN|24460|0|N
H2450|016|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Basic w/Rx (Cost)|00025152|56.90|590| | |MN|24470|0|N
H2450|016|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Basic w/Rx (Cost)|00025152|56.90|590| | |MN|24570|0|N
H2450|016|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Basic w/Rx (Cost)|00025152|56.90|590| | |MN|24580|0|N
H2450|016|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Basic w/Rx (Cost)|00025152|56.90|590| | |MN|24650|0|N
H2450|016|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Basic w/Rx (Cost)|00025152|56.90|590| | |MN|24660|0|N
H2450|016|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Basic w/Rx (Cost)|00025152|56.90|590| | |MN|24680|0|N
H2450|016|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Basic w/Rx (Cost)|00025152|56.90|590| | |MN|24710|0|N
H2450|016|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Basic w/Rx (Cost)|00025152|56.90|590| | |MN|24740|0|N
H2450|016|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Basic w/Rx (Cost)|00025152|56.90|590| | |MN|24770|0|N
H2450|016|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Basic w/Rx (Cost)|00025152|56.90|590| | |MN|24860|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |ND|35000|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |ND|35010|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |ND|35020|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |ND|35030|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |ND|35040|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |ND|35050|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |ND|35060|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |ND|35080|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |ND|35090|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |ND|35100|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |ND|35120|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |ND|35130|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |ND|35140|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |ND|35150|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |ND|35180|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |ND|35190|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |ND|35200|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |ND|35210|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |ND|35220|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |ND|35230|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |ND|35240|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |ND|35250|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |ND|35270|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |ND|35280|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |ND|35300|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |ND|35310|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |ND|35320|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |ND|35330|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |ND|35340|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |ND|35350|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |ND|35360|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |ND|35370|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |ND|35380|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |ND|35390|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |ND|35400|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |ND|35410|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |ND|35420|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |ND|35430|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |ND|35440|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |ND|35450|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |ND|35470|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |ND|35480|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |ND|35490|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |ND|35500|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |ND|35510|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |ND|35520|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |SD|43010|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |SD|43020|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |SD|43030|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |SD|43040|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |SD|43060|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |SD|43070|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |SD|43080|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |SD|43090|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |SD|43100|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |SD|43110|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |SD|43130|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |SD|43150|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |SD|43160|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |SD|43200|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |SD|43210|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |SD|43220|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |SD|43230|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |SD|43240|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |SD|43250|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |SD|43260|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |SD|43270|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |SD|43290|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |SD|43300|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |SD|43310|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |SD|43320|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |SD|43330|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |SD|43340|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |SD|43350|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |SD|43360|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |SD|43370|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |SD|43390|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |SD|43400|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |SD|43410|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |SD|43420|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |SD|43430|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |SD|43440|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |SD|43460|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |SD|43470|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |SD|43480|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |SD|43490|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |SD|43500|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |SD|43510|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |SD|43520|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |SD|43530|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |SD|43560|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |SD|43580|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |SD|43590|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |SD|43600|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |SD|43610|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |SD|43620|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |SD|43630|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |SD|43640|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |SD|43670|0|N
H2450|035|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Core w/Rx (Cost)|00025152|84.80|590| | |SD|43680|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |ND|35000|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |ND|35010|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |ND|35020|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |ND|35030|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |ND|35040|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |ND|35050|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |ND|35060|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |ND|35080|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |ND|35090|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |ND|35100|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |ND|35120|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |ND|35130|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |ND|35140|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |ND|35150|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |ND|35180|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |ND|35190|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |ND|35200|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |ND|35210|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |ND|35220|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |ND|35230|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |ND|35240|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |ND|35250|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |ND|35270|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |ND|35280|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |ND|35300|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |ND|35310|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |ND|35320|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |ND|35330|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |ND|35340|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |ND|35350|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |ND|35360|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |ND|35370|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |ND|35380|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |ND|35390|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |ND|35400|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |ND|35410|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |ND|35420|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |ND|35430|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |ND|35440|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |ND|35450|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |ND|35470|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |ND|35480|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |ND|35490|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |ND|35500|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |ND|35510|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |ND|35520|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |SD|43010|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |SD|43020|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |SD|43030|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |SD|43040|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |SD|43060|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |SD|43070|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |SD|43080|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |SD|43090|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |SD|43100|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |SD|43110|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |SD|43130|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |SD|43150|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |SD|43160|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |SD|43200|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |SD|43210|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |SD|43220|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |SD|43230|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |SD|43240|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |SD|43250|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |SD|43260|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |SD|43270|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |SD|43290|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |SD|43300|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |SD|43310|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |SD|43320|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |SD|43330|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |SD|43340|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |SD|43350|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |SD|43360|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |SD|43370|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |SD|43390|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |SD|43400|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |SD|43410|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |SD|43420|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |SD|43430|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |SD|43440|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |SD|43460|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |SD|43470|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |SD|43480|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |SD|43490|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |SD|43500|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |SD|43510|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |SD|43520|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |SD|43530|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |SD|43560|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |SD|43580|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |SD|43590|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |SD|43600|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |SD|43610|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |SD|43620|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |SD|43630|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |SD|43640|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |SD|43670|0|N
H2450|037|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Premier w/Rx (Cost)|00025152|90.10|590| | |SD|43680|0|N
H2450|039|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Focus w/Rx (Cost)|00025152|62.60|590| | |WI|52010|0|N
H2450|039|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Focus w/Rx (Cost)|00025152|62.60|590| | |WI|52020|0|N
H2450|039|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Focus w/Rx (Cost)|00025152|62.60|590| | |WI|52030|0|N
H2450|039|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Focus w/Rx (Cost)|00025152|62.60|590| | |WI|52050|0|N
H2450|039|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Focus w/Rx (Cost)|00025152|62.60|590| | |WI|52060|0|N
H2450|039|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Focus w/Rx (Cost)|00025152|62.60|590| | |WI|52080|0|N
H2450|039|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Focus w/Rx (Cost)|00025152|62.60|590| | |WI|52150|0|N
H2450|039|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Focus w/Rx (Cost)|00025152|62.60|590| | |WI|52160|0|N
H2450|039|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Focus w/Rx (Cost)|00025152|62.60|590| | |WI|52170|0|N
H2450|039|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Focus w/Rx (Cost)|00025152|62.60|590| | |WI|52250|0|N
H2450|039|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Focus w/Rx (Cost)|00025152|62.60|590| | |WI|52260|0|N
H2450|039|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Focus w/Rx (Cost)|00025152|62.60|590| | |WI|52450|0|N
H2450|039|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Focus w/Rx (Cost)|00025152|62.60|590| | |WI|52460|0|N
H2450|039|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Focus w/Rx (Cost)|00025152|62.60|590| | |WI|52470|0|N
H2450|039|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Focus w/Rx (Cost)|00025152|62.60|590| | |WI|52530|0|N
H2450|039|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Focus w/Rx (Cost)|00025152|62.60|590| | |WI|52540|0|N
H2450|039|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Focus w/Rx (Cost)|00025152|62.60|590| | |WI|52560|0|N
H2450|039|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Focus w/Rx (Cost)|00025152|62.60|590| | |WI|52640|0|N
H2450|041|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Total w/Rx (Cost)|00025152|63.90|590| | |WI|52010|0|N
H2450|041|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Total w/Rx (Cost)|00025152|63.90|590| | |WI|52020|0|N
H2450|041|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Total w/Rx (Cost)|00025152|63.90|590| | |WI|52030|0|N
H2450|041|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Total w/Rx (Cost)|00025152|63.90|590| | |WI|52050|0|N
H2450|041|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Total w/Rx (Cost)|00025152|63.90|590| | |WI|52060|0|N
H2450|041|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Total w/Rx (Cost)|00025152|63.90|590| | |WI|52080|0|N
H2450|041|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Total w/Rx (Cost)|00025152|63.90|590| | |WI|52150|0|N
H2450|041|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Total w/Rx (Cost)|00025152|63.90|590| | |WI|52160|0|N
H2450|041|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Total w/Rx (Cost)|00025152|63.90|590| | |WI|52170|0|N
H2450|041|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Total w/Rx (Cost)|00025152|63.90|590| | |WI|52250|0|N
H2450|041|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Total w/Rx (Cost)|00025152|63.90|590| | |WI|52260|0|N
H2450|041|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Total w/Rx (Cost)|00025152|63.90|590| | |WI|52450|0|N
H2450|041|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Total w/Rx (Cost)|00025152|63.90|590| | |WI|52460|0|N
H2450|041|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Total w/Rx (Cost)|00025152|63.90|590| | |WI|52470|0|N
H2450|041|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Total w/Rx (Cost)|00025152|63.90|590| | |WI|52530|0|N
H2450|041|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Total w/Rx (Cost)|00025152|63.90|590| | |WI|52540|0|N
H2450|041|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Total w/Rx (Cost)|00025152|63.90|590| | |WI|52560|0|N
H2450|041|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Total w/Rx (Cost)|00025152|63.90|590| | |WI|52640|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |MN|24000|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |MN|24080|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |MN|24150|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |MN|24240|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |MN|24300|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |MN|24320|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |MN|24350|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |MN|24370|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |MN|24390|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |MN|24420|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |MN|24460|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |MN|24470|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |MN|24570|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |MN|24580|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |MN|24650|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |MN|24660|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |MN|24680|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |MN|24710|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |MN|24740|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |MN|24770|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |MN|24860|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |ND|35000|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |ND|35010|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |ND|35020|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |ND|35030|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |ND|35040|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |ND|35050|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |ND|35060|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |ND|35080|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |ND|35090|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |ND|35100|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |ND|35120|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |ND|35130|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |ND|35140|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |ND|35150|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |ND|35180|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |ND|35190|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |ND|35200|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |ND|35210|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |ND|35220|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |ND|35230|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |ND|35240|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |ND|35250|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |ND|35270|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |ND|35280|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |ND|35300|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |ND|35310|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |ND|35320|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |ND|35330|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |ND|35340|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |ND|35350|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |ND|35360|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |ND|35370|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |ND|35380|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |ND|35390|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |ND|35400|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |ND|35410|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |ND|35420|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |ND|35430|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |ND|35440|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |ND|35450|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |ND|35470|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |ND|35480|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |ND|35490|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |ND|35500|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |ND|35510|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |ND|35520|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |SD|43010|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |SD|43020|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |SD|43030|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |SD|43040|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |SD|43060|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |SD|43070|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |SD|43080|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |SD|43090|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |SD|43100|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |SD|43110|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |SD|43130|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |SD|43150|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |SD|43160|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |SD|43200|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |SD|43210|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |SD|43220|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |SD|43230|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |SD|43240|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |SD|43250|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |SD|43260|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |SD|43270|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |SD|43290|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |SD|43300|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |SD|43310|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |SD|43320|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |SD|43330|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |SD|43340|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |SD|43350|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |SD|43360|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |SD|43370|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |SD|43390|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |SD|43400|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |SD|43410|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |SD|43420|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |SD|43430|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |SD|43440|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |SD|43460|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |SD|43470|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |SD|43480|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |SD|43490|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |SD|43500|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |SD|43510|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |SD|43520|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |SD|43530|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |SD|43560|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |SD|43580|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |SD|43590|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |SD|43600|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |SD|43610|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |SD|43620|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |SD|43630|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |SD|43640|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |SD|43670|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |SD|43680|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |WY|53000|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |WY|53020|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |WY|53050|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |WY|53070|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |WY|53100|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |WY|53130|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |WY|53150|0|N
H2450|049|000|MEDICA INSURANCE COMPANY|Medica Prime Solution Standard w/Rx (Cost)|00025152|64.10|250| | |WY|53220|0|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24000|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24010|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24020|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24040|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24060|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24080|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24090|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24100|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24110|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24120|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24130|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24150|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24160|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24170|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24180|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24190|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24210|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24220|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24230|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24260|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24270|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24290|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24310|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24330|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24340|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24350|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24360|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24370|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24380|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24390|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24400|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24410|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24430|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24440|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24450|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24470|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24480|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24490|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24500|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24510|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24520|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24530|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24540|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24550|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24560|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24570|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24590|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24610|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24620|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24630|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24650|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24660|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24670|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24680|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24690|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24700|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24720|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24750|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24760|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24780|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24790|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24810|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24820|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24840|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24850|2|N
H2456|002|000|UCARE MINNESOTA|UCare's Minnesota Senior Health Options (HMO D-SNP)|00025320|0.00|590| | |MN|24860|2|N
H2458|002|000|MEDICA HEALTH PLANS|Medica DUAL Solution (HMO D-SNP)|00025148|0.00|590| | |MN|24000|2|N
H2458|002|000|MEDICA HEALTH PLANS|Medica DUAL Solution (HMO D-SNP)|00025148|0.00|590| | |MN|24010|2|N
H2458|002|000|MEDICA HEALTH PLANS|Medica DUAL Solution (HMO D-SNP)|00025148|0.00|590| | |MN|24020|2|N
H2458|002|000|MEDICA HEALTH PLANS|Medica DUAL Solution (HMO D-SNP)|00025148|0.00|590| | |MN|24040|2|N
H2458|002|000|MEDICA HEALTH PLANS|Medica DUAL Solution (HMO D-SNP)|00025148|0.00|590| | |MN|24060|2|N
H2458|002|000|MEDICA HEALTH PLANS|Medica DUAL Solution (HMO D-SNP)|00025148|0.00|590| | |MN|24080|2|N
H2458|002|000|MEDICA HEALTH PLANS|Medica DUAL Solution (HMO D-SNP)|00025148|0.00|590| | |MN|24090|2|N
H2458|002|000|MEDICA HEALTH PLANS|Medica DUAL Solution (HMO D-SNP)|00025148|0.00|590| | |MN|24100|2|N
H2458|002|000|MEDICA HEALTH PLANS|Medica DUAL Solution (HMO D-SNP)|00025148|0.00|590| | |MN|24120|2|N
H2458|002|000|MEDICA HEALTH PLANS|Medica DUAL Solution (HMO D-SNP)|00025148|0.00|590| | |MN|24130|2|N
H2458|002|000|MEDICA HEALTH PLANS|Medica DUAL Solution (HMO D-SNP)|00025148|0.00|590| | |MN|24170|2|N
H2458|002|000|MEDICA HEALTH PLANS|Medica DUAL Solution (HMO D-SNP)|00025148|0.00|590| | |MN|24180|2|N
H2458|002|000|MEDICA HEALTH PLANS|Medica DUAL Solution (HMO D-SNP)|00025148|0.00|590| | |MN|24210|2|N
H2458|002|000|MEDICA HEALTH PLANS|Medica DUAL Solution (HMO D-SNP)|00025148|0.00|590| | |MN|24220|2|N
H2458|002|000|MEDICA HEALTH PLANS|Medica DUAL Solution (HMO D-SNP)|00025148|0.00|590| | |MN|24260|2|N
H2458|002|000|MEDICA HEALTH PLANS|Medica DUAL Solution (HMO D-SNP)|00025148|0.00|590| | |MN|24270|2|N
H2458|002|000|MEDICA HEALTH PLANS|Medica DUAL Solution (HMO D-SNP)|00025148|0.00|590| | |MN|24290|2|N
H2458|002|000|MEDICA HEALTH PLANS|Medica DUAL Solution (HMO D-SNP)|00025148|0.00|590| | |MN|24340|2|N
H2458|002|000|MEDICA HEALTH PLANS|Medica DUAL Solution (HMO D-SNP)|00025148|0.00|590| | |MN|24350|2|N
H2458|002|000|MEDICA HEALTH PLANS|Medica DUAL Solution (HMO D-SNP)|00025148|0.00|590| | |MN|24360|2|N
H2458|002|000|MEDICA HEALTH PLANS|Medica DUAL Solution (HMO D-SNP)|00025148|0.00|590| | |MN|24370|2|N
H2458|002|000|MEDICA HEALTH PLANS|Medica DUAL Solution (HMO D-SNP)|00025148|0.00|590| | |MN|24380|2|N
H2458|002|000|MEDICA HEALTH PLANS|Medica DUAL Solution (HMO D-SNP)|00025148|0.00|590| | |MN|24390|2|N
H2458|002|000|MEDICA HEALTH PLANS|Medica DUAL Solution (HMO D-SNP)|00025148|0.00|590| | |MN|24430|2|N
H2458|002|000|MEDICA HEALTH PLANS|Medica DUAL Solution (HMO D-SNP)|00025148|0.00|590| | |MN|24440|2|N
H2458|002|000|MEDICA HEALTH PLANS|Medica DUAL Solution (HMO D-SNP)|00025148|0.00|590| | |MN|24470|2|N
H2458|002|000|MEDICA HEALTH PLANS|Medica DUAL Solution (HMO D-SNP)|00025148|0.00|590| | |MN|24480|2|N
H2458|002|000|MEDICA HEALTH PLANS|Medica DUAL Solution (HMO D-SNP)|00025148|0.00|590| | |MN|24490|2|N
H2458|002|000|MEDICA HEALTH PLANS|Medica DUAL Solution (HMO D-SNP)|00025148|0.00|590| | |MN|24510|2|N
H2458|002|000|MEDICA HEALTH PLANS|Medica DUAL Solution (HMO D-SNP)|00025148|0.00|590| | |MN|24530|2|N
H2458|002|000|MEDICA HEALTH PLANS|Medica DUAL Solution (HMO D-SNP)|00025148|0.00|590| | |MN|24540|2|N
H2458|002|000|MEDICA HEALTH PLANS|Medica DUAL Solution (HMO D-SNP)|00025148|0.00|590| | |MN|24550|2|N
H2458|002|000|MEDICA HEALTH PLANS|Medica DUAL Solution (HMO D-SNP)|00025148|0.00|590| | |MN|24560|2|N
H2458|002|000|MEDICA HEALTH PLANS|Medica DUAL Solution (HMO D-SNP)|00025148|0.00|590| | |MN|24570|2|N
H2458|002|000|MEDICA HEALTH PLANS|Medica DUAL Solution (HMO D-SNP)|00025148|0.00|590| | |MN|24590|2|N
H2458|002|000|MEDICA HEALTH PLANS|Medica DUAL Solution (HMO D-SNP)|00025148|0.00|590| | |MN|24610|2|N
H2458|002|000|MEDICA HEALTH PLANS|Medica DUAL Solution (HMO D-SNP)|00025148|0.00|590| | |MN|24620|2|N
H2458|002|000|MEDICA HEALTH PLANS|Medica DUAL Solution (HMO D-SNP)|00025148|0.00|590| | |MN|24650|2|N
H2458|002|000|MEDICA HEALTH PLANS|Medica DUAL Solution (HMO D-SNP)|00025148|0.00|590| | |MN|24670|2|N
H2458|002|000|MEDICA HEALTH PLANS|Medica DUAL Solution (HMO D-SNP)|00025148|0.00|590| | |MN|24680|2|N
H2458|002|000|MEDICA HEALTH PLANS|Medica DUAL Solution (HMO D-SNP)|00025148|0.00|590| | |MN|24690|2|N
H2458|002|000|MEDICA HEALTH PLANS|Medica DUAL Solution (HMO D-SNP)|00025148|0.00|590| | |MN|24700|2|N
H2458|002|000|MEDICA HEALTH PLANS|Medica DUAL Solution (HMO D-SNP)|00025148|0.00|590| | |MN|24720|2|N
H2458|002|000|MEDICA HEALTH PLANS|Medica DUAL Solution (HMO D-SNP)|00025148|0.00|590| | |MN|24760|2|N
H2458|002|000|MEDICA HEALTH PLANS|Medica DUAL Solution (HMO D-SNP)|00025148|0.00|590| | |MN|24790|2|N
H2458|002|000|MEDICA HEALTH PLANS|Medica DUAL Solution (HMO D-SNP)|00025148|0.00|590| | |MN|24810|2|N
H2458|002|000|MEDICA HEALTH PLANS|Medica DUAL Solution (HMO D-SNP)|00025148|0.00|590| | |MN|24820|2|N
H2458|002|000|MEDICA HEALTH PLANS|Medica DUAL Solution (HMO D-SNP)|00025148|0.00|590| | |MN|24830|2|N
H2458|002|000|MEDICA HEALTH PLANS|Medica DUAL Solution (HMO D-SNP)|00025148|0.00|590| | |MN|24840|2|N
H2458|002|000|MEDICA HEALTH PLANS|Medica DUAL Solution (HMO D-SNP)|00025148|0.00|590| | |MN|24850|2|N
H2459|021|001|UCARE MINNESOTA|UCare Classic (HMO-POS)|00025319|44.00|0| | |MN|24010|0|N
H2459|021|001|UCARE MINNESOTA|UCare Classic (HMO-POS)|00025319|44.00|0| | |MN|24040|0|N
H2459|021|001|UCARE MINNESOTA|UCare Classic (HMO-POS)|00025319|44.00|0| | |MN|24090|0|N
H2459|021|001|UCARE MINNESOTA|UCare Classic (HMO-POS)|00025319|44.00|0| | |MN|24120|0|N
H2459|021|001|UCARE MINNESOTA|UCare Classic (HMO-POS)|00025319|44.00|0| | |MN|24180|0|N
H2459|021|001|UCARE MINNESOTA|UCare Classic (HMO-POS)|00025319|44.00|0| | |MN|24260|0|N
H2459|021|001|UCARE MINNESOTA|UCare Classic (HMO-POS)|00025319|44.00|0| | |MN|24290|0|N
H2459|021|001|UCARE MINNESOTA|UCare Classic (HMO-POS)|00025319|44.00|0| | |MN|24470|0|N
H2459|021|001|UCARE MINNESOTA|UCare Classic (HMO-POS)|00025319|44.00|0| | |MN|24610|0|N
H2459|021|001|UCARE MINNESOTA|UCare Classic (HMO-POS)|00025319|44.00|0| | |MN|24690|0|N
H2459|021|001|UCARE MINNESOTA|UCare Classic (HMO-POS)|00025319|44.00|0| | |MN|24700|0|N
H2459|021|001|UCARE MINNESOTA|UCare Classic (HMO-POS)|00025319|44.00|0| | |MN|24720|0|N
H2459|021|001|UCARE MINNESOTA|UCare Classic (HMO-POS)|00025319|44.00|0| | |MN|24810|0|N
H2459|021|001|UCARE MINNESOTA|UCare Classic (HMO-POS)|00025319|44.00|0| | |MN|24850|0|N
H2459|021|002|UCARE MINNESOTA|UCare Classic (HMO-POS)|00025319|44.00|0| | |MN|24000|0|N
H2459|021|002|UCARE MINNESOTA|UCare Classic (HMO-POS)|00025319|44.00|0| | |MN|24020|0|N
H2459|021|002|UCARE MINNESOTA|UCare Classic (HMO-POS)|00025319|44.00|0| | |MN|24080|0|N
H2459|021|002|UCARE MINNESOTA|UCare Classic (HMO-POS)|00025319|44.00|0| | |MN|24100|0|N
H2459|021|002|UCARE MINNESOTA|UCare Classic (HMO-POS)|00025319|44.00|0| | |MN|24130|0|N
H2459|021|002|UCARE MINNESOTA|UCare Classic (HMO-POS)|00025319|44.00|0| | |MN|24150|0|N
H2459|021|002|UCARE MINNESOTA|UCare Classic (HMO-POS)|00025319|44.00|0| | |MN|24170|0|N
H2459|021|002|UCARE MINNESOTA|UCare Classic (HMO-POS)|00025319|44.00|0| | |MN|24280|0|N
H2459|021|002|UCARE MINNESOTA|UCare Classic (HMO-POS)|00025319|44.00|0| | |MN|24320|0|N
H2459|021|002|UCARE MINNESOTA|UCare Classic (HMO-POS)|00025319|44.00|0| | |MN|24370|0|N
H2459|021|002|UCARE MINNESOTA|UCare Classic (HMO-POS)|00025319|44.00|0| | |MN|24480|0|N
H2459|021|002|UCARE MINNESOTA|UCare Classic (HMO-POS)|00025319|44.00|0| | |MN|24570|0|N
H2459|021|002|UCARE MINNESOTA|UCare Classic (HMO-POS)|00025319|44.00|0| | |MN|24680|0|N
H2459|021|003|UCARE MINNESOTA|UCare Classic (HMO-POS)|00025319|44.00|0| | |MN|24060|0|N
H2459|021|003|UCARE MINNESOTA|UCare Classic (HMO-POS)|00025319|44.00|0| | |MN|24190|0|N
H2459|021|003|UCARE MINNESOTA|UCare Classic (HMO-POS)|00025319|44.00|0| | |MN|24210|0|N
H2459|021|003|UCARE MINNESOTA|UCare Classic (HMO-POS)|00025319|44.00|0| | |MN|24220|0|N
H2459|021|003|UCARE MINNESOTA|UCare Classic (HMO-POS)|00025319|44.00|0| | |MN|24230|0|N
H2459|021|003|UCARE MINNESOTA|UCare Classic (HMO-POS)|00025319|44.00|0| | |MN|24240|0|N
H2459|021|003|UCARE MINNESOTA|UCare Classic (HMO-POS)|00025319|44.00|0| | |MN|24270|0|N
H2459|021|003|UCARE MINNESOTA|UCare Classic (HMO-POS)|00025319|44.00|0| | |MN|24390|0|N
H2459|021|003|UCARE MINNESOTA|UCare Classic (HMO-POS)|00025319|44.00|0| | |MN|24490|0|N
H2459|021|003|UCARE MINNESOTA|UCare Classic (HMO-POS)|00025319|44.00|0| | |MN|24510|0|N
H2459|021|003|UCARE MINNESOTA|UCare Classic (HMO-POS)|00025319|44.00|0| | |MN|24540|0|N
H2459|021|003|UCARE MINNESOTA|UCare Classic (HMO-POS)|00025319|44.00|0| | |MN|24650|0|N
H2459|021|003|UCARE MINNESOTA|UCare Classic (HMO-POS)|00025319|44.00|0| | |MN|24730|0|N
H2459|021|003|UCARE MINNESOTA|UCare Classic (HMO-POS)|00025319|44.00|0| | |MN|24780|0|N
H2459|021|003|UCARE MINNESOTA|UCare Classic (HMO-POS)|00025319|44.00|0| | |MN|24800|0|N
H2459|021|003|UCARE MINNESOTA|UCare Classic (HMO-POS)|00025319|44.00|0| | |MN|24820|0|N
H2459|021|003|UCARE MINNESOTA|UCare Classic (HMO-POS)|00025319|44.00|0| | |MN|24840|0|N
H2459|023|001|UCARE MINNESOTA|UCare Essentials Rx (HMO-POS)|00025319|10.50|295| | |MN|24010|0|N
H2459|023|001|UCARE MINNESOTA|UCare Essentials Rx (HMO-POS)|00025319|10.50|295| | |MN|24040|0|N
H2459|023|001|UCARE MINNESOTA|UCare Essentials Rx (HMO-POS)|00025319|10.50|295| | |MN|24090|0|N
H2459|023|001|UCARE MINNESOTA|UCare Essentials Rx (HMO-POS)|00025319|10.50|295| | |MN|24120|0|N
H2459|023|001|UCARE MINNESOTA|UCare Essentials Rx (HMO-POS)|00025319|10.50|295| | |MN|24180|0|N
H2459|023|001|UCARE MINNESOTA|UCare Essentials Rx (HMO-POS)|00025319|10.50|295| | |MN|24260|0|N
H2459|023|001|UCARE MINNESOTA|UCare Essentials Rx (HMO-POS)|00025319|10.50|295| | |MN|24290|0|N
H2459|023|001|UCARE MINNESOTA|UCare Essentials Rx (HMO-POS)|00025319|10.50|295| | |MN|24470|0|N
H2459|023|001|UCARE MINNESOTA|UCare Essentials Rx (HMO-POS)|00025319|10.50|295| | |MN|24610|0|N
H2459|023|001|UCARE MINNESOTA|UCare Essentials Rx (HMO-POS)|00025319|10.50|295| | |MN|24690|0|N
H2459|023|001|UCARE MINNESOTA|UCare Essentials Rx (HMO-POS)|00025319|10.50|295| | |MN|24700|0|N
H2459|023|001|UCARE MINNESOTA|UCare Essentials Rx (HMO-POS)|00025319|10.50|295| | |MN|24720|0|N
H2459|023|001|UCARE MINNESOTA|UCare Essentials Rx (HMO-POS)|00025319|10.50|295| | |MN|24810|0|N
H2459|023|001|UCARE MINNESOTA|UCare Essentials Rx (HMO-POS)|00025319|10.50|295| | |MN|24850|0|N
H2459|023|002|UCARE MINNESOTA|UCare Essentials Rx (HMO-POS)|00025319|28.50|295| | |MN|24000|0|N
H2459|023|002|UCARE MINNESOTA|UCare Essentials Rx (HMO-POS)|00025319|28.50|295| | |MN|24020|0|N
H2459|023|002|UCARE MINNESOTA|UCare Essentials Rx (HMO-POS)|00025319|28.50|295| | |MN|24030|0|N
H2459|023|002|UCARE MINNESOTA|UCare Essentials Rx (HMO-POS)|00025319|28.50|295| | |MN|24080|0|N
H2459|023|002|UCARE MINNESOTA|UCare Essentials Rx (HMO-POS)|00025319|28.50|295| | |MN|24100|0|N
H2459|023|002|UCARE MINNESOTA|UCare Essentials Rx (HMO-POS)|00025319|28.50|295| | |MN|24130|0|N
H2459|023|002|UCARE MINNESOTA|UCare Essentials Rx (HMO-POS)|00025319|28.50|295| | |MN|24140|0|N
H2459|023|002|UCARE MINNESOTA|UCare Essentials Rx (HMO-POS)|00025319|28.50|295| | |MN|24150|0|N
H2459|023|002|UCARE MINNESOTA|UCare Essentials Rx (HMO-POS)|00025319|28.50|295| | |MN|24170|0|N
H2459|023|002|UCARE MINNESOTA|UCare Essentials Rx (HMO-POS)|00025319|28.50|295| | |MN|24200|0|N
H2459|023|002|UCARE MINNESOTA|UCare Essentials Rx (HMO-POS)|00025319|28.50|295| | |MN|24250|0|N
H2459|023|002|UCARE MINNESOTA|UCare Essentials Rx (HMO-POS)|00025319|28.50|295| | |MN|24280|0|N
H2459|023|002|UCARE MINNESOTA|UCare Essentials Rx (HMO-POS)|00025319|28.50|295| | |MN|24300|0|N
H2459|023|002|UCARE MINNESOTA|UCare Essentials Rx (HMO-POS)|00025319|28.50|295| | |MN|24320|0|N
H2459|023|002|UCARE MINNESOTA|UCare Essentials Rx (HMO-POS)|00025319|28.50|295| | |MN|24340|0|N
H2459|023|002|UCARE MINNESOTA|UCare Essentials Rx (HMO-POS)|00025319|28.50|295| | |MN|24350|0|N
H2459|023|002|UCARE MINNESOTA|UCare Essentials Rx (HMO-POS)|00025319|28.50|295| | |MN|24370|0|N
H2459|023|002|UCARE MINNESOTA|UCare Essentials Rx (HMO-POS)|00025319|28.50|295| | |MN|24380|0|N
H2459|023|002|UCARE MINNESOTA|UCare Essentials Rx (HMO-POS)|00025319|28.50|295| | |MN|24430|0|N
H2459|023|002|UCARE MINNESOTA|UCare Essentials Rx (HMO-POS)|00025319|28.50|295| | |MN|24440|0|N
H2459|023|002|UCARE MINNESOTA|UCare Essentials Rx (HMO-POS)|00025319|28.50|295| | |MN|24480|0|N
H2459|023|002|UCARE MINNESOTA|UCare Essentials Rx (HMO-POS)|00025319|28.50|295| | |MN|24530|0|N
H2459|023|002|UCARE MINNESOTA|UCare Essentials Rx (HMO-POS)|00025319|28.50|295| | |MN|24550|0|N
H2459|023|002|UCARE MINNESOTA|UCare Essentials Rx (HMO-POS)|00025319|28.50|295| | |MN|24560|0|N
H2459|023|002|UCARE MINNESOTA|UCare Essentials Rx (HMO-POS)|00025319|28.50|295| | |MN|24570|0|N
H2459|023|002|UCARE MINNESOTA|UCare Essentials Rx (HMO-POS)|00025319|28.50|295| | |MN|24590|0|N
H2459|023|002|UCARE MINNESOTA|UCare Essentials Rx (HMO-POS)|00025319|28.50|295| | |MN|24620|0|N
H2459|023|002|UCARE MINNESOTA|UCare Essentials Rx (HMO-POS)|00025319|28.50|295| | |MN|24670|0|N
H2459|023|002|UCARE MINNESOTA|UCare Essentials Rx (HMO-POS)|00025319|28.50|295| | |MN|24680|0|N
H2459|023|002|UCARE MINNESOTA|UCare Essentials Rx (HMO-POS)|00025319|28.50|295| | |MN|24760|0|N
H2459|023|002|UCARE MINNESOTA|UCare Essentials Rx (HMO-POS)|00025319|28.50|295| | |MN|24790|0|N
H2459|023|002|UCARE MINNESOTA|UCare Essentials Rx (HMO-POS)|00025319|28.50|295| | |MN|24830|0|N
H2459|024|000|UCARE MINNESOTA|UCare Standard (HMO-POS)|00025319|23.70|480| | |MN|24050|0|N
H2459|024|000|UCARE MINNESOTA|UCare Standard (HMO-POS)|00025319|23.70|480| | |MN|24060|0|N
H2459|024|000|UCARE MINNESOTA|UCare Standard (HMO-POS)|00025319|23.70|480| | |MN|24070|0|N
H2459|024|000|UCARE MINNESOTA|UCare Standard (HMO-POS)|00025319|23.70|480| | |MN|24110|0|N
H2459|024|000|UCARE MINNESOTA|UCare Standard (HMO-POS)|00025319|23.70|480| | |MN|24160|0|N
H2459|024|000|UCARE MINNESOTA|UCare Standard (HMO-POS)|00025319|23.70|480| | |MN|24190|0|N
H2459|024|000|UCARE MINNESOTA|UCare Standard (HMO-POS)|00025319|23.70|480| | |MN|24210|0|N
H2459|024|000|UCARE MINNESOTA|UCare Standard (HMO-POS)|00025319|23.70|480| | |MN|24220|0|N
H2459|024|000|UCARE MINNESOTA|UCare Standard (HMO-POS)|00025319|23.70|480| | |MN|24230|0|N
H2459|024|000|UCARE MINNESOTA|UCare Standard (HMO-POS)|00025319|23.70|480| | |MN|24240|0|N
H2459|024|000|UCARE MINNESOTA|UCare Standard (HMO-POS)|00025319|23.70|480| | |MN|24270|0|N
H2459|024|000|UCARE MINNESOTA|UCare Standard (HMO-POS)|00025319|23.70|480| | |MN|24310|0|N
H2459|024|000|UCARE MINNESOTA|UCare Standard (HMO-POS)|00025319|23.70|480| | |MN|24330|0|N
H2459|024|000|UCARE MINNESOTA|UCare Standard (HMO-POS)|00025319|23.70|480| | |MN|24360|0|N
H2459|024|000|UCARE MINNESOTA|UCare Standard (HMO-POS)|00025319|23.70|480| | |MN|24390|0|N
H2459|024|000|UCARE MINNESOTA|UCare Standard (HMO-POS)|00025319|23.70|480| | |MN|24400|0|N
H2459|024|000|UCARE MINNESOTA|UCare Standard (HMO-POS)|00025319|23.70|480| | |MN|24410|0|N
H2459|024|000|UCARE MINNESOTA|UCare Standard (HMO-POS)|00025319|23.70|480| | |MN|24420|0|N
H2459|024|000|UCARE MINNESOTA|UCare Standard (HMO-POS)|00025319|23.70|480| | |MN|24450|0|N
H2459|024|000|UCARE MINNESOTA|UCare Standard (HMO-POS)|00025319|23.70|480| | |MN|24460|0|N
H2459|024|000|UCARE MINNESOTA|UCare Standard (HMO-POS)|00025319|23.70|480| | |MN|24490|0|N
H2459|024|000|UCARE MINNESOTA|UCare Standard (HMO-POS)|00025319|23.70|480| | |MN|24500|0|N
H2459|024|000|UCARE MINNESOTA|UCare Standard (HMO-POS)|00025319|23.70|480| | |MN|24510|0|N
H2459|024|000|UCARE MINNESOTA|UCare Standard (HMO-POS)|00025319|23.70|480| | |MN|24520|0|N
H2459|024|000|UCARE MINNESOTA|UCare Standard (HMO-POS)|00025319|23.70|480| | |MN|24540|0|N
H2459|024|000|UCARE MINNESOTA|UCare Standard (HMO-POS)|00025319|23.70|480| | |MN|24580|0|N
H2459|024|000|UCARE MINNESOTA|UCare Standard (HMO-POS)|00025319|23.70|480| | |MN|24600|0|N
H2459|024|000|UCARE MINNESOTA|UCare Standard (HMO-POS)|00025319|23.70|480| | |MN|24630|0|N
H2459|024|000|UCARE MINNESOTA|UCare Standard (HMO-POS)|00025319|23.70|480| | |MN|24640|0|N
H2459|024|000|UCARE MINNESOTA|UCare Standard (HMO-POS)|00025319|23.70|480| | |MN|24650|0|N
H2459|024|000|UCARE MINNESOTA|UCare Standard (HMO-POS)|00025319|23.70|480| | |MN|24660|0|N
H2459|024|000|UCARE MINNESOTA|UCare Standard (HMO-POS)|00025319|23.70|480| | |MN|24710|0|N
H2459|024|000|UCARE MINNESOTA|UCare Standard (HMO-POS)|00025319|23.70|480| | |MN|24730|0|N
H2459|024|000|UCARE MINNESOTA|UCare Standard (HMO-POS)|00025319|23.70|480| | |MN|24740|0|N
H2459|024|000|UCARE MINNESOTA|UCare Standard (HMO-POS)|00025319|23.70|480| | |MN|24750|0|N
H2459|024|000|UCARE MINNESOTA|UCare Standard (HMO-POS)|00025319|23.70|480| | |MN|24770|0|N
H2459|024|000|UCARE MINNESOTA|UCare Standard (HMO-POS)|00025319|23.70|480| | |MN|24780|0|N
H2459|024|000|UCARE MINNESOTA|UCare Standard (HMO-POS)|00025319|23.70|480| | |MN|24800|0|N
H2459|024|000|UCARE MINNESOTA|UCare Standard (HMO-POS)|00025319|23.70|480| | |MN|24820|0|N
H2459|024|000|UCARE MINNESOTA|UCare Standard (HMO-POS)|00025319|23.70|480| | |MN|24840|0|N
H2459|024|000|UCARE MINNESOTA|UCare Standard (HMO-POS)|00025319|23.70|480| | |MN|24860|0|N
H2459|026|001|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24010|0|N
H2459|026|001|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24040|0|N
H2459|026|001|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24090|0|N
H2459|026|001|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24120|0|N
H2459|026|001|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24180|0|N
H2459|026|001|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24260|0|N
H2459|026|001|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24290|0|N
H2459|026|001|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24470|0|N
H2459|026|001|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24610|0|N
H2459|026|001|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24690|0|N
H2459|026|001|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24700|0|N
H2459|026|001|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24720|0|N
H2459|026|001|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24810|0|N
H2459|026|001|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24850|0|N
H2459|026|003|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24000|0|N
H2459|026|003|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24020|0|N
H2459|026|003|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24030|0|N
H2459|026|003|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24080|0|N
H2459|026|003|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24100|0|N
H2459|026|003|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24130|0|N
H2459|026|003|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24140|0|N
H2459|026|003|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24150|0|N
H2459|026|003|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24170|0|N
H2459|026|003|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24200|0|N
H2459|026|003|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24250|0|N
H2459|026|003|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24280|0|N
H2459|026|003|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24300|0|N
H2459|026|003|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24320|0|N
H2459|026|003|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24340|0|N
H2459|026|003|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24350|0|N
H2459|026|003|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24370|0|N
H2459|026|003|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24380|0|N
H2459|026|003|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24430|0|N
H2459|026|003|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24440|0|N
H2459|026|003|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24480|0|N
H2459|026|003|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24530|0|N
H2459|026|003|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24550|0|N
H2459|026|003|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24560|0|N
H2459|026|003|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24570|0|N
H2459|026|003|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24590|0|N
H2459|026|003|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24620|0|N
H2459|026|003|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24670|0|N
H2459|026|003|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24680|0|N
H2459|026|003|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24760|0|N
H2459|026|003|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24790|0|N
H2459|026|003|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24830|0|N
H2459|026|004|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24050|0|N
H2459|026|004|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24060|0|N
H2459|026|004|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24070|0|N
H2459|026|004|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24110|0|N
H2459|026|004|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24160|0|N
H2459|026|004|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24190|0|N
H2459|026|004|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24210|0|N
H2459|026|004|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24220|0|N
H2459|026|004|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24230|0|N
H2459|026|004|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24240|0|N
H2459|026|004|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24270|0|N
H2459|026|004|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24310|0|N
H2459|026|004|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24330|0|N
H2459|026|004|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24360|0|N
H2459|026|004|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24390|0|N
H2459|026|004|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24400|0|N
H2459|026|004|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24410|0|N
H2459|026|004|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24420|0|N
H2459|026|004|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24450|0|N
H2459|026|004|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24460|0|N
H2459|026|004|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24490|0|N
H2459|026|004|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24500|0|N
H2459|026|004|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24510|0|N
H2459|026|004|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24520|0|N
H2459|026|004|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24540|0|N
H2459|026|004|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24580|0|N
H2459|026|004|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24600|0|N
H2459|026|004|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24630|0|N
H2459|026|004|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24640|0|N
H2459|026|004|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24650|0|N
H2459|026|004|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24660|0|N
H2459|026|004|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24710|0|N
H2459|026|004|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24730|0|N
H2459|026|004|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24740|0|N
H2459|026|004|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24750|0|N
H2459|026|004|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24770|0|N
H2459|026|004|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24780|0|N
H2459|026|004|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24800|0|N
H2459|026|004|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24820|0|N
H2459|026|004|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24840|0|N
H2459|026|004|UCARE MINNESOTA|UCare Complete (HMO-POS)|00025319|50.30|235| | |MN|24860|0|N
H2459|029|000|UCARE MINNESOTA|UCare Aware (HMO-POS)|00025319|6.90|295| | |MN|24000|0|N
H2459|029|000|UCARE MINNESOTA|UCare Aware (HMO-POS)|00025319|6.90|295| | |MN|24010|0|N
H2459|029|000|UCARE MINNESOTA|UCare Aware (HMO-POS)|00025319|6.90|295| | |MN|24020|0|N
H2459|029|000|UCARE MINNESOTA|UCare Aware (HMO-POS)|00025319|6.90|295| | |MN|24030|0|N
H2459|029|000|UCARE MINNESOTA|UCare Aware (HMO-POS)|00025319|6.90|295| | |MN|24040|0|N
H2459|029|000|UCARE MINNESOTA|UCare Aware (HMO-POS)|00025319|6.90|295| | |MN|24080|0|N
H2459|029|000|UCARE MINNESOTA|UCare Aware (HMO-POS)|00025319|6.90|295| | |MN|24090|0|N
H2459|029|000|UCARE MINNESOTA|UCare Aware (HMO-POS)|00025319|6.90|295| | |MN|24100|0|N
H2459|029|000|UCARE MINNESOTA|UCare Aware (HMO-POS)|00025319|6.90|295| | |MN|24120|0|N
H2459|029|000|UCARE MINNESOTA|UCare Aware (HMO-POS)|00025319|6.90|295| | |MN|24130|0|N
H2459|029|000|UCARE MINNESOTA|UCare Aware (HMO-POS)|00025319|6.90|295| | |MN|24140|0|N
H2459|029|000|UCARE MINNESOTA|UCare Aware (HMO-POS)|00025319|6.90|295| | |MN|24150|0|N
H2459|029|000|UCARE MINNESOTA|UCare Aware (HMO-POS)|00025319|6.90|295| | |MN|24170|0|N
H2459|029|000|UCARE MINNESOTA|UCare Aware (HMO-POS)|00025319|6.90|295| | |MN|24180|0|N
H2459|029|000|UCARE MINNESOTA|UCare Aware (HMO-POS)|00025319|6.90|295| | |MN|24200|0|N
H2459|029|000|UCARE MINNESOTA|UCare Aware (HMO-POS)|00025319|6.90|295| | |MN|24250|0|N
H2459|029|000|UCARE MINNESOTA|UCare Aware (HMO-POS)|00025319|6.90|295| | |MN|24260|0|N
H2459|029|000|UCARE MINNESOTA|UCare Aware (HMO-POS)|00025319|6.90|295| | |MN|24280|0|N
H2459|029|000|UCARE MINNESOTA|UCare Aware (HMO-POS)|00025319|6.90|295| | |MN|24290|0|N
H2459|029|000|UCARE MINNESOTA|UCare Aware (HMO-POS)|00025319|6.90|295| | |MN|24300|0|N
H2459|029|000|UCARE MINNESOTA|UCare Aware (HMO-POS)|00025319|6.90|295| | |MN|24320|0|N
H2459|029|000|UCARE MINNESOTA|UCare Aware (HMO-POS)|00025319|6.90|295| | |MN|24340|0|N
H2459|029|000|UCARE MINNESOTA|UCare Aware (HMO-POS)|00025319|6.90|295| | |MN|24350|0|N
H2459|029|000|UCARE MINNESOTA|UCare Aware (HMO-POS)|00025319|6.90|295| | |MN|24370|0|N
H2459|029|000|UCARE MINNESOTA|UCare Aware (HMO-POS)|00025319|6.90|295| | |MN|24380|0|N
H2459|029|000|UCARE MINNESOTA|UCare Aware (HMO-POS)|00025319|6.90|295| | |MN|24430|0|N
H2459|029|000|UCARE MINNESOTA|UCare Aware (HMO-POS)|00025319|6.90|295| | |MN|24440|0|N
H2459|029|000|UCARE MINNESOTA|UCare Aware (HMO-POS)|00025319|6.90|295| | |MN|24470|0|N
H2459|029|000|UCARE MINNESOTA|UCare Aware (HMO-POS)|00025319|6.90|295| | |MN|24480|0|N
H2459|029|000|UCARE MINNESOTA|UCare Aware (HMO-POS)|00025319|6.90|295| | |MN|24530|0|N
H2459|029|000|UCARE MINNESOTA|UCare Aware (HMO-POS)|00025319|6.90|295| | |MN|24550|0|N
H2459|029|000|UCARE MINNESOTA|UCare Aware (HMO-POS)|00025319|6.90|295| | |MN|24560|0|N
H2459|029|000|UCARE MINNESOTA|UCare Aware (HMO-POS)|00025319|6.90|295| | |MN|24570|0|N
H2459|029|000|UCARE MINNESOTA|UCare Aware (HMO-POS)|00025319|6.90|295| | |MN|24590|0|N
H2459|029|000|UCARE MINNESOTA|UCare Aware (HMO-POS)|00025319|6.90|295| | |MN|24610|0|N
H2459|029|000|UCARE MINNESOTA|UCare Aware (HMO-POS)|00025319|6.90|295| | |MN|24620|0|N
H2459|029|000|UCARE MINNESOTA|UCare Aware (HMO-POS)|00025319|6.90|295| | |MN|24670|0|N
H2459|029|000|UCARE MINNESOTA|UCare Aware (HMO-POS)|00025319|6.90|295| | |MN|24680|0|N
H2459|029|000|UCARE MINNESOTA|UCare Aware (HMO-POS)|00025319|6.90|295| | |MN|24690|0|N
H2459|029|000|UCARE MINNESOTA|UCare Aware (HMO-POS)|00025319|6.90|295| | |MN|24700|0|N
H2459|029|000|UCARE MINNESOTA|UCare Aware (HMO-POS)|00025319|6.90|295| | |MN|24720|0|N
H2459|029|000|UCARE MINNESOTA|UCare Aware (HMO-POS)|00025319|6.90|295| | |MN|24760|0|N
H2459|029|000|UCARE MINNESOTA|UCare Aware (HMO-POS)|00025319|6.90|295| | |MN|24790|0|N
H2459|029|000|UCARE MINNESOTA|UCare Aware (HMO-POS)|00025319|6.90|295| | |MN|24810|0|N
H2459|029|000|UCARE MINNESOTA|UCare Aware (HMO-POS)|00025319|6.90|295| | |MN|24830|0|N
H2459|029|000|UCARE MINNESOTA|UCare Aware (HMO-POS)|00025319|6.90|295| | |MN|24850|0|N
H2459|031|000|UCARE MINNESOTA|UCare Advocate Choice (HMO I-SNP)|00025319|0.00|125| | |MN|24010|3|N
H2459|031|000|UCARE MINNESOTA|UCare Advocate Choice (HMO I-SNP)|00025319|0.00|125| | |MN|24040|3|N
H2459|031|000|UCARE MINNESOTA|UCare Advocate Choice (HMO I-SNP)|00025319|0.00|125| | |MN|24060|3|N
H2459|031|000|UCARE MINNESOTA|UCare Advocate Choice (HMO I-SNP)|00025319|0.00|125| | |MN|24090|3|N
H2459|031|000|UCARE MINNESOTA|UCare Advocate Choice (HMO I-SNP)|00025319|0.00|125| | |MN|24120|3|N
H2459|031|000|UCARE MINNESOTA|UCare Advocate Choice (HMO I-SNP)|00025319|0.00|125| | |MN|24180|3|N
H2459|031|000|UCARE MINNESOTA|UCare Advocate Choice (HMO I-SNP)|00025319|0.00|125| | |MN|24200|3|N
H2459|031|000|UCARE MINNESOTA|UCare Advocate Choice (HMO I-SNP)|00025319|0.00|125| | |MN|24230|3|N
H2459|031|000|UCARE MINNESOTA|UCare Advocate Choice (HMO I-SNP)|00025319|0.00|125| | |MN|24260|3|N
H2459|031|000|UCARE MINNESOTA|UCare Advocate Choice (HMO I-SNP)|00025319|0.00|125| | |MN|24280|3|N
H2459|031|000|UCARE MINNESOTA|UCare Advocate Choice (HMO I-SNP)|00025319|0.00|125| | |MN|24290|3|N
H2459|031|000|UCARE MINNESOTA|UCare Advocate Choice (HMO I-SNP)|00025319|0.00|125| | |MN|24470|3|N
H2459|031|000|UCARE MINNESOTA|UCare Advocate Choice (HMO I-SNP)|00025319|0.00|125| | |MN|24480|3|N
H2459|031|000|UCARE MINNESOTA|UCare Advocate Choice (HMO I-SNP)|00025319|0.00|125| | |MN|24550|3|N
H2459|031|000|UCARE MINNESOTA|UCare Advocate Choice (HMO I-SNP)|00025319|0.00|125| | |MN|24600|3|N
H2459|031|000|UCARE MINNESOTA|UCare Advocate Choice (HMO I-SNP)|00025319|0.00|125| | |MN|24610|3|N
H2459|031|000|UCARE MINNESOTA|UCare Advocate Choice (HMO I-SNP)|00025319|0.00|125| | |MN|24650|3|N
H2459|031|000|UCARE MINNESOTA|UCare Advocate Choice (HMO I-SNP)|00025319|0.00|125| | |MN|24690|3|N
H2459|031|000|UCARE MINNESOTA|UCare Advocate Choice (HMO I-SNP)|00025319|0.00|125| | |MN|24700|3|N
H2459|031|000|UCARE MINNESOTA|UCare Advocate Choice (HMO I-SNP)|00025319|0.00|125| | |MN|24720|3|N
H2459|031|000|UCARE MINNESOTA|UCare Advocate Choice (HMO I-SNP)|00025319|0.00|125| | |MN|24810|3|N
H2459|031|000|UCARE MINNESOTA|UCare Advocate Choice (HMO I-SNP)|00025319|0.00|125| | |MN|24850|3|N
H2459|032|000|UCARE MINNESOTA|UCare Advocate Plus (HMO I-SNP)|00025319|0.00|0| | |MN|24010|3|N
H2459|032|000|UCARE MINNESOTA|UCare Advocate Plus (HMO I-SNP)|00025319|0.00|0| | |MN|24040|3|N
H2459|032|000|UCARE MINNESOTA|UCare Advocate Plus (HMO I-SNP)|00025319|0.00|0| | |MN|24060|3|N
H2459|032|000|UCARE MINNESOTA|UCare Advocate Plus (HMO I-SNP)|00025319|0.00|0| | |MN|24090|3|N
H2459|032|000|UCARE MINNESOTA|UCare Advocate Plus (HMO I-SNP)|00025319|0.00|0| | |MN|24120|3|N
H2459|032|000|UCARE MINNESOTA|UCare Advocate Plus (HMO I-SNP)|00025319|0.00|0| | |MN|24180|3|N
H2459|032|000|UCARE MINNESOTA|UCare Advocate Plus (HMO I-SNP)|00025319|0.00|0| | |MN|24200|3|N
H2459|032|000|UCARE MINNESOTA|UCare Advocate Plus (HMO I-SNP)|00025319|0.00|0| | |MN|24230|3|N
H2459|032|000|UCARE MINNESOTA|UCare Advocate Plus (HMO I-SNP)|00025319|0.00|0| | |MN|24260|3|N
H2459|032|000|UCARE MINNESOTA|UCare Advocate Plus (HMO I-SNP)|00025319|0.00|0| | |MN|24280|3|N
H2459|032|000|UCARE MINNESOTA|UCare Advocate Plus (HMO I-SNP)|00025319|0.00|0| | |MN|24290|3|N
H2459|032|000|UCARE MINNESOTA|UCare Advocate Plus (HMO I-SNP)|00025319|0.00|0| | |MN|24470|3|N
H2459|032|000|UCARE MINNESOTA|UCare Advocate Plus (HMO I-SNP)|00025319|0.00|0| | |MN|24480|3|N
H2459|032|000|UCARE MINNESOTA|UCare Advocate Plus (HMO I-SNP)|00025319|0.00|0| | |MN|24550|3|N
H2459|032|000|UCARE MINNESOTA|UCare Advocate Plus (HMO I-SNP)|00025319|0.00|0| | |MN|24600|3|N
H2459|032|000|UCARE MINNESOTA|UCare Advocate Plus (HMO I-SNP)|00025319|0.00|0| | |MN|24610|3|N
H2459|032|000|UCARE MINNESOTA|UCare Advocate Plus (HMO I-SNP)|00025319|0.00|0| | |MN|24650|3|N
H2459|032|000|UCARE MINNESOTA|UCare Advocate Plus (HMO I-SNP)|00025319|0.00|0| | |MN|24690|3|N
H2459|032|000|UCARE MINNESOTA|UCare Advocate Plus (HMO I-SNP)|00025319|0.00|0| | |MN|24700|3|N
H2459|032|000|UCARE MINNESOTA|UCare Advocate Plus (HMO I-SNP)|00025319|0.00|0| | |MN|24720|3|N
H2459|032|000|UCARE MINNESOTA|UCare Advocate Plus (HMO I-SNP)|00025319|0.00|0| | |MN|24810|3|N
H2459|032|000|UCARE MINNESOTA|UCare Advocate Plus (HMO I-SNP)|00025319|0.00|0| | |MN|24850|3|N
H2461|008|000|BCBSM, Inc.|Platinum Blue Core Plan with Rx (Cost)|00025303|23.40|590| | |MN|24000|0|N
H2461|008|000|BCBSM, Inc.|Platinum Blue Core Plan with Rx (Cost)|00025303|23.40|590| | |MN|24080|0|N
H2461|008|000|BCBSM, Inc.|Platinum Blue Core Plan with Rx (Cost)|00025303|23.40|590| | |MN|24150|0|N
H2461|008|000|BCBSM, Inc.|Platinum Blue Core Plan with Rx (Cost)|00025303|23.40|590| | |MN|24240|0|N
H2461|008|000|BCBSM, Inc.|Platinum Blue Core Plan with Rx (Cost)|00025303|23.40|590| | |MN|24300|0|N
H2461|008|000|BCBSM, Inc.|Platinum Blue Core Plan with Rx (Cost)|00025303|23.40|590| | |MN|24320|0|N
H2461|008|000|BCBSM, Inc.|Platinum Blue Core Plan with Rx (Cost)|00025303|23.40|590| | |MN|24350|0|N
H2461|008|000|BCBSM, Inc.|Platinum Blue Core Plan with Rx (Cost)|00025303|23.40|590| | |MN|24370|0|N
H2461|008|000|BCBSM, Inc.|Platinum Blue Core Plan with Rx (Cost)|00025303|23.40|590| | |MN|24390|0|N
H2461|008|000|BCBSM, Inc.|Platinum Blue Core Plan with Rx (Cost)|00025303|23.40|590| | |MN|24420|0|N
H2461|008|000|BCBSM, Inc.|Platinum Blue Core Plan with Rx (Cost)|00025303|23.40|590| | |MN|24460|0|N
H2461|008|000|BCBSM, Inc.|Platinum Blue Core Plan with Rx (Cost)|00025303|23.40|590| | |MN|24470|0|N
H2461|008|000|BCBSM, Inc.|Platinum Blue Core Plan with Rx (Cost)|00025303|23.40|590| | |MN|24570|0|N
H2461|008|000|BCBSM, Inc.|Platinum Blue Core Plan with Rx (Cost)|00025303|23.40|590| | |MN|24580|0|N
H2461|008|000|BCBSM, Inc.|Platinum Blue Core Plan with Rx (Cost)|00025303|23.40|590| | |MN|24650|0|N
H2461|008|000|BCBSM, Inc.|Platinum Blue Core Plan with Rx (Cost)|00025303|23.40|590| | |MN|24660|0|N
H2461|008|000|BCBSM, Inc.|Platinum Blue Core Plan with Rx (Cost)|00025303|23.40|590| | |MN|24680|0|N
H2461|008|000|BCBSM, Inc.|Platinum Blue Core Plan with Rx (Cost)|00025303|23.40|590| | |MN|24710|0|N
H2461|008|000|BCBSM, Inc.|Platinum Blue Core Plan with Rx (Cost)|00025303|23.40|590| | |MN|24740|0|N
H2461|008|000|BCBSM, Inc.|Platinum Blue Core Plan with Rx (Cost)|00025303|23.40|590| | |MN|24770|0|N
H2461|008|000|BCBSM, Inc.|Platinum Blue Core Plan with Rx (Cost)|00025303|23.40|590| | |MN|24860|0|N
H2461|009|000|BCBSM, Inc.|Platinum Blue Choice Plan with Rx (Cost)|00025305|47.20|590| | |MN|24000|0|N
H2461|009|000|BCBSM, Inc.|Platinum Blue Choice Plan with Rx (Cost)|00025305|47.20|590| | |MN|24080|0|N
H2461|009|000|BCBSM, Inc.|Platinum Blue Choice Plan with Rx (Cost)|00025305|47.20|590| | |MN|24150|0|N
H2461|009|000|BCBSM, Inc.|Platinum Blue Choice Plan with Rx (Cost)|00025305|47.20|590| | |MN|24240|0|N
H2461|009|000|BCBSM, Inc.|Platinum Blue Choice Plan with Rx (Cost)|00025305|47.20|590| | |MN|24300|0|N
H2461|009|000|BCBSM, Inc.|Platinum Blue Choice Plan with Rx (Cost)|00025305|47.20|590| | |MN|24320|0|N
H2461|009|000|BCBSM, Inc.|Platinum Blue Choice Plan with Rx (Cost)|00025305|47.20|590| | |MN|24350|0|N
H2461|009|000|BCBSM, Inc.|Platinum Blue Choice Plan with Rx (Cost)|00025305|47.20|590| | |MN|24370|0|N
H2461|009|000|BCBSM, Inc.|Platinum Blue Choice Plan with Rx (Cost)|00025305|47.20|590| | |MN|24390|0|N
H2461|009|000|BCBSM, Inc.|Platinum Blue Choice Plan with Rx (Cost)|00025305|47.20|590| | |MN|24420|0|N
H2461|009|000|BCBSM, Inc.|Platinum Blue Choice Plan with Rx (Cost)|00025305|47.20|590| | |MN|24460|0|N
H2461|009|000|BCBSM, Inc.|Platinum Blue Choice Plan with Rx (Cost)|00025305|47.20|590| | |MN|24470|0|N
H2461|009|000|BCBSM, Inc.|Platinum Blue Choice Plan with Rx (Cost)|00025305|47.20|590| | |MN|24570|0|N
H2461|009|000|BCBSM, Inc.|Platinum Blue Choice Plan with Rx (Cost)|00025305|47.20|590| | |MN|24580|0|N
H2461|009|000|BCBSM, Inc.|Platinum Blue Choice Plan with Rx (Cost)|00025305|47.20|590| | |MN|24650|0|N
H2461|009|000|BCBSM, Inc.|Platinum Blue Choice Plan with Rx (Cost)|00025305|47.20|590| | |MN|24660|0|N
H2461|009|000|BCBSM, Inc.|Platinum Blue Choice Plan with Rx (Cost)|00025305|47.20|590| | |MN|24680|0|N
H2461|009|000|BCBSM, Inc.|Platinum Blue Choice Plan with Rx (Cost)|00025305|47.20|590| | |MN|24710|0|N
H2461|009|000|BCBSM, Inc.|Platinum Blue Choice Plan with Rx (Cost)|00025305|47.20|590| | |MN|24740|0|N
H2461|009|000|BCBSM, Inc.|Platinum Blue Choice Plan with Rx (Cost)|00025305|47.20|590| | |MN|24770|0|N
H2461|009|000|BCBSM, Inc.|Platinum Blue Choice Plan with Rx (Cost)|00025305|47.20|590| | |MN|24860|0|N
H2461|010|000|BCBSM, Inc.|Platinum Blue Complete Plan with Rx (Cost)|00025305|68.20|590| | |MN|24000|0|N
H2461|010|000|BCBSM, Inc.|Platinum Blue Complete Plan with Rx (Cost)|00025305|68.20|590| | |MN|24080|0|N
H2461|010|000|BCBSM, Inc.|Platinum Blue Complete Plan with Rx (Cost)|00025305|68.20|590| | |MN|24150|0|N
H2461|010|000|BCBSM, Inc.|Platinum Blue Complete Plan with Rx (Cost)|00025305|68.20|590| | |MN|24240|0|N
H2461|010|000|BCBSM, Inc.|Platinum Blue Complete Plan with Rx (Cost)|00025305|68.20|590| | |MN|24300|0|N
H2461|010|000|BCBSM, Inc.|Platinum Blue Complete Plan with Rx (Cost)|00025305|68.20|590| | |MN|24320|0|N
H2461|010|000|BCBSM, Inc.|Platinum Blue Complete Plan with Rx (Cost)|00025305|68.20|590| | |MN|24350|0|N
H2461|010|000|BCBSM, Inc.|Platinum Blue Complete Plan with Rx (Cost)|00025305|68.20|590| | |MN|24370|0|N
H2461|010|000|BCBSM, Inc.|Platinum Blue Complete Plan with Rx (Cost)|00025305|68.20|590| | |MN|24390|0|N
H2461|010|000|BCBSM, Inc.|Platinum Blue Complete Plan with Rx (Cost)|00025305|68.20|590| | |MN|24420|0|N
H2461|010|000|BCBSM, Inc.|Platinum Blue Complete Plan with Rx (Cost)|00025305|68.20|590| | |MN|24460|0|N
H2461|010|000|BCBSM, Inc.|Platinum Blue Complete Plan with Rx (Cost)|00025305|68.20|590| | |MN|24470|0|N
H2461|010|000|BCBSM, Inc.|Platinum Blue Complete Plan with Rx (Cost)|00025305|68.20|590| | |MN|24570|0|N
H2461|010|000|BCBSM, Inc.|Platinum Blue Complete Plan with Rx (Cost)|00025305|68.20|590| | |MN|24580|0|N
H2461|010|000|BCBSM, Inc.|Platinum Blue Complete Plan with Rx (Cost)|00025305|68.20|590| | |MN|24650|0|N
H2461|010|000|BCBSM, Inc.|Platinum Blue Complete Plan with Rx (Cost)|00025305|68.20|590| | |MN|24660|0|N
H2461|010|000|BCBSM, Inc.|Platinum Blue Complete Plan with Rx (Cost)|00025305|68.20|590| | |MN|24680|0|N
H2461|010|000|BCBSM, Inc.|Platinum Blue Complete Plan with Rx (Cost)|00025305|68.20|590| | |MN|24710|0|N
H2461|010|000|BCBSM, Inc.|Platinum Blue Complete Plan with Rx (Cost)|00025305|68.20|590| | |MN|24740|0|N
H2461|010|000|BCBSM, Inc.|Platinum Blue Complete Plan with Rx (Cost)|00025305|68.20|590| | |MN|24770|0|N
H2461|010|000|BCBSM, Inc.|Platinum Blue Complete Plan with Rx (Cost)|00025305|68.20|590| | |MN|24860|0|N
H2463|001|000|HUMANA HEALTH PLAN OF TEXAS, INC.|Humana Gold Plus H2463-001 (HMO)|00025458|0.00|225| | |AZ|03100|0|N
H2463|001|000|HUMANA HEALTH PLAN OF TEXAS, INC.|Humana Gold Plus H2463-001 (HMO)|00025458|0.00|225| | |AZ|03130|0|N
H2478|001|000|MOLINA HEALTHCARE OF NEVADA INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NV|29010|2|N
H2478|001|000|MOLINA HEALTHCARE OF NEVADA INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NV|29020|2|N
H2478|001|000|MOLINA HEALTHCARE OF NEVADA INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NV|29090|2|N
H2478|001|000|MOLINA HEALTHCARE OF NEVADA INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NV|29110|2|N
H2478|001|000|MOLINA HEALTHCARE OF NEVADA INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NV|29120|2|N
H2478|001|000|MOLINA HEALTHCARE OF NEVADA INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NV|29140|2|N
H2478|001|000|MOLINA HEALTHCARE OF NEVADA INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NV|29150|2|N
H2486|003|000|HUMANA MEDICAL PLAN OF UTAH, INC.|Humana Gold Plus H2486-003 (HMO)|00025456|0.00|200| | |UT|46050|0|N
H2486|003|000|HUMANA MEDICAL PLAN OF UTAH, INC.|Humana Gold Plus H2486-003 (HMO)|00025456|0.00|200| | |UT|46170|0|N
H2486|003|000|HUMANA MEDICAL PLAN OF UTAH, INC.|Humana Gold Plus H2486-003 (HMO)|00025456|0.00|200| | |UT|46240|0|N
H2486|003|000|HUMANA MEDICAL PLAN OF UTAH, INC.|Humana Gold Plus H2486-003 (HMO)|00025456|0.00|200| | |UT|46280|0|N
H2486|005|000|HUMANA MEDICAL PLAN OF UTAH, INC.|Humana Gold Plus H2486-005 (HMO)|00025456|0.00|200| | |ID|13000|0|N
H2486|005|000|HUMANA MEDICAL PLAN OF UTAH, INC.|Humana Gold Plus H2486-005 (HMO)|00025456|0.00|200| | |ID|13070|0|N
H2486|005|000|HUMANA MEDICAL PLAN OF UTAH, INC.|Humana Gold Plus H2486-005 (HMO)|00025456|0.00|200| | |ID|13130|0|N
H2486|005|000|HUMANA MEDICAL PLAN OF UTAH, INC.|Humana Gold Plus H2486-005 (HMO)|00025456|0.00|200| | |ID|13190|0|N
H2486|005|000|HUMANA MEDICAL PLAN OF UTAH, INC.|Humana Gold Plus H2486-005 (HMO)|00025456|0.00|200| | |ID|13220|0|N
H2486|005|000|HUMANA MEDICAL PLAN OF UTAH, INC.|Humana Gold Plus H2486-005 (HMO)|00025456|0.00|200| | |ID|13360|0|N
H2486|005|000|HUMANA MEDICAL PLAN OF UTAH, INC.|Humana Gold Plus H2486-005 (HMO)|00025456|0.00|200| | |ID|13370|0|N
H2486|005|000|HUMANA MEDICAL PLAN OF UTAH, INC.|Humana Gold Plus H2486-005 (HMO)|00025456|0.00|200| | |ID|13410|0|N
H2486|005|000|HUMANA MEDICAL PLAN OF UTAH, INC.|Humana Gold Plus H2486-005 (HMO)|00025456|0.00|200| | |ID|13420|0|N
H2486|005|000|HUMANA MEDICAL PLAN OF UTAH, INC.|Humana Gold Plus H2486-005 (HMO)|00025456|0.00|200| | |ID|13430|0|N
H2486|006|000|HUMANA MEDICAL PLAN OF UTAH, INC.|Humana Gold Plus H2486-006 (HMO)|00025456|0.00|200| | |WA|50300|0|N
H2486|007|000|HUMANA MEDICAL PLAN OF UTAH, INC.|Humana Gold Plus H2486-007 (HMO)|00025456|0.00|200| | |WA|50050|0|N
H2491|004|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare 'Ohana Dual Align (HMO-POS D-SNP)|00025040|0.00|590| | |HI|12010|2|N
H2491|004|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare 'Ohana Dual Align (HMO-POS D-SNP)|00025040|0.00|590| | |HI|12020|2|N
H2491|004|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare 'Ohana Dual Align (HMO-POS D-SNP)|00025040|0.00|590| | |HI|12040|2|N
H2491|004|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare 'Ohana Dual Align (HMO-POS D-SNP)|00025040|0.00|590| | |HI|12050|2|N
H2491|009|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare 'Ohana Simple (HMO)|00025076|0.00|420| | |HI|12020|0|N
H2491|010|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Assist (HMO-POS)|00025066|31.40|570| | |LA|19000|0|N
H2491|010|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Assist (HMO-POS)|00025066|31.40|570| | |LA|19010|0|N
H2491|010|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Assist (HMO-POS)|00025066|31.40|570| | |LA|19020|0|N
H2491|010|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Assist (HMO-POS)|00025066|31.40|570| | |LA|19030|0|N
H2491|010|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Assist (HMO-POS)|00025066|31.40|570| | |LA|19040|0|N
H2491|010|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Assist (HMO-POS)|00025066|31.40|570| | |LA|19050|0|N
H2491|010|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Assist (HMO-POS)|00025066|31.40|570| | |LA|19060|0|N
H2491|010|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Assist (HMO-POS)|00025066|31.40|570| | |LA|19070|0|N
H2491|010|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Assist (HMO-POS)|00025066|31.40|570| | |LA|19080|0|N
H2491|010|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Assist (HMO-POS)|00025066|31.40|570| | |LA|19110|0|N
H2491|010|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Assist (HMO-POS)|00025066|31.40|570| | |LA|19150|0|N
H2491|010|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Assist (HMO-POS)|00025066|31.40|570| | |LA|19160|0|N
H2491|010|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Assist (HMO-POS)|00025066|31.40|570| | |LA|19180|0|N
H2491|010|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Assist (HMO-POS)|00025066|31.40|570| | |LA|19190|0|N
H2491|010|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Assist (HMO-POS)|00025066|31.40|570| | |LA|19210|0|N
H2491|010|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Assist (HMO-POS)|00025066|31.40|570| | |LA|19220|0|N
H2491|010|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Assist (HMO-POS)|00025066|31.40|570| | |LA|19230|0|N
H2491|010|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Assist (HMO-POS)|00025066|31.40|570| | |LA|19240|0|N
H2491|010|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Assist (HMO-POS)|00025066|31.40|570| | |LA|19250|0|N
H2491|010|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Assist (HMO-POS)|00025066|31.40|570| | |LA|19260|0|N
H2491|010|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Assist (HMO-POS)|00025066|31.40|570| | |LA|19270|0|N
H2491|010|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Assist (HMO-POS)|00025066|31.40|570| | |LA|19280|0|N
H2491|010|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Assist (HMO-POS)|00025066|31.40|570| | |LA|19290|0|N
H2491|010|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Assist (HMO-POS)|00025066|31.40|570| | |LA|19310|0|N
H2491|010|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Assist (HMO-POS)|00025066|31.40|570| | |LA|19340|0|N
H2491|010|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Assist (HMO-POS)|00025066|31.40|570| | |LA|19350|0|N
H2491|010|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Assist (HMO-POS)|00025066|31.40|570| | |LA|19370|0|N
H2491|010|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Assist (HMO-POS)|00025066|31.40|570| | |LA|19380|0|N
H2491|010|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Assist (HMO-POS)|00025066|31.40|570| | |LA|19390|0|N
H2491|010|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Assist (HMO-POS)|00025066|31.40|570| | |LA|19400|0|N
H2491|010|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Assist (HMO-POS)|00025066|31.40|570| | |LA|19420|0|N
H2491|010|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Assist (HMO-POS)|00025066|31.40|570| | |LA|19430|0|N
H2491|010|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Assist (HMO-POS)|00025066|31.40|570| | |LA|19440|0|N
H2491|010|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Assist (HMO-POS)|00025066|31.40|570| | |LA|19450|0|N
H2491|010|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Assist (HMO-POS)|00025066|31.40|570| | |LA|19460|0|N
H2491|010|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Assist (HMO-POS)|00025066|31.40|570| | |LA|19470|0|N
H2491|010|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Assist (HMO-POS)|00025066|31.40|570| | |LA|19480|0|N
H2491|010|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Assist (HMO-POS)|00025066|31.40|570| | |LA|19490|0|N
H2491|010|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Assist (HMO-POS)|00025066|31.40|570| | |LA|19500|0|N
H2491|010|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Assist (HMO-POS)|00025066|31.40|570| | |LA|19510|0|N
H2491|010|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Assist (HMO-POS)|00025066|31.40|570| | |LA|19520|0|N
H2491|010|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Assist (HMO-POS)|00025066|31.40|570| | |LA|19540|0|N
H2491|010|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Assist (HMO-POS)|00025066|31.40|570| | |LA|19560|0|N
H2491|010|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Assist (HMO-POS)|00025066|31.40|570| | |LA|19570|0|N
H2491|010|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Assist (HMO-POS)|00025066|31.40|570| | |LA|19580|0|N
H2491|010|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Assist (HMO-POS)|00025066|31.40|570| | |LA|19600|0|N
H2491|010|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Assist (HMO-POS)|00025066|31.40|570| | |LA|19620|0|N
H2491|010|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Assist (HMO-POS)|00025066|31.40|570| | |LA|19630|0|N
H2491|011|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19000|2|N
H2491|011|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19010|2|N
H2491|011|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19020|2|N
H2491|011|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19030|2|N
H2491|011|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19040|2|N
H2491|011|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19050|2|N
H2491|011|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19060|2|N
H2491|011|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19070|2|N
H2491|011|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19080|2|N
H2491|011|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19110|2|N
H2491|011|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19150|2|N
H2491|011|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19160|2|N
H2491|011|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19180|2|N
H2491|011|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19190|2|N
H2491|011|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19210|2|N
H2491|011|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19220|2|N
H2491|011|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19230|2|N
H2491|011|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19240|2|N
H2491|011|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19250|2|N
H2491|011|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19260|2|N
H2491|011|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19270|2|N
H2491|011|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19280|2|N
H2491|011|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19290|2|N
H2491|011|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19310|2|N
H2491|011|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19340|2|N
H2491|011|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19350|2|N
H2491|011|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19370|2|N
H2491|011|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19380|2|N
H2491|011|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19390|2|N
H2491|011|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19400|2|N
H2491|011|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19420|2|N
H2491|011|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19430|2|N
H2491|011|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19440|2|N
H2491|011|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19450|2|N
H2491|011|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19460|2|N
H2491|011|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19470|2|N
H2491|011|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19480|2|N
H2491|011|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19490|2|N
H2491|011|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19500|2|N
H2491|011|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19510|2|N
H2491|011|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19520|2|N
H2491|011|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19540|2|N
H2491|011|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19560|2|N
H2491|011|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19570|2|N
H2491|011|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19580|2|N
H2491|011|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19600|2|N
H2491|011|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19620|2|N
H2491|011|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19630|2|N
H2491|012|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19000|2|N
H2491|012|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19010|2|N
H2491|012|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19020|2|N
H2491|012|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19030|2|N
H2491|012|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19040|2|N
H2491|012|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19050|2|N
H2491|012|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19060|2|N
H2491|012|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19070|2|N
H2491|012|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19080|2|N
H2491|012|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19110|2|N
H2491|012|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19150|2|N
H2491|012|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19160|2|N
H2491|012|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19180|2|N
H2491|012|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19190|2|N
H2491|012|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19210|2|N
H2491|012|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19220|2|N
H2491|012|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19230|2|N
H2491|012|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19240|2|N
H2491|012|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19250|2|N
H2491|012|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19260|2|N
H2491|012|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19270|2|N
H2491|012|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19280|2|N
H2491|012|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19290|2|N
H2491|012|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19310|2|N
H2491|012|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19340|2|N
H2491|012|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19350|2|N
H2491|012|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19370|2|N
H2491|012|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19380|2|N
H2491|012|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19390|2|N
H2491|012|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19400|2|N
H2491|012|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19420|2|N
H2491|012|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19430|2|N
H2491|012|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19440|2|N
H2491|012|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19450|2|N
H2491|012|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19460|2|N
H2491|012|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19470|2|N
H2491|012|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19480|2|N
H2491|012|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19490|2|N
H2491|012|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19500|2|N
H2491|012|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19510|2|N
H2491|012|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19520|2|N
H2491|012|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19540|2|N
H2491|012|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19560|2|N
H2491|012|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19570|2|N
H2491|012|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19580|2|N
H2491|012|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19600|2|N
H2491|012|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19620|2|N
H2491|012|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |LA|19630|2|N
H2491|016|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Endurance (HMO-POS)|00025084|0.00|420| | |LA|19000|0|N
H2491|016|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Endurance (HMO-POS)|00025084|0.00|420| | |LA|19010|0|N
H2491|016|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Endurance (HMO-POS)|00025084|0.00|420| | |LA|19020|0|N
H2491|016|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Endurance (HMO-POS)|00025084|0.00|420| | |LA|19030|0|N
H2491|016|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Endurance (HMO-POS)|00025084|0.00|420| | |LA|19040|0|N
H2491|016|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Endurance (HMO-POS)|00025084|0.00|420| | |LA|19110|0|N
H2491|016|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Endurance (HMO-POS)|00025084|0.00|420| | |LA|19160|0|N
H2491|016|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Endurance (HMO-POS)|00025084|0.00|420| | |LA|19180|0|N
H2491|016|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Endurance (HMO-POS)|00025084|0.00|420| | |LA|19190|0|N
H2491|016|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Endurance (HMO-POS)|00025084|0.00|420| | |LA|19210|0|N
H2491|016|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Endurance (HMO-POS)|00025084|0.00|420| | |LA|19220|0|N
H2491|016|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Endurance (HMO-POS)|00025084|0.00|420| | |LA|19230|0|N
H2491|016|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Endurance (HMO-POS)|00025084|0.00|420| | |LA|19250|0|N
H2491|016|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Endurance (HMO-POS)|00025084|0.00|420| | |LA|19260|0|N
H2491|016|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Endurance (HMO-POS)|00025084|0.00|420| | |LA|19270|0|N
H2491|016|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Endurance (HMO-POS)|00025084|0.00|420| | |LA|19280|0|N
H2491|016|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Endurance (HMO-POS)|00025084|0.00|420| | |LA|19290|0|N
H2491|016|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Endurance (HMO-POS)|00025084|0.00|420| | |LA|19310|0|N
H2491|016|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Endurance (HMO-POS)|00025084|0.00|420| | |LA|19350|0|N
H2491|016|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Endurance (HMO-POS)|00025084|0.00|420| | |LA|19370|0|N
H2491|016|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Endurance (HMO-POS)|00025084|0.00|420| | |LA|19380|0|N
H2491|016|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Endurance (HMO-POS)|00025084|0.00|420| | |LA|19390|0|N
H2491|016|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Endurance (HMO-POS)|00025084|0.00|420| | |LA|19430|0|N
H2491|016|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Endurance (HMO-POS)|00025084|0.00|420| | |LA|19440|0|N
H2491|016|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Endurance (HMO-POS)|00025084|0.00|420| | |LA|19450|0|N
H2491|016|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Endurance (HMO-POS)|00025084|0.00|420| | |LA|19460|0|N
H2491|016|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Endurance (HMO-POS)|00025084|0.00|420| | |LA|19470|0|N
H2491|016|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Endurance (HMO-POS)|00025084|0.00|420| | |LA|19480|0|N
H2491|016|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Endurance (HMO-POS)|00025084|0.00|420| | |LA|19490|0|N
H2491|016|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Endurance (HMO-POS)|00025084|0.00|420| | |LA|19500|0|N
H2491|016|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Endurance (HMO-POS)|00025084|0.00|420| | |LA|19510|0|N
H2491|016|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Endurance (HMO-POS)|00025084|0.00|420| | |LA|19560|0|N
H2491|016|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Endurance (HMO-POS)|00025084|0.00|420| | |LA|19570|0|N
H2491|016|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Endurance (HMO-POS)|00025084|0.00|420| | |LA|19580|0|N
H2491|016|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Endurance (HMO-POS)|00025084|0.00|420| | |LA|19600|0|N
H2491|016|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Endurance (HMO-POS)|00025084|0.00|420| | |LA|19620|0|N
H2491|017|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |LA|19000|0|N
H2491|017|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |LA|19010|0|N
H2491|017|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |LA|19040|0|N
H2491|017|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |LA|19050|0|N
H2491|017|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |LA|19060|0|N
H2491|017|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |LA|19070|0|N
H2491|017|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |LA|19080|0|N
H2491|017|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |LA|19110|0|N
H2491|017|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |LA|19150|0|N
H2491|017|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |LA|19190|0|N
H2491|017|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |LA|19210|0|N
H2491|017|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |LA|19220|0|N
H2491|017|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |LA|19240|0|N
H2491|017|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |LA|19260|0|N
H2491|017|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |LA|19270|0|N
H2491|017|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |LA|19290|0|N
H2491|017|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |LA|19340|0|N
H2491|017|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |LA|19390|0|N
H2491|017|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |LA|19400|0|N
H2491|017|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |LA|19420|0|N
H2491|017|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |LA|19480|0|N
H2491|017|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |LA|19490|0|N
H2491|017|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |LA|19500|0|N
H2491|017|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |LA|19560|0|N
H2491|017|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |LA|19570|0|N
H2491|017|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |LA|19630|0|N
H2491|021|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |LA|19520|0|N
H2491|025|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|55.60|590| | |LA|19000|2|N
H2491|025|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|55.60|590| | |LA|19010|2|N
H2491|025|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|55.60|590| | |LA|19020|2|N
H2491|025|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|55.60|590| | |LA|19030|2|N
H2491|025|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|55.60|590| | |LA|19040|2|N
H2491|025|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|55.60|590| | |LA|19050|2|N
H2491|025|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|55.60|590| | |LA|19060|2|N
H2491|025|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|55.60|590| | |LA|19070|2|N
H2491|025|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|55.60|590| | |LA|19080|2|N
H2491|025|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|55.60|590| | |LA|19110|2|N
H2491|025|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|55.60|590| | |LA|19150|2|N
H2491|025|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|55.60|590| | |LA|19160|2|N
H2491|025|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|55.60|590| | |LA|19180|2|N
H2491|025|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|55.60|590| | |LA|19190|2|N
H2491|025|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|55.60|590| | |LA|19210|2|N
H2491|025|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|55.60|590| | |LA|19220|2|N
H2491|025|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|55.60|590| | |LA|19230|2|N
H2491|025|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|55.60|590| | |LA|19240|2|N
H2491|025|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|55.60|590| | |LA|19250|2|N
H2491|025|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|55.60|590| | |LA|19260|2|N
H2491|025|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|55.60|590| | |LA|19270|2|N
H2491|025|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|55.60|590| | |LA|19280|2|N
H2491|025|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|55.60|590| | |LA|19290|2|N
H2491|025|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|55.60|590| | |LA|19310|2|N
H2491|025|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|55.60|590| | |LA|19340|2|N
H2491|025|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|55.60|590| | |LA|19350|2|N
H2491|025|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|55.60|590| | |LA|19370|2|N
H2491|025|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|55.60|590| | |LA|19380|2|N
H2491|025|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|55.60|590| | |LA|19390|2|N
H2491|025|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|55.60|590| | |LA|19400|2|N
H2491|025|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|55.60|590| | |LA|19420|2|N
H2491|025|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|55.60|590| | |LA|19430|2|N
H2491|025|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|55.60|590| | |LA|19440|2|N
H2491|025|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|55.60|590| | |LA|19450|2|N
H2491|025|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|55.60|590| | |LA|19460|2|N
H2491|025|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|55.60|590| | |LA|19470|2|N
H2491|025|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|55.60|590| | |LA|19480|2|N
H2491|025|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|55.60|590| | |LA|19490|2|N
H2491|025|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|55.60|590| | |LA|19500|2|N
H2491|025|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|55.60|590| | |LA|19510|2|N
H2491|025|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|55.60|590| | |LA|19520|2|N
H2491|025|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|55.60|590| | |LA|19540|2|N
H2491|025|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|55.60|590| | |LA|19560|2|N
H2491|025|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|55.60|590| | |LA|19570|2|N
H2491|025|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|55.60|590| | |LA|19580|2|N
H2491|025|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|55.60|590| | |LA|19600|2|N
H2491|025|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|55.60|590| | |LA|19620|2|N
H2491|025|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|55.60|590| | |LA|19630|2|N
H2491|026|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare 'Ohana Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |HI|12010|2|N
H2491|026|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare 'Ohana Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |HI|12020|2|N
H2491|026|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare 'Ohana Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |HI|12040|2|N
H2491|026|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare 'Ohana Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |HI|12050|2|N
H2491|028|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |LA|19250|0|N
H2491|028|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |LA|19280|0|N
H2491|028|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |LA|19350|0|N
H2491|028|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |LA|19370|0|N
H2491|028|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |LA|19430|0|N
H2491|028|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |LA|19440|0|N
H2491|028|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |LA|19540|0|N
H2491|029|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |LA|19020|0|N
H2491|029|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |LA|19030|0|N
H2491|029|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |LA|19160|0|N
H2491|029|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |LA|19180|0|N
H2491|029|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |LA|19230|0|N
H2491|029|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |LA|19310|0|N
H2491|029|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |LA|19380|0|N
H2491|029|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |LA|19450|0|N
H2491|029|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |LA|19460|0|N
H2491|029|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |LA|19470|0|N
H2491|029|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |LA|19510|0|N
H2491|029|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |LA|19580|0|N
H2491|029|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |LA|19600|0|N
H2491|029|000|WELLCARE HEALTH INSURANCE OF ARIZONA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |LA|19620|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14000|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14010|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14020|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14030|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14040|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14050|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14060|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14070|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14080|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14090|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14100|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14110|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14120|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14130|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14140|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14141|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14150|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14160|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14170|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14180|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14190|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14250|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14310|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14320|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14330|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14340|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14350|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14360|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14370|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14380|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14390|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14400|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14410|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14420|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14421|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14440|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14450|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14460|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14470|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14480|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14490|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14500|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14510|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14520|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14530|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14540|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14550|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14560|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14570|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14580|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14590|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14600|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14610|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14620|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14630|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14640|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14650|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14660|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14670|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14680|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14690|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14700|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14710|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14720|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14730|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14740|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14750|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14760|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14770|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14780|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14790|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14800|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14810|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14820|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14830|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14831|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14850|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14860|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14870|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14880|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14890|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14900|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14910|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14920|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14921|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14940|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14950|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14960|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14970|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14980|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14981|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14982|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14983|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14984|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14985|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14986|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14987|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14988|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14989|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14990|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14991|0|N
H2506|001|000|AETNA BETTER HEALTH PREMIER PLAN MMAI INC.|Aetna Better Health Premier Plan MMAI (Medicare-Medicaid Plan)|00025121|0.00|0| | |IL|14992|0|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10000|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10010|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10020|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10030|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10050|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10060|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10070|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10080|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10090|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10100|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10110|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10120|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10130|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10140|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10150|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10160|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10170|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10190|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10200|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10210|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10220|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10230|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10240|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10250|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10260|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10270|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10280|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10290|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10300|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10310|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10320|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10330|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10340|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10350|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10360|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10370|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10380|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10390|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10400|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10410|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10420|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10440|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10450|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10460|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10470|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10480|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10490|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10500|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10510|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10520|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10530|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10540|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10550|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10560|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10570|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10580|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10590|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10600|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10610|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10620|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10630|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10640|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10650|2|N
H2509|001|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10660|2|N
H2509|002|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-D006 (HMO-POS D-SNP)|00025002|20.30|590| | |FL|10000|2|N
H2509|002|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-D006 (HMO-POS D-SNP)|00025002|20.30|590| | |FL|10010|2|N
H2509|002|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-D006 (HMO-POS D-SNP)|00025002|20.30|590| | |FL|10020|2|N
H2509|002|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-D006 (HMO-POS D-SNP)|00025002|20.30|590| | |FL|10030|2|N
H2509|002|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-D006 (HMO-POS D-SNP)|00025002|20.30|590| | |FL|10060|2|N
H2509|002|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-D006 (HMO-POS D-SNP)|00025002|20.30|590| | |FL|10080|2|N
H2509|002|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-D006 (HMO-POS D-SNP)|00025002|20.30|590| | |FL|10110|2|N
H2509|002|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-D006 (HMO-POS D-SNP)|00025002|20.30|590| | |FL|10130|2|N
H2509|002|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-D006 (HMO-POS D-SNP)|00025002|20.30|590| | |FL|10140|2|N
H2509|002|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-D006 (HMO-POS D-SNP)|00025002|20.30|590| | |FL|10160|2|N
H2509|002|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-D006 (HMO-POS D-SNP)|00025002|20.30|590| | |FL|10190|2|N
H2509|002|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-D006 (HMO-POS D-SNP)|00025002|20.30|590| | |FL|10200|2|N
H2509|002|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-D006 (HMO-POS D-SNP)|00025002|20.30|590| | |FL|10210|2|N
H2509|002|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-D006 (HMO-POS D-SNP)|00025002|20.30|590| | |FL|10220|2|N
H2509|002|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-D006 (HMO-POS D-SNP)|00025002|20.30|590| | |FL|10230|2|N
H2509|002|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-D006 (HMO-POS D-SNP)|00025002|20.30|590| | |FL|10240|2|N
H2509|002|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-D006 (HMO-POS D-SNP)|00025002|20.30|590| | |FL|10250|2|N
H2509|002|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-D006 (HMO-POS D-SNP)|00025002|20.30|590| | |FL|10270|2|N
H2509|002|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-D006 (HMO-POS D-SNP)|00025002|20.30|590| | |FL|10290|2|N
H2509|002|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-D006 (HMO-POS D-SNP)|00025002|20.30|590| | |FL|10310|2|N
H2509|002|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-D006 (HMO-POS D-SNP)|00025002|20.30|590| | |FL|10320|2|N
H2509|002|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-D006 (HMO-POS D-SNP)|00025002|20.30|590| | |FL|10330|2|N
H2509|002|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-D006 (HMO-POS D-SNP)|00025002|20.30|590| | |FL|10360|2|N
H2509|002|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-D006 (HMO-POS D-SNP)|00025002|20.30|590| | |FL|10370|2|N
H2509|002|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-D006 (HMO-POS D-SNP)|00025002|20.30|590| | |FL|10380|2|N
H2509|002|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-D006 (HMO-POS D-SNP)|00025002|20.30|590| | |FL|10390|2|N
H2509|002|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-D006 (HMO-POS D-SNP)|00025002|20.30|590| | |FL|10420|2|N
H2509|002|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-D006 (HMO-POS D-SNP)|00025002|20.30|590| | |FL|10440|2|N
H2509|002|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-D006 (HMO-POS D-SNP)|00025002|20.30|590| | |FL|10450|2|N
H2509|002|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-D006 (HMO-POS D-SNP)|00025002|20.30|590| | |FL|10460|2|N
H2509|002|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-D006 (HMO-POS D-SNP)|00025002|20.30|590| | |FL|10530|2|N
H2509|002|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-D006 (HMO-POS D-SNP)|00025002|20.30|590| | |FL|10560|2|N
H2509|002|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-D006 (HMO-POS D-SNP)|00025002|20.30|590| | |FL|10600|2|N
H2509|002|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-D006 (HMO-POS D-SNP)|00025002|20.30|590| | |FL|10610|2|N
H2509|002|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-D006 (HMO-POS D-SNP)|00025002|20.30|590| | |FL|10620|2|N
H2509|002|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-D006 (HMO-POS D-SNP)|00025002|20.30|590| | |FL|10640|2|N
H2509|002|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-D006 (HMO-POS D-SNP)|00025002|20.30|590| | |FL|10650|2|N
H2509|002|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-D006 (HMO-POS D-SNP)|00025002|20.30|590| | |FL|10660|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10000|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10010|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10020|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10030|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10060|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10070|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10080|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10090|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10100|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10110|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10130|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10140|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10150|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10160|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10170|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10190|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10200|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10210|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10220|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10230|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10240|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10250|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10260|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10270|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10280|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10290|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10300|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10310|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10320|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10330|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10340|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10350|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10360|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10370|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10380|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10390|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10400|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10410|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10420|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10440|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10450|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10460|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10470|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10480|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10500|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10510|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10520|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10530|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10540|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10550|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10560|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10570|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10580|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10590|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10600|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10610|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10620|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10630|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10640|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10650|2|N
H2509|003|000|UNITEDHEALTHCARE OF FLORIDA, INC.|UHC Dual Complete FL-Y5 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10660|2|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36000|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36010|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36020|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36050|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36070|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36080|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36090|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36100|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36110|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36120|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36130|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36140|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36150|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36160|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36170|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36190|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36200|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36210|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36220|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36230|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36240|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36250|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36260|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36280|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36290|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36300|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36310|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36330|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36340|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36360|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36370|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36380|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36390|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36400|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36440|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36460|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36470|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36480|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36490|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36500|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36510|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36520|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36530|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36550|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36560|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36580|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36600|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36630|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36640|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36650|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36660|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36680|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36690|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36700|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36710|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36720|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36730|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36750|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36760|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36770|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36780|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36790|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36800|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36810|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36820|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36830|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36840|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36860|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36880|0|N
H2526|001|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE Ohio (PPO)|00025185|0.00|590| | |OH|36890|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36000|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36010|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36020|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36050|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36070|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36080|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36090|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36100|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36110|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36120|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36130|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36140|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36150|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36160|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36170|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36190|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36200|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36210|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36220|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36230|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36240|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36250|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36260|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36280|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36290|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36300|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36310|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36330|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36340|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36360|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36370|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36380|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36390|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36400|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36440|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36460|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36470|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36480|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36490|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36500|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36510|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36520|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36530|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36550|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36560|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36580|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36600|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36630|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36640|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36650|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36660|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36680|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36690|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36700|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36710|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36720|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36730|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36750|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36760|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36770|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36780|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36790|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36800|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36810|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36820|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36830|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36840|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36860|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36880|0|N
H2526|003|000|DEVOTED HEALTH PLAN OF OHIO INC|Devoted CHOICE EXTRA Ohio (PPO)|00025188|0.00|590| | |OH|36890|0|N
H2531|001|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan)|00025130|0.00|0| | |OH|36140|0|N
H2531|001|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan)|00025130|0.00|0| | |OH|36170|0|N
H2531|001|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan)|00025130|0.00|0| | |OH|36280|0|N
H2531|001|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan)|00025130|0.00|0| | |OH|36440|0|N
H2531|001|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan)|00025130|0.00|0| | |OH|36480|0|N
H2531|001|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan)|00025130|0.00|0| | |OH|36510|0|N
H2531|001|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan)|00025130|0.00|0| | |OH|36530|0|N
H2531|001|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan)|00025130|0.00|0| | |OH|36680|0|N
H2531|001|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan)|00025130|0.00|0| | |OH|36770|0|N
H2531|001|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan)|00025130|0.00|0| | |OH|36780|0|N
H2531|001|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan)|00025130|0.00|0| | |OH|36790|0|N
H2531|001|000|UNITEDHEALTHCARE COMMUNITY PLAN OF OHIO, INC.|UnitedHealthcare Connected for MyCareOhio (Medicare-Medicaid Plan)|00025130|0.00|0| | |OH|36860|0|N
H2533|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025290|0.00|0| | |SC|42000|0|N
H2533|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025290|0.00|0| | |SC|42010|0|N
H2533|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025290|0.00|0| | |SC|42020|0|N
H2533|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025290|0.00|0| | |SC|42030|0|N
H2533|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025290|0.00|0| | |SC|42040|0|N
H2533|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025290|0.00|0| | |SC|42050|0|N
H2533|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025290|0.00|0| | |SC|42060|0|N
H2533|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025290|0.00|0| | |SC|42070|0|N
H2533|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025290|0.00|0| | |SC|42080|0|N
H2533|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025290|0.00|0| | |SC|42090|0|N
H2533|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025290|0.00|0| | |SC|42100|0|N
H2533|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025290|0.00|0| | |SC|42110|0|N
H2533|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025290|0.00|0| | |SC|42120|0|N
H2533|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025290|0.00|0| | |SC|42130|0|N
H2533|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025290|0.00|0| | |SC|42140|0|N
H2533|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025290|0.00|0| | |SC|42150|0|N
H2533|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025290|0.00|0| | |SC|42160|0|N
H2533|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025290|0.00|0| | |SC|42170|0|N
H2533|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025290|0.00|0| | |SC|42180|0|N
H2533|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025290|0.00|0| | |SC|42190|0|N
H2533|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025290|0.00|0| | |SC|42200|0|N
H2533|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025290|0.00|0| | |SC|42210|0|N
H2533|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025290|0.00|0| | |SC|42220|0|N
H2533|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025290|0.00|0| | |SC|42230|0|N
H2533|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025290|0.00|0| | |SC|42240|0|N
H2533|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025290|0.00|0| | |SC|42250|0|N
H2533|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025290|0.00|0| | |SC|42260|0|N
H2533|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025290|0.00|0| | |SC|42270|0|N
H2533|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025290|0.00|0| | |SC|42280|0|N
H2533|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025290|0.00|0| | |SC|42290|0|N
H2533|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025290|0.00|0| | |SC|42300|0|N
H2533|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025290|0.00|0| | |SC|42310|0|N
H2533|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025290|0.00|0| | |SC|42320|0|N
H2533|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025290|0.00|0| | |SC|42330|0|N
H2533|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025290|0.00|0| | |SC|42340|0|N
H2533|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025290|0.00|0| | |SC|42350|0|N
H2533|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025290|0.00|0| | |SC|42360|0|N
H2533|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025290|0.00|0| | |SC|42370|0|N
H2533|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025290|0.00|0| | |SC|42380|0|N
H2533|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025290|0.00|0| | |SC|42390|0|N
H2533|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025290|0.00|0| | |SC|42400|0|N
H2533|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025290|0.00|0| | |SC|42410|0|N
H2533|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025290|0.00|0| | |SC|42420|0|N
H2533|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025290|0.00|0| | |SC|42430|0|N
H2533|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025290|0.00|0| | |SC|42440|0|N
H2533|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025290|0.00|0| | |SC|42450|0|N
H2563|005|001|SENTARA HEALTH PLANS|Sentara Medicare Prime (HMO)|00025518|18.70|130| | |VA|49000|0|N
H2563|005|001|SENTARA HEALTH PLANS|Sentara Medicare Prime (HMO)|00025518|18.70|130| | |VA|49194|0|N
H2563|005|001|SENTARA HEALTH PLANS|Sentara Medicare Prime (HMO)|00025518|18.70|130| | |VA|49328|0|N
H2563|005|001|SENTARA HEALTH PLANS|Sentara Medicare Prime (HMO)|00025518|18.70|130| | |VA|49460|0|N
H2563|005|001|SENTARA HEALTH PLANS|Sentara Medicare Prime (HMO)|00025518|18.70|130| | |VA|49641|0|N
H2563|005|001|SENTARA HEALTH PLANS|Sentara Medicare Prime (HMO)|00025518|18.70|130| | |VA|49650|0|N
H2563|005|001|SENTARA HEALTH PLANS|Sentara Medicare Prime (HMO)|00025518|18.70|130| | |VA|49711|0|N
H2563|005|001|SENTARA HEALTH PLANS|Sentara Medicare Prime (HMO)|00025518|18.70|130| | |VA|49892|0|N
H2563|005|001|SENTARA HEALTH PLANS|Sentara Medicare Prime (HMO)|00025518|18.70|130| | |VA|49900|0|N
H2563|005|001|SENTARA HEALTH PLANS|Sentara Medicare Prime (HMO)|00025518|18.70|130| | |VA|49910|0|N
H2563|005|001|SENTARA HEALTH PLANS|Sentara Medicare Prime (HMO)|00025518|18.70|130| | |VA|49921|0|N
H2563|005|002|SENTARA HEALTH PLANS|Sentara Medicare Prime (HMO)|00025518|18.70|130| | |VA|49180|0|N
H2563|005|002|SENTARA HEALTH PLANS|Sentara Medicare Prime (HMO)|00025518|18.70|130| | |VA|49360|0|N
H2563|005|002|SENTARA HEALTH PLANS|Sentara Medicare Prime (HMO)|00025518|18.70|130| | |VA|49411|0|N
H2563|005|002|SENTARA HEALTH PLANS|Sentara Medicare Prime (HMO)|00025518|18.70|130| | |VA|49470|0|N
H2563|005|002|SENTARA HEALTH PLANS|Sentara Medicare Prime (HMO)|00025518|18.70|130| | |VA|49570|0|N
H2563|005|002|SENTARA HEALTH PLANS|Sentara Medicare Prime (HMO)|00025518|18.70|130| | |VA|49622|0|N
H2563|005|002|SENTARA HEALTH PLANS|Sentara Medicare Prime (HMO)|00025518|18.70|130| | |VA|49712|0|N
H2563|005|002|SENTARA HEALTH PLANS|Sentara Medicare Prime (HMO)|00025518|18.70|130| | |VA|49961|0|N
H2563|005|002|SENTARA HEALTH PLANS|Sentara Medicare Prime (HMO)|00025518|18.70|130| | |VA|49981|0|N
H2563|008|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49011|0|N
H2563|008|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49060|0|N
H2563|008|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49210|0|N
H2563|008|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49230|0|N
H2563|008|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49288|0|N
H2563|008|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49290|0|N
H2563|008|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49291|0|N
H2563|008|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49300|0|N
H2563|008|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49340|0|N
H2563|008|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49530|0|N
H2563|008|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49563|0|N
H2563|008|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49565|0|N
H2563|008|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49690|0|N
H2563|008|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49750|0|N
H2563|008|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49780|0|N
H2563|008|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49850|0|N
H2563|008|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49930|0|N
H2563|008|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49962|0|N
H2563|009|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49010|0|N
H2563|009|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49030|0|N
H2563|009|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49040|0|N
H2563|009|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49050|0|N
H2563|009|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49120|0|N
H2563|009|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49140|0|N
H2563|009|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49150|0|N
H2563|009|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49160|0|N
H2563|009|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49190|0|N
H2563|009|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49191|0|N
H2563|009|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49200|0|N
H2563|009|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49212|0|N
H2563|009|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49240|0|N
H2563|009|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49241|0|N
H2563|009|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49260|0|N
H2563|009|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49270|0|N
H2563|009|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49280|0|N
H2563|009|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49320|0|N
H2563|009|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49370|0|N
H2563|009|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49400|0|N
H2563|009|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49410|0|N
H2563|009|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49420|0|N
H2563|009|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49430|0|N
H2563|009|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49451|0|N
H2563|009|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49480|0|N
H2563|009|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49490|0|N
H2563|009|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49500|0|N
H2563|009|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49510|0|N
H2563|009|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49540|0|N
H2563|009|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49550|0|N
H2563|009|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49551|0|N
H2563|009|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49580|0|N
H2563|009|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49590|0|N
H2563|009|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49620|0|N
H2563|009|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49621|0|N
H2563|009|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49660|0|N
H2563|009|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49670|0|N
H2563|009|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49701|0|N
H2563|009|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49710|0|N
H2563|009|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49720|0|N
H2563|009|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49730|0|N
H2563|009|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49740|0|N
H2563|009|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49790|0|N
H2563|009|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49791|0|N
H2563|009|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49870|0|N
H2563|009|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49890|0|N
H2563|009|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49960|0|N
H2563|016|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49020|0|N
H2563|016|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49070|0|N
H2563|016|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49080|0|N
H2563|016|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49090|0|N
H2563|016|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49100|0|N
H2563|016|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49110|0|N
H2563|016|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49111|0|N
H2563|016|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49130|0|N
H2563|016|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49141|0|N
H2563|016|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49170|0|N
H2563|016|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49213|0|N
H2563|016|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49220|0|N
H2563|016|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49250|0|N
H2563|016|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49310|0|N
H2563|016|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49330|0|N
H2563|016|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49343|0|N
H2563|016|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49350|0|N
H2563|016|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49380|0|N
H2563|016|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49390|0|N
H2563|016|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49421|0|N
H2563|016|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49440|0|N
H2563|016|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49450|0|N
H2563|016|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49520|0|N
H2563|016|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49522|0|N
H2563|016|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49560|0|N
H2563|016|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49561|0|N
H2563|016|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49600|0|N
H2563|016|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49661|0|N
H2563|016|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49680|0|N
H2563|016|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49700|0|N
H2563|016|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49770|0|N
H2563|016|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49771|0|N
H2563|016|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49800|0|N
H2563|016|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49801|0|N
H2563|016|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49810|0|N
H2563|016|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49820|0|N
H2563|016|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49830|0|N
H2563|016|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49838|0|N
H2563|016|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49840|0|N
H2563|016|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49860|0|N
H2563|016|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49891|0|N
H2563|016|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49920|0|N
H2563|016|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49950|0|N
H2563|016|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49951|0|N
H2563|016|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49970|0|N
H2563|016|000|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49980|0|N
H2563|017|001|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49000|0|N
H2563|017|001|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49194|0|N
H2563|017|001|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49328|0|N
H2563|017|001|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49460|0|N
H2563|017|001|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49641|0|N
H2563|017|001|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49650|0|N
H2563|017|001|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49711|0|N
H2563|017|001|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49892|0|N
H2563|017|001|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49900|0|N
H2563|017|001|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49910|0|N
H2563|017|001|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49921|0|N
H2563|017|002|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49180|0|N
H2563|017|002|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49360|0|N
H2563|017|002|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49411|0|N
H2563|017|002|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49470|0|N
H2563|017|002|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49570|0|N
H2563|017|002|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49622|0|N
H2563|017|002|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49712|0|N
H2563|017|002|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49961|0|N
H2563|017|002|SENTARA HEALTH PLANS|Sentara Medicare Value (HMO)|00025518|0.00|150| | |VA|49981|0|N
H2563|018|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49000|1|N
H2563|018|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49180|1|N
H2563|018|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49194|1|N
H2563|018|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49328|1|N
H2563|018|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49360|1|N
H2563|018|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49411|1|N
H2563|018|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49460|1|N
H2563|018|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49470|1|N
H2563|018|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49570|1|N
H2563|018|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49622|1|N
H2563|018|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49641|1|N
H2563|018|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49650|1|N
H2563|018|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49711|1|N
H2563|018|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49712|1|N
H2563|018|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49892|1|N
H2563|018|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49900|1|N
H2563|018|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49910|1|N
H2563|018|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49921|1|N
H2563|018|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49961|1|N
H2563|018|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49981|1|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49000|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49010|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49011|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49020|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49030|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49040|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49050|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49060|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49070|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49080|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49090|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49100|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49110|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49111|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49120|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49130|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49140|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49141|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49150|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49160|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49170|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49180|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49190|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49191|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49194|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49200|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49210|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49212|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49213|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49220|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49230|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49240|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49241|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49250|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49260|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49270|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49280|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49288|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49290|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49291|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49300|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49310|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49320|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49328|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49330|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49340|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49342|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49343|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49350|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49360|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49370|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49380|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49390|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49400|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49410|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49411|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49420|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49421|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49430|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49440|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49450|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49451|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49460|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49470|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49480|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49490|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49500|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49510|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49520|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49522|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49530|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49540|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49550|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49551|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49560|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49561|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49563|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49565|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49570|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49580|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49590|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49600|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49620|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49621|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49622|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49641|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49650|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49660|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49661|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49670|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49680|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49690|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49700|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49701|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49710|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49711|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49712|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49720|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49730|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49740|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49750|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49770|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49771|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49780|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49790|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49791|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49800|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49801|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49810|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49820|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49830|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49838|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49840|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49850|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49860|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49870|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49880|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49890|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49891|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49892|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49900|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49910|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49920|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49921|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49930|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49950|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49951|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49960|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49961|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49962|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49970|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49980|2|N
H2563|020|000|SENTARA HEALTH PLANS|Sentara Community Complete Select (HMO D-SNP)|00025518|0.00|590| | |VA|49981|2|N
H2563|022|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49011|1|N
H2563|022|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49060|1|N
H2563|022|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49210|1|N
H2563|022|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49230|1|N
H2563|022|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49288|1|N
H2563|022|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49290|1|N
H2563|022|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49291|1|N
H2563|022|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49300|1|N
H2563|022|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49340|1|N
H2563|022|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49530|1|N
H2563|022|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49563|1|N
H2563|022|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49565|1|N
H2563|022|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49690|1|N
H2563|022|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49750|1|N
H2563|022|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49780|1|N
H2563|022|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49850|1|N
H2563|022|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49930|1|N
H2563|022|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49962|1|N
H2563|023|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49010|1|N
H2563|023|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49030|1|N
H2563|023|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49040|1|N
H2563|023|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49050|1|N
H2563|023|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49120|1|N
H2563|023|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49140|1|N
H2563|023|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49150|1|N
H2563|023|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49160|1|N
H2563|023|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49190|1|N
H2563|023|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49191|1|N
H2563|023|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49200|1|N
H2563|023|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49212|1|N
H2563|023|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49240|1|N
H2563|023|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49241|1|N
H2563|023|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49260|1|N
H2563|023|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49270|1|N
H2563|023|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49280|1|N
H2563|023|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49320|1|N
H2563|023|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49370|1|N
H2563|023|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49400|1|N
H2563|023|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49410|1|N
H2563|023|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49420|1|N
H2563|023|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49430|1|N
H2563|023|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49451|1|N
H2563|023|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49480|1|N
H2563|023|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49490|1|N
H2563|023|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49500|1|N
H2563|023|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49510|1|N
H2563|023|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49540|1|N
H2563|023|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49550|1|N
H2563|023|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49551|1|N
H2563|023|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49580|1|N
H2563|023|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49590|1|N
H2563|023|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49620|1|N
H2563|023|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49621|1|N
H2563|023|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49660|1|N
H2563|023|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49670|1|N
H2563|023|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49701|1|N
H2563|023|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49710|1|N
H2563|023|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49720|1|N
H2563|023|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49730|1|N
H2563|023|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49740|1|N
H2563|023|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49790|1|N
H2563|023|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49791|1|N
H2563|023|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49870|1|N
H2563|023|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49890|1|N
H2563|023|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49960|1|N
H2563|024|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49020|1|N
H2563|024|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49070|1|N
H2563|024|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49080|1|N
H2563|024|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49090|1|N
H2563|024|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49110|1|N
H2563|024|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49141|1|N
H2563|024|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49213|1|N
H2563|024|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49220|1|N
H2563|024|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49330|1|N
H2563|024|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49350|1|N
H2563|024|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49390|1|N
H2563|024|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49421|1|N
H2563|024|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49440|1|N
H2563|024|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49450|1|N
H2563|024|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49522|1|N
H2563|024|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49560|1|N
H2563|024|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49561|1|N
H2563|024|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49600|1|N
H2563|024|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49680|1|N
H2563|024|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49770|1|N
H2563|024|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49771|1|N
H2563|024|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49800|1|N
H2563|024|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49801|1|N
H2563|024|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49810|1|N
H2563|024|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49820|1|N
H2563|024|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49838|1|N
H2563|024|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49891|1|N
H2563|024|000|SENTARA HEALTH PLANS|Sentara Medicare Engage-Diabetes and Heart (HMO C-SNP)|00025518|0.00|150| | |VA|49951|1|N
H2563|025|000|SENTARA HEALTH PLANS|Sentara Medicare Engage- Lung (HMO C-SNP)|00025518|0.00|150| | |VA|49000|1|N
H2563|025|000|SENTARA HEALTH PLANS|Sentara Medicare Engage- Lung (HMO C-SNP)|00025518|0.00|150| | |VA|49180|1|N
H2563|025|000|SENTARA HEALTH PLANS|Sentara Medicare Engage- Lung (HMO C-SNP)|00025518|0.00|150| | |VA|49194|1|N
H2563|025|000|SENTARA HEALTH PLANS|Sentara Medicare Engage- Lung (HMO C-SNP)|00025518|0.00|150| | |VA|49328|1|N
H2563|025|000|SENTARA HEALTH PLANS|Sentara Medicare Engage- Lung (HMO C-SNP)|00025518|0.00|150| | |VA|49360|1|N
H2563|025|000|SENTARA HEALTH PLANS|Sentara Medicare Engage- Lung (HMO C-SNP)|00025518|0.00|150| | |VA|49411|1|N
H2563|025|000|SENTARA HEALTH PLANS|Sentara Medicare Engage- Lung (HMO C-SNP)|00025518|0.00|150| | |VA|49460|1|N
H2563|025|000|SENTARA HEALTH PLANS|Sentara Medicare Engage- Lung (HMO C-SNP)|00025518|0.00|150| | |VA|49470|1|N
H2563|025|000|SENTARA HEALTH PLANS|Sentara Medicare Engage- Lung (HMO C-SNP)|00025518|0.00|150| | |VA|49570|1|N
H2563|025|000|SENTARA HEALTH PLANS|Sentara Medicare Engage- Lung (HMO C-SNP)|00025518|0.00|150| | |VA|49622|1|N
H2563|025|000|SENTARA HEALTH PLANS|Sentara Medicare Engage- Lung (HMO C-SNP)|00025518|0.00|150| | |VA|49641|1|N
H2563|025|000|SENTARA HEALTH PLANS|Sentara Medicare Engage- Lung (HMO C-SNP)|00025518|0.00|150| | |VA|49650|1|N
H2563|025|000|SENTARA HEALTH PLANS|Sentara Medicare Engage- Lung (HMO C-SNP)|00025518|0.00|150| | |VA|49711|1|N
H2563|025|000|SENTARA HEALTH PLANS|Sentara Medicare Engage- Lung (HMO C-SNP)|00025518|0.00|150| | |VA|49712|1|N
H2563|025|000|SENTARA HEALTH PLANS|Sentara Medicare Engage- Lung (HMO C-SNP)|00025518|0.00|150| | |VA|49892|1|N
H2563|025|000|SENTARA HEALTH PLANS|Sentara Medicare Engage- Lung (HMO C-SNP)|00025518|0.00|150| | |VA|49900|1|N
H2563|025|000|SENTARA HEALTH PLANS|Sentara Medicare Engage- Lung (HMO C-SNP)|00025518|0.00|150| | |VA|49910|1|N
H2563|025|000|SENTARA HEALTH PLANS|Sentara Medicare Engage- Lung (HMO C-SNP)|00025518|0.00|150| | |VA|49921|1|N
H2563|025|000|SENTARA HEALTH PLANS|Sentara Medicare Engage- Lung (HMO C-SNP)|00025518|0.00|150| | |VA|49961|1|N
H2563|025|000|SENTARA HEALTH PLANS|Sentara Medicare Engage- Lung (HMO C-SNP)|00025518|0.00|150| | |VA|49981|1|N
H2582|002|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Dual Complete CO-S003 (HMO D-SNP)|00025002|0.00|590| | |CO|06030|2|N
H2582|002|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Dual Complete CO-S003 (HMO D-SNP)|00025002|0.00|590| | |CO|06140|2|N
H2582|002|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Dual Complete CO-S003 (HMO D-SNP)|00025002|0.00|590| | |CO|06160|2|N
H2582|002|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Dual Complete CO-S003 (HMO D-SNP)|00025002|0.00|590| | |CO|06180|2|N
H2582|002|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Dual Complete CO-S003 (HMO D-SNP)|00025002|0.00|590| | |CO|06220|2|N
H2582|002|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Dual Complete CO-S003 (HMO D-SNP)|00025002|0.00|590| | |CO|06250|2|N
H2582|002|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Dual Complete CO-S003 (HMO D-SNP)|00025002|0.00|590| | |CO|06260|2|N
H2582|002|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Dual Complete CO-S003 (HMO D-SNP)|00025002|0.00|590| | |CO|06280|2|N
H2582|002|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Dual Complete CO-S003 (HMO D-SNP)|00025002|0.00|590| | |CO|06330|2|N
H2582|002|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Dual Complete CO-S003 (HMO D-SNP)|00025002|0.00|590| | |CO|06380|2|N
H2582|002|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Dual Complete CO-S003 (HMO D-SNP)|00025002|0.00|590| | |CO|06390|2|N
H2582|002|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Dual Complete CO-S003 (HMO D-SNP)|00025002|0.00|590| | |CO|06400|2|N
H2582|002|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Dual Complete CO-S003 (HMO D-SNP)|00025002|0.00|590| | |CO|06410|2|N
H2582|002|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Dual Complete CO-S003 (HMO D-SNP)|00025002|0.00|590| | |CO|06420|2|N
H2582|002|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Dual Complete CO-S003 (HMO D-SNP)|00025002|0.00|590| | |CO|06450|2|N
H2582|002|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Dual Complete CO-S003 (HMO D-SNP)|00025002|0.00|590| | |CO|06480|2|N
H2582|002|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Dual Complete CO-S003 (HMO D-SNP)|00025002|0.00|590| | |CO|06510|2|N
H2582|002|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Dual Complete CO-S003 (HMO D-SNP)|00025002|0.00|590| | |CO|06520|2|N
H2582|002|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Dual Complete CO-S003 (HMO D-SNP)|00025002|0.00|590| | |CO|06530|2|N
H2582|002|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Dual Complete CO-S003 (HMO D-SNP)|00025002|0.00|590| | |CO|06540|2|N
H2582|002|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Dual Complete CO-S003 (HMO D-SNP)|00025002|0.00|590| | |CO|06550|2|N
H2582|002|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Dual Complete CO-S003 (HMO D-SNP)|00025002|0.00|590| | |CO|06560|2|N
H2582|002|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Dual Complete CO-S003 (HMO D-SNP)|00025002|0.00|590| | |CO|06580|2|N
H2582|004|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Medicare Advantage CO-003P (HMO-POS)|00025002|0.00|420| | |CO|06140|0|N
H2582|004|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Medicare Advantage CO-003P (HMO-POS)|00025002|0.00|420| | |CO|06160|0|N
H2582|004|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Medicare Advantage CO-003P (HMO-POS)|00025002|0.00|420| | |CO|06220|0|N
H2582|004|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Medicare Advantage CO-003P (HMO-POS)|00025002|0.00|420| | |CO|06250|0|N
H2582|004|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Medicare Advantage CO-003P (HMO-POS)|00025002|0.00|420| | |CO|06260|0|N
H2582|004|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Medicare Advantage CO-003P (HMO-POS)|00025002|0.00|420| | |CO|06280|0|N
H2582|004|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Medicare Advantage CO-003P (HMO-POS)|00025002|0.00|420| | |CO|06330|0|N
H2582|004|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Medicare Advantage CO-003P (HMO-POS)|00025002|0.00|420| | |CO|06380|0|N
H2582|004|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Medicare Advantage CO-003P (HMO-POS)|00025002|0.00|420| | |CO|06390|0|N
H2582|004|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Medicare Advantage CO-003P (HMO-POS)|00025002|0.00|420| | |CO|06400|0|N
H2582|004|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Medicare Advantage CO-003P (HMO-POS)|00025002|0.00|420| | |CO|06410|0|N
H2582|004|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Medicare Advantage CO-003P (HMO-POS)|00025002|0.00|420| | |CO|06420|0|N
H2582|004|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Medicare Advantage CO-003P (HMO-POS)|00025002|0.00|420| | |CO|06450|0|N
H2582|004|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Medicare Advantage CO-003P (HMO-POS)|00025002|0.00|420| | |CO|06480|0|N
H2582|004|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Medicare Advantage CO-003P (HMO-POS)|00025002|0.00|420| | |CO|06510|0|N
H2582|004|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Medicare Advantage CO-003P (HMO-POS)|00025002|0.00|420| | |CO|06520|0|N
H2582|004|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Medicare Advantage CO-003P (HMO-POS)|00025002|0.00|420| | |CO|06530|0|N
H2582|004|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Medicare Advantage CO-003P (HMO-POS)|00025002|0.00|420| | |CO|06540|0|N
H2582|004|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Medicare Advantage CO-003P (HMO-POS)|00025002|0.00|420| | |CO|06550|0|N
H2582|004|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Medicare Advantage CO-003P (HMO-POS)|00025002|0.00|420| | |CO|06560|0|N
H2582|005|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Medicare Advantage CO-004P (HMO-POS)|00025002|36.00|420| | |CO|06140|0|N
H2582|005|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Medicare Advantage CO-004P (HMO-POS)|00025002|36.00|420| | |CO|06160|0|N
H2582|005|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Medicare Advantage CO-004P (HMO-POS)|00025002|36.00|420| | |CO|06220|0|N
H2582|005|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Medicare Advantage CO-004P (HMO-POS)|00025002|36.00|420| | |CO|06250|0|N
H2582|005|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Medicare Advantage CO-004P (HMO-POS)|00025002|36.00|420| | |CO|06260|0|N
H2582|005|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Medicare Advantage CO-004P (HMO-POS)|00025002|36.00|420| | |CO|06280|0|N
H2582|005|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Medicare Advantage CO-004P (HMO-POS)|00025002|36.00|420| | |CO|06330|0|N
H2582|005|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Medicare Advantage CO-004P (HMO-POS)|00025002|36.00|420| | |CO|06380|0|N
H2582|005|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Medicare Advantage CO-004P (HMO-POS)|00025002|36.00|420| | |CO|06390|0|N
H2582|005|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Medicare Advantage CO-004P (HMO-POS)|00025002|36.00|420| | |CO|06400|0|N
H2582|005|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Medicare Advantage CO-004P (HMO-POS)|00025002|36.00|420| | |CO|06410|0|N
H2582|005|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Medicare Advantage CO-004P (HMO-POS)|00025002|36.00|420| | |CO|06420|0|N
H2582|005|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Medicare Advantage CO-004P (HMO-POS)|00025002|36.00|420| | |CO|06450|0|N
H2582|005|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Medicare Advantage CO-004P (HMO-POS)|00025002|36.00|420| | |CO|06480|0|N
H2582|005|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Medicare Advantage CO-004P (HMO-POS)|00025002|36.00|420| | |CO|06510|0|N
H2582|005|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Medicare Advantage CO-004P (HMO-POS)|00025002|36.00|420| | |CO|06520|0|N
H2582|005|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Medicare Advantage CO-004P (HMO-POS)|00025002|36.00|420| | |CO|06530|0|N
H2582|005|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Medicare Advantage CO-004P (HMO-POS)|00025002|36.00|420| | |CO|06540|0|N
H2582|005|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Medicare Advantage CO-004P (HMO-POS)|00025002|36.00|420| | |CO|06550|0|N
H2582|005|000|ROCKY MOUNTAIN HEALTH MAINTENANCE ORGANIZATION INC|UHC Rocky Mountain Medicare Advantage CO-004P (HMO-POS)|00025002|36.00|420| | |CO|06560|0|N
H2593|001|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025064|0.00|0| | |AZ|03090|0|N
H2593|003|000|WELLPOINT TEXAS, INC.|Wellpoint I Carelon Home Care 2 (HMO I-SNP)|00025064|0.00|0| | |AZ|03060|3|N
H2593|003|000|WELLPOINT TEXAS, INC.|Wellpoint I Carelon Home Care 2 (HMO I-SNP)|00025064|0.00|0| | |AZ|03090|3|N
H2593|005|000|WELLPOINT TEXAS, INC.|Wellpoint Lung Care 2 (HMO-POS C-SNP)|00025064|0.00|0| | |AZ|03090|1|N
H2593|006|000|WELLPOINT TEXAS, INC.|Wellpoint Chronic Care 2 (HMO-POS C-SNP)|00025064|0.00|0| | |AZ|03090|1|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45040|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45060|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45070|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45080|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45090|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45100|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45130|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45140|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45201|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45222|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45223|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45270|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45280|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45291|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45292|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45310|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45312|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45320|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45340|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45362|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45390|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45400|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45410|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45421|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45480|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45521|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45530|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45550|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45551|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45562|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45564|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45580|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45581|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45582|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45590|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45600|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45610|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45631|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45640|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45652|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45662|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45670|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45680|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45690|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45700|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45720|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45731|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45751|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45752|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45753|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45755|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45757|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45770|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45771|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45785|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45790|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45792|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45796|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45800|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45801|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45804|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45820|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45840|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45841|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45843|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45870|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45873|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45879|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45884|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45886|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45905|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45910|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45913|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45920|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45940|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45947|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45949|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45950|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45954|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45970|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45971|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45973|0|N
H2593|029|000|WELLPOINT TEXAS, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025049|0.00|0| | |TX|45983|0|N
H2593|031|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|100| | |TX|45130|1|N
H2593|031|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|100| | |TX|45320|1|N
H2593|031|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|100| | |TX|45480|1|N
H2593|031|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|100| | |TX|45631|1|N
H2593|031|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|100| | |TX|45940|1|N
H2593|031|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|100| | |TX|45970|1|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45040|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45060|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45070|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45080|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45090|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45100|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45130|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45140|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45201|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45222|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45223|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45270|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45280|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45291|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45292|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45310|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45312|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45320|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45340|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45362|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45390|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45400|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45410|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45421|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45480|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45511|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45521|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45530|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45550|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45551|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45562|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45564|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45580|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45581|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45582|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45590|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45600|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45610|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45631|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45640|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45652|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45662|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45670|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45680|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45690|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45700|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45720|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45731|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45751|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45752|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45753|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45755|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45757|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45770|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45771|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45785|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45790|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45792|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45796|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45800|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45801|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45804|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45820|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45840|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45841|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45843|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45870|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45873|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45879|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45884|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45886|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45905|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45910|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45913|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45920|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45940|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45947|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45949|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45950|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45954|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45970|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45971|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45973|2|N
H2593|032|000|WELLPOINT TEXAS, INC.|Wellpoint Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45983|2|N
H2593|040|000|WELLPOINT TEXAS, INC.|Wellpoint I Carelon Kidney Care (HMO-POS C-SNP)|00025064|0.00|0| | |AZ|03090|1|N
H2593|043|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |TX|45040|1|N
H2593|043|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |TX|45070|1|N
H2593|043|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |TX|45080|1|N
H2593|043|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |TX|45201|1|N
H2593|043|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |TX|45270|1|N
H2593|043|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |TX|45280|1|N
H2593|043|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |TX|45291|1|N
H2593|043|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |TX|45292|1|N
H2593|043|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |TX|45310|1|N
H2593|043|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |TX|45312|1|N
H2593|043|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |TX|45340|1|N
H2593|043|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |TX|45362|1|N
H2593|043|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |TX|45390|1|N
H2593|043|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |TX|45400|1|N
H2593|043|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |TX|45410|1|N
H2593|043|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |TX|45421|1|N
H2593|043|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |TX|45521|1|N
H2593|043|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |TX|45530|1|N
H2593|043|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |TX|45550|1|N
H2593|043|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |TX|45551|1|N
H2593|043|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |TX|45564|1|N
H2593|043|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |TX|45580|1|N
H2593|043|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |TX|45582|1|N
H2593|043|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |TX|45600|1|N
H2593|043|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |TX|45610|1|N
H2593|043|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |TX|45640|1|N
H2593|043|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |TX|45652|1|N
H2593|043|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |TX|45670|1|N
H2593|043|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |TX|45680|1|N
H2593|043|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |TX|45690|1|N
H2593|043|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |TX|45700|1|N
H2593|043|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |TX|45720|1|N
H2593|043|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |TX|45751|1|N
H2593|043|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |TX|45757|1|N
H2593|043|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |TX|45770|1|N
H2593|043|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |TX|45771|1|N
H2593|043|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |TX|45790|1|N
H2593|043|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |TX|45800|1|N
H2593|043|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |TX|45801|1|N
H2593|043|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |TX|45804|1|N
H2593|043|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |TX|45820|1|N
H2593|043|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |TX|45840|1|N
H2593|043|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |TX|45841|1|N
H2593|043|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |TX|45843|1|N
H2593|043|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |TX|45870|1|N
H2593|043|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |TX|45879|1|N
H2593|043|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |TX|45884|1|N
H2593|043|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |TX|45905|1|N
H2593|043|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |TX|45910|1|N
H2593|043|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |TX|45913|1|N
H2593|043|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |TX|45920|1|N
H2593|043|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |TX|45947|1|N
H2593|043|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |TX|45949|1|N
H2593|043|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |TX|45950|1|N
H2593|043|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |TX|45954|1|N
H2593|043|000|WELLPOINT TEXAS, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |TX|45973|1|N
H2593|044|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45280|2|N
H2593|044|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45600|2|N
H2593|044|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45690|2|N
H2593|044|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45700|2|N
H2593|044|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45757|2|N
H2593|044|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45821|2|N
H2593|044|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45840|2|N
H2593|044|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45850|2|N
H2593|044|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45884|2|N
H2593|044|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45942|2|N
H2593|044|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45949|2|N
H2593|045|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45030|2|N
H2593|045|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45113|2|N
H2593|045|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45210|2|N
H2593|045|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45224|2|N
H2593|045|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45561|2|N
H2593|045|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45711|2|N
H2593|045|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45722|2|N
H2593|045|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45732|2|N
H2593|045|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45743|2|N
H2593|045|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45760|2|N
H2593|045|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45830|2|N
H2593|045|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45876|2|N
H2593|045|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45885|2|N
H2593|045|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45948|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45010|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45040|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45050|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45080|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45110|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45150|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45200|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45201|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45220|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45230|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45270|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45290|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45291|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45292|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45300|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45301|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45311|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45330|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45350|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45360|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45361|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45370|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45380|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45391|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45421|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45430|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45431|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45450|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45451|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45460|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45520|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45522|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45541|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45560|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45563|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45583|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45591|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45592|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45621|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45630|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45661|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45672|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45680|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45691|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45721|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45733|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45734|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45740|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45741|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45742|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45744|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45753|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45759|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45762|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45772|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45784|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45785|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45793|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45794|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45797|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45802|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45804|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45822|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45832|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45841|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45845|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45861|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45872|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45873|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45875|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45877|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45880|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45887|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45888|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45889|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45891|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45901|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45902|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45903|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45904|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45911|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45920|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45930|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45944|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45945|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45951|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45955|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45961|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45972|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45980|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45981|2|N
H2593|046|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45983|2|N
H2593|047|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45251|2|N
H2593|047|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45362|2|N
H2593|047|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45392|2|N
H2593|047|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45521|2|N
H2593|047|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45551|2|N
H2593|047|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45582|2|N
H2593|047|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45652|2|N
H2593|047|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45671|2|N
H2593|047|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45751|2|N
H2593|047|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45770|2|N
H2593|047|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45771|2|N
H2593|047|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45860|2|N
H2593|047|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45871|2|N
H2593|047|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45905|2|N
H2593|047|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |TX|45913|2|N
H2593|048|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45070|2|N
H2593|048|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45180|2|N
H2593|048|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45530|2|N
H2593|048|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45550|2|N
H2593|048|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45610|2|N
H2593|048|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45790|2|N
H2593|048|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45801|2|N
H2593|048|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45950|2|N
H2593|048|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45954|2|N
H2593|049|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45480|2|N
H2593|049|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45662|2|N
H2593|051|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45060|2|N
H2593|051|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45090|2|N
H2593|051|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45130|2|N
H2593|051|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45320|2|N
H2593|051|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45581|2|N
H2593|051|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45731|2|N
H2593|051|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45792|2|N
H2593|051|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45971|2|N
H2593|053|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45240|2|N
H2593|053|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45650|2|N
H2593|054|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45410|2|N
H2593|054|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45653|2|N
H2593|054|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45720|2|N
H2593|054|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45843|2|N
H2593|054|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45910|2|N
H2593|054|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45973|2|N
H2593|056|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45310|2|N
H2593|056|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45390|2|N
H2593|056|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45470|2|N
H2593|056|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45670|2|N
H2593|056|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45730|2|N
H2593|056|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45820|2|N
H2593|056|000|WELLPOINT TEXAS, INC.|Wellpoint Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |TX|45879|2|N
H2610|005|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025177|0.00|0| | |IL|14020|0|N
H2610|005|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025177|0.00|0| | |IL|14130|0|N
H2610|005|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025177|0.00|0| | |IL|14500|0|N
H2610|005|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025177|0.00|0| | |IL|14670|0|N
H2610|005|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025177|0.00|0| | |IL|14680|0|N
H2610|005|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025177|0.00|0| | |IL|14750|0|N
H2610|005|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025177|0.00|0| | |IL|14900|0|N
H2610|005|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025177|0.00|0| | |MO|26270|0|N
H2610|005|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025177|0.00|0| | |MO|26350|0|N
H2610|005|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025177|0.00|0| | |MO|26360|0|N
H2610|005|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025177|0.00|0| | |MO|26490|0|N
H2610|005|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025177|0.00|0| | |MO|26560|0|N
H2610|005|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025177|0.00|0| | |MO|26690|0|N
H2610|005|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025177|0.00|0| | |MO|26910|0|N
H2610|005|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025177|0.00|0| | |MO|26940|0|N
H2610|005|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025177|0.00|0| | |MO|26950|0|N
H2610|005|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025177|0.00|0| | |MO|26991|0|N
H2610|005|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025177|0.00|0| | |MO|26992|0|N
H2610|006|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Plus (HMO)|00025177|58.00|0| | |IL|14020|0|N
H2610|006|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Plus (HMO)|00025177|58.00|0| | |IL|14130|0|N
H2610|006|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Plus (HMO)|00025177|58.00|0| | |IL|14500|0|N
H2610|006|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Plus (HMO)|00025177|58.00|0| | |IL|14670|0|N
H2610|006|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Plus (HMO)|00025177|58.00|0| | |IL|14680|0|N
H2610|006|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Plus (HMO)|00025177|58.00|0| | |IL|14750|0|N
H2610|006|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Plus (HMO)|00025177|58.00|0| | |IL|14900|0|N
H2610|006|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Plus (HMO)|00025177|58.00|0| | |MO|26270|0|N
H2610|006|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Plus (HMO)|00025177|58.00|0| | |MO|26350|0|N
H2610|006|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Plus (HMO)|00025177|58.00|0| | |MO|26360|0|N
H2610|006|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Plus (HMO)|00025177|58.00|0| | |MO|26490|0|N
H2610|006|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Plus (HMO)|00025177|58.00|0| | |MO|26560|0|N
H2610|006|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Plus (HMO)|00025177|58.00|0| | |MO|26690|0|N
H2610|006|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Plus (HMO)|00025177|58.00|0| | |MO|26910|0|N
H2610|006|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Plus (HMO)|00025177|58.00|0| | |MO|26940|0|N
H2610|006|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Plus (HMO)|00025177|58.00|0| | |MO|26950|0|N
H2610|006|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Plus (HMO)|00025177|58.00|0| | |MO|26991|0|N
H2610|006|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Plus (HMO)|00025177|58.00|0| | |MO|26992|0|N
H2610|011|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025177|0.00|295| | |MO|26090|0|N
H2610|011|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025177|0.00|295| | |MO|26130|0|N
H2610|015|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025177|0.00|295| | |AR|04030|0|N
H2610|015|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025177|0.00|295| | |AR|04070|0|N
H2610|015|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025177|0.00|295| | |AR|04430|0|N
H2610|015|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025177|0.00|295| | |AR|04710|0|N
H2610|015|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025177|0.00|295| | |MO|26040|0|N
H2610|015|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025177|0.00|295| | |MO|26210|0|N
H2610|015|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025177|0.00|295| | |MO|26290|0|N
H2610|015|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025177|0.00|295| | |MO|26380|0|N
H2610|015|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025177|0.00|295| | |MO|26540|0|N
H2610|015|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025177|0.00|295| | |MO|26821|0|N
H2610|015|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025177|0.00|295| | |MO|26986|0|N
H2610|015|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025177|0.00|295| | |MO|26988|0|N
H2610|015|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025177|0.00|295| | |MO|26994|0|N
H2610|016|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Select (HMO)|00025177|0.00|295| | |IL|14020|0|N
H2610|016|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Select (HMO)|00025177|0.00|295| | |IL|14130|0|N
H2610|016|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Select (HMO)|00025177|0.00|295| | |IL|14500|0|N
H2610|016|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Select (HMO)|00025177|0.00|295| | |IL|14670|0|N
H2610|016|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Select (HMO)|00025177|0.00|295| | |IL|14680|0|N
H2610|016|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Select (HMO)|00025177|0.00|295| | |IL|14750|0|N
H2610|016|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Select (HMO)|00025177|0.00|295| | |IL|14900|0|N
H2610|016|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Select (HMO)|00025177|0.00|295| | |MO|26270|0|N
H2610|016|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Select (HMO)|00025177|0.00|295| | |MO|26350|0|N
H2610|016|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Select (HMO)|00025177|0.00|295| | |MO|26360|0|N
H2610|016|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Select (HMO)|00025177|0.00|295| | |MO|26490|0|N
H2610|016|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Select (HMO)|00025177|0.00|295| | |MO|26560|0|N
H2610|016|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Select (HMO)|00025177|0.00|295| | |MO|26690|0|N
H2610|016|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Select (HMO)|00025177|0.00|295| | |MO|26910|0|N
H2610|016|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Select (HMO)|00025177|0.00|295| | |MO|26940|0|N
H2610|016|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Select (HMO)|00025177|0.00|295| | |MO|26950|0|N
H2610|016|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Select (HMO)|00025177|0.00|295| | |MO|26991|0|N
H2610|016|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Select (HMO)|00025177|0.00|295| | |MO|26992|0|N
H2610|019|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025174|0.00|295| | |AR|04140|0|N
H2610|019|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025174|0.00|295| | |AR|04260|0|N
H2610|019|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025174|0.00|295| | |AR|04420|0|N
H2610|019|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025174|0.00|295| | |AR|04520|0|N
H2610|019|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025174|0.00|295| | |AR|04580|0|N
H2610|019|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025174|0.00|295| | |AR|04590|0|N
H2610|021|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025174|0.00|295| | |IN|15090|0|N
H2610|021|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025174|0.00|295| | |IN|15120|0|N
H2610|021|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025174|0.00|295| | |IN|15210|0|N
H2610|021|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025174|0.00|295| | |IN|15300|0|N
H2610|021|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025174|0.00|295| | |IN|15380|0|N
H2610|021|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025174|0.00|295| | |IN|15680|0|N
H2610|021|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025174|0.00|295| | |IN|15710|0|N
H2610|021|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025174|0.00|295| | |IN|15770|0|N
H2610|021|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025174|0.00|295| | |IN|15870|0|N
H2610|021|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025174|0.00|295| | |KY|18020|0|N
H2610|021|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025174|0.00|295| | |KY|18080|0|N
H2610|021|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025174|0.00|295| | |KY|18140|0|N
H2610|021|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025174|0.00|295| | |KY|18191|0|N
H2610|021|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025174|0.00|295| | |KY|18240|0|N
H2610|021|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025174|0.00|295| | |KY|18330|0|N
H2610|021|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025174|0.00|295| | |KY|18480|0|N
H2610|021|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025174|0.00|295| | |KY|18510|0|N
H2610|021|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025174|0.00|295| | |KY|18550|0|N
H2610|021|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025174|0.00|295| | |KY|18610|0|N
H2610|021|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025174|0.00|295| | |KY|18801|0|N
H2610|021|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025174|0.00|295| | |KY|18830|0|N
H2610|021|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025174|0.00|295| | |KY|18890|0|N
H2610|021|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025174|0.00|295| | |KY|18920|0|N
H2610|021|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025174|0.00|295| | |KY|18930|0|N
H2610|021|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025174|0.00|295| | |KY|18973|0|N
H2610|021|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025174|0.00|295| | |KY|18978|0|N
H2610|021|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025174|0.00|295| | |KY|18980|0|N
H2610|021|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025174|0.00|295| | |KY|18984|0|N
H2610|021|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025174|0.00|295| | |KY|18987|0|N
H2610|021|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025174|0.00|295| | |KY|18992|0|N
H2610|023|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025174|0.00|295| | |IN|15140|0|N
H2610|023|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025174|0.00|295| | |IN|15230|0|N
H2610|023|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025174|0.00|295| | |IN|15570|0|N
H2610|023|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025174|0.00|295| | |KY|18070|0|N
H2610|023|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025174|0.00|295| | |KY|18110|0|N
H2610|023|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025174|0.00|295| | |KY|18180|0|N
H2610|023|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025174|0.00|295| | |KY|18362|0|N
H2610|023|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025174|0.00|295| | |KY|18580|0|N
H2610|023|000|ESSENCE HEALTHCARE, INC.|Essence Advantage (HMO)|00025174|0.00|295| | |KY|18932|0|N
H2610|026|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Empower (HMO)|00025177|0.00|295| | |IL|14020|0|N
H2610|026|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Empower (HMO)|00025177|0.00|295| | |IL|14130|0|N
H2610|026|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Empower (HMO)|00025177|0.00|295| | |IL|14500|0|N
H2610|026|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Empower (HMO)|00025177|0.00|295| | |IL|14670|0|N
H2610|026|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Empower (HMO)|00025177|0.00|295| | |IL|14680|0|N
H2610|026|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Empower (HMO)|00025177|0.00|295| | |IL|14750|0|N
H2610|026|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Empower (HMO)|00025177|0.00|295| | |IL|14900|0|N
H2610|026|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Empower (HMO)|00025177|0.00|295| | |MO|26270|0|N
H2610|026|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Empower (HMO)|00025177|0.00|295| | |MO|26350|0|N
H2610|026|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Empower (HMO)|00025177|0.00|295| | |MO|26360|0|N
H2610|026|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Empower (HMO)|00025177|0.00|295| | |MO|26490|0|N
H2610|026|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Empower (HMO)|00025177|0.00|295| | |MO|26560|0|N
H2610|026|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Empower (HMO)|00025177|0.00|295| | |MO|26690|0|N
H2610|026|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Empower (HMO)|00025177|0.00|295| | |MO|26910|0|N
H2610|026|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Empower (HMO)|00025177|0.00|295| | |MO|26940|0|N
H2610|026|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Empower (HMO)|00025177|0.00|295| | |MO|26950|0|N
H2610|026|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Empower (HMO)|00025177|0.00|295| | |MO|26991|0|N
H2610|026|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Empower (HMO)|00025177|0.00|295| | |MO|26992|0|N
H2610|027|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Select (HMO)|00025177|0.00|0| | |IL|14141|0|N
H2610|027|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Select (HMO)|00025177|0.00|0| | |IL|14250|0|N
H2610|027|000|ESSENCE HEALTHCARE, INC.|Essence Advantage Select (HMO)|00025177|0.00|0| | |IL|14989|0|N
H2624|001|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP)|00025418|0.00|95| | |NC|34000|1|N
H2624|001|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP)|00025418|0.00|95| | |NC|34280|1|N
H2624|001|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP)|00025418|0.00|95| | |NC|34290|1|N
H2624|001|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP)|00025418|0.00|95| | |NC|34330|1|N
H2624|001|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP)|00025418|0.00|95| | |NC|34400|1|N
H2624|001|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP)|00025418|0.00|95| | |NC|34750|1|N
H2624|001|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Diabetes & Heart Care (HMO C-SNP)|00025418|0.00|95| | |NC|34780|1|N
H2624|004|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Cardinal Plan (HMO)|00025417|0.00|0| | |NC|34000|0|N
H2624|004|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Cardinal Plan (HMO)|00025417|0.00|0| | |NC|34280|0|N
H2624|004|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Cardinal Plan (HMO)|00025417|0.00|0| | |NC|34290|0|N
H2624|004|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Cardinal Plan (HMO)|00025417|0.00|0| | |NC|34330|0|N
H2624|004|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Cardinal Plan (HMO)|00025417|0.00|0| | |NC|34400|0|N
H2624|004|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Cardinal Plan (HMO)|00025417|0.00|0| | |NC|34750|0|N
H2624|004|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Cardinal Plan (HMO)|00025417|0.00|0| | |NC|34780|0|N
H2663|002|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice (HMO-POS)|00025101|28.00|590| | |IL|14020|0|N
H2663|002|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice (HMO-POS)|00025101|28.00|590| | |IL|14060|0|N
H2663|002|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice (HMO-POS)|00025101|28.00|590| | |IL|14130|0|N
H2663|002|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice (HMO-POS)|00025101|28.00|590| | |IL|14390|0|N
H2663|002|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice (HMO-POS)|00025101|28.00|590| | |IL|14500|0|N
H2663|002|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice (HMO-POS)|00025101|28.00|590| | |IL|14680|0|N
H2663|002|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice (HMO-POS)|00025101|28.00|590| | |IL|14750|0|N
H2663|002|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice (HMO-POS)|00025101|28.00|590| | |IL|14870|0|N
H2663|002|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice (HMO-POS)|00025101|28.00|590| | |IL|14900|0|N
H2663|002|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice (HMO-POS)|00025101|28.00|590| | |IL|14985|0|N
H2663|002|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice (HMO-POS)|00025101|28.00|590| | |MO|26030|0|N
H2663|002|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice (HMO-POS)|00025101|28.00|590| | |MO|26090|0|N
H2663|002|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice (HMO-POS)|00025101|28.00|590| | |MO|26130|0|N
H2663|002|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice (HMO-POS)|00025101|28.00|590| | |MO|26250|0|N
H2663|002|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice (HMO-POS)|00025101|28.00|590| | |MO|26260|0|N
H2663|002|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice (HMO-POS)|00025101|28.00|590| | |MO|26270|0|N
H2663|002|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice (HMO-POS)|00025101|28.00|590| | |MO|26350|0|N
H2663|002|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice (HMO-POS)|00025101|28.00|590| | |MO|26360|0|N
H2663|002|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice (HMO-POS)|00025101|28.00|590| | |MO|26440|0|N
H2663|002|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice (HMO-POS)|00025101|28.00|590| | |MO|26490|0|N
H2663|002|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice (HMO-POS)|00025101|28.00|590| | |MO|26510|0|N
H2663|002|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice (HMO-POS)|00025101|28.00|590| | |MO|26560|0|N
H2663|002|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice (HMO-POS)|00025101|28.00|590| | |MO|26620|0|N
H2663|002|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice (HMO-POS)|00025101|28.00|590| | |MO|26650|0|N
H2663|002|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice (HMO-POS)|00025101|28.00|590| | |MO|26670|0|N
H2663|002|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice (HMO-POS)|00025101|28.00|590| | |MO|26690|0|N
H2663|002|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice (HMO-POS)|00025101|28.00|590| | |MO|26750|0|N
H2663|002|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice (HMO-POS)|00025101|28.00|590| | |MO|26780|0|N
H2663|002|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice (HMO-POS)|00025101|28.00|590| | |MO|26810|0|N
H2663|002|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice (HMO-POS)|00025101|28.00|590| | |MO|26910|0|N
H2663|002|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice (HMO-POS)|00025101|28.00|590| | |MO|26930|0|N
H2663|002|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice (HMO-POS)|00025101|28.00|590| | |MO|26940|0|N
H2663|002|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice (HMO-POS)|00025101|28.00|590| | |MO|26950|0|N
H2663|002|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice (HMO-POS)|00025101|28.00|590| | |MO|26960|0|N
H2663|002|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice (HMO-POS)|00025101|28.00|590| | |MO|26984|0|N
H2663|002|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice (HMO-POS)|00025101|28.00|590| | |MO|26991|0|N
H2663|002|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice (HMO-POS)|00025101|28.00|590| | |MO|26992|0|N
H2663|005|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Gold Advantage (HMO-POS)|00025101|0.00|0| | |IL|14130|0|N
H2663|005|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Gold Advantage (HMO-POS)|00025101|0.00|0| | |IL|14390|0|N
H2663|005|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Gold Advantage (HMO-POS)|00025101|0.00|0| | |IL|14500|0|N
H2663|005|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Gold Advantage (HMO-POS)|00025101|0.00|0| | |IL|14680|0|N
H2663|005|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Gold Advantage (HMO-POS)|00025101|0.00|0| | |IL|14750|0|N
H2663|005|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Gold Advantage (HMO-POS)|00025101|0.00|0| | |IL|14900|0|N
H2663|005|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Gold Advantage (HMO-POS)|00025101|0.00|0| | |IL|14985|0|N
H2663|005|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Gold Advantage (HMO-POS)|00025101|0.00|0| | |MO|26130|0|N
H2663|005|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Gold Advantage (HMO-POS)|00025101|0.00|0| | |MO|26270|0|N
H2663|005|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Gold Advantage (HMO-POS)|00025101|0.00|0| | |MO|26350|0|N
H2663|005|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Gold Advantage (HMO-POS)|00025101|0.00|0| | |MO|26360|0|N
H2663|005|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Gold Advantage (HMO-POS)|00025101|0.00|0| | |MO|26490|0|N
H2663|005|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Gold Advantage (HMO-POS)|00025101|0.00|0| | |MO|26560|0|N
H2663|005|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Gold Advantage (HMO-POS)|00025101|0.00|0| | |MO|26910|0|N
H2663|005|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Gold Advantage (HMO-POS)|00025101|0.00|0| | |MO|26940|0|N
H2663|005|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Gold Advantage (HMO-POS)|00025101|0.00|0| | |MO|26950|0|N
H2663|005|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Gold Advantage (HMO-POS)|00025101|0.00|0| | |MO|26991|0|N
H2663|006|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice Plus (HMO-POS)|00025101|19.00|590| | |IL|14020|0|N
H2663|006|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice Plus (HMO-POS)|00025101|19.00|590| | |IL|14060|0|N
H2663|006|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice Plus (HMO-POS)|00025101|19.00|590| | |IL|14130|0|N
H2663|006|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice Plus (HMO-POS)|00025101|19.00|590| | |IL|14390|0|N
H2663|006|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice Plus (HMO-POS)|00025101|19.00|590| | |IL|14500|0|N
H2663|006|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice Plus (HMO-POS)|00025101|19.00|590| | |IL|14680|0|N
H2663|006|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice Plus (HMO-POS)|00025101|19.00|590| | |IL|14750|0|N
H2663|006|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice Plus (HMO-POS)|00025101|19.00|590| | |IL|14870|0|N
H2663|006|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice Plus (HMO-POS)|00025101|19.00|590| | |IL|14900|0|N
H2663|006|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice Plus (HMO-POS)|00025101|19.00|590| | |IL|14985|0|N
H2663|006|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice Plus (HMO-POS)|00025101|19.00|590| | |MO|26030|0|N
H2663|006|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice Plus (HMO-POS)|00025101|19.00|590| | |MO|26090|0|N
H2663|006|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice Plus (HMO-POS)|00025101|19.00|590| | |MO|26130|0|N
H2663|006|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice Plus (HMO-POS)|00025101|19.00|590| | |MO|26250|0|N
H2663|006|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice Plus (HMO-POS)|00025101|19.00|590| | |MO|26260|0|N
H2663|006|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice Plus (HMO-POS)|00025101|19.00|590| | |MO|26270|0|N
H2663|006|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice Plus (HMO-POS)|00025101|19.00|590| | |MO|26350|0|N
H2663|006|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice Plus (HMO-POS)|00025101|19.00|590| | |MO|26360|0|N
H2663|006|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice Plus (HMO-POS)|00025101|19.00|590| | |MO|26440|0|N
H2663|006|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice Plus (HMO-POS)|00025101|19.00|590| | |MO|26490|0|N
H2663|006|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice Plus (HMO-POS)|00025101|19.00|590| | |MO|26510|0|N
H2663|006|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice Plus (HMO-POS)|00025101|19.00|590| | |MO|26560|0|N
H2663|006|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice Plus (HMO-POS)|00025101|19.00|590| | |MO|26620|0|N
H2663|006|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice Plus (HMO-POS)|00025101|19.00|590| | |MO|26650|0|N
H2663|006|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice Plus (HMO-POS)|00025101|19.00|590| | |MO|26670|0|N
H2663|006|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice Plus (HMO-POS)|00025101|19.00|590| | |MO|26690|0|N
H2663|006|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice Plus (HMO-POS)|00025101|19.00|590| | |MO|26750|0|N
H2663|006|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice Plus (HMO-POS)|00025101|19.00|590| | |MO|26780|0|N
H2663|006|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice Plus (HMO-POS)|00025101|19.00|590| | |MO|26810|0|N
H2663|006|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice Plus (HMO-POS)|00025101|19.00|590| | |MO|26910|0|N
H2663|006|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice Plus (HMO-POS)|00025101|19.00|590| | |MO|26930|0|N
H2663|006|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice Plus (HMO-POS)|00025101|19.00|590| | |MO|26940|0|N
H2663|006|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice Plus (HMO-POS)|00025101|19.00|590| | |MO|26950|0|N
H2663|006|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice Plus (HMO-POS)|00025101|19.00|590| | |MO|26960|0|N
H2663|006|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice Plus (HMO-POS)|00025101|19.00|590| | |MO|26984|0|N
H2663|006|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice Plus (HMO-POS)|00025101|19.00|590| | |MO|26991|0|N
H2663|006|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Choice Plus (HMO-POS)|00025101|19.00|590| | |MO|26992|0|N
H2663|017|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |IL|14100|0|N
H2663|017|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |IL|14660|0|N
H2663|017|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |IL|14670|0|N
H2663|017|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |IL|14760|0|N
H2663|017|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |IL|14770|0|N
H2663|017|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |IL|14800|0|N
H2663|017|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |IL|14920|0|N
H2663|017|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |IL|14950|0|N
H2663|017|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |IL|14980|0|N
H2663|021|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|18.00|590| | |MO|26040|0|N
H2663|021|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|18.00|590| | |MO|26050|0|N
H2663|021|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|18.00|590| | |MO|26190|0|N
H2663|021|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|18.00|590| | |MO|26210|0|N
H2663|021|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|18.00|590| | |MO|26280|0|N
H2663|021|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|18.00|590| | |MO|26290|0|N
H2663|021|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|18.00|590| | |MO|26330|0|N
H2663|021|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|18.00|590| | |MO|26380|0|N
H2663|021|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|18.00|590| | |MO|26411|0|N
H2663|021|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|18.00|590| | |MO|26480|0|N
H2663|021|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|18.00|590| | |MO|26520|0|N
H2663|021|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|18.00|590| | |MO|26540|0|N
H2663|021|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|18.00|590| | |MO|26590|0|N
H2663|021|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|18.00|590| | |MO|26720|0|N
H2663|021|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|18.00|590| | |MO|26751|0|N
H2663|021|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|18.00|590| | |MO|26821|0|N
H2663|021|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|18.00|590| | |MO|26986|0|N
H2663|021|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|18.00|590| | |MO|26988|0|N
H2663|021|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|18.00|590| | |MO|26994|0|N
H2663|021|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|18.00|590| | |MO|26996|0|N
H2663|023|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Plus (HMO-POS)|00025101|0.00|250| | |MO|26040|0|N
H2663|023|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Plus (HMO-POS)|00025101|0.00|250| | |MO|26050|0|N
H2663|023|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Plus (HMO-POS)|00025101|0.00|250| | |MO|26190|0|N
H2663|023|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Plus (HMO-POS)|00025101|0.00|250| | |MO|26210|0|N
H2663|023|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Plus (HMO-POS)|00025101|0.00|250| | |MO|26280|0|N
H2663|023|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Plus (HMO-POS)|00025101|0.00|250| | |MO|26290|0|N
H2663|023|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Plus (HMO-POS)|00025101|0.00|250| | |MO|26330|0|N
H2663|023|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Plus (HMO-POS)|00025101|0.00|250| | |MO|26380|0|N
H2663|023|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Plus (HMO-POS)|00025101|0.00|250| | |MO|26411|0|N
H2663|023|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Plus (HMO-POS)|00025101|0.00|250| | |MO|26480|0|N
H2663|023|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Plus (HMO-POS)|00025101|0.00|250| | |MO|26520|0|N
H2663|023|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Plus (HMO-POS)|00025101|0.00|250| | |MO|26540|0|N
H2663|023|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Plus (HMO-POS)|00025101|0.00|250| | |MO|26590|0|N
H2663|023|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Plus (HMO-POS)|00025101|0.00|250| | |MO|26720|0|N
H2663|023|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Plus (HMO-POS)|00025101|0.00|250| | |MO|26751|0|N
H2663|023|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Plus (HMO-POS)|00025101|0.00|250| | |MO|26821|0|N
H2663|023|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Plus (HMO-POS)|00025101|0.00|250| | |MO|26986|0|N
H2663|023|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Plus (HMO-POS)|00025101|0.00|250| | |MO|26988|0|N
H2663|023|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Plus (HMO-POS)|00025101|0.00|250| | |MO|26994|0|N
H2663|023|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Plus (HMO-POS)|00025101|0.00|250| | |MO|26996|0|N
H2663|026|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |KS|17000|0|N
H2663|026|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |KS|17010|0|N
H2663|026|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |KS|17020|0|N
H2663|026|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |KS|17050|0|N
H2663|026|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |KS|17220|0|N
H2663|026|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |KS|17290|0|N
H2663|026|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |KS|17430|0|N
H2663|026|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |KS|17450|0|N
H2663|026|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |KS|17510|0|N
H2663|026|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |KS|17530|0|N
H2663|026|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |KS|17600|0|N
H2663|026|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |KS|17986|0|N
H2663|026|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MO|26060|0|N
H2663|026|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MO|26070|0|N
H2663|026|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MO|26120|0|N
H2663|026|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MO|26160|0|N
H2663|026|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MO|26180|0|N
H2663|026|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MO|26230|0|N
H2663|026|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MO|26240|0|N
H2663|026|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MO|26410|0|N
H2663|026|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MO|26470|0|N
H2663|026|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MO|26500|0|N
H2663|026|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MO|26530|0|N
H2663|026|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MO|26580|0|N
H2663|026|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MO|26790|0|N
H2663|026|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MO|26820|0|N
H2663|026|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MO|26880|0|N
H2663|026|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MO|26970|0|N
H2663|026|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MO|26990|0|N
H2663|028|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |KS|17030|0|N
H2663|028|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |KS|17070|0|N
H2663|028|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |KS|17080|0|N
H2663|028|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |KS|17090|0|N
H2663|028|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |KS|17170|0|N
H2663|028|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |KS|17240|0|N
H2663|028|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |KS|17360|0|N
H2663|028|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |KS|17380|0|N
H2663|028|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |KS|17390|0|N
H2663|028|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |KS|17470|0|N
H2663|028|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |KS|17570|0|N
H2663|028|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |KS|17860|0|N
H2663|028|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |KS|17950|0|N
H2663|028|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |KS|17985|0|N
H2663|029|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |AR|04030|0|N
H2663|029|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |AR|04070|0|N
H2663|029|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |AR|04160|0|N
H2663|029|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |AR|04230|0|N
H2663|029|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |AR|04350|0|N
H2663|029|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |AR|04410|0|N
H2663|029|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |AR|04430|0|N
H2663|029|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |AR|04500|0|N
H2663|029|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |AR|04630|0|N
H2663|029|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |AR|04640|0|N
H2663|029|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |AR|04650|0|N
H2663|029|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|0| | |AR|04710|0|N
H2663|034|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO)|00025101|0.00|250| | |OK|37080|0|N
H2663|034|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO)|00025101|0.00|250| | |OK|37410|0|N
H2663|034|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO)|00025101|0.00|250| | |OK|37540|0|N
H2663|038|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |KS|17130|0|N
H2663|038|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |KS|17150|0|N
H2663|038|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |KS|17300|0|N
H2663|038|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |KS|17420|0|N
H2663|038|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |KS|17430|0|N
H2663|038|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |KS|17550|0|N
H2663|038|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |KS|17580|0|N
H2663|038|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |KS|17630|0|N
H2663|038|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |KS|17650|0|N
H2663|038|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |KS|17690|0|N
H2663|038|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |KS|17740|0|N
H2663|038|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |KS|17800|0|N
H2663|038|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |KS|17880|0|N
H2663|038|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |KS|17980|0|N
H2663|038|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |KS|17982|0|N
H2663|039|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |AR|04090|0|N
H2663|039|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |AR|04110|0|N
H2663|039|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |AR|04250|0|N
H2663|039|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |AR|04290|0|N
H2663|039|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |AR|04480|0|N
H2663|039|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |AR|04520|0|N
H2663|039|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |AR|04590|0|N
H2663|039|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |AR|04620|0|N
H2663|040|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |KS|17140|0|N
H2663|040|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |KS|17200|0|N
H2663|040|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |KS|17440|0|N
H2663|040|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |KS|17520|0|N
H2663|040|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |KS|17560|0|N
H2663|040|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |KS|17610|0|N
H2663|040|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |KS|17700|0|N
H2663|040|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |KS|17710|0|N
H2663|040|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |KS|17780|0|N
H2663|040|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |KS|17840|0|N
H2663|041|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |MO|26000|0|N
H2663|041|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |MO|26030|0|N
H2663|041|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |MO|26080|0|N
H2663|041|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |MO|26090|0|N
H2663|041|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |MO|26110|0|N
H2663|041|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |MO|26140|0|N
H2663|041|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |MO|26150|0|N
H2663|041|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |MO|26170|0|N
H2663|041|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |MO|26200|0|N
H2663|041|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |MO|26220|0|N
H2663|041|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |MO|26250|0|N
H2663|041|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |MO|26260|0|N
H2663|041|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |MO|26320|0|N
H2663|041|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |MO|26440|0|N
H2663|041|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |MO|26450|0|N
H2663|041|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |MO|26460|0|N
H2663|041|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |MO|26510|0|N
H2663|041|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |MO|26541|0|N
H2663|041|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |MO|26570|0|N
H2663|041|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |MO|26600|0|N
H2663|041|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |MO|26601|0|N
H2663|041|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |MO|26620|0|N
H2663|041|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |MO|26630|0|N
H2663|041|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |MO|26650|0|N
H2663|041|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |MO|26660|0|N
H2663|041|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |MO|26670|0|N
H2663|041|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |MO|26680|0|N
H2663|041|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |MO|26690|0|N
H2663|041|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |MO|26700|0|N
H2663|041|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |MO|26710|0|N
H2663|041|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |MO|26740|0|N
H2663|041|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |MO|26750|0|N
H2663|041|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |MO|26770|0|N
H2663|041|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |MO|26780|0|N
H2663|041|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |MO|26800|0|N
H2663|041|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |MO|26810|0|N
H2663|041|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |MO|26840|0|N
H2663|041|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |MO|26850|0|N
H2663|041|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |MO|26860|0|N
H2663|041|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |MO|26870|0|N
H2663|041|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |MO|26881|0|N
H2663|041|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |MO|26900|0|N
H2663|041|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |MO|26930|0|N
H2663|041|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |MO|26960|0|N
H2663|041|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |MO|26980|0|N
H2663|041|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |MO|26981|0|N
H2663|041|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |MO|26982|0|N
H2663|041|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |MO|26983|0|N
H2663|041|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |MO|26984|0|N
H2663|041|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |MO|26985|0|N
H2663|041|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |MO|26987|0|N
H2663|041|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |MO|26989|0|N
H2663|041|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |MO|26992|0|N
H2663|041|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier Preferred (HMO-POS)|00025101|0.00|590| | |MO|26993|0|N
H2663|042|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |KS|17060|0|N
H2663|042|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |KS|17210|0|N
H2663|042|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |MO|26010|0|N
H2663|042|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |MO|26020|0|N
H2663|042|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |MO|26100|0|N
H2663|042|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |MO|26300|0|N
H2663|042|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |MO|26310|0|N
H2663|042|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |MO|26370|0|N
H2663|042|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |MO|26390|0|N
H2663|042|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |MO|26400|0|N
H2663|042|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |MO|26412|0|N
H2663|042|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |MO|26631|0|N
H2663|042|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |MO|26730|0|N
H2663|042|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |MO|26995|0|N
H2663|043|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |KS|17100|0|N
H2663|043|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |KS|17180|0|N
H2663|043|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |KS|17490|0|N
H2663|043|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |KS|17620|0|N
H2663|043|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |KS|17660|0|N
H2663|043|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |KS|17984|0|N
H2663|043|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |MO|26040|0|N
H2663|043|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |MO|26050|0|N
H2663|043|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |MO|26190|0|N
H2663|043|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |MO|26210|0|N
H2663|043|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |MO|26280|0|N
H2663|043|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |MO|26290|0|N
H2663|043|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |MO|26330|0|N
H2663|043|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |MO|26380|0|N
H2663|043|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |MO|26411|0|N
H2663|043|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |MO|26480|0|N
H2663|043|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |MO|26520|0|N
H2663|043|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |MO|26540|0|N
H2663|043|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |MO|26590|0|N
H2663|043|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |MO|26720|0|N
H2663|043|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |MO|26751|0|N
H2663|043|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |MO|26821|0|N
H2663|043|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |MO|26911|0|N
H2663|043|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |MO|26986|0|N
H2663|043|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |MO|26988|0|N
H2663|043|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |MO|26994|0|N
H2663|043|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |MO|26996|0|N
H2663|052|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|47.00|590| | |KS|17000|0|N
H2663|052|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|47.00|590| | |KS|17010|0|N
H2663|052|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|47.00|590| | |KS|17020|0|N
H2663|052|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|47.00|590| | |KS|17050|0|N
H2663|052|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|47.00|590| | |KS|17220|0|N
H2663|052|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|47.00|590| | |KS|17290|0|N
H2663|052|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|47.00|590| | |KS|17430|0|N
H2663|052|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|47.00|590| | |KS|17450|0|N
H2663|052|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|47.00|590| | |KS|17510|0|N
H2663|052|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|47.00|590| | |KS|17530|0|N
H2663|052|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|47.00|590| | |KS|17600|0|N
H2663|052|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|47.00|590| | |KS|17986|0|N
H2663|052|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|47.00|590| | |MO|26060|0|N
H2663|052|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|47.00|590| | |MO|26070|0|N
H2663|052|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|47.00|590| | |MO|26120|0|N
H2663|052|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|47.00|590| | |MO|26160|0|N
H2663|052|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|47.00|590| | |MO|26180|0|N
H2663|052|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|47.00|590| | |MO|26230|0|N
H2663|052|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|47.00|590| | |MO|26240|0|N
H2663|052|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|47.00|590| | |MO|26410|0|N
H2663|052|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|47.00|590| | |MO|26470|0|N
H2663|052|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|47.00|590| | |MO|26500|0|N
H2663|052|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|47.00|590| | |MO|26530|0|N
H2663|052|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|47.00|590| | |MO|26580|0|N
H2663|052|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|47.00|590| | |MO|26790|0|N
H2663|052|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|47.00|590| | |MO|26820|0|N
H2663|052|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|47.00|590| | |MO|26880|0|N
H2663|052|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|47.00|590| | |MO|26970|0|N
H2663|052|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|47.00|590| | |MO|26990|0|N
H2663|053|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.60|590| | |KS|17030|0|N
H2663|053|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.60|590| | |KS|17070|0|N
H2663|053|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.60|590| | |KS|17080|0|N
H2663|053|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.60|590| | |KS|17090|0|N
H2663|053|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.60|590| | |KS|17170|0|N
H2663|053|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.60|590| | |KS|17240|0|N
H2663|053|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.60|590| | |KS|17360|0|N
H2663|053|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.60|590| | |KS|17380|0|N
H2663|053|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.60|590| | |KS|17390|0|N
H2663|053|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.60|590| | |KS|17470|0|N
H2663|053|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.60|590| | |KS|17570|0|N
H2663|053|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.60|590| | |KS|17860|0|N
H2663|053|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.60|590| | |KS|17950|0|N
H2663|053|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.60|590| | |KS|17985|0|N
H2663|054|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|44.70|590| | |KS|17130|0|N
H2663|054|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|44.70|590| | |KS|17150|0|N
H2663|054|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|44.70|590| | |KS|17300|0|N
H2663|054|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|44.70|590| | |KS|17420|0|N
H2663|054|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|44.70|590| | |KS|17430|0|N
H2663|054|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|44.70|590| | |KS|17550|0|N
H2663|054|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|44.70|590| | |KS|17580|0|N
H2663|054|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|44.70|590| | |KS|17630|0|N
H2663|054|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|44.70|590| | |KS|17650|0|N
H2663|054|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|44.70|590| | |KS|17690|0|N
H2663|054|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|44.70|590| | |KS|17740|0|N
H2663|054|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|44.70|590| | |KS|17800|0|N
H2663|054|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|44.70|590| | |KS|17880|0|N
H2663|054|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|44.70|590| | |KS|17980|0|N
H2663|054|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|44.70|590| | |KS|17982|0|N
H2663|055|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.40|590| | |KS|17140|0|N
H2663|055|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.40|590| | |KS|17200|0|N
H2663|055|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.40|590| | |KS|17440|0|N
H2663|055|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.40|590| | |KS|17520|0|N
H2663|055|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.40|590| | |KS|17560|0|N
H2663|055|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.40|590| | |KS|17610|0|N
H2663|055|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.40|590| | |KS|17700|0|N
H2663|055|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.40|590| | |KS|17710|0|N
H2663|055|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.40|590| | |KS|17780|0|N
H2663|055|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.40|590| | |KS|17840|0|N
H2663|056|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.10|590| | |KS|17060|0|N
H2663|056|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.10|590| | |KS|17210|0|N
H2663|056|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.10|590| | |MO|26010|0|N
H2663|056|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.10|590| | |MO|26020|0|N
H2663|056|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.10|590| | |MO|26100|0|N
H2663|056|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.10|590| | |MO|26300|0|N
H2663|056|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.10|590| | |MO|26310|0|N
H2663|056|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.10|590| | |MO|26370|0|N
H2663|056|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.10|590| | |MO|26390|0|N
H2663|056|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.10|590| | |MO|26400|0|N
H2663|056|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.10|590| | |MO|26412|0|N
H2663|056|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.10|590| | |MO|26631|0|N
H2663|056|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.10|590| | |MO|26730|0|N
H2663|056|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.10|590| | |MO|26995|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26000|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26030|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26080|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26090|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26110|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26130|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26140|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26150|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26170|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26200|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26220|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26250|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26260|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26270|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26320|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26350|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26360|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26440|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26450|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26460|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26490|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26510|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26541|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26560|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26570|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26600|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26601|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26620|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26630|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26650|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26660|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26670|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26680|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26690|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26700|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26710|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26740|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26750|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26770|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26780|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26800|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26810|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26840|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26850|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26860|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26870|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26881|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26900|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26910|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26930|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26940|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26950|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26960|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26980|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26981|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26982|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26983|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26984|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26985|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26987|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26989|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26991|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26992|0|N
H2663|057|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Discover Value Plus (HMO-POS)|00025101|32.80|590| | |MO|26993|0|N
H2663|061|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Core (HMO-POS)|00025101|0.00|590| | |KS|17000|0|N
H2663|061|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Core (HMO-POS)|00025101|0.00|590| | |KS|17010|0|N
H2663|061|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Core (HMO-POS)|00025101|0.00|590| | |KS|17020|0|N
H2663|061|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Core (HMO-POS)|00025101|0.00|590| | |KS|17050|0|N
H2663|061|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Core (HMO-POS)|00025101|0.00|590| | |KS|17220|0|N
H2663|061|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Core (HMO-POS)|00025101|0.00|590| | |KS|17290|0|N
H2663|061|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Core (HMO-POS)|00025101|0.00|590| | |KS|17430|0|N
H2663|061|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Core (HMO-POS)|00025101|0.00|590| | |KS|17450|0|N
H2663|061|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Core (HMO-POS)|00025101|0.00|590| | |KS|17510|0|N
H2663|061|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Core (HMO-POS)|00025101|0.00|590| | |KS|17530|0|N
H2663|061|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Core (HMO-POS)|00025101|0.00|590| | |KS|17600|0|N
H2663|061|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Core (HMO-POS)|00025101|0.00|590| | |KS|17986|0|N
H2663|061|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Core (HMO-POS)|00025101|0.00|590| | |MO|26060|0|N
H2663|061|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Core (HMO-POS)|00025101|0.00|590| | |MO|26070|0|N
H2663|061|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Core (HMO-POS)|00025101|0.00|590| | |MO|26120|0|N
H2663|061|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Core (HMO-POS)|00025101|0.00|590| | |MO|26160|0|N
H2663|061|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Core (HMO-POS)|00025101|0.00|590| | |MO|26180|0|N
H2663|061|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Core (HMO-POS)|00025101|0.00|590| | |MO|26230|0|N
H2663|061|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Core (HMO-POS)|00025101|0.00|590| | |MO|26240|0|N
H2663|061|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Core (HMO-POS)|00025101|0.00|590| | |MO|26410|0|N
H2663|061|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Core (HMO-POS)|00025101|0.00|590| | |MO|26470|0|N
H2663|061|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Core (HMO-POS)|00025101|0.00|590| | |MO|26500|0|N
H2663|061|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Core (HMO-POS)|00025101|0.00|590| | |MO|26530|0|N
H2663|061|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Core (HMO-POS)|00025101|0.00|590| | |MO|26580|0|N
H2663|061|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Core (HMO-POS)|00025101|0.00|590| | |MO|26790|0|N
H2663|061|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Core (HMO-POS)|00025101|0.00|590| | |MO|26820|0|N
H2663|061|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Core (HMO-POS)|00025101|0.00|590| | |MO|26880|0|N
H2663|061|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Core (HMO-POS)|00025101|0.00|590| | |MO|26970|0|N
H2663|061|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Core (HMO-POS)|00025101|0.00|590| | |MO|26990|0|N
H2663|062|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Core (HMO-POS)|00025101|0.00|590| | |KS|17030|0|N
H2663|062|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Core (HMO-POS)|00025101|0.00|590| | |KS|17070|0|N
H2663|062|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Core (HMO-POS)|00025101|0.00|590| | |KS|17080|0|N
H2663|062|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Core (HMO-POS)|00025101|0.00|590| | |KS|17090|0|N
H2663|062|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Core (HMO-POS)|00025101|0.00|590| | |KS|17170|0|N
H2663|062|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Core (HMO-POS)|00025101|0.00|590| | |KS|17240|0|N
H2663|062|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Core (HMO-POS)|00025101|0.00|590| | |KS|17360|0|N
H2663|062|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Core (HMO-POS)|00025101|0.00|590| | |KS|17380|0|N
H2663|062|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Core (HMO-POS)|00025101|0.00|590| | |KS|17390|0|N
H2663|062|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Core (HMO-POS)|00025101|0.00|590| | |KS|17470|0|N
H2663|062|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Core (HMO-POS)|00025101|0.00|590| | |KS|17570|0|N
H2663|062|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Core (HMO-POS)|00025101|0.00|590| | |KS|17860|0|N
H2663|062|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Core (HMO-POS)|00025101|0.00|590| | |KS|17950|0|N
H2663|062|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Core (HMO-POS)|00025101|0.00|590| | |KS|17985|0|N
H2663|063|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |KS|17100|0|N
H2663|063|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |KS|17180|0|N
H2663|063|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |KS|17490|0|N
H2663|063|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |KS|17620|0|N
H2663|063|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |KS|17660|0|N
H2663|063|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |KS|17984|0|N
H2663|063|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |MO|26040|0|N
H2663|063|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |MO|26050|0|N
H2663|063|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |MO|26190|0|N
H2663|063|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |MO|26210|0|N
H2663|063|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |MO|26280|0|N
H2663|063|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |MO|26290|0|N
H2663|063|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |MO|26330|0|N
H2663|063|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |MO|26380|0|N
H2663|063|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |MO|26411|0|N
H2663|063|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |MO|26480|0|N
H2663|063|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |MO|26520|0|N
H2663|063|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |MO|26540|0|N
H2663|063|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |MO|26590|0|N
H2663|063|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |MO|26720|0|N
H2663|063|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |MO|26751|0|N
H2663|063|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |MO|26821|0|N
H2663|063|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |MO|26911|0|N
H2663|063|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |MO|26986|0|N
H2663|063|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |MO|26988|0|N
H2663|063|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |MO|26994|0|N
H2663|063|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |MO|26996|0|N
H2663|064|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.90|590| | |KS|17100|0|N
H2663|064|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.90|590| | |KS|17180|0|N
H2663|064|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.90|590| | |KS|17490|0|N
H2663|064|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.90|590| | |KS|17620|0|N
H2663|064|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.90|590| | |KS|17660|0|N
H2663|064|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.90|590| | |KS|17984|0|N
H2663|064|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.90|590| | |MO|26040|0|N
H2663|064|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.90|590| | |MO|26050|0|N
H2663|064|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.90|590| | |MO|26190|0|N
H2663|064|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.90|590| | |MO|26210|0|N
H2663|064|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.90|590| | |MO|26280|0|N
H2663|064|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.90|590| | |MO|26290|0|N
H2663|064|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.90|590| | |MO|26330|0|N
H2663|064|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.90|590| | |MO|26380|0|N
H2663|064|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.90|590| | |MO|26411|0|N
H2663|064|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.90|590| | |MO|26480|0|N
H2663|064|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.90|590| | |MO|26520|0|N
H2663|064|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.90|590| | |MO|26540|0|N
H2663|064|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.90|590| | |MO|26590|0|N
H2663|064|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.90|590| | |MO|26720|0|N
H2663|064|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.90|590| | |MO|26751|0|N
H2663|064|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.90|590| | |MO|26821|0|N
H2663|064|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.90|590| | |MO|26911|0|N
H2663|064|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.90|590| | |MO|26986|0|N
H2663|064|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.90|590| | |MO|26988|0|N
H2663|064|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.90|590| | |MO|26994|0|N
H2663|064|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Value Plus (HMO)|00025101|45.90|590| | |MO|26996|0|N
H2663|065|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare SmartSaver Elite (HMO)|00025101|0.00|590| | |KS|17000|0|N
H2663|065|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare SmartSaver Elite (HMO)|00025101|0.00|590| | |KS|17010|0|N
H2663|065|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare SmartSaver Elite (HMO)|00025101|0.00|590| | |KS|17020|0|N
H2663|065|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare SmartSaver Elite (HMO)|00025101|0.00|590| | |KS|17050|0|N
H2663|065|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare SmartSaver Elite (HMO)|00025101|0.00|590| | |KS|17220|0|N
H2663|065|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare SmartSaver Elite (HMO)|00025101|0.00|590| | |KS|17290|0|N
H2663|065|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare SmartSaver Elite (HMO)|00025101|0.00|590| | |KS|17430|0|N
H2663|065|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare SmartSaver Elite (HMO)|00025101|0.00|590| | |KS|17450|0|N
H2663|065|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare SmartSaver Elite (HMO)|00025101|0.00|590| | |KS|17510|0|N
H2663|065|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare SmartSaver Elite (HMO)|00025101|0.00|590| | |KS|17530|0|N
H2663|065|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare SmartSaver Elite (HMO)|00025101|0.00|590| | |KS|17600|0|N
H2663|065|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare SmartSaver Elite (HMO)|00025101|0.00|590| | |KS|17986|0|N
H2663|065|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare SmartSaver Elite (HMO)|00025101|0.00|590| | |MO|26060|0|N
H2663|065|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare SmartSaver Elite (HMO)|00025101|0.00|590| | |MO|26070|0|N
H2663|065|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare SmartSaver Elite (HMO)|00025101|0.00|590| | |MO|26120|0|N
H2663|065|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare SmartSaver Elite (HMO)|00025101|0.00|590| | |MO|26160|0|N
H2663|065|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare SmartSaver Elite (HMO)|00025101|0.00|590| | |MO|26180|0|N
H2663|065|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare SmartSaver Elite (HMO)|00025101|0.00|590| | |MO|26230|0|N
H2663|065|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare SmartSaver Elite (HMO)|00025101|0.00|590| | |MO|26240|0|N
H2663|065|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare SmartSaver Elite (HMO)|00025101|0.00|590| | |MO|26410|0|N
H2663|065|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare SmartSaver Elite (HMO)|00025101|0.00|590| | |MO|26470|0|N
H2663|065|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare SmartSaver Elite (HMO)|00025101|0.00|590| | |MO|26500|0|N
H2663|065|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare SmartSaver Elite (HMO)|00025101|0.00|590| | |MO|26530|0|N
H2663|065|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare SmartSaver Elite (HMO)|00025101|0.00|590| | |MO|26580|0|N
H2663|065|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare SmartSaver Elite (HMO)|00025101|0.00|590| | |MO|26790|0|N
H2663|065|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare SmartSaver Elite (HMO)|00025101|0.00|590| | |MO|26820|0|N
H2663|065|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare SmartSaver Elite (HMO)|00025101|0.00|590| | |MO|26880|0|N
H2663|065|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare SmartSaver Elite (HMO)|00025101|0.00|590| | |MO|26970|0|N
H2663|065|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare SmartSaver Elite (HMO)|00025101|0.00|590| | |MO|26990|0|N
H2663|067|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Signature (HMO)|00025101|0.00|590| | |AR|04220|0|N
H2663|067|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Signature (HMO)|00025101|0.00|590| | |AR|04250|0|N
H2663|067|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Signature (HMO)|00025101|0.00|590| | |AR|04590|0|N
H2663|067|000|COVENTRY HEALTH CARE OF MISSOURI, INC.|Aetna Medicare Signature (HMO)|00025101|0.00|590| | |AR|04620|0|N
H2686|004|001|DEVOTED HEALTH INSURANCE COMPANY OF HAWAII INC|Devoted CHOICE Hawaii (PPO)|00025185|0.00|395| | |HI|12020|0|N
H2686|004|003|DEVOTED HEALTH INSURANCE COMPANY OF HAWAII INC|Devoted CHOICE Hawaii (PPO)|00025185|0.00|395| | |HI|12040|0|N
H2686|005|001|DEVOTED HEALTH INSURANCE COMPANY OF HAWAII INC|Devoted CHOICE GIVEBACK Hawaii (PPO)|00025185|0.00|450| | |HI|12020|0|N
H2686|005|002|DEVOTED HEALTH INSURANCE COMPANY OF HAWAII INC|Devoted CHOICE GIVEBACK Hawaii (PPO)|00025185|0.00|450| | |HI|12040|0|N
H2686|006|001|DEVOTED HEALTH INSURANCE COMPANY OF HAWAII INC|Devoted CHOICE PLUS Hawaii (PPO)|00025185|0.00|590| | |HI|12020|0|N
H2686|006|002|DEVOTED HEALTH INSURANCE COMPANY OF HAWAII INC|Devoted CHOICE PLUS Hawaii (PPO)|00025185|0.00|590| | |HI|12040|0|N
H2686|008|000|DEVOTED HEALTH INSURANCE COMPANY OF HAWAII INC|Devoted CHOICE Hawaii (PPO)|00025188|0.00|590| | |HI|12010|0|N
H2686|008|000|DEVOTED HEALTH INSURANCE COMPANY OF HAWAII INC|Devoted CHOICE Hawaii (PPO)|00025188|0.00|590| | |HI|12050|0|N
H2686|009|000|DEVOTED HEALTH INSURANCE COMPANY OF HAWAII INC|Devoted CHOICE GIVEBACK Hawaii (PPO)|00025188|0.00|590| | |HI|12010|0|N
H2686|009|000|DEVOTED HEALTH INSURANCE COMPANY OF HAWAII INC|Devoted CHOICE GIVEBACK Hawaii (PPO)|00025188|0.00|590| | |HI|12050|0|N
H2686|010|000|DEVOTED HEALTH INSURANCE COMPANY OF HAWAII INC|Devoted CHOICE PLUS Hawaii (PPO)|00025188|0.00|590| | |HI|12010|0|N
H2686|010|000|DEVOTED HEALTH INSURANCE COMPANY OF HAWAII INC|Devoted CHOICE PLUS Hawaii (PPO)|00025188|0.00|590| | |HI|12050|0|N
H2694|001|000|ETERNALHEALTH, INC.|eternalHealth Freedom (PPO)|00025380|0.00|185| | |MA|22020|0|Y
H2694|001|000|ETERNALHEALTH, INC.|eternalHealth Freedom (PPO)|00025380|0.00|185| | |MA|22090|0|Y
H2694|001|000|ETERNALHEALTH, INC.|eternalHealth Freedom (PPO)|00025380|0.00|185| | |MA|22130|0|Y
H2694|001|000|ETERNALHEALTH, INC.|eternalHealth Freedom (PPO)|00025380|0.00|185| | |MA|22150|0|Y
H2694|001|000|ETERNALHEALTH, INC.|eternalHealth Freedom (PPO)|00025380|0.00|185| | |MA|22160|0|Y
H2694|001|000|ETERNALHEALTH, INC.|eternalHealth Freedom (PPO)|00025380|0.00|185| | |MA|22170|0|Y
H2694|002|000|ETERNALHEALTH, INC.|eternalHealth Give Back (PPO)|00025380|0.00|300| | |MA|22020|0|Y
H2694|002|000|ETERNALHEALTH, INC.|eternalHealth Give Back (PPO)|00025380|0.00|300| | |MA|22090|0|Y
H2694|002|000|ETERNALHEALTH, INC.|eternalHealth Give Back (PPO)|00025380|0.00|300| | |MA|22130|0|Y
H2694|002|000|ETERNALHEALTH, INC.|eternalHealth Give Back (PPO)|00025380|0.00|300| | |MA|22150|0|Y
H2694|002|000|ETERNALHEALTH, INC.|eternalHealth Give Back (PPO)|00025380|0.00|300| | |MA|22160|0|Y
H2694|002|000|ETERNALHEALTH, INC.|eternalHealth Give Back (PPO)|00025380|0.00|300| | |MA|22170|0|Y
H2697|001|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36020|0|N
H2697|001|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36090|0|N
H2697|001|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36140|0|N
H2697|001|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36160|0|N
H2697|001|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36170|0|N
H2697|001|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36200|0|N
H2697|001|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36220|0|N
H2697|001|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36260|0|N
H2697|001|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36280|0|N
H2697|001|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36330|0|N
H2697|001|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36340|0|N
H2697|001|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36360|0|N
H2697|001|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36390|0|N
H2697|001|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36400|0|N
H2697|001|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36440|0|N
H2697|001|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36480|0|N
H2697|001|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36490|0|N
H2697|001|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36510|0|N
H2697|001|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36530|0|N
H2697|001|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36630|0|N
H2697|001|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36640|0|N
H2697|001|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36680|0|N
H2697|001|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36700|0|N
H2697|001|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36710|0|N
H2697|001|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36730|0|N
H2697|001|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36750|0|N
H2697|001|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36770|0|N
H2697|001|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36780|0|N
H2697|001|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36790|0|N
H2697|001|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36800|0|N
H2697|001|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36860|0|N
H2697|001|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36880|0|N
H2697|001|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36890|0|N
H2697|002|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted PREMIUM Ohio (HMO)|00025185|0.00|590| | |OH|36020|0|N
H2697|002|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted PREMIUM Ohio (HMO)|00025185|0.00|590| | |OH|36090|0|N
H2697|002|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted PREMIUM Ohio (HMO)|00025185|0.00|590| | |OH|36140|0|N
H2697|002|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted PREMIUM Ohio (HMO)|00025185|0.00|590| | |OH|36160|0|N
H2697|002|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted PREMIUM Ohio (HMO)|00025185|0.00|590| | |OH|36170|0|N
H2697|002|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted PREMIUM Ohio (HMO)|00025185|0.00|590| | |OH|36200|0|N
H2697|002|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted PREMIUM Ohio (HMO)|00025185|0.00|590| | |OH|36220|0|N
H2697|002|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted PREMIUM Ohio (HMO)|00025185|0.00|590| | |OH|36260|0|N
H2697|002|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted PREMIUM Ohio (HMO)|00025185|0.00|590| | |OH|36280|0|N
H2697|002|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted PREMIUM Ohio (HMO)|00025185|0.00|590| | |OH|36330|0|N
H2697|002|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted PREMIUM Ohio (HMO)|00025185|0.00|590| | |OH|36340|0|N
H2697|002|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted PREMIUM Ohio (HMO)|00025185|0.00|590| | |OH|36360|0|N
H2697|002|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted PREMIUM Ohio (HMO)|00025185|0.00|590| | |OH|36390|0|N
H2697|002|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted PREMIUM Ohio (HMO)|00025185|0.00|590| | |OH|36400|0|N
H2697|002|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted PREMIUM Ohio (HMO)|00025185|0.00|590| | |OH|36440|0|N
H2697|002|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted PREMIUM Ohio (HMO)|00025185|0.00|590| | |OH|36480|0|N
H2697|002|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted PREMIUM Ohio (HMO)|00025185|0.00|590| | |OH|36490|0|N
H2697|002|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted PREMIUM Ohio (HMO)|00025185|0.00|590| | |OH|36510|0|N
H2697|002|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted PREMIUM Ohio (HMO)|00025185|0.00|590| | |OH|36530|0|N
H2697|002|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted PREMIUM Ohio (HMO)|00025185|0.00|590| | |OH|36630|0|N
H2697|002|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted PREMIUM Ohio (HMO)|00025185|0.00|590| | |OH|36640|0|N
H2697|002|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted PREMIUM Ohio (HMO)|00025185|0.00|590| | |OH|36680|0|N
H2697|002|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted PREMIUM Ohio (HMO)|00025185|0.00|590| | |OH|36700|0|N
H2697|002|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted PREMIUM Ohio (HMO)|00025185|0.00|590| | |OH|36710|0|N
H2697|002|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted PREMIUM Ohio (HMO)|00025185|0.00|590| | |OH|36730|0|N
H2697|002|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted PREMIUM Ohio (HMO)|00025185|0.00|590| | |OH|36750|0|N
H2697|002|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted PREMIUM Ohio (HMO)|00025185|0.00|590| | |OH|36770|0|N
H2697|002|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted PREMIUM Ohio (HMO)|00025185|0.00|590| | |OH|36780|0|N
H2697|002|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted PREMIUM Ohio (HMO)|00025185|0.00|590| | |OH|36790|0|N
H2697|002|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted PREMIUM Ohio (HMO)|00025185|0.00|590| | |OH|36800|0|N
H2697|002|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted PREMIUM Ohio (HMO)|00025185|0.00|590| | |OH|36860|0|N
H2697|002|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted PREMIUM Ohio (HMO)|00025185|0.00|590| | |OH|36880|0|N
H2697|002|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted PREMIUM Ohio (HMO)|00025185|0.00|590| | |OH|36890|0|N
H2697|003|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36020|0|N
H2697|003|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36090|0|N
H2697|003|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36140|0|N
H2697|003|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36160|0|N
H2697|003|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36170|0|N
H2697|003|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36200|0|N
H2697|003|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36220|0|N
H2697|003|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36260|0|N
H2697|003|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36280|0|N
H2697|003|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36330|0|N
H2697|003|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36340|0|N
H2697|003|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36360|0|N
H2697|003|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36390|0|N
H2697|003|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36400|0|N
H2697|003|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36440|0|N
H2697|003|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36480|0|N
H2697|003|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36490|0|N
H2697|003|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36510|0|N
H2697|003|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36530|0|N
H2697|003|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36630|0|N
H2697|003|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36640|0|N
H2697|003|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36680|0|N
H2697|003|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36700|0|N
H2697|003|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36710|0|N
H2697|003|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36730|0|N
H2697|003|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36750|0|N
H2697|003|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36770|0|N
H2697|003|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36780|0|N
H2697|003|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36790|0|N
H2697|003|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36800|0|N
H2697|003|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36860|0|N
H2697|003|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36880|0|N
H2697|003|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36890|0|N
H2697|004|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36010|0|N
H2697|004|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36050|0|N
H2697|004|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36070|0|N
H2697|004|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36080|0|N
H2697|004|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36100|0|N
H2697|004|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36110|0|N
H2697|004|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36120|0|N
H2697|004|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36130|0|N
H2697|004|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36190|0|N
H2697|004|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36290|0|N
H2697|004|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36310|0|N
H2697|004|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36550|0|N
H2697|004|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36560|0|N
H2697|004|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36580|0|N
H2697|004|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36690|0|N
H2697|004|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36760|0|N
H2697|004|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36820|0|N
H2697|004|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36840|0|N
H2697|006|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36010|0|N
H2697|006|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36050|0|N
H2697|006|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36070|0|N
H2697|006|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36080|0|N
H2697|006|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36100|0|N
H2697|006|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36110|0|N
H2697|006|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36120|0|N
H2697|006|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36130|0|N
H2697|006|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36190|0|N
H2697|006|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36290|0|N
H2697|006|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36310|0|N
H2697|006|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36550|0|N
H2697|006|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36560|0|N
H2697|006|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36580|0|N
H2697|006|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36690|0|N
H2697|006|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36760|0|N
H2697|006|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36820|0|N
H2697|006|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36840|0|N
H2697|007|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36000|0|N
H2697|007|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36150|0|N
H2697|007|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36210|0|N
H2697|007|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36230|0|N
H2697|007|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36240|0|N
H2697|007|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36250|0|N
H2697|007|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36300|0|N
H2697|007|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36370|0|N
H2697|007|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36380|0|N
H2697|007|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36460|0|N
H2697|007|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36470|0|N
H2697|007|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36500|0|N
H2697|007|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36520|0|N
H2697|007|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36600|0|N
H2697|007|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36650|0|N
H2697|007|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36660|0|N
H2697|007|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36720|0|N
H2697|007|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36810|0|N
H2697|007|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted CORE Ohio (HMO)|00025185|0.00|590| | |OH|36830|0|N
H2697|009|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36000|0|N
H2697|009|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36150|0|N
H2697|009|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36210|0|N
H2697|009|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36230|0|N
H2697|009|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36240|0|N
H2697|009|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36250|0|N
H2697|009|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36300|0|N
H2697|009|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36370|0|N
H2697|009|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36380|0|N
H2697|009|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36460|0|N
H2697|009|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36470|0|N
H2697|009|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36500|0|N
H2697|009|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36520|0|N
H2697|009|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36600|0|N
H2697|009|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36650|0|N
H2697|009|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36660|0|N
H2697|009|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36720|0|N
H2697|009|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36810|0|N
H2697|009|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted GIVEBACK Ohio (HMO)|00025185|0.00|590| | |OH|36830|0|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36000|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36010|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36020|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36050|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36070|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36080|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36090|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36100|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36110|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36120|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36130|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36140|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36150|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36160|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36170|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36190|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36200|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36210|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36220|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36230|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36240|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36250|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36260|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36280|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36290|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36300|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36310|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36330|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36340|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36360|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36370|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36380|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36390|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36400|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36440|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36460|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36470|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36480|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36490|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36500|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36510|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36520|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36530|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36550|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36560|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36580|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36600|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36630|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36640|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36650|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36660|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36680|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36690|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36700|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36710|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36720|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36730|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36750|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36760|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36770|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36780|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36790|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36800|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36810|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36820|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36830|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36840|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36860|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36880|2|N
H2697|010|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL PLUS Ohio (HMO D-SNP)|00025185|0.00|590| | |OH|36890|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36000|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36010|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36020|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36050|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36070|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36080|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36090|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36100|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36110|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36120|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36130|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36140|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36150|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36160|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36170|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36190|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36200|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36210|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36220|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36230|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36240|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36250|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36260|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36280|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36290|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36300|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36310|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36330|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36340|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36360|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36370|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36380|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36390|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36400|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36440|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36460|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36470|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36480|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36490|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36500|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36510|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36520|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36530|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36550|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36560|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36580|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36600|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36630|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36640|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36650|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36660|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36680|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36690|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36700|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36710|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36720|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36730|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36750|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36760|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36770|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36780|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36790|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36800|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36810|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36820|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36830|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36840|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36860|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36880|2|N
H2697|011|000|DEVOTED HEALTH PLAN OF OHIO, INC.|Devoted DUAL Ohio (HMO D-SNP)|00025185|24.00|590| | |OH|36890|2|N
H2715|002|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |TX|45170|2|N
H2715|002|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |TX|45821|2|N
H2715|002|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |TX|45882|2|N
H2715|003|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Choice Care (HMO)|00025349|0.00|125| | |IL|14000|0|N
H2715|003|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Choice Care (HMO)|00025349|0.00|125| | |IL|14020|0|N
H2715|003|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Choice Care (HMO)|00025349|0.00|125| | |IL|14030|0|N
H2715|003|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Choice Care (HMO)|00025349|0.00|125| | |IL|14040|0|N
H2715|003|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Choice Care (HMO)|00025349|0.00|125| | |IL|14050|0|N
H2715|003|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Choice Care (HMO)|00025349|0.00|125| | |IL|14060|0|N
H2715|003|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Choice Care (HMO)|00025349|0.00|125| | |IL|14070|0|N
H2715|003|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Choice Care (HMO)|00025349|0.00|125| | |IL|14080|0|N
H2715|003|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Choice Care (HMO)|00025349|0.00|125| | |IL|14130|0|N
H2715|003|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Choice Care (HMO)|00025349|0.00|125| | |IL|14141|0|N
H2715|003|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Choice Care (HMO)|00025349|0.00|125| | |IL|14180|0|N
H2715|003|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Choice Care (HMO)|00025349|0.00|125| | |IL|14190|0|N
H2715|003|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Choice Care (HMO)|00025349|0.00|125| | |IL|14250|0|N
H2715|003|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Choice Care (HMO)|00025349|0.00|125| | |IL|14340|0|N
H2715|003|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Choice Care (HMO)|00025349|0.00|125| | |IL|14350|0|N
H2715|003|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Choice Care (HMO)|00025349|0.00|125| | |IL|14390|0|N
H2715|003|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Choice Care (HMO)|00025349|0.00|125| | |IL|14420|0|N
H2715|003|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Choice Care (HMO)|00025349|0.00|125| | |IL|14460|0|N
H2715|003|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Choice Care (HMO)|00025349|0.00|125| | |IL|14530|0|N
H2715|003|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Choice Care (HMO)|00025349|0.00|125| | |IL|14550|0|N
H2715|003|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Choice Care (HMO)|00025349|0.00|125| | |IL|14600|0|N
H2715|003|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Choice Care (HMO)|00025349|0.00|125| | |IL|14610|0|N
H2715|003|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Choice Care (HMO)|00025349|0.00|125| | |IL|14620|0|N
H2715|003|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Choice Care (HMO)|00025349|0.00|125| | |IL|14630|0|N
H2715|003|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Choice Care (HMO)|00025349|0.00|125| | |IL|14650|0|N
H2715|003|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Choice Care (HMO)|00025349|0.00|125| | |IL|14670|0|N
H2715|003|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Choice Care (HMO)|00025349|0.00|125| | |IL|14680|0|N
H2715|003|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Choice Care (HMO)|00025349|0.00|125| | |IL|14700|0|N
H2715|003|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Choice Care (HMO)|00025349|0.00|125| | |IL|14730|0|N
H2715|003|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Choice Care (HMO)|00025349|0.00|125| | |IL|14750|0|N
H2715|003|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Choice Care (HMO)|00025349|0.00|125| | |IL|14760|0|N
H2715|003|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Choice Care (HMO)|00025349|0.00|125| | |IL|14780|0|N
H2715|003|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Choice Care (HMO)|00025349|0.00|125| | |IL|14790|0|N
H2715|003|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Choice Care (HMO)|00025349|0.00|125| | |IL|14820|0|N
H2715|003|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Choice Care (HMO)|00025349|0.00|125| | |IL|14830|0|N
H2715|003|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Choice Care (HMO)|00025349|0.00|125| | |IL|14860|0|N
H2715|003|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Choice Care (HMO)|00025349|0.00|125| | |IL|14900|0|N
H2715|003|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Choice Care (HMO)|00025349|0.00|125| | |IL|14921|0|N
H2715|003|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Choice Care (HMO)|00025349|0.00|125| | |IL|14940|0|N
H2715|003|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Choice Care (HMO)|00025349|0.00|125| | |IL|14950|0|N
H2715|003|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Choice Care (HMO)|00025349|0.00|125| | |IL|14960|0|N
H2715|003|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Choice Care (HMO)|00025349|0.00|125| | |IL|14970|0|N
H2715|003|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Choice Care (HMO)|00025349|0.00|125| | |IL|14985|0|N
H2715|003|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Choice Care (HMO)|00025349|0.00|125| | |IL|14989|0|N
H2715|003|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Choice Care (HMO)|00025349|0.00|125| | |IL|14991|0|N
H2715|003|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Choice Care (HMO)|00025349|0.00|125| | |IL|14992|0|N
H2715|005|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NE|28000|2|N
H2715|005|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NE|28010|2|N
H2715|005|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NE|28050|2|N
H2715|005|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NE|28090|2|N
H2715|005|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NE|28100|2|N
H2715|005|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NE|28110|2|N
H2715|005|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NE|28120|2|N
H2715|005|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NE|28130|2|N
H2715|005|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NE|28170|2|N
H2715|005|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NE|28180|2|N
H2715|005|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NE|28190|2|N
H2715|005|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NE|28200|2|N
H2715|005|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NE|28230|2|N
H2715|005|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NE|28250|2|N
H2715|005|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NE|28260|2|N
H2715|005|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NE|28270|2|N
H2715|005|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NE|28290|2|N
H2715|005|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NE|28300|2|N
H2715|005|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NE|28320|2|N
H2715|005|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NE|28330|2|N
H2715|005|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NE|28390|2|N
H2715|005|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NE|28400|2|N
H2715|005|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NE|28440|2|N
H2715|005|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NE|28460|2|N
H2715|005|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NE|28470|2|N
H2715|005|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NE|28480|2|N
H2715|005|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NE|28490|2|N
H2715|005|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NE|28500|2|N
H2715|005|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NE|28530|2|N
H2715|005|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NE|28540|2|N
H2715|005|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NE|28550|2|N
H2715|005|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NE|28590|2|N
H2715|005|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NE|28600|2|N
H2715|005|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NE|28620|2|N
H2715|005|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NE|28630|2|N
H2715|005|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NE|28640|2|N
H2715|005|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NE|28650|2|N
H2715|005|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NE|28660|2|N
H2715|005|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NE|28680|2|N
H2715|005|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NE|28690|2|N
H2715|005|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NE|28700|2|N
H2715|005|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NE|28710|2|N
H2715|005|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NE|28730|2|N
H2715|005|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NE|28750|2|N
H2715|005|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NE|28760|2|N
H2715|005|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NE|28770|2|N
H2715|005|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NE|28790|2|N
H2715|005|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NE|28810|2|N
H2715|005|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NE|28830|2|N
H2715|005|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NE|28840|2|N
H2715|005|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NE|28860|2|N
H2715|005|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NE|28870|2|N
H2715|005|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NE|28880|2|N
H2715|005|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NE|28890|2|N
H2715|005|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NE|28900|2|N
H2715|005|000|MOLINA HEALTHCARE OF ILLINOIS INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NE|28920|2|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04000|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04010|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04030|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04050|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04060|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04070|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04080|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04090|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04100|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04110|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04120|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04130|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04140|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04150|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04180|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04190|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04200|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04210|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04230|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04250|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04260|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04270|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04290|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04310|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04330|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04340|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04350|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04360|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04370|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04380|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04390|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04410|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04420|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04430|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04460|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04470|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04480|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04490|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04500|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04510|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04520|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04530|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04540|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04550|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04560|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04570|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04580|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04590|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04600|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04610|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04620|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04630|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04640|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04670|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04680|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04690|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04700|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04710|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04720|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04730|0|N
H2722|002|000|Primewell Health Services of Arkansas, Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |AR|04740|0|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04000|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04010|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04030|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04050|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04060|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04070|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04080|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04090|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04100|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04110|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04120|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04130|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04140|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04150|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04180|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04190|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04200|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04210|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04230|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04250|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04260|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04270|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04290|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04310|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04330|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04340|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04350|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04360|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04370|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04380|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04390|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04410|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04420|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04430|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04460|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04470|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04480|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04490|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04500|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04510|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04520|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04530|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04540|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04550|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04560|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04570|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04580|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04590|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04600|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04610|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04620|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04630|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04640|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04670|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04680|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04690|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04700|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04710|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04720|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04730|2|N
H2722|003|000|Primewell Health Services of Arkansas, Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|20.90|590| | |AR|04740|2|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04000|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04010|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04030|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04050|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04060|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04070|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04080|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04090|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04100|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04110|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04120|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04130|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04140|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04150|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04180|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04190|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04200|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04210|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04230|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04250|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04260|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04270|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04290|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04310|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04330|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04340|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04350|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04360|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04370|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04380|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04390|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04410|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04420|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04430|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04460|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04470|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04480|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04490|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04500|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04510|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04520|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04530|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04540|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04550|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04560|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04570|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04580|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04590|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04600|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04610|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04620|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04630|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04640|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04670|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04680|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04690|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04700|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04710|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04720|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04730|0|N
H2722|004|000|Primewell Health Services of Arkansas, Inc.|Primewell Reliance (HMO-POS)|00025328|20.90|0| | |AR|04740|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04000|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04010|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04030|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04050|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04060|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04070|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04080|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04090|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04100|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04110|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04120|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04130|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04140|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04150|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04180|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04190|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04200|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04210|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04230|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04250|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04260|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04270|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04290|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04310|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04330|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04340|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04350|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04360|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04370|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04380|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04390|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04410|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04420|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04430|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04460|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04470|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04480|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04490|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04500|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04510|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04520|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04530|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04540|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04550|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04560|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04570|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04580|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04590|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04600|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04610|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04620|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04630|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04640|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04670|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04680|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04690|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04700|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04710|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04720|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04730|0|N
H2722|005|000|Primewell Health Services of Arkansas, Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |AR|04740|0|N
H2737|001|000|HEALTH NEW ENGLAND, INC.|Health New England Medicare Compass (PPO)|00025345|0.00|490| | |MA|22010|0|N
H2737|001|000|HEALTH NEW ENGLAND, INC.|Health New England Medicare Compass (PPO)|00025345|0.00|490| | |MA|22060|0|N
H2737|001|000|HEALTH NEW ENGLAND, INC.|Health New England Medicare Compass (PPO)|00025345|0.00|490| | |MA|22070|0|N
H2737|001|000|HEALTH NEW ENGLAND, INC.|Health New England Medicare Compass (PPO)|00025345|0.00|490| | |MA|22080|0|N
H2752|003|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |CT|07000|2|N
H2752|003|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |CT|07010|2|N
H2752|003|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |CT|07020|2|N
H2752|003|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |CT|07030|2|N
H2752|003|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |CT|07040|2|N
H2752|003|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |CT|07050|2|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33000|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33010|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33020|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33030|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33040|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33050|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33060|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33070|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33080|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33090|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33200|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33210|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33220|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33230|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33240|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33260|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33270|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33280|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33290|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33300|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33310|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33320|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33330|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33331|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33340|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33350|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33360|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33370|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33380|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33400|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33420|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33500|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33510|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33520|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33530|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33540|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33550|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33560|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33570|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33580|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33590|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33600|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33610|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33620|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33630|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33640|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33650|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33660|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33670|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33680|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33690|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33700|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33710|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33720|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33730|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33740|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33750|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33760|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33770|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33800|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33900|0|N
H2775|105|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra Open (PPO)|00025084|0.00|420| | |NY|33910|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33000|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33010|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33020|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33030|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33040|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33050|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33060|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33070|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33080|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33090|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33200|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33210|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33220|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33230|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33240|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33260|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33270|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33280|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33290|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33300|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33310|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33320|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33330|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33331|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33340|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33350|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33360|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33370|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33380|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33400|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33420|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33500|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33510|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33520|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33530|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33540|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33550|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33560|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33570|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33580|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33590|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33600|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33610|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33620|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33630|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33640|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33650|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33660|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33670|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33680|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33690|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33700|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33710|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33720|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33730|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33740|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33750|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33760|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33770|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33800|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33900|0|N
H2775|106|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |NY|33910|0|N
H2775|109|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025076|0.00|420| | |ME|20000|0|N
H2775|109|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025076|0.00|420| | |ME|20010|0|N
H2775|109|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025076|0.00|420| | |ME|20020|0|N
H2775|109|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025076|0.00|420| | |ME|20030|0|N
H2775|109|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025076|0.00|420| | |ME|20040|0|N
H2775|109|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025076|0.00|420| | |ME|20050|0|N
H2775|109|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025076|0.00|420| | |ME|20060|0|N
H2775|109|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025076|0.00|420| | |ME|20070|0|N
H2775|109|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025076|0.00|420| | |ME|20080|0|N
H2775|109|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025076|0.00|420| | |ME|20090|0|N
H2775|109|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025076|0.00|420| | |ME|20100|0|N
H2775|109|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025076|0.00|420| | |ME|20110|0|N
H2775|109|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025076|0.00|420| | |ME|20120|0|N
H2775|109|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025076|0.00|420| | |ME|20130|0|N
H2775|109|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025076|0.00|420| | |ME|20140|0|N
H2775|109|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Simple Open (PPO)|00025076|0.00|420| | |ME|20150|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33000|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33010|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33020|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33030|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33040|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33050|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33060|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33070|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33080|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33090|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33200|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33210|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33220|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33230|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33240|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33260|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33270|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33280|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33290|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33300|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33310|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33320|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33330|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33331|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33340|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33350|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33360|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33370|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33380|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33400|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33420|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33500|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33510|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33520|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33530|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33540|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33550|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33560|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33570|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33580|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33590|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33600|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33610|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33620|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33630|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33640|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33650|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33660|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33670|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33680|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33690|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33700|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33710|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33720|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33730|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33740|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33750|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33760|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33770|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33800|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33900|0|N
H2775|111|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |NY|33910|0|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33000|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33010|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33020|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33030|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33040|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33050|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33060|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33070|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33080|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33090|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33200|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33210|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33220|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33230|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33240|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33260|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33270|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33280|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33290|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33300|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33310|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33320|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33330|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33331|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33340|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33360|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33370|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33380|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33400|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33420|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33500|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33510|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33520|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33530|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33540|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33560|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33570|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33580|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33590|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33600|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33610|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33620|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33630|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33640|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33650|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33660|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33670|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33680|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33690|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33700|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33710|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33720|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33730|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33740|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33750|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33760|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33770|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33800|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33900|2|N
H2775|112|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |NY|33910|2|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33000|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33010|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33020|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33030|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33040|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33050|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33060|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33070|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33080|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33090|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33200|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33210|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33220|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33230|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33240|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33260|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33270|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33280|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33290|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33300|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33310|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33320|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33330|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33331|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33340|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33350|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33360|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33370|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33380|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33400|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33420|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33500|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33510|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33520|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33530|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33540|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33550|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33560|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33570|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33580|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33590|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33600|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33610|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33620|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33630|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33640|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33650|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33660|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33670|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33680|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33690|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33700|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33710|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33720|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33730|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33740|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33750|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33760|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33770|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33800|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33900|0|N
H2775|113|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Assist Open (PPO)|00025066|28.30|580| | |NY|33910|0|N
H2775|115|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025035|0.00|590| | |ME|20000|2|N
H2775|115|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025035|0.00|590| | |ME|20010|2|N
H2775|115|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025035|0.00|590| | |ME|20020|2|N
H2775|115|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025035|0.00|590| | |ME|20030|2|N
H2775|115|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025035|0.00|590| | |ME|20040|2|N
H2775|115|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025035|0.00|590| | |ME|20050|2|N
H2775|115|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025035|0.00|590| | |ME|20060|2|N
H2775|115|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025035|0.00|590| | |ME|20070|2|N
H2775|115|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025035|0.00|590| | |ME|20080|2|N
H2775|115|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025035|0.00|590| | |ME|20090|2|N
H2775|115|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025035|0.00|590| | |ME|20100|2|N
H2775|115|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025035|0.00|590| | |ME|20110|2|N
H2775|115|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025035|0.00|590| | |ME|20120|2|N
H2775|115|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025035|0.00|590| | |ME|20130|2|N
H2775|115|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025035|0.00|590| | |ME|20140|2|N
H2775|115|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Dual Access Open (PPO D-SNP)|00025035|0.00|590| | |ME|20150|2|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |IA|16140|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |IA|16350|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |IA|16420|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |IA|16640|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |IA|16680|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |IA|16720|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |IA|16770|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |IA|16820|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |NE|28000|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |NE|28010|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |NE|28050|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |NE|28070|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |NE|28090|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |NE|28100|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |NE|28110|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |NE|28120|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |NE|28170|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |NE|28180|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |NE|28190|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |NE|28200|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |NE|28260|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |NE|28270|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |NE|28290|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |NE|28300|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |NE|28330|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |NE|28350|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |NE|28380|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |NE|28390|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |NE|28400|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |NE|28440|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |NE|28460|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |NE|28470|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |NE|28480|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |NE|28490|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |NE|28540|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |NE|28590|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |NE|28600|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |NE|28620|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |NE|28630|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |NE|28640|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |NE|28650|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |NE|28660|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |NE|28690|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |NE|28700|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |NE|28710|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |NE|28730|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |NE|28750|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |NE|28760|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |NE|28770|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |NE|28790|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |NE|28810|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |NE|28830|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |NE|28840|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |NE|28860|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |NE|28870|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |NE|28880|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |NE|28890|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |NE|28900|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |NE|28910|0|N
H2802|001|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC NE-3 (HMO-POS)|00025002|0.00|340| | |NE|28920|0|N
H2802|007|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-10 (HMO-POS)|00025002|0.00|340| | |IN|15010|0|N
H2802|007|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-10 (HMO-POS)|00025002|0.00|340| | |IN|15160|0|N
H2802|007|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-10 (HMO-POS)|00025002|0.00|340| | |IN|15340|0|N
H2802|007|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-10 (HMO-POS)|00025002|0.00|340| | |IN|15430|0|N
H2802|007|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-10 (HMO-POS)|00025002|0.00|340| | |IN|15560|0|N
H2802|007|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-10 (HMO-POS)|00025002|0.00|340| | |IN|15840|0|N
H2802|007|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-10 (HMO-POS)|00025002|0.00|340| | |IN|15910|0|N
H2802|008|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-11 (HMO-POS)|00025002|0.00|340| | |IN|15000|0|N
H2802|008|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-11 (HMO-POS)|00025002|0.00|340| | |IN|15080|0|N
H2802|008|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-11 (HMO-POS)|00025002|0.00|340| | |IN|15190|0|N
H2802|008|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-11 (HMO-POS)|00025002|0.00|340| | |IN|15240|0|N
H2802|008|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-11 (HMO-POS)|00025002|0.00|340| | |IN|15260|0|N
H2802|008|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-11 (HMO-POS)|00025002|0.00|340| | |IN|15420|0|N
H2802|008|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-11 (HMO-POS)|00025002|0.00|340| | |IN|15490|0|N
H2802|008|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-11 (HMO-POS)|00025002|0.00|340| | |IN|15510|0|N
H2802|008|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-11 (HMO-POS)|00025002|0.00|340| | |IN|15700|0|N
H2802|008|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-11 (HMO-POS)|00025002|0.00|340| | |IN|15750|0|N
H2802|008|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-11 (HMO-POS)|00025002|0.00|340| | |IN|15890|0|N
H2802|010|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-12 (HMO-POS)|00025002|0.00|340| | |IN|15020|0|N
H2802|010|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-12 (HMO-POS)|00025002|0.00|340| | |IN|15030|0|N
H2802|010|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-12 (HMO-POS)|00025002|0.00|340| | |IN|15040|0|N
H2802|010|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-12 (HMO-POS)|00025002|0.00|340| | |IN|15050|0|N
H2802|010|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-12 (HMO-POS)|00025002|0.00|340| | |IN|15060|0|N
H2802|010|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-12 (HMO-POS)|00025002|0.00|340| | |IN|15070|0|N
H2802|010|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-12 (HMO-POS)|00025002|0.00|340| | |IN|15100|0|N
H2802|010|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-12 (HMO-POS)|00025002|0.00|340| | |IN|15110|0|N
H2802|010|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-12 (HMO-POS)|00025002|0.00|340| | |IN|15150|0|N
H2802|010|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-12 (HMO-POS)|00025002|0.00|340| | |IN|15170|0|N
H2802|010|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-12 (HMO-POS)|00025002|0.00|340| | |IN|15200|0|N
H2802|010|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-12 (HMO-POS)|00025002|0.00|340| | |IN|15220|0|N
H2802|010|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-12 (HMO-POS)|00025002|0.00|340| | |IN|15270|0|N
H2802|010|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-12 (HMO-POS)|00025002|0.00|340| | |IN|15280|0|N
H2802|010|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-12 (HMO-POS)|00025002|0.00|340| | |IN|15290|0|N
H2802|010|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-12 (HMO-POS)|00025002|0.00|340| | |IN|15310|0|N
H2802|010|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-12 (HMO-POS)|00025002|0.00|340| | |IN|15320|0|N
H2802|010|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-12 (HMO-POS)|00025002|0.00|340| | |IN|15330|0|N
H2802|010|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-12 (HMO-POS)|00025002|0.00|340| | |IN|15370|0|N
H2802|010|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-12 (HMO-POS)|00025002|0.00|340| | |IN|15400|0|N
H2802|010|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-12 (HMO-POS)|00025002|0.00|340| | |IN|15460|0|N
H2802|010|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-12 (HMO-POS)|00025002|0.00|340| | |IN|15470|0|N
H2802|010|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-12 (HMO-POS)|00025002|0.00|340| | |IN|15480|0|N
H2802|010|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-12 (HMO-POS)|00025002|0.00|340| | |IN|15520|0|N
H2802|010|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-12 (HMO-POS)|00025002|0.00|340| | |IN|15530|0|N
H2802|010|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-12 (HMO-POS)|00025002|0.00|340| | |IN|15540|0|N
H2802|010|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-12 (HMO-POS)|00025002|0.00|340| | |IN|15580|0|N
H2802|010|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-12 (HMO-POS)|00025002|0.00|340| | |IN|15590|0|N
H2802|010|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-12 (HMO-POS)|00025002|0.00|340| | |IN|15600|0|N
H2802|010|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-12 (HMO-POS)|00025002|0.00|340| | |IN|15660|0|N
H2802|010|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-12 (HMO-POS)|00025002|0.00|340| | |IN|15670|0|N
H2802|010|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-12 (HMO-POS)|00025002|0.00|340| | |IN|15690|0|N
H2802|010|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-12 (HMO-POS)|00025002|0.00|340| | |IN|15720|0|N
H2802|010|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-12 (HMO-POS)|00025002|0.00|340| | |IN|15760|0|N
H2802|010|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-12 (HMO-POS)|00025002|0.00|340| | |IN|15780|0|N
H2802|010|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-12 (HMO-POS)|00025002|0.00|340| | |IN|15790|0|N
H2802|010|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-12 (HMO-POS)|00025002|0.00|340| | |IN|15800|0|N
H2802|010|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-12 (HMO-POS)|00025002|0.00|340| | |IN|15820|0|N
H2802|010|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-12 (HMO-POS)|00025002|0.00|340| | |IN|15830|0|N
H2802|010|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-12 (HMO-POS)|00025002|0.00|340| | |IN|15850|0|N
H2802|010|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-12 (HMO-POS)|00025002|0.00|340| | |IN|15880|0|N
H2802|010|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-12 (HMO-POS)|00025002|0.00|340| | |IN|15900|0|N
H2802|012|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-13 (HMO-POS)|00025002|0.00|340| | |IN|15090|0|N
H2802|012|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-13 (HMO-POS)|00025002|0.00|340| | |IN|15120|0|N
H2802|012|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-13 (HMO-POS)|00025002|0.00|340| | |IN|15130|0|N
H2802|012|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-13 (HMO-POS)|00025002|0.00|340| | |IN|15140|0|N
H2802|012|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-13 (HMO-POS)|00025002|0.00|340| | |IN|15180|0|N
H2802|012|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-13 (HMO-POS)|00025002|0.00|340| | |IN|15210|0|N
H2802|012|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-13 (HMO-POS)|00025002|0.00|340| | |IN|15230|0|N
H2802|012|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-13 (HMO-POS)|00025002|0.00|340| | |IN|15250|0|N
H2802|012|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-13 (HMO-POS)|00025002|0.00|340| | |IN|15300|0|N
H2802|012|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-13 (HMO-POS)|00025002|0.00|340| | |IN|15350|0|N
H2802|012|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-13 (HMO-POS)|00025002|0.00|340| | |IN|15380|0|N
H2802|012|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-13 (HMO-POS)|00025002|0.00|340| | |IN|15390|0|N
H2802|012|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-13 (HMO-POS)|00025002|0.00|340| | |IN|15410|0|N
H2802|012|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-13 (HMO-POS)|00025002|0.00|340| | |IN|15500|0|N
H2802|012|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-13 (HMO-POS)|00025002|0.00|340| | |IN|15570|0|N
H2802|012|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-13 (HMO-POS)|00025002|0.00|340| | |IN|15610|0|N
H2802|012|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-13 (HMO-POS)|00025002|0.00|340| | |IN|15620|0|N
H2802|012|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-13 (HMO-POS)|00025002|0.00|340| | |IN|15640|0|N
H2802|012|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-13 (HMO-POS)|00025002|0.00|340| | |IN|15680|0|N
H2802|012|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-13 (HMO-POS)|00025002|0.00|340| | |IN|15710|0|N
H2802|012|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-13 (HMO-POS)|00025002|0.00|340| | |IN|15730|0|N
H2802|012|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-13 (HMO-POS)|00025002|0.00|340| | |IN|15770|0|N
H2802|012|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-13 (HMO-POS)|00025002|0.00|340| | |IN|15810|0|N
H2802|012|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-13 (HMO-POS)|00025002|0.00|340| | |IN|15860|0|N
H2802|012|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-13 (HMO-POS)|00025002|0.00|340| | |IN|15870|0|N
H2802|018|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-15 (HMO-POS)|00025002|0.00|340| | |IN|15360|0|N
H2802|018|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-15 (HMO-POS)|00025002|0.00|340| | |IN|15440|0|N
H2802|018|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-15 (HMO-POS)|00025002|0.00|340| | |IN|15450|0|N
H2802|018|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-15 (HMO-POS)|00025002|0.00|340| | |IN|15550|0|N
H2802|018|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-15 (HMO-POS)|00025002|0.00|340| | |IN|15630|0|N
H2802|018|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-15 (HMO-POS)|00025002|0.00|340| | |IN|15650|0|N
H2802|018|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC IN-15 (HMO-POS)|00025002|0.00|340| | |IN|15740|0|N
H2802|024|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC IL-8 (HMO-POS)|00025002|0.00|340| | |IL|14141|0|N
H2802|024|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC IL-8 (HMO-POS)|00025002|0.00|340| | |IL|14250|0|N
H2802|024|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC IL-8 (HMO-POS)|00025002|0.00|340| | |IL|14530|0|N
H2802|024|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC IL-8 (HMO-POS)|00025002|0.00|340| | |IL|14550|0|N
H2802|024|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC IL-8 (HMO-POS)|00025002|0.00|340| | |IL|14640|0|N
H2802|025|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC IL-0001 (HMO-POS)|00025002|10.20|340| | |IL|14141|0|N
H2802|025|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC IL-0001 (HMO-POS)|00025002|10.20|340| | |IL|14170|0|N
H2802|025|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC IL-0001 (HMO-POS)|00025002|10.20|340| | |IL|14250|0|N
H2802|025|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC IL-0001 (HMO-POS)|00025002|10.20|340| | |IL|14350|0|N
H2802|025|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC IL-0001 (HMO-POS)|00025002|10.20|340| | |IL|14400|0|N
H2802|025|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC IL-0001 (HMO-POS)|00025002|10.20|340| | |IL|14460|0|N
H2802|025|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC IL-0001 (HMO-POS)|00025002|10.20|340| | |IL|14530|0|N
H2802|025|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC IL-0001 (HMO-POS)|00025002|10.20|340| | |IL|14540|0|N
H2802|025|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC IL-0001 (HMO-POS)|00025002|10.20|340| | |IL|14550|0|N
H2802|025|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC IL-0001 (HMO-POS)|00025002|10.20|340| | |IL|14570|0|N
H2802|025|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC IL-0001 (HMO-POS)|00025002|10.20|340| | |IL|14580|0|N
H2802|025|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC IL-0001 (HMO-POS)|00025002|10.20|340| | |IL|14610|0|N
H2802|025|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC IL-0001 (HMO-POS)|00025002|10.20|340| | |IL|14640|0|N
H2802|025|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC IL-0001 (HMO-POS)|00025002|10.20|340| | |IL|14989|0|N
H2802|027|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Nursing Home Plan IL-F002 (HMO-POS I-SNP)|00025002|13.00|590| | |IL|14141|3|N
H2802|027|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Nursing Home Plan IL-F002 (HMO-POS I-SNP)|00025002|13.00|590| | |IL|14250|3|N
H2802|028|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC ST-3 (HMO-POS)|00025002|0.00|340| | |IL|14000|0|N
H2802|028|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC ST-3 (HMO-POS)|00025002|0.00|340| | |IL|14010|0|N
H2802|028|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC ST-3 (HMO-POS)|00025002|0.00|340| | |IL|14020|0|N
H2802|028|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC ST-3 (HMO-POS)|00025002|0.00|340| | |IL|14060|0|N
H2802|028|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC ST-3 (HMO-POS)|00025002|0.00|340| | |IL|14130|0|N
H2802|028|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC ST-3 (HMO-POS)|00025002|0.00|340| | |IL|14340|0|N
H2802|028|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC ST-3 (HMO-POS)|00025002|0.00|340| | |IL|14390|0|N
H2802|028|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC ST-3 (HMO-POS)|00025002|0.00|340| | |IL|14470|0|N
H2802|028|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC ST-3 (HMO-POS)|00025002|0.00|340| | |IL|14500|0|N
H2802|028|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC ST-3 (HMO-POS)|00025002|0.00|340| | |IL|14670|0|N
H2802|028|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC ST-3 (HMO-POS)|00025002|0.00|340| | |IL|14680|0|N
H2802|028|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC ST-3 (HMO-POS)|00025002|0.00|340| | |IL|14690|0|N
H2802|028|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC ST-3 (HMO-POS)|00025002|0.00|340| | |IL|14750|0|N
H2802|028|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC ST-3 (HMO-POS)|00025002|0.00|340| | |IL|14760|0|N
H2802|028|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC ST-3 (HMO-POS)|00025002|0.00|340| | |IL|14810|0|N
H2802|028|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC ST-3 (HMO-POS)|00025002|0.00|340| | |IL|14830|0|N
H2802|028|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC ST-3 (HMO-POS)|00025002|0.00|340| | |IL|14870|0|N
H2802|028|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC ST-3 (HMO-POS)|00025002|0.00|340| | |IL|14900|0|N
H2802|028|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC ST-3 (HMO-POS)|00025002|0.00|340| | |IL|14981|0|N
H2802|028|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC ST-3 (HMO-POS)|00025002|0.00|340| | |IL|14985|0|N
H2802|028|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC ST-3 (HMO-POS)|00025002|0.00|340| | |MO|26270|0|N
H2802|028|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC ST-3 (HMO-POS)|00025002|0.00|340| | |MO|26320|0|N
H2802|028|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC ST-3 (HMO-POS)|00025002|0.00|340| | |MO|26350|0|N
H2802|028|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC ST-3 (HMO-POS)|00025002|0.00|340| | |MO|26360|0|N
H2802|028|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC ST-3 (HMO-POS)|00025002|0.00|340| | |MO|26490|0|N
H2802|028|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC ST-3 (HMO-POS)|00025002|0.00|340| | |MO|26560|0|N
H2802|028|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC ST-3 (HMO-POS)|00025002|0.00|340| | |MO|26800|0|N
H2802|028|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC ST-3 (HMO-POS)|00025002|0.00|340| | |MO|26840|0|N
H2802|028|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC ST-3 (HMO-POS)|00025002|0.00|340| | |MO|26910|0|N
H2802|028|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC ST-3 (HMO-POS)|00025002|0.00|340| | |MO|26930|0|N
H2802|028|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC ST-3 (HMO-POS)|00025002|0.00|340| | |MO|26940|0|N
H2802|028|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC ST-3 (HMO-POS)|00025002|0.00|340| | |MO|26950|0|N
H2802|028|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC ST-3 (HMO-POS)|00025002|0.00|340| | |MO|26960|0|N
H2802|028|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC ST-3 (HMO-POS)|00025002|0.00|340| | |MO|26991|0|N
H2802|028|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC ST-3 (HMO-POS)|00025002|0.00|340| | |MO|26992|0|N
H2802|029|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0003 (HMO-POS)|00025002|45.00|340| | |MO|26000|0|N
H2802|029|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0003 (HMO-POS)|00025002|45.00|340| | |MO|26030|0|N
H2802|029|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0003 (HMO-POS)|00025002|45.00|340| | |MO|26090|0|N
H2802|029|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0003 (HMO-POS)|00025002|45.00|340| | |MO|26130|0|N
H2802|029|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0003 (HMO-POS)|00025002|45.00|340| | |MO|26140|0|N
H2802|029|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0003 (HMO-POS)|00025002|45.00|340| | |MO|26220|0|N
H2802|029|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0003 (HMO-POS)|00025002|45.00|340| | |MO|26250|0|N
H2802|029|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0003 (HMO-POS)|00025002|45.00|340| | |MO|26260|0|N
H2802|029|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0003 (HMO-POS)|00025002|45.00|340| | |MO|26440|0|N
H2802|029|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0003 (HMO-POS)|00025002|45.00|340| | |MO|26510|0|N
H2802|029|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0003 (HMO-POS)|00025002|45.00|340| | |MO|26541|0|N
H2802|029|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0003 (HMO-POS)|00025002|45.00|340| | |MO|26560|0|N
H2802|029|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0003 (HMO-POS)|00025002|45.00|340| | |MO|26600|0|N
H2802|029|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0003 (HMO-POS)|00025002|45.00|340| | |MO|26620|0|N
H2802|029|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0003 (HMO-POS)|00025002|45.00|340| | |MO|26630|0|N
H2802|029|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0003 (HMO-POS)|00025002|45.00|340| | |MO|26650|0|N
H2802|029|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0003 (HMO-POS)|00025002|45.00|340| | |MO|26670|0|N
H2802|029|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0003 (HMO-POS)|00025002|45.00|340| | |MO|26680|0|N
H2802|029|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0003 (HMO-POS)|00025002|45.00|340| | |MO|26690|0|N
H2802|029|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0003 (HMO-POS)|00025002|45.00|340| | |MO|26700|0|N
H2802|029|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0003 (HMO-POS)|00025002|45.00|340| | |MO|26750|0|N
H2802|029|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0003 (HMO-POS)|00025002|45.00|340| | |MO|26810|0|N
H2802|029|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0003 (HMO-POS)|00025002|45.00|340| | |MO|26860|0|N
H2802|029|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0003 (HMO-POS)|00025002|45.00|340| | |MO|26870|0|N
H2802|029|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0003 (HMO-POS)|00025002|45.00|340| | |MO|26980|0|N
H2802|029|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0003 (HMO-POS)|00025002|45.00|340| | |MO|26981|0|N
H2802|029|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0003 (HMO-POS)|00025002|45.00|340| | |MO|26984|0|N
H2802|030|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC MO-4 (HMO-POS)|00025002|0.00|340| | |MO|26040|0|N
H2802|030|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC MO-4 (HMO-POS)|00025002|0.00|340| | |MO|26050|0|N
H2802|030|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC MO-4 (HMO-POS)|00025002|0.00|340| | |MO|26190|0|N
H2802|030|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC MO-4 (HMO-POS)|00025002|0.00|340| | |MO|26210|0|N
H2802|030|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC MO-4 (HMO-POS)|00025002|0.00|340| | |MO|26280|0|N
H2802|030|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC MO-4 (HMO-POS)|00025002|0.00|340| | |MO|26290|0|N
H2802|030|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC MO-4 (HMO-POS)|00025002|0.00|340| | |MO|26320|0|N
H2802|030|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC MO-4 (HMO-POS)|00025002|0.00|340| | |MO|26330|0|N
H2802|030|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC MO-4 (HMO-POS)|00025002|0.00|340| | |MO|26380|0|N
H2802|030|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC MO-4 (HMO-POS)|00025002|0.00|340| | |MO|26411|0|N
H2802|030|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC MO-4 (HMO-POS)|00025002|0.00|340| | |MO|26450|0|N
H2802|030|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC MO-4 (HMO-POS)|00025002|0.00|340| | |MO|26480|0|N
H2802|030|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC MO-4 (HMO-POS)|00025002|0.00|340| | |MO|26520|0|N
H2802|030|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC MO-4 (HMO-POS)|00025002|0.00|340| | |MO|26540|0|N
H2802|030|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC MO-4 (HMO-POS)|00025002|0.00|340| | |MO|26590|0|N
H2802|030|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC MO-4 (HMO-POS)|00025002|0.00|340| | |MO|26720|0|N
H2802|030|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC MO-4 (HMO-POS)|00025002|0.00|340| | |MO|26740|0|N
H2802|030|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC MO-4 (HMO-POS)|00025002|0.00|340| | |MO|26751|0|N
H2802|030|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC MO-4 (HMO-POS)|00025002|0.00|340| | |MO|26800|0|N
H2802|030|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC MO-4 (HMO-POS)|00025002|0.00|340| | |MO|26821|0|N
H2802|030|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC MO-4 (HMO-POS)|00025002|0.00|340| | |MO|26840|0|N
H2802|030|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC MO-4 (HMO-POS)|00025002|0.00|340| | |MO|26911|0|N
H2802|030|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC MO-4 (HMO-POS)|00025002|0.00|340| | |MO|26983|0|N
H2802|030|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC MO-4 (HMO-POS)|00025002|0.00|340| | |MO|26986|0|N
H2802|030|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC MO-4 (HMO-POS)|00025002|0.00|340| | |MO|26988|0|N
H2802|030|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC MO-4 (HMO-POS)|00025002|0.00|340| | |MO|26989|0|N
H2802|030|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC MO-4 (HMO-POS)|00025002|0.00|340| | |MO|26990|0|N
H2802|030|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC MO-4 (HMO-POS)|00025002|0.00|340| | |MO|26994|0|N
H2802|030|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Essentials from UHC MO-4 (HMO-POS)|00025002|0.00|340| | |MO|26996|0|N
H2802|031|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0005 (HMO-POS)|00025002|19.00|340| | |MO|26040|0|N
H2802|031|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0005 (HMO-POS)|00025002|19.00|340| | |MO|26050|0|N
H2802|031|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0005 (HMO-POS)|00025002|19.00|340| | |MO|26190|0|N
H2802|031|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0005 (HMO-POS)|00025002|19.00|340| | |MO|26210|0|N
H2802|031|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0005 (HMO-POS)|00025002|19.00|340| | |MO|26280|0|N
H2802|031|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0005 (HMO-POS)|00025002|19.00|340| | |MO|26290|0|N
H2802|031|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0005 (HMO-POS)|00025002|19.00|340| | |MO|26320|0|N
H2802|031|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0005 (HMO-POS)|00025002|19.00|340| | |MO|26330|0|N
H2802|031|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0005 (HMO-POS)|00025002|19.00|340| | |MO|26380|0|N
H2802|031|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0005 (HMO-POS)|00025002|19.00|340| | |MO|26411|0|N
H2802|031|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0005 (HMO-POS)|00025002|19.00|340| | |MO|26450|0|N
H2802|031|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0005 (HMO-POS)|00025002|19.00|340| | |MO|26480|0|N
H2802|031|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0005 (HMO-POS)|00025002|19.00|340| | |MO|26520|0|N
H2802|031|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0005 (HMO-POS)|00025002|19.00|340| | |MO|26540|0|N
H2802|031|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0005 (HMO-POS)|00025002|19.00|340| | |MO|26590|0|N
H2802|031|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0005 (HMO-POS)|00025002|19.00|340| | |MO|26720|0|N
H2802|031|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0005 (HMO-POS)|00025002|19.00|340| | |MO|26740|0|N
H2802|031|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0005 (HMO-POS)|00025002|19.00|340| | |MO|26751|0|N
H2802|031|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0005 (HMO-POS)|00025002|19.00|340| | |MO|26800|0|N
H2802|031|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0005 (HMO-POS)|00025002|19.00|340| | |MO|26821|0|N
H2802|031|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0005 (HMO-POS)|00025002|19.00|340| | |MO|26840|0|N
H2802|031|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0005 (HMO-POS)|00025002|19.00|340| | |MO|26911|0|N
H2802|031|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0005 (HMO-POS)|00025002|19.00|340| | |MO|26983|0|N
H2802|031|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0005 (HMO-POS)|00025002|19.00|340| | |MO|26986|0|N
H2802|031|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0005 (HMO-POS)|00025002|19.00|340| | |MO|26988|0|N
H2802|031|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0005 (HMO-POS)|00025002|19.00|340| | |MO|26989|0|N
H2802|031|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0005 (HMO-POS)|00025002|19.00|340| | |MO|26990|0|N
H2802|031|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0005 (HMO-POS)|00025002|19.00|340| | |MO|26994|0|N
H2802|031|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0005 (HMO-POS)|00025002|19.00|340| | |MO|26996|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |KS|17000|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |KS|17010|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |KS|17020|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |KS|17050|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |KS|17060|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |KS|17090|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |KS|17100|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |KS|17130|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |KS|17140|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |KS|17180|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |KS|17200|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |KS|17210|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |KS|17220|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |KS|17290|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |KS|17300|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |KS|17420|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |KS|17430|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |KS|17450|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |KS|17490|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |KS|17510|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |KS|17530|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |KS|17580|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |KS|17600|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |KS|17620|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |KS|17630|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |KS|17650|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |KS|17660|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |KS|17690|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |KS|17710|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |KS|17780|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |KS|17840|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |KS|17880|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |KS|17980|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |KS|17982|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |KS|17984|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |KS|17985|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |KS|17986|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |MO|26010|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |MO|26020|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |MO|26060|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |MO|26070|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |MO|26100|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |MO|26120|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |MO|26160|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |MO|26180|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |MO|26200|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |MO|26230|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |MO|26240|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |MO|26300|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |MO|26310|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |MO|26370|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |MO|26390|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |MO|26400|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |MO|26410|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |MO|26412|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |MO|26470|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |MO|26500|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |MO|26530|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |MO|26570|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |MO|26580|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |MO|26631|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |MO|26730|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |MO|26790|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |MO|26820|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |MO|26850|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |MO|26880|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |MO|26970|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |MO|26987|0|N
H2802|032|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0002 (HMO-POS)|00025002|0.00|340| | |MO|26995|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |KS|17000|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |KS|17010|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |KS|17020|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |KS|17050|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |KS|17060|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |KS|17090|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |KS|17100|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |KS|17130|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |KS|17140|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |KS|17180|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |KS|17200|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |KS|17210|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |KS|17220|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |KS|17290|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |KS|17300|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |KS|17420|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |KS|17430|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |KS|17450|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |KS|17490|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |KS|17510|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |KS|17530|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |KS|17580|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |KS|17600|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |KS|17620|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |KS|17630|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |KS|17650|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |KS|17660|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |KS|17690|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |KS|17710|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |KS|17780|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |KS|17840|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |KS|17880|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |KS|17980|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |KS|17982|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |KS|17984|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |KS|17985|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |KS|17986|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |MO|26010|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |MO|26020|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |MO|26060|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |MO|26070|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |MO|26100|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |MO|26120|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |MO|26160|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |MO|26180|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |MO|26200|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |MO|26230|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |MO|26240|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |MO|26300|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |MO|26310|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |MO|26370|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |MO|26390|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |MO|26400|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |MO|26410|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |MO|26412|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |MO|26470|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |MO|26500|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |MO|26530|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |MO|26570|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |MO|26580|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |MO|26631|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |MO|26730|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |MO|26790|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |MO|26820|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |MO|26850|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |MO|26880|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |MO|26970|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |MO|26987|0|N
H2802|033|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KC-0003 (HMO-POS)|00025002|44.00|340| | |MO|26995|0|N
H2802|034|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0001 (HMO-POS)|00025002|0.00|340| | |KS|17030|0|N
H2802|034|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0001 (HMO-POS)|00025002|0.00|340| | |KS|17070|0|N
H2802|034|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0001 (HMO-POS)|00025002|0.00|340| | |KS|17080|0|N
H2802|034|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0001 (HMO-POS)|00025002|0.00|340| | |KS|17170|0|N
H2802|034|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0001 (HMO-POS)|00025002|0.00|340| | |KS|17230|0|N
H2802|034|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0001 (HMO-POS)|00025002|0.00|340| | |KS|17240|0|N
H2802|034|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0001 (HMO-POS)|00025002|0.00|340| | |KS|17260|0|N
H2802|034|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0001 (HMO-POS)|00025002|0.00|340| | |KS|17360|0|N
H2802|034|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0001 (HMO-POS)|00025002|0.00|340| | |KS|17380|0|N
H2802|034|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0001 (HMO-POS)|00025002|0.00|340| | |KS|17390|0|N
H2802|034|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0001 (HMO-POS)|00025002|0.00|340| | |KS|17440|0|N
H2802|034|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0001 (HMO-POS)|00025002|0.00|340| | |KS|17470|0|N
H2802|034|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0001 (HMO-POS)|00025002|0.00|340| | |KS|17480|0|N
H2802|034|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0001 (HMO-POS)|00025002|0.00|340| | |KS|17520|0|N
H2802|034|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0001 (HMO-POS)|00025002|0.00|340| | |KS|17550|0|N
H2802|034|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0001 (HMO-POS)|00025002|0.00|340| | |KS|17560|0|N
H2802|034|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0001 (HMO-POS)|00025002|0.00|340| | |KS|17570|0|N
H2802|034|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0001 (HMO-POS)|00025002|0.00|340| | |KS|17610|0|N
H2802|034|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0001 (HMO-POS)|00025002|0.00|340| | |KS|17700|0|N
H2802|034|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0001 (HMO-POS)|00025002|0.00|340| | |KS|17720|0|N
H2802|034|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0001 (HMO-POS)|00025002|0.00|340| | |KS|17730|0|N
H2802|034|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0001 (HMO-POS)|00025002|0.00|340| | |KS|17750|0|N
H2802|034|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0001 (HMO-POS)|00025002|0.00|340| | |KS|17770|0|N
H2802|034|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0001 (HMO-POS)|00025002|0.00|340| | |KS|17790|0|N
H2802|034|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0001 (HMO-POS)|00025002|0.00|340| | |KS|17810|0|N
H2802|034|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0001 (HMO-POS)|00025002|0.00|340| | |KS|17820|0|N
H2802|034|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0001 (HMO-POS)|00025002|0.00|340| | |KS|17830|0|N
H2802|034|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0001 (HMO-POS)|00025002|0.00|340| | |KS|17860|0|N
H2802|034|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0001 (HMO-POS)|00025002|0.00|340| | |KS|17910|0|N
H2802|034|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0001 (HMO-POS)|00025002|0.00|340| | |KS|17920|0|N
H2802|034|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0001 (HMO-POS)|00025002|0.00|340| | |KS|17950|0|N
H2802|035|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0002 (HMO-POS)|00025002|29.00|340| | |KS|17030|0|N
H2802|035|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0002 (HMO-POS)|00025002|29.00|340| | |KS|17070|0|N
H2802|035|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0002 (HMO-POS)|00025002|29.00|340| | |KS|17080|0|N
H2802|035|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0002 (HMO-POS)|00025002|29.00|340| | |KS|17170|0|N
H2802|035|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0002 (HMO-POS)|00025002|29.00|340| | |KS|17230|0|N
H2802|035|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0002 (HMO-POS)|00025002|29.00|340| | |KS|17240|0|N
H2802|035|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0002 (HMO-POS)|00025002|29.00|340| | |KS|17260|0|N
H2802|035|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0002 (HMO-POS)|00025002|29.00|340| | |KS|17360|0|N
H2802|035|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0002 (HMO-POS)|00025002|29.00|340| | |KS|17380|0|N
H2802|035|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0002 (HMO-POS)|00025002|29.00|340| | |KS|17390|0|N
H2802|035|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0002 (HMO-POS)|00025002|29.00|340| | |KS|17440|0|N
H2802|035|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0002 (HMO-POS)|00025002|29.00|340| | |KS|17470|0|N
H2802|035|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0002 (HMO-POS)|00025002|29.00|340| | |KS|17480|0|N
H2802|035|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0002 (HMO-POS)|00025002|29.00|340| | |KS|17520|0|N
H2802|035|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0002 (HMO-POS)|00025002|29.00|340| | |KS|17550|0|N
H2802|035|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0002 (HMO-POS)|00025002|29.00|340| | |KS|17560|0|N
H2802|035|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0002 (HMO-POS)|00025002|29.00|340| | |KS|17570|0|N
H2802|035|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0002 (HMO-POS)|00025002|29.00|340| | |KS|17610|0|N
H2802|035|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0002 (HMO-POS)|00025002|29.00|340| | |KS|17700|0|N
H2802|035|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0002 (HMO-POS)|00025002|29.00|340| | |KS|17720|0|N
H2802|035|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0002 (HMO-POS)|00025002|29.00|340| | |KS|17730|0|N
H2802|035|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0002 (HMO-POS)|00025002|29.00|340| | |KS|17750|0|N
H2802|035|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0002 (HMO-POS)|00025002|29.00|340| | |KS|17770|0|N
H2802|035|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0002 (HMO-POS)|00025002|29.00|340| | |KS|17790|0|N
H2802|035|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0002 (HMO-POS)|00025002|29.00|340| | |KS|17810|0|N
H2802|035|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0002 (HMO-POS)|00025002|29.00|340| | |KS|17820|0|N
H2802|035|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0002 (HMO-POS)|00025002|29.00|340| | |KS|17830|0|N
H2802|035|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0002 (HMO-POS)|00025002|29.00|340| | |KS|17860|0|N
H2802|035|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0002 (HMO-POS)|00025002|29.00|340| | |KS|17910|0|N
H2802|035|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0002 (HMO-POS)|00025002|29.00|340| | |KS|17920|0|N
H2802|035|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC KS-0002 (HMO-POS)|00025002|29.00|340| | |KS|17950|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01000|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01010|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01020|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01030|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01040|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01050|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01060|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01070|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01080|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01090|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01100|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01110|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01120|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01130|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01140|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01150|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01160|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01170|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01180|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01190|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01200|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01210|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01220|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01230|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01240|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01250|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01260|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01270|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01280|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01290|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01300|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01310|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01320|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01330|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01340|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01350|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01360|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01370|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01380|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01390|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01400|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01410|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01420|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01430|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01440|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01450|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01460|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01470|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01480|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01490|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01500|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01510|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01520|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01530|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01540|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01550|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01560|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01570|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01580|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01590|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01600|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01610|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01620|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01630|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01640|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01650|0|N
H2802|041|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AL-0003 (HMO-POS)|00025002|0.00|340| | |AL|01660|0|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01000|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01010|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01020|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01030|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01040|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01050|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01060|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01070|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01080|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01090|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01100|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01110|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01120|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01130|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01140|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01150|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01160|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01170|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01180|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01190|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01200|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01210|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01220|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01230|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01240|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01250|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01260|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01270|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01280|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01290|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01300|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01310|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01320|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01330|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01340|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01350|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01360|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01370|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01380|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01390|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01400|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01410|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01420|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01430|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01440|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01450|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01460|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01470|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01480|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01490|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01500|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01510|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01520|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01530|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01540|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01550|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01560|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01570|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01580|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01590|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01600|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01610|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01620|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01630|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01640|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01650|2|N
H2802|044|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-V002 (HMO-POS D-SNP)|00025002|40.00|590| | |AL|01660|2|N
H2802|048|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0006 (HMO-POS)|00025002|0.00|340| | |MO|26000|0|N
H2802|048|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0006 (HMO-POS)|00025002|0.00|340| | |MO|26030|0|N
H2802|048|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0006 (HMO-POS)|00025002|0.00|340| | |MO|26090|0|N
H2802|048|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0006 (HMO-POS)|00025002|0.00|340| | |MO|26130|0|N
H2802|048|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0006 (HMO-POS)|00025002|0.00|340| | |MO|26140|0|N
H2802|048|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0006 (HMO-POS)|00025002|0.00|340| | |MO|26220|0|N
H2802|048|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0006 (HMO-POS)|00025002|0.00|340| | |MO|26250|0|N
H2802|048|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0006 (HMO-POS)|00025002|0.00|340| | |MO|26260|0|N
H2802|048|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0006 (HMO-POS)|00025002|0.00|340| | |MO|26440|0|N
H2802|048|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0006 (HMO-POS)|00025002|0.00|340| | |MO|26510|0|N
H2802|048|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0006 (HMO-POS)|00025002|0.00|340| | |MO|26541|0|N
H2802|048|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0006 (HMO-POS)|00025002|0.00|340| | |MO|26560|0|N
H2802|048|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0006 (HMO-POS)|00025002|0.00|340| | |MO|26600|0|N
H2802|048|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0006 (HMO-POS)|00025002|0.00|340| | |MO|26620|0|N
H2802|048|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0006 (HMO-POS)|00025002|0.00|340| | |MO|26630|0|N
H2802|048|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0006 (HMO-POS)|00025002|0.00|340| | |MO|26650|0|N
H2802|048|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0006 (HMO-POS)|00025002|0.00|340| | |MO|26670|0|N
H2802|048|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0006 (HMO-POS)|00025002|0.00|340| | |MO|26680|0|N
H2802|048|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0006 (HMO-POS)|00025002|0.00|340| | |MO|26690|0|N
H2802|048|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0006 (HMO-POS)|00025002|0.00|340| | |MO|26700|0|N
H2802|048|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0006 (HMO-POS)|00025002|0.00|340| | |MO|26750|0|N
H2802|048|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0006 (HMO-POS)|00025002|0.00|340| | |MO|26810|0|N
H2802|048|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0006 (HMO-POS)|00025002|0.00|340| | |MO|26860|0|N
H2802|048|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0006 (HMO-POS)|00025002|0.00|340| | |MO|26870|0|N
H2802|048|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0006 (HMO-POS)|00025002|0.00|340| | |MO|26980|0|N
H2802|048|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0006 (HMO-POS)|00025002|0.00|340| | |MO|26981|0|N
H2802|048|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0006 (HMO-POS)|00025002|0.00|340| | |MO|26984|0|N
H2802|049|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0007 (HMO-POS)|00025002|0.00|340| | |MO|26080|0|N
H2802|049|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0007 (HMO-POS)|00025002|0.00|340| | |MO|26110|0|N
H2802|049|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0007 (HMO-POS)|00025002|0.00|340| | |MO|26150|0|N
H2802|049|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0007 (HMO-POS)|00025002|0.00|340| | |MO|26170|0|N
H2802|049|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0007 (HMO-POS)|00025002|0.00|340| | |MO|26340|0|N
H2802|049|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0007 (HMO-POS)|00025002|0.00|340| | |MO|26460|0|N
H2802|049|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0007 (HMO-POS)|00025002|0.00|340| | |MO|26601|0|N
H2802|049|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0007 (HMO-POS)|00025002|0.00|340| | |MO|26660|0|N
H2802|049|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0007 (HMO-POS)|00025002|0.00|340| | |MO|26710|0|N
H2802|049|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0007 (HMO-POS)|00025002|0.00|340| | |MO|26770|0|N
H2802|049|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0007 (HMO-POS)|00025002|0.00|340| | |MO|26780|0|N
H2802|049|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0007 (HMO-POS)|00025002|0.00|340| | |MO|26881|0|N
H2802|049|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0007 (HMO-POS)|00025002|0.00|340| | |MO|26900|0|N
H2802|049|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0007 (HMO-POS)|00025002|0.00|340| | |MO|26982|0|N
H2802|049|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0007 (HMO-POS)|00025002|0.00|340| | |MO|26985|0|N
H2802|049|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC MO-0007 (HMO-POS)|00025002|0.00|340| | |MO|26993|0|N
H2802|052|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC ST-4 (HMO-POS)|00025002|0.00|420| | |IL|14000|0|N
H2802|052|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC ST-4 (HMO-POS)|00025002|0.00|420| | |IL|14010|0|N
H2802|052|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC ST-4 (HMO-POS)|00025002|0.00|420| | |IL|14020|0|N
H2802|052|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC ST-4 (HMO-POS)|00025002|0.00|420| | |IL|14060|0|N
H2802|052|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC ST-4 (HMO-POS)|00025002|0.00|420| | |IL|14130|0|N
H2802|052|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC ST-4 (HMO-POS)|00025002|0.00|420| | |IL|14340|0|N
H2802|052|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC ST-4 (HMO-POS)|00025002|0.00|420| | |IL|14390|0|N
H2802|052|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC ST-4 (HMO-POS)|00025002|0.00|420| | |IL|14470|0|N
H2802|052|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC ST-4 (HMO-POS)|00025002|0.00|420| | |IL|14500|0|N
H2802|052|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC ST-4 (HMO-POS)|00025002|0.00|420| | |IL|14670|0|N
H2802|052|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC ST-4 (HMO-POS)|00025002|0.00|420| | |IL|14680|0|N
H2802|052|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC ST-4 (HMO-POS)|00025002|0.00|420| | |IL|14690|0|N
H2802|052|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC ST-4 (HMO-POS)|00025002|0.00|420| | |IL|14750|0|N
H2802|052|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC ST-4 (HMO-POS)|00025002|0.00|420| | |IL|14760|0|N
H2802|052|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC ST-4 (HMO-POS)|00025002|0.00|420| | |IL|14810|0|N
H2802|052|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC ST-4 (HMO-POS)|00025002|0.00|420| | |IL|14830|0|N
H2802|052|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC ST-4 (HMO-POS)|00025002|0.00|420| | |IL|14870|0|N
H2802|052|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC ST-4 (HMO-POS)|00025002|0.00|420| | |IL|14900|0|N
H2802|052|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC ST-4 (HMO-POS)|00025002|0.00|420| | |IL|14981|0|N
H2802|052|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC ST-4 (HMO-POS)|00025002|0.00|420| | |IL|14985|0|N
H2802|052|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC ST-4 (HMO-POS)|00025002|0.00|420| | |MO|26270|0|N
H2802|052|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC ST-4 (HMO-POS)|00025002|0.00|420| | |MO|26320|0|N
H2802|052|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC ST-4 (HMO-POS)|00025002|0.00|420| | |MO|26350|0|N
H2802|052|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC ST-4 (HMO-POS)|00025002|0.00|420| | |MO|26360|0|N
H2802|052|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC ST-4 (HMO-POS)|00025002|0.00|420| | |MO|26490|0|N
H2802|052|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC ST-4 (HMO-POS)|00025002|0.00|420| | |MO|26560|0|N
H2802|052|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC ST-4 (HMO-POS)|00025002|0.00|420| | |MO|26800|0|N
H2802|052|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC ST-4 (HMO-POS)|00025002|0.00|420| | |MO|26840|0|N
H2802|052|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC ST-4 (HMO-POS)|00025002|0.00|420| | |MO|26910|0|N
H2802|052|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC ST-4 (HMO-POS)|00025002|0.00|420| | |MO|26930|0|N
H2802|052|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC ST-4 (HMO-POS)|00025002|0.00|420| | |MO|26940|0|N
H2802|052|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC ST-4 (HMO-POS)|00025002|0.00|420| | |MO|26950|0|N
H2802|052|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC ST-4 (HMO-POS)|00025002|0.00|420| | |MO|26960|0|N
H2802|052|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC ST-4 (HMO-POS)|00025002|0.00|420| | |MO|26991|0|N
H2802|052|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC ST-4 (HMO-POS)|00025002|0.00|420| | |MO|26992|0|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28000|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28010|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28020|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28030|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28040|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28050|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28060|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28070|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28080|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28090|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28100|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28110|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28120|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28130|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28140|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28150|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28160|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28170|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28180|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28190|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28200|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28210|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28220|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28230|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28240|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28250|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28260|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28270|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28280|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28290|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28300|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28310|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28320|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28330|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28350|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28360|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28370|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28380|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28390|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28400|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28410|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28420|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28430|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28440|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28460|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28470|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28480|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28490|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28500|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28510|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28520|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28530|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28540|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28560|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28570|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28590|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28600|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28610|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28620|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28630|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28640|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28650|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28660|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28670|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28680|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28690|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28700|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28710|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28730|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28740|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28750|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28760|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28770|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28790|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28810|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28820|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28830|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28840|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28850|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28860|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28870|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28880|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28890|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28900|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28910|2|N
H2802|053|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete NE-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |NE|28920|2|N
H2802|054|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC IL-0002 (HMO-POS)|00025002|0.00|340| | |IL|14141|0|N
H2802|054|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC IL-0002 (HMO-POS)|00025002|0.00|340| | |IL|14170|0|N
H2802|054|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC IL-0002 (HMO-POS)|00025002|0.00|340| | |IL|14250|0|N
H2802|054|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC IL-0002 (HMO-POS)|00025002|0.00|340| | |IL|14350|0|N
H2802|054|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC IL-0002 (HMO-POS)|00025002|0.00|340| | |IL|14400|0|N
H2802|054|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC IL-0002 (HMO-POS)|00025002|0.00|340| | |IL|14460|0|N
H2802|054|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC IL-0002 (HMO-POS)|00025002|0.00|340| | |IL|14530|0|N
H2802|054|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC IL-0002 (HMO-POS)|00025002|0.00|340| | |IL|14540|0|N
H2802|054|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC IL-0002 (HMO-POS)|00025002|0.00|340| | |IL|14550|0|N
H2802|054|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC IL-0002 (HMO-POS)|00025002|0.00|340| | |IL|14570|0|N
H2802|054|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC IL-0002 (HMO-POS)|00025002|0.00|340| | |IL|14580|0|N
H2802|054|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC IL-0002 (HMO-POS)|00025002|0.00|340| | |IL|14610|0|N
H2802|054|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC IL-0002 (HMO-POS)|00025002|0.00|340| | |IL|14640|0|N
H2802|054|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC IL-0002 (HMO-POS)|00025002|0.00|340| | |IL|14989|0|N
H2802|055|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-16 (HMO-POS)|00025002|0.00|420| | |IN|15000|0|N
H2802|055|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-16 (HMO-POS)|00025002|0.00|420| | |IN|15010|0|N
H2802|055|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-16 (HMO-POS)|00025002|0.00|420| | |IN|15080|0|N
H2802|055|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-16 (HMO-POS)|00025002|0.00|420| | |IN|15160|0|N
H2802|055|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-16 (HMO-POS)|00025002|0.00|420| | |IN|15190|0|N
H2802|055|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-16 (HMO-POS)|00025002|0.00|420| | |IN|15240|0|N
H2802|055|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-16 (HMO-POS)|00025002|0.00|420| | |IN|15260|0|N
H2802|055|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-16 (HMO-POS)|00025002|0.00|420| | |IN|15340|0|N
H2802|055|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-16 (HMO-POS)|00025002|0.00|420| | |IN|15420|0|N
H2802|055|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-16 (HMO-POS)|00025002|0.00|420| | |IN|15430|0|N
H2802|055|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-16 (HMO-POS)|00025002|0.00|420| | |IN|15490|0|N
H2802|055|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-16 (HMO-POS)|00025002|0.00|420| | |IN|15510|0|N
H2802|055|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-16 (HMO-POS)|00025002|0.00|420| | |IN|15560|0|N
H2802|055|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-16 (HMO-POS)|00025002|0.00|420| | |IN|15700|0|N
H2802|055|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-16 (HMO-POS)|00025002|0.00|420| | |IN|15750|0|N
H2802|055|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-16 (HMO-POS)|00025002|0.00|420| | |IN|15840|0|N
H2802|055|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-16 (HMO-POS)|00025002|0.00|420| | |IN|15890|0|N
H2802|055|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-16 (HMO-POS)|00025002|0.00|420| | |IN|15910|0|N
H2802|056|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-17 (HMO-POS)|00025002|0.00|420| | |IN|15020|0|N
H2802|056|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-17 (HMO-POS)|00025002|0.00|420| | |IN|15030|0|N
H2802|056|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-17 (HMO-POS)|00025002|0.00|420| | |IN|15040|0|N
H2802|056|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-17 (HMO-POS)|00025002|0.00|420| | |IN|15050|0|N
H2802|056|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-17 (HMO-POS)|00025002|0.00|420| | |IN|15060|0|N
H2802|056|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-17 (HMO-POS)|00025002|0.00|420| | |IN|15070|0|N
H2802|056|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-17 (HMO-POS)|00025002|0.00|420| | |IN|15100|0|N
H2802|056|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-17 (HMO-POS)|00025002|0.00|420| | |IN|15110|0|N
H2802|056|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-17 (HMO-POS)|00025002|0.00|420| | |IN|15150|0|N
H2802|056|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-17 (HMO-POS)|00025002|0.00|420| | |IN|15170|0|N
H2802|056|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-17 (HMO-POS)|00025002|0.00|420| | |IN|15200|0|N
H2802|056|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-17 (HMO-POS)|00025002|0.00|420| | |IN|15220|0|N
H2802|056|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-17 (HMO-POS)|00025002|0.00|420| | |IN|15270|0|N
H2802|056|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-17 (HMO-POS)|00025002|0.00|420| | |IN|15280|0|N
H2802|056|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-17 (HMO-POS)|00025002|0.00|420| | |IN|15290|0|N
H2802|056|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-17 (HMO-POS)|00025002|0.00|420| | |IN|15310|0|N
H2802|056|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-17 (HMO-POS)|00025002|0.00|420| | |IN|15320|0|N
H2802|056|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-17 (HMO-POS)|00025002|0.00|420| | |IN|15330|0|N
H2802|056|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-17 (HMO-POS)|00025002|0.00|420| | |IN|15370|0|N
H2802|056|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-17 (HMO-POS)|00025002|0.00|420| | |IN|15400|0|N
H2802|056|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-17 (HMO-POS)|00025002|0.00|420| | |IN|15460|0|N
H2802|056|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-17 (HMO-POS)|00025002|0.00|420| | |IN|15470|0|N
H2802|056|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-17 (HMO-POS)|00025002|0.00|420| | |IN|15480|0|N
H2802|056|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-17 (HMO-POS)|00025002|0.00|420| | |IN|15520|0|N
H2802|056|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-17 (HMO-POS)|00025002|0.00|420| | |IN|15530|0|N
H2802|056|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-17 (HMO-POS)|00025002|0.00|420| | |IN|15540|0|N
H2802|056|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-17 (HMO-POS)|00025002|0.00|420| | |IN|15580|0|N
H2802|056|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-17 (HMO-POS)|00025002|0.00|420| | |IN|15590|0|N
H2802|056|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-17 (HMO-POS)|00025002|0.00|420| | |IN|15600|0|N
H2802|056|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-17 (HMO-POS)|00025002|0.00|420| | |IN|15660|0|N
H2802|056|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-17 (HMO-POS)|00025002|0.00|420| | |IN|15670|0|N
H2802|056|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-17 (HMO-POS)|00025002|0.00|420| | |IN|15690|0|N
H2802|056|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-17 (HMO-POS)|00025002|0.00|420| | |IN|15720|0|N
H2802|056|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-17 (HMO-POS)|00025002|0.00|420| | |IN|15760|0|N
H2802|056|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-17 (HMO-POS)|00025002|0.00|420| | |IN|15780|0|N
H2802|056|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-17 (HMO-POS)|00025002|0.00|420| | |IN|15790|0|N
H2802|056|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-17 (HMO-POS)|00025002|0.00|420| | |IN|15800|0|N
H2802|056|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-17 (HMO-POS)|00025002|0.00|420| | |IN|15820|0|N
H2802|056|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-17 (HMO-POS)|00025002|0.00|420| | |IN|15830|0|N
H2802|056|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-17 (HMO-POS)|00025002|0.00|420| | |IN|15850|0|N
H2802|056|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-17 (HMO-POS)|00025002|0.00|420| | |IN|15880|0|N
H2802|056|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-17 (HMO-POS)|00025002|0.00|420| | |IN|15900|0|N
H2802|057|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-18 (HMO-POS)|00025002|0.00|495| | |IN|15090|0|N
H2802|057|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-18 (HMO-POS)|00025002|0.00|495| | |IN|15120|0|N
H2802|057|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-18 (HMO-POS)|00025002|0.00|495| | |IN|15130|0|N
H2802|057|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-18 (HMO-POS)|00025002|0.00|495| | |IN|15140|0|N
H2802|057|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-18 (HMO-POS)|00025002|0.00|495| | |IN|15180|0|N
H2802|057|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-18 (HMO-POS)|00025002|0.00|495| | |IN|15210|0|N
H2802|057|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-18 (HMO-POS)|00025002|0.00|495| | |IN|15230|0|N
H2802|057|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-18 (HMO-POS)|00025002|0.00|495| | |IN|15250|0|N
H2802|057|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-18 (HMO-POS)|00025002|0.00|495| | |IN|15300|0|N
H2802|057|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-18 (HMO-POS)|00025002|0.00|495| | |IN|15350|0|N
H2802|057|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-18 (HMO-POS)|00025002|0.00|495| | |IN|15380|0|N
H2802|057|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-18 (HMO-POS)|00025002|0.00|495| | |IN|15390|0|N
H2802|057|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-18 (HMO-POS)|00025002|0.00|495| | |IN|15410|0|N
H2802|057|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-18 (HMO-POS)|00025002|0.00|495| | |IN|15500|0|N
H2802|057|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-18 (HMO-POS)|00025002|0.00|495| | |IN|15570|0|N
H2802|057|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-18 (HMO-POS)|00025002|0.00|495| | |IN|15610|0|N
H2802|057|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-18 (HMO-POS)|00025002|0.00|495| | |IN|15620|0|N
H2802|057|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-18 (HMO-POS)|00025002|0.00|495| | |IN|15640|0|N
H2802|057|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-18 (HMO-POS)|00025002|0.00|495| | |IN|15680|0|N
H2802|057|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-18 (HMO-POS)|00025002|0.00|495| | |IN|15710|0|N
H2802|057|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-18 (HMO-POS)|00025002|0.00|495| | |IN|15730|0|N
H2802|057|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-18 (HMO-POS)|00025002|0.00|495| | |IN|15770|0|N
H2802|057|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-18 (HMO-POS)|00025002|0.00|495| | |IN|15810|0|N
H2802|057|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-18 (HMO-POS)|00025002|0.00|495| | |IN|15860|0|N
H2802|057|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-18 (HMO-POS)|00025002|0.00|495| | |IN|15870|0|N
H2802|058|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-19 (HMO-POS)|00025002|0.00|420| | |IN|15360|0|N
H2802|058|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-19 (HMO-POS)|00025002|0.00|420| | |IN|15440|0|N
H2802|058|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-19 (HMO-POS)|00025002|0.00|420| | |IN|15450|0|N
H2802|058|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-19 (HMO-POS)|00025002|0.00|420| | |IN|15550|0|N
H2802|058|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-19 (HMO-POS)|00025002|0.00|420| | |IN|15630|0|N
H2802|058|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-19 (HMO-POS)|00025002|0.00|420| | |IN|15650|0|N
H2802|058|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC IN-19 (HMO-POS)|00025002|0.00|420| | |IN|15740|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15000|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15010|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15020|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15030|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15040|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15050|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15060|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15070|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15080|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15090|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15100|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15110|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15120|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15130|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15140|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15150|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15160|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15170|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15180|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15190|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15200|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15210|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15220|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15230|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15240|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15250|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15260|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15270|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15280|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15290|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15300|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15310|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15320|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15330|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15340|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15350|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15360|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15370|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15380|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15390|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15400|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15410|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15420|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15430|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15440|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15450|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15460|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15470|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15480|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15490|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15500|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15510|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15520|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15530|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15540|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15550|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15560|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15570|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15580|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15590|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15600|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15610|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15620|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15630|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15640|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15650|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15660|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15670|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15680|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15690|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15700|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15710|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15720|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15730|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15740|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15750|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15760|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15770|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15780|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15790|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15800|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15810|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15820|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15830|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15840|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15850|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15860|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15870|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15880|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15890|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15900|0|N
H2802|059|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC IN-20 (HMO-POS)|00025002|0.00|495| | |IN|15910|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04000|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04010|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04020|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04030|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04040|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04050|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04060|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04070|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04080|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04090|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04100|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04110|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04120|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04130|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04140|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04150|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04160|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04170|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04180|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04190|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04200|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04210|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04220|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04230|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04240|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04250|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04260|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04270|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04280|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04290|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04300|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04310|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04320|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04330|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04340|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04350|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04360|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04370|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04380|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04390|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04400|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04410|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04420|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04430|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04440|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04450|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04460|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04470|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04480|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04490|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04500|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04510|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04520|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04530|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04540|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04550|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04560|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04570|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04580|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04590|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04600|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04610|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04620|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04630|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04640|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04650|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04660|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04670|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04680|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04690|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04700|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04710|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04720|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04730|0|N
H2802|060|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0001 (HMO-POS)|00025002|0.00|340| | |AR|04740|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04000|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04010|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04020|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04030|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04040|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04050|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04060|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04070|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04080|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04090|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04100|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04110|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04120|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04130|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04140|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04150|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04160|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04170|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04180|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04190|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04200|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04210|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04220|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04230|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04240|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04250|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04260|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04270|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04280|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04290|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04300|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04310|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04320|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04330|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04340|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04350|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04360|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04370|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04380|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04390|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04400|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04410|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04420|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04430|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04440|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04450|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04460|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04470|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04480|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04490|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04500|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04510|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04520|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04530|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04540|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04550|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04560|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04570|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04580|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04590|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04600|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04610|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04620|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04630|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04640|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04650|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04660|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04670|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04680|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04690|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04700|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04710|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04720|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04730|0|N
H2802|061|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC AR-0002 (HMO-POS)|00025002|32.00|340| | |AR|04740|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04000|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04010|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04020|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04030|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04040|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04050|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04060|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04070|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04080|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04090|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04100|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04110|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04120|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04130|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04140|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04150|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04160|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04170|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04180|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04190|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04200|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04210|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04220|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04230|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04240|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04250|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04260|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04270|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04280|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04290|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04300|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04310|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04320|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04330|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04340|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04350|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04360|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04370|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04380|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04390|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04400|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04410|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04420|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04430|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04440|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04450|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04460|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04470|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04480|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04490|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04500|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04510|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04520|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04530|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04540|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04550|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04560|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04570|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04580|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04590|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04600|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04610|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04620|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04630|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04640|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04650|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04660|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04670|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04680|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04690|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04700|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04710|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04720|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04730|0|N
H2802|063|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Giveback from UHC AR-3 (HMO-POS)|00025002|0.00|570| | |AR|04740|0|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01000|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01010|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01020|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01030|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01040|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01050|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01060|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01070|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01080|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01090|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01100|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01110|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01120|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01130|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01140|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01150|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01160|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01170|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01180|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01190|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01200|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01210|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01220|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01230|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01240|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01250|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01260|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01270|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01280|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01290|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01300|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01310|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01320|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01330|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01340|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01350|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01360|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01370|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01380|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01390|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01400|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01410|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01420|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01430|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01440|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01450|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01460|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01470|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01480|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01490|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01500|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01510|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01520|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01530|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01540|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01550|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01560|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01570|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01580|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01590|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01600|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01610|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01620|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01630|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01640|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01650|2|N
H2802|064|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Dual Complete AL-Y1 (HMO-POS D-SNP)|00025002|0.00|590| | |AL|01660|2|N
H2802|067|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IL-7 (HMO-POS C-SNP)|00025003|22.80|590| | |IL|14141|1|N
H2802|067|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IL-7 (HMO-POS C-SNP)|00025003|22.80|590| | |IL|14170|1|N
H2802|067|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IL-7 (HMO-POS C-SNP)|00025003|22.80|590| | |IL|14250|1|N
H2802|067|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IL-7 (HMO-POS C-SNP)|00025003|22.80|590| | |IL|14350|1|N
H2802|067|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IL-7 (HMO-POS C-SNP)|00025003|22.80|590| | |IL|14400|1|N
H2802|067|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IL-7 (HMO-POS C-SNP)|00025003|22.80|590| | |IL|14460|1|N
H2802|067|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IL-7 (HMO-POS C-SNP)|00025003|22.80|590| | |IL|14530|1|N
H2802|067|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IL-7 (HMO-POS C-SNP)|00025003|22.80|590| | |IL|14540|1|N
H2802|067|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IL-7 (HMO-POS C-SNP)|00025003|22.80|590| | |IL|14550|1|N
H2802|067|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IL-7 (HMO-POS C-SNP)|00025003|22.80|590| | |IL|14570|1|N
H2802|067|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IL-7 (HMO-POS C-SNP)|00025003|22.80|590| | |IL|14580|1|N
H2802|067|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IL-7 (HMO-POS C-SNP)|00025003|22.80|590| | |IL|14610|1|N
H2802|067|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IL-7 (HMO-POS C-SNP)|00025003|22.80|590| | |IL|14640|1|N
H2802|067|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IL-7 (HMO-POS C-SNP)|00025003|22.80|590| | |IL|14989|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15000|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15010|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15020|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15030|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15040|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15050|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15060|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15070|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15080|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15090|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15100|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15110|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15120|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15130|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15140|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15150|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15160|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15170|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15180|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15190|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15200|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15210|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15220|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15230|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15240|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15250|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15260|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15270|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15280|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15290|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15300|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15310|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15320|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15330|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15340|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15350|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15360|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15370|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15380|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15390|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15400|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15410|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15420|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15430|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15440|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15450|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15460|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15470|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15480|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15490|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15500|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15510|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15520|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15530|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15540|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15550|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15560|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15570|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15580|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15590|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15600|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15610|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15620|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15630|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15640|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15650|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15660|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15670|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15680|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15690|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15700|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15710|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15720|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15730|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15740|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15750|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15760|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15770|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15780|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15790|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15800|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15810|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15820|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15830|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15840|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15850|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15860|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15870|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15880|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15890|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15900|1|N
H2802|068|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care IN-21 (HMO-POS C-SNP)|00025003|0.00|340| | |IN|15910|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17000|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17010|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17020|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17030|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17050|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17060|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17070|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17080|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17090|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17100|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17130|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17140|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17170|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17180|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17200|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17210|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17220|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17230|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17240|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17260|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17290|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17300|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17360|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17380|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17390|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17420|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17430|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17440|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17450|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17470|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17480|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17490|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17510|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17520|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17530|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17550|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17560|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17570|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17580|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17600|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17610|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17620|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17630|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17650|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17660|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17690|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17700|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17710|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17720|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17730|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17750|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17770|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17780|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17790|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17810|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17820|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17830|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17840|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17860|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17880|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17910|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17920|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17950|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17980|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17982|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17984|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17985|1|N
H2802|070|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|UHC Complete Care KS-4 (HMO-POS C-SNP)|00025003|0.00|340| | |KS|17986|1|N
H2802|071|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC ST-1P (HMO-POS)|00025002|0.00|255| | |IL|14060|0|N
H2802|071|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC ST-1P (HMO-POS)|00025002|0.00|255| | |IL|14750|0|N
H2802|071|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC ST-1P (HMO-POS)|00025002|0.00|255| | |MO|26950|0|N
H2802|071|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage from UHC ST-1P (HMO-POS)|00025002|0.00|255| | |MO|26992|0|N
H2802|072|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC MO-10 (HMO-POS)|00025002|0.00|420| | |MO|26040|0|N
H2802|072|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC MO-10 (HMO-POS)|00025002|0.00|420| | |MO|26050|0|N
H2802|072|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC MO-10 (HMO-POS)|00025002|0.00|420| | |MO|26190|0|N
H2802|072|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC MO-10 (HMO-POS)|00025002|0.00|420| | |MO|26210|0|N
H2802|072|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC MO-10 (HMO-POS)|00025002|0.00|420| | |MO|26280|0|N
H2802|072|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC MO-10 (HMO-POS)|00025002|0.00|420| | |MO|26290|0|N
H2802|072|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC MO-10 (HMO-POS)|00025002|0.00|420| | |MO|26320|0|N
H2802|072|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC MO-10 (HMO-POS)|00025002|0.00|420| | |MO|26330|0|N
H2802|072|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC MO-10 (HMO-POS)|00025002|0.00|420| | |MO|26380|0|N
H2802|072|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC MO-10 (HMO-POS)|00025002|0.00|420| | |MO|26411|0|N
H2802|072|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC MO-10 (HMO-POS)|00025002|0.00|420| | |MO|26450|0|N
H2802|072|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC MO-10 (HMO-POS)|00025002|0.00|420| | |MO|26480|0|N
H2802|072|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC MO-10 (HMO-POS)|00025002|0.00|420| | |MO|26520|0|N
H2802|072|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC MO-10 (HMO-POS)|00025002|0.00|420| | |MO|26540|0|N
H2802|072|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC MO-10 (HMO-POS)|00025002|0.00|420| | |MO|26590|0|N
H2802|072|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC MO-10 (HMO-POS)|00025002|0.00|420| | |MO|26720|0|N
H2802|072|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC MO-10 (HMO-POS)|00025002|0.00|420| | |MO|26740|0|N
H2802|072|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC MO-10 (HMO-POS)|00025002|0.00|420| | |MO|26751|0|N
H2802|072|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC MO-10 (HMO-POS)|00025002|0.00|420| | |MO|26800|0|N
H2802|072|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC MO-10 (HMO-POS)|00025002|0.00|420| | |MO|26821|0|N
H2802|072|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC MO-10 (HMO-POS)|00025002|0.00|420| | |MO|26840|0|N
H2802|072|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC MO-10 (HMO-POS)|00025002|0.00|420| | |MO|26911|0|N
H2802|072|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC MO-10 (HMO-POS)|00025002|0.00|420| | |MO|26983|0|N
H2802|072|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC MO-10 (HMO-POS)|00025002|0.00|420| | |MO|26986|0|N
H2802|072|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC MO-10 (HMO-POS)|00025002|0.00|420| | |MO|26988|0|N
H2802|072|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC MO-10 (HMO-POS)|00025002|0.00|420| | |MO|26989|0|N
H2802|072|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC MO-10 (HMO-POS)|00025002|0.00|420| | |MO|26990|0|N
H2802|072|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC MO-10 (HMO-POS)|00025002|0.00|420| | |MO|26994|0|N
H2802|072|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC MO-10 (HMO-POS)|00025002|0.00|420| | |MO|26996|0|N
H2802|073|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage CareFlex from UHC ST-6 (HMO-POS)|00025002|0.00|495| | |IL|14000|0|N
H2802|073|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage CareFlex from UHC ST-6 (HMO-POS)|00025002|0.00|495| | |IL|14010|0|N
H2802|073|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage CareFlex from UHC ST-6 (HMO-POS)|00025002|0.00|495| | |IL|14020|0|N
H2802|073|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage CareFlex from UHC ST-6 (HMO-POS)|00025002|0.00|495| | |IL|14060|0|N
H2802|073|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage CareFlex from UHC ST-6 (HMO-POS)|00025002|0.00|495| | |IL|14130|0|N
H2802|073|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage CareFlex from UHC ST-6 (HMO-POS)|00025002|0.00|495| | |IL|14340|0|N
H2802|073|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage CareFlex from UHC ST-6 (HMO-POS)|00025002|0.00|495| | |IL|14390|0|N
H2802|073|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage CareFlex from UHC ST-6 (HMO-POS)|00025002|0.00|495| | |IL|14470|0|N
H2802|073|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage CareFlex from UHC ST-6 (HMO-POS)|00025002|0.00|495| | |IL|14500|0|N
H2802|073|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage CareFlex from UHC ST-6 (HMO-POS)|00025002|0.00|495| | |IL|14670|0|N
H2802|073|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage CareFlex from UHC ST-6 (HMO-POS)|00025002|0.00|495| | |IL|14680|0|N
H2802|073|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage CareFlex from UHC ST-6 (HMO-POS)|00025002|0.00|495| | |IL|14690|0|N
H2802|073|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage CareFlex from UHC ST-6 (HMO-POS)|00025002|0.00|495| | |IL|14750|0|N
H2802|073|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage CareFlex from UHC ST-6 (HMO-POS)|00025002|0.00|495| | |IL|14760|0|N
H2802|073|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage CareFlex from UHC ST-6 (HMO-POS)|00025002|0.00|495| | |IL|14810|0|N
H2802|073|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage CareFlex from UHC ST-6 (HMO-POS)|00025002|0.00|495| | |IL|14830|0|N
H2802|073|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage CareFlex from UHC ST-6 (HMO-POS)|00025002|0.00|495| | |IL|14870|0|N
H2802|073|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage CareFlex from UHC ST-6 (HMO-POS)|00025002|0.00|495| | |IL|14900|0|N
H2802|073|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage CareFlex from UHC ST-6 (HMO-POS)|00025002|0.00|495| | |IL|14981|0|N
H2802|073|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage CareFlex from UHC ST-6 (HMO-POS)|00025002|0.00|495| | |IL|14985|0|N
H2802|073|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage CareFlex from UHC ST-6 (HMO-POS)|00025002|0.00|495| | |MO|26270|0|N
H2802|073|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage CareFlex from UHC ST-6 (HMO-POS)|00025002|0.00|495| | |MO|26320|0|N
H2802|073|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage CareFlex from UHC ST-6 (HMO-POS)|00025002|0.00|495| | |MO|26350|0|N
H2802|073|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage CareFlex from UHC ST-6 (HMO-POS)|00025002|0.00|495| | |MO|26360|0|N
H2802|073|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage CareFlex from UHC ST-6 (HMO-POS)|00025002|0.00|495| | |MO|26490|0|N
H2802|073|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage CareFlex from UHC ST-6 (HMO-POS)|00025002|0.00|495| | |MO|26560|0|N
H2802|073|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage CareFlex from UHC ST-6 (HMO-POS)|00025002|0.00|495| | |MO|26800|0|N
H2802|073|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage CareFlex from UHC ST-6 (HMO-POS)|00025002|0.00|495| | |MO|26840|0|N
H2802|073|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage CareFlex from UHC ST-6 (HMO-POS)|00025002|0.00|495| | |MO|26910|0|N
H2802|073|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage CareFlex from UHC ST-6 (HMO-POS)|00025002|0.00|495| | |MO|26930|0|N
H2802|073|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage CareFlex from UHC ST-6 (HMO-POS)|00025002|0.00|495| | |MO|26940|0|N
H2802|073|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage CareFlex from UHC ST-6 (HMO-POS)|00025002|0.00|495| | |MO|26950|0|N
H2802|073|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage CareFlex from UHC ST-6 (HMO-POS)|00025002|0.00|495| | |MO|26960|0|N
H2802|073|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage CareFlex from UHC ST-6 (HMO-POS)|00025002|0.00|495| | |MO|26991|0|N
H2802|073|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage CareFlex from UHC ST-6 (HMO-POS)|00025002|0.00|495| | |MO|26992|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |IA|16140|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |IA|16350|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |IA|16420|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |IA|16640|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |IA|16680|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |IA|16720|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |IA|16770|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |IA|16820|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |NE|28000|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |NE|28010|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |NE|28050|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |NE|28070|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |NE|28090|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |NE|28100|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |NE|28110|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |NE|28120|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |NE|28170|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |NE|28180|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |NE|28190|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |NE|28200|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |NE|28260|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |NE|28270|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |NE|28290|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |NE|28300|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |NE|28330|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |NE|28350|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |NE|28380|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |NE|28390|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |NE|28400|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |NE|28440|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |NE|28460|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |NE|28470|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |NE|28480|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |NE|28490|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |NE|28540|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |NE|28590|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |NE|28600|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |NE|28620|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |NE|28630|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |NE|28640|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |NE|28650|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |NE|28660|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |NE|28690|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |NE|28700|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |NE|28710|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |NE|28730|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |NE|28750|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |NE|28760|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |NE|28770|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |NE|28790|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |NE|28810|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |NE|28830|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |NE|28840|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |NE|28860|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |NE|28870|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |NE|28880|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |NE|28890|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |NE|28900|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |NE|28910|0|N
H2802|074|000|UNITEDHEALTHCARE OF THE MIDLANDS, INC.|AARP Medicare Advantage Extras from UHC NE-5 (HMO-POS)|00025002|0.00|420| | |NE|28920|0|N
H2816|013|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra (PFFS)|00025084|0.00|420| | |NY|33000|0|N
H2816|013|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra (PFFS)|00025084|0.00|420| | |NY|33010|0|N
H2816|013|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra (PFFS)|00025084|0.00|420| | |NY|33030|0|N
H2816|013|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra (PFFS)|00025084|0.00|420| | |NY|33050|0|N
H2816|013|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra (PFFS)|00025084|0.00|420| | |NY|33070|0|N
H2816|013|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra (PFFS)|00025084|0.00|420| | |NY|33080|0|N
H2816|013|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra (PFFS)|00025084|0.00|420| | |NY|33210|0|N
H2816|013|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra (PFFS)|00025084|0.00|420| | |NY|33240|0|N
H2816|013|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra (PFFS)|00025084|0.00|420| | |NY|33280|0|N
H2816|013|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra (PFFS)|00025084|0.00|420| | |NY|33290|0|N
H2816|013|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra (PFFS)|00025084|0.00|420| | |NY|33320|0|N
H2816|013|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra (PFFS)|00025084|0.00|420| | |NY|33360|0|N
H2816|013|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra (PFFS)|00025084|0.00|420| | |NY|33380|0|N
H2816|013|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra (PFFS)|00025084|0.00|420| | |NY|33510|0|N
H2816|013|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra (PFFS)|00025084|0.00|420| | |NY|33520|0|N
H2816|013|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra (PFFS)|00025084|0.00|420| | |NY|33530|0|N
H2816|013|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra (PFFS)|00025084|0.00|420| | |NY|33560|0|N
H2816|013|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra (PFFS)|00025084|0.00|420| | |NY|33600|0|N
H2816|013|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra (PFFS)|00025084|0.00|420| | |NY|33640|0|N
H2816|013|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra (PFFS)|00025084|0.00|420| | |NY|33650|0|N
H2816|013|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra (PFFS)|00025084|0.00|420| | |NY|33660|0|N
H2816|013|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra (PFFS)|00025084|0.00|420| | |NY|33670|0|N
H2816|013|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra (PFFS)|00025084|0.00|420| | |NY|33720|0|N
H2816|013|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra (PFFS)|00025084|0.00|420| | |NY|33750|0|N
H2816|013|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Ultra (PFFS)|00025084|0.00|420| | |NY|33760|0|N
H2816|019|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Enhanced (PFFS)|00025084|0.00|420| | |NY|33000|0|N
H2816|019|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Enhanced (PFFS)|00025084|0.00|420| | |NY|33010|0|N
H2816|019|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Enhanced (PFFS)|00025084|0.00|420| | |NY|33030|0|N
H2816|019|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Enhanced (PFFS)|00025084|0.00|420| | |NY|33050|0|N
H2816|019|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Enhanced (PFFS)|00025084|0.00|420| | |NY|33070|0|N
H2816|019|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Enhanced (PFFS)|00025084|0.00|420| | |NY|33080|0|N
H2816|019|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Enhanced (PFFS)|00025084|0.00|420| | |NY|33210|0|N
H2816|019|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Enhanced (PFFS)|00025084|0.00|420| | |NY|33240|0|N
H2816|019|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Enhanced (PFFS)|00025084|0.00|420| | |NY|33280|0|N
H2816|019|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Enhanced (PFFS)|00025084|0.00|420| | |NY|33290|0|N
H2816|019|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Enhanced (PFFS)|00025084|0.00|420| | |NY|33320|0|N
H2816|019|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Enhanced (PFFS)|00025084|0.00|420| | |NY|33360|0|N
H2816|019|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Enhanced (PFFS)|00025084|0.00|420| | |NY|33380|0|N
H2816|019|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Enhanced (PFFS)|00025084|0.00|420| | |NY|33510|0|N
H2816|019|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Enhanced (PFFS)|00025084|0.00|420| | |NY|33520|0|N
H2816|019|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Enhanced (PFFS)|00025084|0.00|420| | |NY|33530|0|N
H2816|019|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Enhanced (PFFS)|00025084|0.00|420| | |NY|33560|0|N
H2816|019|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Enhanced (PFFS)|00025084|0.00|420| | |NY|33600|0|N
H2816|019|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Enhanced (PFFS)|00025084|0.00|420| | |NY|33640|0|N
H2816|019|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Enhanced (PFFS)|00025084|0.00|420| | |NY|33650|0|N
H2816|019|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Enhanced (PFFS)|00025084|0.00|420| | |NY|33660|0|N
H2816|019|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Enhanced (PFFS)|00025084|0.00|420| | |NY|33670|0|N
H2816|019|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Enhanced (PFFS)|00025084|0.00|420| | |NY|33720|0|N
H2816|019|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Enhanced (PFFS)|00025084|0.00|420| | |NY|33750|0|N
H2816|019|000|AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY|Wellcare Premium Enhanced (PFFS)|00025084|0.00|420| | |NY|33760|0|N
H2819|001|000|CALIFORNIA PHYSICIANS' SERVICE|Blue Shield TotalDual Plan (HMO D-SNP)|00025355|0.00|589| | |CA|05200|2|N
H2819|001|000|CALIFORNIA PHYSICIANS' SERVICE|Blue Shield TotalDual Plan (HMO D-SNP)|00025355|0.00|589| | |CA|05210|2|N
H2819|001|000|CALIFORNIA PHYSICIANS' SERVICE|Blue Shield TotalDual Plan (HMO D-SNP)|00025355|0.00|589| | |CA|05470|2|N
H2819|002|000|CALIFORNIA PHYSICIANS' SERVICE|Blue Shield Inspire (HMO D-SNP)|00025355|0.00|590| | |CA|05340|2|Y
H2819|002|000|CALIFORNIA PHYSICIANS' SERVICE|Blue Shield Inspire (HMO D-SNP)|00025355|0.00|590| | |CA|05490|2|Y
H2819|002|000|CALIFORNIA PHYSICIANS' SERVICE|Blue Shield Inspire (HMO D-SNP)|00025355|0.00|590| | |CA|05600|2|Y
H2819|003|000|CALIFORNIA PHYSICIANS' SERVICE|Blue Shield TotalDual Plan (HMO D-SNP)|00025355|0.00|590| | |CA|05400|2|Y
H2819|003|000|CALIFORNIA PHYSICIANS' SERVICE|Blue Shield TotalDual Plan (HMO D-SNP)|00025355|0.00|590| | |CA|05460|2|Y
H2836|005|000|ANTHEM HEALTH PLANS, INC.|Anthem Medicare Advantage (PPO)|00025049|2.00|275| | |CT|07000|0|N
H2836|005|000|ANTHEM HEALTH PLANS, INC.|Anthem Medicare Advantage (PPO)|00025049|2.00|275| | |CT|07010|0|N
H2836|005|000|ANTHEM HEALTH PLANS, INC.|Anthem Medicare Advantage (PPO)|00025049|2.00|275| | |CT|07020|0|N
H2836|005|000|ANTHEM HEALTH PLANS, INC.|Anthem Medicare Advantage (PPO)|00025049|2.00|275| | |CT|07030|0|N
H2836|005|000|ANTHEM HEALTH PLANS, INC.|Anthem Medicare Advantage (PPO)|00025049|2.00|275| | |CT|07040|0|N
H2836|005|000|ANTHEM HEALTH PLANS, INC.|Anthem Medicare Advantage (PPO)|00025049|2.00|275| | |CT|07050|0|N
H2836|005|000|ANTHEM HEALTH PLANS, INC.|Anthem Medicare Advantage (PPO)|00025049|2.00|275| | |CT|07060|0|N
H2836|005|000|ANTHEM HEALTH PLANS, INC.|Anthem Medicare Advantage (PPO)|00025049|2.00|275| | |CT|07070|0|N
H2836|006|000|ANTHEM HEALTH PLANS, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |CT|07000|2|N
H2836|006|000|ANTHEM HEALTH PLANS, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |CT|07010|2|N
H2836|006|000|ANTHEM HEALTH PLANS, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |CT|07020|2|N
H2836|006|000|ANTHEM HEALTH PLANS, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |CT|07030|2|N
H2836|006|000|ANTHEM HEALTH PLANS, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |CT|07040|2|N
H2836|006|000|ANTHEM HEALTH PLANS, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |CT|07050|2|N
H2836|006|000|ANTHEM HEALTH PLANS, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |CT|07060|2|N
H2836|006|000|ANTHEM HEALTH PLANS, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |CT|07070|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49000|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49010|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49011|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49020|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49030|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49040|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49050|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49060|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49070|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49080|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49090|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49100|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49110|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49111|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49120|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49130|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49140|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49141|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49150|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49160|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49170|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49180|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49190|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49191|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49194|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49200|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49210|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49212|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49213|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49220|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49230|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49240|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49241|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49250|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49260|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49270|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49280|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49288|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49290|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49291|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49300|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49310|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49320|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49328|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49330|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49340|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49342|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49343|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49350|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49360|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49370|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49380|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49390|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49400|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49410|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49411|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49420|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49421|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49430|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49440|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49450|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49451|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49460|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49470|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49480|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49490|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49500|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49510|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49520|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49522|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49530|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49540|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49550|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49551|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49560|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49561|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49563|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49565|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49570|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49580|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49590|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49600|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49620|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49621|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49622|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49641|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49650|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49660|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49661|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49670|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49680|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49690|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49700|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49701|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49710|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49711|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49712|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49720|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49730|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49740|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49750|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49770|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49771|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49780|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49790|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49791|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49800|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49801|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49810|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49820|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49830|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49838|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49840|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49850|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49860|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49870|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49880|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49890|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49891|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49892|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49900|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49910|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49920|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49921|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49930|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49950|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49951|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49960|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49961|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49962|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49970|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49980|2|N
H2875|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49981|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49000|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49010|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49011|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49020|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49030|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49040|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49050|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49060|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49070|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49080|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49090|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49100|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49110|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49111|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49120|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49130|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49140|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49141|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49150|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49160|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49170|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49180|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49190|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49191|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49194|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49200|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49210|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49212|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49213|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49220|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49230|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49240|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49241|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49250|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49260|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49270|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49280|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49288|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49290|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49291|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49300|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49310|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49320|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49328|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49330|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49340|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49342|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49343|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49350|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49360|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49370|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49380|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49390|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49400|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49410|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49411|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49420|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49421|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49430|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49440|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49450|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49451|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49460|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49470|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49480|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49490|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49500|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49510|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49520|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49522|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49530|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49540|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49550|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49551|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49560|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49561|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49563|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49565|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49570|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49580|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49590|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49600|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49620|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49621|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49622|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49641|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49650|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49660|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49661|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49670|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49680|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49690|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49700|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49701|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49710|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49711|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49712|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49720|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49730|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49740|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49750|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49770|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49771|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49780|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49790|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49791|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49800|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49801|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49810|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49820|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49830|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49838|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49840|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49850|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49860|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49870|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49880|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49890|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49891|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49892|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49900|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49910|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49920|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49921|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49930|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49950|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49951|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49960|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49961|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49962|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49970|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49980|2|N
H2875|002|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-002 (HMO-POS D-SNP)|00025456|0.00|590| | |VA|49981|2|N
H2875|003|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-003 (HMO D-SNP)|00025456|0.00|590| | |VA|49111|2|N
H2875|003|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-003 (HMO D-SNP)|00025456|0.00|590| | |VA|49130|2|N
H2875|003|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-003 (HMO D-SNP)|00025456|0.00|590| | |VA|49250|2|N
H2875|003|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-003 (HMO D-SNP)|00025456|0.00|590| | |VA|49380|2|N
H2875|003|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-003 (HMO D-SNP)|00025456|0.00|590| | |VA|49520|2|N
H2875|003|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-003 (HMO D-SNP)|00025456|0.00|590| | |VA|49661|2|N
H2875|003|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-003 (HMO D-SNP)|00025456|0.00|590| | |VA|49830|2|N
H2875|003|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-003 (HMO D-SNP)|00025456|0.00|590| | |VA|49840|2|N
H2875|003|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-003 (HMO D-SNP)|00025456|0.00|590| | |VA|49860|2|N
H2875|003|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-003 (HMO D-SNP)|00025456|0.00|590| | |VA|49920|2|N
H2875|003|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-003 (HMO D-SNP)|00025456|0.00|590| | |VA|49950|2|N
H2875|003|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-003 (HMO D-SNP)|00025456|0.00|590| | |VA|49970|2|N
H2875|003|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Fully Integrated H2875-003 (HMO D-SNP)|00025456|0.00|590| | |VA|49980|2|N
H2875|004|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-004 (HMO D-SNP)|00025456|0.00|590| | |VA|49111|2|N
H2875|004|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-004 (HMO D-SNP)|00025456|0.00|590| | |VA|49130|2|N
H2875|004|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-004 (HMO D-SNP)|00025456|0.00|590| | |VA|49250|2|N
H2875|004|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-004 (HMO D-SNP)|00025456|0.00|590| | |VA|49380|2|N
H2875|004|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-004 (HMO D-SNP)|00025456|0.00|590| | |VA|49520|2|N
H2875|004|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-004 (HMO D-SNP)|00025456|0.00|590| | |VA|49661|2|N
H2875|004|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-004 (HMO D-SNP)|00025456|0.00|590| | |VA|49830|2|N
H2875|004|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-004 (HMO D-SNP)|00025456|0.00|590| | |VA|49840|2|N
H2875|004|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-004 (HMO D-SNP)|00025456|0.00|590| | |VA|49860|2|N
H2875|004|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-004 (HMO D-SNP)|00025456|0.00|590| | |VA|49920|2|N
H2875|004|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-004 (HMO D-SNP)|00025456|0.00|590| | |VA|49950|2|N
H2875|004|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-004 (HMO D-SNP)|00025456|0.00|590| | |VA|49970|2|N
H2875|004|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H2875-004 (HMO D-SNP)|00025456|0.00|590| | |VA|49980|2|N
H2915|002|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |PA|39010|2|N
H2915|002|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |PA|39070|2|N
H2915|002|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |PA|39080|2|N
H2915|002|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |PA|39100|2|N
H2915|002|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |PA|39120|2|N
H2915|002|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |PA|39140|2|N
H2915|002|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |PA|39150|2|N
H2915|002|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |PA|39160|2|N
H2915|002|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |PA|39180|2|N
H2915|002|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |PA|39210|2|N
H2915|002|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |PA|39220|2|N
H2915|002|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |PA|39230|2|N
H2915|002|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |PA|39260|2|N
H2915|002|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |PA|39290|2|N
H2915|002|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |PA|39310|2|N
H2915|002|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |PA|39320|2|N
H2915|002|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |PA|39330|2|N
H2915|002|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |PA|39340|2|N
H2915|002|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |PA|39370|2|N
H2915|002|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |PA|39390|2|N
H2915|002|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |PA|39400|2|N
H2915|002|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |PA|39450|2|N
H2915|002|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |PA|39520|2|N
H2915|002|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |PA|39530|2|N
H2915|002|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |PA|39560|2|N
H2915|002|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |PA|39620|2|N
H2915|002|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |PA|39640|2|N
H2915|002|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |PA|39680|2|N
H2915|002|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |PA|39730|2|N
H2915|002|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |PA|39740|2|N
H2915|002|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |PA|39750|2|N
H2915|002|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |PA|39770|2|N
H2915|003|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39010|0|N
H2915|003|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39070|0|N
H2915|003|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39080|0|N
H2915|003|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39100|0|N
H2915|003|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39120|0|N
H2915|003|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39150|0|N
H2915|003|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39160|0|N
H2915|003|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39180|0|N
H2915|003|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39190|0|N
H2915|003|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39220|0|N
H2915|003|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39230|0|N
H2915|003|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39240|0|N
H2915|003|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39260|0|N
H2915|003|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39310|0|N
H2915|003|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39320|0|N
H2915|003|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39330|0|N
H2915|003|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39340|0|N
H2915|003|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39370|0|N
H2915|003|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39390|0|N
H2915|003|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39400|0|N
H2915|003|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39450|0|N
H2915|003|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39470|0|N
H2915|003|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39480|0|N
H2915|003|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39520|0|N
H2915|003|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39530|0|N
H2915|003|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39550|0|N
H2915|003|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39590|0|N
H2915|003|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39640|0|N
H2915|003|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39650|0|N
H2915|003|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39680|0|N
H2915|003|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39730|0|N
H2915|003|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39740|0|N
H2915|003|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39750|0|N
H2915|003|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39770|0|N
H2915|007|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |PA|39000|2|N
H2915|007|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |PA|39110|2|N
H2915|007|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |PA|39130|2|N
H2915|007|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |PA|39190|2|N
H2915|007|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |PA|39200|2|N
H2915|007|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |PA|39240|2|N
H2915|007|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |PA|39270|2|N
H2915|007|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |PA|39280|2|N
H2915|007|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |PA|39350|2|N
H2915|007|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |PA|39360|2|N
H2915|007|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |PA|39380|2|N
H2915|007|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |PA|39410|2|N
H2915|007|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |PA|39420|2|N
H2915|007|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |PA|39440|2|N
H2915|007|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |PA|39460|2|N
H2915|007|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |PA|39470|2|N
H2915|007|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |PA|39480|2|N
H2915|007|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |PA|39510|2|N
H2915|007|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |PA|39540|2|N
H2915|007|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |PA|39550|2|N
H2915|007|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |PA|39580|2|N
H2915|007|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |PA|39590|2|N
H2915|007|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |PA|39610|2|N
H2915|007|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |PA|39630|2|N
H2915|007|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |PA|39650|2|N
H2915|007|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |PA|39670|2|N
H2915|007|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |PA|39690|2|N
H2915|007|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |PA|39700|2|N
H2915|007|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |PA|39710|2|N
H2915|007|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |PA|39720|2|N
H2915|007|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |PA|39760|2|N
H2915|007|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |PA|39790|2|N
H2915|007|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |PA|39800|2|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39000|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39010|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39070|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39080|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39100|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39110|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39120|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39130|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39140|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39150|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39160|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39180|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39190|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39200|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39210|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39220|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39230|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39240|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39260|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39270|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39280|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39290|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39310|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39320|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39330|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39340|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39350|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39360|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39370|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39380|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39390|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39400|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39410|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39420|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39440|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39450|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39460|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39470|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39480|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39510|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39520|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39530|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39540|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39550|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39560|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39580|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39590|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39610|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39620|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39630|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39640|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39650|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39670|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39680|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39690|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39700|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39710|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39720|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39730|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39740|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39750|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39760|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39770|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39790|0|N
H2915|011|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Assist (HMO)|00025066|30.20|490| | |PA|39800|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39000|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39010|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39070|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39080|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39100|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39110|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39120|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39130|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39140|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39150|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39160|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39180|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39190|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39200|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39210|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39220|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39230|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39240|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39260|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39270|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39280|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39290|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39310|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39320|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39330|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39340|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39350|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39360|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39370|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39380|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39390|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39400|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39410|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39420|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39440|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39450|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39460|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39470|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39480|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39510|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39520|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39530|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39540|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39550|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39560|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39580|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39590|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39610|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39620|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39630|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39640|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39650|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39670|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39680|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39690|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39700|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39710|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39720|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39730|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39740|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39750|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39760|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39770|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39790|0|N
H2915|016|000|PENNSYLVANIA HEALTH & WELLNESS, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |PA|39800|0|N
H2923|001|000|DEVOTED HEALTH PLAN OF OREGON INC|Devoted CORE Oregon (HMO)|00025185|0.00|590| | |OR|38020|0|N
H2923|001|000|DEVOTED HEALTH PLAN OF OREGON INC|Devoted CORE Oregon (HMO)|00025185|0.00|590| | |OR|38040|0|N
H2923|001|000|DEVOTED HEALTH PLAN OF OREGON INC|Devoted CORE Oregon (HMO)|00025185|0.00|590| | |OR|38250|0|N
H2923|001|000|DEVOTED HEALTH PLAN OF OREGON INC|Devoted CORE Oregon (HMO)|00025185|0.00|590| | |OR|38330|0|N
H2923|003|000|DEVOTED HEALTH PLAN OF OREGON INC|Devoted CORE Oregon (HMO)|00025188|0.00|590| | |OR|38190|0|N
H2923|003|000|DEVOTED HEALTH PLAN OF OREGON INC|Devoted CORE Oregon (HMO)|00025188|0.00|590| | |OR|38200|0|N
H2923|003|000|DEVOTED HEALTH PLAN OF OREGON INC|Devoted CORE Oregon (HMO)|00025188|0.00|590| | |OR|38210|0|N
H2923|004|000|DEVOTED HEALTH PLAN OF OREGON INC|Devoted GIVEBACK Oregon (HMO)|00025188|0.00|590| | |OR|38020|0|N
H2923|004|000|DEVOTED HEALTH PLAN OF OREGON INC|Devoted GIVEBACK Oregon (HMO)|00025188|0.00|590| | |OR|38040|0|N
H2923|004|000|DEVOTED HEALTH PLAN OF OREGON INC|Devoted GIVEBACK Oregon (HMO)|00025188|0.00|590| | |OR|38190|0|N
H2923|004|000|DEVOTED HEALTH PLAN OF OREGON INC|Devoted GIVEBACK Oregon (HMO)|00025188|0.00|590| | |OR|38200|0|N
H2923|004|000|DEVOTED HEALTH PLAN OF OREGON INC|Devoted GIVEBACK Oregon (HMO)|00025188|0.00|590| | |OR|38210|0|N
H2923|004|000|DEVOTED HEALTH PLAN OF OREGON INC|Devoted GIVEBACK Oregon (HMO)|00025188|0.00|590| | |OR|38250|0|N
H2923|004|000|DEVOTED HEALTH PLAN OF OREGON INC|Devoted GIVEBACK Oregon (HMO)|00025188|0.00|590| | |OR|38330|0|N
H2923|005|000|DEVOTED HEALTH PLAN OF OREGON INC|Devoted PREMIUM Oregon (HMO)|00025188|15.70|590| | |OR|38020|0|N
H2923|005|000|DEVOTED HEALTH PLAN OF OREGON INC|Devoted PREMIUM Oregon (HMO)|00025188|15.70|590| | |OR|38040|0|N
H2923|005|000|DEVOTED HEALTH PLAN OF OREGON INC|Devoted PREMIUM Oregon (HMO)|00025188|15.70|590| | |OR|38250|0|N
H2923|005|000|DEVOTED HEALTH PLAN OF OREGON INC|Devoted PREMIUM Oregon (HMO)|00025188|15.70|590| | |OR|38330|0|N
H2923|006|000|DEVOTED HEALTH PLAN OF OREGON INC|Devoted PREMIUM Oregon (HMO)|00025188|15.60|590| | |OR|38190|0|N
H2923|006|000|DEVOTED HEALTH PLAN OF OREGON INC|Devoted PREMIUM Oregon (HMO)|00025188|15.60|590| | |OR|38200|0|N
H2923|006|000|DEVOTED HEALTH PLAN OF OREGON INC|Devoted PREMIUM Oregon (HMO)|00025188|15.60|590| | |OR|38210|0|N
H2926|001|000|PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE|Prime Health Complete (HMO D-SNP)|00025244|0.00|590| | |MN|24030|2|N
H2926|001|000|PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE|Prime Health Complete (HMO D-SNP)|00025244|0.00|590| | |MN|24050|2|N
H2926|001|000|PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE|Prime Health Complete (HMO D-SNP)|00025244|0.00|590| | |MN|24110|2|N
H2926|001|000|PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE|Prime Health Complete (HMO D-SNP)|00025244|0.00|590| | |MN|24140|2|N
H2926|001|000|PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE|Prime Health Complete (HMO D-SNP)|00025244|0.00|590| | |MN|24160|2|N
H2926|001|000|PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE|Prime Health Complete (HMO D-SNP)|00025244|0.00|590| | |MN|24200|2|N
H2926|001|000|PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE|Prime Health Complete (HMO D-SNP)|00025244|0.00|590| | |MN|24250|2|N
H2926|001|000|PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE|Prime Health Complete (HMO D-SNP)|00025244|0.00|590| | |MN|24280|2|N
H2926|001|000|PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE|Prime Health Complete (HMO D-SNP)|00025244|0.00|590| | |MN|24310|2|N
H2926|001|000|PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE|Prime Health Complete (HMO D-SNP)|00025244|0.00|590| | |MN|24330|2|N
H2926|001|000|PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE|Prime Health Complete (HMO D-SNP)|00025244|0.00|590| | |MN|24360|2|N
H2926|001|000|PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE|Prime Health Complete (HMO D-SNP)|00025244|0.00|590| | |MN|24400|2|N
H2926|001|000|PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE|Prime Health Complete (HMO D-SNP)|00025244|0.00|590| | |MN|24410|2|N
H2926|001|000|PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE|Prime Health Complete (HMO D-SNP)|00025244|0.00|590| | |MN|24420|2|N
H2926|001|000|PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE|Prime Health Complete (HMO D-SNP)|00025244|0.00|590| | |MN|24460|2|N
H2926|001|000|PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE|Prime Health Complete (HMO D-SNP)|00025244|0.00|590| | |MN|24520|2|N
H2926|001|000|PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE|Prime Health Complete (HMO D-SNP)|00025244|0.00|590| | |MN|24580|2|N
H2926|001|000|PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE|Prime Health Complete (HMO D-SNP)|00025244|0.00|590| | |MN|24600|2|N
H2926|001|000|PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE|Prime Health Complete (HMO D-SNP)|00025244|0.00|590| | |MN|24630|2|N
H2926|001|000|PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE|Prime Health Complete (HMO D-SNP)|00025244|0.00|590| | |MN|24640|2|N
H2926|001|000|PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE|Prime Health Complete (HMO D-SNP)|00025244|0.00|590| | |MN|24740|2|N
H2926|001|000|PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE|Prime Health Complete (HMO D-SNP)|00025244|0.00|590| | |MN|24750|2|N
H2926|001|000|PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE|Prime Health Complete (HMO D-SNP)|00025244|0.00|590| | |MN|24770|2|N
H2926|001|000|PRIMEWEST RURAL MN HEALTH CARE ACCESS INITIATIVE|Prime Health Complete (HMO D-SNP)|00025244|0.00|590| | |MN|24860|2|N
H2942|001|000|COX HEALTH SYSTEMS HMO INC|CoxHealth Medicare Advantage (HMO)|00025486|0.00|0| | |MO|26040|0|N
H2942|001|000|COX HEALTH SYSTEMS HMO INC|CoxHealth Medicare Advantage (HMO)|00025486|0.00|0| | |MO|26210|0|N
H2942|001|000|COX HEALTH SYSTEMS HMO INC|CoxHealth Medicare Advantage (HMO)|00025486|0.00|0| | |MO|26380|0|N
H2942|001|000|COX HEALTH SYSTEMS HMO INC|CoxHealth Medicare Advantage (HMO)|00025486|0.00|0| | |MO|26540|0|N
H2942|001|000|COX HEALTH SYSTEMS HMO INC|CoxHealth Medicare Advantage (HMO)|00025486|0.00|0| | |MO|26986|0|N
H2942|001|000|COX HEALTH SYSTEMS HMO INC|CoxHealth Medicare Advantage (HMO)|00025486|0.00|0| | |MO|26988|0|N
H2942|001|000|COX HEALTH SYSTEMS HMO INC|CoxHealth Medicare Advantage (HMO)|00025486|0.00|0| | |MO|26994|0|N
H2960|012|000|HOMETOWN HEALTH PLAN, INC.|Senior Care Plus Essential plan (HMO)|00025381|0.00|0| | |NV|29120|0|N
H2960|012|000|HOMETOWN HEALTH PLAN, INC.|Senior Care Plus Essential plan (HMO)|00025381|0.00|0| | |NV|29140|0|N
H2960|012|000|HOMETOWN HEALTH PLAN, INC.|Senior Care Plus Essential plan (HMO)|00025381|0.00|0| | |NV|29150|0|N
H2960|018|000|HOMETOWN HEALTH PLAN, INC.|Senior Care Plus Select Plan (HMO)|00025381|100.00|0| | |NV|29120|0|N
H2960|018|000|HOMETOWN HEALTH PLAN, INC.|Senior Care Plus Select Plan (HMO)|00025381|100.00|0| | |NV|29140|0|N
H2960|018|000|HOMETOWN HEALTH PLAN, INC.|Senior Care Plus Select Plan (HMO)|00025381|100.00|0| | |NV|29150|0|N
H2960|019|000|HOMETOWN HEALTH PLAN, INC.|Senior Care Plus Complete Plan (HMO)|00025381|0.00|0| | |NV|29010|0|N
H2960|019|000|HOMETOWN HEALTH PLAN, INC.|Senior Care Plus Complete Plan (HMO)|00025381|0.00|0| | |NV|29110|0|N
H2960|023|000|HOMETOWN HEALTH PLAN, INC.|Renown Preferred Plan by Senior Care Plus (HMO)|00025381|0.00|0| | |NV|29120|0|N
H2960|023|000|HOMETOWN HEALTH PLAN, INC.|Renown Preferred Plan by Senior Care Plus (HMO)|00025381|0.00|0| | |NV|29140|0|N
H2960|023|000|HOMETOWN HEALTH PLAN, INC.|Renown Preferred Plan by Senior Care Plus (HMO)|00025381|0.00|0| | |NV|29150|0|N
H2960|024|000|HOMETOWN HEALTH PLAN, INC.|Senior Care Plus Extensive Duals Plan (HMO D-SNP)|00025381|0.00|590| | |NV|29120|2|N
H2960|024|000|HOMETOWN HEALTH PLAN, INC.|Senior Care Plus Extensive Duals Plan (HMO D-SNP)|00025381|0.00|590| | |NV|29150|2|N
H2960|026|000|HOMETOWN HEALTH PLAN, INC.|Senior Care Plus Enriched Duals Plan (HMO D-SNP)|00025381|0.00|590| | |NV|29010|2|N
H2962|001|000|ULTIMATE HEALTH PLANS, INC.|Premier by Ultimate (HMO)|00025505|0.00|0| | |FL|10080|0|N
H2962|001|000|ULTIMATE HEALTH PLANS, INC.|Premier by Ultimate (HMO)|00025505|0.00|0| | |FL|10260|0|N
H2962|001|000|ULTIMATE HEALTH PLANS, INC.|Premier by Ultimate (HMO)|00025505|0.00|0| | |FL|10300|0|N
H2962|001|000|ULTIMATE HEALTH PLANS, INC.|Premier by Ultimate (HMO)|00025505|0.00|0| | |FL|10500|0|N
H2962|001|000|ULTIMATE HEALTH PLANS, INC.|Premier by Ultimate (HMO)|00025505|0.00|0| | |FL|10550|0|N
H2962|021|000|ULTIMATE HEALTH PLANS, INC.|Advantage Care by Ultimate (HMO C-SNP)|00025506|0.00|0| | |FL|10080|1|N
H2962|021|000|ULTIMATE HEALTH PLANS, INC.|Advantage Care by Ultimate (HMO C-SNP)|00025506|0.00|0| | |FL|10260|1|N
H2962|021|000|ULTIMATE HEALTH PLANS, INC.|Advantage Care by Ultimate (HMO C-SNP)|00025506|0.00|0| | |FL|10500|1|N
H2962|023|000|ULTIMATE HEALTH PLANS, INC.|Advantage Care COPD by Ultimate (HMO C-SNP)|00025506|0.00|0| | |FL|10080|1|N
H2962|023|000|ULTIMATE HEALTH PLANS, INC.|Advantage Care COPD by Ultimate (HMO C-SNP)|00025506|0.00|0| | |FL|10300|1|N
H2962|023|000|ULTIMATE HEALTH PLANS, INC.|Advantage Care COPD by Ultimate (HMO C-SNP)|00025506|0.00|0| | |FL|10340|1|N
H2962|023|000|ULTIMATE HEALTH PLANS, INC.|Advantage Care COPD by Ultimate (HMO C-SNP)|00025506|0.00|0| | |FL|10400|1|N
H2962|023|000|ULTIMATE HEALTH PLANS, INC.|Advantage Care COPD by Ultimate (HMO C-SNP)|00025506|0.00|0| | |FL|10410|1|N
H2962|023|000|ULTIMATE HEALTH PLANS, INC.|Advantage Care COPD by Ultimate (HMO C-SNP)|00025506|0.00|0| | |FL|10470|1|N
H2962|023|000|ULTIMATE HEALTH PLANS, INC.|Advantage Care COPD by Ultimate (HMO C-SNP)|00025506|0.00|0| | |FL|10480|1|N
H2962|023|000|ULTIMATE HEALTH PLANS, INC.|Advantage Care COPD by Ultimate (HMO C-SNP)|00025506|0.00|0| | |FL|10520|1|N
H2962|023|000|ULTIMATE HEALTH PLANS, INC.|Advantage Care COPD by Ultimate (HMO C-SNP)|00025506|0.00|0| | |FL|10550|1|N
H2962|023|000|ULTIMATE HEALTH PLANS, INC.|Advantage Care COPD by Ultimate (HMO C-SNP)|00025506|0.00|0| | |FL|10570|1|N
H2962|023|000|ULTIMATE HEALTH PLANS, INC.|Advantage Care COPD by Ultimate (HMO C-SNP)|00025506|0.00|0| | |FL|10580|1|N
H2962|023|000|ULTIMATE HEALTH PLANS, INC.|Advantage Care COPD by Ultimate (HMO C-SNP)|00025506|0.00|0| | |FL|10590|1|N
H2962|025|000|ULTIMATE HEALTH PLANS, INC.|Advantage Care COPD by Ultimate (HMO C-SNP)|00025506|0.00|0| | |FL|10260|1|N
H2962|025|000|ULTIMATE HEALTH PLANS, INC.|Advantage Care COPD by Ultimate (HMO C-SNP)|00025506|0.00|0| | |FL|10280|1|N
H2962|025|000|ULTIMATE HEALTH PLANS, INC.|Advantage Care COPD by Ultimate (HMO C-SNP)|00025506|0.00|0| | |FL|10500|1|N
H2962|025|000|ULTIMATE HEALTH PLANS, INC.|Advantage Care COPD by Ultimate (HMO C-SNP)|00025506|0.00|0| | |FL|10510|1|N
H2962|026|000|ULTIMATE HEALTH PLANS, INC.|Advantage Care by Ultimate (HMO C-SNP)|00025506|0.00|0| | |FL|10280|1|N
H2962|026|000|ULTIMATE HEALTH PLANS, INC.|Advantage Care by Ultimate (HMO C-SNP)|00025506|0.00|0| | |FL|10510|1|N
H2962|028|000|ULTIMATE HEALTH PLANS, INC.|Premier by Ultimate (HMO)|00025505|0.00|0| | |FL|10340|0|N
H2962|028|000|ULTIMATE HEALTH PLANS, INC.|Premier by Ultimate (HMO)|00025505|0.00|0| | |FL|10410|0|N
H2962|028|000|ULTIMATE HEALTH PLANS, INC.|Premier by Ultimate (HMO)|00025505|0.00|0| | |FL|10590|0|N
H2962|029|000|ULTIMATE HEALTH PLANS, INC.|Advantage Care by Ultimate (HMO C-SNP)|00025506|0.00|0| | |FL|10340|1|N
H2962|029|000|ULTIMATE HEALTH PLANS, INC.|Advantage Care by Ultimate (HMO C-SNP)|00025506|0.00|0| | |FL|10410|1|N
H2962|029|000|ULTIMATE HEALTH PLANS, INC.|Advantage Care by Ultimate (HMO C-SNP)|00025506|0.00|0| | |FL|10590|1|N
H2962|033|000|ULTIMATE HEALTH PLANS, INC.|Advantage Care by Ultimate (HMO C-SNP)|00025506|0.00|0| | |FL|10300|1|N
H2962|033|000|ULTIMATE HEALTH PLANS, INC.|Advantage Care by Ultimate (HMO C-SNP)|00025506|0.00|0| | |FL|10550|1|N
H2962|035|000|ULTIMATE HEALTH PLANS, INC.|Advantage Plus by Ultimate (Full) (HMO D-SNP)|00025508|20.30|590| | |FL|10080|2|N
H2962|035|000|ULTIMATE HEALTH PLANS, INC.|Advantage Plus by Ultimate (Full) (HMO D-SNP)|00025508|20.30|590| | |FL|10260|2|N
H2962|035|000|ULTIMATE HEALTH PLANS, INC.|Advantage Plus by Ultimate (Full) (HMO D-SNP)|00025508|20.30|590| | |FL|10280|2|N
H2962|035|000|ULTIMATE HEALTH PLANS, INC.|Advantage Plus by Ultimate (Full) (HMO D-SNP)|00025508|20.30|590| | |FL|10300|2|N
H2962|035|000|ULTIMATE HEALTH PLANS, INC.|Advantage Plus by Ultimate (Full) (HMO D-SNP)|00025508|20.30|590| | |FL|10340|2|N
H2962|035|000|ULTIMATE HEALTH PLANS, INC.|Advantage Plus by Ultimate (Full) (HMO D-SNP)|00025508|20.30|590| | |FL|10400|2|N
H2962|035|000|ULTIMATE HEALTH PLANS, INC.|Advantage Plus by Ultimate (Full) (HMO D-SNP)|00025508|20.30|590| | |FL|10410|2|N
H2962|035|000|ULTIMATE HEALTH PLANS, INC.|Advantage Plus by Ultimate (Full) (HMO D-SNP)|00025508|20.30|590| | |FL|10470|2|N
H2962|035|000|ULTIMATE HEALTH PLANS, INC.|Advantage Plus by Ultimate (Full) (HMO D-SNP)|00025508|20.30|590| | |FL|10480|2|N
H2962|035|000|ULTIMATE HEALTH PLANS, INC.|Advantage Plus by Ultimate (Full) (HMO D-SNP)|00025508|20.30|590| | |FL|10500|2|N
H2962|035|000|ULTIMATE HEALTH PLANS, INC.|Advantage Plus by Ultimate (Full) (HMO D-SNP)|00025508|20.30|590| | |FL|10510|2|N
H2962|035|000|ULTIMATE HEALTH PLANS, INC.|Advantage Plus by Ultimate (Full) (HMO D-SNP)|00025508|20.30|590| | |FL|10520|2|N
H2962|035|000|ULTIMATE HEALTH PLANS, INC.|Advantage Plus by Ultimate (Full) (HMO D-SNP)|00025508|20.30|590| | |FL|10550|2|N
H2962|035|000|ULTIMATE HEALTH PLANS, INC.|Advantage Plus by Ultimate (Full) (HMO D-SNP)|00025508|20.30|590| | |FL|10570|2|N
H2962|035|000|ULTIMATE HEALTH PLANS, INC.|Advantage Plus by Ultimate (Full) (HMO D-SNP)|00025508|20.30|590| | |FL|10580|2|N
H2962|035|000|ULTIMATE HEALTH PLANS, INC.|Advantage Plus by Ultimate (Full) (HMO D-SNP)|00025508|20.30|590| | |FL|10590|2|N
H2962|036|000|ULTIMATE HEALTH PLANS, INC.|Advantage Plus by Ultimate (Partial) (HMO D-SNP)|00025508|20.30|590| | |FL|10080|2|N
H2962|036|000|ULTIMATE HEALTH PLANS, INC.|Advantage Plus by Ultimate (Partial) (HMO D-SNP)|00025508|20.30|590| | |FL|10260|2|N
H2962|036|000|ULTIMATE HEALTH PLANS, INC.|Advantage Plus by Ultimate (Partial) (HMO D-SNP)|00025508|20.30|590| | |FL|10280|2|N
H2962|036|000|ULTIMATE HEALTH PLANS, INC.|Advantage Plus by Ultimate (Partial) (HMO D-SNP)|00025508|20.30|590| | |FL|10300|2|N
H2962|036|000|ULTIMATE HEALTH PLANS, INC.|Advantage Plus by Ultimate (Partial) (HMO D-SNP)|00025508|20.30|590| | |FL|10340|2|N
H2962|036|000|ULTIMATE HEALTH PLANS, INC.|Advantage Plus by Ultimate (Partial) (HMO D-SNP)|00025508|20.30|590| | |FL|10400|2|N
H2962|036|000|ULTIMATE HEALTH PLANS, INC.|Advantage Plus by Ultimate (Partial) (HMO D-SNP)|00025508|20.30|590| | |FL|10410|2|N
H2962|036|000|ULTIMATE HEALTH PLANS, INC.|Advantage Plus by Ultimate (Partial) (HMO D-SNP)|00025508|20.30|590| | |FL|10470|2|N
H2962|036|000|ULTIMATE HEALTH PLANS, INC.|Advantage Plus by Ultimate (Partial) (HMO D-SNP)|00025508|20.30|590| | |FL|10480|2|N
H2962|036|000|ULTIMATE HEALTH PLANS, INC.|Advantage Plus by Ultimate (Partial) (HMO D-SNP)|00025508|20.30|590| | |FL|10500|2|N
H2962|036|000|ULTIMATE HEALTH PLANS, INC.|Advantage Plus by Ultimate (Partial) (HMO D-SNP)|00025508|20.30|590| | |FL|10510|2|N
H2962|036|000|ULTIMATE HEALTH PLANS, INC.|Advantage Plus by Ultimate (Partial) (HMO D-SNP)|00025508|20.30|590| | |FL|10520|2|N
H2962|036|000|ULTIMATE HEALTH PLANS, INC.|Advantage Plus by Ultimate (Partial) (HMO D-SNP)|00025508|20.30|590| | |FL|10550|2|N
H2962|036|000|ULTIMATE HEALTH PLANS, INC.|Advantage Plus by Ultimate (Partial) (HMO D-SNP)|00025508|20.30|590| | |FL|10570|2|N
H2962|036|000|ULTIMATE HEALTH PLANS, INC.|Advantage Plus by Ultimate (Partial) (HMO D-SNP)|00025508|20.30|590| | |FL|10580|2|N
H2962|036|000|ULTIMATE HEALTH PLANS, INC.|Advantage Plus by Ultimate (Partial) (HMO D-SNP)|00025508|20.30|590| | |FL|10590|2|N
H2962|045|000|ULTIMATE HEALTH PLANS, INC.|Premier by Ultimate (HMO)|00025505|0.00|0| | |FL|10280|0|N
H2962|045|000|ULTIMATE HEALTH PLANS, INC.|Premier by Ultimate (HMO)|00025505|0.00|0| | |FL|10510|0|N
H2962|045|000|ULTIMATE HEALTH PLANS, INC.|Premier by Ultimate (HMO)|00025505|0.00|0| | |FL|10520|0|N
H2962|046|000|ULTIMATE HEALTH PLANS, INC.|Premier by Ultimate (HMO)|00025505|0.00|0| | |FL|10470|0|N
H2962|046|000|ULTIMATE HEALTH PLANS, INC.|Premier by Ultimate (HMO)|00025505|0.00|0| | |FL|10480|0|N
H2962|046|000|ULTIMATE HEALTH PLANS, INC.|Premier by Ultimate (HMO)|00025505|0.00|0| | |FL|10580|0|N
H2962|047|000|ULTIMATE HEALTH PLANS, INC.|Premier by Ultimate (HMO)|00025505|0.00|0| | |FL|10400|0|N
H2962|047|000|ULTIMATE HEALTH PLANS, INC.|Premier by Ultimate (HMO)|00025505|0.00|0| | |FL|10570|0|N
H2962|050|000|ULTIMATE HEALTH PLANS, INC.|Advantage Care by Ultimate (HMO C-SNP)|00025506|0.00|0| | |FL|10470|1|N
H2962|050|000|ULTIMATE HEALTH PLANS, INC.|Advantage Care by Ultimate (HMO C-SNP)|00025506|0.00|0| | |FL|10480|1|N
H2962|050|000|ULTIMATE HEALTH PLANS, INC.|Advantage Care by Ultimate (HMO C-SNP)|00025506|0.00|0| | |FL|10580|1|N
H2962|051|000|ULTIMATE HEALTH PLANS, INC.|Advantage Care by Ultimate (HMO C-SNP)|00025506|0.00|0| | |FL|10520|1|N
H2962|052|000|ULTIMATE HEALTH PLANS, INC.|Advantage Care by Ultimate (HMO C-SNP)|00025506|0.00|0| | |FL|10400|1|N
H2962|052|000|ULTIMATE HEALTH PLANS, INC.|Advantage Care by Ultimate (HMO C-SNP)|00025506|0.00|0| | |FL|10570|1|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25010|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25020|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25030|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25040|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25050|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25060|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25070|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25080|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25090|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25100|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25110|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25120|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25130|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25140|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25150|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25160|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25180|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25190|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25200|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25210|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25220|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25230|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25240|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25250|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25260|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25270|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25280|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25290|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25300|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25310|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25320|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25330|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25340|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25350|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25370|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25380|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25390|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25400|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25410|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25420|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25430|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25440|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25450|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25460|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25470|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25480|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25490|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25500|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25510|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25520|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25530|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25540|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25550|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25560|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25570|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25580|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25590|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25600|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25610|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25620|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25630|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25640|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25650|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25660|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25670|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25680|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25690|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25700|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25710|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25720|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25730|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25740|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25750|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25760|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25770|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25790|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25800|2|N
H3015|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Plus (HMO D-SNP)|00025468|0.00|590| | |MS|25810|2|N
H3038|001|000|MOLINA HEALTHCARE OF CALIFORNIA|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|322| | |CA|05200|2|Y
H3038|001|000|MOLINA HEALTHCARE OF CALIFORNIA|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|322| | |CA|05210|2|Y
H3038|001|000|MOLINA HEALTHCARE OF CALIFORNIA|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|322| | |CA|05430|2|Y
H3038|001|000|MOLINA HEALTHCARE OF CALIFORNIA|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|322| | |CA|05460|2|Y
H3038|001|000|MOLINA HEALTHCARE OF CALIFORNIA|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|322| | |CA|05470|2|Y
H3038|002|000|MOLINA HEALTHCARE OF CALIFORNIA|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |CA|05120|2|Y
H3038|003|000|MOLINA HEALTHCARE OF CALIFORNIA|Molina Medicare Complete Care Plus (HMO D-SNP)|00025316|0.00|590| | |CA|05200|2|N
H3038|003|000|MOLINA HEALTHCARE OF CALIFORNIA|Molina Medicare Complete Care Plus (HMO D-SNP)|00025316|0.00|590| | |CA|05210|2|N
H3038|003|000|MOLINA HEALTHCARE OF CALIFORNIA|Molina Medicare Complete Care Plus (HMO D-SNP)|00025316|0.00|590| | |CA|05430|2|N
H3038|003|000|MOLINA HEALTHCARE OF CALIFORNIA|Molina Medicare Complete Care Plus (HMO D-SNP)|00025316|0.00|590| | |CA|05460|2|N
H3038|003|000|MOLINA HEALTHCARE OF CALIFORNIA|Molina Medicare Complete Care Plus (HMO D-SNP)|00025316|0.00|590| | |CA|05470|2|N
H3041|001|000|DEVOTED HEALTH PLAN OF SOUTH CAROLINA INC|Devoted CORE South Carolina (HMO)|00025185|0.00|590| | |SC|42000|0|N
H3041|001|000|DEVOTED HEALTH PLAN OF SOUTH CAROLINA INC|Devoted CORE South Carolina (HMO)|00025185|0.00|590| | |SC|42030|0|N
H3041|001|000|DEVOTED HEALTH PLAN OF SOUTH CAROLINA INC|Devoted CORE South Carolina (HMO)|00025185|0.00|590| | |SC|42070|0|N
H3041|001|000|DEVOTED HEALTH PLAN OF SOUTH CAROLINA INC|Devoted CORE South Carolina (HMO)|00025185|0.00|590| | |SC|42090|0|N
H3041|001|000|DEVOTED HEALTH PLAN OF SOUTH CAROLINA INC|Devoted CORE South Carolina (HMO)|00025185|0.00|590| | |SC|42110|0|N
H3041|001|000|DEVOTED HEALTH PLAN OF SOUTH CAROLINA INC|Devoted CORE South Carolina (HMO)|00025185|0.00|590| | |SC|42140|0|N
H3041|001|000|DEVOTED HEALTH PLAN OF SOUTH CAROLINA INC|Devoted CORE South Carolina (HMO)|00025185|0.00|590| | |SC|42170|0|N
H3041|001|000|DEVOTED HEALTH PLAN OF SOUTH CAROLINA INC|Devoted CORE South Carolina (HMO)|00025185|0.00|590| | |SC|42180|0|N
H3041|001|000|DEVOTED HEALTH PLAN OF SOUTH CAROLINA INC|Devoted CORE South Carolina (HMO)|00025185|0.00|590| | |SC|42220|0|N
H3041|001|000|DEVOTED HEALTH PLAN OF SOUTH CAROLINA INC|Devoted CORE South Carolina (HMO)|00025185|0.00|590| | |SC|42230|0|N
H3041|001|000|DEVOTED HEALTH PLAN OF SOUTH CAROLINA INC|Devoted CORE South Carolina (HMO)|00025185|0.00|590| | |SC|42290|0|N
H3041|001|000|DEVOTED HEALTH PLAN OF SOUTH CAROLINA INC|Devoted CORE South Carolina (HMO)|00025185|0.00|590| | |SC|42320|0|N
H3041|001|000|DEVOTED HEALTH PLAN OF SOUTH CAROLINA INC|Devoted CORE South Carolina (HMO)|00025185|0.00|590| | |SC|42380|0|N
H3041|001|000|DEVOTED HEALTH PLAN OF SOUTH CAROLINA INC|Devoted CORE South Carolina (HMO)|00025185|0.00|590| | |SC|42400|0|N
H3041|001|000|DEVOTED HEALTH PLAN OF SOUTH CAROLINA INC|Devoted CORE South Carolina (HMO)|00025185|0.00|590| | |SC|42410|0|N
H3041|001|000|DEVOTED HEALTH PLAN OF SOUTH CAROLINA INC|Devoted CORE South Carolina (HMO)|00025185|0.00|590| | |SC|42430|0|N
H3041|001|000|DEVOTED HEALTH PLAN OF SOUTH CAROLINA INC|Devoted CORE South Carolina (HMO)|00025185|0.00|590| | |SC|42450|0|N
H3041|003|000|DEVOTED HEALTH PLAN OF SOUTH CAROLINA INC|Devoted PREMIUM South Carolina (HMO)|00025188|29.80|590| | |SC|42000|0|N
H3041|003|000|DEVOTED HEALTH PLAN OF SOUTH CAROLINA INC|Devoted PREMIUM South Carolina (HMO)|00025188|29.80|590| | |SC|42030|0|N
H3041|003|000|DEVOTED HEALTH PLAN OF SOUTH CAROLINA INC|Devoted PREMIUM South Carolina (HMO)|00025188|29.80|590| | |SC|42070|0|N
H3041|003|000|DEVOTED HEALTH PLAN OF SOUTH CAROLINA INC|Devoted PREMIUM South Carolina (HMO)|00025188|29.80|590| | |SC|42090|0|N
H3041|003|000|DEVOTED HEALTH PLAN OF SOUTH CAROLINA INC|Devoted PREMIUM South Carolina (HMO)|00025188|29.80|590| | |SC|42110|0|N
H3041|003|000|DEVOTED HEALTH PLAN OF SOUTH CAROLINA INC|Devoted PREMIUM South Carolina (HMO)|00025188|29.80|590| | |SC|42140|0|N
H3041|003|000|DEVOTED HEALTH PLAN OF SOUTH CAROLINA INC|Devoted PREMIUM South Carolina (HMO)|00025188|29.80|590| | |SC|42170|0|N
H3041|003|000|DEVOTED HEALTH PLAN OF SOUTH CAROLINA INC|Devoted PREMIUM South Carolina (HMO)|00025188|29.80|590| | |SC|42180|0|N
H3041|003|000|DEVOTED HEALTH PLAN OF SOUTH CAROLINA INC|Devoted PREMIUM South Carolina (HMO)|00025188|29.80|590| | |SC|42220|0|N
H3041|003|000|DEVOTED HEALTH PLAN OF SOUTH CAROLINA INC|Devoted PREMIUM South Carolina (HMO)|00025188|29.80|590| | |SC|42230|0|N
H3041|003|000|DEVOTED HEALTH PLAN OF SOUTH CAROLINA INC|Devoted PREMIUM South Carolina (HMO)|00025188|29.80|590| | |SC|42290|0|N
H3041|003|000|DEVOTED HEALTH PLAN OF SOUTH CAROLINA INC|Devoted PREMIUM South Carolina (HMO)|00025188|29.80|590| | |SC|42320|0|N
H3041|003|000|DEVOTED HEALTH PLAN OF SOUTH CAROLINA INC|Devoted PREMIUM South Carolina (HMO)|00025188|29.80|590| | |SC|42380|0|N
H3041|003|000|DEVOTED HEALTH PLAN OF SOUTH CAROLINA INC|Devoted PREMIUM South Carolina (HMO)|00025188|29.80|590| | |SC|42400|0|N
H3041|003|000|DEVOTED HEALTH PLAN OF SOUTH CAROLINA INC|Devoted PREMIUM South Carolina (HMO)|00025188|29.80|590| | |SC|42410|0|N
H3041|003|000|DEVOTED HEALTH PLAN OF SOUTH CAROLINA INC|Devoted PREMIUM South Carolina (HMO)|00025188|29.80|590| | |SC|42430|0|N
H3041|003|000|DEVOTED HEALTH PLAN OF SOUTH CAROLINA INC|Devoted PREMIUM South Carolina (HMO)|00025188|29.80|590| | |SC|42450|0|N
H3047|001|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Simple Open (PPO)|00025084|0.00|420| | |LA|19000|0|N
H3047|001|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Simple Open (PPO)|00025084|0.00|420| | |LA|19010|0|N
H3047|001|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Simple Open (PPO)|00025084|0.00|420| | |LA|19020|0|N
H3047|001|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Simple Open (PPO)|00025084|0.00|420| | |LA|19030|0|N
H3047|001|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Simple Open (PPO)|00025084|0.00|420| | |LA|19040|0|N
H3047|001|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Simple Open (PPO)|00025084|0.00|420| | |LA|19050|0|N
H3047|001|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Simple Open (PPO)|00025084|0.00|420| | |LA|19060|0|N
H3047|001|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Simple Open (PPO)|00025084|0.00|420| | |LA|19070|0|N
H3047|001|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Simple Open (PPO)|00025084|0.00|420| | |LA|19080|0|N
H3047|001|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Simple Open (PPO)|00025084|0.00|420| | |LA|19110|0|N
H3047|001|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Simple Open (PPO)|00025084|0.00|420| | |LA|19150|0|N
H3047|001|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Simple Open (PPO)|00025084|0.00|420| | |LA|19160|0|N
H3047|001|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Simple Open (PPO)|00025084|0.00|420| | |LA|19180|0|N
H3047|001|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Simple Open (PPO)|00025084|0.00|420| | |LA|19190|0|N
H3047|001|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Simple Open (PPO)|00025084|0.00|420| | |LA|19210|0|N
H3047|001|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Simple Open (PPO)|00025084|0.00|420| | |LA|19220|0|N
H3047|001|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Simple Open (PPO)|00025084|0.00|420| | |LA|19230|0|N
H3047|001|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Simple Open (PPO)|00025084|0.00|420| | |LA|19240|0|N
H3047|001|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Simple Open (PPO)|00025084|0.00|420| | |LA|19250|0|N
H3047|001|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Simple Open (PPO)|00025084|0.00|420| | |LA|19260|0|N
H3047|001|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Simple Open (PPO)|00025084|0.00|420| | |LA|19270|0|N
H3047|001|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Simple Open (PPO)|00025084|0.00|420| | |LA|19280|0|N
H3047|001|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Simple Open (PPO)|00025084|0.00|420| | |LA|19290|0|N
H3047|001|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Simple Open (PPO)|00025084|0.00|420| | |LA|19310|0|N
H3047|001|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Simple Open (PPO)|00025084|0.00|420| | |LA|19340|0|N
H3047|001|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Simple Open (PPO)|00025084|0.00|420| | |LA|19350|0|N
H3047|001|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Simple Open (PPO)|00025084|0.00|420| | |LA|19370|0|N
H3047|001|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Simple Open (PPO)|00025084|0.00|420| | |LA|19380|0|N
H3047|001|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Simple Open (PPO)|00025084|0.00|420| | |LA|19390|0|N
H3047|001|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Simple Open (PPO)|00025084|0.00|420| | |LA|19400|0|N
H3047|001|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Simple Open (PPO)|00025084|0.00|420| | |LA|19420|0|N
H3047|001|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Simple Open (PPO)|00025084|0.00|420| | |LA|19430|0|N
H3047|001|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Simple Open (PPO)|00025084|0.00|420| | |LA|19440|0|N
H3047|001|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Simple Open (PPO)|00025084|0.00|420| | |LA|19450|0|N
H3047|001|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Simple Open (PPO)|00025084|0.00|420| | |LA|19460|0|N
H3047|001|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Simple Open (PPO)|00025084|0.00|420| | |LA|19470|0|N
H3047|001|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Simple Open (PPO)|00025084|0.00|420| | |LA|19480|0|N
H3047|001|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Simple Open (PPO)|00025084|0.00|420| | |LA|19490|0|N
H3047|001|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Simple Open (PPO)|00025084|0.00|420| | |LA|19500|0|N
H3047|001|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Simple Open (PPO)|00025084|0.00|420| | |LA|19510|0|N
H3047|001|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Simple Open (PPO)|00025084|0.00|420| | |LA|19540|0|N
H3047|001|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Simple Open (PPO)|00025084|0.00|420| | |LA|19560|0|N
H3047|001|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Simple Open (PPO)|00025084|0.00|420| | |LA|19570|0|N
H3047|001|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Simple Open (PPO)|00025084|0.00|420| | |LA|19580|0|N
H3047|001|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Simple Open (PPO)|00025084|0.00|420| | |LA|19600|0|N
H3047|001|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Simple Open (PPO)|00025084|0.00|420| | |LA|19620|0|N
H3047|001|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Simple Open (PPO)|00025084|0.00|420| | |LA|19630|0|N
H3047|002|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |LA|19000|0|N
H3047|002|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |LA|19010|0|N
H3047|002|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |LA|19020|0|N
H3047|002|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |LA|19030|0|N
H3047|002|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |LA|19040|0|N
H3047|002|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |LA|19110|0|N
H3047|002|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |LA|19160|0|N
H3047|002|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |LA|19180|0|N
H3047|002|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |LA|19190|0|N
H3047|002|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |LA|19210|0|N
H3047|002|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |LA|19220|0|N
H3047|002|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |LA|19230|0|N
H3047|002|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |LA|19250|0|N
H3047|002|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |LA|19260|0|N
H3047|002|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |LA|19270|0|N
H3047|002|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |LA|19280|0|N
H3047|002|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |LA|19290|0|N
H3047|002|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |LA|19310|0|N
H3047|002|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |LA|19350|0|N
H3047|002|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |LA|19370|0|N
H3047|002|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |LA|19380|0|N
H3047|002|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |LA|19390|0|N
H3047|002|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |LA|19430|0|N
H3047|002|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |LA|19440|0|N
H3047|002|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |LA|19450|0|N
H3047|002|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |LA|19460|0|N
H3047|002|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |LA|19470|0|N
H3047|002|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |LA|19480|0|N
H3047|002|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |LA|19490|0|N
H3047|002|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |LA|19500|0|N
H3047|002|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |LA|19510|0|N
H3047|002|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |LA|19560|0|N
H3047|002|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |LA|19570|0|N
H3047|002|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |LA|19580|0|N
H3047|002|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |LA|19600|0|N
H3047|002|000|WELLCARE HEALTH INSURANCE COMPANY OF LOUISIANA|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |LA|19620|0|N
H3048|001|000|SECUR INC|SECUR Advantage (HMO I-SNP)|00025120|20.30|590| | |FL|10080|3|N
H3048|001|000|SECUR INC|SECUR Advantage (HMO I-SNP)|00025120|20.30|590| | |FL|10260|3|N
H3048|001|000|SECUR INC|SECUR Advantage (HMO I-SNP)|00025120|20.30|590| | |FL|10280|3|N
H3048|001|000|SECUR INC|SECUR Advantage (HMO I-SNP)|00025120|20.30|590| | |FL|10500|3|N
H3048|001|000|SECUR INC|SECUR Advantage (HMO I-SNP)|00025120|20.30|590| | |FL|10510|3|N
H3048|002|000|SECUR INC|SECUR Enhanced (HMO I-SNP)|00025120|20.30|590| | |FL|10080|3|N
H3048|002|000|SECUR INC|SECUR Enhanced (HMO I-SNP)|00025120|20.30|590| | |FL|10260|3|N
H3048|002|000|SECUR INC|SECUR Enhanced (HMO I-SNP)|00025120|20.30|590| | |FL|10280|3|N
H3048|002|000|SECUR INC|SECUR Enhanced (HMO I-SNP)|00025120|20.30|590| | |FL|10500|3|N
H3048|002|000|SECUR INC|SECUR Enhanced (HMO I-SNP)|00025120|20.30|590| | |FL|10510|3|N
H3071|002|000|CLEAR SPRING HEALTH COMMUNITY CARE, INC.|Clear Spring Health Community Advantage Plan (HMO)|00025494|0.00|0| | |IL|14030|0|N
H3071|002|000|CLEAR SPRING HEALTH COMMUNITY CARE, INC.|Clear Spring Health Community Advantage Plan (HMO)|00025494|0.00|0| | |IL|14141|0|N
H3071|002|000|CLEAR SPRING HEALTH COMMUNITY CARE, INC.|Clear Spring Health Community Advantage Plan (HMO)|00025494|0.00|0| | |IL|14250|0|N
H3071|002|000|CLEAR SPRING HEALTH COMMUNITY CARE, INC.|Clear Spring Health Community Advantage Plan (HMO)|00025494|0.00|0| | |IL|14530|0|N
H3071|002|000|CLEAR SPRING HEALTH COMMUNITY CARE, INC.|Clear Spring Health Community Advantage Plan (HMO)|00025494|0.00|0| | |IL|14640|0|N
H3071|002|000|CLEAR SPRING HEALTH COMMUNITY CARE, INC.|Clear Spring Health Community Advantage Plan (HMO)|00025494|0.00|0| | |IL|14790|0|N
H3071|002|000|CLEAR SPRING HEALTH COMMUNITY CARE, INC.|Clear Spring Health Community Advantage Plan (HMO)|00025494|0.00|0| | |IL|14989|0|N
H3071|002|000|CLEAR SPRING HEALTH COMMUNITY CARE, INC.|Clear Spring Health Community Advantage Plan (HMO)|00025494|0.00|0| | |IL|14991|0|N
H3080|001|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted CORE Alabama (HMO)|00025185|0.00|590| | |AL|01000|0|N
H3080|001|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted CORE Alabama (HMO)|00025185|0.00|590| | |AL|01010|0|N
H3080|001|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted CORE Alabama (HMO)|00025185|0.00|590| | |AL|01030|0|N
H3080|001|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted CORE Alabama (HMO)|00025185|0.00|590| | |AL|01040|0|N
H3080|001|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted CORE Alabama (HMO)|00025185|0.00|590| | |AL|01050|0|N
H3080|001|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted CORE Alabama (HMO)|00025185|0.00|590| | |AL|01060|0|N
H3080|001|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted CORE Alabama (HMO)|00025185|0.00|590| | |AL|01080|0|N
H3080|001|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted CORE Alabama (HMO)|00025185|0.00|590| | |AL|01090|0|N
H3080|001|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted CORE Alabama (HMO)|00025185|0.00|590| | |AL|01100|0|N
H3080|001|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted CORE Alabama (HMO)|00025185|0.00|590| | |AL|01130|0|N
H3080|001|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted CORE Alabama (HMO)|00025185|0.00|590| | |AL|01140|0|N
H3080|001|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted CORE Alabama (HMO)|00025185|0.00|590| | |AL|01180|0|N
H3080|001|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted CORE Alabama (HMO)|00025185|0.00|590| | |AL|01210|0|N
H3080|001|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted CORE Alabama (HMO)|00025185|0.00|590| | |AL|01230|0|N
H3080|001|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted CORE Alabama (HMO)|00025185|0.00|590| | |AL|01240|0|N
H3080|001|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted CORE Alabama (HMO)|00025185|0.00|590| | |AL|01250|0|N
H3080|001|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted CORE Alabama (HMO)|00025185|0.00|590| | |AL|01260|0|N
H3080|001|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted CORE Alabama (HMO)|00025185|0.00|590| | |AL|01270|0|N
H3080|001|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted CORE Alabama (HMO)|00025185|0.00|590| | |AL|01360|0|N
H3080|001|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted CORE Alabama (HMO)|00025185|0.00|590| | |AL|01420|0|N
H3080|001|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted CORE Alabama (HMO)|00025185|0.00|590| | |AL|01430|0|N
H3080|001|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted CORE Alabama (HMO)|00025185|0.00|590| | |AL|01480|0|N
H3080|001|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted CORE Alabama (HMO)|00025185|0.00|590| | |AL|01500|0|N
H3080|001|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted CORE Alabama (HMO)|00025185|0.00|590| | |AL|01540|0|N
H3080|001|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted CORE Alabama (HMO)|00025185|0.00|590| | |AL|01550|0|N
H3080|001|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted CORE Alabama (HMO)|00025185|0.00|590| | |AL|01560|0|N
H3080|001|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted CORE Alabama (HMO)|00025185|0.00|590| | |AL|01570|0|N
H3080|001|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted CORE Alabama (HMO)|00025185|0.00|590| | |AL|01580|0|N
H3080|001|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted CORE Alabama (HMO)|00025185|0.00|590| | |AL|01600|0|N
H3080|001|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted CORE Alabama (HMO)|00025185|0.00|590| | |AL|01610|0|N
H3080|001|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted CORE Alabama (HMO)|00025185|0.00|590| | |AL|01630|0|N
H3080|002|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted GIVEBACK Alabama (HMO)|00025185|0.00|590| | |AL|01000|0|N
H3080|002|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted GIVEBACK Alabama (HMO)|00025185|0.00|590| | |AL|01010|0|N
H3080|002|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted GIVEBACK Alabama (HMO)|00025185|0.00|590| | |AL|01030|0|N
H3080|002|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted GIVEBACK Alabama (HMO)|00025185|0.00|590| | |AL|01040|0|N
H3080|002|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted GIVEBACK Alabama (HMO)|00025185|0.00|590| | |AL|01050|0|N
H3080|002|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted GIVEBACK Alabama (HMO)|00025185|0.00|590| | |AL|01060|0|N
H3080|002|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted GIVEBACK Alabama (HMO)|00025185|0.00|590| | |AL|01080|0|N
H3080|002|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted GIVEBACK Alabama (HMO)|00025185|0.00|590| | |AL|01090|0|N
H3080|002|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted GIVEBACK Alabama (HMO)|00025185|0.00|590| | |AL|01100|0|N
H3080|002|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted GIVEBACK Alabama (HMO)|00025185|0.00|590| | |AL|01130|0|N
H3080|002|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted GIVEBACK Alabama (HMO)|00025185|0.00|590| | |AL|01140|0|N
H3080|002|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted GIVEBACK Alabama (HMO)|00025185|0.00|590| | |AL|01160|0|N
H3080|002|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted GIVEBACK Alabama (HMO)|00025185|0.00|590| | |AL|01180|0|N
H3080|002|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted GIVEBACK Alabama (HMO)|00025185|0.00|590| | |AL|01210|0|N
H3080|002|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted GIVEBACK Alabama (HMO)|00025185|0.00|590| | |AL|01230|0|N
H3080|002|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted GIVEBACK Alabama (HMO)|00025185|0.00|590| | |AL|01240|0|N
H3080|002|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted GIVEBACK Alabama (HMO)|00025185|0.00|590| | |AL|01250|0|N
H3080|002|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted GIVEBACK Alabama (HMO)|00025185|0.00|590| | |AL|01260|0|N
H3080|002|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted GIVEBACK Alabama (HMO)|00025185|0.00|590| | |AL|01270|0|N
H3080|002|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted GIVEBACK Alabama (HMO)|00025185|0.00|590| | |AL|01350|0|N
H3080|002|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted GIVEBACK Alabama (HMO)|00025185|0.00|590| | |AL|01360|0|N
H3080|002|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted GIVEBACK Alabama (HMO)|00025185|0.00|590| | |AL|01380|0|N
H3080|002|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted GIVEBACK Alabama (HMO)|00025185|0.00|590| | |AL|01390|0|N
H3080|002|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted GIVEBACK Alabama (HMO)|00025185|0.00|590| | |AL|01410|0|N
H3080|002|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted GIVEBACK Alabama (HMO)|00025185|0.00|590| | |AL|01420|0|N
H3080|002|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted GIVEBACK Alabama (HMO)|00025185|0.00|590| | |AL|01430|0|N
H3080|002|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted GIVEBACK Alabama (HMO)|00025185|0.00|590| | |AL|01440|0|N
H3080|002|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted GIVEBACK Alabama (HMO)|00025185|0.00|590| | |AL|01470|0|N
H3080|002|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted GIVEBACK Alabama (HMO)|00025185|0.00|590| | |AL|01480|0|N
H3080|002|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted GIVEBACK Alabama (HMO)|00025185|0.00|590| | |AL|01500|0|N
H3080|002|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted GIVEBACK Alabama (HMO)|00025185|0.00|590| | |AL|01510|0|N
H3080|002|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted GIVEBACK Alabama (HMO)|00025185|0.00|590| | |AL|01540|0|N
H3080|002|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted GIVEBACK Alabama (HMO)|00025185|0.00|590| | |AL|01550|0|N
H3080|002|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted GIVEBACK Alabama (HMO)|00025185|0.00|590| | |AL|01560|0|N
H3080|002|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted GIVEBACK Alabama (HMO)|00025185|0.00|590| | |AL|01570|0|N
H3080|002|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted GIVEBACK Alabama (HMO)|00025185|0.00|590| | |AL|01580|0|N
H3080|002|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted GIVEBACK Alabama (HMO)|00025185|0.00|590| | |AL|01600|0|N
H3080|002|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted GIVEBACK Alabama (HMO)|00025185|0.00|590| | |AL|01610|0|N
H3080|002|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted GIVEBACK Alabama (HMO)|00025185|0.00|590| | |AL|01630|0|N
H3080|002|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted GIVEBACK Alabama (HMO)|00025185|0.00|590| | |AL|01660|0|N
H3080|003|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL PLUS Alabama (HMO D-SNP)|00025185|0.00|590| | |AL|01000|2|N
H3080|003|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL PLUS Alabama (HMO D-SNP)|00025185|0.00|590| | |AL|01010|2|N
H3080|003|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL PLUS Alabama (HMO D-SNP)|00025185|0.00|590| | |AL|01030|2|N
H3080|003|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL PLUS Alabama (HMO D-SNP)|00025185|0.00|590| | |AL|01040|2|N
H3080|003|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL PLUS Alabama (HMO D-SNP)|00025185|0.00|590| | |AL|01050|2|N
H3080|003|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL PLUS Alabama (HMO D-SNP)|00025185|0.00|590| | |AL|01060|2|N
H3080|003|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL PLUS Alabama (HMO D-SNP)|00025185|0.00|590| | |AL|01080|2|N
H3080|003|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL PLUS Alabama (HMO D-SNP)|00025185|0.00|590| | |AL|01090|2|N
H3080|003|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL PLUS Alabama (HMO D-SNP)|00025185|0.00|590| | |AL|01100|2|N
H3080|003|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL PLUS Alabama (HMO D-SNP)|00025185|0.00|590| | |AL|01130|2|N
H3080|003|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL PLUS Alabama (HMO D-SNP)|00025185|0.00|590| | |AL|01140|2|N
H3080|003|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL PLUS Alabama (HMO D-SNP)|00025185|0.00|590| | |AL|01180|2|N
H3080|003|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL PLUS Alabama (HMO D-SNP)|00025185|0.00|590| | |AL|01210|2|N
H3080|003|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL PLUS Alabama (HMO D-SNP)|00025185|0.00|590| | |AL|01230|2|N
H3080|003|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL PLUS Alabama (HMO D-SNP)|00025185|0.00|590| | |AL|01240|2|N
H3080|003|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL PLUS Alabama (HMO D-SNP)|00025185|0.00|590| | |AL|01250|2|N
H3080|003|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL PLUS Alabama (HMO D-SNP)|00025185|0.00|590| | |AL|01260|2|N
H3080|003|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL PLUS Alabama (HMO D-SNP)|00025185|0.00|590| | |AL|01270|2|N
H3080|003|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL PLUS Alabama (HMO D-SNP)|00025185|0.00|590| | |AL|01360|2|N
H3080|003|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL PLUS Alabama (HMO D-SNP)|00025185|0.00|590| | |AL|01420|2|N
H3080|003|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL PLUS Alabama (HMO D-SNP)|00025185|0.00|590| | |AL|01430|2|N
H3080|003|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL PLUS Alabama (HMO D-SNP)|00025185|0.00|590| | |AL|01480|2|N
H3080|003|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL PLUS Alabama (HMO D-SNP)|00025185|0.00|590| | |AL|01500|2|N
H3080|003|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL PLUS Alabama (HMO D-SNP)|00025185|0.00|590| | |AL|01540|2|N
H3080|003|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL PLUS Alabama (HMO D-SNP)|00025185|0.00|590| | |AL|01550|2|N
H3080|003|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL PLUS Alabama (HMO D-SNP)|00025185|0.00|590| | |AL|01560|2|N
H3080|003|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL PLUS Alabama (HMO D-SNP)|00025185|0.00|590| | |AL|01570|2|N
H3080|003|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL PLUS Alabama (HMO D-SNP)|00025185|0.00|590| | |AL|01580|2|N
H3080|003|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL PLUS Alabama (HMO D-SNP)|00025185|0.00|590| | |AL|01600|2|N
H3080|003|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL PLUS Alabama (HMO D-SNP)|00025185|0.00|590| | |AL|01610|2|N
H3080|003|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL PLUS Alabama (HMO D-SNP)|00025185|0.00|590| | |AL|01630|2|N
H3080|004|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL Alabama (HMO D-SNP)|00025185|19.70|590| | |AL|01000|2|N
H3080|004|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL Alabama (HMO D-SNP)|00025185|19.70|590| | |AL|01010|2|N
H3080|004|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL Alabama (HMO D-SNP)|00025185|19.70|590| | |AL|01030|2|N
H3080|004|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL Alabama (HMO D-SNP)|00025185|19.70|590| | |AL|01040|2|N
H3080|004|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL Alabama (HMO D-SNP)|00025185|19.70|590| | |AL|01050|2|N
H3080|004|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL Alabama (HMO D-SNP)|00025185|19.70|590| | |AL|01060|2|N
H3080|004|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL Alabama (HMO D-SNP)|00025185|19.70|590| | |AL|01080|2|N
H3080|004|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL Alabama (HMO D-SNP)|00025185|19.70|590| | |AL|01090|2|N
H3080|004|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL Alabama (HMO D-SNP)|00025185|19.70|590| | |AL|01100|2|N
H3080|004|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL Alabama (HMO D-SNP)|00025185|19.70|590| | |AL|01130|2|N
H3080|004|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL Alabama (HMO D-SNP)|00025185|19.70|590| | |AL|01140|2|N
H3080|004|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL Alabama (HMO D-SNP)|00025185|19.70|590| | |AL|01180|2|N
H3080|004|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL Alabama (HMO D-SNP)|00025185|19.70|590| | |AL|01210|2|N
H3080|004|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL Alabama (HMO D-SNP)|00025185|19.70|590| | |AL|01230|2|N
H3080|004|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL Alabama (HMO D-SNP)|00025185|19.70|590| | |AL|01240|2|N
H3080|004|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL Alabama (HMO D-SNP)|00025185|19.70|590| | |AL|01250|2|N
H3080|004|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL Alabama (HMO D-SNP)|00025185|19.70|590| | |AL|01260|2|N
H3080|004|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL Alabama (HMO D-SNP)|00025185|19.70|590| | |AL|01270|2|N
H3080|004|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL Alabama (HMO D-SNP)|00025185|19.70|590| | |AL|01360|2|N
H3080|004|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL Alabama (HMO D-SNP)|00025185|19.70|590| | |AL|01420|2|N
H3080|004|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL Alabama (HMO D-SNP)|00025185|19.70|590| | |AL|01430|2|N
H3080|004|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL Alabama (HMO D-SNP)|00025185|19.70|590| | |AL|01480|2|N
H3080|004|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL Alabama (HMO D-SNP)|00025185|19.70|590| | |AL|01500|2|N
H3080|004|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL Alabama (HMO D-SNP)|00025185|19.70|590| | |AL|01540|2|N
H3080|004|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL Alabama (HMO D-SNP)|00025185|19.70|590| | |AL|01550|2|N
H3080|004|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL Alabama (HMO D-SNP)|00025185|19.70|590| | |AL|01560|2|N
H3080|004|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL Alabama (HMO D-SNP)|00025185|19.70|590| | |AL|01570|2|N
H3080|004|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL Alabama (HMO D-SNP)|00025185|19.70|590| | |AL|01580|2|N
H3080|004|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL Alabama (HMO D-SNP)|00025185|19.70|590| | |AL|01600|2|N
H3080|004|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL Alabama (HMO D-SNP)|00025185|19.70|590| | |AL|01610|2|N
H3080|004|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL Alabama (HMO D-SNP)|00025185|19.70|590| | |AL|01630|2|N
H3080|006|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL PLUS Alabama (HMO D-SNP)|00025185|0.00|590| | |AL|01160|2|N
H3080|006|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL PLUS Alabama (HMO D-SNP)|00025185|0.00|590| | |AL|01350|2|N
H3080|006|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL PLUS Alabama (HMO D-SNP)|00025185|0.00|590| | |AL|01380|2|N
H3080|006|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL PLUS Alabama (HMO D-SNP)|00025185|0.00|590| | |AL|01390|2|N
H3080|006|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL PLUS Alabama (HMO D-SNP)|00025185|0.00|590| | |AL|01410|2|N
H3080|006|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL PLUS Alabama (HMO D-SNP)|00025185|0.00|590| | |AL|01440|2|N
H3080|006|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL PLUS Alabama (HMO D-SNP)|00025185|0.00|590| | |AL|01470|2|N
H3080|006|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL PLUS Alabama (HMO D-SNP)|00025185|0.00|590| | |AL|01510|2|N
H3080|006|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL PLUS Alabama (HMO D-SNP)|00025185|0.00|590| | |AL|01660|2|N
H3080|007|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL Alabama (HMO D-SNP)|00025185|13.70|590| | |AL|01160|2|N
H3080|007|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL Alabama (HMO D-SNP)|00025185|13.70|590| | |AL|01350|2|N
H3080|007|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL Alabama (HMO D-SNP)|00025185|13.70|590| | |AL|01380|2|N
H3080|007|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL Alabama (HMO D-SNP)|00025185|13.70|590| | |AL|01390|2|N
H3080|007|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL Alabama (HMO D-SNP)|00025185|13.70|590| | |AL|01410|2|N
H3080|007|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL Alabama (HMO D-SNP)|00025185|13.70|590| | |AL|01440|2|N
H3080|007|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL Alabama (HMO D-SNP)|00025185|13.70|590| | |AL|01470|2|N
H3080|007|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL Alabama (HMO D-SNP)|00025185|13.70|590| | |AL|01510|2|N
H3080|007|000|DEVOTED HEALTH PLAN OF ALABAMA INC|Devoted DUAL Alabama (HMO D-SNP)|00025185|13.70|590| | |AL|01660|2|N
H3113|005|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete NJ-Y001 (HMO D-SNP)|00025002|0.00|590| | |NJ|31000|2|N
H3113|005|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete NJ-Y001 (HMO D-SNP)|00025002|0.00|590| | |NJ|31100|2|N
H3113|005|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete NJ-Y001 (HMO D-SNP)|00025002|0.00|590| | |NJ|31150|2|N
H3113|005|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete NJ-Y001 (HMO D-SNP)|00025002|0.00|590| | |NJ|31160|2|N
H3113|005|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete NJ-Y001 (HMO D-SNP)|00025002|0.00|590| | |NJ|31190|2|N
H3113|005|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete NJ-Y001 (HMO D-SNP)|00025002|0.00|590| | |NJ|31200|2|N
H3113|005|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete NJ-Y001 (HMO D-SNP)|00025002|0.00|590| | |NJ|31220|2|N
H3113|005|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete NJ-Y001 (HMO D-SNP)|00025002|0.00|590| | |NJ|31230|2|N
H3113|005|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete NJ-Y001 (HMO D-SNP)|00025002|0.00|590| | |NJ|31250|2|N
H3113|005|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete NJ-Y001 (HMO D-SNP)|00025002|0.00|590| | |NJ|31260|2|N
H3113|005|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete NJ-Y001 (HMO D-SNP)|00025002|0.00|590| | |NJ|31270|2|N
H3113|005|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete NJ-Y001 (HMO D-SNP)|00025002|0.00|590| | |NJ|31290|2|N
H3113|005|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete NJ-Y001 (HMO D-SNP)|00025002|0.00|590| | |NJ|31300|2|N
H3113|005|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete NJ-Y001 (HMO D-SNP)|00025002|0.00|590| | |NJ|31310|2|N
H3113|005|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete NJ-Y001 (HMO D-SNP)|00025002|0.00|590| | |NJ|31320|2|N
H3113|005|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete NJ-Y001 (HMO D-SNP)|00025002|0.00|590| | |NJ|31340|2|N
H3113|005|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete NJ-Y001 (HMO D-SNP)|00025002|0.00|590| | |NJ|31350|2|N
H3113|005|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete NJ-Y001 (HMO D-SNP)|00025002|0.00|590| | |NJ|31360|2|N
H3113|005|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete NJ-Y001 (HMO D-SNP)|00025002|0.00|590| | |NJ|31370|2|N
H3113|005|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete NJ-Y001 (HMO D-SNP)|00025002|0.00|590| | |NJ|31390|2|N
H3113|008|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Care Advantage OR-E002 (HMO-POS I-SNP)|00025003|26.20|195| | |OR|38190|3|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39000|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39010|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39070|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39080|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39100|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39110|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39120|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39130|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39140|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39150|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39160|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39180|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39190|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39200|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39210|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39220|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39230|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39240|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39250|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39260|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39270|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39280|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39290|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39310|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39320|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39330|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39340|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39350|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39360|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39370|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39380|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39390|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39400|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39410|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39420|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39440|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39450|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39460|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39470|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39480|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39510|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39520|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39530|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39540|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39550|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39560|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39580|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39590|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39600|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39610|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39620|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39630|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39640|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39650|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39670|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39680|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39690|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39700|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39710|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39720|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39730|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39740|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39750|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39760|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39770|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39790|2|N
H3113|009|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39800|2|N
H3113|010|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete RI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |RI|41000|2|N
H3113|010|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete RI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |RI|41010|2|N
H3113|010|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete RI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |RI|41020|2|N
H3113|010|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete RI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |RI|41030|2|N
H3113|010|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete RI-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |RI|41050|2|N
H3113|011|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete DE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |DE|08000|2|Y
H3113|011|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete DE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |DE|08010|2|Y
H3113|011|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete DE-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |DE|08020|2|Y
H3113|013|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete DE-V001 (HMO-POS D-SNP)|00025002|46.30|590| | |DE|08000|2|Y
H3113|013|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete DE-V001 (HMO-POS D-SNP)|00025002|46.30|590| | |DE|08010|2|Y
H3113|013|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete DE-V001 (HMO-POS D-SNP)|00025002|46.30|590| | |DE|08020|2|Y
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39000|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39010|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39070|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39080|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39100|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39110|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39120|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39130|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39140|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39150|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39160|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39180|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39190|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39200|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39210|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39220|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39230|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39240|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39250|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39260|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39270|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39280|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39290|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39310|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39320|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39330|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39340|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39350|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39360|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39370|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39380|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39390|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39400|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39410|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39420|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39440|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39450|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39460|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39470|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39480|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39510|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39520|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39530|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39540|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39550|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39560|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39580|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39590|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39600|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39610|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39620|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39630|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39640|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39650|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39670|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39680|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39690|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39700|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39710|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39720|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39730|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39740|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39750|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39760|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39770|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39790|2|N
H3113|014|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-V001 (HMO-POS D-SNP)|00025002|46.80|590| | |PA|39800|2|N
H3113|016|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39010|2|N
H3113|016|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39080|2|N
H3113|016|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39110|2|N
H3113|016|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39120|2|N
H3113|016|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39140|2|N
H3113|016|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39160|2|N
H3113|016|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39210|2|N
H3113|016|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39260|2|N
H3113|016|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39280|2|N
H3113|016|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39320|2|N
H3113|016|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39330|2|N
H3113|016|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39420|2|N
H3113|016|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39440|2|N
H3113|016|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39470|2|N
H3113|016|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39480|2|N
H3113|016|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39530|2|N
H3113|016|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39550|2|N
H3113|016|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39560|2|N
H3113|016|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39750|2|N
H3113|016|000|OXFORD HEALTH PLANS (NJ), INC.|UHC Dual Complete PA-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |PA|39800|2|N
H3124|001|000|PARTNERS INSURANCE COMPANY OF NEW JERSEY INC|Jefferson Health Plans Choice Plus (PPO)|00025398|35.00|0| | |NJ|31000|0|N
H3124|001|000|PARTNERS INSURANCE COMPANY OF NEW JERSEY INC|Jefferson Health Plans Choice Plus (PPO)|00025398|35.00|0| | |NJ|31150|0|N
H3124|001|000|PARTNERS INSURANCE COMPANY OF NEW JERSEY INC|Jefferson Health Plans Choice Plus (PPO)|00025398|35.00|0| | |NJ|31160|0|N
H3124|001|000|PARTNERS INSURANCE COMPANY OF NEW JERSEY INC|Jefferson Health Plans Choice Plus (PPO)|00025398|35.00|0| | |NJ|31190|0|N
H3124|001|000|PARTNERS INSURANCE COMPANY OF NEW JERSEY INC|Jefferson Health Plans Choice Plus (PPO)|00025398|35.00|0| | |NJ|31220|0|N
H3124|001|000|PARTNERS INSURANCE COMPANY OF NEW JERSEY INC|Jefferson Health Plans Choice Plus (PPO)|00025398|35.00|0| | |NJ|31260|0|N
H3124|001|000|PARTNERS INSURANCE COMPANY OF NEW JERSEY INC|Jefferson Health Plans Choice Plus (PPO)|00025398|35.00|0| | |NJ|31340|0|N
H3124|002|000|PARTNERS INSURANCE COMPANY OF NEW JERSEY INC|Jefferson Health Plans Choice (PPO)|00025398|0.00|0| | |NJ|31000|0|N
H3124|002|000|PARTNERS INSURANCE COMPANY OF NEW JERSEY INC|Jefferson Health Plans Choice (PPO)|00025398|0.00|0| | |NJ|31150|0|N
H3124|002|000|PARTNERS INSURANCE COMPANY OF NEW JERSEY INC|Jefferson Health Plans Choice (PPO)|00025398|0.00|0| | |NJ|31160|0|N
H3124|002|000|PARTNERS INSURANCE COMPANY OF NEW JERSEY INC|Jefferson Health Plans Choice (PPO)|00025398|0.00|0| | |NJ|31190|0|N
H3124|002|000|PARTNERS INSURANCE COMPANY OF NEW JERSEY INC|Jefferson Health Plans Choice (PPO)|00025398|0.00|0| | |NJ|31220|0|N
H3124|002|000|PARTNERS INSURANCE COMPANY OF NEW JERSEY INC|Jefferson Health Plans Choice (PPO)|00025398|0.00|0| | |NJ|31260|0|N
H3124|002|000|PARTNERS INSURANCE COMPANY OF NEW JERSEY INC|Jefferson Health Plans Choice (PPO)|00025398|0.00|0| | |NJ|31340|0|N
H3138|001|000|KAISER PERMANENTE INSURANCE COMPANY|Kaiser Permanente Senior Advantage Choice DM (PPO)|00025415|0.00|0| | |CO|06000|0|N
H3138|001|000|KAISER PERMANENTE INSURANCE COMPANY|Kaiser Permanente Senior Advantage Choice DM (PPO)|00025415|0.00|0| | |CO|06020|0|N
H3138|001|000|KAISER PERMANENTE INSURANCE COMPANY|Kaiser Permanente Senior Advantage Choice DM (PPO)|00025415|0.00|0| | |CO|06060|0|N
H3138|001|000|KAISER PERMANENTE INSURANCE COMPANY|Kaiser Permanente Senior Advantage Choice DM (PPO)|00025415|0.00|0| | |CO|06090|0|N
H3138|001|000|KAISER PERMANENTE INSURANCE COMPANY|Kaiser Permanente Senior Advantage Choice DM (PPO)|00025415|0.00|0| | |CO|06150|0|N
H3138|001|000|KAISER PERMANENTE INSURANCE COMPANY|Kaiser Permanente Senior Advantage Choice DM (PPO)|00025415|0.00|0| | |CO|06170|0|N
H3138|001|000|KAISER PERMANENTE INSURANCE COMPANY|Kaiser Permanente Senior Advantage Choice DM (PPO)|00025415|0.00|0| | |CO|06190|0|N
H3138|001|000|KAISER PERMANENTE INSURANCE COMPANY|Kaiser Permanente Senior Advantage Choice DM (PPO)|00025415|0.00|0| | |CO|06230|0|N
H3138|001|000|KAISER PERMANENTE INSURANCE COMPANY|Kaiser Permanente Senior Advantage Choice DM (PPO)|00025415|0.00|0| | |CO|06290|0|N
H3138|001|000|KAISER PERMANENTE INSURANCE COMPANY|Kaiser Permanente Senior Advantage Choice DM (PPO)|00025415|0.00|0| | |CO|06460|0|N
H3138|001|000|KAISER PERMANENTE INSURANCE COMPANY|Kaiser Permanente Senior Advantage Choice DM (PPO)|00025415|0.00|0| | |CO|06630|0|N
H3138|002|000|KAISER PERMANENTE INSURANCE COMPANY|Kaiser Permanente Senior Advantage Choice South (PPO)|00025415|0.00|0| | |CO|06200|0|N
H3138|002|000|KAISER PERMANENTE INSURANCE COMPANY|Kaiser Permanente Senior Advantage Choice South (PPO)|00025415|0.00|0| | |CO|06210|0|N
H3138|002|000|KAISER PERMANENTE INSURANCE COMPANY|Kaiser Permanente Senior Advantage Choice South (PPO)|00025415|0.00|0| | |CO|06500|0|N
H3138|002|000|KAISER PERMANENTE INSURANCE COMPANY|Kaiser Permanente Senior Advantage Choice South (PPO)|00025415|0.00|0| | |CO|06590|0|N
H3138|003|000|KAISER PERMANENTE INSURANCE COMPANY|Kaiser Permanente Senior Advantage Choice North (PPO)|00025415|0.00|0| | |CO|06340|0|N
H3138|003|000|KAISER PERMANENTE INSURANCE COMPANY|Kaiser Permanente Senior Advantage Choice North (PPO)|00025415|0.00|0| | |CO|06610|0|N
H3146|001|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|0| | |NC|34030|0|N
H3146|001|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|0| | |NC|34110|0|N
H3146|001|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|0| | |NC|34120|0|N
H3146|001|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|0| | |NC|34130|0|N
H3146|001|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|0| | |NC|34220|0|N
H3146|001|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|0| | |NC|34350|0|N
H3146|001|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|0| | |NC|34480|0|N
H3146|001|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|0| | |NC|34540|0|N
H3146|001|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|0| | |NC|34550|0|N
H3146|001|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|0| | |NC|34590|0|N
H3146|001|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|0| | |NC|34790|0|N
H3146|001|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|0| | |NC|34830|0|N
H3146|001|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|0| | |NC|34890|0|N
H3146|002|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34060|2|N
H3146|002|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34070|2|N
H3146|002|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34080|2|N
H3146|002|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34090|2|N
H3146|002|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34140|2|N
H3146|002|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34200|2|N
H3146|002|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34230|2|N
H3146|002|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34250|2|N
H3146|002|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34251|2|N
H3146|002|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34300|2|N
H3146|002|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34310|2|N
H3146|002|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34320|2|N
H3146|002|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34340|2|N
H3146|002|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34360|2|N
H3146|002|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34380|2|N
H3146|002|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34390|2|N
H3146|002|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34410|2|N
H3146|002|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34420|2|N
H3146|002|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34450|2|N
H3146|002|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34460|2|N
H3146|002|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34470|2|N
H3146|002|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34500|2|N
H3146|002|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34510|2|N
H3146|002|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34530|2|N
H3146|002|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34580|2|N
H3146|002|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34610|2|N
H3146|002|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34620|2|N
H3146|002|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34630|2|N
H3146|002|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34650|2|N
H3146|002|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34670|2|N
H3146|002|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34680|2|N
H3146|002|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34690|2|N
H3146|002|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34700|2|N
H3146|002|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34710|2|N
H3146|002|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34720|2|N
H3146|002|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34730|2|N
H3146|002|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34760|2|N
H3146|002|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34770|2|N
H3146|002|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34810|2|N
H3146|002|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34820|2|N
H3146|002|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34880|2|N
H3146|002|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34900|2|N
H3146|002|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34910|2|N
H3146|002|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34920|2|N
H3146|002|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34930|2|N
H3146|002|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34950|2|N
H3146|002|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34970|2|N
H3146|003|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34000|2|N
H3146|003|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34160|2|N
H3146|003|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34180|2|N
H3146|003|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34280|2|N
H3146|003|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34290|2|N
H3146|003|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34330|2|N
H3146|003|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34400|2|N
H3146|003|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34520|2|N
H3146|003|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34750|2|N
H3146|003|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34780|2|N
H3146|003|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34840|2|N
H3146|004|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|0| | |NC|34310|0|N
H3146|004|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|0| | |NC|34500|0|N
H3146|004|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|0| | |NC|34670|0|N
H3146|004|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|0| | |NC|34720|0|N
H3146|004|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|0| | |NC|34910|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34000|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34010|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34020|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34030|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34040|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34050|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34060|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34070|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34080|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34090|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34100|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34110|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34120|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34130|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34140|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34160|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34170|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34180|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34190|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34200|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34210|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34220|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34230|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34250|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34251|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34280|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34290|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34300|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34310|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34320|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34330|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34340|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34350|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34360|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34370|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34380|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34390|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34400|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34410|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34420|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34430|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34440|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34450|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34460|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34470|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34480|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34490|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34500|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34510|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34520|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34530|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34540|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34550|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34560|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34570|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34580|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34590|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34600|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34610|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34620|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34630|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34650|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34670|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34680|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34690|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34700|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34710|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34720|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34730|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34740|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34750|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34760|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34770|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34780|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34790|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34800|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34810|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34820|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34830|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34840|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34850|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34860|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34870|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34880|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34890|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34900|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34910|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34920|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34930|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34940|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34950|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34960|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34970|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34980|0|N
H3146|006|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|15.00|250| | |NC|34981|0|N
H3146|007|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Prime (HMO-POS)|00025101|0.00|0| | |NC|34010|0|N
H3146|007|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Prime (HMO-POS)|00025101|0.00|0| | |NC|34170|0|N
H3146|007|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Prime (HMO-POS)|00025101|0.00|0| | |NC|34280|0|N
H3146|007|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Prime (HMO-POS)|00025101|0.00|0| | |NC|34290|0|N
H3146|007|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Prime (HMO-POS)|00025101|0.00|0| | |NC|34330|0|N
H3146|007|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Prime (HMO-POS)|00025101|0.00|0| | |NC|34400|0|N
H3146|007|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Prime (HMO-POS)|00025101|0.00|0| | |NC|34750|0|N
H3146|007|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Prime (HMO-POS)|00025101|0.00|0| | |NC|34960|0|N
H3146|007|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Prime (HMO-POS)|00025101|0.00|0| | |NC|34980|0|N
H3146|008|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34010|2|N
H3146|008|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34020|2|N
H3146|008|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34030|2|N
H3146|008|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34040|2|N
H3146|008|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34050|2|N
H3146|008|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34100|2|N
H3146|008|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34110|2|N
H3146|008|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34120|2|N
H3146|008|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34130|2|N
H3146|008|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34170|2|N
H3146|008|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34190|2|N
H3146|008|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34210|2|N
H3146|008|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34220|2|N
H3146|008|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34350|2|N
H3146|008|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34370|2|N
H3146|008|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34430|2|N
H3146|008|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34440|2|N
H3146|008|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34480|2|N
H3146|008|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34490|2|N
H3146|008|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34540|2|N
H3146|008|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34550|2|N
H3146|008|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34560|2|N
H3146|008|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34570|2|N
H3146|008|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34590|2|N
H3146|008|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34600|2|N
H3146|008|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34740|2|N
H3146|008|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34790|2|N
H3146|008|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34800|2|N
H3146|008|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34830|2|N
H3146|008|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34850|2|N
H3146|008|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34860|2|N
H3146|008|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34870|2|N
H3146|008|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34890|2|N
H3146|008|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34940|2|N
H3146|008|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34960|2|N
H3146|008|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34980|2|N
H3146|008|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NC|34981|2|N
H3146|011|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|23.90|250| | |SC|42000|0|N
H3146|011|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|23.90|250| | |SC|42010|0|N
H3146|011|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|23.90|250| | |SC|42020|0|N
H3146|011|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|23.90|250| | |SC|42030|0|N
H3146|011|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|23.90|250| | |SC|42040|0|N
H3146|011|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|23.90|250| | |SC|42050|0|N
H3146|011|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|23.90|250| | |SC|42060|0|N
H3146|011|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|23.90|250| | |SC|42070|0|N
H3146|011|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|23.90|250| | |SC|42080|0|N
H3146|011|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|23.90|250| | |SC|42090|0|N
H3146|011|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|23.90|250| | |SC|42100|0|N
H3146|011|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|23.90|250| | |SC|42110|0|N
H3146|011|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|23.90|250| | |SC|42120|0|N
H3146|011|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|23.90|250| | |SC|42130|0|N
H3146|011|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|23.90|250| | |SC|42140|0|N
H3146|011|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|23.90|250| | |SC|42150|0|N
H3146|011|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|23.90|250| | |SC|42160|0|N
H3146|011|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|23.90|250| | |SC|42170|0|N
H3146|011|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|23.90|250| | |SC|42180|0|N
H3146|011|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|23.90|250| | |SC|42190|0|N
H3146|011|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|23.90|250| | |SC|42200|0|N
H3146|011|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|23.90|250| | |SC|42210|0|N
H3146|011|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|23.90|250| | |SC|42220|0|N
H3146|011|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|23.90|250| | |SC|42230|0|N
H3146|011|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|23.90|250| | |SC|42240|0|N
H3146|011|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|23.90|250| | |SC|42250|0|N
H3146|011|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|23.90|250| | |SC|42260|0|N
H3146|011|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|23.90|250| | |SC|42270|0|N
H3146|011|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|23.90|250| | |SC|42280|0|N
H3146|011|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|23.90|250| | |SC|42290|0|N
H3146|011|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|23.90|250| | |SC|42300|0|N
H3146|011|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|23.90|250| | |SC|42310|0|N
H3146|011|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|23.90|250| | |SC|42320|0|N
H3146|011|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|23.90|250| | |SC|42330|0|N
H3146|011|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|23.90|250| | |SC|42340|0|N
H3146|011|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|23.90|250| | |SC|42350|0|N
H3146|011|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|23.90|250| | |SC|42360|0|N
H3146|011|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|23.90|250| | |SC|42370|0|N
H3146|011|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|23.90|250| | |SC|42380|0|N
H3146|011|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|23.90|250| | |SC|42390|0|N
H3146|011|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|23.90|250| | |SC|42400|0|N
H3146|011|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|23.90|250| | |SC|42410|0|N
H3146|011|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|23.90|250| | |SC|42420|0|N
H3146|011|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|23.90|250| | |SC|42430|0|N
H3146|011|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|23.90|250| | |SC|42440|0|N
H3146|011|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|23.90|250| | |SC|42450|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44010|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44020|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44030|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44050|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44070|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44080|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44100|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44110|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44130|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44150|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44160|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44170|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44180|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44190|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44200|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44210|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44220|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44230|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44240|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44250|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44260|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44270|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44300|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44320|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44340|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44350|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44370|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44390|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44400|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44410|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44420|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44430|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44470|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44480|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44490|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44500|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44510|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44540|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44550|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44570|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44580|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44590|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44600|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44620|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44630|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44650|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44660|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44670|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44680|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44690|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44700|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44710|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44730|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44740|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44760|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44780|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44790|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44800|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44820|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44830|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44840|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44870|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44880|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44900|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44910|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44920|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44930|0|N
H3146|012|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Value Plus (HMO)|00025101|9.00|250| | |TN|44940|0|N
H3146|014|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Prime (HMO-POS)|00025101|0.00|0| | |SC|42030|0|N
H3146|014|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Prime (HMO-POS)|00025101|0.00|0| | |SC|42080|0|N
H3146|014|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Prime (HMO-POS)|00025101|0.00|0| | |SC|42190|0|N
H3146|014|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Prime (HMO-POS)|00025101|0.00|0| | |SC|42220|0|N
H3146|014|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Prime (HMO-POS)|00025101|0.00|0| | |SC|42270|0|N
H3146|014|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Prime (HMO-POS)|00025101|0.00|0| | |SC|42290|0|N
H3146|014|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Prime (HMO-POS)|00025101|0.00|0| | |SC|42300|0|N
H3146|014|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Prime (HMO-POS)|00025101|0.00|0| | |SC|42310|0|N
H3146|014|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Prime (HMO-POS)|00025101|0.00|0| | |SC|42350|0|N
H3146|014|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Prime (HMO-POS)|00025101|0.00|0| | |SC|42360|0|N
H3146|014|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Prime (HMO-POS)|00025101|0.00|0| | |SC|42380|0|N
H3146|014|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Prime (HMO-POS)|00025101|0.00|0| | |SC|42390|0|N
H3146|014|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Prime (HMO-POS)|00025101|0.00|0| | |SC|42400|0|N
H3146|014|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Prime (HMO-POS)|00025101|0.00|0| | |SC|42410|0|N
H3146|014|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Prime (HMO-POS)|00025101|0.00|0| | |SC|42420|0|N
H3146|016|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |SC|42000|2|N
H3146|016|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |SC|42030|2|N
H3146|016|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |SC|42100|2|N
H3146|016|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |SC|42220|2|N
H3146|016|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |SC|42230|2|N
H3146|016|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |SC|42290|2|N
H3146|016|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |SC|42360|2|N
H3146|016|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |SC|42380|2|N
H3146|016|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |SC|42410|2|N
H3146|016|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |SC|42430|2|N
H3146|016|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |SC|42450|2|N
H3146|017|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |SC|42010|2|N
H3146|017|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |SC|42020|2|N
H3146|017|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |SC|42040|2|N
H3146|017|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |SC|42050|2|N
H3146|017|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |SC|42060|2|N
H3146|017|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |SC|42070|2|N
H3146|017|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |SC|42080|2|N
H3146|017|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |SC|42090|2|N
H3146|017|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |SC|42110|2|N
H3146|017|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |SC|42120|2|N
H3146|017|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |SC|42130|2|N
H3146|017|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |SC|42140|2|N
H3146|017|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |SC|42150|2|N
H3146|017|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |SC|42160|2|N
H3146|017|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |SC|42170|2|N
H3146|017|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |SC|42180|2|N
H3146|017|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |SC|42190|2|N
H3146|017|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |SC|42200|2|N
H3146|017|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |SC|42210|2|N
H3146|017|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |SC|42240|2|N
H3146|017|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |SC|42250|2|N
H3146|017|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |SC|42260|2|N
H3146|017|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |SC|42270|2|N
H3146|017|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |SC|42280|2|N
H3146|017|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |SC|42300|2|N
H3146|017|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |SC|42310|2|N
H3146|017|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |SC|42320|2|N
H3146|017|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |SC|42330|2|N
H3146|017|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |SC|42340|2|N
H3146|017|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |SC|42350|2|N
H3146|017|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |SC|42370|2|N
H3146|017|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |SC|42390|2|N
H3146|017|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |SC|42400|2|N
H3146|017|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |SC|42420|2|N
H3146|017|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |SC|42440|2|N
H3146|018|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Flex (HMO D-SNP)|00025101|0.00|590| | |NC|34000|2|N
H3146|018|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Flex (HMO D-SNP)|00025101|0.00|590| | |NC|34010|2|N
H3146|018|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Flex (HMO D-SNP)|00025101|0.00|590| | |NC|34100|2|N
H3146|018|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Flex (HMO D-SNP)|00025101|0.00|590| | |NC|34110|2|N
H3146|018|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Flex (HMO D-SNP)|00025101|0.00|590| | |NC|34130|2|N
H3146|018|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Flex (HMO D-SNP)|00025101|0.00|590| | |NC|34170|2|N
H3146|018|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Flex (HMO D-SNP)|00025101|0.00|590| | |NC|34180|2|N
H3146|018|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Flex (HMO D-SNP)|00025101|0.00|590| | |NC|34250|2|N
H3146|018|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Flex (HMO D-SNP)|00025101|0.00|590| | |NC|34280|2|N
H3146|018|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Flex (HMO D-SNP)|00025101|0.00|590| | |NC|34310|2|N
H3146|018|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Flex (HMO D-SNP)|00025101|0.00|590| | |NC|34330|2|N
H3146|018|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Flex (HMO D-SNP)|00025101|0.00|590| | |NC|34400|2|N
H3146|018|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Flex (HMO D-SNP)|00025101|0.00|590| | |NC|34430|2|N
H3146|018|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Flex (HMO D-SNP)|00025101|0.00|590| | |NC|34460|2|N
H3146|018|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Flex (HMO D-SNP)|00025101|0.00|590| | |NC|34590|2|N
H3146|018|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Flex (HMO D-SNP)|00025101|0.00|590| | |NC|34750|2|N
H3146|018|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Flex (HMO D-SNP)|00025101|0.00|590| | |NC|34760|2|N
H3146|018|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Flex (HMO D-SNP)|00025101|0.00|590| | |NC|34780|2|N
H3146|018|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Flex (HMO D-SNP)|00025101|0.00|590| | |NC|34820|2|N
H3146|018|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Flex (HMO D-SNP)|00025101|0.00|590| | |NC|34910|2|N
H3146|019|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Flex (HMO D-SNP)|00025101|0.00|590| | |SC|42030|2|N
H3146|019|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Flex (HMO D-SNP)|00025101|0.00|590| | |SC|42090|2|N
H3146|019|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Flex (HMO D-SNP)|00025101|0.00|590| | |SC|42100|2|N
H3146|019|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Flex (HMO D-SNP)|00025101|0.00|590| | |SC|42140|2|N
H3146|019|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Flex (HMO D-SNP)|00025101|0.00|590| | |SC|42160|2|N
H3146|019|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Flex (HMO D-SNP)|00025101|0.00|590| | |SC|42190|2|N
H3146|019|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Flex (HMO D-SNP)|00025101|0.00|590| | |SC|42200|2|N
H3146|019|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Flex (HMO D-SNP)|00025101|0.00|590| | |SC|42220|2|N
H3146|019|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Flex (HMO D-SNP)|00025101|0.00|590| | |SC|42300|2|N
H3146|019|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Flex (HMO D-SNP)|00025101|0.00|590| | |SC|42310|2|N
H3146|019|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Flex (HMO D-SNP)|00025101|0.00|590| | |SC|42330|2|N
H3146|019|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Flex (HMO D-SNP)|00025101|0.00|590| | |SC|42340|2|N
H3146|019|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Flex (HMO D-SNP)|00025101|0.00|590| | |SC|42390|2|N
H3146|019|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Flex (HMO D-SNP)|00025101|0.00|590| | |SC|42410|2|N
H3146|019|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Flex (HMO D-SNP)|00025101|0.00|590| | |SC|42420|2|N
H3146|019|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Flex (HMO D-SNP)|00025101|0.00|590| | |SC|42450|2|N
H3146|021|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Primary (HMO)|00025101|0.00|0| | |NC|34000|0|N
H3146|021|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Primary (HMO)|00025101|0.00|0| | |NC|34120|0|N
H3146|021|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Primary (HMO)|00025101|0.00|0| | |NC|34250|0|N
H3146|021|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Primary (HMO)|00025101|0.00|0| | |NC|34280|0|N
H3146|021|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Primary (HMO)|00025101|0.00|0| | |NC|34310|0|N
H3146|021|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Primary (HMO)|00025101|0.00|0| | |NC|34330|0|N
H3146|021|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Primary (HMO)|00025101|0.00|0| | |NC|34350|0|N
H3146|021|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Primary (HMO)|00025101|0.00|0| | |NC|34400|0|N
H3146|021|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Primary (HMO)|00025101|0.00|0| | |NC|34500|0|N
H3146|021|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Primary (HMO)|00025101|0.00|0| | |NC|34590|0|N
H3146|021|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Primary (HMO)|00025101|0.00|0| | |NC|34670|0|N
H3146|021|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Primary (HMO)|00025101|0.00|0| | |NC|34750|0|N
H3146|021|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Primary (HMO)|00025101|0.00|0| | |NC|34890|0|N
H3146|021|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Primary (HMO)|00025101|0.00|0| | |NC|34910|0|N
H3146|022|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Primary (HMO D-SNP)|00025101|0.00|590| | |NC|34000|2|N
H3146|022|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Primary (HMO D-SNP)|00025101|0.00|590| | |NC|34120|2|N
H3146|022|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Primary (HMO D-SNP)|00025101|0.00|590| | |NC|34250|2|N
H3146|022|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Primary (HMO D-SNP)|00025101|0.00|590| | |NC|34280|2|N
H3146|022|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Primary (HMO D-SNP)|00025101|0.00|590| | |NC|34310|2|N
H3146|022|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Primary (HMO D-SNP)|00025101|0.00|590| | |NC|34330|2|N
H3146|022|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Primary (HMO D-SNP)|00025101|0.00|590| | |NC|34350|2|N
H3146|022|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Primary (HMO D-SNP)|00025101|0.00|590| | |NC|34400|2|N
H3146|022|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Primary (HMO D-SNP)|00025101|0.00|590| | |NC|34500|2|N
H3146|022|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Primary (HMO D-SNP)|00025101|0.00|590| | |NC|34590|2|N
H3146|022|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Primary (HMO D-SNP)|00025101|0.00|590| | |NC|34670|2|N
H3146|022|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Primary (HMO D-SNP)|00025101|0.00|590| | |NC|34750|2|N
H3146|022|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Primary (HMO D-SNP)|00025101|0.00|590| | |NC|34890|2|N
H3146|022|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Primary (HMO D-SNP)|00025101|0.00|590| | |NC|34910|2|N
H3146|023|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Primary (HMO D-SNP)|00025101|0.00|590| | |SC|42030|2|N
H3146|023|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Primary (HMO D-SNP)|00025101|0.00|590| | |SC|42070|2|N
H3146|023|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Primary (HMO D-SNP)|00025101|0.00|590| | |SC|42090|2|N
H3146|023|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Primary (HMO D-SNP)|00025101|0.00|590| | |SC|42100|2|N
H3146|023|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Primary (HMO D-SNP)|00025101|0.00|590| | |SC|42170|2|N
H3146|023|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Primary (HMO D-SNP)|00025101|0.00|590| | |SC|42220|2|N
H3146|023|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Primary (HMO D-SNP)|00025101|0.00|590| | |SC|42250|2|N
H3146|023|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Primary (HMO D-SNP)|00025101|0.00|590| | |SC|42290|2|N
H3146|023|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Primary (HMO D-SNP)|00025101|0.00|590| | |SC|42310|2|N
H3146|023|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Primary (HMO D-SNP)|00025101|0.00|590| | |SC|42360|2|N
H3146|023|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Primary (HMO D-SNP)|00025101|0.00|590| | |SC|42380|2|N
H3146|023|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Primary (HMO D-SNP)|00025101|0.00|590| | |SC|42390|2|N
H3146|023|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Primary (HMO D-SNP)|00025101|0.00|590| | |SC|42410|2|N
H3146|023|000|AETNA BETTER HEALTH INC. (GA)|Aetna Medicare Assure Primary (HMO D-SNP)|00025101|0.00|590| | |SC|42450|2|N
H3152|022|000|AETNA HEALTH INC. (NJ)|Aetna Medicare Explorer Premier (HMO-POS)|00025101|68.00|590| | |NJ|31000|0|N
H3152|022|000|AETNA HEALTH INC. (NJ)|Aetna Medicare Explorer Premier (HMO-POS)|00025101|68.00|590| | |NJ|31150|0|N
H3152|022|000|AETNA HEALTH INC. (NJ)|Aetna Medicare Explorer Premier (HMO-POS)|00025101|68.00|590| | |NJ|31160|0|N
H3152|022|000|AETNA HEALTH INC. (NJ)|Aetna Medicare Explorer Premier (HMO-POS)|00025101|68.00|590| | |NJ|31180|0|N
H3152|022|000|AETNA HEALTH INC. (NJ)|Aetna Medicare Explorer Premier (HMO-POS)|00025101|68.00|590| | |NJ|31190|0|N
H3152|022|000|AETNA HEALTH INC. (NJ)|Aetna Medicare Explorer Premier (HMO-POS)|00025101|68.00|590| | |NJ|31220|0|N
H3152|022|000|AETNA HEALTH INC. (NJ)|Aetna Medicare Explorer Premier (HMO-POS)|00025101|68.00|590| | |NJ|31310|0|N
H3152|022|000|AETNA HEALTH INC. (NJ)|Aetna Medicare Explorer Premier (HMO-POS)|00025101|68.00|590| | |NJ|31340|0|N
H3152|048|000|AETNA HEALTH INC. (NJ)|Aetna Medicare Explorer Premier (HMO-POS)|00025101|95.00|590| | |NJ|31100|0|N
H3152|048|000|AETNA HEALTH INC. (NJ)|Aetna Medicare Explorer Premier (HMO-POS)|00025101|95.00|590| | |NJ|31200|0|N
H3152|048|000|AETNA HEALTH INC. (NJ)|Aetna Medicare Explorer Premier (HMO-POS)|00025101|95.00|590| | |NJ|31230|0|N
H3152|048|000|AETNA HEALTH INC. (NJ)|Aetna Medicare Explorer Premier (HMO-POS)|00025101|95.00|590| | |NJ|31250|0|N
H3152|048|000|AETNA HEALTH INC. (NJ)|Aetna Medicare Explorer Premier (HMO-POS)|00025101|95.00|590| | |NJ|31260|0|N
H3152|048|000|AETNA HEALTH INC. (NJ)|Aetna Medicare Explorer Premier (HMO-POS)|00025101|95.00|590| | |NJ|31270|0|N
H3152|048|000|AETNA HEALTH INC. (NJ)|Aetna Medicare Explorer Premier (HMO-POS)|00025101|95.00|590| | |NJ|31290|0|N
H3152|048|000|AETNA HEALTH INC. (NJ)|Aetna Medicare Explorer Premier (HMO-POS)|00025101|95.00|590| | |NJ|31300|0|N
H3152|048|000|AETNA HEALTH INC. (NJ)|Aetna Medicare Explorer Premier (HMO-POS)|00025101|95.00|590| | |NJ|31320|0|N
H3152|048|000|AETNA HEALTH INC. (NJ)|Aetna Medicare Explorer Premier (HMO-POS)|00025101|95.00|590| | |NJ|31350|0|N
H3152|048|000|AETNA HEALTH INC. (NJ)|Aetna Medicare Explorer Premier (HMO-POS)|00025101|95.00|590| | |NJ|31360|0|N
H3152|048|000|AETNA HEALTH INC. (NJ)|Aetna Medicare Explorer Premier (HMO-POS)|00025101|95.00|590| | |NJ|31370|0|N
H3152|048|000|AETNA HEALTH INC. (NJ)|Aetna Medicare Explorer Premier (HMO-POS)|00025101|95.00|590| | |NJ|31390|0|N
H3152|080|000|AETNA HEALTH INC. (NJ)|Aetna Medicare Prime Value (HMO-POS)|00025101|0.00|590| | |NJ|31100|0|N
H3152|080|000|AETNA HEALTH INC. (NJ)|Aetna Medicare Prime Value (HMO-POS)|00025101|0.00|590| | |NJ|31250|0|N
H3152|080|000|AETNA HEALTH INC. (NJ)|Aetna Medicare Prime Value (HMO-POS)|00025101|0.00|590| | |NJ|31260|0|N
H3152|080|000|AETNA HEALTH INC. (NJ)|Aetna Medicare Prime Value (HMO-POS)|00025101|0.00|590| | |NJ|31290|0|N
H3152|080|000|AETNA HEALTH INC. (NJ)|Aetna Medicare Prime Value (HMO-POS)|00025101|0.00|590| | |NJ|31300|0|N
H3152|080|000|AETNA HEALTH INC. (NJ)|Aetna Medicare Prime Value (HMO-POS)|00025101|0.00|590| | |NJ|31320|0|N
H3152|080|000|AETNA HEALTH INC. (NJ)|Aetna Medicare Prime Value (HMO-POS)|00025101|0.00|590| | |NJ|31350|0|N
H3152|080|000|AETNA HEALTH INC. (NJ)|Aetna Medicare Prime Value (HMO-POS)|00025101|0.00|590| | |NJ|31360|0|N
H3152|080|000|AETNA HEALTH INC. (NJ)|Aetna Medicare Prime Value (HMO-POS)|00025101|0.00|590| | |NJ|31370|0|N
H3152|080|000|AETNA HEALTH INC. (NJ)|Aetna Medicare Prime Value (HMO-POS)|00025101|0.00|590| | |NJ|31390|0|N
H3152|082|000|AETNA HEALTH INC. (NJ)|Aetna Medicare Explorer Value (HMO)|00025101|0.00|450| | |NJ|31000|0|N
H3152|082|000|AETNA HEALTH INC. (NJ)|Aetna Medicare Explorer Value (HMO)|00025101|0.00|450| | |NJ|31150|0|N
H3152|082|000|AETNA HEALTH INC. (NJ)|Aetna Medicare Explorer Value (HMO)|00025101|0.00|450| | |NJ|31160|0|N
H3152|082|000|AETNA HEALTH INC. (NJ)|Aetna Medicare Explorer Value (HMO)|00025101|0.00|450| | |NJ|31180|0|N
H3152|082|000|AETNA HEALTH INC. (NJ)|Aetna Medicare Explorer Value (HMO)|00025101|0.00|450| | |NJ|31190|0|N
H3152|082|000|AETNA HEALTH INC. (NJ)|Aetna Medicare Explorer Value (HMO)|00025101|0.00|450| | |NJ|31220|0|N
H3152|082|000|AETNA HEALTH INC. (NJ)|Aetna Medicare Explorer Value (HMO)|00025101|0.00|450| | |NJ|31270|0|N
H3152|082|000|AETNA HEALTH INC. (NJ)|Aetna Medicare Explorer Value (HMO)|00025101|0.00|450| | |NJ|31290|0|N
H3152|082|000|AETNA HEALTH INC. (NJ)|Aetna Medicare Explorer Value (HMO)|00025101|0.00|450| | |NJ|31310|0|N
H3152|082|000|AETNA HEALTH INC. (NJ)|Aetna Medicare Explorer Value (HMO)|00025101|0.00|450| | |NJ|31340|0|N
H3152|098|000|AETNA HEALTH INC. (NJ)|Aetna Medicare Explorer Elite (HMO)|00025101|39.00|590| | |NJ|31100|0|N
H3152|098|000|AETNA HEALTH INC. (NJ)|Aetna Medicare Explorer Elite (HMO)|00025101|39.00|590| | |NJ|31200|0|N
H3152|098|000|AETNA HEALTH INC. (NJ)|Aetna Medicare Explorer Elite (HMO)|00025101|39.00|590| | |NJ|31230|0|N
H3152|098|000|AETNA HEALTH INC. (NJ)|Aetna Medicare Explorer Elite (HMO)|00025101|39.00|590| | |NJ|31250|0|N
H3152|098|000|AETNA HEALTH INC. (NJ)|Aetna Medicare Explorer Elite (HMO)|00025101|39.00|590| | |NJ|31260|0|N
H3152|098|000|AETNA HEALTH INC. (NJ)|Aetna Medicare Explorer Elite (HMO)|00025101|39.00|590| | |NJ|31270|0|N
H3152|098|000|AETNA HEALTH INC. (NJ)|Aetna Medicare Explorer Elite (HMO)|00025101|39.00|590| | |NJ|31290|0|N
H3152|098|000|AETNA HEALTH INC. (NJ)|Aetna Medicare Explorer Elite (HMO)|00025101|39.00|590| | |NJ|31300|0|N
H3152|098|000|AETNA HEALTH INC. (NJ)|Aetna Medicare Explorer Elite (HMO)|00025101|39.00|590| | |NJ|31320|0|N
H3152|098|000|AETNA HEALTH INC. (NJ)|Aetna Medicare Explorer Elite (HMO)|00025101|39.00|590| | |NJ|31350|0|N
H3152|098|000|AETNA HEALTH INC. (NJ)|Aetna Medicare Explorer Elite (HMO)|00025101|39.00|590| | |NJ|31360|0|N
H3152|098|000|AETNA HEALTH INC. (NJ)|Aetna Medicare Explorer Elite (HMO)|00025101|39.00|590| | |NJ|31370|0|N
H3152|098|000|AETNA HEALTH INC. (NJ)|Aetna Medicare Explorer Elite (HMO)|00025101|39.00|590| | |NJ|31390|0|N
H3170|003|001|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28120|0|N
H3170|003|001|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28260|0|N
H3170|003|001|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28270|0|N
H3170|003|001|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28540|0|N
H3170|003|001|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28650|0|N
H3170|003|001|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28760|0|N
H3170|003|001|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28770|0|N
H3170|003|001|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28880|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28000|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28010|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28020|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28040|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28050|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28090|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28100|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28110|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28130|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28140|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28170|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28180|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28190|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28200|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28230|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28240|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28280|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28290|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28300|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28310|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28320|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28330|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28340|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28350|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28360|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28370|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28380|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28390|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28400|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28410|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28420|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28430|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28440|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28450|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28460|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28470|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28480|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28490|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28500|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28530|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28550|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28560|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28570|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28580|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28590|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28600|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28620|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28630|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28640|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28660|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28670|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28680|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28690|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28700|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28710|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28720|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28750|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28790|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28810|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28830|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28840|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28850|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28860|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28870|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28890|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28900|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28910|0|N
H3170|003|002|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Core (HMO)|00025275|0.00|0| | |NE|28920|0|N
H3186|001|000|SANFORD HEALTH PLAN OF MINNESOTA|Align ChoiceElite (PPO)|00025382|30.50|200| | |MN|24020|0|N
H3186|001|000|SANFORD HEALTH PLAN OF MINNESOTA|Align ChoiceElite (PPO)|00025382|30.50|200| | |MN|24030|0|N
H3186|001|000|SANFORD HEALTH PLAN OF MINNESOTA|Align ChoiceElite (PPO)|00025382|30.50|200| | |MN|24050|0|N
H3186|001|000|SANFORD HEALTH PLAN OF MINNESOTA|Align ChoiceElite (PPO)|00025382|30.50|200| | |MN|24130|0|N
H3186|001|000|SANFORD HEALTH PLAN OF MINNESOTA|Align ChoiceElite (PPO)|00025382|30.50|200| | |MN|24140|0|N
H3186|001|000|SANFORD HEALTH PLAN OF MINNESOTA|Align ChoiceElite (PPO)|00025382|30.50|200| | |MN|24280|0|N
H3186|001|000|SANFORD HEALTH PLAN OF MINNESOTA|Align ChoiceElite (PPO)|00025382|30.50|200| | |MN|24360|0|N
H3186|001|000|SANFORD HEALTH PLAN OF MINNESOTA|Align ChoiceElite (PPO)|00025382|30.50|200| | |MN|24430|0|N
H3186|001|000|SANFORD HEALTH PLAN OF MINNESOTA|Align ChoiceElite (PPO)|00025382|30.50|200| | |MN|24440|0|N
H3186|001|000|SANFORD HEALTH PLAN OF MINNESOTA|Align ChoiceElite (PPO)|00025382|30.50|200| | |MN|24520|0|N
H3186|001|000|SANFORD HEALTH PLAN OF MINNESOTA|Align ChoiceElite (PPO)|00025382|30.50|200| | |MN|24530|0|N
H3186|001|000|SANFORD HEALTH PLAN OF MINNESOTA|Align ChoiceElite (PPO)|00025382|30.50|200| | |MN|24550|0|N
H3186|001|000|SANFORD HEALTH PLAN OF MINNESOTA|Align ChoiceElite (PPO)|00025382|30.50|200| | |MN|24560|0|N
H3186|001|000|SANFORD HEALTH PLAN OF MINNESOTA|Align ChoiceElite (PPO)|00025382|30.50|200| | |MN|24580|0|N
H3186|001|000|SANFORD HEALTH PLAN OF MINNESOTA|Align ChoiceElite (PPO)|00025382|30.50|200| | |MN|24590|0|N
H3186|001|000|SANFORD HEALTH PLAN OF MINNESOTA|Align ChoiceElite (PPO)|00025382|30.50|200| | |MN|24620|0|N
H3186|001|000|SANFORD HEALTH PLAN OF MINNESOTA|Align ChoiceElite (PPO)|00025382|30.50|200| | |MN|24660|0|N
H3186|001|000|SANFORD HEALTH PLAN OF MINNESOTA|Align ChoiceElite (PPO)|00025382|30.50|200| | |MN|24770|0|N
H3186|001|000|SANFORD HEALTH PLAN OF MINNESOTA|Align ChoiceElite (PPO)|00025382|30.50|200| | |MN|24830|0|N
H3186|002|000|SANFORD HEALTH PLAN OF MINNESOTA|Align ChoicePlus (PPO)|00025382|0.00|300| | |MN|24020|0|N
H3186|002|000|SANFORD HEALTH PLAN OF MINNESOTA|Align ChoicePlus (PPO)|00025382|0.00|300| | |MN|24030|0|N
H3186|002|000|SANFORD HEALTH PLAN OF MINNESOTA|Align ChoicePlus (PPO)|00025382|0.00|300| | |MN|24050|0|N
H3186|002|000|SANFORD HEALTH PLAN OF MINNESOTA|Align ChoicePlus (PPO)|00025382|0.00|300| | |MN|24130|0|N
H3186|002|000|SANFORD HEALTH PLAN OF MINNESOTA|Align ChoicePlus (PPO)|00025382|0.00|300| | |MN|24140|0|N
H3186|002|000|SANFORD HEALTH PLAN OF MINNESOTA|Align ChoicePlus (PPO)|00025382|0.00|300| | |MN|24280|0|N
H3186|002|000|SANFORD HEALTH PLAN OF MINNESOTA|Align ChoicePlus (PPO)|00025382|0.00|300| | |MN|24360|0|N
H3186|002|000|SANFORD HEALTH PLAN OF MINNESOTA|Align ChoicePlus (PPO)|00025382|0.00|300| | |MN|24430|0|N
H3186|002|000|SANFORD HEALTH PLAN OF MINNESOTA|Align ChoicePlus (PPO)|00025382|0.00|300| | |MN|24440|0|N
H3186|002|000|SANFORD HEALTH PLAN OF MINNESOTA|Align ChoicePlus (PPO)|00025382|0.00|300| | |MN|24520|0|N
H3186|002|000|SANFORD HEALTH PLAN OF MINNESOTA|Align ChoicePlus (PPO)|00025382|0.00|300| | |MN|24530|0|N
H3186|002|000|SANFORD HEALTH PLAN OF MINNESOTA|Align ChoicePlus (PPO)|00025382|0.00|300| | |MN|24550|0|N
H3186|002|000|SANFORD HEALTH PLAN OF MINNESOTA|Align ChoicePlus (PPO)|00025382|0.00|300| | |MN|24560|0|N
H3186|002|000|SANFORD HEALTH PLAN OF MINNESOTA|Align ChoicePlus (PPO)|00025382|0.00|300| | |MN|24580|0|N
H3186|002|000|SANFORD HEALTH PLAN OF MINNESOTA|Align ChoicePlus (PPO)|00025382|0.00|300| | |MN|24590|0|N
H3186|002|000|SANFORD HEALTH PLAN OF MINNESOTA|Align ChoicePlus (PPO)|00025382|0.00|300| | |MN|24620|0|N
H3186|002|000|SANFORD HEALTH PLAN OF MINNESOTA|Align ChoicePlus (PPO)|00025382|0.00|300| | |MN|24660|0|N
H3186|002|000|SANFORD HEALTH PLAN OF MINNESOTA|Align ChoicePlus (PPO)|00025382|0.00|300| | |MN|24770|0|N
H3186|002|000|SANFORD HEALTH PLAN OF MINNESOTA|Align ChoicePlus (PPO)|00025382|0.00|300| | |MN|24830|0|N
H3189|001|000|ESSENCE HEALTHCARE OF OHIO, INC.|Essence Advantage (HMO)|00025174|0.00|295| | |OH|36070|0|N
H3189|001|000|ESSENCE HEALTHCARE OF OHIO, INC.|Essence Advantage (HMO)|00025174|0.00|295| | |OH|36080|0|N
H3189|001|000|ESSENCE HEALTHCARE OF OHIO, INC.|Essence Advantage (HMO)|00025174|0.00|295| | |OH|36120|0|N
H3189|001|000|ESSENCE HEALTHCARE OF OHIO, INC.|Essence Advantage (HMO)|00025174|0.00|295| | |OH|36130|0|N
H3189|001|000|ESSENCE HEALTHCARE OF OHIO, INC.|Essence Advantage (HMO)|00025174|0.00|295| | |OH|36310|0|N
H3189|001|000|ESSENCE HEALTHCARE OF OHIO, INC.|Essence Advantage (HMO)|00025174|0.00|295| | |OH|36840|0|N
H3192|001|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Prime (HMO-POS)|00025101|0.00|590| | |IL|14141|0|N
H3192|001|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Prime (HMO-POS)|00025101|0.00|590| | |IL|14250|0|N
H3192|001|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Prime (HMO-POS)|00025101|0.00|590| | |IL|14400|0|N
H3192|001|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Prime (HMO-POS)|00025101|0.00|590| | |IL|14530|0|N
H3192|001|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Prime (HMO-POS)|00025101|0.00|590| | |IL|14540|0|N
H3192|001|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Prime (HMO-POS)|00025101|0.00|590| | |IL|14570|0|N
H3192|001|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Prime (HMO-POS)|00025101|0.00|590| | |IL|14640|0|N
H3192|001|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Prime (HMO-POS)|00025101|0.00|590| | |IL|14989|0|N
H3192|002|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MI|23050|0|N
H3192|002|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MI|23080|0|N
H3192|002|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MI|23280|0|N
H3192|002|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MI|23720|0|N
H3192|002|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MI|23750|0|N
H3192|002|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MI|23780|0|N
H3192|003|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MI|23180|0|N
H3192|003|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MI|23240|0|N
H3192|003|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MI|23290|0|N
H3192|003|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MI|23320|0|N
H3192|003|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MI|23370|0|N
H3192|003|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MI|23430|0|N
H3192|003|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MI|23450|0|N
H3192|003|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MI|23460|0|N
H3192|003|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MI|23490|0|N
H3192|003|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MI|23620|0|N
H3192|003|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MI|23730|0|N
H3192|003|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MI|23770|0|N
H3192|003|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MI|23800|0|N
H3192|003|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MI|23810|0|N
H3192|004|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15000|0|N
H3192|004|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15010|0|N
H3192|004|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15040|0|N
H3192|004|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15190|0|N
H3192|004|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15260|0|N
H3192|004|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15340|0|N
H3192|004|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15560|0|N
H3192|004|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15840|0|N
H3192|004|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15910|0|N
H3192|005|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15030|0|N
H3192|005|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15070|0|N
H3192|005|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15080|0|N
H3192|005|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15240|0|N
H3192|005|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15360|0|N
H3192|005|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15440|0|N
H3192|005|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15490|0|N
H3192|005|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15510|0|N
H3192|005|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15630|0|N
H3192|005|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15650|0|N
H3192|005|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15700|0|N
H3192|005|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15740|0|N
H3192|006|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15020|0|N
H3192|006|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15050|0|N
H3192|006|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15060|0|N
H3192|006|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15100|0|N
H3192|006|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15110|0|N
H3192|006|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15140|0|N
H3192|006|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15150|0|N
H3192|006|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15170|0|N
H3192|006|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15200|0|N
H3192|006|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15220|0|N
H3192|006|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15230|0|N
H3192|006|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15270|0|N
H3192|006|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15280|0|N
H3192|006|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15290|0|N
H3192|006|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15310|0|N
H3192|006|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15320|0|N
H3192|006|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15330|0|N
H3192|006|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15350|0|N
H3192|006|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15390|0|N
H3192|006|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15460|0|N
H3192|006|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15470|0|N
H3192|006|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15480|0|N
H3192|006|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15530|0|N
H3192|006|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15540|0|N
H3192|006|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15590|0|N
H3192|006|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15600|0|N
H3192|006|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15660|0|N
H3192|006|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15670|0|N
H3192|006|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15680|0|N
H3192|006|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15690|0|N
H3192|006|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15720|0|N
H3192|006|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15760|0|N
H3192|006|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15780|0|N
H3192|006|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15800|0|N
H3192|006|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15820|0|N
H3192|006|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15850|0|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23020|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23040|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23050|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23070|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23080|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23090|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23100|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23110|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23120|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23130|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23140|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23170|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23180|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23190|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23220|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23230|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23240|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23250|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23270|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23280|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23290|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23310|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23320|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23330|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23340|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23370|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23380|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23390|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23400|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23420|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23430|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23440|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23450|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23460|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23490|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23500|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23520|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23530|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23560|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23570|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23580|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23590|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23600|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23610|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23620|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23630|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23640|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23660|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23670|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23680|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23690|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23710|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23720|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23730|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23740|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23750|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23770|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23780|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23790|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23800|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23810|2|N
H3192|007|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MI|23830|2|N
H3192|010|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MI|23040|0|N
H3192|010|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MI|23090|0|N
H3192|010|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MI|23140|0|N
H3192|010|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MI|23190|0|N
H3192|010|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MI|23230|0|N
H3192|010|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MI|23270|0|N
H3192|010|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MI|23340|0|N
H3192|010|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MI|23390|0|N
H3192|010|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MI|23440|0|N
H3192|010|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MI|23500|0|N
H3192|010|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MI|23560|0|N
H3192|010|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MI|23670|0|N
H3192|010|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MI|23680|0|N
H3192|010|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MI|23710|0|N
H3192|010|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MI|23830|0|N
H3192|011|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MI|23020|0|N
H3192|011|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MI|23070|0|N
H3192|011|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MI|23100|0|N
H3192|011|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MI|23110|0|N
H3192|011|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MI|23120|0|N
H3192|011|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MI|23130|0|N
H3192|011|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MI|23220|0|N
H3192|011|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MI|23330|0|N
H3192|011|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MI|23380|0|N
H3192|011|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MI|23400|0|N
H3192|011|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MI|23420|0|N
H3192|011|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MI|23520|0|N
H3192|011|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MI|23530|0|N
H3192|011|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MI|23580|0|N
H3192|011|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MI|23600|0|N
H3192|011|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MI|23610|0|N
H3192|011|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MI|23630|0|N
H3192|011|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MI|23660|0|N
H3192|011|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MI|23690|0|N
H3192|011|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MI|23740|0|N
H3192|011|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |MI|23790|0|N
H3192|013|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IL|14030|0|N
H3192|013|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IL|14050|0|N
H3192|013|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IL|14170|0|N
H3192|013|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IL|14420|0|N
H3192|013|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IL|14440|0|N
H3192|013|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IL|14450|0|N
H3192|013|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IL|14510|0|N
H3192|013|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IL|14550|0|N
H3192|013|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IL|14600|0|N
H3192|013|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IL|14790|0|N
H3192|013|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IL|14890|0|N
H3192|013|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IL|14970|0|N
H3192|013|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IL|14988|0|N
H3192|013|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IL|14991|0|N
H3192|020|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15090|0|N
H3192|020|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15120|0|N
H3192|020|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15130|0|N
H3192|020|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15180|0|N
H3192|020|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15210|0|N
H3192|020|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15250|0|N
H3192|020|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15300|0|N
H3192|020|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15380|0|N
H3192|020|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15410|0|N
H3192|020|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15500|0|N
H3192|020|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15570|0|N
H3192|020|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15580|0|N
H3192|020|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15610|0|N
H3192|020|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15620|0|N
H3192|020|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15640|0|N
H3192|020|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15710|0|N
H3192|020|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15730|0|N
H3192|020|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15770|0|N
H3192|020|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15810|0|N
H3192|020|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15860|0|N
H3192|020|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |IN|15870|0|N
H3192|021|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Prime (HMO-POS)|00025100|0.00|590| | |MI|23240|0|N
H3192|021|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Prime (HMO-POS)|00025100|0.00|590| | |MI|23490|0|N
H3192|021|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Prime (HMO-POS)|00025100|0.00|590| | |MI|23620|0|N
H3192|021|000|AETNA HEALTH OF MICHIGAN INC.|Aetna Medicare Prime (HMO-POS)|00025100|0.00|590| | |MI|23810|0|N
H3204|001|000|PRESBYTERIAN HEALTH PLAN|Presbyterian Senior Care Plan 2 with Rx (HMO)|00025429|0.00|0| | |NM|32000|0|N
H3204|001|000|PRESBYTERIAN HEALTH PLAN|Presbyterian Senior Care Plan 2 with Rx (HMO)|00025429|0.00|0| | |NM|32025|0|N
H3204|001|000|PRESBYTERIAN HEALTH PLAN|Presbyterian Senior Care Plan 2 with Rx (HMO)|00025429|0.00|0| | |NM|32190|0|N
H3204|001|000|PRESBYTERIAN HEALTH PLAN|Presbyterian Senior Care Plan 2 with Rx (HMO)|00025429|0.00|0| | |NM|32210|0|N
H3204|001|000|PRESBYTERIAN HEALTH PLAN|Presbyterian Senior Care Plan 2 with Rx (HMO)|00025429|0.00|0| | |NM|32240|0|N
H3204|001|000|PRESBYTERIAN HEALTH PLAN|Presbyterian Senior Care Plan 2 with Rx (HMO)|00025429|0.00|0| | |NM|32260|0|N
H3204|001|000|PRESBYTERIAN HEALTH PLAN|Presbyterian Senior Care Plan 2 with Rx (HMO)|00025429|0.00|0| | |NM|32280|0|N
H3204|001|000|PRESBYTERIAN HEALTH PLAN|Presbyterian Senior Care Plan 2 with Rx (HMO)|00025429|0.00|0| | |NM|32300|0|N
H3204|007|000|PRESBYTERIAN HEALTH PLAN|Presbyterian Senior Care Plan 3 with Rx (HMO)|00025429|30.20|0| | |NM|32000|0|N
H3204|007|000|PRESBYTERIAN HEALTH PLAN|Presbyterian Senior Care Plan 3 with Rx (HMO)|00025429|30.20|0| | |NM|32025|0|N
H3204|007|000|PRESBYTERIAN HEALTH PLAN|Presbyterian Senior Care Plan 3 with Rx (HMO)|00025429|30.20|0| | |NM|32190|0|N
H3204|007|000|PRESBYTERIAN HEALTH PLAN|Presbyterian Senior Care Plan 3 with Rx (HMO)|00025429|30.20|0| | |NM|32210|0|N
H3204|007|000|PRESBYTERIAN HEALTH PLAN|Presbyterian Senior Care Plan 3 with Rx (HMO)|00025429|30.20|0| | |NM|32240|0|N
H3204|007|000|PRESBYTERIAN HEALTH PLAN|Presbyterian Senior Care Plan 3 with Rx (HMO)|00025429|30.20|0| | |NM|32260|0|N
H3204|007|000|PRESBYTERIAN HEALTH PLAN|Presbyterian Senior Care Plan 3 with Rx (HMO)|00025429|30.20|0| | |NM|32280|0|N
H3204|007|000|PRESBYTERIAN HEALTH PLAN|Presbyterian Senior Care Plan 3 with Rx (HMO)|00025429|30.20|0| | |NM|32300|0|N
H3204|013|004|PRESBYTERIAN HEALTH PLAN|Presbyterian Dual Plus (HMO D-SNP)|00025429|0.00|590| | |NM|32000|2|N
H3204|013|004|PRESBYTERIAN HEALTH PLAN|Presbyterian Dual Plus (HMO D-SNP)|00025429|0.00|590| | |NM|32060|2|N
H3204|013|004|PRESBYTERIAN HEALTH PLAN|Presbyterian Dual Plus (HMO D-SNP)|00025429|0.00|590| | |NM|32210|2|N
H3204|013|004|PRESBYTERIAN HEALTH PLAN|Presbyterian Dual Plus (HMO D-SNP)|00025429|0.00|590| | |NM|32240|2|N
H3204|013|004|PRESBYTERIAN HEALTH PLAN|Presbyterian Dual Plus (HMO D-SNP)|00025429|0.00|590| | |NM|32300|2|N
H3204|013|005|PRESBYTERIAN HEALTH PLAN|Presbyterian Dual Plus (HMO D-SNP)|00025429|0.00|590| | |NM|32020|2|N
H3204|013|005|PRESBYTERIAN HEALTH PLAN|Presbyterian Dual Plus (HMO D-SNP)|00025429|0.00|590| | |NM|32040|2|N
H3204|013|005|PRESBYTERIAN HEALTH PLAN|Presbyterian Dual Plus (HMO D-SNP)|00025429|0.00|590| | |NM|32150|2|N
H3204|013|005|PRESBYTERIAN HEALTH PLAN|Presbyterian Dual Plus (HMO D-SNP)|00025429|0.00|590| | |NM|32180|2|N
H3204|013|005|PRESBYTERIAN HEALTH PLAN|Presbyterian Dual Plus (HMO D-SNP)|00025429|0.00|590| | |NM|32200|2|N
H3204|013|005|PRESBYTERIAN HEALTH PLAN|Presbyterian Dual Plus (HMO D-SNP)|00025429|0.00|590| | |NM|32220|2|N
H3204|013|006|PRESBYTERIAN HEALTH PLAN|Presbyterian Dual Plus (HMO D-SNP)|00025429|0.00|590| | |NM|32010|2|N
H3204|013|006|PRESBYTERIAN HEALTH PLAN|Presbyterian Dual Plus (HMO D-SNP)|00025429|0.00|590| | |NM|32025|2|N
H3204|013|006|PRESBYTERIAN HEALTH PLAN|Presbyterian Dual Plus (HMO D-SNP)|00025429|0.00|590| | |NM|32030|2|N
H3204|013|006|PRESBYTERIAN HEALTH PLAN|Presbyterian Dual Plus (HMO D-SNP)|00025429|0.00|590| | |NM|32050|2|N
H3204|013|006|PRESBYTERIAN HEALTH PLAN|Presbyterian Dual Plus (HMO D-SNP)|00025429|0.00|590| | |NM|32070|2|N
H3204|013|006|PRESBYTERIAN HEALTH PLAN|Presbyterian Dual Plus (HMO D-SNP)|00025429|0.00|590| | |NM|32080|2|N
H3204|013|006|PRESBYTERIAN HEALTH PLAN|Presbyterian Dual Plus (HMO D-SNP)|00025429|0.00|590| | |NM|32090|2|N
H3204|013|006|PRESBYTERIAN HEALTH PLAN|Presbyterian Dual Plus (HMO D-SNP)|00025429|0.00|590| | |NM|32100|2|N
H3204|013|006|PRESBYTERIAN HEALTH PLAN|Presbyterian Dual Plus (HMO D-SNP)|00025429|0.00|590| | |NM|32110|2|N
H3204|013|006|PRESBYTERIAN HEALTH PLAN|Presbyterian Dual Plus (HMO D-SNP)|00025429|0.00|590| | |NM|32120|2|N
H3204|013|006|PRESBYTERIAN HEALTH PLAN|Presbyterian Dual Plus (HMO D-SNP)|00025429|0.00|590| | |NM|32130|2|N
H3204|013|006|PRESBYTERIAN HEALTH PLAN|Presbyterian Dual Plus (HMO D-SNP)|00025429|0.00|590| | |NM|32131|2|N
H3204|013|006|PRESBYTERIAN HEALTH PLAN|Presbyterian Dual Plus (HMO D-SNP)|00025429|0.00|590| | |NM|32140|2|N
H3204|013|006|PRESBYTERIAN HEALTH PLAN|Presbyterian Dual Plus (HMO D-SNP)|00025429|0.00|590| | |NM|32160|2|N
H3204|013|006|PRESBYTERIAN HEALTH PLAN|Presbyterian Dual Plus (HMO D-SNP)|00025429|0.00|590| | |NM|32170|2|N
H3204|013|006|PRESBYTERIAN HEALTH PLAN|Presbyterian Dual Plus (HMO D-SNP)|00025429|0.00|590| | |NM|32190|2|N
H3204|013|006|PRESBYTERIAN HEALTH PLAN|Presbyterian Dual Plus (HMO D-SNP)|00025429|0.00|590| | |NM|32230|2|N
H3204|013|006|PRESBYTERIAN HEALTH PLAN|Presbyterian Dual Plus (HMO D-SNP)|00025429|0.00|590| | |NM|32250|2|N
H3204|013|006|PRESBYTERIAN HEALTH PLAN|Presbyterian Dual Plus (HMO D-SNP)|00025429|0.00|590| | |NM|32260|2|N
H3204|013|006|PRESBYTERIAN HEALTH PLAN|Presbyterian Dual Plus (HMO D-SNP)|00025429|0.00|590| | |NM|32270|2|N
H3204|013|006|PRESBYTERIAN HEALTH PLAN|Presbyterian Dual Plus (HMO D-SNP)|00025429|0.00|590| | |NM|32280|2|N
H3204|013|006|PRESBYTERIAN HEALTH PLAN|Presbyterian Dual Plus (HMO D-SNP)|00025429|0.00|590| | |NM|32290|2|N
H3204|015|000|PRESBYTERIAN HEALTH PLAN|Presbyterian UltraFlex (HMO-POS)|00025429|0.00|0| | |NM|32000|0|N
H3204|015|000|PRESBYTERIAN HEALTH PLAN|Presbyterian UltraFlex (HMO-POS)|00025429|0.00|0| | |NM|32025|0|N
H3204|015|000|PRESBYTERIAN HEALTH PLAN|Presbyterian UltraFlex (HMO-POS)|00025429|0.00|0| | |NM|32040|0|N
H3204|015|000|PRESBYTERIAN HEALTH PLAN|Presbyterian UltraFlex (HMO-POS)|00025429|0.00|0| | |NM|32060|0|N
H3204|015|000|PRESBYTERIAN HEALTH PLAN|Presbyterian UltraFlex (HMO-POS)|00025429|0.00|0| | |NM|32130|0|N
H3204|015|000|PRESBYTERIAN HEALTH PLAN|Presbyterian UltraFlex (HMO-POS)|00025429|0.00|0| | |NM|32180|0|N
H3204|015|000|PRESBYTERIAN HEALTH PLAN|Presbyterian UltraFlex (HMO-POS)|00025429|0.00|0| | |NM|32190|0|N
H3204|015|000|PRESBYTERIAN HEALTH PLAN|Presbyterian UltraFlex (HMO-POS)|00025429|0.00|0| | |NM|32210|0|N
H3204|015|000|PRESBYTERIAN HEALTH PLAN|Presbyterian UltraFlex (HMO-POS)|00025429|0.00|0| | |NM|32240|0|N
H3204|015|000|PRESBYTERIAN HEALTH PLAN|Presbyterian UltraFlex (HMO-POS)|00025429|0.00|0| | |NM|32260|0|N
H3204|015|000|PRESBYTERIAN HEALTH PLAN|Presbyterian UltraFlex (HMO-POS)|00025429|0.00|0| | |NM|32280|0|N
H3204|015|000|PRESBYTERIAN HEALTH PLAN|Presbyterian UltraFlex (HMO-POS)|00025429|0.00|0| | |NM|32300|0|N
H3204|016|000|PRESBYTERIAN HEALTH PLAN|Presbyterian Senior Care AssistPlus Plan with Rx (HMO)|00025429|11.80|590| | |NM|32000|0|N
H3204|016|000|PRESBYTERIAN HEALTH PLAN|Presbyterian Senior Care AssistPlus Plan with Rx (HMO)|00025429|11.80|590| | |NM|32025|0|N
H3204|016|000|PRESBYTERIAN HEALTH PLAN|Presbyterian Senior Care AssistPlus Plan with Rx (HMO)|00025429|11.80|590| | |NM|32190|0|N
H3204|016|000|PRESBYTERIAN HEALTH PLAN|Presbyterian Senior Care AssistPlus Plan with Rx (HMO)|00025429|11.80|590| | |NM|32210|0|N
H3204|016|000|PRESBYTERIAN HEALTH PLAN|Presbyterian Senior Care AssistPlus Plan with Rx (HMO)|00025429|11.80|590| | |NM|32240|0|N
H3204|016|000|PRESBYTERIAN HEALTH PLAN|Presbyterian Senior Care AssistPlus Plan with Rx (HMO)|00025429|11.80|590| | |NM|32260|0|N
H3204|016|000|PRESBYTERIAN HEALTH PLAN|Presbyterian Senior Care AssistPlus Plan with Rx (HMO)|00025429|11.80|590| | |NM|32280|0|N
H3204|016|000|PRESBYTERIAN HEALTH PLAN|Presbyterian Senior Care AssistPlus Plan with Rx (HMO)|00025429|11.80|590| | |NM|32300|0|N
H3219|001|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Plus (PPO)|00025108|0.00|250| | |MN|24010|0|N
H3219|001|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Plus (PPO)|00025108|0.00|250| | |MN|24060|0|N
H3219|001|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Plus (PPO)|00025108|0.00|250| | |MN|24090|0|N
H3219|001|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Plus (PPO)|00025108|0.00|250| | |MN|24120|0|N
H3219|001|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Plus (PPO)|00025108|0.00|250| | |MN|24180|0|N
H3219|001|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Plus (PPO)|00025108|0.00|250| | |MN|24260|0|N
H3219|001|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Plus (PPO)|00025108|0.00|250| | |MN|24290|0|N
H3219|001|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Plus (PPO)|00025108|0.00|250| | |MN|24320|0|N
H3219|001|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Plus (PPO)|00025108|0.00|250| | |MN|24390|0|N
H3219|001|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Plus (PPO)|00025108|0.00|250| | |MN|24420|0|N
H3219|001|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Plus (PPO)|00025108|0.00|250| | |MN|24460|0|N
H3219|001|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Plus (PPO)|00025108|0.00|250| | |MN|24470|0|N
H3219|001|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Plus (PPO)|00025108|0.00|250| | |MN|24610|0|N
H3219|001|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Plus (PPO)|00025108|0.00|250| | |MN|24640|0|N
H3219|001|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Plus (PPO)|00025108|0.00|250| | |MN|24690|0|N
H3219|001|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Plus (PPO)|00025108|0.00|250| | |MN|24710|0|N
H3219|001|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Plus (PPO)|00025108|0.00|250| | |MN|24730|0|N
H3219|001|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Plus (PPO)|00025108|0.00|250| | |MN|24800|0|N
H3219|001|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Plus (PPO)|00025108|0.00|250| | |MN|24810|0|N
H3219|001|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Plus (PPO)|00025108|0.00|250| | |MN|24850|0|N
H3219|002|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Premier (PPO)|00025108|0.00|250| | |MN|24010|0|N
H3219|002|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Premier (PPO)|00025108|0.00|250| | |MN|24060|0|N
H3219|002|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Premier (PPO)|00025108|0.00|250| | |MN|24090|0|N
H3219|002|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Premier (PPO)|00025108|0.00|250| | |MN|24120|0|N
H3219|002|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Premier (PPO)|00025108|0.00|250| | |MN|24180|0|N
H3219|002|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Premier (PPO)|00025108|0.00|250| | |MN|24260|0|N
H3219|002|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Premier (PPO)|00025108|0.00|250| | |MN|24290|0|N
H3219|002|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Premier (PPO)|00025108|0.00|250| | |MN|24320|0|N
H3219|002|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Premier (PPO)|00025108|0.00|250| | |MN|24390|0|N
H3219|002|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Premier (PPO)|00025108|0.00|250| | |MN|24420|0|N
H3219|002|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Premier (PPO)|00025108|0.00|250| | |MN|24460|0|N
H3219|002|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Premier (PPO)|00025108|0.00|250| | |MN|24470|0|N
H3219|002|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Premier (PPO)|00025108|0.00|250| | |MN|24610|0|N
H3219|002|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Premier (PPO)|00025108|0.00|250| | |MN|24640|0|N
H3219|002|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Premier (PPO)|00025108|0.00|250| | |MN|24690|0|N
H3219|002|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Premier (PPO)|00025108|0.00|250| | |MN|24710|0|N
H3219|002|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Premier (PPO)|00025108|0.00|250| | |MN|24730|0|N
H3219|002|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Premier (PPO)|00025108|0.00|250| | |MN|24800|0|N
H3219|002|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Premier (PPO)|00025108|0.00|250| | |MN|24810|0|N
H3219|002|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Premier (PPO)|00025108|0.00|250| | |MN|24850|0|N
H3219|003|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Grand (PPO)|00025108|21.10|0| | |MN|24010|0|N
H3219|003|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Grand (PPO)|00025108|21.10|0| | |MN|24060|0|N
H3219|003|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Grand (PPO)|00025108|21.10|0| | |MN|24090|0|N
H3219|003|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Grand (PPO)|00025108|21.10|0| | |MN|24120|0|N
H3219|003|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Grand (PPO)|00025108|21.10|0| | |MN|24180|0|N
H3219|003|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Grand (PPO)|00025108|21.10|0| | |MN|24260|0|N
H3219|003|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Grand (PPO)|00025108|21.10|0| | |MN|24290|0|N
H3219|003|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Grand (PPO)|00025108|21.10|0| | |MN|24320|0|N
H3219|003|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Grand (PPO)|00025108|21.10|0| | |MN|24390|0|N
H3219|003|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Grand (PPO)|00025108|21.10|0| | |MN|24420|0|N
H3219|003|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Grand (PPO)|00025108|21.10|0| | |MN|24460|0|N
H3219|003|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Grand (PPO)|00025108|21.10|0| | |MN|24470|0|N
H3219|003|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Grand (PPO)|00025108|21.10|0| | |MN|24610|0|N
H3219|003|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Grand (PPO)|00025108|21.10|0| | |MN|24640|0|N
H3219|003|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Grand (PPO)|00025108|21.10|0| | |MN|24690|0|N
H3219|003|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Grand (PPO)|00025108|21.10|0| | |MN|24710|0|N
H3219|003|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Grand (PPO)|00025108|21.10|0| | |MN|24730|0|N
H3219|003|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Grand (PPO)|00025108|21.10|0| | |MN|24800|0|N
H3219|003|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Grand (PPO)|00025108|21.10|0| | |MN|24810|0|N
H3219|003|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Grand (PPO)|00025108|21.10|0| | |MN|24850|0|N
H3219|004|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Elite (PPO)|00025108|35.60|0| | |MN|24010|0|N
H3219|004|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Elite (PPO)|00025108|35.60|0| | |MN|24060|0|N
H3219|004|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Elite (PPO)|00025108|35.60|0| | |MN|24090|0|N
H3219|004|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Elite (PPO)|00025108|35.60|0| | |MN|24120|0|N
H3219|004|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Elite (PPO)|00025108|35.60|0| | |MN|24180|0|N
H3219|004|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Elite (PPO)|00025108|35.60|0| | |MN|24260|0|N
H3219|004|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Elite (PPO)|00025108|35.60|0| | |MN|24290|0|N
H3219|004|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Elite (PPO)|00025108|35.60|0| | |MN|24320|0|N
H3219|004|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Elite (PPO)|00025108|35.60|0| | |MN|24390|0|N
H3219|004|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Elite (PPO)|00025108|35.60|0| | |MN|24420|0|N
H3219|004|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Elite (PPO)|00025108|35.60|0| | |MN|24460|0|N
H3219|004|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Elite (PPO)|00025108|35.60|0| | |MN|24470|0|N
H3219|004|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Elite (PPO)|00025108|35.60|0| | |MN|24610|0|N
H3219|004|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Elite (PPO)|00025108|35.60|0| | |MN|24640|0|N
H3219|004|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Elite (PPO)|00025108|35.60|0| | |MN|24690|0|N
H3219|004|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Elite (PPO)|00025108|35.60|0| | |MN|24710|0|N
H3219|004|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Elite (PPO)|00025108|35.60|0| | |MN|24730|0|N
H3219|004|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Elite (PPO)|00025108|35.60|0| | |MN|24800|0|N
H3219|004|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Elite (PPO)|00025108|35.60|0| | |MN|24810|0|N
H3219|004|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Elite (PPO)|00025108|35.60|0| | |MN|24850|0|N
H3219|008|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare SmartFit (PPO)|00025108|0.00|590| | |MN|24010|0|N
H3219|008|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare SmartFit (PPO)|00025108|0.00|590| | |MN|24090|0|N
H3219|008|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare SmartFit (PPO)|00025108|0.00|590| | |MN|24180|0|N
H3219|008|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare SmartFit (PPO)|00025108|0.00|590| | |MN|24260|0|N
H3219|008|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare SmartFit (PPO)|00025108|0.00|590| | |MN|24610|0|N
H3219|008|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare SmartFit (PPO)|00025108|0.00|590| | |MN|24690|0|N
H3219|008|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare SmartFit (PPO)|00025108|0.00|590| | |MN|24810|0|N
H3219|008|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare SmartFit (PPO)|00025108|0.00|590| | |MN|24850|0|N
H3219|012|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Essential (PPO)|00025149|0.00|590| | |MN|24070|0|N
H3219|012|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Essential (PPO)|00025149|0.00|590| | |MN|24510|0|N
H3219|013|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Signature (PPO)|00025108|44.90|250| | |MN|24070|0|N
H3219|013|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Signature (PPO)|00025108|44.90|250| | |MN|24510|0|N
H3219|014|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Select (PPO)|00025108|47.70|250| | |MN|24070|0|N
H3219|014|000|ALLINA HEALTH AND AETNA INSURANCE COMPANY|Allina Health Aetna Medicare Select (PPO)|00025108|47.70|250| | |MN|24510|0|N
H3239|001|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |LA|19020|2|N
H3239|001|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |LA|19030|2|N
H3239|001|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |LA|19160|2|N
H3239|001|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |LA|19230|2|N
H3239|001|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |LA|19250|2|N
H3239|001|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |LA|19280|2|N
H3239|001|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |LA|19310|2|N
H3239|001|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |LA|19350|2|N
H3239|001|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |LA|19370|2|N
H3239|001|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |LA|19380|2|N
H3239|001|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |LA|19430|2|N
H3239|001|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |LA|19440|2|N
H3239|001|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |LA|19460|2|N
H3239|001|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |LA|19470|2|N
H3239|001|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |LA|19500|2|N
H3239|001|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |LA|19510|2|N
H3239|001|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |LA|19520|2|N
H3239|001|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |LA|19540|2|N
H3239|001|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |LA|19580|2|N
H3239|001|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |LA|19600|2|N
H3239|002|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|9.20|590| | |AL|01030|2|N
H3239|002|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|9.20|590| | |AL|01040|2|N
H3239|002|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|9.20|590| | |AL|01070|2|N
H3239|002|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|9.20|590| | |AL|01090|2|N
H3239|002|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|9.20|590| | |AL|01130|2|N
H3239|002|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|9.20|590| | |AL|01140|2|N
H3239|002|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|9.20|590| | |AL|01160|2|N
H3239|002|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|9.20|590| | |AL|01180|2|N
H3239|002|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|9.20|590| | |AL|01210|2|N
H3239|002|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|9.20|590| | |AL|01240|2|N
H3239|002|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|9.20|590| | |AL|01270|2|N
H3239|002|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|9.20|590| | |AL|01280|2|N
H3239|002|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|9.20|590| | |AL|01290|2|N
H3239|002|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|9.20|590| | |AL|01310|2|N
H3239|002|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|9.20|590| | |AL|01320|2|N
H3239|002|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|9.20|590| | |AL|01350|2|N
H3239|002|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|9.20|590| | |AL|01360|2|N
H3239|002|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|9.20|590| | |AL|01370|2|N
H3239|002|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|9.20|590| | |AL|01380|2|N
H3239|002|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|9.20|590| | |AL|01390|2|N
H3239|002|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|9.20|590| | |AL|01410|2|N
H3239|002|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|9.20|590| | |AL|01440|2|N
H3239|002|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|9.20|590| | |AL|01460|2|N
H3239|002|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|9.20|590| | |AL|01470|2|N
H3239|002|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|9.20|590| | |AL|01510|2|N
H3239|002|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|9.20|590| | |AL|01530|2|N
H3239|002|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|9.20|590| | |AL|01550|2|N
H3239|002|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|9.20|590| | |AL|01570|2|N
H3239|002|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|9.20|590| | |AL|01580|2|N
H3239|002|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|9.20|590| | |AL|01600|2|N
H3239|002|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|9.20|590| | |AL|01620|2|N
H3239|002|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|9.20|590| | |AL|01630|2|N
H3239|002|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|9.20|590| | |AL|01660|2|N
H3239|003|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|20.60|590| | |AL|01000|2|N
H3239|003|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|20.60|590| | |AL|01010|2|N
H3239|003|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|20.60|590| | |AL|01020|2|N
H3239|003|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|20.60|590| | |AL|01050|2|N
H3239|003|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|20.60|590| | |AL|01060|2|N
H3239|003|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|20.60|590| | |AL|01080|2|N
H3239|003|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|20.60|590| | |AL|01100|2|N
H3239|003|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|20.60|590| | |AL|01110|2|N
H3239|003|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|20.60|590| | |AL|01120|2|N
H3239|003|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|20.60|590| | |AL|01150|2|N
H3239|003|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|20.60|590| | |AL|01190|2|N
H3239|003|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|20.60|590| | |AL|01200|2|N
H3239|003|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|20.60|590| | |AL|01220|2|N
H3239|003|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|20.60|590| | |AL|01230|2|N
H3239|003|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|20.60|590| | |AL|01250|2|N
H3239|003|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|20.60|590| | |AL|01260|2|N
H3239|003|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|20.60|590| | |AL|01300|2|N
H3239|003|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|20.60|590| | |AL|01330|2|N
H3239|003|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|20.60|590| | |AL|01340|2|N
H3239|003|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|20.60|590| | |AL|01400|2|N
H3239|003|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|20.60|590| | |AL|01420|2|N
H3239|003|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|20.60|590| | |AL|01430|2|N
H3239|003|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|20.60|590| | |AL|01450|2|N
H3239|003|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|20.60|590| | |AL|01480|2|N
H3239|003|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|20.60|590| | |AL|01500|2|N
H3239|003|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|20.60|590| | |AL|01520|2|N
H3239|003|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|20.60|590| | |AL|01540|2|N
H3239|003|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|20.60|590| | |AL|01560|2|N
H3239|003|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|20.60|590| | |AL|01610|2|N
H3239|003|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|20.60|590| | |AL|01640|2|N
H3239|003|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|20.60|590| | |AL|01650|2|N
H3239|005|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |MS|25040|2|N
H3239|005|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |MS|25060|2|N
H3239|005|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |MS|25080|2|N
H3239|005|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |MS|25120|2|N
H3239|005|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |MS|25160|2|N
H3239|005|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |MS|25280|2|N
H3239|005|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |MS|25350|2|N
H3239|005|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |MS|25400|2|N
H3239|005|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |MS|25430|2|N
H3239|005|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |MS|25460|2|N
H3239|005|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |MS|25470|2|N
H3239|005|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |MS|25520|2|N
H3239|005|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |MS|25530|2|N
H3239|005|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |MS|25570|2|N
H3239|005|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |MS|25580|2|N
H3239|005|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |MS|25680|2|N
H3239|005|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |MS|25690|2|N
H3239|005|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |MS|25700|2|N
H3239|005|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |MS|25710|2|N
H3239|005|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |MS|25720|2|N
H3239|006|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |LA|19060|2|N
H3239|006|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |LA|19070|2|N
H3239|006|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |LA|19080|2|N
H3239|006|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |LA|19150|2|N
H3239|006|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |LA|19400|2|N
H3239|006|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |LA|19590|2|N
H3239|007|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |LA|19000|2|N
H3239|007|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |LA|19010|2|N
H3239|007|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |LA|19040|2|N
H3239|007|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |LA|19050|2|N
H3239|007|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |LA|19090|2|N
H3239|007|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |LA|19190|2|N
H3239|007|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |LA|19220|2|N
H3239|007|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |LA|19260|2|N
H3239|007|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |LA|19270|2|N
H3239|007|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |LA|19300|2|N
H3239|007|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |LA|19340|2|N
H3239|007|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |LA|19360|2|N
H3239|007|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |LA|19390|2|N
H3239|007|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |LA|19420|2|N
H3239|007|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |LA|19480|2|N
H3239|007|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |LA|19490|2|N
H3239|007|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |LA|19560|2|N
H3239|007|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |LA|19570|2|N
H3239|007|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |LA|19630|2|N
H3239|008|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |MS|25190|2|N
H3239|008|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |MS|25220|2|N
H3239|008|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |MS|25230|2|N
H3239|008|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |MS|25290|2|N
H3239|008|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |MS|25540|2|N
H3239|008|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |MS|25650|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01000|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01010|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01020|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01030|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01040|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01050|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01060|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01070|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01080|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01090|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01100|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01110|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01120|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01130|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01140|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01150|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01160|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01180|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01190|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01200|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01210|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01220|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01230|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01240|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01250|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01260|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01270|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01280|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01290|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01300|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01310|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01320|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01330|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01340|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01350|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01360|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01370|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01380|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01390|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01400|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01410|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01420|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01430|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01440|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01450|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01460|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01470|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01480|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01500|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01510|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01520|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01530|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01540|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01550|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01560|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01570|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01580|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01600|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01610|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01620|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01630|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01640|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01650|2|N
H3239|010|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|12.00|590| | |AL|01660|2|N
H3239|012|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|47.30|590| | |MS|25040|2|N
H3239|012|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|47.30|590| | |MS|25060|2|N
H3239|012|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|47.30|590| | |MS|25080|2|N
H3239|012|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|47.30|590| | |MS|25120|2|N
H3239|012|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|47.30|590| | |MS|25160|2|N
H3239|012|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|47.30|590| | |MS|25190|2|N
H3239|012|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|47.30|590| | |MS|25220|2|N
H3239|012|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|47.30|590| | |MS|25230|2|N
H3239|012|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|47.30|590| | |MS|25280|2|N
H3239|012|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|47.30|590| | |MS|25290|2|N
H3239|012|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|47.30|590| | |MS|25350|2|N
H3239|012|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|47.30|590| | |MS|25400|2|N
H3239|012|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|47.30|590| | |MS|25430|2|N
H3239|012|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|47.30|590| | |MS|25460|2|N
H3239|012|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|47.30|590| | |MS|25470|2|N
H3239|012|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|47.30|590| | |MS|25520|2|N
H3239|012|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|47.30|590| | |MS|25530|2|N
H3239|012|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|47.30|590| | |MS|25540|2|N
H3239|012|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|47.30|590| | |MS|25570|2|N
H3239|012|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|47.30|590| | |MS|25580|2|N
H3239|012|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|47.30|590| | |MS|25650|2|N
H3239|012|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|47.30|590| | |MS|25680|2|N
H3239|012|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|47.30|590| | |MS|25690|2|N
H3239|012|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|47.30|590| | |MS|25700|2|N
H3239|012|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|47.30|590| | |MS|25710|2|N
H3239|012|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|47.30|590| | |MS|25720|2|N
H3239|013|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|0.00|590| | |LA|19250|2|N
H3239|013|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|0.00|590| | |LA|19280|2|N
H3239|013|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|0.00|590| | |LA|19350|2|N
H3239|013|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|0.00|590| | |LA|19430|2|N
H3239|013|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|0.00|590| | |LA|19440|2|N
H3239|013|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|0.00|590| | |LA|19510|2|N
H3239|013|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|0.00|590| | |LA|19540|2|N
H3239|014|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare North Mississippi Health (HMO)|00025101|0.00|590| | |MS|25060|0|N
H3239|014|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare North Mississippi Health (HMO)|00025101|0.00|590| | |MS|25080|0|N
H3239|014|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare North Mississippi Health (HMO)|00025101|0.00|590| | |MS|25090|0|N
H3239|014|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare North Mississippi Health (HMO)|00025101|0.00|590| | |MS|25120|0|N
H3239|014|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare North Mississippi Health (HMO)|00025101|0.00|590| | |MS|25280|0|N
H3239|014|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare North Mississippi Health (HMO)|00025101|0.00|590| | |MS|25400|0|N
H3239|014|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare North Mississippi Health (HMO)|00025101|0.00|590| | |MS|25470|0|N
H3239|014|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare North Mississippi Health (HMO)|00025101|0.00|590| | |MS|25570|0|N
H3239|014|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare North Mississippi Health (HMO)|00025101|0.00|590| | |MS|25580|0|N
H3239|014|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare North Mississippi Health (HMO)|00025101|0.00|590| | |MS|25690|0|N
H3239|014|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare North Mississippi Health (HMO)|00025101|0.00|590| | |MS|25700|0|N
H3239|014|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare North Mississippi Health (HMO)|00025101|0.00|590| | |MS|25720|0|N
H3239|014|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare North Mississippi Health (HMO)|00025101|0.00|590| | |MS|25770|0|N
H3239|015|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|0.00|590| | |MS|25160|2|N
H3239|015|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|0.00|590| | |MS|25220|2|N
H3239|015|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|0.00|590| | |MS|25230|2|N
H3239|015|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|0.00|590| | |MS|25240|2|N
H3239|015|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|0.00|590| | |MS|25290|2|N
H3239|016|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Signature Select (HMO D-SNP)|00025101|26.70|590| | |MS|25160|2|N
H3239|016|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Signature Select (HMO D-SNP)|00025101|26.70|590| | |MS|25220|2|N
H3239|016|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Signature Select (HMO D-SNP)|00025101|26.70|590| | |MS|25230|2|N
H3239|016|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Signature Select (HMO D-SNP)|00025101|26.70|590| | |MS|25240|2|N
H3239|016|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Signature Select (HMO D-SNP)|00025101|26.70|590| | |MS|25290|2|N
H3239|017|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Signature (HMO)|00025101|0.00|590| | |MS|25160|0|N
H3239|017|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Signature (HMO)|00025101|0.00|590| | |MS|25220|0|N
H3239|017|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Signature (HMO)|00025101|0.00|590| | |MS|25230|0|N
H3239|017|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Signature (HMO)|00025101|0.00|590| | |MS|25240|0|N
H3239|017|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Signature (HMO)|00025101|0.00|590| | |MS|25290|0|N
H3239|018|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|27.10|590| | |AL|01010|2|N
H3239|018|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|27.10|590| | |AL|01360|2|N
H3239|018|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|27.10|590| | |AL|01440|2|N
H3239|018|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|27.10|590| | |AL|01480|2|N
H3239|018|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|27.10|590| | |AL|01500|2|N
H3239|018|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|27.10|590| | |AL|01620|2|N
H3239|019|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Signature Select (HMO D-SNP)|00025101|26.20|590| | |AL|01010|2|N
H3239|019|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Signature Select (HMO D-SNP)|00025101|26.20|590| | |AL|01360|2|N
H3239|019|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Signature Select (HMO D-SNP)|00025101|26.20|590| | |AL|01440|2|N
H3239|019|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Signature Select (HMO D-SNP)|00025101|26.20|590| | |AL|01480|2|N
H3239|019|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Signature Select (HMO D-SNP)|00025101|26.20|590| | |AL|01500|2|N
H3239|019|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Signature Select (HMO D-SNP)|00025101|26.20|590| | |AL|01620|2|N
H3239|020|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Signature (HMO)|00025101|0.00|590| | |AL|01010|0|N
H3239|020|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Signature (HMO)|00025101|0.00|590| | |AL|01360|0|N
H3239|020|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Signature (HMO)|00025101|0.00|590| | |AL|01440|0|N
H3239|020|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Signature (HMO)|00025101|0.00|590| | |AL|01480|0|N
H3239|020|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Signature (HMO)|00025101|0.00|590| | |AL|01500|0|N
H3239|020|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Signature (HMO)|00025101|0.00|590| | |AL|01620|0|N
H3239|021|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|0.00|590| | |LA|19020|2|N
H3239|021|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|0.00|590| | |LA|19070|2|N
H3239|021|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|0.00|590| | |LA|19080|2|N
H3239|021|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|0.00|590| | |LA|19090|2|N
H3239|021|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|0.00|590| | |LA|19160|2|N
H3239|021|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|0.00|590| | |LA|19230|2|N
H3239|021|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|0.00|590| | |LA|19270|2|N
H3239|021|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|0.00|590| | |LA|19310|2|N
H3239|021|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|0.00|590| | |LA|19390|2|N
H3239|021|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|0.00|590| | |LA|19480|2|N
H3239|021|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|0.00|590| | |LA|19520|2|N
H3239|021|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|0.00|590| | |LA|19600|2|N
H3239|022|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Signature (HMO)|00025101|0.00|590| | |LA|19020|0|N
H3239|022|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Signature (HMO)|00025101|0.00|590| | |LA|19070|0|N
H3239|022|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Signature (HMO)|00025101|0.00|590| | |LA|19080|0|N
H3239|022|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Signature (HMO)|00025101|0.00|590| | |LA|19090|0|N
H3239|022|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Signature (HMO)|00025101|0.00|590| | |LA|19160|0|N
H3239|022|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Signature (HMO)|00025101|0.00|590| | |LA|19230|0|N
H3239|022|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Signature (HMO)|00025101|0.00|590| | |LA|19270|0|N
H3239|022|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Signature (HMO)|00025101|0.00|590| | |LA|19280|0|N
H3239|022|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Signature (HMO)|00025101|0.00|590| | |LA|19310|0|N
H3239|022|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Signature (HMO)|00025101|0.00|590| | |LA|19390|0|N
H3239|022|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Signature (HMO)|00025101|0.00|590| | |LA|19430|0|N
H3239|022|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Signature (HMO)|00025101|0.00|590| | |LA|19440|0|N
H3239|022|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Signature (HMO)|00025101|0.00|590| | |LA|19480|0|N
H3239|022|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Signature (HMO)|00025101|0.00|590| | |LA|19510|0|N
H3239|022|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Signature (HMO)|00025101|0.00|590| | |LA|19520|0|N
H3239|022|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Signature (HMO)|00025101|0.00|590| | |LA|19600|0|N
H3239|023|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|25.70|590| | |LA|19070|2|N
H3239|023|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|25.70|590| | |LA|19080|2|N
H3239|023|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|25.70|590| | |LA|19160|2|N
H3239|023|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|25.70|590| | |LA|19250|2|N
H3239|023|000|AETNA BETTER HEALTH, INC. (LA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|25.70|590| | |LA|19350|2|N
H3240|013|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |NJ|31000|2|N
H3240|013|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |NJ|31100|2|N
H3240|013|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |NJ|31150|2|N
H3240|013|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |NJ|31160|2|N
H3240|013|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |NJ|31180|2|N
H3240|013|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |NJ|31190|2|N
H3240|013|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |NJ|31200|2|N
H3240|013|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |NJ|31220|2|N
H3240|013|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |NJ|31230|2|N
H3240|013|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |NJ|31250|2|N
H3240|013|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |NJ|31260|2|N
H3240|013|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |NJ|31270|2|N
H3240|013|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |NJ|31290|2|N
H3240|013|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |NJ|31300|2|N
H3240|013|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |NJ|31310|2|N
H3240|013|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |NJ|31320|2|N
H3240|013|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |NJ|31340|2|N
H3240|013|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |NJ|31350|2|N
H3240|013|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |NJ|31360|2|N
H3240|013|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |NJ|31370|2|N
H3240|013|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |NJ|31390|2|N
H3240|017|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|160| | |NJ|31100|1|N
H3240|017|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|160| | |NJ|31150|1|N
H3240|017|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|160| | |NJ|31200|1|N
H3240|017|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|160| | |NJ|31230|1|N
H3240|017|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|160| | |NJ|31270|1|N
H3240|017|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|160| | |NJ|31290|1|N
H3240|017|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|160| | |NJ|31300|1|N
H3240|017|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|160| | |NJ|31310|1|N
H3240|017|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|160| | |NJ|31320|1|N
H3240|017|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|160| | |NJ|31350|1|N
H3240|017|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Kidney Care (HMO-POS C-SNP)|00025049|0.00|160| | |NJ|31370|1|N
H3240|021|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Extra Help (HMO-POS)|00025049|55.80|590| | |NJ|31000|0|N
H3240|021|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Extra Help (HMO-POS)|00025049|55.80|590| | |NJ|31200|0|N
H3240|021|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Extra Help (HMO-POS)|00025049|55.80|590| | |NJ|31220|0|N
H3240|021|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Extra Help (HMO-POS)|00025049|55.80|590| | |NJ|31300|0|N
H3240|021|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Extra Help (HMO-POS)|00025049|55.80|590| | |NJ|31320|0|N
H3240|021|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Extra Help (HMO-POS)|00025049|55.80|590| | |NJ|31360|0|N
H3240|021|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Extra Help (HMO-POS)|00025049|55.80|590| | |NJ|31370|0|N
H3240|022|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|300| | |NJ|31160|0|N
H3240|022|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|300| | |NJ|31180|0|N
H3240|022|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|300| | |NJ|31190|0|N
H3240|022|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|300| | |NJ|31230|0|N
H3240|022|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|300| | |NJ|31260|0|N
H3240|022|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|300| | |NJ|31340|0|N
H3240|022|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|300| | |NJ|31350|0|N
H3240|022|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|300| | |NJ|31370|0|N
H3240|024|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP)|00025049|0.00|590| | |NJ|31000|2|N
H3240|024|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP)|00025049|0.00|590| | |NJ|31100|2|N
H3240|024|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP)|00025049|0.00|590| | |NJ|31150|2|N
H3240|024|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP)|00025049|0.00|590| | |NJ|31160|2|N
H3240|024|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP)|00025049|0.00|590| | |NJ|31180|2|N
H3240|024|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP)|00025049|0.00|590| | |NJ|31190|2|N
H3240|024|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP)|00025049|0.00|590| | |NJ|31200|2|N
H3240|024|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP)|00025049|0.00|590| | |NJ|31220|2|N
H3240|024|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP)|00025049|0.00|590| | |NJ|31230|2|N
H3240|024|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP)|00025049|0.00|590| | |NJ|31250|2|N
H3240|024|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP)|00025049|0.00|590| | |NJ|31260|2|N
H3240|024|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP)|00025049|0.00|590| | |NJ|31270|2|N
H3240|024|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP)|00025049|0.00|590| | |NJ|31290|2|N
H3240|024|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP)|00025049|0.00|590| | |NJ|31300|2|N
H3240|024|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP)|00025049|0.00|590| | |NJ|31310|2|N
H3240|024|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP)|00025049|0.00|590| | |NJ|31320|2|N
H3240|024|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP)|00025049|0.00|590| | |NJ|31340|2|N
H3240|024|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP)|00025049|0.00|590| | |NJ|31350|2|N
H3240|024|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP)|00025049|0.00|590| | |NJ|31360|2|N
H3240|024|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP)|00025049|0.00|590| | |NJ|31370|2|N
H3240|024|000|WELLPOINT NEW JERSEY, INC.|Wellpoint Full Dual Advantage Secure (HMO-POS D-SNP)|00025049|0.00|590| | |NJ|31390|2|N
H3251|002|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Select (HMO)|00025445|0.00|0| | |NM|32000|0|N
H3251|002|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Select (HMO)|00025445|0.00|0| | |NM|32010|0|N
H3251|002|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Select (HMO)|00025445|0.00|0| | |NM|32020|0|N
H3251|002|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Select (HMO)|00025445|0.00|0| | |NM|32025|0|N
H3251|002|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Select (HMO)|00025445|0.00|0| | |NM|32030|0|N
H3251|002|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Select (HMO)|00025445|0.00|0| | |NM|32040|0|N
H3251|002|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Select (HMO)|00025445|0.00|0| | |NM|32050|0|N
H3251|002|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Select (HMO)|00025445|0.00|0| | |NM|32060|0|N
H3251|002|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Select (HMO)|00025445|0.00|0| | |NM|32070|0|N
H3251|002|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Select (HMO)|00025445|0.00|0| | |NM|32080|0|N
H3251|002|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Select (HMO)|00025445|0.00|0| | |NM|32090|0|N
H3251|002|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Select (HMO)|00025445|0.00|0| | |NM|32100|0|N
H3251|002|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Select (HMO)|00025445|0.00|0| | |NM|32120|0|N
H3251|002|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Select (HMO)|00025445|0.00|0| | |NM|32130|0|N
H3251|002|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Select (HMO)|00025445|0.00|0| | |NM|32131|0|N
H3251|002|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Select (HMO)|00025445|0.00|0| | |NM|32140|0|N
H3251|002|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Select (HMO)|00025445|0.00|0| | |NM|32150|0|N
H3251|002|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Select (HMO)|00025445|0.00|0| | |NM|32160|0|N
H3251|002|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Select (HMO)|00025445|0.00|0| | |NM|32170|0|N
H3251|002|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Select (HMO)|00025445|0.00|0| | |NM|32180|0|N
H3251|002|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Select (HMO)|00025445|0.00|0| | |NM|32190|0|N
H3251|002|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Select (HMO)|00025445|0.00|0| | |NM|32200|0|N
H3251|002|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Select (HMO)|00025445|0.00|0| | |NM|32210|0|N
H3251|002|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Select (HMO)|00025445|0.00|0| | |NM|32220|0|N
H3251|002|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Select (HMO)|00025445|0.00|0| | |NM|32230|0|N
H3251|002|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Select (HMO)|00025445|0.00|0| | |NM|32240|0|N
H3251|002|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Select (HMO)|00025445|0.00|0| | |NM|32250|0|N
H3251|002|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Select (HMO)|00025445|0.00|0| | |NM|32260|0|N
H3251|002|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Select (HMO)|00025445|0.00|0| | |NM|32270|0|N
H3251|002|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Select (HMO)|00025445|0.00|0| | |NM|32280|0|N
H3251|002|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Select (HMO)|00025445|0.00|0| | |NM|32300|0|N
H3251|029|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|11.50|590| | |NM|32000|2|N
H3251|029|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|11.50|590| | |NM|32010|2|N
H3251|029|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|11.50|590| | |NM|32020|2|N
H3251|029|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|11.50|590| | |NM|32025|2|N
H3251|029|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|11.50|590| | |NM|32030|2|N
H3251|029|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|11.50|590| | |NM|32040|2|N
H3251|029|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|11.50|590| | |NM|32050|2|N
H3251|029|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|11.50|590| | |NM|32060|2|N
H3251|029|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|11.50|590| | |NM|32070|2|N
H3251|029|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|11.50|590| | |NM|32080|2|N
H3251|029|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|11.50|590| | |NM|32090|2|N
H3251|029|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|11.50|590| | |NM|32100|2|N
H3251|029|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|11.50|590| | |NM|32120|2|N
H3251|029|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|11.50|590| | |NM|32130|2|N
H3251|029|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|11.50|590| | |NM|32131|2|N
H3251|029|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|11.50|590| | |NM|32140|2|N
H3251|029|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|11.50|590| | |NM|32150|2|N
H3251|029|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|11.50|590| | |NM|32160|2|N
H3251|029|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|11.50|590| | |NM|32170|2|N
H3251|029|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|11.50|590| | |NM|32180|2|N
H3251|029|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|11.50|590| | |NM|32190|2|N
H3251|029|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|11.50|590| | |NM|32200|2|N
H3251|029|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|11.50|590| | |NM|32210|2|N
H3251|029|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|11.50|590| | |NM|32220|2|N
H3251|029|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|11.50|590| | |NM|32230|2|N
H3251|029|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|11.50|590| | |NM|32240|2|N
H3251|029|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|11.50|590| | |NM|32250|2|N
H3251|029|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|11.50|590| | |NM|32260|2|N
H3251|029|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|11.50|590| | |NM|32270|2|N
H3251|029|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|11.50|590| | |NM|32280|2|N
H3251|029|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|11.50|590| | |NM|32300|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11000|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11010|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11011|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11020|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11030|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11040|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11050|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11060|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11070|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11080|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11090|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11100|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11110|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11120|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11130|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11140|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11150|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11160|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11161|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11170|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11180|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11200|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11210|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11220|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11230|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11240|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11250|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11260|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11270|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11280|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11281|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11290|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11291|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11300|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11310|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11311|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11320|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11330|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11340|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11341|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11350|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11360|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11370|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11380|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11381|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11400|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11410|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11420|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11421|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11430|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11440|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11441|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11450|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11451|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11460|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11461|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11462|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11470|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11471|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11480|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11490|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11500|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11510|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11520|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11530|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11540|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11550|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11560|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11570|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11580|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11581|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11590|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11591|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11600|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11601|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11610|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11611|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11612|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11620|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11630|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11640|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11650|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11651|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11652|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11660|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11670|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11680|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11690|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11691|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11700|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11701|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11702|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11703|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11710|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11720|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11730|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11740|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11741|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11750|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11760|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11770|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11771|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11772|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11780|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11790|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11800|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11801|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11810|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11811|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11812|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11820|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11821|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11830|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11831|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11832|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11833|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11834|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11835|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11840|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11841|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11842|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11850|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11851|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11860|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11861|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11862|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11870|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11880|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11881|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11882|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11883|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11884|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11885|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11890|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11900|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11901|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11902|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11903|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11910|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11911|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11912|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11913|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11920|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11921|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11930|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11940|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11941|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11950|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11960|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11961|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11962|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11963|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11970|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11971|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11972|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11973|2|N
H3256|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S001 (PPO D-SNP)|00025002|40.00|590| | |GA|11980|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11000|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11010|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11011|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11020|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11030|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11040|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11050|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11060|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11070|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11080|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11090|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11100|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11110|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11120|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11130|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11140|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11150|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11160|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11161|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11170|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11180|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11200|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11210|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11220|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11230|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11240|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11250|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11260|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11270|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11280|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11281|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11290|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11291|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11300|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11310|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11311|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11320|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11330|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11340|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11341|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11350|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11360|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11370|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11380|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11381|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11400|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11410|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11420|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11421|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11430|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11440|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11441|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11450|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11451|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11460|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11461|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11462|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11470|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11471|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11480|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11490|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11500|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11510|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11520|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11530|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11540|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11550|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11560|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11570|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11580|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11581|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11590|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11591|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11600|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11601|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11610|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11611|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11612|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11620|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11630|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11640|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11650|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11651|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11652|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11660|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11670|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11680|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11690|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11691|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11700|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11701|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11702|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11703|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11710|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11720|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11730|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11740|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11741|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11750|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11760|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11770|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11771|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11772|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11780|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11790|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11800|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11801|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11810|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11811|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11812|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11820|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11821|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11830|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11831|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11832|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11833|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11834|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11835|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11840|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11841|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11842|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11850|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11851|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11860|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11861|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11862|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11870|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11880|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11881|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11882|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11883|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11884|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11885|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11890|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11900|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11901|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11902|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11903|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11910|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11911|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11912|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11913|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11920|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11921|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11930|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11940|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11941|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11950|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11960|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11961|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11962|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11963|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11970|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11971|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11972|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11973|2|N
H3256|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-V001 (PPO D-SNP)|00025002|40.00|590| | |GA|11980|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11000|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11010|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11011|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11020|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11030|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11040|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11050|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11060|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11070|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11080|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11090|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11100|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11110|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11120|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11130|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11140|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11150|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11160|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11161|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11170|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11180|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11200|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11210|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11220|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11230|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11240|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11250|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11260|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11270|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11280|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11281|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11290|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11291|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11300|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11310|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11311|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11320|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11330|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11340|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11341|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11350|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11360|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11370|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11380|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11381|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11400|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11410|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11420|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11421|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11430|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11440|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11441|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11450|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11451|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11460|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11461|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11462|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11470|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11471|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11480|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11490|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11500|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11510|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11520|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11530|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11540|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11550|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11560|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11570|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11580|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11581|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11590|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11591|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11600|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11601|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11610|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11611|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11612|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11620|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11630|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11640|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11650|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11651|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11652|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11660|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11670|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11680|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11690|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11691|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11700|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11701|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11702|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11703|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11710|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11720|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11730|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11740|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11741|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11750|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11760|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11770|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11771|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11772|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11780|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11790|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11800|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11801|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11810|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11811|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11812|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11820|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11821|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11830|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11831|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11832|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11833|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11834|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11835|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11840|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11841|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11842|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11850|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11851|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11860|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11861|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11862|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11870|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11880|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11881|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11882|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11883|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11884|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11885|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11890|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11900|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11901|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11902|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11903|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11910|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11911|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11912|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11913|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11920|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11921|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11930|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11940|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11941|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11950|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11960|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11961|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11962|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11963|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11970|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11971|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11972|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11973|2|N
H3256|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S2 (PPO D-SNP)|00025002|40.00|590| | |GA|11980|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44000|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44010|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44020|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44030|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44040|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44050|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44060|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44070|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44080|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44090|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44100|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44110|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44120|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44130|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44140|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44150|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44160|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44170|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44180|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44190|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44200|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44210|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44220|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44230|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44240|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44250|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44260|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44270|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44280|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44290|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44300|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44310|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44320|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44330|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44340|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44350|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44360|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44370|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44380|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44390|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44400|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44410|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44420|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44430|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44440|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44450|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44460|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44470|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44480|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44490|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44500|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44510|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44520|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44530|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44540|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44550|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44560|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44570|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44580|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44590|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44600|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44610|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44620|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44630|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44640|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44650|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44660|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44670|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44680|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44690|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44700|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44710|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44720|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44730|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44740|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44750|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44760|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44770|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44780|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44790|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44800|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44810|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44820|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44830|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44840|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44850|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44860|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44870|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44880|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44890|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44900|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44910|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44920|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44930|2|N
H3259|001|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus (HMO D-SNP)|00025468|0.00|590| | |TN|44940|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44000|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44010|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44020|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44030|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44040|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44050|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44060|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44070|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44080|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44090|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44100|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44110|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44120|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44130|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44140|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44150|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44160|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44170|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44180|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44190|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44200|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44210|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44220|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44230|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44240|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44250|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44260|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44270|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44280|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44290|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44300|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44310|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44320|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44330|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44340|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44350|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44360|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44370|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44380|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44390|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44400|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44410|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44420|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44430|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44440|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44450|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44460|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44470|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44480|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44490|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44500|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44510|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44520|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44530|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44540|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44550|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44560|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44570|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44580|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44590|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44600|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44610|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44620|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44630|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44640|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44650|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44660|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44670|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44680|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44690|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44700|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44710|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44720|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44730|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44740|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44750|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44760|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44770|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44780|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44790|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44800|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44810|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44820|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44830|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44840|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44850|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44860|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44870|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44880|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44890|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44900|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44910|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44920|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44930|2|N
H3259|002|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Choice (HMO D-SNP)|00025468|0.00|590| | |TN|44940|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44000|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44010|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44020|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44030|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44040|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44050|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44060|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44070|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44080|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44090|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44100|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44110|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44120|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44130|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44140|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44150|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44160|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44170|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44180|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44190|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44200|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44210|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44220|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44230|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44240|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44250|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44260|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44270|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44280|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44290|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44300|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44310|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44320|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44330|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44340|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44350|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44360|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44370|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44380|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44390|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44400|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44410|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44420|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44430|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44440|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44450|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44460|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44470|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44480|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44490|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44500|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44510|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44520|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44530|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44540|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44550|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44560|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44570|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44580|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44590|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44600|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44610|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44620|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44630|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44640|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44650|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44660|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44670|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44680|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44690|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44700|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44710|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44720|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44730|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44740|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44750|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44760|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44770|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44780|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44790|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44800|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44810|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44820|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44830|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44840|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44850|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44860|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44870|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44880|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44890|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44900|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44910|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44920|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44930|2|N
H3259|003|000|VOLUNTEER STATE HEALTH PLAN|BlueCare Plus Select (HMO D-SNP)|00025468|0.00|590| | |TN|44940|2|N
H3274|001|000|ALIGN SENIOR CARE CALIFORNIA INC.|Senior Care (HMO I-SNP)|00025038|29.70|590| | |CA|05000|3|N
H3274|001|000|ALIGN SENIOR CARE CALIFORNIA INC.|Senior Care (HMO I-SNP)|00025038|29.70|590| | |CA|05200|3|N
H3274|001|000|ALIGN SENIOR CARE CALIFORNIA INC.|Senior Care (HMO I-SNP)|00025038|29.70|590| | |CA|05210|3|N
H3274|001|000|ALIGN SENIOR CARE CALIFORNIA INC.|Senior Care (HMO I-SNP)|00025038|29.70|590| | |CA|05310|3|N
H3274|001|000|ALIGN SENIOR CARE CALIFORNIA INC.|Senior Care (HMO I-SNP)|00025038|29.70|590| | |CA|05400|3|N
H3274|001|000|ALIGN SENIOR CARE CALIFORNIA INC.|Senior Care (HMO I-SNP)|00025038|29.70|590| | |CA|05430|3|N
H3274|001|000|ALIGN SENIOR CARE CALIFORNIA INC.|Senior Care (HMO I-SNP)|00025038|29.70|590| | |CA|05480|3|N
H3274|001|000|ALIGN SENIOR CARE CALIFORNIA INC.|Senior Care (HMO I-SNP)|00025038|29.70|590| | |CA|05510|3|N
H3274|001|000|ALIGN SENIOR CARE CALIFORNIA INC.|Senior Care (HMO I-SNP)|00025038|29.70|590| | |CA|05530|3|N
H3274|002|000|ALIGN SENIOR CARE CALIFORNIA INC.|Premier Care (HMO I-SNP)|00025048|0.00|0| | |CA|05000|3|N
H3274|002|000|ALIGN SENIOR CARE CALIFORNIA INC.|Premier Care (HMO I-SNP)|00025048|0.00|0| | |CA|05200|3|N
H3274|002|000|ALIGN SENIOR CARE CALIFORNIA INC.|Premier Care (HMO I-SNP)|00025048|0.00|0| | |CA|05210|3|N
H3274|002|000|ALIGN SENIOR CARE CALIFORNIA INC.|Premier Care (HMO I-SNP)|00025048|0.00|0| | |CA|05310|3|N
H3274|002|000|ALIGN SENIOR CARE CALIFORNIA INC.|Premier Care (HMO I-SNP)|00025048|0.00|0| | |CA|05400|3|N
H3274|002|000|ALIGN SENIOR CARE CALIFORNIA INC.|Premier Care (HMO I-SNP)|00025048|0.00|0| | |CA|05430|3|N
H3274|002|000|ALIGN SENIOR CARE CALIFORNIA INC.|Premier Care (HMO I-SNP)|00025048|0.00|0| | |CA|05480|3|N
H3274|002|000|ALIGN SENIOR CARE CALIFORNIA INC.|Premier Care (HMO I-SNP)|00025048|0.00|0| | |CA|05510|3|N
H3274|002|000|ALIGN SENIOR CARE CALIFORNIA INC.|Premier Care (HMO I-SNP)|00025048|0.00|0| | |CA|05530|3|N
H3274|004|000|ALIGN SENIOR CARE CALIFORNIA INC.|Align Kidney Care (HMO C-SNP)|00025051|29.70|590| | |CA|05200|1|N
H3274|004|000|ALIGN SENIOR CARE CALIFORNIA INC.|Align Kidney Care (HMO C-SNP)|00025051|29.70|590| | |CA|05210|1|N
H3274|004|000|ALIGN SENIOR CARE CALIFORNIA INC.|Align Kidney Care (HMO C-SNP)|00025051|29.70|590| | |CA|05400|1|N
H3274|004|000|ALIGN SENIOR CARE CALIFORNIA INC.|Align Kidney Care (HMO C-SNP)|00025051|29.70|590| | |CA|05430|1|N
H3274|005|000|ALIGN SENIOR CARE CALIFORNIA INC.|Advantage Care (HMO)|00025048|0.00|0| | |CA|05000|0|N
H3274|005|000|ALIGN SENIOR CARE CALIFORNIA INC.|Advantage Care (HMO)|00025048|0.00|0| | |CA|05200|0|N
H3274|005|000|ALIGN SENIOR CARE CALIFORNIA INC.|Advantage Care (HMO)|00025048|0.00|0| | |CA|05210|0|N
H3274|005|000|ALIGN SENIOR CARE CALIFORNIA INC.|Advantage Care (HMO)|00025048|0.00|0| | |CA|05310|0|N
H3274|005|000|ALIGN SENIOR CARE CALIFORNIA INC.|Advantage Care (HMO)|00025048|0.00|0| | |CA|05400|0|N
H3274|005|000|ALIGN SENIOR CARE CALIFORNIA INC.|Advantage Care (HMO)|00025048|0.00|0| | |CA|05430|0|N
H3274|005|000|ALIGN SENIOR CARE CALIFORNIA INC.|Advantage Care (HMO)|00025048|0.00|0| | |CA|05480|0|N
H3274|005|000|ALIGN SENIOR CARE CALIFORNIA INC.|Advantage Care (HMO)|00025048|0.00|0| | |CA|05510|0|N
H3274|005|000|ALIGN SENIOR CARE CALIFORNIA INC.|Advantage Care (HMO)|00025048|0.00|0| | |CA|05530|0|N
H3276|001|000|CONNECTICARE INSURANCE COMPANY, INC.|ConnectiCare Choice Dual (HMO-POS D-SNP)|00025285|0.00|590| | |CT|07000|2|N
H3276|001|000|CONNECTICARE INSURANCE COMPANY, INC.|ConnectiCare Choice Dual (HMO-POS D-SNP)|00025285|0.00|590| | |CT|07010|2|N
H3276|001|000|CONNECTICARE INSURANCE COMPANY, INC.|ConnectiCare Choice Dual (HMO-POS D-SNP)|00025285|0.00|590| | |CT|07020|2|N
H3276|001|000|CONNECTICARE INSURANCE COMPANY, INC.|ConnectiCare Choice Dual (HMO-POS D-SNP)|00025285|0.00|590| | |CT|07030|2|N
H3276|001|000|CONNECTICARE INSURANCE COMPANY, INC.|ConnectiCare Choice Dual (HMO-POS D-SNP)|00025285|0.00|590| | |CT|07040|2|N
H3276|001|000|CONNECTICARE INSURANCE COMPANY, INC.|ConnectiCare Choice Dual (HMO-POS D-SNP)|00025285|0.00|590| | |CT|07050|2|N
H3276|001|000|CONNECTICARE INSURANCE COMPANY, INC.|ConnectiCare Choice Dual (HMO-POS D-SNP)|00025285|0.00|590| | |CT|07060|2|N
H3276|001|000|CONNECTICARE INSURANCE COMPANY, INC.|ConnectiCare Choice Dual (HMO-POS D-SNP)|00025285|0.00|590| | |CT|07070|2|N
H3288|001|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|18.30|590| | |TX|45130|0|N
H3288|001|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|18.30|590| | |TX|45320|0|N
H3288|002|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|18.30|590| | |TX|45310|0|N
H3288|002|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|18.30|590| | |TX|45390|0|N
H3288|002|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|18.30|590| | |TX|45910|0|N
H3288|003|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|18.30|590| | |TX|45610|0|N
H3288|004|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|3.20|0| | |TX|45940|0|N
H3288|004|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|3.20|0| | |TX|45970|0|N
H3288|005|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|0.00|590| | |TX|45030|0|N
H3288|005|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|0.00|590| | |TX|45210|0|N
H3288|005|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|0.00|590| | |TX|45430|0|N
H3288|005|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|0.00|590| | |TX|45440|0|N
H3288|005|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|0.00|590| | |TX|45710|0|N
H3288|005|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|0.00|590| | |TX|45711|0|N
H3288|005|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|0.00|590| | |TX|45732|0|N
H3288|005|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|0.00|590| | |TX|45743|0|N
H3288|005|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|0.00|590| | |TX|45753|0|N
H3288|005|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|0.00|590| | |TX|45876|0|N
H3288|005|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|0.00|590| | |TX|45885|0|N
H3288|005|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|0.00|590| | |TX|45962|0|N
H3288|006|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45070|0|N
H3288|006|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45190|0|N
H3288|006|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45312|0|N
H3288|006|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45600|0|N
H3288|006|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45690|0|N
H3288|006|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45700|0|N
H3288|006|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45757|0|N
H3288|006|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45782|0|N
H3288|006|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45790|0|N
H3288|006|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45801|0|N
H3288|006|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45821|0|N
H3288|006|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45942|0|N
H3288|006|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45949|0|N
H3288|006|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45950|0|N
H3288|006|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45954|0|N
H3288|007|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|15.00|590| | |TX|45480|0|N
H3288|008|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45000|0|N
H3288|008|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45120|0|N
H3288|008|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45160|0|N
H3288|008|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45170|0|N
H3288|008|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45260|0|N
H3288|008|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45281|0|N
H3288|008|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45321|0|N
H3288|008|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45341|0|N
H3288|008|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45470|0|N
H3288|008|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45490|0|N
H3288|008|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45500|0|N
H3288|008|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45510|0|N
H3288|008|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45564|0|N
H3288|008|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45570|0|N
H3288|008|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45590|0|N
H3288|008|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45620|0|N
H3288|008|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45640|0|N
H3288|008|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45651|0|N
H3288|008|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45653|0|N
H3288|008|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45660|0|N
H3288|008|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45670|0|N
H3288|008|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45720|0|N
H3288|008|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45730|0|N
H3288|008|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45750|0|N
H3288|008|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45756|0|N
H3288|008|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45758|0|N
H3288|008|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45780|0|N
H3288|008|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45783|0|N
H3288|008|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45800|0|N
H3288|008|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45803|0|N
H3288|008|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45810|0|N
H3288|008|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45820|0|N
H3288|008|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45842|0|N
H3288|008|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45843|0|N
H3288|008|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45870|0|N
H3288|008|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45874|0|N
H3288|008|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45879|0|N
H3288|008|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45881|0|N
H3288|008|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45883|0|N
H3288|008|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45892|0|N
H3288|008|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45893|0|N
H3288|008|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45921|0|N
H3288|008|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45943|0|N
H3288|008|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45947|0|N
H3288|008|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45973|0|N
H3288|008|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45974|0|N
H3288|009|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|20.00|250| | |TX|45240|0|N
H3288|009|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|20.00|250| | |TX|45650|0|N
H3288|009|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|20.00|250| | |TX|45791|0|N
H3288|009|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|20.00|250| | |TX|45830|0|N
H3288|009|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|20.00|250| | |TX|45900|0|N
H3288|009|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|20.00|250| | |TX|45953|0|N
H3288|011|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45451|0|N
H3288|011|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45582|0|N
H3288|011|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45770|0|N
H3288|011|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45794|0|N
H3288|011|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45860|0|N
H3288|011|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45871|0|N
H3288|011|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45930|0|N
H3288|016|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45310|0|N
H3288|016|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45910|0|N
H3288|017|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|25.00|0| | |OK|37400|0|N
H3288|017|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|25.00|0| | |OK|37410|0|N
H3288|017|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|25.00|0| | |OK|37540|0|N
H3288|018|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|18.30|0| | |TX|45070|0|N
H3288|018|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|18.30|0| | |TX|45180|0|N
H3288|018|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|18.30|0| | |TX|45190|0|N
H3288|018|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|18.30|0| | |TX|45280|0|N
H3288|018|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|18.30|0| | |TX|45312|0|N
H3288|018|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|18.30|0| | |TX|45530|0|N
H3288|018|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|18.30|0| | |TX|45580|0|N
H3288|018|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|18.30|0| | |TX|45600|0|N
H3288|018|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|18.30|0| | |TX|45690|0|N
H3288|018|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|18.30|0| | |TX|45700|0|N
H3288|018|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|18.30|0| | |TX|45757|0|N
H3288|018|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|18.30|0| | |TX|45782|0|N
H3288|018|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|18.30|0| | |TX|45790|0|N
H3288|018|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|18.30|0| | |TX|45801|0|N
H3288|018|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|18.30|0| | |TX|45821|0|N
H3288|018|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|18.30|0| | |TX|45850|0|N
H3288|018|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|18.30|0| | |TX|45884|0|N
H3288|018|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|18.30|0| | |TX|45942|0|N
H3288|018|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|18.30|0| | |TX|45949|0|N
H3288|018|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|18.30|0| | |TX|45950|0|N
H3288|018|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|18.30|0| | |TX|45952|0|N
H3288|018|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|18.30|0| | |TX|45954|0|N
H3288|019|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|15.00|0| | |OK|37180|0|N
H3288|019|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|15.00|0| | |OK|37550|0|N
H3288|019|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|15.00|0| | |OK|37650|0|N
H3288|019|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|15.00|0| | |OK|37710|0|N
H3288|019|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|15.00|0| | |OK|37720|0|N
H3288|020|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|250| | |OK|37000|0|N
H3288|020|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|250| | |OK|37020|0|N
H3288|020|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|250| | |OK|37050|0|N
H3288|020|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|250| | |OK|37060|0|N
H3288|020|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|250| | |OK|37070|0|N
H3288|020|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|250| | |OK|37080|0|N
H3288|020|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|250| | |OK|37090|0|N
H3288|020|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|250| | |OK|37100|0|N
H3288|020|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|250| | |OK|37130|0|N
H3288|020|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|250| | |OK|37140|0|N
H3288|020|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|250| | |OK|37160|0|N
H3288|020|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|250| | |OK|37170|0|N
H3288|020|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|250| | |OK|37190|0|N
H3288|020|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|250| | |OK|37200|0|N
H3288|020|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|250| | |OK|37230|0|N
H3288|020|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|250| | |OK|37240|0|N
H3288|020|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|250| | |OK|37250|0|N
H3288|020|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|250| | |OK|37260|0|N
H3288|020|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|250| | |OK|37300|0|N
H3288|020|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|250| | |OK|37310|0|N
H3288|020|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|250| | |OK|37330|0|N
H3288|020|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|250| | |OK|37340|0|N
H3288|020|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|250| | |OK|37350|0|N
H3288|020|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|250| | |OK|37360|0|N
H3288|020|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|250| | |OK|37380|0|N
H3288|020|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|250| | |OK|37390|0|N
H3288|020|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|250| | |OK|37400|0|N
H3288|020|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|250| | |OK|37420|0|N
H3288|020|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|250| | |OK|37430|0|N
H3288|020|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|250| | |OK|37450|0|N
H3288|020|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|250| | |OK|37460|0|N
H3288|020|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|250| | |OK|37470|0|N
H3288|020|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|250| | |OK|37480|0|N
H3288|020|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|250| | |OK|37490|0|N
H3288|020|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|250| | |OK|37500|0|N
H3288|020|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|250| | |OK|37510|0|N
H3288|020|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|250| | |OK|37520|0|N
H3288|020|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|250| | |OK|37530|0|N
H3288|020|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|250| | |OK|37560|0|N
H3288|020|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|250| | |OK|37570|0|N
H3288|020|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|250| | |OK|37580|0|N
H3288|020|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|250| | |OK|37600|0|N
H3288|020|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|250| | |OK|37610|0|N
H3288|020|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|250| | |OK|37620|0|N
H3288|020|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|250| | |OK|37630|0|N
H3288|020|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|250| | |OK|37660|0|N
H3288|020|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|250| | |OK|37670|0|N
H3288|020|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|250| | |OK|37680|0|N
H3288|021|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|250| | |OK|37180|0|N
H3288|021|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|250| | |OK|37550|0|N
H3288|021|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|250| | |OK|37650|0|N
H3288|021|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|250| | |OK|37710|0|N
H3288|021|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|250| | |OK|37720|0|N
H3288|027|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11030|0|N
H3288|027|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11090|0|N
H3288|027|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11150|0|N
H3288|027|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11230|0|N
H3288|027|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11270|0|N
H3288|027|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11310|0|N
H3288|027|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11381|0|N
H3288|027|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11440|0|N
H3288|027|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11441|0|N
H3288|027|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11480|0|N
H3288|027|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11560|0|N
H3288|027|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11600|0|N
H3288|027|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11620|0|N
H3288|027|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11640|0|N
H3288|027|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11651|0|N
H3288|027|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11660|0|N
H3288|027|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11690|0|N
H3288|027|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11702|0|N
H3288|027|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11710|0|N
H3288|027|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11760|0|N
H3288|027|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11780|0|N
H3288|027|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11811|0|N
H3288|027|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11833|0|N
H3288|027|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11840|0|N
H3288|027|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11850|0|N
H3288|027|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11862|0|N
H3288|027|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11882|0|N
H3288|027|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11883|0|N
H3288|027|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11903|0|N
H3288|027|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11910|0|N
H3288|027|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11912|0|N
H3288|027|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11920|0|N
H3288|027|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11961|0|N
H3288|031|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11040|0|N
H3288|031|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11050|0|N
H3288|031|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11170|0|N
H3288|031|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11220|0|N
H3288|031|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11240|0|N
H3288|031|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11260|0|N
H3288|031|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11291|0|N
H3288|031|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11300|0|N
H3288|031|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11450|0|N
H3288|031|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11462|0|N
H3288|031|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11490|0|N
H3288|031|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11520|0|N
H3288|031|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11540|0|N
H3288|031|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11581|0|N
H3288|031|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11601|0|N
H3288|031|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11610|0|N
H3288|031|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11680|0|N
H3288|031|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11720|0|N
H3288|031|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11771|0|N
H3288|031|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11772|0|N
H3288|031|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11800|0|N
H3288|031|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11801|0|N
H3288|031|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11820|0|N
H3288|031|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11832|0|N
H3288|031|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11834|0|N
H3288|031|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11881|0|N
H3288|031|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11902|0|N
H3288|031|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11913|0|N
H3288|031|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11940|0|N
H3288|031|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |GA|11972|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11020|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11030|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11040|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11050|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11090|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11150|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11170|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11200|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11220|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11230|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11240|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11270|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11291|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11300|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11310|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11340|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11381|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11421|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11441|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11450|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11462|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11471|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11480|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11490|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11500|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11550|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11581|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11590|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11600|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11601|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11610|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11620|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11650|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11651|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11660|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11670|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11680|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11701|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11702|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11703|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11710|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11720|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11730|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11740|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11760|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11771|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11772|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11780|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11800|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11801|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11811|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11821|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11832|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11833|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11834|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11835|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11840|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11850|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11861|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11862|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11870|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11881|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11882|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11900|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11901|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11902|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11911|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11912|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11913|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11920|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11950|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11960|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11961|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11963|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11972|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11973|0|N
H3288|042|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Preferred Premium (PPO)|00025101|28.00|590| | |GA|11980|0|N
H3288|046|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45060|0|N
H3288|046|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45090|0|N
H3288|046|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45113|0|N
H3288|046|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45221|0|N
H3288|046|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45222|0|N
H3288|046|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45223|0|N
H3288|046|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45224|0|N
H3288|046|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45420|0|N
H3288|046|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45511|0|N
H3288|046|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45561|0|N
H3288|046|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45562|0|N
H3288|046|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45581|0|N
H3288|046|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45631|0|N
H3288|046|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45681|0|N
H3288|046|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45722|0|N
H3288|046|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45731|0|N
H3288|046|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45734|0|N
H3288|046|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45752|0|N
H3288|046|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45754|0|N
H3288|046|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45755|0|N
H3288|046|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45760|0|N
H3288|046|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45792|0|N
H3288|046|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45795|0|N
H3288|046|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45878|0|N
H3288|046|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45948|0|N
H3288|046|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025100|0.00|590| | |TX|45971|0|N
H3288|047|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|30.00|590| | |TX|45610|0|N
H3288|048|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|18.30|590| | |TX|45060|0|N
H3288|048|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|18.30|590| | |TX|45090|0|N
H3288|048|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|18.30|590| | |TX|45113|0|N
H3288|048|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|18.30|590| | |TX|45221|0|N
H3288|048|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|18.30|590| | |TX|45222|0|N
H3288|048|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|18.30|590| | |TX|45223|0|N
H3288|048|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|18.30|590| | |TX|45224|0|N
H3288|048|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|18.30|590| | |TX|45420|0|N
H3288|048|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|18.30|590| | |TX|45511|0|N
H3288|048|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|18.30|590| | |TX|45561|0|N
H3288|048|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|18.30|590| | |TX|45562|0|N
H3288|048|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|18.30|590| | |TX|45581|0|N
H3288|048|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|18.30|590| | |TX|45631|0|N
H3288|048|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|18.30|590| | |TX|45681|0|N
H3288|048|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|18.30|590| | |TX|45722|0|N
H3288|048|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|18.30|590| | |TX|45731|0|N
H3288|048|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|18.30|590| | |TX|45734|0|N
H3288|048|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|18.30|590| | |TX|45752|0|N
H3288|048|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|18.30|590| | |TX|45754|0|N
H3288|048|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|18.30|590| | |TX|45755|0|N
H3288|048|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|18.30|590| | |TX|45760|0|N
H3288|048|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|18.30|590| | |TX|45792|0|N
H3288|048|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|18.30|590| | |TX|45795|0|N
H3288|048|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|18.30|590| | |TX|45878|0|N
H3288|048|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|18.30|590| | |TX|45948|0|N
H3288|048|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|18.30|590| | |TX|45971|0|N
H3288|053|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Complete (PPO D-SNP)|00025101|0.00|590| | |OK|37000|2|N
H3288|053|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Complete (PPO D-SNP)|00025101|0.00|590| | |OK|37020|2|N
H3288|053|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Complete (PPO D-SNP)|00025101|0.00|590| | |OK|37050|2|N
H3288|053|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Complete (PPO D-SNP)|00025101|0.00|590| | |OK|37060|2|N
H3288|053|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Complete (PPO D-SNP)|00025101|0.00|590| | |OK|37070|2|N
H3288|053|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Complete (PPO D-SNP)|00025101|0.00|590| | |OK|37080|2|N
H3288|053|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Complete (PPO D-SNP)|00025101|0.00|590| | |OK|37090|2|N
H3288|053|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Complete (PPO D-SNP)|00025101|0.00|590| | |OK|37100|2|N
H3288|053|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Complete (PPO D-SNP)|00025101|0.00|590| | |OK|37130|2|N
H3288|053|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Complete (PPO D-SNP)|00025101|0.00|590| | |OK|37140|2|N
H3288|053|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Complete (PPO D-SNP)|00025101|0.00|590| | |OK|37160|2|N
H3288|053|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Complete (PPO D-SNP)|00025101|0.00|590| | |OK|37170|2|N
H3288|053|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Complete (PPO D-SNP)|00025101|0.00|590| | |OK|37180|2|N
H3288|053|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Complete (PPO D-SNP)|00025101|0.00|590| | |OK|37190|2|N
H3288|053|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Complete (PPO D-SNP)|00025101|0.00|590| | |OK|37200|2|N
H3288|053|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Complete (PPO D-SNP)|00025101|0.00|590| | |OK|37230|2|N
H3288|053|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Complete (PPO D-SNP)|00025101|0.00|590| | |OK|37240|2|N
H3288|053|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Complete (PPO D-SNP)|00025101|0.00|590| | |OK|37250|2|N
H3288|053|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Complete (PPO D-SNP)|00025101|0.00|590| | |OK|37260|2|N
H3288|053|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Complete (PPO D-SNP)|00025101|0.00|590| | |OK|37300|2|N
H3288|053|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Complete (PPO D-SNP)|00025101|0.00|590| | |OK|37310|2|N
H3288|053|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Complete (PPO D-SNP)|00025101|0.00|590| | |OK|37330|2|N
H3288|053|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Complete (PPO D-SNP)|00025101|0.00|590| | |OK|37340|2|N
H3288|053|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Complete (PPO D-SNP)|00025101|0.00|590| | |OK|37350|2|N
H3288|053|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Complete (PPO D-SNP)|00025101|0.00|590| | |OK|37360|2|N
H3288|053|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Complete (PPO D-SNP)|00025101|0.00|590| | |OK|37380|2|N
H3288|053|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Complete (PPO D-SNP)|00025101|0.00|590| | |OK|37390|2|N
H3288|053|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Complete (PPO D-SNP)|00025101|0.00|590| | |OK|37400|2|N
H3288|053|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Complete (PPO D-SNP)|00025101|0.00|590| | |OK|37410|2|N
H3288|053|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Complete (PPO D-SNP)|00025101|0.00|590| | |OK|37420|2|N
H3288|053|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Complete (PPO D-SNP)|00025101|0.00|590| | |OK|37430|2|N
H3288|053|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Complete (PPO D-SNP)|00025101|0.00|590| | |OK|37450|2|N
H3288|053|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Complete (PPO D-SNP)|00025101|0.00|590| | |OK|37460|2|N
H3288|053|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Complete (PPO D-SNP)|00025101|0.00|590| | |OK|37470|2|N
H3288|053|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Complete (PPO D-SNP)|00025101|0.00|590| | |OK|37480|2|N
H3288|053|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Complete (PPO D-SNP)|00025101|0.00|590| | |OK|37490|2|N
H3288|053|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Complete (PPO D-SNP)|00025101|0.00|590| | |OK|37500|2|N
H3288|053|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Complete (PPO D-SNP)|00025101|0.00|590| | |OK|37510|2|N
H3288|053|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Complete (PPO D-SNP)|00025101|0.00|590| | |OK|37520|2|N
H3288|053|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Complete (PPO D-SNP)|00025101|0.00|590| | |OK|37530|2|N
H3288|053|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Complete (PPO D-SNP)|00025101|0.00|590| | |OK|37540|2|N
H3288|053|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Complete (PPO D-SNP)|00025101|0.00|590| | |OK|37550|2|N
H3288|053|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Complete (PPO D-SNP)|00025101|0.00|590| | |OK|37560|2|N
H3288|053|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Complete (PPO D-SNP)|00025101|0.00|590| | |OK|37570|2|N
H3288|053|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Complete (PPO D-SNP)|00025101|0.00|590| | |OK|37580|2|N
H3288|053|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Complete (PPO D-SNP)|00025101|0.00|590| | |OK|37600|2|N
H3288|053|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Complete (PPO D-SNP)|00025101|0.00|590| | |OK|37610|2|N
H3288|053|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Complete (PPO D-SNP)|00025101|0.00|590| | |OK|37620|2|N
H3288|053|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Complete (PPO D-SNP)|00025101|0.00|590| | |OK|37630|2|N
H3288|053|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Complete (PPO D-SNP)|00025101|0.00|590| | |OK|37650|2|N
H3288|053|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Complete (PPO D-SNP)|00025101|0.00|590| | |OK|37660|2|N
H3288|053|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Complete (PPO D-SNP)|00025101|0.00|590| | |OK|37670|2|N
H3288|053|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Complete (PPO D-SNP)|00025101|0.00|590| | |OK|37680|2|N
H3288|053|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Complete (PPO D-SNP)|00025101|0.00|590| | |OK|37710|2|N
H3288|053|000|AETNA HEALTH AND LIFE INSURANCE COMPANY|Aetna Medicare Dual Complete (PPO D-SNP)|00025101|0.00|590| | |OK|37720|2|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11030|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11060|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11070|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11080|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11090|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11130|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11160|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11190|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11200|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11220|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11240|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11250|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11260|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11281|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11290|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11300|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11310|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11350|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11370|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11381|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11390|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11420|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11430|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11440|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11450|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11460|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11461|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11470|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11480|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11530|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11540|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11550|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11560|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11570|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11590|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11591|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11600|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11601|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11620|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11630|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11690|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11691|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11700|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11701|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11703|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11740|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11760|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11790|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11812|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11821|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11830|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11831|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11840|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11842|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11850|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11860|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11861|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11881|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11901|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11911|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11912|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11921|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11941|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11950|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11961|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11972|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11973|3|N
H3291|001|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier (HMO I-SNP)|00025036|40.00|590| | |GA|11980|3|N
H3291|002|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier D-SNP (HMO D-SNP)|00025036|0.00|590| | |GA|11020|2|N
H3291|002|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier D-SNP (HMO D-SNP)|00025036|0.00|590| | |GA|11040|2|N
H3291|002|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier D-SNP (HMO D-SNP)|00025036|0.00|590| | |GA|11050|2|N
H3291|002|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier D-SNP (HMO D-SNP)|00025036|0.00|590| | |GA|11090|2|N
H3291|002|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier D-SNP (HMO D-SNP)|00025036|0.00|590| | |GA|11150|2|N
H3291|002|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier D-SNP (HMO D-SNP)|00025036|0.00|590| | |GA|11190|2|N
H3291|002|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier D-SNP (HMO D-SNP)|00025036|0.00|590| | |GA|11260|2|N
H3291|002|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier D-SNP (HMO D-SNP)|00025036|0.00|590| | |GA|11280|2|N
H3291|002|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier D-SNP (HMO D-SNP)|00025036|0.00|590| | |GA|11290|2|N
H3291|002|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier D-SNP (HMO D-SNP)|00025036|0.00|590| | |GA|11300|2|N
H3291|002|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier D-SNP (HMO D-SNP)|00025036|0.00|590| | |GA|11370|2|N
H3291|002|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier D-SNP (HMO D-SNP)|00025036|0.00|590| | |GA|11390|2|N
H3291|002|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier D-SNP (HMO D-SNP)|00025036|0.00|590| | |GA|11400|2|N
H3291|002|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier D-SNP (HMO D-SNP)|00025036|0.00|590| | |GA|11430|2|N
H3291|002|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier D-SNP (HMO D-SNP)|00025036|0.00|590| | |GA|11440|2|N
H3291|002|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier D-SNP (HMO D-SNP)|00025036|0.00|590| | |GA|11461|2|N
H3291|002|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier D-SNP (HMO D-SNP)|00025036|0.00|590| | |GA|11470|2|N
H3291|002|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier D-SNP (HMO D-SNP)|00025036|0.00|590| | |GA|11520|2|N
H3291|002|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier D-SNP (HMO D-SNP)|00025036|0.00|590| | |GA|11530|2|N
H3291|002|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier D-SNP (HMO D-SNP)|00025036|0.00|590| | |GA|11550|2|N
H3291|002|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier D-SNP (HMO D-SNP)|00025036|0.00|590| | |GA|11591|2|N
H3291|002|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier D-SNP (HMO D-SNP)|00025036|0.00|590| | |GA|11600|2|N
H3291|002|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier D-SNP (HMO D-SNP)|00025036|0.00|590| | |GA|11610|2|N
H3291|002|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier D-SNP (HMO D-SNP)|00025036|0.00|590| | |GA|11611|2|N
H3291|002|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier D-SNP (HMO D-SNP)|00025036|0.00|590| | |GA|11620|2|N
H3291|002|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier D-SNP (HMO D-SNP)|00025036|0.00|590| | |GA|11630|2|N
H3291|002|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier D-SNP (HMO D-SNP)|00025036|0.00|590| | |GA|11702|2|N
H3291|002|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier D-SNP (HMO D-SNP)|00025036|0.00|590| | |GA|11720|2|N
H3291|002|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier D-SNP (HMO D-SNP)|00025036|0.00|590| | |GA|11760|2|N
H3291|002|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier D-SNP (HMO D-SNP)|00025036|0.00|590| | |GA|11771|2|N
H3291|002|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier D-SNP (HMO D-SNP)|00025036|0.00|590| | |GA|11790|2|N
H3291|002|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier D-SNP (HMO D-SNP)|00025036|0.00|590| | |GA|11800|2|N
H3291|002|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier D-SNP (HMO D-SNP)|00025036|0.00|590| | |GA|11801|2|N
H3291|002|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier D-SNP (HMO D-SNP)|00025036|0.00|590| | |GA|11810|2|N
H3291|002|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier D-SNP (HMO D-SNP)|00025036|0.00|590| | |GA|11840|2|N
H3291|002|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier D-SNP (HMO D-SNP)|00025036|0.00|590| | |GA|11841|2|N
H3291|002|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier D-SNP (HMO D-SNP)|00025036|0.00|590| | |GA|11860|2|N
H3291|002|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier D-SNP (HMO D-SNP)|00025036|0.00|590| | |GA|11930|2|N
H3291|002|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier D-SNP (HMO D-SNP)|00025036|0.00|590| | |GA|11972|2|N
H3291|002|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier D-SNP (HMO D-SNP)|00025036|0.00|590| | |GA|11980|2|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11030|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11060|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11070|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11080|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11090|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11130|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11160|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11190|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11200|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11220|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11240|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11250|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11260|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11281|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11290|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11300|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11310|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11350|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11370|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11381|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11390|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11420|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11430|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11440|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11450|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11460|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11461|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11470|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11480|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11530|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11540|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11550|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11560|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11570|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11590|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11591|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11600|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11601|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11620|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11630|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11690|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11691|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11700|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11701|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11703|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11740|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11760|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11790|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11812|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11821|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11830|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11831|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11840|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11842|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11850|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11860|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11861|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11881|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11901|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11911|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11912|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11921|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11941|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11950|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11961|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11972|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11973|3|N
H3291|003|000|PRUITTHEALTH PREMIER, INC.|PruittHealth Premier Advantage (HMO I-SNP)|00025046|7.00|0| | |GA|11980|3|N
H3305|015|000|MVP HEALTH PLAN, INC.|MVP Medicare Preferred Gold with Part D (HMO-POS)|00025352|53.10|0| | |NY|33240|0|N
H3305|015|000|MVP HEALTH PLAN, INC.|MVP Medicare Preferred Gold with Part D (HMO-POS)|00025352|53.10|0| | |NY|33290|0|N
H3305|015|000|MVP HEALTH PLAN, INC.|MVP Medicare Preferred Gold with Part D (HMO-POS)|00025352|53.10|0| | |NY|33350|0|N
H3305|015|000|MVP HEALTH PLAN, INC.|MVP Medicare Preferred Gold with Part D (HMO-POS)|00025352|53.10|0| | |NY|33370|0|N
H3305|015|000|MVP HEALTH PLAN, INC.|MVP Medicare Preferred Gold with Part D (HMO-POS)|00025352|53.10|0| | |NY|33500|0|N
H3305|015|000|MVP HEALTH PLAN, INC.|MVP Medicare Preferred Gold with Part D (HMO-POS)|00025352|53.10|0| | |NY|33530|0|N
H3305|015|000|MVP HEALTH PLAN, INC.|MVP Medicare Preferred Gold with Part D (HMO-POS)|00025352|53.10|0| | |NY|33550|0|N
H3305|015|000|MVP HEALTH PLAN, INC.|MVP Medicare Preferred Gold with Part D (HMO-POS)|00025352|53.10|0| | |NY|33680|0|N
H3305|015|000|MVP HEALTH PLAN, INC.|MVP Medicare Preferred Gold with Part D (HMO-POS)|00025352|53.10|0| | |NY|33770|0|N
H3305|015|000|MVP HEALTH PLAN, INC.|MVP Medicare Preferred Gold with Part D (HMO-POS)|00025352|53.10|0| | |NY|33900|0|N
H3305|015|000|MVP HEALTH PLAN, INC.|MVP Medicare Preferred Gold with Part D (HMO-POS)|00025352|53.10|0| | |NY|33910|0|N
H3305|022|000|MVP HEALTH PLAN, INC.|MVP Medicare Secure Plus with Part D (HMO-POS)|00025352|20.60|0| | |NY|33000|0|N
H3305|022|000|MVP HEALTH PLAN, INC.|MVP Medicare Secure Plus with Part D (HMO-POS)|00025352|20.60|0| | |NY|33010|0|N
H3305|022|000|MVP HEALTH PLAN, INC.|MVP Medicare Secure Plus with Part D (HMO-POS)|00025352|20.60|0| | |NY|33030|0|N
H3305|022|000|MVP HEALTH PLAN, INC.|MVP Medicare Secure Plus with Part D (HMO-POS)|00025352|20.60|0| | |NY|33040|0|N
H3305|022|000|MVP HEALTH PLAN, INC.|MVP Medicare Secure Plus with Part D (HMO-POS)|00025352|20.60|0| | |NY|33050|0|N
H3305|022|000|MVP HEALTH PLAN, INC.|MVP Medicare Secure Plus with Part D (HMO-POS)|00025352|20.60|0| | |NY|33060|0|N
H3305|022|000|MVP HEALTH PLAN, INC.|MVP Medicare Secure Plus with Part D (HMO-POS)|00025352|20.60|0| | |NY|33070|0|N
H3305|022|000|MVP HEALTH PLAN, INC.|MVP Medicare Secure Plus with Part D (HMO-POS)|00025352|20.60|0| | |NY|33080|0|N
H3305|022|000|MVP HEALTH PLAN, INC.|MVP Medicare Secure Plus with Part D (HMO-POS)|00025352|20.60|0| | |NY|33090|0|N
H3305|022|000|MVP HEALTH PLAN, INC.|MVP Medicare Secure Plus with Part D (HMO-POS)|00025352|20.60|0| | |NY|33200|0|N
H3305|022|000|MVP HEALTH PLAN, INC.|MVP Medicare Secure Plus with Part D (HMO-POS)|00025352|20.60|0| | |NY|33210|0|N
H3305|022|000|MVP HEALTH PLAN, INC.|MVP Medicare Secure Plus with Part D (HMO-POS)|00025352|20.60|0| | |NY|33220|0|N
H3305|022|000|MVP HEALTH PLAN, INC.|MVP Medicare Secure Plus with Part D (HMO-POS)|00025352|20.60|0| | |NY|33230|0|N
H3305|022|000|MVP HEALTH PLAN, INC.|MVP Medicare Secure Plus with Part D (HMO-POS)|00025352|20.60|0| | |NY|33260|0|N
H3305|022|000|MVP HEALTH PLAN, INC.|MVP Medicare Secure Plus with Part D (HMO-POS)|00025352|20.60|0| | |NY|33270|0|N
H3305|022|000|MVP HEALTH PLAN, INC.|MVP Medicare Secure Plus with Part D (HMO-POS)|00025352|20.60|0| | |NY|33280|0|N
H3305|022|000|MVP HEALTH PLAN, INC.|MVP Medicare Secure Plus with Part D (HMO-POS)|00025352|20.60|0| | |NY|33300|0|N
H3305|022|000|MVP HEALTH PLAN, INC.|MVP Medicare Secure Plus with Part D (HMO-POS)|00025352|20.60|0| | |NY|33310|0|N
H3305|022|000|MVP HEALTH PLAN, INC.|MVP Medicare Secure Plus with Part D (HMO-POS)|00025352|20.60|0| | |NY|33320|0|N
H3305|022|000|MVP HEALTH PLAN, INC.|MVP Medicare Secure Plus with Part D (HMO-POS)|00025352|20.60|0| | |NY|33330|0|N
H3305|022|000|MVP HEALTH PLAN, INC.|MVP Medicare Secure Plus with Part D (HMO-POS)|00025352|20.60|0| | |NY|33340|0|N
H3305|022|000|MVP HEALTH PLAN, INC.|MVP Medicare Secure Plus with Part D (HMO-POS)|00025352|20.60|0| | |NY|33360|0|N
H3305|022|000|MVP HEALTH PLAN, INC.|MVP Medicare Secure Plus with Part D (HMO-POS)|00025352|20.60|0| | |NY|33380|0|N
H3305|022|000|MVP HEALTH PLAN, INC.|MVP Medicare Secure Plus with Part D (HMO-POS)|00025352|20.60|0| | |NY|33510|0|N
H3305|022|000|MVP HEALTH PLAN, INC.|MVP Medicare Secure Plus with Part D (HMO-POS)|00025352|20.60|0| | |NY|33520|0|N
H3305|022|000|MVP HEALTH PLAN, INC.|MVP Medicare Secure Plus with Part D (HMO-POS)|00025352|20.60|0| | |NY|33540|0|N
H3305|022|000|MVP HEALTH PLAN, INC.|MVP Medicare Secure Plus with Part D (HMO-POS)|00025352|20.60|0| | |NY|33560|0|N
H3305|022|000|MVP HEALTH PLAN, INC.|MVP Medicare Secure Plus with Part D (HMO-POS)|00025352|20.60|0| | |NY|33570|0|N
H3305|022|000|MVP HEALTH PLAN, INC.|MVP Medicare Secure Plus with Part D (HMO-POS)|00025352|20.60|0| | |NY|33580|0|N
H3305|022|000|MVP HEALTH PLAN, INC.|MVP Medicare Secure Plus with Part D (HMO-POS)|00025352|20.60|0| | |NY|33600|0|N
H3305|022|000|MVP HEALTH PLAN, INC.|MVP Medicare Secure Plus with Part D (HMO-POS)|00025352|20.60|0| | |NY|33620|0|N
H3305|022|000|MVP HEALTH PLAN, INC.|MVP Medicare Secure Plus with Part D (HMO-POS)|00025352|20.60|0| | |NY|33630|0|N
H3305|022|000|MVP HEALTH PLAN, INC.|MVP Medicare Secure Plus with Part D (HMO-POS)|00025352|20.60|0| | |NY|33640|0|N
H3305|022|000|MVP HEALTH PLAN, INC.|MVP Medicare Secure Plus with Part D (HMO-POS)|00025352|20.60|0| | |NY|33650|0|N
H3305|022|000|MVP HEALTH PLAN, INC.|MVP Medicare Secure Plus with Part D (HMO-POS)|00025352|20.60|0| | |NY|33660|0|N
H3305|022|000|MVP HEALTH PLAN, INC.|MVP Medicare Secure Plus with Part D (HMO-POS)|00025352|20.60|0| | |NY|33670|0|N
H3305|022|000|MVP HEALTH PLAN, INC.|MVP Medicare Secure Plus with Part D (HMO-POS)|00025352|20.60|0| | |NY|33690|0|N
H3305|022|000|MVP HEALTH PLAN, INC.|MVP Medicare Secure Plus with Part D (HMO-POS)|00025352|20.60|0| | |NY|33710|0|N
H3305|022|000|MVP HEALTH PLAN, INC.|MVP Medicare Secure Plus with Part D (HMO-POS)|00025352|20.60|0| | |NY|33720|0|N
H3305|022|000|MVP HEALTH PLAN, INC.|MVP Medicare Secure Plus with Part D (HMO-POS)|00025352|20.60|0| | |NY|33730|0|N
H3305|022|000|MVP HEALTH PLAN, INC.|MVP Medicare Secure Plus with Part D (HMO-POS)|00025352|20.60|0| | |NY|33740|0|N
H3305|022|000|MVP HEALTH PLAN, INC.|MVP Medicare Secure Plus with Part D (HMO-POS)|00025352|20.60|0| | |NY|33750|0|N
H3305|022|000|MVP HEALTH PLAN, INC.|MVP Medicare Secure Plus with Part D (HMO-POS)|00025352|20.60|0| | |NY|33760|0|N
H3305|022|000|MVP HEALTH PLAN, INC.|MVP Medicare Secure Plus with Part D (HMO-POS)|00025352|20.60|0| | |NY|33800|0|N
H3305|030|000|MVP HEALTH PLAN, INC.|MVP Medicare Secure with Part D (HMO-POS)|00025352|39.00|300| | |NY|33240|0|N
H3305|030|000|MVP HEALTH PLAN, INC.|MVP Medicare Secure with Part D (HMO-POS)|00025352|39.00|300| | |NY|33290|0|N
H3305|030|000|MVP HEALTH PLAN, INC.|MVP Medicare Secure with Part D (HMO-POS)|00025352|39.00|300| | |NY|33350|0|N
H3305|030|000|MVP HEALTH PLAN, INC.|MVP Medicare Secure with Part D (HMO-POS)|00025352|39.00|300| | |NY|33370|0|N
H3305|030|000|MVP HEALTH PLAN, INC.|MVP Medicare Secure with Part D (HMO-POS)|00025352|39.00|300| | |NY|33500|0|N
H3305|030|000|MVP HEALTH PLAN, INC.|MVP Medicare Secure with Part D (HMO-POS)|00025352|39.00|300| | |NY|33530|0|N
H3305|030|000|MVP HEALTH PLAN, INC.|MVP Medicare Secure with Part D (HMO-POS)|00025352|39.00|300| | |NY|33550|0|N
H3305|030|000|MVP HEALTH PLAN, INC.|MVP Medicare Secure with Part D (HMO-POS)|00025352|39.00|300| | |NY|33680|0|N
H3305|030|000|MVP HEALTH PLAN, INC.|MVP Medicare Secure with Part D (HMO-POS)|00025352|39.00|300| | |NY|33770|0|N
H3305|030|000|MVP HEALTH PLAN, INC.|MVP Medicare Secure with Part D (HMO-POS)|00025352|39.00|300| | |NY|33900|0|N
H3305|030|000|MVP HEALTH PLAN, INC.|MVP Medicare Secure with Part D (HMO-POS)|00025352|39.00|300| | |NY|33910|0|N
H3305|033|000|MVP HEALTH PLAN, INC.|MVP DualAccess (HMO D-SNP)|00025353|0.00|590| | |NY|33000|2|N
H3305|033|000|MVP HEALTH PLAN, INC.|MVP DualAccess (HMO D-SNP)|00025353|0.00|590| | |NY|33200|2|N
H3305|033|000|MVP HEALTH PLAN, INC.|MVP DualAccess (HMO D-SNP)|00025353|0.00|590| | |NY|33230|2|N
H3305|033|000|MVP HEALTH PLAN, INC.|MVP DualAccess (HMO D-SNP)|00025353|0.00|590| | |NY|33300|2|N
H3305|033|000|MVP HEALTH PLAN, INC.|MVP DualAccess (HMO D-SNP)|00025353|0.00|590| | |NY|33370|2|N
H3305|033|000|MVP HEALTH PLAN, INC.|MVP DualAccess (HMO D-SNP)|00025353|0.00|590| | |NY|33540|2|N
H3305|033|000|MVP HEALTH PLAN, INC.|MVP DualAccess (HMO D-SNP)|00025353|0.00|590| | |NY|33580|2|N
H3305|033|000|MVP HEALTH PLAN, INC.|MVP DualAccess (HMO D-SNP)|00025353|0.00|590| | |NY|33600|2|N
H3305|033|000|MVP HEALTH PLAN, INC.|MVP DualAccess (HMO D-SNP)|00025353|0.00|590| | |NY|33620|2|N
H3305|033|000|MVP HEALTH PLAN, INC.|MVP DualAccess (HMO D-SNP)|00025353|0.00|590| | |NY|33640|2|N
H3305|033|000|MVP HEALTH PLAN, INC.|MVP DualAccess (HMO D-SNP)|00025353|0.00|590| | |NY|33650|2|N
H3305|033|000|MVP HEALTH PLAN, INC.|MVP DualAccess (HMO D-SNP)|00025353|0.00|590| | |NY|33710|2|N
H3305|033|000|MVP HEALTH PLAN, INC.|MVP DualAccess (HMO D-SNP)|00025353|0.00|590| | |NY|33740|2|N
H3305|033|000|MVP HEALTH PLAN, INC.|MVP DualAccess (HMO D-SNP)|00025353|0.00|590| | |NY|33800|2|N
H3305|034|000|MVP HEALTH PLAN, INC.|MVP DualAccess Complete (HMO D-SNP)|00025353|0.00|590| | |NY|33000|2|N
H3305|034|000|MVP HEALTH PLAN, INC.|MVP DualAccess Complete (HMO D-SNP)|00025353|0.00|590| | |NY|33200|2|N
H3305|034|000|MVP HEALTH PLAN, INC.|MVP DualAccess Complete (HMO D-SNP)|00025353|0.00|590| | |NY|33230|2|N
H3305|034|000|MVP HEALTH PLAN, INC.|MVP DualAccess Complete (HMO D-SNP)|00025353|0.00|590| | |NY|33280|2|N
H3305|034|000|MVP HEALTH PLAN, INC.|MVP DualAccess Complete (HMO D-SNP)|00025353|0.00|590| | |NY|33290|2|N
H3305|034|000|MVP HEALTH PLAN, INC.|MVP DualAccess Complete (HMO D-SNP)|00025353|0.00|590| | |NY|33300|2|N
H3305|034|000|MVP HEALTH PLAN, INC.|MVP DualAccess Complete (HMO D-SNP)|00025353|0.00|590| | |NY|33320|2|N
H3305|034|000|MVP HEALTH PLAN, INC.|MVP DualAccess Complete (HMO D-SNP)|00025353|0.00|590| | |NY|33350|2|N
H3305|034|000|MVP HEALTH PLAN, INC.|MVP DualAccess Complete (HMO D-SNP)|00025353|0.00|590| | |NY|33370|2|N
H3305|034|000|MVP HEALTH PLAN, INC.|MVP DualAccess Complete (HMO D-SNP)|00025353|0.00|590| | |NY|33380|2|N
H3305|034|000|MVP HEALTH PLAN, INC.|MVP DualAccess Complete (HMO D-SNP)|00025353|0.00|590| | |NY|33530|2|N
H3305|034|000|MVP HEALTH PLAN, INC.|MVP DualAccess Complete (HMO D-SNP)|00025353|0.00|590| | |NY|33540|2|N
H3305|034|000|MVP HEALTH PLAN, INC.|MVP DualAccess Complete (HMO D-SNP)|00025353|0.00|590| | |NY|33580|2|N
H3305|034|000|MVP HEALTH PLAN, INC.|MVP DualAccess Complete (HMO D-SNP)|00025353|0.00|590| | |NY|33600|2|N
H3305|034|000|MVP HEALTH PLAN, INC.|MVP DualAccess Complete (HMO D-SNP)|00025353|0.00|590| | |NY|33620|2|N
H3305|034|000|MVP HEALTH PLAN, INC.|MVP DualAccess Complete (HMO D-SNP)|00025353|0.00|590| | |NY|33640|2|N
H3305|034|000|MVP HEALTH PLAN, INC.|MVP DualAccess Complete (HMO D-SNP)|00025353|0.00|590| | |NY|33650|2|N
H3305|034|000|MVP HEALTH PLAN, INC.|MVP DualAccess Complete (HMO D-SNP)|00025353|0.00|590| | |NY|33710|2|N
H3305|034|000|MVP HEALTH PLAN, INC.|MVP DualAccess Complete (HMO D-SNP)|00025353|0.00|590| | |NY|33740|2|N
H3305|034|000|MVP HEALTH PLAN, INC.|MVP DualAccess Complete (HMO D-SNP)|00025353|0.00|590| | |NY|33750|2|N
H3305|034|000|MVP HEALTH PLAN, INC.|MVP DualAccess Complete (HMO D-SNP)|00025353|0.00|590| | |NY|33760|2|N
H3305|034|000|MVP HEALTH PLAN, INC.|MVP DualAccess Complete (HMO D-SNP)|00025353|0.00|590| | |NY|33800|2|N
H3305|035|000|MVP HEALTH PLAN, INC.|MVP DualAccess Plus (HMO D-SNP)|00025353|0.00|590| | |NY|33000|2|Y
H3305|035|000|MVP HEALTH PLAN, INC.|MVP DualAccess Plus (HMO D-SNP)|00025353|0.00|590| | |NY|33200|2|Y
H3305|035|000|MVP HEALTH PLAN, INC.|MVP DualAccess Plus (HMO D-SNP)|00025353|0.00|590| | |NY|33230|2|Y
H3305|035|000|MVP HEALTH PLAN, INC.|MVP DualAccess Plus (HMO D-SNP)|00025353|0.00|590| | |NY|33280|2|Y
H3305|035|000|MVP HEALTH PLAN, INC.|MVP DualAccess Plus (HMO D-SNP)|00025353|0.00|590| | |NY|33290|2|Y
H3305|035|000|MVP HEALTH PLAN, INC.|MVP DualAccess Plus (HMO D-SNP)|00025353|0.00|590| | |NY|33300|2|Y
H3305|035|000|MVP HEALTH PLAN, INC.|MVP DualAccess Plus (HMO D-SNP)|00025353|0.00|590| | |NY|33320|2|Y
H3305|035|000|MVP HEALTH PLAN, INC.|MVP DualAccess Plus (HMO D-SNP)|00025353|0.00|590| | |NY|33350|2|Y
H3305|035|000|MVP HEALTH PLAN, INC.|MVP DualAccess Plus (HMO D-SNP)|00025353|0.00|590| | |NY|33370|2|Y
H3305|035|000|MVP HEALTH PLAN, INC.|MVP DualAccess Plus (HMO D-SNP)|00025353|0.00|590| | |NY|33380|2|Y
H3305|035|000|MVP HEALTH PLAN, INC.|MVP DualAccess Plus (HMO D-SNP)|00025353|0.00|590| | |NY|33530|2|Y
H3305|035|000|MVP HEALTH PLAN, INC.|MVP DualAccess Plus (HMO D-SNP)|00025353|0.00|590| | |NY|33540|2|Y
H3305|035|000|MVP HEALTH PLAN, INC.|MVP DualAccess Plus (HMO D-SNP)|00025353|0.00|590| | |NY|33580|2|Y
H3305|035|000|MVP HEALTH PLAN, INC.|MVP DualAccess Plus (HMO D-SNP)|00025353|0.00|590| | |NY|33600|2|Y
H3305|035|000|MVP HEALTH PLAN, INC.|MVP DualAccess Plus (HMO D-SNP)|00025353|0.00|590| | |NY|33620|2|Y
H3305|035|000|MVP HEALTH PLAN, INC.|MVP DualAccess Plus (HMO D-SNP)|00025353|0.00|590| | |NY|33640|2|Y
H3305|035|000|MVP HEALTH PLAN, INC.|MVP DualAccess Plus (HMO D-SNP)|00025353|0.00|590| | |NY|33650|2|Y
H3305|035|000|MVP HEALTH PLAN, INC.|MVP DualAccess Plus (HMO D-SNP)|00025353|0.00|590| | |NY|33710|2|Y
H3305|035|000|MVP HEALTH PLAN, INC.|MVP DualAccess Plus (HMO D-SNP)|00025353|0.00|590| | |NY|33740|2|Y
H3305|035|000|MVP HEALTH PLAN, INC.|MVP DualAccess Plus (HMO D-SNP)|00025353|0.00|590| | |NY|33750|2|Y
H3305|035|000|MVP HEALTH PLAN, INC.|MVP DualAccess Plus (HMO D-SNP)|00025353|0.00|590| | |NY|33760|2|Y
H3305|035|000|MVP HEALTH PLAN, INC.|MVP DualAccess Plus (HMO D-SNP)|00025353|0.00|590| | |NY|33800|2|Y
H3312|002|000|AETNA HEALTH INC. (NY)|Aetna Medicare Value (HMO)|00025101|0.00|590| | |NY|33020|0|N
H3312|002|000|AETNA HEALTH INC. (NY)|Aetna Medicare Value (HMO)|00025101|0.00|590| | |NY|33331|0|N
H3312|018|000|AETNA HEALTH INC. (NY)|Aetna Medicare Value (HMO)|00025101|49.00|450| | |NY|33620|0|N
H3312|018|000|AETNA HEALTH INC. (NY)|Aetna Medicare Value (HMO)|00025101|49.00|450| | |NY|33800|0|N
H3312|048|000|AETNA HEALTH INC. (NY)|Aetna Medicare Value (HMO-POS)|00025101|0.00|450| | |NY|33010|0|N
H3312|048|000|AETNA HEALTH INC. (NY)|Aetna Medicare Value (HMO-POS)|00025101|0.00|450| | |NY|33030|0|N
H3312|048|000|AETNA HEALTH INC. (NY)|Aetna Medicare Value (HMO-POS)|00025101|0.00|450| | |NY|33050|0|N
H3312|048|000|AETNA HEALTH INC. (NY)|Aetna Medicare Value (HMO-POS)|00025101|0.00|450| | |NY|33270|0|N
H3312|048|000|AETNA HEALTH INC. (NY)|Aetna Medicare Value (HMO-POS)|00025101|0.00|450| | |NY|33280|0|N
H3312|048|000|AETNA HEALTH INC. (NY)|Aetna Medicare Value (HMO-POS)|00025101|0.00|450| | |NY|33310|0|N
H3312|048|000|AETNA HEALTH INC. (NY)|Aetna Medicare Value (HMO-POS)|00025101|0.00|450| | |NY|33320|0|N
H3312|048|000|AETNA HEALTH INC. (NY)|Aetna Medicare Value (HMO-POS)|00025101|0.00|450| | |NY|33330|0|N
H3312|048|000|AETNA HEALTH INC. (NY)|Aetna Medicare Value (HMO-POS)|00025101|0.00|450| | |NY|33340|0|N
H3312|048|000|AETNA HEALTH INC. (NY)|Aetna Medicare Value (HMO-POS)|00025101|0.00|450| | |NY|33360|0|N
H3312|048|000|AETNA HEALTH INC. (NY)|Aetna Medicare Value (HMO-POS)|00025101|0.00|450| | |NY|33510|0|N
H3312|048|000|AETNA HEALTH INC. (NY)|Aetna Medicare Value (HMO-POS)|00025101|0.00|450| | |NY|33520|0|N
H3312|048|000|AETNA HEALTH INC. (NY)|Aetna Medicare Value (HMO-POS)|00025101|0.00|450| | |NY|33630|0|N
H3312|048|000|AETNA HEALTH INC. (NY)|Aetna Medicare Value (HMO-POS)|00025101|0.00|450| | |NY|33670|0|N
H3312|048|000|AETNA HEALTH INC. (NY)|Aetna Medicare Value (HMO-POS)|00025101|0.00|450| | |NY|33690|0|N
H3312|048|000|AETNA HEALTH INC. (NY)|Aetna Medicare Value (HMO-POS)|00025101|0.00|450| | |NY|33730|0|N
H3312|062|000|AETNA HEALTH INC. (NY)|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |NY|33000|0|N
H3312|062|000|AETNA HEALTH INC. (NY)|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |NY|33200|0|N
H3312|062|000|AETNA HEALTH INC. (NY)|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |NY|33220|0|N
H3312|062|000|AETNA HEALTH INC. (NY)|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |NY|33230|0|N
H3312|062|000|AETNA HEALTH INC. (NY)|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |NY|33300|0|N
H3312|062|000|AETNA HEALTH INC. (NY)|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |NY|33380|0|N
H3312|062|000|AETNA HEALTH INC. (NY)|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |NY|33540|0|N
H3312|062|000|AETNA HEALTH INC. (NY)|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |NY|33580|0|N
H3312|062|000|AETNA HEALTH INC. (NY)|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |NY|33600|0|N
H3312|062|000|AETNA HEALTH INC. (NY)|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |NY|33640|0|N
H3312|062|000|AETNA HEALTH INC. (NY)|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |NY|33650|0|N
H3312|062|000|AETNA HEALTH INC. (NY)|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |NY|33660|0|N
H3312|062|000|AETNA HEALTH INC. (NY)|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |NY|33710|0|N
H3312|062|000|AETNA HEALTH INC. (NY)|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |NY|33740|0|N
H3312|062|000|AETNA HEALTH INC. (NY)|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |NY|33750|0|N
H3312|062|000|AETNA HEALTH INC. (NY)|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |NY|33760|0|N
H3312|064|000|AETNA HEALTH INC. (NY)|Aetna Medicare Value (HMO)|00025101|62.30|590| | |NY|33400|0|N
H3312|064|000|AETNA HEALTH INC. (NY)|Aetna Medicare Value (HMO)|00025101|62.30|590| | |NY|33700|0|N
H3312|065|000|AETNA HEALTH INC. (NY)|Aetna Medicare Value (HMO-POS)|00025101|0.00|0| | |NY|33040|0|N
H3312|065|000|AETNA HEALTH INC. (NY)|Aetna Medicare Value (HMO-POS)|00025101|0.00|0| | |NY|33060|0|N
H3312|065|000|AETNA HEALTH INC. (NY)|Aetna Medicare Value (HMO-POS)|00025101|0.00|0| | |NY|33240|0|N
H3312|065|000|AETNA HEALTH INC. (NY)|Aetna Medicare Value (HMO-POS)|00025101|0.00|0| | |NY|33290|0|N
H3312|065|000|AETNA HEALTH INC. (NY)|Aetna Medicare Value (HMO-POS)|00025101|0.00|0| | |NY|33500|0|N
H3312|065|000|AETNA HEALTH INC. (NY)|Aetna Medicare Value (HMO-POS)|00025101|0.00|0| | |NY|33900|0|N
H3312|069|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33020|2|N
H3312|069|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33331|2|N
H3312|069|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33400|2|N
H3312|069|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33420|2|N
H3312|069|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33590|2|N
H3312|069|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33610|2|N
H3312|069|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33620|2|N
H3312|069|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33700|2|N
H3312|069|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33800|2|N
H3312|070|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33000|2|N
H3312|070|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33010|2|N
H3312|070|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33030|2|N
H3312|070|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33040|2|N
H3312|070|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33050|2|N
H3312|070|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33060|2|N
H3312|070|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33070|2|N
H3312|070|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33080|2|N
H3312|070|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33090|2|N
H3312|070|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33200|2|N
H3312|070|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33210|2|N
H3312|070|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33220|2|N
H3312|070|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33230|2|N
H3312|070|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33240|2|N
H3312|070|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33260|2|N
H3312|070|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33270|2|N
H3312|070|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33280|2|N
H3312|070|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33290|2|N
H3312|070|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33300|2|N
H3312|070|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33310|2|N
H3312|070|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33320|2|N
H3312|070|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33330|2|N
H3312|070|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33340|2|N
H3312|070|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33360|2|N
H3312|070|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33380|2|N
H3312|070|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33500|2|N
H3312|070|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33510|2|N
H3312|070|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33520|2|N
H3312|070|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33540|2|N
H3312|070|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33560|2|N
H3312|070|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33570|2|N
H3312|070|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33580|2|N
H3312|070|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33600|2|N
H3312|070|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33630|2|N
H3312|070|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33640|2|N
H3312|070|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33650|2|N
H3312|070|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33660|2|N
H3312|070|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33670|2|N
H3312|070|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33690|2|N
H3312|070|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33710|2|N
H3312|070|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33720|2|N
H3312|070|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33730|2|N
H3312|070|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33740|2|N
H3312|070|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33750|2|N
H3312|070|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33760|2|N
H3312|070|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33900|2|N
H3312|073|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure Plus (HMO D-SNP)|00025101|0.00|590| | |NY|33331|2|Y
H3312|074|000|AETNA HEALTH INC. (NY)|Aetna Medicare Value Select (HMO)|00025101|0.00|590| | |NY|33020|0|N
H3312|074|000|AETNA HEALTH INC. (NY)|Aetna Medicare Value Select (HMO)|00025101|0.00|590| | |NY|33331|0|N
H3312|074|000|AETNA HEALTH INC. (NY)|Aetna Medicare Value Select (HMO)|00025101|0.00|590| | |NY|33400|0|N
H3312|074|000|AETNA HEALTH INC. (NY)|Aetna Medicare Value Select (HMO)|00025101|0.00|590| | |NY|33420|0|N
H3312|074|000|AETNA HEALTH INC. (NY)|Aetna Medicare Value Select (HMO)|00025101|0.00|590| | |NY|33590|0|N
H3312|074|000|AETNA HEALTH INC. (NY)|Aetna Medicare Value Select (HMO)|00025101|0.00|590| | |NY|33800|0|N
H3312|079|000|AETNA HEALTH INC. (NY)|Aetna Medicare Value (HMO)|00025100|36.00|590| | |NY|33420|0|N
H3312|081|000|AETNA HEALTH INC. (NY)|Aetna Medicare Value (HMO)|00025100|19.00|590| | |NY|33590|0|N
H3312|082|000|AETNA HEALTH INC. (NY)|Aetna Medicare Value (HMO)|00025100|36.00|590| | |NY|33610|0|N
H3312|087|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33350|2|N
H3312|087|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33370|2|N
H3312|087|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33530|2|N
H3312|087|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33550|2|N
H3312|087|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33680|2|N
H3312|087|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33770|2|N
H3312|087|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |NY|33910|2|N
H3312|088|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33350|2|N
H3312|088|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33370|2|N
H3312|088|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33530|2|N
H3312|088|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33550|2|N
H3312|088|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33680|2|N
H3312|088|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33770|2|N
H3312|088|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33910|2|N
H3312|089|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33000|2|N
H3312|089|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33010|2|N
H3312|089|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33030|2|N
H3312|089|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33040|2|N
H3312|089|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33050|2|N
H3312|089|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33060|2|N
H3312|089|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33070|2|N
H3312|089|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33080|2|N
H3312|089|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33090|2|N
H3312|089|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33200|2|N
H3312|089|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33210|2|N
H3312|089|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33220|2|N
H3312|089|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33230|2|N
H3312|089|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33240|2|N
H3312|089|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33260|2|N
H3312|089|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33270|2|N
H3312|089|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33280|2|N
H3312|089|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33290|2|N
H3312|089|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33300|2|N
H3312|089|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33310|2|N
H3312|089|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33320|2|N
H3312|089|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33330|2|N
H3312|089|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33340|2|N
H3312|089|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33360|2|N
H3312|089|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33380|2|N
H3312|089|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33500|2|N
H3312|089|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33510|2|N
H3312|089|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33520|2|N
H3312|089|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33540|2|N
H3312|089|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33560|2|N
H3312|089|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33570|2|N
H3312|089|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33580|2|N
H3312|089|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33600|2|N
H3312|089|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33630|2|N
H3312|089|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33640|2|N
H3312|089|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33650|2|N
H3312|089|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33660|2|N
H3312|089|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33670|2|N
H3312|089|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33690|2|N
H3312|089|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33710|2|N
H3312|089|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33720|2|N
H3312|089|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33730|2|N
H3312|089|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33740|2|N
H3312|089|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33750|2|N
H3312|089|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33760|2|N
H3312|089|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33900|2|N
H3312|090|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33020|2|N
H3312|090|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33331|2|N
H3312|090|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33400|2|N
H3312|090|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33420|2|N
H3312|090|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33590|2|N
H3312|090|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33610|2|N
H3312|090|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33620|2|N
H3312|090|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33700|2|N
H3312|090|000|AETNA HEALTH INC. (NY)|Aetna Medicare Assure QMB (HMO D-SNP)|00025101|0.00|590| | |NY|33800|2|N
H3330|021|001|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Gold (HMO)|00025285|24.50|200| | |NY|33020|0|N
H3330|021|001|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Gold (HMO)|00025285|24.50|200| | |NY|33420|0|N
H3330|021|001|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Gold (HMO)|00025285|24.50|200| | |NY|33590|0|N
H3330|021|002|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Gold (HMO)|00025285|30.10|200| | |NY|33400|0|N
H3330|021|003|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Gold (HMO)|00025285|65.10|200| | |NY|33700|0|N
H3330|021|003|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Gold (HMO)|00025285|65.10|200| | |NY|33800|0|N
H3330|021|005|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Gold (HMO)|00025285|24.50|200| | |NY|33331|0|N
H3330|038|000|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Gold Plus (HMO)|00025285|68.20|200| | |NY|33020|0|N
H3330|038|000|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Gold Plus (HMO)|00025285|68.20|200| | |NY|33230|0|N
H3330|038|000|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Gold Plus (HMO)|00025285|68.20|200| | |NY|33331|0|N
H3330|038|000|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Gold Plus (HMO)|00025285|68.20|200| | |NY|33400|0|N
H3330|038|000|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Gold Plus (HMO)|00025285|68.20|200| | |NY|33420|0|N
H3330|038|000|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Gold Plus (HMO)|00025285|68.20|200| | |NY|33540|0|N
H3330|038|000|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Gold Plus (HMO)|00025285|68.20|200| | |NY|33580|0|N
H3330|038|000|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Gold Plus (HMO)|00025285|68.20|200| | |NY|33590|0|N
H3330|038|000|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Gold Plus (HMO)|00025285|68.20|200| | |NY|33610|0|N
H3330|038|000|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Gold Plus (HMO)|00025285|68.20|200| | |NY|33620|0|N
H3330|038|000|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Gold Plus (HMO)|00025285|68.20|200| | |NY|33700|0|N
H3330|038|000|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Gold Plus (HMO)|00025285|68.20|200| | |NY|33710|0|N
H3330|038|000|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Gold Plus (HMO)|00025285|68.20|200| | |NY|33740|0|N
H3330|038|000|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Gold Plus (HMO)|00025285|68.20|200| | |NY|33800|0|N
H3330|045|000|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Rx Saver (HMO)|00025285|0.00|395| | |NY|33000|0|N
H3330|045|000|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Rx Saver (HMO)|00025285|0.00|395| | |NY|33030|0|N
H3330|045|000|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Rx Saver (HMO)|00025285|0.00|395| | |NY|33200|0|N
H3330|045|000|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Rx Saver (HMO)|00025285|0.00|395| | |NY|33220|0|N
H3330|045|000|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Rx Saver (HMO)|00025285|0.00|395| | |NY|33300|0|N
H3330|045|000|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Rx Saver (HMO)|00025285|0.00|395| | |NY|33600|0|N
H3330|045|000|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Rx Saver (HMO)|00025285|0.00|395| | |NY|33640|0|N
H3330|045|000|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Rx Saver (HMO)|00025285|0.00|395| | |NY|33650|0|N
H3330|045|000|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Rx Saver (HMO)|00025285|0.00|395| | |NY|33750|0|N
H3330|045|000|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Rx Saver (HMO)|00025285|0.00|395| | |NY|33760|0|N
H3335|015|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueEnhanced (PPO)|00025365|68.10|0| | |NY|33030|0|N
H3335|015|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueEnhanced (PPO)|00025365|68.10|0| | |NY|33050|0|N
H3335|015|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueEnhanced (PPO)|00025365|68.10|0| | |NY|33070|0|N
H3335|015|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueEnhanced (PPO)|00025365|68.10|0| | |NY|33080|0|N
H3335|015|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueEnhanced (PPO)|00025365|68.10|0| | |NY|33210|0|N
H3335|015|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueEnhanced (PPO)|00025365|68.10|0| | |NY|33320|0|N
H3335|015|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueEnhanced (PPO)|00025365|68.10|0| | |NY|33330|0|N
H3335|015|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueEnhanced (PPO)|00025365|68.10|0| | |NY|33340|0|N
H3335|015|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueEnhanced (PPO)|00025365|68.10|0| | |NY|33360|0|N
H3335|015|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueEnhanced (PPO)|00025365|68.10|0| | |NY|33510|0|N
H3335|015|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueEnhanced (PPO)|00025365|68.10|0| | |NY|33520|0|N
H3335|015|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueEnhanced (PPO)|00025365|68.10|0| | |NY|33560|0|N
H3335|015|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueEnhanced (PPO)|00025365|68.10|0| | |NY|33630|0|N
H3335|015|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueEnhanced (PPO)|00025365|68.10|0| | |NY|33670|0|N
H3335|015|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueEnhanced (PPO)|00025365|68.10|0| | |NY|33690|0|N
H3335|015|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueEnhanced (PPO)|00025365|68.10|0| | |NY|33720|0|N
H3335|015|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueEnhanced (PPO)|00025365|68.10|0| | |NY|33730|0|N
H3335|018|000|EXCELLUS HEALTH PLAN, INC.|Medicare BluePlus (PPO)|00025365|73.90|590| | |NY|33090|0|N
H3335|018|000|EXCELLUS HEALTH PLAN, INC.|Medicare BluePlus (PPO)|00025365|73.90|590| | |NY|33220|0|N
H3335|018|000|EXCELLUS HEALTH PLAN, INC.|Medicare BluePlus (PPO)|00025365|73.90|590| | |NY|33260|0|N
H3335|018|000|EXCELLUS HEALTH PLAN, INC.|Medicare BluePlus (PPO)|00025365|73.90|590| | |NY|33270|0|N
H3335|018|000|EXCELLUS HEALTH PLAN, INC.|Medicare BluePlus (PPO)|00025365|73.90|590| | |NY|33280|0|N
H3335|018|000|EXCELLUS HEALTH PLAN, INC.|Medicare BluePlus (PPO)|00025365|73.90|590| | |NY|33310|0|N
H3335|018|000|EXCELLUS HEALTH PLAN, INC.|Medicare BluePlus (PPO)|00025365|73.90|590| | |NY|33380|0|N
H3335|018|000|EXCELLUS HEALTH PLAN, INC.|Medicare BluePlus (PPO)|00025365|73.90|590| | |NY|33570|0|N
H3335|038|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueClassic (PPO)|00025365|31.00|0| | |NY|33030|0|N
H3335|038|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueClassic (PPO)|00025365|31.00|0| | |NY|33050|0|N
H3335|038|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueClassic (PPO)|00025365|31.00|0| | |NY|33070|0|N
H3335|038|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueClassic (PPO)|00025365|31.00|0| | |NY|33080|0|N
H3335|038|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueClassic (PPO)|00025365|31.00|0| | |NY|33210|0|N
H3335|038|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueClassic (PPO)|00025365|31.00|0| | |NY|33320|0|N
H3335|038|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueClassic (PPO)|00025365|31.00|0| | |NY|33330|0|N
H3335|038|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueClassic (PPO)|00025365|31.00|0| | |NY|33340|0|N
H3335|038|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueClassic (PPO)|00025365|31.00|0| | |NY|33360|0|N
H3335|038|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueClassic (PPO)|00025365|31.00|0| | |NY|33510|0|N
H3335|038|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueClassic (PPO)|00025365|31.00|0| | |NY|33520|0|N
H3335|038|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueClassic (PPO)|00025365|31.00|0| | |NY|33560|0|N
H3335|038|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueClassic (PPO)|00025365|31.00|0| | |NY|33630|0|N
H3335|038|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueClassic (PPO)|00025365|31.00|0| | |NY|33670|0|N
H3335|038|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueClassic (PPO)|00025365|31.00|0| | |NY|33690|0|N
H3335|038|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueClassic (PPO)|00025365|31.00|0| | |NY|33720|0|N
H3335|038|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueClassic (PPO)|00025365|31.00|0| | |NY|33730|0|N
H3335|053|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueEssential (PPO)|00025365|0.00|150| | |NY|33030|0|N
H3335|053|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueEssential (PPO)|00025365|0.00|150| | |NY|33050|0|N
H3335|053|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueEssential (PPO)|00025365|0.00|150| | |NY|33070|0|N
H3335|053|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueEssential (PPO)|00025365|0.00|150| | |NY|33080|0|N
H3335|053|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueEssential (PPO)|00025365|0.00|150| | |NY|33210|0|N
H3335|053|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueEssential (PPO)|00025365|0.00|150| | |NY|33320|0|N
H3335|053|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueEssential (PPO)|00025365|0.00|150| | |NY|33330|0|N
H3335|053|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueEssential (PPO)|00025365|0.00|150| | |NY|33340|0|N
H3335|053|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueEssential (PPO)|00025365|0.00|150| | |NY|33360|0|N
H3335|053|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueEssential (PPO)|00025365|0.00|150| | |NY|33510|0|N
H3335|053|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueEssential (PPO)|00025365|0.00|150| | |NY|33520|0|N
H3335|053|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueEssential (PPO)|00025365|0.00|150| | |NY|33560|0|N
H3335|053|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueEssential (PPO)|00025365|0.00|150| | |NY|33630|0|N
H3335|053|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueEssential (PPO)|00025365|0.00|150| | |NY|33670|0|N
H3335|053|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueEssential (PPO)|00025365|0.00|150| | |NY|33690|0|N
H3335|053|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueEssential (PPO)|00025365|0.00|150| | |NY|33720|0|N
H3335|053|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueEssential (PPO)|00025365|0.00|150| | |NY|33730|0|N
H3335|055|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueActive (PPO)|00025365|0.00|350| | |NY|33030|0|N
H3335|055|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueActive (PPO)|00025365|0.00|350| | |NY|33050|0|N
H3335|055|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueActive (PPO)|00025365|0.00|350| | |NY|33070|0|N
H3335|055|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueActive (PPO)|00025365|0.00|350| | |NY|33080|0|N
H3335|055|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueActive (PPO)|00025365|0.00|350| | |NY|33210|0|N
H3335|055|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueActive (PPO)|00025365|0.00|350| | |NY|33320|0|N
H3335|055|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueActive (PPO)|00025365|0.00|350| | |NY|33330|0|N
H3335|055|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueActive (PPO)|00025365|0.00|350| | |NY|33340|0|N
H3335|055|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueActive (PPO)|00025365|0.00|350| | |NY|33360|0|N
H3335|055|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueActive (PPO)|00025365|0.00|350| | |NY|33510|0|N
H3335|055|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueActive (PPO)|00025365|0.00|350| | |NY|33520|0|N
H3335|055|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueActive (PPO)|00025365|0.00|350| | |NY|33560|0|N
H3335|055|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueActive (PPO)|00025365|0.00|350| | |NY|33630|0|N
H3335|055|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueActive (PPO)|00025365|0.00|350| | |NY|33670|0|N
H3335|055|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueActive (PPO)|00025365|0.00|350| | |NY|33690|0|N
H3335|055|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueActive (PPO)|00025365|0.00|350| | |NY|33720|0|N
H3335|055|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueActive (PPO)|00025365|0.00|350| | |NY|33730|0|N
H3335|056|000|EXCELLUS HEALTH PLAN, INC.|Univera SeniorChoice Access (PPO)|00025365|20.50|350| | |NY|33010|0|N
H3335|056|000|EXCELLUS HEALTH PLAN, INC.|Univera SeniorChoice Access (PPO)|00025365|20.50|350| | |NY|33040|0|N
H3335|056|000|EXCELLUS HEALTH PLAN, INC.|Univera SeniorChoice Access (PPO)|00025365|20.50|350| | |NY|33060|0|N
H3335|056|000|EXCELLUS HEALTH PLAN, INC.|Univera SeniorChoice Access (PPO)|00025365|20.50|350| | |NY|33240|0|N
H3335|056|000|EXCELLUS HEALTH PLAN, INC.|Univera SeniorChoice Access (PPO)|00025365|20.50|350| | |NY|33290|0|N
H3335|056|000|EXCELLUS HEALTH PLAN, INC.|Univera SeniorChoice Access (PPO)|00025365|20.50|350| | |NY|33500|0|N
H3335|056|000|EXCELLUS HEALTH PLAN, INC.|Univera SeniorChoice Access (PPO)|00025365|20.50|350| | |NY|33550|0|N
H3335|056|000|EXCELLUS HEALTH PLAN, INC.|Univera SeniorChoice Access (PPO)|00025365|20.50|350| | |NY|33900|0|N
H3335|058|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueFlex (PPO)|00025365|22.00|275| | |NY|33030|0|N
H3335|058|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueFlex (PPO)|00025365|22.00|275| | |NY|33050|0|N
H3335|058|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueFlex (PPO)|00025365|22.00|275| | |NY|33070|0|N
H3335|058|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueFlex (PPO)|00025365|22.00|275| | |NY|33080|0|N
H3335|058|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueFlex (PPO)|00025365|22.00|275| | |NY|33210|0|N
H3335|058|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueFlex (PPO)|00025365|22.00|275| | |NY|33320|0|N
H3335|058|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueFlex (PPO)|00025365|22.00|275| | |NY|33330|0|N
H3335|058|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueFlex (PPO)|00025365|22.00|275| | |NY|33340|0|N
H3335|058|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueFlex (PPO)|00025365|22.00|275| | |NY|33360|0|N
H3335|058|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueFlex (PPO)|00025365|22.00|275| | |NY|33510|0|N
H3335|058|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueFlex (PPO)|00025365|22.00|275| | |NY|33520|0|N
H3335|058|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueFlex (PPO)|00025365|22.00|275| | |NY|33560|0|N
H3335|058|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueFlex (PPO)|00025365|22.00|275| | |NY|33630|0|N
H3335|058|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueFlex (PPO)|00025365|22.00|275| | |NY|33670|0|N
H3335|058|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueFlex (PPO)|00025365|22.00|275| | |NY|33690|0|N
H3335|058|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueFlex (PPO)|00025365|22.00|275| | |NY|33720|0|N
H3335|058|000|EXCELLUS HEALTH PLAN, INC.|Medicare BlueFlex (PPO)|00025365|22.00|275| | |NY|33730|0|N
H3335|059|000|EXCELLUS HEALTH PLAN, INC.|Medicare Blue Choice Discovery (PPO)|00025365|34.30|590| | |NY|33350|0|N
H3335|059|000|EXCELLUS HEALTH PLAN, INC.|Medicare Blue Choice Discovery (PPO)|00025365|34.30|590| | |NY|33370|0|N
H3335|059|000|EXCELLUS HEALTH PLAN, INC.|Medicare Blue Choice Discovery (PPO)|00025365|34.30|590| | |NY|33530|0|N
H3335|059|000|EXCELLUS HEALTH PLAN, INC.|Medicare Blue Choice Discovery (PPO)|00025365|34.30|590| | |NY|33680|0|N
H3335|059|000|EXCELLUS HEALTH PLAN, INC.|Medicare Blue Choice Discovery (PPO)|00025365|34.30|590| | |NY|33770|0|N
H3335|059|000|EXCELLUS HEALTH PLAN, INC.|Medicare Blue Choice Discovery (PPO)|00025365|34.30|590| | |NY|33910|0|N
H3335|060|000|EXCELLUS HEALTH PLAN, INC.|Univera SeniorChoice Core (PPO)|00025365|64.20|480| | |NY|33010|0|N
H3335|060|000|EXCELLUS HEALTH PLAN, INC.|Univera SeniorChoice Core (PPO)|00025365|64.20|480| | |NY|33040|0|N
H3335|060|000|EXCELLUS HEALTH PLAN, INC.|Univera SeniorChoice Core (PPO)|00025365|64.20|480| | |NY|33060|0|N
H3335|060|000|EXCELLUS HEALTH PLAN, INC.|Univera SeniorChoice Core (PPO)|00025365|64.20|480| | |NY|33240|0|N
H3335|060|000|EXCELLUS HEALTH PLAN, INC.|Univera SeniorChoice Core (PPO)|00025365|64.20|480| | |NY|33290|0|N
H3335|060|000|EXCELLUS HEALTH PLAN, INC.|Univera SeniorChoice Core (PPO)|00025365|64.20|480| | |NY|33500|0|N
H3335|060|000|EXCELLUS HEALTH PLAN, INC.|Univera SeniorChoice Core (PPO)|00025365|64.20|480| | |NY|33550|0|N
H3335|060|000|EXCELLUS HEALTH PLAN, INC.|Univera SeniorChoice Core (PPO)|00025365|64.20|480| | |NY|33900|0|N
H3342|023|001|ANTHEM HEALTHCHOICE ASSURANCE, INC.|Anthem Medicare Advantage (PPO)|00025049|22.80|395| | |NY|33200|0|N
H3342|023|001|ANTHEM HEALTHCHOICE ASSURANCE, INC.|Anthem Medicare Advantage (PPO)|00025049|22.80|395| | |NY|33220|0|N
H3342|023|001|ANTHEM HEALTHCHOICE ASSURANCE, INC.|Anthem Medicare Advantage (PPO)|00025049|22.80|395| | |NY|33300|0|N
H3342|023|002|ANTHEM HEALTHCHOICE ASSURANCE, INC.|Anthem Medicare Advantage (PPO)|00025049|22.80|395| | |NY|33000|0|N
H3342|023|002|ANTHEM HEALTHCHOICE ASSURANCE, INC.|Anthem Medicare Advantage (PPO)|00025049|22.80|395| | |NY|33090|0|N
H3342|023|002|ANTHEM HEALTHCHOICE ASSURANCE, INC.|Anthem Medicare Advantage (PPO)|00025049|22.80|395| | |NY|33260|0|N
H3342|023|002|ANTHEM HEALTHCHOICE ASSURANCE, INC.|Anthem Medicare Advantage (PPO)|00025049|22.80|395| | |NY|33280|0|N
H3342|023|002|ANTHEM HEALTHCHOICE ASSURANCE, INC.|Anthem Medicare Advantage (PPO)|00025049|22.80|395| | |NY|33380|0|N
H3342|023|002|ANTHEM HEALTHCHOICE ASSURANCE, INC.|Anthem Medicare Advantage (PPO)|00025049|22.80|395| | |NY|33600|0|N
H3342|023|002|ANTHEM HEALTHCHOICE ASSURANCE, INC.|Anthem Medicare Advantage (PPO)|00025049|22.80|395| | |NY|33640|0|N
H3342|023|002|ANTHEM HEALTHCHOICE ASSURANCE, INC.|Anthem Medicare Advantage (PPO)|00025049|22.80|395| | |NY|33650|0|N
H3342|023|002|ANTHEM HEALTHCHOICE ASSURANCE, INC.|Anthem Medicare Advantage (PPO)|00025049|22.80|395| | |NY|33660|0|N
H3342|023|002|ANTHEM HEALTHCHOICE ASSURANCE, INC.|Anthem Medicare Advantage (PPO)|00025049|22.80|395| | |NY|33750|0|N
H3342|023|002|ANTHEM HEALTHCHOICE ASSURANCE, INC.|Anthem Medicare Advantage (PPO)|00025049|22.80|395| | |NY|33760|0|N
H3344|012|000|INDEPENDENT HEALTH BENEFITS CORPORATION|Independent Health's Medicare Passport Access (PPO)|00025491|19.00|450| | |NY|33010|0|N
H3344|012|000|INDEPENDENT HEALTH BENEFITS CORPORATION|Independent Health's Medicare Passport Access (PPO)|00025491|19.00|450| | |NY|33040|0|N
H3344|012|000|INDEPENDENT HEALTH BENEFITS CORPORATION|Independent Health's Medicare Passport Access (PPO)|00025491|19.00|450| | |NY|33060|0|N
H3344|012|000|INDEPENDENT HEALTH BENEFITS CORPORATION|Independent Health's Medicare Passport Access (PPO)|00025491|19.00|450| | |NY|33240|0|N
H3344|012|000|INDEPENDENT HEALTH BENEFITS CORPORATION|Independent Health's Medicare Passport Access (PPO)|00025491|19.00|450| | |NY|33290|0|N
H3344|012|000|INDEPENDENT HEALTH BENEFITS CORPORATION|Independent Health's Medicare Passport Access (PPO)|00025491|19.00|450| | |NY|33500|0|N
H3344|012|000|INDEPENDENT HEALTH BENEFITS CORPORATION|Independent Health's Medicare Passport Access (PPO)|00025491|19.00|450| | |NY|33550|0|N
H3344|012|000|INDEPENDENT HEALTH BENEFITS CORPORATION|Independent Health's Medicare Passport Access (PPO)|00025491|19.00|450| | |NY|33900|0|N
H3344|013|000|INDEPENDENT HEALTH BENEFITS CORPORATION|Independent Health's Medicare Passport Connect (PPO)|00025491|72.30|575| | |NY|33010|0|N
H3344|013|000|INDEPENDENT HEALTH BENEFITS CORPORATION|Independent Health's Medicare Passport Connect (PPO)|00025491|72.30|575| | |NY|33040|0|N
H3344|013|000|INDEPENDENT HEALTH BENEFITS CORPORATION|Independent Health's Medicare Passport Connect (PPO)|00025491|72.30|575| | |NY|33060|0|N
H3344|013|000|INDEPENDENT HEALTH BENEFITS CORPORATION|Independent Health's Medicare Passport Connect (PPO)|00025491|72.30|575| | |NY|33240|0|N
H3344|013|000|INDEPENDENT HEALTH BENEFITS CORPORATION|Independent Health's Medicare Passport Connect (PPO)|00025491|72.30|575| | |NY|33290|0|N
H3344|013|000|INDEPENDENT HEALTH BENEFITS CORPORATION|Independent Health's Medicare Passport Connect (PPO)|00025491|72.30|575| | |NY|33500|0|N
H3344|013|000|INDEPENDENT HEALTH BENEFITS CORPORATION|Independent Health's Medicare Passport Connect (PPO)|00025491|72.30|575| | |NY|33550|0|N
H3344|013|000|INDEPENDENT HEALTH BENEFITS CORPORATION|Independent Health's Medicare Passport Connect (PPO)|00025491|72.30|575| | |NY|33900|0|N
H3347|002|000|ELDERPLAN, INC.|Elderplan For Medicaid Beneficiaries (HMO-POS D-SNP)|00025191|31.30|590| | |NY|33020|2|N
H3347|002|000|ELDERPLAN, INC.|Elderplan For Medicaid Beneficiaries (HMO-POS D-SNP)|00025191|31.30|590| | |NY|33331|2|N
H3347|002|000|ELDERPLAN, INC.|Elderplan For Medicaid Beneficiaries (HMO-POS D-SNP)|00025191|31.30|590| | |NY|33400|2|N
H3347|002|000|ELDERPLAN, INC.|Elderplan For Medicaid Beneficiaries (HMO-POS D-SNP)|00025191|31.30|590| | |NY|33420|2|N
H3347|002|000|ELDERPLAN, INC.|Elderplan For Medicaid Beneficiaries (HMO-POS D-SNP)|00025191|31.30|590| | |NY|33590|2|N
H3347|002|000|ELDERPLAN, INC.|Elderplan For Medicaid Beneficiaries (HMO-POS D-SNP)|00025191|31.30|590| | |NY|33800|2|N
H3347|003|000|ELDERPLAN, INC.|Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP)|00025191|34.30|590| | |NY|33020|3|N
H3347|003|000|ELDERPLAN, INC.|Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP)|00025191|34.30|590| | |NY|33230|3|N
H3347|003|000|ELDERPLAN, INC.|Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP)|00025191|34.30|590| | |NY|33331|3|N
H3347|003|000|ELDERPLAN, INC.|Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP)|00025191|34.30|590| | |NY|33350|3|N
H3347|003|000|ELDERPLAN, INC.|Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP)|00025191|34.30|590| | |NY|33370|3|N
H3347|003|000|ELDERPLAN, INC.|Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP)|00025191|34.30|590| | |NY|33400|3|N
H3347|003|000|ELDERPLAN, INC.|Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP)|00025191|34.30|590| | |NY|33420|3|N
H3347|003|000|ELDERPLAN, INC.|Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP)|00025191|34.30|590| | |NY|33530|3|N
H3347|003|000|ELDERPLAN, INC.|Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP)|00025191|34.30|590| | |NY|33540|3|N
H3347|003|000|ELDERPLAN, INC.|Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP)|00025191|34.30|590| | |NY|33550|3|N
H3347|003|000|ELDERPLAN, INC.|Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP)|00025191|34.30|590| | |NY|33580|3|N
H3347|003|000|ELDERPLAN, INC.|Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP)|00025191|34.30|590| | |NY|33590|3|N
H3347|003|000|ELDERPLAN, INC.|Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP)|00025191|34.30|590| | |NY|33610|3|N
H3347|003|000|ELDERPLAN, INC.|Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP)|00025191|34.30|590| | |NY|33620|3|N
H3347|003|000|ELDERPLAN, INC.|Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP)|00025191|34.30|590| | |NY|33680|3|N
H3347|003|000|ELDERPLAN, INC.|Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP)|00025191|34.30|590| | |NY|33700|3|N
H3347|003|000|ELDERPLAN, INC.|Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP)|00025191|34.30|590| | |NY|33800|3|N
H3347|003|000|ELDERPLAN, INC.|Elderplan Advantage For Nursing Home Residents (HMO-POS I-SNP)|00025191|34.30|590| | |NY|33910|3|N
H3347|007|000|ELDERPLAN, INC.|Elderplan Plus Long Term Care (HMO-POS D-SNP)|00025191|0.00|590| | |NY|33020|2|N
H3347|007|000|ELDERPLAN, INC.|Elderplan Plus Long Term Care (HMO-POS D-SNP)|00025191|0.00|590| | |NY|33230|2|N
H3347|007|000|ELDERPLAN, INC.|Elderplan Plus Long Term Care (HMO-POS D-SNP)|00025191|0.00|590| | |NY|33331|2|N
H3347|007|000|ELDERPLAN, INC.|Elderplan Plus Long Term Care (HMO-POS D-SNP)|00025191|0.00|590| | |NY|33400|2|N
H3347|007|000|ELDERPLAN, INC.|Elderplan Plus Long Term Care (HMO-POS D-SNP)|00025191|0.00|590| | |NY|33420|2|N
H3347|007|000|ELDERPLAN, INC.|Elderplan Plus Long Term Care (HMO-POS D-SNP)|00025191|0.00|590| | |NY|33540|2|N
H3347|007|000|ELDERPLAN, INC.|Elderplan Plus Long Term Care (HMO-POS D-SNP)|00025191|0.00|590| | |NY|33580|2|N
H3347|007|000|ELDERPLAN, INC.|Elderplan Plus Long Term Care (HMO-POS D-SNP)|00025191|0.00|590| | |NY|33590|2|N
H3347|007|000|ELDERPLAN, INC.|Elderplan Plus Long Term Care (HMO-POS D-SNP)|00025191|0.00|590| | |NY|33610|2|N
H3347|007|000|ELDERPLAN, INC.|Elderplan Plus Long Term Care (HMO-POS D-SNP)|00025191|0.00|590| | |NY|33620|2|N
H3347|007|000|ELDERPLAN, INC.|Elderplan Plus Long Term Care (HMO-POS D-SNP)|00025191|0.00|590| | |NY|33710|2|N
H3347|007|000|ELDERPLAN, INC.|Elderplan Plus Long Term Care (HMO-POS D-SNP)|00025191|0.00|590| | |NY|33740|2|N
H3347|007|000|ELDERPLAN, INC.|Elderplan Plus Long Term Care (HMO-POS D-SNP)|00025191|0.00|590| | |NY|33800|2|N
H3347|009|000|ELDERPLAN, INC.|Elderplan Extra Help (HMO-POS)|00025192|41.00|590| | |NY|33020|0|N
H3347|009|000|ELDERPLAN, INC.|Elderplan Extra Help (HMO-POS)|00025192|41.00|590| | |NY|33331|0|N
H3347|009|000|ELDERPLAN, INC.|Elderplan Extra Help (HMO-POS)|00025192|41.00|590| | |NY|33400|0|N
H3347|009|000|ELDERPLAN, INC.|Elderplan Extra Help (HMO-POS)|00025192|41.00|590| | |NY|33420|0|N
H3347|009|000|ELDERPLAN, INC.|Elderplan Extra Help (HMO-POS)|00025192|41.00|590| | |NY|33590|0|N
H3347|009|000|ELDERPLAN, INC.|Elderplan Extra Help (HMO-POS)|00025192|41.00|590| | |NY|33800|0|N
H3347|016|000|ELDERPLAN, INC.|Elderplan Flex (HMO-POS)|00025192|0.00|375| | |NY|33020|0|N
H3347|016|000|ELDERPLAN, INC.|Elderplan Flex (HMO-POS)|00025192|0.00|375| | |NY|33331|0|N
H3347|016|000|ELDERPLAN, INC.|Elderplan Flex (HMO-POS)|00025192|0.00|375| | |NY|33400|0|N
H3347|016|000|ELDERPLAN, INC.|Elderplan Flex (HMO-POS)|00025192|0.00|375| | |NY|33420|0|N
H3347|016|000|ELDERPLAN, INC.|Elderplan Flex (HMO-POS)|00025192|0.00|375| | |NY|33590|0|N
H3347|016|000|ELDERPLAN, INC.|Elderplan Flex (HMO-POS)|00025192|0.00|375| | |NY|33800|0|N
H3347|018|000|ELDERPLAN, INC.|Elderplan Select (HMO-POS I-SNP)|00025192|0.00|0| | |NY|33020|3|N
H3347|018|000|ELDERPLAN, INC.|Elderplan Select (HMO-POS I-SNP)|00025192|0.00|0| | |NY|33230|3|N
H3347|018|000|ELDERPLAN, INC.|Elderplan Select (HMO-POS I-SNP)|00025192|0.00|0| | |NY|33331|3|N
H3347|018|000|ELDERPLAN, INC.|Elderplan Select (HMO-POS I-SNP)|00025192|0.00|0| | |NY|33350|3|N
H3347|018|000|ELDERPLAN, INC.|Elderplan Select (HMO-POS I-SNP)|00025192|0.00|0| | |NY|33370|3|N
H3347|018|000|ELDERPLAN, INC.|Elderplan Select (HMO-POS I-SNP)|00025192|0.00|0| | |NY|33400|3|N
H3347|018|000|ELDERPLAN, INC.|Elderplan Select (HMO-POS I-SNP)|00025192|0.00|0| | |NY|33420|3|N
H3347|018|000|ELDERPLAN, INC.|Elderplan Select (HMO-POS I-SNP)|00025192|0.00|0| | |NY|33530|3|N
H3347|018|000|ELDERPLAN, INC.|Elderplan Select (HMO-POS I-SNP)|00025192|0.00|0| | |NY|33540|3|N
H3347|018|000|ELDERPLAN, INC.|Elderplan Select (HMO-POS I-SNP)|00025192|0.00|0| | |NY|33550|3|N
H3347|018|000|ELDERPLAN, INC.|Elderplan Select (HMO-POS I-SNP)|00025192|0.00|0| | |NY|33580|3|N
H3347|018|000|ELDERPLAN, INC.|Elderplan Select (HMO-POS I-SNP)|00025192|0.00|0| | |NY|33590|3|N
H3347|018|000|ELDERPLAN, INC.|Elderplan Select (HMO-POS I-SNP)|00025192|0.00|0| | |NY|33610|3|N
H3347|018|000|ELDERPLAN, INC.|Elderplan Select (HMO-POS I-SNP)|00025192|0.00|0| | |NY|33620|3|N
H3347|018|000|ELDERPLAN, INC.|Elderplan Select (HMO-POS I-SNP)|00025192|0.00|0| | |NY|33680|3|N
H3347|018|000|ELDERPLAN, INC.|Elderplan Select (HMO-POS I-SNP)|00025192|0.00|0| | |NY|33700|3|N
H3347|018|000|ELDERPLAN, INC.|Elderplan Select (HMO-POS I-SNP)|00025192|0.00|0| | |NY|33800|3|N
H3347|018|000|ELDERPLAN, INC.|Elderplan Select (HMO-POS I-SNP)|00025192|0.00|0| | |NY|33910|3|N
H3351|002|000|EXCELLUS HEALTH PLAN, INC.|Univera SeniorChoice Secure (HMO-POS)|00025365|59.70|0| | |NY|33010|0|N
H3351|002|000|EXCELLUS HEALTH PLAN, INC.|Univera SeniorChoice Secure (HMO-POS)|00025365|59.70|0| | |NY|33040|0|N
H3351|002|000|EXCELLUS HEALTH PLAN, INC.|Univera SeniorChoice Secure (HMO-POS)|00025365|59.70|0| | |NY|33060|0|N
H3351|002|000|EXCELLUS HEALTH PLAN, INC.|Univera SeniorChoice Secure (HMO-POS)|00025365|59.70|0| | |NY|33240|0|N
H3351|002|000|EXCELLUS HEALTH PLAN, INC.|Univera SeniorChoice Secure (HMO-POS)|00025365|59.70|0| | |NY|33290|0|N
H3351|002|000|EXCELLUS HEALTH PLAN, INC.|Univera SeniorChoice Secure (HMO-POS)|00025365|59.70|0| | |NY|33500|0|N
H3351|002|000|EXCELLUS HEALTH PLAN, INC.|Univera SeniorChoice Secure (HMO-POS)|00025365|59.70|0| | |NY|33550|0|N
H3351|002|000|EXCELLUS HEALTH PLAN, INC.|Univera SeniorChoice Secure (HMO-POS)|00025365|59.70|0| | |NY|33900|0|N
H3351|006|000|EXCELLUS HEALTH PLAN, INC.|Medicare Blue Choice Optimum (HMO-POS)|00025365|88.90|0| | |NY|33350|0|N
H3351|006|000|EXCELLUS HEALTH PLAN, INC.|Medicare Blue Choice Optimum (HMO-POS)|00025365|88.90|0| | |NY|33370|0|N
H3351|006|000|EXCELLUS HEALTH PLAN, INC.|Medicare Blue Choice Optimum (HMO-POS)|00025365|88.90|0| | |NY|33530|0|N
H3351|006|000|EXCELLUS HEALTH PLAN, INC.|Medicare Blue Choice Optimum (HMO-POS)|00025365|88.90|0| | |NY|33680|0|N
H3351|006|000|EXCELLUS HEALTH PLAN, INC.|Medicare Blue Choice Optimum (HMO-POS)|00025365|88.90|0| | |NY|33770|0|N
H3351|006|000|EXCELLUS HEALTH PLAN, INC.|Medicare Blue Choice Optimum (HMO-POS)|00025365|88.90|0| | |NY|33910|0|N
H3351|012|000|EXCELLUS HEALTH PLAN, INC.|Univera SeniorChoice Value Plus (HMO-POS)|00025365|57.30|0| | |NY|33010|0|N
H3351|012|000|EXCELLUS HEALTH PLAN, INC.|Univera SeniorChoice Value Plus (HMO-POS)|00025365|57.30|0| | |NY|33040|0|N
H3351|012|000|EXCELLUS HEALTH PLAN, INC.|Univera SeniorChoice Value Plus (HMO-POS)|00025365|57.30|0| | |NY|33060|0|N
H3351|012|000|EXCELLUS HEALTH PLAN, INC.|Univera SeniorChoice Value Plus (HMO-POS)|00025365|57.30|0| | |NY|33240|0|N
H3351|012|000|EXCELLUS HEALTH PLAN, INC.|Univera SeniorChoice Value Plus (HMO-POS)|00025365|57.30|0| | |NY|33290|0|N
H3351|012|000|EXCELLUS HEALTH PLAN, INC.|Univera SeniorChoice Value Plus (HMO-POS)|00025365|57.30|0| | |NY|33500|0|N
H3351|012|000|EXCELLUS HEALTH PLAN, INC.|Univera SeniorChoice Value Plus (HMO-POS)|00025365|57.30|0| | |NY|33550|0|N
H3351|012|000|EXCELLUS HEALTH PLAN, INC.|Univera SeniorChoice Value Plus (HMO-POS)|00025365|57.30|0| | |NY|33900|0|N
H3351|013|000|EXCELLUS HEALTH PLAN, INC.|Medicare Blue Choice Value Plus (HMO-POS)|00025365|72.30|0| | |NY|33350|0|N
H3351|013|000|EXCELLUS HEALTH PLAN, INC.|Medicare Blue Choice Value Plus (HMO-POS)|00025365|72.30|0| | |NY|33370|0|N
H3351|013|000|EXCELLUS HEALTH PLAN, INC.|Medicare Blue Choice Value Plus (HMO-POS)|00025365|72.30|0| | |NY|33530|0|N
H3351|013|000|EXCELLUS HEALTH PLAN, INC.|Medicare Blue Choice Value Plus (HMO-POS)|00025365|72.30|0| | |NY|33680|0|N
H3351|013|000|EXCELLUS HEALTH PLAN, INC.|Medicare Blue Choice Value Plus (HMO-POS)|00025365|72.30|0| | |NY|33770|0|N
H3351|013|000|EXCELLUS HEALTH PLAN, INC.|Medicare Blue Choice Value Plus (HMO-POS)|00025365|72.30|0| | |NY|33910|0|N
H3351|016|000|EXCELLUS HEALTH PLAN, INC.|Medicare Blue Choice Select (HMO)|00025365|0.00|380| | |NY|33350|0|N
H3351|016|000|EXCELLUS HEALTH PLAN, INC.|Medicare Blue Choice Select (HMO)|00025365|0.00|380| | |NY|33370|0|N
H3351|016|000|EXCELLUS HEALTH PLAN, INC.|Medicare Blue Choice Select (HMO)|00025365|0.00|380| | |NY|33530|0|N
H3351|016|000|EXCELLUS HEALTH PLAN, INC.|Medicare Blue Choice Select (HMO)|00025365|0.00|380| | |NY|33680|0|N
H3351|016|000|EXCELLUS HEALTH PLAN, INC.|Medicare Blue Choice Select (HMO)|00025365|0.00|380| | |NY|33770|0|N
H3351|016|000|EXCELLUS HEALTH PLAN, INC.|Medicare Blue Choice Select (HMO)|00025365|0.00|380| | |NY|33910|0|N
H3351|017|000|EXCELLUS HEALTH PLAN, INC.|Univera SeniorChoice Basic (HMO)|00025365|0.00|200| | |NY|33010|0|N
H3351|017|000|EXCELLUS HEALTH PLAN, INC.|Univera SeniorChoice Basic (HMO)|00025365|0.00|200| | |NY|33040|0|N
H3351|017|000|EXCELLUS HEALTH PLAN, INC.|Univera SeniorChoice Basic (HMO)|00025365|0.00|200| | |NY|33060|0|N
H3351|017|000|EXCELLUS HEALTH PLAN, INC.|Univera SeniorChoice Basic (HMO)|00025365|0.00|200| | |NY|33240|0|N
H3351|017|000|EXCELLUS HEALTH PLAN, INC.|Univera SeniorChoice Basic (HMO)|00025365|0.00|200| | |NY|33290|0|N
H3351|017|000|EXCELLUS HEALTH PLAN, INC.|Univera SeniorChoice Basic (HMO)|00025365|0.00|200| | |NY|33500|0|N
H3351|017|000|EXCELLUS HEALTH PLAN, INC.|Univera SeniorChoice Basic (HMO)|00025365|0.00|200| | |NY|33550|0|N
H3351|017|000|EXCELLUS HEALTH PLAN, INC.|Univera SeniorChoice Basic (HMO)|00025365|0.00|200| | |NY|33900|0|N
H3351|018|000|EXCELLUS HEALTH PLAN, INC.|Medicare Blue Choice Advanced (HMO-POS)|00025365|37.30|300| | |NY|33350|0|N
H3351|018|000|EXCELLUS HEALTH PLAN, INC.|Medicare Blue Choice Advanced (HMO-POS)|00025365|37.30|300| | |NY|33370|0|N
H3351|018|000|EXCELLUS HEALTH PLAN, INC.|Medicare Blue Choice Advanced (HMO-POS)|00025365|37.30|300| | |NY|33530|0|N
H3351|018|000|EXCELLUS HEALTH PLAN, INC.|Medicare Blue Choice Advanced (HMO-POS)|00025365|37.30|300| | |NY|33680|0|N
H3351|018|000|EXCELLUS HEALTH PLAN, INC.|Medicare Blue Choice Advanced (HMO-POS)|00025365|37.30|300| | |NY|33770|0|N
H3351|018|000|EXCELLUS HEALTH PLAN, INC.|Medicare Blue Choice Advanced (HMO-POS)|00025365|37.30|300| | |NY|33910|0|N
H3351|019|000|EXCELLUS HEALTH PLAN, INC.|Univera SeniorChoice Advanced (HMO-POS)|00025365|32.30|100| | |NY|33010|0|N
H3351|019|000|EXCELLUS HEALTH PLAN, INC.|Univera SeniorChoice Advanced (HMO-POS)|00025365|32.30|100| | |NY|33040|0|N
H3351|019|000|EXCELLUS HEALTH PLAN, INC.|Univera SeniorChoice Advanced (HMO-POS)|00025365|32.30|100| | |NY|33060|0|N
H3351|019|000|EXCELLUS HEALTH PLAN, INC.|Univera SeniorChoice Advanced (HMO-POS)|00025365|32.30|100| | |NY|33240|0|N
H3351|019|000|EXCELLUS HEALTH PLAN, INC.|Univera SeniorChoice Advanced (HMO-POS)|00025365|32.30|100| | |NY|33290|0|N
H3351|019|000|EXCELLUS HEALTH PLAN, INC.|Univera SeniorChoice Advanced (HMO-POS)|00025365|32.30|100| | |NY|33500|0|N
H3351|019|000|EXCELLUS HEALTH PLAN, INC.|Univera SeniorChoice Advanced (HMO-POS)|00025365|32.30|100| | |NY|33550|0|N
H3351|019|000|EXCELLUS HEALTH PLAN, INC.|Univera SeniorChoice Advanced (HMO-POS)|00025365|32.30|100| | |NY|33900|0|N
H3351|020|000|EXCELLUS HEALTH PLAN, INC.|Univera SeniorChoice Extra (HMO)|00025365|0.00|350| | |NY|33010|0|N
H3351|020|000|EXCELLUS HEALTH PLAN, INC.|Univera SeniorChoice Extra (HMO)|00025365|0.00|350| | |NY|33040|0|N
H3351|020|000|EXCELLUS HEALTH PLAN, INC.|Univera SeniorChoice Extra (HMO)|00025365|0.00|350| | |NY|33060|0|N
H3351|020|000|EXCELLUS HEALTH PLAN, INC.|Univera SeniorChoice Extra (HMO)|00025365|0.00|350| | |NY|33240|0|N
H3351|020|000|EXCELLUS HEALTH PLAN, INC.|Univera SeniorChoice Extra (HMO)|00025365|0.00|350| | |NY|33290|0|N
H3351|020|000|EXCELLUS HEALTH PLAN, INC.|Univera SeniorChoice Extra (HMO)|00025365|0.00|350| | |NY|33500|0|N
H3351|020|000|EXCELLUS HEALTH PLAN, INC.|Univera SeniorChoice Extra (HMO)|00025365|0.00|350| | |NY|33550|0|N
H3351|020|000|EXCELLUS HEALTH PLAN, INC.|Univera SeniorChoice Extra (HMO)|00025365|0.00|350| | |NY|33900|0|N
H3351|021|000|EXCELLUS HEALTH PLAN, INC.|Medicare Blue Choice Extra (HMO)|00025365|0.00|400| | |NY|33350|0|N
H3351|021|000|EXCELLUS HEALTH PLAN, INC.|Medicare Blue Choice Extra (HMO)|00025365|0.00|400| | |NY|33370|0|N
H3351|021|000|EXCELLUS HEALTH PLAN, INC.|Medicare Blue Choice Extra (HMO)|00025365|0.00|400| | |NY|33530|0|N
H3351|021|000|EXCELLUS HEALTH PLAN, INC.|Medicare Blue Choice Extra (HMO)|00025365|0.00|400| | |NY|33680|0|N
H3351|021|000|EXCELLUS HEALTH PLAN, INC.|Medicare Blue Choice Extra (HMO)|00025365|0.00|400| | |NY|33770|0|N
H3351|021|000|EXCELLUS HEALTH PLAN, INC.|Medicare Blue Choice Extra (HMO)|00025365|0.00|400| | |NY|33910|0|N
H3359|001|000|HEALTHFIRST HEALTH PLAN, INC.|Healthfirst 65 Plus Plan (HMO)|00025210|0.00|590| | |NY|33020|0|N
H3359|001|000|HEALTHFIRST HEALTH PLAN, INC.|Healthfirst 65 Plus Plan (HMO)|00025210|0.00|590| | |NY|33331|0|N
H3359|001|000|HEALTHFIRST HEALTH PLAN, INC.|Healthfirst 65 Plus Plan (HMO)|00025210|0.00|590| | |NY|33400|0|N
H3359|001|000|HEALTHFIRST HEALTH PLAN, INC.|Healthfirst 65 Plus Plan (HMO)|00025210|0.00|590| | |NY|33420|0|N
H3359|001|000|HEALTHFIRST HEALTH PLAN, INC.|Healthfirst 65 Plus Plan (HMO)|00025210|0.00|590| | |NY|33590|0|N
H3359|001|000|HEALTHFIRST HEALTH PLAN, INC.|Healthfirst 65 Plus Plan (HMO)|00025210|0.00|590| | |NY|33610|0|N
H3359|019|000|HEALTHFIRST HEALTH PLAN, INC.|Healthfirst Increased Benefits Plan (HMO)|00025212|36.10|590| | |NY|33020|0|N
H3359|019|000|HEALTHFIRST HEALTH PLAN, INC.|Healthfirst Increased Benefits Plan (HMO)|00025212|36.10|590| | |NY|33331|0|N
H3359|019|000|HEALTHFIRST HEALTH PLAN, INC.|Healthfirst Increased Benefits Plan (HMO)|00025212|36.10|590| | |NY|33400|0|N
H3359|019|000|HEALTHFIRST HEALTH PLAN, INC.|Healthfirst Increased Benefits Plan (HMO)|00025212|36.10|590| | |NY|33420|0|N
H3359|019|000|HEALTHFIRST HEALTH PLAN, INC.|Healthfirst Increased Benefits Plan (HMO)|00025212|36.10|590| | |NY|33540|0|N
H3359|019|000|HEALTHFIRST HEALTH PLAN, INC.|Healthfirst Increased Benefits Plan (HMO)|00025212|36.10|590| | |NY|33590|0|N
H3359|019|000|HEALTHFIRST HEALTH PLAN, INC.|Healthfirst Increased Benefits Plan (HMO)|00025212|36.10|590| | |NY|33610|0|N
H3359|019|000|HEALTHFIRST HEALTH PLAN, INC.|Healthfirst Increased Benefits Plan (HMO)|00025212|36.10|590| | |NY|33620|0|N
H3359|019|000|HEALTHFIRST HEALTH PLAN, INC.|Healthfirst Increased Benefits Plan (HMO)|00025212|36.10|590| | |NY|33700|0|N
H3359|019|000|HEALTHFIRST HEALTH PLAN, INC.|Healthfirst Increased Benefits Plan (HMO)|00025212|36.10|590| | |NY|33710|0|N
H3359|019|000|HEALTHFIRST HEALTH PLAN, INC.|Healthfirst Increased Benefits Plan (HMO)|00025212|36.10|590| | |NY|33800|0|N
H3359|021|000|HEALTHFIRST HEALTH PLAN, INC.|Healthfirst Life Improvement Plan (HMO D-SNP)|00025212|0.00|590| | |NY|33020|2|N
H3359|021|000|HEALTHFIRST HEALTH PLAN, INC.|Healthfirst Life Improvement Plan (HMO D-SNP)|00025212|0.00|590| | |NY|33331|2|N
H3359|021|000|HEALTHFIRST HEALTH PLAN, INC.|Healthfirst Life Improvement Plan (HMO D-SNP)|00025212|0.00|590| | |NY|33400|2|N
H3359|021|000|HEALTHFIRST HEALTH PLAN, INC.|Healthfirst Life Improvement Plan (HMO D-SNP)|00025212|0.00|590| | |NY|33420|2|N
H3359|021|000|HEALTHFIRST HEALTH PLAN, INC.|Healthfirst Life Improvement Plan (HMO D-SNP)|00025212|0.00|590| | |NY|33540|2|N
H3359|021|000|HEALTHFIRST HEALTH PLAN, INC.|Healthfirst Life Improvement Plan (HMO D-SNP)|00025212|0.00|590| | |NY|33590|2|N
H3359|021|000|HEALTHFIRST HEALTH PLAN, INC.|Healthfirst Life Improvement Plan (HMO D-SNP)|00025212|0.00|590| | |NY|33610|2|N
H3359|021|000|HEALTHFIRST HEALTH PLAN, INC.|Healthfirst Life Improvement Plan (HMO D-SNP)|00025212|0.00|590| | |NY|33620|2|N
H3359|021|000|HEALTHFIRST HEALTH PLAN, INC.|Healthfirst Life Improvement Plan (HMO D-SNP)|00025212|0.00|590| | |NY|33700|2|N
H3359|021|000|HEALTHFIRST HEALTH PLAN, INC.|Healthfirst Life Improvement Plan (HMO D-SNP)|00025212|0.00|590| | |NY|33710|2|N
H3359|021|000|HEALTHFIRST HEALTH PLAN, INC.|Healthfirst Life Improvement Plan (HMO D-SNP)|00025212|0.00|590| | |NY|33800|2|N
H3359|034|000|HEALTHFIRST HEALTH PLAN, INC.|Healthfirst CompleteCare (HMO D-SNP)|00025212|0.00|590| | |NY|33020|2|N
H3359|034|000|HEALTHFIRST HEALTH PLAN, INC.|Healthfirst CompleteCare (HMO D-SNP)|00025212|0.00|590| | |NY|33331|2|N
H3359|034|000|HEALTHFIRST HEALTH PLAN, INC.|Healthfirst CompleteCare (HMO D-SNP)|00025212|0.00|590| | |NY|33400|2|N
H3359|034|000|HEALTHFIRST HEALTH PLAN, INC.|Healthfirst CompleteCare (HMO D-SNP)|00025212|0.00|590| | |NY|33420|2|N
H3359|034|000|HEALTHFIRST HEALTH PLAN, INC.|Healthfirst CompleteCare (HMO D-SNP)|00025212|0.00|590| | |NY|33540|2|N
H3359|034|000|HEALTHFIRST HEALTH PLAN, INC.|Healthfirst CompleteCare (HMO D-SNP)|00025212|0.00|590| | |NY|33590|2|N
H3359|034|000|HEALTHFIRST HEALTH PLAN, INC.|Healthfirst CompleteCare (HMO D-SNP)|00025212|0.00|590| | |NY|33610|2|N
H3359|034|000|HEALTHFIRST HEALTH PLAN, INC.|Healthfirst CompleteCare (HMO D-SNP)|00025212|0.00|590| | |NY|33620|2|N
H3359|034|000|HEALTHFIRST HEALTH PLAN, INC.|Healthfirst CompleteCare (HMO D-SNP)|00025212|0.00|590| | |NY|33710|2|N
H3359|034|000|HEALTHFIRST HEALTH PLAN, INC.|Healthfirst CompleteCare (HMO D-SNP)|00025212|0.00|590| | |NY|33800|2|N
H3359|038|000|HEALTHFIRST HEALTH PLAN, INC.|Healthfirst Connection Plan (HMO D-SNP)|00025212|0.00|590| | |NY|33020|2|N
H3359|038|000|HEALTHFIRST HEALTH PLAN, INC.|Healthfirst Connection Plan (HMO D-SNP)|00025212|0.00|590| | |NY|33331|2|N
H3359|038|000|HEALTHFIRST HEALTH PLAN, INC.|Healthfirst Connection Plan (HMO D-SNP)|00025212|0.00|590| | |NY|33400|2|N
H3359|038|000|HEALTHFIRST HEALTH PLAN, INC.|Healthfirst Connection Plan (HMO D-SNP)|00025212|0.00|590| | |NY|33420|2|N
H3359|038|000|HEALTHFIRST HEALTH PLAN, INC.|Healthfirst Connection Plan (HMO D-SNP)|00025212|0.00|590| | |NY|33590|2|N
H3359|038|000|HEALTHFIRST HEALTH PLAN, INC.|Healthfirst Connection Plan (HMO D-SNP)|00025212|0.00|590| | |NY|33610|2|N
H3359|038|000|HEALTHFIRST HEALTH PLAN, INC.|Healthfirst Connection Plan (HMO D-SNP)|00025212|0.00|590| | |NY|33800|2|N
H3362|017|000|INDEPENDENT HEALTH ASSOCIATION, INC.|Independent Health's Encompass 65 Basic (HMO)|00025491|134.00|250| | |NY|33010|0|N
H3362|017|000|INDEPENDENT HEALTH ASSOCIATION, INC.|Independent Health's Encompass 65 Basic (HMO)|00025491|134.00|250| | |NY|33040|0|N
H3362|017|000|INDEPENDENT HEALTH ASSOCIATION, INC.|Independent Health's Encompass 65 Basic (HMO)|00025491|134.00|250| | |NY|33060|0|N
H3362|017|000|INDEPENDENT HEALTH ASSOCIATION, INC.|Independent Health's Encompass 65 Basic (HMO)|00025491|134.00|250| | |NY|33240|0|N
H3362|017|000|INDEPENDENT HEALTH ASSOCIATION, INC.|Independent Health's Encompass 65 Basic (HMO)|00025491|134.00|250| | |NY|33290|0|N
H3362|017|000|INDEPENDENT HEALTH ASSOCIATION, INC.|Independent Health's Encompass 65 Basic (HMO)|00025491|134.00|250| | |NY|33500|0|N
H3362|017|000|INDEPENDENT HEALTH ASSOCIATION, INC.|Independent Health's Encompass 65 Basic (HMO)|00025491|134.00|250| | |NY|33550|0|N
H3362|017|000|INDEPENDENT HEALTH ASSOCIATION, INC.|Independent Health's Encompass 65 Basic (HMO)|00025491|134.00|250| | |NY|33900|0|N
H3362|020|000|INDEPENDENT HEALTH ASSOCIATION, INC.|Independent Health's Medicare Family Choice (HMO I-SNP)|00025491|40.80|0| | |NY|33010|3|N
H3362|020|000|INDEPENDENT HEALTH ASSOCIATION, INC.|Independent Health's Medicare Family Choice (HMO I-SNP)|00025491|40.80|0| | |NY|33040|3|N
H3362|020|000|INDEPENDENT HEALTH ASSOCIATION, INC.|Independent Health's Medicare Family Choice (HMO I-SNP)|00025491|40.80|0| | |NY|33060|3|N
H3362|020|000|INDEPENDENT HEALTH ASSOCIATION, INC.|Independent Health's Medicare Family Choice (HMO I-SNP)|00025491|40.80|0| | |NY|33240|3|N
H3362|020|000|INDEPENDENT HEALTH ASSOCIATION, INC.|Independent Health's Medicare Family Choice (HMO I-SNP)|00025491|40.80|0| | |NY|33290|3|N
H3362|020|000|INDEPENDENT HEALTH ASSOCIATION, INC.|Independent Health's Medicare Family Choice (HMO I-SNP)|00025491|40.80|0| | |NY|33500|3|N
H3362|020|000|INDEPENDENT HEALTH ASSOCIATION, INC.|Independent Health's Medicare Family Choice (HMO I-SNP)|00025491|40.80|0| | |NY|33550|3|N
H3362|020|000|INDEPENDENT HEALTH ASSOCIATION, INC.|Independent Health's Medicare Family Choice (HMO I-SNP)|00025491|40.80|0| | |NY|33900|3|N
H3362|033|000|INDEPENDENT HEALTH ASSOCIATION, INC.|Independent Health's Encompass 65 Core (HMO)|00025491|73.00|350| | |NY|33010|0|N
H3362|033|000|INDEPENDENT HEALTH ASSOCIATION, INC.|Independent Health's Encompass 65 Core (HMO)|00025491|73.00|350| | |NY|33040|0|N
H3362|033|000|INDEPENDENT HEALTH ASSOCIATION, INC.|Independent Health's Encompass 65 Core (HMO)|00025491|73.00|350| | |NY|33060|0|N
H3362|033|000|INDEPENDENT HEALTH ASSOCIATION, INC.|Independent Health's Encompass 65 Core (HMO)|00025491|73.00|350| | |NY|33240|0|N
H3362|033|000|INDEPENDENT HEALTH ASSOCIATION, INC.|Independent Health's Encompass 65 Core (HMO)|00025491|73.00|350| | |NY|33290|0|N
H3362|033|000|INDEPENDENT HEALTH ASSOCIATION, INC.|Independent Health's Encompass 65 Core (HMO)|00025491|73.00|350| | |NY|33500|0|N
H3362|033|000|INDEPENDENT HEALTH ASSOCIATION, INC.|Independent Health's Encompass 65 Core (HMO)|00025491|73.00|350| | |NY|33550|0|N
H3362|033|000|INDEPENDENT HEALTH ASSOCIATION, INC.|Independent Health's Encompass 65 Core (HMO)|00025491|73.00|350| | |NY|33900|0|N
H3362|040|000|INDEPENDENT HEALTH ASSOCIATION, INC.|Independent Health's Assure Advantage (HMO C-SNP)|00025492|49.00|200| | |NY|33240|1|N
H3362|041|000|INDEPENDENT HEALTH ASSOCIATION, INC.|Independent Health's Encompass 65 Direct (HMO)|00025491|0.00|450| | |NY|33010|0|N
H3362|041|000|INDEPENDENT HEALTH ASSOCIATION, INC.|Independent Health's Encompass 65 Direct (HMO)|00025491|0.00|450| | |NY|33040|0|N
H3362|041|000|INDEPENDENT HEALTH ASSOCIATION, INC.|Independent Health's Encompass 65 Direct (HMO)|00025491|0.00|450| | |NY|33060|0|N
H3362|041|000|INDEPENDENT HEALTH ASSOCIATION, INC.|Independent Health's Encompass 65 Direct (HMO)|00025491|0.00|450| | |NY|33240|0|N
H3362|041|000|INDEPENDENT HEALTH ASSOCIATION, INC.|Independent Health's Encompass 65 Direct (HMO)|00025491|0.00|450| | |NY|33290|0|N
H3362|041|000|INDEPENDENT HEALTH ASSOCIATION, INC.|Independent Health's Encompass 65 Direct (HMO)|00025491|0.00|450| | |NY|33500|0|N
H3362|041|000|INDEPENDENT HEALTH ASSOCIATION, INC.|Independent Health's Encompass 65 Direct (HMO)|00025491|0.00|450| | |NY|33550|0|N
H3362|041|000|INDEPENDENT HEALTH ASSOCIATION, INC.|Independent Health's Encompass 65 Direct (HMO)|00025491|0.00|450| | |NY|33900|0|N
H3379|001|000|UNITEDHEALTHCARE OF NEW YORK, INC.|AARP Medicare Advantage from UHC NY-0005 (HMO-POS)|00025002|59.00|420| | |NY|33020|0|N
H3379|001|000|UNITEDHEALTHCARE OF NEW YORK, INC.|AARP Medicare Advantage from UHC NY-0005 (HMO-POS)|00025002|59.00|420| | |NY|33331|0|N
H3379|001|000|UNITEDHEALTHCARE OF NEW YORK, INC.|AARP Medicare Advantage from UHC NY-0005 (HMO-POS)|00025002|59.00|420| | |NY|33420|0|N
H3379|001|000|UNITEDHEALTHCARE OF NEW YORK, INC.|AARP Medicare Advantage from UHC NY-0005 (HMO-POS)|00025002|59.00|420| | |NY|33590|0|N
H3379|001|000|UNITEDHEALTHCARE OF NEW YORK, INC.|AARP Medicare Advantage from UHC NY-0005 (HMO-POS)|00025002|59.00|420| | |NY|33610|0|N
H3379|002|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Nursing Home Plan NY-F003 (HMO I-SNP)|00025002|7.10|590| | |NY|33020|3|N
H3379|002|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Nursing Home Plan NY-F003 (HMO I-SNP)|00025002|7.10|590| | |NY|33331|3|N
H3379|002|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Nursing Home Plan NY-F003 (HMO I-SNP)|00025002|7.10|590| | |NY|33400|3|N
H3379|002|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Nursing Home Plan NY-F003 (HMO I-SNP)|00025002|7.10|590| | |NY|33420|3|N
H3379|002|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Nursing Home Plan NY-F003 (HMO I-SNP)|00025002|7.10|590| | |NY|33590|3|N
H3379|002|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Nursing Home Plan NY-F003 (HMO I-SNP)|00025002|7.10|590| | |NY|33610|3|N
H3379|022|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Nursing Home Plan NY-F004 (HMO-POS I-SNP)|00025002|72.30|590| | |NY|33030|3|N
H3379|022|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Nursing Home Plan NY-F004 (HMO-POS I-SNP)|00025002|72.30|590| | |NY|33060|3|N
H3379|039|000|UNITEDHEALTHCARE OF NEW YORK, INC.|AARP Medicare Advantage from UHC NY-0006 (HMO-POS)|00025002|0.00|340| | |NY|33050|0|N
H3379|039|000|UNITEDHEALTHCARE OF NEW YORK, INC.|AARP Medicare Advantage from UHC NY-0006 (HMO-POS)|00025002|0.00|340| | |NY|33070|0|N
H3379|039|000|UNITEDHEALTHCARE OF NEW YORK, INC.|AARP Medicare Advantage from UHC NY-0006 (HMO-POS)|00025002|0.00|340| | |NY|33210|0|N
H3379|039|000|UNITEDHEALTHCARE OF NEW YORK, INC.|AARP Medicare Advantage from UHC NY-0006 (HMO-POS)|00025002|0.00|340| | |NY|33330|0|N
H3379|039|000|UNITEDHEALTHCARE OF NEW YORK, INC.|AARP Medicare Advantage from UHC NY-0006 (HMO-POS)|00025002|0.00|340| | |NY|33340|0|N
H3379|039|000|UNITEDHEALTHCARE OF NEW YORK, INC.|AARP Medicare Advantage from UHC NY-0006 (HMO-POS)|00025002|0.00|340| | |NY|33360|0|N
H3379|039|000|UNITEDHEALTHCARE OF NEW YORK, INC.|AARP Medicare Advantage from UHC NY-0006 (HMO-POS)|00025002|0.00|340| | |NY|33510|0|N
H3379|039|000|UNITEDHEALTHCARE OF NEW YORK, INC.|AARP Medicare Advantage from UHC NY-0006 (HMO-POS)|00025002|0.00|340| | |NY|33520|0|N
H3379|039|000|UNITEDHEALTHCARE OF NEW YORK, INC.|AARP Medicare Advantage from UHC NY-0006 (HMO-POS)|00025002|0.00|340| | |NY|33560|0|N
H3379|039|000|UNITEDHEALTHCARE OF NEW YORK, INC.|AARP Medicare Advantage from UHC NY-0006 (HMO-POS)|00025002|0.00|340| | |NY|33670|0|N
H3379|039|000|UNITEDHEALTHCARE OF NEW YORK, INC.|AARP Medicare Advantage from UHC NY-0006 (HMO-POS)|00025002|0.00|340| | |NY|33690|0|N
H3379|039|000|UNITEDHEALTHCARE OF NEW YORK, INC.|AARP Medicare Advantage from UHC NY-0006 (HMO-POS)|00025002|0.00|340| | |NY|33720|0|N
H3379|040|000|UNITEDHEALTHCARE OF NEW YORK, INC.|AARP Medicare Advantage from UHC NY-0007 (HMO-POS)|00025002|0.00|340| | |NY|33010|0|N
H3379|040|000|UNITEDHEALTHCARE OF NEW YORK, INC.|AARP Medicare Advantage from UHC NY-0007 (HMO-POS)|00025002|0.00|340| | |NY|33040|0|N
H3379|040|000|UNITEDHEALTHCARE OF NEW YORK, INC.|AARP Medicare Advantage from UHC NY-0007 (HMO-POS)|00025002|0.00|340| | |NY|33060|0|N
H3379|040|000|UNITEDHEALTHCARE OF NEW YORK, INC.|AARP Medicare Advantage from UHC NY-0007 (HMO-POS)|00025002|0.00|340| | |NY|33240|0|N
H3379|040|000|UNITEDHEALTHCARE OF NEW YORK, INC.|AARP Medicare Advantage from UHC NY-0007 (HMO-POS)|00025002|0.00|340| | |NY|33290|0|N
H3379|040|000|UNITEDHEALTHCARE OF NEW YORK, INC.|AARP Medicare Advantage from UHC NY-0007 (HMO-POS)|00025002|0.00|340| | |NY|33500|0|N
H3379|040|000|UNITEDHEALTHCARE OF NEW YORK, INC.|AARP Medicare Advantage from UHC NY-0007 (HMO-POS)|00025002|0.00|340| | |NY|33550|0|N
H3379|040|000|UNITEDHEALTHCARE OF NEW YORK, INC.|AARP Medicare Advantage from UHC NY-0007 (HMO-POS)|00025002|0.00|340| | |NY|33900|0|N
H3379|041|000|UNITEDHEALTHCARE OF NEW YORK, INC.|AARP Medicare Advantage from UHC NY-0008 (HMO-POS)|00025002|0.00|420| | |NY|33350|0|N
H3379|041|000|UNITEDHEALTHCARE OF NEW YORK, INC.|AARP Medicare Advantage from UHC NY-0008 (HMO-POS)|00025002|0.00|420| | |NY|33370|0|N
H3379|041|000|UNITEDHEALTHCARE OF NEW YORK, INC.|AARP Medicare Advantage from UHC NY-0008 (HMO-POS)|00025002|0.00|420| | |NY|33530|0|N
H3379|041|000|UNITEDHEALTHCARE OF NEW YORK, INC.|AARP Medicare Advantage from UHC NY-0008 (HMO-POS)|00025002|0.00|420| | |NY|33680|0|N
H3379|041|000|UNITEDHEALTHCARE OF NEW YORK, INC.|AARP Medicare Advantage from UHC NY-0008 (HMO-POS)|00025002|0.00|420| | |NY|33770|0|N
H3379|041|000|UNITEDHEALTHCARE OF NEW YORK, INC.|AARP Medicare Advantage from UHC NY-0008 (HMO-POS)|00025002|0.00|420| | |NY|33910|0|N
H3379|043|000|UNITEDHEALTHCARE OF NEW YORK, INC.|AARP Medicare Advantage from UHC NY-0009 (HMO-POS)|00025002|0.00|420| | |NY|33400|0|N
H3379|045|000|UNITEDHEALTHCARE OF NEW YORK, INC.|AARP Medicare Advantage from UHC NY-0010 (HMO-POS)|00025002|0.00|420| | |NY|33090|0|N
H3379|045|000|UNITEDHEALTHCARE OF NEW YORK, INC.|AARP Medicare Advantage from UHC NY-0010 (HMO-POS)|00025002|0.00|420| | |NY|33260|0|N
H3379|045|000|UNITEDHEALTHCARE OF NEW YORK, INC.|AARP Medicare Advantage from UHC NY-0010 (HMO-POS)|00025002|0.00|420| | |NY|33270|0|N
H3379|045|000|UNITEDHEALTHCARE OF NEW YORK, INC.|AARP Medicare Advantage from UHC NY-0010 (HMO-POS)|00025002|0.00|420| | |NY|33630|0|N
H3379|050|000|UNITEDHEALTHCARE OF NEW YORK, INC.|AARP Medicare Advantage from UHC NY-0024 (HMO-POS)|00025002|0.00|420| | |NY|33310|0|N
H3379|050|000|UNITEDHEALTHCARE OF NEW YORK, INC.|AARP Medicare Advantage from UHC NY-0024 (HMO-POS)|00025002|0.00|420| | |NY|33320|0|N
H3379|050|000|UNITEDHEALTHCARE OF NEW YORK, INC.|AARP Medicare Advantage from UHC NY-0024 (HMO-POS)|00025002|0.00|420| | |NY|33380|0|N
H3379|050|000|UNITEDHEALTHCARE OF NEW YORK, INC.|AARP Medicare Advantage from UHC NY-0024 (HMO-POS)|00025002|0.00|420| | |NY|33570|0|N
H3379|050|000|UNITEDHEALTHCARE OF NEW YORK, INC.|AARP Medicare Advantage from UHC NY-0024 (HMO-POS)|00025002|0.00|420| | |NY|33660|0|N
H3379|051|000|UNITEDHEALTHCARE OF NEW YORK, INC.|AARP Medicare Advantage from UHC NY-0028 (HMO-POS)|00025002|0.00|495| | |NY|33331|0|N
H3379|051|000|UNITEDHEALTHCARE OF NEW YORK, INC.|AARP Medicare Advantage from UHC NY-0028 (HMO-POS)|00025002|0.00|495| | |NY|33420|0|N
H3379|051|000|UNITEDHEALTHCARE OF NEW YORK, INC.|AARP Medicare Advantage from UHC NY-0028 (HMO-POS)|00025002|0.00|495| | |NY|33590|0|N
H3379|052|000|UNITEDHEALTHCARE OF NEW YORK, INC.|AARP Medicare Advantage from UHC NY-29 (HMO-POS)|00025002|0.00|340| | |NY|33000|0|N
H3379|052|000|UNITEDHEALTHCARE OF NEW YORK, INC.|AARP Medicare Advantage from UHC NY-29 (HMO-POS)|00025002|0.00|340| | |NY|33200|0|N
H3379|052|000|UNITEDHEALTHCARE OF NEW YORK, INC.|AARP Medicare Advantage from UHC NY-29 (HMO-POS)|00025002|0.00|340| | |NY|33280|0|N
H3379|052|000|UNITEDHEALTHCARE OF NEW YORK, INC.|AARP Medicare Advantage from UHC NY-29 (HMO-POS)|00025002|0.00|340| | |NY|33300|0|N
H3379|052|000|UNITEDHEALTHCARE OF NEW YORK, INC.|AARP Medicare Advantage from UHC NY-29 (HMO-POS)|00025002|0.00|340| | |NY|33600|0|N
H3379|052|000|UNITEDHEALTHCARE OF NEW YORK, INC.|AARP Medicare Advantage from UHC NY-29 (HMO-POS)|00025002|0.00|340| | |NY|33640|0|N
H3379|052|000|UNITEDHEALTHCARE OF NEW YORK, INC.|AARP Medicare Advantage from UHC NY-29 (HMO-POS)|00025002|0.00|340| | |NY|33650|0|N
H3379|052|000|UNITEDHEALTHCARE OF NEW YORK, INC.|AARP Medicare Advantage from UHC NY-29 (HMO-POS)|00025002|0.00|340| | |NY|33750|0|N
H3379|052|000|UNITEDHEALTHCARE OF NEW YORK, INC.|AARP Medicare Advantage from UHC NY-29 (HMO-POS)|00025002|0.00|340| | |NY|33760|0|N
H3379|053|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Complete Care NY-30 (HMO-POS C-SNP)|00025003|0.00|340| | |NY|33010|1|N
H3379|053|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Complete Care NY-30 (HMO-POS C-SNP)|00025003|0.00|340| | |NY|33040|1|N
H3379|053|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Complete Care NY-30 (HMO-POS C-SNP)|00025003|0.00|340| | |NY|33060|1|N
H3379|053|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Complete Care NY-30 (HMO-POS C-SNP)|00025003|0.00|340| | |NY|33240|1|N
H3379|053|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Complete Care NY-30 (HMO-POS C-SNP)|00025003|0.00|340| | |NY|33290|1|N
H3379|053|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Complete Care NY-30 (HMO-POS C-SNP)|00025003|0.00|340| | |NY|33500|1|N
H3379|053|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Complete Care NY-30 (HMO-POS C-SNP)|00025003|0.00|340| | |NY|33550|1|N
H3379|053|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Complete Care NY-30 (HMO-POS C-SNP)|00025003|0.00|340| | |NY|33900|1|N
H3379|054|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Complete Care NY-31 (HMO-POS C-SNP)|00025003|0.00|340| | |NY|33050|1|N
H3379|054|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Complete Care NY-31 (HMO-POS C-SNP)|00025003|0.00|340| | |NY|33070|1|N
H3379|054|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Complete Care NY-31 (HMO-POS C-SNP)|00025003|0.00|340| | |NY|33210|1|N
H3379|054|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Complete Care NY-31 (HMO-POS C-SNP)|00025003|0.00|340| | |NY|33330|1|N
H3379|054|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Complete Care NY-31 (HMO-POS C-SNP)|00025003|0.00|340| | |NY|33340|1|N
H3379|054|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Complete Care NY-31 (HMO-POS C-SNP)|00025003|0.00|340| | |NY|33360|1|N
H3379|054|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Complete Care NY-31 (HMO-POS C-SNP)|00025003|0.00|340| | |NY|33510|1|N
H3379|054|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Complete Care NY-31 (HMO-POS C-SNP)|00025003|0.00|340| | |NY|33520|1|N
H3379|054|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Complete Care NY-31 (HMO-POS C-SNP)|00025003|0.00|340| | |NY|33560|1|N
H3379|054|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Complete Care NY-31 (HMO-POS C-SNP)|00025003|0.00|340| | |NY|33670|1|N
H3379|054|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Complete Care NY-31 (HMO-POS C-SNP)|00025003|0.00|340| | |NY|33690|1|N
H3379|054|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Complete Care NY-31 (HMO-POS C-SNP)|00025003|0.00|340| | |NY|33720|1|N
H3379|056|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Complete Care NY-33 (HMO-POS C-SNP)|00025003|0.00|340| | |NY|33000|1|N
H3379|056|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Complete Care NY-33 (HMO-POS C-SNP)|00025003|0.00|340| | |NY|33200|1|N
H3379|056|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Complete Care NY-33 (HMO-POS C-SNP)|00025003|0.00|340| | |NY|33280|1|N
H3379|056|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Complete Care NY-33 (HMO-POS C-SNP)|00025003|0.00|340| | |NY|33300|1|N
H3379|056|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Complete Care NY-33 (HMO-POS C-SNP)|00025003|0.00|340| | |NY|33600|1|N
H3379|056|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Complete Care NY-33 (HMO-POS C-SNP)|00025003|0.00|340| | |NY|33640|1|N
H3379|056|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Complete Care NY-33 (HMO-POS C-SNP)|00025003|0.00|340| | |NY|33650|1|N
H3379|056|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Complete Care NY-33 (HMO-POS C-SNP)|00025003|0.00|340| | |NY|33750|1|N
H3379|056|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Complete Care NY-33 (HMO-POS C-SNP)|00025003|0.00|340| | |NY|33760|1|N
H3384|013|000|Highmark Western and Northeastern New York Inc.|Senior Blue 652 (HMO)|00025025|68.50|0| | |NY|33000|0|N
H3384|013|000|Highmark Western and Northeastern New York Inc.|Senior Blue 652 (HMO)|00025025|68.50|0| | |NY|33200|0|N
H3384|013|000|Highmark Western and Northeastern New York Inc.|Senior Blue 652 (HMO)|00025025|68.50|0| | |NY|33280|0|N
H3384|013|000|Highmark Western and Northeastern New York Inc.|Senior Blue 652 (HMO)|00025025|68.50|0| | |NY|33300|0|N
H3384|013|000|Highmark Western and Northeastern New York Inc.|Senior Blue 652 (HMO)|00025025|68.50|0| | |NY|33380|0|N
H3384|013|000|Highmark Western and Northeastern New York Inc.|Senior Blue 652 (HMO)|00025025|68.50|0| | |NY|33600|0|N
H3384|013|000|Highmark Western and Northeastern New York Inc.|Senior Blue 652 (HMO)|00025025|68.50|0| | |NY|33640|0|N
H3384|013|000|Highmark Western and Northeastern New York Inc.|Senior Blue 652 (HMO)|00025025|68.50|0| | |NY|33650|0|N
H3384|013|000|Highmark Western and Northeastern New York Inc.|Senior Blue 652 (HMO)|00025025|68.50|0| | |NY|33750|0|N
H3384|013|000|Highmark Western and Northeastern New York Inc.|Senior Blue 652 (HMO)|00025025|68.50|0| | |NY|33760|0|N
H3384|019|000|Highmark Western and Northeastern New York Inc.|Senior Blue 651 (HMO)|00025025|89.70|0| | |NY|33010|0|N
H3384|019|000|Highmark Western and Northeastern New York Inc.|Senior Blue 651 (HMO)|00025025|89.70|0| | |NY|33040|0|N
H3384|019|000|Highmark Western and Northeastern New York Inc.|Senior Blue 651 (HMO)|00025025|89.70|0| | |NY|33060|0|N
H3384|019|000|Highmark Western and Northeastern New York Inc.|Senior Blue 651 (HMO)|00025025|89.70|0| | |NY|33240|0|N
H3384|019|000|Highmark Western and Northeastern New York Inc.|Senior Blue 651 (HMO)|00025025|89.70|0| | |NY|33290|0|N
H3384|019|000|Highmark Western and Northeastern New York Inc.|Senior Blue 651 (HMO)|00025025|89.70|0| | |NY|33500|0|N
H3384|019|000|Highmark Western and Northeastern New York Inc.|Senior Blue 651 (HMO)|00025025|89.70|0| | |NY|33550|0|N
H3384|019|000|Highmark Western and Northeastern New York Inc.|Senior Blue 651 (HMO)|00025025|89.70|0| | |NY|33900|0|N
H3384|058|000|Highmark Western and Northeastern New York Inc.|Senior Blue Select (HMO)|00025025|36.30|0| | |NY|33010|0|N
H3384|058|000|Highmark Western and Northeastern New York Inc.|Senior Blue Select (HMO)|00025025|36.30|0| | |NY|33040|0|N
H3384|058|000|Highmark Western and Northeastern New York Inc.|Senior Blue Select (HMO)|00025025|36.30|0| | |NY|33060|0|N
H3384|058|000|Highmark Western and Northeastern New York Inc.|Senior Blue Select (HMO)|00025025|36.30|0| | |NY|33240|0|N
H3384|058|000|Highmark Western and Northeastern New York Inc.|Senior Blue Select (HMO)|00025025|36.30|0| | |NY|33290|0|N
H3384|058|000|Highmark Western and Northeastern New York Inc.|Senior Blue Select (HMO)|00025025|36.30|0| | |NY|33500|0|N
H3384|058|000|Highmark Western and Northeastern New York Inc.|Senior Blue Select (HMO)|00025025|36.30|0| | |NY|33550|0|N
H3384|058|000|Highmark Western and Northeastern New York Inc.|Senior Blue Select (HMO)|00025025|36.30|0| | |NY|33900|0|N
H3384|059|000|Highmark Western and Northeastern New York Inc.|Freedom Plus (HMO)|00025025|0.50|0| | |NY|33000|0|N
H3384|059|000|Highmark Western and Northeastern New York Inc.|Freedom Plus (HMO)|00025025|0.50|0| | |NY|33200|0|N
H3384|059|000|Highmark Western and Northeastern New York Inc.|Freedom Plus (HMO)|00025025|0.50|0| | |NY|33280|0|N
H3384|059|000|Highmark Western and Northeastern New York Inc.|Freedom Plus (HMO)|00025025|0.50|0| | |NY|33300|0|N
H3384|059|000|Highmark Western and Northeastern New York Inc.|Freedom Plus (HMO)|00025025|0.50|0| | |NY|33380|0|N
H3384|059|000|Highmark Western and Northeastern New York Inc.|Freedom Plus (HMO)|00025025|0.50|0| | |NY|33600|0|N
H3384|059|000|Highmark Western and Northeastern New York Inc.|Freedom Plus (HMO)|00025025|0.50|0| | |NY|33640|0|N
H3384|059|000|Highmark Western and Northeastern New York Inc.|Freedom Plus (HMO)|00025025|0.50|0| | |NY|33650|0|N
H3384|059|000|Highmark Western and Northeastern New York Inc.|Freedom Plus (HMO)|00025025|0.50|0| | |NY|33750|0|N
H3384|059|000|Highmark Western and Northeastern New York Inc.|Freedom Plus (HMO)|00025025|0.50|0| | |NY|33760|0|N
H3384|062|000|Highmark Western and Northeastern New York Inc.|BlueSaver (HMO)|00025025|0.00|0| | |NY|33010|0|N
H3384|062|000|Highmark Western and Northeastern New York Inc.|BlueSaver (HMO)|00025025|0.00|0| | |NY|33040|0|N
H3384|062|000|Highmark Western and Northeastern New York Inc.|BlueSaver (HMO)|00025025|0.00|0| | |NY|33060|0|N
H3384|062|000|Highmark Western and Northeastern New York Inc.|BlueSaver (HMO)|00025025|0.00|0| | |NY|33240|0|N
H3384|062|000|Highmark Western and Northeastern New York Inc.|BlueSaver (HMO)|00025025|0.00|0| | |NY|33290|0|N
H3384|062|000|Highmark Western and Northeastern New York Inc.|BlueSaver (HMO)|00025025|0.00|0| | |NY|33500|0|N
H3384|062|000|Highmark Western and Northeastern New York Inc.|BlueSaver (HMO)|00025025|0.00|0| | |NY|33550|0|N
H3384|062|000|Highmark Western and Northeastern New York Inc.|BlueSaver (HMO)|00025025|0.00|0| | |NY|33900|0|N
H3384|067|000|Highmark Western and Northeastern New York Inc.|Senior Blue Basic (HMO)|00025025|0.00|0| | |NY|33010|0|N
H3384|067|000|Highmark Western and Northeastern New York Inc.|Senior Blue Basic (HMO)|00025025|0.00|0| | |NY|33040|0|N
H3384|067|000|Highmark Western and Northeastern New York Inc.|Senior Blue Basic (HMO)|00025025|0.00|0| | |NY|33060|0|N
H3384|067|000|Highmark Western and Northeastern New York Inc.|Senior Blue Basic (HMO)|00025025|0.00|0| | |NY|33240|0|N
H3384|067|000|Highmark Western and Northeastern New York Inc.|Senior Blue Basic (HMO)|00025025|0.00|0| | |NY|33290|0|N
H3384|067|000|Highmark Western and Northeastern New York Inc.|Senior Blue Basic (HMO)|00025025|0.00|0| | |NY|33500|0|N
H3384|067|000|Highmark Western and Northeastern New York Inc.|Senior Blue Basic (HMO)|00025025|0.00|0| | |NY|33550|0|N
H3384|067|000|Highmark Western and Northeastern New York Inc.|Senior Blue Basic (HMO)|00025025|0.00|0| | |NY|33900|0|N
H3387|013|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33240|2|N
H3387|013|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33290|2|N
H3387|013|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33370|2|N
H3387|013|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33500|2|N
H3387|013|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33550|2|N
H3387|013|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Y001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33900|2|N
H3387|014|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33000|2|N
H3387|014|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33030|2|N
H3387|014|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33050|2|N
H3387|014|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33060|2|N
H3387|014|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33070|2|N
H3387|014|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33080|2|N
H3387|014|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33090|2|N
H3387|014|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33200|2|N
H3387|014|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33230|2|N
H3387|014|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33240|2|N
H3387|014|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33260|2|N
H3387|014|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33270|2|N
H3387|014|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33280|2|N
H3387|014|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33290|2|N
H3387|014|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33300|2|N
H3387|014|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33320|2|N
H3387|014|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33330|2|N
H3387|014|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33340|2|N
H3387|014|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33350|2|N
H3387|014|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33360|2|N
H3387|014|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33370|2|N
H3387|014|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33500|2|N
H3387|014|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33510|2|N
H3387|014|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33520|2|N
H3387|014|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33530|2|N
H3387|014|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33540|2|N
H3387|014|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33550|2|N
H3387|014|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33560|2|N
H3387|014|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33600|2|N
H3387|014|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33620|2|N
H3387|014|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33630|2|N
H3387|014|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33650|2|N
H3387|014|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33680|2|N
H3387|014|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33720|2|N
H3387|014|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33740|2|N
H3387|014|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33750|2|N
H3387|014|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33770|2|N
H3387|014|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33800|2|N
H3387|014|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33900|2|N
H3387|014|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33910|2|N
H3387|014|002|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33020|2|N
H3387|014|002|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33331|2|N
H3387|014|002|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33400|2|N
H3387|014|002|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33420|2|N
H3387|014|002|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33590|2|N
H3387|014|002|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33610|2|N
H3387|014|002|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33700|2|N
H3387|015|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33000|2|N
H3387|015|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33010|2|N
H3387|015|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33030|2|N
H3387|015|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33040|2|N
H3387|015|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33050|2|N
H3387|015|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33060|2|N
H3387|015|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33070|2|N
H3387|015|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33080|2|N
H3387|015|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33090|2|N
H3387|015|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33200|2|N
H3387|015|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33210|2|N
H3387|015|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33220|2|N
H3387|015|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33230|2|N
H3387|015|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33240|2|N
H3387|015|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33260|2|N
H3387|015|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33270|2|N
H3387|015|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33280|2|N
H3387|015|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33290|2|N
H3387|015|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33300|2|N
H3387|015|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33310|2|N
H3387|015|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33320|2|N
H3387|015|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33330|2|N
H3387|015|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33340|2|N
H3387|015|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33350|2|N
H3387|015|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33360|2|N
H3387|015|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33370|2|N
H3387|015|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33380|2|N
H3387|015|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33500|2|N
H3387|015|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33510|2|N
H3387|015|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33520|2|N
H3387|015|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33530|2|N
H3387|015|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33540|2|N
H3387|015|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33550|2|N
H3387|015|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33560|2|N
H3387|015|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33570|2|N
H3387|015|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33580|2|N
H3387|015|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33600|2|N
H3387|015|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33620|2|N
H3387|015|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33630|2|N
H3387|015|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33640|2|N
H3387|015|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33650|2|N
H3387|015|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33660|2|N
H3387|015|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33670|2|N
H3387|015|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33680|2|N
H3387|015|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33690|2|N
H3387|015|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33710|2|N
H3387|015|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33720|2|N
H3387|015|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33740|2|N
H3387|015|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33750|2|N
H3387|015|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33760|2|N
H3387|015|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33770|2|N
H3387|015|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33800|2|N
H3387|015|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33900|2|N
H3387|015|001|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33910|2|N
H3387|015|002|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33020|2|N
H3387|015|002|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33331|2|N
H3387|015|002|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33400|2|N
H3387|015|002|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33420|2|N
H3387|015|002|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33590|2|N
H3387|015|002|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33610|2|N
H3387|015|002|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33700|2|N
H3387|017|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33010|2|N
H3387|017|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33040|2|N
H3387|017|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33210|2|N
H3387|017|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33220|2|N
H3387|017|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33310|2|N
H3387|017|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33380|2|N
H3387|017|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33570|2|N
H3387|017|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33580|2|N
H3387|017|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33640|2|N
H3387|017|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33660|2|N
H3387|017|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33670|2|N
H3387|017|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33690|2|N
H3387|017|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33710|2|N
H3387|017|000|UNITEDHEALTHCARE OF NEW YORK, INC.|UHC Dual Complete NY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |NY|33760|2|N
H3388|002|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP Choice Rx (HMO)|00025469|126.00|0| | |NY|33000|0|N
H3388|002|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP Choice Rx (HMO)|00025469|126.00|0| | |NY|33030|0|N
H3388|002|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP Choice Rx (HMO)|00025469|126.00|0| | |NY|33080|0|N
H3388|002|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP Choice Rx (HMO)|00025469|126.00|0| | |NY|33090|0|N
H3388|002|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP Choice Rx (HMO)|00025469|126.00|0| | |NY|33200|0|N
H3388|002|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP Choice Rx (HMO)|00025469|126.00|0| | |NY|33220|0|N
H3388|002|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP Choice Rx (HMO)|00025469|126.00|0| | |NY|33260|0|N
H3388|002|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP Choice Rx (HMO)|00025469|126.00|0| | |NY|33270|0|N
H3388|002|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP Choice Rx (HMO)|00025469|126.00|0| | |NY|33280|0|N
H3388|002|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP Choice Rx (HMO)|00025469|126.00|0| | |NY|33300|0|N
H3388|002|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP Choice Rx (HMO)|00025469|126.00|0| | |NY|33310|0|N
H3388|002|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP Choice Rx (HMO)|00025469|126.00|0| | |NY|33320|0|N
H3388|002|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP Choice Rx (HMO)|00025469|126.00|0| | |NY|33330|0|N
H3388|002|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP Choice Rx (HMO)|00025469|126.00|0| | |NY|33340|0|N
H3388|002|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP Choice Rx (HMO)|00025469|126.00|0| | |NY|33360|0|N
H3388|002|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP Choice Rx (HMO)|00025469|126.00|0| | |NY|33380|0|N
H3388|002|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP Choice Rx (HMO)|00025469|126.00|0| | |NY|33510|0|N
H3388|002|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP Choice Rx (HMO)|00025469|126.00|0| | |NY|33570|0|N
H3388|002|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP Choice Rx (HMO)|00025469|126.00|0| | |NY|33600|0|N
H3388|002|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP Choice Rx (HMO)|00025469|126.00|0| | |NY|33630|0|N
H3388|002|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP Choice Rx (HMO)|00025469|126.00|0| | |NY|33640|0|N
H3388|002|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP Choice Rx (HMO)|00025469|126.00|0| | |NY|33650|0|N
H3388|002|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP Choice Rx (HMO)|00025469|126.00|0| | |NY|33660|0|N
H3388|002|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP Choice Rx (HMO)|00025469|126.00|0| | |NY|33720|0|N
H3388|002|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP Choice Rx (HMO)|00025469|126.00|0| | |NY|33750|0|N
H3388|002|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP Choice Rx (HMO)|00025469|126.00|0| | |NY|33760|0|N
H3388|004|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP Value Rx (HMO)|00025469|62.00|0| | |NY|33000|0|N
H3388|004|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP Value Rx (HMO)|00025469|62.00|0| | |NY|33030|0|N
H3388|004|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP Value Rx (HMO)|00025469|62.00|0| | |NY|33080|0|N
H3388|004|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP Value Rx (HMO)|00025469|62.00|0| | |NY|33090|0|N
H3388|004|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP Value Rx (HMO)|00025469|62.00|0| | |NY|33200|0|N
H3388|004|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP Value Rx (HMO)|00025469|62.00|0| | |NY|33220|0|N
H3388|004|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP Value Rx (HMO)|00025469|62.00|0| | |NY|33260|0|N
H3388|004|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP Value Rx (HMO)|00025469|62.00|0| | |NY|33270|0|N
H3388|004|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP Value Rx (HMO)|00025469|62.00|0| | |NY|33280|0|N
H3388|004|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP Value Rx (HMO)|00025469|62.00|0| | |NY|33300|0|N
H3388|004|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP Value Rx (HMO)|00025469|62.00|0| | |NY|33310|0|N
H3388|004|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP Value Rx (HMO)|00025469|62.00|0| | |NY|33320|0|N
H3388|004|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP Value Rx (HMO)|00025469|62.00|0| | |NY|33330|0|N
H3388|004|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP Value Rx (HMO)|00025469|62.00|0| | |NY|33340|0|N
H3388|004|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP Value Rx (HMO)|00025469|62.00|0| | |NY|33360|0|N
H3388|004|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP Value Rx (HMO)|00025469|62.00|0| | |NY|33380|0|N
H3388|004|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP Value Rx (HMO)|00025469|62.00|0| | |NY|33510|0|N
H3388|004|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP Value Rx (HMO)|00025469|62.00|0| | |NY|33570|0|N
H3388|004|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP Value Rx (HMO)|00025469|62.00|0| | |NY|33600|0|N
H3388|004|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP Value Rx (HMO)|00025469|62.00|0| | |NY|33630|0|N
H3388|004|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP Value Rx (HMO)|00025469|62.00|0| | |NY|33640|0|N
H3388|004|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP Value Rx (HMO)|00025469|62.00|0| | |NY|33650|0|N
H3388|004|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP Value Rx (HMO)|00025469|62.00|0| | |NY|33660|0|N
H3388|004|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP Value Rx (HMO)|00025469|62.00|0| | |NY|33720|0|N
H3388|004|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP Value Rx (HMO)|00025469|62.00|0| | |NY|33750|0|N
H3388|004|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP Value Rx (HMO)|00025469|62.00|0| | |NY|33760|0|N
H3388|014|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP $0 Medicare Rx (HMO)|00025469|0.00|250| | |NY|33000|0|N
H3388|014|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP $0 Medicare Rx (HMO)|00025469|0.00|250| | |NY|33030|0|N
H3388|014|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP $0 Medicare Rx (HMO)|00025469|0.00|250| | |NY|33080|0|N
H3388|014|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP $0 Medicare Rx (HMO)|00025469|0.00|250| | |NY|33090|0|N
H3388|014|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP $0 Medicare Rx (HMO)|00025469|0.00|250| | |NY|33200|0|N
H3388|014|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP $0 Medicare Rx (HMO)|00025469|0.00|250| | |NY|33220|0|N
H3388|014|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP $0 Medicare Rx (HMO)|00025469|0.00|250| | |NY|33260|0|N
H3388|014|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP $0 Medicare Rx (HMO)|00025469|0.00|250| | |NY|33270|0|N
H3388|014|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP $0 Medicare Rx (HMO)|00025469|0.00|250| | |NY|33280|0|N
H3388|014|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP $0 Medicare Rx (HMO)|00025469|0.00|250| | |NY|33300|0|N
H3388|014|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP $0 Medicare Rx (HMO)|00025469|0.00|250| | |NY|33310|0|N
H3388|014|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP $0 Medicare Rx (HMO)|00025469|0.00|250| | |NY|33320|0|N
H3388|014|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP $0 Medicare Rx (HMO)|00025469|0.00|250| | |NY|33330|0|N
H3388|014|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP $0 Medicare Rx (HMO)|00025469|0.00|250| | |NY|33340|0|N
H3388|014|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP $0 Medicare Rx (HMO)|00025469|0.00|250| | |NY|33360|0|N
H3388|014|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP $0 Medicare Rx (HMO)|00025469|0.00|250| | |NY|33380|0|N
H3388|014|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP $0 Medicare Rx (HMO)|00025469|0.00|250| | |NY|33510|0|N
H3388|014|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP $0 Medicare Rx (HMO)|00025469|0.00|250| | |NY|33570|0|N
H3388|014|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP $0 Medicare Rx (HMO)|00025469|0.00|250| | |NY|33600|0|N
H3388|014|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP $0 Medicare Rx (HMO)|00025469|0.00|250| | |NY|33630|0|N
H3388|014|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP $0 Medicare Rx (HMO)|00025469|0.00|250| | |NY|33640|0|N
H3388|014|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP $0 Medicare Rx (HMO)|00025469|0.00|250| | |NY|33650|0|N
H3388|014|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP $0 Medicare Rx (HMO)|00025469|0.00|250| | |NY|33660|0|N
H3388|014|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP $0 Medicare Rx (HMO)|00025469|0.00|250| | |NY|33720|0|N
H3388|014|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP $0 Medicare Rx (HMO)|00025469|0.00|250| | |NY|33750|0|N
H3388|014|000|CAPITAL DISTRICT PHYSICIANS' HEALTH PLAN, INC.|CDPHP $0 Medicare Rx (HMO)|00025469|0.00|250| | |NY|33760|0|N
H3404|003|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34000|0|N
H3404|003|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34100|0|N
H3404|003|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34110|0|N
H3404|003|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34170|0|N
H3404|003|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34180|0|N
H3404|003|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34280|0|N
H3404|003|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34290|0|N
H3404|003|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34310|0|N
H3404|003|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34330|0|N
H3404|003|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34350|0|N
H3404|003|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34400|0|N
H3404|003|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34420|0|N
H3404|003|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34430|0|N
H3404|003|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34480|0|N
H3404|003|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34590|0|N
H3404|003|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34670|0|N
H3404|003|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34750|0|N
H3404|003|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34780|0|N
H3404|003|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34800|0|N
H3404|003|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34910|0|N
H3404|003|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34960|0|N
H3404|003|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34980|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34010|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34030|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34050|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34060|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34070|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34080|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34090|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34120|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34130|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34160|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34200|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34220|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34230|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34250|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34251|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34300|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34320|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34340|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34360|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34380|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34410|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34440|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34450|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34460|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34500|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34510|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34520|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34530|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34540|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34550|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34570|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34580|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34600|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34610|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34620|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34630|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34640|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34650|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34700|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34720|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34730|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34740|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34760|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34770|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34790|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34810|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34820|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34830|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34840|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34850|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34860|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34870|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34890|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34900|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34920|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34930|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34940|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34950|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34970|0|N
H3404|003|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare PPO Enhanced (PPO)|00025078|24.90|0| | |NC|34981|0|N
H3407|001|000|EL PASO FIRST HEALTH PLANS, INC.|El Paso Health Medicare Advantage Dual (HMO D-SNP)|00025095|0.00|590| | |TX|45480|2|N
H3407|001|000|EL PASO FIRST HEALTH PLANS, INC.|El Paso Health Medicare Advantage Dual (HMO D-SNP)|00025095|0.00|590| | |TX|45662|2|N
H3418|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NY-0012 (PPO)|00025002|0.00|570| | |NY|33331|0|N
H3418|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NY-0012 (PPO)|00025002|0.00|570| | |NY|33420|0|N
H3418|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NY-0012 (PPO)|00025002|0.00|570| | |NY|33590|0|N
H3418|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NY-0013 (PPO)|00025002|25.00|570| | |NY|33230|0|N
H3418|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NY-0013 (PPO)|00025002|25.00|570| | |NY|33540|0|N
H3418|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NY-0013 (PPO)|00025002|25.00|570| | |NY|33580|0|N
H3418|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NY-0013 (PPO)|00025002|25.00|570| | |NY|33620|0|N
H3418|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NY-0013 (PPO)|00025002|25.00|570| | |NY|33710|0|N
H3418|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NY-0013 (PPO)|00025002|25.00|570| | |NY|33740|0|N
H3418|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NY-0013 (PPO)|00025002|25.00|570| | |NY|33800|0|N
H3418|004|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NY-0015 (PPO)|00025002|19.00|495| | |NY|33000|0|N
H3418|004|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NY-0015 (PPO)|00025002|19.00|495| | |NY|33200|0|N
H3418|004|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NY-0015 (PPO)|00025002|19.00|495| | |NY|33280|0|N
H3418|004|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NY-0015 (PPO)|00025002|19.00|495| | |NY|33300|0|N
H3418|004|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NY-0015 (PPO)|00025002|19.00|495| | |NY|33600|0|N
H3418|004|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NY-0015 (PPO)|00025002|19.00|495| | |NY|33640|0|N
H3418|004|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NY-0015 (PPO)|00025002|19.00|495| | |NY|33650|0|N
H3418|004|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NY-0015 (PPO)|00025002|19.00|495| | |NY|33750|0|N
H3418|004|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NY-0015 (PPO)|00025002|19.00|495| | |NY|33760|0|N
H3418|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NY-0018 (PPO)|00025002|19.00|495| | |NY|33050|0|N
H3418|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NY-0018 (PPO)|00025002|19.00|495| | |NY|33070|0|N
H3418|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NY-0018 (PPO)|00025002|19.00|495| | |NY|33210|0|N
H3418|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NY-0018 (PPO)|00025002|19.00|495| | |NY|33330|0|N
H3418|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NY-0018 (PPO)|00025002|19.00|495| | |NY|33340|0|N
H3418|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NY-0018 (PPO)|00025002|19.00|495| | |NY|33360|0|N
H3418|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NY-0018 (PPO)|00025002|19.00|495| | |NY|33510|0|N
H3418|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NY-0018 (PPO)|00025002|19.00|495| | |NY|33520|0|N
H3418|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NY-0018 (PPO)|00025002|19.00|495| | |NY|33560|0|N
H3418|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NY-0018 (PPO)|00025002|19.00|495| | |NY|33670|0|N
H3418|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NY-0018 (PPO)|00025002|19.00|495| | |NY|33690|0|N
H3418|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NY-0018 (PPO)|00025002|19.00|495| | |NY|33720|0|N
H3418|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NY-0019 (PPO)|00025002|19.00|495| | |NY|33010|0|N
H3418|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NY-0019 (PPO)|00025002|19.00|495| | |NY|33040|0|N
H3418|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NY-0019 (PPO)|00025002|19.00|495| | |NY|33060|0|N
H3418|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NY-0019 (PPO)|00025002|19.00|495| | |NY|33240|0|N
H3418|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NY-0019 (PPO)|00025002|19.00|495| | |NY|33290|0|N
H3418|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NY-0019 (PPO)|00025002|19.00|495| | |NY|33500|0|N
H3418|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NY-0019 (PPO)|00025002|19.00|495| | |NY|33550|0|N
H3418|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NY-0019 (PPO)|00025002|19.00|495| | |NY|33900|0|N
H3418|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NY-0025 (PPO)|00025002|35.00|570| | |NY|33350|0|N
H3418|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NY-0025 (PPO)|00025002|35.00|570| | |NY|33370|0|N
H3418|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NY-0025 (PPO)|00025002|35.00|570| | |NY|33530|0|N
H3418|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NY-0025 (PPO)|00025002|35.00|570| | |NY|33680|0|N
H3418|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NY-0025 (PPO)|00025002|35.00|570| | |NY|33770|0|N
H3418|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NY-0025 (PPO)|00025002|35.00|570| | |NY|33910|0|N
H3418|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NY-0026 (PPO)|00025002|19.00|570| | |NY|33310|0|N
H3418|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NY-0026 (PPO)|00025002|19.00|570| | |NY|33320|0|N
H3418|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NY-0026 (PPO)|00025002|19.00|570| | |NY|33380|0|N
H3418|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NY-0026 (PPO)|00025002|19.00|570| | |NY|33570|0|N
H3418|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NY-0026 (PPO)|00025002|19.00|570| | |NY|33660|0|N
H3419|001|000|PERENNIAL ADVANTAGE OF COLORADO, INC.|Perennial Advantage Strive (HMO I-SNP)|00025033|37.00|590| | |CO|06000|3|N
H3419|001|000|PERENNIAL ADVANTAGE OF COLORADO, INC.|Perennial Advantage Strive (HMO I-SNP)|00025033|37.00|590| | |CO|06020|3|N
H3419|001|000|PERENNIAL ADVANTAGE OF COLORADO, INC.|Perennial Advantage Strive (HMO I-SNP)|00025033|37.00|590| | |CO|06060|3|N
H3419|001|000|PERENNIAL ADVANTAGE OF COLORADO, INC.|Perennial Advantage Strive (HMO I-SNP)|00025033|37.00|590| | |CO|06150|3|N
H3419|001|000|PERENNIAL ADVANTAGE OF COLORADO, INC.|Perennial Advantage Strive (HMO I-SNP)|00025033|37.00|590| | |CO|06290|3|N
H3419|001|000|PERENNIAL ADVANTAGE OF COLORADO, INC.|Perennial Advantage Strive (HMO I-SNP)|00025033|37.00|590| | |CO|06630|3|N
H3419|003|000|PERENNIAL ADVANTAGE OF COLORADO, INC.|Perennial Advantage Freedom (HMO-POS)|00025043|0.00|0| | |CO|06000|0|N
H3419|003|000|PERENNIAL ADVANTAGE OF COLORADO, INC.|Perennial Advantage Freedom (HMO-POS)|00025043|0.00|0| | |CO|06020|0|N
H3419|003|000|PERENNIAL ADVANTAGE OF COLORADO, INC.|Perennial Advantage Freedom (HMO-POS)|00025043|0.00|0| | |CO|06060|0|N
H3419|003|000|PERENNIAL ADVANTAGE OF COLORADO, INC.|Perennial Advantage Freedom (HMO-POS)|00025043|0.00|0| | |CO|06150|0|N
H3419|003|000|PERENNIAL ADVANTAGE OF COLORADO, INC.|Perennial Advantage Freedom (HMO-POS)|00025043|0.00|0| | |CO|06290|0|N
H3419|003|000|PERENNIAL ADVANTAGE OF COLORADO, INC.|Perennial Advantage Freedom (HMO-POS)|00025043|0.00|0| | |CO|06630|0|N
H3419|004|000|PERENNIAL ADVANTAGE OF COLORADO, INC.|Perennial Advantage Premier (HMO-POS I-SNP)|00025043|0.00|0| | |CO|06000|3|N
H3419|004|000|PERENNIAL ADVANTAGE OF COLORADO, INC.|Perennial Advantage Premier (HMO-POS I-SNP)|00025043|0.00|0| | |CO|06020|3|N
H3419|004|000|PERENNIAL ADVANTAGE OF COLORADO, INC.|Perennial Advantage Premier (HMO-POS I-SNP)|00025043|0.00|0| | |CO|06060|3|N
H3419|004|000|PERENNIAL ADVANTAGE OF COLORADO, INC.|Perennial Advantage Premier (HMO-POS I-SNP)|00025043|0.00|0| | |CO|06150|3|N
H3419|004|000|PERENNIAL ADVANTAGE OF COLORADO, INC.|Perennial Advantage Premier (HMO-POS I-SNP)|00025043|0.00|0| | |CO|06290|3|N
H3419|004|000|PERENNIAL ADVANTAGE OF COLORADO, INC.|Perennial Advantage Premier (HMO-POS I-SNP)|00025043|0.00|0| | |CO|06630|3|N
H3443|001|000|ALIGNMENT HEALTH PLAN OF ARIZONA, INC.|Alignment Health the ONE + Walgreens (HMO)|00025083|0.00|0| | |AZ|03060|0|N
H3443|002|000|ALIGNMENT HEALTH PLAN OF ARIZONA, INC.|Alignment Health the ONE + Walgreens (HMO)|00025083|0.00|0| | |AZ|03090|0|N
H3443|002|000|ALIGNMENT HEALTH PLAN OF ARIZONA, INC.|Alignment Health the ONE + Walgreens (HMO)|00025083|0.00|0| | |AZ|03110|0|N
H3443|003|000|ALIGNMENT HEALTH PLAN OF ARIZONA, INC.|Alignment Health Heart & Diabetes (HMO C-SNP)|00025083|0.00|0| | |AZ|03060|1|N
H3443|003|000|ALIGNMENT HEALTH PLAN OF ARIZONA, INC.|Alignment Health Heart & Diabetes (HMO C-SNP)|00025083|0.00|0| | |AZ|03090|1|N
H3443|003|000|ALIGNMENT HEALTH PLAN OF ARIZONA, INC.|Alignment Health Heart & Diabetes (HMO C-SNP)|00025083|0.00|0| | |AZ|03110|1|N
H3443|005|000|ALIGNMENT HEALTH PLAN OF ARIZONA, INC.|Alignment Health smartHMO (HMO)|00025083|0.00|590| | |AZ|03060|0|N
H3443|005|000|ALIGNMENT HEALTH PLAN OF ARIZONA, INC.|Alignment Health smartHMO (HMO)|00025083|0.00|590| | |AZ|03090|0|N
H3443|005|000|ALIGNMENT HEALTH PLAN OF ARIZONA, INC.|Alignment Health smartHMO (HMO)|00025083|0.00|590| | |AZ|03110|0|N
H3443|006|000|ALIGNMENT HEALTH PLAN OF ARIZONA, INC.|Alignment Health Heart & Diabetes Plus (HMO C-SNP)|00025086|13.60|590| | |AZ|03060|1|N
H3443|006|000|ALIGNMENT HEALTH PLAN OF ARIZONA, INC.|Alignment Health Heart & Diabetes Plus (HMO C-SNP)|00025086|13.60|590| | |AZ|03090|1|N
H3443|006|000|ALIGNMENT HEALTH PLAN OF ARIZONA, INC.|Alignment Health Heart & Diabetes Plus (HMO C-SNP)|00025086|13.60|590| | |AZ|03110|1|N
H3447|013|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|275| | |VA|49194|0|N
H3447|013|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|275| | |VA|49328|0|N
H3447|013|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|275| | |VA|49360|0|N
H3447|013|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|275| | |VA|49411|0|N
H3447|013|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|275| | |VA|49460|0|N
H3447|013|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|275| | |VA|49470|0|N
H3447|013|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|275| | |VA|49500|0|N
H3447|013|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|275| | |VA|49570|0|N
H3447|013|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|275| | |VA|49590|0|N
H3447|013|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|275| | |VA|49622|0|N
H3447|013|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|275| | |VA|49641|0|N
H3447|013|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|275| | |VA|49650|0|N
H3447|013|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|275| | |VA|49660|0|N
H3447|013|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|275| | |VA|49711|0|N
H3447|013|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|275| | |VA|49712|0|N
H3447|013|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|275| | |VA|49870|0|N
H3447|013|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|275| | |VA|49892|0|N
H3447|013|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|275| | |VA|49900|0|N
H3447|013|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|275| | |VA|49921|0|N
H3447|013|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|275| | |VA|49961|0|N
H3447|013|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|275| | |VA|49981|0|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26000|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26030|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26040|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26050|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26080|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26090|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26110|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26130|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26140|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26150|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26170|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26190|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26200|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26210|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26220|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26250|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26260|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26270|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26280|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26290|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26320|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26330|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26340|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26350|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26360|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26380|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26411|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26440|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26450|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26460|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26480|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26490|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26510|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26520|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26540|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26541|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26560|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26570|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26590|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26600|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26601|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26620|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26630|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26650|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26660|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26670|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26680|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26690|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26700|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26710|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26720|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26740|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26750|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26751|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26770|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26780|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26800|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26810|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26821|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26840|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26850|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26860|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26870|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26881|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26900|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26910|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26930|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26940|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26950|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26960|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26980|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26981|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26982|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26983|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26984|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26985|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26986|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26987|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26988|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26989|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26991|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26992|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26993|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26994|2|N
H3447|018|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |MO|26996|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15000|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15010|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15020|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15030|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15040|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15050|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15060|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15070|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15080|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15090|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15100|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15110|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15120|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15130|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15140|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15150|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15160|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15170|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15180|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15190|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15200|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15210|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15220|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15230|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15240|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15250|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15260|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15270|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15280|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15290|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15300|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15310|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15320|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15330|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15340|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15350|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15360|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15370|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15380|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15390|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15400|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15410|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15420|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15430|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15440|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15450|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15460|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15470|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15480|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15490|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15500|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15510|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15520|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15530|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15540|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15550|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15560|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15570|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15580|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15590|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15600|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15610|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15620|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15630|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15640|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15650|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15660|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15670|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15680|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15690|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15700|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15710|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15720|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15730|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15740|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15750|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15760|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15770|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15780|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15790|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15800|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15810|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15820|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15830|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15840|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15850|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15860|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15870|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15880|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15890|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15900|2|N
H3447|020|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |IN|15910|2|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15000|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15010|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15020|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15030|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15040|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15050|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15060|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15070|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15080|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15090|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15100|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15110|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15120|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15130|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15140|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15150|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15160|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15170|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15180|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15190|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15200|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15210|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15220|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15230|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15240|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15250|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15260|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15270|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15280|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15290|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15300|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15310|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15320|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15330|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15340|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15350|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15360|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15370|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15380|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15390|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15400|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15410|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15420|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15430|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15440|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15450|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15460|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15470|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15480|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15490|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15500|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15510|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15520|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15530|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15540|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15550|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15560|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15570|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15580|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15590|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15600|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15610|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15620|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15630|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15640|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15650|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15660|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15670|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15680|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15690|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15700|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15710|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15720|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15730|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15740|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15750|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15760|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15770|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15780|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15790|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15800|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15810|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15820|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15830|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15840|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15850|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15860|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15870|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15880|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15890|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15900|0|N
H3447|024|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|11.20|590| | |IN|15910|0|N
H3447|025|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025049|0.00|320| | |VA|49010|0|N
H3447|025|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025049|0.00|320| | |VA|49011|0|N
H3447|025|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025049|0.00|320| | |VA|49030|0|N
H3447|025|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025049|0.00|320| | |VA|49040|0|N
H3447|025|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025049|0.00|320| | |VA|49070|0|N
H3447|025|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025049|0.00|320| | |VA|49090|0|N
H3447|025|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025049|0.00|320| | |VA|49110|0|N
H3447|025|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025049|0.00|320| | |VA|49111|0|N
H3447|025|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025049|0.00|320| | |VA|49141|0|N
H3447|025|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025049|0.00|320| | |VA|49150|0|N
H3447|025|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025049|0.00|320| | |VA|49191|0|N
H3447|025|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025049|0.00|320| | |VA|49241|0|N
H3447|025|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025049|0.00|320| | |VA|49260|0|N
H3447|025|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025049|0.00|320| | |VA|49310|0|N
H3447|025|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025049|0.00|320| | |VA|49320|0|N
H3447|025|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025049|0.00|320| | |VA|49330|0|N
H3447|025|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025049|0.00|320| | |VA|49340|0|N
H3447|025|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025049|0.00|320| | |VA|49342|0|N
H3447|025|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025049|0.00|320| | |VA|49350|0|N
H3447|025|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025049|0.00|320| | |VA|49390|0|N
H3447|025|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025049|0.00|320| | |VA|49410|0|N
H3447|025|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025049|0.00|320| | |VA|49421|0|N
H3447|025|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025049|0.00|320| | |VA|49440|0|N
H3447|025|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025049|0.00|320| | |VA|49490|0|N
H3447|025|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025049|0.00|320| | |VA|49522|0|N
H3447|025|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025049|0.00|320| | |VA|49530|0|N
H3447|025|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025049|0.00|320| | |VA|49540|0|N
H3447|025|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025049|0.00|320| | |VA|49551|0|N
H3447|025|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025049|0.00|320| | |VA|49561|0|N
H3447|025|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025049|0.00|320| | |VA|49563|0|N
H3447|025|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025049|0.00|320| | |VA|49565|0|N
H3447|025|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025049|0.00|320| | |VA|49600|0|N
H3447|025|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025049|0.00|320| | |VA|49680|0|N
H3447|025|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025049|0.00|320| | |VA|49710|0|N
H3447|025|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025049|0.00|320| | |VA|49730|0|N
H3447|025|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025049|0.00|320| | |VA|49740|0|N
H3447|025|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025049|0.00|320| | |VA|49750|0|N
H3447|025|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025049|0.00|320| | |VA|49770|0|N
H3447|025|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025049|0.00|320| | |VA|49771|0|N
H3447|025|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025049|0.00|320| | |VA|49800|0|N
H3447|025|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025049|0.00|320| | |VA|49801|0|N
H3447|025|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025049|0.00|320| | |VA|49810|0|N
H3447|025|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025049|0.00|320| | |VA|49820|0|N
H3447|025|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025049|0.00|320| | |VA|49838|0|N
H3447|025|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025049|0.00|320| | |VA|49850|0|N
H3447|025|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025049|0.00|320| | |VA|49890|0|N
H3447|025|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025049|0.00|320| | |VA|49891|0|N
H3447|025|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025049|0.00|320| | |VA|49920|0|N
H3447|025|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025049|0.00|320| | |VA|49950|0|N
H3447|025|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025049|0.00|320| | |VA|49951|0|N
H3447|025|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025049|0.00|320| | |VA|49960|0|N
H3447|025|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025049|0.00|320| | |VA|49970|0|N
H3447|025|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025049|0.00|320| | |VA|49980|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49010|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49011|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49020|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49030|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49040|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49050|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49060|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49070|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49080|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49090|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49100|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49110|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49111|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49120|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49130|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49140|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49141|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49150|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49160|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49170|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49180|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49190|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49191|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49194|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49200|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49210|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49212|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49213|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49220|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49230|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49240|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49241|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49250|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49260|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49270|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49280|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49288|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49290|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49291|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49300|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49310|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49320|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49328|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49330|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49340|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49342|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49343|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49350|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49360|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49370|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49380|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49390|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49400|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49410|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49411|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49420|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49421|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49430|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49440|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49450|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49451|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49460|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49470|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49480|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49490|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49500|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49510|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49520|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49522|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49530|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49540|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49550|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49551|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49560|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49561|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49563|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49565|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49570|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49580|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49590|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49600|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49620|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49621|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49622|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49641|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49650|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49660|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49661|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49670|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49680|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49690|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49700|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49701|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49710|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49711|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49712|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49720|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49730|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49740|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49750|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49770|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49771|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49780|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49790|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49791|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49800|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49801|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49810|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49820|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49830|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49838|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49840|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49850|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49860|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49870|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49880|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49890|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49891|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49892|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49900|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49910|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49920|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49921|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49930|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49950|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49951|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49960|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49961|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49962|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49970|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49980|0|N
H3447|028|000|HEALTHKEEPERS, INC.|Anthem Extra Help (HMO-POS)|00025049|8.10|590| | |VA|49981|0|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49010|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49020|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49030|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49040|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49050|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49070|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49080|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49090|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49100|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49110|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49111|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49120|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49130|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49140|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49141|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49150|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49160|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49170|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49180|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49190|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49191|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49194|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49200|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49210|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49212|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49213|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49220|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49230|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49240|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49241|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49250|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49260|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49270|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49280|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49288|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49300|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49310|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49320|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49328|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49330|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49340|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49342|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49343|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49350|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49360|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49370|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49380|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49390|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49400|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49410|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49411|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49420|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49421|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49430|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49440|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49450|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49451|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49460|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49470|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49480|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49490|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49500|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49510|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49520|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49522|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49530|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49540|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49550|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49551|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49560|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49561|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49563|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49565|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49570|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49580|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49590|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49600|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49620|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49621|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49622|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49641|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49650|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49660|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49661|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49670|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49680|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49690|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49700|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49701|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49710|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49711|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49712|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49720|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49730|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49740|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49750|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49770|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49771|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49780|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49790|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49791|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49800|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49801|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49810|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49820|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49830|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49838|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49840|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49850|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49860|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49870|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49880|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49890|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49891|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49892|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49900|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49910|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49920|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49921|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49930|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49950|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49951|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49960|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49961|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49962|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49970|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49980|1|N
H3447|033|000|HEALTHKEEPERS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|325| | |VA|49981|1|N
H3447|037|000|HEALTHKEEPERS, INC.|Anthem Chronic Care (HMO-POS C-SNP)|00025064|0.00|0| | |VA|49194|1|N
H3447|037|000|HEALTHKEEPERS, INC.|Anthem Chronic Care (HMO-POS C-SNP)|00025064|0.00|0| | |VA|49200|1|N
H3447|037|000|HEALTHKEEPERS, INC.|Anthem Chronic Care (HMO-POS C-SNP)|00025064|0.00|0| | |VA|49212|1|N
H3447|037|000|HEALTHKEEPERS, INC.|Anthem Chronic Care (HMO-POS C-SNP)|00025064|0.00|0| | |VA|49370|1|N
H3447|037|000|HEALTHKEEPERS, INC.|Anthem Chronic Care (HMO-POS C-SNP)|00025064|0.00|0| | |VA|49411|1|N
H3447|037|000|HEALTHKEEPERS, INC.|Anthem Chronic Care (HMO-POS C-SNP)|00025064|0.00|0| | |VA|49420|1|N
H3447|037|000|HEALTHKEEPERS, INC.|Anthem Chronic Care (HMO-POS C-SNP)|00025064|0.00|0| | |VA|49430|1|N
H3447|037|000|HEALTHKEEPERS, INC.|Anthem Chronic Care (HMO-POS C-SNP)|00025064|0.00|0| | |VA|49451|1|N
H3447|037|000|HEALTHKEEPERS, INC.|Anthem Chronic Care (HMO-POS C-SNP)|00025064|0.00|0| | |VA|49470|1|N
H3447|037|000|HEALTHKEEPERS, INC.|Anthem Chronic Care (HMO-POS C-SNP)|00025064|0.00|0| | |VA|49530|1|N
H3447|037|000|HEALTHKEEPERS, INC.|Anthem Chronic Care (HMO-POS C-SNP)|00025064|0.00|0| | |VA|49570|1|N
H3447|037|000|HEALTHKEEPERS, INC.|Anthem Chronic Care (HMO-POS C-SNP)|00025064|0.00|0| | |VA|49622|1|N
H3447|037|000|HEALTHKEEPERS, INC.|Anthem Chronic Care (HMO-POS C-SNP)|00025064|0.00|0| | |VA|49641|1|N
H3447|037|000|HEALTHKEEPERS, INC.|Anthem Chronic Care (HMO-POS C-SNP)|00025064|0.00|0| | |VA|49701|1|N
H3447|037|000|HEALTHKEEPERS, INC.|Anthem Chronic Care (HMO-POS C-SNP)|00025064|0.00|0| | |VA|49711|1|N
H3447|037|000|HEALTHKEEPERS, INC.|Anthem Chronic Care (HMO-POS C-SNP)|00025064|0.00|0| | |VA|49720|1|N
H3447|037|000|HEALTHKEEPERS, INC.|Anthem Chronic Care (HMO-POS C-SNP)|00025064|0.00|0| | |VA|49750|1|N
H3447|037|000|HEALTHKEEPERS, INC.|Anthem Chronic Care (HMO-POS C-SNP)|00025064|0.00|0| | |VA|49791|1|N
H3447|037|000|HEALTHKEEPERS, INC.|Anthem Chronic Care (HMO-POS C-SNP)|00025064|0.00|0| | |VA|49892|1|N
H3447|037|000|HEALTHKEEPERS, INC.|Anthem Chronic Care (HMO-POS C-SNP)|00025064|0.00|0| | |VA|49921|1|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26000|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26030|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26040|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26050|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26080|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26090|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26110|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26130|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26140|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26150|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26170|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26190|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26200|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26210|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26220|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26250|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26260|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26270|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26280|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26290|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26320|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26330|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26340|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26360|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26380|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26411|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26440|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26450|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26460|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26480|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26510|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26520|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26540|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26541|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26570|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26590|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26600|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26601|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26620|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26630|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26650|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26660|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26670|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26680|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26690|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26700|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26710|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26720|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26740|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26750|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26751|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26770|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26780|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26800|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26810|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26821|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26840|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26850|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26860|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26870|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26881|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26900|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26930|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26960|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26980|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26981|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26982|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26983|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26984|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26985|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26986|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26987|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26988|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26989|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26993|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26994|0|N
H3447|038|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26996|0|N
H3447|038|002|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26350|0|N
H3447|038|002|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26490|0|N
H3447|038|002|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26560|0|N
H3447|038|002|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26910|0|N
H3447|038|002|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26940|0|N
H3447|038|002|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26950|0|N
H3447|038|002|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26991|0|N
H3447|038|002|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |MO|26992|0|N
H3447|039|000|HEALTHKEEPERS, INC.|Anthem Grocery (HMO-POS)|00025049|0.00|195| | |VA|49090|0|N
H3447|039|000|HEALTHKEEPERS, INC.|Anthem Grocery (HMO-POS)|00025049|0.00|195| | |VA|49110|0|N
H3447|039|000|HEALTHKEEPERS, INC.|Anthem Grocery (HMO-POS)|00025049|0.00|195| | |VA|49194|0|N
H3447|039|000|HEALTHKEEPERS, INC.|Anthem Grocery (HMO-POS)|00025049|0.00|195| | |VA|49200|0|N
H3447|039|000|HEALTHKEEPERS, INC.|Anthem Grocery (HMO-POS)|00025049|0.00|195| | |VA|49212|0|N
H3447|039|000|HEALTHKEEPERS, INC.|Anthem Grocery (HMO-POS)|00025049|0.00|195| | |VA|49328|0|N
H3447|039|000|HEALTHKEEPERS, INC.|Anthem Grocery (HMO-POS)|00025049|0.00|195| | |VA|49330|0|N
H3447|039|000|HEALTHKEEPERS, INC.|Anthem Grocery (HMO-POS)|00025049|0.00|195| | |VA|49370|0|N
H3447|039|000|HEALTHKEEPERS, INC.|Anthem Grocery (HMO-POS)|00025049|0.00|195| | |VA|49411|0|N
H3447|039|000|HEALTHKEEPERS, INC.|Anthem Grocery (HMO-POS)|00025049|0.00|195| | |VA|49420|0|N
H3447|039|000|HEALTHKEEPERS, INC.|Anthem Grocery (HMO-POS)|00025049|0.00|195| | |VA|49430|0|N
H3447|039|000|HEALTHKEEPERS, INC.|Anthem Grocery (HMO-POS)|00025049|0.00|195| | |VA|49451|0|N
H3447|039|000|HEALTHKEEPERS, INC.|Anthem Grocery (HMO-POS)|00025049|0.00|195| | |VA|49460|0|N
H3447|039|000|HEALTHKEEPERS, INC.|Anthem Grocery (HMO-POS)|00025049|0.00|195| | |VA|49551|0|N
H3447|039|000|HEALTHKEEPERS, INC.|Anthem Grocery (HMO-POS)|00025049|0.00|195| | |VA|49600|0|N
H3447|039|000|HEALTHKEEPERS, INC.|Anthem Grocery (HMO-POS)|00025049|0.00|195| | |VA|49701|0|N
H3447|039|000|HEALTHKEEPERS, INC.|Anthem Grocery (HMO-POS)|00025049|0.00|195| | |VA|49711|0|N
H3447|039|000|HEALTHKEEPERS, INC.|Anthem Grocery (HMO-POS)|00025049|0.00|195| | |VA|49712|0|N
H3447|039|000|HEALTHKEEPERS, INC.|Anthem Grocery (HMO-POS)|00025049|0.00|195| | |VA|49720|0|N
H3447|039|000|HEALTHKEEPERS, INC.|Anthem Grocery (HMO-POS)|00025049|0.00|195| | |VA|49791|0|N
H3447|039|000|HEALTHKEEPERS, INC.|Anthem Grocery (HMO-POS)|00025049|0.00|195| | |VA|49800|0|N
H3447|039|000|HEALTHKEEPERS, INC.|Anthem Grocery (HMO-POS)|00025049|0.00|195| | |VA|49801|0|N
H3447|039|000|HEALTHKEEPERS, INC.|Anthem Grocery (HMO-POS)|00025049|0.00|195| | |VA|49838|0|N
H3447|039|000|HEALTHKEEPERS, INC.|Anthem Grocery (HMO-POS)|00025049|0.00|195| | |VA|49892|0|N
H3447|039|000|HEALTHKEEPERS, INC.|Anthem Grocery (HMO-POS)|00025049|0.00|195| | |VA|49921|0|N
H3447|042|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15190|0|N
H3447|042|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15240|0|N
H3447|042|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15360|0|N
H3447|042|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15420|0|N
H3447|042|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15430|0|N
H3447|042|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15440|0|N
H3447|042|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15450|0|N
H3447|042|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15490|0|N
H3447|042|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15550|0|N
H3447|042|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15630|0|N
H3447|042|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15650|0|N
H3447|042|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15700|0|N
H3447|042|001|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15740|0|N
H3447|042|002|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15000|0|N
H3447|042|002|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15010|0|N
H3447|042|002|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15160|0|N
H3447|042|002|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15260|0|N
H3447|042|002|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15340|0|N
H3447|042|002|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15560|0|N
H3447|042|002|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15750|0|N
H3447|042|002|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15840|0|N
H3447|042|002|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15890|0|N
H3447|042|002|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15910|0|N
H3447|042|003|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15050|0|N
H3447|042|003|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15060|0|N
H3447|042|003|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15280|0|N
H3447|042|003|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15290|0|N
H3447|042|003|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15310|0|N
H3447|042|003|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15400|0|N
H3447|042|003|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15470|0|N
H3447|042|003|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15480|0|N
H3447|042|003|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15530|0|N
H3447|042|003|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15540|0|N
H3447|042|003|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15660|0|N
H3447|042|003|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15720|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15020|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15030|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15040|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15070|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15080|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15090|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15100|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15110|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15120|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15130|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15140|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15150|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15170|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15180|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15200|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15210|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15220|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15230|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15250|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15270|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15300|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15320|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15330|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15350|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15370|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15380|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15390|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15410|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15460|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15500|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15510|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15520|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15570|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15580|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15590|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15600|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15610|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15620|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15640|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15670|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15680|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15690|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15710|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15730|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15760|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15770|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15780|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15790|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15800|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15810|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15820|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15830|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15850|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15860|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15870|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15880|0|N
H3447|042|004|HEALTHKEEPERS, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |IN|15900|0|N
H3447|043|000|HEALTHKEEPERS, INC.|Anthem Chronic Care (HMO-POS C-SNP)|00025049|0.00|0| | |IN|15480|1|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15000|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15010|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15020|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15030|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15040|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15050|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15060|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15070|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15080|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15090|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15100|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15110|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15120|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15130|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15140|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15150|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15160|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15170|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15180|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15190|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15200|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15210|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15220|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15230|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15240|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15250|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15260|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15270|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15280|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15290|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15300|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15310|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15320|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15330|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15340|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15350|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15360|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15370|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15380|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15390|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15400|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15410|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15420|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15430|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15440|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15450|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15460|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15470|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15480|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15490|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15500|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15510|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15520|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15530|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15540|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15550|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15560|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15570|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15580|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15590|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15600|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15610|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15620|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15630|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15640|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15650|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15660|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15670|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15680|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15690|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15700|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15710|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15720|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15730|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15740|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15750|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15760|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15770|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15780|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15790|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15800|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15810|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15820|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15830|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15840|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15850|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15860|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15870|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15880|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15890|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15900|2|N
H3447|046|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|35.60|590| | |IN|15910|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26000|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26030|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26040|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26050|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26080|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26090|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26110|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26130|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26140|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26150|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26170|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26190|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26200|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26210|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26220|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26250|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26260|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26270|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26280|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26290|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26320|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26330|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26340|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26350|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26360|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26380|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26411|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26440|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26450|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26460|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26480|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26490|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26510|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26520|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26540|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26541|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26560|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26570|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26590|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26600|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26601|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26620|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26630|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26650|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26660|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26670|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26680|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26690|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26700|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26710|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26720|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26740|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26750|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26751|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26770|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26780|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26800|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26810|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26821|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26840|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26850|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26860|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26870|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26881|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26900|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26910|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26930|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26940|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26950|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26960|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26980|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26981|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26982|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26983|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26984|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26985|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26986|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26987|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26988|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26989|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26991|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26992|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26993|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26994|2|N
H3447|047|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|13.10|590| | |MO|26996|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15000|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15010|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15020|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15030|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15040|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15050|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15060|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15070|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15080|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15090|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15100|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15110|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15120|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15130|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15140|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15150|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15160|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15170|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15180|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15190|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15200|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15210|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15220|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15230|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15240|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15250|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15260|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15270|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15280|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15290|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15300|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15310|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15320|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15330|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15340|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15350|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15360|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15370|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15380|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15390|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15400|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15410|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15420|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15430|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15440|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15450|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15460|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15470|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15480|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15490|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15500|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15510|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15520|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15530|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15540|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15550|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15560|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15570|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15580|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15590|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15600|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15610|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15620|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15630|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15640|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15650|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15660|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15670|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15680|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15690|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15700|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15710|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15720|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15730|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15740|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15750|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15760|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15770|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15780|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15790|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15800|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15810|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15820|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15830|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15840|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15850|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15860|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15870|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15880|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15890|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15900|2|N
H3447|048|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025049|0.00|590| | |IN|15910|2|N
H3447|049|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49030|0|N
H3447|049|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49160|0|N
H3447|049|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49180|0|N
H3447|049|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49194|0|N
H3447|049|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49200|0|N
H3447|049|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49212|0|N
H3447|049|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49260|0|N
H3447|049|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49280|0|N
H3447|049|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49328|0|N
H3447|049|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49360|0|N
H3447|049|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49370|0|N
H3447|049|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49411|0|N
H3447|049|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49420|0|N
H3447|049|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49430|0|N
H3447|049|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49451|0|N
H3447|049|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49460|0|N
H3447|049|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49470|0|N
H3447|049|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49480|0|N
H3447|049|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49490|0|N
H3447|049|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49500|0|N
H3447|049|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49510|0|N
H3447|049|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49570|0|N
H3447|049|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49590|0|N
H3447|049|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49621|0|N
H3447|049|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49622|0|N
H3447|049|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49641|0|N
H3447|049|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49650|0|N
H3447|049|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49660|0|N
H3447|049|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49701|0|N
H3447|049|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49711|0|N
H3447|049|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49712|0|N
H3447|049|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49720|0|N
H3447|049|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49740|0|N
H3447|049|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49790|0|N
H3447|049|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49791|0|N
H3447|049|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49870|0|N
H3447|049|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49892|0|N
H3447|049|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49900|0|N
H3447|049|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49910|0|N
H3447|049|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49921|0|N
H3447|049|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49960|0|N
H3447|049|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49961|0|N
H3447|049|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49981|0|N
H3447|050|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49010|0|N
H3447|050|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49020|0|N
H3447|050|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49040|0|N
H3447|050|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49050|0|N
H3447|050|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49070|0|N
H3447|050|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49080|0|N
H3447|050|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49090|0|N
H3447|050|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49110|0|N
H3447|050|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49120|0|N
H3447|050|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49140|0|N
H3447|050|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49141|0|N
H3447|050|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49150|0|N
H3447|050|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49190|0|N
H3447|050|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49191|0|N
H3447|050|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49213|0|N
H3447|050|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49220|0|N
H3447|050|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49240|0|N
H3447|050|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49270|0|N
H3447|050|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49310|0|N
H3447|050|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49320|0|N
H3447|050|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49330|0|N
H3447|050|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49340|0|N
H3447|050|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49350|0|N
H3447|050|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49390|0|N
H3447|050|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49400|0|N
H3447|050|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49410|0|N
H3447|050|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49421|0|N
H3447|050|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49450|0|N
H3447|050|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49522|0|N
H3447|050|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49540|0|N
H3447|050|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49550|0|N
H3447|050|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49551|0|N
H3447|050|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49580|0|N
H3447|050|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49600|0|N
H3447|050|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49620|0|N
H3447|050|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49670|0|N
H3447|050|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49680|0|N
H3447|050|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49690|0|N
H3447|050|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49730|0|N
H3447|050|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49770|0|N
H3447|050|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49771|0|N
H3447|050|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49800|0|N
H3447|050|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49801|0|N
H3447|050|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49810|0|N
H3447|050|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49820|0|N
H3447|050|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49838|0|N
H3447|050|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49850|0|N
H3447|050|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49891|0|N
H3447|050|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49951|0|N
H3447|050|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|150| | |VA|49962|0|N
H3447|051|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|250| | |VA|49011|0|N
H3447|051|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|250| | |VA|49060|0|N
H3447|051|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|250| | |VA|49210|0|N
H3447|051|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|250| | |VA|49230|0|N
H3447|051|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|250| | |VA|49288|0|N
H3447|051|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|250| | |VA|49290|0|N
H3447|051|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|250| | |VA|49291|0|N
H3447|051|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|250| | |VA|49300|0|N
H3447|051|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|250| | |VA|49342|0|N
H3447|051|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|250| | |VA|49530|0|N
H3447|051|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|250| | |VA|49560|0|N
H3447|051|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|250| | |VA|49563|0|N
H3447|051|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|250| | |VA|49565|0|N
H3447|051|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|250| | |VA|49750|0|N
H3447|051|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|250| | |VA|49780|0|N
H3447|051|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|250| | |VA|49880|0|N
H3447|051|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|250| | |VA|49890|0|N
H3447|051|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|250| | |VA|49930|0|N
H3447|052|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|250| | |VA|49100|0|N
H3447|052|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|250| | |VA|49111|0|N
H3447|052|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|250| | |VA|49130|0|N
H3447|052|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|250| | |VA|49170|0|N
H3447|052|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|250| | |VA|49241|0|N
H3447|052|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|250| | |VA|49250|0|N
H3447|052|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|250| | |VA|49343|0|N
H3447|052|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|250| | |VA|49380|0|N
H3447|052|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|250| | |VA|49440|0|N
H3447|052|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|250| | |VA|49520|0|N
H3447|052|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|250| | |VA|49561|0|N
H3447|052|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|250| | |VA|49661|0|N
H3447|052|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|250| | |VA|49700|0|N
H3447|052|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|250| | |VA|49710|0|N
H3447|052|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|250| | |VA|49830|0|N
H3447|052|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|250| | |VA|49840|0|N
H3447|052|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|250| | |VA|49860|0|N
H3447|052|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|250| | |VA|49920|0|N
H3447|052|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|250| | |VA|49950|0|N
H3447|052|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|250| | |VA|49970|0|N
H3447|052|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 3 (HMO-POS)|00025037|0.00|250| | |VA|49980|0|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26000|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26030|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26040|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26050|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26080|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26090|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26110|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26130|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26140|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26150|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26170|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26190|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26200|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26210|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26220|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26250|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26260|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26270|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26280|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26290|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26320|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26330|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26340|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26350|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26360|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26380|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26411|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26440|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26450|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26460|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26480|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26490|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26510|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26520|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26540|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26541|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26560|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26570|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26590|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26600|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26601|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26620|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26630|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26650|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26660|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26670|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26680|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26690|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26700|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26710|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26720|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26740|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26750|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26751|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26770|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26780|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26800|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26810|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26821|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26840|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26850|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26860|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26870|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26881|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26900|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26910|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26930|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26940|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26950|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26960|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26980|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26981|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26982|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26983|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26984|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26985|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26986|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26987|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26988|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26989|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26991|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26992|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26993|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26994|2|N
H3447|053|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |MO|26996|2|N
H3447|054|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |MO|26170|0|N
H3447|054|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |MO|26200|0|N
H3447|054|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |MO|26510|0|N
H3447|054|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |MO|26541|0|N
H3447|054|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |MO|26660|0|N
H3447|054|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |MO|26680|0|N
H3447|054|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |MO|26740|0|N
H3447|054|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |MO|26860|0|N
H3447|054|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |MO|26900|0|N
H3447|054|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |MO|26983|0|N
H3447|054|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |MO|26984|0|N
H3447|054|000|HEALTHKEEPERS, INC.|Anthem Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |MO|26985|0|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15000|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15010|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15020|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15030|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15040|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15050|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15060|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15070|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15080|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15090|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15100|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15110|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15120|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15130|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15140|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15150|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15160|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15170|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15180|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15190|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15200|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15210|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15220|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15230|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15240|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15250|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15260|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15270|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15280|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15290|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15300|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15310|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15320|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15330|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15340|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15350|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15360|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15370|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15380|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15390|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15400|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15410|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15420|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15430|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15440|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15450|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15460|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15470|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15480|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15490|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15500|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15510|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15520|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15530|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15540|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15550|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15560|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15570|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15580|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15590|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15600|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15610|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15620|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15630|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15640|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15650|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15660|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15670|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15680|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15690|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15700|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15710|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15720|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15730|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15740|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15750|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15760|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15770|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15780|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15790|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15800|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15810|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15820|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15830|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15840|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15850|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15860|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15870|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15880|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15890|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15900|2|N
H3447|055|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Aligned NFLOC (HMO D-SNP)|00025049|0.00|590| | |IN|15910|2|N
H3449|023|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34000|0|N
H3449|023|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34100|0|N
H3449|023|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34110|0|N
H3449|023|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34170|0|N
H3449|023|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34180|0|N
H3449|023|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34280|0|N
H3449|023|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34290|0|N
H3449|023|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34310|0|N
H3449|023|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34330|0|N
H3449|023|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34350|0|N
H3449|023|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34400|0|N
H3449|023|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34430|0|N
H3449|023|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34480|0|N
H3449|023|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34590|0|N
H3449|023|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34670|0|N
H3449|023|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34750|0|N
H3449|023|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34780|0|N
H3449|023|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34910|0|N
H3449|023|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34980|0|N
H3449|023|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34010|0|N
H3449|023|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34090|0|N
H3449|023|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34120|0|N
H3449|023|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34160|0|N
H3449|023|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34250|0|N
H3449|023|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34340|0|N
H3449|023|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34420|0|N
H3449|023|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34460|0|N
H3449|023|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34500|0|N
H3449|023|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34550|0|N
H3449|023|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34560|0|N
H3449|023|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34570|0|N
H3449|023|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34600|0|N
H3449|023|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34620|0|N
H3449|023|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34640|0|N
H3449|023|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34720|0|N
H3449|023|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34740|0|N
H3449|023|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34790|0|N
H3449|023|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34840|0|N
H3449|023|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34850|0|N
H3449|023|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34890|0|N
H3449|023|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34981|0|N
H3449|023|004|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34030|0|N
H3449|023|004|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34140|0|N
H3449|023|004|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34150|0|N
H3449|023|004|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34190|0|N
H3449|023|004|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34210|0|N
H3449|023|004|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34240|0|N
H3449|023|004|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34251|0|N
H3449|023|004|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34270|0|N
H3449|023|004|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34380|0|N
H3449|023|004|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34610|0|N
H3449|023|004|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34660|0|N
H3449|023|004|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34690|0|N
H3449|023|004|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34710|0|N
H3449|023|004|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34800|0|N
H3449|023|004|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34830|0|N
H3449|023|004|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34900|0|N
H3449|023|004|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34920|0|N
H3449|023|004|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34960|0|N
H3449|023|005|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34020|0|N
H3449|023|005|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34040|0|N
H3449|023|005|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34050|0|N
H3449|023|005|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34060|0|N
H3449|023|005|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34070|0|N
H3449|023|005|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34080|0|N
H3449|023|005|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34130|0|N
H3449|023|005|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34200|0|N
H3449|023|005|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34220|0|N
H3449|023|005|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34230|0|N
H3449|023|005|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34300|0|N
H3449|023|005|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34320|0|N
H3449|023|005|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34360|0|N
H3449|023|005|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34370|0|N
H3449|023|005|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34390|0|N
H3449|023|005|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34410|0|N
H3449|023|005|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34440|0|N
H3449|023|005|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34450|0|N
H3449|023|005|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34470|0|N
H3449|023|005|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34490|0|N
H3449|023|005|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34510|0|N
H3449|023|005|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34520|0|N
H3449|023|005|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34530|0|N
H3449|023|005|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34540|0|N
H3449|023|005|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34580|0|N
H3449|023|005|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34630|0|N
H3449|023|005|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34650|0|N
H3449|023|005|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34680|0|N
H3449|023|005|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34700|0|N
H3449|023|005|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34730|0|N
H3449|023|005|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34760|0|N
H3449|023|005|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34770|0|N
H3449|023|005|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34810|0|N
H3449|023|005|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34820|0|N
H3449|023|005|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34860|0|N
H3449|023|005|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34870|0|N
H3449|023|005|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34880|0|N
H3449|023|005|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34930|0|N
H3449|023|005|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34940|0|N
H3449|023|005|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34950|0|N
H3449|023|005|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential Plus (HMO-POS)|00025078|0.00|375| | |NC|34970|0|N
H3449|024|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34000|0|N
H3449|024|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34100|0|N
H3449|024|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34110|0|N
H3449|024|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34170|0|N
H3449|024|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34180|0|N
H3449|024|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34280|0|N
H3449|024|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34290|0|N
H3449|024|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34310|0|N
H3449|024|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34330|0|N
H3449|024|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34350|0|N
H3449|024|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34400|0|N
H3449|024|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34430|0|N
H3449|024|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34480|0|N
H3449|024|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34590|0|N
H3449|024|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34670|0|N
H3449|024|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34750|0|N
H3449|024|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34780|0|N
H3449|024|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34800|0|N
H3449|024|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34910|0|N
H3449|024|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34960|0|N
H3449|024|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34980|0|N
H3449|024|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34010|0|N
H3449|024|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34090|0|N
H3449|024|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34120|0|N
H3449|024|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34140|0|N
H3449|024|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34150|0|N
H3449|024|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34160|0|N
H3449|024|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34190|0|N
H3449|024|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34210|0|N
H3449|024|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34240|0|N
H3449|024|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34250|0|N
H3449|024|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34251|0|N
H3449|024|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34270|0|N
H3449|024|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34340|0|N
H3449|024|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34420|0|N
H3449|024|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34440|0|N
H3449|024|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34460|0|N
H3449|024|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34490|0|N
H3449|024|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34500|0|N
H3449|024|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34550|0|N
H3449|024|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34560|0|N
H3449|024|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34570|0|N
H3449|024|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34600|0|N
H3449|024|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34620|0|N
H3449|024|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34640|0|N
H3449|024|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34660|0|N
H3449|024|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34690|0|N
H3449|024|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34710|0|N
H3449|024|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34720|0|N
H3449|024|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34740|0|N
H3449|024|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34790|0|N
H3449|024|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34840|0|N
H3449|024|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34850|0|N
H3449|024|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34870|0|N
H3449|024|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34890|0|N
H3449|024|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34981|0|N
H3449|024|003|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34020|0|N
H3449|024|003|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34030|0|N
H3449|024|003|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34040|0|N
H3449|024|003|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34050|0|N
H3449|024|003|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34060|0|N
H3449|024|003|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34070|0|N
H3449|024|003|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34080|0|N
H3449|024|003|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34130|0|N
H3449|024|003|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34200|0|N
H3449|024|003|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34220|0|N
H3449|024|003|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34230|0|N
H3449|024|003|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34300|0|N
H3449|024|003|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34320|0|N
H3449|024|003|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34360|0|N
H3449|024|003|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34370|0|N
H3449|024|003|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34380|0|N
H3449|024|003|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34390|0|N
H3449|024|003|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34410|0|N
H3449|024|003|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34450|0|N
H3449|024|003|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34470|0|N
H3449|024|003|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34510|0|N
H3449|024|003|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34520|0|N
H3449|024|003|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34530|0|N
H3449|024|003|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34540|0|N
H3449|024|003|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34580|0|N
H3449|024|003|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34610|0|N
H3449|024|003|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34630|0|N
H3449|024|003|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34650|0|N
H3449|024|003|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34680|0|N
H3449|024|003|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34700|0|N
H3449|024|003|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34730|0|N
H3449|024|003|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34760|0|N
H3449|024|003|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34770|0|N
H3449|024|003|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34810|0|N
H3449|024|003|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34820|0|N
H3449|024|003|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34830|0|N
H3449|024|003|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34860|0|N
H3449|024|003|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34880|0|N
H3449|024|003|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34900|0|N
H3449|024|003|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34920|0|N
H3449|024|003|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34930|0|N
H3449|024|003|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34940|0|N
H3449|024|003|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34950|0|N
H3449|024|003|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Enhanced (HMO-POS)|00025078|4.50|0| | |NC|34970|0|N
H3449|026|000|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Choice (HMO)|00025078|0.00|375| | |NC|34000|0|N
H3449|026|000|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Choice (HMO)|00025078|0.00|375| | |NC|34280|0|N
H3449|026|000|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Choice (HMO)|00025078|0.00|375| | |NC|34330|0|N
H3449|026|000|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Choice (HMO)|00025078|0.00|375| | |NC|34400|0|N
H3449|026|000|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Choice (HMO)|00025078|0.00|375| | |NC|34590|0|N
H3449|026|000|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Choice (HMO)|00025078|0.00|375| | |NC|34750|0|N
H3449|026|000|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Choice (HMO)|00025078|0.00|375| | |NC|34780|0|N
H3449|026|000|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Choice (HMO)|00025078|0.00|375| | |NC|34910|0|N
H3449|027|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34000|0|N
H3449|027|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34100|0|N
H3449|027|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34110|0|N
H3449|027|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34170|0|N
H3449|027|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34180|0|N
H3449|027|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34280|0|N
H3449|027|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34290|0|N
H3449|027|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34310|0|N
H3449|027|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34330|0|N
H3449|027|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34350|0|N
H3449|027|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34400|0|N
H3449|027|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34430|0|N
H3449|027|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34480|0|N
H3449|027|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34590|0|N
H3449|027|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34670|0|N
H3449|027|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34750|0|N
H3449|027|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34780|0|N
H3449|027|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34800|0|N
H3449|027|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34910|0|N
H3449|027|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34960|0|N
H3449|027|001|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34980|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34010|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34020|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34030|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34040|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34050|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34060|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34070|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34080|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34090|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34120|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34130|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34140|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34150|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34160|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34190|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34200|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34210|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34220|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34230|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34240|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34250|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34251|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34270|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34300|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34320|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34340|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34360|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34370|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34380|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34390|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34410|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34420|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34440|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34450|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34460|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34470|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34490|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34500|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34510|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34520|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34530|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34540|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34550|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34560|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34570|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34580|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34600|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34610|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34620|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34630|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34640|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34650|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34660|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34680|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34690|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34700|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34710|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34720|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34730|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34740|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34760|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34770|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34790|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34810|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34820|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34830|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34840|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34850|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34860|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34870|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34880|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34890|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34900|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34920|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34930|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34940|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34950|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34970|0|N
H3449|027|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Essential (HMO)|00025078|0.00|590| | |NC|34981|0|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45060|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45070|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45090|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45113|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45130|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45140|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45160|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45180|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45222|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45223|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45280|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45281|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45291|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45310|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45312|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45320|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45340|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45390|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45410|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45470|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45480|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45510|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45530|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45550|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45561|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45562|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45580|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45581|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45590|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45600|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45610|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45651|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45654|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45662|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45680|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45700|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45720|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45731|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45752|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45753|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45754|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45755|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45757|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45781|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45790|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45792|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45796|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45801|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45840|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45841|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45843|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45873|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45879|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45884|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45893|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45910|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45941|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45942|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45947|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45954|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45970|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45971|3|N
H3467|001|000|PROCARE ADVANTAGE, LLC|ProCare Advantage (HMO-POS I-SNP)|00025034|18.30|590| | |TX|45973|3|N
H3467|002|000|PROCARE ADVANTAGE, LLC|ProCare Advantage - Kidney Care (HMO-POS C-SNP)|00025034|17.10|590| | |TX|45310|1|N
H3467|002|000|PROCARE ADVANTAGE, LLC|ProCare Advantage - Kidney Care (HMO-POS C-SNP)|00025034|17.10|590| | |TX|45390|1|N
H3467|002|000|PROCARE ADVANTAGE, LLC|ProCare Advantage - Kidney Care (HMO-POS C-SNP)|00025034|17.10|590| | |TX|45410|1|N
H3467|002|000|PROCARE ADVANTAGE, LLC|ProCare Advantage - Kidney Care (HMO-POS C-SNP)|00025034|17.10|590| | |TX|45910|1|N
H3467|005|000|PROCARE ADVANTAGE, LLC|ProCare Advantage - Diabetes Care Management (HMO-POS C-SNP)|00025044|0.00|300| | |TX|45310|1|N
H3467|005|000|PROCARE ADVANTAGE, LLC|ProCare Advantage - Diabetes Care Management (HMO-POS C-SNP)|00025044|0.00|300| | |TX|45390|1|N
H3467|005|000|PROCARE ADVANTAGE, LLC|ProCare Advantage - Diabetes Care Management (HMO-POS C-SNP)|00025044|0.00|300| | |TX|45410|1|N
H3467|005|000|PROCARE ADVANTAGE, LLC|ProCare Advantage - Diabetes Care Management (HMO-POS C-SNP)|00025044|0.00|300| | |TX|45910|1|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15000|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15010|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15020|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15030|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15040|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15050|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15060|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15070|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15080|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15090|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15100|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15110|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15120|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15130|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15140|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15150|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15160|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15170|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15180|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15190|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15200|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15210|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15220|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15230|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15240|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15250|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15260|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15270|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15280|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15290|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15300|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15310|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15320|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15330|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15340|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15350|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15360|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15370|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15380|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15390|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15400|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15410|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15420|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15430|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15440|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15450|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15460|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15470|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15480|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15490|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15500|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15510|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15520|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15530|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15540|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15550|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15560|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15570|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15580|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15590|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15600|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15610|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15620|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15630|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15640|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15650|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15660|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15670|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15680|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15690|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15700|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15710|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15720|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15730|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15740|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15750|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15760|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15770|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15780|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15790|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15800|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15810|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15840|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15850|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15860|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15870|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15880|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15890|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15900|0|N
H3499|002|000|COORDINATED CARE CORPORATION|Wellcare Simple (HMO)|00025084|0.00|420| | |IN|15910|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15000|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15010|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15020|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15030|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15040|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15050|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15060|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15070|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15080|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15090|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15100|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15110|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15120|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15130|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15140|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15150|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15160|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15170|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15180|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15190|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15200|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15210|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15220|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15230|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15240|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15250|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15260|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15270|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15280|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15290|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15300|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15310|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15320|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15330|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15340|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15350|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15360|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15370|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15380|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15390|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15400|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15410|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15420|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15430|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15440|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15450|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15460|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15470|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15480|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15490|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15500|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15510|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15520|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15530|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15540|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15550|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15560|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15570|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15580|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15590|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15600|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15610|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15620|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15630|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15640|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15650|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15660|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15670|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15680|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15690|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15700|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15710|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15720|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15730|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15740|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15750|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15760|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15770|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15780|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15790|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15800|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15810|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15840|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15850|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15860|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15870|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15880|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15890|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15900|0|N
H3499|008|000|COORDINATED CARE CORPORATION|Wellcare Assist (HMO)|00025066|37.90|500| | |IN|15910|0|N
H3528|010|000|CONNECTICARE, INC.|ConnectiCare Passage Plan 1 (HMO-POS)|00025285|0.00|150| | |CT|07000|0|N
H3528|010|000|CONNECTICARE, INC.|ConnectiCare Passage Plan 1 (HMO-POS)|00025285|0.00|150| | |CT|07010|0|N
H3528|010|000|CONNECTICARE, INC.|ConnectiCare Passage Plan 1 (HMO-POS)|00025285|0.00|150| | |CT|07020|0|N
H3528|010|000|CONNECTICARE, INC.|ConnectiCare Passage Plan 1 (HMO-POS)|00025285|0.00|150| | |CT|07030|0|N
H3528|010|000|CONNECTICARE, INC.|ConnectiCare Passage Plan 1 (HMO-POS)|00025285|0.00|150| | |CT|07040|0|N
H3528|010|000|CONNECTICARE, INC.|ConnectiCare Passage Plan 1 (HMO-POS)|00025285|0.00|150| | |CT|07050|0|N
H3528|010|000|CONNECTICARE, INC.|ConnectiCare Passage Plan 1 (HMO-POS)|00025285|0.00|150| | |CT|07060|0|N
H3528|010|000|CONNECTICARE, INC.|ConnectiCare Passage Plan 1 (HMO-POS)|00025285|0.00|150| | |CT|07070|0|N
H3528|011|001|CONNECTICARE, INC.|ConnectiCare Flex Plan 3 (HMO-POS)|00025285|17.20|300| | |CT|07010|0|N
H3528|011|001|CONNECTICARE, INC.|ConnectiCare Flex Plan 3 (HMO-POS)|00025285|17.20|300| | |CT|07020|0|N
H3528|011|001|CONNECTICARE, INC.|ConnectiCare Flex Plan 3 (HMO-POS)|00025285|17.20|300| | |CT|07030|0|N
H3528|011|001|CONNECTICARE, INC.|ConnectiCare Flex Plan 3 (HMO-POS)|00025285|17.20|300| | |CT|07060|0|N
H3528|011|002|CONNECTICARE, INC.|ConnectiCare Flex Plan 3 (HMO-POS)|00025285|17.20|300| | |CT|07000|0|N
H3528|011|002|CONNECTICARE, INC.|ConnectiCare Flex Plan 3 (HMO-POS)|00025285|17.20|300| | |CT|07040|0|N
H3528|011|002|CONNECTICARE, INC.|ConnectiCare Flex Plan 3 (HMO-POS)|00025285|17.20|300| | |CT|07050|0|N
H3528|011|002|CONNECTICARE, INC.|ConnectiCare Flex Plan 3 (HMO-POS)|00025285|17.20|300| | |CT|07070|0|N
H3528|014|000|CONNECTICARE, INC.|ConnectiCare Choice Plan 3 (HMO-POS)|00025285|0.00|0| | |CT|07000|0|N
H3528|014|000|CONNECTICARE, INC.|ConnectiCare Choice Plan 3 (HMO-POS)|00025285|0.00|0| | |CT|07010|0|N
H3528|014|000|CONNECTICARE, INC.|ConnectiCare Choice Plan 3 (HMO-POS)|00025285|0.00|0| | |CT|07020|0|N
H3528|014|000|CONNECTICARE, INC.|ConnectiCare Choice Plan 3 (HMO-POS)|00025285|0.00|0| | |CT|07030|0|N
H3528|014|000|CONNECTICARE, INC.|ConnectiCare Choice Plan 3 (HMO-POS)|00025285|0.00|0| | |CT|07040|0|N
H3528|014|000|CONNECTICARE, INC.|ConnectiCare Choice Plan 3 (HMO-POS)|00025285|0.00|0| | |CT|07050|0|N
H3528|014|000|CONNECTICARE, INC.|ConnectiCare Choice Plan 3 (HMO-POS)|00025285|0.00|0| | |CT|07060|0|N
H3528|014|000|CONNECTICARE, INC.|ConnectiCare Choice Plan 3 (HMO-POS)|00025285|0.00|0| | |CT|07070|0|N
H3528|015|000|CONNECTICARE, INC.|ConnectiCare Flex Plan 2 (HMO-POS)|00025285|39.50|300| | |CT|07000|0|N
H3528|015|000|CONNECTICARE, INC.|ConnectiCare Flex Plan 2 (HMO-POS)|00025285|39.50|300| | |CT|07010|0|N
H3528|015|000|CONNECTICARE, INC.|ConnectiCare Flex Plan 2 (HMO-POS)|00025285|39.50|300| | |CT|07020|0|N
H3528|015|000|CONNECTICARE, INC.|ConnectiCare Flex Plan 2 (HMO-POS)|00025285|39.50|300| | |CT|07030|0|N
H3528|015|000|CONNECTICARE, INC.|ConnectiCare Flex Plan 2 (HMO-POS)|00025285|39.50|300| | |CT|07040|0|N
H3528|015|000|CONNECTICARE, INC.|ConnectiCare Flex Plan 2 (HMO-POS)|00025285|39.50|300| | |CT|07050|0|N
H3528|015|000|CONNECTICARE, INC.|ConnectiCare Flex Plan 2 (HMO-POS)|00025285|39.50|300| | |CT|07060|0|N
H3528|015|000|CONNECTICARE, INC.|ConnectiCare Flex Plan 2 (HMO-POS)|00025285|39.50|300| | |CT|07070|0|N
H3528|016|000|CONNECTICARE, INC.|ConnectiCare Choice Plan 1 (HMO-POS)|00025285|32.70|300| | |CT|07000|0|N
H3528|016|000|CONNECTICARE, INC.|ConnectiCare Choice Plan 1 (HMO-POS)|00025285|32.70|300| | |CT|07010|0|N
H3528|016|000|CONNECTICARE, INC.|ConnectiCare Choice Plan 1 (HMO-POS)|00025285|32.70|300| | |CT|07020|0|N
H3528|016|000|CONNECTICARE, INC.|ConnectiCare Choice Plan 1 (HMO-POS)|00025285|32.70|300| | |CT|07030|0|N
H3528|016|000|CONNECTICARE, INC.|ConnectiCare Choice Plan 1 (HMO-POS)|00025285|32.70|300| | |CT|07040|0|N
H3528|016|000|CONNECTICARE, INC.|ConnectiCare Choice Plan 1 (HMO-POS)|00025285|32.70|300| | |CT|07050|0|N
H3528|016|000|CONNECTICARE, INC.|ConnectiCare Choice Plan 1 (HMO-POS)|00025285|32.70|300| | |CT|07060|0|N
H3528|016|000|CONNECTICARE, INC.|ConnectiCare Choice Plan 1 (HMO-POS)|00025285|32.70|300| | |CT|07070|0|N
H3533|002|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP)|00025456|0.00|590| | |NY|33000|2|N
H3533|002|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP)|00025456|0.00|590| | |NY|33010|2|N
H3533|002|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP)|00025456|0.00|590| | |NY|33030|2|N
H3533|002|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP)|00025456|0.00|590| | |NY|33040|2|N
H3533|002|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP)|00025456|0.00|590| | |NY|33050|2|N
H3533|002|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP)|00025456|0.00|590| | |NY|33060|2|N
H3533|002|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP)|00025456|0.00|590| | |NY|33070|2|N
H3533|002|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP)|00025456|0.00|590| | |NY|33080|2|N
H3533|002|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP)|00025456|0.00|590| | |NY|33200|2|N
H3533|002|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP)|00025456|0.00|590| | |NY|33210|2|N
H3533|002|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP)|00025456|0.00|590| | |NY|33220|2|N
H3533|002|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP)|00025456|0.00|590| | |NY|33230|2|N
H3533|002|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP)|00025456|0.00|590| | |NY|33240|2|N
H3533|002|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP)|00025456|0.00|590| | |NY|33280|2|N
H3533|002|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP)|00025456|0.00|590| | |NY|33290|2|N
H3533|002|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP)|00025456|0.00|590| | |NY|33300|2|N
H3533|002|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP)|00025456|0.00|590| | |NY|33310|2|N
H3533|002|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP)|00025456|0.00|590| | |NY|33320|2|N
H3533|002|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP)|00025456|0.00|590| | |NY|33330|2|N
H3533|002|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP)|00025456|0.00|590| | |NY|33340|2|N
H3533|002|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP)|00025456|0.00|590| | |NY|33350|2|N
H3533|002|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP)|00025456|0.00|590| | |NY|33360|2|N
H3533|002|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP)|00025456|0.00|590| | |NY|33370|2|N
H3533|002|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP)|00025456|0.00|590| | |NY|33380|2|N
H3533|002|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP)|00025456|0.00|590| | |NY|33500|2|N
H3533|002|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP)|00025456|0.00|590| | |NY|33510|2|N
H3533|002|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP)|00025456|0.00|590| | |NY|33520|2|N
H3533|002|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP)|00025456|0.00|590| | |NY|33540|2|N
H3533|002|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP)|00025456|0.00|590| | |NY|33550|2|N
H3533|002|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP)|00025456|0.00|590| | |NY|33560|2|N
H3533|002|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP)|00025456|0.00|590| | |NY|33570|2|N
H3533|002|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP)|00025456|0.00|590| | |NY|33580|2|N
H3533|002|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP)|00025456|0.00|590| | |NY|33600|2|N
H3533|002|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP)|00025456|0.00|590| | |NY|33620|2|N
H3533|002|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP)|00025456|0.00|590| | |NY|33640|2|N
H3533|002|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP)|00025456|0.00|590| | |NY|33650|2|N
H3533|002|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP)|00025456|0.00|590| | |NY|33660|2|N
H3533|002|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP)|00025456|0.00|590| | |NY|33670|2|N
H3533|002|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP)|00025456|0.00|590| | |NY|33680|2|N
H3533|002|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP)|00025456|0.00|590| | |NY|33690|2|N
H3533|002|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP)|00025456|0.00|590| | |NY|33710|2|N
H3533|002|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP)|00025456|0.00|590| | |NY|33720|2|N
H3533|002|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP)|00025456|0.00|590| | |NY|33740|2|N
H3533|002|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP)|00025456|0.00|590| | |NY|33750|2|N
H3533|002|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP)|00025456|0.00|590| | |NY|33760|2|N
H3533|002|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP)|00025456|0.00|590| | |NY|33800|2|N
H3533|002|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP)|00025456|0.00|590| | |NY|33900|2|N
H3533|002|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus SNP-DE H3533-002 (HMO D-SNP)|00025456|0.00|590| | |NY|33910|2|N
H3533|027|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus H3533-027 (HMO)|00025456|0.00|425| | |NY|33020|0|N
H3533|027|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus H3533-027 (HMO)|00025456|0.00|425| | |NY|33331|0|N
H3533|027|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus H3533-027 (HMO)|00025456|0.00|425| | |NY|33400|0|N
H3533|027|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus H3533-027 (HMO)|00025456|0.00|425| | |NY|33420|0|N
H3533|027|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus H3533-027 (HMO)|00025456|0.00|425| | |NY|33590|0|N
H3533|027|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus H3533-027 (HMO)|00025456|0.00|425| | |NY|33700|0|N
H3533|033|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus H3533-033 (HMO)|00025456|0.00|590| | |NY|33331|0|N
H3533|033|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus H3533-033 (HMO)|00025456|0.00|590| | |NY|33590|0|N
H3533|034|001|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus SNP-DE H3533-034 (HMO D-SNP)|00025456|0.00|590| | |NY|33331|2|N
H3533|034|001|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus SNP-DE H3533-034 (HMO D-SNP)|00025456|0.00|590| | |NY|33420|2|N
H3533|034|001|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus SNP-DE H3533-034 (HMO D-SNP)|00025456|0.00|590| | |NY|33590|2|N
H3533|034|002|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus SNP-DE H3533-034 (HMO D-SNP)|00025456|0.00|590| | |NY|33020|2|N
H3533|034|002|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus SNP-DE H3533-034 (HMO D-SNP)|00025456|0.00|590| | |NY|33400|2|N
H3533|034|002|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus SNP-DE H3533-034 (HMO D-SNP)|00025456|0.00|590| | |NY|33610|2|N
H3533|034|002|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus SNP-DE H3533-034 (HMO D-SNP)|00025456|0.00|590| | |NY|33700|2|N
H3533|035|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus H3533-035 (HMO)|00025456|36.60|400| | |NY|33020|0|N
H3533|035|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus H3533-035 (HMO)|00025456|36.60|400| | |NY|33331|0|N
H3533|035|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus H3533-035 (HMO)|00025456|36.60|400| | |NY|33420|0|N
H3533|035|000|HUMANA HEALTH COMPANY OF NEW YORK, INC.|Humana Gold Plus H3533-035 (HMO)|00025456|36.60|400| | |NY|33590|0|N
H3536|002|000|MATTHEW THORNTON HEALTH PLAN, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|350| | |NH|30000|0|N
H3536|002|000|MATTHEW THORNTON HEALTH PLAN, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|350| | |NH|30010|0|N
H3536|002|000|MATTHEW THORNTON HEALTH PLAN, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|350| | |NH|30020|0|N
H3536|002|000|MATTHEW THORNTON HEALTH PLAN, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|350| | |NH|30030|0|N
H3536|002|000|MATTHEW THORNTON HEALTH PLAN, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|350| | |NH|30040|0|N
H3536|002|000|MATTHEW THORNTON HEALTH PLAN, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|350| | |NH|30050|0|N
H3536|002|000|MATTHEW THORNTON HEALTH PLAN, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|350| | |NH|30060|0|N
H3536|002|000|MATTHEW THORNTON HEALTH PLAN, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|350| | |NH|30070|0|N
H3536|002|000|MATTHEW THORNTON HEALTH PLAN, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|350| | |NH|30080|0|N
H3536|002|000|MATTHEW THORNTON HEALTH PLAN, INC.|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|350| | |NH|30090|0|N
H3536|004|000|MATTHEW THORNTON HEALTH PLAN, INC.|Anthem Medicare Advantage 2 (HMO)|00025049|3.40|590| | |NH|30000|0|N
H3536|004|000|MATTHEW THORNTON HEALTH PLAN, INC.|Anthem Medicare Advantage 2 (HMO)|00025049|3.40|590| | |NH|30010|0|N
H3536|004|000|MATTHEW THORNTON HEALTH PLAN, INC.|Anthem Medicare Advantage 2 (HMO)|00025049|3.40|590| | |NH|30020|0|N
H3536|004|000|MATTHEW THORNTON HEALTH PLAN, INC.|Anthem Medicare Advantage 2 (HMO)|00025049|3.40|590| | |NH|30030|0|N
H3536|004|000|MATTHEW THORNTON HEALTH PLAN, INC.|Anthem Medicare Advantage 2 (HMO)|00025049|3.40|590| | |NH|30040|0|N
H3536|004|000|MATTHEW THORNTON HEALTH PLAN, INC.|Anthem Medicare Advantage 2 (HMO)|00025049|3.40|590| | |NH|30050|0|N
H3536|004|000|MATTHEW THORNTON HEALTH PLAN, INC.|Anthem Medicare Advantage 2 (HMO)|00025049|3.40|590| | |NH|30060|0|N
H3536|004|000|MATTHEW THORNTON HEALTH PLAN, INC.|Anthem Medicare Advantage 2 (HMO)|00025049|3.40|590| | |NH|30070|0|N
H3536|004|000|MATTHEW THORNTON HEALTH PLAN, INC.|Anthem Medicare Advantage 2 (HMO)|00025049|3.40|590| | |NH|30080|0|N
H3536|004|000|MATTHEW THORNTON HEALTH PLAN, INC.|Anthem Medicare Advantage 2 (HMO)|00025049|3.40|590| | |NH|30090|0|N
H3536|006|000|MATTHEW THORNTON HEALTH PLAN, INC.|Anthem Select (HMO-POS)|00025049|0.00|350| | |NH|30000|0|N
H3536|006|000|MATTHEW THORNTON HEALTH PLAN, INC.|Anthem Select (HMO-POS)|00025049|0.00|350| | |NH|30020|0|N
H3536|006|000|MATTHEW THORNTON HEALTH PLAN, INC.|Anthem Select (HMO-POS)|00025049|0.00|350| | |NH|30040|0|N
H3536|006|000|MATTHEW THORNTON HEALTH PLAN, INC.|Anthem Select (HMO-POS)|00025049|0.00|350| | |NH|30050|0|N
H3536|006|000|MATTHEW THORNTON HEALTH PLAN, INC.|Anthem Select (HMO-POS)|00025049|0.00|350| | |NH|30060|0|N
H3536|006|000|MATTHEW THORNTON HEALTH PLAN, INC.|Anthem Select (HMO-POS)|00025049|0.00|350| | |NH|30090|0|N
H3551|001|000|ETERNALHEALTH OF ARIZONA INC|eternalHealth Horizon (HMO)|00025380|0.00|200| | |AZ|03060|0|N
H3551|001|000|ETERNALHEALTH OF ARIZONA INC|eternalHealth Horizon (HMO)|00025380|0.00|200| | |AZ|03090|0|N
H3551|002|000|ETERNALHEALTH OF ARIZONA INC|eternalHealth Grand Give Back (HMO)|00025380|0.00|400| | |AZ|03060|0|N
H3551|002|000|ETERNALHEALTH OF ARIZONA INC|eternalHealth Grand Give Back (HMO)|00025380|0.00|400| | |AZ|03090|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04000|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04010|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04020|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04030|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04040|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04050|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04060|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04070|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04090|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04100|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04110|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04120|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04130|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04140|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04150|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04160|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04170|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04180|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04190|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04210|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04230|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04240|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04260|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04270|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04280|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04290|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04310|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04320|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04330|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04340|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04350|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04370|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04380|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04390|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04410|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04420|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04430|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04440|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04460|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04470|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04480|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04490|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04500|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04510|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04520|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04530|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04540|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04550|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04560|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04570|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04580|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04590|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04600|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04610|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04630|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04640|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04650|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04670|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04680|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04690|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04700|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04710|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04720|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04730|0|N
H3554|002|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Saver Choice (PPO)|00025129|0.00|250| | |AR|04740|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04000|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04010|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04020|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04030|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04040|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04050|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04060|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04070|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04090|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04100|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04110|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04120|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04130|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04140|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04150|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04160|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04170|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04180|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04190|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04210|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04230|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04240|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04260|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04270|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04280|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04290|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04310|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04320|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04330|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04340|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04350|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04370|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04380|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04390|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04410|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04420|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04430|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04440|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04460|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04470|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04480|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04490|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04500|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04510|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04520|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04530|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04540|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04550|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04560|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04570|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04580|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04590|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04600|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04610|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04630|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04640|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04650|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04670|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04680|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04690|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04700|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04710|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04720|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04730|0|N
H3554|007|000|USABLE PPO INSURANCE COMPANY|BlueMedicare Premier Choice (PPO)|00025129|15.30|0| | |AR|04740|0|N
H3561|001|000|HEALTH NET COMMUNITY SOLUTIONS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |CA|05020|2|N
H3561|001|000|HEALTH NET COMMUNITY SOLUTIONS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |CA|05040|2|N
H3561|001|000|HEALTH NET COMMUNITY SOLUTIONS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |CA|05120|2|N
H3561|001|000|HEALTH NET COMMUNITY SOLUTIONS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |CA|05140|2|N
H3561|001|000|HEALTH NET COMMUNITY SOLUTIONS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |CA|05410|2|N
H3561|001|000|HEALTH NET COMMUNITY SOLUTIONS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |CA|05480|2|N
H3561|001|000|HEALTH NET COMMUNITY SOLUTIONS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |CA|05490|2|N
H3561|001|000|HEALTH NET COMMUNITY SOLUTIONS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |CA|05600|2|N
H3561|001|000|HEALTH NET COMMUNITY SOLUTIONS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |CA|05650|2|N
H3561|007|000|HEALTH NET COMMUNITY SOLUTIONS, INC.|Wellcare CalViva Health Dual Align (HMO D-SNP)|00025040|0.00|590| | |CA|05090|2|N
H3561|007|000|HEALTH NET COMMUNITY SOLUTIONS, INC.|Wellcare CalViva Health Dual Align (HMO D-SNP)|00025040|0.00|590| | |CA|05150|2|N
H3561|007|000|HEALTH NET COMMUNITY SOLUTIONS, INC.|Wellcare CalViva Health Dual Align (HMO D-SNP)|00025040|0.00|590| | |CA|05300|2|N
H3561|008|000|HEALTH NET COMMUNITY SOLUTIONS, INC.|Wellcare Dual Align (HMO D-SNP)|00025040|0.00|590| | |CA|05200|2|N
H3561|008|000|HEALTH NET COMMUNITY SOLUTIONS, INC.|Wellcare Dual Align (HMO D-SNP)|00025040|0.00|590| | |CA|05210|2|N
H3561|008|000|HEALTH NET COMMUNITY SOLUTIONS, INC.|Wellcare Dual Align (HMO D-SNP)|00025040|0.00|590| | |CA|05440|2|N
H3561|008|000|HEALTH NET COMMUNITY SOLUTIONS, INC.|Wellcare Dual Align (HMO D-SNP)|00025040|0.00|590| | |CA|05640|2|N
H3561|009|000|HEALTH NET COMMUNITY SOLUTIONS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |CA|05400|2|Y
H3561|009|000|HEALTH NET COMMUNITY SOLUTIONS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |CA|05430|2|Y
H3561|009|000|HEALTH NET COMMUNITY SOLUTIONS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |CA|05460|2|Y
H3561|009|000|HEALTH NET COMMUNITY SOLUTIONS, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |CA|05470|2|Y
H3597|001|000|AETNA HEALTH INC. (ME)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |ME|20020|0|N
H3597|001|000|AETNA HEALTH INC. (ME)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |ME|20110|0|N
H3597|001|000|AETNA HEALTH INC. (ME)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |ME|20150|0|N
H3597|007|000|AETNA HEALTH INC. (ME)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |ME|20000|0|N
H3597|007|000|AETNA HEALTH INC. (ME)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |ME|20030|0|N
H3597|007|000|AETNA HEALTH INC. (ME)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |ME|20050|0|N
H3597|007|000|AETNA HEALTH INC. (ME)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |ME|20070|0|N
H3597|007|000|AETNA HEALTH INC. (ME)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |ME|20080|0|N
H3597|009|000|AETNA HEALTH INC. (ME)|Aetna Medicare Value (HMO-POS)|00025101|29.80|250| | |ME|20010|0|N
H3597|009|000|AETNA HEALTH INC. (ME)|Aetna Medicare Value (HMO-POS)|00025101|29.80|250| | |ME|20040|0|N
H3597|009|000|AETNA HEALTH INC. (ME)|Aetna Medicare Value (HMO-POS)|00025101|29.80|250| | |ME|20060|0|N
H3597|009|000|AETNA HEALTH INC. (ME)|Aetna Medicare Value (HMO-POS)|00025101|29.80|250| | |ME|20090|0|N
H3597|009|000|AETNA HEALTH INC. (ME)|Aetna Medicare Value (HMO-POS)|00025101|29.80|250| | |ME|20100|0|N
H3597|009|000|AETNA HEALTH INC. (ME)|Aetna Medicare Value (HMO-POS)|00025101|29.80|250| | |ME|20120|0|N
H3597|009|000|AETNA HEALTH INC. (ME)|Aetna Medicare Value (HMO-POS)|00025101|29.80|250| | |ME|20130|0|N
H3597|009|000|AETNA HEALTH INC. (ME)|Aetna Medicare Value (HMO-POS)|00025101|29.80|250| | |ME|20140|0|N
H3597|011|000|AETNA HEALTH INC. (ME)|Aetna Medicare Assure Plus (HMO-POS D-SNP)|00025101|0.00|590| | |ME|20000|2|N
H3597|011|000|AETNA HEALTH INC. (ME)|Aetna Medicare Assure Plus (HMO-POS D-SNP)|00025101|0.00|590| | |ME|20010|2|N
H3597|011|000|AETNA HEALTH INC. (ME)|Aetna Medicare Assure Plus (HMO-POS D-SNP)|00025101|0.00|590| | |ME|20020|2|N
H3597|011|000|AETNA HEALTH INC. (ME)|Aetna Medicare Assure Plus (HMO-POS D-SNP)|00025101|0.00|590| | |ME|20030|2|N
H3597|011|000|AETNA HEALTH INC. (ME)|Aetna Medicare Assure Plus (HMO-POS D-SNP)|00025101|0.00|590| | |ME|20040|2|N
H3597|011|000|AETNA HEALTH INC. (ME)|Aetna Medicare Assure Plus (HMO-POS D-SNP)|00025101|0.00|590| | |ME|20050|2|N
H3597|011|000|AETNA HEALTH INC. (ME)|Aetna Medicare Assure Plus (HMO-POS D-SNP)|00025101|0.00|590| | |ME|20060|2|N
H3597|011|000|AETNA HEALTH INC. (ME)|Aetna Medicare Assure Plus (HMO-POS D-SNP)|00025101|0.00|590| | |ME|20070|2|N
H3597|011|000|AETNA HEALTH INC. (ME)|Aetna Medicare Assure Plus (HMO-POS D-SNP)|00025101|0.00|590| | |ME|20080|2|N
H3597|011|000|AETNA HEALTH INC. (ME)|Aetna Medicare Assure Plus (HMO-POS D-SNP)|00025101|0.00|590| | |ME|20090|2|N
H3597|011|000|AETNA HEALTH INC. (ME)|Aetna Medicare Assure Plus (HMO-POS D-SNP)|00025101|0.00|590| | |ME|20100|2|N
H3597|011|000|AETNA HEALTH INC. (ME)|Aetna Medicare Assure Plus (HMO-POS D-SNP)|00025101|0.00|590| | |ME|20110|2|N
H3597|011|000|AETNA HEALTH INC. (ME)|Aetna Medicare Assure Plus (HMO-POS D-SNP)|00025101|0.00|590| | |ME|20120|2|N
H3597|011|000|AETNA HEALTH INC. (ME)|Aetna Medicare Assure Plus (HMO-POS D-SNP)|00025101|0.00|590| | |ME|20130|2|N
H3597|011|000|AETNA HEALTH INC. (ME)|Aetna Medicare Assure Plus (HMO-POS D-SNP)|00025101|0.00|590| | |ME|20140|2|N
H3597|011|000|AETNA HEALTH INC. (ME)|Aetna Medicare Assure Plus (HMO-POS D-SNP)|00025101|0.00|590| | |ME|20150|2|N
H3597|012|000|AETNA HEALTH INC. (ME)|Aetna Medicare Assure (HMO-POS D-SNP)|00025101|0.00|590| | |ME|20000|2|N
H3597|012|000|AETNA HEALTH INC. (ME)|Aetna Medicare Assure (HMO-POS D-SNP)|00025101|0.00|590| | |ME|20010|2|N
H3597|012|000|AETNA HEALTH INC. (ME)|Aetna Medicare Assure (HMO-POS D-SNP)|00025101|0.00|590| | |ME|20020|2|N
H3597|012|000|AETNA HEALTH INC. (ME)|Aetna Medicare Assure (HMO-POS D-SNP)|00025101|0.00|590| | |ME|20030|2|N
H3597|012|000|AETNA HEALTH INC. (ME)|Aetna Medicare Assure (HMO-POS D-SNP)|00025101|0.00|590| | |ME|20040|2|N
H3597|012|000|AETNA HEALTH INC. (ME)|Aetna Medicare Assure (HMO-POS D-SNP)|00025101|0.00|590| | |ME|20050|2|N
H3597|012|000|AETNA HEALTH INC. (ME)|Aetna Medicare Assure (HMO-POS D-SNP)|00025101|0.00|590| | |ME|20060|2|N
H3597|012|000|AETNA HEALTH INC. (ME)|Aetna Medicare Assure (HMO-POS D-SNP)|00025101|0.00|590| | |ME|20070|2|N
H3597|012|000|AETNA HEALTH INC. (ME)|Aetna Medicare Assure (HMO-POS D-SNP)|00025101|0.00|590| | |ME|20080|2|N
H3597|012|000|AETNA HEALTH INC. (ME)|Aetna Medicare Assure (HMO-POS D-SNP)|00025101|0.00|590| | |ME|20090|2|N
H3597|012|000|AETNA HEALTH INC. (ME)|Aetna Medicare Assure (HMO-POS D-SNP)|00025101|0.00|590| | |ME|20100|2|N
H3597|012|000|AETNA HEALTH INC. (ME)|Aetna Medicare Assure (HMO-POS D-SNP)|00025101|0.00|590| | |ME|20110|2|N
H3597|012|000|AETNA HEALTH INC. (ME)|Aetna Medicare Assure (HMO-POS D-SNP)|00025101|0.00|590| | |ME|20120|2|N
H3597|012|000|AETNA HEALTH INC. (ME)|Aetna Medicare Assure (HMO-POS D-SNP)|00025101|0.00|590| | |ME|20130|2|N
H3597|012|000|AETNA HEALTH INC. (ME)|Aetna Medicare Assure (HMO-POS D-SNP)|00025101|0.00|590| | |ME|20140|2|N
H3597|012|000|AETNA HEALTH INC. (ME)|Aetna Medicare Assure (HMO-POS D-SNP)|00025101|0.00|590| | |ME|20150|2|N
H3597|014|000|AETNA HEALTH INC. (ME)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|250| | |ME|20000|0|N
H3597|014|000|AETNA HEALTH INC. (ME)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|250| | |ME|20030|0|N
H3597|014|000|AETNA HEALTH INC. (ME)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|250| | |ME|20050|0|N
H3597|014|000|AETNA HEALTH INC. (ME)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|250| | |ME|20070|0|N
H3597|014|000|AETNA HEALTH INC. (ME)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|250| | |ME|20080|0|N
H3653|004|000|PARAMOUNT CARE, INC.|Paramount Elite Enhanced (HMO-POS)|00025294|68.00|0| | |MI|23110|0|N
H3653|004|000|PARAMOUNT CARE, INC.|Paramount Elite Enhanced (HMO-POS)|00025294|68.00|0| | |MI|23290|0|N
H3653|004|000|PARAMOUNT CARE, INC.|Paramount Elite Enhanced (HMO-POS)|00025294|68.00|0| | |MI|23450|0|N
H3653|004|000|PARAMOUNT CARE, INC.|Paramount Elite Enhanced (HMO-POS)|00025294|68.00|0| | |MI|23570|0|N
H3653|004|000|PARAMOUNT CARE, INC.|Paramount Elite Enhanced (HMO-POS)|00025294|68.00|0| | |MI|23800|0|N
H3653|004|000|PARAMOUNT CARE, INC.|Paramount Elite Enhanced (HMO-POS)|00025294|68.00|0| | |OH|36010|0|N
H3653|004|000|PARAMOUNT CARE, INC.|Paramount Elite Enhanced (HMO-POS)|00025294|68.00|0| | |OH|36160|0|N
H3653|004|000|PARAMOUNT CARE, INC.|Paramount Elite Enhanced (HMO-POS)|00025294|68.00|0| | |OH|36200|0|N
H3653|004|000|PARAMOUNT CARE, INC.|Paramount Elite Enhanced (HMO-POS)|00025294|68.00|0| | |OH|36220|0|N
H3653|004|000|PARAMOUNT CARE, INC.|Paramount Elite Enhanced (HMO-POS)|00025294|68.00|0| | |OH|36260|0|N
H3653|004|000|PARAMOUNT CARE, INC.|Paramount Elite Enhanced (HMO-POS)|00025294|68.00|0| | |OH|36340|0|N
H3653|004|000|PARAMOUNT CARE, INC.|Paramount Elite Enhanced (HMO-POS)|00025294|68.00|0| | |OH|36360|0|N
H3653|004|000|PARAMOUNT CARE, INC.|Paramount Elite Enhanced (HMO-POS)|00025294|68.00|0| | |OH|36400|0|N
H3653|004|000|PARAMOUNT CARE, INC.|Paramount Elite Enhanced (HMO-POS)|00025294|68.00|0| | |OH|36490|0|N
H3653|004|000|PARAMOUNT CARE, INC.|Paramount Elite Enhanced (HMO-POS)|00025294|68.00|0| | |OH|36550|0|N
H3653|004|000|PARAMOUNT CARE, INC.|Paramount Elite Enhanced (HMO-POS)|00025294|68.00|0| | |OH|36630|0|N
H3653|004|000|PARAMOUNT CARE, INC.|Paramount Elite Enhanced (HMO-POS)|00025294|68.00|0| | |OH|36640|0|N
H3653|004|000|PARAMOUNT CARE, INC.|Paramount Elite Enhanced (HMO-POS)|00025294|68.00|0| | |OH|36700|0|N
H3653|004|000|PARAMOUNT CARE, INC.|Paramount Elite Enhanced (HMO-POS)|00025294|68.00|0| | |OH|36730|0|N
H3653|004|000|PARAMOUNT CARE, INC.|Paramount Elite Enhanced (HMO-POS)|00025294|68.00|0| | |OH|36750|0|N
H3653|004|000|PARAMOUNT CARE, INC.|Paramount Elite Enhanced (HMO-POS)|00025294|68.00|0| | |OH|36820|0|N
H3653|004|000|PARAMOUNT CARE, INC.|Paramount Elite Enhanced (HMO-POS)|00025294|68.00|0| | |OH|36870|0|N
H3653|004|000|PARAMOUNT CARE, INC.|Paramount Elite Enhanced (HMO-POS)|00025294|68.00|0| | |OH|36880|0|N
H3653|004|000|PARAMOUNT CARE, INC.|Paramount Elite Enhanced (HMO-POS)|00025294|68.00|0| | |OH|36890|0|N
H3653|015|000|PARAMOUNT CARE, INC.|Paramount Elite Standard (HMO-POS)|00025295|0.00|0| | |IN|15000|0|N
H3653|015|000|PARAMOUNT CARE, INC.|Paramount Elite Standard (HMO-POS)|00025295|0.00|0| | |IN|15010|0|N
H3653|015|000|PARAMOUNT CARE, INC.|Paramount Elite Standard (HMO-POS)|00025295|0.00|0| | |IN|15160|0|N
H3653|015|000|PARAMOUNT CARE, INC.|Paramount Elite Standard (HMO-POS)|00025295|0.00|0| | |IN|15560|0|N
H3653|015|000|PARAMOUNT CARE, INC.|Paramount Elite Standard (HMO-POS)|00025295|0.00|0| | |MI|23110|0|N
H3653|015|000|PARAMOUNT CARE, INC.|Paramount Elite Standard (HMO-POS)|00025295|0.00|0| | |MI|23290|0|N
H3653|015|000|PARAMOUNT CARE, INC.|Paramount Elite Standard (HMO-POS)|00025295|0.00|0| | |MI|23450|0|N
H3653|015|000|PARAMOUNT CARE, INC.|Paramount Elite Standard (HMO-POS)|00025295|0.00|0| | |MI|23570|0|N
H3653|015|000|PARAMOUNT CARE, INC.|Paramount Elite Standard (HMO-POS)|00025295|0.00|0| | |MI|23800|0|N
H3653|015|000|PARAMOUNT CARE, INC.|Paramount Elite Standard (HMO-POS)|00025295|0.00|0| | |OH|36010|0|N
H3653|015|000|PARAMOUNT CARE, INC.|Paramount Elite Standard (HMO-POS)|00025295|0.00|0| | |OH|36020|0|N
H3653|015|000|PARAMOUNT CARE, INC.|Paramount Elite Standard (HMO-POS)|00025295|0.00|0| | |OH|36160|0|N
H3653|015|000|PARAMOUNT CARE, INC.|Paramount Elite Standard (HMO-POS)|00025295|0.00|0| | |OH|36170|0|N
H3653|015|000|PARAMOUNT CARE, INC.|Paramount Elite Standard (HMO-POS)|00025295|0.00|0| | |OH|36200|0|N
H3653|015|000|PARAMOUNT CARE, INC.|Paramount Elite Standard (HMO-POS)|00025295|0.00|0| | |OH|36220|0|N
H3653|015|000|PARAMOUNT CARE, INC.|Paramount Elite Standard (HMO-POS)|00025295|0.00|0| | |OH|36260|0|N
H3653|015|000|PARAMOUNT CARE, INC.|Paramount Elite Standard (HMO-POS)|00025295|0.00|0| | |OH|36280|0|N
H3653|015|000|PARAMOUNT CARE, INC.|Paramount Elite Standard (HMO-POS)|00025295|0.00|0| | |OH|36340|0|N
H3653|015|000|PARAMOUNT CARE, INC.|Paramount Elite Standard (HMO-POS)|00025295|0.00|0| | |OH|36360|0|N
H3653|015|000|PARAMOUNT CARE, INC.|Paramount Elite Standard (HMO-POS)|00025295|0.00|0| | |OH|36400|0|N
H3653|015|000|PARAMOUNT CARE, INC.|Paramount Elite Standard (HMO-POS)|00025295|0.00|0| | |OH|36440|0|N
H3653|015|000|PARAMOUNT CARE, INC.|Paramount Elite Standard (HMO-POS)|00025295|0.00|0| | |OH|36480|0|N
H3653|015|000|PARAMOUNT CARE, INC.|Paramount Elite Standard (HMO-POS)|00025295|0.00|0| | |OH|36490|0|N
H3653|015|000|PARAMOUNT CARE, INC.|Paramount Elite Standard (HMO-POS)|00025295|0.00|0| | |OH|36530|0|N
H3653|015|000|PARAMOUNT CARE, INC.|Paramount Elite Standard (HMO-POS)|00025295|0.00|0| | |OH|36550|0|N
H3653|015|000|PARAMOUNT CARE, INC.|Paramount Elite Standard (HMO-POS)|00025295|0.00|0| | |OH|36630|0|N
H3653|015|000|PARAMOUNT CARE, INC.|Paramount Elite Standard (HMO-POS)|00025295|0.00|0| | |OH|36640|0|N
H3653|015|000|PARAMOUNT CARE, INC.|Paramount Elite Standard (HMO-POS)|00025295|0.00|0| | |OH|36680|0|N
H3653|015|000|PARAMOUNT CARE, INC.|Paramount Elite Standard (HMO-POS)|00025295|0.00|0| | |OH|36700|0|N
H3653|015|000|PARAMOUNT CARE, INC.|Paramount Elite Standard (HMO-POS)|00025295|0.00|0| | |OH|36730|0|N
H3653|015|000|PARAMOUNT CARE, INC.|Paramount Elite Standard (HMO-POS)|00025295|0.00|0| | |OH|36750|0|N
H3653|015|000|PARAMOUNT CARE, INC.|Paramount Elite Standard (HMO-POS)|00025295|0.00|0| | |OH|36780|0|N
H3653|015|000|PARAMOUNT CARE, INC.|Paramount Elite Standard (HMO-POS)|00025295|0.00|0| | |OH|36820|0|N
H3653|015|000|PARAMOUNT CARE, INC.|Paramount Elite Standard (HMO-POS)|00025295|0.00|0| | |OH|36860|0|N
H3653|015|000|PARAMOUNT CARE, INC.|Paramount Elite Standard (HMO-POS)|00025295|0.00|0| | |OH|36870|0|N
H3653|015|000|PARAMOUNT CARE, INC.|Paramount Elite Standard (HMO-POS)|00025295|0.00|0| | |OH|36880|0|N
H3653|015|000|PARAMOUNT CARE, INC.|Paramount Elite Standard (HMO-POS)|00025295|0.00|0| | |OH|36890|0|N
H3653|022|000|PARAMOUNT CARE, INC.|Paramount Elite Prime (HMO-POS)|00025295|27.00|0| | |MI|23110|0|N
H3653|022|000|PARAMOUNT CARE, INC.|Paramount Elite Prime (HMO-POS)|00025295|27.00|0| | |MI|23290|0|N
H3653|022|000|PARAMOUNT CARE, INC.|Paramount Elite Prime (HMO-POS)|00025295|27.00|0| | |MI|23450|0|N
H3653|022|000|PARAMOUNT CARE, INC.|Paramount Elite Prime (HMO-POS)|00025295|27.00|0| | |MI|23570|0|N
H3653|022|000|PARAMOUNT CARE, INC.|Paramount Elite Prime (HMO-POS)|00025295|27.00|0| | |MI|23800|0|N
H3653|022|000|PARAMOUNT CARE, INC.|Paramount Elite Prime (HMO-POS)|00025295|27.00|0| | |OH|36010|0|N
H3653|022|000|PARAMOUNT CARE, INC.|Paramount Elite Prime (HMO-POS)|00025295|27.00|0| | |OH|36160|0|N
H3653|022|000|PARAMOUNT CARE, INC.|Paramount Elite Prime (HMO-POS)|00025295|27.00|0| | |OH|36200|0|N
H3653|022|000|PARAMOUNT CARE, INC.|Paramount Elite Prime (HMO-POS)|00025295|27.00|0| | |OH|36220|0|N
H3653|022|000|PARAMOUNT CARE, INC.|Paramount Elite Prime (HMO-POS)|00025295|27.00|0| | |OH|36260|0|N
H3653|022|000|PARAMOUNT CARE, INC.|Paramount Elite Prime (HMO-POS)|00025295|27.00|0| | |OH|36340|0|N
H3653|022|000|PARAMOUNT CARE, INC.|Paramount Elite Prime (HMO-POS)|00025295|27.00|0| | |OH|36360|0|N
H3653|022|000|PARAMOUNT CARE, INC.|Paramount Elite Prime (HMO-POS)|00025295|27.00|0| | |OH|36400|0|N
H3653|022|000|PARAMOUNT CARE, INC.|Paramount Elite Prime (HMO-POS)|00025295|27.00|0| | |OH|36490|0|N
H3653|022|000|PARAMOUNT CARE, INC.|Paramount Elite Prime (HMO-POS)|00025295|27.00|0| | |OH|36550|0|N
H3653|022|000|PARAMOUNT CARE, INC.|Paramount Elite Prime (HMO-POS)|00025295|27.00|0| | |OH|36630|0|N
H3653|022|000|PARAMOUNT CARE, INC.|Paramount Elite Prime (HMO-POS)|00025295|27.00|0| | |OH|36640|0|N
H3653|022|000|PARAMOUNT CARE, INC.|Paramount Elite Prime (HMO-POS)|00025295|27.00|0| | |OH|36700|0|N
H3653|022|000|PARAMOUNT CARE, INC.|Paramount Elite Prime (HMO-POS)|00025295|27.00|0| | |OH|36730|0|N
H3653|022|000|PARAMOUNT CARE, INC.|Paramount Elite Prime (HMO-POS)|00025295|27.00|0| | |OH|36750|0|N
H3653|022|000|PARAMOUNT CARE, INC.|Paramount Elite Prime (HMO-POS)|00025295|27.00|0| | |OH|36820|0|N
H3653|022|000|PARAMOUNT CARE, INC.|Paramount Elite Prime (HMO-POS)|00025295|27.00|0| | |OH|36870|0|N
H3653|022|000|PARAMOUNT CARE, INC.|Paramount Elite Prime (HMO-POS)|00025295|27.00|0| | |OH|36880|0|N
H3653|022|000|PARAMOUNT CARE, INC.|Paramount Elite Prime (HMO-POS)|00025295|27.00|0| | |OH|36890|0|N
H3653|024|000|PARAMOUNT CARE, INC.|Paramount Elite Essential (HMO-POS)|00025295|0.00|0| | |IN|15140|0|N
H3653|024|000|PARAMOUNT CARE, INC.|Paramount Elite Essential (HMO-POS)|00025295|0.00|0| | |IN|15230|0|N
H3653|024|000|PARAMOUNT CARE, INC.|Paramount Elite Essential (HMO-POS)|00025295|0.00|0| | |IN|15570|0|N
H3653|024|000|PARAMOUNT CARE, INC.|Paramount Elite Essential (HMO-POS)|00025295|0.00|0| | |IN|15770|0|N
H3653|024|000|PARAMOUNT CARE, INC.|Paramount Elite Essential (HMO-POS)|00025295|0.00|0| | |KY|18070|0|N
H3653|024|000|PARAMOUNT CARE, INC.|Paramount Elite Essential (HMO-POS)|00025295|0.00|0| | |KY|18180|0|N
H3653|024|000|PARAMOUNT CARE, INC.|Paramount Elite Essential (HMO-POS)|00025295|0.00|0| | |KY|18580|0|N
H3653|024|000|PARAMOUNT CARE, INC.|Paramount Elite Essential (HMO-POS)|00025295|0.00|0| | |OH|36000|0|N
H3653|024|000|PARAMOUNT CARE, INC.|Paramount Elite Essential (HMO-POS)|00025295|0.00|0| | |OH|36050|0|N
H3653|024|000|PARAMOUNT CARE, INC.|Paramount Elite Essential (HMO-POS)|00025295|0.00|0| | |OH|36070|0|N
H3653|024|000|PARAMOUNT CARE, INC.|Paramount Elite Essential (HMO-POS)|00025295|0.00|0| | |OH|36080|0|N
H3653|024|000|PARAMOUNT CARE, INC.|Paramount Elite Essential (HMO-POS)|00025295|0.00|0| | |OH|36100|0|N
H3653|024|000|PARAMOUNT CARE, INC.|Paramount Elite Essential (HMO-POS)|00025295|0.00|0| | |OH|36110|0|N
H3653|024|000|PARAMOUNT CARE, INC.|Paramount Elite Essential (HMO-POS)|00025295|0.00|0| | |OH|36120|0|N
H3653|024|000|PARAMOUNT CARE, INC.|Paramount Elite Essential (HMO-POS)|00025295|0.00|0| | |OH|36130|0|N
H3653|024|000|PARAMOUNT CARE, INC.|Paramount Elite Essential (HMO-POS)|00025295|0.00|0| | |OH|36190|0|N
H3653|024|000|PARAMOUNT CARE, INC.|Paramount Elite Essential (HMO-POS)|00025295|0.00|0| | |OH|36240|0|N
H3653|024|000|PARAMOUNT CARE, INC.|Paramount Elite Essential (HMO-POS)|00025295|0.00|0| | |OH|36290|0|N
H3653|024|000|PARAMOUNT CARE, INC.|Paramount Elite Essential (HMO-POS)|00025295|0.00|0| | |OH|36310|0|N
H3653|024|000|PARAMOUNT CARE, INC.|Paramount Elite Essential (HMO-POS)|00025295|0.00|0| | |OH|36370|0|N
H3653|024|000|PARAMOUNT CARE, INC.|Paramount Elite Essential (HMO-POS)|00025295|0.00|0| | |OH|36500|0|N
H3653|024|000|PARAMOUNT CARE, INC.|Paramount Elite Essential (HMO-POS)|00025295|0.00|0| | |OH|36560|0|N
H3653|024|000|PARAMOUNT CARE, INC.|Paramount Elite Essential (HMO-POS)|00025295|0.00|0| | |OH|36580|0|N
H3653|024|000|PARAMOUNT CARE, INC.|Paramount Elite Essential (HMO-POS)|00025295|0.00|0| | |OH|36690|0|N
H3653|024|000|PARAMOUNT CARE, INC.|Paramount Elite Essential (HMO-POS)|00025295|0.00|0| | |OH|36760|0|N
H3653|024|000|PARAMOUNT CARE, INC.|Paramount Elite Essential (HMO-POS)|00025295|0.00|0| | |OH|36840|0|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36000|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36010|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36020|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36030|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36040|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36050|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36060|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36070|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36080|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36090|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36100|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36110|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36120|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36130|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36140|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36150|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36160|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36170|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36190|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36200|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36210|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36220|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36230|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36240|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36250|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36260|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36270|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36280|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36290|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36300|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36310|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36330|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36340|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36350|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36360|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36370|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36380|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36390|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36400|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36410|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36420|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36430|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36440|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36450|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36460|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36470|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36480|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36490|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36500|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36510|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36520|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36530|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36540|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36550|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36560|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36570|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36580|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36590|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36600|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36610|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36620|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36630|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36640|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36650|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36660|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36670|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36680|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36690|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36700|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36710|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36720|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36730|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36740|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36750|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36760|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36770|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36780|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36790|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36800|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36810|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36820|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36830|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36840|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36850|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36860|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36870|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36880|2|N
H3655|033|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |OH|36890|2|N
H3655|034|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage 3 (HMO-POS)|00025049|13.90|0| | |OH|36010|0|N
H3655|034|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage 3 (HMO-POS)|00025049|13.90|0| | |OH|36020|0|N
H3655|034|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage 3 (HMO-POS)|00025049|13.90|0| | |OH|36060|0|N
H3655|034|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage 3 (HMO-POS)|00025049|13.90|0| | |OH|36070|0|N
H3655|034|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage 3 (HMO-POS)|00025049|13.90|0| | |OH|36080|0|N
H3655|034|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage 3 (HMO-POS)|00025049|13.90|0| | |OH|36090|0|N
H3655|034|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage 3 (HMO-POS)|00025049|13.90|0| | |OH|36120|0|N
H3655|034|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage 3 (HMO-POS)|00025049|13.90|0| | |OH|36140|0|N
H3655|034|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage 3 (HMO-POS)|00025049|13.90|0| | |OH|36170|0|N
H3655|034|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage 3 (HMO-POS)|00025049|13.90|0| | |OH|36210|0|N
H3655|034|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage 3 (HMO-POS)|00025049|13.90|0| | |OH|36230|0|N
H3655|034|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage 3 (HMO-POS)|00025049|13.90|0| | |OH|36250|0|N
H3655|034|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage 3 (HMO-POS)|00025049|13.90|0| | |OH|36260|0|N
H3655|034|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage 3 (HMO-POS)|00025049|13.90|0| | |OH|36280|0|N
H3655|034|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage 3 (HMO-POS)|00025049|13.90|0| | |OH|36290|0|N
H3655|034|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage 3 (HMO-POS)|00025049|13.90|0| | |OH|36310|0|N
H3655|034|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage 3 (HMO-POS)|00025049|13.90|0| | |OH|36440|0|N
H3655|034|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage 3 (HMO-POS)|00025049|13.90|0| | |OH|36460|0|N
H3655|034|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage 3 (HMO-POS)|00025049|13.90|0| | |OH|36480|0|N
H3655|034|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage 3 (HMO-POS)|00025049|13.90|0| | |OH|36490|0|N
H3655|034|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage 3 (HMO-POS)|00025049|13.90|0| | |OH|36500|0|N
H3655|034|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage 3 (HMO-POS)|00025049|13.90|0| | |OH|36510|0|N
H3655|034|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage 3 (HMO-POS)|00025049|13.90|0| | |OH|36530|0|N
H3655|034|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage 3 (HMO-POS)|00025049|13.90|0| | |OH|36560|0|N
H3655|034|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage 3 (HMO-POS)|00025049|13.90|0| | |OH|36580|0|N
H3655|034|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage 3 (HMO-POS)|00025049|13.90|0| | |OH|36600|0|N
H3655|034|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage 3 (HMO-POS)|00025049|13.90|0| | |OH|36610|0|N
H3655|034|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage 3 (HMO-POS)|00025049|13.90|0| | |OH|36630|0|N
H3655|034|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage 3 (HMO-POS)|00025049|13.90|0| | |OH|36660|0|N
H3655|034|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage 3 (HMO-POS)|00025049|13.90|0| | |OH|36680|0|N
H3655|034|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage 3 (HMO-POS)|00025049|13.90|0| | |OH|36690|0|N
H3655|034|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage 3 (HMO-POS)|00025049|13.90|0| | |OH|36750|0|N
H3655|034|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage 3 (HMO-POS)|00025049|13.90|0| | |OH|36760|0|N
H3655|034|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage 3 (HMO-POS)|00025049|13.90|0| | |OH|36770|0|N
H3655|034|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage 3 (HMO-POS)|00025049|13.90|0| | |OH|36780|0|N
H3655|034|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage 3 (HMO-POS)|00025049|13.90|0| | |OH|36790|0|N
H3655|034|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage 3 (HMO-POS)|00025049|13.90|0| | |OH|36800|0|N
H3655|034|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage 3 (HMO-POS)|00025049|13.90|0| | |OH|36810|0|N
H3655|034|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage 3 (HMO-POS)|00025049|13.90|0| | |OH|36840|0|N
H3655|034|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage 3 (HMO-POS)|00025049|13.90|0| | |OH|36880|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36000|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36010|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36020|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36030|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36040|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36050|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36060|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36070|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36080|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36090|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36100|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36110|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36120|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36130|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36140|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36150|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36160|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36170|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36190|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36200|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36210|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36220|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36230|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36240|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36250|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36260|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36270|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36280|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36290|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36300|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36310|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36330|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36340|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36350|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36360|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36370|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36380|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36390|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36400|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36410|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36420|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36430|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36440|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36450|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36460|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36470|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36480|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36490|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36500|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36510|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36520|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36530|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36540|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36550|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36560|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36570|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36580|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36590|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36600|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36610|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36620|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36630|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36640|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36650|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36660|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36670|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36680|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36690|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36700|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36710|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36720|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36730|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36740|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36750|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36760|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36770|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36780|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36790|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36800|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36810|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36820|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36830|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36840|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36850|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36860|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36870|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36880|0|N
H3655|041|000|COMMUNITY INSURANCE COMPANY|Anthem Extra Help (HMO-POS)|00025049|3.20|590| | |OH|36890|0|N
H3655|045|001|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36000|0|N
H3655|045|001|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36010|0|N
H3655|045|001|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36050|0|N
H3655|045|001|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36060|0|N
H3655|045|001|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36100|0|N
H3655|045|001|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36110|0|N
H3655|045|001|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36130|0|N
H3655|045|001|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36150|0|N
H3655|045|001|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36160|0|N
H3655|045|001|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36190|0|N
H3655|045|001|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36200|0|N
H3655|045|001|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36220|0|N
H3655|045|001|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36240|0|N
H3655|045|001|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36260|0|N
H3655|045|001|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36270|0|N
H3655|045|001|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36300|0|N
H3655|045|001|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36330|0|N
H3655|045|001|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36340|0|N
H3655|045|001|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36350|0|N
H3655|045|001|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36360|0|N
H3655|045|001|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36370|0|N
H3655|045|001|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36380|0|N
H3655|045|001|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36390|0|N
H3655|045|001|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36400|0|N
H3655|045|001|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36410|0|N
H3655|045|001|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36420|0|N
H3655|045|001|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36450|0|N
H3655|045|001|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36470|0|N
H3655|045|001|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36490|0|N
H3655|045|001|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36520|0|N
H3655|045|001|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36540|0|N
H3655|045|001|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36550|0|N
H3655|045|001|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36570|0|N
H3655|045|001|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36590|0|N
H3655|045|001|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36610|0|N
H3655|045|001|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36620|0|N
H3655|045|001|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36630|0|N
H3655|045|001|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36640|0|N
H3655|045|001|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36650|0|N
H3655|045|001|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36670|0|N
H3655|045|001|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36700|0|N
H3655|045|001|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36710|0|N
H3655|045|001|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36720|0|N
H3655|045|001|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36730|0|N
H3655|045|001|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36740|0|N
H3655|045|001|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36750|0|N
H3655|045|001|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36760|0|N
H3655|045|001|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36820|0|N
H3655|045|001|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36830|0|N
H3655|045|001|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36850|0|N
H3655|045|001|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36860|0|N
H3655|045|001|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36870|0|N
H3655|045|001|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36880|0|N
H3655|045|001|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36890|0|N
H3655|045|002|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36070|0|N
H3655|045|002|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36080|0|N
H3655|045|002|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36120|0|N
H3655|045|002|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36290|0|N
H3655|045|002|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36310|0|N
H3655|045|002|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36560|0|N
H3655|045|002|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36580|0|N
H3655|045|002|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36690|0|N
H3655|045|002|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36840|0|N
H3655|045|003|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36040|0|N
H3655|045|003|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36210|0|N
H3655|045|003|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36230|0|N
H3655|045|003|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36250|0|N
H3655|045|003|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36430|0|N
H3655|045|003|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36460|0|N
H3655|045|003|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36500|0|N
H3655|045|003|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36600|0|N
H3655|045|003|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36660|0|N
H3655|045|003|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36810|0|N
H3655|045|004|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36020|0|N
H3655|045|004|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36030|0|N
H3655|045|004|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36090|0|N
H3655|045|004|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36140|0|N
H3655|045|004|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36170|0|N
H3655|045|004|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36280|0|N
H3655|045|004|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36440|0|N
H3655|045|004|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36480|0|N
H3655|045|004|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36510|0|N
H3655|045|004|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36530|0|N
H3655|045|004|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36680|0|N
H3655|045|004|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36770|0|N
H3655|045|004|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36780|0|N
H3655|045|004|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36790|0|N
H3655|045|004|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |OH|36800|0|N
H3655|047|000|COMMUNITY INSURANCE COMPANY|Anthem Chronic Care (HMO-POS C-SNP)|00025049|0.00|0| | |OH|36170|1|N
H3655|047|000|COMMUNITY INSURANCE COMPANY|Anthem Chronic Care (HMO-POS C-SNP)|00025049|0.00|0| | |OH|36250|1|N
H3655|047|000|COMMUNITY INSURANCE COMPANY|Anthem Chronic Care (HMO-POS C-SNP)|00025049|0.00|0| | |OH|36310|1|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36000|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36010|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36020|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36030|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36040|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36050|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36060|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36070|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36080|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36090|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36100|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36110|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36120|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36130|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36140|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36150|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36160|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36170|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36190|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36200|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36210|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36220|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36230|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36240|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36250|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36260|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36270|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36280|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36290|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36300|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36310|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36330|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36340|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36350|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36360|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36370|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36380|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36390|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36400|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36410|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36420|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36430|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36440|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36450|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36460|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36470|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36480|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36490|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36500|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36510|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36520|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36530|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36540|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36550|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36560|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36570|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36580|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36590|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36600|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36610|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36620|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36630|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36640|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36650|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36660|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36670|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36680|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36690|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36700|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36710|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36720|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36730|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36740|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36750|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36760|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36770|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36780|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36790|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36800|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36810|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36820|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36830|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36840|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36850|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36860|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36870|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36880|2|N
H3655|048|000|COMMUNITY INSURANCE COMPANY|Anthem Dual Advantage (HMO D-SNP)|00025049|19.30|590| | |OH|36890|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36000|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36010|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36020|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36030|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36040|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36050|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36060|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36070|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36080|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36090|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36100|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36110|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36120|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36130|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36140|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36150|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36160|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36170|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36190|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36200|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36210|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36220|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36230|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36240|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36250|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36260|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36270|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36280|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36290|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36300|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36310|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36330|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36340|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36350|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36360|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36370|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36380|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36390|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36400|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36410|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36420|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36430|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36440|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36450|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36460|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36470|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36480|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36490|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36500|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36510|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36520|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36530|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36540|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36550|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36560|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36570|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36580|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36590|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36600|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36610|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36620|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36630|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36640|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36650|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36660|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36670|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36680|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36690|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36700|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36710|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36720|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36730|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36740|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36750|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36760|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36770|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36780|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36790|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36800|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36810|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36820|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36830|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36840|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36850|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36860|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36870|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36880|2|N
H3655|049|000|COMMUNITY INSURANCE COMPANY|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |OH|36890|2|N
H3660|028|000|SUMMACARE INC.|SummaCare Medicare Emerald (HMO-POS)|00025250|50.50|0| | |OH|36030|0|N
H3660|028|000|SUMMACARE INC.|SummaCare Medicare Emerald (HMO-POS)|00025250|50.50|0| | |OH|36090|0|N
H3660|028|000|SUMMACARE INC.|SummaCare Medicare Emerald (HMO-POS)|00025250|50.50|0| | |OH|36140|0|N
H3660|028|000|SUMMACARE INC.|SummaCare Medicare Emerald (HMO-POS)|00025250|50.50|0| | |OH|36170|0|N
H3660|028|000|SUMMACARE INC.|SummaCare Medicare Emerald (HMO-POS)|00025250|50.50|0| | |OH|36280|0|N
H3660|028|000|SUMMACARE INC.|SummaCare Medicare Emerald (HMO-POS)|00025250|50.50|0| | |OH|36440|0|N
H3660|028|000|SUMMACARE INC.|SummaCare Medicare Emerald (HMO-POS)|00025250|50.50|0| | |OH|36480|0|N
H3660|028|000|SUMMACARE INC.|SummaCare Medicare Emerald (HMO-POS)|00025250|50.50|0| | |OH|36510|0|N
H3660|028|000|SUMMACARE INC.|SummaCare Medicare Emerald (HMO-POS)|00025250|50.50|0| | |OH|36530|0|N
H3660|028|000|SUMMACARE INC.|SummaCare Medicare Emerald (HMO-POS)|00025250|50.50|0| | |OH|36680|0|N
H3660|028|000|SUMMACARE INC.|SummaCare Medicare Emerald (HMO-POS)|00025250|50.50|0| | |OH|36770|0|N
H3660|028|000|SUMMACARE INC.|SummaCare Medicare Emerald (HMO-POS)|00025250|50.50|0| | |OH|36780|0|N
H3660|028|000|SUMMACARE INC.|SummaCare Medicare Emerald (HMO-POS)|00025250|50.50|0| | |OH|36790|0|N
H3660|028|000|SUMMACARE INC.|SummaCare Medicare Emerald (HMO-POS)|00025250|50.50|0| | |OH|36800|0|N
H3660|028|000|SUMMACARE INC.|SummaCare Medicare Emerald (HMO-POS)|00025250|50.50|0| | |OH|36860|0|N
H3660|029|000|SUMMACARE INC.|SummaCare Medicare Sapphire (HMO-POS)|00025250|56.90|50| | |OH|36010|0|N
H3660|029|000|SUMMACARE INC.|SummaCare Medicare Sapphire (HMO-POS)|00025250|56.90|50| | |OH|36020|0|N
H3660|029|000|SUMMACARE INC.|SummaCare Medicare Sapphire (HMO-POS)|00025250|56.90|50| | |OH|36030|0|N
H3660|029|000|SUMMACARE INC.|SummaCare Medicare Sapphire (HMO-POS)|00025250|56.90|50| | |OH|36050|0|N
H3660|029|000|SUMMACARE INC.|SummaCare Medicare Sapphire (HMO-POS)|00025250|56.90|50| | |OH|36090|0|N
H3660|029|000|SUMMACARE INC.|SummaCare Medicare Sapphire (HMO-POS)|00025250|56.90|50| | |OH|36140|0|N
H3660|029|000|SUMMACARE INC.|SummaCare Medicare Sapphire (HMO-POS)|00025250|56.90|50| | |OH|36170|0|N
H3660|029|000|SUMMACARE INC.|SummaCare Medicare Sapphire (HMO-POS)|00025250|56.90|50| | |OH|36200|0|N
H3660|029|000|SUMMACARE INC.|SummaCare Medicare Sapphire (HMO-POS)|00025250|56.90|50| | |OH|36260|0|N
H3660|029|000|SUMMACARE INC.|SummaCare Medicare Sapphire (HMO-POS)|00025250|56.90|50| | |OH|36280|0|N
H3660|029|000|SUMMACARE INC.|SummaCare Medicare Sapphire (HMO-POS)|00025250|56.90|50| | |OH|36330|0|N
H3660|029|000|SUMMACARE INC.|SummaCare Medicare Sapphire (HMO-POS)|00025250|56.90|50| | |OH|36360|0|N
H3660|029|000|SUMMACARE INC.|SummaCare Medicare Sapphire (HMO-POS)|00025250|56.90|50| | |OH|36390|0|N
H3660|029|000|SUMMACARE INC.|SummaCare Medicare Sapphire (HMO-POS)|00025250|56.90|50| | |OH|36400|0|N
H3660|029|000|SUMMACARE INC.|SummaCare Medicare Sapphire (HMO-POS)|00025250|56.90|50| | |OH|36440|0|N
H3660|029|000|SUMMACARE INC.|SummaCare Medicare Sapphire (HMO-POS)|00025250|56.90|50| | |OH|36480|0|N
H3660|029|000|SUMMACARE INC.|SummaCare Medicare Sapphire (HMO-POS)|00025250|56.90|50| | |OH|36490|0|N
H3660|029|000|SUMMACARE INC.|SummaCare Medicare Sapphire (HMO-POS)|00025250|56.90|50| | |OH|36510|0|N
H3660|029|000|SUMMACARE INC.|SummaCare Medicare Sapphire (HMO-POS)|00025250|56.90|50| | |OH|36530|0|N
H3660|029|000|SUMMACARE INC.|SummaCare Medicare Sapphire (HMO-POS)|00025250|56.90|50| | |OH|36550|0|N
H3660|029|000|SUMMACARE INC.|SummaCare Medicare Sapphire (HMO-POS)|00025250|56.90|50| | |OH|36630|0|N
H3660|029|000|SUMMACARE INC.|SummaCare Medicare Sapphire (HMO-POS)|00025250|56.90|50| | |OH|36680|0|N
H3660|029|000|SUMMACARE INC.|SummaCare Medicare Sapphire (HMO-POS)|00025250|56.90|50| | |OH|36700|0|N
H3660|029|000|SUMMACARE INC.|SummaCare Medicare Sapphire (HMO-POS)|00025250|56.90|50| | |OH|36750|0|N
H3660|029|000|SUMMACARE INC.|SummaCare Medicare Sapphire (HMO-POS)|00025250|56.90|50| | |OH|36770|0|N
H3660|029|000|SUMMACARE INC.|SummaCare Medicare Sapphire (HMO-POS)|00025250|56.90|50| | |OH|36780|0|N
H3660|029|000|SUMMACARE INC.|SummaCare Medicare Sapphire (HMO-POS)|00025250|56.90|50| | |OH|36790|0|N
H3660|029|000|SUMMACARE INC.|SummaCare Medicare Sapphire (HMO-POS)|00025250|56.90|50| | |OH|36800|0|N
H3660|029|000|SUMMACARE INC.|SummaCare Medicare Sapphire (HMO-POS)|00025250|56.90|50| | |OH|36820|0|N
H3660|029|000|SUMMACARE INC.|SummaCare Medicare Sapphire (HMO-POS)|00025250|56.90|50| | |OH|36860|0|N
H3660|029|000|SUMMACARE INC.|SummaCare Medicare Sapphire (HMO-POS)|00025250|56.90|50| | |OH|36880|0|N
H3660|044|000|SUMMACARE INC.|SummaCare Medicare Ruby (HMO)|00025250|35.90|150| | |OH|36010|0|N
H3660|044|000|SUMMACARE INC.|SummaCare Medicare Ruby (HMO)|00025250|35.90|150| | |OH|36020|0|N
H3660|044|000|SUMMACARE INC.|SummaCare Medicare Ruby (HMO)|00025250|35.90|150| | |OH|36030|0|N
H3660|044|000|SUMMACARE INC.|SummaCare Medicare Ruby (HMO)|00025250|35.90|150| | |OH|36090|0|N
H3660|044|000|SUMMACARE INC.|SummaCare Medicare Ruby (HMO)|00025250|35.90|150| | |OH|36140|0|N
H3660|044|000|SUMMACARE INC.|SummaCare Medicare Ruby (HMO)|00025250|35.90|150| | |OH|36170|0|N
H3660|044|000|SUMMACARE INC.|SummaCare Medicare Ruby (HMO)|00025250|35.90|150| | |OH|36260|0|N
H3660|044|000|SUMMACARE INC.|SummaCare Medicare Ruby (HMO)|00025250|35.90|150| | |OH|36280|0|N
H3660|044|000|SUMMACARE INC.|SummaCare Medicare Ruby (HMO)|00025250|35.90|150| | |OH|36330|0|N
H3660|044|000|SUMMACARE INC.|SummaCare Medicare Ruby (HMO)|00025250|35.90|150| | |OH|36390|0|N
H3660|044|000|SUMMACARE INC.|SummaCare Medicare Ruby (HMO)|00025250|35.90|150| | |OH|36400|0|N
H3660|044|000|SUMMACARE INC.|SummaCare Medicare Ruby (HMO)|00025250|35.90|150| | |OH|36440|0|N
H3660|044|000|SUMMACARE INC.|SummaCare Medicare Ruby (HMO)|00025250|35.90|150| | |OH|36480|0|N
H3660|044|000|SUMMACARE INC.|SummaCare Medicare Ruby (HMO)|00025250|35.90|150| | |OH|36490|0|N
H3660|044|000|SUMMACARE INC.|SummaCare Medicare Ruby (HMO)|00025250|35.90|150| | |OH|36510|0|N
H3660|044|000|SUMMACARE INC.|SummaCare Medicare Ruby (HMO)|00025250|35.90|150| | |OH|36530|0|N
H3660|044|000|SUMMACARE INC.|SummaCare Medicare Ruby (HMO)|00025250|35.90|150| | |OH|36680|0|N
H3660|044|000|SUMMACARE INC.|SummaCare Medicare Ruby (HMO)|00025250|35.90|150| | |OH|36700|0|N
H3660|044|000|SUMMACARE INC.|SummaCare Medicare Ruby (HMO)|00025250|35.90|150| | |OH|36750|0|N
H3660|044|000|SUMMACARE INC.|SummaCare Medicare Ruby (HMO)|00025250|35.90|150| | |OH|36770|0|N
H3660|044|000|SUMMACARE INC.|SummaCare Medicare Ruby (HMO)|00025250|35.90|150| | |OH|36780|0|N
H3660|044|000|SUMMACARE INC.|SummaCare Medicare Ruby (HMO)|00025250|35.90|150| | |OH|36790|0|N
H3660|044|000|SUMMACARE INC.|SummaCare Medicare Ruby (HMO)|00025250|35.90|150| | |OH|36800|0|N
H3660|044|000|SUMMACARE INC.|SummaCare Medicare Ruby (HMO)|00025250|35.90|150| | |OH|36860|0|N
H3660|044|000|SUMMACARE INC.|SummaCare Medicare Ruby (HMO)|00025250|35.90|150| | |OH|36880|0|N
H3660|050|000|SUMMACARE INC.|SummaCare Medicare Topaz (HMO)|00025250|0.00|200| | |OH|36090|0|N
H3660|050|000|SUMMACARE INC.|SummaCare Medicare Topaz (HMO)|00025250|0.00|200| | |OH|36140|0|N
H3660|050|000|SUMMACARE INC.|SummaCare Medicare Topaz (HMO)|00025250|0.00|200| | |OH|36170|0|N
H3660|050|000|SUMMACARE INC.|SummaCare Medicare Topaz (HMO)|00025250|0.00|200| | |OH|36220|0|N
H3660|050|000|SUMMACARE INC.|SummaCare Medicare Topaz (HMO)|00025250|0.00|200| | |OH|36280|0|N
H3660|050|000|SUMMACARE INC.|SummaCare Medicare Topaz (HMO)|00025250|0.00|200| | |OH|36400|0|N
H3660|050|000|SUMMACARE INC.|SummaCare Medicare Topaz (HMO)|00025250|0.00|200| | |OH|36440|0|N
H3660|050|000|SUMMACARE INC.|SummaCare Medicare Topaz (HMO)|00025250|0.00|200| | |OH|36480|0|N
H3660|050|000|SUMMACARE INC.|SummaCare Medicare Topaz (HMO)|00025250|0.00|200| | |OH|36510|0|N
H3660|050|000|SUMMACARE INC.|SummaCare Medicare Topaz (HMO)|00025250|0.00|200| | |OH|36530|0|N
H3660|050|000|SUMMACARE INC.|SummaCare Medicare Topaz (HMO)|00025250|0.00|200| | |OH|36630|0|N
H3660|050|000|SUMMACARE INC.|SummaCare Medicare Topaz (HMO)|00025250|0.00|200| | |OH|36680|0|N
H3660|050|000|SUMMACARE INC.|SummaCare Medicare Topaz (HMO)|00025250|0.00|200| | |OH|36730|0|N
H3660|050|000|SUMMACARE INC.|SummaCare Medicare Topaz (HMO)|00025250|0.00|200| | |OH|36750|0|N
H3660|050|000|SUMMACARE INC.|SummaCare Medicare Topaz (HMO)|00025250|0.00|200| | |OH|36770|0|N
H3660|050|000|SUMMACARE INC.|SummaCare Medicare Topaz (HMO)|00025250|0.00|200| | |OH|36780|0|N
H3660|050|000|SUMMACARE INC.|SummaCare Medicare Topaz (HMO)|00025250|0.00|200| | |OH|36790|0|N
H3660|050|000|SUMMACARE INC.|SummaCare Medicare Topaz (HMO)|00025250|0.00|200| | |OH|36860|0|N
H3660|053|001|SUMMACARE INC.|SummaCare Medicare Garnet (HMO)|00025250|24.00|200| | |OH|36530|0|N
H3660|053|001|SUMMACARE INC.|SummaCare Medicare Garnet (HMO)|00025250|24.00|200| | |OH|36680|0|N
H3660|053|001|SUMMACARE INC.|SummaCare Medicare Garnet (HMO)|00025250|24.00|200| | |OH|36770|0|N
H3660|053|001|SUMMACARE INC.|SummaCare Medicare Garnet (HMO)|00025250|24.00|200| | |OH|36780|0|N
H3660|053|001|SUMMACARE INC.|SummaCare Medicare Garnet (HMO)|00025250|24.00|200| | |OH|36860|0|N
H3660|053|002|SUMMACARE INC.|SummaCare Medicare Garnet (HMO)|00025250|24.00|200| | |OH|36170|0|N
H3660|053|002|SUMMACARE INC.|SummaCare Medicare Garnet (HMO)|00025250|24.00|200| | |OH|36220|0|N
H3660|053|002|SUMMACARE INC.|SummaCare Medicare Garnet (HMO)|00025250|24.00|200| | |OH|36280|0|N
H3660|053|002|SUMMACARE INC.|SummaCare Medicare Garnet (HMO)|00025250|24.00|200| | |OH|36400|0|N
H3660|053|002|SUMMACARE INC.|SummaCare Medicare Garnet (HMO)|00025250|24.00|200| | |OH|36440|0|N
H3660|053|002|SUMMACARE INC.|SummaCare Medicare Garnet (HMO)|00025250|24.00|200| | |OH|36480|0|N
H3660|053|002|SUMMACARE INC.|SummaCare Medicare Garnet (HMO)|00025250|24.00|200| | |OH|36510|0|N
H3660|053|002|SUMMACARE INC.|SummaCare Medicare Garnet (HMO)|00025250|24.00|200| | |OH|36630|0|N
H3660|053|002|SUMMACARE INC.|SummaCare Medicare Garnet (HMO)|00025250|24.00|200| | |OH|36730|0|N
H3660|053|002|SUMMACARE INC.|SummaCare Medicare Garnet (HMO)|00025250|24.00|200| | |OH|36750|0|N
H3660|053|002|SUMMACARE INC.|SummaCare Medicare Garnet (HMO)|00025250|24.00|200| | |OH|36790|0|N
H3660|056|001|SUMMACARE INC.|SummaCare Medicare Jade with Bene-FlexTM (HMO)|00025250|12.00|150| | |OH|36020|0|N
H3660|056|001|SUMMACARE INC.|SummaCare Medicare Jade with Bene-FlexTM (HMO)|00025250|12.00|150| | |OH|36030|0|N
H3660|056|001|SUMMACARE INC.|SummaCare Medicare Jade with Bene-FlexTM (HMO)|00025250|12.00|150| | |OH|36090|0|N
H3660|056|001|SUMMACARE INC.|SummaCare Medicare Jade with Bene-FlexTM (HMO)|00025250|12.00|150| | |OH|36140|0|N
H3660|056|001|SUMMACARE INC.|SummaCare Medicare Jade with Bene-FlexTM (HMO)|00025250|12.00|150| | |OH|36170|0|N
H3660|056|001|SUMMACARE INC.|SummaCare Medicare Jade with Bene-FlexTM (HMO)|00025250|12.00|150| | |OH|36280|0|N
H3660|056|001|SUMMACARE INC.|SummaCare Medicare Jade with Bene-FlexTM (HMO)|00025250|12.00|150| | |OH|36390|0|N
H3660|056|001|SUMMACARE INC.|SummaCare Medicare Jade with Bene-FlexTM (HMO)|00025250|12.00|150| | |OH|36440|0|N
H3660|056|001|SUMMACARE INC.|SummaCare Medicare Jade with Bene-FlexTM (HMO)|00025250|12.00|150| | |OH|36480|0|N
H3660|056|001|SUMMACARE INC.|SummaCare Medicare Jade with Bene-FlexTM (HMO)|00025250|12.00|150| | |OH|36510|0|N
H3660|056|001|SUMMACARE INC.|SummaCare Medicare Jade with Bene-FlexTM (HMO)|00025250|12.00|150| | |OH|36530|0|N
H3660|056|001|SUMMACARE INC.|SummaCare Medicare Jade with Bene-FlexTM (HMO)|00025250|12.00|150| | |OH|36680|0|N
H3660|056|001|SUMMACARE INC.|SummaCare Medicare Jade with Bene-FlexTM (HMO)|00025250|12.00|150| | |OH|36770|0|N
H3660|056|001|SUMMACARE INC.|SummaCare Medicare Jade with Bene-FlexTM (HMO)|00025250|12.00|150| | |OH|36780|0|N
H3660|056|001|SUMMACARE INC.|SummaCare Medicare Jade with Bene-FlexTM (HMO)|00025250|12.00|150| | |OH|36790|0|N
H3660|056|001|SUMMACARE INC.|SummaCare Medicare Jade with Bene-FlexTM (HMO)|00025250|12.00|150| | |OH|36800|0|N
H3660|056|001|SUMMACARE INC.|SummaCare Medicare Jade with Bene-FlexTM (HMO)|00025250|12.00|150| | |OH|36860|0|N
H3660|056|002|SUMMACARE INC.|SummaCare Medicare Jade with Bene-FlexTM (HMO)|00025250|12.00|150| | |OH|36010|0|N
H3660|056|002|SUMMACARE INC.|SummaCare Medicare Jade with Bene-FlexTM (HMO)|00025250|12.00|150| | |OH|36220|0|N
H3660|056|002|SUMMACARE INC.|SummaCare Medicare Jade with Bene-FlexTM (HMO)|00025250|12.00|150| | |OH|36260|0|N
H3660|056|002|SUMMACARE INC.|SummaCare Medicare Jade with Bene-FlexTM (HMO)|00025250|12.00|150| | |OH|36330|0|N
H3660|056|002|SUMMACARE INC.|SummaCare Medicare Jade with Bene-FlexTM (HMO)|00025250|12.00|150| | |OH|36400|0|N
H3660|056|002|SUMMACARE INC.|SummaCare Medicare Jade with Bene-FlexTM (HMO)|00025250|12.00|150| | |OH|36490|0|N
H3660|056|002|SUMMACARE INC.|SummaCare Medicare Jade with Bene-FlexTM (HMO)|00025250|12.00|150| | |OH|36630|0|N
H3660|056|002|SUMMACARE INC.|SummaCare Medicare Jade with Bene-FlexTM (HMO)|00025250|12.00|150| | |OH|36700|0|N
H3660|056|002|SUMMACARE INC.|SummaCare Medicare Jade with Bene-FlexTM (HMO)|00025250|12.00|150| | |OH|36730|0|N
H3660|056|002|SUMMACARE INC.|SummaCare Medicare Jade with Bene-FlexTM (HMO)|00025250|12.00|150| | |OH|36750|0|N
H3660|056|002|SUMMACARE INC.|SummaCare Medicare Jade with Bene-FlexTM (HMO)|00025250|12.00|150| | |OH|36880|0|N
H3664|017|000|AULTCARE HEALTH INSURING CORPORATION|PrimeTime Health Plan Plus (HMO-POS)|00025390|14.50|0| | |OH|36090|0|N
H3664|017|000|AULTCARE HEALTH INSURING CORPORATION|PrimeTime Health Plan Plus (HMO-POS)|00025390|14.50|0| | |OH|36140|0|N
H3664|017|000|AULTCARE HEALTH INSURING CORPORATION|PrimeTime Health Plan Plus (HMO-POS)|00025390|14.50|0| | |OH|36350|0|N
H3664|017|000|AULTCARE HEALTH INSURING CORPORATION|PrimeTime Health Plan Plus (HMO-POS)|00025390|14.50|0| | |OH|36390|0|N
H3664|017|000|AULTCARE HEALTH INSURING CORPORATION|PrimeTime Health Plan Plus (HMO-POS)|00025390|14.50|0| | |OH|36510|0|N
H3664|017|000|AULTCARE HEALTH INSURING CORPORATION|PrimeTime Health Plan Plus (HMO-POS)|00025390|14.50|0| | |OH|36530|0|N
H3664|017|000|AULTCARE HEALTH INSURING CORPORATION|PrimeTime Health Plan Plus (HMO-POS)|00025390|14.50|0| | |OH|36680|0|N
H3664|017|000|AULTCARE HEALTH INSURING CORPORATION|PrimeTime Health Plan Plus (HMO-POS)|00025390|14.50|0| | |OH|36770|0|N
H3664|017|000|AULTCARE HEALTH INSURING CORPORATION|PrimeTime Health Plan Plus (HMO-POS)|00025390|14.50|0| | |OH|36780|0|N
H3664|017|000|AULTCARE HEALTH INSURING CORPORATION|PrimeTime Health Plan Plus (HMO-POS)|00025390|14.50|0| | |OH|36800|0|N
H3664|017|000|AULTCARE HEALTH INSURING CORPORATION|PrimeTime Health Plan Plus (HMO-POS)|00025390|14.50|0| | |OH|36860|0|N
H3664|020|000|AULTCARE HEALTH INSURING CORPORATION|PrimeTime Health Plan Classic (HMO-POS)|00025390|3.10|0| | |OH|36090|0|N
H3664|020|000|AULTCARE HEALTH INSURING CORPORATION|PrimeTime Health Plan Classic (HMO-POS)|00025390|3.10|0| | |OH|36140|0|N
H3664|020|000|AULTCARE HEALTH INSURING CORPORATION|PrimeTime Health Plan Classic (HMO-POS)|00025390|3.10|0| | |OH|36350|0|N
H3664|020|000|AULTCARE HEALTH INSURING CORPORATION|PrimeTime Health Plan Classic (HMO-POS)|00025390|3.10|0| | |OH|36390|0|N
H3664|020|000|AULTCARE HEALTH INSURING CORPORATION|PrimeTime Health Plan Classic (HMO-POS)|00025390|3.10|0| | |OH|36510|0|N
H3664|020|000|AULTCARE HEALTH INSURING CORPORATION|PrimeTime Health Plan Classic (HMO-POS)|00025390|3.10|0| | |OH|36530|0|N
H3664|020|000|AULTCARE HEALTH INSURING CORPORATION|PrimeTime Health Plan Classic (HMO-POS)|00025390|3.10|0| | |OH|36680|0|N
H3664|020|000|AULTCARE HEALTH INSURING CORPORATION|PrimeTime Health Plan Classic (HMO-POS)|00025390|3.10|0| | |OH|36770|0|N
H3664|020|000|AULTCARE HEALTH INSURING CORPORATION|PrimeTime Health Plan Classic (HMO-POS)|00025390|3.10|0| | |OH|36780|0|N
H3664|020|000|AULTCARE HEALTH INSURING CORPORATION|PrimeTime Health Plan Classic (HMO-POS)|00025390|3.10|0| | |OH|36800|0|N
H3664|020|000|AULTCARE HEALTH INSURING CORPORATION|PrimeTime Health Plan Classic (HMO-POS)|00025390|3.10|0| | |OH|36860|0|N
H3664|021|000|AULTCARE HEALTH INSURING CORPORATION|PrimeTime Health Plan Aultimate (HMO-POS)|00025390|0.00|0| | |OH|36090|0|N
H3664|021|000|AULTCARE HEALTH INSURING CORPORATION|PrimeTime Health Plan Aultimate (HMO-POS)|00025390|0.00|0| | |OH|36140|0|N
H3664|021|000|AULTCARE HEALTH INSURING CORPORATION|PrimeTime Health Plan Aultimate (HMO-POS)|00025390|0.00|0| | |OH|36350|0|N
H3664|021|000|AULTCARE HEALTH INSURING CORPORATION|PrimeTime Health Plan Aultimate (HMO-POS)|00025390|0.00|0| | |OH|36390|0|N
H3664|021|000|AULTCARE HEALTH INSURING CORPORATION|PrimeTime Health Plan Aultimate (HMO-POS)|00025390|0.00|0| | |OH|36510|0|N
H3664|021|000|AULTCARE HEALTH INSURING CORPORATION|PrimeTime Health Plan Aultimate (HMO-POS)|00025390|0.00|0| | |OH|36530|0|N
H3664|021|000|AULTCARE HEALTH INSURING CORPORATION|PrimeTime Health Plan Aultimate (HMO-POS)|00025390|0.00|0| | |OH|36680|0|N
H3664|021|000|AULTCARE HEALTH INSURING CORPORATION|PrimeTime Health Plan Aultimate (HMO-POS)|00025390|0.00|0| | |OH|36770|0|N
H3664|021|000|AULTCARE HEALTH INSURING CORPORATION|PrimeTime Health Plan Aultimate (HMO-POS)|00025390|0.00|0| | |OH|36780|0|N
H3664|021|000|AULTCARE HEALTH INSURING CORPORATION|PrimeTime Health Plan Aultimate (HMO-POS)|00025390|0.00|0| | |OH|36800|0|N
H3664|021|000|AULTCARE HEALTH INSURING CORPORATION|PrimeTime Health Plan Aultimate (HMO-POS)|00025390|0.00|0| | |OH|36860|0|N
H3668|018|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Premier (HMO)|00025291|0.00|0| | |OH|36130|0|N
H3668|018|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Premier (HMO)|00025291|0.00|0| | |OH|36150|0|N
H3668|018|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Premier (HMO)|00025291|0.00|0| | |OH|36210|0|N
H3668|018|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Premier (HMO)|00025291|0.00|0| | |OH|36230|0|N
H3668|018|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Premier (HMO)|00025291|0.00|0| | |OH|36240|0|N
H3668|018|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Premier (HMO)|00025291|0.00|0| | |OH|36250|0|N
H3668|018|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Premier (HMO)|00025291|0.00|0| | |OH|36270|0|N
H3668|018|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Premier (HMO)|00025291|0.00|0| | |OH|36300|0|N
H3668|018|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Premier (HMO)|00025291|0.00|0| | |OH|36350|0|N
H3668|018|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Premier (HMO)|00025291|0.00|0| | |OH|36370|0|N
H3668|018|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Premier (HMO)|00025291|0.00|0| | |OH|36380|0|N
H3668|018|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Premier (HMO)|00025291|0.00|0| | |OH|36390|0|N
H3668|018|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Premier (HMO)|00025291|0.00|0| | |OH|36410|0|N
H3668|018|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Premier (HMO)|00025291|0.00|0| | |OH|36430|0|N
H3668|018|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Premier (HMO)|00025291|0.00|0| | |OH|36460|0|N
H3668|018|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Premier (HMO)|00025291|0.00|0| | |OH|36470|0|N
H3668|018|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Premier (HMO)|00025291|0.00|0| | |OH|36500|0|N
H3668|018|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Premier (HMO)|00025291|0.00|0| | |OH|36540|0|N
H3668|018|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Premier (HMO)|00025291|0.00|0| | |OH|36570|0|N
H3668|018|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Premier (HMO)|00025291|0.00|0| | |OH|36590|0|N
H3668|018|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Premier (HMO)|00025291|0.00|0| | |OH|36610|0|N
H3668|018|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Premier (HMO)|00025291|0.00|0| | |OH|36620|0|N
H3668|018|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Premier (HMO)|00025291|0.00|0| | |OH|36650|0|N
H3668|018|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Premier (HMO)|00025291|0.00|0| | |OH|36660|0|N
H3668|018|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Premier (HMO)|00025291|0.00|0| | |OH|36670|0|N
H3668|018|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Premier (HMO)|00025291|0.00|0| | |OH|36710|0|N
H3668|018|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Premier (HMO)|00025291|0.00|0| | |OH|36720|0|N
H3668|018|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Premier (HMO)|00025291|0.00|0| | |OH|36810|0|N
H3668|018|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Premier (HMO)|00025291|0.00|0| | |OH|36830|0|N
H3668|018|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Premier (HMO)|00025291|0.00|0| | |OH|36850|0|N
H3668|018|002|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Premier (HMO)|00025291|0.00|0| | |OH|36000|0|N
H3668|018|002|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Premier (HMO)|00025291|0.00|0| | |OH|36050|0|N
H3668|018|002|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Premier (HMO)|00025291|0.00|0| | |OH|36070|0|N
H3668|018|002|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Premier (HMO)|00025291|0.00|0| | |OH|36080|0|N
H3668|018|002|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Premier (HMO)|00025291|0.00|0| | |OH|36100|0|N
H3668|018|002|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Premier (HMO)|00025291|0.00|0| | |OH|36110|0|N
H3668|018|002|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Premier (HMO)|00025291|0.00|0| | |OH|36120|0|N
H3668|018|002|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Premier (HMO)|00025291|0.00|0| | |OH|36190|0|N
H3668|018|002|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Premier (HMO)|00025291|0.00|0| | |OH|36290|0|N
H3668|018|002|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Premier (HMO)|00025291|0.00|0| | |OH|36310|0|N
H3668|018|002|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Premier (HMO)|00025291|0.00|0| | |OH|36560|0|N
H3668|018|002|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Premier (HMO)|00025291|0.00|0| | |OH|36580|0|N
H3668|018|002|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Premier (HMO)|00025291|0.00|0| | |OH|36690|0|N
H3668|018|002|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Premier (HMO)|00025291|0.00|0| | |OH|36760|0|N
H3668|018|002|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Premier (HMO)|00025291|0.00|0| | |OH|36840|0|N
H3668|019|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36130|0|N
H3668|019|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36150|0|N
H3668|019|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36210|0|N
H3668|019|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36230|0|N
H3668|019|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36240|0|N
H3668|019|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36250|0|N
H3668|019|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36270|0|N
H3668|019|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36300|0|N
H3668|019|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36350|0|N
H3668|019|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36370|0|N
H3668|019|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36380|0|N
H3668|019|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36390|0|N
H3668|019|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36410|0|N
H3668|019|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36430|0|N
H3668|019|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36460|0|N
H3668|019|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36470|0|N
H3668|019|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36500|0|N
H3668|019|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36540|0|N
H3668|019|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36570|0|N
H3668|019|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36590|0|N
H3668|019|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36610|0|N
H3668|019|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36620|0|N
H3668|019|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36650|0|N
H3668|019|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36660|0|N
H3668|019|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36670|0|N
H3668|019|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36710|0|N
H3668|019|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36720|0|N
H3668|019|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36810|0|N
H3668|019|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36830|0|N
H3668|019|001|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36850|0|N
H3668|019|002|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36000|0|N
H3668|019|002|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36050|0|N
H3668|019|002|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36070|0|N
H3668|019|002|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36080|0|N
H3668|019|002|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36100|0|N
H3668|019|002|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36110|0|N
H3668|019|002|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36120|0|N
H3668|019|002|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36190|0|N
H3668|019|002|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36290|0|N
H3668|019|002|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36310|0|N
H3668|019|002|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36560|0|N
H3668|019|002|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36580|0|N
H3668|019|002|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36690|0|N
H3668|019|002|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36760|0|N
H3668|019|002|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36840|0|N
H3668|020|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36010|0|N
H3668|020|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36160|0|N
H3668|020|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36200|0|N
H3668|020|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36260|0|N
H3668|020|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36330|0|N
H3668|020|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36340|0|N
H3668|020|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36360|0|N
H3668|020|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36490|0|N
H3668|020|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36550|0|N
H3668|020|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36600|0|N
H3668|020|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36630|0|N
H3668|020|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36640|0|N
H3668|020|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36700|0|N
H3668|020|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36750|0|N
H3668|020|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36820|0|N
H3668|020|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36880|0|N
H3668|020|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold No Premium (HMO)|00025291|0.00|0| | |OH|36890|0|N
H3668|022|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Plus (HMO)|00025291|0.00|0| | |OH|36130|0|N
H3668|022|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Plus (HMO)|00025291|0.00|0| | |OH|36150|0|N
H3668|022|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Plus (HMO)|00025291|0.00|0| | |OH|36210|0|N
H3668|022|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Plus (HMO)|00025291|0.00|0| | |OH|36230|0|N
H3668|022|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Plus (HMO)|00025291|0.00|0| | |OH|36240|0|N
H3668|022|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Plus (HMO)|00025291|0.00|0| | |OH|36250|0|N
H3668|022|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Plus (HMO)|00025291|0.00|0| | |OH|36270|0|N
H3668|022|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Plus (HMO)|00025291|0.00|0| | |OH|36300|0|N
H3668|022|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Plus (HMO)|00025291|0.00|0| | |OH|36350|0|N
H3668|022|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Plus (HMO)|00025291|0.00|0| | |OH|36370|0|N
H3668|022|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Plus (HMO)|00025291|0.00|0| | |OH|36380|0|N
H3668|022|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Plus (HMO)|00025291|0.00|0| | |OH|36390|0|N
H3668|022|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Plus (HMO)|00025291|0.00|0| | |OH|36410|0|N
H3668|022|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Plus (HMO)|00025291|0.00|0| | |OH|36430|0|N
H3668|022|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Plus (HMO)|00025291|0.00|0| | |OH|36460|0|N
H3668|022|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Plus (HMO)|00025291|0.00|0| | |OH|36470|0|N
H3668|022|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Plus (HMO)|00025291|0.00|0| | |OH|36500|0|N
H3668|022|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Plus (HMO)|00025291|0.00|0| | |OH|36540|0|N
H3668|022|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Plus (HMO)|00025291|0.00|0| | |OH|36570|0|N
H3668|022|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Plus (HMO)|00025291|0.00|0| | |OH|36590|0|N
H3668|022|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Plus (HMO)|00025291|0.00|0| | |OH|36610|0|N
H3668|022|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Plus (HMO)|00025291|0.00|0| | |OH|36620|0|N
H3668|022|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Plus (HMO)|00025291|0.00|0| | |OH|36650|0|N
H3668|022|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Plus (HMO)|00025291|0.00|0| | |OH|36660|0|N
H3668|022|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Plus (HMO)|00025291|0.00|0| | |OH|36670|0|N
H3668|022|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Plus (HMO)|00025291|0.00|0| | |OH|36710|0|N
H3668|022|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Plus (HMO)|00025291|0.00|0| | |OH|36720|0|N
H3668|022|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Plus (HMO)|00025291|0.00|0| | |OH|36810|0|N
H3668|022|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Plus (HMO)|00025291|0.00|0| | |OH|36830|0|N
H3668|022|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Plus (HMO)|00025291|0.00|0| | |OH|36850|0|N
H3668|023|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Plus (HMO)|00025291|2.80|0| | |OH|36000|0|N
H3668|023|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Plus (HMO)|00025291|2.80|0| | |OH|36050|0|N
H3668|023|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Plus (HMO)|00025291|2.80|0| | |OH|36070|0|N
H3668|023|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Plus (HMO)|00025291|2.80|0| | |OH|36080|0|N
H3668|023|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Plus (HMO)|00025291|2.80|0| | |OH|36100|0|N
H3668|023|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Plus (HMO)|00025291|2.80|0| | |OH|36110|0|N
H3668|023|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Plus (HMO)|00025291|2.80|0| | |OH|36120|0|N
H3668|023|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Plus (HMO)|00025291|2.80|0| | |OH|36190|0|N
H3668|023|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Plus (HMO)|00025291|2.80|0| | |OH|36290|0|N
H3668|023|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Plus (HMO)|00025291|2.80|0| | |OH|36310|0|N
H3668|023|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Plus (HMO)|00025291|2.80|0| | |OH|36560|0|N
H3668|023|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Plus (HMO)|00025291|2.80|0| | |OH|36580|0|N
H3668|023|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Plus (HMO)|00025291|2.80|0| | |OH|36690|0|N
H3668|023|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Plus (HMO)|00025291|2.80|0| | |OH|36760|0|N
H3668|023|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Plus (HMO)|00025291|2.80|0| | |OH|36840|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16000|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16010|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16030|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16050|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16060|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16070|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16080|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16090|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16110|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16150|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16160|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16170|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16180|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16190|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16210|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16220|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16240|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16270|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16320|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16330|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16340|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16360|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16370|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16380|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16390|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16400|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16410|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16430|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16450|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16460|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16480|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16490|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16520|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16530|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16540|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16570|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16580|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16600|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16610|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16620|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16650|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16660|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16670|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16690|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16740|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16760|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16780|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16790|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16810|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16830|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16850|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16870|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16900|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16920|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16940|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16960|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16970|0|N
H3668|025|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan No Premium (HMO)|00025291|0.00|0| | |IA|16980|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16000|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16010|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16030|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16050|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16060|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16070|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16080|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16090|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16110|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16150|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16160|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16170|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16180|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16190|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16210|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16220|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16240|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16270|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16320|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16330|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16340|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16360|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16370|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16380|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16390|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16400|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16410|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16430|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16450|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16460|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16480|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16490|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16520|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16530|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16540|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16570|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16580|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16600|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16610|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16620|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16650|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16660|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16670|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16690|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16740|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16760|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16780|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16790|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16810|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16830|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16850|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16870|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16900|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16920|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16940|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16960|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16970|0|N
H3668|026|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Plus (HMO)|00025291|16.00|0| | |IA|16980|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36000|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36010|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36050|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36070|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36080|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36100|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36110|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36120|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36130|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36150|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36160|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36190|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36200|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36210|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36230|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36240|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36250|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36260|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36270|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36290|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36300|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36310|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36330|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36340|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36350|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36360|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36370|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36380|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36390|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36410|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36430|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36460|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36470|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36490|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36500|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36540|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36550|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36560|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36570|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36580|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36590|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36600|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36610|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36620|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36630|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36640|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36650|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36660|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36670|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36690|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36700|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36710|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36720|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36750|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36760|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36810|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36820|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36830|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36840|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36850|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36880|0|N
H3668|030|000|MOUNT CARMEL HEALTH PLAN, INC.|Mount Carmel MediGold Cash Back (HMO)|00025291|0.00|350| | |OH|36890|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16000|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16010|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16030|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16050|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16060|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16070|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16080|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16090|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16110|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16150|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16160|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16170|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16180|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16190|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16210|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16220|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16240|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16270|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16320|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16330|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16340|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16360|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16370|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16380|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16390|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16400|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16410|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16430|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16450|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16460|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16480|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16490|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16520|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16530|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16540|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16570|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16580|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16600|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16610|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16620|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16650|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16660|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16670|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16690|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16740|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16760|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16780|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16790|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16810|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16830|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16850|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16870|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16900|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16920|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16940|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16960|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16970|0|N
H3668|031|000|MOUNT CARMEL HEALTH PLAN, INC.|MercyOne Health Plan Cash Back (HMO)|00025291|0.00|275| | |IA|16980|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36000|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36010|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36020|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36030|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36040|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36050|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36070|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36080|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36090|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36100|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36110|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36120|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36130|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36140|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36150|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36160|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36170|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36190|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36210|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36230|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36240|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36250|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36260|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36270|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36280|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36290|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36310|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36340|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36360|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36370|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36380|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36390|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36410|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36430|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36440|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36450|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36460|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36470|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36480|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36500|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36510|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36530|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36540|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36550|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36560|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36580|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36590|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36600|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36630|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36640|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36650|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36660|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36670|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36680|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36690|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36700|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36710|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36720|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36740|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36750|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36760|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36770|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36780|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36790|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36800|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36820|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36830|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36840|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36860|0|N
H3672|013|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36890|0|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36000|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36010|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36020|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36030|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36040|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36050|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36060|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36070|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36080|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36090|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36100|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36110|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36120|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36130|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36140|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36150|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36160|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36170|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36190|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36210|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36230|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36240|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36250|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36260|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36270|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36280|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36290|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36300|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36310|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36340|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36350|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36360|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36370|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36380|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36390|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36410|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36420|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36430|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36440|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36450|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36460|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36470|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36480|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36500|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36510|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36530|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36540|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36550|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36560|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36570|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36580|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36590|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36600|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36610|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36620|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36630|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36640|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36650|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36660|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36670|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36680|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36690|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36700|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36710|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36720|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36740|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36750|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36760|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36770|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36780|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36790|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36800|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36820|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36830|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36840|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36850|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36860|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |OH|36890|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |WV|51000|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |WV|51010|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |WV|51020|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |WV|51030|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |WV|51040|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |WV|51050|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |WV|51060|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |WV|51070|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |WV|51080|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |WV|51090|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |WV|51100|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |WV|51110|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |WV|51120|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |WV|51130|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |WV|51140|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |WV|51150|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |WV|51160|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |WV|51170|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |WV|51180|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |WV|51190|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |WV|51200|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |WV|51210|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |WV|51220|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |WV|51230|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |WV|51240|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |WV|51250|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |WV|51260|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |WV|51270|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |WV|51280|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |WV|51290|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |WV|51300|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |WV|51310|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |WV|51320|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |WV|51330|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |WV|51340|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |WV|51350|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |WV|51360|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |WV|51370|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |WV|51380|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |WV|51390|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |WV|51400|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |WV|51410|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |WV|51420|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |WV|51430|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |WV|51440|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |WV|51450|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |WV|51460|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |WV|51470|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |WV|51480|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |WV|51490|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |WV|51500|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |WV|51510|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |WV|51520|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |WV|51530|2|N
H3672|019|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare SNP (HMO D-SNP)|00025119|35.40|590| | |WV|51540|2|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36060|0|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36300|0|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36350|0|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36420|0|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36570|0|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36610|0|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36620|0|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |OH|36850|0|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |WV|51000|0|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |WV|51010|0|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |WV|51030|0|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |WV|51040|0|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |WV|51050|0|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |WV|51060|0|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |WV|51080|0|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |WV|51100|0|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |WV|51110|0|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |WV|51120|0|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |WV|51130|0|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |WV|51140|0|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |WV|51150|0|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |WV|51160|0|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |WV|51180|0|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |WV|51200|0|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |WV|51210|0|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |WV|51220|0|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |WV|51230|0|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |WV|51240|0|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |WV|51250|0|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |WV|51260|0|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |WV|51270|0|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |WV|51280|0|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |WV|51290|0|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |WV|51300|0|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |WV|51310|0|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |WV|51320|0|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |WV|51330|0|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |WV|51340|0|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |WV|51350|0|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |WV|51360|0|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |WV|51370|0|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |WV|51380|0|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |WV|51400|0|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |WV|51410|0|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |WV|51420|0|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |WV|51430|0|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |WV|51440|0|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |WV|51450|0|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |WV|51460|0|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |WV|51470|0|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |WV|51480|0|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |WV|51490|0|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |WV|51500|0|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |WV|51510|0|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |WV|51520|0|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |WV|51530|0|N
H3672|020|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare - Option II (HMO)|00025124|0.00|0| | |WV|51540|0|N
H3672|023|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare Capitol Plan (HMO)|00025124|0.00|0| | |WV|51020|0|N
H3672|023|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare Capitol Plan (HMO)|00025124|0.00|0| | |WV|51070|0|N
H3672|023|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare Capitol Plan (HMO)|00025124|0.00|0| | |WV|51090|0|N
H3672|023|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare Capitol Plan (HMO)|00025124|0.00|0| | |WV|51170|0|N
H3672|023|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare Capitol Plan (HMO)|00025124|0.00|0| | |WV|51190|0|N
H3672|023|000|THE HEALTH PLAN OF WEST VIRGINIA, INC.|The Health Plan SecureCare Capitol Plan (HMO)|00025124|0.00|0| | |WV|51390|0|N
H3706|001|000|GLOBALHEALTH, INC.|Generations Classic Rewards (HMO)|00025199|0.00|0| | |OK|37070|0|N
H3706|001|000|GLOBALHEALTH, INC.|Generations Classic Rewards (HMO)|00025199|0.00|0| | |OK|37080|0|N
H3706|001|000|GLOBALHEALTH, INC.|Generations Classic Rewards (HMO)|00025199|0.00|0| | |OK|37090|0|N
H3706|001|000|GLOBALHEALTH, INC.|Generations Classic Rewards (HMO)|00025199|0.00|0| | |OK|37130|0|N
H3706|001|000|GLOBALHEALTH, INC.|Generations Classic Rewards (HMO)|00025199|0.00|0| | |OK|37180|0|N
H3706|001|000|GLOBALHEALTH, INC.|Generations Classic Rewards (HMO)|00025199|0.00|0| | |OK|37230|0|N
H3706|001|000|GLOBALHEALTH, INC.|Generations Classic Rewards (HMO)|00025199|0.00|0| | |OK|37240|0|N
H3706|001|000|GLOBALHEALTH, INC.|Generations Classic Rewards (HMO)|00025199|0.00|0| | |OK|37250|0|N
H3706|001|000|GLOBALHEALTH, INC.|Generations Classic Rewards (HMO)|00025199|0.00|0| | |OK|37310|0|N
H3706|001|000|GLOBALHEALTH, INC.|Generations Classic Rewards (HMO)|00025199|0.00|0| | |OK|37400|0|N
H3706|001|000|GLOBALHEALTH, INC.|Generations Classic Rewards (HMO)|00025199|0.00|0| | |OK|37410|0|N
H3706|001|000|GLOBALHEALTH, INC.|Generations Classic Rewards (HMO)|00025199|0.00|0| | |OK|37430|0|N
H3706|001|000|GLOBALHEALTH, INC.|Generations Classic Rewards (HMO)|00025199|0.00|0| | |OK|37450|0|N
H3706|001|000|GLOBALHEALTH, INC.|Generations Classic Rewards (HMO)|00025199|0.00|0| | |OK|37480|0|N
H3706|001|000|GLOBALHEALTH, INC.|Generations Classic Rewards (HMO)|00025199|0.00|0| | |OK|37500|0|N
H3706|001|000|GLOBALHEALTH, INC.|Generations Classic Rewards (HMO)|00025199|0.00|0| | |OK|37530|0|N
H3706|001|000|GLOBALHEALTH, INC.|Generations Classic Rewards (HMO)|00025199|0.00|0| | |OK|37540|0|N
H3706|001|000|GLOBALHEALTH, INC.|Generations Classic Rewards (HMO)|00025199|0.00|0| | |OK|37550|0|N
H3706|001|000|GLOBALHEALTH, INC.|Generations Classic Rewards (HMO)|00025199|0.00|0| | |OK|37580|0|N
H3706|001|000|GLOBALHEALTH, INC.|Generations Classic Rewards (HMO)|00025199|0.00|0| | |OK|37600|0|N
H3706|001|000|GLOBALHEALTH, INC.|Generations Classic Rewards (HMO)|00025199|0.00|0| | |OK|37610|0|N
H3706|001|000|GLOBALHEALTH, INC.|Generations Classic Rewards (HMO)|00025199|0.00|0| | |OK|37620|0|N
H3706|001|000|GLOBALHEALTH, INC.|Generations Classic Rewards (HMO)|00025199|0.00|0| | |OK|37650|0|N
H3706|001|000|GLOBALHEALTH, INC.|Generations Classic Rewards (HMO)|00025199|0.00|0| | |OK|37660|0|N
H3706|001|000|GLOBALHEALTH, INC.|Generations Classic Rewards (HMO)|00025199|0.00|0| | |OK|37710|0|N
H3706|001|000|GLOBALHEALTH, INC.|Generations Classic Rewards (HMO)|00025199|0.00|0| | |OK|37720|0|N
H3706|023|000|GLOBALHEALTH, INC.|Generations Classic Plus (HMO)|00025199|0.00|0| | |OK|37070|0|N
H3706|023|000|GLOBALHEALTH, INC.|Generations Classic Plus (HMO)|00025199|0.00|0| | |OK|37080|0|N
H3706|023|000|GLOBALHEALTH, INC.|Generations Classic Plus (HMO)|00025199|0.00|0| | |OK|37090|0|N
H3706|023|000|GLOBALHEALTH, INC.|Generations Classic Plus (HMO)|00025199|0.00|0| | |OK|37130|0|N
H3706|023|000|GLOBALHEALTH, INC.|Generations Classic Plus (HMO)|00025199|0.00|0| | |OK|37180|0|N
H3706|023|000|GLOBALHEALTH, INC.|Generations Classic Plus (HMO)|00025199|0.00|0| | |OK|37230|0|N
H3706|023|000|GLOBALHEALTH, INC.|Generations Classic Plus (HMO)|00025199|0.00|0| | |OK|37240|0|N
H3706|023|000|GLOBALHEALTH, INC.|Generations Classic Plus (HMO)|00025199|0.00|0| | |OK|37250|0|N
H3706|023|000|GLOBALHEALTH, INC.|Generations Classic Plus (HMO)|00025199|0.00|0| | |OK|37310|0|N
H3706|023|000|GLOBALHEALTH, INC.|Generations Classic Plus (HMO)|00025199|0.00|0| | |OK|37400|0|N
H3706|023|000|GLOBALHEALTH, INC.|Generations Classic Plus (HMO)|00025199|0.00|0| | |OK|37410|0|N
H3706|023|000|GLOBALHEALTH, INC.|Generations Classic Plus (HMO)|00025199|0.00|0| | |OK|37430|0|N
H3706|023|000|GLOBALHEALTH, INC.|Generations Classic Plus (HMO)|00025199|0.00|0| | |OK|37450|0|N
H3706|023|000|GLOBALHEALTH, INC.|Generations Classic Plus (HMO)|00025199|0.00|0| | |OK|37480|0|N
H3706|023|000|GLOBALHEALTH, INC.|Generations Classic Plus (HMO)|00025199|0.00|0| | |OK|37500|0|N
H3706|023|000|GLOBALHEALTH, INC.|Generations Classic Plus (HMO)|00025199|0.00|0| | |OK|37530|0|N
H3706|023|000|GLOBALHEALTH, INC.|Generations Classic Plus (HMO)|00025199|0.00|0| | |OK|37540|0|N
H3706|023|000|GLOBALHEALTH, INC.|Generations Classic Plus (HMO)|00025199|0.00|0| | |OK|37550|0|N
H3706|023|000|GLOBALHEALTH, INC.|Generations Classic Plus (HMO)|00025199|0.00|0| | |OK|37580|0|N
H3706|023|000|GLOBALHEALTH, INC.|Generations Classic Plus (HMO)|00025199|0.00|0| | |OK|37600|0|N
H3706|023|000|GLOBALHEALTH, INC.|Generations Classic Plus (HMO)|00025199|0.00|0| | |OK|37610|0|N
H3706|023|000|GLOBALHEALTH, INC.|Generations Classic Plus (HMO)|00025199|0.00|0| | |OK|37620|0|N
H3706|023|000|GLOBALHEALTH, INC.|Generations Classic Plus (HMO)|00025199|0.00|0| | |OK|37650|0|N
H3706|023|000|GLOBALHEALTH, INC.|Generations Classic Plus (HMO)|00025199|0.00|0| | |OK|37660|0|N
H3706|023|000|GLOBALHEALTH, INC.|Generations Classic Plus (HMO)|00025199|0.00|0| | |OK|37710|0|N
H3706|023|000|GLOBALHEALTH, INC.|Generations Classic Plus (HMO)|00025199|0.00|0| | |OK|37720|0|N
H3706|024|000|GLOBALHEALTH, INC.|Generations Chronic Care (HMO C-SNP)|00025205|0.00|0| | |OK|37070|1|N
H3706|024|000|GLOBALHEALTH, INC.|Generations Chronic Care (HMO C-SNP)|00025205|0.00|0| | |OK|37080|1|N
H3706|024|000|GLOBALHEALTH, INC.|Generations Chronic Care (HMO C-SNP)|00025205|0.00|0| | |OK|37090|1|N
H3706|024|000|GLOBALHEALTH, INC.|Generations Chronic Care (HMO C-SNP)|00025205|0.00|0| | |OK|37130|1|N
H3706|024|000|GLOBALHEALTH, INC.|Generations Chronic Care (HMO C-SNP)|00025205|0.00|0| | |OK|37180|1|N
H3706|024|000|GLOBALHEALTH, INC.|Generations Chronic Care (HMO C-SNP)|00025205|0.00|0| | |OK|37230|1|N
H3706|024|000|GLOBALHEALTH, INC.|Generations Chronic Care (HMO C-SNP)|00025205|0.00|0| | |OK|37240|1|N
H3706|024|000|GLOBALHEALTH, INC.|Generations Chronic Care (HMO C-SNP)|00025205|0.00|0| | |OK|37250|1|N
H3706|024|000|GLOBALHEALTH, INC.|Generations Chronic Care (HMO C-SNP)|00025205|0.00|0| | |OK|37310|1|N
H3706|024|000|GLOBALHEALTH, INC.|Generations Chronic Care (HMO C-SNP)|00025205|0.00|0| | |OK|37400|1|N
H3706|024|000|GLOBALHEALTH, INC.|Generations Chronic Care (HMO C-SNP)|00025205|0.00|0| | |OK|37410|1|N
H3706|024|000|GLOBALHEALTH, INC.|Generations Chronic Care (HMO C-SNP)|00025205|0.00|0| | |OK|37430|1|N
H3706|024|000|GLOBALHEALTH, INC.|Generations Chronic Care (HMO C-SNP)|00025205|0.00|0| | |OK|37450|1|N
H3706|024|000|GLOBALHEALTH, INC.|Generations Chronic Care (HMO C-SNP)|00025205|0.00|0| | |OK|37480|1|N
H3706|024|000|GLOBALHEALTH, INC.|Generations Chronic Care (HMO C-SNP)|00025205|0.00|0| | |OK|37500|1|N
H3706|024|000|GLOBALHEALTH, INC.|Generations Chronic Care (HMO C-SNP)|00025205|0.00|0| | |OK|37530|1|N
H3706|024|000|GLOBALHEALTH, INC.|Generations Chronic Care (HMO C-SNP)|00025205|0.00|0| | |OK|37540|1|N
H3706|024|000|GLOBALHEALTH, INC.|Generations Chronic Care (HMO C-SNP)|00025205|0.00|0| | |OK|37550|1|N
H3706|024|000|GLOBALHEALTH, INC.|Generations Chronic Care (HMO C-SNP)|00025205|0.00|0| | |OK|37580|1|N
H3706|024|000|GLOBALHEALTH, INC.|Generations Chronic Care (HMO C-SNP)|00025205|0.00|0| | |OK|37600|1|N
H3706|024|000|GLOBALHEALTH, INC.|Generations Chronic Care (HMO C-SNP)|00025205|0.00|0| | |OK|37610|1|N
H3706|024|000|GLOBALHEALTH, INC.|Generations Chronic Care (HMO C-SNP)|00025205|0.00|0| | |OK|37620|1|N
H3706|024|000|GLOBALHEALTH, INC.|Generations Chronic Care (HMO C-SNP)|00025205|0.00|0| | |OK|37650|1|N
H3706|024|000|GLOBALHEALTH, INC.|Generations Chronic Care (HMO C-SNP)|00025205|0.00|0| | |OK|37660|1|N
H3706|024|000|GLOBALHEALTH, INC.|Generations Chronic Care (HMO C-SNP)|00025205|0.00|0| | |OK|37710|1|N
H3706|024|000|GLOBALHEALTH, INC.|Generations Chronic Care (HMO C-SNP)|00025205|0.00|0| | |OK|37720|1|N
H3706|025|000|GLOBALHEALTH, INC.|Generations Chronic Care Savings (HMO C-SNP)|00025205|0.00|0| | |OK|37070|1|N
H3706|025|000|GLOBALHEALTH, INC.|Generations Chronic Care Savings (HMO C-SNP)|00025205|0.00|0| | |OK|37080|1|N
H3706|025|000|GLOBALHEALTH, INC.|Generations Chronic Care Savings (HMO C-SNP)|00025205|0.00|0| | |OK|37090|1|N
H3706|025|000|GLOBALHEALTH, INC.|Generations Chronic Care Savings (HMO C-SNP)|00025205|0.00|0| | |OK|37130|1|N
H3706|025|000|GLOBALHEALTH, INC.|Generations Chronic Care Savings (HMO C-SNP)|00025205|0.00|0| | |OK|37180|1|N
H3706|025|000|GLOBALHEALTH, INC.|Generations Chronic Care Savings (HMO C-SNP)|00025205|0.00|0| | |OK|37230|1|N
H3706|025|000|GLOBALHEALTH, INC.|Generations Chronic Care Savings (HMO C-SNP)|00025205|0.00|0| | |OK|37240|1|N
H3706|025|000|GLOBALHEALTH, INC.|Generations Chronic Care Savings (HMO C-SNP)|00025205|0.00|0| | |OK|37250|1|N
H3706|025|000|GLOBALHEALTH, INC.|Generations Chronic Care Savings (HMO C-SNP)|00025205|0.00|0| | |OK|37310|1|N
H3706|025|000|GLOBALHEALTH, INC.|Generations Chronic Care Savings (HMO C-SNP)|00025205|0.00|0| | |OK|37400|1|N
H3706|025|000|GLOBALHEALTH, INC.|Generations Chronic Care Savings (HMO C-SNP)|00025205|0.00|0| | |OK|37410|1|N
H3706|025|000|GLOBALHEALTH, INC.|Generations Chronic Care Savings (HMO C-SNP)|00025205|0.00|0| | |OK|37430|1|N
H3706|025|000|GLOBALHEALTH, INC.|Generations Chronic Care Savings (HMO C-SNP)|00025205|0.00|0| | |OK|37450|1|N
H3706|025|000|GLOBALHEALTH, INC.|Generations Chronic Care Savings (HMO C-SNP)|00025205|0.00|0| | |OK|37480|1|N
H3706|025|000|GLOBALHEALTH, INC.|Generations Chronic Care Savings (HMO C-SNP)|00025205|0.00|0| | |OK|37500|1|N
H3706|025|000|GLOBALHEALTH, INC.|Generations Chronic Care Savings (HMO C-SNP)|00025205|0.00|0| | |OK|37530|1|N
H3706|025|000|GLOBALHEALTH, INC.|Generations Chronic Care Savings (HMO C-SNP)|00025205|0.00|0| | |OK|37540|1|N
H3706|025|000|GLOBALHEALTH, INC.|Generations Chronic Care Savings (HMO C-SNP)|00025205|0.00|0| | |OK|37550|1|N
H3706|025|000|GLOBALHEALTH, INC.|Generations Chronic Care Savings (HMO C-SNP)|00025205|0.00|0| | |OK|37580|1|N
H3706|025|000|GLOBALHEALTH, INC.|Generations Chronic Care Savings (HMO C-SNP)|00025205|0.00|0| | |OK|37600|1|N
H3706|025|000|GLOBALHEALTH, INC.|Generations Chronic Care Savings (HMO C-SNP)|00025205|0.00|0| | |OK|37610|1|N
H3706|025|000|GLOBALHEALTH, INC.|Generations Chronic Care Savings (HMO C-SNP)|00025205|0.00|0| | |OK|37620|1|N
H3706|025|000|GLOBALHEALTH, INC.|Generations Chronic Care Savings (HMO C-SNP)|00025205|0.00|0| | |OK|37650|1|N
H3706|025|000|GLOBALHEALTH, INC.|Generations Chronic Care Savings (HMO C-SNP)|00025205|0.00|0| | |OK|37660|1|N
H3706|025|000|GLOBALHEALTH, INC.|Generations Chronic Care Savings (HMO C-SNP)|00025205|0.00|0| | |OK|37710|1|N
H3706|025|000|GLOBALHEALTH, INC.|Generations Chronic Care Savings (HMO C-SNP)|00025205|0.00|0| | |OK|37720|1|N
H3706|028|000|GLOBALHEALTH, INC.|Generations Dual Support (HMO D-SNP)|00025203|0.00|590| | |OK|37070|2|N
H3706|028|000|GLOBALHEALTH, INC.|Generations Dual Support (HMO D-SNP)|00025203|0.00|590| | |OK|37080|2|N
H3706|028|000|GLOBALHEALTH, INC.|Generations Dual Support (HMO D-SNP)|00025203|0.00|590| | |OK|37090|2|N
H3706|028|000|GLOBALHEALTH, INC.|Generations Dual Support (HMO D-SNP)|00025203|0.00|590| | |OK|37130|2|N
H3706|028|000|GLOBALHEALTH, INC.|Generations Dual Support (HMO D-SNP)|00025203|0.00|590| | |OK|37180|2|N
H3706|028|000|GLOBALHEALTH, INC.|Generations Dual Support (HMO D-SNP)|00025203|0.00|590| | |OK|37230|2|N
H3706|028|000|GLOBALHEALTH, INC.|Generations Dual Support (HMO D-SNP)|00025203|0.00|590| | |OK|37240|2|N
H3706|028|000|GLOBALHEALTH, INC.|Generations Dual Support (HMO D-SNP)|00025203|0.00|590| | |OK|37250|2|N
H3706|028|000|GLOBALHEALTH, INC.|Generations Dual Support (HMO D-SNP)|00025203|0.00|590| | |OK|37310|2|N
H3706|028|000|GLOBALHEALTH, INC.|Generations Dual Support (HMO D-SNP)|00025203|0.00|590| | |OK|37400|2|N
H3706|028|000|GLOBALHEALTH, INC.|Generations Dual Support (HMO D-SNP)|00025203|0.00|590| | |OK|37410|2|N
H3706|028|000|GLOBALHEALTH, INC.|Generations Dual Support (HMO D-SNP)|00025203|0.00|590| | |OK|37430|2|N
H3706|028|000|GLOBALHEALTH, INC.|Generations Dual Support (HMO D-SNP)|00025203|0.00|590| | |OK|37450|2|N
H3706|028|000|GLOBALHEALTH, INC.|Generations Dual Support (HMO D-SNP)|00025203|0.00|590| | |OK|37480|2|N
H3706|028|000|GLOBALHEALTH, INC.|Generations Dual Support (HMO D-SNP)|00025203|0.00|590| | |OK|37500|2|N
H3706|028|000|GLOBALHEALTH, INC.|Generations Dual Support (HMO D-SNP)|00025203|0.00|590| | |OK|37530|2|N
H3706|028|000|GLOBALHEALTH, INC.|Generations Dual Support (HMO D-SNP)|00025203|0.00|590| | |OK|37540|2|N
H3706|028|000|GLOBALHEALTH, INC.|Generations Dual Support (HMO D-SNP)|00025203|0.00|590| | |OK|37550|2|N
H3706|028|000|GLOBALHEALTH, INC.|Generations Dual Support (HMO D-SNP)|00025203|0.00|590| | |OK|37580|2|N
H3706|028|000|GLOBALHEALTH, INC.|Generations Dual Support (HMO D-SNP)|00025203|0.00|590| | |OK|37600|2|N
H3706|028|000|GLOBALHEALTH, INC.|Generations Dual Support (HMO D-SNP)|00025203|0.00|590| | |OK|37610|2|N
H3706|028|000|GLOBALHEALTH, INC.|Generations Dual Support (HMO D-SNP)|00025203|0.00|590| | |OK|37620|2|N
H3706|028|000|GLOBALHEALTH, INC.|Generations Dual Support (HMO D-SNP)|00025203|0.00|590| | |OK|37650|2|N
H3706|028|000|GLOBALHEALTH, INC.|Generations Dual Support (HMO D-SNP)|00025203|0.00|590| | |OK|37660|2|N
H3706|028|000|GLOBALHEALTH, INC.|Generations Dual Support (HMO D-SNP)|00025203|0.00|590| | |OK|37710|2|N
H3706|028|000|GLOBALHEALTH, INC.|Generations Dual Support (HMO D-SNP)|00025203|0.00|590| | |OK|37720|2|N
H3706|029|000|GLOBALHEALTH, INC.|Generations Dual Premier (HMO D-SNP)|00025203|0.00|590| | |OK|37070|2|N
H3706|029|000|GLOBALHEALTH, INC.|Generations Dual Premier (HMO D-SNP)|00025203|0.00|590| | |OK|37080|2|N
H3706|029|000|GLOBALHEALTH, INC.|Generations Dual Premier (HMO D-SNP)|00025203|0.00|590| | |OK|37090|2|N
H3706|029|000|GLOBALHEALTH, INC.|Generations Dual Premier (HMO D-SNP)|00025203|0.00|590| | |OK|37130|2|N
H3706|029|000|GLOBALHEALTH, INC.|Generations Dual Premier (HMO D-SNP)|00025203|0.00|590| | |OK|37180|2|N
H3706|029|000|GLOBALHEALTH, INC.|Generations Dual Premier (HMO D-SNP)|00025203|0.00|590| | |OK|37230|2|N
H3706|029|000|GLOBALHEALTH, INC.|Generations Dual Premier (HMO D-SNP)|00025203|0.00|590| | |OK|37240|2|N
H3706|029|000|GLOBALHEALTH, INC.|Generations Dual Premier (HMO D-SNP)|00025203|0.00|590| | |OK|37250|2|N
H3706|029|000|GLOBALHEALTH, INC.|Generations Dual Premier (HMO D-SNP)|00025203|0.00|590| | |OK|37310|2|N
H3706|029|000|GLOBALHEALTH, INC.|Generations Dual Premier (HMO D-SNP)|00025203|0.00|590| | |OK|37400|2|N
H3706|029|000|GLOBALHEALTH, INC.|Generations Dual Premier (HMO D-SNP)|00025203|0.00|590| | |OK|37410|2|N
H3706|029|000|GLOBALHEALTH, INC.|Generations Dual Premier (HMO D-SNP)|00025203|0.00|590| | |OK|37430|2|N
H3706|029|000|GLOBALHEALTH, INC.|Generations Dual Premier (HMO D-SNP)|00025203|0.00|590| | |OK|37450|2|N
H3706|029|000|GLOBALHEALTH, INC.|Generations Dual Premier (HMO D-SNP)|00025203|0.00|590| | |OK|37480|2|N
H3706|029|000|GLOBALHEALTH, INC.|Generations Dual Premier (HMO D-SNP)|00025203|0.00|590| | |OK|37500|2|N
H3706|029|000|GLOBALHEALTH, INC.|Generations Dual Premier (HMO D-SNP)|00025203|0.00|590| | |OK|37530|2|N
H3706|029|000|GLOBALHEALTH, INC.|Generations Dual Premier (HMO D-SNP)|00025203|0.00|590| | |OK|37540|2|N
H3706|029|000|GLOBALHEALTH, INC.|Generations Dual Premier (HMO D-SNP)|00025203|0.00|590| | |OK|37550|2|N
H3706|029|000|GLOBALHEALTH, INC.|Generations Dual Premier (HMO D-SNP)|00025203|0.00|590| | |OK|37580|2|N
H3706|029|000|GLOBALHEALTH, INC.|Generations Dual Premier (HMO D-SNP)|00025203|0.00|590| | |OK|37600|2|N
H3706|029|000|GLOBALHEALTH, INC.|Generations Dual Premier (HMO D-SNP)|00025203|0.00|590| | |OK|37610|2|N
H3706|029|000|GLOBALHEALTH, INC.|Generations Dual Premier (HMO D-SNP)|00025203|0.00|590| | |OK|37620|2|N
H3706|029|000|GLOBALHEALTH, INC.|Generations Dual Premier (HMO D-SNP)|00025203|0.00|590| | |OK|37650|2|N
H3706|029|000|GLOBALHEALTH, INC.|Generations Dual Premier (HMO D-SNP)|00025203|0.00|590| | |OK|37660|2|N
H3706|029|000|GLOBALHEALTH, INC.|Generations Dual Premier (HMO D-SNP)|00025203|0.00|590| | |OK|37710|2|N
H3706|029|000|GLOBALHEALTH, INC.|Generations Dual Premier (HMO D-SNP)|00025203|0.00|590| | |OK|37720|2|N
H3708|001|000|OKLAHOMA SUPERIOR SELECT, INC.|American Health Advantage of Oklahoma (HMO I-SNP)|00025482|49.80|590| | |OK|37060|3|N
H3708|001|000|OKLAHOMA SUPERIOR SELECT, INC.|American Health Advantage of Oklahoma (HMO I-SNP)|00025482|49.80|590| | |OK|37080|3|N
H3708|001|000|OKLAHOMA SUPERIOR SELECT, INC.|American Health Advantage of Oklahoma (HMO I-SNP)|00025482|49.80|590| | |OK|37090|3|N
H3708|001|000|OKLAHOMA SUPERIOR SELECT, INC.|American Health Advantage of Oklahoma (HMO I-SNP)|00025482|49.80|590| | |OK|37110|3|N
H3708|001|000|OKLAHOMA SUPERIOR SELECT, INC.|American Health Advantage of Oklahoma (HMO I-SNP)|00025482|49.80|590| | |OK|37130|3|N
H3708|001|000|OKLAHOMA SUPERIOR SELECT, INC.|American Health Advantage of Oklahoma (HMO I-SNP)|00025482|49.80|590| | |OK|37150|3|N
H3708|001|000|OKLAHOMA SUPERIOR SELECT, INC.|American Health Advantage of Oklahoma (HMO I-SNP)|00025482|49.80|590| | |OK|37160|3|N
H3708|001|000|OKLAHOMA SUPERIOR SELECT, INC.|American Health Advantage of Oklahoma (HMO I-SNP)|00025482|49.80|590| | |OK|37240|3|N
H3708|001|000|OKLAHOMA SUPERIOR SELECT, INC.|American Health Advantage of Oklahoma (HMO I-SNP)|00025482|49.80|590| | |OK|37250|3|N
H3708|001|000|OKLAHOMA SUPERIOR SELECT, INC.|American Health Advantage of Oklahoma (HMO I-SNP)|00025482|49.80|590| | |OK|37270|3|N
H3708|001|000|OKLAHOMA SUPERIOR SELECT, INC.|American Health Advantage of Oklahoma (HMO I-SNP)|00025482|49.80|590| | |OK|37320|3|N
H3708|001|000|OKLAHOMA SUPERIOR SELECT, INC.|American Health Advantage of Oklahoma (HMO I-SNP)|00025482|49.80|590| | |OK|37330|3|N
H3708|001|000|OKLAHOMA SUPERIOR SELECT, INC.|American Health Advantage of Oklahoma (HMO I-SNP)|00025482|49.80|590| | |OK|37340|3|N
H3708|001|000|OKLAHOMA SUPERIOR SELECT, INC.|American Health Advantage of Oklahoma (HMO I-SNP)|00025482|49.80|590| | |OK|37360|3|N
H3708|001|000|OKLAHOMA SUPERIOR SELECT, INC.|American Health Advantage of Oklahoma (HMO I-SNP)|00025482|49.80|590| | |OK|37400|3|N
H3708|001|000|OKLAHOMA SUPERIOR SELECT, INC.|American Health Advantage of Oklahoma (HMO I-SNP)|00025482|49.80|590| | |OK|37410|3|N
H3708|001|000|OKLAHOMA SUPERIOR SELECT, INC.|American Health Advantage of Oklahoma (HMO I-SNP)|00025482|49.80|590| | |OK|37420|3|N
H3708|001|000|OKLAHOMA SUPERIOR SELECT, INC.|American Health Advantage of Oklahoma (HMO I-SNP)|00025482|49.80|590| | |OK|37430|3|N
H3708|001|000|OKLAHOMA SUPERIOR SELECT, INC.|American Health Advantage of Oklahoma (HMO I-SNP)|00025482|49.80|590| | |OK|37470|3|N
H3708|001|000|OKLAHOMA SUPERIOR SELECT, INC.|American Health Advantage of Oklahoma (HMO I-SNP)|00025482|49.80|590| | |OK|37490|3|N
H3708|001|000|OKLAHOMA SUPERIOR SELECT, INC.|American Health Advantage of Oklahoma (HMO I-SNP)|00025482|49.80|590| | |OK|37500|3|N
H3708|001|000|OKLAHOMA SUPERIOR SELECT, INC.|American Health Advantage of Oklahoma (HMO I-SNP)|00025482|49.80|590| | |OK|37540|3|N
H3708|001|000|OKLAHOMA SUPERIOR SELECT, INC.|American Health Advantage of Oklahoma (HMO I-SNP)|00025482|49.80|590| | |OK|37550|3|N
H3708|001|000|OKLAHOMA SUPERIOR SELECT, INC.|American Health Advantage of Oklahoma (HMO I-SNP)|00025482|49.80|590| | |OK|37620|3|N
H3708|001|000|OKLAHOMA SUPERIOR SELECT, INC.|American Health Advantage of Oklahoma (HMO I-SNP)|00025482|49.80|590| | |OK|37650|3|N
H3708|001|000|OKLAHOMA SUPERIOR SELECT, INC.|American Health Advantage of Oklahoma (HMO I-SNP)|00025482|49.80|590| | |OK|37660|3|N
H3708|001|000|OKLAHOMA SUPERIOR SELECT, INC.|American Health Advantage of Oklahoma (HMO I-SNP)|00025482|49.80|590| | |OK|37680|3|N
H3708|001|000|OKLAHOMA SUPERIOR SELECT, INC.|American Health Advantage of Oklahoma (HMO I-SNP)|00025482|49.80|590| | |OK|37710|3|N
H3727|001|001|OH CHS SNP INC.|CommuniCare Advantage CSNP (HMO C-SNP)|00025258|0.00|590| | |IN|15280|1|N
H3727|001|001|OH CHS SNP INC.|CommuniCare Advantage CSNP (HMO C-SNP)|00025258|0.00|590| | |IN|15290|1|N
H3727|001|001|OH CHS SNP INC.|CommuniCare Advantage CSNP (HMO C-SNP)|00025258|0.00|590| | |IN|15310|1|N
H3727|001|001|OH CHS SNP INC.|CommuniCare Advantage CSNP (HMO C-SNP)|00025258|0.00|590| | |IN|15400|1|N
H3727|001|001|OH CHS SNP INC.|CommuniCare Advantage CSNP (HMO C-SNP)|00025258|0.00|590| | |IN|15480|1|N
H3727|001|002|OH CHS SNP INC.|CommuniCare Advantage CSNP (HMO C-SNP)|00025258|0.00|590| | |MD|21010|1|N
H3727|001|002|OH CHS SNP INC.|CommuniCare Advantage CSNP (HMO C-SNP)|00025258|0.00|590| | |MD|21020|1|N
H3727|001|002|OH CHS SNP INC.|CommuniCare Advantage CSNP (HMO C-SNP)|00025258|0.00|590| | |MD|21030|1|N
H3727|001|003|OH CHS SNP INC.|CommuniCare Advantage CSNP (HMO C-SNP)|00025258|0.00|590| | |OH|36080|1|N
H3727|001|003|OH CHS SNP INC.|CommuniCare Advantage CSNP (HMO C-SNP)|00025258|0.00|590| | |OH|36170|1|N
H3727|001|003|OH CHS SNP INC.|CommuniCare Advantage CSNP (HMO C-SNP)|00025258|0.00|590| | |OH|36310|1|N
H3727|001|003|OH CHS SNP INC.|CommuniCare Advantage CSNP (HMO C-SNP)|00025258|0.00|590| | |OH|36480|1|N
H3727|001|003|OH CHS SNP INC.|CommuniCare Advantage CSNP (HMO C-SNP)|00025258|0.00|590| | |OH|36580|1|N
H3727|002|001|OH CHS SNP INC.|CommuniCare Advantage ISNP (HMO I-SNP)|00025257|49.60|590| | |IN|15090|3|N
H3727|002|001|OH CHS SNP INC.|CommuniCare Advantage ISNP (HMO I-SNP)|00025257|49.60|590| | |IN|15190|3|N
H3727|002|001|OH CHS SNP INC.|CommuniCare Advantage ISNP (HMO I-SNP)|00025257|49.60|590| | |IN|15200|3|N
H3727|002|001|OH CHS SNP INC.|CommuniCare Advantage ISNP (HMO I-SNP)|00025257|49.60|590| | |IN|15210|3|N
H3727|002|001|OH CHS SNP INC.|CommuniCare Advantage ISNP (HMO I-SNP)|00025257|49.60|590| | |IN|15280|3|N
H3727|002|001|OH CHS SNP INC.|CommuniCare Advantage ISNP (HMO I-SNP)|00025257|49.60|590| | |IN|15290|3|N
H3727|002|001|OH CHS SNP INC.|CommuniCare Advantage ISNP (HMO I-SNP)|00025257|49.60|590| | |IN|15300|3|N
H3727|002|001|OH CHS SNP INC.|CommuniCare Advantage ISNP (HMO I-SNP)|00025257|49.60|590| | |IN|15310|3|N
H3727|002|001|OH CHS SNP INC.|CommuniCare Advantage ISNP (HMO I-SNP)|00025257|49.60|590| | |IN|15330|3|N
H3727|002|001|OH CHS SNP INC.|CommuniCare Advantage ISNP (HMO I-SNP)|00025257|49.60|590| | |IN|15400|3|N
H3727|002|001|OH CHS SNP INC.|CommuniCare Advantage ISNP (HMO I-SNP)|00025257|49.60|590| | |IN|15440|3|N
H3727|002|001|OH CHS SNP INC.|CommuniCare Advantage ISNP (HMO I-SNP)|00025257|49.60|590| | |IN|15480|3|N
H3727|002|002|OH CHS SNP INC.|CommuniCare Advantage ISNP (HMO I-SNP)|00025257|46.30|590| | |MD|21010|3|N
H3727|002|002|OH CHS SNP INC.|CommuniCare Advantage ISNP (HMO I-SNP)|00025257|46.30|590| | |MD|21020|3|N
H3727|002|002|OH CHS SNP INC.|CommuniCare Advantage ISNP (HMO I-SNP)|00025257|46.30|590| | |MD|21030|3|N
H3727|002|002|OH CHS SNP INC.|CommuniCare Advantage ISNP (HMO I-SNP)|00025257|46.30|590| | |MD|21060|3|N
H3727|002|002|OH CHS SNP INC.|CommuniCare Advantage ISNP (HMO I-SNP)|00025257|46.30|590| | |MD|21120|3|N
H3727|002|002|OH CHS SNP INC.|CommuniCare Advantage ISNP (HMO I-SNP)|00025257|46.30|590| | |MD|21130|3|N
H3727|002|002|OH CHS SNP INC.|CommuniCare Advantage ISNP (HMO I-SNP)|00025257|46.30|590| | |MD|21140|3|N
H3727|002|002|OH CHS SNP INC.|CommuniCare Advantage ISNP (HMO I-SNP)|00025257|46.30|590| | |MD|21150|3|N
H3727|002|002|OH CHS SNP INC.|CommuniCare Advantage ISNP (HMO I-SNP)|00025257|46.30|590| | |MD|21160|3|N
H3727|002|002|OH CHS SNP INC.|CommuniCare Advantage ISNP (HMO I-SNP)|00025257|46.30|590| | |MD|21200|3|N
H3727|002|003|OH CHS SNP INC.|CommuniCare Advantage ISNP (HMO I-SNP)|00025257|39.30|590| | |OH|36080|3|N
H3727|002|003|OH CHS SNP INC.|CommuniCare Advantage ISNP (HMO I-SNP)|00025257|39.30|590| | |OH|36110|3|N
H3727|002|003|OH CHS SNP INC.|CommuniCare Advantage ISNP (HMO I-SNP)|00025257|39.30|590| | |OH|36170|3|N
H3727|002|003|OH CHS SNP INC.|CommuniCare Advantage ISNP (HMO I-SNP)|00025257|39.30|590| | |OH|36280|3|N
H3727|002|003|OH CHS SNP INC.|CommuniCare Advantage ISNP (HMO I-SNP)|00025257|39.30|590| | |OH|36310|3|N
H3727|002|003|OH CHS SNP INC.|CommuniCare Advantage ISNP (HMO I-SNP)|00025257|39.30|590| | |OH|36480|3|N
H3727|002|003|OH CHS SNP INC.|CommuniCare Advantage ISNP (HMO I-SNP)|00025257|39.30|590| | |OH|36490|3|N
H3727|002|003|OH CHS SNP INC.|CommuniCare Advantage ISNP (HMO I-SNP)|00025257|39.30|590| | |OH|36510|3|N
H3727|002|003|OH CHS SNP INC.|CommuniCare Advantage ISNP (HMO I-SNP)|00025257|39.30|590| | |OH|36580|3|N
H3727|002|003|OH CHS SNP INC.|CommuniCare Advantage ISNP (HMO I-SNP)|00025257|39.30|590| | |OH|36770|3|N
H3727|002|003|OH CHS SNP INC.|CommuniCare Advantage ISNP (HMO I-SNP)|00025257|39.30|590| | |OH|36780|3|N
H3727|002|003|OH CHS SNP INC.|CommuniCare Advantage ISNP (HMO I-SNP)|00025257|39.30|590| | |OH|36790|3|N
H3727|002|003|OH CHS SNP INC.|CommuniCare Advantage ISNP (HMO I-SNP)|00025257|39.30|590| | |OH|36870|3|N
H3727|004|001|OH CHS SNP INC.|CommuniCare Advantage Sapphire (HMO)|00025258|9.00|590| | |IN|15280|0|N
H3727|004|001|OH CHS SNP INC.|CommuniCare Advantage Sapphire (HMO)|00025258|9.00|590| | |IN|15290|0|N
H3727|004|001|OH CHS SNP INC.|CommuniCare Advantage Sapphire (HMO)|00025258|9.00|590| | |IN|15310|0|N
H3727|004|001|OH CHS SNP INC.|CommuniCare Advantage Sapphire (HMO)|00025258|9.00|590| | |IN|15400|0|N
H3727|004|001|OH CHS SNP INC.|CommuniCare Advantage Sapphire (HMO)|00025258|9.00|590| | |IN|15480|0|N
H3727|004|002|OH CHS SNP INC.|CommuniCare Advantage Sapphire (HMO)|00025258|15.00|590| | |MD|21010|0|N
H3727|004|002|OH CHS SNP INC.|CommuniCare Advantage Sapphire (HMO)|00025258|15.00|590| | |MD|21020|0|N
H3727|004|002|OH CHS SNP INC.|CommuniCare Advantage Sapphire (HMO)|00025258|15.00|590| | |MD|21030|0|N
H3727|004|003|OH CHS SNP INC.|CommuniCare Advantage Sapphire (HMO)|00025258|7.00|590| | |OH|36080|0|N
H3727|004|003|OH CHS SNP INC.|CommuniCare Advantage Sapphire (HMO)|00025258|7.00|590| | |OH|36310|0|N
H3727|004|003|OH CHS SNP INC.|CommuniCare Advantage Sapphire (HMO)|00025258|7.00|590| | |OH|36580|0|N
H3727|005|001|OH CHS SNP INC.|CommuniCare Advantage Emerald (HMO)|00025258|38.00|0| | |IN|15280|0|N
H3727|005|001|OH CHS SNP INC.|CommuniCare Advantage Emerald (HMO)|00025258|38.00|0| | |IN|15290|0|N
H3727|005|001|OH CHS SNP INC.|CommuniCare Advantage Emerald (HMO)|00025258|38.00|0| | |IN|15310|0|N
H3727|005|001|OH CHS SNP INC.|CommuniCare Advantage Emerald (HMO)|00025258|38.00|0| | |IN|15400|0|N
H3727|005|001|OH CHS SNP INC.|CommuniCare Advantage Emerald (HMO)|00025258|38.00|0| | |IN|15480|0|N
H3727|005|002|OH CHS SNP INC.|CommuniCare Advantage Emerald (HMO)|00025258|41.00|0| | |MD|21010|0|N
H3727|005|002|OH CHS SNP INC.|CommuniCare Advantage Emerald (HMO)|00025258|41.00|0| | |MD|21020|0|N
H3727|005|002|OH CHS SNP INC.|CommuniCare Advantage Emerald (HMO)|00025258|41.00|0| | |MD|21030|0|N
H3727|005|003|OH CHS SNP INC.|CommuniCare Advantage Emerald (HMO)|00025258|38.00|0| | |OH|36080|0|N
H3727|005|003|OH CHS SNP INC.|CommuniCare Advantage Emerald (HMO)|00025258|38.00|0| | |OH|36310|0|N
H3727|005|003|OH CHS SNP INC.|CommuniCare Advantage Emerald (HMO)|00025258|38.00|0| | |OH|36580|0|N
H3748|003|000|AETNA BETTER HEALTH OF WASHINGTON, INC.|Aetna Medicare Extra Value (HMO-POS)|00025101|0.00|590| | |WA|50160|0|N
H3748|003|000|AETNA BETTER HEALTH OF WASHINGTON, INC.|Aetna Medicare Extra Value (HMO-POS)|00025101|0.00|590| | |WA|50170|0|N
H3748|003|000|AETNA BETTER HEALTH OF WASHINGTON, INC.|Aetna Medicare Extra Value (HMO-POS)|00025101|0.00|590| | |WA|50260|0|N
H3748|003|000|AETNA BETTER HEALTH OF WASHINGTON, INC.|Aetna Medicare Extra Value (HMO-POS)|00025101|0.00|590| | |WA|50300|0|N
H3748|003|000|AETNA BETTER HEALTH OF WASHINGTON, INC.|Aetna Medicare Extra Value (HMO-POS)|00025101|0.00|590| | |WA|50330|0|N
H3748|006|000|AETNA BETTER HEALTH OF WASHINGTON, INC.|Aetna Medicare Elite (HMO-POS)|00025101|0.00|590| | |WA|50070|0|N
H3748|017|000|AETNA BETTER HEALTH OF WASHINGTON, INC.|Aetna Medicare Classic (HMO-POS)|00025100|0.00|590| | |WA|50310|0|N
H3748|017|000|AETNA BETTER HEALTH OF WASHINGTON, INC.|Aetna Medicare Classic (HMO-POS)|00025100|0.00|590| | |WA|50320|0|N
H3755|001|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum (HMO)|00025283|0.00|0| | |OK|37000|0|N
H3755|001|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum (HMO)|00025283|0.00|0| | |OK|37100|0|N
H3755|001|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum (HMO)|00025283|0.00|0| | |OK|37130|0|N
H3755|001|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum (HMO)|00025283|0.00|0| | |OK|37170|0|N
H3755|001|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum (HMO)|00025283|0.00|0| | |OK|37180|0|N
H3755|001|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum (HMO)|00025283|0.00|0| | |OK|37200|0|N
H3755|001|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum (HMO)|00025283|0.00|0| | |OK|37240|0|N
H3755|001|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum (HMO)|00025283|0.00|0| | |OK|37250|0|N
H3755|001|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum (HMO)|00025283|0.00|0| | |OK|37300|0|N
H3755|001|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum (HMO)|00025283|0.00|0| | |OK|37310|0|N
H3755|001|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum (HMO)|00025283|0.00|0| | |OK|37360|0|N
H3755|001|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum (HMO)|00025283|0.00|0| | |OK|37400|0|N
H3755|001|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum (HMO)|00025283|0.00|0| | |OK|37410|0|N
H3755|001|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum (HMO)|00025283|0.00|0| | |OK|37430|0|N
H3755|001|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum (HMO)|00025283|0.00|0| | |OK|37450|0|N
H3755|001|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum (HMO)|00025283|0.00|0| | |OK|37480|0|N
H3755|001|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum (HMO)|00025283|0.00|0| | |OK|37500|0|N
H3755|001|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum (HMO)|00025283|0.00|0| | |OK|37520|0|N
H3755|001|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum (HMO)|00025283|0.00|0| | |OK|37530|0|N
H3755|001|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum (HMO)|00025283|0.00|0| | |OK|37540|0|N
H3755|001|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum (HMO)|00025283|0.00|0| | |OK|37550|0|N
H3755|001|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum (HMO)|00025283|0.00|0| | |OK|37560|0|N
H3755|001|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum (HMO)|00025283|0.00|0| | |OK|37570|0|N
H3755|001|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum (HMO)|00025283|0.00|0| | |OK|37580|0|N
H3755|001|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum (HMO)|00025283|0.00|0| | |OK|37600|0|N
H3755|001|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum (HMO)|00025283|0.00|0| | |OK|37620|0|N
H3755|001|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum (HMO)|00025283|0.00|0| | |OK|37650|0|N
H3755|001|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum (HMO)|00025283|0.00|0| | |OK|37660|0|N
H3755|001|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum (HMO)|00025283|0.00|0| | |OK|37710|0|N
H3755|001|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum (HMO)|00025283|0.00|0| | |OK|37720|0|N
H3755|001|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum (HMO)|00025283|0.00|0| | |OK|37730|0|N
H3755|004|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum Plus (HMO)|00025283|7.00|0| | |OK|37000|0|N
H3755|004|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum Plus (HMO)|00025283|7.00|0| | |OK|37100|0|N
H3755|004|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum Plus (HMO)|00025283|7.00|0| | |OK|37130|0|N
H3755|004|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum Plus (HMO)|00025283|7.00|0| | |OK|37170|0|N
H3755|004|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum Plus (HMO)|00025283|7.00|0| | |OK|37180|0|N
H3755|004|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum Plus (HMO)|00025283|7.00|0| | |OK|37200|0|N
H3755|004|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum Plus (HMO)|00025283|7.00|0| | |OK|37240|0|N
H3755|004|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum Plus (HMO)|00025283|7.00|0| | |OK|37250|0|N
H3755|004|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum Plus (HMO)|00025283|7.00|0| | |OK|37300|0|N
H3755|004|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum Plus (HMO)|00025283|7.00|0| | |OK|37310|0|N
H3755|004|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum Plus (HMO)|00025283|7.00|0| | |OK|37360|0|N
H3755|004|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum Plus (HMO)|00025283|7.00|0| | |OK|37400|0|N
H3755|004|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum Plus (HMO)|00025283|7.00|0| | |OK|37410|0|N
H3755|004|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum Plus (HMO)|00025283|7.00|0| | |OK|37430|0|N
H3755|004|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum Plus (HMO)|00025283|7.00|0| | |OK|37450|0|N
H3755|004|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum Plus (HMO)|00025283|7.00|0| | |OK|37480|0|N
H3755|004|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum Plus (HMO)|00025283|7.00|0| | |OK|37500|0|N
H3755|004|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum Plus (HMO)|00025283|7.00|0| | |OK|37520|0|N
H3755|004|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum Plus (HMO)|00025283|7.00|0| | |OK|37530|0|N
H3755|004|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum Plus (HMO)|00025283|7.00|0| | |OK|37540|0|N
H3755|004|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum Plus (HMO)|00025283|7.00|0| | |OK|37550|0|N
H3755|004|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum Plus (HMO)|00025283|7.00|0| | |OK|37560|0|N
H3755|004|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum Plus (HMO)|00025283|7.00|0| | |OK|37570|0|N
H3755|004|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum Plus (HMO)|00025283|7.00|0| | |OK|37580|0|N
H3755|004|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum Plus (HMO)|00025283|7.00|0| | |OK|37600|0|N
H3755|004|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum Plus (HMO)|00025283|7.00|0| | |OK|37620|0|N
H3755|004|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum Plus (HMO)|00025283|7.00|0| | |OK|37650|0|N
H3755|004|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum Plus (HMO)|00025283|7.00|0| | |OK|37660|0|N
H3755|004|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum Plus (HMO)|00025283|7.00|0| | |OK|37710|0|N
H3755|004|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum Plus (HMO)|00025283|7.00|0| | |OK|37720|0|N
H3755|004|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Platinum Plus (HMO)|00025283|7.00|0| | |OK|37730|0|N
H3755|005|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Silver Plus (HMO)|00025283|0.00|0| | |OK|37000|0|N
H3755|005|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Silver Plus (HMO)|00025283|0.00|0| | |OK|37100|0|N
H3755|005|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Silver Plus (HMO)|00025283|0.00|0| | |OK|37130|0|N
H3755|005|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Silver Plus (HMO)|00025283|0.00|0| | |OK|37170|0|N
H3755|005|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Silver Plus (HMO)|00025283|0.00|0| | |OK|37180|0|N
H3755|005|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Silver Plus (HMO)|00025283|0.00|0| | |OK|37200|0|N
H3755|005|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Silver Plus (HMO)|00025283|0.00|0| | |OK|37240|0|N
H3755|005|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Silver Plus (HMO)|00025283|0.00|0| | |OK|37250|0|N
H3755|005|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Silver Plus (HMO)|00025283|0.00|0| | |OK|37300|0|N
H3755|005|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Silver Plus (HMO)|00025283|0.00|0| | |OK|37310|0|N
H3755|005|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Silver Plus (HMO)|00025283|0.00|0| | |OK|37360|0|N
H3755|005|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Silver Plus (HMO)|00025283|0.00|0| | |OK|37400|0|N
H3755|005|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Silver Plus (HMO)|00025283|0.00|0| | |OK|37410|0|N
H3755|005|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Silver Plus (HMO)|00025283|0.00|0| | |OK|37430|0|N
H3755|005|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Silver Plus (HMO)|00025283|0.00|0| | |OK|37450|0|N
H3755|005|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Silver Plus (HMO)|00025283|0.00|0| | |OK|37480|0|N
H3755|005|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Silver Plus (HMO)|00025283|0.00|0| | |OK|37500|0|N
H3755|005|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Silver Plus (HMO)|00025283|0.00|0| | |OK|37520|0|N
H3755|005|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Silver Plus (HMO)|00025283|0.00|0| | |OK|37530|0|N
H3755|005|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Silver Plus (HMO)|00025283|0.00|0| | |OK|37540|0|N
H3755|005|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Silver Plus (HMO)|00025283|0.00|0| | |OK|37550|0|N
H3755|005|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Silver Plus (HMO)|00025283|0.00|0| | |OK|37560|0|N
H3755|005|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Silver Plus (HMO)|00025283|0.00|0| | |OK|37570|0|N
H3755|005|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Silver Plus (HMO)|00025283|0.00|0| | |OK|37580|0|N
H3755|005|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Silver Plus (HMO)|00025283|0.00|0| | |OK|37600|0|N
H3755|005|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Silver Plus (HMO)|00025283|0.00|0| | |OK|37620|0|N
H3755|005|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Silver Plus (HMO)|00025283|0.00|0| | |OK|37650|0|N
H3755|005|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Silver Plus (HMO)|00025283|0.00|0| | |OK|37660|0|N
H3755|005|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Silver Plus (HMO)|00025283|0.00|0| | |OK|37710|0|N
H3755|005|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Silver Plus (HMO)|00025283|0.00|0| | |OK|37720|0|N
H3755|005|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Silver Plus (HMO)|00025283|0.00|0| | |OK|37730|0|N
H3755|006|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Oklahoma Dual Complete (HMO D-SNP)|00025283|0.00|590| | |OK|37170|2|N
H3755|006|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Oklahoma Dual Complete (HMO D-SNP)|00025283|0.00|590| | |OK|37180|2|N
H3755|006|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Oklahoma Dual Complete (HMO D-SNP)|00025283|0.00|590| | |OK|37480|2|N
H3755|006|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Oklahoma Dual Complete (HMO D-SNP)|00025283|0.00|590| | |OK|37500|2|N
H3755|006|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Oklahoma Dual Complete (HMO D-SNP)|00025283|0.00|590| | |OK|37520|2|N
H3755|006|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Oklahoma Dual Complete (HMO D-SNP)|00025283|0.00|590| | |OK|37550|2|N
H3755|006|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Oklahoma Dual Complete (HMO D-SNP)|00025283|0.00|590| | |OK|37560|2|N
H3755|006|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Oklahoma Dual Complete (HMO D-SNP)|00025283|0.00|590| | |OK|37650|2|N
H3755|006|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Oklahoma Dual Complete (HMO D-SNP)|00025283|0.00|590| | |OK|37710|2|N
H3755|006|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Oklahoma Dual Complete (HMO D-SNP)|00025283|0.00|590| | |OK|37720|2|N
H3755|006|000|COMMUNITYCARE GOVERNMENT PROGRAMS, INC.|Senior Health Plan Oklahoma Dual Complete (HMO D-SNP)|00025283|0.00|590| | |OK|37730|2|N
H3777|001|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Experience Health Medicare Advantage (HMO)|00025081|9.30|0| | |NC|34310|0|N
H3777|001|002|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Experience Health Medicare Advantage (HMO)|00025081|9.30|0| | |NC|34720|0|N
H3777|001|003|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Experience Health Medicare Advantage (HMO)|00025081|9.30|0| | |NC|34380|0|N
H3777|001|003|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Experience Health Medicare Advantage (HMO)|00025081|9.30|0| | |NC|34520|0|N
H3777|001|003|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Experience Health Medicare Advantage (HMO)|00025081|9.30|0| | |NC|34670|0|N
H3777|001|003|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Experience Health Medicare Advantage (HMO)|00025081|9.30|0| | |NC|34900|0|N
H3777|001|004|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Experience Health Medicare Advantage (HMO)|00025081|9.30|0| | |NC|34340|0|N
H3777|001|004|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Experience Health Medicare Advantage (HMO)|00025081|9.30|0| | |NC|34910|0|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52000|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52010|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52020|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52030|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52040|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52050|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52060|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52070|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52080|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52090|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52100|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52110|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52120|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52130|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52140|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52150|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52160|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52170|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52180|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52190|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52200|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52210|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52220|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52230|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52240|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52250|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52260|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52270|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52280|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52290|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52300|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52310|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52320|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52330|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52340|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52350|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52360|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52370|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52380|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52381|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52390|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52400|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52410|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52420|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52430|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52440|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52450|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52460|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52470|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52480|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52490|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52500|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52510|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52520|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52530|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52540|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52550|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52560|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52570|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52580|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52590|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52600|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52610|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52620|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52630|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52640|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52650|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52660|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52670|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52680|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52690|2|N
H3794|002|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D002 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52700|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52000|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52010|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52020|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52030|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52040|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52050|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52060|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52070|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52080|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52090|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52100|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52110|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52120|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52130|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52140|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52150|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52160|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52170|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52180|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52190|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52200|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52210|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52220|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52230|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52240|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52250|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52260|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52270|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52280|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52290|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52300|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52310|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52320|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52330|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52340|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52350|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52360|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52370|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52380|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52381|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52390|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52400|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52410|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52420|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52430|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52440|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52450|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52460|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52470|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52480|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52490|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52500|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52510|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52520|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52530|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52540|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52550|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52560|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52570|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52580|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52590|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52600|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52610|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52620|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52630|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52640|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52650|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52660|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52670|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52680|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52690|2|N
H3794|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-V001 (HMO-POS D-SNP)|00025002|36.70|590| | |WI|52700|2|N
H3794|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-S1 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52040|2|N
H3794|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-S1 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52290|2|N
H3794|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-S1 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52390|2|N
H3794|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-S1 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52430|2|N
H3794|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-S1 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52440|2|N
H3794|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-S1 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52500|2|N
H3794|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-S1 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52650|2|N
H3794|006|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-S1 (HMO-POS D-SNP)|00025002|43.50|590| | |WI|52660|2|N
H3794|007|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete MD-S001 (HMO-POS D-SNP)|00025002|0.00|590| | |MD|21150|2|N
H3800|001|000|PROVIDER PARTNERS HEALTH PLAN OF ILLINOIS|Provider Partners Illinois Advantage Plan (HMO I-SNP)|00025261|22.80|590| | |IL|14141|3|N
H3800|001|000|PROVIDER PARTNERS HEALTH PLAN OF ILLINOIS|Provider Partners Illinois Advantage Plan (HMO I-SNP)|00025261|22.80|590| | |IL|14250|3|N
H3800|001|000|PROVIDER PARTNERS HEALTH PLAN OF ILLINOIS|Provider Partners Illinois Advantage Plan (HMO I-SNP)|00025261|22.80|590| | |IL|14530|3|N
H3800|001|000|PROVIDER PARTNERS HEALTH PLAN OF ILLINOIS|Provider Partners Illinois Advantage Plan (HMO I-SNP)|00025261|22.80|590| | |IL|14570|3|N
H3800|001|000|PROVIDER PARTNERS HEALTH PLAN OF ILLINOIS|Provider Partners Illinois Advantage Plan (HMO I-SNP)|00025261|22.80|590| | |IL|14640|3|N
H3800|001|000|PROVIDER PARTNERS HEALTH PLAN OF ILLINOIS|Provider Partners Illinois Advantage Plan (HMO I-SNP)|00025261|22.80|590| | |IL|14989|3|N
H3800|001|000|PROVIDER PARTNERS HEALTH PLAN OF ILLINOIS|Provider Partners Illinois Advantage Plan (HMO I-SNP)|00025261|22.80|590| | |IL|14991|3|N
H3805|001|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC OR-0003 (HMO-POS)|00025002|45.80|255| | |OR|38010|0|N
H3805|001|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC OR-0003 (HMO-POS)|00025002|45.80|255| | |OR|38020|0|N
H3805|001|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC OR-0003 (HMO-POS)|00025002|45.80|255| | |OR|38040|0|N
H3805|001|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC OR-0003 (HMO-POS)|00025002|45.80|255| | |OR|38130|0|N
H3805|001|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC OR-0003 (HMO-POS)|00025002|45.80|255| | |OR|38140|0|N
H3805|001|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC OR-0003 (HMO-POS)|00025002|45.80|255| | |OR|38160|0|N
H3805|001|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC OR-0003 (HMO-POS)|00025002|45.80|255| | |OR|38190|0|N
H3805|001|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC OR-0003 (HMO-POS)|00025002|45.80|255| | |OR|38210|0|N
H3805|001|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC OR-0003 (HMO-POS)|00025002|45.80|255| | |OR|38230|0|N
H3805|001|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC OR-0003 (HMO-POS)|00025002|45.80|255| | |OR|38250|0|N
H3805|001|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC OR-0003 (HMO-POS)|00025002|45.80|255| | |OR|38260|0|N
H3805|001|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC OR-0003 (HMO-POS)|00025002|45.80|255| | |OR|38330|0|N
H3805|001|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC OR-0003 (HMO-POS)|00025002|45.80|255| | |OR|38350|0|N
H3805|015|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC WA-0005 (HMO-POS)|00025002|27.00|255| | |WA|50020|0|N
H3805|015|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC WA-0005 (HMO-POS)|00025002|27.00|255| | |WA|50040|0|N
H3805|015|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC WA-0005 (HMO-POS)|00025002|27.00|255| | |WA|50050|0|N
H3805|015|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC WA-0005 (HMO-POS)|00025002|27.00|255| | |WA|50070|0|N
H3805|015|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC WA-0005 (HMO-POS)|00025002|27.00|255| | |WA|50100|0|N
H3805|015|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC WA-0005 (HMO-POS)|00025002|27.00|255| | |WA|50140|0|N
H3805|015|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC WA-0005 (HMO-POS)|00025002|27.00|255| | |WA|50150|0|N
H3805|015|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC WA-0005 (HMO-POS)|00025002|27.00|255| | |WA|50160|0|N
H3805|015|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC WA-0005 (HMO-POS)|00025002|27.00|255| | |WA|50170|0|N
H3805|015|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC WA-0005 (HMO-POS)|00025002|27.00|255| | |WA|50200|0|N
H3805|015|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC WA-0005 (HMO-POS)|00025002|27.00|255| | |WA|50220|0|N
H3805|015|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC WA-0005 (HMO-POS)|00025002|27.00|255| | |WA|50260|0|N
H3805|015|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC WA-0005 (HMO-POS)|00025002|27.00|255| | |WA|50280|0|N
H3805|015|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC WA-0005 (HMO-POS)|00025002|27.00|255| | |WA|50300|0|N
H3805|015|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC WA-0005 (HMO-POS)|00025002|27.00|255| | |WA|50330|0|N
H3805|015|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC WA-0005 (HMO-POS)|00025002|27.00|255| | |WA|50350|0|N
H3805|015|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC WA-0005 (HMO-POS)|00025002|27.00|255| | |WA|50360|0|N
H3805|015|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC WA-0005 (HMO-POS)|00025002|27.00|255| | |WA|50380|0|N
H3805|017|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC WA-6 (HMO-POS)|00025002|0.00|255| | |WA|50040|0|N
H3805|017|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC WA-6 (HMO-POS)|00025002|0.00|255| | |WA|50050|0|N
H3805|017|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC WA-6 (HMO-POS)|00025002|0.00|255| | |WA|50070|0|N
H3805|017|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC WA-6 (HMO-POS)|00025002|0.00|255| | |WA|50140|0|N
H3805|017|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC WA-6 (HMO-POS)|00025002|0.00|255| | |WA|50150|0|N
H3805|017|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC WA-6 (HMO-POS)|00025002|0.00|255| | |WA|50160|0|N
H3805|017|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC WA-6 (HMO-POS)|00025002|0.00|255| | |WA|50170|0|N
H3805|017|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC WA-6 (HMO-POS)|00025002|0.00|255| | |WA|50200|0|N
H3805|017|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC WA-6 (HMO-POS)|00025002|0.00|255| | |WA|50220|0|N
H3805|017|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC WA-6 (HMO-POS)|00025002|0.00|255| | |WA|50260|0|N
H3805|017|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC WA-6 (HMO-POS)|00025002|0.00|255| | |WA|50280|0|N
H3805|017|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC WA-6 (HMO-POS)|00025002|0.00|255| | |WA|50300|0|N
H3805|017|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC WA-6 (HMO-POS)|00025002|0.00|255| | |WA|50330|0|N
H3805|017|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC WA-6 (HMO-POS)|00025002|0.00|255| | |WA|50360|0|N
H3805|032|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC WA-7 (HMO-POS)|00025002|0.00|255| | |WA|50050|0|N
H3805|032|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC WA-7 (HMO-POS)|00025002|0.00|255| | |WA|50160|0|N
H3805|032|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC WA-7 (HMO-POS)|00025002|0.00|255| | |WA|50260|0|N
H3805|032|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC WA-7 (HMO-POS)|00025002|0.00|255| | |WA|50300|0|N
H3805|032|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC WA-7 (HMO-POS)|00025002|0.00|255| | |WA|50330|0|N
H3805|033|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC WA-8 (HMO-POS)|00025002|0.00|255| | |WA|50310|0|N
H3805|034|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC WA-0009 (HMO-POS)|00025002|33.00|255| | |WA|50310|0|N
H3805|037|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC WA-0010 (HMO-POS)|00025002|69.00|255| | |WA|50020|0|N
H3805|037|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC WA-0010 (HMO-POS)|00025002|69.00|255| | |WA|50040|0|N
H3805|037|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC WA-0010 (HMO-POS)|00025002|69.00|255| | |WA|50050|0|N
H3805|037|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC WA-0010 (HMO-POS)|00025002|69.00|255| | |WA|50070|0|N
H3805|037|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC WA-0010 (HMO-POS)|00025002|69.00|255| | |WA|50100|0|N
H3805|037|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC WA-0010 (HMO-POS)|00025002|69.00|255| | |WA|50140|0|N
H3805|037|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC WA-0010 (HMO-POS)|00025002|69.00|255| | |WA|50150|0|N
H3805|037|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC WA-0010 (HMO-POS)|00025002|69.00|255| | |WA|50160|0|N
H3805|037|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC WA-0010 (HMO-POS)|00025002|69.00|255| | |WA|50170|0|N
H3805|037|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC WA-0010 (HMO-POS)|00025002|69.00|255| | |WA|50200|0|N
H3805|037|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC WA-0010 (HMO-POS)|00025002|69.00|255| | |WA|50220|0|N
H3805|037|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC WA-0010 (HMO-POS)|00025002|69.00|255| | |WA|50260|0|N
H3805|037|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC WA-0010 (HMO-POS)|00025002|69.00|255| | |WA|50280|0|N
H3805|037|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC WA-0010 (HMO-POS)|00025002|69.00|255| | |WA|50300|0|N
H3805|037|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC WA-0010 (HMO-POS)|00025002|69.00|255| | |WA|50330|0|N
H3805|037|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC WA-0010 (HMO-POS)|00025002|69.00|255| | |WA|50350|0|N
H3805|037|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC WA-0010 (HMO-POS)|00025002|69.00|255| | |WA|50360|0|N
H3805|037|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC WA-0010 (HMO-POS)|00025002|69.00|255| | |WA|50380|0|N
H3805|039|001|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC OR-4 (HMO-POS)|00025002|0.00|255| | |OR|38010|0|N
H3805|039|001|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC OR-4 (HMO-POS)|00025002|0.00|255| | |OR|38020|0|N
H3805|039|001|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC OR-4 (HMO-POS)|00025002|0.00|255| | |OR|38040|0|N
H3805|039|001|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC OR-4 (HMO-POS)|00025002|0.00|255| | |OR|38130|0|N
H3805|039|001|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC OR-4 (HMO-POS)|00025002|0.00|255| | |OR|38140|0|N
H3805|039|001|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC OR-4 (HMO-POS)|00025002|0.00|255| | |OR|38160|0|N
H3805|039|001|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC OR-4 (HMO-POS)|00025002|0.00|255| | |OR|38190|0|N
H3805|039|001|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC OR-4 (HMO-POS)|00025002|0.00|255| | |OR|38230|0|N
H3805|039|001|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC OR-4 (HMO-POS)|00025002|0.00|255| | |OR|38250|0|N
H3805|039|001|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC OR-4 (HMO-POS)|00025002|0.00|255| | |OR|38260|0|N
H3805|039|001|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC OR-4 (HMO-POS)|00025002|0.00|255| | |OR|38330|0|N
H3805|039|001|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC OR-4 (HMO-POS)|00025002|0.00|255| | |OR|38350|0|N
H3805|039|002|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Essentials from UHC OR-4 (HMO-POS)|00025002|15.70|255| | |OR|38210|0|N
H3805|040|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care OR-5 (HMO-POS C-SNP)|00025003|0.00|255| | |OR|38010|1|N
H3805|040|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care OR-5 (HMO-POS C-SNP)|00025003|0.00|255| | |OR|38020|1|N
H3805|040|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care OR-5 (HMO-POS C-SNP)|00025003|0.00|255| | |OR|38040|1|N
H3805|040|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care OR-5 (HMO-POS C-SNP)|00025003|0.00|255| | |OR|38130|1|N
H3805|040|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care OR-5 (HMO-POS C-SNP)|00025003|0.00|255| | |OR|38140|1|N
H3805|040|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care OR-5 (HMO-POS C-SNP)|00025003|0.00|255| | |OR|38160|1|N
H3805|040|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care OR-5 (HMO-POS C-SNP)|00025003|0.00|255| | |OR|38190|1|N
H3805|040|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care OR-5 (HMO-POS C-SNP)|00025003|0.00|255| | |OR|38210|1|N
H3805|040|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care OR-5 (HMO-POS C-SNP)|00025003|0.00|255| | |OR|38230|1|N
H3805|040|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care OR-5 (HMO-POS C-SNP)|00025003|0.00|255| | |OR|38250|1|N
H3805|040|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care OR-5 (HMO-POS C-SNP)|00025003|0.00|255| | |OR|38260|1|N
H3805|040|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care OR-5 (HMO-POS C-SNP)|00025003|0.00|255| | |OR|38330|1|N
H3805|040|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care OR-5 (HMO-POS C-SNP)|00025003|0.00|255| | |OR|38350|1|N
H3805|041|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC OR-6 (HMO-POS)|00025002|0.00|340| | |OR|38010|0|N
H3805|041|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC OR-6 (HMO-POS)|00025002|0.00|340| | |OR|38020|0|N
H3805|041|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC OR-6 (HMO-POS)|00025002|0.00|340| | |OR|38040|0|N
H3805|041|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC OR-6 (HMO-POS)|00025002|0.00|340| | |OR|38130|0|N
H3805|041|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC OR-6 (HMO-POS)|00025002|0.00|340| | |OR|38140|0|N
H3805|041|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC OR-6 (HMO-POS)|00025002|0.00|340| | |OR|38160|0|N
H3805|041|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC OR-6 (HMO-POS)|00025002|0.00|340| | |OR|38190|0|N
H3805|041|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC OR-6 (HMO-POS)|00025002|0.00|340| | |OR|38230|0|N
H3805|041|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC OR-6 (HMO-POS)|00025002|0.00|340| | |OR|38250|0|N
H3805|041|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC OR-6 (HMO-POS)|00025002|0.00|340| | |OR|38260|0|N
H3805|041|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC OR-6 (HMO-POS)|00025002|0.00|340| | |OR|38330|0|N
H3805|041|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC OR-6 (HMO-POS)|00025002|0.00|340| | |OR|38350|0|N
H3805|043|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care WA-13 (HMO-POS C-SNP)|00025003|0.00|255| | |WA|50020|1|N
H3805|043|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care WA-13 (HMO-POS C-SNP)|00025003|0.00|255| | |WA|50040|1|N
H3805|043|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care WA-13 (HMO-POS C-SNP)|00025003|0.00|255| | |WA|50050|1|N
H3805|043|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care WA-13 (HMO-POS C-SNP)|00025003|0.00|255| | |WA|50070|1|N
H3805|043|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care WA-13 (HMO-POS C-SNP)|00025003|0.00|255| | |WA|50100|1|N
H3805|043|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care WA-13 (HMO-POS C-SNP)|00025003|0.00|255| | |WA|50140|1|N
H3805|043|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care WA-13 (HMO-POS C-SNP)|00025003|0.00|255| | |WA|50150|1|N
H3805|043|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care WA-13 (HMO-POS C-SNP)|00025003|0.00|255| | |WA|50160|1|N
H3805|043|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care WA-13 (HMO-POS C-SNP)|00025003|0.00|255| | |WA|50170|1|N
H3805|043|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care WA-13 (HMO-POS C-SNP)|00025003|0.00|255| | |WA|50200|1|N
H3805|043|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care WA-13 (HMO-POS C-SNP)|00025003|0.00|255| | |WA|50220|1|N
H3805|043|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care WA-13 (HMO-POS C-SNP)|00025003|0.00|255| | |WA|50260|1|N
H3805|043|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care WA-13 (HMO-POS C-SNP)|00025003|0.00|255| | |WA|50280|1|N
H3805|043|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care WA-13 (HMO-POS C-SNP)|00025003|0.00|255| | |WA|50300|1|N
H3805|043|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care WA-13 (HMO-POS C-SNP)|00025003|0.00|255| | |WA|50310|1|N
H3805|043|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care WA-13 (HMO-POS C-SNP)|00025003|0.00|255| | |WA|50330|1|N
H3805|043|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care WA-13 (HMO-POS C-SNP)|00025003|0.00|255| | |WA|50350|1|N
H3805|043|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care WA-13 (HMO-POS C-SNP)|00025003|0.00|255| | |WA|50360|1|N
H3805|043|000|UnitedHealthcare Benefits of Texas, Inc.|UHC Complete Care WA-13 (HMO-POS C-SNP)|00025003|0.00|255| | |WA|50380|1|N
H3805|044|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC WA-14 (HMO-POS)|00025002|0.00|340| | |WA|50040|0|N
H3805|044|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC WA-14 (HMO-POS)|00025002|0.00|340| | |WA|50050|0|N
H3805|044|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC WA-14 (HMO-POS)|00025002|0.00|340| | |WA|50070|0|N
H3805|044|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC WA-14 (HMO-POS)|00025002|0.00|340| | |WA|50140|0|N
H3805|044|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC WA-14 (HMO-POS)|00025002|0.00|340| | |WA|50150|0|N
H3805|044|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC WA-14 (HMO-POS)|00025002|0.00|340| | |WA|50160|0|N
H3805|044|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC WA-14 (HMO-POS)|00025002|0.00|340| | |WA|50170|0|N
H3805|044|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC WA-14 (HMO-POS)|00025002|0.00|340| | |WA|50200|0|N
H3805|044|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC WA-14 (HMO-POS)|00025002|0.00|340| | |WA|50220|0|N
H3805|044|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC WA-14 (HMO-POS)|00025002|0.00|340| | |WA|50260|0|N
H3805|044|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC WA-14 (HMO-POS)|00025002|0.00|340| | |WA|50280|0|N
H3805|044|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC WA-14 (HMO-POS)|00025002|0.00|340| | |WA|50300|0|N
H3805|044|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC WA-14 (HMO-POS)|00025002|0.00|340| | |WA|50330|0|N
H3805|044|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC WA-14 (HMO-POS)|00025002|0.00|340| | |WA|50360|0|N
H3805|045|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage Extras from UHC WA-15 (HMO-POS)|00025002|0.00|340| | |WA|50310|0|N
H3810|023|000|ALLCARE HEALTH PLAN, INC.|AllCare Advantage Redwood Rx (HMO D-SNP)|00025234|0.00|590| | |OR|38070|2|N
H3810|023|000|ALLCARE HEALTH PLAN, INC.|AllCare Advantage Redwood Rx (HMO D-SNP)|00025234|0.00|590| | |OR|38090|2|N
H3810|023|000|ALLCARE HEALTH PLAN, INC.|AllCare Advantage Redwood Rx (HMO D-SNP)|00025234|0.00|590| | |OR|38140|2|N
H3810|023|000|ALLCARE HEALTH PLAN, INC.|AllCare Advantage Redwood Rx (HMO D-SNP)|00025234|0.00|590| | |OR|38160|2|N
H3811|002|000|SAMARITAN HEALTH PLANS, INC.|Samaritan Advantage Premier Plan (HMO)|00025499|8.00|175| | |OR|38010|0|N
H3811|002|000|SAMARITAN HEALTH PLANS, INC.|Samaritan Advantage Premier Plan (HMO)|00025499|8.00|175| | |OR|38200|0|N
H3811|002|000|SAMARITAN HEALTH PLANS, INC.|Samaritan Advantage Premier Plan (HMO)|00025499|8.00|175| | |OR|38210|0|N
H3811|003|000|SAMARITAN HEALTH PLANS, INC.|Samaritan Dual Advantage (HMO D-SNP)|00025500|26.10|590| | |OR|38010|2|N
H3811|003|000|SAMARITAN HEALTH PLANS, INC.|Samaritan Dual Advantage (HMO D-SNP)|00025500|26.10|590| | |OR|38200|2|N
H3811|003|000|SAMARITAN HEALTH PLANS, INC.|Samaritan Dual Advantage (HMO D-SNP)|00025500|26.10|590| | |OR|38210|2|N
H3811|009|000|SAMARITAN HEALTH PLANS, INC.|Samaritan Advantage Premier Plan Plus (HMO)|00025499|0.00|0| | |OR|38010|0|N
H3811|009|000|SAMARITAN HEALTH PLANS, INC.|Samaritan Advantage Premier Plan Plus (HMO)|00025499|0.00|0| | |OR|38200|0|N
H3811|009|000|SAMARITAN HEALTH PLANS, INC.|Samaritan Advantage Premier Plan Plus (HMO)|00025499|0.00|0| | |OR|38210|0|N
H3814|007|000|ATRIO HEALTH PLANS|ATRIO Special Needs Plan (HMO D-SNP)|00025195|26.20|590| | |OR|38170|2|N
H3814|030|000|ATRIO HEALTH PLANS|ATRIO Special Needs Plan (HMO D-SNP)|00025195|26.20|590| | |OR|38090|2|N
H3814|031|000|ATRIO HEALTH PLANS|ATRIO Select Rx (HMO)|00025197|0.00|350| | |OR|38170|0|N
H3815|001|000|ALIGNMENT HEALTH PLAN|Alignment Health My Choice (HMO)|00025083|0.00|0| | |CA|05200|0|N
H3815|001|000|ALIGNMENT HEALTH PLAN|Alignment Health My Choice (HMO)|00025083|0.00|0| | |CA|05210|0|N
H3815|001|000|ALIGNMENT HEALTH PLAN|Alignment Health My Choice (HMO)|00025083|0.00|0| | |CA|05400|0|N
H3815|001|000|ALIGNMENT HEALTH PLAN|Alignment Health My Choice (HMO)|00025083|0.00|0| | |CA|05430|0|N
H3815|001|000|ALIGNMENT HEALTH PLAN|Alignment Health My Choice (HMO)|00025083|0.00|0| | |CA|05460|0|N
H3815|007|000|ALIGNMENT HEALTH PLAN|Alignment Health My Choice CalPlus (HMO)|00025083|0.00|0| | |CA|05000|0|N
H3815|007|000|ALIGNMENT HEALTH PLAN|Alignment Health My Choice CalPlus (HMO)|00025083|0.00|0| | |CA|05090|0|N
H3815|007|000|ALIGNMENT HEALTH PLAN|Alignment Health My Choice CalPlus (HMO)|00025083|0.00|0| | |CA|05200|0|N
H3815|007|000|ALIGNMENT HEALTH PLAN|Alignment Health My Choice CalPlus (HMO)|00025083|0.00|0| | |CA|05210|0|N
H3815|007|000|ALIGNMENT HEALTH PLAN|Alignment Health My Choice CalPlus (HMO)|00025083|0.00|0| | |CA|05300|0|N
H3815|007|000|ALIGNMENT HEALTH PLAN|Alignment Health My Choice CalPlus (HMO)|00025083|0.00|0| | |CA|05310|0|N
H3815|007|000|ALIGNMENT HEALTH PLAN|Alignment Health My Choice CalPlus (HMO)|00025083|0.00|0| | |CA|05400|0|N
H3815|007|000|ALIGNMENT HEALTH PLAN|Alignment Health My Choice CalPlus (HMO)|00025083|0.00|0| | |CA|05410|0|N
H3815|007|000|ALIGNMENT HEALTH PLAN|Alignment Health My Choice CalPlus (HMO)|00025083|0.00|0| | |CA|05430|0|N
H3815|007|000|ALIGNMENT HEALTH PLAN|Alignment Health My Choice CalPlus (HMO)|00025083|0.00|0| | |CA|05440|0|N
H3815|007|000|ALIGNMENT HEALTH PLAN|Alignment Health My Choice CalPlus (HMO)|00025083|0.00|0| | |CA|05460|0|N
H3815|007|000|ALIGNMENT HEALTH PLAN|Alignment Health My Choice CalPlus (HMO)|00025083|0.00|0| | |CA|05470|0|N
H3815|007|000|ALIGNMENT HEALTH PLAN|Alignment Health My Choice CalPlus (HMO)|00025083|0.00|0| | |CA|05480|0|N
H3815|007|000|ALIGNMENT HEALTH PLAN|Alignment Health My Choice CalPlus (HMO)|00025083|0.00|0| | |CA|05490|0|N
H3815|007|000|ALIGNMENT HEALTH PLAN|Alignment Health My Choice CalPlus (HMO)|00025083|0.00|0| | |CA|05500|0|N
H3815|007|000|ALIGNMENT HEALTH PLAN|Alignment Health My Choice CalPlus (HMO)|00025083|0.00|0| | |CA|05530|0|N
H3815|007|000|ALIGNMENT HEALTH PLAN|Alignment Health My Choice CalPlus (HMO)|00025083|0.00|0| | |CA|05600|0|N
H3815|007|000|ALIGNMENT HEALTH PLAN|Alignment Health My Choice CalPlus (HMO)|00025083|0.00|0| | |CA|05660|0|N
H3815|007|000|ALIGNMENT HEALTH PLAN|Alignment Health My Choice CalPlus (HMO)|00025083|0.00|0| | |CA|05670|0|N
H3815|008|000|ALIGNMENT HEALTH PLAN|Alignment Health Platinum + Instacart (HMO)|00025083|0.00|0| | |CA|05200|0|N
H3815|008|000|ALIGNMENT HEALTH PLAN|Alignment Health Platinum + Instacart (HMO)|00025083|0.00|0| | |CA|05210|0|N
H3815|008|000|ALIGNMENT HEALTH PLAN|Alignment Health Platinum + Instacart (HMO)|00025083|0.00|0| | |CA|05400|0|N
H3815|010|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes (HMO C-SNP)|00025083|0.00|0| | |CA|05000|1|N
H3815|010|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes (HMO C-SNP)|00025083|0.00|0| | |CA|05090|1|N
H3815|010|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes (HMO C-SNP)|00025083|0.00|0| | |CA|05200|1|N
H3815|010|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes (HMO C-SNP)|00025083|0.00|0| | |CA|05210|1|N
H3815|010|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes (HMO C-SNP)|00025083|0.00|0| | |CA|05300|1|N
H3815|010|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes (HMO C-SNP)|00025083|0.00|0| | |CA|05310|1|N
H3815|010|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes (HMO C-SNP)|00025083|0.00|0| | |CA|05340|1|N
H3815|010|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes (HMO C-SNP)|00025083|0.00|0| | |CA|05400|1|N
H3815|010|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes (HMO C-SNP)|00025083|0.00|0| | |CA|05410|1|N
H3815|010|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes (HMO C-SNP)|00025083|0.00|0| | |CA|05430|1|N
H3815|010|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes (HMO C-SNP)|00025083|0.00|0| | |CA|05440|1|N
H3815|010|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes (HMO C-SNP)|00025083|0.00|0| | |CA|05460|1|N
H3815|010|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes (HMO C-SNP)|00025083|0.00|0| | |CA|05470|1|N
H3815|010|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes (HMO C-SNP)|00025083|0.00|0| | |CA|05480|1|N
H3815|010|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes (HMO C-SNP)|00025083|0.00|0| | |CA|05490|1|N
H3815|010|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes (HMO C-SNP)|00025083|0.00|0| | |CA|05500|1|N
H3815|010|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes (HMO C-SNP)|00025083|0.00|0| | |CA|05530|1|N
H3815|010|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes (HMO C-SNP)|00025083|0.00|0| | |CA|05600|1|N
H3815|010|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes (HMO C-SNP)|00025083|0.00|0| | |CA|05660|1|N
H3815|010|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes (HMO C-SNP)|00025083|0.00|0| | |CA|05670|1|N
H3815|011|000|ALIGNMENT HEALTH PLAN|Alignment Health AllCare Preferred (HMO)|00025083|0.00|0| | |CA|05600|0|N
H3815|013|000|ALIGNMENT HEALTH PLAN|Alignment Health smartHMO (HMO)|00025083|0.00|0| | |CA|05200|0|N
H3815|013|000|ALIGNMENT HEALTH PLAN|Alignment Health smartHMO (HMO)|00025083|0.00|0| | |CA|05210|0|N
H3815|013|000|ALIGNMENT HEALTH PLAN|Alignment Health smartHMO (HMO)|00025083|0.00|0| | |CA|05400|0|N
H3815|013|000|ALIGNMENT HEALTH PLAN|Alignment Health smartHMO (HMO)|00025083|0.00|0| | |CA|05430|0|N
H3815|013|000|ALIGNMENT HEALTH PLAN|Alignment Health smartHMO (HMO)|00025083|0.00|0| | |CA|05460|0|N
H3815|013|000|ALIGNMENT HEALTH PLAN|Alignment Health smartHMO (HMO)|00025083|0.00|0| | |CA|05470|0|N
H3815|016|000|ALIGNMENT HEALTH PLAN|Alignment Health Platinum + Instacart (HMO-POS)|00025083|0.00|0| | |CA|05310|0|N
H3815|016|000|ALIGNMENT HEALTH PLAN|Alignment Health Platinum + Instacart (HMO-POS)|00025083|0.00|0| | |CA|05470|0|N
H3815|016|000|ALIGNMENT HEALTH PLAN|Alignment Health Platinum + Instacart (HMO-POS)|00025083|0.00|0| | |CA|05480|0|N
H3815|019|000|ALIGNMENT HEALTH PLAN|Alignment Health Sutter Advantage (HMO)|00025083|0.00|0| | |CA|05410|0|N
H3815|019|000|ALIGNMENT HEALTH PLAN|Alignment Health Sutter Advantage (HMO)|00025083|0.00|0| | |CA|05440|0|N
H3815|019|000|ALIGNMENT HEALTH PLAN|Alignment Health Sutter Advantage (HMO)|00025083|0.00|0| | |CA|05670|0|N
H3815|020|000|ALIGNMENT HEALTH PLAN|Alignment Health Sutter Advantage (HMO)|00025083|0.00|0| | |CA|05530|0|N
H3815|021|000|ALIGNMENT HEALTH PLAN|Alignment Health Sutter Advantage (HMO)|00025083|0.00|0| | |CA|05540|0|N
H3815|023|000|ALIGNMENT HEALTH PLAN|Alignment Health Sutter Advantage (HMO)|00025083|0.00|0| | |CA|05480|0|N
H3815|023|000|ALIGNMENT HEALTH PLAN|Alignment Health Sutter Advantage (HMO)|00025083|0.00|0| | |CA|05510|0|N
H3815|023|000|ALIGNMENT HEALTH PLAN|Alignment Health Sutter Advantage (HMO)|00025083|0.00|0| | |CA|05590|0|N
H3815|028|000|ALIGNMENT HEALTH PLAN|Alignment Health My Choice (HMO)|00025083|0.00|0| | |CA|05500|0|N
H3815|028|000|ALIGNMENT HEALTH PLAN|Alignment Health My Choice (HMO)|00025083|0.00|0| | |CA|05660|0|N
H3815|030|000|ALIGNMENT HEALTH PLAN|Alignment Health CalPlusDuals (HMO D-SNP)|00025086|0.00|590| | |CA|05310|2|Y
H3815|030|000|ALIGNMENT HEALTH PLAN|Alignment Health CalPlusDuals (HMO D-SNP)|00025086|0.00|590| | |CA|05480|2|Y
H3815|030|000|ALIGNMENT HEALTH PLAN|Alignment Health CalPlusDuals (HMO D-SNP)|00025086|0.00|590| | |CA|05490|2|Y
H3815|030|000|ALIGNMENT HEALTH PLAN|Alignment Health CalPlusDuals (HMO D-SNP)|00025086|0.00|590| | |CA|05500|2|Y
H3815|030|000|ALIGNMENT HEALTH PLAN|Alignment Health CalPlusDuals (HMO D-SNP)|00025086|0.00|590| | |CA|05600|2|Y
H3815|030|000|ALIGNMENT HEALTH PLAN|Alignment Health CalPlusDuals (HMO D-SNP)|00025086|0.00|590| | |CA|05660|2|Y
H3815|031|000|ALIGNMENT HEALTH PLAN|Alignment Health Harmony (HMO)|00025083|0.00|0| | |CA|05000|0|N
H3815|031|000|ALIGNMENT HEALTH PLAN|Alignment Health Harmony (HMO)|00025083|0.00|0| | |CA|05480|0|N
H3815|031|000|ALIGNMENT HEALTH PLAN|Alignment Health Harmony (HMO)|00025083|0.00|0| | |CA|05530|0|N
H3815|033|000|ALIGNMENT HEALTH PLAN|Alignment Health ESRD Balance (HMO C-SNP)|00025083|0.00|0| | |CA|05200|1|N
H3815|033|000|ALIGNMENT HEALTH PLAN|Alignment Health ESRD Balance (HMO C-SNP)|00025083|0.00|0| | |CA|05210|1|N
H3815|033|000|ALIGNMENT HEALTH PLAN|Alignment Health ESRD Balance (HMO C-SNP)|00025083|0.00|0| | |CA|05400|1|N
H3815|034|000|ALIGNMENT HEALTH PLAN|Alignment Health the ONE + Rite Aid (HMO)|00025083|0.00|0| | |CA|05200|0|N
H3815|034|000|ALIGNMENT HEALTH PLAN|Alignment Health the ONE + Rite Aid (HMO)|00025083|0.00|0| | |CA|05210|0|N
H3815|034|000|ALIGNMENT HEALTH PLAN|Alignment Health the ONE + Rite Aid (HMO)|00025083|0.00|0| | |CA|05400|0|N
H3815|034|000|ALIGNMENT HEALTH PLAN|Alignment Health the ONE + Rite Aid (HMO)|00025083|0.00|0| | |CA|05430|0|N
H3815|034|000|ALIGNMENT HEALTH PLAN|Alignment Health the ONE + Rite Aid (HMO)|00025083|0.00|0| | |CA|05460|0|N
H3815|034|000|ALIGNMENT HEALTH PLAN|Alignment Health the ONE + Rite Aid (HMO)|00025083|0.00|0| | |CA|05470|0|N
H3815|034|000|ALIGNMENT HEALTH PLAN|Alignment Health the ONE + Rite Aid (HMO)|00025083|0.00|0| | |CA|05530|0|N
H3815|035|000|ALIGNMENT HEALTH PLAN|Alignment Health the ONE + Walgreens (HMO)|00025083|0.00|0| | |CA|05090|0|N
H3815|035|000|ALIGNMENT HEALTH PLAN|Alignment Health the ONE + Walgreens (HMO)|00025083|0.00|0| | |CA|05300|0|N
H3815|035|000|ALIGNMENT HEALTH PLAN|Alignment Health the ONE + Walgreens (HMO)|00025083|0.00|0| | |CA|05340|0|N
H3815|037|000|ALIGNMENT HEALTH PLAN|Alignment Health Select (HMO)|00025083|0.00|0| | |CA|05000|0|N
H3815|037|000|ALIGNMENT HEALTH PLAN|Alignment Health Select (HMO)|00025083|0.00|0| | |CA|05470|0|N
H3815|038|000|ALIGNMENT HEALTH PLAN|Alignment Health smartHMO (HMO)|00025083|0.00|590| | |CA|05410|0|N
H3815|038|000|ALIGNMENT HEALTH PLAN|Alignment Health smartHMO (HMO)|00025083|0.00|590| | |CA|05440|0|N
H3815|038|000|ALIGNMENT HEALTH PLAN|Alignment Health smartHMO (HMO)|00025083|0.00|590| | |CA|05670|0|N
H3815|039|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)|00025086|29.70|590| | |CA|05000|1|N
H3815|039|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)|00025086|29.70|590| | |CA|05090|1|N
H3815|039|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)|00025086|29.70|590| | |CA|05200|1|N
H3815|039|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)|00025086|29.70|590| | |CA|05210|1|N
H3815|039|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)|00025086|29.70|590| | |CA|05300|1|N
H3815|039|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)|00025086|29.70|590| | |CA|05310|1|N
H3815|039|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)|00025086|29.70|590| | |CA|05340|1|N
H3815|039|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)|00025086|29.70|590| | |CA|05400|1|N
H3815|039|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)|00025086|29.70|590| | |CA|05410|1|N
H3815|039|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)|00025086|29.70|590| | |CA|05430|1|N
H3815|039|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)|00025086|29.70|590| | |CA|05440|1|N
H3815|039|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)|00025086|29.70|590| | |CA|05460|1|N
H3815|039|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)|00025086|29.70|590| | |CA|05470|1|N
H3815|039|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)|00025086|29.70|590| | |CA|05480|1|N
H3815|039|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)|00025086|29.70|590| | |CA|05490|1|N
H3815|039|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)|00025086|29.70|590| | |CA|05500|1|N
H3815|039|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)|00025086|29.70|590| | |CA|05530|1|N
H3815|039|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)|00025086|29.70|590| | |CA|05600|1|N
H3815|039|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)|00025086|29.70|590| | |CA|05660|1|N
H3815|039|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes CalPlus (HMO C-SNP)|00025086|29.70|590| | |CA|05670|1|N
H3815|040|000|ALIGNMENT HEALTH PLAN|Alignment Health smartHMO (HMO)|00025083|0.00|590| | |CA|05340|0|N
H3815|040|000|ALIGNMENT HEALTH PLAN|Alignment Health smartHMO (HMO)|00025083|0.00|590| | |CA|05530|0|N
H3815|040|000|ALIGNMENT HEALTH PLAN|Alignment Health smartHMO (HMO)|00025083|0.00|590| | |CA|05600|0|N
H3815|040|000|ALIGNMENT HEALTH PLAN|Alignment Health smartHMO (HMO)|00025083|0.00|590| | |CA|05660|0|N
H3815|041|000|ALIGNMENT HEALTH PLAN|Alignment Health BreathEasy (HMO C-SNP)|00025086|18.10|590| | |CA|05000|1|N
H3815|041|000|ALIGNMENT HEALTH PLAN|Alignment Health BreathEasy (HMO C-SNP)|00025086|18.10|590| | |CA|05090|1|N
H3815|041|000|ALIGNMENT HEALTH PLAN|Alignment Health BreathEasy (HMO C-SNP)|00025086|18.10|590| | |CA|05200|1|N
H3815|041|000|ALIGNMENT HEALTH PLAN|Alignment Health BreathEasy (HMO C-SNP)|00025086|18.10|590| | |CA|05210|1|N
H3815|041|000|ALIGNMENT HEALTH PLAN|Alignment Health BreathEasy (HMO C-SNP)|00025086|18.10|590| | |CA|05300|1|N
H3815|041|000|ALIGNMENT HEALTH PLAN|Alignment Health BreathEasy (HMO C-SNP)|00025086|18.10|590| | |CA|05310|1|N
H3815|041|000|ALIGNMENT HEALTH PLAN|Alignment Health BreathEasy (HMO C-SNP)|00025086|18.10|590| | |CA|05340|1|N
H3815|041|000|ALIGNMENT HEALTH PLAN|Alignment Health BreathEasy (HMO C-SNP)|00025086|18.10|590| | |CA|05400|1|N
H3815|041|000|ALIGNMENT HEALTH PLAN|Alignment Health BreathEasy (HMO C-SNP)|00025086|18.10|590| | |CA|05410|1|N
H3815|041|000|ALIGNMENT HEALTH PLAN|Alignment Health BreathEasy (HMO C-SNP)|00025086|18.10|590| | |CA|05430|1|N
H3815|041|000|ALIGNMENT HEALTH PLAN|Alignment Health BreathEasy (HMO C-SNP)|00025086|18.10|590| | |CA|05440|1|N
H3815|041|000|ALIGNMENT HEALTH PLAN|Alignment Health BreathEasy (HMO C-SNP)|00025086|18.10|590| | |CA|05460|1|N
H3815|041|000|ALIGNMENT HEALTH PLAN|Alignment Health BreathEasy (HMO C-SNP)|00025086|18.10|590| | |CA|05470|1|N
H3815|041|000|ALIGNMENT HEALTH PLAN|Alignment Health BreathEasy (HMO C-SNP)|00025086|18.10|590| | |CA|05480|1|N
H3815|041|000|ALIGNMENT HEALTH PLAN|Alignment Health BreathEasy (HMO C-SNP)|00025086|18.10|590| | |CA|05490|1|N
H3815|041|000|ALIGNMENT HEALTH PLAN|Alignment Health BreathEasy (HMO C-SNP)|00025086|18.10|590| | |CA|05500|1|N
H3815|041|000|ALIGNMENT HEALTH PLAN|Alignment Health BreathEasy (HMO C-SNP)|00025086|18.10|590| | |CA|05530|1|N
H3815|041|000|ALIGNMENT HEALTH PLAN|Alignment Health BreathEasy (HMO C-SNP)|00025086|18.10|590| | |CA|05600|1|N
H3815|041|000|ALIGNMENT HEALTH PLAN|Alignment Health BreathEasy (HMO C-SNP)|00025086|18.10|590| | |CA|05660|1|N
H3815|041|000|ALIGNMENT HEALTH PLAN|Alignment Health BreathEasy (HMO C-SNP)|00025086|18.10|590| | |CA|05670|1|N
H3815|042|000|ALIGNMENT HEALTH PLAN|Alignment Health Clarity (HMO C-SNP)|00025086|24.10|590| | |CA|05000|1|N
H3815|042|000|ALIGNMENT HEALTH PLAN|Alignment Health Clarity (HMO C-SNP)|00025086|24.10|590| | |CA|05090|1|N
H3815|042|000|ALIGNMENT HEALTH PLAN|Alignment Health Clarity (HMO C-SNP)|00025086|24.10|590| | |CA|05200|1|N
H3815|042|000|ALIGNMENT HEALTH PLAN|Alignment Health Clarity (HMO C-SNP)|00025086|24.10|590| | |CA|05210|1|N
H3815|042|000|ALIGNMENT HEALTH PLAN|Alignment Health Clarity (HMO C-SNP)|00025086|24.10|590| | |CA|05300|1|N
H3815|042|000|ALIGNMENT HEALTH PLAN|Alignment Health Clarity (HMO C-SNP)|00025086|24.10|590| | |CA|05310|1|N
H3815|042|000|ALIGNMENT HEALTH PLAN|Alignment Health Clarity (HMO C-SNP)|00025086|24.10|590| | |CA|05340|1|N
H3815|042|000|ALIGNMENT HEALTH PLAN|Alignment Health Clarity (HMO C-SNP)|00025086|24.10|590| | |CA|05400|1|N
H3815|042|000|ALIGNMENT HEALTH PLAN|Alignment Health Clarity (HMO C-SNP)|00025086|24.10|590| | |CA|05410|1|N
H3815|042|000|ALIGNMENT HEALTH PLAN|Alignment Health Clarity (HMO C-SNP)|00025086|24.10|590| | |CA|05430|1|N
H3815|042|000|ALIGNMENT HEALTH PLAN|Alignment Health Clarity (HMO C-SNP)|00025086|24.10|590| | |CA|05440|1|N
H3815|042|000|ALIGNMENT HEALTH PLAN|Alignment Health Clarity (HMO C-SNP)|00025086|24.10|590| | |CA|05460|1|N
H3815|042|000|ALIGNMENT HEALTH PLAN|Alignment Health Clarity (HMO C-SNP)|00025086|24.10|590| | |CA|05470|1|N
H3815|042|000|ALIGNMENT HEALTH PLAN|Alignment Health Clarity (HMO C-SNP)|00025086|24.10|590| | |CA|05480|1|N
H3815|042|000|ALIGNMENT HEALTH PLAN|Alignment Health Clarity (HMO C-SNP)|00025086|24.10|590| | |CA|05490|1|N
H3815|042|000|ALIGNMENT HEALTH PLAN|Alignment Health Clarity (HMO C-SNP)|00025086|24.10|590| | |CA|05500|1|N
H3815|042|000|ALIGNMENT HEALTH PLAN|Alignment Health Clarity (HMO C-SNP)|00025086|24.10|590| | |CA|05530|1|N
H3815|042|000|ALIGNMENT HEALTH PLAN|Alignment Health Clarity (HMO C-SNP)|00025086|24.10|590| | |CA|05600|1|N
H3815|042|000|ALIGNMENT HEALTH PLAN|Alignment Health Clarity (HMO C-SNP)|00025086|24.10|590| | |CA|05660|1|N
H3815|042|000|ALIGNMENT HEALTH PLAN|Alignment Health Clarity (HMO C-SNP)|00025086|24.10|590| | |CA|05670|1|N
H3815|043|000|ALIGNMENT HEALTH PLAN|Alignment Health Heroes+ (HMO)|00025083|0.00|590| | |CA|05000|0|N
H3815|043|000|ALIGNMENT HEALTH PLAN|Alignment Health Heroes+ (HMO)|00025083|0.00|590| | |CA|05090|0|N
H3815|043|000|ALIGNMENT HEALTH PLAN|Alignment Health Heroes+ (HMO)|00025083|0.00|590| | |CA|05200|0|N
H3815|043|000|ALIGNMENT HEALTH PLAN|Alignment Health Heroes+ (HMO)|00025083|0.00|590| | |CA|05210|0|N
H3815|043|000|ALIGNMENT HEALTH PLAN|Alignment Health Heroes+ (HMO)|00025083|0.00|590| | |CA|05300|0|N
H3815|043|000|ALIGNMENT HEALTH PLAN|Alignment Health Heroes+ (HMO)|00025083|0.00|590| | |CA|05310|0|N
H3815|043|000|ALIGNMENT HEALTH PLAN|Alignment Health Heroes+ (HMO)|00025083|0.00|590| | |CA|05340|0|N
H3815|043|000|ALIGNMENT HEALTH PLAN|Alignment Health Heroes+ (HMO)|00025083|0.00|590| | |CA|05400|0|N
H3815|043|000|ALIGNMENT HEALTH PLAN|Alignment Health Heroes+ (HMO)|00025083|0.00|590| | |CA|05410|0|N
H3815|043|000|ALIGNMENT HEALTH PLAN|Alignment Health Heroes+ (HMO)|00025083|0.00|590| | |CA|05430|0|N
H3815|043|000|ALIGNMENT HEALTH PLAN|Alignment Health Heroes+ (HMO)|00025083|0.00|590| | |CA|05440|0|N
H3815|043|000|ALIGNMENT HEALTH PLAN|Alignment Health Heroes+ (HMO)|00025083|0.00|590| | |CA|05460|0|N
H3815|043|000|ALIGNMENT HEALTH PLAN|Alignment Health Heroes+ (HMO)|00025083|0.00|590| | |CA|05470|0|N
H3815|043|000|ALIGNMENT HEALTH PLAN|Alignment Health Heroes+ (HMO)|00025083|0.00|590| | |CA|05480|0|N
H3815|043|000|ALIGNMENT HEALTH PLAN|Alignment Health Heroes+ (HMO)|00025083|0.00|590| | |CA|05490|0|N
H3815|043|000|ALIGNMENT HEALTH PLAN|Alignment Health Heroes+ (HMO)|00025083|0.00|590| | |CA|05500|0|N
H3815|043|000|ALIGNMENT HEALTH PLAN|Alignment Health Heroes+ (HMO)|00025083|0.00|590| | |CA|05530|0|N
H3815|043|000|ALIGNMENT HEALTH PLAN|Alignment Health Heroes+ (HMO)|00025083|0.00|590| | |CA|05600|0|N
H3815|043|000|ALIGNMENT HEALTH PLAN|Alignment Health Heroes+ (HMO)|00025083|0.00|590| | |CA|05660|0|N
H3815|043|000|ALIGNMENT HEALTH PLAN|Alignment Health Heroes+ (HMO)|00025083|0.00|590| | |CA|05670|0|N
H3815|044|000|ALIGNMENT HEALTH PLAN|Alignment Health L.A. (HMO C-SNP)|00025086|29.70|590| | |CA|05200|1|N
H3815|044|000|ALIGNMENT HEALTH PLAN|Alignment Health L.A. (HMO C-SNP)|00025086|29.70|590| | |CA|05210|1|N
H3815|045|000|ALIGNMENT HEALTH PLAN|Alignment Health Silicon (HMO C-SNP)|00025086|29.70|590| | |CA|05530|1|N
H3815|046|000|ALIGNMENT HEALTH PLAN|Alignment Health CommUnity (HMO)|00025083|0.00|0| | |CA|05090|0|N
H3815|046|000|ALIGNMENT HEALTH PLAN|Alignment Health CommUnity (HMO)|00025083|0.00|0| | |CA|05300|0|N
H3815|047|000|ALIGNMENT HEALTH PLAN|Alignment Health smartSavings (HMO)|00025083|0.00|0| | |CA|05200|0|N
H3815|047|000|ALIGNMENT HEALTH PLAN|Alignment Health smartSavings (HMO)|00025083|0.00|0| | |CA|05210|0|N
H3815|047|000|ALIGNMENT HEALTH PLAN|Alignment Health smartSavings (HMO)|00025083|0.00|0| | |CA|05400|0|N
H3815|047|000|ALIGNMENT HEALTH PLAN|Alignment Health smartSavings (HMO)|00025083|0.00|0| | |CA|05430|0|N
H3815|047|000|ALIGNMENT HEALTH PLAN|Alignment Health smartSavings (HMO)|00025083|0.00|0| | |CA|05460|0|N
H3815|047|000|ALIGNMENT HEALTH PLAN|Alignment Health smartSavings (HMO)|00025083|0.00|0| | |CA|05470|0|N
H3815|048|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes Care (HMO C-SNP)|00025083|0.00|0| | |CA|05000|1|N
H3815|048|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes Care (HMO C-SNP)|00025083|0.00|0| | |CA|05090|1|N
H3815|048|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes Care (HMO C-SNP)|00025083|0.00|0| | |CA|05200|1|N
H3815|048|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes Care (HMO C-SNP)|00025083|0.00|0| | |CA|05210|1|N
H3815|048|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes Care (HMO C-SNP)|00025083|0.00|0| | |CA|05300|1|N
H3815|048|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes Care (HMO C-SNP)|00025083|0.00|0| | |CA|05310|1|N
H3815|048|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes Care (HMO C-SNP)|00025083|0.00|0| | |CA|05340|1|N
H3815|048|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes Care (HMO C-SNP)|00025083|0.00|0| | |CA|05400|1|N
H3815|048|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes Care (HMO C-SNP)|00025083|0.00|0| | |CA|05410|1|N
H3815|048|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes Care (HMO C-SNP)|00025083|0.00|0| | |CA|05430|1|N
H3815|048|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes Care (HMO C-SNP)|00025083|0.00|0| | |CA|05440|1|N
H3815|048|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes Care (HMO C-SNP)|00025083|0.00|0| | |CA|05460|1|N
H3815|048|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes Care (HMO C-SNP)|00025083|0.00|0| | |CA|05470|1|N
H3815|048|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes Care (HMO C-SNP)|00025083|0.00|0| | |CA|05480|1|N
H3815|048|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes Care (HMO C-SNP)|00025083|0.00|0| | |CA|05490|1|N
H3815|048|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes Care (HMO C-SNP)|00025083|0.00|0| | |CA|05500|1|N
H3815|048|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes Care (HMO C-SNP)|00025083|0.00|0| | |CA|05530|1|N
H3815|048|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes Care (HMO C-SNP)|00025083|0.00|0| | |CA|05600|1|N
H3815|048|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes Care (HMO C-SNP)|00025083|0.00|0| | |CA|05660|1|N
H3815|048|000|ALIGNMENT HEALTH PLAN|Alignment Health Heart & Diabetes Care (HMO C-SNP)|00025083|0.00|0| | |CA|05670|1|N
H3815|049|000|ALIGNMENT HEALTH PLAN|Alignment Health My Choice Select (HMO)|00025083|0.00|0| | |CA|05200|0|N
H3815|049|000|ALIGNMENT HEALTH PLAN|Alignment Health My Choice Select (HMO)|00025083|0.00|0| | |CA|05210|0|N
H3815|049|000|ALIGNMENT HEALTH PLAN|Alignment Health My Choice Select (HMO)|00025083|0.00|0| | |CA|05400|0|N
H3815|049|000|ALIGNMENT HEALTH PLAN|Alignment Health My Choice Select (HMO)|00025083|0.00|0| | |CA|05430|0|N
H3815|049|000|ALIGNMENT HEALTH PLAN|Alignment Health My Choice Select (HMO)|00025083|0.00|0| | |CA|05460|0|N
H3817|008|001|REGENCE BLUECROSS BLUESHIELD OF OREGON|Regence MedAdvantage + Rx Classic (PPO)|00025106|20.00|50| | |OR|38020|0|N
H3817|008|001|REGENCE BLUECROSS BLUESHIELD OF OREGON|Regence MedAdvantage + Rx Classic (PPO)|00025106|20.00|50| | |OR|38040|0|N
H3817|008|001|REGENCE BLUECROSS BLUESHIELD OF OREGON|Regence MedAdvantage + Rx Classic (PPO)|00025106|20.00|50| | |OR|38190|0|N
H3817|008|001|REGENCE BLUECROSS BLUESHIELD OF OREGON|Regence MedAdvantage + Rx Classic (PPO)|00025106|20.00|50| | |OR|38230|0|N
H3817|008|001|REGENCE BLUECROSS BLUESHIELD OF OREGON|Regence MedAdvantage + Rx Classic (PPO)|00025106|20.00|50| | |OR|38250|0|N
H3817|008|001|REGENCE BLUECROSS BLUESHIELD OF OREGON|Regence MedAdvantage + Rx Classic (PPO)|00025106|20.00|50| | |OR|38330|0|N
H3817|008|001|REGENCE BLUECROSS BLUESHIELD OF OREGON|Regence MedAdvantage + Rx Classic (PPO)|00025106|20.00|50| | |OR|38350|0|N
H3817|008|002|REGENCE BLUECROSS BLUESHIELD OF OREGON|Regence MedAdvantage + Rx Classic (PPO)|00025106|20.00|50| | |OR|38010|0|N
H3817|008|002|REGENCE BLUECROSS BLUESHIELD OF OREGON|Regence MedAdvantage + Rx Classic (PPO)|00025106|20.00|50| | |OR|38210|0|N
H3817|008|002|REGENCE BLUECROSS BLUESHIELD OF OREGON|Regence MedAdvantage + Rx Classic (PPO)|00025106|20.00|50| | |OR|38260|0|N
H3817|008|004|REGENCE BLUECROSS BLUESHIELD OF OREGON|Regence MedAdvantage + Rx Classic (PPO)|00025106|20.00|50| | |WA|50050|0|N
H3817|009|001|REGENCE BLUECROSS BLUESHIELD OF OREGON|Regence MedAdvantage + Rx Enhanced (PPO)|00025106|40.70|0| | |OR|38020|0|N
H3817|009|001|REGENCE BLUECROSS BLUESHIELD OF OREGON|Regence MedAdvantage + Rx Enhanced (PPO)|00025106|40.70|0| | |OR|38040|0|N
H3817|009|001|REGENCE BLUECROSS BLUESHIELD OF OREGON|Regence MedAdvantage + Rx Enhanced (PPO)|00025106|40.70|0| | |OR|38190|0|N
H3817|009|001|REGENCE BLUECROSS BLUESHIELD OF OREGON|Regence MedAdvantage + Rx Enhanced (PPO)|00025106|40.70|0| | |OR|38230|0|N
H3817|009|001|REGENCE BLUECROSS BLUESHIELD OF OREGON|Regence MedAdvantage + Rx Enhanced (PPO)|00025106|40.70|0| | |OR|38250|0|N
H3817|009|001|REGENCE BLUECROSS BLUESHIELD OF OREGON|Regence MedAdvantage + Rx Enhanced (PPO)|00025106|40.70|0| | |OR|38330|0|N
H3817|009|001|REGENCE BLUECROSS BLUESHIELD OF OREGON|Regence MedAdvantage + Rx Enhanced (PPO)|00025106|40.70|0| | |OR|38350|0|N
H3817|009|002|REGENCE BLUECROSS BLUESHIELD OF OREGON|Regence MedAdvantage + Rx Enhanced (PPO)|00025106|34.80|0| | |OR|38010|0|N
H3817|009|002|REGENCE BLUECROSS BLUESHIELD OF OREGON|Regence MedAdvantage + Rx Enhanced (PPO)|00025106|34.80|0| | |OR|38090|0|N
H3817|009|002|REGENCE BLUECROSS BLUESHIELD OF OREGON|Regence MedAdvantage + Rx Enhanced (PPO)|00025106|34.80|0| | |OR|38140|0|N
H3817|009|002|REGENCE BLUECROSS BLUESHIELD OF OREGON|Regence MedAdvantage + Rx Enhanced (PPO)|00025106|34.80|0| | |OR|38160|0|N
H3817|009|002|REGENCE BLUECROSS BLUESHIELD OF OREGON|Regence MedAdvantage + Rx Enhanced (PPO)|00025106|34.80|0| | |OR|38210|0|N
H3817|009|002|REGENCE BLUECROSS BLUESHIELD OF OREGON|Regence MedAdvantage + Rx Enhanced (PPO)|00025106|34.80|0| | |OR|38260|0|N
H3817|009|002|REGENCE BLUECROSS BLUESHIELD OF OREGON|Regence MedAdvantage + Rx Enhanced (PPO)|00025106|34.80|0| | |WA|50050|0|N
H3817|011|001|REGENCE BLUECROSS BLUESHIELD OF OREGON|Regence MedAdvantage + Rx Primary (PPO)|00025106|0.00|100| | |OR|38020|0|N
H3817|011|001|REGENCE BLUECROSS BLUESHIELD OF OREGON|Regence MedAdvantage + Rx Primary (PPO)|00025106|0.00|100| | |OR|38040|0|N
H3817|011|001|REGENCE BLUECROSS BLUESHIELD OF OREGON|Regence MedAdvantage + Rx Primary (PPO)|00025106|0.00|100| | |OR|38190|0|N
H3817|011|001|REGENCE BLUECROSS BLUESHIELD OF OREGON|Regence MedAdvantage + Rx Primary (PPO)|00025106|0.00|100| | |OR|38230|0|N
H3817|011|001|REGENCE BLUECROSS BLUESHIELD OF OREGON|Regence MedAdvantage + Rx Primary (PPO)|00025106|0.00|100| | |OR|38250|0|N
H3817|011|001|REGENCE BLUECROSS BLUESHIELD OF OREGON|Regence MedAdvantage + Rx Primary (PPO)|00025106|0.00|100| | |OR|38330|0|N
H3817|011|001|REGENCE BLUECROSS BLUESHIELD OF OREGON|Regence MedAdvantage + Rx Primary (PPO)|00025106|0.00|100| | |OR|38350|0|N
H3817|011|002|REGENCE BLUECROSS BLUESHIELD OF OREGON|Regence MedAdvantage + Rx Primary (PPO)|00025106|0.00|100| | |OR|38010|0|N
H3817|011|002|REGENCE BLUECROSS BLUESHIELD OF OREGON|Regence MedAdvantage + Rx Primary (PPO)|00025106|0.00|100| | |OR|38090|0|N
H3817|011|002|REGENCE BLUECROSS BLUESHIELD OF OREGON|Regence MedAdvantage + Rx Primary (PPO)|00025106|0.00|100| | |OR|38140|0|N
H3817|011|002|REGENCE BLUECROSS BLUESHIELD OF OREGON|Regence MedAdvantage + Rx Primary (PPO)|00025106|0.00|100| | |OR|38160|0|N
H3817|011|003|REGENCE BLUECROSS BLUESHIELD OF OREGON|Regence MedAdvantage + Rx Primary (PPO)|00025106|0.00|100| | |WA|50050|0|N
H3822|001|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14141|0|N
H3822|001|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14250|0|N
H3822|001|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14400|0|N
H3822|001|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14530|0|N
H3822|001|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14540|0|N
H3822|001|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14550|0|N
H3822|001|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14570|0|N
H3822|001|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14640|0|N
H3822|001|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14989|0|N
H3822|002|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|250| | |NM|32000|0|N
H3822|002|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|250| | |NM|32210|0|N
H3822|002|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|250| | |NM|32280|0|N
H3822|002|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|250| | |NM|32300|0|N
H3822|007|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic Plus (HMO-POS)|00025445|0.00|0| | |IL|14141|0|N
H3822|007|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic Plus (HMO-POS)|00025445|0.00|0| | |IL|14250|0|N
H3822|007|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic Plus (HMO-POS)|00025445|0.00|0| | |IL|14400|0|N
H3822|007|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic Plus (HMO-POS)|00025445|0.00|0| | |IL|14530|0|N
H3822|007|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic Plus (HMO-POS)|00025445|0.00|0| | |IL|14540|0|N
H3822|007|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic Plus (HMO-POS)|00025445|0.00|0| | |IL|14550|0|N
H3822|007|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic Plus (HMO-POS)|00025445|0.00|0| | |IL|14570|0|N
H3822|007|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic Plus (HMO-POS)|00025445|0.00|0| | |IL|14640|0|N
H3822|007|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic Plus (HMO-POS)|00025445|0.00|0| | |IL|14989|0|N
H3822|008|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Premier Plus (HMO-POS)|00025445|0.00|0| | |IL|14141|0|N
H3822|008|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Premier Plus (HMO-POS)|00025445|0.00|0| | |IL|14250|0|N
H3822|008|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Premier Plus (HMO-POS)|00025445|0.00|0| | |IL|14400|0|N
H3822|008|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Premier Plus (HMO-POS)|00025445|0.00|0| | |IL|14530|0|N
H3822|008|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Premier Plus (HMO-POS)|00025445|0.00|0| | |IL|14540|0|N
H3822|008|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Premier Plus (HMO-POS)|00025445|0.00|0| | |IL|14550|0|N
H3822|008|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Premier Plus (HMO-POS)|00025445|0.00|0| | |IL|14570|0|N
H3822|008|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Premier Plus (HMO-POS)|00025445|0.00|0| | |IL|14640|0|N
H3822|008|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Premier Plus (HMO-POS)|00025445|0.00|0| | |IL|14989|0|N
H3822|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14010|0|N
H3822|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14040|0|N
H3822|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14080|0|N
H3822|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14100|0|N
H3822|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14110|0|N
H3822|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14120|0|N
H3822|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14140|0|N
H3822|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14150|0|N
H3822|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14160|0|N
H3822|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14180|0|N
H3822|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14190|0|N
H3822|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14310|0|N
H3822|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14320|0|N
H3822|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14330|0|N
H3822|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14340|0|N
H3822|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14350|0|N
H3822|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14360|0|N
H3822|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14380|0|N
H3822|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14410|0|N
H3822|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14421|0|N
H3822|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14460|0|N
H3822|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14470|0|N
H3822|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14480|0|N
H3822|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14490|0|N
H3822|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14520|0|N
H3822|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14590|0|N
H3822|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14620|0|N
H3822|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14660|0|N
H3822|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14690|0|N
H3822|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14710|0|N
H3822|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14730|0|N
H3822|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14760|0|N
H3822|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14770|0|N
H3822|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14780|0|N
H3822|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14820|0|N
H3822|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14830|0|N
H3822|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14831|0|N
H3822|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14850|0|N
H3822|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14880|0|N
H3822|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14910|0|N
H3822|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14920|0|N
H3822|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14921|0|N
H3822|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14940|0|N
H3822|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14950|0|N
H3822|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14981|0|N
H3822|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14982|0|N
H3822|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14983|0|N
H3822|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14986|0|N
H3822|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |IL|14987|0|N
H3822|014|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |IL|14000|0|N
H3822|014|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |IL|14020|0|N
H3822|014|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |IL|14030|0|N
H3822|014|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |IL|14050|0|N
H3822|014|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |IL|14060|0|N
H3822|014|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |IL|14070|0|N
H3822|014|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |IL|14130|0|N
H3822|014|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |IL|14170|0|N
H3822|014|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |IL|14370|0|N
H3822|014|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |IL|14390|0|N
H3822|014|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |IL|14420|0|N
H3822|014|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |IL|14440|0|N
H3822|014|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |IL|14450|0|N
H3822|014|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |IL|14500|0|N
H3822|014|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |IL|14510|0|N
H3822|014|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |IL|14560|0|N
H3822|014|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |IL|14580|0|N
H3822|014|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |IL|14600|0|N
H3822|014|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |IL|14610|0|N
H3822|014|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |IL|14630|0|N
H3822|014|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |IL|14650|0|N
H3822|014|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |IL|14670|0|N
H3822|014|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |IL|14680|0|N
H3822|014|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |IL|14700|0|N
H3822|014|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |IL|14740|0|N
H3822|014|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |IL|14750|0|N
H3822|014|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |IL|14790|0|N
H3822|014|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |IL|14800|0|N
H3822|014|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |IL|14810|0|N
H3822|014|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |IL|14860|0|N
H3822|014|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |IL|14870|0|N
H3822|014|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |IL|14890|0|N
H3822|014|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |IL|14900|0|N
H3822|014|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |IL|14960|0|N
H3822|014|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |IL|14970|0|N
H3822|014|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |IL|14980|0|N
H3822|014|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |IL|14984|0|N
H3822|014|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |IL|14985|0|N
H3822|014|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |IL|14988|0|N
H3822|014|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |IL|14990|0|N
H3822|014|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |IL|14991|0|N
H3822|014|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |IL|14992|0|N
H3828|001|000|MOUNT CARMEL HEALTH PLAN OF IDAHO, INC.|Saint Alphonsus Health Plan Choice (PPO)|00025291|0.00|150| | |ID|13000|0|N
H3828|001|000|MOUNT CARMEL HEALTH PLAN OF IDAHO, INC.|Saint Alphonsus Health Plan Choice (PPO)|00025291|0.00|150| | |ID|13010|0|N
H3828|001|000|MOUNT CARMEL HEALTH PLAN OF IDAHO, INC.|Saint Alphonsus Health Plan Choice (PPO)|00025291|0.00|150| | |ID|13070|0|N
H3828|001|000|MOUNT CARMEL HEALTH PLAN OF IDAHO, INC.|Saint Alphonsus Health Plan Choice (PPO)|00025291|0.00|150| | |ID|13130|0|N
H3828|001|000|MOUNT CARMEL HEALTH PLAN OF IDAHO, INC.|Saint Alphonsus Health Plan Choice (PPO)|00025291|0.00|150| | |ID|13190|0|N
H3828|001|000|MOUNT CARMEL HEALTH PLAN OF IDAHO, INC.|Saint Alphonsus Health Plan Choice (PPO)|00025291|0.00|150| | |ID|13220|0|N
H3828|001|000|MOUNT CARMEL HEALTH PLAN OF IDAHO, INC.|Saint Alphonsus Health Plan Choice (PPO)|00025291|0.00|150| | |ID|13360|0|N
H3828|001|000|MOUNT CARMEL HEALTH PLAN OF IDAHO, INC.|Saint Alphonsus Health Plan Choice (PPO)|00025291|0.00|150| | |ID|13370|0|N
H3828|001|000|MOUNT CARMEL HEALTH PLAN OF IDAHO, INC.|Saint Alphonsus Health Plan Choice (PPO)|00025291|0.00|150| | |ID|13420|0|N
H3828|001|000|MOUNT CARMEL HEALTH PLAN OF IDAHO, INC.|Saint Alphonsus Health Plan Choice (PPO)|00025291|0.00|150| | |ID|13430|0|N
H3832|007|000|HAWAII MEDICAL SERVICE ASSOCIATION|HMSA Akamai Advantage Standard (PPO)|00025215|0.00|400| | |HI|12010|0|N
H3832|007|000|HAWAII MEDICAL SERVICE ASSOCIATION|HMSA Akamai Advantage Standard (PPO)|00025215|0.00|400| | |HI|12030|0|N
H3832|007|000|HAWAII MEDICAL SERVICE ASSOCIATION|HMSA Akamai Advantage Standard (PPO)|00025215|0.00|400| | |HI|12040|0|N
H3832|007|000|HAWAII MEDICAL SERVICE ASSOCIATION|HMSA Akamai Advantage Standard (PPO)|00025215|0.00|400| | |HI|12050|0|N
H3832|008|000|HAWAII MEDICAL SERVICE ASSOCIATION|HMSA Akamai Advantage Standard Plus (PPO)|00025215|22.00|0| | |HI|12010|0|N
H3832|008|000|HAWAII MEDICAL SERVICE ASSOCIATION|HMSA Akamai Advantage Standard Plus (PPO)|00025215|22.00|0| | |HI|12030|0|N
H3832|008|000|HAWAII MEDICAL SERVICE ASSOCIATION|HMSA Akamai Advantage Standard Plus (PPO)|00025215|22.00|0| | |HI|12040|0|N
H3832|008|000|HAWAII MEDICAL SERVICE ASSOCIATION|HMSA Akamai Advantage Standard Plus (PPO)|00025215|22.00|0| | |HI|12050|0|N
H3832|009|000|HAWAII MEDICAL SERVICE ASSOCIATION|HMSA Akamai Advantage Complete (PPO)|00025215|0.00|380| | |HI|12020|0|N
H3832|010|000|HAWAII MEDICAL SERVICE ASSOCIATION|HMSA Akamai Advantage Complete Plus (PPO)|00025215|33.40|0| | |HI|12020|0|N
H3832|011|000|HAWAII MEDICAL SERVICE ASSOCIATION|HMSA Akamai Advantage Dual Care (PPO D-SNP)|00025219|0.00|590| | |HI|12010|2|N
H3832|011|000|HAWAII MEDICAL SERVICE ASSOCIATION|HMSA Akamai Advantage Dual Care (PPO D-SNP)|00025219|0.00|590| | |HI|12020|2|N
H3832|011|000|HAWAII MEDICAL SERVICE ASSOCIATION|HMSA Akamai Advantage Dual Care (PPO D-SNP)|00025219|0.00|590| | |HI|12030|2|N
H3832|011|000|HAWAII MEDICAL SERVICE ASSOCIATION|HMSA Akamai Advantage Dual Care (PPO D-SNP)|00025219|0.00|590| | |HI|12040|2|N
H3832|011|000|HAWAII MEDICAL SERVICE ASSOCIATION|HMSA Akamai Advantage Dual Care (PPO D-SNP)|00025219|0.00|590| | |HI|12050|2|N
H3864|006|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Essentials Rx 6 (HMO)|00025521|58.50|0| | |OR|38060|0|N
H3864|006|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Essentials Rx 6 (HMO)|00025521|58.50|0| | |OR|38080|0|N
H3864|006|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Essentials Rx 6 (HMO)|00025521|58.50|0| | |OR|38110|0|N
H3864|006|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Essentials Rx 6 (HMO)|00025521|58.50|0| | |OR|38130|0|N
H3864|006|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Essentials Rx 6 (HMO)|00025521|58.50|0| | |OR|38150|0|N
H3864|006|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Essentials Rx 6 (HMO)|00025521|58.50|0| | |OR|38170|0|N
H3864|006|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Essentials Rx 6 (HMO)|00025521|58.50|0| | |OR|38270|0|N
H3864|006|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Essentials Rx 6 (HMO)|00025521|58.50|0| | |OR|38320|0|N
H3864|006|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Essentials Rx 6 (HMO)|00025521|58.50|0| | |OR|38340|0|N
H3864|014|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Essentials Choice Rx 14 (HMO-POS)|00025521|11.70|199| | |OR|38060|0|N
H3864|014|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Essentials Choice Rx 14 (HMO-POS)|00025521|11.70|199| | |OR|38080|0|N
H3864|014|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Essentials Choice Rx 14 (HMO-POS)|00025521|11.70|199| | |OR|38110|0|N
H3864|014|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Essentials Choice Rx 14 (HMO-POS)|00025521|11.70|199| | |OR|38130|0|N
H3864|014|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Essentials Choice Rx 14 (HMO-POS)|00025521|11.70|199| | |OR|38150|0|N
H3864|014|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Essentials Choice Rx 14 (HMO-POS)|00025521|11.70|199| | |OR|38170|0|N
H3864|014|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Essentials Choice Rx 14 (HMO-POS)|00025521|11.70|199| | |OR|38270|0|N
H3864|014|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Essentials Choice Rx 14 (HMO-POS)|00025521|11.70|199| | |OR|38320|0|N
H3864|014|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Essentials Choice Rx 14 (HMO-POS)|00025521|11.70|199| | |OR|38340|0|N
H3864|024|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare MyCare Choice Rx 24 (HMO-POS)|00025521|30.00|199| | |ID|13000|0|N
H3864|024|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare MyCare Choice Rx 24 (HMO-POS)|00025521|30.00|199| | |ID|13060|0|N
H3864|024|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare MyCare Choice Rx 24 (HMO-POS)|00025521|30.00|199| | |ID|13070|0|N
H3864|024|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare MyCare Choice Rx 24 (HMO-POS)|00025521|30.00|199| | |ID|13120|0|N
H3864|024|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare MyCare Choice Rx 24 (HMO-POS)|00025521|30.00|199| | |ID|13130|0|N
H3864|024|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare MyCare Choice Rx 24 (HMO-POS)|00025521|30.00|199| | |ID|13190|0|N
H3864|024|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare MyCare Choice Rx 24 (HMO-POS)|00025521|30.00|199| | |ID|13220|0|N
H3864|024|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare MyCare Choice Rx 24 (HMO-POS)|00025521|30.00|199| | |ID|13230|0|N
H3864|024|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare MyCare Choice Rx 24 (HMO-POS)|00025521|30.00|199| | |ID|13260|0|N
H3864|024|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare MyCare Choice Rx 24 (HMO-POS)|00025521|30.00|199| | |ID|13310|0|N
H3864|024|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare MyCare Choice Rx 24 (HMO-POS)|00025521|30.00|199| | |ID|13360|0|N
H3864|024|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare MyCare Choice Rx 24 (HMO-POS)|00025521|30.00|199| | |ID|13370|0|N
H3864|024|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare MyCare Choice Rx 24 (HMO-POS)|00025521|30.00|199| | |ID|13410|0|N
H3864|024|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare MyCare Choice Rx 24 (HMO-POS)|00025521|30.00|199| | |ID|13420|0|N
H3864|027|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Essentials Rx 27 (HMO)|00025521|0.00|399| | |OR|38060|0|N
H3864|027|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Essentials Rx 27 (HMO)|00025521|0.00|399| | |OR|38080|0|N
H3864|027|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Essentials Rx 27 (HMO)|00025521|0.00|399| | |OR|38110|0|N
H3864|027|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Essentials Rx 27 (HMO)|00025521|0.00|399| | |OR|38130|0|N
H3864|027|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Essentials Rx 27 (HMO)|00025521|0.00|399| | |OR|38150|0|N
H3864|027|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Essentials Rx 27 (HMO)|00025521|0.00|399| | |OR|38170|0|N
H3864|027|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Essentials Rx 27 (HMO)|00025521|0.00|399| | |OR|38270|0|N
H3864|027|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Essentials Rx 27 (HMO)|00025521|0.00|399| | |OR|38320|0|N
H3864|027|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Essentials Rx 27 (HMO)|00025521|0.00|399| | |OR|38340|0|N
H3864|029|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare MyCare Choice Rx 29 (HMO-POS)|00025521|10.00|299| | |MT|27550|0|N
H3864|034|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare MyCare Choice Rx 34 (HMO-POS)|00025521|10.00|199| | |ID|13080|0|N
H3864|034|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare MyCare Choice Rx 34 (HMO-POS)|00025521|10.00|199| | |ID|13100|0|N
H3864|034|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare MyCare Choice Rx 34 (HMO-POS)|00025521|10.00|199| | |ID|13270|0|N
H3864|034|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare MyCare Choice Rx 34 (HMO-POS)|00025521|10.00|199| | |OR|38020|0|N
H3864|034|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare MyCare Choice Rx 34 (HMO-POS)|00025521|10.00|199| | |OR|38250|0|N
H3864|034|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare MyCare Choice Rx 34 (HMO-POS)|00025521|10.00|199| | |OR|38330|0|N
H3864|034|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare MyCare Choice Rx 34 (HMO-POS)|00025521|10.00|199| | |WA|50050|0|N
H3864|036|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Essentials Choice Rx 36 (HMO-POS)|00025521|0.00|499| | |OR|38060|0|N
H3864|036|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Essentials Choice Rx 36 (HMO-POS)|00025521|0.00|499| | |OR|38080|0|N
H3864|036|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Essentials Choice Rx 36 (HMO-POS)|00025521|0.00|499| | |OR|38110|0|N
H3864|036|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Essentials Choice Rx 36 (HMO-POS)|00025521|0.00|499| | |OR|38130|0|N
H3864|036|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Essentials Choice Rx 36 (HMO-POS)|00025521|0.00|499| | |OR|38150|0|N
H3864|036|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Essentials Choice Rx 36 (HMO-POS)|00025521|0.00|499| | |OR|38170|0|N
H3864|036|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Essentials Choice Rx 36 (HMO-POS)|00025521|0.00|499| | |OR|38190|0|N
H3864|036|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Essentials Choice Rx 36 (HMO-POS)|00025521|0.00|499| | |OR|38270|0|N
H3864|036|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Essentials Choice Rx 36 (HMO-POS)|00025521|0.00|499| | |OR|38320|0|N
H3864|036|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Essentials Choice Rx 36 (HMO-POS)|00025521|0.00|499| | |OR|38340|0|N
H3864|040|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare MyCare Rx 40 (HMO)|00025521|0.00|150| | |OR|38020|0|N
H3864|040|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare MyCare Rx 40 (HMO)|00025521|0.00|150| | |OR|38250|0|N
H3864|040|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare MyCare Rx 40 (HMO)|00025521|0.00|150| | |OR|38330|0|N
H3864|040|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare MyCare Rx 40 (HMO)|00025521|0.00|150| | |WA|50050|0|N
H3864|041|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Essentials Rx 41 (HMO)|00025521|34.00|299| | |OR|38190|0|N
H3864|043|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Dual Care (HMO D-SNP)|00025521|0.00|590| | |OR|38020|2|N
H3864|043|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Dual Care (HMO D-SNP)|00025521|0.00|590| | |OR|38060|2|N
H3864|043|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Dual Care (HMO D-SNP)|00025521|0.00|590| | |OR|38080|2|N
H3864|043|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Dual Care (HMO D-SNP)|00025521|0.00|590| | |OR|38130|2|N
H3864|043|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Dual Care (HMO D-SNP)|00025521|0.00|590| | |OR|38150|2|N
H3864|043|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Dual Care (HMO D-SNP)|00025521|0.00|590| | |OR|38170|2|N
H3864|043|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Dual Care (HMO D-SNP)|00025521|0.00|590| | |OR|38190|2|N
H3864|043|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Dual Care (HMO D-SNP)|00025521|0.00|590| | |OR|38230|2|N
H3864|043|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Dual Care (HMO D-SNP)|00025521|0.00|590| | |OR|38250|2|N
H3864|043|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Dual Care (HMO D-SNP)|00025521|0.00|590| | |OR|38260|2|N
H3864|043|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Dual Care (HMO D-SNP)|00025521|0.00|590| | |OR|38320|2|N
H3864|043|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Dual Care (HMO D-SNP)|00025521|0.00|590| | |OR|38330|2|N
H3890|001|000|HOPKINS HEALTH ADVANTAGE, INC.|Johns Hopkins Advantage MD (PPO)|00025231|51.90|590| | |MD|21010|0|N
H3890|001|000|HOPKINS HEALTH ADVANTAGE, INC.|Johns Hopkins Advantage MD (PPO)|00025231|51.90|590| | |MD|21020|0|N
H3890|001|000|HOPKINS HEALTH ADVANTAGE, INC.|Johns Hopkins Advantage MD (PPO)|00025231|51.90|590| | |MD|21060|0|N
H3890|001|000|HOPKINS HEALTH ADVANTAGE, INC.|Johns Hopkins Advantage MD (PPO)|00025231|51.90|590| | |MD|21100|0|N
H3890|001|000|HOPKINS HEALTH ADVANTAGE, INC.|Johns Hopkins Advantage MD (PPO)|00025231|51.90|590| | |MD|21130|0|N
H3890|001|000|HOPKINS HEALTH ADVANTAGE, INC.|Johns Hopkins Advantage MD (PPO)|00025231|51.90|590| | |MD|21150|0|N
H3890|001|000|HOPKINS HEALTH ADVANTAGE, INC.|Johns Hopkins Advantage MD (PPO)|00025231|51.90|590| | |MD|21190|0|N
H3890|001|000|HOPKINS HEALTH ADVANTAGE, INC.|Johns Hopkins Advantage MD (PPO)|00025231|51.90|590| | |MD|21210|0|N
H3890|001|000|HOPKINS HEALTH ADVANTAGE, INC.|Johns Hopkins Advantage MD (PPO)|00025231|51.90|590| | |MD|21220|0|N
H3890|001|000|HOPKINS HEALTH ADVANTAGE, INC.|Johns Hopkins Advantage MD (PPO)|00025231|51.90|590| | |MD|21230|0|N
H3890|002|000|HOPKINS HEALTH ADVANTAGE, INC.|Johns Hopkins Advantage MD Plus (PPO)|00025231|60.40|590| | |MD|21010|0|N
H3890|002|000|HOPKINS HEALTH ADVANTAGE, INC.|Johns Hopkins Advantage MD Plus (PPO)|00025231|60.40|590| | |MD|21020|0|N
H3890|002|000|HOPKINS HEALTH ADVANTAGE, INC.|Johns Hopkins Advantage MD Plus (PPO)|00025231|60.40|590| | |MD|21060|0|N
H3890|002|000|HOPKINS HEALTH ADVANTAGE, INC.|Johns Hopkins Advantage MD Plus (PPO)|00025231|60.40|590| | |MD|21100|0|N
H3890|002|000|HOPKINS HEALTH ADVANTAGE, INC.|Johns Hopkins Advantage MD Plus (PPO)|00025231|60.40|590| | |MD|21130|0|N
H3890|002|000|HOPKINS HEALTH ADVANTAGE, INC.|Johns Hopkins Advantage MD Plus (PPO)|00025231|60.40|590| | |MD|21150|0|N
H3890|002|000|HOPKINS HEALTH ADVANTAGE, INC.|Johns Hopkins Advantage MD Plus (PPO)|00025231|60.40|590| | |MD|21190|0|N
H3890|002|000|HOPKINS HEALTH ADVANTAGE, INC.|Johns Hopkins Advantage MD Plus (PPO)|00025231|60.40|590| | |MD|21210|0|N
H3890|002|000|HOPKINS HEALTH ADVANTAGE, INC.|Johns Hopkins Advantage MD Plus (PPO)|00025231|60.40|590| | |MD|21220|0|N
H3890|002|000|HOPKINS HEALTH ADVANTAGE, INC.|Johns Hopkins Advantage MD Plus (PPO)|00025231|60.40|590| | |MD|21230|0|N
H3890|005|000|HOPKINS HEALTH ADVANTAGE, INC.|Johns Hopkins Advantage MD Primary (PPO)|00025227|0.00|590| | |MD|21010|0|N
H3890|005|000|HOPKINS HEALTH ADVANTAGE, INC.|Johns Hopkins Advantage MD Primary (PPO)|00025227|0.00|590| | |MD|21020|0|N
H3890|005|000|HOPKINS HEALTH ADVANTAGE, INC.|Johns Hopkins Advantage MD Primary (PPO)|00025227|0.00|590| | |MD|21100|0|N
H3890|005|000|HOPKINS HEALTH ADVANTAGE, INC.|Johns Hopkins Advantage MD Primary (PPO)|00025227|0.00|590| | |MD|21130|0|N
H3890|005|000|HOPKINS HEALTH ADVANTAGE, INC.|Johns Hopkins Advantage MD Primary (PPO)|00025227|0.00|590| | |MD|21150|0|N
H3907|006|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Enhanced (HMO)|00025184|92.90|0| | |OH|36350|0|N
H3907|006|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Enhanced (HMO)|00025184|92.90|0| | |OH|36420|0|N
H3907|006|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Enhanced (HMO)|00025184|92.90|0| | |PA|39000|0|N
H3907|006|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Enhanced (HMO)|00025184|92.90|0| | |PA|39010|0|N
H3907|006|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Enhanced (HMO)|00025184|92.90|0| | |PA|39070|0|N
H3907|006|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Enhanced (HMO)|00025184|92.90|0| | |PA|39080|0|N
H3907|006|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Enhanced (HMO)|00025184|92.90|0| | |PA|39100|0|N
H3907|006|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Enhanced (HMO)|00025184|92.90|0| | |PA|39110|0|N
H3907|006|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Enhanced (HMO)|00025184|92.90|0| | |PA|39120|0|N
H3907|006|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Enhanced (HMO)|00025184|92.90|0| | |PA|39130|0|N
H3907|006|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Enhanced (HMO)|00025184|92.90|0| | |PA|39150|0|N
H3907|006|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Enhanced (HMO)|00025184|92.90|0| | |PA|39160|0|N
H3907|006|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Enhanced (HMO)|00025184|92.90|0| | |PA|39180|0|N
H3907|006|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Enhanced (HMO)|00025184|92.90|0| | |PA|39190|0|N
H3907|006|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Enhanced (HMO)|00025184|92.90|0| | |PA|39200|0|N
H3907|006|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Enhanced (HMO)|00025184|92.90|0| | |PA|39220|0|N
H3907|006|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Enhanced (HMO)|00025184|92.90|0| | |PA|39230|0|N
H3907|006|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Enhanced (HMO)|00025184|92.90|0| | |PA|39240|0|N
H3907|006|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Enhanced (HMO)|00025184|92.90|0| | |PA|39260|0|N
H3907|006|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Enhanced (HMO)|00025184|92.90|0| | |PA|39270|0|N
H3907|006|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Enhanced (HMO)|00025184|92.90|0| | |PA|39280|0|N
H3907|006|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Enhanced (HMO)|00025184|92.90|0| | |PA|39310|0|N
H3907|006|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Enhanced (HMO)|00025184|92.90|0| | |PA|39320|0|N
H3907|006|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Enhanced (HMO)|00025184|92.90|0| | |PA|39330|0|N
H3907|006|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Enhanced (HMO)|00025184|92.90|0| | |PA|39340|0|N
H3907|006|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Enhanced (HMO)|00025184|92.90|0| | |PA|39360|0|N
H3907|006|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Enhanced (HMO)|00025184|92.90|0| | |PA|39370|0|N
H3907|006|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Enhanced (HMO)|00025184|92.90|0| | |PA|39380|0|N
H3907|006|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Enhanced (HMO)|00025184|92.90|0| | |PA|39390|0|N
H3907|006|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Enhanced (HMO)|00025184|92.90|0| | |PA|39400|0|N
H3907|006|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Enhanced (HMO)|00025184|92.90|0| | |PA|39410|0|N
H3907|006|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Enhanced (HMO)|00025184|92.90|0| | |PA|39440|0|N
H3907|006|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Enhanced (HMO)|00025184|92.90|0| | |PA|39450|0|N
H3907|006|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Enhanced (HMO)|00025184|92.90|0| | |PA|39460|0|N
H3907|006|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Enhanced (HMO)|00025184|92.90|0| | |PA|39470|0|N
H3907|006|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Enhanced (HMO)|00025184|92.90|0| | |PA|39510|0|N
H3907|006|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Enhanced (HMO)|00025184|92.90|0| | |PA|39520|0|N
H3907|006|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Enhanced (HMO)|00025184|92.90|0| | |PA|39530|0|N
H3907|006|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Enhanced (HMO)|00025184|92.90|0| | |PA|39540|0|N
H3907|006|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Enhanced (HMO)|00025184|92.90|0| | |PA|39580|0|N
H3907|006|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Enhanced (HMO)|00025184|92.90|0| | |PA|39590|0|N
H3907|006|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Enhanced (HMO)|00025184|92.90|0| | |PA|39610|0|N
H3907|006|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Enhanced (HMO)|00025184|92.90|0| | |PA|39640|0|N
H3907|006|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Enhanced (HMO)|00025184|92.90|0| | |PA|39670|0|N
H3907|006|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Enhanced (HMO)|00025184|92.90|0| | |PA|39680|0|N
H3907|006|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Enhanced (HMO)|00025184|92.90|0| | |PA|39690|0|N
H3907|006|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Enhanced (HMO)|00025184|92.90|0| | |PA|39700|0|N
H3907|006|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Enhanced (HMO)|00025184|92.90|0| | |PA|39710|0|N
H3907|006|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Enhanced (HMO)|00025184|92.90|0| | |PA|39720|0|N
H3907|006|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Enhanced (HMO)|00025184|92.90|0| | |PA|39730|0|N
H3907|006|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Enhanced (HMO)|00025184|92.90|0| | |PA|39740|0|N
H3907|006|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Enhanced (HMO)|00025184|92.90|0| | |PA|39750|0|N
H3907|006|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Enhanced (HMO)|00025184|92.90|0| | |PA|39760|0|N
H3907|006|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Enhanced (HMO)|00025184|92.90|0| | |PA|39770|0|N
H3907|006|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Enhanced (HMO)|00025184|92.90|0| | |PA|39790|0|N
H3907|006|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Enhanced (HMO)|00025184|92.90|0| | |PA|39800|0|N
H3907|037|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Deductible Rx (HMO)|00025184|22.00|175| | |OH|36350|0|N
H3907|037|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Deductible Rx (HMO)|00025184|22.00|175| | |OH|36420|0|N
H3907|037|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Deductible Rx (HMO)|00025184|22.00|175| | |PA|39000|0|N
H3907|037|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Deductible Rx (HMO)|00025184|22.00|175| | |PA|39010|0|N
H3907|037|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Deductible Rx (HMO)|00025184|22.00|175| | |PA|39070|0|N
H3907|037|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Deductible Rx (HMO)|00025184|22.00|175| | |PA|39080|0|N
H3907|037|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Deductible Rx (HMO)|00025184|22.00|175| | |PA|39100|0|N
H3907|037|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Deductible Rx (HMO)|00025184|22.00|175| | |PA|39120|0|N
H3907|037|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Deductible Rx (HMO)|00025184|22.00|175| | |PA|39130|0|N
H3907|037|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Deductible Rx (HMO)|00025184|22.00|175| | |PA|39150|0|N
H3907|037|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Deductible Rx (HMO)|00025184|22.00|175| | |PA|39160|0|N
H3907|037|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Deductible Rx (HMO)|00025184|22.00|175| | |PA|39180|0|N
H3907|037|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Deductible Rx (HMO)|00025184|22.00|175| | |PA|39190|0|N
H3907|037|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Deductible Rx (HMO)|00025184|22.00|175| | |PA|39200|0|N
H3907|037|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Deductible Rx (HMO)|00025184|22.00|175| | |PA|39220|0|N
H3907|037|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Deductible Rx (HMO)|00025184|22.00|175| | |PA|39230|0|N
H3907|037|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Deductible Rx (HMO)|00025184|22.00|175| | |PA|39240|0|N
H3907|037|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Deductible Rx (HMO)|00025184|22.00|175| | |PA|39260|0|N
H3907|037|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Deductible Rx (HMO)|00025184|22.00|175| | |PA|39270|0|N
H3907|037|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Deductible Rx (HMO)|00025184|22.00|175| | |PA|39280|0|N
H3907|037|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Deductible Rx (HMO)|00025184|22.00|175| | |PA|39310|0|N
H3907|037|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Deductible Rx (HMO)|00025184|22.00|175| | |PA|39320|0|N
H3907|037|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Deductible Rx (HMO)|00025184|22.00|175| | |PA|39330|0|N
H3907|037|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Deductible Rx (HMO)|00025184|22.00|175| | |PA|39340|0|N
H3907|037|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Deductible Rx (HMO)|00025184|22.00|175| | |PA|39360|0|N
H3907|037|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Deductible Rx (HMO)|00025184|22.00|175| | |PA|39370|0|N
H3907|037|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Deductible Rx (HMO)|00025184|22.00|175| | |PA|39380|0|N
H3907|037|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Deductible Rx (HMO)|00025184|22.00|175| | |PA|39390|0|N
H3907|037|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Deductible Rx (HMO)|00025184|22.00|175| | |PA|39400|0|N
H3907|037|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Deductible Rx (HMO)|00025184|22.00|175| | |PA|39410|0|N
H3907|037|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Deductible Rx (HMO)|00025184|22.00|175| | |PA|39440|0|N
H3907|037|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Deductible Rx (HMO)|00025184|22.00|175| | |PA|39450|0|N
H3907|037|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Deductible Rx (HMO)|00025184|22.00|175| | |PA|39460|0|N
H3907|037|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Deductible Rx (HMO)|00025184|22.00|175| | |PA|39470|0|N
H3907|037|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Deductible Rx (HMO)|00025184|22.00|175| | |PA|39510|0|N
H3907|037|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Deductible Rx (HMO)|00025184|22.00|175| | |PA|39520|0|N
H3907|037|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Deductible Rx (HMO)|00025184|22.00|175| | |PA|39530|0|N
H3907|037|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Deductible Rx (HMO)|00025184|22.00|175| | |PA|39540|0|N
H3907|037|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Deductible Rx (HMO)|00025184|22.00|175| | |PA|39580|0|N
H3907|037|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Deductible Rx (HMO)|00025184|22.00|175| | |PA|39590|0|N
H3907|037|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Deductible Rx (HMO)|00025184|22.00|175| | |PA|39610|0|N
H3907|037|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Deductible Rx (HMO)|00025184|22.00|175| | |PA|39640|0|N
H3907|037|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Deductible Rx (HMO)|00025184|22.00|175| | |PA|39670|0|N
H3907|037|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Deductible Rx (HMO)|00025184|22.00|175| | |PA|39680|0|N
H3907|037|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Deductible Rx (HMO)|00025184|22.00|175| | |PA|39690|0|N
H3907|037|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Deductible Rx (HMO)|00025184|22.00|175| | |PA|39700|0|N
H3907|037|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Deductible Rx (HMO)|00025184|22.00|175| | |PA|39710|0|N
H3907|037|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Deductible Rx (HMO)|00025184|22.00|175| | |PA|39720|0|N
H3907|037|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Deductible Rx (HMO)|00025184|22.00|175| | |PA|39730|0|N
H3907|037|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Deductible Rx (HMO)|00025184|22.00|175| | |PA|39740|0|N
H3907|037|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Deductible Rx (HMO)|00025184|22.00|175| | |PA|39750|0|N
H3907|037|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Deductible Rx (HMO)|00025184|22.00|175| | |PA|39760|0|N
H3907|037|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Deductible Rx (HMO)|00025184|22.00|175| | |PA|39770|0|N
H3907|037|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Deductible Rx (HMO)|00025184|22.00|175| | |PA|39790|0|N
H3907|037|000|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Deductible Rx (HMO)|00025184|22.00|175| | |PA|39800|0|N
H3907|057|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Choice (HMO)|00025184|16.20|175| | |PA|39010|0|N
H3907|057|002|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Choice (HMO)|00025184|16.20|175| | |OH|36350|0|N
H3907|057|002|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Choice (HMO)|00025184|16.20|175| | |OH|36420|0|N
H3907|057|002|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Choice (HMO)|00025184|16.20|175| | |PA|39070|0|N
H3907|057|002|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Choice (HMO)|00025184|16.20|175| | |PA|39080|0|N
H3907|057|002|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Choice (HMO)|00025184|16.20|175| | |PA|39150|0|N
H3907|057|002|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Choice (HMO)|00025184|16.20|175| | |PA|39330|0|N
H3907|057|002|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Choice (HMO)|00025184|16.20|175| | |PA|39370|0|N
H3907|057|002|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Choice (HMO)|00025184|16.20|175| | |PA|39390|0|N
H3907|057|002|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Choice (HMO)|00025184|16.20|175| | |PA|39450|0|N
H3907|057|002|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Choice (HMO)|00025184|16.20|175| | |PA|39750|0|N
H3907|057|002|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Choice (HMO)|00025184|16.20|175| | |PA|39770|0|N
H3907|057|003|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Choice (HMO)|00025184|16.20|175| | |PA|39180|0|N
H3907|057|003|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Choice (HMO)|00025184|16.20|175| | |PA|39220|0|N
H3907|057|003|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Choice (HMO)|00025184|16.20|175| | |PA|39230|0|N
H3907|057|003|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Choice (HMO)|00025184|16.20|175| | |PA|39260|0|N
H3907|057|003|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Choice (HMO)|00025184|16.20|175| | |PA|39310|0|N
H3907|057|003|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Choice (HMO)|00025184|16.20|175| | |PA|39320|0|N
H3907|057|003|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Choice (HMO)|00025184|16.20|175| | |PA|39340|0|N
H3907|057|003|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Choice (HMO)|00025184|16.20|175| | |PA|39400|0|N
H3907|057|003|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Choice (HMO)|00025184|16.20|175| | |PA|39520|0|N
H3907|057|003|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Choice (HMO)|00025184|16.20|175| | |PA|39530|0|N
H3907|057|003|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Choice (HMO)|00025184|16.20|175| | |PA|39730|0|N
H3907|057|003|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Choice (HMO)|00025184|16.20|175| | |PA|39740|0|N
H3907|057|004|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Choice (HMO)|00025184|16.20|175| | |PA|39000|0|N
H3907|057|004|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Choice (HMO)|00025184|16.20|175| | |PA|39130|0|N
H3907|057|004|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Choice (HMO)|00025184|16.20|175| | |PA|39190|0|N
H3907|057|004|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Choice (HMO)|00025184|16.20|175| | |PA|39200|0|N
H3907|057|004|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Choice (HMO)|00025184|16.20|175| | |PA|39240|0|N
H3907|057|004|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Choice (HMO)|00025184|16.20|175| | |PA|39270|0|N
H3907|057|004|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Choice (HMO)|00025184|16.20|175| | |PA|39280|0|N
H3907|057|004|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Choice (HMO)|00025184|16.20|175| | |PA|39360|0|N
H3907|057|004|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Choice (HMO)|00025184|16.20|175| | |PA|39410|0|N
H3907|057|004|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Choice (HMO)|00025184|16.20|175| | |PA|39440|0|N
H3907|057|004|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Choice (HMO)|00025184|16.20|175| | |PA|39460|0|N
H3907|057|004|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Choice (HMO)|00025184|16.20|175| | |PA|39470|0|N
H3907|057|004|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Choice (HMO)|00025184|16.20|175| | |PA|39510|0|N
H3907|057|004|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Choice (HMO)|00025184|16.20|175| | |PA|39540|0|N
H3907|057|004|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Choice (HMO)|00025184|16.20|175| | |PA|39580|0|N
H3907|057|004|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Choice (HMO)|00025184|16.20|175| | |PA|39590|0|N
H3907|057|004|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Choice (HMO)|00025184|16.20|175| | |PA|39610|0|N
H3907|057|004|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Choice (HMO)|00025184|16.20|175| | |PA|39640|0|N
H3907|057|004|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Choice (HMO)|00025184|16.20|175| | |PA|39670|0|N
H3907|057|004|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Choice (HMO)|00025184|16.20|175| | |PA|39690|0|N
H3907|057|004|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Choice (HMO)|00025184|16.20|175| | |PA|39700|0|N
H3907|057|004|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Choice (HMO)|00025184|16.20|175| | |PA|39710|0|N
H3907|057|004|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Choice (HMO)|00025184|16.20|175| | |PA|39720|0|N
H3907|057|004|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Choice (HMO)|00025184|16.20|175| | |PA|39760|0|N
H3907|057|004|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Choice (HMO)|00025184|16.20|175| | |PA|39790|0|N
H3907|057|004|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Choice (HMO)|00025184|16.20|175| | |PA|39800|0|N
H3907|057|005|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Choice (HMO)|00025184|16.20|175| | |PA|39100|0|N
H3907|057|005|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Choice (HMO)|00025184|16.20|175| | |PA|39120|0|N
H3907|057|005|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Choice (HMO)|00025184|16.20|175| | |PA|39160|0|N
H3907|057|005|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Choice (HMO)|00025184|16.20|175| | |PA|39380|0|N
H3907|057|005|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx Choice (HMO)|00025184|16.20|175| | |PA|39680|0|N
H3907|058|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx (HMO)|00025184|21.40|0| | |OH|36350|0|N
H3907|058|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx (HMO)|00025184|21.40|0| | |OH|36420|0|N
H3907|058|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx (HMO)|00025184|21.40|0| | |PA|39000|0|N
H3907|058|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx (HMO)|00025184|21.40|0| | |PA|39010|0|N
H3907|058|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx (HMO)|00025184|21.40|0| | |PA|39070|0|N
H3907|058|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx (HMO)|00025184|21.40|0| | |PA|39080|0|N
H3907|058|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx (HMO)|00025184|21.40|0| | |PA|39130|0|N
H3907|058|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx (HMO)|00025184|21.40|0| | |PA|39150|0|N
H3907|058|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx (HMO)|00025184|21.40|0| | |PA|39180|0|N
H3907|058|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx (HMO)|00025184|21.40|0| | |PA|39190|0|N
H3907|058|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx (HMO)|00025184|21.40|0| | |PA|39200|0|N
H3907|058|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx (HMO)|00025184|21.40|0| | |PA|39220|0|N
H3907|058|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx (HMO)|00025184|21.40|0| | |PA|39230|0|N
H3907|058|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx (HMO)|00025184|21.40|0| | |PA|39240|0|N
H3907|058|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx (HMO)|00025184|21.40|0| | |PA|39260|0|N
H3907|058|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx (HMO)|00025184|21.40|0| | |PA|39270|0|N
H3907|058|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx (HMO)|00025184|21.40|0| | |PA|39280|0|N
H3907|058|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx (HMO)|00025184|21.40|0| | |PA|39310|0|N
H3907|058|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx (HMO)|00025184|21.40|0| | |PA|39320|0|N
H3907|058|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx (HMO)|00025184|21.40|0| | |PA|39330|0|N
H3907|058|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx (HMO)|00025184|21.40|0| | |PA|39340|0|N
H3907|058|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx (HMO)|00025184|21.40|0| | |PA|39360|0|N
H3907|058|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx (HMO)|00025184|21.40|0| | |PA|39370|0|N
H3907|058|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx (HMO)|00025184|21.40|0| | |PA|39390|0|N
H3907|058|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx (HMO)|00025184|21.40|0| | |PA|39400|0|N
H3907|058|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx (HMO)|00025184|21.40|0| | |PA|39410|0|N
H3907|058|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx (HMO)|00025184|21.40|0| | |PA|39440|0|N
H3907|058|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx (HMO)|00025184|21.40|0| | |PA|39450|0|N
H3907|058|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx (HMO)|00025184|21.40|0| | |PA|39460|0|N
H3907|058|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx (HMO)|00025184|21.40|0| | |PA|39470|0|N
H3907|058|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx (HMO)|00025184|21.40|0| | |PA|39510|0|N
H3907|058|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx (HMO)|00025184|21.40|0| | |PA|39520|0|N
H3907|058|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx (HMO)|00025184|21.40|0| | |PA|39530|0|N
H3907|058|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx (HMO)|00025184|21.40|0| | |PA|39540|0|N
H3907|058|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx (HMO)|00025184|21.40|0| | |PA|39580|0|N
H3907|058|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx (HMO)|00025184|21.40|0| | |PA|39590|0|N
H3907|058|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx (HMO)|00025184|21.40|0| | |PA|39610|0|N
H3907|058|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx (HMO)|00025184|21.40|0| | |PA|39640|0|N
H3907|058|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx (HMO)|00025184|21.40|0| | |PA|39670|0|N
H3907|058|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx (HMO)|00025184|21.40|0| | |PA|39690|0|N
H3907|058|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx (HMO)|00025184|21.40|0| | |PA|39700|0|N
H3907|058|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx (HMO)|00025184|21.40|0| | |PA|39710|0|N
H3907|058|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx (HMO)|00025184|21.40|0| | |PA|39720|0|N
H3907|058|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx (HMO)|00025184|21.40|0| | |PA|39730|0|N
H3907|058|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx (HMO)|00025184|21.40|0| | |PA|39740|0|N
H3907|058|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx (HMO)|00025184|21.40|0| | |PA|39750|0|N
H3907|058|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx (HMO)|00025184|21.40|0| | |PA|39760|0|N
H3907|058|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx (HMO)|00025184|21.40|0| | |PA|39770|0|N
H3907|058|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx (HMO)|00025184|21.40|0| | |PA|39790|0|N
H3907|058|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx (HMO)|00025184|21.40|0| | |PA|39800|0|N
H3907|058|002|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx (HMO)|00025184|21.40|0| | |PA|39100|0|N
H3907|058|002|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx (HMO)|00025184|21.40|0| | |PA|39120|0|N
H3907|058|002|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx (HMO)|00025184|21.40|0| | |PA|39160|0|N
H3907|058|002|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx (HMO)|00025184|21.40|0| | |PA|39380|0|N
H3907|058|002|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Rx (HMO)|00025184|21.40|0| | |PA|39680|0|N
H3907|059|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Premier Rx (HMO)|00025186|0.00|350| | |PA|39010|0|N
H3907|059|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Premier Rx (HMO)|00025186|0.00|350| | |PA|39070|0|N
H3907|059|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Premier Rx (HMO)|00025186|0.00|350| | |PA|39080|0|N
H3907|059|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Premier Rx (HMO)|00025186|0.00|350| | |PA|39100|0|N
H3907|059|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Premier Rx (HMO)|00025186|0.00|350| | |PA|39120|0|N
H3907|059|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Premier Rx (HMO)|00025186|0.00|350| | |PA|39150|0|N
H3907|059|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Premier Rx (HMO)|00025186|0.00|350| | |PA|39160|0|N
H3907|059|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Premier Rx (HMO)|00025186|0.00|350| | |PA|39330|0|N
H3907|059|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Premier Rx (HMO)|00025186|0.00|350| | |PA|39370|0|N
H3907|059|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Premier Rx (HMO)|00025186|0.00|350| | |PA|39380|0|N
H3907|059|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Premier Rx (HMO)|00025186|0.00|350| | |PA|39390|0|N
H3907|059|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Premier Rx (HMO)|00025186|0.00|350| | |PA|39510|0|N
H3907|059|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Premier Rx (HMO)|00025186|0.00|350| | |PA|39680|0|N
H3907|059|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Premier Rx (HMO)|00025186|0.00|350| | |PA|39710|0|N
H3907|059|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Premier Rx (HMO)|00025186|0.00|350| | |PA|39750|0|N
H3907|059|001|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Premier Rx (HMO)|00025186|0.00|350| | |PA|39770|0|N
H3907|059|002|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Premier Rx (HMO)|00025186|0.00|350| | |PA|39180|0|N
H3907|059|002|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Premier Rx (HMO)|00025186|0.00|350| | |PA|39220|0|N
H3907|059|002|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Premier Rx (HMO)|00025186|0.00|350| | |PA|39230|0|N
H3907|059|002|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Premier Rx (HMO)|00025186|0.00|350| | |PA|39260|0|N
H3907|059|002|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Premier Rx (HMO)|00025186|0.00|350| | |PA|39310|0|N
H3907|059|002|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Premier Rx (HMO)|00025186|0.00|350| | |PA|39320|0|N
H3907|059|002|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Premier Rx (HMO)|00025186|0.00|350| | |PA|39340|0|N
H3907|059|002|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Premier Rx (HMO)|00025186|0.00|350| | |PA|39400|0|N
H3907|059|002|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Premier Rx (HMO)|00025186|0.00|350| | |PA|39450|0|N
H3907|059|002|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Premier Rx (HMO)|00025186|0.00|350| | |PA|39520|0|N
H3907|059|002|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Premier Rx (HMO)|00025186|0.00|350| | |PA|39530|0|N
H3907|059|002|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Premier Rx (HMO)|00025186|0.00|350| | |PA|39730|0|N
H3907|059|002|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Premier Rx (HMO)|00025186|0.00|350| | |PA|39740|0|N
H3907|059|003|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Premier Rx (HMO)|00025186|0.00|350| | |PA|39270|0|N
H3907|059|003|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Premier Rx (HMO)|00025186|0.00|350| | |PA|39280|0|N
H3907|059|003|UPMC HEALTH PLAN, INC.|UPMC for Life HMO Premier Rx (HMO)|00025186|0.00|350| | |PA|39440|0|N
H3909|001|000|QCC INSURANCE COMPANY|Personal Choice 65 Rx (PPO)|00025342|61.20|0| | |PA|39140|0|N
H3909|001|000|QCC INSURANCE COMPANY|Personal Choice 65 Rx (PPO)|00025342|61.20|0| | |PA|39620|0|N
H3909|009|000|QCC INSURANCE COMPANY|Personal Choice 65 Rx (PPO)|00025342|60.10|0| | |PA|39210|0|N
H3909|009|000|QCC INSURANCE COMPANY|Personal Choice 65 Rx (PPO)|00025342|60.10|0| | |PA|39290|0|N
H3909|009|000|QCC INSURANCE COMPANY|Personal Choice 65 Rx (PPO)|00025342|60.10|0| | |PA|39560|0|N
H3909|015|000|QCC INSURANCE COMPANY|Personal Choice 65 Prime Rx (PPO)|00025343|0.00|0| | |PA|39140|0|N
H3909|015|000|QCC INSURANCE COMPANY|Personal Choice 65 Prime Rx (PPO)|00025343|0.00|0| | |PA|39210|0|N
H3909|015|000|QCC INSURANCE COMPANY|Personal Choice 65 Prime Rx (PPO)|00025343|0.00|0| | |PA|39290|0|N
H3909|015|000|QCC INSURANCE COMPANY|Personal Choice 65 Prime Rx (PPO)|00025343|0.00|0| | |PA|39560|0|N
H3909|015|000|QCC INSURANCE COMPANY|Personal Choice 65 Prime Rx (PPO)|00025343|0.00|0| | |PA|39620|0|N
H3909|016|000|QCC INSURANCE COMPANY|Personal Choice 65 Saver Rx (PPO)|00025343|0.00|0| | |PA|39140|0|N
H3909|016|000|QCC INSURANCE COMPANY|Personal Choice 65 Saver Rx (PPO)|00025343|0.00|0| | |PA|39210|0|N
H3909|016|000|QCC INSURANCE COMPANY|Personal Choice 65 Saver Rx (PPO)|00025343|0.00|0| | |PA|39290|0|N
H3909|016|000|QCC INSURANCE COMPANY|Personal Choice 65 Saver Rx (PPO)|00025343|0.00|0| | |PA|39560|0|N
H3909|016|000|QCC INSURANCE COMPANY|Personal Choice 65 Saver Rx (PPO)|00025343|0.00|0| | |PA|39620|0|N
H3909|017|000|QCC INSURANCE COMPANY|Personal Choice 65 Elite Rx (PPO)|00025343|16.60|0| | |PA|39140|0|N
H3909|017|000|QCC INSURANCE COMPANY|Personal Choice 65 Elite Rx (PPO)|00025343|16.60|0| | |PA|39210|0|N
H3909|017|000|QCC INSURANCE COMPANY|Personal Choice 65 Elite Rx (PPO)|00025343|16.60|0| | |PA|39290|0|N
H3909|017|000|QCC INSURANCE COMPANY|Personal Choice 65 Elite Rx (PPO)|00025343|16.60|0| | |PA|39560|0|N
H3909|017|000|QCC INSURANCE COMPANY|Personal Choice 65 Elite Rx (PPO)|00025343|16.60|0| | |PA|39620|0|N
H3909|018|000|QCC INSURANCE COMPANY|Personal Choice 65 Plus Rx (PPO)|00025343|68.70|0| | |PA|39140|0|N
H3909|018|000|QCC INSURANCE COMPANY|Personal Choice 65 Plus Rx (PPO)|00025343|68.70|0| | |PA|39210|0|N
H3909|018|000|QCC INSURANCE COMPANY|Personal Choice 65 Plus Rx (PPO)|00025343|68.70|0| | |PA|39290|0|N
H3909|018|000|QCC INSURANCE COMPANY|Personal Choice 65 Plus Rx (PPO)|00025343|68.70|0| | |PA|39560|0|N
H3909|018|000|QCC INSURANCE COMPANY|Personal Choice 65 Plus Rx (PPO)|00025343|68.70|0| | |PA|39620|0|N
H3916|001|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Classic (PPO)|00025022|118.60|0| | |PA|39010|0|N
H3916|001|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Classic (PPO)|00025022|118.60|0| | |PA|39070|0|N
H3916|001|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Classic (PPO)|00025022|118.60|0| | |PA|39080|0|N
H3916|001|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Classic (PPO)|00025022|118.60|0| | |PA|39150|0|N
H3916|001|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Classic (PPO)|00025022|118.60|0| | |PA|39160|0|N
H3916|001|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Classic (PPO)|00025022|118.60|0| | |PA|39330|0|N
H3916|001|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Classic (PPO)|00025022|118.60|0| | |PA|39370|0|N
H3916|001|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Classic (PPO)|00025022|118.60|0| | |PA|39390|0|N
H3916|001|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Classic (PPO)|00025022|118.60|0| | |PA|39450|0|N
H3916|001|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Classic (PPO)|00025022|118.60|0| | |PA|39750|0|N
H3916|001|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Classic (PPO)|00025022|118.60|0| | |PA|39770|0|N
H3916|002|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Classic (PPO)|00025022|121.00|0| | |PA|39100|0|N
H3916|002|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Classic (PPO)|00025022|121.00|0| | |PA|39120|0|N
H3916|002|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Classic (PPO)|00025022|121.00|0| | |PA|39180|0|N
H3916|002|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Classic (PPO)|00025022|121.00|0| | |PA|39220|0|N
H3916|002|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Classic (PPO)|00025022|121.00|0| | |PA|39230|0|N
H3916|002|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Classic (PPO)|00025022|121.00|0| | |PA|39260|0|N
H3916|002|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Classic (PPO)|00025022|121.00|0| | |PA|39310|0|N
H3916|002|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Classic (PPO)|00025022|121.00|0| | |PA|39320|0|N
H3916|002|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Classic (PPO)|00025022|121.00|0| | |PA|39340|0|N
H3916|002|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Classic (PPO)|00025022|121.00|0| | |PA|39380|0|N
H3916|002|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Classic (PPO)|00025022|121.00|0| | |PA|39400|0|N
H3916|002|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Classic (PPO)|00025022|121.00|0| | |PA|39520|0|N
H3916|002|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Classic (PPO)|00025022|121.00|0| | |PA|39530|0|N
H3916|002|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Classic (PPO)|00025022|121.00|0| | |PA|39640|0|N
H3916|002|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Classic (PPO)|00025022|121.00|0| | |PA|39680|0|N
H3916|002|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Classic (PPO)|00025022|121.00|0| | |PA|39730|0|N
H3916|002|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Classic (PPO)|00025022|121.00|0| | |PA|39740|0|N
H3916|005|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Deluxe (PPO)|00025022|104.00|0| | |PA|39000|0|N
H3916|005|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Deluxe (PPO)|00025022|104.00|0| | |PA|39110|0|N
H3916|005|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Deluxe (PPO)|00025022|104.00|0| | |PA|39130|0|N
H3916|005|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Deluxe (PPO)|00025022|104.00|0| | |PA|39190|0|N
H3916|005|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Deluxe (PPO)|00025022|104.00|0| | |PA|39200|0|N
H3916|005|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Deluxe (PPO)|00025022|104.00|0| | |PA|39240|0|N
H3916|005|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Deluxe (PPO)|00025022|104.00|0| | |PA|39250|0|N
H3916|005|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Deluxe (PPO)|00025022|104.00|0| | |PA|39270|0|N
H3916|005|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Deluxe (PPO)|00025022|104.00|0| | |PA|39280|0|N
H3916|005|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Deluxe (PPO)|00025022|104.00|0| | |PA|39350|0|N
H3916|005|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Deluxe (PPO)|00025022|104.00|0| | |PA|39360|0|N
H3916|005|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Deluxe (PPO)|00025022|104.00|0| | |PA|39410|0|N
H3916|005|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Deluxe (PPO)|00025022|104.00|0| | |PA|39420|0|N
H3916|005|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Deluxe (PPO)|00025022|104.00|0| | |PA|39440|0|N
H3916|005|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Deluxe (PPO)|00025022|104.00|0| | |PA|39460|0|N
H3916|005|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Deluxe (PPO)|00025022|104.00|0| | |PA|39470|0|N
H3916|005|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Deluxe (PPO)|00025022|104.00|0| | |PA|39480|0|N
H3916|005|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Deluxe (PPO)|00025022|104.00|0| | |PA|39510|0|N
H3916|005|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Deluxe (PPO)|00025022|104.00|0| | |PA|39540|0|N
H3916|005|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Deluxe (PPO)|00025022|104.00|0| | |PA|39550|0|N
H3916|005|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Deluxe (PPO)|00025022|104.00|0| | |PA|39580|0|N
H3916|005|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Deluxe (PPO)|00025022|104.00|0| | |PA|39590|0|N
H3916|005|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Deluxe (PPO)|00025022|104.00|0| | |PA|39600|0|N
H3916|005|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Deluxe (PPO)|00025022|104.00|0| | |PA|39610|0|N
H3916|005|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Deluxe (PPO)|00025022|104.00|0| | |PA|39630|0|N
H3916|005|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Deluxe (PPO)|00025022|104.00|0| | |PA|39650|0|N
H3916|005|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Deluxe (PPO)|00025022|104.00|0| | |PA|39670|0|N
H3916|005|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Deluxe (PPO)|00025022|104.00|0| | |PA|39690|0|N
H3916|005|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Deluxe (PPO)|00025022|104.00|0| | |PA|39700|0|N
H3916|005|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Deluxe (PPO)|00025022|104.00|0| | |PA|39710|0|N
H3916|005|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Deluxe (PPO)|00025022|104.00|0| | |PA|39720|0|N
H3916|005|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Deluxe (PPO)|00025022|104.00|0| | |PA|39760|0|N
H3916|005|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Deluxe (PPO)|00025022|104.00|0| | |PA|39790|0|N
H3916|005|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Deluxe (PPO)|00025022|104.00|0| | |PA|39800|0|N
H3916|015|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Standard (PPO)|00025022|92.30|0| | |PA|39000|0|N
H3916|015|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Standard (PPO)|00025022|92.30|0| | |PA|39110|0|N
H3916|015|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Standard (PPO)|00025022|92.30|0| | |PA|39130|0|N
H3916|015|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Standard (PPO)|00025022|92.30|0| | |PA|39190|0|N
H3916|015|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Standard (PPO)|00025022|92.30|0| | |PA|39200|0|N
H3916|015|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Standard (PPO)|00025022|92.30|0| | |PA|39240|0|N
H3916|015|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Standard (PPO)|00025022|92.30|0| | |PA|39250|0|N
H3916|015|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Standard (PPO)|00025022|92.30|0| | |PA|39270|0|N
H3916|015|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Standard (PPO)|00025022|92.30|0| | |PA|39280|0|N
H3916|015|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Standard (PPO)|00025022|92.30|0| | |PA|39350|0|N
H3916|015|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Standard (PPO)|00025022|92.30|0| | |PA|39360|0|N
H3916|015|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Standard (PPO)|00025022|92.30|0| | |PA|39410|0|N
H3916|015|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Standard (PPO)|00025022|92.30|0| | |PA|39420|0|N
H3916|015|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Standard (PPO)|00025022|92.30|0| | |PA|39440|0|N
H3916|015|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Standard (PPO)|00025022|92.30|0| | |PA|39460|0|N
H3916|015|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Standard (PPO)|00025022|92.30|0| | |PA|39470|0|N
H3916|015|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Standard (PPO)|00025022|92.30|0| | |PA|39480|0|N
H3916|015|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Standard (PPO)|00025022|92.30|0| | |PA|39510|0|N
H3916|015|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Standard (PPO)|00025022|92.30|0| | |PA|39540|0|N
H3916|015|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Standard (PPO)|00025022|92.30|0| | |PA|39550|0|N
H3916|015|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Standard (PPO)|00025022|92.30|0| | |PA|39580|0|N
H3916|015|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Standard (PPO)|00025022|92.30|0| | |PA|39590|0|N
H3916|015|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Standard (PPO)|00025022|92.30|0| | |PA|39600|0|N
H3916|015|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Standard (PPO)|00025022|92.30|0| | |PA|39610|0|N
H3916|015|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Standard (PPO)|00025022|92.30|0| | |PA|39630|0|N
H3916|015|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Standard (PPO)|00025022|92.30|0| | |PA|39650|0|N
H3916|015|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Standard (PPO)|00025022|92.30|0| | |PA|39670|0|N
H3916|015|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Standard (PPO)|00025022|92.30|0| | |PA|39690|0|N
H3916|015|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Standard (PPO)|00025022|92.30|0| | |PA|39700|0|N
H3916|015|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Standard (PPO)|00025022|92.30|0| | |PA|39710|0|N
H3916|015|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Standard (PPO)|00025022|92.30|0| | |PA|39720|0|N
H3916|015|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Standard (PPO)|00025022|92.30|0| | |PA|39760|0|N
H3916|015|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Standard (PPO)|00025022|92.30|0| | |PA|39790|0|N
H3916|015|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Standard (PPO)|00025022|92.30|0| | |PA|39800|0|N
H3916|018|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|39.00|0| | |PA|39000|0|N
H3916|018|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|39.00|0| | |PA|39110|0|N
H3916|018|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|39.00|0| | |PA|39130|0|N
H3916|018|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|39.00|0| | |PA|39190|0|N
H3916|018|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|39.00|0| | |PA|39200|0|N
H3916|018|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|39.00|0| | |PA|39240|0|N
H3916|018|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|39.00|0| | |PA|39250|0|N
H3916|018|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|39.00|0| | |PA|39270|0|N
H3916|018|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|39.00|0| | |PA|39280|0|N
H3916|018|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|39.00|0| | |PA|39350|0|N
H3916|018|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|39.00|0| | |PA|39360|0|N
H3916|018|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|39.00|0| | |PA|39410|0|N
H3916|018|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|39.00|0| | |PA|39420|0|N
H3916|018|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|39.00|0| | |PA|39440|0|N
H3916|018|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|39.00|0| | |PA|39460|0|N
H3916|018|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|39.00|0| | |PA|39470|0|N
H3916|018|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|39.00|0| | |PA|39480|0|N
H3916|018|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|39.00|0| | |PA|39510|0|N
H3916|018|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|39.00|0| | |PA|39540|0|N
H3916|018|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|39.00|0| | |PA|39550|0|N
H3916|018|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|39.00|0| | |PA|39580|0|N
H3916|018|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|39.00|0| | |PA|39590|0|N
H3916|018|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|39.00|0| | |PA|39600|0|N
H3916|018|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|39.00|0| | |PA|39610|0|N
H3916|018|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|39.00|0| | |PA|39630|0|N
H3916|018|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|39.00|0| | |PA|39650|0|N
H3916|018|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|39.00|0| | |PA|39670|0|N
H3916|018|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|39.00|0| | |PA|39690|0|N
H3916|018|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|39.00|0| | |PA|39700|0|N
H3916|018|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|39.00|0| | |PA|39710|0|N
H3916|018|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|39.00|0| | |PA|39720|0|N
H3916|018|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|39.00|0| | |PA|39760|0|N
H3916|018|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|39.00|0| | |PA|39790|0|N
H3916|018|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|39.00|0| | |PA|39800|0|N
H3916|022|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Select (PPO)|00025022|112.70|0| | |PA|39010|0|N
H3916|022|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Select (PPO)|00025022|112.70|0| | |PA|39070|0|N
H3916|022|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Select (PPO)|00025022|112.70|0| | |PA|39080|0|N
H3916|022|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Select (PPO)|00025022|112.70|0| | |PA|39150|0|N
H3916|022|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Select (PPO)|00025022|112.70|0| | |PA|39160|0|N
H3916|022|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Select (PPO)|00025022|112.70|0| | |PA|39330|0|N
H3916|022|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Select (PPO)|00025022|112.70|0| | |PA|39370|0|N
H3916|022|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Select (PPO)|00025022|112.70|0| | |PA|39390|0|N
H3916|022|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Select (PPO)|00025022|112.70|0| | |PA|39450|0|N
H3916|022|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Select (PPO)|00025022|112.70|0| | |PA|39750|0|N
H3916|022|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Select (PPO)|00025022|112.70|0| | |PA|39770|0|N
H3916|024|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Select (PPO)|00025022|79.70|0| | |PA|39100|0|N
H3916|024|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Select (PPO)|00025022|79.70|0| | |PA|39120|0|N
H3916|024|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Select (PPO)|00025022|79.70|0| | |PA|39180|0|N
H3916|024|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Select (PPO)|00025022|79.70|0| | |PA|39220|0|N
H3916|024|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Select (PPO)|00025022|79.70|0| | |PA|39230|0|N
H3916|024|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Select (PPO)|00025022|79.70|0| | |PA|39260|0|N
H3916|024|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Select (PPO)|00025022|79.70|0| | |PA|39310|0|N
H3916|024|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Select (PPO)|00025022|79.70|0| | |PA|39320|0|N
H3916|024|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Select (PPO)|00025022|79.70|0| | |PA|39340|0|N
H3916|024|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Select (PPO)|00025022|79.70|0| | |PA|39380|0|N
H3916|024|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Select (PPO)|00025022|79.70|0| | |PA|39400|0|N
H3916|024|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Select (PPO)|00025022|79.70|0| | |PA|39520|0|N
H3916|024|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Select (PPO)|00025022|79.70|0| | |PA|39530|0|N
H3916|024|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Select (PPO)|00025022|79.70|0| | |PA|39640|0|N
H3916|024|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Select (PPO)|00025022|79.70|0| | |PA|39680|0|N
H3916|024|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Select (PPO)|00025022|79.70|0| | |PA|39730|0|N
H3916|024|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO Select (PPO)|00025022|79.70|0| | |PA|39740|0|N
H3916|032|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|45.00|0| | |PA|39010|0|N
H3916|032|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|45.00|0| | |PA|39070|0|N
H3916|032|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|45.00|0| | |PA|39080|0|N
H3916|032|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|45.00|0| | |PA|39150|0|N
H3916|032|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|45.00|0| | |PA|39160|0|N
H3916|032|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|45.00|0| | |PA|39330|0|N
H3916|032|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|45.00|0| | |PA|39370|0|N
H3916|032|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|45.00|0| | |PA|39390|0|N
H3916|032|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|45.00|0| | |PA|39450|0|N
H3916|032|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|45.00|0| | |PA|39750|0|N
H3916|032|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|45.00|0| | |PA|39770|0|N
H3916|033|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|42.00|0| | |PA|39100|0|N
H3916|033|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|42.00|0| | |PA|39120|0|N
H3916|033|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|42.00|0| | |PA|39180|0|N
H3916|033|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|42.00|0| | |PA|39220|0|N
H3916|033|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|42.00|0| | |PA|39230|0|N
H3916|033|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|42.00|0| | |PA|39260|0|N
H3916|033|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|42.00|0| | |PA|39310|0|N
H3916|033|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|42.00|0| | |PA|39320|0|N
H3916|033|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|42.00|0| | |PA|39340|0|N
H3916|033|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|42.00|0| | |PA|39380|0|N
H3916|033|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|42.00|0| | |PA|39400|0|N
H3916|033|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|42.00|0| | |PA|39520|0|N
H3916|033|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|42.00|0| | |PA|39530|0|N
H3916|033|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|42.00|0| | |PA|39640|0|N
H3916|033|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|42.00|0| | |PA|39680|0|N
H3916|033|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|42.00|0| | |PA|39730|0|N
H3916|033|000|HIGHMARK SENIOR HEALTH COMPANY|Freedom Blue PPO ValueRx (PPO)|00025023|42.00|0| | |PA|39740|0|N
H3916|034|001|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Distinct (PPO)|00025023|10.60|0| | |PA|39190|0|N
H3916|034|001|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Distinct (PPO)|00025023|10.60|0| | |PA|39470|0|N
H3916|034|001|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Distinct (PPO)|00025023|10.60|0| | |PA|39550|0|N
H3916|034|001|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Distinct (PPO)|00025023|10.60|0| | |PA|39590|0|N
H3916|034|001|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Distinct (PPO)|00025023|10.60|0| | |PA|39650|0|N
H3916|034|003|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Distinct (PPO)|00025023|10.60|0| | |PA|39000|0|N
H3916|034|003|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Distinct (PPO)|00025023|10.60|0| | |PA|39200|0|N
H3916|034|003|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Distinct (PPO)|00025023|10.60|0| | |PA|39270|0|N
H3916|034|003|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Distinct (PPO)|00025023|10.60|0| | |PA|39280|0|N
H3916|034|003|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Distinct (PPO)|00025023|10.60|0| | |PA|39350|0|N
H3916|034|003|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Distinct (PPO)|00025023|10.60|0| | |PA|39360|0|N
H3916|034|003|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Distinct (PPO)|00025023|10.60|0| | |PA|39410|0|N
H3916|034|003|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Distinct (PPO)|00025023|10.60|0| | |PA|39460|0|N
H3916|034|003|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Distinct (PPO)|00025023|10.60|0| | |PA|39540|0|N
H3916|034|003|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Distinct (PPO)|00025023|10.60|0| | |PA|39610|0|N
H3916|034|003|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Distinct (PPO)|00025023|10.60|0| | |PA|39800|0|N
H3916|034|004|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Distinct (PPO)|00025023|10.60|0| | |PA|39110|0|N
H3916|034|004|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Distinct (PPO)|00025023|10.60|0| | |PA|39130|0|N
H3916|034|004|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Distinct (PPO)|00025023|10.60|0| | |PA|39250|0|N
H3916|034|004|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Distinct (PPO)|00025023|10.60|0| | |PA|39420|0|N
H3916|034|004|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Distinct (PPO)|00025023|10.60|0| | |PA|39480|0|N
H3916|034|004|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Distinct (PPO)|00025023|10.60|0| | |PA|39580|0|N
H3916|034|004|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Distinct (PPO)|00025023|10.60|0| | |PA|39600|0|N
H3916|034|004|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Distinct (PPO)|00025023|10.60|0| | |PA|39630|0|N
H3916|034|004|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Distinct (PPO)|00025023|10.60|0| | |PA|39670|0|N
H3916|034|004|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Distinct (PPO)|00025023|10.60|0| | |PA|39700|0|N
H3916|034|004|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Distinct (PPO)|00025023|10.60|0| | |PA|39720|0|N
H3916|034|004|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Distinct (PPO)|00025023|10.60|0| | |PA|39760|0|N
H3916|034|004|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Distinct (PPO)|00025023|10.60|0| | |PA|39790|0|N
H3916|034|005|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Distinct (PPO)|00025023|13.30|0| | |PA|39440|0|N
H3916|035|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Distinct (PPO)|00025023|6.70|0| | |PA|39010|0|N
H3916|035|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Distinct (PPO)|00025023|6.70|0| | |PA|39070|0|N
H3916|035|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Distinct (PPO)|00025023|6.70|0| | |PA|39080|0|N
H3916|035|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Distinct (PPO)|00025023|6.70|0| | |PA|39150|0|N
H3916|035|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Distinct (PPO)|00025023|6.70|0| | |PA|39160|0|N
H3916|035|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Distinct (PPO)|00025023|6.70|0| | |PA|39330|0|N
H3916|035|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Distinct (PPO)|00025023|6.70|0| | |PA|39370|0|N
H3916|035|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Distinct (PPO)|00025023|6.70|0| | |PA|39390|0|N
H3916|035|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Distinct (PPO)|00025023|6.70|0| | |PA|39750|0|N
H3916|035|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Distinct (PPO)|00025023|6.70|0| | |PA|39770|0|N
H3916|035|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Distinct (PPO)|00025023|6.70|0| | |PA|39100|0|N
H3916|035|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Distinct (PPO)|00025023|6.70|0| | |PA|39120|0|N
H3916|035|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Distinct (PPO)|00025023|6.70|0| | |PA|39180|0|N
H3916|035|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Distinct (PPO)|00025023|6.70|0| | |PA|39220|0|N
H3916|035|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Distinct (PPO)|00025023|6.70|0| | |PA|39230|0|N
H3916|035|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Distinct (PPO)|00025023|6.70|0| | |PA|39310|0|N
H3916|035|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Distinct (PPO)|00025023|6.70|0| | |PA|39380|0|N
H3916|035|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Distinct (PPO)|00025023|6.70|0| | |PA|39400|0|N
H3916|035|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Distinct (PPO)|00025023|6.70|0| | |PA|39680|0|N
H3916|035|004|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Distinct (PPO)|00025023|6.70|0| | |PA|39260|0|N
H3916|035|004|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Distinct (PPO)|00025023|6.70|0| | |PA|39320|0|N
H3916|035|004|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Distinct (PPO)|00025023|6.70|0| | |PA|39340|0|N
H3916|035|004|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Distinct (PPO)|00025023|6.70|0| | |PA|39450|0|N
H3916|035|004|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Distinct (PPO)|00025023|6.70|0| | |PA|39520|0|N
H3916|035|004|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Distinct (PPO)|00025023|6.70|0| | |PA|39530|0|N
H3916|035|004|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Distinct (PPO)|00025023|6.70|0| | |PA|39640|0|N
H3916|035|004|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Distinct (PPO)|00025023|6.70|0| | |PA|39730|0|N
H3916|035|004|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Distinct (PPO)|00025023|6.70|0| | |PA|39740|0|N
H3916|036|000|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare Plus PPO Distinct (PPO)|00025023|14.90|0| | |PA|39240|0|N
H3916|036|000|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare Plus PPO Distinct (PPO)|00025023|14.90|0| | |PA|39510|0|N
H3916|036|000|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare Plus PPO Distinct (PPO)|00025023|14.90|0| | |PA|39690|0|N
H3916|036|000|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare Plus PPO Distinct (PPO)|00025023|14.90|0| | |PA|39710|0|N
H3916|037|001|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Signature (PPO)|00025023|0.00|0| | |PA|39190|0|N
H3916|037|001|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Signature (PPO)|00025023|0.00|0| | |PA|39470|0|N
H3916|037|001|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Signature (PPO)|00025023|0.00|0| | |PA|39550|0|N
H3916|037|001|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Signature (PPO)|00025023|0.00|0| | |PA|39590|0|N
H3916|037|001|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Signature (PPO)|00025023|0.00|0| | |PA|39650|0|N
H3916|037|002|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Signature (PPO)|00025023|0.00|0| | |PA|39000|0|N
H3916|037|002|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Signature (PPO)|00025023|0.00|0| | |PA|39110|0|N
H3916|037|002|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Signature (PPO)|00025023|0.00|0| | |PA|39270|0|N
H3916|037|002|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Signature (PPO)|00025023|0.00|0| | |PA|39280|0|N
H3916|037|002|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Signature (PPO)|00025023|0.00|0| | |PA|39420|0|N
H3916|037|002|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Signature (PPO)|00025023|0.00|0| | |PA|39460|0|N
H3916|037|002|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Signature (PPO)|00025023|0.00|0| | |PA|39480|0|N
H3916|037|002|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Signature (PPO)|00025023|0.00|0| | |PA|39790|0|N
H3916|037|002|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Signature (PPO)|00025023|0.00|0| | |PA|39800|0|N
H3916|037|003|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Signature (PPO)|00025023|0.00|0| | |PA|39130|0|N
H3916|037|003|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Signature (PPO)|00025023|0.00|0| | |PA|39200|0|N
H3916|037|003|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Signature (PPO)|00025023|0.00|0| | |PA|39250|0|N
H3916|037|003|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Signature (PPO)|00025023|0.00|0| | |PA|39350|0|N
H3916|037|003|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Signature (PPO)|00025023|0.00|0| | |PA|39360|0|N
H3916|037|003|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Signature (PPO)|00025023|0.00|0| | |PA|39410|0|N
H3916|037|003|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Signature (PPO)|00025023|0.00|0| | |PA|39540|0|N
H3916|037|003|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Signature (PPO)|00025023|0.00|0| | |PA|39580|0|N
H3916|037|003|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Signature (PPO)|00025023|0.00|0| | |PA|39600|0|N
H3916|037|003|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Signature (PPO)|00025023|0.00|0| | |PA|39610|0|N
H3916|037|003|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Signature (PPO)|00025023|0.00|0| | |PA|39630|0|N
H3916|037|003|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Signature (PPO)|00025023|0.00|0| | |PA|39670|0|N
H3916|037|003|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Signature (PPO)|00025023|0.00|0| | |PA|39700|0|N
H3916|037|003|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Signature (PPO)|00025023|0.00|0| | |PA|39720|0|N
H3916|037|003|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Signature (PPO)|00025023|0.00|0| | |PA|39760|0|N
H3916|037|004|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Signature (PPO)|00025023|0.00|0| | |PA|39440|0|N
H3916|038|000|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Signature (PPO)|00025023|0.00|0| | |PA|39260|0|N
H3916|038|000|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Signature (PPO)|00025023|0.00|0| | |PA|39320|0|N
H3916|038|000|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Signature (PPO)|00025023|0.00|0| | |PA|39340|0|N
H3916|038|000|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Signature (PPO)|00025023|0.00|0| | |PA|39450|0|N
H3916|038|000|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Signature (PPO)|00025023|0.00|0| | |PA|39520|0|N
H3916|038|000|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Signature (PPO)|00025023|0.00|0| | |PA|39530|0|N
H3916|038|000|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Signature (PPO)|00025023|0.00|0| | |PA|39640|0|N
H3916|038|000|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Signature (PPO)|00025023|0.00|0| | |PA|39730|0|N
H3916|038|000|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Signature (PPO)|00025023|0.00|0| | |PA|39740|0|N
H3916|039|000|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare Plus PPO Signature (PPO)|00025023|0.00|0| | |PA|39240|0|N
H3916|039|000|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare Plus PPO Signature (PPO)|00025023|0.00|0| | |PA|39510|0|N
H3916|039|000|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare Plus PPO Signature (PPO)|00025023|0.00|0| | |PA|39690|0|N
H3916|039|000|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare Plus PPO Signature (PPO)|00025023|0.00|0| | |PA|39710|0|N
H3916|041|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Signature (PPO)|00025023|0.00|0| | |PA|39010|0|N
H3916|041|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Signature (PPO)|00025023|0.00|0| | |PA|39070|0|N
H3916|041|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Signature (PPO)|00025023|0.00|0| | |PA|39080|0|N
H3916|041|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Signature (PPO)|00025023|0.00|0| | |PA|39150|0|N
H3916|041|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Signature (PPO)|00025023|0.00|0| | |PA|39160|0|N
H3916|041|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Signature (PPO)|00025023|0.00|0| | |PA|39330|0|N
H3916|041|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Signature (PPO)|00025023|0.00|0| | |PA|39370|0|N
H3916|041|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Signature (PPO)|00025023|0.00|0| | |PA|39390|0|N
H3916|041|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Signature (PPO)|00025023|0.00|0| | |PA|39750|0|N
H3916|041|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Signature (PPO)|00025023|0.00|0| | |PA|39770|0|N
H3916|041|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Signature (PPO)|00025023|0.00|0| | |PA|39100|0|N
H3916|041|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Signature (PPO)|00025023|0.00|0| | |PA|39120|0|N
H3916|041|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Signature (PPO)|00025023|0.00|0| | |PA|39180|0|N
H3916|041|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Signature (PPO)|00025023|0.00|0| | |PA|39220|0|N
H3916|041|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Signature (PPO)|00025023|0.00|0| | |PA|39230|0|N
H3916|041|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Signature (PPO)|00025023|0.00|0| | |PA|39310|0|N
H3916|041|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Signature (PPO)|00025023|0.00|0| | |PA|39380|0|N
H3916|041|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Signature (PPO)|00025023|0.00|0| | |PA|39400|0|N
H3916|041|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Signature (PPO)|00025023|0.00|0| | |PA|39680|0|N
H3916|044|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Premier (PPO)|00025023|29.30|0| | |PA|39010|0|N
H3916|044|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Premier (PPO)|00025023|29.30|0| | |PA|39070|0|N
H3916|044|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Premier (PPO)|00025023|29.30|0| | |PA|39080|0|N
H3916|044|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Premier (PPO)|00025023|29.30|0| | |PA|39150|0|N
H3916|044|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Premier (PPO)|00025023|29.30|0| | |PA|39160|0|N
H3916|044|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Premier (PPO)|00025023|29.30|0| | |PA|39330|0|N
H3916|044|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Premier (PPO)|00025023|29.30|0| | |PA|39370|0|N
H3916|044|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Premier (PPO)|00025023|29.30|0| | |PA|39390|0|N
H3916|044|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Premier (PPO)|00025023|29.30|0| | |PA|39750|0|N
H3916|044|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Premier (PPO)|00025023|29.30|0| | |PA|39770|0|N
H3916|044|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Premier (PPO)|00025023|29.30|0| | |PA|39100|0|N
H3916|044|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Premier (PPO)|00025023|29.30|0| | |PA|39120|0|N
H3916|044|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Premier (PPO)|00025023|29.30|0| | |PA|39180|0|N
H3916|044|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Premier (PPO)|00025023|29.30|0| | |PA|39220|0|N
H3916|044|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Premier (PPO)|00025023|29.30|0| | |PA|39230|0|N
H3916|044|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Premier (PPO)|00025023|29.30|0| | |PA|39310|0|N
H3916|044|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Premier (PPO)|00025023|29.30|0| | |PA|39380|0|N
H3916|044|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Premier (PPO)|00025023|29.30|0| | |PA|39400|0|N
H3916|044|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Premier (PPO)|00025023|29.30|0| | |PA|39680|0|N
H3916|044|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Premier (PPO)|00025023|29.30|0| | |PA|39260|0|N
H3916|044|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Premier (PPO)|00025023|29.30|0| | |PA|39320|0|N
H3916|044|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Premier (PPO)|00025023|29.30|0| | |PA|39340|0|N
H3916|044|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Premier (PPO)|00025023|29.30|0| | |PA|39450|0|N
H3916|044|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Premier (PPO)|00025023|29.30|0| | |PA|39520|0|N
H3916|044|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Premier (PPO)|00025023|29.30|0| | |PA|39530|0|N
H3916|044|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Premier (PPO)|00025023|29.30|0| | |PA|39640|0|N
H3916|044|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Premier (PPO)|00025023|29.30|0| | |PA|39730|0|N
H3916|044|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Premier (PPO)|00025023|29.30|0| | |PA|39740|0|N
H3916|045|001|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Premier (PPO)|00025023|35.40|0| | |PA|39190|0|N
H3916|045|001|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Premier (PPO)|00025023|35.40|0| | |PA|39470|0|N
H3916|045|001|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Premier (PPO)|00025023|35.40|0| | |PA|39550|0|N
H3916|045|001|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Premier (PPO)|00025023|35.40|0| | |PA|39590|0|N
H3916|045|001|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Premier (PPO)|00025023|35.40|0| | |PA|39650|0|N
H3916|045|002|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Premier (PPO)|00025023|35.40|0| | |PA|39000|0|N
H3916|045|002|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Premier (PPO)|00025023|35.40|0| | |PA|39200|0|N
H3916|045|002|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Premier (PPO)|00025023|35.40|0| | |PA|39270|0|N
H3916|045|002|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Premier (PPO)|00025023|35.40|0| | |PA|39280|0|N
H3916|045|002|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Premier (PPO)|00025023|35.40|0| | |PA|39350|0|N
H3916|045|002|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Premier (PPO)|00025023|35.40|0| | |PA|39360|0|N
H3916|045|002|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Premier (PPO)|00025023|35.40|0| | |PA|39410|0|N
H3916|045|002|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Premier (PPO)|00025023|35.40|0| | |PA|39460|0|N
H3916|045|002|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Premier (PPO)|00025023|35.40|0| | |PA|39540|0|N
H3916|045|002|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Premier (PPO)|00025023|35.40|0| | |PA|39610|0|N
H3916|045|002|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Premier (PPO)|00025023|35.40|0| | |PA|39800|0|N
H3916|045|003|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Premier (PPO)|00025023|35.40|0| | |PA|39110|0|N
H3916|045|003|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Premier (PPO)|00025023|35.40|0| | |PA|39130|0|N
H3916|045|003|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Premier (PPO)|00025023|35.40|0| | |PA|39250|0|N
H3916|045|003|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Premier (PPO)|00025023|35.40|0| | |PA|39420|0|N
H3916|045|003|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Premier (PPO)|00025023|35.40|0| | |PA|39480|0|N
H3916|045|003|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Premier (PPO)|00025023|35.40|0| | |PA|39580|0|N
H3916|045|003|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Premier (PPO)|00025023|35.40|0| | |PA|39600|0|N
H3916|045|003|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Premier (PPO)|00025023|35.40|0| | |PA|39630|0|N
H3916|045|003|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Premier (PPO)|00025023|35.40|0| | |PA|39670|0|N
H3916|045|003|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Premier (PPO)|00025023|35.40|0| | |PA|39700|0|N
H3916|045|003|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Premier (PPO)|00025023|35.40|0| | |PA|39720|0|N
H3916|045|003|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Premier (PPO)|00025023|35.40|0| | |PA|39760|0|N
H3916|045|003|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Premier (PPO)|00025023|35.40|0| | |PA|39790|0|N
H3916|045|004|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare PPO Premier (PPO)|00025023|35.40|0| | |PA|39440|0|N
H3916|046|000|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare Plus PPO Premier (PPO)|00025023|35.30|0| | |PA|39240|0|N
H3916|046|000|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare Plus PPO Premier (PPO)|00025023|35.30|0| | |PA|39510|0|N
H3916|046|000|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare Plus PPO Premier (PPO)|00025023|35.30|0| | |PA|39690|0|N
H3916|046|000|HIGHMARK SENIOR HEALTH COMPANY|Community Blue Medicare Plus PPO Premier (PPO)|00025023|35.30|0| | |PA|39710|0|N
H3916|047|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39010|0|N
H3916|047|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39070|0|N
H3916|047|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39080|0|N
H3916|047|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39150|0|N
H3916|047|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39160|0|N
H3916|047|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39330|0|N
H3916|047|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39370|0|N
H3916|047|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39390|0|N
H3916|047|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39750|0|N
H3916|047|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39770|0|N
H3916|047|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39100|0|N
H3916|047|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39120|0|N
H3916|047|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39180|0|N
H3916|047|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39220|0|N
H3916|047|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39230|0|N
H3916|047|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39310|0|N
H3916|047|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39380|0|N
H3916|047|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39400|0|N
H3916|047|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39680|0|N
H3916|047|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39260|0|N
H3916|047|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39320|0|N
H3916|047|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39340|0|N
H3916|047|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39450|0|N
H3916|047|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39520|0|N
H3916|047|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39530|0|N
H3916|047|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39640|0|N
H3916|047|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39730|0|N
H3916|047|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39740|0|N
H3916|048|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39010|0|N
H3916|048|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39070|0|N
H3916|048|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39080|0|N
H3916|048|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39150|0|N
H3916|048|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39160|0|N
H3916|048|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39330|0|N
H3916|048|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39370|0|N
H3916|048|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39390|0|N
H3916|048|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39750|0|N
H3916|048|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39770|0|N
H3916|048|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39100|0|N
H3916|048|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39120|0|N
H3916|048|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39180|0|N
H3916|048|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39220|0|N
H3916|048|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39230|0|N
H3916|048|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39310|0|N
H3916|048|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39380|0|N
H3916|048|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39400|0|N
H3916|048|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39680|0|N
H3916|048|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39260|0|N
H3916|048|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39320|0|N
H3916|048|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39340|0|N
H3916|048|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39450|0|N
H3916|048|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39520|0|N
H3916|048|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39530|0|N
H3916|048|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39640|0|N
H3916|048|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39730|0|N
H3916|048|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39740|0|N
H3916|049|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Merit (PPO)|00025023|0.00|550| | |PA|39010|0|N
H3916|049|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Merit (PPO)|00025023|0.00|550| | |PA|39070|0|N
H3916|049|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Merit (PPO)|00025023|0.00|550| | |PA|39080|0|N
H3916|049|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Merit (PPO)|00025023|0.00|550| | |PA|39150|0|N
H3916|049|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Merit (PPO)|00025023|0.00|550| | |PA|39160|0|N
H3916|049|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Merit (PPO)|00025023|0.00|550| | |PA|39330|0|N
H3916|049|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Merit (PPO)|00025023|0.00|550| | |PA|39370|0|N
H3916|049|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Merit (PPO)|00025023|0.00|550| | |PA|39390|0|N
H3916|049|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Merit (PPO)|00025023|0.00|550| | |PA|39750|0|N
H3916|049|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Merit (PPO)|00025023|0.00|550| | |PA|39770|0|N
H3916|049|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Merit (PPO)|00025023|0.00|550| | |PA|39100|0|N
H3916|049|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Merit (PPO)|00025023|0.00|550| | |PA|39120|0|N
H3916|049|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Merit (PPO)|00025023|0.00|550| | |PA|39180|0|N
H3916|049|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Merit (PPO)|00025023|0.00|550| | |PA|39220|0|N
H3916|049|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Merit (PPO)|00025023|0.00|550| | |PA|39230|0|N
H3916|049|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Merit (PPO)|00025023|0.00|550| | |PA|39310|0|N
H3916|049|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Merit (PPO)|00025023|0.00|550| | |PA|39380|0|N
H3916|049|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Merit (PPO)|00025023|0.00|550| | |PA|39400|0|N
H3916|049|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Merit (PPO)|00025023|0.00|550| | |PA|39680|0|N
H3916|049|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Merit (PPO)|00025023|0.00|550| | |PA|39260|0|N
H3916|049|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Merit (PPO)|00025023|0.00|550| | |PA|39320|0|N
H3916|049|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Merit (PPO)|00025023|0.00|550| | |PA|39340|0|N
H3916|049|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Merit (PPO)|00025023|0.00|550| | |PA|39450|0|N
H3916|049|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Merit (PPO)|00025023|0.00|550| | |PA|39520|0|N
H3916|049|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Merit (PPO)|00025023|0.00|550| | |PA|39530|0|N
H3916|049|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Merit (PPO)|00025023|0.00|550| | |PA|39640|0|N
H3916|049|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Merit (PPO)|00025023|0.00|550| | |PA|39730|0|N
H3916|049|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Merit (PPO)|00025023|0.00|550| | |PA|39740|0|N
H3916|050|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39190|0|N
H3916|050|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39470|0|N
H3916|050|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39550|0|N
H3916|050|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39590|0|N
H3916|050|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39650|0|N
H3916|050|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39000|0|N
H3916|050|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39200|0|N
H3916|050|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39270|0|N
H3916|050|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39280|0|N
H3916|050|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39350|0|N
H3916|050|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39360|0|N
H3916|050|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39410|0|N
H3916|050|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39460|0|N
H3916|050|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39540|0|N
H3916|050|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39610|0|N
H3916|050|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39800|0|N
H3916|050|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39110|0|N
H3916|050|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39130|0|N
H3916|050|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39250|0|N
H3916|050|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39420|0|N
H3916|050|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39480|0|N
H3916|050|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39580|0|N
H3916|050|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39600|0|N
H3916|050|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39630|0|N
H3916|050|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39670|0|N
H3916|050|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39700|0|N
H3916|050|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39720|0|N
H3916|050|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39760|0|N
H3916|050|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39790|0|N
H3916|050|004|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39440|0|N
H3916|051|000|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue Plus PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39240|0|N
H3916|051|000|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue Plus PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39510|0|N
H3916|051|000|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue Plus PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39690|0|N
H3916|051|000|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue Plus PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39710|0|N
H3916|052|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39190|0|N
H3916|052|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39470|0|N
H3916|052|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39550|0|N
H3916|052|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39590|0|N
H3916|052|001|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39650|0|N
H3916|052|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39000|0|N
H3916|052|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39200|0|N
H3916|052|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39270|0|N
H3916|052|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39280|0|N
H3916|052|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39350|0|N
H3916|052|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39360|0|N
H3916|052|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39410|0|N
H3916|052|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39460|0|N
H3916|052|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39540|0|N
H3916|052|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39610|0|N
H3916|052|002|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39800|0|N
H3916|052|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39110|0|N
H3916|052|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39130|0|N
H3916|052|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39250|0|N
H3916|052|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39420|0|N
H3916|052|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39480|0|N
H3916|052|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39580|0|N
H3916|052|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39600|0|N
H3916|052|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39630|0|N
H3916|052|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39670|0|N
H3916|052|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39700|0|N
H3916|052|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39720|0|N
H3916|052|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39760|0|N
H3916|052|003|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39790|0|N
H3916|052|004|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice (PPO)|00025023|0.00|0| | |PA|39440|0|N
H3916|053|000|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue Plus PPO Choice (PPO)|00025023|0.00|0| | |PA|39240|0|N
H3916|053|000|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue Plus PPO Choice (PPO)|00025023|0.00|0| | |PA|39510|0|N
H3916|053|000|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue Plus PPO Choice (PPO)|00025023|0.00|0| | |PA|39690|0|N
H3916|053|000|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue Plus PPO Choice (PPO)|00025023|0.00|0| | |PA|39710|0|N
H3916|054|000|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39140|0|N
H3916|054|000|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39210|0|N
H3916|054|000|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39560|0|N
H3916|054|000|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Choice Deluxe (PPO)|00025023|4.30|0| | |PA|39620|0|N
H3916|055|000|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Premier (PPO)|00025023|0.00|0| | |PA|39140|0|N
H3916|055|000|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Premier (PPO)|00025023|0.00|0| | |PA|39210|0|N
H3916|055|000|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Premier (PPO)|00025023|0.00|0| | |PA|39560|0|N
H3916|055|000|HIGHMARK SENIOR HEALTH COMPANY|Complete Blue PPO Premier (PPO)|00025023|0.00|0| | |PA|39620|0|N
H3923|013|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Classic (PPO)|00025470|32.50|0| | |PA|39000|0|N
H3923|013|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Classic (PPO)|00025470|32.50|0| | |PA|39110|0|N
H3923|013|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Classic (PPO)|00025470|32.50|0| | |PA|39200|0|N
H3923|013|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Classic (PPO)|00025470|32.50|0| | |PA|39250|0|N
H3923|013|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Classic (PPO)|00025470|32.50|0| | |PA|39270|0|N
H3923|013|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Classic (PPO)|00025470|32.50|0| | |PA|39280|0|N
H3923|013|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Classic (PPO)|00025470|32.50|0| | |PA|39350|0|N
H3923|013|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Classic (PPO)|00025470|32.50|0| | |PA|39360|0|N
H3923|013|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Classic (PPO)|00025470|32.50|0| | |PA|39410|0|N
H3923|013|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Classic (PPO)|00025470|32.50|0| | |PA|39440|0|N
H3923|013|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Classic (PPO)|00025470|32.50|0| | |PA|39460|0|N
H3923|013|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Classic (PPO)|00025470|32.50|0| | |PA|39470|0|N
H3923|013|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Classic (PPO)|00025470|32.50|0| | |PA|39540|0|N
H3923|013|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Classic (PPO)|00025470|32.50|0| | |PA|39580|0|N
H3923|013|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Classic (PPO)|00025470|32.50|0| | |PA|39590|0|N
H3923|013|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Classic (PPO)|00025470|32.50|0| | |PA|39600|0|N
H3923|013|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Classic (PPO)|00025470|32.50|0| | |PA|39610|0|N
H3923|013|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Classic (PPO)|00025470|32.50|0| | |PA|39650|0|N
H3923|013|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Classic (PPO)|00025470|32.50|0| | |PA|39670|0|N
H3923|013|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Classic (PPO)|00025470|32.50|0| | |PA|39720|0|N
H3923|013|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Classic (PPO)|00025470|32.50|0| | |PA|39800|0|N
H3923|017|000|CAPITAL ADVANTAGE INSURANCE COMPANY|BlueJourney Prime (PPO)|00025470|61.30|0| | |PA|39000|0|N
H3923|017|000|CAPITAL ADVANTAGE INSURANCE COMPANY|BlueJourney Prime (PPO)|00025470|61.30|0| | |PA|39110|0|N
H3923|017|000|CAPITAL ADVANTAGE INSURANCE COMPANY|BlueJourney Prime (PPO)|00025470|61.30|0| | |PA|39200|0|N
H3923|017|000|CAPITAL ADVANTAGE INSURANCE COMPANY|BlueJourney Prime (PPO)|00025470|61.30|0| | |PA|39250|0|N
H3923|017|000|CAPITAL ADVANTAGE INSURANCE COMPANY|BlueJourney Prime (PPO)|00025470|61.30|0| | |PA|39270|0|N
H3923|017|000|CAPITAL ADVANTAGE INSURANCE COMPANY|BlueJourney Prime (PPO)|00025470|61.30|0| | |PA|39280|0|N
H3923|017|000|CAPITAL ADVANTAGE INSURANCE COMPANY|BlueJourney Prime (PPO)|00025470|61.30|0| | |PA|39350|0|N
H3923|017|000|CAPITAL ADVANTAGE INSURANCE COMPANY|BlueJourney Prime (PPO)|00025470|61.30|0| | |PA|39360|0|N
H3923|017|000|CAPITAL ADVANTAGE INSURANCE COMPANY|BlueJourney Prime (PPO)|00025470|61.30|0| | |PA|39410|0|N
H3923|017|000|CAPITAL ADVANTAGE INSURANCE COMPANY|BlueJourney Prime (PPO)|00025470|61.30|0| | |PA|39440|0|N
H3923|017|000|CAPITAL ADVANTAGE INSURANCE COMPANY|BlueJourney Prime (PPO)|00025470|61.30|0| | |PA|39460|0|N
H3923|017|000|CAPITAL ADVANTAGE INSURANCE COMPANY|BlueJourney Prime (PPO)|00025470|61.30|0| | |PA|39470|0|N
H3923|017|000|CAPITAL ADVANTAGE INSURANCE COMPANY|BlueJourney Prime (PPO)|00025470|61.30|0| | |PA|39540|0|N
H3923|017|000|CAPITAL ADVANTAGE INSURANCE COMPANY|BlueJourney Prime (PPO)|00025470|61.30|0| | |PA|39580|0|N
H3923|017|000|CAPITAL ADVANTAGE INSURANCE COMPANY|BlueJourney Prime (PPO)|00025470|61.30|0| | |PA|39590|0|N
H3923|017|000|CAPITAL ADVANTAGE INSURANCE COMPANY|BlueJourney Prime (PPO)|00025470|61.30|0| | |PA|39600|0|N
H3923|017|000|CAPITAL ADVANTAGE INSURANCE COMPANY|BlueJourney Prime (PPO)|00025470|61.30|0| | |PA|39610|0|N
H3923|017|000|CAPITAL ADVANTAGE INSURANCE COMPANY|BlueJourney Prime (PPO)|00025470|61.30|0| | |PA|39650|0|N
H3923|017|000|CAPITAL ADVANTAGE INSURANCE COMPANY|BlueJourney Prime (PPO)|00025470|61.30|0| | |PA|39670|0|N
H3923|017|000|CAPITAL ADVANTAGE INSURANCE COMPANY|BlueJourney Prime (PPO)|00025470|61.30|0| | |PA|39720|0|N
H3923|017|000|CAPITAL ADVANTAGE INSURANCE COMPANY|BlueJourney Prime (PPO)|00025470|61.30|0| | |PA|39800|0|N
H3923|028|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Select (PPO)|00025140|0.00|200| | |PA|39000|0|N
H3923|028|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Select (PPO)|00025140|0.00|200| | |PA|39110|0|N
H3923|028|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Select (PPO)|00025140|0.00|200| | |PA|39200|0|N
H3923|028|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Select (PPO)|00025140|0.00|200| | |PA|39250|0|N
H3923|028|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Select (PPO)|00025140|0.00|200| | |PA|39270|0|N
H3923|028|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Select (PPO)|00025140|0.00|200| | |PA|39280|0|N
H3923|028|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Select (PPO)|00025140|0.00|200| | |PA|39350|0|N
H3923|028|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Select (PPO)|00025140|0.00|200| | |PA|39360|0|N
H3923|028|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Select (PPO)|00025140|0.00|200| | |PA|39410|0|N
H3923|028|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Select (PPO)|00025140|0.00|200| | |PA|39440|0|N
H3923|028|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Select (PPO)|00025140|0.00|200| | |PA|39460|0|N
H3923|028|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Select (PPO)|00025140|0.00|200| | |PA|39470|0|N
H3923|028|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Select (PPO)|00025140|0.00|200| | |PA|39540|0|N
H3923|028|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Select (PPO)|00025140|0.00|200| | |PA|39580|0|N
H3923|028|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Select (PPO)|00025140|0.00|200| | |PA|39590|0|N
H3923|028|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Select (PPO)|00025140|0.00|200| | |PA|39600|0|N
H3923|028|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Select (PPO)|00025140|0.00|200| | |PA|39610|0|N
H3923|028|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Select (PPO)|00025140|0.00|200| | |PA|39650|0|N
H3923|028|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Select (PPO)|00025140|0.00|200| | |PA|39670|0|N
H3923|028|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Select (PPO)|00025140|0.00|200| | |PA|39720|0|N
H3923|028|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Select (PPO)|00025140|0.00|200| | |PA|39800|0|N
H3923|029|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross   WellSpan Health Advantage (PPO)|00025140|0.00|200| | |PA|39000|0|N
H3923|029|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross   WellSpan Health Advantage (PPO)|00025140|0.00|200| | |PA|39270|0|N
H3923|029|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross   WellSpan Health Advantage (PPO)|00025140|0.00|200| | |PA|39350|0|N
H3923|029|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross   WellSpan Health Advantage (PPO)|00025140|0.00|200| | |PA|39360|0|N
H3923|029|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross   WellSpan Health Advantage (PPO)|00025140|0.00|200| | |PA|39440|0|N
H3923|029|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross   WellSpan Health Advantage (PPO)|00025140|0.00|200| | |PA|39460|0|N
H3923|029|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross   WellSpan Health Advantage (PPO)|00025140|0.00|200| | |PA|39800|0|N
H3923|030|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross   WellSpan Health AdvantagePlus (PPO)|00025140|14.30|150| | |PA|39000|0|N
H3923|030|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross   WellSpan Health AdvantagePlus (PPO)|00025140|14.30|150| | |PA|39270|0|N
H3923|030|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross   WellSpan Health AdvantagePlus (PPO)|00025140|14.30|150| | |PA|39350|0|N
H3923|030|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross   WellSpan Health AdvantagePlus (PPO)|00025140|14.30|150| | |PA|39360|0|N
H3923|030|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross   WellSpan Health AdvantagePlus (PPO)|00025140|14.30|150| | |PA|39440|0|N
H3923|030|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross   WellSpan Health AdvantagePlus (PPO)|00025140|14.30|150| | |PA|39460|0|N
H3923|030|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross   WellSpan Health AdvantagePlus (PPO)|00025140|14.30|150| | |PA|39800|0|N
H3923|031|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross   WellSpan Health Value (PPO)|00025140|0.00|200| | |PA|39000|0|N
H3923|031|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross   WellSpan Health Value (PPO)|00025140|0.00|200| | |PA|39270|0|N
H3923|031|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross   WellSpan Health Value (PPO)|00025140|0.00|200| | |PA|39350|0|N
H3923|031|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross   WellSpan Health Value (PPO)|00025140|0.00|200| | |PA|39360|0|N
H3923|031|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross   WellSpan Health Value (PPO)|00025140|0.00|200| | |PA|39440|0|N
H3923|031|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross   WellSpan Health Value (PPO)|00025140|0.00|200| | |PA|39460|0|N
H3923|031|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross   WellSpan Health Value (PPO)|00025140|0.00|200| | |PA|39800|0|N
H3923|032|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Value (PPO)|00025140|0.00|200| | |PA|39110|0|N
H3923|032|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Value (PPO)|00025140|0.00|200| | |PA|39470|0|N
H3923|032|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Value (PPO)|00025140|0.00|200| | |PA|39590|0|N
H3923|032|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Value (PPO)|00025140|0.00|200| | |PA|39650|0|N
H3923|033|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Value (PPO)|00025140|0.00|200| | |PA|39200|0|N
H3923|033|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Value (PPO)|00025140|0.00|200| | |PA|39250|0|N
H3923|033|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Value (PPO)|00025140|0.00|200| | |PA|39280|0|N
H3923|033|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Value (PPO)|00025140|0.00|200| | |PA|39410|0|N
H3923|033|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Value (PPO)|00025140|0.00|200| | |PA|39540|0|N
H3923|033|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Value (PPO)|00025140|0.00|200| | |PA|39580|0|N
H3923|033|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Value (PPO)|00025140|0.00|200| | |PA|39600|0|N
H3923|033|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Value (PPO)|00025140|0.00|200| | |PA|39610|0|N
H3923|033|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Value (PPO)|00025140|0.00|200| | |PA|39670|0|N
H3923|033|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Value (PPO)|00025140|0.00|200| | |PA|39720|0|N
H3923|034|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Enhanced (PPO)|00025140|27.00|150| | |PA|39110|0|N
H3923|034|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Enhanced (PPO)|00025140|27.00|150| | |PA|39470|0|N
H3923|034|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Enhanced (PPO)|00025140|27.00|150| | |PA|39590|0|N
H3923|034|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Enhanced (PPO)|00025140|27.00|150| | |PA|39650|0|N
H3923|035|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Enhanced (PPO)|00025140|15.70|150| | |PA|39200|0|N
H3923|035|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Enhanced (PPO)|00025140|15.70|150| | |PA|39250|0|N
H3923|035|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Enhanced (PPO)|00025140|15.70|150| | |PA|39280|0|N
H3923|035|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Enhanced (PPO)|00025140|15.70|150| | |PA|39410|0|N
H3923|035|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Enhanced (PPO)|00025140|15.70|150| | |PA|39540|0|N
H3923|035|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Enhanced (PPO)|00025140|15.70|150| | |PA|39580|0|N
H3923|035|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Enhanced (PPO)|00025140|15.70|150| | |PA|39600|0|N
H3923|035|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Enhanced (PPO)|00025140|15.70|150| | |PA|39610|0|N
H3923|035|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Enhanced (PPO)|00025140|15.70|150| | |PA|39670|0|N
H3923|035|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Enhanced (PPO)|00025140|15.70|150| | |PA|39720|0|N
H3923|038|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Complete (PPO)|00025140|28.30|0| | |PA|39110|0|N
H3923|038|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Complete (PPO)|00025140|28.30|0| | |PA|39470|0|N
H3923|038|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Complete (PPO)|00025140|28.30|0| | |PA|39590|0|N
H3923|038|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Complete (PPO)|00025140|28.30|0| | |PA|39650|0|N
H3923|039|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Complete (PPO)|00025140|27.90|0| | |PA|39200|0|N
H3923|039|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Complete (PPO)|00025140|27.90|0| | |PA|39250|0|N
H3923|039|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Complete (PPO)|00025140|27.90|0| | |PA|39280|0|N
H3923|039|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Complete (PPO)|00025140|27.90|0| | |PA|39410|0|N
H3923|039|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Complete (PPO)|00025140|27.90|0| | |PA|39540|0|N
H3923|039|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Complete (PPO)|00025140|27.90|0| | |PA|39580|0|N
H3923|039|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Complete (PPO)|00025140|27.90|0| | |PA|39600|0|N
H3923|039|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Complete (PPO)|00025140|27.90|0| | |PA|39610|0|N
H3923|039|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Complete (PPO)|00025140|27.90|0| | |PA|39670|0|N
H3923|039|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross Complete (PPO)|00025140|27.90|0| | |PA|39720|0|N
H3923|040|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross   WellSpan Health Complete (PPO)|00025140|14.60|0| | |PA|39000|0|N
H3923|040|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross   WellSpan Health Complete (PPO)|00025140|14.60|0| | |PA|39270|0|N
H3923|040|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross   WellSpan Health Complete (PPO)|00025140|14.60|0| | |PA|39350|0|N
H3923|040|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross   WellSpan Health Complete (PPO)|00025140|14.60|0| | |PA|39360|0|N
H3923|040|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross   WellSpan Health Complete (PPO)|00025140|14.60|0| | |PA|39440|0|N
H3923|040|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross   WellSpan Health Complete (PPO)|00025140|14.60|0| | |PA|39460|0|N
H3923|040|000|CAPITAL ADVANTAGE INSURANCE COMPANY|Capital Blue Cross   WellSpan Health Complete (PPO)|00025140|14.60|0| | |PA|39800|0|N
H3924|059|021|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Advantage Rx (PPO)|00025479|67.40|0| | |PA|39120|0|N
H3924|059|021|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Advantage Rx (PPO)|00025479|67.40|0| | |PA|39130|0|N
H3924|059|021|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Advantage Rx (PPO)|00025479|67.40|0| | |PA|39160|0|N
H3924|059|021|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Advantage Rx (PPO)|00025479|67.40|0| | |PA|39180|0|N
H3924|059|021|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Advantage Rx (PPO)|00025479|67.40|0| | |PA|39200|0|N
H3924|059|021|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Advantage Rx (PPO)|00025479|67.40|0| | |PA|39230|0|N
H3924|059|021|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Advantage Rx (PPO)|00025479|67.40|0| | |PA|39240|0|N
H3924|059|021|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Advantage Rx (PPO)|00025479|67.40|0| | |PA|39250|0|N
H3924|059|021|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Advantage Rx (PPO)|00025479|67.40|0| | |PA|39360|0|N
H3924|059|021|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Advantage Rx (PPO)|00025479|67.40|0| | |PA|39380|0|N
H3924|059|021|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Advantage Rx (PPO)|00025479|67.40|0| | |PA|39400|0|N
H3924|059|021|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Advantage Rx (PPO)|00025479|67.40|0| | |PA|39410|0|N
H3924|059|021|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Advantage Rx (PPO)|00025479|67.40|0| | |PA|39420|0|N
H3924|059|021|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Advantage Rx (PPO)|00025479|67.40|0| | |PA|39480|0|N
H3924|059|021|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Advantage Rx (PPO)|00025479|67.40|0| | |PA|39510|0|N
H3924|059|021|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Advantage Rx (PPO)|00025479|67.40|0| | |PA|39540|0|N
H3924|059|021|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Advantage Rx (PPO)|00025479|67.40|0| | |PA|39580|0|N
H3924|059|021|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Advantage Rx (PPO)|00025479|67.40|0| | |PA|39600|0|N
H3924|059|021|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Advantage Rx (PPO)|00025479|67.40|0| | |PA|39630|0|N
H3924|059|021|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Advantage Rx (PPO)|00025479|67.40|0| | |PA|39640|0|N
H3924|059|021|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Advantage Rx (PPO)|00025479|67.40|0| | |PA|39650|0|N
H3924|059|021|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Advantage Rx (PPO)|00025479|67.40|0| | |PA|39670|0|N
H3924|059|021|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Advantage Rx (PPO)|00025479|67.40|0| | |PA|39680|0|N
H3924|059|021|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Advantage Rx (PPO)|00025479|67.40|0| | |PA|39690|0|N
H3924|059|021|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Advantage Rx (PPO)|00025479|67.40|0| | |PA|39700|0|N
H3924|059|021|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Advantage Rx (PPO)|00025479|67.40|0| | |PA|39710|0|N
H3924|059|021|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Advantage Rx (PPO)|00025479|67.40|0| | |PA|39720|0|N
H3924|059|021|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Advantage Rx (PPO)|00025479|67.40|0| | |PA|39760|0|N
H3924|059|021|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Advantage Rx (PPO)|00025479|67.40|0| | |PA|39790|0|N
H3924|059|022|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Advantage Rx (PPO)|00025479|67.40|0| | |PA|39000|0|N
H3924|059|022|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Advantage Rx (PPO)|00025479|67.40|0| | |PA|39110|0|N
H3924|059|022|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Advantage Rx (PPO)|00025479|67.40|0| | |PA|39140|0|N
H3924|059|022|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Advantage Rx (PPO)|00025479|67.40|0| | |PA|39190|0|N
H3924|059|022|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Advantage Rx (PPO)|00025479|67.40|0| | |PA|39210|0|N
H3924|059|022|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Advantage Rx (PPO)|00025479|67.40|0| | |PA|39270|0|N
H3924|059|022|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Advantage Rx (PPO)|00025479|67.40|0| | |PA|39280|0|N
H3924|059|022|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Advantage Rx (PPO)|00025479|67.40|0| | |PA|39350|0|N
H3924|059|022|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Advantage Rx (PPO)|00025479|67.40|0| | |PA|39440|0|N
H3924|059|022|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Advantage Rx (PPO)|00025479|67.40|0| | |PA|39460|0|N
H3924|059|022|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Advantage Rx (PPO)|00025479|67.40|0| | |PA|39470|0|N
H3924|059|022|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Advantage Rx (PPO)|00025479|67.40|0| | |PA|39550|0|N
H3924|059|022|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Advantage Rx (PPO)|00025479|67.40|0| | |PA|39590|0|N
H3924|059|022|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Advantage Rx (PPO)|00025479|67.40|0| | |PA|39610|0|N
H3924|059|022|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Advantage Rx (PPO)|00025479|67.40|0| | |PA|39800|0|N
H3924|062|021|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Enhanced Rx (PPO)|00025479|35.00|0| | |PA|39190|0|N
H3924|062|021|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Enhanced Rx (PPO)|00025479|35.00|0| | |PA|39230|0|N
H3924|062|021|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Enhanced Rx (PPO)|00025479|35.00|0| | |PA|39380|0|N
H3924|062|021|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Enhanced Rx (PPO)|00025479|35.00|0| | |PA|39550|0|N
H3924|062|021|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Enhanced Rx (PPO)|00025479|35.00|0| | |PA|39610|0|N
H3924|062|021|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Enhanced Rx (PPO)|00025479|35.00|0| | |PA|39630|0|N
H3924|062|021|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Enhanced Rx (PPO)|00025479|35.00|0| | |PA|39690|0|N
H3924|062|021|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Enhanced Rx (PPO)|00025479|35.00|0| | |PA|39700|0|N
H3924|062|021|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Enhanced Rx (PPO)|00025479|35.00|0| | |PA|39760|0|N
H3924|062|022|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Enhanced Rx (PPO)|00025479|41.00|0| | |PA|39000|0|N
H3924|062|022|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Enhanced Rx (PPO)|00025479|41.00|0| | |PA|39110|0|N
H3924|062|022|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Enhanced Rx (PPO)|00025479|41.00|0| | |PA|39140|0|N
H3924|062|022|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Enhanced Rx (PPO)|00025479|41.00|0| | |PA|39180|0|N
H3924|062|022|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Enhanced Rx (PPO)|00025479|41.00|0| | |PA|39210|0|N
H3924|062|022|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Enhanced Rx (PPO)|00025479|41.00|0| | |PA|39350|0|N
H3924|062|022|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Enhanced Rx (PPO)|00025479|41.00|0| | |PA|39360|0|N
H3924|062|022|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Enhanced Rx (PPO)|00025479|41.00|0| | |PA|39400|0|N
H3924|062|022|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Enhanced Rx (PPO)|00025479|41.00|0| | |PA|39440|0|N
H3924|062|022|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Enhanced Rx (PPO)|00025479|41.00|0| | |PA|39460|0|N
H3924|062|022|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Enhanced Rx (PPO)|00025479|41.00|0| | |PA|39470|0|N
H3924|062|022|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Enhanced Rx (PPO)|00025479|41.00|0| | |PA|39590|0|N
H3924|062|022|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Enhanced Rx (PPO)|00025479|41.00|0| | |PA|39640|0|N
H3924|062|022|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Enhanced Rx (PPO)|00025479|41.00|0| | |PA|39680|0|N
H3924|062|022|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Enhanced Rx (PPO)|00025479|41.00|0| | |PA|39710|0|N
H3924|062|022|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Enhanced Rx (PPO)|00025479|41.00|0| | |PA|39800|0|N
H3924|062|023|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Enhanced Rx (PPO)|00025479|0.00|0| | |PA|39120|0|N
H3924|062|023|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Enhanced Rx (PPO)|00025479|0.00|0| | |PA|39160|0|N
H3924|062|023|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Enhanced Rx (PPO)|00025479|0.00|0| | |PA|39200|0|N
H3924|062|023|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Enhanced Rx (PPO)|00025479|0.00|0| | |PA|39240|0|N
H3924|062|023|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Enhanced Rx (PPO)|00025479|0.00|0| | |PA|39270|0|N
H3924|062|023|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Enhanced Rx (PPO)|00025479|0.00|0| | |PA|39280|0|N
H3924|062|023|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Enhanced Rx (PPO)|00025479|0.00|0| | |PA|39410|0|N
H3924|062|023|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Enhanced Rx (PPO)|00025479|0.00|0| | |PA|39420|0|N
H3924|062|023|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Enhanced Rx (PPO)|00025479|0.00|0| | |PA|39480|0|N
H3924|062|023|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Enhanced Rx (PPO)|00025479|0.00|0| | |PA|39510|0|N
H3924|062|023|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Enhanced Rx (PPO)|00025479|0.00|0| | |PA|39540|0|N
H3924|062|023|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Enhanced Rx (PPO)|00025479|0.00|0| | |PA|39650|0|N
H3924|062|023|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Enhanced Rx (PPO)|00025479|0.00|0| | |PA|39790|0|N
H3924|062|024|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Enhanced Rx (PPO)|00025479|41.00|0| | |PA|39250|0|N
H3924|062|024|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Enhanced Rx (PPO)|00025479|41.00|0| | |PA|39580|0|N
H3924|062|024|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Enhanced Rx (PPO)|00025479|41.00|0| | |PA|39600|0|N
H3924|062|024|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Enhanced Rx (PPO)|00025479|41.00|0| | |PA|39670|0|N
H3924|062|024|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Enhanced Rx (PPO)|00025479|41.00|0| | |PA|39720|0|N
H3924|065|000|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Complete Rx (PPO)|00025479|0.00|0| | |PA|39000|0|N
H3924|065|000|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Complete Rx (PPO)|00025479|0.00|0| | |PA|39110|0|N
H3924|065|000|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Complete Rx (PPO)|00025479|0.00|0| | |PA|39120|0|N
H3924|065|000|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Complete Rx (PPO)|00025479|0.00|0| | |PA|39130|0|N
H3924|065|000|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Complete Rx (PPO)|00025479|0.00|0| | |PA|39140|0|N
H3924|065|000|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Complete Rx (PPO)|00025479|0.00|0| | |PA|39160|0|N
H3924|065|000|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Complete Rx (PPO)|00025479|0.00|0| | |PA|39180|0|N
H3924|065|000|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Complete Rx (PPO)|00025479|0.00|0| | |PA|39190|0|N
H3924|065|000|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Complete Rx (PPO)|00025479|0.00|0| | |PA|39200|0|N
H3924|065|000|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Complete Rx (PPO)|00025479|0.00|0| | |PA|39210|0|N
H3924|065|000|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Complete Rx (PPO)|00025479|0.00|0| | |PA|39230|0|N
H3924|065|000|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Complete Rx (PPO)|00025479|0.00|0| | |PA|39240|0|N
H3924|065|000|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Complete Rx (PPO)|00025479|0.00|0| | |PA|39250|0|N
H3924|065|000|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Complete Rx (PPO)|00025479|0.00|0| | |PA|39270|0|N
H3924|065|000|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Complete Rx (PPO)|00025479|0.00|0| | |PA|39280|0|N
H3924|065|000|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Complete Rx (PPO)|00025479|0.00|0| | |PA|39350|0|N
H3924|065|000|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Complete Rx (PPO)|00025479|0.00|0| | |PA|39360|0|N
H3924|065|000|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Complete Rx (PPO)|00025479|0.00|0| | |PA|39380|0|N
H3924|065|000|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Complete Rx (PPO)|00025479|0.00|0| | |PA|39400|0|N
H3924|065|000|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Complete Rx (PPO)|00025479|0.00|0| | |PA|39410|0|N
H3924|065|000|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Complete Rx (PPO)|00025479|0.00|0| | |PA|39420|0|N
H3924|065|000|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Complete Rx (PPO)|00025479|0.00|0| | |PA|39440|0|N
H3924|065|000|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Complete Rx (PPO)|00025479|0.00|0| | |PA|39460|0|N
H3924|065|000|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Complete Rx (PPO)|00025479|0.00|0| | |PA|39470|0|N
H3924|065|000|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Complete Rx (PPO)|00025479|0.00|0| | |PA|39480|0|N
H3924|065|000|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Complete Rx (PPO)|00025479|0.00|0| | |PA|39510|0|N
H3924|065|000|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Complete Rx (PPO)|00025479|0.00|0| | |PA|39540|0|N
H3924|065|000|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Complete Rx (PPO)|00025479|0.00|0| | |PA|39550|0|N
H3924|065|000|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Complete Rx (PPO)|00025479|0.00|0| | |PA|39580|0|N
H3924|065|000|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Complete Rx (PPO)|00025479|0.00|0| | |PA|39590|0|N
H3924|065|000|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Complete Rx (PPO)|00025479|0.00|0| | |PA|39600|0|N
H3924|065|000|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Complete Rx (PPO)|00025479|0.00|0| | |PA|39610|0|N
H3924|065|000|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Complete Rx (PPO)|00025479|0.00|0| | |PA|39630|0|N
H3924|065|000|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Complete Rx (PPO)|00025479|0.00|0| | |PA|39640|0|N
H3924|065|000|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Complete Rx (PPO)|00025479|0.00|0| | |PA|39650|0|N
H3924|065|000|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Complete Rx (PPO)|00025479|0.00|0| | |PA|39670|0|N
H3924|065|000|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Complete Rx (PPO)|00025479|0.00|0| | |PA|39680|0|N
H3924|065|000|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Complete Rx (PPO)|00025479|0.00|0| | |PA|39690|0|N
H3924|065|000|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Complete Rx (PPO)|00025479|0.00|0| | |PA|39700|0|N
H3924|065|000|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Complete Rx (PPO)|00025479|0.00|0| | |PA|39710|0|N
H3924|065|000|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Complete Rx (PPO)|00025479|0.00|0| | |PA|39720|0|N
H3924|065|000|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Complete Rx (PPO)|00025479|0.00|0| | |PA|39760|0|N
H3924|065|000|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Complete Rx (PPO)|00025479|0.00|0| | |PA|39790|0|N
H3924|065|000|GEISINGER INDEMNITY INSURANCE COMPANY|Geisinger Gold Preferred Complete Rx (PPO)|00025479|0.00|0| | |PA|39800|0|N
H3928|001|000|AETNA HEALTH INC. (LA)|Aetna Medicare Advantra (HMO)|00025101|0.00|590| | |LA|19020|0|N
H3928|001|000|AETNA HEALTH INC. (LA)|Aetna Medicare Advantra (HMO)|00025101|0.00|590| | |LA|19070|0|N
H3928|001|000|AETNA HEALTH INC. (LA)|Aetna Medicare Advantra (HMO)|00025101|0.00|590| | |LA|19080|0|N
H3928|001|000|AETNA HEALTH INC. (LA)|Aetna Medicare Advantra (HMO)|00025101|0.00|590| | |LA|19160|0|N
H3928|001|000|AETNA HEALTH INC. (LA)|Aetna Medicare Advantra (HMO)|00025101|0.00|590| | |LA|19230|0|N
H3928|001|000|AETNA HEALTH INC. (LA)|Aetna Medicare Advantra (HMO)|00025101|0.00|590| | |LA|19250|0|N
H3928|001|000|AETNA HEALTH INC. (LA)|Aetna Medicare Advantra (HMO)|00025101|0.00|590| | |LA|19280|0|N
H3928|001|000|AETNA HEALTH INC. (LA)|Aetna Medicare Advantra (HMO)|00025101|0.00|590| | |LA|19350|0|N
H3928|001|000|AETNA HEALTH INC. (LA)|Aetna Medicare Advantra (HMO)|00025101|0.00|590| | |LA|19510|0|N
H3931|004|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier Plus (HMO-POS)|00025101|72.10|590| | |PA|39140|0|N
H3931|004|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier Plus (HMO-POS)|00025101|72.10|590| | |PA|39210|0|N
H3931|004|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier Plus (HMO-POS)|00025101|72.10|590| | |PA|39290|0|N
H3931|004|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier Plus (HMO-POS)|00025101|72.10|590| | |PA|39560|0|N
H3931|004|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier Plus (HMO-POS)|00025101|72.10|590| | |PA|39620|0|N
H3931|064|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|61.00|590| | |PA|39140|0|N
H3931|064|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|61.00|590| | |PA|39210|0|N
H3931|064|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|61.00|590| | |PA|39290|0|N
H3931|064|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|61.00|590| | |PA|39560|0|N
H3931|064|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|61.00|590| | |PA|39620|0|N
H3931|091|000|AETNA HEALTH INC. (PA)|Aetna Medicare PinnacleHealth Prime (HMO-POS)|00025101|0.00|590| | |PA|39270|0|N
H3931|091|000|AETNA HEALTH INC. (PA)|Aetna Medicare PinnacleHealth Prime (HMO-POS)|00025101|0.00|590| | |PA|39280|0|N
H3931|091|000|AETNA HEALTH INC. (PA)|Aetna Medicare PinnacleHealth Prime (HMO-POS)|00025101|0.00|590| | |PA|39410|0|N
H3931|091|000|AETNA HEALTH INC. (PA)|Aetna Medicare PinnacleHealth Prime (HMO-POS)|00025101|0.00|590| | |PA|39610|0|N
H3931|091|000|AETNA HEALTH INC. (PA)|Aetna Medicare PinnacleHealth Prime (HMO-POS)|00025101|0.00|590| | |PA|39800|0|N
H3931|092|000|AETNA HEALTH INC. (PA)|Aetna Medicare Prime (HMO-POS)|00025101|0.00|590| | |AZ|03060|0|N
H3931|094|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|590| | |NV|29010|0|N
H3931|094|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|590| | |NV|29110|0|N
H3931|095|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|21.80|0| | |DC|09000|0|N
H3931|097|000|AETNA HEALTH INC. (PA)|Aetna Medicare Connect Plus (HMO-POS)|00025101|45.40|250| | |MD|21010|0|N
H3931|097|000|AETNA HEALTH INC. (PA)|Aetna Medicare Connect Plus (HMO-POS)|00025101|45.40|250| | |MD|21020|0|N
H3931|097|000|AETNA HEALTH INC. (PA)|Aetna Medicare Connect Plus (HMO-POS)|00025101|45.40|250| | |MD|21030|0|N
H3931|097|000|AETNA HEALTH INC. (PA)|Aetna Medicare Connect Plus (HMO-POS)|00025101|45.40|250| | |MD|21060|0|N
H3931|097|000|AETNA HEALTH INC. (PA)|Aetna Medicare Connect Plus (HMO-POS)|00025101|45.40|250| | |MD|21100|0|N
H3931|097|000|AETNA HEALTH INC. (PA)|Aetna Medicare Connect Plus (HMO-POS)|00025101|45.40|250| | |MD|21120|0|N
H3931|097|000|AETNA HEALTH INC. (PA)|Aetna Medicare Connect Plus (HMO-POS)|00025101|45.40|250| | |MD|21130|0|N
H3931|097|000|AETNA HEALTH INC. (PA)|Aetna Medicare Connect Plus (HMO-POS)|00025101|45.40|250| | |MD|21150|0|N
H3931|099|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49120|0|N
H3931|099|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49190|0|N
H3931|099|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49241|0|N
H3931|099|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49410|0|N
H3931|099|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49440|0|N
H3931|099|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49550|0|N
H3931|099|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49561|0|N
H3931|099|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49580|0|N
H3931|099|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49700|0|N
H3931|099|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49710|0|N
H3931|100|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49000|0|N
H3931|100|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49194|0|N
H3931|100|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49280|0|N
H3931|100|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49328|0|N
H3931|100|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49360|0|N
H3931|100|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49411|0|N
H3931|100|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49460|0|N
H3931|100|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49470|0|N
H3931|100|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49480|0|N
H3931|100|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49510|0|N
H3931|100|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49570|0|N
H3931|100|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49590|0|N
H3931|100|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49622|0|N
H3931|100|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49641|0|N
H3931|100|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49650|0|N
H3931|100|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49660|0|N
H3931|100|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49711|0|N
H3931|100|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49712|0|N
H3931|100|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49790|0|N
H3931|100|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49870|0|N
H3931|100|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49892|0|N
H3931|100|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49900|0|N
H3931|100|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49910|0|N
H3931|100|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49921|0|N
H3931|100|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49960|0|N
H3931|100|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49961|0|N
H3931|100|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49981|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49010|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49020|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49030|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49070|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49080|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49100|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49110|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49130|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49140|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49141|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49160|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49170|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49180|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49191|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49200|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49212|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49213|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49220|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49240|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49250|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49260|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49270|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49310|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49320|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49330|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49343|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49350|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49370|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49380|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49390|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49400|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49420|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49430|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49450|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49451|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49490|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49500|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49520|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49522|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49540|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49560|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49600|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49620|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49621|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49661|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49670|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49680|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49701|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49720|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49740|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49770|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49771|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49791|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49800|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49801|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49810|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49830|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49838|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49840|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49850|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49860|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49891|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49920|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49950|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49951|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49970|0|N
H3931|101|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|0| | |VA|49980|0|N
H3931|102|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO)|00025101|26.40|590| | |DE|08000|0|N
H3931|102|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO)|00025101|26.40|590| | |DE|08010|0|N
H3931|102|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO)|00025101|26.40|590| | |DE|08020|0|N
H3931|107|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|0| | |OH|36170|0|N
H3931|107|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|0| | |OH|36480|0|N
H3931|107|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|0| | |OH|36680|0|N
H3931|107|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|0| | |OH|36770|0|N
H3931|107|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|0| | |OH|36780|0|N
H3931|108|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO)|00025101|0.00|0| | |OH|36210|0|N
H3931|108|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO)|00025101|0.00|0| | |OH|36250|0|N
H3931|109|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|0| | |OH|36080|0|N
H3931|109|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|0| | |OH|36310|0|N
H3931|109|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|0| | |OH|36490|0|N
H3931|126|000|AETNA HEALTH INC. (PA)|Aetna Medicare Sound Advantage (HMO-POS)|00025101|0.00|590| | |WA|50160|0|N
H3931|126|000|AETNA HEALTH INC. (PA)|Aetna Medicare Sound Advantage (HMO-POS)|00025101|0.00|590| | |WA|50170|0|N
H3931|126|000|AETNA HEALTH INC. (PA)|Aetna Medicare Sound Advantage (HMO-POS)|00025101|0.00|590| | |WA|50260|0|N
H3931|126|000|AETNA HEALTH INC. (PA)|Aetna Medicare Sound Advantage (HMO-POS)|00025101|0.00|590| | |WA|50300|0|N
H3931|126|000|AETNA HEALTH INC. (PA)|Aetna Medicare Sound Advantage (HMO-POS)|00025101|0.00|590| | |WA|50330|0|N
H3931|129|000|AETNA HEALTH INC. (PA)|Aetna Medicare Platinum (HMO-POS)|00025101|0.00|590| | |AZ|03020|0|N
H3931|129|000|AETNA HEALTH INC. (PA)|Aetna Medicare Platinum (HMO-POS)|00025101|0.00|590| | |AZ|03030|0|N
H3931|129|000|AETNA HEALTH INC. (PA)|Aetna Medicare Platinum (HMO-POS)|00025101|0.00|590| | |AZ|03060|0|N
H3931|129|000|AETNA HEALTH INC. (PA)|Aetna Medicare Platinum (HMO-POS)|00025101|0.00|590| | |AZ|03070|0|N
H3931|129|000|AETNA HEALTH INC. (PA)|Aetna Medicare Platinum (HMO-POS)|00025101|0.00|590| | |AZ|03090|0|N
H3931|129|000|AETNA HEALTH INC. (PA)|Aetna Medicare Platinum (HMO-POS)|00025101|0.00|590| | |AZ|03100|0|N
H3931|129|000|AETNA HEALTH INC. (PA)|Aetna Medicare Platinum (HMO-POS)|00025101|0.00|590| | |AZ|03120|0|N
H3931|143|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|250| | |VA|49011|0|N
H3931|143|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|250| | |VA|49060|0|N
H3931|143|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|250| | |VA|49210|0|N
H3931|143|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|250| | |VA|49288|0|N
H3931|143|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|250| | |VA|49290|0|N
H3931|143|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|250| | |VA|49291|0|N
H3931|143|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|250| | |VA|49300|0|N
H3931|143|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|250| | |VA|49340|0|N
H3931|143|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|250| | |VA|49342|0|N
H3931|143|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|250| | |VA|49530|0|N
H3931|143|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|250| | |VA|49563|0|N
H3931|143|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|250| | |VA|49565|0|N
H3931|143|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|250| | |VA|49690|0|N
H3931|143|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|250| | |VA|49750|0|N
H3931|143|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|250| | |VA|49780|0|N
H3931|143|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|250| | |VA|49880|0|N
H3931|143|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|250| | |VA|49890|0|N
H3931|143|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|250| | |VA|49930|0|N
H3931|143|000|AETNA HEALTH INC. (PA)|Aetna Medicare Select (HMO-POS)|00025101|0.00|250| | |VA|49962|0|N
H3931|146|000|AETNA HEALTH INC. (PA)|Aetna Medicare Sunrise (HMO-POS)|00025101|0.00|590| | |AZ|03090|0|N
H3931|147|000|AETNA HEALTH INC. (PA)|Aetna Medicare Sunrise (HMO-POS)|00025101|0.00|590| | |AZ|03020|0|N
H3931|147|000|AETNA HEALTH INC. (PA)|Aetna Medicare Sunrise (HMO-POS)|00025101|0.00|590| | |AZ|03070|0|N
H3931|147|000|AETNA HEALTH INC. (PA)|Aetna Medicare Sunrise (HMO-POS)|00025101|0.00|590| | |AZ|03120|0|N
H3931|148|000|AETNA HEALTH INC. (PA)|Aetna Medicare Sunrise (HMO-POS)|00025101|0.00|590| | |AZ|03010|0|N
H3931|148|000|AETNA HEALTH INC. (PA)|Aetna Medicare Sunrise (HMO-POS)|00025101|0.00|590| | |AZ|03030|0|N
H3931|148|000|AETNA HEALTH INC. (PA)|Aetna Medicare Sunrise (HMO-POS)|00025101|0.00|590| | |AZ|03110|0|N
H3931|151|000|AETNA HEALTH INC. (PA)|Aetna Medicare Prime Plus (HMO-POS)|00025101|0.00|0| | |NV|29010|0|N
H3931|151|000|AETNA HEALTH INC. (PA)|Aetna Medicare Prime Plus (HMO-POS)|00025101|0.00|0| | |NV|29110|0|N
H3931|152|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |NV|29000|0|N
H3931|152|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |NV|29020|0|N
H3931|152|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |NV|29090|0|N
H3931|152|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |NV|29120|0|N
H3931|152|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |NV|29140|0|N
H3931|152|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |NV|29150|0|N
H3931|153|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier 1 (HMO-POS)|00025101|0.00|590| | |CO|06000|0|N
H3931|153|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier 1 (HMO-POS)|00025101|0.00|590| | |CO|06020|0|N
H3931|153|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier 1 (HMO-POS)|00025101|0.00|590| | |CO|06060|0|N
H3931|153|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier 1 (HMO-POS)|00025101|0.00|590| | |CO|06090|0|N
H3931|153|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier 1 (HMO-POS)|00025101|0.00|590| | |CO|06150|0|N
H3931|153|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier 1 (HMO-POS)|00025101|0.00|590| | |CO|06170|0|N
H3931|153|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier 1 (HMO-POS)|00025101|0.00|590| | |CO|06190|0|N
H3931|153|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier 1 (HMO-POS)|00025101|0.00|590| | |CO|06230|0|N
H3931|153|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier 1 (HMO-POS)|00025101|0.00|590| | |CO|06240|0|N
H3931|153|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier 1 (HMO-POS)|00025101|0.00|590| | |CO|06280|0|N
H3931|153|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier 1 (HMO-POS)|00025101|0.00|590| | |CO|06290|0|N
H3931|153|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier 1 (HMO-POS)|00025101|0.00|590| | |CO|06340|0|N
H3931|153|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier 1 (HMO-POS)|00025101|0.00|590| | |CO|06430|0|N
H3931|153|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier 1 (HMO-POS)|00025101|0.00|590| | |CO|06600|0|N
H3931|153|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier 1 (HMO-POS)|00025101|0.00|590| | |CO|06610|0|N
H3931|153|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier 1 (HMO-POS)|00025101|0.00|590| | |CO|06630|0|N
H3931|154|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier 2 (HMO-POS)|00025101|0.00|590| | |CO|06030|0|N
H3931|154|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier 2 (HMO-POS)|00025101|0.00|590| | |CO|06100|0|N
H3931|154|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier 2 (HMO-POS)|00025101|0.00|590| | |CO|06120|0|N
H3931|154|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier 2 (HMO-POS)|00025101|0.00|590| | |CO|06130|0|N
H3931|154|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier 2 (HMO-POS)|00025101|0.00|590| | |CO|06140|0|N
H3931|154|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier 2 (HMO-POS)|00025101|0.00|590| | |CO|06200|0|N
H3931|154|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier 2 (HMO-POS)|00025101|0.00|590| | |CO|06210|0|N
H3931|154|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier 2 (HMO-POS)|00025101|0.00|590| | |CO|06270|0|N
H3931|154|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier 2 (HMO-POS)|00025101|0.00|590| | |CO|06330|0|N
H3931|154|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier 2 (HMO-POS)|00025101|0.00|590| | |CO|06350|0|N
H3931|154|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier 2 (HMO-POS)|00025101|0.00|590| | |CO|06360|0|N
H3931|154|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier 2 (HMO-POS)|00025101|0.00|590| | |CO|06380|0|N
H3931|154|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier 2 (HMO-POS)|00025101|0.00|590| | |CO|06420|0|N
H3931|154|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier 2 (HMO-POS)|00025101|0.00|590| | |CO|06460|0|N
H3931|154|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier 2 (HMO-POS)|00025101|0.00|590| | |CO|06500|0|N
H3931|154|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier 2 (HMO-POS)|00025101|0.00|590| | |CO|06540|0|N
H3931|154|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier 2 (HMO-POS)|00025101|0.00|590| | |CO|06590|0|N
H3931|157|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|0.00|590| | |NV|29010|0|N
H3931|157|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|0.00|590| | |NV|29110|0|N
H3931|158|000|AETNA HEALTH INC. (PA)|Aetna Medicare Carilion Health Prime (HMO-POS)|00025101|0.00|0| | |VA|49110|0|N
H3931|158|000|AETNA HEALTH INC. (PA)|Aetna Medicare Carilion Health Prime (HMO-POS)|00025101|0.00|0| | |VA|49330|0|N
H3931|158|000|AETNA HEALTH INC. (PA)|Aetna Medicare Carilion Health Prime (HMO-POS)|00025101|0.00|0| | |VA|49350|0|N
H3931|158|000|AETNA HEALTH INC. (PA)|Aetna Medicare Carilion Health Prime (HMO-POS)|00025101|0.00|0| | |VA|49600|0|N
H3931|158|000|AETNA HEALTH INC. (PA)|Aetna Medicare Carilion Health Prime (HMO-POS)|00025101|0.00|0| | |VA|49770|0|N
H3931|158|000|AETNA HEALTH INC. (PA)|Aetna Medicare Carilion Health Prime (HMO-POS)|00025101|0.00|0| | |VA|49771|0|N
H3931|158|000|AETNA HEALTH INC. (PA)|Aetna Medicare Carilion Health Prime (HMO-POS)|00025101|0.00|0| | |VA|49800|0|N
H3931|158|000|AETNA HEALTH INC. (PA)|Aetna Medicare Carilion Health Prime (HMO-POS)|00025101|0.00|0| | |VA|49801|0|N
H3931|158|000|AETNA HEALTH INC. (PA)|Aetna Medicare Carilion Health Prime (HMO-POS)|00025101|0.00|0| | |VA|49838|0|N
H3931|159|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MD|21010|2|N
H3931|159|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MD|21020|2|N
H3931|159|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MD|21030|2|N
H3931|159|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MD|21060|2|N
H3931|159|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MD|21100|2|N
H3931|159|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MD|21120|2|N
H3931|159|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MD|21130|2|N
H3931|159|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |MD|21150|2|N
H3931|160|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|0.20|590| | |NV|29000|0|N
H3931|160|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|0.20|590| | |NV|29020|0|N
H3931|160|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|0.20|590| | |NV|29090|0|N
H3931|160|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|0.20|590| | |NV|29120|0|N
H3931|160|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|0.20|590| | |NV|29140|0|N
H3931|160|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|0.20|590| | |NV|29150|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49010|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49011|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49020|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49030|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49060|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49070|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49080|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49100|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49110|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49120|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49130|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49140|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49141|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49160|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49170|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49180|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49190|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49191|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49200|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49210|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49212|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49213|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49220|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49240|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49241|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49250|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49260|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49270|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49288|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49290|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49291|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49300|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49310|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49320|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49330|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49340|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49342|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49343|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49350|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49370|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49380|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49390|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49400|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49410|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49420|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49430|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49440|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49450|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49451|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49490|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49500|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49520|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49522|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49530|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49540|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49550|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49560|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49561|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49563|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49565|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49580|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49600|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49620|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49621|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49661|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49670|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49680|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49690|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49700|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49701|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49710|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49720|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49740|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49750|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49770|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49771|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49780|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49791|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49800|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49801|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49810|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49830|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49838|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49840|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49850|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49860|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49880|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49890|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49891|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49920|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49930|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49950|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49951|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49962|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49970|0|N
H3931|162|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value (HMO-POS)|00025101|0.00|250| | |VA|49980|0|N
H3931|166|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|5.30|590| | |AZ|03100|0|N
H3931|169|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|4.60|590| | |AZ|03010|0|N
H3931|169|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|4.60|590| | |AZ|03030|0|N
H3931|169|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|4.60|590| | |AZ|03110|0|N
H3931|175|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier 1 (HMO D-SNP)|00025101|0.00|590| | |CO|06000|2|N
H3931|175|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier 1 (HMO D-SNP)|00025101|0.00|590| | |CO|06020|2|N
H3931|175|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier 1 (HMO D-SNP)|00025101|0.00|590| | |CO|06030|2|N
H3931|175|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier 1 (HMO D-SNP)|00025101|0.00|590| | |CO|06060|2|N
H3931|175|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier 1 (HMO D-SNP)|00025101|0.00|590| | |CO|06090|2|N
H3931|175|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier 1 (HMO D-SNP)|00025101|0.00|590| | |CO|06100|2|N
H3931|175|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier 1 (HMO D-SNP)|00025101|0.00|590| | |CO|06120|2|N
H3931|175|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier 1 (HMO D-SNP)|00025101|0.00|590| | |CO|06130|2|N
H3931|175|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier 1 (HMO D-SNP)|00025101|0.00|590| | |CO|06140|2|N
H3931|175|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier 1 (HMO D-SNP)|00025101|0.00|590| | |CO|06150|2|N
H3931|175|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier 1 (HMO D-SNP)|00025101|0.00|590| | |CO|06170|2|N
H3931|175|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier 1 (HMO D-SNP)|00025101|0.00|590| | |CO|06190|2|N
H3931|175|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier 1 (HMO D-SNP)|00025101|0.00|590| | |CO|06200|2|N
H3931|175|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier 1 (HMO D-SNP)|00025101|0.00|590| | |CO|06210|2|N
H3931|175|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier 1 (HMO D-SNP)|00025101|0.00|590| | |CO|06230|2|N
H3931|175|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier 1 (HMO D-SNP)|00025101|0.00|590| | |CO|06240|2|N
H3931|175|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier 1 (HMO D-SNP)|00025101|0.00|590| | |CO|06270|2|N
H3931|175|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier 1 (HMO D-SNP)|00025101|0.00|590| | |CO|06280|2|N
H3931|175|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier 1 (HMO D-SNP)|00025101|0.00|590| | |CO|06290|2|N
H3931|175|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier 1 (HMO D-SNP)|00025101|0.00|590| | |CO|06330|2|N
H3931|175|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier 1 (HMO D-SNP)|00025101|0.00|590| | |CO|06340|2|N
H3931|175|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier 1 (HMO D-SNP)|00025101|0.00|590| | |CO|06350|2|N
H3931|175|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier 1 (HMO D-SNP)|00025101|0.00|590| | |CO|06360|2|N
H3931|175|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier 1 (HMO D-SNP)|00025101|0.00|590| | |CO|06380|2|N
H3931|175|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier 1 (HMO D-SNP)|00025101|0.00|590| | |CO|06420|2|N
H3931|175|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier 1 (HMO D-SNP)|00025101|0.00|590| | |CO|06430|2|N
H3931|175|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier 1 (HMO D-SNP)|00025101|0.00|590| | |CO|06460|2|N
H3931|175|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier 1 (HMO D-SNP)|00025101|0.00|590| | |CO|06500|2|N
H3931|175|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier 1 (HMO D-SNP)|00025101|0.00|590| | |CO|06540|2|N
H3931|175|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier 1 (HMO D-SNP)|00025101|0.00|590| | |CO|06590|2|N
H3931|175|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier 1 (HMO D-SNP)|00025101|0.00|590| | |CO|06600|2|N
H3931|175|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier 1 (HMO D-SNP)|00025101|0.00|590| | |CO|06610|2|N
H3931|175|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier 1 (HMO D-SNP)|00025101|0.00|590| | |CO|06630|2|N
H3931|176|000|AETNA HEALTH INC. (PA)|Aetna Medicare Prime Value Plus (HMO-POS)|00025101|6.50|590| | |AZ|03060|0|N
H3931|177|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|9.90|590| | |AZ|03090|0|N
H3931|178|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|5.80|250| | |AZ|03020|0|N
H3931|178|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|5.80|250| | |AZ|03070|0|N
H3931|178|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|5.80|250| | |AZ|03120|0|N
H3931|179|000|AETNA HEALTH INC. (PA)|Aetna Medicare Supportive Care (HMO I-SNP)|00025101|30.10|590| | |AZ|03060|3|N
H3931|179|000|AETNA HEALTH INC. (PA)|Aetna Medicare Supportive Care (HMO I-SNP)|00025101|30.10|590| | |AZ|03090|3|N
H3931|185|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premium Plus (HMO-POS)|00025100|20.60|590| | |CO|06000|0|N
H3931|185|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premium Plus (HMO-POS)|00025100|20.60|590| | |CO|06020|0|N
H3931|185|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premium Plus (HMO-POS)|00025100|20.60|590| | |CO|06030|0|N
H3931|185|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premium Plus (HMO-POS)|00025100|20.60|590| | |CO|06060|0|N
H3931|185|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premium Plus (HMO-POS)|00025100|20.60|590| | |CO|06090|0|N
H3931|185|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premium Plus (HMO-POS)|00025100|20.60|590| | |CO|06100|0|N
H3931|185|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premium Plus (HMO-POS)|00025100|20.60|590| | |CO|06120|0|N
H3931|185|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premium Plus (HMO-POS)|00025100|20.60|590| | |CO|06130|0|N
H3931|185|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premium Plus (HMO-POS)|00025100|20.60|590| | |CO|06140|0|N
H3931|185|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premium Plus (HMO-POS)|00025100|20.60|590| | |CO|06150|0|N
H3931|185|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premium Plus (HMO-POS)|00025100|20.60|590| | |CO|06170|0|N
H3931|185|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premium Plus (HMO-POS)|00025100|20.60|590| | |CO|06190|0|N
H3931|185|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premium Plus (HMO-POS)|00025100|20.60|590| | |CO|06200|0|N
H3931|185|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premium Plus (HMO-POS)|00025100|20.60|590| | |CO|06210|0|N
H3931|185|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premium Plus (HMO-POS)|00025100|20.60|590| | |CO|06230|0|N
H3931|185|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premium Plus (HMO-POS)|00025100|20.60|590| | |CO|06240|0|N
H3931|185|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premium Plus (HMO-POS)|00025100|20.60|590| | |CO|06270|0|N
H3931|185|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premium Plus (HMO-POS)|00025100|20.60|590| | |CO|06280|0|N
H3931|185|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premium Plus (HMO-POS)|00025100|20.60|590| | |CO|06290|0|N
H3931|185|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premium Plus (HMO-POS)|00025100|20.60|590| | |CO|06330|0|N
H3931|185|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premium Plus (HMO-POS)|00025100|20.60|590| | |CO|06340|0|N
H3931|185|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premium Plus (HMO-POS)|00025100|20.60|590| | |CO|06350|0|N
H3931|185|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premium Plus (HMO-POS)|00025100|20.60|590| | |CO|06360|0|N
H3931|185|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premium Plus (HMO-POS)|00025100|20.60|590| | |CO|06380|0|N
H3931|185|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premium Plus (HMO-POS)|00025100|20.60|590| | |CO|06420|0|N
H3931|185|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premium Plus (HMO-POS)|00025100|20.60|590| | |CO|06430|0|N
H3931|185|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premium Plus (HMO-POS)|00025100|20.60|590| | |CO|06460|0|N
H3931|185|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premium Plus (HMO-POS)|00025100|20.60|590| | |CO|06500|0|N
H3931|185|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premium Plus (HMO-POS)|00025100|20.60|590| | |CO|06540|0|N
H3931|185|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premium Plus (HMO-POS)|00025100|20.60|590| | |CO|06590|0|N
H3931|185|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premium Plus (HMO-POS)|00025100|20.60|590| | |CO|06600|0|N
H3931|185|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premium Plus (HMO-POS)|00025100|20.60|590| | |CO|06610|0|N
H3931|185|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premium Plus (HMO-POS)|00025100|20.60|590| | |CO|06630|0|N
H3949|009|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |PA|39000|2|N
H3949|009|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |PA|39010|2|N
H3949|009|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |PA|39070|2|N
H3949|009|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |PA|39080|2|N
H3949|009|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |PA|39110|2|N
H3949|009|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |PA|39140|2|N
H3949|009|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |PA|39150|2|N
H3949|009|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |PA|39210|2|N
H3949|009|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |PA|39220|2|N
H3949|009|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |PA|39260|2|N
H3949|009|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |PA|39270|2|N
H3949|009|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |PA|39280|2|N
H3949|009|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |PA|39290|2|N
H3949|009|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |PA|39350|2|N
H3949|009|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |PA|39440|2|N
H3949|009|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |PA|39450|2|N
H3949|009|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |PA|39460|2|N
H3949|009|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |PA|39470|2|N
H3949|009|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |PA|39530|2|N
H3949|009|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |PA|39560|2|N
H3949|009|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |PA|39590|2|N
H3949|009|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |PA|39620|2|N
H3949|009|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |PA|39730|2|N
H3949|009|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |PA|39750|2|N
H3949|009|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |PA|39770|2|N
H3949|009|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |PA|39800|2|N
H3949|024|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Achieve Medicare (HMO C-SNP)|00025273|0.00|0| | |PA|39140|1|N
H3949|024|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Achieve Medicare (HMO C-SNP)|00025273|0.00|0| | |PA|39210|1|N
H3949|024|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Achieve Medicare (HMO C-SNP)|00025273|0.00|0| | |PA|39290|1|N
H3949|024|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Achieve Medicare (HMO C-SNP)|00025273|0.00|0| | |PA|39560|1|N
H3949|024|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Achieve Medicare (HMO C-SNP)|00025273|0.00|0| | |PA|39620|1|N
H3949|030|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|20.00|0| | |PA|39140|0|N
H3949|030|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|20.00|0| | |PA|39210|0|N
H3949|030|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|20.00|0| | |PA|39290|0|N
H3949|030|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|20.00|0| | |PA|39560|0|N
H3949|030|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|20.00|0| | |PA|39620|0|N
H3949|031|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred PA Medicare (HMO)|00025271|0.00|0| | |PA|39140|0|N
H3949|031|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred PA Medicare (HMO)|00025271|0.00|0| | |PA|39210|0|N
H3949|031|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred PA Medicare (HMO)|00025271|0.00|0| | |PA|39290|0|N
H3949|031|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred PA Medicare (HMO)|00025271|0.00|0| | |PA|39560|0|N
H3949|031|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred PA Medicare (HMO)|00025271|0.00|0| | |PA|39620|0|N
H3949|032|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |NJ|31000|0|N
H3949|032|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |NJ|31150|0|N
H3949|032|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |NJ|31160|0|N
H3949|032|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |NJ|31180|0|N
H3949|032|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |NJ|31190|0|N
H3949|032|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |NJ|31220|0|N
H3949|032|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |NJ|31260|0|N
H3949|032|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |NJ|31290|0|N
H3949|032|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |NJ|31310|0|N
H3949|032|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |NJ|31340|0|N
H3949|035|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |PA|39000|0|N
H3949|035|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |PA|39110|0|N
H3949|035|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |PA|39270|0|N
H3949|035|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |PA|39280|0|N
H3949|035|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |PA|39350|0|N
H3949|035|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |PA|39440|0|N
H3949|035|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |PA|39460|0|N
H3949|035|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |PA|39800|0|N
H3949|045|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |PA|39470|0|N
H3949|045|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |PA|39590|0|N
H3949|046|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|25.00|0| | |PA|39470|0|N
H3949|046|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|25.00|0| | |PA|39590|0|N
H3949|047|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |PA|39010|0|N
H3949|047|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |PA|39070|0|N
H3949|047|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |PA|39080|0|N
H3949|047|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |PA|39150|0|N
H3949|047|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |PA|39220|0|N
H3949|047|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |PA|39450|0|N
H3949|047|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |PA|39750|0|N
H3949|047|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |PA|39770|0|N
H3949|048|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|20.00|0| | |PA|39010|0|N
H3949|048|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|20.00|0| | |PA|39070|0|N
H3949|048|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|20.00|0| | |PA|39080|0|N
H3949|048|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|20.00|0| | |PA|39150|0|N
H3949|048|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|20.00|0| | |PA|39220|0|N
H3949|048|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|20.00|0| | |PA|39450|0|N
H3949|048|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|20.00|0| | |PA|39750|0|N
H3949|048|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|20.00|0| | |PA|39770|0|N
H3949|049|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |PA|39260|0|N
H3949|049|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |PA|39530|0|N
H3949|049|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |PA|39730|0|N
H3949|050|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|24.00|0| | |PA|39260|0|N
H3949|050|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|24.00|0| | |PA|39530|0|N
H3949|050|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|24.00|0| | |PA|39730|0|N
H3949|052|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |PA|39140|0|N
H3949|052|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |PA|39210|0|N
H3949|052|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |PA|39290|0|N
H3949|052|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |PA|39560|0|N
H3949|052|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |PA|39620|0|N
H3949|053|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Full Savings Medicare (HMO)|00025271|0.00|0| | |PA|39140|0|N
H3949|053|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Full Savings Medicare (HMO)|00025271|0.00|0| | |PA|39210|0|N
H3949|053|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Full Savings Medicare (HMO)|00025271|0.00|0| | |PA|39290|0|N
H3949|053|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Full Savings Medicare (HMO)|00025271|0.00|0| | |PA|39560|0|N
H3949|053|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Full Savings Medicare (HMO)|00025271|0.00|0| | |PA|39620|0|N
H3952|020|000|KEYSTONE HEALTH PLAN EAST, INC.|Keystone 65 Preferred Rx (HMO)|00025342|58.20|0| | |PA|39140|0|N
H3952|020|000|KEYSTONE HEALTH PLAN EAST, INC.|Keystone 65 Preferred Rx (HMO)|00025342|58.20|0| | |PA|39620|0|N
H3952|045|000|KEYSTONE HEALTH PLAN EAST, INC.|Keystone 65 Preferred Rx (HMO)|00025342|15.40|0| | |PA|39210|0|N
H3952|045|000|KEYSTONE HEALTH PLAN EAST, INC.|Keystone 65 Preferred Rx (HMO)|00025342|15.40|0| | |PA|39290|0|N
H3952|045|000|KEYSTONE HEALTH PLAN EAST, INC.|Keystone 65 Preferred Rx (HMO)|00025342|15.40|0| | |PA|39560|0|N
H3952|049|000|KEYSTONE HEALTH PLAN EAST, INC.|Keystone 65 Select Rx (HMO)|00025342|9.60|0| | |PA|39140|0|N
H3952|049|000|KEYSTONE HEALTH PLAN EAST, INC.|Keystone 65 Select Rx (HMO)|00025342|9.60|0| | |PA|39620|0|N
H3952|051|000|KEYSTONE HEALTH PLAN EAST, INC.|Keystone 65 Select Rx (HMO)|00025342|0.00|0| | |PA|39210|0|N
H3952|051|000|KEYSTONE HEALTH PLAN EAST, INC.|Keystone 65 Select Rx (HMO)|00025342|0.00|0| | |PA|39290|0|N
H3952|051|000|KEYSTONE HEALTH PLAN EAST, INC.|Keystone 65 Select Rx (HMO)|00025342|0.00|0| | |PA|39560|0|N
H3952|053|000|KEYSTONE HEALTH PLAN EAST, INC.|Keystone 65 Focus Rx (HMO-POS)|00025343|0.00|0| | |PA|39140|0|N
H3952|053|000|KEYSTONE HEALTH PLAN EAST, INC.|Keystone 65 Focus Rx (HMO-POS)|00025343|0.00|0| | |PA|39620|0|N
H3952|054|000|KEYSTONE HEALTH PLAN EAST, INC.|Keystone 65 Focus Rx (HMO-POS)|00025343|0.00|0| | |PA|39210|0|N
H3952|054|000|KEYSTONE HEALTH PLAN EAST, INC.|Keystone 65 Focus Rx (HMO-POS)|00025343|0.00|0| | |PA|39290|0|N
H3952|054|000|KEYSTONE HEALTH PLAN EAST, INC.|Keystone 65 Focus Rx (HMO-POS)|00025343|0.00|0| | |PA|39560|0|N
H3952|055|000|KEYSTONE HEALTH PLAN EAST, INC.|Keystone 65 Basic Rx (HMO)|00025343|0.00|0| | |PA|39140|0|N
H3952|055|000|KEYSTONE HEALTH PLAN EAST, INC.|Keystone 65 Basic Rx (HMO)|00025343|0.00|0| | |PA|39210|0|N
H3952|055|000|KEYSTONE HEALTH PLAN EAST, INC.|Keystone 65 Basic Rx (HMO)|00025343|0.00|0| | |PA|39290|0|N
H3952|055|000|KEYSTONE HEALTH PLAN EAST, INC.|Keystone 65 Basic Rx (HMO)|00025343|0.00|0| | |PA|39560|0|N
H3952|055|000|KEYSTONE HEALTH PLAN EAST, INC.|Keystone 65 Basic Rx (HMO)|00025343|0.00|0| | |PA|39620|0|N
H3952|060|000|KEYSTONE HEALTH PLAN EAST, INC.|Keystone 65 Essential Rx (HMO-POS)|00025343|2.10|0| | |PA|39140|0|N
H3952|060|000|KEYSTONE HEALTH PLAN EAST, INC.|Keystone 65 Essential Rx (HMO-POS)|00025343|2.10|0| | |PA|39210|0|N
H3952|060|000|KEYSTONE HEALTH PLAN EAST, INC.|Keystone 65 Essential Rx (HMO-POS)|00025343|2.10|0| | |PA|39290|0|N
H3952|060|000|KEYSTONE HEALTH PLAN EAST, INC.|Keystone 65 Essential Rx (HMO-POS)|00025343|2.10|0| | |PA|39560|0|N
H3952|060|000|KEYSTONE HEALTH PLAN EAST, INC.|Keystone 65 Essential Rx (HMO-POS)|00025343|2.10|0| | |PA|39620|0|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39000|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39010|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39070|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39080|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39100|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39110|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39120|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39130|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39140|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39150|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39160|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39180|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39190|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39200|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39210|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39220|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39230|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39240|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39250|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39260|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39270|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39280|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39290|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39310|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39330|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39340|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39350|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39360|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39370|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39380|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39390|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39400|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39410|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39420|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39440|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39460|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39470|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39480|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39510|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39520|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39540|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39550|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39560|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39580|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39590|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39600|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39610|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39620|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39630|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39640|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39650|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39670|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39680|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39690|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39700|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39710|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39720|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39730|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39740|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39750|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39760|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39770|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39790|2|N
H3954|097|000|GEISINGER HEALTH PLAN|Geisinger Gold Secure Rx (HMO D-SNP)|00025478|0.00|590| | |PA|39800|2|N
H3954|157|021|GEISINGER HEALTH PLAN|Geisinger Gold Classic Advantage Rx (HMO)|00025479|45.70|0| | |PA|39250|0|N
H3954|157|021|GEISINGER HEALTH PLAN|Geisinger Gold Classic Advantage Rx (HMO)|00025479|45.70|0| | |PA|39480|0|N
H3954|157|021|GEISINGER HEALTH PLAN|Geisinger Gold Classic Advantage Rx (HMO)|00025479|45.70|0| | |PA|39580|0|N
H3954|157|021|GEISINGER HEALTH PLAN|Geisinger Gold Classic Advantage Rx (HMO)|00025479|45.70|0| | |PA|39600|0|N
H3954|157|021|GEISINGER HEALTH PLAN|Geisinger Gold Classic Advantage Rx (HMO)|00025479|45.70|0| | |PA|39650|0|N
H3954|157|021|GEISINGER HEALTH PLAN|Geisinger Gold Classic Advantage Rx (HMO)|00025479|45.70|0| | |PA|39670|0|N
H3954|157|021|GEISINGER HEALTH PLAN|Geisinger Gold Classic Advantage Rx (HMO)|00025479|45.70|0| | |PA|39720|0|N
H3954|157|022|GEISINGER HEALTH PLAN|Geisinger Gold Classic Advantage Rx (HMO)|00025479|45.70|0| | |PA|39140|0|N
H3954|157|022|GEISINGER HEALTH PLAN|Geisinger Gold Classic Advantage Rx (HMO)|00025479|45.70|0| | |PA|39190|0|N
H3954|157|022|GEISINGER HEALTH PLAN|Geisinger Gold Classic Advantage Rx (HMO)|00025479|45.70|0| | |PA|39200|0|N
H3954|157|022|GEISINGER HEALTH PLAN|Geisinger Gold Classic Advantage Rx (HMO)|00025479|45.70|0| | |PA|39240|0|N
H3954|157|022|GEISINGER HEALTH PLAN|Geisinger Gold Classic Advantage Rx (HMO)|00025479|45.70|0| | |PA|39410|0|N
H3954|157|022|GEISINGER HEALTH PLAN|Geisinger Gold Classic Advantage Rx (HMO)|00025479|45.70|0| | |PA|39420|0|N
H3954|157|022|GEISINGER HEALTH PLAN|Geisinger Gold Classic Advantage Rx (HMO)|00025479|45.70|0| | |PA|39470|0|N
H3954|157|022|GEISINGER HEALTH PLAN|Geisinger Gold Classic Advantage Rx (HMO)|00025479|45.70|0| | |PA|39510|0|N
H3954|157|022|GEISINGER HEALTH PLAN|Geisinger Gold Classic Advantage Rx (HMO)|00025479|45.70|0| | |PA|39540|0|N
H3954|157|022|GEISINGER HEALTH PLAN|Geisinger Gold Classic Advantage Rx (HMO)|00025479|45.70|0| | |PA|39550|0|N
H3954|157|022|GEISINGER HEALTH PLAN|Geisinger Gold Classic Advantage Rx (HMO)|00025479|45.70|0| | |PA|39590|0|N
H3954|157|022|GEISINGER HEALTH PLAN|Geisinger Gold Classic Advantage Rx (HMO)|00025479|45.70|0| | |PA|39630|0|N
H3954|157|022|GEISINGER HEALTH PLAN|Geisinger Gold Classic Advantage Rx (HMO)|00025479|45.70|0| | |PA|39690|0|N
H3954|157|022|GEISINGER HEALTH PLAN|Geisinger Gold Classic Advantage Rx (HMO)|00025479|45.70|0| | |PA|39700|0|N
H3954|157|022|GEISINGER HEALTH PLAN|Geisinger Gold Classic Advantage Rx (HMO)|00025479|45.70|0| | |PA|39760|0|N
H3954|157|022|GEISINGER HEALTH PLAN|Geisinger Gold Classic Advantage Rx (HMO)|00025479|45.70|0| | |PA|39790|0|N
H3954|157|023|GEISINGER HEALTH PLAN|Geisinger Gold Classic Advantage Rx (HMO)|00025479|45.70|0| | |PA|39000|0|N
H3954|157|023|GEISINGER HEALTH PLAN|Geisinger Gold Classic Advantage Rx (HMO)|00025479|45.70|0| | |PA|39110|0|N
H3954|157|023|GEISINGER HEALTH PLAN|Geisinger Gold Classic Advantage Rx (HMO)|00025479|45.70|0| | |PA|39120|0|N
H3954|157|023|GEISINGER HEALTH PLAN|Geisinger Gold Classic Advantage Rx (HMO)|00025479|45.70|0| | |PA|39130|0|N
H3954|157|023|GEISINGER HEALTH PLAN|Geisinger Gold Classic Advantage Rx (HMO)|00025479|45.70|0| | |PA|39160|0|N
H3954|157|023|GEISINGER HEALTH PLAN|Geisinger Gold Classic Advantage Rx (HMO)|00025479|45.70|0| | |PA|39180|0|N
H3954|157|023|GEISINGER HEALTH PLAN|Geisinger Gold Classic Advantage Rx (HMO)|00025479|45.70|0| | |PA|39210|0|N
H3954|157|023|GEISINGER HEALTH PLAN|Geisinger Gold Classic Advantage Rx (HMO)|00025479|45.70|0| | |PA|39230|0|N
H3954|157|023|GEISINGER HEALTH PLAN|Geisinger Gold Classic Advantage Rx (HMO)|00025479|45.70|0| | |PA|39270|0|N
H3954|157|023|GEISINGER HEALTH PLAN|Geisinger Gold Classic Advantage Rx (HMO)|00025479|45.70|0| | |PA|39280|0|N
H3954|157|023|GEISINGER HEALTH PLAN|Geisinger Gold Classic Advantage Rx (HMO)|00025479|45.70|0| | |PA|39350|0|N
H3954|157|023|GEISINGER HEALTH PLAN|Geisinger Gold Classic Advantage Rx (HMO)|00025479|45.70|0| | |PA|39360|0|N
H3954|157|023|GEISINGER HEALTH PLAN|Geisinger Gold Classic Advantage Rx (HMO)|00025479|45.70|0| | |PA|39380|0|N
H3954|157|023|GEISINGER HEALTH PLAN|Geisinger Gold Classic Advantage Rx (HMO)|00025479|45.70|0| | |PA|39400|0|N
H3954|157|023|GEISINGER HEALTH PLAN|Geisinger Gold Classic Advantage Rx (HMO)|00025479|45.70|0| | |PA|39440|0|N
H3954|157|023|GEISINGER HEALTH PLAN|Geisinger Gold Classic Advantage Rx (HMO)|00025479|45.70|0| | |PA|39460|0|N
H3954|157|023|GEISINGER HEALTH PLAN|Geisinger Gold Classic Advantage Rx (HMO)|00025479|45.70|0| | |PA|39610|0|N
H3954|157|023|GEISINGER HEALTH PLAN|Geisinger Gold Classic Advantage Rx (HMO)|00025479|45.70|0| | |PA|39640|0|N
H3954|157|023|GEISINGER HEALTH PLAN|Geisinger Gold Classic Advantage Rx (HMO)|00025479|45.70|0| | |PA|39680|0|N
H3954|157|023|GEISINGER HEALTH PLAN|Geisinger Gold Classic Advantage Rx (HMO)|00025479|45.70|0| | |PA|39710|0|N
H3954|157|023|GEISINGER HEALTH PLAN|Geisinger Gold Classic Advantage Rx (HMO)|00025479|45.70|0| | |PA|39800|0|N
H3954|158|013|GEISINGER HEALTH PLAN|Geisinger Gold Classic Complete Rx (HMO)|00025479|39.00|0| | |PA|39000|0|N
H3954|158|013|GEISINGER HEALTH PLAN|Geisinger Gold Classic Complete Rx (HMO)|00025479|39.00|0| | |PA|39110|0|N
H3954|158|013|GEISINGER HEALTH PLAN|Geisinger Gold Classic Complete Rx (HMO)|00025479|39.00|0| | |PA|39120|0|N
H3954|158|013|GEISINGER HEALTH PLAN|Geisinger Gold Classic Complete Rx (HMO)|00025479|39.00|0| | |PA|39130|0|N
H3954|158|013|GEISINGER HEALTH PLAN|Geisinger Gold Classic Complete Rx (HMO)|00025479|39.00|0| | |PA|39140|0|N
H3954|158|013|GEISINGER HEALTH PLAN|Geisinger Gold Classic Complete Rx (HMO)|00025479|39.00|0| | |PA|39160|0|N
H3954|158|013|GEISINGER HEALTH PLAN|Geisinger Gold Classic Complete Rx (HMO)|00025479|39.00|0| | |PA|39180|0|N
H3954|158|013|GEISINGER HEALTH PLAN|Geisinger Gold Classic Complete Rx (HMO)|00025479|39.00|0| | |PA|39190|0|N
H3954|158|013|GEISINGER HEALTH PLAN|Geisinger Gold Classic Complete Rx (HMO)|00025479|39.00|0| | |PA|39200|0|N
H3954|158|013|GEISINGER HEALTH PLAN|Geisinger Gold Classic Complete Rx (HMO)|00025479|39.00|0| | |PA|39210|0|N
H3954|158|013|GEISINGER HEALTH PLAN|Geisinger Gold Classic Complete Rx (HMO)|00025479|39.00|0| | |PA|39230|0|N
H3954|158|013|GEISINGER HEALTH PLAN|Geisinger Gold Classic Complete Rx (HMO)|00025479|39.00|0| | |PA|39240|0|N
H3954|158|013|GEISINGER HEALTH PLAN|Geisinger Gold Classic Complete Rx (HMO)|00025479|39.00|0| | |PA|39270|0|N
H3954|158|013|GEISINGER HEALTH PLAN|Geisinger Gold Classic Complete Rx (HMO)|00025479|39.00|0| | |PA|39280|0|N
H3954|158|013|GEISINGER HEALTH PLAN|Geisinger Gold Classic Complete Rx (HMO)|00025479|39.00|0| | |PA|39350|0|N
H3954|158|013|GEISINGER HEALTH PLAN|Geisinger Gold Classic Complete Rx (HMO)|00025479|39.00|0| | |PA|39360|0|N
H3954|158|013|GEISINGER HEALTH PLAN|Geisinger Gold Classic Complete Rx (HMO)|00025479|39.00|0| | |PA|39380|0|N
H3954|158|013|GEISINGER HEALTH PLAN|Geisinger Gold Classic Complete Rx (HMO)|00025479|39.00|0| | |PA|39400|0|N
H3954|158|013|GEISINGER HEALTH PLAN|Geisinger Gold Classic Complete Rx (HMO)|00025479|39.00|0| | |PA|39410|0|N
H3954|158|013|GEISINGER HEALTH PLAN|Geisinger Gold Classic Complete Rx (HMO)|00025479|39.00|0| | |PA|39420|0|N
H3954|158|013|GEISINGER HEALTH PLAN|Geisinger Gold Classic Complete Rx (HMO)|00025479|39.00|0| | |PA|39440|0|N
H3954|158|013|GEISINGER HEALTH PLAN|Geisinger Gold Classic Complete Rx (HMO)|00025479|39.00|0| | |PA|39460|0|N
H3954|158|013|GEISINGER HEALTH PLAN|Geisinger Gold Classic Complete Rx (HMO)|00025479|39.00|0| | |PA|39470|0|N
H3954|158|013|GEISINGER HEALTH PLAN|Geisinger Gold Classic Complete Rx (HMO)|00025479|39.00|0| | |PA|39510|0|N
H3954|158|013|GEISINGER HEALTH PLAN|Geisinger Gold Classic Complete Rx (HMO)|00025479|39.00|0| | |PA|39540|0|N
H3954|158|013|GEISINGER HEALTH PLAN|Geisinger Gold Classic Complete Rx (HMO)|00025479|39.00|0| | |PA|39550|0|N
H3954|158|013|GEISINGER HEALTH PLAN|Geisinger Gold Classic Complete Rx (HMO)|00025479|39.00|0| | |PA|39590|0|N
H3954|158|013|GEISINGER HEALTH PLAN|Geisinger Gold Classic Complete Rx (HMO)|00025479|39.00|0| | |PA|39610|0|N
H3954|158|013|GEISINGER HEALTH PLAN|Geisinger Gold Classic Complete Rx (HMO)|00025479|39.00|0| | |PA|39630|0|N
H3954|158|013|GEISINGER HEALTH PLAN|Geisinger Gold Classic Complete Rx (HMO)|00025479|39.00|0| | |PA|39640|0|N
H3954|158|013|GEISINGER HEALTH PLAN|Geisinger Gold Classic Complete Rx (HMO)|00025479|39.00|0| | |PA|39680|0|N
H3954|158|013|GEISINGER HEALTH PLAN|Geisinger Gold Classic Complete Rx (HMO)|00025479|39.00|0| | |PA|39690|0|N
H3954|158|013|GEISINGER HEALTH PLAN|Geisinger Gold Classic Complete Rx (HMO)|00025479|39.00|0| | |PA|39700|0|N
H3954|158|013|GEISINGER HEALTH PLAN|Geisinger Gold Classic Complete Rx (HMO)|00025479|39.00|0| | |PA|39710|0|N
H3954|158|013|GEISINGER HEALTH PLAN|Geisinger Gold Classic Complete Rx (HMO)|00025479|39.00|0| | |PA|39760|0|N
H3954|158|013|GEISINGER HEALTH PLAN|Geisinger Gold Classic Complete Rx (HMO)|00025479|39.00|0| | |PA|39790|0|N
H3954|158|013|GEISINGER HEALTH PLAN|Geisinger Gold Classic Complete Rx (HMO)|00025479|39.00|0| | |PA|39800|0|N
H3954|158|014|GEISINGER HEALTH PLAN|Geisinger Gold Classic Complete Rx (HMO)|00025479|43.00|0| | |PA|39250|0|N
H3954|158|014|GEISINGER HEALTH PLAN|Geisinger Gold Classic Complete Rx (HMO)|00025479|43.00|0| | |PA|39480|0|N
H3954|158|014|GEISINGER HEALTH PLAN|Geisinger Gold Classic Complete Rx (HMO)|00025479|43.00|0| | |PA|39580|0|N
H3954|158|014|GEISINGER HEALTH PLAN|Geisinger Gold Classic Complete Rx (HMO)|00025479|43.00|0| | |PA|39600|0|N
H3954|158|014|GEISINGER HEALTH PLAN|Geisinger Gold Classic Complete Rx (HMO)|00025479|43.00|0| | |PA|39650|0|N
H3954|158|014|GEISINGER HEALTH PLAN|Geisinger Gold Classic Complete Rx (HMO)|00025479|43.00|0| | |PA|39670|0|N
H3954|158|014|GEISINGER HEALTH PLAN|Geisinger Gold Classic Complete Rx (HMO)|00025479|43.00|0| | |PA|39720|0|N
H3954|160|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic 360 Rx (HMO)|00025479|0.00|0| | |PA|39000|0|N
H3954|160|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic 360 Rx (HMO)|00025479|0.00|0| | |PA|39120|0|N
H3954|160|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic 360 Rx (HMO)|00025479|0.00|0| | |PA|39130|0|N
H3954|160|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic 360 Rx (HMO)|00025479|0.00|0| | |PA|39140|0|N
H3954|160|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic 360 Rx (HMO)|00025479|0.00|0| | |PA|39160|0|N
H3954|160|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic 360 Rx (HMO)|00025479|0.00|0| | |PA|39190|0|N
H3954|160|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic 360 Rx (HMO)|00025479|0.00|0| | |PA|39200|0|N
H3954|160|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic 360 Rx (HMO)|00025479|0.00|0| | |PA|39230|0|N
H3954|160|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic 360 Rx (HMO)|00025479|0.00|0| | |PA|39240|0|N
H3954|160|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic 360 Rx (HMO)|00025479|0.00|0| | |PA|39270|0|N
H3954|160|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic 360 Rx (HMO)|00025479|0.00|0| | |PA|39280|0|N
H3954|160|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic 360 Rx (HMO)|00025479|0.00|0| | |PA|39350|0|N
H3954|160|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic 360 Rx (HMO)|00025479|0.00|0| | |PA|39380|0|N
H3954|160|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic 360 Rx (HMO)|00025479|0.00|0| | |PA|39410|0|N
H3954|160|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic 360 Rx (HMO)|00025479|0.00|0| | |PA|39420|0|N
H3954|160|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic 360 Rx (HMO)|00025479|0.00|0| | |PA|39460|0|N
H3954|160|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic 360 Rx (HMO)|00025479|0.00|0| | |PA|39470|0|N
H3954|160|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic 360 Rx (HMO)|00025479|0.00|0| | |PA|39480|0|N
H3954|160|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic 360 Rx (HMO)|00025479|0.00|0| | |PA|39510|0|N
H3954|160|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic 360 Rx (HMO)|00025479|0.00|0| | |PA|39540|0|N
H3954|160|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic 360 Rx (HMO)|00025479|0.00|0| | |PA|39550|0|N
H3954|160|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic 360 Rx (HMO)|00025479|0.00|0| | |PA|39590|0|N
H3954|160|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic 360 Rx (HMO)|00025479|0.00|0| | |PA|39610|0|N
H3954|160|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic 360 Rx (HMO)|00025479|0.00|0| | |PA|39630|0|N
H3954|160|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic 360 Rx (HMO)|00025479|0.00|0| | |PA|39650|0|N
H3954|160|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic 360 Rx (HMO)|00025479|0.00|0| | |PA|39690|0|N
H3954|160|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic 360 Rx (HMO)|00025479|0.00|0| | |PA|39700|0|N
H3954|160|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic 360 Rx (HMO)|00025479|0.00|0| | |PA|39760|0|N
H3954|160|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic 360 Rx (HMO)|00025479|0.00|0| | |PA|39790|0|N
H3954|160|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic 360 Rx (HMO)|00025479|0.00|0| | |PA|39800|0|N
H3954|161|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic Essential Rx (HMO)|00025479|0.00|0| | |PA|39000|0|N
H3954|161|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic Essential Rx (HMO)|00025479|0.00|0| | |PA|39110|0|N
H3954|161|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic Essential Rx (HMO)|00025479|0.00|0| | |PA|39120|0|N
H3954|161|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic Essential Rx (HMO)|00025479|0.00|0| | |PA|39130|0|N
H3954|161|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic Essential Rx (HMO)|00025479|0.00|0| | |PA|39140|0|N
H3954|161|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic Essential Rx (HMO)|00025479|0.00|0| | |PA|39160|0|N
H3954|161|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic Essential Rx (HMO)|00025479|0.00|0| | |PA|39180|0|N
H3954|161|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic Essential Rx (HMO)|00025479|0.00|0| | |PA|39190|0|N
H3954|161|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic Essential Rx (HMO)|00025479|0.00|0| | |PA|39200|0|N
H3954|161|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic Essential Rx (HMO)|00025479|0.00|0| | |PA|39210|0|N
H3954|161|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic Essential Rx (HMO)|00025479|0.00|0| | |PA|39230|0|N
H3954|161|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic Essential Rx (HMO)|00025479|0.00|0| | |PA|39240|0|N
H3954|161|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic Essential Rx (HMO)|00025479|0.00|0| | |PA|39250|0|N
H3954|161|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic Essential Rx (HMO)|00025479|0.00|0| | |PA|39270|0|N
H3954|161|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic Essential Rx (HMO)|00025479|0.00|0| | |PA|39280|0|N
H3954|161|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic Essential Rx (HMO)|00025479|0.00|0| | |PA|39350|0|N
H3954|161|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic Essential Rx (HMO)|00025479|0.00|0| | |PA|39360|0|N
H3954|161|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic Essential Rx (HMO)|00025479|0.00|0| | |PA|39380|0|N
H3954|161|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic Essential Rx (HMO)|00025479|0.00|0| | |PA|39400|0|N
H3954|161|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic Essential Rx (HMO)|00025479|0.00|0| | |PA|39410|0|N
H3954|161|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic Essential Rx (HMO)|00025479|0.00|0| | |PA|39420|0|N
H3954|161|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic Essential Rx (HMO)|00025479|0.00|0| | |PA|39440|0|N
H3954|161|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic Essential Rx (HMO)|00025479|0.00|0| | |PA|39460|0|N
H3954|161|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic Essential Rx (HMO)|00025479|0.00|0| | |PA|39470|0|N
H3954|161|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic Essential Rx (HMO)|00025479|0.00|0| | |PA|39480|0|N
H3954|161|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic Essential Rx (HMO)|00025479|0.00|0| | |PA|39510|0|N
H3954|161|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic Essential Rx (HMO)|00025479|0.00|0| | |PA|39540|0|N
H3954|161|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic Essential Rx (HMO)|00025479|0.00|0| | |PA|39550|0|N
H3954|161|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic Essential Rx (HMO)|00025479|0.00|0| | |PA|39580|0|N
H3954|161|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic Essential Rx (HMO)|00025479|0.00|0| | |PA|39590|0|N
H3954|161|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic Essential Rx (HMO)|00025479|0.00|0| | |PA|39600|0|N
H3954|161|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic Essential Rx (HMO)|00025479|0.00|0| | |PA|39610|0|N
H3954|161|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic Essential Rx (HMO)|00025479|0.00|0| | |PA|39630|0|N
H3954|161|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic Essential Rx (HMO)|00025479|0.00|0| | |PA|39640|0|N
H3954|161|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic Essential Rx (HMO)|00025479|0.00|0| | |PA|39650|0|N
H3954|161|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic Essential Rx (HMO)|00025479|0.00|0| | |PA|39670|0|N
H3954|161|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic Essential Rx (HMO)|00025479|0.00|0| | |PA|39680|0|N
H3954|161|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic Essential Rx (HMO)|00025479|0.00|0| | |PA|39690|0|N
H3954|161|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic Essential Rx (HMO)|00025479|0.00|0| | |PA|39700|0|N
H3954|161|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic Essential Rx (HMO)|00025479|0.00|0| | |PA|39710|0|N
H3954|161|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic Essential Rx (HMO)|00025479|0.00|0| | |PA|39720|0|N
H3954|161|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic Essential Rx (HMO)|00025479|0.00|0| | |PA|39760|0|N
H3954|161|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic Essential Rx (HMO)|00025479|0.00|0| | |PA|39790|0|N
H3954|161|000|GEISINGER HEALTH PLAN|Geisinger Gold Classic Essential Rx (HMO)|00025479|0.00|0| | |PA|39800|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39000|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39010|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39070|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39080|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39100|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39110|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39120|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39130|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39140|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39150|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39160|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39180|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39190|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39200|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39210|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39220|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39230|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39240|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39260|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39270|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39280|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39290|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39310|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39330|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39340|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39350|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39360|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39370|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39380|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39390|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39400|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39410|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39420|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39440|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39460|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39470|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39480|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39510|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39520|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39540|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39550|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39560|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39590|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39610|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39620|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39630|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39640|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39650|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39680|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39690|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39700|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39710|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39730|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39740|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39750|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39760|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39770|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39790|0|N
H3954|163|000|GEISINGER HEALTH PLAN|Geisinger Gold Value Rx (HMO)|00025479|23.00|0| | |PA|39800|0|N
H3957|031|000|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS ValueRx (HMO-POS)|00025023|27.30|0| | |PA|39010|0|N
H3957|031|000|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS ValueRx (HMO-POS)|00025023|27.30|0| | |PA|39070|0|N
H3957|031|000|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS ValueRx (HMO-POS)|00025023|27.30|0| | |PA|39080|0|N
H3957|031|000|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS ValueRx (HMO-POS)|00025023|27.30|0| | |PA|39150|0|N
H3957|031|000|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS ValueRx (HMO-POS)|00025023|27.30|0| | |PA|39160|0|N
H3957|031|000|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS ValueRx (HMO-POS)|00025023|27.30|0| | |PA|39330|0|N
H3957|031|000|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS ValueRx (HMO-POS)|00025023|27.30|0| | |PA|39370|0|N
H3957|031|000|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS ValueRx (HMO-POS)|00025023|27.30|0| | |PA|39390|0|N
H3957|031|000|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS ValueRx (HMO-POS)|00025023|27.30|0| | |PA|39450|0|N
H3957|031|000|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS ValueRx (HMO-POS)|00025023|27.30|0| | |PA|39750|0|N
H3957|031|000|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS ValueRx (HMO-POS)|00025023|27.30|0| | |PA|39770|0|N
H3957|039|000|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Prestige (HMO)|00025022|35.00|0| | |PA|39010|0|N
H3957|039|000|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Prestige (HMO)|00025022|35.00|0| | |PA|39070|0|N
H3957|039|000|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Prestige (HMO)|00025022|35.00|0| | |PA|39080|0|N
H3957|039|000|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Prestige (HMO)|00025022|35.00|0| | |PA|39150|0|N
H3957|039|000|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Prestige (HMO)|00025022|35.00|0| | |PA|39160|0|N
H3957|039|000|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Prestige (HMO)|00025022|35.00|0| | |PA|39330|0|N
H3957|039|000|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Prestige (HMO)|00025022|35.00|0| | |PA|39370|0|N
H3957|039|000|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Prestige (HMO)|00025022|35.00|0| | |PA|39390|0|N
H3957|039|000|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Prestige (HMO)|00025022|35.00|0| | |PA|39450|0|N
H3957|039|000|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Prestige (HMO)|00025022|35.00|0| | |PA|39750|0|N
H3957|039|000|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Prestige (HMO)|00025022|35.00|0| | |PA|39770|0|N
H3957|042|001|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39190|0|N
H3957|042|001|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39470|0|N
H3957|042|001|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39550|0|N
H3957|042|001|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39590|0|N
H3957|042|001|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39650|0|N
H3957|042|002|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39000|0|N
H3957|042|002|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39270|0|N
H3957|042|002|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39280|0|N
H3957|042|002|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39350|0|N
H3957|042|002|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39360|0|N
H3957|042|002|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39410|0|N
H3957|042|002|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39460|0|N
H3957|042|002|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39610|0|N
H3957|042|002|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39800|0|N
H3957|042|004|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39110|0|N
H3957|042|004|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39130|0|N
H3957|042|004|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39420|0|N
H3957|042|004|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39480|0|N
H3957|042|004|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39670|0|N
H3957|042|004|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39700|0|N
H3957|042|004|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39720|0|N
H3957|042|004|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39760|0|N
H3957|042|004|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39790|0|N
H3957|042|005|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39440|0|N
H3957|042|006|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39200|0|N
H3957|042|006|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39240|0|N
H3957|042|006|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39510|0|N
H3957|042|006|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39540|0|N
H3957|042|006|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39580|0|N
H3957|042|006|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39690|0|N
H3957|042|006|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39710|0|N
H3957|044|001|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS ValueRx (HMO-POS)|00025023|14.30|0| | |PA|39100|0|N
H3957|044|001|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS ValueRx (HMO-POS)|00025023|14.30|0| | |PA|39120|0|N
H3957|044|001|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS ValueRx (HMO-POS)|00025023|14.30|0| | |PA|39180|0|N
H3957|044|001|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS ValueRx (HMO-POS)|00025023|14.30|0| | |PA|39220|0|N
H3957|044|001|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS ValueRx (HMO-POS)|00025023|14.30|0| | |PA|39230|0|N
H3957|044|001|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS ValueRx (HMO-POS)|00025023|14.30|0| | |PA|39310|0|N
H3957|044|001|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS ValueRx (HMO-POS)|00025023|14.30|0| | |PA|39380|0|N
H3957|044|001|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS ValueRx (HMO-POS)|00025023|14.30|0| | |PA|39400|0|N
H3957|044|001|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS ValueRx (HMO-POS)|00025023|14.30|0| | |PA|39680|0|N
H3957|044|004|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS ValueRx (HMO-POS)|00025023|14.30|0| | |PA|39260|0|N
H3957|044|004|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS ValueRx (HMO-POS)|00025023|14.30|0| | |PA|39320|0|N
H3957|044|004|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS ValueRx (HMO-POS)|00025023|14.30|0| | |PA|39340|0|N
H3957|044|004|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS ValueRx (HMO-POS)|00025023|14.30|0| | |PA|39520|0|N
H3957|044|004|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS ValueRx (HMO-POS)|00025023|14.30|0| | |PA|39530|0|N
H3957|044|004|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS ValueRx (HMO-POS)|00025023|14.30|0| | |PA|39640|0|N
H3957|044|004|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS ValueRx (HMO-POS)|00025023|14.30|0| | |PA|39730|0|N
H3957|044|004|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS ValueRx (HMO-POS)|00025023|14.30|0| | |PA|39740|0|N
H3957|045|001|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS Standard (HMO-POS)|00025022|67.00|0| | |PA|39010|0|N
H3957|045|001|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS Standard (HMO-POS)|00025022|67.00|0| | |PA|39070|0|N
H3957|045|001|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS Standard (HMO-POS)|00025022|67.00|0| | |PA|39080|0|N
H3957|045|001|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS Standard (HMO-POS)|00025022|67.00|0| | |PA|39150|0|N
H3957|045|001|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS Standard (HMO-POS)|00025022|67.00|0| | |PA|39160|0|N
H3957|045|001|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS Standard (HMO-POS)|00025022|67.00|0| | |PA|39330|0|N
H3957|045|001|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS Standard (HMO-POS)|00025022|67.00|0| | |PA|39370|0|N
H3957|045|001|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS Standard (HMO-POS)|00025022|67.00|0| | |PA|39390|0|N
H3957|045|001|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS Standard (HMO-POS)|00025022|67.00|0| | |PA|39450|0|N
H3957|045|001|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS Standard (HMO-POS)|00025022|67.00|0| | |PA|39750|0|N
H3957|045|001|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS Standard (HMO-POS)|00025022|67.00|0| | |PA|39770|0|N
H3957|045|002|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS Standard (HMO-POS)|00025022|67.00|0| | |PA|39100|0|N
H3957|045|002|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS Standard (HMO-POS)|00025022|67.00|0| | |PA|39120|0|N
H3957|045|002|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS Standard (HMO-POS)|00025022|67.00|0| | |PA|39180|0|N
H3957|045|002|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS Standard (HMO-POS)|00025022|67.00|0| | |PA|39220|0|N
H3957|045|002|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS Standard (HMO-POS)|00025022|67.00|0| | |PA|39230|0|N
H3957|045|002|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS Standard (HMO-POS)|00025022|67.00|0| | |PA|39260|0|N
H3957|045|002|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS Standard (HMO-POS)|00025022|67.00|0| | |PA|39310|0|N
H3957|045|002|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS Standard (HMO-POS)|00025022|67.00|0| | |PA|39320|0|N
H3957|045|002|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS Standard (HMO-POS)|00025022|67.00|0| | |PA|39340|0|N
H3957|045|002|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS Standard (HMO-POS)|00025022|67.00|0| | |PA|39380|0|N
H3957|045|002|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS Standard (HMO-POS)|00025022|67.00|0| | |PA|39400|0|N
H3957|045|002|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS Standard (HMO-POS)|00025022|67.00|0| | |PA|39520|0|N
H3957|045|002|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS Standard (HMO-POS)|00025022|67.00|0| | |PA|39530|0|N
H3957|045|002|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS Standard (HMO-POS)|00025022|67.00|0| | |PA|39640|0|N
H3957|045|002|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS Standard (HMO-POS)|00025022|67.00|0| | |PA|39680|0|N
H3957|045|002|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS Standard (HMO-POS)|00025022|67.00|0| | |PA|39730|0|N
H3957|045|002|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS Standard (HMO-POS)|00025022|67.00|0| | |PA|39740|0|N
H3957|046|001|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS Deluxe (HMO-POS)|00025022|71.70|0| | |PA|39010|0|N
H3957|046|001|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS Deluxe (HMO-POS)|00025022|71.70|0| | |PA|39070|0|N
H3957|046|001|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS Deluxe (HMO-POS)|00025022|71.70|0| | |PA|39080|0|N
H3957|046|001|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS Deluxe (HMO-POS)|00025022|71.70|0| | |PA|39150|0|N
H3957|046|001|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS Deluxe (HMO-POS)|00025022|71.70|0| | |PA|39160|0|N
H3957|046|001|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS Deluxe (HMO-POS)|00025022|71.70|0| | |PA|39330|0|N
H3957|046|001|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS Deluxe (HMO-POS)|00025022|71.70|0| | |PA|39370|0|N
H3957|046|001|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS Deluxe (HMO-POS)|00025022|71.70|0| | |PA|39390|0|N
H3957|046|001|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS Deluxe (HMO-POS)|00025022|71.70|0| | |PA|39450|0|N
H3957|046|001|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS Deluxe (HMO-POS)|00025022|71.70|0| | |PA|39750|0|N
H3957|046|001|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS Deluxe (HMO-POS)|00025022|71.70|0| | |PA|39770|0|N
H3957|046|002|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS Deluxe (HMO-POS)|00025022|71.70|0| | |PA|39100|0|N
H3957|046|002|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS Deluxe (HMO-POS)|00025022|71.70|0| | |PA|39120|0|N
H3957|046|002|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS Deluxe (HMO-POS)|00025022|71.70|0| | |PA|39180|0|N
H3957|046|002|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS Deluxe (HMO-POS)|00025022|71.70|0| | |PA|39220|0|N
H3957|046|002|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS Deluxe (HMO-POS)|00025022|71.70|0| | |PA|39230|0|N
H3957|046|002|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS Deluxe (HMO-POS)|00025022|71.70|0| | |PA|39260|0|N
H3957|046|002|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS Deluxe (HMO-POS)|00025022|71.70|0| | |PA|39310|0|N
H3957|046|002|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS Deluxe (HMO-POS)|00025022|71.70|0| | |PA|39320|0|N
H3957|046|002|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS Deluxe (HMO-POS)|00025022|71.70|0| | |PA|39340|0|N
H3957|046|002|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS Deluxe (HMO-POS)|00025022|71.70|0| | |PA|39380|0|N
H3957|046|002|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS Deluxe (HMO-POS)|00025022|71.70|0| | |PA|39400|0|N
H3957|046|002|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS Deluxe (HMO-POS)|00025022|71.70|0| | |PA|39520|0|N
H3957|046|002|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS Deluxe (HMO-POS)|00025022|71.70|0| | |PA|39530|0|N
H3957|046|002|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS Deluxe (HMO-POS)|00025022|71.70|0| | |PA|39640|0|N
H3957|046|002|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS Deluxe (HMO-POS)|00025022|71.70|0| | |PA|39680|0|N
H3957|046|002|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS Deluxe (HMO-POS)|00025022|71.70|0| | |PA|39730|0|N
H3957|046|002|HIGHMARK CHOICE COMPANY|Security Blue HMO-POS Deluxe (HMO-POS)|00025022|71.70|0| | |PA|39740|0|N
H3957|047|001|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39070|0|N
H3957|047|001|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39080|0|N
H3957|047|001|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39160|0|N
H3957|047|001|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39330|0|N
H3957|047|001|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39370|0|N
H3957|047|001|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39390|0|N
H3957|047|001|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39450|0|N
H3957|047|002|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39100|0|N
H3957|047|002|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39120|0|N
H3957|047|002|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39180|0|N
H3957|047|002|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39220|0|N
H3957|047|002|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39230|0|N
H3957|047|002|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39260|0|N
H3957|047|002|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39310|0|N
H3957|047|002|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39340|0|N
H3957|047|002|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39380|0|N
H3957|047|002|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39400|0|N
H3957|047|002|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39520|0|N
H3957|047|002|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39530|0|N
H3957|047|002|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39640|0|N
H3957|047|002|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39680|0|N
H3957|047|002|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39730|0|N
H3957|047|002|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39740|0|N
H3957|047|003|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39010|0|N
H3957|047|003|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39150|0|N
H3957|047|003|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39320|0|N
H3957|047|003|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39750|0|N
H3957|047|003|HIGHMARK CHOICE COMPANY|Community Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39770|0|N
H3957|048|000|HIGHMARK CHOICE COMPANY|Together Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39010|0|N
H3957|048|000|HIGHMARK CHOICE COMPANY|Together Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39150|0|N
H3957|048|000|HIGHMARK CHOICE COMPANY|Together Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39320|0|N
H3957|048|000|HIGHMARK CHOICE COMPANY|Together Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39750|0|N
H3957|048|000|HIGHMARK CHOICE COMPANY|Together Blue Medicare HMO Signature (HMO)|00025023|0.00|0| | |PA|39770|0|N
H3959|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Gold (HMO-POS)|00025101|19.00|590| | |PA|39010|0|N
H3959|002|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Gold (HMO-POS)|00025101|19.00|590| | |PA|39070|0|N
H3959|002|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Gold (HMO-POS)|00025101|19.00|590| | |PA|39080|0|N
H3959|002|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Gold (HMO-POS)|00025101|19.00|590| | |PA|39100|0|N
H3959|002|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Gold (HMO-POS)|00025101|19.00|590| | |PA|39150|0|N
H3959|002|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Gold (HMO-POS)|00025101|19.00|590| | |PA|39160|0|N
H3959|002|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Gold (HMO-POS)|00025101|19.00|590| | |PA|39180|0|N
H3959|002|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Gold (HMO-POS)|00025101|19.00|590| | |PA|39220|0|N
H3959|002|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Gold (HMO-POS)|00025101|19.00|590| | |PA|39230|0|N
H3959|002|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Gold (HMO-POS)|00025101|19.00|590| | |PA|39260|0|N
H3959|002|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Gold (HMO-POS)|00025101|19.00|590| | |PA|39310|0|N
H3959|002|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Gold (HMO-POS)|00025101|19.00|590| | |PA|39320|0|N
H3959|002|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Gold (HMO-POS)|00025101|19.00|590| | |PA|39330|0|N
H3959|002|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Gold (HMO-POS)|00025101|19.00|590| | |PA|39340|0|N
H3959|002|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Gold (HMO-POS)|00025101|19.00|590| | |PA|39370|0|N
H3959|002|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Gold (HMO-POS)|00025101|19.00|590| | |PA|39390|0|N
H3959|002|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Gold (HMO-POS)|00025101|19.00|590| | |PA|39400|0|N
H3959|002|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Gold (HMO-POS)|00025101|19.00|590| | |PA|39450|0|N
H3959|002|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Gold (HMO-POS)|00025101|19.00|590| | |PA|39520|0|N
H3959|002|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Gold (HMO-POS)|00025101|19.00|590| | |PA|39530|0|N
H3959|002|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Gold (HMO-POS)|00025101|19.00|590| | |PA|39680|0|N
H3959|002|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Gold (HMO-POS)|00025101|19.00|590| | |PA|39730|0|N
H3959|002|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Gold (HMO-POS)|00025101|19.00|590| | |PA|39740|0|N
H3959|002|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Gold (HMO-POS)|00025101|19.00|590| | |PA|39750|0|N
H3959|002|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Gold (HMO-POS)|00025101|19.00|590| | |PA|39770|0|N
H3959|010|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Silver (HMO-POS)|00025101|0.00|0| | |PA|39010|0|N
H3959|011|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Silver (HMO-POS)|00025101|0.00|0| | |PA|39070|0|N
H3959|011|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Silver (HMO-POS)|00025101|0.00|0| | |PA|39080|0|N
H3959|011|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Silver (HMO-POS)|00025101|0.00|0| | |PA|39100|0|N
H3959|011|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Silver (HMO-POS)|00025101|0.00|0| | |PA|39120|0|N
H3959|011|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Silver (HMO-POS)|00025101|0.00|0| | |PA|39150|0|N
H3959|011|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Silver (HMO-POS)|00025101|0.00|0| | |PA|39160|0|N
H3959|011|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Silver (HMO-POS)|00025101|0.00|0| | |PA|39180|0|N
H3959|011|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Silver (HMO-POS)|00025101|0.00|0| | |PA|39200|0|N
H3959|011|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Silver (HMO-POS)|00025101|0.00|0| | |PA|39220|0|N
H3959|011|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Silver (HMO-POS)|00025101|0.00|0| | |PA|39230|0|N
H3959|011|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Silver (HMO-POS)|00025101|0.00|0| | |PA|39260|0|N
H3959|011|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Silver (HMO-POS)|00025101|0.00|0| | |PA|39310|0|N
H3959|011|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Silver (HMO-POS)|00025101|0.00|0| | |PA|39320|0|N
H3959|011|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Silver (HMO-POS)|00025101|0.00|0| | |PA|39330|0|N
H3959|011|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Silver (HMO-POS)|00025101|0.00|0| | |PA|39340|0|N
H3959|011|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Silver (HMO-POS)|00025101|0.00|0| | |PA|39360|0|N
H3959|011|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Silver (HMO-POS)|00025101|0.00|0| | |PA|39370|0|N
H3959|011|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Silver (HMO-POS)|00025101|0.00|0| | |PA|39380|0|N
H3959|011|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Silver (HMO-POS)|00025101|0.00|0| | |PA|39390|0|N
H3959|011|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Silver (HMO-POS)|00025101|0.00|0| | |PA|39400|0|N
H3959|011|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Silver (HMO-POS)|00025101|0.00|0| | |PA|39450|0|N
H3959|011|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Silver (HMO-POS)|00025101|0.00|0| | |PA|39520|0|N
H3959|011|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Silver (HMO-POS)|00025101|0.00|0| | |PA|39530|0|N
H3959|011|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Silver (HMO-POS)|00025101|0.00|0| | |PA|39540|0|N
H3959|011|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Silver (HMO-POS)|00025101|0.00|0| | |PA|39680|0|N
H3959|011|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Silver (HMO-POS)|00025101|0.00|0| | |PA|39730|0|N
H3959|011|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Silver (HMO-POS)|00025101|0.00|0| | |PA|39740|0|N
H3959|011|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Silver (HMO-POS)|00025101|0.00|0| | |PA|39750|0|N
H3959|011|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Silver (HMO-POS)|00025101|0.00|0| | |PA|39770|0|N
H3959|032|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Premier (HMO-POS)|00025101|0.00|590| | |PA|39180|0|N
H3959|032|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Premier (HMO-POS)|00025101|0.00|590| | |PA|39260|0|N
H3959|032|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Premier (HMO-POS)|00025101|0.00|590| | |PA|39320|0|N
H3959|032|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Premier (HMO-POS)|00025101|0.00|590| | |PA|39340|0|N
H3959|032|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Premier (HMO-POS)|00025101|0.00|590| | |PA|39520|0|N
H3959|032|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Premier (HMO-POS)|00025101|0.00|590| | |PA|39530|0|N
H3959|032|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Premier (HMO-POS)|00025101|0.00|590| | |PA|39730|0|N
H3959|032|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Premier (HMO-POS)|00025101|0.00|590| | |PA|39740|0|N
H3959|033|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|29.00|590| | |PA|39140|0|N
H3959|033|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|29.00|590| | |PA|39210|0|N
H3959|033|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|29.00|590| | |PA|39290|0|N
H3959|033|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|29.00|590| | |PA|39560|0|N
H3959|033|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|29.00|590| | |PA|39620|0|N
H3959|035|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39140|2|N
H3959|035|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39210|2|N
H3959|035|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39290|2|N
H3959|035|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39560|2|N
H3959|035|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39620|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39000|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39010|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39070|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39080|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39100|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39110|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39120|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39130|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39150|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39160|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39180|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39190|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39200|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39220|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39230|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39240|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39250|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39260|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39270|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39280|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39310|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39320|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39330|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39340|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39350|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39360|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39370|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39380|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39390|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39400|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39410|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39420|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39440|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39450|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39460|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39470|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39480|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39510|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39520|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39530|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39540|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39550|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39580|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39590|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39600|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39610|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39630|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39640|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39650|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39670|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39680|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39690|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39700|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39710|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39720|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39730|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39740|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39750|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39760|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39770|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39790|2|N
H3959|036|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |PA|39800|2|N
H3959|037|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Gold (HMO-POS)|00025101|0.00|590| | |PA|39130|0|N
H3959|037|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Gold (HMO-POS)|00025101|0.00|590| | |PA|39200|0|N
H3959|037|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Gold (HMO-POS)|00025101|0.00|590| | |PA|39240|0|N
H3959|037|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Gold (HMO-POS)|00025101|0.00|590| | |PA|39250|0|N
H3959|037|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Gold (HMO-POS)|00025101|0.00|590| | |PA|39410|0|N
H3959|037|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Gold (HMO-POS)|00025101|0.00|590| | |PA|39420|0|N
H3959|037|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Gold (HMO-POS)|00025101|0.00|590| | |PA|39480|0|N
H3959|037|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Gold (HMO-POS)|00025101|0.00|590| | |PA|39510|0|N
H3959|037|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Gold (HMO-POS)|00025101|0.00|590| | |PA|39580|0|N
H3959|037|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Gold (HMO-POS)|00025101|0.00|590| | |PA|39600|0|N
H3959|037|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Gold (HMO-POS)|00025101|0.00|590| | |PA|39630|0|N
H3959|037|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Gold (HMO-POS)|00025101|0.00|590| | |PA|39640|0|N
H3959|037|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Gold (HMO-POS)|00025101|0.00|590| | |PA|39670|0|N
H3959|037|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Gold (HMO-POS)|00025101|0.00|590| | |PA|39690|0|N
H3959|037|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Gold (HMO-POS)|00025101|0.00|590| | |PA|39700|0|N
H3959|037|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Gold (HMO-POS)|00025101|0.00|590| | |PA|39710|0|N
H3959|037|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Gold (HMO-POS)|00025101|0.00|590| | |PA|39720|0|N
H3959|037|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Gold (HMO-POS)|00025101|0.00|590| | |PA|39760|0|N
H3959|037|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Gold (HMO-POS)|00025101|0.00|590| | |PA|39790|0|N
H3959|039|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Premier (HMO-POS)|00025101|18.00|590| | |PA|39000|0|N
H3959|039|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Premier (HMO-POS)|00025101|18.00|590| | |PA|39110|0|N
H3959|039|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Premier (HMO-POS)|00025101|18.00|590| | |PA|39120|0|N
H3959|039|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Premier (HMO-POS)|00025101|18.00|590| | |PA|39130|0|N
H3959|039|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Premier (HMO-POS)|00025101|18.00|590| | |PA|39200|0|N
H3959|039|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Premier (HMO-POS)|00025101|18.00|590| | |PA|39240|0|N
H3959|039|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Premier (HMO-POS)|00025101|18.00|590| | |PA|39250|0|N
H3959|039|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Premier (HMO-POS)|00025101|18.00|590| | |PA|39270|0|N
H3959|039|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Premier (HMO-POS)|00025101|18.00|590| | |PA|39280|0|N
H3959|039|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Premier (HMO-POS)|00025101|18.00|590| | |PA|39350|0|N
H3959|039|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Premier (HMO-POS)|00025101|18.00|590| | |PA|39360|0|N
H3959|039|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Premier (HMO-POS)|00025101|18.00|590| | |PA|39380|0|N
H3959|039|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Premier (HMO-POS)|00025101|18.00|590| | |PA|39410|0|N
H3959|039|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Premier (HMO-POS)|00025101|18.00|590| | |PA|39420|0|N
H3959|039|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Premier (HMO-POS)|00025101|18.00|590| | |PA|39440|0|N
H3959|039|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Premier (HMO-POS)|00025101|18.00|590| | |PA|39460|0|N
H3959|039|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Premier (HMO-POS)|00025101|18.00|590| | |PA|39480|0|N
H3959|039|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Premier (HMO-POS)|00025101|18.00|590| | |PA|39510|0|N
H3959|039|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Premier (HMO-POS)|00025101|18.00|590| | |PA|39540|0|N
H3959|039|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Premier (HMO-POS)|00025101|18.00|590| | |PA|39580|0|N
H3959|039|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Premier (HMO-POS)|00025101|18.00|590| | |PA|39600|0|N
H3959|039|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Premier (HMO-POS)|00025101|18.00|590| | |PA|39610|0|N
H3959|039|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Premier (HMO-POS)|00025101|18.00|590| | |PA|39630|0|N
H3959|039|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Premier (HMO-POS)|00025101|18.00|590| | |PA|39640|0|N
H3959|039|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Premier (HMO-POS)|00025101|18.00|590| | |PA|39670|0|N
H3959|039|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Premier (HMO-POS)|00025101|18.00|590| | |PA|39690|0|N
H3959|039|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Premier (HMO-POS)|00025101|18.00|590| | |PA|39700|0|N
H3959|039|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Premier (HMO-POS)|00025101|18.00|590| | |PA|39710|0|N
H3959|039|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Premier (HMO-POS)|00025101|18.00|590| | |PA|39720|0|N
H3959|039|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Premier (HMO-POS)|00025101|18.00|590| | |PA|39760|0|N
H3959|039|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Premier (HMO-POS)|00025101|18.00|590| | |PA|39790|0|N
H3959|039|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Premier (HMO-POS)|00025101|18.00|590| | |PA|39800|0|N
H3959|052|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Value (HMO-POS)|00025101|0.00|590| | |PA|39140|0|N
H3959|052|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Value (HMO-POS)|00025101|0.00|590| | |PA|39210|0|N
H3959|052|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Value (HMO-POS)|00025101|0.00|590| | |PA|39290|0|N
H3959|052|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Value (HMO-POS)|00025101|0.00|590| | |PA|39560|0|N
H3959|052|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Value (HMO-POS)|00025101|0.00|590| | |PA|39620|0|N
H3959|053|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Philly Prime (HMO-POS)|00025101|0.00|590| | |PA|39620|0|N
H3959|055|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Value (HMO)|00025101|0.00|250| | |DE|08000|0|N
H3959|055|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Value (HMO)|00025101|0.00|250| | |DE|08010|0|N
H3959|055|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Value (HMO)|00025101|0.00|250| | |DE|08020|0|N
H3959|063|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |DE|08000|2|Y
H3959|063|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |DE|08010|2|Y
H3959|063|000|AETNA HEALTH INC. (PA)|Aetna Medicare Advantra Cares (HMO D-SNP)|00025101|0.00|590| | |DE|08020|2|Y
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39000|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39010|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39070|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39080|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39100|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39110|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39120|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39130|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39140|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39150|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39160|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39180|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39190|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39200|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39210|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39220|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39230|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39240|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39250|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39260|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39270|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39280|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39290|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39310|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39320|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39330|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39340|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39350|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39360|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39370|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39380|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39390|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39400|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39410|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39420|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39440|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39450|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39460|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39470|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39480|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39510|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39520|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39530|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39540|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39550|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39560|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39580|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39590|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39600|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39610|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39620|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39630|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39640|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39650|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39670|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39680|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39690|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39700|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39710|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39720|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39730|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39740|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39750|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39760|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39770|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39790|3|N
H3959|066|000|AETNA HEALTH INC. (PA)|Aetna Medicare Longevity (HMO I-SNP)|00025101|48.40|590| | |PA|39800|3|N
H3959|069|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39180|2|Y
H3959|069|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39220|2|Y
H3959|069|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39230|2|Y
H3959|069|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39260|2|Y
H3959|069|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39310|2|Y
H3959|069|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39320|2|Y
H3959|069|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39340|2|Y
H3959|069|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39400|2|Y
H3959|069|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39520|2|Y
H3959|069|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39530|2|Y
H3959|069|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39640|2|Y
H3959|069|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39730|2|Y
H3959|069|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39740|2|Y
H3959|070|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39140|2|Y
H3959|070|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39210|2|Y
H3959|070|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39290|2|Y
H3959|070|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39560|2|Y
H3959|070|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39620|2|Y
H3959|071|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39010|2|Y
H3959|071|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39070|2|Y
H3959|071|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39080|2|Y
H3959|071|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39100|2|Y
H3959|071|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39120|2|Y
H3959|071|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39150|2|Y
H3959|071|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39160|2|Y
H3959|071|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39330|2|Y
H3959|071|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39370|2|Y
H3959|071|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39390|2|Y
H3959|071|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39450|2|Y
H3959|071|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39680|2|Y
H3959|071|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39750|2|Y
H3959|071|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39770|2|Y
H3959|072|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39130|2|Y
H3959|072|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39190|2|Y
H3959|072|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39200|2|Y
H3959|072|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39240|2|Y
H3959|072|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39250|2|Y
H3959|072|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39410|2|Y
H3959|072|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39420|2|Y
H3959|072|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39480|2|Y
H3959|072|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39510|2|Y
H3959|072|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39540|2|Y
H3959|072|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39550|2|Y
H3959|072|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39580|2|Y
H3959|072|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39600|2|Y
H3959|072|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39630|2|Y
H3959|072|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39650|2|Y
H3959|072|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39670|2|Y
H3959|072|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39690|2|Y
H3959|072|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39700|2|Y
H3959|072|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39710|2|Y
H3959|072|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39720|2|Y
H3959|072|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39760|2|Y
H3959|072|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39790|2|Y
H3959|073|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39000|2|Y
H3959|073|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39110|2|Y
H3959|073|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39270|2|Y
H3959|073|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39280|2|Y
H3959|073|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39350|2|Y
H3959|073|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39360|2|Y
H3959|073|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39380|2|Y
H3959|073|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39440|2|Y
H3959|073|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39460|2|Y
H3959|073|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39470|2|Y
H3959|073|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39590|2|Y
H3959|073|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39610|2|Y
H3959|073|000|AETNA HEALTH INC. (PA)|Aetna Medicare Community Complete (HMO D-SNP)|00025101|0.00|590| | |PA|39800|2|Y
H3959|074|000|AETNA HEALTH INC. (PA)|Aetna Medicare Prime Chronic Value (HMO C-SNP)|00025101|48.40|590| | |PA|39140|1|N
H3959|074|000|AETNA HEALTH INC. (PA)|Aetna Medicare Prime Chronic Value (HMO C-SNP)|00025101|48.40|590| | |PA|39290|1|N
H3959|074|000|AETNA HEALTH INC. (PA)|Aetna Medicare Prime Chronic Value (HMO C-SNP)|00025101|48.40|590| | |PA|39470|1|N
H3959|074|000|AETNA HEALTH INC. (PA)|Aetna Medicare Prime Chronic Value (HMO C-SNP)|00025101|48.40|590| | |PA|39560|1|N
H3959|074|000|AETNA HEALTH INC. (PA)|Aetna Medicare Prime Chronic Value (HMO C-SNP)|00025101|48.40|590| | |PA|39590|1|N
H3959|074|000|AETNA HEALTH INC. (PA)|Aetna Medicare Prime Chronic Value (HMO C-SNP)|00025101|48.40|590| | |PA|39620|1|N
H3959|075|000|AETNA HEALTH INC. (PA)|Aetna Medicare Chronic Care Value (HMO C-SNP)|00025101|48.40|590| | |PA|39010|1|N
H3959|075|000|AETNA HEALTH INC. (PA)|Aetna Medicare Chronic Care Value (HMO C-SNP)|00025101|48.40|590| | |PA|39070|1|N
H3959|075|000|AETNA HEALTH INC. (PA)|Aetna Medicare Chronic Care Value (HMO C-SNP)|00025101|48.40|590| | |PA|39080|1|N
H3959|075|000|AETNA HEALTH INC. (PA)|Aetna Medicare Chronic Care Value (HMO C-SNP)|00025101|48.40|590| | |PA|39150|1|N
H3959|075|000|AETNA HEALTH INC. (PA)|Aetna Medicare Chronic Care Value (HMO C-SNP)|00025101|48.40|590| | |PA|39330|1|N
H3959|075|000|AETNA HEALTH INC. (PA)|Aetna Medicare Chronic Care Value (HMO C-SNP)|00025101|48.40|590| | |PA|39750|1|N
H3959|075|000|AETNA HEALTH INC. (PA)|Aetna Medicare Chronic Care Value (HMO C-SNP)|00025101|48.40|590| | |PA|39770|1|N
H3959|076|000|AETNA HEALTH INC. (PA)|Aetna Medicare Chronic Care (HMO C-SNP)|00025105|0.00|300| | |PA|39010|1|N
H3959|076|000|AETNA HEALTH INC. (PA)|Aetna Medicare Chronic Care (HMO C-SNP)|00025105|0.00|300| | |PA|39070|1|N
H3959|076|000|AETNA HEALTH INC. (PA)|Aetna Medicare Chronic Care (HMO C-SNP)|00025105|0.00|300| | |PA|39080|1|N
H3959|076|000|AETNA HEALTH INC. (PA)|Aetna Medicare Chronic Care (HMO C-SNP)|00025105|0.00|300| | |PA|39150|1|N
H3959|076|000|AETNA HEALTH INC. (PA)|Aetna Medicare Chronic Care (HMO C-SNP)|00025105|0.00|300| | |PA|39330|1|N
H3959|076|000|AETNA HEALTH INC. (PA)|Aetna Medicare Chronic Care (HMO C-SNP)|00025105|0.00|300| | |PA|39750|1|N
H3959|076|000|AETNA HEALTH INC. (PA)|Aetna Medicare Chronic Care (HMO C-SNP)|00025105|0.00|300| | |PA|39770|1|N
H3959|077|000|AETNA HEALTH INC. (PA)|Aetna Medicare Prime Chronic Care (HMO C-SNP)|00025105|0.00|300| | |PA|39140|1|N
H3959|077|000|AETNA HEALTH INC. (PA)|Aetna Medicare Prime Chronic Care (HMO C-SNP)|00025105|0.00|300| | |PA|39290|1|N
H3959|077|000|AETNA HEALTH INC. (PA)|Aetna Medicare Prime Chronic Care (HMO C-SNP)|00025105|0.00|300| | |PA|39470|1|N
H3959|077|000|AETNA HEALTH INC. (PA)|Aetna Medicare Prime Chronic Care (HMO C-SNP)|00025105|0.00|300| | |PA|39560|1|N
H3959|077|000|AETNA HEALTH INC. (PA)|Aetna Medicare Prime Chronic Care (HMO C-SNP)|00025105|0.00|300| | |PA|39590|1|N
H3959|077|000|AETNA HEALTH INC. (PA)|Aetna Medicare Prime Chronic Care (HMO C-SNP)|00025105|0.00|300| | |PA|39620|1|N
H3962|001|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|BlueJourney Premier (HMO)|00025470|36.80|0| | |PA|39000|0|N
H3962|001|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|BlueJourney Premier (HMO)|00025470|36.80|0| | |PA|39110|0|N
H3962|001|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|BlueJourney Premier (HMO)|00025470|36.80|0| | |PA|39200|0|N
H3962|001|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|BlueJourney Premier (HMO)|00025470|36.80|0| | |PA|39250|0|N
H3962|001|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|BlueJourney Premier (HMO)|00025470|36.80|0| | |PA|39270|0|N
H3962|001|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|BlueJourney Premier (HMO)|00025470|36.80|0| | |PA|39280|0|N
H3962|001|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|BlueJourney Premier (HMO)|00025470|36.80|0| | |PA|39350|0|N
H3962|001|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|BlueJourney Premier (HMO)|00025470|36.80|0| | |PA|39360|0|N
H3962|001|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|BlueJourney Premier (HMO)|00025470|36.80|0| | |PA|39410|0|N
H3962|001|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|BlueJourney Premier (HMO)|00025470|36.80|0| | |PA|39440|0|N
H3962|001|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|BlueJourney Premier (HMO)|00025470|36.80|0| | |PA|39460|0|N
H3962|001|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|BlueJourney Premier (HMO)|00025470|36.80|0| | |PA|39470|0|N
H3962|001|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|BlueJourney Premier (HMO)|00025470|36.80|0| | |PA|39540|0|N
H3962|001|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|BlueJourney Premier (HMO)|00025470|36.80|0| | |PA|39580|0|N
H3962|001|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|BlueJourney Premier (HMO)|00025470|36.80|0| | |PA|39590|0|N
H3962|001|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|BlueJourney Premier (HMO)|00025470|36.80|0| | |PA|39600|0|N
H3962|001|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|BlueJourney Premier (HMO)|00025470|36.80|0| | |PA|39610|0|N
H3962|001|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|BlueJourney Premier (HMO)|00025470|36.80|0| | |PA|39650|0|N
H3962|001|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|BlueJourney Premier (HMO)|00025470|36.80|0| | |PA|39670|0|N
H3962|001|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|BlueJourney Premier (HMO)|00025470|36.80|0| | |PA|39720|0|N
H3962|001|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|BlueJourney Premier (HMO)|00025470|36.80|0| | |PA|39800|0|N
H3962|004|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|BlueJourney Value (HMO)|00025470|34.70|0| | |PA|39000|0|N
H3962|004|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|BlueJourney Value (HMO)|00025470|34.70|0| | |PA|39110|0|N
H3962|004|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|BlueJourney Value (HMO)|00025470|34.70|0| | |PA|39200|0|N
H3962|004|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|BlueJourney Value (HMO)|00025470|34.70|0| | |PA|39250|0|N
H3962|004|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|BlueJourney Value (HMO)|00025470|34.70|0| | |PA|39270|0|N
H3962|004|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|BlueJourney Value (HMO)|00025470|34.70|0| | |PA|39280|0|N
H3962|004|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|BlueJourney Value (HMO)|00025470|34.70|0| | |PA|39350|0|N
H3962|004|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|BlueJourney Value (HMO)|00025470|34.70|0| | |PA|39360|0|N
H3962|004|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|BlueJourney Value (HMO)|00025470|34.70|0| | |PA|39410|0|N
H3962|004|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|BlueJourney Value (HMO)|00025470|34.70|0| | |PA|39440|0|N
H3962|004|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|BlueJourney Value (HMO)|00025470|34.70|0| | |PA|39460|0|N
H3962|004|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|BlueJourney Value (HMO)|00025470|34.70|0| | |PA|39470|0|N
H3962|004|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|BlueJourney Value (HMO)|00025470|34.70|0| | |PA|39540|0|N
H3962|004|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|BlueJourney Value (HMO)|00025470|34.70|0| | |PA|39580|0|N
H3962|004|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|BlueJourney Value (HMO)|00025470|34.70|0| | |PA|39590|0|N
H3962|004|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|BlueJourney Value (HMO)|00025470|34.70|0| | |PA|39600|0|N
H3962|004|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|BlueJourney Value (HMO)|00025470|34.70|0| | |PA|39610|0|N
H3962|004|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|BlueJourney Value (HMO)|00025470|34.70|0| | |PA|39650|0|N
H3962|004|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|BlueJourney Value (HMO)|00025470|34.70|0| | |PA|39670|0|N
H3962|004|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|BlueJourney Value (HMO)|00025470|34.70|0| | |PA|39720|0|N
H3962|004|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|BlueJourney Value (HMO)|00025470|34.70|0| | |PA|39800|0|N
H3962|007|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|Capital Blue Cross Essential (HMO)|00025140|0.00|250| | |PA|39000|0|N
H3962|007|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|Capital Blue Cross Essential (HMO)|00025140|0.00|250| | |PA|39110|0|N
H3962|007|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|Capital Blue Cross Essential (HMO)|00025140|0.00|250| | |PA|39200|0|N
H3962|007|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|Capital Blue Cross Essential (HMO)|00025140|0.00|250| | |PA|39250|0|N
H3962|007|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|Capital Blue Cross Essential (HMO)|00025140|0.00|250| | |PA|39270|0|N
H3962|007|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|Capital Blue Cross Essential (HMO)|00025140|0.00|250| | |PA|39280|0|N
H3962|007|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|Capital Blue Cross Essential (HMO)|00025140|0.00|250| | |PA|39350|0|N
H3962|007|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|Capital Blue Cross Essential (HMO)|00025140|0.00|250| | |PA|39360|0|N
H3962|007|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|Capital Blue Cross Essential (HMO)|00025140|0.00|250| | |PA|39410|0|N
H3962|007|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|Capital Blue Cross Essential (HMO)|00025140|0.00|250| | |PA|39440|0|N
H3962|007|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|Capital Blue Cross Essential (HMO)|00025140|0.00|250| | |PA|39460|0|N
H3962|007|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|Capital Blue Cross Essential (HMO)|00025140|0.00|250| | |PA|39470|0|N
H3962|007|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|Capital Blue Cross Essential (HMO)|00025140|0.00|250| | |PA|39540|0|N
H3962|007|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|Capital Blue Cross Essential (HMO)|00025140|0.00|250| | |PA|39580|0|N
H3962|007|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|Capital Blue Cross Essential (HMO)|00025140|0.00|250| | |PA|39590|0|N
H3962|007|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|Capital Blue Cross Essential (HMO)|00025140|0.00|250| | |PA|39600|0|N
H3962|007|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|Capital Blue Cross Essential (HMO)|00025140|0.00|250| | |PA|39610|0|N
H3962|007|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|Capital Blue Cross Essential (HMO)|00025140|0.00|250| | |PA|39650|0|N
H3962|007|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|Capital Blue Cross Essential (HMO)|00025140|0.00|250| | |PA|39670|0|N
H3962|007|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|Capital Blue Cross Essential (HMO)|00025140|0.00|250| | |PA|39720|0|N
H3962|007|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|Capital Blue Cross Essential (HMO)|00025140|0.00|250| | |PA|39800|0|N
H3962|021|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|Capital Blue Cross   WellSpan Health Inspire (HMO)|00025140|0.00|250| | |PA|39000|0|N
H3962|021|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|Capital Blue Cross   WellSpan Health Inspire (HMO)|00025140|0.00|250| | |PA|39270|0|N
H3962|021|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|Capital Blue Cross   WellSpan Health Inspire (HMO)|00025140|0.00|250| | |PA|39350|0|N
H3962|021|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|Capital Blue Cross   WellSpan Health Inspire (HMO)|00025140|0.00|250| | |PA|39360|0|N
H3962|021|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|Capital Blue Cross   WellSpan Health Inspire (HMO)|00025140|0.00|250| | |PA|39440|0|N
H3962|021|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|Capital Blue Cross   WellSpan Health Inspire (HMO)|00025140|0.00|250| | |PA|39460|0|N
H3962|021|000|KEYSTONE HEALTH PLAN CENTRAL, INC.|Capital Blue Cross   WellSpan Health Inspire (HMO)|00025140|0.00|250| | |PA|39800|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18000|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18010|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18020|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18030|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18040|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18050|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18060|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18070|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18080|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18090|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18100|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18110|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18120|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18130|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18140|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18150|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18160|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18170|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18180|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18190|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18191|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18210|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18220|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18230|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18240|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18250|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18260|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18270|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18271|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18290|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18291|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18310|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18320|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18330|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18340|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18350|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18360|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18361|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18362|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18390|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18400|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18410|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18420|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18421|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18440|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18450|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18460|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18470|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18480|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18490|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18500|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18510|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18511|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18530|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18540|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18550|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18560|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18570|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18580|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18590|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18600|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18610|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18620|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18630|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18640|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18650|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18660|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18670|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18680|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18690|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18700|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18710|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18720|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18730|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18740|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18750|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18760|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18770|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18780|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18790|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18800|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18801|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18802|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18830|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18831|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18850|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18860|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18861|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18880|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18890|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18900|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18910|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18920|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18930|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18931|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18932|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18960|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18970|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18971|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18972|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18973|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18974|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18975|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18976|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18977|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18978|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18979|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18980|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18981|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18982|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18983|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18984|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18985|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18986|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18987|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18988|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18989|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18990|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18991|0|N
H3975|001|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KY|18992|0|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18000|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18010|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18020|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18030|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18040|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18050|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18060|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18070|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18080|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18090|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18100|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18110|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18120|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18130|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18140|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18150|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18160|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18170|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18180|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18190|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18191|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18210|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18220|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18230|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18240|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18250|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18260|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18270|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18271|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18290|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18291|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18310|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18320|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18330|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18340|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18350|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18360|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18361|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18362|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18390|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18400|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18410|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18420|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18421|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18440|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18450|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18460|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18470|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18480|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18490|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18500|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18510|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18511|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18530|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18540|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18550|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18560|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18570|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18580|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18590|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18600|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18610|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18620|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18630|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18640|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18650|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18660|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18670|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18680|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18690|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18700|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18710|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18720|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18730|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18740|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18750|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18760|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18770|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18780|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18790|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18800|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18801|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18802|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18830|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18831|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18850|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18860|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18861|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18880|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18890|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18900|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18910|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18920|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18930|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18931|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18932|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18960|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18970|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18971|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18972|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18973|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18974|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18975|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18976|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18977|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18978|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18979|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18980|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18981|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18982|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18983|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18984|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18985|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18986|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18987|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18988|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18989|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18990|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18991|2|N
H3975|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025040|0.00|590| | |KY|18992|2|N
H3979|001|000|GHS HEALTH MAINTENANCE ORGANIZATION, INC.|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |OK|37050|0|N
H3979|001|000|GHS HEALTH MAINTENANCE ORGANIZATION, INC.|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |OK|37060|0|N
H3979|001|000|GHS HEALTH MAINTENANCE ORGANIZATION, INC.|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |OK|37080|0|N
H3979|001|000|GHS HEALTH MAINTENANCE ORGANIZATION, INC.|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |OK|37090|0|N
H3979|001|000|GHS HEALTH MAINTENANCE ORGANIZATION, INC.|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |OK|37100|0|N
H3979|001|000|GHS HEALTH MAINTENANCE ORGANIZATION, INC.|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |OK|37130|0|N
H3979|001|000|GHS HEALTH MAINTENANCE ORGANIZATION, INC.|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |OK|37180|0|N
H3979|001|000|GHS HEALTH MAINTENANCE ORGANIZATION, INC.|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |OK|37190|0|N
H3979|001|000|GHS HEALTH MAINTENANCE ORGANIZATION, INC.|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |OK|37230|0|N
H3979|001|000|GHS HEALTH MAINTENANCE ORGANIZATION, INC.|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |OK|37240|0|N
H3979|001|000|GHS HEALTH MAINTENANCE ORGANIZATION, INC.|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |OK|37250|0|N
H3979|001|000|GHS HEALTH MAINTENANCE ORGANIZATION, INC.|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |OK|37310|0|N
H3979|001|000|GHS HEALTH MAINTENANCE ORGANIZATION, INC.|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |OK|37340|0|N
H3979|001|000|GHS HEALTH MAINTENANCE ORGANIZATION, INC.|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |OK|37350|0|N
H3979|001|000|GHS HEALTH MAINTENANCE ORGANIZATION, INC.|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |OK|37360|0|N
H3979|001|000|GHS HEALTH MAINTENANCE ORGANIZATION, INC.|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |OK|37400|0|N
H3979|001|000|GHS HEALTH MAINTENANCE ORGANIZATION, INC.|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |OK|37410|0|N
H3979|001|000|GHS HEALTH MAINTENANCE ORGANIZATION, INC.|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |OK|37420|0|N
H3979|001|000|GHS HEALTH MAINTENANCE ORGANIZATION, INC.|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |OK|37430|0|N
H3979|001|000|GHS HEALTH MAINTENANCE ORGANIZATION, INC.|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |OK|37450|0|N
H3979|001|000|GHS HEALTH MAINTENANCE ORGANIZATION, INC.|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |OK|37470|0|N
H3979|001|000|GHS HEALTH MAINTENANCE ORGANIZATION, INC.|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |OK|37480|0|N
H3979|001|000|GHS HEALTH MAINTENANCE ORGANIZATION, INC.|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |OK|37520|0|N
H3979|001|000|GHS HEALTH MAINTENANCE ORGANIZATION, INC.|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |OK|37530|0|N
H3979|001|000|GHS HEALTH MAINTENANCE ORGANIZATION, INC.|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |OK|37540|0|N
H3979|001|000|GHS HEALTH MAINTENANCE ORGANIZATION, INC.|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |OK|37550|0|N
H3979|001|000|GHS HEALTH MAINTENANCE ORGANIZATION, INC.|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |OK|37560|0|N
H3979|001|000|GHS HEALTH MAINTENANCE ORGANIZATION, INC.|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |OK|37580|0|N
H3979|001|000|GHS HEALTH MAINTENANCE ORGANIZATION, INC.|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |OK|37590|0|N
H3979|001|000|GHS HEALTH MAINTENANCE ORGANIZATION, INC.|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |OK|37600|0|N
H3979|001|000|GHS HEALTH MAINTENANCE ORGANIZATION, INC.|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |OK|37610|0|N
H3979|001|000|GHS HEALTH MAINTENANCE ORGANIZATION, INC.|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |OK|37620|0|N
H3979|001|000|GHS HEALTH MAINTENANCE ORGANIZATION, INC.|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |OK|37660|0|N
H3979|001|000|GHS HEALTH MAINTENANCE ORGANIZATION, INC.|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |OK|37710|0|N
H3979|001|000|GHS HEALTH MAINTENANCE ORGANIZATION, INC.|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |OK|37730|0|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40010|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40020|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40030|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40040|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40050|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40060|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40070|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40080|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40090|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40100|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40110|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40120|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40130|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40140|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40145|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40150|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40160|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40170|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40180|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40190|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40200|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40210|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40220|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40230|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40240|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40250|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40260|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40265|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40270|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40280|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40290|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40300|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40310|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40320|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40330|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40340|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40350|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40360|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40370|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40380|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40390|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40400|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40410|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40420|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40430|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40440|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40450|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40460|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40470|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40480|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40490|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40500|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40510|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40520|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40530|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40540|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40550|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40560|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40570|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40580|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40590|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40610|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40620|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40630|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40640|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40650|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40660|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40670|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40680|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40690|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40700|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40710|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40720|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40730|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40740|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40750|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40760|1|N
H4003|009|000|MMM HEALTHCARE, LLC|MMM Supremo (HMO C-SNP)|00025498|0.00|0| | |PR|40770|1|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40010|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40020|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40030|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40040|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40050|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40060|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40070|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40080|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40090|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40100|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40110|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40120|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40130|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40140|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40145|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40150|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40160|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40170|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40180|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40190|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40200|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40210|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40220|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40230|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40240|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40250|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40260|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40265|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40270|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40280|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40290|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40300|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40310|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40320|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40330|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40340|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40350|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40360|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40370|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40380|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40390|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40400|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40410|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40420|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40430|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40440|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40450|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40460|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40470|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40480|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40490|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40500|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40510|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40520|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40530|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40540|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40550|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40560|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40570|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40580|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40590|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40610|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40620|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40630|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40640|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40650|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40660|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40670|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40680|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40690|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40700|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40710|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40720|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40730|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40740|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40750|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40760|2|N
H4003|017|000|MMM HEALTHCARE, LLC|MMM Diamante Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40770|2|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40010|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40020|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40030|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40040|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40050|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40060|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40070|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40080|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40090|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40100|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40110|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40120|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40130|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40140|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40145|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40150|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40160|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40170|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40180|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40190|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40200|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40210|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40220|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40230|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40240|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40250|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40260|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40265|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40270|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40280|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40290|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40300|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40310|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40320|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40330|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40340|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40350|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40360|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40370|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40380|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40390|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40400|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40410|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40420|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40430|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40440|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40450|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40460|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40470|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40480|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40490|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40500|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40510|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40520|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40530|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40540|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40550|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40560|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40570|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40580|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40590|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40610|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40620|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40630|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40640|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40650|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40660|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40670|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40680|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40690|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40700|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40710|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40720|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40730|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40740|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40750|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40760|0|N
H4003|019|000|MMM HEALTHCARE, LLC|MMM Unico (HMO-POS)|00025498|0.00|0| | |PR|40770|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40010|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40020|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40030|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40040|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40050|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40060|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40070|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40080|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40090|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40100|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40110|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40120|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40130|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40140|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40145|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40150|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40160|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40170|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40180|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40190|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40200|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40210|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40220|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40230|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40240|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40250|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40260|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40265|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40270|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40280|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40290|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40300|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40310|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40320|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40330|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40340|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40350|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40360|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40370|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40380|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40390|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40400|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40410|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40420|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40430|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40440|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40450|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40460|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40470|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40480|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40490|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40500|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40510|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40520|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40530|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40540|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40550|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40560|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40570|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40580|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40590|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40610|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40620|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40630|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40640|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40650|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40660|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40670|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40680|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40690|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40700|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40710|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40720|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40730|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40740|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40750|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40760|0|N
H4003|034|000|MMM HEALTHCARE, LLC|MMM Elite (HMO-POS)|00025498|0.00|0| | |PR|40770|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40010|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40020|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40030|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40040|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40050|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40060|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40070|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40080|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40090|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40100|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40110|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40120|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40130|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40140|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40145|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40150|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40160|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40170|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40180|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40190|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40200|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40210|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40220|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40230|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40240|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40250|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40260|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40265|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40270|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40280|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40290|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40300|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40310|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40320|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40330|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40340|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40350|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40360|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40370|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40380|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40390|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40400|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40410|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40420|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40430|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40440|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40450|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40460|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40470|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40480|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40490|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40500|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40510|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40520|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40530|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40540|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40550|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40560|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40570|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40580|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40590|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40610|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40620|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40630|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40640|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40650|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40660|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40670|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40680|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40690|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40700|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40710|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40720|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40730|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40740|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40750|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40760|0|N
H4003|055|000|MMM HEALTHCARE, LLC|MMM Deluxe (HMO-POS)|00025498|0.00|0| | |PR|40770|0|N
H4003|058|000|MMM HEALTHCARE, LLC|MMM Dorado Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40020|2|N
H4003|058|000|MMM HEALTHCARE, LLC|MMM Dorado Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40030|2|N
H4003|058|000|MMM HEALTHCARE, LLC|MMM Dorado Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40060|2|N
H4003|058|000|MMM HEALTHCARE, LLC|MMM Dorado Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40070|2|N
H4003|058|000|MMM HEALTHCARE, LLC|MMM Dorado Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40140|2|N
H4003|058|000|MMM HEALTHCARE, LLC|MMM Dorado Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40320|2|N
H4003|058|000|MMM HEALTHCARE, LLC|MMM Dorado Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40350|2|N
H4003|058|000|MMM HEALTHCARE, LLC|MMM Dorado Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40490|2|N
H4003|058|000|MMM HEALTHCARE, LLC|MMM Dorado Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40570|2|N
H4003|058|000|MMM HEALTHCARE, LLC|MMM Dorado Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40580|2|N
H4003|058|000|MMM HEALTHCARE, LLC|MMM Dorado Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40660|2|N
H4003|058|000|MMM HEALTHCARE, LLC|MMM Dorado Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40710|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40010|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40020|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40030|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40040|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40050|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40060|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40070|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40080|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40090|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40100|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40110|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40120|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40130|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40140|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40145|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40150|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40160|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40170|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40180|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40190|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40200|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40210|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40220|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40230|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40240|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40250|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40260|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40265|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40270|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40280|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40290|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40300|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40310|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40320|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40330|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40340|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40350|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40360|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40370|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40380|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40390|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40400|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40410|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40420|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40430|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40440|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40450|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40460|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40470|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40480|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40490|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40500|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40510|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40520|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40530|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40540|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40550|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40560|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40570|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40580|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40590|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40610|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40620|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40630|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40640|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40650|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40660|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40670|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40680|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40690|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40700|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40710|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40720|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40730|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40740|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40750|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40760|2|N
H4004|048|000|MMM HEALTHCARE, LLC|PMC Premier Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40770|2|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40010|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40020|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40030|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40040|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40050|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40060|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40070|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40080|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40090|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40100|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40110|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40120|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40130|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40140|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40145|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40150|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40160|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40170|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40180|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40190|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40200|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40210|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40220|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40230|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40240|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40250|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40260|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40265|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40270|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40280|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40290|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40300|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40310|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40320|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40330|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40340|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40350|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40360|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40370|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40380|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40390|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40400|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40410|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40420|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40430|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40440|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40450|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40460|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40470|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40480|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40490|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40500|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40510|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40520|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40530|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40540|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40550|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40560|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40570|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40580|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40590|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40610|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40620|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40630|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40640|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40650|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40660|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40670|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40680|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40690|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40700|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40710|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40720|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40730|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40740|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40750|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40760|0|N
H4004|056|000|MMM HEALTHCARE, LLC|PMC Max (HMO-POS)|00025498|0.00|0| | |PR|40770|0|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40010|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40020|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40030|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40040|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40050|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40060|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40070|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40080|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40090|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40100|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40110|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40120|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40130|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40140|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40145|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40150|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40160|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40170|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40180|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40190|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40200|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40210|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40220|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40230|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40240|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40250|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40260|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40265|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40270|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40280|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40290|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40300|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40310|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40320|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40330|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40340|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40350|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40360|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40370|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40380|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40390|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40400|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40410|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40420|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40430|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40440|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40450|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40460|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40470|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40480|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40490|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40500|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40510|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40520|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40530|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40540|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40550|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40560|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40570|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40580|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40590|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40610|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40620|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40630|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40640|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40650|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40660|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40670|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40680|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40690|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40700|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40710|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40720|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40730|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40740|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40750|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40760|2|N
H4004|062|000|MMM HEALTHCARE, LLC|MMM Relax Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40770|2|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40010|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40020|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40030|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40040|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40050|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40060|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40070|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40080|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40090|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40100|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40110|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40120|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40130|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40140|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40145|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40150|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40160|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40170|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40180|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40190|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40200|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40210|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40220|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40230|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40240|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40250|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40260|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40265|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40270|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40280|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40290|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40300|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40310|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40320|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40330|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40340|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40350|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40360|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40370|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40380|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40390|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40400|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40410|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40420|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40430|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40440|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40450|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40460|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40470|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40480|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40490|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40500|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40510|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40520|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40530|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40540|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40550|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40560|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40570|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40580|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40590|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40610|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40620|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40630|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40640|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40650|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40660|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40670|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40680|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40690|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40700|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40710|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40720|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40730|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40740|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40750|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40760|0|N
H4004|063|000|MMM HEALTHCARE, LLC|MMM Balance (HMO-POS)|00025498|0.00|0| | |PR|40770|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40010|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40020|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40030|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40040|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40050|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40060|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40070|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40080|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40090|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40100|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40110|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40120|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40130|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40140|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40145|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40150|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40160|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40170|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40180|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40190|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40200|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40210|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40220|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40230|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40240|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40250|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40260|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40265|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40270|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40280|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40290|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40300|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40310|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40320|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40330|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40340|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40350|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40360|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40370|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40380|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40390|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40400|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40410|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40420|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40430|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40440|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40450|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40460|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40470|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40480|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40490|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40500|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40510|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40520|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40530|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40540|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40550|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40560|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40570|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40580|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40590|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40610|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40620|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40630|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40640|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40650|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40660|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40670|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40680|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40690|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40700|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40710|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40720|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40730|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40740|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40750|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40760|0|N
H4004|065|000|MMM HEALTHCARE, LLC|MMM Plenitud (HMO-POS)|00025498|0.00|0| | |PR|40770|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40010|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40020|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40030|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40040|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40050|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40060|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40070|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40080|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40090|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40100|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40110|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40120|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40130|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40140|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40145|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40150|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40160|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40170|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40180|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40190|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40200|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40210|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40220|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40230|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40240|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40250|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40260|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40265|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40270|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40280|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40290|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40300|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40310|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40320|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40330|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40340|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40350|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40360|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40370|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40380|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40390|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40400|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40410|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40420|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40430|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40440|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40450|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40460|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40470|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40480|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40490|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40500|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40510|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40520|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40530|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40540|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40550|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40560|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40570|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40580|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40590|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40610|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40620|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40630|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40640|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40650|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40660|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40670|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40680|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40690|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40700|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40710|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40720|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40730|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40740|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40750|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40760|0|N
H4004|066|000|MMM HEALTHCARE, LLC|MMM Valioso (HMO-POS)|00025498|0.00|0| | |PR|40770|0|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40010|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40020|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40030|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40040|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40050|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40060|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40070|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40080|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40090|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40100|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40110|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40120|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40130|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40140|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40145|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40150|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40160|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40170|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40180|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40190|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40200|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40210|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40220|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40230|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40240|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40250|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40260|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40265|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40270|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40280|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40290|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40300|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40310|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40320|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40330|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40340|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40350|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40360|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40370|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40380|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40390|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40400|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40410|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40420|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40430|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40440|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40450|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40460|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40470|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40480|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40490|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40500|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40510|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40520|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40530|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40540|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40550|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40560|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40570|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40580|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40590|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40610|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40620|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40630|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40640|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40650|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40660|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40670|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40680|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40690|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40700|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40710|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40720|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40730|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40740|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40750|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40760|2|N
H4004|068|000|MMM HEALTHCARE, LLC|MMM Combo Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40770|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40010|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40020|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40030|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40040|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40050|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40060|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40070|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40080|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40090|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40100|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40110|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40120|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40130|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40140|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40145|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40150|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40160|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40170|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40180|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40190|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40200|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40210|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40220|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40230|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40240|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40250|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40260|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40265|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40270|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40280|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40290|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40300|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40310|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40320|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40330|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40340|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40350|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40360|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40370|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40380|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40390|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40400|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40410|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40420|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40430|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40440|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40450|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40460|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40470|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40480|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40490|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40500|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40510|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40520|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40530|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40540|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40550|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40560|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40570|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40580|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40590|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40610|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40620|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40630|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40640|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40650|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40660|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40670|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40680|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40690|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40700|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40710|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40720|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40730|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40740|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40750|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40760|2|N
H4004|069|000|MMM HEALTHCARE, LLC|MMM Flexi Platino (HMO D-SNP)|00025498|0.00|590| | |PR|40770|2|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40010|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40020|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40030|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40040|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40050|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40060|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40070|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40080|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40090|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40100|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40110|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40120|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40130|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40140|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40145|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40150|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40160|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40170|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40180|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40190|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40200|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40210|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40220|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40230|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40240|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40250|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40260|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40265|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40270|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40280|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40290|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40300|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40310|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40320|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40330|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40340|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40350|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40360|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40370|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40380|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40390|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40400|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40410|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40420|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40430|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40440|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40450|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40460|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40470|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40480|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40490|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40500|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40510|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40520|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40530|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40540|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40550|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40560|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40570|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40580|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40590|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40610|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40620|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40630|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40640|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40650|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40660|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40670|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40680|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40690|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40700|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40710|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40720|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40730|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40740|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40750|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40760|0|N
H4004|070|000|MMM HEALTHCARE, LLC|MMM Grandioso (HMO-POS)|00025498|0.00|0| | |PR|40770|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40010|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40020|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40030|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40040|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40050|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40060|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40070|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40080|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40090|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40100|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40110|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40120|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40130|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40140|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40145|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40150|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40160|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40170|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40180|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40190|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40200|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40210|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40220|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40230|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40240|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40250|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40260|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40265|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40270|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40280|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40290|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40300|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40310|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40320|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40330|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40340|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40350|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40360|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40370|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40380|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40390|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40400|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40410|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40420|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40430|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40440|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40450|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40460|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40470|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40480|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40490|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40500|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40510|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40520|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40530|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40540|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40550|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40560|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40570|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40580|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40590|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40610|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40620|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40630|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40640|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40650|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40660|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40670|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40680|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40690|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40700|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40710|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40720|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40730|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40740|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40750|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40760|0|N
H4004|071|000|MMM HEALTHCARE, LLC|MMM Mega Flex (HMO-POS)|00025498|0.00|0| | |PR|40770|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40010|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40020|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40030|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40040|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40050|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40060|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40070|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40080|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40090|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40100|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40110|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40120|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40130|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40140|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40145|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40150|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40160|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40170|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40180|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40190|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40200|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40210|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40220|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40230|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40240|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40250|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40260|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40265|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40270|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40280|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40290|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40300|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40310|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40320|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40330|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40340|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40350|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40360|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40370|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40380|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40390|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40400|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40410|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40420|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40430|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40440|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40450|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40460|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40470|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40480|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40490|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40500|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40510|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40520|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40530|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40540|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40550|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40560|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40570|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40580|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40590|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40610|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40620|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40630|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40640|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40650|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40660|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40670|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40680|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40690|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40700|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40710|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40720|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40730|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40740|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40750|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40760|0|N
H4005|004|000|TRIPLE S ADVANTAGE, INC.|ptimo Plus (PPO)|00025412|0.00|0| | |PR|40770|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40010|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40020|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40030|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40040|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40050|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40060|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40070|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40080|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40090|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40100|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40110|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40120|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40130|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40140|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40145|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40150|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40160|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40170|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40180|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40190|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40200|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40210|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40220|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40230|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40240|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40250|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40260|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40265|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40270|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40280|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40290|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40300|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40310|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40320|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40330|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40340|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40350|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40360|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40370|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40380|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40390|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40400|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40410|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40420|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40430|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40440|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40450|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40460|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40470|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40480|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40490|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40500|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40510|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40520|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40530|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40540|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40550|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40560|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40570|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40580|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40590|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40610|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40620|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40630|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40640|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40650|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40660|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40670|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40680|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40690|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40700|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40710|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40720|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40730|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40740|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40750|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40760|0|N
H4007|012|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-012 (HMO)|00025454|0.00|0| | |PR|40770|0|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40010|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40020|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40030|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40040|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40050|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40060|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40070|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40080|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40090|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40100|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40110|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40120|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40130|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40140|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40145|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40150|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40160|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40170|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40180|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40190|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40200|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40210|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40220|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40230|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40240|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40250|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40260|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40265|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40270|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40280|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40290|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40300|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40310|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40320|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40330|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40340|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40350|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40360|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40370|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40380|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40390|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40400|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40410|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40420|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40430|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40440|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40450|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40460|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40470|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40480|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40490|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40500|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40510|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40520|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40530|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40540|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40550|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40560|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40570|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40580|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40590|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40610|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40620|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40630|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40640|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40650|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40660|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40670|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40680|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40690|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40700|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40710|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40720|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40730|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40740|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40750|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40760|2|N
H4007|016|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-016 (HMO D-SNP)|00025454|0.00|590| | |PR|40770|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40010|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40020|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40030|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40040|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40050|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40060|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40070|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40080|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40090|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40100|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40110|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40120|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40130|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40140|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40145|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40150|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40160|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40170|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40180|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40190|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40200|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40210|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40220|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40230|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40240|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40250|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40260|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40265|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40270|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40280|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40290|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40300|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40310|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40320|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40330|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40340|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40350|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40360|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40370|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40380|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40390|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40400|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40410|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40420|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40430|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40440|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40450|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40460|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40470|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40480|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40490|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40500|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40510|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40520|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40530|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40540|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40550|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40560|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40570|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40580|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40590|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40610|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40620|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40630|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40640|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40650|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40660|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40670|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40680|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40690|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40700|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40710|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40720|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40730|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40740|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40750|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40760|2|N
H4007|018|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-018 (HMO D-SNP)|00025454|0.00|590| | |PR|40770|2|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40010|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40020|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40030|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40040|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40050|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40060|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40070|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40080|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40090|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40100|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40110|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40120|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40130|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40140|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40145|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40150|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40160|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40170|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40180|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40190|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40200|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40210|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40220|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40230|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40240|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40250|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40260|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40265|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40270|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40280|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40290|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40300|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40310|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40320|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40330|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40340|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40350|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40360|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40370|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40380|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40390|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40400|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40410|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40420|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40430|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40440|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40450|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40460|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40470|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40480|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40490|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40500|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40510|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40520|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40530|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40540|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40550|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40560|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40570|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40580|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40590|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40610|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40620|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40630|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40640|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40650|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40660|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40670|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40680|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40690|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40700|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40710|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40720|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40730|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40740|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40750|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40760|0|N
H4007|021|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-021 (HMO)|00025454|0.00|0| | |PR|40770|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40010|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40020|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40030|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40040|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40050|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40060|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40070|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40080|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40090|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40100|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40110|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40120|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40130|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40140|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40145|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40150|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40160|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40170|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40180|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40190|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40200|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40210|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40220|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40230|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40240|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40250|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40260|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40265|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40270|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40280|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40290|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40300|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40310|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40320|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40330|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40340|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40350|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40360|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40370|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40380|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40390|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40400|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40410|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40420|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40430|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40440|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40450|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40460|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40470|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40480|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40490|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40500|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40510|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40520|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40530|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40540|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40550|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40560|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40570|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40580|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40590|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40610|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40620|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40630|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40640|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40650|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40660|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40670|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40680|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40690|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40700|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40710|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40720|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40730|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40740|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40750|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40760|0|N
H4007|024|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-024 (HMO)|00025454|0.00|0| | |PR|40770|0|N
H4007|025|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-025 (HMO)|00025454|0.00|0| | |PR|40020|0|N
H4007|025|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-025 (HMO)|00025454|0.00|0| | |PR|40030|0|N
H4007|025|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-025 (HMO)|00025454|0.00|0| | |PR|40050|0|N
H4007|025|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-025 (HMO)|00025454|0.00|0| | |PR|40060|0|N
H4007|025|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-025 (HMO)|00025454|0.00|0| | |PR|40070|0|N
H4007|025|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-025 (HMO)|00025454|0.00|0| | |PR|40090|0|N
H4007|025|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-025 (HMO)|00025454|0.00|0| | |PR|40100|0|N
H4007|025|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-025 (HMO)|00025454|0.00|0| | |PR|40120|0|N
H4007|025|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-025 (HMO)|00025454|0.00|0| | |PR|40140|0|N
H4007|025|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-025 (HMO)|00025454|0.00|0| | |PR|40145|0|N
H4007|025|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-025 (HMO)|00025454|0.00|0| | |PR|40160|0|N
H4007|025|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-025 (HMO)|00025454|0.00|0| | |PR|40180|0|N
H4007|025|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-025 (HMO)|00025454|0.00|0| | |PR|40190|0|N
H4007|025|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-025 (HMO)|00025454|0.00|0| | |PR|40220|0|N
H4007|025|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-025 (HMO)|00025454|0.00|0| | |PR|40230|0|N
H4007|025|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-025 (HMO)|00025454|0.00|0| | |PR|40240|0|N
H4007|025|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-025 (HMO)|00025454|0.00|0| | |PR|40250|0|N
H4007|025|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-025 (HMO)|00025454|0.00|0| | |PR|40265|0|N
H4007|025|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-025 (HMO)|00025454|0.00|0| | |PR|40270|0|N
H4007|025|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-025 (HMO)|00025454|0.00|0| | |PR|40290|0|N
H4007|025|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-025 (HMO)|00025454|0.00|0| | |PR|40320|0|N
H4007|025|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-025 (HMO)|00025454|0.00|0| | |PR|40330|0|N
H4007|025|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-025 (HMO)|00025454|0.00|0| | |PR|40340|0|N
H4007|025|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-025 (HMO)|00025454|0.00|0| | |PR|40350|0|N
H4007|025|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-025 (HMO)|00025454|0.00|0| | |PR|40360|0|N
H4007|025|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-025 (HMO)|00025454|0.00|0| | |PR|40380|0|N
H4007|025|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-025 (HMO)|00025454|0.00|0| | |PR|40390|0|N
H4007|025|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-025 (HMO)|00025454|0.00|0| | |PR|40400|0|N
H4007|025|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-025 (HMO)|00025454|0.00|0| | |PR|40410|0|N
H4007|025|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-025 (HMO)|00025454|0.00|0| | |PR|40420|0|N
H4007|025|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-025 (HMO)|00025454|0.00|0| | |PR|40430|0|N
H4007|025|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-025 (HMO)|00025454|0.00|0| | |PR|40440|0|N
H4007|025|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-025 (HMO)|00025454|0.00|0| | |PR|40450|0|N
H4007|025|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-025 (HMO)|00025454|0.00|0| | |PR|40460|0|N
H4007|025|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-025 (HMO)|00025454|0.00|0| | |PR|40470|0|N
H4007|025|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-025 (HMO)|00025454|0.00|0| | |PR|40480|0|N
H4007|025|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-025 (HMO)|00025454|0.00|0| | |PR|40490|0|N
H4007|025|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-025 (HMO)|00025454|0.00|0| | |PR|40500|0|N
H4007|025|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-025 (HMO)|00025454|0.00|0| | |PR|40520|0|N
H4007|025|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-025 (HMO)|00025454|0.00|0| | |PR|40530|0|N
H4007|025|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-025 (HMO)|00025454|0.00|0| | |PR|40550|0|N
H4007|025|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-025 (HMO)|00025454|0.00|0| | |PR|40560|0|N
H4007|025|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-025 (HMO)|00025454|0.00|0| | |PR|40570|0|N
H4007|025|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-025 (HMO)|00025454|0.00|0| | |PR|40580|0|N
H4007|025|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-025 (HMO)|00025454|0.00|0| | |PR|40590|0|N
H4007|025|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-025 (HMO)|00025454|0.00|0| | |PR|40610|0|N
H4007|025|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-025 (HMO)|00025454|0.00|0| | |PR|40630|0|N
H4007|025|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-025 (HMO)|00025454|0.00|0| | |PR|40640|0|N
H4007|025|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-025 (HMO)|00025454|0.00|0| | |PR|40670|0|N
H4007|025|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-025 (HMO)|00025454|0.00|0| | |PR|40710|0|N
H4007|025|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-025 (HMO)|00025454|0.00|0| | |PR|40720|0|N
H4007|025|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-025 (HMO)|00025454|0.00|0| | |PR|40730|0|N
H4007|025|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-025 (HMO)|00025454|0.00|0| | |PR|40740|0|N
H4007|025|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-025 (HMO)|00025454|0.00|0| | |PR|40750|0|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40010|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40020|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40030|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40040|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40050|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40060|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40070|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40080|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40090|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40100|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40110|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40120|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40130|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40140|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40145|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40150|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40160|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40170|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40180|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40190|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40200|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40210|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40220|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40230|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40240|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40250|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40260|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40265|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40270|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40280|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40290|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40300|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40310|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40320|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40330|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40340|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40350|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40360|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40370|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40380|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40390|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40400|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40410|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40420|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40430|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40440|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40450|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40460|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40470|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40480|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40490|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40500|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40510|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40520|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40530|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40540|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40550|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40560|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40570|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40580|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40590|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40610|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40620|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40630|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40640|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40650|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40660|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40670|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40680|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40690|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40700|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40710|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40720|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40730|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40740|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40750|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40760|2|N
H4007|026|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-026 (HMO D-SNP)|00025454|0.00|590| | |PR|40770|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40010|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40020|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40030|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40040|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40050|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40060|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40070|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40080|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40090|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40100|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40110|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40120|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40130|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40140|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40145|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40150|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40160|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40170|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40180|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40190|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40200|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40210|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40220|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40230|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40240|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40250|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40260|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40265|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40270|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40280|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40290|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40300|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40310|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40320|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40330|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40340|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40350|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40360|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40370|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40380|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40390|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40400|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40410|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40420|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40430|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40440|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40450|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40460|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40470|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40480|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40490|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40500|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40510|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40520|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40530|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40540|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40550|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40560|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40570|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40580|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40590|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40610|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40620|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40630|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40640|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40650|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40660|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40670|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40680|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40690|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40700|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40710|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40720|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40730|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40740|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40750|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40760|2|N
H4007|027|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-027 (HMO D-SNP)|00025454|0.00|590| | |PR|40770|2|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40010|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40020|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40030|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40040|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40050|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40060|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40070|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40080|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40090|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40100|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40110|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40120|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40130|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40140|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40145|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40150|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40160|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40170|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40180|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40190|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40200|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40210|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40220|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40230|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40240|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40250|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40260|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40265|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40270|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40280|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40290|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40300|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40310|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40320|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40330|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40340|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40350|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40360|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40370|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40380|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40390|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40400|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40410|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40420|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40430|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40440|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40450|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40460|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40470|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40480|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40490|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40500|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40510|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40520|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40530|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40540|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40550|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40560|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40570|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40580|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40590|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40610|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40620|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40630|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40640|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40650|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40660|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40670|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40680|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40690|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40700|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40710|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40720|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40730|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40740|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40750|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40760|0|N
H4007|028|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-028 (HMO-POS)|00025454|0.00|0| | |PR|40770|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40010|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40020|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40030|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40040|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40050|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40060|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40070|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40080|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40090|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40100|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40110|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40120|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40130|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40140|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40145|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40150|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40160|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40170|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40180|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40190|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40200|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40210|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40220|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40230|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40240|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40250|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40260|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40265|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40270|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40280|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40290|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40300|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40310|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40320|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40330|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40340|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40350|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40360|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40370|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40380|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40390|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40400|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40410|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40420|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40430|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40440|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40450|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40460|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40470|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40480|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40490|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40500|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40510|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40520|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40530|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40540|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40550|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40560|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40570|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40580|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40590|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40610|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40620|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40630|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40640|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40650|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40660|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40670|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40680|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40690|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40700|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40710|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40720|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40730|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40740|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40750|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40760|0|N
H4007|029|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus H4007-029 (HMO)|00025454|0.00|0| | |PR|40770|0|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40010|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40020|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40030|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40040|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40050|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40060|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40070|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40080|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40090|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40100|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40110|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40120|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40130|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40140|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40145|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40150|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40160|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40170|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40180|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40190|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40200|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40210|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40220|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40230|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40240|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40250|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40260|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40265|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40270|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40280|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40290|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40300|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40310|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40320|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40330|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40340|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40350|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40360|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40370|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40380|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40390|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40400|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40410|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40420|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40430|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40440|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40450|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40460|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40470|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40480|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40490|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40500|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40510|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40520|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40530|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40540|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40550|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40560|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40570|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40580|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40590|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40610|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40620|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40630|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40640|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40650|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40660|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40670|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40680|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40690|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40700|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40710|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40720|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40730|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40740|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40750|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40760|2|N
H4007|030|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-030 (HMO D-SNP)|00025454|0.00|590| | |PR|40770|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40010|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40020|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40030|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40040|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40050|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40060|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40070|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40080|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40090|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40100|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40110|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40120|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40130|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40140|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40145|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40150|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40160|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40170|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40180|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40190|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40200|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40210|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40220|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40230|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40240|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40250|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40260|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40265|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40270|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40280|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40290|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40300|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40310|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40320|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40330|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40340|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40350|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40360|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40370|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40380|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40390|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40400|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40410|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40420|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40430|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40440|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40450|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40460|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40470|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40480|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40490|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40500|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40510|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40520|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40530|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40540|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40550|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40560|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40570|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40580|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40590|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40610|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40620|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40630|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40640|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40650|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40660|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40670|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40680|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40690|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40700|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40710|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40720|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40730|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40740|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40750|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40760|2|N
H4007|031|000|HUMANA HEALTH PLANS OF PUERTO RICO, INC.|Humana Gold Plus SNP-DE H4007-031 (HMO D-SNP)|00025454|0.00|590| | |PR|40770|2|N
H4036|008|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|39.00|120| | |WI|52000|0|N
H4036|008|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|39.00|120| | |WI|52010|0|N
H4036|008|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|39.00|120| | |WI|52030|0|N
H4036|008|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|39.00|120| | |WI|52040|0|N
H4036|008|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|39.00|120| | |WI|52070|0|N
H4036|008|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|39.00|120| | |WI|52090|0|N
H4036|008|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|39.00|120| | |WI|52130|0|N
H4036|008|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|39.00|120| | |WI|52140|0|N
H4036|008|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|39.00|120| | |WI|52150|0|N
H4036|008|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|39.00|120| | |WI|52180|0|N
H4036|008|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|39.00|120| | |WI|52190|0|N
H4036|008|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|39.00|120| | |WI|52200|0|N
H4036|008|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|39.00|120| | |WI|52220|0|N
H4036|008|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|39.00|120| | |WI|52230|0|N
H4036|008|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|39.00|120| | |WI|52240|0|N
H4036|008|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|39.00|120| | |WI|52250|0|N
H4036|008|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|39.00|120| | |WI|52270|0|N
H4036|008|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|39.00|120| | |WI|52280|0|N
H4036|008|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|39.00|120| | |WI|52290|0|N
H4036|008|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|39.00|120| | |WI|52300|0|N
H4036|008|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|39.00|120| | |WI|52320|0|N
H4036|008|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|39.00|120| | |WI|52330|0|N
H4036|008|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|39.00|120| | |WI|52340|0|N
H4036|008|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|39.00|120| | |WI|52350|0|N
H4036|008|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|39.00|120| | |WI|52360|0|N
H4036|008|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|39.00|120| | |WI|52370|0|N
H4036|008|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|39.00|120| | |WI|52380|0|N
H4036|008|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|39.00|120| | |WI|52381|0|N
H4036|008|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|39.00|120| | |WI|52390|0|N
H4036|008|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|39.00|120| | |WI|52410|0|N
H4036|008|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|39.00|120| | |WI|52420|0|N
H4036|008|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|39.00|120| | |WI|52430|0|N
H4036|008|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|39.00|120| | |WI|52440|0|N
H4036|008|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|39.00|120| | |WI|52480|0|N
H4036|008|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|39.00|120| | |WI|52490|0|N
H4036|008|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|39.00|120| | |WI|52500|0|N
H4036|008|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|39.00|120| | |WI|52520|0|N
H4036|008|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|39.00|120| | |WI|52570|0|N
H4036|008|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|39.00|120| | |WI|52580|0|N
H4036|008|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|39.00|120| | |WI|52590|0|N
H4036|008|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|39.00|120| | |WI|52620|0|N
H4036|008|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|39.00|120| | |WI|52630|0|N
H4036|008|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|39.00|120| | |WI|52650|0|N
H4036|008|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|39.00|120| | |WI|52660|0|N
H4036|008|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|39.00|120| | |WI|52670|0|N
H4036|008|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|39.00|120| | |WI|52680|0|N
H4036|008|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|39.00|120| | |WI|52690|0|N
H4036|008|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|39.00|120| | |WI|52700|0|N
H4036|017|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 4 (PPO)|00025049|57.50|40| | |OH|36060|0|N
H4036|017|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 4 (PPO)|00025049|57.50|40| | |OH|36090|0|N
H4036|017|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 4 (PPO)|00025049|57.50|40| | |OH|36140|0|N
H4036|017|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 4 (PPO)|00025049|57.50|40| | |OH|36170|0|N
H4036|017|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 4 (PPO)|00025049|57.50|40| | |OH|36210|0|N
H4036|017|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 4 (PPO)|00025049|57.50|40| | |OH|36280|0|N
H4036|017|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 4 (PPO)|00025049|57.50|40| | |OH|36290|0|N
H4036|017|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 4 (PPO)|00025049|57.50|40| | |OH|36440|0|N
H4036|017|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 4 (PPO)|00025049|57.50|40| | |OH|36480|0|N
H4036|017|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 4 (PPO)|00025049|57.50|40| | |OH|36560|0|N
H4036|017|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 4 (PPO)|00025049|57.50|40| | |OH|36580|0|N
H4036|017|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 4 (PPO)|00025049|57.50|40| | |OH|36610|0|N
H4036|017|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 4 (PPO)|00025049|57.50|40| | |OH|36690|0|N
H4036|017|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 4 (PPO)|00025049|57.50|40| | |OH|36730|0|N
H4036|017|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 4 (PPO)|00025049|57.50|40| | |OH|36770|0|N
H4036|017|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 4 (PPO)|00025049|57.50|40| | |OH|36780|0|N
H4036|017|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 4 (PPO)|00025049|57.50|40| | |OH|36790|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52000|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52010|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52020|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52030|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52040|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52050|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52060|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52070|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52080|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52090|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52100|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52110|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52120|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52130|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52140|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52150|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52160|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52170|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52180|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52190|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52200|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52210|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52220|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52230|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52240|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52250|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52260|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52270|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52280|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52290|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52300|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52310|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52320|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52330|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52340|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52350|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52360|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52370|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52380|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52381|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52390|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52400|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52410|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52420|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52430|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52440|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52450|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52460|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52470|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52480|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52490|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52500|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52510|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52520|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52530|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52540|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52550|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52560|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52570|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52580|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52590|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52600|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52610|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52620|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52630|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52640|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52650|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52660|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52670|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52680|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52690|0|N
H4036|020|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|195| | |WI|52700|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36000|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36010|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36020|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36030|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36050|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36060|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36070|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36080|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36090|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36100|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36110|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36120|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36130|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36140|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36160|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36170|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36190|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36200|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36210|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36220|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36230|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36240|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36250|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36260|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36280|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36290|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36310|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36330|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36370|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36390|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36400|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36420|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36430|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36440|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36450|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36460|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36480|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36490|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36500|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36510|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36520|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36530|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36550|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36560|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36580|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36600|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36610|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36630|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36660|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36680|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36690|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36700|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36710|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36720|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36730|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36740|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36750|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36760|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36770|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36780|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36790|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36800|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36810|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36820|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36840|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36850|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36860|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36870|0|N
H4036|025|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|30.50|0| | |OH|36880|0|N
H4036|026|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|0| | |OH|36040|0|N
H4036|026|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|0| | |OH|36060|0|N
H4036|026|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|0| | |OH|36080|0|N
H4036|026|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|0| | |OH|36090|0|N
H4036|026|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|0| | |OH|36120|0|N
H4036|026|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|0| | |OH|36140|0|N
H4036|026|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|0| | |OH|36200|0|N
H4036|026|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|0| | |OH|36260|0|N
H4036|026|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|0| | |OH|36270|0|N
H4036|026|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|0| | |OH|36290|0|N
H4036|026|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|0| | |OH|36310|0|N
H4036|026|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|0| | |OH|36350|0|N
H4036|026|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|0| | |OH|36420|0|N
H4036|026|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|0| | |OH|36490|0|N
H4036|026|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|0| | |OH|36510|0|N
H4036|026|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|0| | |OH|36540|0|N
H4036|026|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|0| | |OH|36570|0|N
H4036|026|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|0| | |OH|36580|0|N
H4036|026|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|0| | |OH|36630|0|N
H4036|026|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|0| | |OH|36790|0|N
H4036|026|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|0| | |OH|36840|0|N
H4036|026|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|0| | |OH|36850|0|N
H4036|026|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|0| | |OH|36870|0|N
H4036|026|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|0| | |OH|36880|0|N
H4036|028|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|47.60|395| | |NH|30000|0|N
H4036|028|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|47.60|395| | |NH|30010|0|N
H4036|028|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|47.60|395| | |NH|30020|0|N
H4036|028|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|47.60|395| | |NH|30030|0|N
H4036|028|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|47.60|395| | |NH|30040|0|N
H4036|028|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|47.60|395| | |NH|30050|0|N
H4036|028|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|47.60|395| | |NH|30060|0|N
H4036|028|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|47.60|395| | |NH|30070|0|N
H4036|028|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|47.60|395| | |NH|30080|0|N
H4036|028|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|47.60|395| | |NH|30090|0|N
H4036|029|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Select (PPO)|00025049|0.00|395| | |NH|30000|0|N
H4036|029|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Select (PPO)|00025049|0.00|395| | |NH|30020|0|N
H4036|029|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Select (PPO)|00025049|0.00|395| | |NH|30040|0|N
H4036|029|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Select (PPO)|00025049|0.00|395| | |NH|30050|0|N
H4036|029|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Select (PPO)|00025049|0.00|395| | |NH|30060|0|N
H4036|029|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Select (PPO)|00025049|0.00|395| | |NH|30090|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11000|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11010|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11011|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11020|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11030|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11040|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11050|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11060|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11070|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11090|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11100|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11110|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11130|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11140|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11150|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11160|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11180|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11190|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11200|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11210|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11220|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11230|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11240|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11250|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11260|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11280|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11281|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11290|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11291|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11310|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11320|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11330|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11340|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11350|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11370|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11380|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11381|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11400|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11421|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11430|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11440|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11441|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11450|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11451|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11461|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11462|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11470|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11471|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11480|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11520|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11530|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11540|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11550|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11560|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11570|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11580|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11581|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11590|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11591|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11600|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11601|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11610|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11611|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11612|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11620|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11630|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11640|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11650|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11651|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11660|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11680|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11690|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11691|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11700|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11701|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11702|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11703|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11710|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11720|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11730|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11740|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11760|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11770|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11771|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11772|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11780|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11790|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11800|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11801|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11810|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11811|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11812|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11820|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11821|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11830|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11831|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11832|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11833|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11834|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11840|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11841|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11842|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11850|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11860|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11861|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11862|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11880|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11881|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11882|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11883|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11884|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11900|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11901|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11902|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11903|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11910|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11911|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11912|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11913|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11920|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11930|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11940|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11941|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11950|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11960|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11961|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11962|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11963|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11971|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11972|0|N
H4036|030|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|76.80|0| | |GA|11973|0|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11000|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11010|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11011|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11020|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11030|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11040|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11050|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11060|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11070|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11080|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11090|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11100|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11110|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11120|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11130|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11140|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11150|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11160|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11161|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11170|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11180|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11190|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11200|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11210|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11220|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11230|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11240|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11250|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11260|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11270|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11280|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11281|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11290|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11291|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11300|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11310|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11311|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11320|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11330|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11340|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11341|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11350|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11360|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11370|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11380|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11381|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11400|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11410|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11420|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11421|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11430|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11440|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11441|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11450|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11451|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11460|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11461|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11462|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11470|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11471|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11480|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11510|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11520|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11530|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11540|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11550|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11560|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11570|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11580|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11581|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11590|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11591|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11600|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11601|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11610|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11611|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11612|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11620|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11630|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11640|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11650|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11651|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11652|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11660|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11670|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11680|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11690|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11691|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11700|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11701|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11702|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11703|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11710|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11720|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11730|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11740|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11741|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11750|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11760|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11770|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11771|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11772|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11780|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11790|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11800|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11801|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11810|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11811|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11812|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11820|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11821|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11830|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11831|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11832|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11833|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11834|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11835|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11840|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11841|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11842|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11850|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11851|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11860|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11861|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11862|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11870|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11880|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11881|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11882|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11883|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11884|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11885|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11890|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11900|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11901|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11902|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11903|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11910|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11911|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11912|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11913|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11920|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11921|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11930|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11940|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11941|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11950|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11960|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11961|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11962|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11963|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11971|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11972|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11973|2|N
H4036|032|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Full Dual Advantage (PPO D-SNP)|00025049|0.00|590| | |GA|11980|2|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11000|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11010|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11011|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11020|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11030|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11040|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11050|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11060|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11070|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11080|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11090|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11100|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11110|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11120|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11130|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11140|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11150|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11160|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11161|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11170|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11180|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11190|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11200|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11210|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11220|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11230|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11240|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11250|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11260|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11270|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11280|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11281|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11290|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11291|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11300|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11310|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11311|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11320|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11330|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11340|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11341|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11350|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11360|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11370|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11380|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11381|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11400|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11410|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11420|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11421|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11430|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11440|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11441|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11450|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11451|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11460|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11461|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11462|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11470|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11471|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11480|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11510|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11520|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11530|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11540|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11550|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11560|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11570|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11580|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11581|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11590|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11591|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11600|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11601|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11610|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11611|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11612|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11620|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11630|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11640|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11650|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11651|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11652|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11660|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11670|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11680|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11690|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11691|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11700|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11701|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11702|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11703|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11710|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11720|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11730|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11740|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11741|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11750|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11760|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11770|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11771|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11772|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11780|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11790|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11800|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11801|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11810|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11811|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11812|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11820|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11821|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11830|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11831|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11832|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11833|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11834|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11835|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11840|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11841|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11842|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11850|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11851|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11860|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11861|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11862|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11870|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11880|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11881|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11882|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11883|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11884|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11885|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11890|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11900|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11901|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11902|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11903|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11910|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11911|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11912|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11913|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11920|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11921|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11930|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11940|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11941|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11950|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11960|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11961|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11962|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11963|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11971|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11972|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11973|0|N
H4036|033|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025037|0.00|295| | |GA|11980|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18000|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18010|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18020|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18030|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18040|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18050|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18060|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18070|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18080|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18090|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18110|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18120|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18130|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18140|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18150|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18170|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18180|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18190|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18191|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18210|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18220|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18240|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18250|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18260|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18271|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18290|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18291|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18310|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18320|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18330|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18340|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18360|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18362|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18390|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18400|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18410|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18420|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18421|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18440|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18450|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18460|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18470|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18480|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18490|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18500|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18510|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18540|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18550|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18560|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18570|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18580|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18590|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18600|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18610|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18620|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18630|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18640|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18650|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18670|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18690|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18700|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18710|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18720|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18730|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18740|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18750|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18760|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18770|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18780|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18800|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18801|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18802|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18831|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18850|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18860|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18880|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18890|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18900|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18910|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18920|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18930|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18932|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18960|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18971|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18972|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18973|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18974|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18975|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18977|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18978|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18980|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18981|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18984|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18986|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18989|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18990|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18991|0|N
H4036|034|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025049|49.00|0| | |KY|18992|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18000|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18010|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18020|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18030|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18040|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18050|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18060|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18070|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18080|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18090|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18100|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18110|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18120|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18130|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18140|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18150|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18160|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18170|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18180|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18190|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18191|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18210|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18220|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18230|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18240|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18250|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18260|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18270|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18271|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18290|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18291|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18310|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18320|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18330|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18340|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18350|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18360|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18361|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18362|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18390|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18400|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18410|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18420|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18421|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18440|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18450|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18460|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18470|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18480|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18490|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18500|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18510|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18511|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18530|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18540|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18550|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18560|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18570|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18580|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18590|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18600|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18610|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18620|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18630|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18640|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18650|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18660|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18670|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18680|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18690|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18700|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18710|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18720|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18730|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18740|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18750|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18760|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18770|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18780|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18790|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18800|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18801|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18802|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18830|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18831|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18850|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18860|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18861|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18880|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18890|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18900|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18910|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18920|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18930|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18931|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18932|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18960|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18970|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18971|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18972|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18973|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18974|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18975|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18976|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18977|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18978|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18979|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18980|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18981|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18982|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18983|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18984|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18985|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18986|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18987|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18988|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18989|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18990|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18991|0|N
H4036|035|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 2 (PPO)|00025049|38.00|0| | |KY|18992|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18000|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18010|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18020|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18030|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18040|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18050|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18060|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18070|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18080|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18090|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18100|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18110|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18120|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18130|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18140|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18150|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18160|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18170|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18180|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18190|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18191|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18210|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18220|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18230|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18240|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18250|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18260|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18270|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18271|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18290|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18291|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18310|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18320|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18330|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18340|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18350|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18360|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18361|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18362|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18390|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18400|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18410|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18420|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18421|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18440|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18450|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18460|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18470|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18480|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18490|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18500|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18510|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18511|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18530|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18540|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18550|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18560|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18570|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18580|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18590|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18600|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18610|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18620|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18630|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18640|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18650|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18660|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18670|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18680|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18690|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18700|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18710|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18720|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18730|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18740|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18750|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18760|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18770|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18780|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18790|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18800|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18801|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18802|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18830|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18831|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18850|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18860|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18861|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18880|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18890|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18900|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18910|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18920|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18930|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18931|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18932|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18960|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18970|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18971|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18972|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18973|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18974|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18975|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18976|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18977|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18978|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18979|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18980|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18981|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18982|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18983|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18984|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18985|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18986|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18987|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18988|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18989|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18990|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18991|0|N
H4036|036|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|350| | |KY|18992|0|N
H4036|038|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 4 (PPO)|00025037|0.00|0| | |KY|18030|0|N
H4036|038|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 4 (PPO)|00025037|0.00|0| | |KY|18110|0|N
H4036|038|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 4 (PPO)|00025037|0.00|0| | |KY|18120|0|N
H4036|038|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 4 (PPO)|00025037|0.00|0| | |KY|18150|0|N
H4036|038|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 4 (PPO)|00025037|0.00|0| | |KY|18160|0|N
H4036|038|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 4 (PPO)|00025037|0.00|0| | |KY|18190|0|N
H4036|038|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 4 (PPO)|00025037|0.00|0| | |KY|18250|0|N
H4036|038|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 4 (PPO)|00025037|0.00|0| | |KY|18260|0|N
H4036|038|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 4 (PPO)|00025037|0.00|0| | |KY|18270|0|N
H4036|038|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 4 (PPO)|00025037|0.00|0| | |KY|18271|0|N
H4036|038|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 4 (PPO)|00025037|0.00|0| | |KY|18291|0|N
H4036|038|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 4 (PPO)|00025037|0.00|0| | |KY|18310|0|N
H4036|038|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 4 (PPO)|00025037|0.00|0| | |KY|18340|0|N
H4036|038|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 4 (PPO)|00025037|0.00|0| | |KY|18421|0|N
H4036|038|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 4 (PPO)|00025037|0.00|0| | |KY|18511|0|N
H4036|038|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 4 (PPO)|00025037|0.00|0| | |KY|18590|0|N
H4036|038|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 4 (PPO)|00025037|0.00|0| | |KY|18640|0|N
H4036|038|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 4 (PPO)|00025037|0.00|0| | |KY|18650|0|N
H4036|038|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 4 (PPO)|00025037|0.00|0| | |KY|18670|0|N
H4036|038|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 4 (PPO)|00025037|0.00|0| | |KY|18730|0|N
H4036|038|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 4 (PPO)|00025037|0.00|0| | |KY|18760|0|N
H4036|038|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 4 (PPO)|00025037|0.00|0| | |KY|18790|0|N
H4036|038|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 4 (PPO)|00025037|0.00|0| | |KY|18802|0|N
H4036|038|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 4 (PPO)|00025037|0.00|0| | |KY|18831|0|N
H4036|038|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 4 (PPO)|00025037|0.00|0| | |KY|18861|0|N
H4036|038|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 4 (PPO)|00025037|0.00|0| | |KY|18900|0|N
H4036|038|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 4 (PPO)|00025037|0.00|0| | |KY|18931|0|N
H4036|038|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 4 (PPO)|00025037|0.00|0| | |KY|18971|0|N
H4036|038|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 4 (PPO)|00025037|0.00|0| | |KY|18973|0|N
H4036|038|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 4 (PPO)|00025037|0.00|0| | |KY|18985|0|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11000|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11010|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11011|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11020|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11030|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11040|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11050|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11060|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11070|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11080|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11090|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11100|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11110|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11120|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11130|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11140|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11150|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11160|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11161|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11170|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11180|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11190|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11200|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11210|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11220|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11230|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11240|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11250|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11260|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11270|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11280|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11281|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11290|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11291|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11300|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11310|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11311|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11320|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11330|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11340|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11341|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11350|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11360|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11370|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11380|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11381|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11400|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11410|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11420|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11421|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11430|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11440|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11441|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11450|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11451|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11460|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11461|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11462|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11470|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11471|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11480|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11510|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11520|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11530|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11540|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11550|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11560|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11570|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11580|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11581|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11590|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11591|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11600|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11601|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11610|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11611|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11612|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11620|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11630|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11640|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11650|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11651|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11652|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11660|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11670|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11680|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11690|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11691|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11700|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11701|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11702|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11703|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11710|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11720|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11730|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11740|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11741|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11750|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11760|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11770|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11771|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11772|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11780|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11790|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11800|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11801|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11810|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11811|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11812|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11820|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11821|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11830|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11831|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11832|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11833|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11834|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11835|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11840|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11841|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11842|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11850|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11851|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11860|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11861|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11862|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11870|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11880|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11881|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11882|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11883|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11884|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11885|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11890|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11900|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11901|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11902|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11903|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11910|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11911|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11912|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11913|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11920|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11921|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11930|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11940|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11941|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11950|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11960|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11961|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11962|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11963|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11971|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11972|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11973|2|N
H4036|039|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Dual Advantage (PPO D-SNP)|00025049|30.80|590| | |GA|11980|2|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11000|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11010|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11011|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11020|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11030|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11040|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11050|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11060|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11070|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11080|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11090|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11100|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11110|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11120|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11130|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11140|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11150|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11160|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11161|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11170|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11180|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11190|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11200|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11210|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11220|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11230|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11240|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11250|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11260|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11270|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11280|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11281|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11290|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11291|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11300|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11310|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11311|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11320|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11330|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11340|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11341|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11350|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11360|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11370|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11380|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11381|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11400|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11410|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11420|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11421|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11430|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11440|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11441|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11450|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11451|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11460|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11461|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11462|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11470|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11471|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11480|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11510|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11520|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11530|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11540|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11550|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11560|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11570|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11580|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11581|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11590|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11591|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11600|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11601|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11610|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11611|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11612|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11620|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11630|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11640|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11650|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11651|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11652|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11660|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11670|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11680|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11690|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11691|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11700|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11701|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11702|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11703|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11710|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11720|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11730|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11740|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11741|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11750|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11760|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11770|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11771|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11772|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11780|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11790|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11800|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11801|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11810|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11811|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11812|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11820|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11821|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11830|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11831|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11832|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11833|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11834|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11835|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11840|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11841|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11842|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11850|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11851|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11860|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11861|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11862|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11870|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11880|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11881|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11882|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11883|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11884|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11885|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11890|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11900|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11901|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11902|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11903|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11910|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11911|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11912|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11913|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11920|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11921|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11930|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11940|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11941|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11950|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11960|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11961|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11962|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11963|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11971|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11972|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11973|0|N
H4036|041|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Premium Savings (PPO)|00025037|0.00|295| | |GA|11980|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11000|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11010|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11011|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11020|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11030|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11040|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11050|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11060|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11070|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11080|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11090|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11100|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11110|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11120|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11130|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11140|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11150|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11160|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11161|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11170|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11180|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11190|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11200|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11210|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11220|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11230|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11240|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11250|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11260|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11270|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11280|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11281|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11290|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11291|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11300|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11310|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11311|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11320|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11330|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11340|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11341|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11350|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11360|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11370|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11380|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11381|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11400|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11410|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11420|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11421|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11430|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11440|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11441|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11450|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11451|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11460|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11461|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11462|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11470|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11471|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11480|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11510|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11520|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11530|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11540|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11550|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11560|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11570|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11580|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11581|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11590|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11591|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11600|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11601|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11610|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11611|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11612|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11620|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11630|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11640|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11650|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11651|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11652|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11660|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11670|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11680|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11690|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11691|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11700|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11701|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11702|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11703|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11710|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11720|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11730|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11740|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11741|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11750|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11760|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11770|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11771|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11772|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11780|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11790|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11800|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11801|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11810|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11811|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11812|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11820|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11821|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11830|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11831|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11832|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11833|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11834|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11835|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11840|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11841|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11842|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11850|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11851|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11860|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11861|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11862|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11870|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11880|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11881|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11882|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11883|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11884|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11885|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11890|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11900|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11901|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11902|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11903|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11910|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11911|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11912|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11913|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11920|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11921|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11930|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11940|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11941|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11950|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11960|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11961|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11962|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11963|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11971|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11972|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11973|0|N
H4036|042|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage 3 (PPO)|00025037|29.00|0| | |GA|11980|0|N
H4045|001|000|SANTA CLARA COUNTY HEALTH AUTHORITY|DualConnect (HMO D-SNP)|00025246|0.00|590| | |CA|05530|2|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45000|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45020|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45090|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45130|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45190|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45220|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45222|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45260|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45280|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45281|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45321|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45330|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45340|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45360|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45390|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45400|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45410|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45451|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45480|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45500|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45510|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45530|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45540|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45561|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45570|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45580|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45581|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45590|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45610|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45640|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45653|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45654|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45661|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45671|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45700|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45711|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45722|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45730|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45754|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45758|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45770|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45780|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45782|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45791|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45792|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45794|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45802|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45810|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45820|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45840|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45841|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45843|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45860|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45871|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45874|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45876|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45878|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45879|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45880|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45886|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45890|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45892|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45893|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45910|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45921|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45930|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45942|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45943|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45945|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45946|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45948|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45952|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45960|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45970|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45973|3|N
H4054|001|000|PROVIDER PARTNERS HEALTH PLAN OF TEXAS, INC.|Provider Partners Texas Advantage Plan (HMO I-SNP)|00025261|18.30|590| | |TX|45981|3|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34000|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34010|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34020|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34030|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34040|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34050|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34080|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34100|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34110|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34120|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34130|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34160|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34170|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34180|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34210|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34220|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34230|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34250|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34280|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34290|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34300|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34310|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34330|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34340|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34350|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34370|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34380|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34390|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34400|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34420|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34430|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34440|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34460|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34480|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34490|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34500|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34520|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34540|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34550|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34560|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34570|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34590|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34600|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34610|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34620|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34630|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34670|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34720|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34740|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34750|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34760|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34770|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34780|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34790|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34800|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34810|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34820|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34830|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34840|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34850|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34860|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34870|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34890|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34900|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34910|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34920|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34940|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34960|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34970|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34980|0|N
H4073|001|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NC|34981|0|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34000|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34010|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34020|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34030|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34040|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34050|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34080|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34100|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34110|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34120|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34130|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34160|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34170|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34180|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34210|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34220|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34230|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34250|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34280|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34290|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34300|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34310|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34330|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34340|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34350|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34370|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34380|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34390|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34400|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34420|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34430|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34440|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34460|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34480|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34490|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34500|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34520|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34540|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34550|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34560|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34570|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34590|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34600|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34610|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34620|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34630|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34670|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34720|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34740|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34750|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34760|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34770|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34780|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34790|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34800|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34810|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34820|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34830|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34840|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34850|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34860|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34870|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34890|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34900|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34910|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34920|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34940|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34960|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34970|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34980|2|N
H4073|002|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|43.10|590| | |NC|34981|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34000|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34010|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34020|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34030|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34040|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34050|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34080|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34100|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34110|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34120|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34130|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34160|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34170|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34180|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34210|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34220|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34230|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34250|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34280|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34290|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34300|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34310|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34330|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34340|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34350|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34370|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34380|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34390|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34400|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34420|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34430|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34440|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34460|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34480|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34490|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34500|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34520|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34540|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34550|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34560|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34570|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34590|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34600|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34610|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34620|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34630|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34670|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34720|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34740|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34750|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34760|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34770|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34780|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34790|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34800|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34810|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34820|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34830|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34840|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34850|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34860|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34870|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34890|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34900|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34910|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34920|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34940|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34960|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34970|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34980|2|N
H4073|003|000|WELLCARE HEALTH INSURANCE OF NORTH CAROLINA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|51.20|590| | |NC|34981|2|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01000|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01010|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01020|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01030|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01040|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01050|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01060|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01070|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01080|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01090|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01100|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01110|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01120|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01130|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01140|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01150|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01160|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01170|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01180|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01190|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01200|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01210|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01220|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01230|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01240|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01250|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01260|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01270|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01280|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01290|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01300|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01310|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01320|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01330|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01340|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01350|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01360|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01370|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01380|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01390|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01400|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01410|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01420|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01430|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01440|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01450|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01460|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01470|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01480|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01490|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01500|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01510|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01520|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01530|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01540|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01550|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01560|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01570|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01580|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01590|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01600|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01610|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01620|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01630|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01640|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01650|3|N
H4091|001|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Nursing Home Plan (PPO I-SNP)|00025122|40.00|590| | |AL|01660|3|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01000|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01010|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01020|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01030|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01040|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01050|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01060|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01070|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01080|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01090|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01100|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01110|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01120|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01130|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01140|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01150|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01160|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01170|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01180|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01190|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01200|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01210|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01220|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01230|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01240|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01250|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01260|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01270|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01280|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01290|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01300|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01310|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01320|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01330|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01340|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01350|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01360|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01370|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01380|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01390|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01400|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01410|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01420|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01430|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01440|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01450|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01460|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01470|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01480|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01490|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01500|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01510|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01520|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01530|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01540|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01550|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01560|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01570|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01580|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01590|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01600|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01610|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01620|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01630|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01640|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01650|2|N
H4091|002|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Dual Care (PPO D-SNP)|00025122|0.00|590| | |AL|01660|2|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01000|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01010|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01020|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01030|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01040|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01050|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01060|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01070|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01080|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01090|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01100|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01110|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01120|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01130|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01140|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01150|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01160|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01170|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01180|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01190|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01200|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01210|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01220|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01230|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01240|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01250|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01260|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01270|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01280|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01290|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01300|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01310|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01320|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01330|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01340|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01350|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01360|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01370|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01380|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01390|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01400|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01410|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01420|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01430|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01440|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01450|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01460|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01470|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01480|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01490|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01500|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01510|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01520|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01530|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01540|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01550|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01560|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01570|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01580|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01590|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01600|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01610|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01620|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01630|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01640|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01650|3|N
H4091|003|000|SIMPRA ADVANTAGE, INC.|Simpra Advantage Assist (PPO I-SNP)|00025125|70.20|150| | |AL|01660|3|N
H4093|001|000|PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC|Provider Partners Pennsylvania Advantage Plan (HMO I-SNP)|00025261|48.40|590| | |PA|39010|3|N
H4093|001|000|PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC|Provider Partners Pennsylvania Advantage Plan (HMO I-SNP)|00025261|48.40|590| | |PA|39070|3|N
H4093|001|000|PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC|Provider Partners Pennsylvania Advantage Plan (HMO I-SNP)|00025261|48.40|590| | |PA|39080|3|N
H4093|001|000|PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC|Provider Partners Pennsylvania Advantage Plan (HMO I-SNP)|00025261|48.40|590| | |PA|39140|3|N
H4093|001|000|PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC|Provider Partners Pennsylvania Advantage Plan (HMO I-SNP)|00025261|48.40|590| | |PA|39150|3|N
H4093|001|000|PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC|Provider Partners Pennsylvania Advantage Plan (HMO I-SNP)|00025261|48.40|590| | |PA|39210|3|N
H4093|001|000|PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC|Provider Partners Pennsylvania Advantage Plan (HMO I-SNP)|00025261|48.40|590| | |PA|39260|3|N
H4093|001|000|PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC|Provider Partners Pennsylvania Advantage Plan (HMO I-SNP)|00025261|48.40|590| | |PA|39290|3|N
H4093|001|000|PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC|Provider Partners Pennsylvania Advantage Plan (HMO I-SNP)|00025261|48.40|590| | |PA|39330|3|N
H4093|001|000|PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC|Provider Partners Pennsylvania Advantage Plan (HMO I-SNP)|00025261|48.40|590| | |PA|39370|3|N
H4093|001|000|PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC|Provider Partners Pennsylvania Advantage Plan (HMO I-SNP)|00025261|48.40|590| | |PA|39440|3|N
H4093|001|000|PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC|Provider Partners Pennsylvania Advantage Plan (HMO I-SNP)|00025261|48.40|590| | |PA|39450|3|N
H4093|001|000|PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC|Provider Partners Pennsylvania Advantage Plan (HMO I-SNP)|00025261|48.40|590| | |PA|39530|3|N
H4093|001|000|PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC|Provider Partners Pennsylvania Advantage Plan (HMO I-SNP)|00025261|48.40|590| | |PA|39560|3|N
H4093|001|000|PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC|Provider Partners Pennsylvania Advantage Plan (HMO I-SNP)|00025261|48.40|590| | |PA|39620|3|N
H4093|001|000|PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC|Provider Partners Pennsylvania Advantage Plan (HMO I-SNP)|00025261|48.40|590| | |PA|39680|3|N
H4093|001|000|PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC|Provider Partners Pennsylvania Advantage Plan (HMO I-SNP)|00025261|48.40|590| | |PA|39770|3|N
H4093|004|000|PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC|Provider Partners Pennsylvania Community Plan (HMO I-SNP)|00025261|0.00|590| | |PA|39010|3|N
H4093|004|000|PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC|Provider Partners Pennsylvania Community Plan (HMO I-SNP)|00025261|0.00|590| | |PA|39070|3|N
H4093|004|000|PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC|Provider Partners Pennsylvania Community Plan (HMO I-SNP)|00025261|0.00|590| | |PA|39080|3|N
H4093|004|000|PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC|Provider Partners Pennsylvania Community Plan (HMO I-SNP)|00025261|0.00|590| | |PA|39140|3|N
H4093|004|000|PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC|Provider Partners Pennsylvania Community Plan (HMO I-SNP)|00025261|0.00|590| | |PA|39150|3|N
H4093|004|000|PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC|Provider Partners Pennsylvania Community Plan (HMO I-SNP)|00025261|0.00|590| | |PA|39210|3|N
H4093|004|000|PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC|Provider Partners Pennsylvania Community Plan (HMO I-SNP)|00025261|0.00|590| | |PA|39260|3|N
H4093|004|000|PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC|Provider Partners Pennsylvania Community Plan (HMO I-SNP)|00025261|0.00|590| | |PA|39290|3|N
H4093|004|000|PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC|Provider Partners Pennsylvania Community Plan (HMO I-SNP)|00025261|0.00|590| | |PA|39330|3|N
H4093|004|000|PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC|Provider Partners Pennsylvania Community Plan (HMO I-SNP)|00025261|0.00|590| | |PA|39370|3|N
H4093|004|000|PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC|Provider Partners Pennsylvania Community Plan (HMO I-SNP)|00025261|0.00|590| | |PA|39440|3|N
H4093|004|000|PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC|Provider Partners Pennsylvania Community Plan (HMO I-SNP)|00025261|0.00|590| | |PA|39450|3|N
H4093|004|000|PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC|Provider Partners Pennsylvania Community Plan (HMO I-SNP)|00025261|0.00|590| | |PA|39530|3|N
H4093|004|000|PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC|Provider Partners Pennsylvania Community Plan (HMO I-SNP)|00025261|0.00|590| | |PA|39560|3|N
H4093|004|000|PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC|Provider Partners Pennsylvania Community Plan (HMO I-SNP)|00025261|0.00|590| | |PA|39620|3|N
H4093|004|000|PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC|Provider Partners Pennsylvania Community Plan (HMO I-SNP)|00025261|0.00|590| | |PA|39680|3|N
H4093|004|000|PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC|Provider Partners Pennsylvania Community Plan (HMO I-SNP)|00025261|0.00|590| | |PA|39770|3|N
H4093|008|000|PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC|Provider Partners Pennsylvania Essential Plan (HMO I-SNP)|00025261|47.30|590| | |PA|39010|3|N
H4093|008|000|PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC|Provider Partners Pennsylvania Essential Plan (HMO I-SNP)|00025261|47.30|590| | |PA|39070|3|N
H4093|008|000|PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC|Provider Partners Pennsylvania Essential Plan (HMO I-SNP)|00025261|47.30|590| | |PA|39080|3|N
H4093|008|000|PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC|Provider Partners Pennsylvania Essential Plan (HMO I-SNP)|00025261|47.30|590| | |PA|39140|3|N
H4093|008|000|PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC|Provider Partners Pennsylvania Essential Plan (HMO I-SNP)|00025261|47.30|590| | |PA|39150|3|N
H4093|008|000|PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC|Provider Partners Pennsylvania Essential Plan (HMO I-SNP)|00025261|47.30|590| | |PA|39210|3|N
H4093|008|000|PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC|Provider Partners Pennsylvania Essential Plan (HMO I-SNP)|00025261|47.30|590| | |PA|39260|3|N
H4093|008|000|PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC|Provider Partners Pennsylvania Essential Plan (HMO I-SNP)|00025261|47.30|590| | |PA|39290|3|N
H4093|008|000|PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC|Provider Partners Pennsylvania Essential Plan (HMO I-SNP)|00025261|47.30|590| | |PA|39330|3|N
H4093|008|000|PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC|Provider Partners Pennsylvania Essential Plan (HMO I-SNP)|00025261|47.30|590| | |PA|39370|3|N
H4093|008|000|PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC|Provider Partners Pennsylvania Essential Plan (HMO I-SNP)|00025261|47.30|590| | |PA|39440|3|N
H4093|008|000|PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC|Provider Partners Pennsylvania Essential Plan (HMO I-SNP)|00025261|47.30|590| | |PA|39450|3|N
H4093|008|000|PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC|Provider Partners Pennsylvania Essential Plan (HMO I-SNP)|00025261|47.30|590| | |PA|39530|3|N
H4093|008|000|PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC|Provider Partners Pennsylvania Essential Plan (HMO I-SNP)|00025261|47.30|590| | |PA|39560|3|N
H4093|008|000|PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC|Provider Partners Pennsylvania Essential Plan (HMO I-SNP)|00025261|47.30|590| | |PA|39620|3|N
H4093|008|000|PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC|Provider Partners Pennsylvania Essential Plan (HMO I-SNP)|00025261|47.30|590| | |PA|39680|3|N
H4093|008|000|PROVIDER PARTNERS HEALTH PLAN OF PENNSYLVANIA, INC|Provider Partners Pennsylvania Essential Plan (HMO I-SNP)|00025261|47.30|590| | |PA|39770|3|N
H4140|001|000|DOCTORS HEALTHCARE PLANS, INC.|DrMax (HMO)|00025299|0.00|0| | |FL|10120|0|N
H4140|002|000|DOCTORS HEALTHCARE PLANS, INC.|DrPlus (HMO D-SNP)|00025299|0.00|590| | |FL|10120|2|N
H4140|004|000|DOCTORS HEALTHCARE PLANS, INC.|DrExtraCare (HMO C-SNP)|00025299|0.00|0| | |FL|10120|1|N
H4140|005|000|DOCTORS HEALTHCARE PLANS, INC.|DrValue (HMO)|00025299|0.00|0| | |FL|10120|0|N
H4140|009|000|DOCTORS HEALTHCARE PLANS, INC.|DrMax-B (HMO)|00025299|0.00|0| | |FL|10050|0|N
H4140|010|000|DOCTORS HEALTHCARE PLANS, INC.|DrPlus-B (HMO D-SNP)|00025299|0.00|590| | |FL|10050|2|N
H4140|012|000|DOCTORS HEALTHCARE PLANS, INC.|DrSelect (HMO)|00025299|0.00|0| | |FL|10120|0|N
H4140|013|000|DOCTORS HEALTHCARE PLANS, INC.|DrFlex (HMO D-SNP)|00025299|0.00|590| | |FL|10120|2|N
H4140|014|000|DOCTORS HEALTHCARE PLANS, INC.|DrElite-B (HMO)|00025299|0.00|0| | |FL|10050|0|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11020|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11030|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11040|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11050|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11060|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11090|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11130|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11140|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11150|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11160|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11220|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11230|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11240|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11250|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11260|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11280|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11290|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11310|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11320|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11330|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11350|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11370|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11390|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11400|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11421|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11430|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11451|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11460|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11461|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11462|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11470|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11480|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11500|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11520|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11530|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11550|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11560|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11580|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11581|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11590|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11591|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11600|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11610|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11611|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11620|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11650|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11651|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11660|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11670|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11680|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11690|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11702|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11710|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11720|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11730|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11740|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11760|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11771|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11780|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11790|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11800|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11801|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11810|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11811|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11812|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11821|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11830|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11832|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11840|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11841|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11842|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11860|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11861|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11862|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11870|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11880|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11881|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11883|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11885|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11910|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11912|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11920|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11930|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11941|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11950|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11961|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11972|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11973|2|N
H4141|003|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus SNP-DE H4141-003 (HMO D-SNP)|00025456|0.00|590| | |GA|11980|2|N
H4141|015|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-015 (HMO)|00025458|0.00|350| | |GA|11280|0|N
H4141|015|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-015 (HMO)|00025458|0.00|350| | |GA|11370|0|N
H4141|015|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-015 (HMO)|00025458|0.00|350| | |GA|11470|0|N
H4141|015|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-015 (HMO)|00025458|0.00|350| | |GA|11530|0|N
H4141|015|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-015 (HMO)|00025458|0.00|350| | |GA|11591|0|N
H4141|017|003|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11060|0|N
H4141|017|003|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11130|0|N
H4141|017|003|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11140|0|N
H4141|017|003|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11220|0|N
H4141|017|003|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11230|0|N
H4141|017|003|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11250|0|N
H4141|017|003|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11260|0|N
H4141|017|003|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11290|0|N
H4141|017|003|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11310|0|N
H4141|017|003|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11320|0|N
H4141|017|003|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11370|0|N
H4141|017|003|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11430|0|N
H4141|017|003|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11451|0|N
H4141|017|003|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11460|0|N
H4141|017|003|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11461|0|N
H4141|017|003|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11470|0|N
H4141|017|003|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11520|0|N
H4141|017|003|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11530|0|N
H4141|017|003|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11550|0|N
H4141|017|003|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11580|0|N
H4141|017|003|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11591|0|N
H4141|017|003|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11610|0|N
H4141|017|003|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11680|0|N
H4141|017|003|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11690|0|N
H4141|017|003|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11702|0|N
H4141|017|003|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11720|0|N
H4141|017|003|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11740|0|N
H4141|017|003|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11771|0|N
H4141|017|003|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11780|0|N
H4141|017|003|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11790|0|N
H4141|017|003|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11800|0|N
H4141|017|003|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11801|0|N
H4141|017|003|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11832|0|N
H4141|017|003|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11840|0|N
H4141|017|003|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11841|0|N
H4141|017|003|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11862|0|N
H4141|017|003|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11910|0|N
H4141|017|003|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11930|0|N
H4141|017|003|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11961|0|N
H4141|017|005|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11020|0|N
H4141|017|005|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11030|0|N
H4141|017|005|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11090|0|N
H4141|017|005|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11160|0|N
H4141|017|005|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11330|0|N
H4141|017|005|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11390|0|N
H4141|017|005|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11480|0|N
H4141|017|005|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11560|0|N
H4141|017|005|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11600|0|N
H4141|017|005|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11611|0|N
H4141|017|005|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11620|0|N
H4141|017|005|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11650|0|N
H4141|017|005|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11651|0|N
H4141|017|005|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11660|0|N
H4141|017|005|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11670|0|N
H4141|017|005|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11710|0|N
H4141|017|005|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11760|0|N
H4141|017|005|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11811|0|N
H4141|017|005|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11821|0|N
H4141|017|005|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11842|0|N
H4141|017|005|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11860|0|N
H4141|017|005|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11870|0|N
H4141|017|005|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11881|0|N
H4141|017|005|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11883|0|N
H4141|017|005|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11885|0|N
H4141|017|005|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11912|0|N
H4141|017|005|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11920|0|N
H4141|017|005|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11941|0|N
H4141|017|005|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11950|0|N
H4141|017|005|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11972|0|N
H4141|017|005|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11973|0|N
H4141|017|005|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-017 (HMO)|00025458|0.00|350| | |GA|11980|0|N
H4141|022|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus Giveback H4141-022 (HMO)|00025456|0.00|450| | |GA|11050|0|N
H4141|022|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus Giveback H4141-022 (HMO)|00025456|0.00|450| | |GA|11060|0|N
H4141|022|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus Giveback H4141-022 (HMO)|00025456|0.00|450| | |GA|11130|0|N
H4141|022|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus Giveback H4141-022 (HMO)|00025456|0.00|450| | |GA|11140|0|N
H4141|022|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus Giveback H4141-022 (HMO)|00025456|0.00|450| | |GA|11150|0|N
H4141|022|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus Giveback H4141-022 (HMO)|00025456|0.00|450| | |GA|11220|0|N
H4141|022|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus Giveback H4141-022 (HMO)|00025456|0.00|450| | |GA|11230|0|N
H4141|022|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus Giveback H4141-022 (HMO)|00025456|0.00|450| | |GA|11250|0|N
H4141|022|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus Giveback H4141-022 (HMO)|00025456|0.00|450| | |GA|11260|0|N
H4141|022|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus Giveback H4141-022 (HMO)|00025456|0.00|450| | |GA|11280|0|N
H4141|022|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus Giveback H4141-022 (HMO)|00025456|0.00|450| | |GA|11290|0|N
H4141|022|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus Giveback H4141-022 (HMO)|00025456|0.00|450| | |GA|11310|0|N
H4141|022|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus Giveback H4141-022 (HMO)|00025456|0.00|450| | |GA|11320|0|N
H4141|022|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus Giveback H4141-022 (HMO)|00025456|0.00|450| | |GA|11370|0|N
H4141|022|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus Giveback H4141-022 (HMO)|00025456|0.00|450| | |GA|11400|0|N
H4141|022|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus Giveback H4141-022 (HMO)|00025456|0.00|450| | |GA|11430|0|N
H4141|022|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus Giveback H4141-022 (HMO)|00025456|0.00|450| | |GA|11451|0|N
H4141|022|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus Giveback H4141-022 (HMO)|00025456|0.00|450| | |GA|11460|0|N
H4141|022|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus Giveback H4141-022 (HMO)|00025456|0.00|450| | |GA|11461|0|N
H4141|022|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus Giveback H4141-022 (HMO)|00025456|0.00|450| | |GA|11470|0|N
H4141|022|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus Giveback H4141-022 (HMO)|00025456|0.00|450| | |GA|11520|0|N
H4141|022|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus Giveback H4141-022 (HMO)|00025456|0.00|450| | |GA|11530|0|N
H4141|022|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus Giveback H4141-022 (HMO)|00025456|0.00|450| | |GA|11550|0|N
H4141|022|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus Giveback H4141-022 (HMO)|00025456|0.00|450| | |GA|11580|0|N
H4141|022|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus Giveback H4141-022 (HMO)|00025456|0.00|450| | |GA|11591|0|N
H4141|022|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus Giveback H4141-022 (HMO)|00025456|0.00|450| | |GA|11610|0|N
H4141|022|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus Giveback H4141-022 (HMO)|00025456|0.00|450| | |GA|11680|0|N
H4141|022|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus Giveback H4141-022 (HMO)|00025456|0.00|450| | |GA|11690|0|N
H4141|022|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus Giveback H4141-022 (HMO)|00025456|0.00|450| | |GA|11702|0|N
H4141|022|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus Giveback H4141-022 (HMO)|00025456|0.00|450| | |GA|11720|0|N
H4141|022|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus Giveback H4141-022 (HMO)|00025456|0.00|450| | |GA|11730|0|N
H4141|022|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus Giveback H4141-022 (HMO)|00025456|0.00|450| | |GA|11740|0|N
H4141|022|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus Giveback H4141-022 (HMO)|00025456|0.00|450| | |GA|11771|0|N
H4141|022|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus Giveback H4141-022 (HMO)|00025456|0.00|450| | |GA|11780|0|N
H4141|022|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus Giveback H4141-022 (HMO)|00025456|0.00|450| | |GA|11790|0|N
H4141|022|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus Giveback H4141-022 (HMO)|00025456|0.00|450| | |GA|11800|0|N
H4141|022|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus Giveback H4141-022 (HMO)|00025456|0.00|450| | |GA|11801|0|N
H4141|022|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus Giveback H4141-022 (HMO)|00025456|0.00|450| | |GA|11832|0|N
H4141|022|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus Giveback H4141-022 (HMO)|00025456|0.00|450| | |GA|11840|0|N
H4141|022|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus Giveback H4141-022 (HMO)|00025456|0.00|450| | |GA|11841|0|N
H4141|022|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus Giveback H4141-022 (HMO)|00025456|0.00|450| | |GA|11862|0|N
H4141|022|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus Giveback H4141-022 (HMO)|00025456|0.00|450| | |GA|11880|0|N
H4141|022|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus Giveback H4141-022 (HMO)|00025456|0.00|450| | |GA|11910|0|N
H4141|022|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus Giveback H4141-022 (HMO)|00025456|0.00|450| | |GA|11930|0|N
H4141|022|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus Giveback H4141-022 (HMO)|00025456|0.00|450| | |GA|11961|0|N
H4141|023|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-023 (HMO)|00025456|0.00|450| | |GA|11050|0|N
H4141|023|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-023 (HMO)|00025456|0.00|450| | |GA|11060|0|N
H4141|023|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-023 (HMO)|00025456|0.00|450| | |GA|11130|0|N
H4141|023|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-023 (HMO)|00025456|0.00|450| | |GA|11140|0|N
H4141|023|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-023 (HMO)|00025456|0.00|450| | |GA|11150|0|N
H4141|023|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-023 (HMO)|00025456|0.00|450| | |GA|11220|0|N
H4141|023|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-023 (HMO)|00025456|0.00|450| | |GA|11230|0|N
H4141|023|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-023 (HMO)|00025456|0.00|450| | |GA|11250|0|N
H4141|023|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-023 (HMO)|00025456|0.00|450| | |GA|11260|0|N
H4141|023|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-023 (HMO)|00025456|0.00|450| | |GA|11280|0|N
H4141|023|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-023 (HMO)|00025456|0.00|450| | |GA|11290|0|N
H4141|023|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-023 (HMO)|00025456|0.00|450| | |GA|11310|0|N
H4141|023|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-023 (HMO)|00025456|0.00|450| | |GA|11320|0|N
H4141|023|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-023 (HMO)|00025456|0.00|450| | |GA|11370|0|N
H4141|023|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-023 (HMO)|00025456|0.00|450| | |GA|11400|0|N
H4141|023|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-023 (HMO)|00025456|0.00|450| | |GA|11430|0|N
H4141|023|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-023 (HMO)|00025456|0.00|450| | |GA|11451|0|N
H4141|023|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-023 (HMO)|00025456|0.00|450| | |GA|11460|0|N
H4141|023|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-023 (HMO)|00025456|0.00|450| | |GA|11461|0|N
H4141|023|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-023 (HMO)|00025456|0.00|450| | |GA|11470|0|N
H4141|023|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-023 (HMO)|00025456|0.00|450| | |GA|11520|0|N
H4141|023|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-023 (HMO)|00025456|0.00|450| | |GA|11530|0|N
H4141|023|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-023 (HMO)|00025456|0.00|450| | |GA|11550|0|N
H4141|023|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-023 (HMO)|00025456|0.00|450| | |GA|11580|0|N
H4141|023|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-023 (HMO)|00025456|0.00|450| | |GA|11591|0|N
H4141|023|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-023 (HMO)|00025456|0.00|450| | |GA|11610|0|N
H4141|023|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-023 (HMO)|00025456|0.00|450| | |GA|11680|0|N
H4141|023|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-023 (HMO)|00025456|0.00|450| | |GA|11690|0|N
H4141|023|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-023 (HMO)|00025456|0.00|450| | |GA|11702|0|N
H4141|023|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-023 (HMO)|00025456|0.00|450| | |GA|11720|0|N
H4141|023|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-023 (HMO)|00025456|0.00|450| | |GA|11730|0|N
H4141|023|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-023 (HMO)|00025456|0.00|450| | |GA|11740|0|N
H4141|023|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-023 (HMO)|00025456|0.00|450| | |GA|11771|0|N
H4141|023|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-023 (HMO)|00025456|0.00|450| | |GA|11780|0|N
H4141|023|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-023 (HMO)|00025456|0.00|450| | |GA|11790|0|N
H4141|023|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-023 (HMO)|00025456|0.00|450| | |GA|11800|0|N
H4141|023|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-023 (HMO)|00025456|0.00|450| | |GA|11801|0|N
H4141|023|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-023 (HMO)|00025456|0.00|450| | |GA|11832|0|N
H4141|023|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-023 (HMO)|00025456|0.00|450| | |GA|11840|0|N
H4141|023|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-023 (HMO)|00025456|0.00|450| | |GA|11841|0|N
H4141|023|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-023 (HMO)|00025456|0.00|450| | |GA|11862|0|N
H4141|023|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-023 (HMO)|00025456|0.00|450| | |GA|11880|0|N
H4141|023|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-023 (HMO)|00025456|0.00|450| | |GA|11910|0|N
H4141|023|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-023 (HMO)|00025456|0.00|450| | |GA|11930|0|N
H4141|023|000|HUMANA EMPLOYERS HEALTH PLAN OF GEORGIA, INC.|Humana Gold Plus H4141-023 (HMO)|00025456|0.00|450| | |GA|11961|0|N
H4152|005|000|BLUE CROSS & BLUE SHIELD OF RHODE ISLAND|BlueCHiP for Medicare Plus (HMO)|00025277|25.50|0| | |RI|41000|0|N
H4152|005|000|BLUE CROSS & BLUE SHIELD OF RHODE ISLAND|BlueCHiP for Medicare Plus (HMO)|00025277|25.50|0| | |RI|41010|0|N
H4152|005|000|BLUE CROSS & BLUE SHIELD OF RHODE ISLAND|BlueCHiP for Medicare Plus (HMO)|00025277|25.50|0| | |RI|41020|0|N
H4152|005|000|BLUE CROSS & BLUE SHIELD OF RHODE ISLAND|BlueCHiP for Medicare Plus (HMO)|00025277|25.50|0| | |RI|41030|0|N
H4152|005|000|BLUE CROSS & BLUE SHIELD OF RHODE ISLAND|BlueCHiP for Medicare Plus (HMO)|00025277|25.50|0| | |RI|41050|0|N
H4152|007|000|BLUE CROSS & BLUE SHIELD OF RHODE ISLAND|BlueCHiP for Medicare Preferred (HMO-POS)|00025277|59.40|0| | |RI|41000|0|N
H4152|007|000|BLUE CROSS & BLUE SHIELD OF RHODE ISLAND|BlueCHiP for Medicare Preferred (HMO-POS)|00025277|59.40|0| | |RI|41010|0|N
H4152|007|000|BLUE CROSS & BLUE SHIELD OF RHODE ISLAND|BlueCHiP for Medicare Preferred (HMO-POS)|00025277|59.40|0| | |RI|41020|0|N
H4152|007|000|BLUE CROSS & BLUE SHIELD OF RHODE ISLAND|BlueCHiP for Medicare Preferred (HMO-POS)|00025277|59.40|0| | |RI|41030|0|N
H4152|007|000|BLUE CROSS & BLUE SHIELD OF RHODE ISLAND|BlueCHiP for Medicare Preferred (HMO-POS)|00025277|59.40|0| | |RI|41050|0|N
H4152|013|000|BLUE CROSS & BLUE SHIELD OF RHODE ISLAND|BlueCHiP for Medicare Enhanced (HMO-POS)|00025277|38.00|0| | |RI|41000|0|N
H4152|013|000|BLUE CROSS & BLUE SHIELD OF RHODE ISLAND|BlueCHiP for Medicare Enhanced (HMO-POS)|00025277|38.00|0| | |RI|41010|0|N
H4152|013|000|BLUE CROSS & BLUE SHIELD OF RHODE ISLAND|BlueCHiP for Medicare Enhanced (HMO-POS)|00025277|38.00|0| | |RI|41020|0|N
H4152|013|000|BLUE CROSS & BLUE SHIELD OF RHODE ISLAND|BlueCHiP for Medicare Enhanced (HMO-POS)|00025277|38.00|0| | |RI|41030|0|N
H4152|013|000|BLUE CROSS & BLUE SHIELD OF RHODE ISLAND|BlueCHiP for Medicare Enhanced (HMO-POS)|00025277|38.00|0| | |RI|41050|0|N
H4152|018|000|BLUE CROSS & BLUE SHIELD OF RHODE ISLAND|BlueCHiP for Medicare Extra (HMO-POS)|00025277|58.10|0| | |RI|41000|0|N
H4152|018|000|BLUE CROSS & BLUE SHIELD OF RHODE ISLAND|BlueCHiP for Medicare Extra (HMO-POS)|00025277|58.10|0| | |RI|41010|0|N
H4152|018|000|BLUE CROSS & BLUE SHIELD OF RHODE ISLAND|BlueCHiP for Medicare Extra (HMO-POS)|00025277|58.10|0| | |RI|41020|0|N
H4152|018|000|BLUE CROSS & BLUE SHIELD OF RHODE ISLAND|BlueCHiP for Medicare Extra (HMO-POS)|00025277|58.10|0| | |RI|41030|0|N
H4152|018|000|BLUE CROSS & BLUE SHIELD OF RHODE ISLAND|BlueCHiP for Medicare Extra (HMO-POS)|00025277|58.10|0| | |RI|41050|0|N
H4152|020|000|BLUE CROSS & BLUE SHIELD OF RHODE ISLAND|BlueCHiP for Medicare Value (HMO-POS)|00025277|0.00|0| | |RI|41000|0|N
H4152|020|000|BLUE CROSS & BLUE SHIELD OF RHODE ISLAND|BlueCHiP for Medicare Value (HMO-POS)|00025277|0.00|0| | |RI|41010|0|N
H4152|020|000|BLUE CROSS & BLUE SHIELD OF RHODE ISLAND|BlueCHiP for Medicare Value (HMO-POS)|00025277|0.00|0| | |RI|41020|0|N
H4152|020|000|BLUE CROSS & BLUE SHIELD OF RHODE ISLAND|BlueCHiP for Medicare Value (HMO-POS)|00025277|0.00|0| | |RI|41030|0|N
H4152|020|000|BLUE CROSS & BLUE SHIELD OF RHODE ISLAND|BlueCHiP for Medicare Value (HMO-POS)|00025277|0.00|0| | |RI|41050|0|N
H4152|021|000|BLUE CROSS & BLUE SHIELD OF RHODE ISLAND|BlueRI for Duals (HMO D-SNP)|00025277|0.00|590| | |RI|41000|2|N
H4152|021|000|BLUE CROSS & BLUE SHIELD OF RHODE ISLAND|BlueRI for Duals (HMO D-SNP)|00025277|0.00|590| | |RI|41010|2|N
H4152|021|000|BLUE CROSS & BLUE SHIELD OF RHODE ISLAND|BlueRI for Duals (HMO D-SNP)|00025277|0.00|590| | |RI|41020|2|N
H4152|021|000|BLUE CROSS & BLUE SHIELD OF RHODE ISLAND|BlueRI for Duals (HMO D-SNP)|00025277|0.00|590| | |RI|41030|2|N
H4152|021|000|BLUE CROSS & BLUE SHIELD OF RHODE ISLAND|BlueRI for Duals (HMO D-SNP)|00025277|0.00|590| | |RI|41050|2|N
H4152|022|000|BLUE CROSS & BLUE SHIELD OF RHODE ISLAND|BlueCHiP for Medicare Access (HMO-POS)|00025277|6.00|590| | |RI|41000|0|N
H4152|022|000|BLUE CROSS & BLUE SHIELD OF RHODE ISLAND|BlueCHiP for Medicare Access (HMO-POS)|00025277|6.00|590| | |RI|41010|0|N
H4152|022|000|BLUE CROSS & BLUE SHIELD OF RHODE ISLAND|BlueCHiP for Medicare Access (HMO-POS)|00025277|6.00|590| | |RI|41020|0|N
H4152|022|000|BLUE CROSS & BLUE SHIELD OF RHODE ISLAND|BlueCHiP for Medicare Access (HMO-POS)|00025277|6.00|590| | |RI|41030|0|N
H4152|022|000|BLUE CROSS & BLUE SHIELD OF RHODE ISLAND|BlueCHiP for Medicare Access (HMO-POS)|00025277|6.00|590| | |RI|41050|0|N
H4161|002|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem Prime (HMO-POS)|00025052|0.00|0| | |CA|05430|0|N
H4161|002|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem Prime (HMO-POS)|00025052|0.00|0| | |CA|05460|0|N
H4161|003|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem Prime (HMO-POS)|00025052|0.00|0| | |CA|05470|0|N
H4161|004|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem Prime (HMO-POS)|00025052|0.00|0| | |CA|05440|0|N
H4161|004|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem Prime (HMO-POS)|00025052|0.00|0| | |CA|05480|0|N
H4161|004|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem Prime (HMO-POS)|00025052|0.00|0| | |CA|05670|0|N
H4161|005|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem Prime (HMO-POS)|00025052|0.00|0| | |CA|05000|0|N
H4161|005|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem Prime (HMO-POS)|00025052|0.00|0| | |CA|05140|0|N
H4161|005|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem Prime (HMO-POS)|00025052|0.00|0| | |CA|05310|0|N
H4161|005|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem Prime (HMO-POS)|00025052|0.00|0| | |CA|05490|0|N
H4161|005|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem Prime (HMO-POS)|00025052|0.00|0| | |CA|05510|0|N
H4161|005|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem Prime (HMO-POS)|00025052|0.00|0| | |CA|05600|0|N
H4161|006|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem Prime (HMO-POS)|00025052|0.00|0| | |CA|05090|0|N
H4161|006|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem Prime (HMO-POS)|00025052|0.00|0| | |CA|05150|0|N
H4161|006|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem Prime (HMO-POS)|00025052|0.00|0| | |CA|05300|0|N
H4161|006|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem Prime (HMO-POS)|00025052|0.00|0| | |CA|05640|0|N
H4161|007|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem Prime (HMO-POS)|00025052|0.00|0| | |CA|05660|0|N
H4161|009|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem Prime (HMO-POS)|00025052|0.00|0| | |CA|05200|0|N
H4161|009|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem Prime (HMO-POS)|00025052|0.00|0| | |CA|05210|0|N
H4161|009|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem Prime (HMO-POS)|00025052|0.00|0| | |CA|05400|0|N
H4161|010|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem Prime (HMO-POS)|00025052|0.00|0| | |CA|05530|0|N
H4161|011|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem I Carelon Medicare Advantage (HMO-POS)|00025064|0.00|0| | |CA|05200|0|N
H4161|011|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem I Carelon Medicare Advantage (HMO-POS)|00025064|0.00|0| | |CA|05210|0|N
H4161|011|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem I Carelon Medicare Advantage (HMO-POS)|00025064|0.00|0| | |CA|05400|0|N
H4161|012|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem I Carelon Premium Savings (HMO-POS)|00025064|0.00|0| | |CA|05200|0|N
H4161|012|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem I Carelon Premium Savings (HMO-POS)|00025064|0.00|0| | |CA|05210|0|N
H4161|012|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem I Carelon Premium Savings (HMO-POS)|00025064|0.00|0| | |CA|05400|0|N
H4161|012|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem I Carelon Premium Savings (HMO-POS)|00025064|0.00|0| | |CA|05460|0|N
H4161|013|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem I Carelon Medicare Advantage (HMO-POS)|00025064|0.00|0| | |CA|05460|0|N
H4161|014|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem I Carelon Chronic Care 2 (HMO-POS C-SNP)|00025064|0.00|0| | |CA|05200|1|N
H4161|014|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem I Carelon Chronic Care 2 (HMO-POS C-SNP)|00025064|0.00|0| | |CA|05210|1|N
H4161|014|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem I Carelon Chronic Care 2 (HMO-POS C-SNP)|00025064|0.00|0| | |CA|05400|1|N
H4161|015|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem I Carelon Chronic Care 2 (HMO-POS C-SNP)|00025064|0.00|0| | |CA|05460|1|N
H4161|016|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem I Carelon Lung Care 2 (HMO-POS C-SNP)|00025064|0.00|0| | |CA|05200|1|N
H4161|016|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem I Carelon Lung Care 2 (HMO-POS C-SNP)|00025064|0.00|0| | |CA|05210|1|N
H4161|016|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem I Carelon Lung Care 2 (HMO-POS C-SNP)|00025064|0.00|0| | |CA|05400|1|N
H4161|017|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem I Carelon Lung Care 2 (HMO-POS C-SNP)|00025064|0.00|0| | |CA|05460|1|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |MO|26040|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |MO|26050|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |MO|26060|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |MO|26140|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |MO|26280|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |MO|26290|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |MO|26330|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |MO|26380|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |MO|26410|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |MO|26411|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |MO|26470|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |MO|26480|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |MO|26520|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |MO|26540|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |MO|26620|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |MO|26650|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |MO|26690|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |MO|26700|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |MO|26720|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |MO|26750|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |MO|26821|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |MO|26910|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |MO|26940|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |MO|26950|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |MO|26960|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |MO|26983|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |MO|26990|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |MO|26991|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |MO|26994|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |MO|26996|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |SC|42000|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |SC|42010|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |SC|42030|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |SC|42060|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |SC|42090|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |SC|42220|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |SC|42230|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |SC|42250|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |SC|42290|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |SC|42310|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |SC|42320|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |SC|42380|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |SC|42390|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |SC|42400|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |SC|42420|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |TN|44000|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |TN|44030|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |TN|44100|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |TN|44150|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |TN|44180|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |TN|44200|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |TN|44210|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |TN|44230|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |TN|44260|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |TN|44270|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |TN|44320|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |TN|44330|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |TN|44400|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |TN|44410|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |TN|44420|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |TN|44460|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |TN|44490|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |TN|44500|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |TN|44530|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |TN|44570|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |TN|44580|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |TN|44590|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |TN|44630|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |TN|44640|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |TN|44670|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |TN|44690|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |TN|44700|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |TN|44730|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |TN|44740|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |TN|44760|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |TN|44790|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |TN|44810|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |TN|44820|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |TN|44870|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |TN|44880|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |TN|44890|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |TN|44920|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |TN|44930|3|N
H4172|001|000|NHC ADVANTAGE, LLC|NHC Advantage (HMO I-SNP)|00025032|42.50|590| | |TN|44940|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |MO|26040|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |MO|26050|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |MO|26060|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |MO|26140|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |MO|26280|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |MO|26290|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |MO|26330|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |MO|26380|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |MO|26410|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |MO|26411|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |MO|26470|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |MO|26480|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |MO|26520|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |MO|26540|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |MO|26620|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |MO|26650|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |MO|26690|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |MO|26700|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |MO|26720|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |MO|26750|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |MO|26821|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |MO|26910|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |MO|26940|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |MO|26950|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |MO|26960|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |MO|26983|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |MO|26990|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |MO|26991|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |MO|26994|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |MO|26996|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |SC|42000|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |SC|42010|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |SC|42030|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |SC|42060|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |SC|42090|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |SC|42220|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |SC|42230|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |SC|42250|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |SC|42290|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |SC|42310|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |SC|42320|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |SC|42380|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |SC|42390|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |SC|42400|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |SC|42420|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |TN|44000|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |TN|44030|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |TN|44100|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |TN|44150|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |TN|44180|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |TN|44200|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |TN|44210|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |TN|44230|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |TN|44260|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |TN|44270|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |TN|44320|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |TN|44330|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |TN|44400|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |TN|44410|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |TN|44420|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |TN|44460|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |TN|44490|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |TN|44500|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |TN|44530|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |TN|44570|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |TN|44580|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |TN|44590|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |TN|44630|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |TN|44640|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |TN|44670|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |TN|44690|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |TN|44700|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |TN|44730|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |TN|44740|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |TN|44760|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |TN|44790|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |TN|44810|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |TN|44820|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |TN|44870|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |TN|44880|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |TN|44890|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |TN|44920|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |TN|44930|3|N
H4172|003|000|NHC ADVANTAGE, LLC|Senior Care (HMO I-SNP)|00025032|0.00|590| | |TN|44940|3|N
H4213|017|001|USABLE MUTUAL INSURANCE COMPANY|BlueMedicare Preferred (PFFS)|00025129|19.20|490| | |AR|04020|0|N
H4213|017|001|USABLE MUTUAL INSURANCE COMPANY|BlueMedicare Preferred (PFFS)|00025129|19.20|490| | |AR|04040|0|N
H4213|017|001|USABLE MUTUAL INSURANCE COMPANY|BlueMedicare Preferred (PFFS)|00025129|19.20|490| | |AR|04090|0|N
H4213|017|001|USABLE MUTUAL INSURANCE COMPANY|BlueMedicare Preferred (PFFS)|00025129|19.20|490| | |AR|04140|0|N
H4213|017|001|USABLE MUTUAL INSURANCE COMPANY|BlueMedicare Preferred (PFFS)|00025129|19.20|490| | |AR|04150|0|N
H4213|017|001|USABLE MUTUAL INSURANCE COMPANY|BlueMedicare Preferred (PFFS)|00025129|19.20|490| | |AR|04240|0|N
H4213|017|001|USABLE MUTUAL INSURANCE COMPANY|BlueMedicare Preferred (PFFS)|00025129|19.20|490| | |AR|04250|0|N
H4213|017|001|USABLE MUTUAL INSURANCE COMPANY|BlueMedicare Preferred (PFFS)|00025129|19.20|490| | |AR|04270|0|N
H4213|017|001|USABLE MUTUAL INSURANCE COMPANY|BlueMedicare Preferred (PFFS)|00025129|19.20|490| | |AR|04290|0|N
H4213|017|001|USABLE MUTUAL INSURANCE COMPANY|BlueMedicare Preferred (PFFS)|00025129|19.20|490| | |AR|04320|0|N
H4213|017|001|USABLE MUTUAL INSURANCE COMPANY|BlueMedicare Preferred (PFFS)|00025129|19.20|490| | |AR|04440|0|N
H4213|017|001|USABLE MUTUAL INSURANCE COMPANY|BlueMedicare Preferred (PFFS)|00025129|19.20|490| | |AR|04500|0|N
H4213|017|001|USABLE MUTUAL INSURANCE COMPANY|BlueMedicare Preferred (PFFS)|00025129|19.20|490| | |AR|04510|0|N
H4213|017|001|USABLE MUTUAL INSURANCE COMPANY|BlueMedicare Preferred (PFFS)|00025129|19.20|490| | |AR|04550|0|N
H4213|017|001|USABLE MUTUAL INSURANCE COMPANY|BlueMedicare Preferred (PFFS)|00025129|19.20|490| | |AR|04560|0|N
H4213|017|001|USABLE MUTUAL INSURANCE COMPANY|BlueMedicare Preferred (PFFS)|00025129|19.20|490| | |AR|04610|0|N
H4213|017|001|USABLE MUTUAL INSURANCE COMPANY|BlueMedicare Preferred (PFFS)|00025129|19.20|490| | |AR|04640|0|N
H4213|017|001|USABLE MUTUAL INSURANCE COMPANY|BlueMedicare Preferred (PFFS)|00025129|19.20|490| | |AR|04700|0|N
H4213|017|001|USABLE MUTUAL INSURANCE COMPANY|BlueMedicare Preferred (PFFS)|00025129|19.20|490| | |AR|04730|0|N
H4213|017|005|USABLE MUTUAL INSURANCE COMPANY|BlueMedicare Preferred (PFFS)|00025129|19.20|490| | |AR|04030|0|N
H4213|017|005|USABLE MUTUAL INSURANCE COMPANY|BlueMedicare Preferred (PFFS)|00025129|19.20|490| | |AR|04070|0|N
H4213|017|005|USABLE MUTUAL INSURANCE COMPANY|BlueMedicare Preferred (PFFS)|00025129|19.20|490| | |AR|04160|0|N
H4213|017|005|USABLE MUTUAL INSURANCE COMPANY|BlueMedicare Preferred (PFFS)|00025129|19.20|490| | |AR|04220|0|N
H4213|017|005|USABLE MUTUAL INSURANCE COMPANY|BlueMedicare Preferred (PFFS)|00025129|19.20|490| | |AR|04230|0|N
H4213|017|005|USABLE MUTUAL INSURANCE COMPANY|BlueMedicare Preferred (PFFS)|00025129|19.20|490| | |AR|04350|0|N
H4213|017|005|USABLE MUTUAL INSURANCE COMPANY|BlueMedicare Preferred (PFFS)|00025129|19.20|490| | |AR|04410|0|N
H4213|017|005|USABLE MUTUAL INSURANCE COMPANY|BlueMedicare Preferred (PFFS)|00025129|19.20|490| | |AR|04430|0|N
H4213|017|005|USABLE MUTUAL INSURANCE COMPANY|BlueMedicare Preferred (PFFS)|00025129|19.20|490| | |AR|04520|0|N
H4213|017|005|USABLE MUTUAL INSURANCE COMPANY|BlueMedicare Preferred (PFFS)|00025129|19.20|490| | |AR|04570|0|N
H4213|017|005|USABLE MUTUAL INSURANCE COMPANY|BlueMedicare Preferred (PFFS)|00025129|19.20|490| | |AR|04630|0|N
H4213|017|005|USABLE MUTUAL INSURANCE COMPANY|BlueMedicare Preferred (PFFS)|00025129|19.20|490| | |AR|04650|0|N
H4213|017|005|USABLE MUTUAL INSURANCE COMPANY|BlueMedicare Preferred (PFFS)|00025129|19.20|490| | |AR|04710|0|N
H4213|017|005|USABLE MUTUAL INSURANCE COMPANY|BlueMedicare Preferred (PFFS)|00025129|19.20|490| | |AR|04740|0|N
H4213|017|006|USABLE MUTUAL INSURANCE COMPANY|BlueMedicare Preferred (PFFS)|00025129|19.20|490| | |AR|04110|0|N
H4213|017|006|USABLE MUTUAL INSURANCE COMPANY|BlueMedicare Preferred (PFFS)|00025129|19.20|490| | |AR|04340|0|N
H4213|017|006|USABLE MUTUAL INSURANCE COMPANY|BlueMedicare Preferred (PFFS)|00025129|19.20|490| | |AR|04420|0|N
H4213|017|006|USABLE MUTUAL INSURANCE COMPANY|BlueMedicare Preferred (PFFS)|00025129|19.20|490| | |AR|04590|0|N
H4213|017|006|USABLE MUTUAL INSURANCE COMPANY|BlueMedicare Preferred (PFFS)|00025129|19.20|490| | |AR|04620|0|N
H4213|017|006|USABLE MUTUAL INSURANCE COMPANY|BlueMedicare Preferred (PFFS)|00025129|19.20|490| | |AR|04720|0|N
H4227|001|000|VISTA HEALTH PLAN, INC.|Keystone First VIP Choice (HMO D-SNP)|00025399|0.00|590| | |PA|39140|2|N
H4227|001|000|VISTA HEALTH PLAN, INC.|Keystone First VIP Choice (HMO D-SNP)|00025399|0.00|590| | |PA|39210|2|N
H4227|001|000|VISTA HEALTH PLAN, INC.|Keystone First VIP Choice (HMO D-SNP)|00025399|0.00|590| | |PA|39290|2|N
H4227|001|000|VISTA HEALTH PLAN, INC.|Keystone First VIP Choice (HMO D-SNP)|00025399|0.00|590| | |PA|39560|2|N
H4227|001|000|VISTA HEALTH PLAN, INC.|Keystone First VIP Choice (HMO D-SNP)|00025399|0.00|590| | |PA|39620|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39000|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39010|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39070|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39080|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39100|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39110|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39120|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39130|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39150|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39160|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39180|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39190|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39200|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39220|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39230|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39240|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39250|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39260|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39270|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39280|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39310|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39320|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39330|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39340|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39350|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39360|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39370|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39380|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39390|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39400|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39410|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39420|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39440|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39450|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39460|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39470|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39480|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39510|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39520|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39530|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39540|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39550|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39580|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39590|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39600|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39610|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39630|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39640|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39650|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39670|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39680|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39690|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39700|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39710|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39720|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39730|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39740|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39750|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39760|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39770|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39790|2|N
H4227|002|000|VISTA HEALTH PLAN, INC.|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025399|0.00|590| | |PA|39800|2|N
H4232|001|000|AMERICAN HEALTH PLAN OF UT, INC.|American Health Advantage of Utah (HMO I-SNP)|00025482|54.70|590| | |UT|46010|3|N
H4232|001|000|AMERICAN HEALTH PLAN OF UT, INC.|American Health Advantage of Utah (HMO I-SNP)|00025482|54.70|590| | |UT|46020|3|N
H4232|001|000|AMERICAN HEALTH PLAN OF UT, INC.|American Health Advantage of Utah (HMO I-SNP)|00025482|54.70|590| | |UT|46030|3|N
H4232|001|000|AMERICAN HEALTH PLAN OF UT, INC.|American Health Advantage of Utah (HMO I-SNP)|00025482|54.70|590| | |UT|46050|3|N
H4232|001|000|AMERICAN HEALTH PLAN OF UT, INC.|American Health Advantage of Utah (HMO I-SNP)|00025482|54.70|590| | |UT|46100|3|N
H4232|001|000|AMERICAN HEALTH PLAN OF UT, INC.|American Health Advantage of Utah (HMO I-SNP)|00025482|54.70|590| | |UT|46170|3|N
H4232|001|000|AMERICAN HEALTH PLAN OF UT, INC.|American Health Advantage of Utah (HMO I-SNP)|00025482|54.70|590| | |UT|46190|3|N
H4232|001|000|AMERICAN HEALTH PLAN OF UT, INC.|American Health Advantage of Utah (HMO I-SNP)|00025482|54.70|590| | |UT|46220|3|N
H4232|001|000|AMERICAN HEALTH PLAN OF UT, INC.|American Health Advantage of Utah (HMO I-SNP)|00025482|54.70|590| | |UT|46240|3|N
H4232|001|000|AMERICAN HEALTH PLAN OF UT, INC.|American Health Advantage of Utah (HMO I-SNP)|00025482|54.70|590| | |UT|46260|3|N
H4232|001|000|AMERICAN HEALTH PLAN OF UT, INC.|American Health Advantage of Utah (HMO I-SNP)|00025482|54.70|590| | |UT|46280|3|N
H4232|003|000|AMERICAN HEALTH PLAN OF UT, INC.|American Health Advantage of Idaho (HMO I-SNP)|00025482|54.70|590| | |ID|13000|3|N
H4232|003|000|AMERICAN HEALTH PLAN OF UT, INC.|American Health Advantage of Idaho (HMO I-SNP)|00025482|54.70|590| | |ID|13060|3|N
H4232|003|000|AMERICAN HEALTH PLAN OF UT, INC.|American Health Advantage of Idaho (HMO I-SNP)|00025482|54.70|590| | |ID|13090|3|N
H4232|003|000|AMERICAN HEALTH PLAN OF UT, INC.|American Health Advantage of Idaho (HMO I-SNP)|00025482|54.70|590| | |ID|13130|3|N
H4232|003|000|AMERICAN HEALTH PLAN OF UT, INC.|American Health Advantage of Idaho (HMO I-SNP)|00025482|54.70|590| | |ID|13150|3|N
H4232|003|000|AMERICAN HEALTH PLAN OF UT, INC.|American Health Advantage of Idaho (HMO I-SNP)|00025482|54.70|590| | |ID|13220|3|N
H4232|003|000|AMERICAN HEALTH PLAN OF UT, INC.|American Health Advantage of Idaho (HMO I-SNP)|00025482|54.70|590| | |ID|13230|3|N
H4232|003|000|AMERICAN HEALTH PLAN OF UT, INC.|American Health Advantage of Idaho (HMO I-SNP)|00025482|54.70|590| | |ID|13310|3|N
H4232|003|000|AMERICAN HEALTH PLAN OF UT, INC.|American Health Advantage of Idaho (HMO I-SNP)|00025482|54.70|590| | |ID|13360|3|N
H4232|003|000|AMERICAN HEALTH PLAN OF UT, INC.|American Health Advantage of Idaho (HMO I-SNP)|00025482|54.70|590| | |ID|13370|3|N
H4232|003|000|AMERICAN HEALTH PLAN OF UT, INC.|American Health Advantage of Idaho (HMO I-SNP)|00025482|54.70|590| | |ID|13410|3|N
H4232|003|000|AMERICAN HEALTH PLAN OF UT, INC.|American Health Advantage of Idaho (HMO I-SNP)|00025482|54.70|590| | |ID|13420|3|N
H4232|003|000|AMERICAN HEALTH PLAN OF UT, INC.|American Health Advantage of Idaho (HMO I-SNP)|00025482|54.70|590| | |ID|13430|3|N
H4279|001|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39000|2|N
H4279|001|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39010|2|N
H4279|001|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39070|2|N
H4279|001|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39080|2|N
H4279|001|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39100|2|N
H4279|001|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39120|2|N
H4279|001|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39130|2|N
H4279|001|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39150|2|N
H4279|001|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39160|2|N
H4279|001|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39180|2|N
H4279|001|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39200|2|N
H4279|001|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39220|2|N
H4279|001|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39230|2|N
H4279|001|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39240|2|N
H4279|001|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39260|2|N
H4279|001|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39270|2|N
H4279|001|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39280|2|N
H4279|001|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39310|2|N
H4279|001|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39320|2|N
H4279|001|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39330|2|N
H4279|001|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39340|2|N
H4279|001|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39350|2|N
H4279|001|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39360|2|N
H4279|001|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39370|2|N
H4279|001|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39380|2|N
H4279|001|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39390|2|N
H4279|001|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39400|2|N
H4279|001|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39410|2|N
H4279|001|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39440|2|N
H4279|001|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39450|2|N
H4279|001|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39460|2|N
H4279|001|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39510|2|N
H4279|001|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39520|2|N
H4279|001|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39530|2|N
H4279|001|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39540|2|N
H4279|001|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39580|2|N
H4279|001|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39610|2|N
H4279|001|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39640|2|N
H4279|001|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39670|2|N
H4279|001|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39680|2|N
H4279|001|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39690|2|N
H4279|001|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39710|2|N
H4279|001|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39720|2|N
H4279|001|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39730|2|N
H4279|001|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39740|2|N
H4279|001|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39750|2|N
H4279|001|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39770|2|N
H4279|001|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39800|2|N
H4279|004|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39110|2|N
H4279|004|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39190|2|N
H4279|004|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39420|2|N
H4279|004|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39470|2|N
H4279|004|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39480|2|N
H4279|004|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39550|2|N
H4279|004|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39590|2|N
H4279|004|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39630|2|N
H4279|004|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39650|2|N
H4279|004|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39700|2|N
H4279|004|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39760|2|N
H4279|004|000|UPMC FOR YOU, INC|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39790|2|N
H4286|001|000|LEON HEALTH, INC.|Leon MediExtra (HMO)|00025410|0.00|0| | |FL|10120|0|N
H4286|002|000|LEON HEALTH, INC.|Leon MediDual (HMO D-SNP)|00025410|0.00|590| | |FL|10120|2|N
H4286|003|000|LEON HEALTH, INC.|Leon MediMore (HMO)|00025410|0.00|0| | |FL|10120|0|N
H4286|004|000|LEON HEALTH, INC.|Leon MediPlus (HMO)|00025410|0.00|0| | |FL|10120|0|N
H4286|005|000|LEON HEALTH, INC.|Leon MediMax (HMO D-SNP)|00025410|0.00|590| | |FL|10120|2|N
H4346|001|000|HMO COLORADO, INC.|Anthem I Carelon Medicare Advantage (HMO-POS)|00025064|0.00|0| | |NV|29010|0|N
H4346|005|000|HMO COLORADO, INC.|Anthem I Carelon Lung Care (HMO-POS C-SNP)|00025064|0.00|0| | |NV|29010|1|N
H4346|006|000|HMO COLORADO, INC.|Anthem I Carelon Chronic Care (HMO-POS C-SNP)|00025064|0.00|0| | |NV|29010|1|N
H4346|010|000|HMO COLORADO, INC.|Anthem I Carelon Home Care (HMO I-SNP)|00025064|0.00|0| | |NV|29010|3|N
H4346|012|000|HMO COLORADO, INC.|Anthem Medicare Advantage (HMO)|00025049|0.00|0| | |CO|06000|0|N
H4346|012|000|HMO COLORADO, INC.|Anthem Medicare Advantage (HMO)|00025049|0.00|0| | |CO|06020|0|N
H4346|012|000|HMO COLORADO, INC.|Anthem Medicare Advantage (HMO)|00025049|0.00|0| | |CO|06060|0|N
H4346|012|000|HMO COLORADO, INC.|Anthem Medicare Advantage (HMO)|00025049|0.00|0| | |CO|06150|0|N
H4346|012|000|HMO COLORADO, INC.|Anthem Medicare Advantage (HMO)|00025049|0.00|0| | |CO|06170|0|N
H4346|012|000|HMO COLORADO, INC.|Anthem Medicare Advantage (HMO)|00025049|0.00|0| | |CO|06200|0|N
H4346|012|000|HMO COLORADO, INC.|Anthem Medicare Advantage (HMO)|00025049|0.00|0| | |CO|06210|0|N
H4346|012|000|HMO COLORADO, INC.|Anthem Medicare Advantage (HMO)|00025049|0.00|0| | |CO|06290|0|N
H4346|012|000|HMO COLORADO, INC.|Anthem Medicare Advantage (HMO)|00025049|0.00|0| | |CO|06340|0|N
H4346|012|000|HMO COLORADO, INC.|Anthem Medicare Advantage (HMO)|00025049|0.00|0| | |CO|06380|0|N
H4346|012|000|HMO COLORADO, INC.|Anthem Medicare Advantage (HMO)|00025049|0.00|0| | |CO|06500|0|N
H4346|012|000|HMO COLORADO, INC.|Anthem Medicare Advantage (HMO)|00025049|0.00|0| | |CO|06530|0|N
H4346|012|000|HMO COLORADO, INC.|Anthem Medicare Advantage (HMO)|00025049|0.00|0| | |CO|06590|0|N
H4346|012|000|HMO COLORADO, INC.|Anthem Medicare Advantage (HMO)|00025049|0.00|0| | |CO|06610|0|N
H4346|012|000|HMO COLORADO, INC.|Anthem Medicare Advantage (HMO)|00025049|0.00|0| | |CO|06630|0|N
H4346|014|000|HMO COLORADO, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|16.00|590| | |CO|06000|2|N
H4346|014|000|HMO COLORADO, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|16.00|590| | |CO|06020|2|N
H4346|014|000|HMO COLORADO, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|16.00|590| | |CO|06060|2|N
H4346|014|000|HMO COLORADO, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|16.00|590| | |CO|06150|2|N
H4346|014|000|HMO COLORADO, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|16.00|590| | |CO|06170|2|N
H4346|014|000|HMO COLORADO, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|16.00|590| | |CO|06200|2|N
H4346|014|000|HMO COLORADO, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|16.00|590| | |CO|06210|2|N
H4346|014|000|HMO COLORADO, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|16.00|590| | |CO|06290|2|N
H4346|014|000|HMO COLORADO, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|16.00|590| | |CO|06340|2|N
H4346|014|000|HMO COLORADO, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|16.00|590| | |CO|06380|2|N
H4346|014|000|HMO COLORADO, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|16.00|590| | |CO|06500|2|N
H4346|014|000|HMO COLORADO, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|16.00|590| | |CO|06530|2|N
H4346|014|000|HMO COLORADO, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|16.00|590| | |CO|06590|2|N
H4346|014|000|HMO COLORADO, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|16.00|590| | |CO|06610|2|N
H4346|014|000|HMO COLORADO, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|16.00|590| | |CO|06630|2|N
H4346|017|000|HMO COLORADO, INC.|Anthem Medicare Advantage (HMO-POS)|00025052|0.00|0| | |NV|29010|0|N
H4346|019|000|HMO COLORADO, INC.|Anthem Medicare Advantage (HMO-POS)|00025052|0.00|0| | |NV|29150|0|N
H4346|025|000|HMO COLORADO, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025052|0.00|590| | |NV|29010|2|N
H4346|025|000|HMO COLORADO, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025052|0.00|590| | |NV|29150|2|N
H4346|026|000|HMO COLORADO, INC.|Anthem I Carelon Full Dual Advantage (HMO D-SNP)|00025064|0.00|590| | |NV|29010|2|N
H4346|029|000|HMO COLORADO, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |CO|06000|1|N
H4346|029|000|HMO COLORADO, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |CO|06020|1|N
H4346|029|000|HMO COLORADO, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |CO|06060|1|N
H4346|029|000|HMO COLORADO, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |CO|06150|1|N
H4346|029|000|HMO COLORADO, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |CO|06170|1|N
H4346|029|000|HMO COLORADO, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |CO|06200|1|N
H4346|029|000|HMO COLORADO, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |CO|06290|1|N
H4346|029|000|HMO COLORADO, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |CO|06340|1|N
H4346|029|000|HMO COLORADO, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |CO|06380|1|N
H4346|029|000|HMO COLORADO, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |CO|06500|1|N
H4346|029|000|HMO COLORADO, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |CO|06590|1|N
H4346|029|000|HMO COLORADO, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |CO|06610|1|N
H4346|029|000|HMO COLORADO, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |CO|06630|1|N
H4407|004|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|17.90|590| | |MS|25150|2|N
H4407|004|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|17.90|590| | |MS|25170|2|N
H4407|004|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|17.90|590| | |MS|25190|2|N
H4407|004|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|17.90|590| | |MS|25200|2|N
H4407|004|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|17.90|590| | |MS|25220|2|N
H4407|004|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|17.90|590| | |MS|25230|2|N
H4407|004|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|17.90|590| | |MS|25240|2|N
H4407|004|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|17.90|590| | |MS|25290|2|N
H4407|004|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|17.90|590| | |MS|25320|2|N
H4407|004|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|17.90|590| | |MS|25330|2|N
H4407|004|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|17.90|590| | |MS|25360|2|N
H4407|004|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|17.90|590| | |MS|25380|2|N
H4407|004|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|17.90|590| | |MS|25440|2|N
H4407|004|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|17.90|590| | |MS|25450|2|N
H4407|004|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|17.90|590| | |MS|25540|2|N
H4407|004|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|17.90|590| | |MS|25550|2|N
H4407|004|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|17.90|590| | |MS|25600|2|N
H4407|004|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|17.90|590| | |MS|25650|2|N
H4407|004|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|17.90|590| | |MS|25730|2|N
H4407|004|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|17.90|590| | |MS|25760|2|N
H4407|027|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|16.10|0| | |MS|25150|0|N
H4407|027|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|16.10|0| | |MS|25170|0|N
H4407|027|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|16.10|0| | |MS|25190|0|N
H4407|027|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|16.10|0| | |MS|25200|0|N
H4407|027|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|16.10|0| | |MS|25220|0|N
H4407|027|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|16.10|0| | |MS|25230|0|N
H4407|027|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|16.10|0| | |MS|25240|0|N
H4407|027|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|16.10|0| | |MS|25290|0|N
H4407|027|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|16.10|0| | |MS|25320|0|N
H4407|027|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|16.10|0| | |MS|25330|0|N
H4407|027|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|16.10|0| | |MS|25360|0|N
H4407|027|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|16.10|0| | |MS|25380|0|N
H4407|027|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|16.10|0| | |MS|25440|0|N
H4407|027|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|16.10|0| | |MS|25450|0|N
H4407|027|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|16.10|0| | |MS|25540|0|N
H4407|027|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|16.10|0| | |MS|25550|0|N
H4407|027|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|16.10|0| | |MS|25600|0|N
H4407|027|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|16.10|0| | |MS|25650|0|N
H4407|027|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|16.10|0| | |MS|25730|0|N
H4407|027|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025271|16.10|0| | |MS|25760|0|N
H4407|028|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |MS|25160|0|N
H4407|028|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |MS|25460|0|N
H4407|028|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |MS|25680|0|N
H4407|028|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |MS|25710|0|N
H4407|029|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |MS|25150|2|N
H4407|029|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |MS|25170|2|N
H4407|029|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |MS|25190|2|N
H4407|029|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |MS|25200|2|N
H4407|029|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |MS|25220|2|N
H4407|029|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |MS|25230|2|N
H4407|029|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |MS|25240|2|N
H4407|029|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |MS|25290|2|N
H4407|029|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |MS|25320|2|N
H4407|029|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |MS|25330|2|N
H4407|029|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |MS|25360|2|N
H4407|029|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |MS|25380|2|N
H4407|029|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |MS|25440|2|N
H4407|029|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |MS|25450|2|N
H4407|029|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |MS|25540|2|N
H4407|029|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |MS|25550|2|N
H4407|029|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |MS|25600|2|N
H4407|029|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |MS|25650|2|N
H4407|029|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |MS|25730|2|N
H4407|029|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |MS|25760|2|N
H4407|030|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |MS|25190|0|N
H4407|030|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |MS|25220|0|N
H4407|030|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |MS|25230|0|N
H4407|030|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |MS|25290|0|N
H4407|030|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |MS|25650|0|N
H4407|030|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |MS|25150|0|N
H4407|030|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |MS|25170|0|N
H4407|030|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |MS|25200|0|N
H4407|030|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |MS|25320|0|N
H4407|030|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |MS|25330|0|N
H4407|030|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |MS|25360|0|N
H4407|030|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |MS|25380|0|N
H4407|030|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |MS|25450|0|N
H4407|030|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |MS|25540|0|N
H4407|030|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |MS|25550|0|N
H4407|030|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |MS|25730|0|N
H4407|030|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |MS|25760|0|N
H4407|030|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |MS|25240|0|N
H4407|030|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |MS|25440|0|N
H4407|030|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |MS|25600|0|N
H4439|001|000|PROVIDER PARTNERS HEALTH PLAN OF NORTH CAROLINA|Provider Partners North Carolina Advantage Plan (HMO I-SNP)|00025261|51.20|590| | |NC|34120|3|N
H4439|001|000|PROVIDER PARTNERS HEALTH PLAN OF NORTH CAROLINA|Provider Partners North Carolina Advantage Plan (HMO I-SNP)|00025261|51.20|590| | |NC|34290|3|N
H4439|001|000|PROVIDER PARTNERS HEALTH PLAN OF NORTH CAROLINA|Provider Partners North Carolina Advantage Plan (HMO I-SNP)|00025261|51.20|590| | |NC|34330|3|N
H4439|001|000|PROVIDER PARTNERS HEALTH PLAN OF NORTH CAROLINA|Provider Partners North Carolina Advantage Plan (HMO I-SNP)|00025261|51.20|590| | |NC|34350|3|N
H4439|001|000|PROVIDER PARTNERS HEALTH PLAN OF NORTH CAROLINA|Provider Partners North Carolina Advantage Plan (HMO I-SNP)|00025261|51.20|590| | |NC|34400|3|N
H4439|001|000|PROVIDER PARTNERS HEALTH PLAN OF NORTH CAROLINA|Provider Partners North Carolina Advantage Plan (HMO I-SNP)|00025261|51.20|590| | |NC|34540|3|N
H4439|002|000|PROVIDER PARTNERS HEALTH PLAN OF NORTH CAROLINA|Provider Partners North Carolina Community Plan (HMO I-SNP)|00025261|0.00|590| | |NC|34120|3|N
H4439|002|000|PROVIDER PARTNERS HEALTH PLAN OF NORTH CAROLINA|Provider Partners North Carolina Community Plan (HMO I-SNP)|00025261|0.00|590| | |NC|34290|3|N
H4439|002|000|PROVIDER PARTNERS HEALTH PLAN OF NORTH CAROLINA|Provider Partners North Carolina Community Plan (HMO I-SNP)|00025261|0.00|590| | |NC|34330|3|N
H4439|002|000|PROVIDER PARTNERS HEALTH PLAN OF NORTH CAROLINA|Provider Partners North Carolina Community Plan (HMO I-SNP)|00025261|0.00|590| | |NC|34350|3|N
H4439|002|000|PROVIDER PARTNERS HEALTH PLAN OF NORTH CAROLINA|Provider Partners North Carolina Community Plan (HMO I-SNP)|00025261|0.00|590| | |NC|34400|3|N
H4439|002|000|PROVIDER PARTNERS HEALTH PLAN OF NORTH CAROLINA|Provider Partners North Carolina Community Plan (HMO I-SNP)|00025261|0.00|590| | |NC|34540|3|N
H4439|003|000|PROVIDER PARTNERS HEALTH PLAN OF NORTH CAROLINA|Provider Partners North Carolina Essential Plan (HMO I-SNP)|00025261|51.20|590| | |NC|34120|3|N
H4439|003|000|PROVIDER PARTNERS HEALTH PLAN OF NORTH CAROLINA|Provider Partners North Carolina Essential Plan (HMO I-SNP)|00025261|51.20|590| | |NC|34290|3|N
H4439|003|000|PROVIDER PARTNERS HEALTH PLAN OF NORTH CAROLINA|Provider Partners North Carolina Essential Plan (HMO I-SNP)|00025261|51.20|590| | |NC|34330|3|N
H4439|003|000|PROVIDER PARTNERS HEALTH PLAN OF NORTH CAROLINA|Provider Partners North Carolina Essential Plan (HMO I-SNP)|00025261|51.20|590| | |NC|34350|3|N
H4439|003|000|PROVIDER PARTNERS HEALTH PLAN OF NORTH CAROLINA|Provider Partners North Carolina Essential Plan (HMO I-SNP)|00025261|51.20|590| | |NC|34400|3|N
H4439|003|000|PROVIDER PARTNERS HEALTH PLAN OF NORTH CAROLINA|Provider Partners North Carolina Essential Plan (HMO I-SNP)|00025261|51.20|590| | |NC|34540|3|N
H4444|001|000|PROVIDER PARTNERS HEALTH PLAN OF INDIANA|Provider Partners Indiana Advantage Plan (HMO I-SNP)|00025261|49.60|590| | |IN|15080|3|N
H4444|001|000|PROVIDER PARTNERS HEALTH PLAN OF INDIANA|Provider Partners Indiana Advantage Plan (HMO I-SNP)|00025261|49.60|590| | |IN|15160|3|N
H4444|001|000|PROVIDER PARTNERS HEALTH PLAN OF INDIANA|Provider Partners Indiana Advantage Plan (HMO I-SNP)|00025261|49.60|590| | |IN|15170|3|N
H4444|001|000|PROVIDER PARTNERS HEALTH PLAN OF INDIANA|Provider Partners Indiana Advantage Plan (HMO I-SNP)|00025261|49.60|590| | |IN|15190|3|N
H4444|001|000|PROVIDER PARTNERS HEALTH PLAN OF INDIANA|Provider Partners Indiana Advantage Plan (HMO I-SNP)|00025261|49.60|590| | |IN|15280|3|N
H4444|001|000|PROVIDER PARTNERS HEALTH PLAN OF INDIANA|Provider Partners Indiana Advantage Plan (HMO I-SNP)|00025261|49.60|590| | |IN|15310|3|N
H4444|001|000|PROVIDER PARTNERS HEALTH PLAN OF INDIANA|Provider Partners Indiana Advantage Plan (HMO I-SNP)|00025261|49.60|590| | |IN|15330|3|N
H4444|001|000|PROVIDER PARTNERS HEALTH PLAN OF INDIANA|Provider Partners Indiana Advantage Plan (HMO I-SNP)|00025261|49.60|590| | |IN|15400|3|N
H4444|001|000|PROVIDER PARTNERS HEALTH PLAN OF INDIANA|Provider Partners Indiana Advantage Plan (HMO I-SNP)|00025261|49.60|590| | |IN|15470|3|N
H4444|001|000|PROVIDER PARTNERS HEALTH PLAN OF INDIANA|Provider Partners Indiana Advantage Plan (HMO I-SNP)|00025261|49.60|590| | |IN|15480|3|N
H4444|001|000|PROVIDER PARTNERS HEALTH PLAN OF INDIANA|Provider Partners Indiana Advantage Plan (HMO I-SNP)|00025261|49.60|590| | |IN|15490|3|N
H4444|001|000|PROVIDER PARTNERS HEALTH PLAN OF INDIANA|Provider Partners Indiana Advantage Plan (HMO I-SNP)|00025261|49.60|590| | |IN|15520|3|N
H4444|001|000|PROVIDER PARTNERS HEALTH PLAN OF INDIANA|Provider Partners Indiana Advantage Plan (HMO I-SNP)|00025261|49.60|590| | |IN|15540|3|N
H4444|001|000|PROVIDER PARTNERS HEALTH PLAN OF INDIANA|Provider Partners Indiana Advantage Plan (HMO I-SNP)|00025261|49.60|590| | |IN|15630|3|N
H4444|001|000|PROVIDER PARTNERS HEALTH PLAN OF INDIANA|Provider Partners Indiana Advantage Plan (HMO I-SNP)|00025261|49.60|590| | |IN|15700|3|N
H4444|001|000|PROVIDER PARTNERS HEALTH PLAN OF INDIANA|Provider Partners Indiana Advantage Plan (HMO I-SNP)|00025261|49.60|590| | |IN|15810|3|N
H4444|001|000|PROVIDER PARTNERS HEALTH PLAN OF INDIANA|Provider Partners Indiana Advantage Plan (HMO I-SNP)|00025261|49.60|590| | |IN|15860|3|N
H4444|001|000|PROVIDER PARTNERS HEALTH PLAN OF INDIANA|Provider Partners Indiana Advantage Plan (HMO I-SNP)|00025261|49.60|590| | |IN|15910|3|N
H4444|002|000|PROVIDER PARTNERS HEALTH PLAN OF INDIANA|Provider Partners Indiana Community Plan (HMO I-SNP)|00025261|0.00|590| | |IN|15080|3|N
H4444|002|000|PROVIDER PARTNERS HEALTH PLAN OF INDIANA|Provider Partners Indiana Community Plan (HMO I-SNP)|00025261|0.00|590| | |IN|15160|3|N
H4444|002|000|PROVIDER PARTNERS HEALTH PLAN OF INDIANA|Provider Partners Indiana Community Plan (HMO I-SNP)|00025261|0.00|590| | |IN|15170|3|N
H4444|002|000|PROVIDER PARTNERS HEALTH PLAN OF INDIANA|Provider Partners Indiana Community Plan (HMO I-SNP)|00025261|0.00|590| | |IN|15190|3|N
H4444|002|000|PROVIDER PARTNERS HEALTH PLAN OF INDIANA|Provider Partners Indiana Community Plan (HMO I-SNP)|00025261|0.00|590| | |IN|15280|3|N
H4444|002|000|PROVIDER PARTNERS HEALTH PLAN OF INDIANA|Provider Partners Indiana Community Plan (HMO I-SNP)|00025261|0.00|590| | |IN|15310|3|N
H4444|002|000|PROVIDER PARTNERS HEALTH PLAN OF INDIANA|Provider Partners Indiana Community Plan (HMO I-SNP)|00025261|0.00|590| | |IN|15330|3|N
H4444|002|000|PROVIDER PARTNERS HEALTH PLAN OF INDIANA|Provider Partners Indiana Community Plan (HMO I-SNP)|00025261|0.00|590| | |IN|15400|3|N
H4444|002|000|PROVIDER PARTNERS HEALTH PLAN OF INDIANA|Provider Partners Indiana Community Plan (HMO I-SNP)|00025261|0.00|590| | |IN|15470|3|N
H4444|002|000|PROVIDER PARTNERS HEALTH PLAN OF INDIANA|Provider Partners Indiana Community Plan (HMO I-SNP)|00025261|0.00|590| | |IN|15480|3|N
H4444|002|000|PROVIDER PARTNERS HEALTH PLAN OF INDIANA|Provider Partners Indiana Community Plan (HMO I-SNP)|00025261|0.00|590| | |IN|15490|3|N
H4444|002|000|PROVIDER PARTNERS HEALTH PLAN OF INDIANA|Provider Partners Indiana Community Plan (HMO I-SNP)|00025261|0.00|590| | |IN|15520|3|N
H4444|002|000|PROVIDER PARTNERS HEALTH PLAN OF INDIANA|Provider Partners Indiana Community Plan (HMO I-SNP)|00025261|0.00|590| | |IN|15540|3|N
H4444|002|000|PROVIDER PARTNERS HEALTH PLAN OF INDIANA|Provider Partners Indiana Community Plan (HMO I-SNP)|00025261|0.00|590| | |IN|15630|3|N
H4444|002|000|PROVIDER PARTNERS HEALTH PLAN OF INDIANA|Provider Partners Indiana Community Plan (HMO I-SNP)|00025261|0.00|590| | |IN|15700|3|N
H4444|002|000|PROVIDER PARTNERS HEALTH PLAN OF INDIANA|Provider Partners Indiana Community Plan (HMO I-SNP)|00025261|0.00|590| | |IN|15810|3|N
H4444|002|000|PROVIDER PARTNERS HEALTH PLAN OF INDIANA|Provider Partners Indiana Community Plan (HMO I-SNP)|00025261|0.00|590| | |IN|15860|3|N
H4444|002|000|PROVIDER PARTNERS HEALTH PLAN OF INDIANA|Provider Partners Indiana Community Plan (HMO I-SNP)|00025261|0.00|590| | |IN|15910|3|N
H4444|003|000|PROVIDER PARTNERS HEALTH PLAN OF INDIANA|Provider Partners Indiana Essential Plan (HMO I-SNP)|00025261|49.60|590| | |IN|15080|3|N
H4444|003|000|PROVIDER PARTNERS HEALTH PLAN OF INDIANA|Provider Partners Indiana Essential Plan (HMO I-SNP)|00025261|49.60|590| | |IN|15160|3|N
H4444|003|000|PROVIDER PARTNERS HEALTH PLAN OF INDIANA|Provider Partners Indiana Essential Plan (HMO I-SNP)|00025261|49.60|590| | |IN|15170|3|N
H4444|003|000|PROVIDER PARTNERS HEALTH PLAN OF INDIANA|Provider Partners Indiana Essential Plan (HMO I-SNP)|00025261|49.60|590| | |IN|15190|3|N
H4444|003|000|PROVIDER PARTNERS HEALTH PLAN OF INDIANA|Provider Partners Indiana Essential Plan (HMO I-SNP)|00025261|49.60|590| | |IN|15280|3|N
H4444|003|000|PROVIDER PARTNERS HEALTH PLAN OF INDIANA|Provider Partners Indiana Essential Plan (HMO I-SNP)|00025261|49.60|590| | |IN|15310|3|N
H4444|003|000|PROVIDER PARTNERS HEALTH PLAN OF INDIANA|Provider Partners Indiana Essential Plan (HMO I-SNP)|00025261|49.60|590| | |IN|15330|3|N
H4444|003|000|PROVIDER PARTNERS HEALTH PLAN OF INDIANA|Provider Partners Indiana Essential Plan (HMO I-SNP)|00025261|49.60|590| | |IN|15400|3|N
H4444|003|000|PROVIDER PARTNERS HEALTH PLAN OF INDIANA|Provider Partners Indiana Essential Plan (HMO I-SNP)|00025261|49.60|590| | |IN|15470|3|N
H4444|003|000|PROVIDER PARTNERS HEALTH PLAN OF INDIANA|Provider Partners Indiana Essential Plan (HMO I-SNP)|00025261|49.60|590| | |IN|15480|3|N
H4444|003|000|PROVIDER PARTNERS HEALTH PLAN OF INDIANA|Provider Partners Indiana Essential Plan (HMO I-SNP)|00025261|49.60|590| | |IN|15490|3|N
H4444|003|000|PROVIDER PARTNERS HEALTH PLAN OF INDIANA|Provider Partners Indiana Essential Plan (HMO I-SNP)|00025261|49.60|590| | |IN|15520|3|N
H4444|003|000|PROVIDER PARTNERS HEALTH PLAN OF INDIANA|Provider Partners Indiana Essential Plan (HMO I-SNP)|00025261|49.60|590| | |IN|15540|3|N
H4444|003|000|PROVIDER PARTNERS HEALTH PLAN OF INDIANA|Provider Partners Indiana Essential Plan (HMO I-SNP)|00025261|49.60|590| | |IN|15630|3|N
H4444|003|000|PROVIDER PARTNERS HEALTH PLAN OF INDIANA|Provider Partners Indiana Essential Plan (HMO I-SNP)|00025261|49.60|590| | |IN|15700|3|N
H4444|003|000|PROVIDER PARTNERS HEALTH PLAN OF INDIANA|Provider Partners Indiana Essential Plan (HMO I-SNP)|00025261|49.60|590| | |IN|15810|3|N
H4444|003|000|PROVIDER PARTNERS HEALTH PLAN OF INDIANA|Provider Partners Indiana Essential Plan (HMO I-SNP)|00025261|49.60|590| | |IN|15860|3|N
H4444|003|000|PROVIDER PARTNERS HEALTH PLAN OF INDIANA|Provider Partners Indiana Essential Plan (HMO I-SNP)|00025261|49.60|590| | |IN|15910|3|N
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44000|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44020|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44040|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44050|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44060|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44070|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44090|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44100|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44110|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44120|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44130|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44140|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44150|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44160|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44170|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44180|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44190|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44200|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44210|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44220|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44230|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44240|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44250|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44260|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44270|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44280|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44290|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44300|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44310|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44320|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44330|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44340|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44350|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44360|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44370|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44380|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44390|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44400|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44410|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44420|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44430|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44440|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44450|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44460|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44470|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44480|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44490|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44500|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44520|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44530|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44540|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44550|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44560|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44570|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44580|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44590|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44600|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44610|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44620|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44630|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44640|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44650|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44660|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44670|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44680|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44690|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44700|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44710|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44720|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44730|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44740|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44750|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44760|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44770|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44780|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44790|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44800|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44810|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44820|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44840|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44850|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44860|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44870|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44880|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44890|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44910|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44920|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44930|2|Y
H4461|022|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP)|00025456|0.00|590| | |TN|44940|2|Y
H4461|025|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-025 (HMO)|00025458|0.00|450| | |TN|44020|0|N
H4461|025|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-025 (HMO)|00025458|0.00|450| | |TN|44110|0|N
H4461|025|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-025 (HMO)|00025458|0.00|450| | |TN|44130|0|N
H4461|025|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-025 (HMO)|00025458|0.00|450| | |TN|44160|0|N
H4461|025|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-025 (HMO)|00025458|0.00|450| | |TN|44190|0|N
H4461|025|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-025 (HMO)|00025458|0.00|450| | |TN|44220|0|N
H4461|025|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-025 (HMO)|00025458|0.00|450| | |TN|44230|0|N
H4461|025|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-025 (HMO)|00025458|0.00|450| | |TN|44240|0|N
H4461|025|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-025 (HMO)|00025458|0.00|450| | |TN|44260|0|N
H4461|025|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-025 (HMO)|00025458|0.00|450| | |TN|44340|0|N
H4461|025|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-025 (HMO)|00025458|0.00|450| | |TN|44350|0|N
H4461|025|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-025 (HMO)|00025458|0.00|450| | |TN|44370|0|N
H4461|025|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-025 (HMO)|00025458|0.00|450| | |TN|44380|0|N
H4461|025|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-025 (HMO)|00025458|0.00|450| | |TN|44410|0|N
H4461|025|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-025 (HMO)|00025458|0.00|450| | |TN|44430|0|N
H4461|025|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-025 (HMO)|00025458|0.00|450| | |TN|44470|0|N
H4461|025|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-025 (HMO)|00025458|0.00|450| | |TN|44480|0|N
H4461|025|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-025 (HMO)|00025458|0.00|450| | |TN|44490|0|N
H4461|025|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-025 (HMO)|00025458|0.00|450| | |TN|44500|0|N
H4461|025|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-025 (HMO)|00025458|0.00|450| | |TN|44540|0|N
H4461|025|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-025 (HMO)|00025458|0.00|450| | |TN|44550|0|N
H4461|025|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-025 (HMO)|00025458|0.00|450| | |TN|44560|0|N
H4461|025|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-025 (HMO)|00025458|0.00|450| | |TN|44630|0|N
H4461|025|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-025 (HMO)|00025458|0.00|450| | |TN|44650|0|N
H4461|025|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-025 (HMO)|00025458|0.00|450| | |TN|44660|0|N
H4461|025|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-025 (HMO)|00025458|0.00|450| | |TN|44670|0|N
H4461|025|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-025 (HMO)|00025458|0.00|450| | |TN|44680|0|N
H4461|025|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-025 (HMO)|00025458|0.00|450| | |TN|44780|0|N
H4461|025|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-025 (HMO)|00025458|0.00|450| | |TN|44790|0|N
H4461|025|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-025 (HMO)|00025458|0.00|450| | |TN|44800|0|N
H4461|025|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-025 (HMO)|00025458|0.00|450| | |TN|44840|0|N
H4461|025|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-025 (HMO)|00025458|0.00|450| | |TN|44870|0|N
H4461|025|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-025 (HMO)|00025458|0.00|450| | |TN|44910|0|N
H4461|035|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-035 (HMO)|00025458|0.00|590| | |TN|44000|0|N
H4461|035|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-035 (HMO)|00025458|0.00|590| | |TN|44040|0|N
H4461|035|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-035 (HMO)|00025458|0.00|590| | |TN|44050|0|N
H4461|035|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-035 (HMO)|00025458|0.00|590| | |TN|44060|0|N
H4461|035|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-035 (HMO)|00025458|0.00|590| | |TN|44090|0|N
H4461|035|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-035 (HMO)|00025458|0.00|590| | |TN|44120|0|N
H4461|035|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-035 (HMO)|00025458|0.00|590| | |TN|44140|0|N
H4461|035|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-035 (HMO)|00025458|0.00|590| | |TN|44170|0|N
H4461|035|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-035 (HMO)|00025458|0.00|590| | |TN|44250|0|N
H4461|035|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-035 (HMO)|00025458|0.00|590| | |TN|44280|0|N
H4461|035|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-035 (HMO)|00025458|0.00|590| | |TN|44290|0|N
H4461|035|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-035 (HMO)|00025458|0.00|590| | |TN|44300|0|N
H4461|035|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-035 (HMO)|00025458|0.00|590| | |TN|44310|0|N
H4461|035|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-035 (HMO)|00025458|0.00|590| | |TN|44320|0|N
H4461|035|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-035 (HMO)|00025458|0.00|590| | |TN|44330|0|N
H4461|035|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-035 (HMO)|00025458|0.00|590| | |TN|44360|0|N
H4461|035|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-035 (HMO)|00025458|0.00|590| | |TN|44440|0|N
H4461|035|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-035 (HMO)|00025458|0.00|590| | |TN|44450|0|N
H4461|035|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-035 (HMO)|00025458|0.00|590| | |TN|44460|0|N
H4461|035|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-035 (HMO)|00025458|0.00|590| | |TN|44520|0|N
H4461|035|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-035 (HMO)|00025458|0.00|590| | |TN|44530|0|N
H4461|035|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-035 (HMO)|00025458|0.00|590| | |TN|44570|0|N
H4461|035|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-035 (HMO)|00025458|0.00|590| | |TN|44600|0|N
H4461|035|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-035 (HMO)|00025458|0.00|590| | |TN|44610|0|N
H4461|035|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-035 (HMO)|00025458|0.00|590| | |TN|44640|0|N
H4461|035|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-035 (HMO)|00025458|0.00|590| | |TN|44690|0|N
H4461|035|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-035 (HMO)|00025458|0.00|590| | |TN|44700|0|N
H4461|035|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-035 (HMO)|00025458|0.00|590| | |TN|44710|0|N
H4461|035|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-035 (HMO)|00025458|0.00|590| | |TN|44720|0|N
H4461|035|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-035 (HMO)|00025458|0.00|590| | |TN|44760|0|N
H4461|035|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-035 (HMO)|00025458|0.00|590| | |TN|44770|0|N
H4461|035|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-035 (HMO)|00025458|0.00|590| | |TN|44810|0|N
H4461|035|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-035 (HMO)|00025458|0.00|590| | |TN|44850|0|N
H4461|035|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-035 (HMO)|00025458|0.00|590| | |TN|44860|0|N
H4461|035|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-035 (HMO)|00025458|0.00|590| | |TN|44890|0|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44000|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44020|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44040|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44050|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44060|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44070|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44090|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44100|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44110|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44120|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44130|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44140|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44150|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44160|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44170|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44180|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44190|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44200|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44210|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44220|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44230|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44240|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44250|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44260|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44270|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44280|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44290|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44300|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44310|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44320|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44330|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44340|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44350|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44360|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44370|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44380|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44390|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44410|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44420|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44430|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44440|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44450|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44460|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44470|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44480|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44490|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44500|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44520|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44530|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44540|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44550|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44560|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44570|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44580|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44590|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44600|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44610|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44620|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44630|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44640|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44650|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44660|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44670|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44680|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44690|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44700|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44710|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44720|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44730|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44740|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44750|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44760|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44770|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44780|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44790|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44800|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44810|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44820|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44840|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44850|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44860|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44870|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44880|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44890|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44910|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44920|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44930|2|N
H4461|038|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP)|00025456|0.00|590| | |TN|44940|2|N
H4461|039|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus Giveback H4461-039 (HMO)|00025458|0.00|565| | |TN|44070|0|N
H4461|039|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus Giveback H4461-039 (HMO)|00025458|0.00|565| | |TN|44100|0|N
H4461|039|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus Giveback H4461-039 (HMO)|00025458|0.00|565| | |TN|44150|0|N
H4461|039|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus Giveback H4461-039 (HMO)|00025458|0.00|565| | |TN|44180|0|N
H4461|039|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus Giveback H4461-039 (HMO)|00025458|0.00|565| | |TN|44200|0|N
H4461|039|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus Giveback H4461-039 (HMO)|00025458|0.00|565| | |TN|44210|0|N
H4461|039|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus Giveback H4461-039 (HMO)|00025458|0.00|565| | |TN|44270|0|N
H4461|039|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus Giveback H4461-039 (HMO)|00025458|0.00|565| | |TN|44390|0|N
H4461|039|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus Giveback H4461-039 (HMO)|00025458|0.00|565| | |TN|44400|0|N
H4461|039|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus Giveback H4461-039 (HMO)|00025458|0.00|565| | |TN|44580|0|N
H4461|039|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus Giveback H4461-039 (HMO)|00025458|0.00|565| | |TN|44590|0|N
H4461|039|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus Giveback H4461-039 (HMO)|00025458|0.00|565| | |TN|44620|0|N
H4461|039|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus Giveback H4461-039 (HMO)|00025458|0.00|565| | |TN|44730|0|N
H4461|039|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus Giveback H4461-039 (HMO)|00025458|0.00|565| | |TN|44740|0|N
H4461|039|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus Giveback H4461-039 (HMO)|00025458|0.00|565| | |TN|44820|0|N
H4461|039|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus Giveback H4461-039 (HMO)|00025458|0.00|565| | |TN|44880|0|N
H4461|039|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus Giveback H4461-039 (HMO)|00025458|0.00|565| | |TN|44920|0|N
H4461|039|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus Giveback H4461-039 (HMO)|00025458|0.00|565| | |TN|44930|0|N
H4461|039|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus Giveback H4461-039 (HMO)|00025458|0.00|565| | |TN|44940|0|N
H4461|040|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-040 (HMO)|00025458|12.90|0| | |TN|44000|0|N
H4461|040|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-040 (HMO)|00025458|12.90|0| | |TN|44040|0|N
H4461|040|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-040 (HMO)|00025458|12.90|0| | |TN|44050|0|N
H4461|040|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-040 (HMO)|00025458|12.90|0| | |TN|44060|0|N
H4461|040|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-040 (HMO)|00025458|12.90|0| | |TN|44090|0|N
H4461|040|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-040 (HMO)|00025458|12.90|0| | |TN|44120|0|N
H4461|040|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-040 (HMO)|00025458|12.90|0| | |TN|44140|0|N
H4461|040|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-040 (HMO)|00025458|12.90|0| | |TN|44170|0|N
H4461|040|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-040 (HMO)|00025458|12.90|0| | |TN|44250|0|N
H4461|040|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-040 (HMO)|00025458|12.90|0| | |TN|44280|0|N
H4461|040|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-040 (HMO)|00025458|12.90|0| | |TN|44290|0|N
H4461|040|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-040 (HMO)|00025458|12.90|0| | |TN|44300|0|N
H4461|040|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-040 (HMO)|00025458|12.90|0| | |TN|44310|0|N
H4461|040|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-040 (HMO)|00025458|12.90|0| | |TN|44320|0|N
H4461|040|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-040 (HMO)|00025458|12.90|0| | |TN|44330|0|N
H4461|040|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-040 (HMO)|00025458|12.90|0| | |TN|44360|0|N
H4461|040|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-040 (HMO)|00025458|12.90|0| | |TN|44440|0|N
H4461|040|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-040 (HMO)|00025458|12.90|0| | |TN|44450|0|N
H4461|040|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-040 (HMO)|00025458|12.90|0| | |TN|44460|0|N
H4461|040|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-040 (HMO)|00025458|12.90|0| | |TN|44520|0|N
H4461|040|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-040 (HMO)|00025458|12.90|0| | |TN|44530|0|N
H4461|040|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-040 (HMO)|00025458|12.90|0| | |TN|44570|0|N
H4461|040|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-040 (HMO)|00025458|12.90|0| | |TN|44600|0|N
H4461|040|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-040 (HMO)|00025458|12.90|0| | |TN|44610|0|N
H4461|040|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-040 (HMO)|00025458|12.90|0| | |TN|44640|0|N
H4461|040|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-040 (HMO)|00025458|12.90|0| | |TN|44690|0|N
H4461|040|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-040 (HMO)|00025458|12.90|0| | |TN|44700|0|N
H4461|040|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-040 (HMO)|00025458|12.90|0| | |TN|44710|0|N
H4461|040|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-040 (HMO)|00025458|12.90|0| | |TN|44720|0|N
H4461|040|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-040 (HMO)|00025458|12.90|0| | |TN|44750|0|N
H4461|040|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-040 (HMO)|00025458|12.90|0| | |TN|44760|0|N
H4461|040|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-040 (HMO)|00025458|12.90|0| | |TN|44770|0|N
H4461|040|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-040 (HMO)|00025458|12.90|0| | |TN|44810|0|N
H4461|040|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-040 (HMO)|00025458|12.90|0| | |TN|44850|0|N
H4461|040|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-040 (HMO)|00025458|12.90|0| | |TN|44860|0|N
H4461|040|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-040 (HMO)|00025458|12.90|0| | |TN|44890|0|N
H4461|041|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-041 (HMO)|00025458|10.00|0| | |TN|44000|0|N
H4461|041|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-041 (HMO)|00025458|10.00|0| | |TN|44040|0|N
H4461|041|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-041 (HMO)|00025458|10.00|0| | |TN|44050|0|N
H4461|041|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-041 (HMO)|00025458|10.00|0| | |TN|44060|0|N
H4461|041|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-041 (HMO)|00025458|10.00|0| | |TN|44090|0|N
H4461|041|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-041 (HMO)|00025458|10.00|0| | |TN|44120|0|N
H4461|041|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-041 (HMO)|00025458|10.00|0| | |TN|44140|0|N
H4461|041|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-041 (HMO)|00025458|10.00|0| | |TN|44170|0|N
H4461|041|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-041 (HMO)|00025458|10.00|0| | |TN|44250|0|N
H4461|041|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-041 (HMO)|00025458|10.00|0| | |TN|44280|0|N
H4461|041|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-041 (HMO)|00025458|10.00|0| | |TN|44290|0|N
H4461|041|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-041 (HMO)|00025458|10.00|0| | |TN|44300|0|N
H4461|041|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-041 (HMO)|00025458|10.00|0| | |TN|44310|0|N
H4461|041|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-041 (HMO)|00025458|10.00|0| | |TN|44320|0|N
H4461|041|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-041 (HMO)|00025458|10.00|0| | |TN|44330|0|N
H4461|041|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-041 (HMO)|00025458|10.00|0| | |TN|44360|0|N
H4461|041|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-041 (HMO)|00025458|10.00|0| | |TN|44440|0|N
H4461|041|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-041 (HMO)|00025458|10.00|0| | |TN|44450|0|N
H4461|041|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-041 (HMO)|00025458|10.00|0| | |TN|44460|0|N
H4461|041|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-041 (HMO)|00025458|10.00|0| | |TN|44520|0|N
H4461|041|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-041 (HMO)|00025458|10.00|0| | |TN|44530|0|N
H4461|041|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-041 (HMO)|00025458|10.00|0| | |TN|44570|0|N
H4461|041|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-041 (HMO)|00025458|10.00|0| | |TN|44600|0|N
H4461|041|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-041 (HMO)|00025458|10.00|0| | |TN|44610|0|N
H4461|041|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-041 (HMO)|00025458|10.00|0| | |TN|44640|0|N
H4461|041|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-041 (HMO)|00025458|10.00|0| | |TN|44690|0|N
H4461|041|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-041 (HMO)|00025458|10.00|0| | |TN|44700|0|N
H4461|041|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-041 (HMO)|00025458|10.00|0| | |TN|44710|0|N
H4461|041|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-041 (HMO)|00025458|10.00|0| | |TN|44720|0|N
H4461|041|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-041 (HMO)|00025458|10.00|0| | |TN|44760|0|N
H4461|041|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-041 (HMO)|00025458|10.00|0| | |TN|44770|0|N
H4461|041|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-041 (HMO)|00025458|10.00|0| | |TN|44810|0|N
H4461|041|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-041 (HMO)|00025458|10.00|0| | |TN|44850|0|N
H4461|041|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-041 (HMO)|00025458|10.00|0| | |TN|44860|0|N
H4461|041|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-041 (HMO)|00025458|10.00|0| | |TN|44890|0|N
H4461|042|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|590| | |TN|44230|1|N
H4461|042|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|590| | |TN|44340|1|N
H4461|042|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|590| | |TN|44370|1|N
H4461|042|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|590| | |TN|44480|1|N
H4461|042|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|590| | |TN|44560|1|N
H4461|042|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|590| | |TN|44780|1|N
H4461|042|000|CARITEN HEALTH PLAN INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|590| | |TN|44830|1|N
H4461|043|001|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-043 (HMO)|00025458|0.00|590| | |TN|44070|0|N
H4461|043|001|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-043 (HMO)|00025458|0.00|590| | |TN|44200|0|N
H4461|043|001|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-043 (HMO)|00025458|0.00|590| | |TN|44270|0|N
H4461|043|001|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-043 (HMO)|00025458|0.00|590| | |TN|44390|0|N
H4461|043|001|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-043 (HMO)|00025458|0.00|590| | |TN|44590|0|N
H4461|043|001|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-043 (HMO)|00025458|0.00|590| | |TN|44740|0|N
H4461|043|001|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-043 (HMO)|00025458|0.00|590| | |TN|44880|0|N
H4461|043|001|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-043 (HMO)|00025458|0.00|590| | |TN|44920|0|N
H4461|043|001|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-043 (HMO)|00025458|0.00|590| | |TN|44930|0|N
H4461|043|001|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-043 (HMO)|00025458|0.00|590| | |TN|44940|0|N
H4461|043|002|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-043 (HMO)|00025458|0.00|590| | |TN|44100|0|N
H4461|043|002|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-043 (HMO)|00025458|0.00|590| | |TN|44150|0|N
H4461|043|002|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-043 (HMO)|00025458|0.00|590| | |TN|44180|0|N
H4461|043|002|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-043 (HMO)|00025458|0.00|590| | |TN|44210|0|N
H4461|043|002|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-043 (HMO)|00025458|0.00|590| | |TN|44400|0|N
H4461|043|002|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-043 (HMO)|00025458|0.00|590| | |TN|44580|0|N
H4461|043|002|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-043 (HMO)|00025458|0.00|590| | |TN|44620|0|N
H4461|043|002|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-043 (HMO)|00025458|0.00|590| | |TN|44730|0|N
H4461|043|002|CARITEN HEALTH PLAN INC.|Humana Gold Plus H4461-043 (HMO)|00025458|0.00|590| | |TN|44820|0|N
H4471|001|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025052|0.00|590| | |CA|05090|2|N
H4471|001|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025052|0.00|590| | |CA|05150|2|N
H4471|001|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025052|0.00|590| | |CA|05200|2|N
H4471|001|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025052|0.00|590| | |CA|05210|2|N
H4471|001|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025052|0.00|590| | |CA|05300|2|N
H4471|001|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025052|0.00|590| | |CA|05440|2|N
H4471|001|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025052|0.00|590| | |CA|05530|2|N
H4471|001|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem Full Dual Advantage Aligned (HMO D-SNP)|00025052|0.00|590| | |CA|05640|2|N
H4471|002|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem Dual Advantage (HMO D-SNP)|00025052|22.70|590| | |CA|05090|2|Y
H4471|002|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem Dual Advantage (HMO D-SNP)|00025052|22.70|590| | |CA|05140|2|Y
H4471|002|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem Dual Advantage (HMO D-SNP)|00025052|22.70|590| | |CA|05150|2|Y
H4471|002|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem Dual Advantage (HMO D-SNP)|00025052|22.70|590| | |CA|05300|2|Y
H4471|002|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem Dual Advantage (HMO D-SNP)|00025052|22.70|590| | |CA|05440|2|Y
H4471|002|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem Dual Advantage (HMO D-SNP)|00025052|22.70|590| | |CA|05480|2|Y
H4471|002|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem Dual Advantage (HMO D-SNP)|00025052|22.70|590| | |CA|05640|2|Y
H4471|003|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem Dual Advantage (HMO D-SNP)|00025052|0.00|590| | |CA|05140|2|N
H4471|004|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem Dual Advantage (HMO D-SNP)|00025052|0.00|590| | |CA|05480|2|N
H4471|005|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem Dual Advantage (HMO D-SNP)|00025052|29.70|590| | |CA|05660|2|Y
H4471|006|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|3.10|590| | |CA|05490|2|Y
H4471|007|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem Dual Advantage (HMO D-SNP)|00025052|6.40|590| | |CA|05000|2|Y
H4471|009|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem Dual Advantage (HMO D-SNP)|00025052|24.40|590| | |CA|05200|2|Y
H4471|009|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem Dual Advantage (HMO D-SNP)|00025052|24.40|590| | |CA|05210|2|Y
H4471|009|000|BLUE CROSS OF CALIFORNIA PARTNERSHIP PLAN, INC.|Anthem Dual Advantage (HMO D-SNP)|00025052|24.40|590| | |CA|05530|2|Y
H4490|001|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri (HMO I-SNP)|00025482|51.00|590| | |MO|26080|3|N
H4490|001|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri (HMO I-SNP)|00025482|51.00|590| | |MO|26090|3|N
H4490|001|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri (HMO I-SNP)|00025482|51.00|590| | |MO|26150|3|N
H4490|001|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri (HMO I-SNP)|00025482|51.00|590| | |MO|26180|3|N
H4490|001|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri (HMO I-SNP)|00025482|51.00|590| | |MO|26230|3|N
H4490|001|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri (HMO I-SNP)|00025482|51.00|590| | |MO|26250|3|N
H4490|001|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri (HMO I-SNP)|00025482|51.00|590| | |MO|26260|3|N
H4490|001|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri (HMO I-SNP)|00025482|51.00|590| | |MO|26270|3|N
H4490|001|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri (HMO I-SNP)|00025482|51.00|590| | |MO|26350|3|N
H4490|001|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri (HMO I-SNP)|00025482|51.00|590| | |MO|26360|3|N
H4490|001|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri (HMO I-SNP)|00025482|51.00|590| | |MO|26470|3|N
H4490|001|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri (HMO I-SNP)|00025482|51.00|590| | |MO|26480|3|N
H4490|001|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri (HMO I-SNP)|00025482|51.00|590| | |MO|26490|3|N
H4490|001|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri (HMO I-SNP)|00025482|51.00|590| | |MO|26500|3|N
H4490|001|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri (HMO I-SNP)|00025482|51.00|590| | |MO|26530|3|N
H4490|001|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri (HMO I-SNP)|00025482|51.00|590| | |MO|26540|3|N
H4490|001|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri (HMO I-SNP)|00025482|51.00|590| | |MO|26560|3|N
H4490|001|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri (HMO I-SNP)|00025482|51.00|590| | |MO|26580|3|N
H4490|001|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri (HMO I-SNP)|00025482|51.00|590| | |MO|26720|3|N
H4490|001|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri (HMO I-SNP)|00025482|51.00|590| | |MO|26750|3|N
H4490|001|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri (HMO I-SNP)|00025482|51.00|590| | |MO|26810|3|N
H4490|001|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri (HMO I-SNP)|00025482|51.00|590| | |MO|26820|3|N
H4490|001|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri (HMO I-SNP)|00025482|51.00|590| | |MO|26880|3|N
H4490|001|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri (HMO I-SNP)|00025482|51.00|590| | |MO|26910|3|N
H4490|001|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri (HMO I-SNP)|00025482|51.00|590| | |MO|26940|3|N
H4490|001|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri (HMO I-SNP)|00025482|51.00|590| | |MO|26950|3|N
H4490|001|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri (HMO I-SNP)|00025482|51.00|590| | |MO|26960|3|N
H4490|001|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri (HMO I-SNP)|00025482|51.00|590| | |MO|26982|3|N
H4490|001|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri (HMO I-SNP)|00025482|51.00|590| | |MO|26985|3|N
H4490|001|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri (HMO I-SNP)|00025482|51.00|590| | |MO|26991|3|N
H4490|001|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri (HMO I-SNP)|00025482|51.00|590| | |MO|26992|3|N
H4490|003|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri Choice (HMO I-SNP)|00025482|51.00|590| | |MO|26080|3|N
H4490|003|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri Choice (HMO I-SNP)|00025482|51.00|590| | |MO|26090|3|N
H4490|003|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri Choice (HMO I-SNP)|00025482|51.00|590| | |MO|26150|3|N
H4490|003|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri Choice (HMO I-SNP)|00025482|51.00|590| | |MO|26180|3|N
H4490|003|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri Choice (HMO I-SNP)|00025482|51.00|590| | |MO|26230|3|N
H4490|003|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri Choice (HMO I-SNP)|00025482|51.00|590| | |MO|26250|3|N
H4490|003|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri Choice (HMO I-SNP)|00025482|51.00|590| | |MO|26260|3|N
H4490|003|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri Choice (HMO I-SNP)|00025482|51.00|590| | |MO|26270|3|N
H4490|003|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri Choice (HMO I-SNP)|00025482|51.00|590| | |MO|26350|3|N
H4490|003|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri Choice (HMO I-SNP)|00025482|51.00|590| | |MO|26360|3|N
H4490|003|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri Choice (HMO I-SNP)|00025482|51.00|590| | |MO|26470|3|N
H4490|003|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri Choice (HMO I-SNP)|00025482|51.00|590| | |MO|26480|3|N
H4490|003|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri Choice (HMO I-SNP)|00025482|51.00|590| | |MO|26490|3|N
H4490|003|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri Choice (HMO I-SNP)|00025482|51.00|590| | |MO|26500|3|N
H4490|003|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri Choice (HMO I-SNP)|00025482|51.00|590| | |MO|26530|3|N
H4490|003|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri Choice (HMO I-SNP)|00025482|51.00|590| | |MO|26540|3|N
H4490|003|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri Choice (HMO I-SNP)|00025482|51.00|590| | |MO|26560|3|N
H4490|003|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri Choice (HMO I-SNP)|00025482|51.00|590| | |MO|26580|3|N
H4490|003|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri Choice (HMO I-SNP)|00025482|51.00|590| | |MO|26720|3|N
H4490|003|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri Choice (HMO I-SNP)|00025482|51.00|590| | |MO|26750|3|N
H4490|003|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri Choice (HMO I-SNP)|00025482|51.00|590| | |MO|26810|3|N
H4490|003|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri Choice (HMO I-SNP)|00025482|51.00|590| | |MO|26820|3|N
H4490|003|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri Choice (HMO I-SNP)|00025482|51.00|590| | |MO|26880|3|N
H4490|003|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri Choice (HMO I-SNP)|00025482|51.00|590| | |MO|26910|3|N
H4490|003|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri Choice (HMO I-SNP)|00025482|51.00|590| | |MO|26940|3|N
H4490|003|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri Choice (HMO I-SNP)|00025482|51.00|590| | |MO|26950|3|N
H4490|003|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri Choice (HMO I-SNP)|00025482|51.00|590| | |MO|26960|3|N
H4490|003|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri Choice (HMO I-SNP)|00025482|51.00|590| | |MO|26982|3|N
H4490|003|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri Choice (HMO I-SNP)|00025482|51.00|590| | |MO|26985|3|N
H4490|003|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri Choice (HMO I-SNP)|00025482|51.00|590| | |MO|26991|3|N
H4490|003|000|AMERICAN HEALTH PLAN OF MISSOURI, INC.|American Health Advantage of Missouri Choice (HMO I-SNP)|00025482|51.00|590| | |MO|26992|3|N
H4497|001|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36020|0|N
H4497|001|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36090|0|N
H4497|001|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36140|0|N
H4497|001|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36170|0|N
H4497|001|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36280|0|N
H4497|001|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36390|0|N
H4497|001|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36440|0|N
H4497|001|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36480|0|N
H4497|001|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36510|0|N
H4497|001|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36530|0|N
H4497|001|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36680|0|N
H4497|001|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36770|0|N
H4497|001|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36780|0|N
H4497|001|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36790|0|N
H4497|001|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36800|0|N
H4497|001|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36860|0|N
H4497|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36000|0|N
H4497|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36010|0|N
H4497|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36050|0|N
H4497|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36100|0|N
H4497|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36130|0|N
H4497|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36150|0|N
H4497|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36160|0|N
H4497|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36190|0|N
H4497|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36200|0|N
H4497|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36220|0|N
H4497|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36240|0|N
H4497|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36270|0|N
H4497|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36300|0|N
H4497|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36340|0|N
H4497|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36350|0|N
H4497|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36360|0|N
H4497|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36370|0|N
H4497|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36400|0|N
H4497|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36410|0|N
H4497|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36430|0|N
H4497|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36470|0|N
H4497|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36550|0|N
H4497|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36570|0|N
H4497|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36620|0|N
H4497|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36630|0|N
H4497|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36640|0|N
H4497|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36670|0|N
H4497|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36690|0|N
H4497|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36700|0|N
H4497|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36710|0|N
H4497|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36720|0|N
H4497|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36730|0|N
H4497|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36740|0|N
H4497|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36760|0|N
H4497|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36820|0|N
H4497|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36830|0|N
H4497|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36850|0|N
H4497|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36870|0|N
H4497|001|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36070|0|N
H4497|001|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36080|0|N
H4497|001|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36110|0|N
H4497|001|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36120|0|N
H4497|001|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36210|0|N
H4497|001|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36230|0|N
H4497|001|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36250|0|N
H4497|001|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36260|0|N
H4497|001|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36290|0|N
H4497|001|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36310|0|N
H4497|001|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36330|0|N
H4497|001|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36380|0|N
H4497|001|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36460|0|N
H4497|001|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36490|0|N
H4497|001|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36500|0|N
H4497|001|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36520|0|N
H4497|001|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36560|0|N
H4497|001|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36580|0|N
H4497|001|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36590|0|N
H4497|001|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36600|0|N
H4497|001|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36610|0|N
H4497|001|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36650|0|N
H4497|001|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36660|0|N
H4497|001|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36750|0|N
H4497|001|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36810|0|N
H4497|001|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36840|0|N
H4497|001|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36880|0|N
H4497|001|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Select (PPO)|00025323|27.40|95| | |OH|36890|0|N
H4497|002|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36020|0|N
H4497|002|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36090|0|N
H4497|002|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36140|0|N
H4497|002|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36170|0|N
H4497|002|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36280|0|N
H4497|002|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36390|0|N
H4497|002|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36440|0|N
H4497|002|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36480|0|N
H4497|002|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36510|0|N
H4497|002|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36530|0|N
H4497|002|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36680|0|N
H4497|002|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36770|0|N
H4497|002|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36780|0|N
H4497|002|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36790|0|N
H4497|002|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36800|0|N
H4497|002|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36860|0|N
H4497|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36000|0|N
H4497|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36010|0|N
H4497|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36050|0|N
H4497|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36100|0|N
H4497|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36130|0|N
H4497|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36150|0|N
H4497|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36160|0|N
H4497|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36190|0|N
H4497|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36200|0|N
H4497|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36220|0|N
H4497|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36240|0|N
H4497|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36270|0|N
H4497|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36300|0|N
H4497|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36340|0|N
H4497|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36350|0|N
H4497|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36360|0|N
H4497|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36370|0|N
H4497|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36400|0|N
H4497|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36410|0|N
H4497|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36430|0|N
H4497|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36470|0|N
H4497|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36550|0|N
H4497|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36570|0|N
H4497|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36620|0|N
H4497|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36630|0|N
H4497|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36640|0|N
H4497|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36670|0|N
H4497|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36690|0|N
H4497|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36700|0|N
H4497|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36710|0|N
H4497|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36720|0|N
H4497|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36730|0|N
H4497|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36740|0|N
H4497|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36760|0|N
H4497|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36820|0|N
H4497|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36830|0|N
H4497|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36850|0|N
H4497|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36870|0|N
H4497|002|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36070|0|N
H4497|002|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36080|0|N
H4497|002|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36110|0|N
H4497|002|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36120|0|N
H4497|002|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36210|0|N
H4497|002|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36230|0|N
H4497|002|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36250|0|N
H4497|002|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36260|0|N
H4497|002|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36290|0|N
H4497|002|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36310|0|N
H4497|002|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36330|0|N
H4497|002|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36380|0|N
H4497|002|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36460|0|N
H4497|002|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36490|0|N
H4497|002|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36500|0|N
H4497|002|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36520|0|N
H4497|002|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36560|0|N
H4497|002|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36580|0|N
H4497|002|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36590|0|N
H4497|002|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36600|0|N
H4497|002|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36610|0|N
H4497|002|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36650|0|N
H4497|002|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36660|0|N
H4497|002|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36750|0|N
H4497|002|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36810|0|N
H4497|002|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36840|0|N
H4497|002|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36880|0|N
H4497|002|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Preferred (PPO)|00025323|25.00|55| | |OH|36890|0|N
H4497|003|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36020|0|N
H4497|003|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36090|0|N
H4497|003|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36140|0|N
H4497|003|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36170|0|N
H4497|003|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36280|0|N
H4497|003|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36390|0|N
H4497|003|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36440|0|N
H4497|003|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36480|0|N
H4497|003|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36510|0|N
H4497|003|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36530|0|N
H4497|003|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36680|0|N
H4497|003|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36770|0|N
H4497|003|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36780|0|N
H4497|003|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36790|0|N
H4497|003|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36800|0|N
H4497|003|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36860|0|N
H4497|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36000|0|N
H4497|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36010|0|N
H4497|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36050|0|N
H4497|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36100|0|N
H4497|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36130|0|N
H4497|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36150|0|N
H4497|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36160|0|N
H4497|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36190|0|N
H4497|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36200|0|N
H4497|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36220|0|N
H4497|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36240|0|N
H4497|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36270|0|N
H4497|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36300|0|N
H4497|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36340|0|N
H4497|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36350|0|N
H4497|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36360|0|N
H4497|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36370|0|N
H4497|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36400|0|N
H4497|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36410|0|N
H4497|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36430|0|N
H4497|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36470|0|N
H4497|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36550|0|N
H4497|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36570|0|N
H4497|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36620|0|N
H4497|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36630|0|N
H4497|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36640|0|N
H4497|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36670|0|N
H4497|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36690|0|N
H4497|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36700|0|N
H4497|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36710|0|N
H4497|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36720|0|N
H4497|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36730|0|N
H4497|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36740|0|N
H4497|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36760|0|N
H4497|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36820|0|N
H4497|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36830|0|N
H4497|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36850|0|N
H4497|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36870|0|N
H4497|003|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36070|0|N
H4497|003|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36080|0|N
H4497|003|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36110|0|N
H4497|003|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36120|0|N
H4497|003|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36210|0|N
H4497|003|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36230|0|N
H4497|003|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36250|0|N
H4497|003|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36260|0|N
H4497|003|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36290|0|N
H4497|003|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36310|0|N
H4497|003|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36330|0|N
H4497|003|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36380|0|N
H4497|003|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36460|0|N
H4497|003|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36490|0|N
H4497|003|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36500|0|N
H4497|003|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36520|0|N
H4497|003|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36560|0|N
H4497|003|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36580|0|N
H4497|003|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36590|0|N
H4497|003|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36600|0|N
H4497|003|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36610|0|N
H4497|003|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36650|0|N
H4497|003|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36660|0|N
H4497|003|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36750|0|N
H4497|003|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36810|0|N
H4497|003|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36840|0|N
H4497|003|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36880|0|N
H4497|003|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Premium (PPO)|00025323|33.50|55| | |OH|36890|0|N
H4497|005|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Access (PPO)|00025324|0.00|0| | |OH|36010|0|N
H4497|005|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Access (PPO)|00025324|0.00|0| | |OH|36020|0|N
H4497|005|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Access (PPO)|00025324|0.00|0| | |OH|36070|0|N
H4497|005|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Access (PPO)|00025324|0.00|0| | |OH|36080|0|N
H4497|005|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Access (PPO)|00025324|0.00|0| | |OH|36090|0|N
H4497|005|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Access (PPO)|00025324|0.00|0| | |OH|36110|0|N
H4497|005|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Access (PPO)|00025324|0.00|0| | |OH|36120|0|N
H4497|005|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Access (PPO)|00025324|0.00|0| | |OH|36140|0|N
H4497|005|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Access (PPO)|00025324|0.00|0| | |OH|36170|0|N
H4497|005|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Access (PPO)|00025324|0.00|0| | |OH|36200|0|N
H4497|005|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Access (PPO)|00025324|0.00|0| | |OH|36210|0|N
H4497|005|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Access (PPO)|00025324|0.00|0| | |OH|36220|0|N
H4497|005|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Access (PPO)|00025324|0.00|0| | |OH|36230|0|N
H4497|005|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Access (PPO)|00025324|0.00|0| | |OH|36250|0|N
H4497|005|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Access (PPO)|00025324|0.00|0| | |OH|36260|0|N
H4497|005|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Access (PPO)|00025324|0.00|0| | |OH|36280|0|N
H4497|005|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Access (PPO)|00025324|0.00|0| | |OH|36290|0|N
H4497|005|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Access (PPO)|00025324|0.00|0| | |OH|36300|0|N
H4497|005|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Access (PPO)|00025324|0.00|0| | |OH|36310|0|N
H4497|005|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Access (PPO)|00025324|0.00|0| | |OH|36330|0|N
H4497|005|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Access (PPO)|00025324|0.00|0| | |OH|36360|0|N
H4497|005|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Access (PPO)|00025324|0.00|0| | |OH|36380|0|N
H4497|005|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Access (PPO)|00025324|0.00|0| | |OH|36390|0|N
H4497|005|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Access (PPO)|00025324|0.00|0| | |OH|36440|0|N
H4497|005|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Access (PPO)|00025324|0.00|0| | |OH|36460|0|N
H4497|005|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Access (PPO)|00025324|0.00|0| | |OH|36480|0|N
H4497|005|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Access (PPO)|00025324|0.00|0| | |OH|36490|0|N
H4497|005|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Access (PPO)|00025324|0.00|0| | |OH|36500|0|N
H4497|005|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Access (PPO)|00025324|0.00|0| | |OH|36510|0|N
H4497|005|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Access (PPO)|00025324|0.00|0| | |OH|36520|0|N
H4497|005|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Access (PPO)|00025324|0.00|0| | |OH|36530|0|N
H4497|005|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Access (PPO)|00025324|0.00|0| | |OH|36560|0|N
H4497|005|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Access (PPO)|00025324|0.00|0| | |OH|36580|0|N
H4497|005|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Access (PPO)|00025324|0.00|0| | |OH|36600|0|N
H4497|005|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Access (PPO)|00025324|0.00|0| | |OH|36630|0|N
H4497|005|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Access (PPO)|00025324|0.00|0| | |OH|36650|0|N
H4497|005|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Access (PPO)|00025324|0.00|0| | |OH|36660|0|N
H4497|005|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Access (PPO)|00025324|0.00|0| | |OH|36680|0|N
H4497|005|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Access (PPO)|00025324|0.00|0| | |OH|36730|0|N
H4497|005|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Access (PPO)|00025324|0.00|0| | |OH|36750|0|N
H4497|005|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Access (PPO)|00025324|0.00|0| | |OH|36770|0|N
H4497|005|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Access (PPO)|00025324|0.00|0| | |OH|36780|0|N
H4497|005|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Access (PPO)|00025324|0.00|0| | |OH|36790|0|N
H4497|005|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Access (PPO)|00025324|0.00|0| | |OH|36800|0|N
H4497|005|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Access (PPO)|00025324|0.00|0| | |OH|36810|0|N
H4497|005|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Access (PPO)|00025324|0.00|0| | |OH|36840|0|N
H4497|005|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Access (PPO)|00025324|0.00|0| | |OH|36860|0|N
H4497|005|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Access (PPO)|00025324|0.00|0| | |OH|36880|0|N
H4497|005|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Access (PPO)|00025324|0.00|0| | |OH|36890|0|N
H4497|005|004|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Access (PPO)|00025324|0.00|0| | |OH|36590|0|N
H4497|005|004|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Access (PPO)|00025324|0.00|0| | |OH|36610|0|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49000|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49010|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49011|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49020|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49030|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49040|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49050|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49060|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49070|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49080|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49090|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49100|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49110|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49111|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49120|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49130|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49140|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49141|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49150|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49160|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49170|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49180|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49190|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49191|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49194|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49200|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49210|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49212|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49213|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49220|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49230|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49240|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49241|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49250|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49260|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49270|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49280|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49288|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49290|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49291|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49300|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49310|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49320|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49328|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49330|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49340|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49342|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49343|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49350|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49360|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49370|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49380|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49390|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49400|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49410|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49411|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49420|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49421|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49430|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49440|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49450|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49451|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49460|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49470|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49480|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49490|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49500|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49510|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49520|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49522|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49530|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49540|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49550|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49551|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49560|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49561|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49563|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49565|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49570|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49580|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49590|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49600|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49620|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49621|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49622|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49641|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49650|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49660|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49661|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49670|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49680|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49690|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49700|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49701|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49710|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49711|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49712|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49720|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49730|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49740|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49750|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49770|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49771|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49780|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49790|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49791|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49800|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49801|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49810|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49820|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49830|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49838|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49840|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49850|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49860|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49870|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49880|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49890|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49891|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49892|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49900|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49910|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49920|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49921|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49930|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49950|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49951|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49960|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49961|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49962|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49970|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49980|2|N
H4499|001|000|SENTARA HEALTH PLANS|Sentara Community Complete (HMO D-SNP)|00025518|0.00|590| | |VA|49981|2|N
H4506|003|000|SELECTCARE OF TEXAS, INC.|Wellcare TexanPlus Classic Simple (HMO-POS)|00025084|0.00|420| | |TX|45070|0|N
H4506|003|000|SELECTCARE OF TEXAS, INC.|Wellcare TexanPlus Classic Simple (HMO-POS)|00025084|0.00|420| | |TX|45180|0|N
H4506|003|000|SELECTCARE OF TEXAS, INC.|Wellcare TexanPlus Classic Simple (HMO-POS)|00025084|0.00|420| | |TX|45280|0|N
H4506|003|000|SELECTCARE OF TEXAS, INC.|Wellcare TexanPlus Classic Simple (HMO-POS)|00025084|0.00|420| | |TX|45530|0|N
H4506|003|000|SELECTCARE OF TEXAS, INC.|Wellcare TexanPlus Classic Simple (HMO-POS)|00025084|0.00|420| | |TX|45550|0|N
H4506|003|000|SELECTCARE OF TEXAS, INC.|Wellcare TexanPlus Classic Simple (HMO-POS)|00025084|0.00|420| | |TX|45600|0|N
H4506|003|000|SELECTCARE OF TEXAS, INC.|Wellcare TexanPlus Classic Simple (HMO-POS)|00025084|0.00|420| | |TX|45610|0|N
H4506|003|000|SELECTCARE OF TEXAS, INC.|Wellcare TexanPlus Classic Simple (HMO-POS)|00025084|0.00|420| | |TX|45681|0|N
H4506|003|000|SELECTCARE OF TEXAS, INC.|Wellcare TexanPlus Classic Simple (HMO-POS)|00025084|0.00|420| | |TX|45700|0|N
H4506|003|000|SELECTCARE OF TEXAS, INC.|Wellcare TexanPlus Classic Simple (HMO-POS)|00025084|0.00|420| | |TX|45754|0|N
H4506|003|000|SELECTCARE OF TEXAS, INC.|Wellcare TexanPlus Classic Simple (HMO-POS)|00025084|0.00|420| | |TX|45757|0|N
H4506|003|000|SELECTCARE OF TEXAS, INC.|Wellcare TexanPlus Classic Simple (HMO-POS)|00025084|0.00|420| | |TX|45801|0|N
H4506|003|000|SELECTCARE OF TEXAS, INC.|Wellcare TexanPlus Classic Simple (HMO-POS)|00025084|0.00|420| | |TX|45840|0|N
H4506|003|000|SELECTCARE OF TEXAS, INC.|Wellcare TexanPlus Classic Simple (HMO-POS)|00025084|0.00|420| | |TX|45949|0|N
H4506|003|000|SELECTCARE OF TEXAS, INC.|Wellcare TexanPlus Classic Simple (HMO-POS)|00025084|0.00|420| | |TX|45950|0|N
H4506|003|000|SELECTCARE OF TEXAS, INC.|Wellcare TexanPlus Classic Simple (HMO-POS)|00025084|0.00|420| | |TX|45952|0|N
H4506|029|000|SELECTCARE OF TEXAS, INC.|Wellcare TexanPlus Simple (HMO-POS)|00025084|0.00|420| | |TX|45070|0|N
H4506|029|000|SELECTCARE OF TEXAS, INC.|Wellcare TexanPlus Simple (HMO-POS)|00025084|0.00|420| | |TX|45180|0|N
H4506|029|000|SELECTCARE OF TEXAS, INC.|Wellcare TexanPlus Simple (HMO-POS)|00025084|0.00|420| | |TX|45280|0|N
H4506|029|000|SELECTCARE OF TEXAS, INC.|Wellcare TexanPlus Simple (HMO-POS)|00025084|0.00|420| | |TX|45530|0|N
H4506|029|000|SELECTCARE OF TEXAS, INC.|Wellcare TexanPlus Simple (HMO-POS)|00025084|0.00|420| | |TX|45550|0|N
H4506|029|000|SELECTCARE OF TEXAS, INC.|Wellcare TexanPlus Simple (HMO-POS)|00025084|0.00|420| | |TX|45600|0|N
H4506|029|000|SELECTCARE OF TEXAS, INC.|Wellcare TexanPlus Simple (HMO-POS)|00025084|0.00|420| | |TX|45610|0|N
H4506|029|000|SELECTCARE OF TEXAS, INC.|Wellcare TexanPlus Simple (HMO-POS)|00025084|0.00|420| | |TX|45681|0|N
H4506|029|000|SELECTCARE OF TEXAS, INC.|Wellcare TexanPlus Simple (HMO-POS)|00025084|0.00|420| | |TX|45700|0|N
H4506|029|000|SELECTCARE OF TEXAS, INC.|Wellcare TexanPlus Simple (HMO-POS)|00025084|0.00|420| | |TX|45754|0|N
H4506|029|000|SELECTCARE OF TEXAS, INC.|Wellcare TexanPlus Simple (HMO-POS)|00025084|0.00|420| | |TX|45757|0|N
H4506|029|000|SELECTCARE OF TEXAS, INC.|Wellcare TexanPlus Simple (HMO-POS)|00025084|0.00|420| | |TX|45801|0|N
H4506|029|000|SELECTCARE OF TEXAS, INC.|Wellcare TexanPlus Simple (HMO-POS)|00025084|0.00|420| | |TX|45840|0|N
H4506|029|000|SELECTCARE OF TEXAS, INC.|Wellcare TexanPlus Simple (HMO-POS)|00025084|0.00|420| | |TX|45949|0|N
H4506|029|000|SELECTCARE OF TEXAS, INC.|Wellcare TexanPlus Simple (HMO-POS)|00025084|0.00|420| | |TX|45950|0|N
H4506|029|000|SELECTCARE OF TEXAS, INC.|Wellcare TexanPlus Simple (HMO-POS)|00025084|0.00|420| | |TX|45952|0|N
H4506|030|000|SELECTCARE OF TEXAS, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |TX|45040|0|N
H4506|030|000|SELECTCARE OF TEXAS, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |TX|45110|0|N
H4506|030|000|SELECTCARE OF TEXAS, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |TX|45221|0|N
H4506|030|000|SELECTCARE OF TEXAS, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |TX|45230|0|N
H4506|030|000|SELECTCARE OF TEXAS, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |TX|45251|0|N
H4506|030|000|SELECTCARE OF TEXAS, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |TX|45291|0|N
H4506|030|000|SELECTCARE OF TEXAS, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |TX|45301|0|N
H4506|030|000|SELECTCARE OF TEXAS, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |TX|45330|0|N
H4506|030|000|SELECTCARE OF TEXAS, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |TX|45341|0|N
H4506|030|000|SELECTCARE OF TEXAS, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |TX|45350|0|N
H4506|030|000|SELECTCARE OF TEXAS, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |TX|45370|0|N
H4506|030|000|SELECTCARE OF TEXAS, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |TX|45380|0|N
H4506|030|000|SELECTCARE OF TEXAS, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |TX|45391|0|N
H4506|030|000|SELECTCARE OF TEXAS, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |TX|45392|0|N
H4506|030|000|SELECTCARE OF TEXAS, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |TX|45460|0|N
H4506|030|000|SELECTCARE OF TEXAS, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |TX|45500|0|N
H4506|030|000|SELECTCARE OF TEXAS, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |TX|45540|0|N
H4506|030|000|SELECTCARE OF TEXAS, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |TX|45541|0|N
H4506|030|000|SELECTCARE OF TEXAS, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |TX|45583|0|N
H4506|030|000|SELECTCARE OF TEXAS, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |TX|45591|0|N
H4506|030|000|SELECTCARE OF TEXAS, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |TX|45621|0|N
H4506|030|000|SELECTCARE OF TEXAS, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |TX|45630|0|N
H4506|030|000|SELECTCARE OF TEXAS, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |TX|45671|0|N
H4506|030|000|SELECTCARE OF TEXAS, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |TX|45721|0|N
H4506|030|000|SELECTCARE OF TEXAS, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |TX|45741|0|N
H4506|030|000|SELECTCARE OF TEXAS, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |TX|45742|0|N
H4506|030|000|SELECTCARE OF TEXAS, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |TX|45744|0|N
H4506|030|000|SELECTCARE OF TEXAS, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |TX|45752|0|N
H4506|030|000|SELECTCARE OF TEXAS, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |TX|45760|0|N
H4506|030|000|SELECTCARE OF TEXAS, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |TX|45761|0|N
H4506|030|000|SELECTCARE OF TEXAS, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |TX|45793|0|N
H4506|030|000|SELECTCARE OF TEXAS, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |TX|45802|0|N
H4506|030|000|SELECTCARE OF TEXAS, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |TX|45804|0|N
H4506|030|000|SELECTCARE OF TEXAS, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |TX|45832|0|N
H4506|030|000|SELECTCARE OF TEXAS, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |TX|45872|0|N
H4506|030|000|SELECTCARE OF TEXAS, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |TX|45877|0|N
H4506|030|000|SELECTCARE OF TEXAS, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |TX|45880|0|N
H4506|030|000|SELECTCARE OF TEXAS, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |TX|45887|0|N
H4506|030|000|SELECTCARE OF TEXAS, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |TX|45891|0|N
H4506|030|000|SELECTCARE OF TEXAS, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |TX|45901|0|N
H4506|030|000|SELECTCARE OF TEXAS, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |TX|45903|0|N
H4506|030|000|SELECTCARE OF TEXAS, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |TX|45911|0|N
H4506|030|000|SELECTCARE OF TEXAS, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |TX|45930|0|N
H4506|030|000|SELECTCARE OF TEXAS, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |TX|45944|0|N
H4506|030|000|SELECTCARE OF TEXAS, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |TX|45980|0|N
H4513|026|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TX|45570|0|N
H4513|026|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TX|45620|0|N
H4513|026|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TX|45640|0|N
H4513|026|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TX|45881|0|N
H4513|026|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TX|45892|0|N
H4513|026|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TX|45943|0|N
H4513|026|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TX|45947|0|N
H4513|027|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|0.00|590| | |TX|45570|2|N
H4513|027|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|0.00|590| | |TX|45620|2|N
H4513|027|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|0.00|590| | |TX|45640|2|N
H4513|027|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|0.00|590| | |TX|45881|2|N
H4513|027|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|0.00|590| | |TX|45892|2|N
H4513|027|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|0.00|590| | |TX|45943|2|N
H4513|027|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|0.00|590| | |TX|45947|2|N
H4513|030|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |GA|11200|0|N
H4513|030|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |GA|11341|0|N
H4513|030|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |GA|11921|0|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44010|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44020|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44030|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44050|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44070|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44080|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44100|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44110|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44130|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44150|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44160|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44170|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44180|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44190|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44200|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44210|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44230|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44240|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44260|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44270|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44300|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44320|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44340|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44350|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44370|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44380|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44400|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44410|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44420|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44430|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44480|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44490|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44500|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44510|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44540|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44550|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44560|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44570|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44580|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44590|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44620|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44630|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44660|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44670|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44680|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44690|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44700|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44730|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44740|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44760|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44780|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44790|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44800|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44820|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44830|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44840|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44870|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44880|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44900|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44920|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44930|2|N
H4513|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |TN|44940|2|N
H4513|035|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Primary Medicare (HMO)|00025271|40.00|590| | |TN|44000|0|N
H4513|035|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Primary Medicare (HMO)|00025271|40.00|590| | |TN|44040|0|N
H4513|035|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Primary Medicare (HMO)|00025271|40.00|590| | |TN|44050|0|N
H4513|035|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Primary Medicare (HMO)|00025271|40.00|590| | |TN|44140|0|N
H4513|035|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Primary Medicare (HMO)|00025271|40.00|590| | |TN|44280|0|N
H4513|035|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Primary Medicare (HMO)|00025271|40.00|590| | |TN|44300|0|N
H4513|035|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Primary Medicare (HMO)|00025271|40.00|590| | |TN|44310|0|N
H4513|035|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Primary Medicare (HMO)|00025271|40.00|590| | |TN|44320|0|N
H4513|035|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Primary Medicare (HMO)|00025271|40.00|590| | |TN|44440|0|N
H4513|035|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Primary Medicare (HMO)|00025271|40.00|590| | |TN|44460|0|N
H4513|035|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Primary Medicare (HMO)|00025271|40.00|590| | |TN|44520|0|N
H4513|035|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Primary Medicare (HMO)|00025271|40.00|590| | |TN|44570|0|N
H4513|035|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Primary Medicare (HMO)|00025271|40.00|590| | |TN|44640|0|N
H4513|035|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Primary Medicare (HMO)|00025271|40.00|590| | |TN|44760|0|N
H4513|035|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Primary Medicare (HMO)|00025271|40.00|590| | |TN|44770|0|N
H4513|035|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Primary Medicare (HMO)|00025271|40.00|590| | |TN|44860|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44010|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44020|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44030|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44050|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44070|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44080|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44100|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44110|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44130|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44150|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44160|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44170|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44180|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44190|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44200|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44210|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44230|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44240|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44260|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44270|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44300|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44320|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44340|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44350|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44370|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44380|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44400|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44410|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44420|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44430|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44480|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44490|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44500|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44510|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44540|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44550|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44560|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44570|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44580|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44590|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44620|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44630|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44660|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44670|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44680|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44690|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44700|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44730|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44740|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44760|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44780|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44790|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44800|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44820|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44830|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44840|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44870|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44880|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44900|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44920|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44930|0|N
H4513|036|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|23.60|0| | |TN|44940|0|N
H4513|037|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44000|0|N
H4513|037|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44040|0|N
H4513|037|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44060|0|N
H4513|037|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44120|0|N
H4513|037|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44140|0|N
H4513|037|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44280|0|N
H4513|037|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44310|0|N
H4513|037|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44330|0|N
H4513|037|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44440|0|N
H4513|037|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44460|0|N
H4513|037|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44520|0|N
H4513|037|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44600|0|N
H4513|037|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44610|0|N
H4513|037|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44640|0|N
H4513|037|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44710|0|N
H4513|037|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44750|0|N
H4513|037|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44770|0|N
H4513|037|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44860|0|N
H4513|038|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |AR|04100|0|N
H4513|038|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |AR|04150|0|N
H4513|038|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |AR|04170|0|N
H4513|038|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |AR|04180|0|N
H4513|038|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |AR|04270|0|N
H4513|038|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |AR|04310|0|N
H4513|038|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |AR|04330|0|N
H4513|038|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |AR|04370|0|N
H4513|038|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |AR|04380|0|N
H4513|038|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |AR|04460|0|N
H4513|038|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |AR|04550|0|N
H4513|038|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |AR|04600|0|N
H4513|038|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |AR|04610|0|N
H4513|038|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |AR|04720|0|N
H4513|038|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |AR|04730|0|N
H4513|039|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AR|04030|2|N
H4513|039|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AR|04060|2|N
H4513|039|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AR|04070|2|N
H4513|039|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AR|04090|2|N
H4513|039|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AR|04100|2|N
H4513|039|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AR|04110|2|N
H4513|039|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AR|04140|2|N
H4513|039|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AR|04150|2|N
H4513|039|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AR|04160|2|N
H4513|039|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AR|04170|2|N
H4513|039|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AR|04180|2|N
H4513|039|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AR|04220|2|N
H4513|039|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AR|04230|2|N
H4513|039|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AR|04250|2|N
H4513|039|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AR|04260|2|N
H4513|039|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AR|04270|2|N
H4513|039|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AR|04290|2|N
H4513|039|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AR|04310|2|N
H4513|039|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AR|04330|2|N
H4513|039|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AR|04350|2|N
H4513|039|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AR|04370|2|N
H4513|039|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AR|04380|2|N
H4513|039|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AR|04410|2|N
H4513|039|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AR|04420|2|N
H4513|039|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AR|04430|2|N
H4513|039|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AR|04460|2|N
H4513|039|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AR|04480|2|N
H4513|039|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AR|04500|2|N
H4513|039|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AR|04520|2|N
H4513|039|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AR|04550|2|N
H4513|039|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AR|04570|2|N
H4513|039|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AR|04580|2|N
H4513|039|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AR|04590|2|N
H4513|039|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AR|04600|2|N
H4513|039|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AR|04610|2|N
H4513|039|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AR|04620|2|N
H4513|039|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AR|04630|2|N
H4513|039|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AR|04650|2|N
H4513|039|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AR|04680|2|N
H4513|039|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AR|04700|2|N
H4513|039|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AR|04710|2|N
H4513|039|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AR|04720|2|N
H4513|039|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AR|04730|2|N
H4513|039|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AR|04740|2|N
H4513|046|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred AL Medicare (HMO)|00025272|0.00|0| | |AL|01000|0|N
H4513|046|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred AL Medicare (HMO)|00025272|0.00|0| | |AL|01010|0|N
H4513|046|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred AL Medicare (HMO)|00025272|0.00|0| | |AL|01030|0|N
H4513|046|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred AL Medicare (HMO)|00025272|0.00|0| | |AL|01100|0|N
H4513|046|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred AL Medicare (HMO)|00025272|0.00|0| | |AL|01210|0|N
H4513|046|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred AL Medicare (HMO)|00025272|0.00|0| | |AL|01230|0|N
H4513|046|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred AL Medicare (HMO)|00025272|0.00|0| | |AL|01250|0|N
H4513|046|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred AL Medicare (HMO)|00025272|0.00|0| | |AL|01360|0|N
H4513|046|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred AL Medicare (HMO)|00025272|0.00|0| | |AL|01420|0|N
H4513|046|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred AL Medicare (HMO)|00025272|0.00|0| | |AL|01480|0|N
H4513|046|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred AL Medicare (HMO)|00025272|0.00|0| | |AL|01500|0|N
H4513|046|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred AL Medicare (HMO)|00025272|0.00|0| | |AL|01580|0|N
H4513|046|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred AL Medicare (HMO)|00025272|0.00|0| | |AL|01600|0|N
H4513|046|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred AL Medicare (HMO)|00025272|0.00|0| | |AL|01630|0|N
H4513|046|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred AL Medicare (HMO)|00025272|0.00|0| | |AL|01040|0|N
H4513|046|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred AL Medicare (HMO)|00025272|0.00|0| | |AL|01090|0|N
H4513|046|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred AL Medicare (HMO)|00025272|0.00|0| | |AL|01160|0|N
H4513|046|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred AL Medicare (HMO)|00025272|0.00|0| | |AL|01240|0|N
H4513|046|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred AL Medicare (HMO)|00025272|0.00|0| | |AL|01270|0|N
H4513|046|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred AL Medicare (HMO)|00025272|0.00|0| | |AL|01350|0|N
H4513|046|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred AL Medicare (HMO)|00025272|0.00|0| | |AL|01380|0|N
H4513|046|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred AL Medicare (HMO)|00025272|0.00|0| | |AL|01390|0|N
H4513|046|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred AL Medicare (HMO)|00025272|0.00|0| | |AL|01410|0|N
H4513|046|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred AL Medicare (HMO)|00025272|0.00|0| | |AL|01440|0|N
H4513|046|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred AL Medicare (HMO)|00025272|0.00|0| | |AL|01470|0|N
H4513|046|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred AL Medicare (HMO)|00025272|0.00|0| | |AL|01510|0|N
H4513|046|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred AL Medicare (HMO)|00025272|0.00|0| | |AL|01570|0|N
H4513|046|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred AL Medicare (HMO)|00025272|0.00|0| | |AL|01620|0|N
H4513|049|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44100|0|N
H4513|049|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44180|0|N
H4513|049|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44620|0|N
H4513|049|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44730|0|N
H4513|049|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44740|0|N
H4513|049|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44820|0|N
H4513|049|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44840|0|N
H4513|049|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44930|0|N
H4513|049|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44940|0|N
H4513|049|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44010|0|N
H4513|049|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44070|0|N
H4513|049|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44130|0|N
H4513|049|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44150|0|N
H4513|049|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44170|0|N
H4513|049|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44200|0|N
H4513|049|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44210|0|N
H4513|049|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44240|0|N
H4513|049|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44250|0|N
H4513|049|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44270|0|N
H4513|049|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44400|0|N
H4513|049|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44410|0|N
H4513|049|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44420|0|N
H4513|049|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44430|0|N
H4513|049|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44490|0|N
H4513|049|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44500|0|N
H4513|049|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44510|0|N
H4513|049|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44550|0|N
H4513|049|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44580|0|N
H4513|049|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44590|0|N
H4513|049|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44630|0|N
H4513|049|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44660|0|N
H4513|049|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44670|0|N
H4513|049|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44680|0|N
H4513|049|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44700|0|N
H4513|049|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44790|0|N
H4513|049|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44800|0|N
H4513|049|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44870|0|N
H4513|049|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44880|0|N
H4513|049|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44900|0|N
H4513|049|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44920|0|N
H4513|049|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44030|0|N
H4513|049|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44050|0|N
H4513|049|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44300|0|N
H4513|049|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44320|0|N
H4513|049|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44570|0|N
H4513|049|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44690|0|N
H4513|049|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44760|0|N
H4513|049|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44230|0|N
H4513|049|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44480|0|N
H4513|049|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44780|0|N
H4513|049|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44830|0|N
H4513|049|005|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44020|0|N
H4513|049|005|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44080|0|N
H4513|049|005|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44110|0|N
H4513|049|005|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44160|0|N
H4513|049|005|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44190|0|N
H4513|049|005|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44260|0|N
H4513|049|005|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44340|0|N
H4513|049|005|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44350|0|N
H4513|049|005|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44370|0|N
H4513|049|005|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44380|0|N
H4513|049|005|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44390|0|N
H4513|049|005|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44470|0|N
H4513|049|005|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44540|0|N
H4513|049|005|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44560|0|N
H4513|049|005|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44650|0|N
H4513|049|005|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44910|0|N
H4513|050|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |AR|04060|0|N
H4513|050|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |AR|04090|0|N
H4513|050|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |AR|04110|0|N
H4513|050|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |AR|04140|0|N
H4513|050|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |AR|04220|0|N
H4513|050|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |AR|04250|0|N
H4513|050|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |AR|04260|0|N
H4513|050|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |AR|04290|0|N
H4513|050|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |AR|04420|0|N
H4513|050|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |AR|04520|0|N
H4513|050|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |AR|04570|0|N
H4513|050|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |AR|04580|0|N
H4513|050|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |AR|04590|0|N
H4513|050|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |AR|04620|0|N
H4513|050|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |AR|04680|0|N
H4513|050|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |AR|04700|0|N
H4513|052|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |AR|04030|0|N
H4513|052|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |AR|04070|0|N
H4513|052|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |AR|04160|0|N
H4513|052|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |AR|04230|0|N
H4513|052|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |AR|04350|0|N
H4513|052|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |AR|04410|0|N
H4513|052|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |AR|04430|0|N
H4513|052|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |AR|04480|0|N
H4513|052|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |AR|04500|0|N
H4513|052|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |AR|04630|0|N
H4513|052|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |AR|04650|0|N
H4513|052|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |AR|04710|0|N
H4513|052|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |AR|04740|0|N
H4513|053|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Primary Medicare (HMO)|00025271|28.60|590| | |TN|44020|0|N
H4513|053|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Primary Medicare (HMO)|00025271|28.60|590| | |TN|44080|0|N
H4513|053|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Primary Medicare (HMO)|00025271|28.60|590| | |TN|44100|0|N
H4513|053|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Primary Medicare (HMO)|00025271|28.60|590| | |TN|44110|0|N
H4513|053|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Primary Medicare (HMO)|00025271|28.60|590| | |TN|44160|0|N
H4513|053|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Primary Medicare (HMO)|00025271|28.60|590| | |TN|44180|0|N
H4513|053|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Primary Medicare (HMO)|00025271|28.60|590| | |TN|44190|0|N
H4513|053|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Primary Medicare (HMO)|00025271|28.60|590| | |TN|44230|0|N
H4513|053|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Primary Medicare (HMO)|00025271|28.60|590| | |TN|44260|0|N
H4513|053|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Primary Medicare (HMO)|00025271|28.60|590| | |TN|44340|0|N
H4513|053|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Primary Medicare (HMO)|00025271|28.60|590| | |TN|44350|0|N
H4513|053|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Primary Medicare (HMO)|00025271|28.60|590| | |TN|44370|0|N
H4513|053|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Primary Medicare (HMO)|00025271|28.60|590| | |TN|44380|0|N
H4513|053|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Primary Medicare (HMO)|00025271|28.60|590| | |TN|44480|0|N
H4513|053|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Primary Medicare (HMO)|00025271|28.60|590| | |TN|44540|0|N
H4513|053|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Primary Medicare (HMO)|00025271|28.60|590| | |TN|44560|0|N
H4513|053|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Primary Medicare (HMO)|00025271|28.60|590| | |TN|44620|0|N
H4513|053|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Primary Medicare (HMO)|00025271|28.60|590| | |TN|44730|0|N
H4513|053|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Primary Medicare (HMO)|00025271|28.60|590| | |TN|44740|0|N
H4513|053|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Primary Medicare (HMO)|00025271|28.60|590| | |TN|44780|0|N
H4513|053|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Primary Medicare (HMO)|00025271|28.60|590| | |TN|44820|0|N
H4513|053|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Primary Medicare (HMO)|00025271|28.60|590| | |TN|44830|0|N
H4513|053|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Primary Medicare (HMO)|00025271|28.60|590| | |TN|44840|0|N
H4513|053|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Primary Medicare (HMO)|00025271|28.60|590| | |TN|44930|0|N
H4513|053|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Primary Medicare (HMO)|00025271|28.60|590| | |TN|44940|0|N
H4513|055|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|24.00|590| | |AL|01000|2|N
H4513|055|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|24.00|590| | |AL|01010|2|N
H4513|055|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|24.00|590| | |AL|01030|2|N
H4513|055|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|24.00|590| | |AL|01040|2|N
H4513|055|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|24.00|590| | |AL|01090|2|N
H4513|055|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|24.00|590| | |AL|01100|2|N
H4513|055|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|24.00|590| | |AL|01160|2|N
H4513|055|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|24.00|590| | |AL|01180|2|N
H4513|055|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|24.00|590| | |AL|01210|2|N
H4513|055|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|24.00|590| | |AL|01230|2|N
H4513|055|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|24.00|590| | |AL|01240|2|N
H4513|055|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|24.00|590| | |AL|01250|2|N
H4513|055|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|24.00|590| | |AL|01270|2|N
H4513|055|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|24.00|590| | |AL|01350|2|N
H4513|055|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|24.00|590| | |AL|01360|2|N
H4513|055|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|24.00|590| | |AL|01380|2|N
H4513|055|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|24.00|590| | |AL|01390|2|N
H4513|055|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|24.00|590| | |AL|01410|2|N
H4513|055|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|24.00|590| | |AL|01420|2|N
H4513|055|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|24.00|590| | |AL|01440|2|N
H4513|055|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|24.00|590| | |AL|01470|2|N
H4513|055|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|24.00|590| | |AL|01480|2|N
H4513|055|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|24.00|590| | |AL|01500|2|N
H4513|055|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|24.00|590| | |AL|01510|2|N
H4513|055|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|24.00|590| | |AL|01520|2|N
H4513|055|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|24.00|590| | |AL|01570|2|N
H4513|055|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|24.00|590| | |AL|01580|2|N
H4513|055|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|24.00|590| | |AL|01600|2|N
H4513|055|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|24.00|590| | |AL|01620|2|N
H4513|055|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|24.00|590| | |AL|01630|2|N
H4513|059|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44090|0|N
H4513|059|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44290|0|N
H4513|059|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44360|0|N
H4513|059|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44450|0|N
H4513|059|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44810|0|N
H4513|059|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44850|0|N
H4513|059|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TN|44890|0|N
H4513|060|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|0.00|590| | |TX|45020|2|N
H4513|060|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|0.00|590| | |TX|45180|2|N
H4513|060|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|0.00|590| | |TX|45280|2|N
H4513|060|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|0.00|590| | |TX|45530|2|N
H4513|060|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|0.00|590| | |TX|45550|2|N
H4513|060|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|0.00|590| | |TX|45600|2|N
H4513|060|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|0.00|590| | |TX|45610|2|N
H4513|060|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|0.00|590| | |TX|45690|2|N
H4513|060|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|0.00|590| | |TX|45700|2|N
H4513|060|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|0.00|590| | |TX|45757|2|N
H4513|060|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|0.00|590| | |TX|45801|2|N
H4513|060|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|0.00|590| | |TX|45810|2|N
H4513|060|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|0.00|590| | |TX|45821|2|N
H4513|060|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|0.00|590| | |TX|45840|2|N
H4513|060|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|0.00|590| | |TX|45850|2|N
H4513|060|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|0.00|590| | |TX|45884|2|N
H4513|060|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|0.00|590| | |TX|45942|2|N
H4513|060|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|0.00|590| | |TX|45949|2|N
H4513|060|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|0.00|590| | |TX|45950|2|N
H4513|060|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|0.00|590| | |TX|45240|2|N
H4513|060|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|0.00|590| | |TX|45650|2|N
H4513|060|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|0.00|590| | |TX|45953|2|N
H4513|060|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|0.00|590| | |TX|45962|2|N
H4513|060|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|0.00|590| | |TX|45480|2|N
H4513|060|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|0.00|590| | |TX|45060|2|N
H4513|060|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|0.00|590| | |TX|45090|2|N
H4513|060|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|0.00|590| | |TX|45130|2|N
H4513|060|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|0.00|590| | |TX|45320|2|N
H4513|060|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|0.00|590| | |TX|45581|2|N
H4513|060|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|0.00|590| | |TX|45731|2|N
H4513|060|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|0.00|590| | |TX|45792|2|N
H4513|060|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|0.00|590| | |TX|45971|2|N
H4513|060|005|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|0.00|590| | |TX|45310|2|N
H4513|060|005|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|0.00|590| | |TX|45390|2|N
H4513|060|005|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|0.00|590| | |TX|45410|2|N
H4513|060|005|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|0.00|590| | |TX|45653|2|N
H4513|060|005|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|0.00|590| | |TX|45720|2|N
H4513|060|005|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|0.00|590| | |TX|45843|2|N
H4513|060|005|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|0.00|590| | |TX|45910|2|N
H4513|060|005|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|0.00|590| | |TX|45973|2|N
H4513|061|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TX|45020|0|N
H4513|061|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TX|45180|0|N
H4513|061|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TX|45280|0|N
H4513|061|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TX|45530|0|N
H4513|061|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TX|45550|0|N
H4513|061|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TX|45600|0|N
H4513|061|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TX|45610|0|N
H4513|061|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TX|45690|0|N
H4513|061|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TX|45700|0|N
H4513|061|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TX|45757|0|N
H4513|061|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TX|45801|0|N
H4513|061|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TX|45810|0|N
H4513|061|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TX|45821|0|N
H4513|061|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TX|45840|0|N
H4513|061|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TX|45850|0|N
H4513|061|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TX|45884|0|N
H4513|061|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TX|45942|0|N
H4513|061|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TX|45949|0|N
H4513|061|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TX|45950|0|N
H4513|061|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TX|45240|0|N
H4513|061|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TX|45650|0|N
H4513|061|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TX|45953|0|N
H4513|061|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TX|45962|0|N
H4513|061|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TX|45480|0|N
H4513|061|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TX|45060|0|N
H4513|061|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TX|45090|0|N
H4513|061|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TX|45130|0|N
H4513|061|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TX|45320|0|N
H4513|061|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TX|45581|0|N
H4513|061|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TX|45731|0|N
H4513|061|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TX|45792|0|N
H4513|061|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TX|45971|0|N
H4513|061|005|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TX|45310|0|N
H4513|061|005|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TX|45390|0|N
H4513|061|005|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TX|45410|0|N
H4513|061|005|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TX|45653|0|N
H4513|061|005|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TX|45720|0|N
H4513|061|005|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TX|45843|0|N
H4513|061|005|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TX|45910|0|N
H4513|061|005|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TX|45973|0|N
H4513|063|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AL|01000|2|N
H4513|063|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AL|01010|2|N
H4513|063|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AL|01030|2|N
H4513|063|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AL|01040|2|N
H4513|063|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AL|01090|2|N
H4513|063|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AL|01100|2|N
H4513|063|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AL|01160|2|N
H4513|063|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AL|01180|2|N
H4513|063|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AL|01210|2|N
H4513|063|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AL|01230|2|N
H4513|063|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AL|01240|2|N
H4513|063|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AL|01250|2|N
H4513|063|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AL|01270|2|N
H4513|063|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AL|01350|2|N
H4513|063|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AL|01360|2|N
H4513|063|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AL|01380|2|N
H4513|063|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AL|01390|2|N
H4513|063|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AL|01410|2|N
H4513|063|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AL|01420|2|N
H4513|063|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AL|01440|2|N
H4513|063|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AL|01470|2|N
H4513|063|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AL|01480|2|N
H4513|063|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AL|01500|2|N
H4513|063|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AL|01510|2|N
H4513|063|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AL|01520|2|N
H4513|063|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AL|01570|2|N
H4513|063|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AL|01580|2|N
H4513|063|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AL|01600|2|N
H4513|063|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AL|01620|2|N
H4513|063|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |AL|01630|2|N
H4513|064|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Alliance Medicare (HMO)|00025271|0.00|0| | |TX|45180|0|N
H4513|064|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Alliance Medicare (HMO)|00025271|0.00|0| | |TX|45280|0|N
H4513|064|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Alliance Medicare (HMO)|00025271|0.00|0| | |TX|45530|0|N
H4513|064|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Alliance Medicare (HMO)|00025271|0.00|0| | |TX|45550|0|N
H4513|064|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Alliance Medicare (HMO)|00025271|0.00|0| | |TX|45600|0|N
H4513|064|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Alliance Medicare (HMO)|00025271|0.00|0| | |TX|45610|0|N
H4513|064|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Alliance Medicare (HMO)|00025271|0.00|0| | |TX|45700|0|N
H4513|064|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Alliance Medicare (HMO)|00025271|0.00|0| | |TX|45757|0|N
H4513|064|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Alliance Medicare (HMO)|00025271|0.00|0| | |TX|45801|0|N
H4513|064|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Alliance Medicare (HMO)|00025271|0.00|0| | |TX|45840|0|N
H4513|064|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Alliance Medicare (HMO)|00025271|0.00|0| | |TX|45949|0|N
H4513|068|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TN|44100|0|N
H4513|068|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TN|44180|0|N
H4513|068|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TN|44620|0|N
H4513|068|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TN|44730|0|N
H4513|068|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TN|44740|0|N
H4513|068|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TN|44820|0|N
H4513|068|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TN|44840|0|N
H4513|068|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TN|44930|0|N
H4513|068|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TN|44940|0|N
H4513|068|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TN|44230|0|N
H4513|068|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TN|44480|0|N
H4513|068|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TN|44780|0|N
H4513|068|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TN|44830|0|N
H4513|068|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |GA|11200|0|N
H4513|068|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |GA|11341|0|N
H4513|068|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |GA|11921|0|N
H4513|068|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TN|44030|0|N
H4513|068|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TN|44050|0|N
H4513|068|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TN|44300|0|N
H4513|068|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TN|44320|0|N
H4513|068|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TN|44570|0|N
H4513|068|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TN|44690|0|N
H4513|068|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TN|44760|0|N
H4513|073|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |OK|37080|0|N
H4513|073|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |OK|37130|0|N
H4513|073|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |OK|37400|0|N
H4513|073|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |OK|37410|0|N
H4513|073|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |OK|37430|0|N
H4513|073|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |OK|37540|0|N
H4513|074|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TX|45030|0|N
H4513|074|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |TX|45830|0|N
H4513|075|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|0.00|590| | |TX|45030|2|N
H4513|075|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|0.00|590| | |TX|45830|2|N
H4513|077|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |AL|01030|0|N
H4513|077|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |AL|01040|0|N
H4513|077|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |AL|01090|0|N
H4513|077|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |AL|01100|0|N
H4513|077|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |AL|01180|0|N
H4513|077|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |AL|01210|0|N
H4513|077|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |AL|01270|0|N
H4513|077|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |AL|01360|0|N
H4513|077|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |AL|01570|0|N
H4513|077|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |AL|01580|0|N
H4513|077|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |AL|01600|0|N
H4513|077|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |AL|01620|0|N
H4513|077|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |AL|01630|0|N
H4513|077|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |AL|01160|0|N
H4513|077|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |AL|01240|0|N
H4513|077|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |AL|01350|0|N
H4513|077|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |AL|01380|0|N
H4513|077|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |AL|01390|0|N
H4513|077|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |AL|01410|0|N
H4513|077|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |AL|01440|0|N
H4513|077|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |AL|01470|0|N
H4513|077|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |AL|01510|0|N
H4513|077|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |AL|01010|0|N
H4513|077|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |AL|01480|0|N
H4513|077|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |AL|01000|0|N
H4513|077|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |AL|01230|0|N
H4513|077|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |AL|01250|0|N
H4513|077|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |AL|01420|0|N
H4513|077|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |AL|01500|0|N
H4513|077|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |AL|01520|0|N
H4513|079|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |GA|11200|2|N
H4513|079|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |GA|11341|2|N
H4513|079|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |GA|11921|2|N
H4513|080|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|20.70|590| | |GA|11200|2|N
H4513|080|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|20.70|590| | |GA|11341|2|N
H4513|080|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|20.70|590| | |GA|11921|2|N
H4513|081|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|20.90|590| | |AR|04030|2|N
H4513|081|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|20.90|590| | |AR|04060|2|N
H4513|081|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|20.90|590| | |AR|04070|2|N
H4513|081|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|20.90|590| | |AR|04090|2|N
H4513|081|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|20.90|590| | |AR|04100|2|N
H4513|081|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|20.90|590| | |AR|04110|2|N
H4513|081|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|20.90|590| | |AR|04140|2|N
H4513|081|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|20.90|590| | |AR|04150|2|N
H4513|081|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|20.90|590| | |AR|04160|2|N
H4513|081|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|20.90|590| | |AR|04170|2|N
H4513|081|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|20.90|590| | |AR|04180|2|N
H4513|081|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|20.90|590| | |AR|04220|2|N
H4513|081|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|20.90|590| | |AR|04230|2|N
H4513|081|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|20.90|590| | |AR|04250|2|N
H4513|081|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|20.90|590| | |AR|04260|2|N
H4513|081|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|20.90|590| | |AR|04270|2|N
H4513|081|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|20.90|590| | |AR|04290|2|N
H4513|081|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|20.90|590| | |AR|04310|2|N
H4513|081|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|20.90|590| | |AR|04330|2|N
H4513|081|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|20.90|590| | |AR|04350|2|N
H4513|081|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|20.90|590| | |AR|04370|2|N
H4513|081|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|20.90|590| | |AR|04380|2|N
H4513|081|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|20.90|590| | |AR|04410|2|N
H4513|081|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|20.90|590| | |AR|04420|2|N
H4513|081|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|20.90|590| | |AR|04430|2|N
H4513|081|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|20.90|590| | |AR|04460|2|N
H4513|081|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|20.90|590| | |AR|04480|2|N
H4513|081|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|20.90|590| | |AR|04500|2|N
H4513|081|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|20.90|590| | |AR|04520|2|N
H4513|081|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|20.90|590| | |AR|04550|2|N
H4513|081|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|20.90|590| | |AR|04570|2|N
H4513|081|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|20.90|590| | |AR|04580|2|N
H4513|081|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|20.90|590| | |AR|04590|2|N
H4513|081|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|20.90|590| | |AR|04600|2|N
H4513|081|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|20.90|590| | |AR|04610|2|N
H4513|081|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|20.90|590| | |AR|04620|2|N
H4513|081|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|20.90|590| | |AR|04630|2|N
H4513|081|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|20.90|590| | |AR|04650|2|N
H4513|081|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|20.90|590| | |AR|04680|2|N
H4513|081|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|20.90|590| | |AR|04700|2|N
H4513|081|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|20.90|590| | |AR|04710|2|N
H4513|081|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|20.90|590| | |AR|04720|2|N
H4513|081|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|20.90|590| | |AR|04730|2|N
H4513|081|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna TotalCare (HMO D-SNP)|00025271|20.90|590| | |AR|04740|2|N
H4513|083|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TX|45020|0|N
H4513|083|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TX|45180|0|N
H4513|083|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TX|45280|0|N
H4513|083|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TX|45530|0|N
H4513|083|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TX|45550|0|N
H4513|083|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TX|45600|0|N
H4513|083|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TX|45610|0|N
H4513|083|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TX|45690|0|N
H4513|083|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TX|45700|0|N
H4513|083|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TX|45757|0|N
H4513|083|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TX|45801|0|N
H4513|083|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TX|45810|0|N
H4513|083|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TX|45821|0|N
H4513|083|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TX|45840|0|N
H4513|083|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TX|45850|0|N
H4513|083|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TX|45884|0|N
H4513|083|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TX|45942|0|N
H4513|083|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TX|45949|0|N
H4513|083|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TX|45950|0|N
H4513|083|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TX|45240|0|N
H4513|083|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TX|45650|0|N
H4513|083|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TX|45953|0|N
H4513|083|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TX|45962|0|N
H4513|083|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TX|45480|0|N
H4513|083|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TX|45060|0|N
H4513|083|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TX|45090|0|N
H4513|083|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TX|45130|0|N
H4513|083|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TX|45320|0|N
H4513|083|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TX|45581|0|N
H4513|083|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TX|45731|0|N
H4513|083|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TX|45792|0|N
H4513|083|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TX|45971|0|N
H4513|083|005|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TX|45310|0|N
H4513|083|005|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TX|45390|0|N
H4513|083|005|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TX|45410|0|N
H4513|083|005|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TX|45653|0|N
H4513|083|005|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TX|45720|0|N
H4513|083|005|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TX|45843|0|N
H4513|083|005|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TX|45910|0|N
H4513|083|005|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TX|45973|0|N
H4513|083|006|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TX|45570|0|N
H4513|083|006|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TX|45620|0|N
H4513|083|006|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TX|45640|0|N
H4513|083|006|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TX|45881|0|N
H4513|083|006|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TX|45892|0|N
H4513|083|006|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TX|45943|0|N
H4513|083|006|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TX|45947|0|N
H4513|083|007|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TX|45030|0|N
H4513|083|007|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |TX|45830|0|N
H4513|084|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|0.00|0| | |IL|14141|0|N
H4513|084|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|0.00|0| | |IL|14250|0|N
H4513|084|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|0.00|0| | |IL|14530|0|N
H4513|084|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|0.00|0| | |IL|14540|0|N
H4513|084|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|0.00|0| | |IL|14570|0|N
H4513|084|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Premier Medicare (HMO-POS)|00025271|0.00|0| | |IL|14989|0|N
H4513|085|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |IL|14141|0|N
H4513|085|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |IL|14170|0|N
H4513|085|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |IL|14250|0|N
H4513|085|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |IL|14530|0|N
H4513|085|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |IL|14540|0|N
H4513|085|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |IL|14570|0|N
H4513|085|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |IL|14640|0|N
H4513|085|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |IL|14989|0|N
H4513|086|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |IL|14141|0|N
H4513|086|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |IL|14170|0|N
H4513|086|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |IL|14250|0|N
H4513|086|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |IL|14530|0|N
H4513|086|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |IL|14540|0|N
H4513|086|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |IL|14570|0|N
H4513|086|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |IL|14640|0|N
H4513|086|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |IL|14989|0|N
H4513|087|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.90|0| | |AL|01030|0|N
H4513|087|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.90|0| | |AL|01040|0|N
H4513|087|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.90|0| | |AL|01090|0|N
H4513|087|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.90|0| | |AL|01100|0|N
H4513|087|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.90|0| | |AL|01180|0|N
H4513|087|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.90|0| | |AL|01210|0|N
H4513|087|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.90|0| | |AL|01270|0|N
H4513|087|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.90|0| | |AL|01360|0|N
H4513|087|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.90|0| | |AL|01570|0|N
H4513|087|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.90|0| | |AL|01580|0|N
H4513|087|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.90|0| | |AL|01600|0|N
H4513|087|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.90|0| | |AL|01620|0|N
H4513|087|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.90|0| | |AL|01630|0|N
H4513|087|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.90|0| | |AL|01160|0|N
H4513|087|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.90|0| | |AL|01240|0|N
H4513|087|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.90|0| | |AL|01350|0|N
H4513|087|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.90|0| | |AL|01380|0|N
H4513|087|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.90|0| | |AL|01390|0|N
H4513|087|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.90|0| | |AL|01410|0|N
H4513|087|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.90|0| | |AL|01440|0|N
H4513|087|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.90|0| | |AL|01470|0|N
H4513|087|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.90|0| | |AL|01510|0|N
H4513|087|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.90|0| | |AL|01010|0|N
H4513|087|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.90|0| | |AL|01480|0|N
H4513|087|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.90|0| | |AL|01000|0|N
H4513|087|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.90|0| | |AL|01230|0|N
H4513|087|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.90|0| | |AL|01250|0|N
H4513|087|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.90|0| | |AL|01420|0|N
H4513|087|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.90|0| | |AL|01500|0|N
H4513|087|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.90|0| | |AL|01520|0|N
H4513|088|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Full Savings Medicare (HMO)|00025271|0.00|0| | |AL|01030|0|N
H4513|088|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Full Savings Medicare (HMO)|00025271|0.00|0| | |AL|01040|0|N
H4513|088|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Full Savings Medicare (HMO)|00025271|0.00|0| | |AL|01090|0|N
H4513|088|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Full Savings Medicare (HMO)|00025271|0.00|0| | |AL|01100|0|N
H4513|088|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Full Savings Medicare (HMO)|00025271|0.00|0| | |AL|01180|0|N
H4513|088|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Full Savings Medicare (HMO)|00025271|0.00|0| | |AL|01210|0|N
H4513|088|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Full Savings Medicare (HMO)|00025271|0.00|0| | |AL|01270|0|N
H4513|088|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Full Savings Medicare (HMO)|00025271|0.00|0| | |AL|01360|0|N
H4513|088|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Full Savings Medicare (HMO)|00025271|0.00|0| | |AL|01570|0|N
H4513|088|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Full Savings Medicare (HMO)|00025271|0.00|0| | |AL|01580|0|N
H4513|088|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Full Savings Medicare (HMO)|00025271|0.00|0| | |AL|01600|0|N
H4513|088|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Full Savings Medicare (HMO)|00025271|0.00|0| | |AL|01620|0|N
H4513|088|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Full Savings Medicare (HMO)|00025271|0.00|0| | |AL|01630|0|N
H4513|089|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Full Savings Medicare (HMO)|00025271|0.00|0| | |AL|01010|0|N
H4513|089|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Full Savings Medicare (HMO)|00025271|0.00|0| | |AL|01480|0|N
H4513|090|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Full Savings Medicare (HMO)|00025271|0.00|0| | |TN|44100|0|N
H4513|090|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Full Savings Medicare (HMO)|00025271|0.00|0| | |TN|44180|0|N
H4513|090|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Full Savings Medicare (HMO)|00025271|0.00|0| | |TN|44620|0|N
H4513|090|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Full Savings Medicare (HMO)|00025271|0.00|0| | |TN|44730|0|N
H4513|090|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Full Savings Medicare (HMO)|00025271|0.00|0| | |TN|44740|0|N
H4513|090|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Full Savings Medicare (HMO)|00025271|0.00|0| | |TN|44820|0|N
H4513|090|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Full Savings Medicare (HMO)|00025271|0.00|0| | |TN|44840|0|N
H4513|090|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Full Savings Medicare (HMO)|00025271|0.00|0| | |TN|44930|0|N
H4513|090|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Full Savings Medicare (HMO)|00025271|0.00|0| | |TN|44940|0|N
H4513|091|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Full Savings Medicare (HMO)|00025271|0.00|0| | |TX|45020|0|N
H4513|091|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Full Savings Medicare (HMO)|00025271|0.00|0| | |TX|45180|0|N
H4513|091|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Full Savings Medicare (HMO)|00025271|0.00|0| | |TX|45280|0|N
H4513|091|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Full Savings Medicare (HMO)|00025271|0.00|0| | |TX|45530|0|N
H4513|091|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Full Savings Medicare (HMO)|00025271|0.00|0| | |TX|45550|0|N
H4513|091|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Full Savings Medicare (HMO)|00025271|0.00|0| | |TX|45600|0|N
H4513|091|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Full Savings Medicare (HMO)|00025271|0.00|0| | |TX|45610|0|N
H4513|091|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Full Savings Medicare (HMO)|00025271|0.00|0| | |TX|45690|0|N
H4513|091|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Full Savings Medicare (HMO)|00025271|0.00|0| | |TX|45700|0|N
H4513|091|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Full Savings Medicare (HMO)|00025271|0.00|0| | |TX|45757|0|N
H4513|091|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Full Savings Medicare (HMO)|00025271|0.00|0| | |TX|45801|0|N
H4513|091|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Full Savings Medicare (HMO)|00025271|0.00|0| | |TX|45810|0|N
H4513|091|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Full Savings Medicare (HMO)|00025271|0.00|0| | |TX|45821|0|N
H4513|091|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Full Savings Medicare (HMO)|00025271|0.00|0| | |TX|45840|0|N
H4513|091|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Full Savings Medicare (HMO)|00025271|0.00|0| | |TX|45850|0|N
H4513|091|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Full Savings Medicare (HMO)|00025271|0.00|0| | |TX|45884|0|N
H4513|091|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Full Savings Medicare (HMO)|00025271|0.00|0| | |TX|45942|0|N
H4513|091|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Full Savings Medicare (HMO)|00025271|0.00|0| | |TX|45949|0|N
H4513|091|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Full Savings Medicare (HMO)|00025271|0.00|0| | |TX|45950|0|N
H4513|092|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Full Savings Medicare (HMO)|00025271|0.00|0| | |TX|45240|0|N
H4513|092|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Full Savings Medicare (HMO)|00025271|0.00|0| | |TX|45650|0|N
H4513|092|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Full Savings Medicare (HMO)|00025271|0.00|0| | |TX|45953|0|N
H4513|092|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Full Savings Medicare (HMO)|00025271|0.00|0| | |TX|45962|0|N
H4513|093|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Full Savings Medicare (HMO)|00025271|0.00|0| | |TX|45480|0|N
H4514|007|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|AARP Medicare Advantage from UHC TX-0009 (HMO-POS)|00025002|0.00|340| | |TX|45070|0|N
H4514|007|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|AARP Medicare Advantage from UHC TX-0009 (HMO-POS)|00025002|0.00|340| | |TX|45180|0|N
H4514|007|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|AARP Medicare Advantage from UHC TX-0009 (HMO-POS)|00025002|0.00|340| | |TX|45530|0|N
H4514|007|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|AARP Medicare Advantage from UHC TX-0009 (HMO-POS)|00025002|0.00|340| | |TX|45600|0|N
H4514|007|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|AARP Medicare Advantage from UHC TX-0009 (HMO-POS)|00025002|0.00|340| | |TX|45610|0|N
H4514|007|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|AARP Medicare Advantage from UHC TX-0009 (HMO-POS)|00025002|0.00|340| | |TX|45700|0|N
H4514|007|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|AARP Medicare Advantage from UHC TX-0009 (HMO-POS)|00025002|0.00|340| | |TX|45757|0|N
H4514|007|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|AARP Medicare Advantage from UHC TX-0009 (HMO-POS)|00025002|0.00|340| | |TX|45801|0|N
H4514|014|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|AARP Medicare Advantage from UHC TX-001P (HMO-POS)|00025002|0.00|255| | |TX|45180|0|N
H4514|014|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|AARP Medicare Advantage from UHC TX-001P (HMO-POS)|00025002|0.00|255| | |TX|45530|0|N
H4514|014|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|AARP Medicare Advantage from UHC TX-001P (HMO-POS)|00025002|0.00|255| | |TX|45610|0|N
H4514|014|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|AARP Medicare Advantage from UHC TX-001P (HMO-POS)|00025002|0.00|255| | |TX|45801|0|N
H4514|015|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Complete Care TX-2P (HMO-POS C-SNP)|00025003|0.00|255| | |TX|45180|1|N
H4514|015|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Complete Care TX-2P (HMO-POS C-SNP)|00025003|0.00|255| | |TX|45530|1|N
H4514|015|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Complete Care TX-2P (HMO-POS C-SNP)|00025003|0.00|255| | |TX|45610|1|N
H4514|015|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Complete Care TX-2P (HMO-POS C-SNP)|00025003|0.00|255| | |TX|45801|1|N
H4514|016|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-D01P (HMO-POS D-SNP)|00025002|0.00|495| | |TX|45530|2|N
H4514|016|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-D01P (HMO-POS D-SNP)|00025002|0.00|495| | |TX|45610|2|N
H4514|016|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-D01P (HMO-POS D-SNP)|00025002|0.00|495| | |TX|45801|2|N
H4514|017|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|AARP Medicare Advantage from UHC TX-0010 (HMO-POS)|00025002|0.00|340| | |TX|45170|0|N
H4514|017|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|AARP Medicare Advantage from UHC TX-0010 (HMO-POS)|00025002|0.00|340| | |TX|45250|0|N
H4514|017|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|AARP Medicare Advantage from UHC TX-0010 (HMO-POS)|00025002|0.00|340| | |TX|45260|0|N
H4514|017|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|AARP Medicare Advantage from UHC TX-0010 (HMO-POS)|00025002|0.00|340| | |TX|45531|0|N
H4514|017|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|AARP Medicare Advantage from UHC TX-0010 (HMO-POS)|00025002|0.00|340| | |TX|45750|0|N
H4514|017|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|AARP Medicare Advantage from UHC TX-0010 (HMO-POS)|00025002|0.00|340| | |TX|45783|0|N
H4514|017|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|AARP Medicare Advantage from UHC TX-0010 (HMO-POS)|00025002|0.00|340| | |TX|45803|0|N
H4514|017|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|AARP Medicare Advantage from UHC TX-0010 (HMO-POS)|00025002|0.00|340| | |TX|45874|0|N
H4514|017|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|AARP Medicare Advantage from UHC TX-0010 (HMO-POS)|00025002|0.00|340| | |TX|45882|0|N
H4514|017|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|AARP Medicare Advantage from UHC TX-0010 (HMO-POS)|00025002|0.00|340| | |TX|45921|0|N
H4514|017|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|AARP Medicare Advantage from UHC TX-0010 (HMO-POS)|00025002|0.00|340| | |TX|45943|0|N
H4514|018|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-V01P (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45530|2|N
H4514|018|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-V01P (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45610|2|N
H4514|018|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-V01P (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45801|2|N
H4514|019|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-V001 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45640|2|N
H4514|019|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-V001 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45892|2|N
H4514|019|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-V001 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45947|2|N
H4514|019|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-V001 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45974|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45000|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45020|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45060|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45070|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45090|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45100|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45120|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45130|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45140|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45160|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45170|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45180|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45190|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45221|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45222|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45223|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45240|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45250|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45260|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45281|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45310|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45312|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45320|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45340|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45341|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45390|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45400|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45410|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45420|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45440|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45470|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45490|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45500|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45510|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45511|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45530|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45531|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45540|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45550|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45552|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45562|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45564|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45570|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45580|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45581|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45590|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45610|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45620|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45631|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45640|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45650|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45651|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45653|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45654|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45660|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45670|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45681|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45710|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45720|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45730|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45731|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45750|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45752|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45754|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45755|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45756|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45758|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45761|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45780|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45781|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45782|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45783|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45790|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45791|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45792|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45795|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45796|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45800|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45801|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45803|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45810|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45820|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45842|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45843|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45870|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45874|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45878|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45879|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45881|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45882|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45883|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45886|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45890|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45892|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45893|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45900|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45910|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45921|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45940|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45941|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45943|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45947|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45950|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45952|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45953|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45954|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45962|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45970|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45971|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45973|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45974|2|N
H4514|021|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45982|2|N
H4514|022|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|AARP Medicare Advantage from UHC TX-4P (HMO-POS)|00025002|24.00|255| | |TX|45180|0|N
H4514|022|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|AARP Medicare Advantage from UHC TX-4P (HMO-POS)|00025002|24.00|255| | |TX|45530|0|N
H4514|022|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|AARP Medicare Advantage from UHC TX-4P (HMO-POS)|00025002|24.00|255| | |TX|45610|0|N
H4514|022|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|AARP Medicare Advantage from UHC TX-4P (HMO-POS)|00025002|24.00|255| | |TX|45801|0|N
H4514|023|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-D002 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45100|2|N
H4514|023|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-D002 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45180|2|N
H4514|023|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-D002 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45222|2|N
H4514|023|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-D002 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45223|2|N
H4514|023|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-D002 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45280|2|N
H4514|023|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-D002 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45530|2|N
H4514|023|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-D002 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45550|2|N
H4514|023|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-D002 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45610|2|N
H4514|023|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-D002 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45631|2|N
H4514|023|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-D002 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45640|2|N
H4514|023|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-D002 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45700|2|N
H4514|023|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-D002 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45757|2|N
H4514|023|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-D002 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45801|2|N
H4514|023|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-D002 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45850|2|N
H4514|023|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-D002 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45892|2|N
H4514|023|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-D002 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45940|2|N
H4514|023|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-D002 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45947|2|N
H4514|023|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-D002 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45950|2|N
H4514|023|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-D002 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45970|2|N
H4514|023|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UHC Dual Complete TX-D002 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45974|2|N
H4523|001|000|AETNA HEALTH INC. (TX)|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |TX|45060|0|N
H4523|001|000|AETNA HEALTH INC. (TX)|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |TX|45130|0|N
H4523|001|000|AETNA HEALTH INC. (TX)|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |TX|45223|0|N
H4523|001|000|AETNA HEALTH INC. (TX)|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |TX|45320|0|N
H4523|001|000|AETNA HEALTH INC. (TX)|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |TX|45581|0|N
H4523|001|000|AETNA HEALTH INC. (TX)|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |TX|45631|0|N
H4523|001|000|AETNA HEALTH INC. (TX)|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |TX|45731|0|N
H4523|001|000|AETNA HEALTH INC. (TX)|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |TX|45792|0|N
H4523|001|000|AETNA HEALTH INC. (TX)|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |TX|45940|0|N
H4523|001|000|AETNA HEALTH INC. (TX)|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |TX|45970|0|N
H4523|001|000|AETNA HEALTH INC. (TX)|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |TX|45971|0|N
H4523|015|000|AETNA HEALTH INC. (TX)|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |TX|45180|0|N
H4523|015|000|AETNA HEALTH INC. (TX)|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |TX|45280|0|N
H4523|015|000|AETNA HEALTH INC. (TX)|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |TX|45530|0|N
H4523|015|000|AETNA HEALTH INC. (TX)|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |TX|45600|0|N
H4523|015|000|AETNA HEALTH INC. (TX)|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |TX|45610|0|N
H4523|015|000|AETNA HEALTH INC. (TX)|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |TX|45700|0|N
H4523|015|000|AETNA HEALTH INC. (TX)|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |TX|45757|0|N
H4523|015|000|AETNA HEALTH INC. (TX)|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |TX|45801|0|N
H4523|015|000|AETNA HEALTH INC. (TX)|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |TX|45884|0|N
H4523|015|000|AETNA HEALTH INC. (TX)|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |TX|45950|0|N
H4523|020|000|AETNA HEALTH INC. (TX)|Aetna Medicare Prime (HMO)|00025101|0.00|0| | |TX|45130|0|N
H4523|020|000|AETNA HEALTH INC. (TX)|Aetna Medicare Prime (HMO)|00025101|0.00|0| | |TX|45320|0|N
H4523|021|000|AETNA HEALTH INC. (TX)|Aetna Medicare Prime (HMO)|00025101|0.00|590| | |TX|45310|0|N
H4523|021|000|AETNA HEALTH INC. (TX)|Aetna Medicare Prime (HMO)|00025101|0.00|590| | |TX|45390|0|N
H4523|021|000|AETNA HEALTH INC. (TX)|Aetna Medicare Prime (HMO)|00025101|0.00|590| | |TX|45910|0|N
H4523|024|000|AETNA HEALTH INC. (TX)|Aetna Medicare Prime (HMO)|00025101|0.00|0| | |TX|45610|0|N
H4523|027|000|AETNA HEALTH INC. (TX)|Aetna Medicare Premier (HMO)|00025101|0.00|590| | |TX|45650|0|N
H4523|028|000|AETNA HEALTH INC. (TX)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |TX|45130|2|N
H4523|028|000|AETNA HEALTH INC. (TX)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |TX|45320|2|N
H4523|028|000|AETNA HEALTH INC. (TX)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |TX|45631|2|N
H4523|028|000|AETNA HEALTH INC. (TX)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |TX|45650|2|N
H4523|028|000|AETNA HEALTH INC. (TX)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |TX|45940|2|N
H4523|028|000|AETNA HEALTH INC. (TX)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |TX|45970|2|N
H4523|029|000|AETNA HEALTH INC. (TX)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |TX|45180|2|N
H4523|029|000|AETNA HEALTH INC. (TX)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |TX|45530|2|N
H4523|029|000|AETNA HEALTH INC. (TX)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |TX|45610|2|N
H4523|029|000|AETNA HEALTH INC. (TX)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |TX|45801|2|N
H4523|030|000|AETNA HEALTH INC. (TX)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |TX|45310|2|N
H4523|030|000|AETNA HEALTH INC. (TX)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |TX|45390|2|N
H4523|030|000|AETNA HEALTH INC. (TX)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |TX|45410|2|N
H4523|030|000|AETNA HEALTH INC. (TX)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |TX|45910|2|N
H4523|031|000|AETNA HEALTH INC. (TX)|Aetna Medicare Premier II (HMO)|00025100|0.00|590| | |TX|45550|0|N
H4527|001|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0011 (HMO-POS)|00025002|0.00|340| | |TX|45030|0|N
H4527|001|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0011 (HMO-POS)|00025002|0.00|340| | |TX|45113|0|N
H4527|001|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0011 (HMO-POS)|00025002|0.00|340| | |TX|45224|0|N
H4527|001|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0011 (HMO-POS)|00025002|0.00|340| | |TX|45420|0|N
H4527|001|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0011 (HMO-POS)|00025002|0.00|340| | |TX|45561|0|N
H4527|001|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0011 (HMO-POS)|00025002|0.00|340| | |TX|45711|0|N
H4527|001|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0011 (HMO-POS)|00025002|0.00|340| | |TX|45743|0|N
H4527|001|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0011 (HMO-POS)|00025002|0.00|340| | |TX|45830|0|N
H4527|001|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0011 (HMO-POS)|00025002|0.00|340| | |TX|45876|0|N
H4527|001|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0011 (HMO-POS)|00025002|0.00|340| | |TX|45885|0|N
H4527|001|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0011 (HMO-POS)|00025002|0.00|340| | |TX|45948|0|N
H4527|002|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0012 (HMO-POS)|00025002|0.00|340| | |TX|45100|0|N
H4527|002|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0012 (HMO-POS)|00025002|0.00|340| | |TX|45120|0|N
H4527|002|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0012 (HMO-POS)|00025002|0.00|340| | |TX|45140|0|N
H4527|002|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0012 (HMO-POS)|00025002|0.00|340| | |TX|45222|0|N
H4527|002|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0012 (HMO-POS)|00025002|0.00|340| | |TX|45223|0|N
H4527|002|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0012 (HMO-POS)|00025002|0.00|340| | |TX|45500|0|N
H4527|002|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0012 (HMO-POS)|00025002|0.00|340| | |TX|45552|0|N
H4527|002|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0012 (HMO-POS)|00025002|0.00|340| | |TX|45562|0|N
H4527|002|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0012 (HMO-POS)|00025002|0.00|340| | |TX|45631|0|N
H4527|002|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0012 (HMO-POS)|00025002|0.00|340| | |TX|45651|0|N
H4527|002|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0012 (HMO-POS)|00025002|0.00|340| | |TX|45761|0|N
H4527|002|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0012 (HMO-POS)|00025002|0.00|340| | |TX|45780|0|N
H4527|002|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0012 (HMO-POS)|00025002|0.00|340| | |TX|45795|0|N
H4527|002|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0012 (HMO-POS)|00025002|0.00|340| | |TX|45940|0|N
H4527|002|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0012 (HMO-POS)|00025002|0.00|340| | |TX|45970|0|N
H4527|003|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Dual Complete TX-V002 (HMO-POS D-SNP)|00025002|0.00|550| | |TX|45030|2|N
H4527|003|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Dual Complete TX-V002 (HMO-POS D-SNP)|00025002|0.00|550| | |TX|45100|2|N
H4527|003|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Dual Complete TX-V002 (HMO-POS D-SNP)|00025002|0.00|550| | |TX|45113|2|N
H4527|003|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Dual Complete TX-V002 (HMO-POS D-SNP)|00025002|0.00|550| | |TX|45222|2|N
H4527|003|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Dual Complete TX-V002 (HMO-POS D-SNP)|00025002|0.00|550| | |TX|45223|2|N
H4527|003|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Dual Complete TX-V002 (HMO-POS D-SNP)|00025002|0.00|550| | |TX|45480|2|N
H4527|003|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Dual Complete TX-V002 (HMO-POS D-SNP)|00025002|0.00|550| | |TX|45631|2|N
H4527|003|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Dual Complete TX-V002 (HMO-POS D-SNP)|00025002|0.00|550| | |TX|45711|2|N
H4527|003|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Dual Complete TX-V002 (HMO-POS D-SNP)|00025002|0.00|550| | |TX|45743|2|N
H4527|003|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Dual Complete TX-V002 (HMO-POS D-SNP)|00025002|0.00|550| | |TX|45830|2|N
H4527|003|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Dual Complete TX-V002 (HMO-POS D-SNP)|00025002|0.00|550| | |TX|45885|2|N
H4527|003|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Dual Complete TX-V002 (HMO-POS D-SNP)|00025002|0.00|550| | |TX|45940|2|N
H4527|003|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Dual Complete TX-V002 (HMO-POS D-SNP)|00025002|0.00|550| | |TX|45970|2|N
H4527|005|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0013 (HMO-POS)|00025002|0.00|340| | |TX|45480|0|N
H4527|013|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0014 (HMO-POS)|00025002|0.00|340| | |TX|45210|0|N
H4527|013|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0014 (HMO-POS)|00025002|0.00|340| | |TX|45240|0|N
H4527|013|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0014 (HMO-POS)|00025002|0.00|340| | |TX|45430|0|N
H4527|013|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0014 (HMO-POS)|00025002|0.00|340| | |TX|45440|0|N
H4527|013|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0014 (HMO-POS)|00025002|0.00|340| | |TX|45541|0|N
H4527|013|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0014 (HMO-POS)|00025002|0.00|340| | |TX|45650|0|N
H4527|013|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0014 (HMO-POS)|00025002|0.00|340| | |TX|45710|0|N
H4527|013|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0014 (HMO-POS)|00025002|0.00|340| | |TX|45753|0|N
H4527|013|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0014 (HMO-POS)|00025002|0.00|340| | |TX|45791|0|N
H4527|013|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0014 (HMO-POS)|00025002|0.00|340| | |TX|45900|0|N
H4527|013|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0014 (HMO-POS)|00025002|0.00|340| | |TX|45945|0|N
H4527|013|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0014 (HMO-POS)|00025002|0.00|340| | |TX|45946|0|N
H4527|013|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0014 (HMO-POS)|00025002|0.00|340| | |TX|45953|0|N
H4527|013|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0014 (HMO-POS)|00025002|0.00|340| | |TX|45962|0|N
H4527|013|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0014 (HMO-POS)|00025002|0.00|340| | |TX|45982|0|N
H4527|013|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0014 (HMO-POS)|00025002|0.00|340| | |TX|45983|0|N
H4527|015|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Dual Complete TX-D003 (HMO-POS D-SNP)|00025002|3.30|590| | |TX|45240|2|N
H4527|015|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Dual Complete TX-D003 (HMO-POS D-SNP)|00025002|3.30|590| | |TX|45650|2|N
H4527|015|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Dual Complete TX-D003 (HMO-POS D-SNP)|00025002|3.30|590| | |TX|45962|2|N
H4527|037|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0015 (HMO-POS)|00025002|0.00|340| | |TX|45070|0|N
H4527|037|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0015 (HMO-POS)|00025002|0.00|340| | |TX|45180|0|N
H4527|037|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0015 (HMO-POS)|00025002|0.00|340| | |TX|45190|0|N
H4527|037|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0015 (HMO-POS)|00025002|0.00|340| | |TX|45530|0|N
H4527|037|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0015 (HMO-POS)|00025002|0.00|340| | |TX|45550|0|N
H4527|037|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0015 (HMO-POS)|00025002|0.00|340| | |TX|45580|0|N
H4527|037|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0015 (HMO-POS)|00025002|0.00|340| | |TX|45600|0|N
H4527|037|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0015 (HMO-POS)|00025002|0.00|340| | |TX|45610|0|N
H4527|037|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0015 (HMO-POS)|00025002|0.00|340| | |TX|45700|0|N
H4527|037|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0015 (HMO-POS)|00025002|0.00|340| | |TX|45757|0|N
H4527|037|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0015 (HMO-POS)|00025002|0.00|340| | |TX|45790|0|N
H4527|037|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0015 (HMO-POS)|00025002|0.00|340| | |TX|45801|0|N
H4527|037|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0015 (HMO-POS)|00025002|0.00|340| | |TX|45840|0|N
H4527|037|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0015 (HMO-POS)|00025002|0.00|340| | |TX|45954|0|N
H4527|039|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Complete Care TX-16 (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45100|1|N
H4527|039|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Complete Care TX-16 (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45140|1|N
H4527|039|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Complete Care TX-16 (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45222|1|N
H4527|039|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Complete Care TX-16 (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45223|1|N
H4527|039|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Complete Care TX-16 (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45552|1|N
H4527|039|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Complete Care TX-16 (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45562|1|N
H4527|039|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Complete Care TX-16 (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45631|1|N
H4527|039|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Complete Care TX-16 (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45761|1|N
H4527|039|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Complete Care TX-16 (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45795|1|N
H4527|039|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Complete Care TX-16 (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45940|1|N
H4527|039|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Complete Care TX-16 (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45970|1|N
H4527|040|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Complete Care TX-17 (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45480|1|N
H4527|041|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Complete Care TX-18 (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45030|1|N
H4527|041|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Complete Care TX-18 (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45113|1|N
H4527|041|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Complete Care TX-18 (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45224|1|N
H4527|041|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Complete Care TX-18 (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45420|1|N
H4527|041|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Complete Care TX-18 (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45561|1|N
H4527|041|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Complete Care TX-18 (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45711|1|N
H4527|041|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Complete Care TX-18 (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45743|1|N
H4527|041|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Complete Care TX-18 (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45830|1|N
H4527|041|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Complete Care TX-18 (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45876|1|N
H4527|041|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Complete Care TX-18 (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45885|1|N
H4527|041|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Complete Care TX-18 (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45948|1|N
H4527|042|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Complete Care TX-19 (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45210|1|N
H4527|042|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Complete Care TX-19 (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45240|1|N
H4527|042|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Complete Care TX-19 (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45430|1|N
H4527|042|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Complete Care TX-19 (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45440|1|N
H4527|042|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Complete Care TX-19 (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45541|1|N
H4527|042|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Complete Care TX-19 (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45650|1|N
H4527|042|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Complete Care TX-19 (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45710|1|N
H4527|042|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Complete Care TX-19 (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45753|1|N
H4527|042|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Complete Care TX-19 (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45791|1|N
H4527|042|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Complete Care TX-19 (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45900|1|N
H4527|042|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Complete Care TX-19 (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45946|1|N
H4527|042|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Complete Care TX-19 (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45953|1|N
H4527|042|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Complete Care TX-19 (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45962|1|N
H4527|042|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Complete Care TX-19 (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45982|1|N
H4527|042|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Complete Care TX-19 (HMO-POS C-SNP)|00025003|0.00|340| | |TX|45983|1|N
H4527|045|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0020 (HMO-POS)|00025002|0.00|340| | |TX|45040|0|N
H4527|045|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0020 (HMO-POS)|00025002|0.00|340| | |TX|45291|0|N
H4527|045|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-0020 (HMO-POS)|00025002|0.00|340| | |TX|45960|0|N
H4527|048|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage Giveback from UHC TX-35 (HMO-POS)|00025002|0.00|495| | |TX|45030|0|N
H4527|048|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage Giveback from UHC TX-35 (HMO-POS)|00025002|0.00|495| | |TX|45113|0|N
H4527|048|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage Giveback from UHC TX-35 (HMO-POS)|00025002|0.00|495| | |TX|45224|0|N
H4527|048|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage Giveback from UHC TX-35 (HMO-POS)|00025002|0.00|495| | |TX|45420|0|N
H4527|048|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage Giveback from UHC TX-35 (HMO-POS)|00025002|0.00|495| | |TX|45561|0|N
H4527|048|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage Giveback from UHC TX-35 (HMO-POS)|00025002|0.00|495| | |TX|45711|0|N
H4527|048|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage Giveback from UHC TX-35 (HMO-POS)|00025002|0.00|495| | |TX|45743|0|N
H4527|048|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage Giveback from UHC TX-35 (HMO-POS)|00025002|0.00|495| | |TX|45830|0|N
H4527|048|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage Giveback from UHC TX-35 (HMO-POS)|00025002|0.00|495| | |TX|45876|0|N
H4527|048|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage Giveback from UHC TX-35 (HMO-POS)|00025002|0.00|495| | |TX|45885|0|N
H4527|048|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage Giveback from UHC TX-35 (HMO-POS)|00025002|0.00|495| | |TX|45948|0|N
H4527|051|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage Giveback from UHC TX-38 (HMO-POS)|00025002|0.00|495| | |TX|45210|0|N
H4527|051|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage Giveback from UHC TX-38 (HMO-POS)|00025002|0.00|495| | |TX|45240|0|N
H4527|051|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage Giveback from UHC TX-38 (HMO-POS)|00025002|0.00|495| | |TX|45430|0|N
H4527|051|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage Giveback from UHC TX-38 (HMO-POS)|00025002|0.00|495| | |TX|45440|0|N
H4527|051|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage Giveback from UHC TX-38 (HMO-POS)|00025002|0.00|495| | |TX|45541|0|N
H4527|051|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage Giveback from UHC TX-38 (HMO-POS)|00025002|0.00|495| | |TX|45650|0|N
H4527|051|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage Giveback from UHC TX-38 (HMO-POS)|00025002|0.00|495| | |TX|45710|0|N
H4527|051|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage Giveback from UHC TX-38 (HMO-POS)|00025002|0.00|495| | |TX|45753|0|N
H4527|051|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage Giveback from UHC TX-38 (HMO-POS)|00025002|0.00|495| | |TX|45791|0|N
H4527|051|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage Giveback from UHC TX-38 (HMO-POS)|00025002|0.00|495| | |TX|45900|0|N
H4527|051|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage Giveback from UHC TX-38 (HMO-POS)|00025002|0.00|495| | |TX|45945|0|N
H4527|051|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage Giveback from UHC TX-38 (HMO-POS)|00025002|0.00|495| | |TX|45946|0|N
H4527|051|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage Giveback from UHC TX-38 (HMO-POS)|00025002|0.00|495| | |TX|45953|0|N
H4527|051|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage Giveback from UHC TX-38 (HMO-POS)|00025002|0.00|495| | |TX|45962|0|N
H4527|051|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage Giveback from UHC TX-38 (HMO-POS)|00025002|0.00|495| | |TX|45982|0|N
H4527|051|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage Giveback from UHC TX-38 (HMO-POS)|00025002|0.00|495| | |TX|45983|0|N
H4527|052|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-46 (HMO-POS)|00025002|25.00|340| | |TX|45100|0|N
H4527|052|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-46 (HMO-POS)|00025002|25.00|340| | |TX|45120|0|N
H4527|052|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-46 (HMO-POS)|00025002|25.00|340| | |TX|45140|0|N
H4527|052|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-46 (HMO-POS)|00025002|25.00|340| | |TX|45222|0|N
H4527|052|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-46 (HMO-POS)|00025002|25.00|340| | |TX|45223|0|N
H4527|052|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-46 (HMO-POS)|00025002|25.00|340| | |TX|45500|0|N
H4527|052|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-46 (HMO-POS)|00025002|25.00|340| | |TX|45552|0|N
H4527|052|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-46 (HMO-POS)|00025002|25.00|340| | |TX|45562|0|N
H4527|052|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-46 (HMO-POS)|00025002|25.00|340| | |TX|45631|0|N
H4527|052|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-46 (HMO-POS)|00025002|25.00|340| | |TX|45651|0|N
H4527|052|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-46 (HMO-POS)|00025002|25.00|340| | |TX|45761|0|N
H4527|052|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-46 (HMO-POS)|00025002|25.00|340| | |TX|45780|0|N
H4527|052|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-46 (HMO-POS)|00025002|25.00|340| | |TX|45795|0|N
H4527|052|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-46 (HMO-POS)|00025002|25.00|340| | |TX|45940|0|N
H4527|052|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage from UHC TX-46 (HMO-POS)|00025002|25.00|340| | |TX|45970|0|N
H4527|053|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage CareFlex from UHC TX-47 (HMO-POS)|00025002|0.00|495| | |TX|45100|0|N
H4527|053|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage CareFlex from UHC TX-47 (HMO-POS)|00025002|0.00|495| | |TX|45120|0|N
H4527|053|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage CareFlex from UHC TX-47 (HMO-POS)|00025002|0.00|495| | |TX|45140|0|N
H4527|053|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage CareFlex from UHC TX-47 (HMO-POS)|00025002|0.00|495| | |TX|45222|0|N
H4527|053|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage CareFlex from UHC TX-47 (HMO-POS)|00025002|0.00|495| | |TX|45223|0|N
H4527|053|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage CareFlex from UHC TX-47 (HMO-POS)|00025002|0.00|495| | |TX|45500|0|N
H4527|053|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage CareFlex from UHC TX-47 (HMO-POS)|00025002|0.00|495| | |TX|45552|0|N
H4527|053|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage CareFlex from UHC TX-47 (HMO-POS)|00025002|0.00|495| | |TX|45562|0|N
H4527|053|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage CareFlex from UHC TX-47 (HMO-POS)|00025002|0.00|495| | |TX|45631|0|N
H4527|053|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage CareFlex from UHC TX-47 (HMO-POS)|00025002|0.00|495| | |TX|45651|0|N
H4527|053|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage CareFlex from UHC TX-47 (HMO-POS)|00025002|0.00|495| | |TX|45761|0|N
H4527|053|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage CareFlex from UHC TX-47 (HMO-POS)|00025002|0.00|495| | |TX|45780|0|N
H4527|053|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage CareFlex from UHC TX-47 (HMO-POS)|00025002|0.00|495| | |TX|45795|0|N
H4527|053|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage CareFlex from UHC TX-47 (HMO-POS)|00025002|0.00|495| | |TX|45940|0|N
H4527|053|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|AARP Medicare Advantage CareFlex from UHC TX-47 (HMO-POS)|00025002|0.00|495| | |TX|45970|0|N
H4527|054|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Dual Complete TX-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45030|2|N
H4527|054|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Dual Complete TX-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45113|2|N
H4527|054|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Dual Complete TX-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45480|2|N
H4527|054|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Dual Complete TX-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45711|2|N
H4527|054|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Dual Complete TX-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45743|2|N
H4527|054|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Dual Complete TX-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45830|2|N
H4527|054|000|PHYSICIANS HEALTH CHOICE OF TEXAS, LLC|UHC Dual Complete TX-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45885|2|N
H4537|001|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OK|37000|0|N
H4537|001|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OK|37070|0|N
H4537|001|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OK|37080|0|N
H4537|001|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OK|37100|0|N
H4537|001|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OK|37130|0|N
H4537|001|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OK|37150|0|N
H4537|001|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OK|37180|0|N
H4537|001|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OK|37200|0|N
H4537|001|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OK|37230|0|N
H4537|001|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OK|37240|0|N
H4537|001|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OK|37250|0|N
H4537|001|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OK|37350|0|N
H4537|001|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OK|37390|0|N
H4537|001|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OK|37400|0|N
H4537|001|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OK|37410|0|N
H4537|001|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OK|37430|0|N
H4537|001|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OK|37450|0|N
H4537|001|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OK|37480|0|N
H4537|001|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OK|37500|0|N
H4537|001|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OK|37540|0|N
H4537|001|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OK|37550|0|N
H4537|001|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OK|37560|0|N
H4537|001|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OK|37570|0|N
H4537|001|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OK|37600|0|N
H4537|001|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OK|37620|0|N
H4537|001|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OK|37650|0|N
H4537|001|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OK|37660|0|N
H4537|001|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OK|37670|0|N
H4537|001|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OK|37710|0|N
H4537|001|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OK|37720|0|N
H4537|004|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025035|42.20|590| | |OK|37000|2|N
H4537|004|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025035|42.20|590| | |OK|37070|2|N
H4537|004|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025035|42.20|590| | |OK|37080|2|N
H4537|004|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025035|42.20|590| | |OK|37100|2|N
H4537|004|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025035|42.20|590| | |OK|37130|2|N
H4537|004|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025035|42.20|590| | |OK|37150|2|N
H4537|004|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025035|42.20|590| | |OK|37180|2|N
H4537|004|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025035|42.20|590| | |OK|37200|2|N
H4537|004|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025035|42.20|590| | |OK|37230|2|N
H4537|004|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025035|42.20|590| | |OK|37240|2|N
H4537|004|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025035|42.20|590| | |OK|37250|2|N
H4537|004|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025035|42.20|590| | |OK|37350|2|N
H4537|004|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025035|42.20|590| | |OK|37390|2|N
H4537|004|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025035|42.20|590| | |OK|37400|2|N
H4537|004|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025035|42.20|590| | |OK|37410|2|N
H4537|004|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025035|42.20|590| | |OK|37430|2|N
H4537|004|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025035|42.20|590| | |OK|37450|2|N
H4537|004|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025035|42.20|590| | |OK|37480|2|N
H4537|004|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025035|42.20|590| | |OK|37500|2|N
H4537|004|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025035|42.20|590| | |OK|37540|2|N
H4537|004|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025035|42.20|590| | |OK|37550|2|N
H4537|004|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025035|42.20|590| | |OK|37560|2|N
H4537|004|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025035|42.20|590| | |OK|37570|2|N
H4537|004|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025035|42.20|590| | |OK|37600|2|N
H4537|004|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025035|42.20|590| | |OK|37620|2|N
H4537|004|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025035|42.20|590| | |OK|37650|2|N
H4537|004|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025035|42.20|590| | |OK|37660|2|N
H4537|004|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025035|42.20|590| | |OK|37670|2|N
H4537|004|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025035|42.20|590| | |OK|37710|2|N
H4537|004|000|WELLCARE HEALTH INSURANCE COMPANY OF OKLAHOMA, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025035|42.20|590| | |OK|37720|2|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19000|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19010|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19020|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19030|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19040|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19050|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19060|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19070|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19080|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19090|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19100|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19110|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19120|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19130|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19140|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19150|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19160|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19170|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19180|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19190|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19200|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19210|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19220|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19230|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19240|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19250|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19260|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19270|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19280|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19290|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19300|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19310|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19320|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19330|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19340|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19350|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19360|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19370|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19380|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19390|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19400|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19410|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19420|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19430|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19440|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19450|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19460|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19470|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19480|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19490|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19500|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19510|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19520|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19530|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19540|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19550|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19560|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19570|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19580|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19590|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19600|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19610|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19620|0|N
H4544|001|000|PEOPLES HEALTH, INC.|Peoples Health Choices (PPO)|00025002|0.00|420| | |LA|19630|0|N
H4604|003|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC UT-0003 (HMO-POS)|00025002|20.60|340| | |UT|46010|0|N
H4604|003|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC UT-0003 (HMO-POS)|00025002|20.60|340| | |UT|46020|0|N
H4604|003|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC UT-0003 (HMO-POS)|00025002|20.60|340| | |UT|46030|0|N
H4604|003|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC UT-0003 (HMO-POS)|00025002|20.60|340| | |UT|46050|0|N
H4604|003|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC UT-0003 (HMO-POS)|00025002|20.60|340| | |UT|46060|0|N
H4604|003|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC UT-0003 (HMO-POS)|00025002|20.60|340| | |UT|46090|0|N
H4604|003|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC UT-0003 (HMO-POS)|00025002|20.60|340| | |UT|46140|0|N
H4604|003|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC UT-0003 (HMO-POS)|00025002|20.60|340| | |UT|46170|0|N
H4604|003|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC UT-0003 (HMO-POS)|00025002|20.60|340| | |UT|46190|0|N
H4604|003|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC UT-0003 (HMO-POS)|00025002|20.60|340| | |UT|46200|0|N
H4604|003|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC UT-0003 (HMO-POS)|00025002|20.60|340| | |UT|46210|0|N
H4604|003|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC UT-0003 (HMO-POS)|00025002|20.60|340| | |UT|46220|0|N
H4604|003|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC UT-0003 (HMO-POS)|00025002|20.60|340| | |UT|46230|0|N
H4604|003|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC UT-0003 (HMO-POS)|00025002|20.60|340| | |UT|46240|0|N
H4604|003|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC UT-0003 (HMO-POS)|00025002|20.60|340| | |UT|46250|0|N
H4604|003|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC UT-0003 (HMO-POS)|00025002|20.60|340| | |UT|46280|0|N
H4604|011|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage Essentials from UHC UT-4 (HMO-POS)|00025002|0.00|340| | |UT|46010|0|N
H4604|011|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage Essentials from UHC UT-4 (HMO-POS)|00025002|0.00|340| | |UT|46020|0|N
H4604|011|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage Essentials from UHC UT-4 (HMO-POS)|00025002|0.00|340| | |UT|46030|0|N
H4604|011|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage Essentials from UHC UT-4 (HMO-POS)|00025002|0.00|340| | |UT|46050|0|N
H4604|011|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage Essentials from UHC UT-4 (HMO-POS)|00025002|0.00|340| | |UT|46060|0|N
H4604|011|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage Essentials from UHC UT-4 (HMO-POS)|00025002|0.00|340| | |UT|46090|0|N
H4604|011|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage Essentials from UHC UT-4 (HMO-POS)|00025002|0.00|340| | |UT|46140|0|N
H4604|011|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage Essentials from UHC UT-4 (HMO-POS)|00025002|0.00|340| | |UT|46170|0|N
H4604|011|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage Essentials from UHC UT-4 (HMO-POS)|00025002|0.00|340| | |UT|46190|0|N
H4604|011|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage Essentials from UHC UT-4 (HMO-POS)|00025002|0.00|340| | |UT|46200|0|N
H4604|011|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage Essentials from UHC UT-4 (HMO-POS)|00025002|0.00|340| | |UT|46210|0|N
H4604|011|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage Essentials from UHC UT-4 (HMO-POS)|00025002|0.00|340| | |UT|46220|0|N
H4604|011|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage Essentials from UHC UT-4 (HMO-POS)|00025002|0.00|340| | |UT|46230|0|N
H4604|011|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage Essentials from UHC UT-4 (HMO-POS)|00025002|0.00|340| | |UT|46240|0|N
H4604|011|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage Essentials from UHC UT-4 (HMO-POS)|00025002|0.00|340| | |UT|46250|0|N
H4604|011|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage Essentials from UHC UT-4 (HMO-POS)|00025002|0.00|340| | |UT|46280|0|N
H4604|012|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0005 (HMO-POS)|00025002|29.00|340| | |ID|13000|0|N
H4604|012|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0005 (HMO-POS)|00025002|29.00|340| | |ID|13010|0|N
H4604|012|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0005 (HMO-POS)|00025002|29.00|340| | |ID|13070|0|N
H4604|012|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0005 (HMO-POS)|00025002|29.00|340| | |ID|13130|0|N
H4604|012|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0005 (HMO-POS)|00025002|29.00|340| | |ID|13190|0|N
H4604|012|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0005 (HMO-POS)|00025002|29.00|340| | |ID|13220|0|N
H4604|012|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0005 (HMO-POS)|00025002|29.00|340| | |ID|13360|0|N
H4604|012|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0005 (HMO-POS)|00025002|29.00|340| | |ID|13370|0|N
H4604|012|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0005 (HMO-POS)|00025002|29.00|340| | |ID|13420|0|N
H4604|012|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0005 (HMO-POS)|00025002|29.00|340| | |ID|13430|0|N
H4604|013|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0006 (HMO-POS)|00025002|49.00|340| | |ID|13040|0|N
H4604|013|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0006 (HMO-POS)|00025002|49.00|340| | |ID|13080|0|N
H4604|013|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0006 (HMO-POS)|00025002|49.00|340| | |ID|13100|0|N
H4604|013|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0006 (HMO-POS)|00025002|49.00|340| | |ID|13170|0|N
H4604|013|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0006 (HMO-POS)|00025002|49.00|340| | |ID|13240|0|N
H4604|013|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0006 (HMO-POS)|00025002|49.00|340| | |ID|13270|0|N
H4604|013|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0006 (HMO-POS)|00025002|49.00|340| | |ID|13280|0|N
H4604|013|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0006 (HMO-POS)|00025002|49.00|340| | |ID|13300|0|N
H4604|013|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0006 (HMO-POS)|00025002|49.00|340| | |ID|13340|0|N
H4604|013|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0006 (HMO-POS)|00025002|49.00|340| | |ID|13390|0|N
H4604|014|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0007 (HMO-POS)|00025002|31.30|340| | |ID|13020|0|N
H4604|014|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0007 (HMO-POS)|00025002|31.30|340| | |ID|13030|0|N
H4604|014|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0007 (HMO-POS)|00025002|31.30|340| | |ID|13050|0|N
H4604|014|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0007 (HMO-POS)|00025002|31.30|340| | |ID|13060|0|N
H4604|014|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0007 (HMO-POS)|00025002|31.30|340| | |ID|13090|0|N
H4604|014|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0007 (HMO-POS)|00025002|31.30|340| | |ID|13120|0|N
H4604|014|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0007 (HMO-POS)|00025002|31.30|340| | |ID|13140|0|N
H4604|014|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0007 (HMO-POS)|00025002|31.30|340| | |ID|13150|0|N
H4604|014|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0007 (HMO-POS)|00025002|31.30|340| | |ID|13180|0|N
H4604|014|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0007 (HMO-POS)|00025002|31.30|340| | |ID|13200|0|N
H4604|014|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0007 (HMO-POS)|00025002|31.30|340| | |ID|13210|0|N
H4604|014|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0007 (HMO-POS)|00025002|31.30|340| | |ID|13230|0|N
H4604|014|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0007 (HMO-POS)|00025002|31.30|340| | |ID|13250|0|N
H4604|014|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0007 (HMO-POS)|00025002|31.30|340| | |ID|13260|0|N
H4604|014|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0007 (HMO-POS)|00025002|31.30|340| | |ID|13290|0|N
H4604|014|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0007 (HMO-POS)|00025002|31.30|340| | |ID|13310|0|N
H4604|014|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0007 (HMO-POS)|00025002|31.30|340| | |ID|13320|0|N
H4604|014|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0007 (HMO-POS)|00025002|31.30|340| | |ID|13330|0|N
H4604|014|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0007 (HMO-POS)|00025002|31.30|340| | |ID|13350|0|N
H4604|014|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0007 (HMO-POS)|00025002|31.30|340| | |ID|13400|0|N
H4604|014|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0007 (HMO-POS)|00025002|31.30|340| | |ID|13410|0|N
H4604|015|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-001P (HMO-POS)|00025002|0.00|255| | |ID|13000|0|N
H4604|015|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-001P (HMO-POS)|00025002|0.00|255| | |ID|13070|0|N
H4604|015|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-001P (HMO-POS)|00025002|0.00|255| | |ID|13130|0|N
H4604|015|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-001P (HMO-POS)|00025002|0.00|255| | |ID|13190|0|N
H4604|015|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-001P (HMO-POS)|00025002|0.00|255| | |ID|13220|0|N
H4604|015|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-001P (HMO-POS)|00025002|0.00|255| | |ID|13360|0|N
H4604|015|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-001P (HMO-POS)|00025002|0.00|255| | |ID|13370|0|N
H4604|015|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-001P (HMO-POS)|00025002|0.00|255| | |ID|13410|0|N
H4604|015|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-001P (HMO-POS)|00025002|0.00|255| | |ID|13420|0|N
H4604|016|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC UT-0005 (HMO-POS)|00025002|0.00|340| | |UT|46000|0|N
H4604|016|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC UT-0005 (HMO-POS)|00025002|0.00|340| | |UT|46070|0|N
H4604|016|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC UT-0005 (HMO-POS)|00025002|0.00|340| | |UT|46080|0|N
H4604|016|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC UT-0005 (HMO-POS)|00025002|0.00|340| | |UT|46100|0|N
H4604|016|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC UT-0005 (HMO-POS)|00025002|0.00|340| | |UT|46110|0|N
H4604|016|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC UT-0005 (HMO-POS)|00025002|0.00|340| | |UT|46120|0|N
H4604|016|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC UT-0005 (HMO-POS)|00025002|0.00|340| | |UT|46130|0|N
H4604|016|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC UT-0005 (HMO-POS)|00025002|0.00|340| | |UT|46180|0|N
H4604|016|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC UT-0005 (HMO-POS)|00025002|0.00|340| | |UT|46260|0|N
H4604|017|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care UT-6 (HMO-POS C-SNP)|00025003|0.00|340| | |UT|46010|1|N
H4604|017|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care UT-6 (HMO-POS C-SNP)|00025003|0.00|340| | |UT|46020|1|N
H4604|017|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care UT-6 (HMO-POS C-SNP)|00025003|0.00|340| | |UT|46030|1|N
H4604|017|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care UT-6 (HMO-POS C-SNP)|00025003|0.00|340| | |UT|46050|1|N
H4604|017|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care UT-6 (HMO-POS C-SNP)|00025003|0.00|340| | |UT|46060|1|N
H4604|017|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care UT-6 (HMO-POS C-SNP)|00025003|0.00|340| | |UT|46090|1|N
H4604|017|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care UT-6 (HMO-POS C-SNP)|00025003|0.00|340| | |UT|46100|1|N
H4604|017|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care UT-6 (HMO-POS C-SNP)|00025003|0.00|340| | |UT|46140|1|N
H4604|017|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care UT-6 (HMO-POS C-SNP)|00025003|0.00|340| | |UT|46170|1|N
H4604|017|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care UT-6 (HMO-POS C-SNP)|00025003|0.00|340| | |UT|46190|1|N
H4604|017|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care UT-6 (HMO-POS C-SNP)|00025003|0.00|340| | |UT|46200|1|N
H4604|017|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care UT-6 (HMO-POS C-SNP)|00025003|0.00|340| | |UT|46210|1|N
H4604|017|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care UT-6 (HMO-POS C-SNP)|00025003|0.00|340| | |UT|46220|1|N
H4604|017|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care UT-6 (HMO-POS C-SNP)|00025003|0.00|340| | |UT|46230|1|N
H4604|017|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care UT-6 (HMO-POS C-SNP)|00025003|0.00|340| | |UT|46240|1|N
H4604|017|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care UT-6 (HMO-POS C-SNP)|00025003|0.00|340| | |UT|46250|1|N
H4604|017|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care UT-6 (HMO-POS C-SNP)|00025003|0.00|340| | |UT|46260|1|N
H4604|017|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care UT-6 (HMO-POS C-SNP)|00025003|0.00|340| | |UT|46280|1|N
H4604|018|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage Extras ValueRx UT-7 (HMO-POS)|00025002|0.00|420| | |UT|46010|0|N
H4604|018|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage Extras ValueRx UT-7 (HMO-POS)|00025002|0.00|420| | |UT|46020|0|N
H4604|018|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage Extras ValueRx UT-7 (HMO-POS)|00025002|0.00|420| | |UT|46030|0|N
H4604|018|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage Extras ValueRx UT-7 (HMO-POS)|00025002|0.00|420| | |UT|46050|0|N
H4604|018|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage Extras ValueRx UT-7 (HMO-POS)|00025002|0.00|420| | |UT|46060|0|N
H4604|018|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage Extras ValueRx UT-7 (HMO-POS)|00025002|0.00|420| | |UT|46090|0|N
H4604|018|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage Extras ValueRx UT-7 (HMO-POS)|00025002|0.00|420| | |UT|46140|0|N
H4604|018|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage Extras ValueRx UT-7 (HMO-POS)|00025002|0.00|420| | |UT|46170|0|N
H4604|018|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage Extras ValueRx UT-7 (HMO-POS)|00025002|0.00|420| | |UT|46190|0|N
H4604|018|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage Extras ValueRx UT-7 (HMO-POS)|00025002|0.00|420| | |UT|46200|0|N
H4604|018|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage Extras ValueRx UT-7 (HMO-POS)|00025002|0.00|420| | |UT|46210|0|N
H4604|018|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage Extras ValueRx UT-7 (HMO-POS)|00025002|0.00|420| | |UT|46220|0|N
H4604|018|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage Extras ValueRx UT-7 (HMO-POS)|00025002|0.00|420| | |UT|46230|0|N
H4604|018|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage Extras ValueRx UT-7 (HMO-POS)|00025002|0.00|420| | |UT|46240|0|N
H4604|018|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage Extras ValueRx UT-7 (HMO-POS)|00025002|0.00|420| | |UT|46250|0|N
H4604|018|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage Extras ValueRx UT-7 (HMO-POS)|00025002|0.00|420| | |UT|46280|0|N
H4604|020|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0008 (HMO-POS)|00025002|0.00|340| | |ID|13040|0|N
H4604|020|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0008 (HMO-POS)|00025002|0.00|340| | |ID|13080|0|N
H4604|020|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0008 (HMO-POS)|00025002|0.00|340| | |ID|13100|0|N
H4604|020|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0008 (HMO-POS)|00025002|0.00|340| | |ID|13170|0|N
H4604|020|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0008 (HMO-POS)|00025002|0.00|340| | |ID|13240|0|N
H4604|020|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0008 (HMO-POS)|00025002|0.00|340| | |ID|13270|0|N
H4604|020|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0008 (HMO-POS)|00025002|0.00|340| | |ID|13280|0|N
H4604|020|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0008 (HMO-POS)|00025002|0.00|340| | |ID|13300|0|N
H4604|020|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0008 (HMO-POS)|00025002|0.00|340| | |ID|13340|0|N
H4604|020|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0008 (HMO-POS)|00025002|0.00|340| | |ID|13390|0|N
H4604|022|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0009 (HMO-POS)|00025002|0.00|340| | |ID|13020|0|N
H4604|022|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0009 (HMO-POS)|00025002|0.00|340| | |ID|13030|0|N
H4604|022|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0009 (HMO-POS)|00025002|0.00|340| | |ID|13050|0|N
H4604|022|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0009 (HMO-POS)|00025002|0.00|340| | |ID|13060|0|N
H4604|022|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0009 (HMO-POS)|00025002|0.00|340| | |ID|13090|0|N
H4604|022|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0009 (HMO-POS)|00025002|0.00|340| | |ID|13120|0|N
H4604|022|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0009 (HMO-POS)|00025002|0.00|340| | |ID|13140|0|N
H4604|022|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0009 (HMO-POS)|00025002|0.00|340| | |ID|13150|0|N
H4604|022|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0009 (HMO-POS)|00025002|0.00|340| | |ID|13180|0|N
H4604|022|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0009 (HMO-POS)|00025002|0.00|340| | |ID|13200|0|N
H4604|022|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0009 (HMO-POS)|00025002|0.00|340| | |ID|13210|0|N
H4604|022|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0009 (HMO-POS)|00025002|0.00|340| | |ID|13230|0|N
H4604|022|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0009 (HMO-POS)|00025002|0.00|340| | |ID|13250|0|N
H4604|022|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0009 (HMO-POS)|00025002|0.00|340| | |ID|13260|0|N
H4604|022|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0009 (HMO-POS)|00025002|0.00|340| | |ID|13290|0|N
H4604|022|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0009 (HMO-POS)|00025002|0.00|340| | |ID|13310|0|N
H4604|022|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0009 (HMO-POS)|00025002|0.00|340| | |ID|13320|0|N
H4604|022|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0009 (HMO-POS)|00025002|0.00|340| | |ID|13330|0|N
H4604|022|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0009 (HMO-POS)|00025002|0.00|340| | |ID|13350|0|N
H4604|022|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0009 (HMO-POS)|00025002|0.00|340| | |ID|13400|0|N
H4604|022|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC ID-0009 (HMO-POS)|00025002|0.00|340| | |ID|13410|0|N
H4604|024|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care ID-12 (HMO-POS C-SNP)|00025003|0.00|340| | |ID|13000|1|N
H4604|024|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care ID-12 (HMO-POS C-SNP)|00025003|0.00|340| | |ID|13010|1|N
H4604|024|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care ID-12 (HMO-POS C-SNP)|00025003|0.00|340| | |ID|13070|1|N
H4604|024|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care ID-12 (HMO-POS C-SNP)|00025003|0.00|340| | |ID|13130|1|N
H4604|024|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care ID-12 (HMO-POS C-SNP)|00025003|0.00|340| | |ID|13190|1|N
H4604|024|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care ID-12 (HMO-POS C-SNP)|00025003|0.00|340| | |ID|13220|1|N
H4604|024|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care ID-12 (HMO-POS C-SNP)|00025003|0.00|340| | |ID|13360|1|N
H4604|024|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care ID-12 (HMO-POS C-SNP)|00025003|0.00|340| | |ID|13370|1|N
H4604|024|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care ID-12 (HMO-POS C-SNP)|00025003|0.00|340| | |ID|13420|1|N
H4604|024|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care ID-12 (HMO-POS C-SNP)|00025003|0.00|340| | |ID|13430|1|N
H4604|025|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care ID-13 (HMO-POS C-SNP)|00025003|0.00|340| | |ID|13020|1|N
H4604|025|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care ID-13 (HMO-POS C-SNP)|00025003|0.00|340| | |ID|13030|1|N
H4604|025|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care ID-13 (HMO-POS C-SNP)|00025003|0.00|340| | |ID|13040|1|N
H4604|025|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care ID-13 (HMO-POS C-SNP)|00025003|0.00|340| | |ID|13050|1|N
H4604|025|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care ID-13 (HMO-POS C-SNP)|00025003|0.00|340| | |ID|13060|1|N
H4604|025|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care ID-13 (HMO-POS C-SNP)|00025003|0.00|340| | |ID|13080|1|N
H4604|025|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care ID-13 (HMO-POS C-SNP)|00025003|0.00|340| | |ID|13090|1|N
H4604|025|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care ID-13 (HMO-POS C-SNP)|00025003|0.00|340| | |ID|13100|1|N
H4604|025|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care ID-13 (HMO-POS C-SNP)|00025003|0.00|340| | |ID|13120|1|N
H4604|025|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care ID-13 (HMO-POS C-SNP)|00025003|0.00|340| | |ID|13140|1|N
H4604|025|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care ID-13 (HMO-POS C-SNP)|00025003|0.00|340| | |ID|13150|1|N
H4604|025|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care ID-13 (HMO-POS C-SNP)|00025003|0.00|340| | |ID|13170|1|N
H4604|025|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care ID-13 (HMO-POS C-SNP)|00025003|0.00|340| | |ID|13180|1|N
H4604|025|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care ID-13 (HMO-POS C-SNP)|00025003|0.00|340| | |ID|13200|1|N
H4604|025|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care ID-13 (HMO-POS C-SNP)|00025003|0.00|340| | |ID|13210|1|N
H4604|025|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care ID-13 (HMO-POS C-SNP)|00025003|0.00|340| | |ID|13230|1|N
H4604|025|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care ID-13 (HMO-POS C-SNP)|00025003|0.00|340| | |ID|13240|1|N
H4604|025|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care ID-13 (HMO-POS C-SNP)|00025003|0.00|340| | |ID|13250|1|N
H4604|025|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care ID-13 (HMO-POS C-SNP)|00025003|0.00|340| | |ID|13260|1|N
H4604|025|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care ID-13 (HMO-POS C-SNP)|00025003|0.00|340| | |ID|13270|1|N
H4604|025|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care ID-13 (HMO-POS C-SNP)|00025003|0.00|340| | |ID|13280|1|N
H4604|025|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care ID-13 (HMO-POS C-SNP)|00025003|0.00|340| | |ID|13290|1|N
H4604|025|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care ID-13 (HMO-POS C-SNP)|00025003|0.00|340| | |ID|13300|1|N
H4604|025|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care ID-13 (HMO-POS C-SNP)|00025003|0.00|340| | |ID|13310|1|N
H4604|025|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care ID-13 (HMO-POS C-SNP)|00025003|0.00|340| | |ID|13320|1|N
H4604|025|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care ID-13 (HMO-POS C-SNP)|00025003|0.00|340| | |ID|13330|1|N
H4604|025|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care ID-13 (HMO-POS C-SNP)|00025003|0.00|340| | |ID|13340|1|N
H4604|025|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care ID-13 (HMO-POS C-SNP)|00025003|0.00|340| | |ID|13350|1|N
H4604|025|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care ID-13 (HMO-POS C-SNP)|00025003|0.00|340| | |ID|13390|1|N
H4604|025|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care ID-13 (HMO-POS C-SNP)|00025003|0.00|340| | |ID|13400|1|N
H4604|025|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Complete Care ID-13 (HMO-POS C-SNP)|00025003|0.00|340| | |ID|13410|1|N
H4604|026|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Dual Complete UT-S2 (HMO-POS D-SNP)|00025002|54.70|590| | |UT|46000|2|N
H4604|026|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Dual Complete UT-S2 (HMO-POS D-SNP)|00025002|54.70|590| | |UT|46010|2|N
H4604|026|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Dual Complete UT-S2 (HMO-POS D-SNP)|00025002|54.70|590| | |UT|46020|2|N
H4604|026|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Dual Complete UT-S2 (HMO-POS D-SNP)|00025002|54.70|590| | |UT|46030|2|N
H4604|026|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Dual Complete UT-S2 (HMO-POS D-SNP)|00025002|54.70|590| | |UT|46040|2|N
H4604|026|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Dual Complete UT-S2 (HMO-POS D-SNP)|00025002|54.70|590| | |UT|46050|2|N
H4604|026|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Dual Complete UT-S2 (HMO-POS D-SNP)|00025002|54.70|590| | |UT|46060|2|N
H4604|026|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Dual Complete UT-S2 (HMO-POS D-SNP)|00025002|54.70|590| | |UT|46070|2|N
H4604|026|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Dual Complete UT-S2 (HMO-POS D-SNP)|00025002|54.70|590| | |UT|46080|2|N
H4604|026|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Dual Complete UT-S2 (HMO-POS D-SNP)|00025002|54.70|590| | |UT|46090|2|N
H4604|026|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Dual Complete UT-S2 (HMO-POS D-SNP)|00025002|54.70|590| | |UT|46100|2|N
H4604|026|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Dual Complete UT-S2 (HMO-POS D-SNP)|00025002|54.70|590| | |UT|46110|2|N
H4604|026|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Dual Complete UT-S2 (HMO-POS D-SNP)|00025002|54.70|590| | |UT|46120|2|N
H4604|026|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Dual Complete UT-S2 (HMO-POS D-SNP)|00025002|54.70|590| | |UT|46130|2|N
H4604|026|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Dual Complete UT-S2 (HMO-POS D-SNP)|00025002|54.70|590| | |UT|46140|2|N
H4604|026|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Dual Complete UT-S2 (HMO-POS D-SNP)|00025002|54.70|590| | |UT|46150|2|N
H4604|026|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Dual Complete UT-S2 (HMO-POS D-SNP)|00025002|54.70|590| | |UT|46160|2|N
H4604|026|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Dual Complete UT-S2 (HMO-POS D-SNP)|00025002|54.70|590| | |UT|46170|2|N
H4604|026|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Dual Complete UT-S2 (HMO-POS D-SNP)|00025002|54.70|590| | |UT|46180|2|N
H4604|026|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Dual Complete UT-S2 (HMO-POS D-SNP)|00025002|54.70|590| | |UT|46190|2|N
H4604|026|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Dual Complete UT-S2 (HMO-POS D-SNP)|00025002|54.70|590| | |UT|46200|2|N
H4604|026|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Dual Complete UT-S2 (HMO-POS D-SNP)|00025002|54.70|590| | |UT|46210|2|N
H4604|026|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Dual Complete UT-S2 (HMO-POS D-SNP)|00025002|54.70|590| | |UT|46220|2|N
H4604|026|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Dual Complete UT-S2 (HMO-POS D-SNP)|00025002|54.70|590| | |UT|46230|2|N
H4604|026|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Dual Complete UT-S2 (HMO-POS D-SNP)|00025002|54.70|590| | |UT|46240|2|N
H4604|026|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Dual Complete UT-S2 (HMO-POS D-SNP)|00025002|54.70|590| | |UT|46250|2|N
H4604|026|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Dual Complete UT-S2 (HMO-POS D-SNP)|00025002|54.70|590| | |UT|46260|2|N
H4604|026|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Dual Complete UT-S2 (HMO-POS D-SNP)|00025002|54.70|590| | |UT|46270|2|N
H4604|026|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|UHC Dual Complete UT-S2 (HMO-POS D-SNP)|00025002|54.70|590| | |UT|46280|2|N
H4604|027|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC NM-0009 (HMO-POS)|00025002|0.00|260| | |NM|32000|0|N
H4604|027|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC NM-0009 (HMO-POS)|00025002|0.00|260| | |NM|32210|0|N
H4604|027|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC NM-0009 (HMO-POS)|00025002|0.00|260| | |NM|32300|0|N
H4604|028|000|UNITEDHEALTHCARE OF THE ROCKIES, INC.|AARP Medicare Advantage from UHC NM-0010 (HMO-POS)|00025002|0.00|340| | |NM|32240|0|N
H4605|002|000|REGENCE BLUECROSS BLUESHIELD OF UTAH|Regence MedAdvantage + Rx Classic (PPO)|00025106|21.80|100| | |UT|46010|0|N
H4605|002|000|REGENCE BLUECROSS BLUESHIELD OF UTAH|Regence MedAdvantage + Rx Classic (PPO)|00025106|21.80|100| | |UT|46020|0|N
H4605|002|000|REGENCE BLUECROSS BLUESHIELD OF UTAH|Regence MedAdvantage + Rx Classic (PPO)|00025106|21.80|100| | |UT|46050|0|N
H4605|002|000|REGENCE BLUECROSS BLUESHIELD OF UTAH|Regence MedAdvantage + Rx Classic (PPO)|00025106|21.80|100| | |UT|46100|0|N
H4605|002|000|REGENCE BLUECROSS BLUESHIELD OF UTAH|Regence MedAdvantage + Rx Classic (PPO)|00025106|21.80|100| | |UT|46140|0|N
H4605|002|000|REGENCE BLUECROSS BLUESHIELD OF UTAH|Regence MedAdvantage + Rx Classic (PPO)|00025106|21.80|100| | |UT|46170|0|N
H4605|002|000|REGENCE BLUECROSS BLUESHIELD OF UTAH|Regence MedAdvantage + Rx Classic (PPO)|00025106|21.80|100| | |UT|46210|0|N
H4605|002|000|REGENCE BLUECROSS BLUESHIELD OF UTAH|Regence MedAdvantage + Rx Classic (PPO)|00025106|21.80|100| | |UT|46220|0|N
H4605|002|000|REGENCE BLUECROSS BLUESHIELD OF UTAH|Regence MedAdvantage + Rx Classic (PPO)|00025106|21.80|100| | |UT|46240|0|N
H4605|002|000|REGENCE BLUECROSS BLUESHIELD OF UTAH|Regence MedAdvantage + Rx Classic (PPO)|00025106|21.80|100| | |UT|46250|0|N
H4605|002|000|REGENCE BLUECROSS BLUESHIELD OF UTAH|Regence MedAdvantage + Rx Classic (PPO)|00025106|21.80|100| | |UT|46260|0|N
H4605|002|000|REGENCE BLUECROSS BLUESHIELD OF UTAH|Regence MedAdvantage + Rx Classic (PPO)|00025106|21.80|100| | |UT|46280|0|N
H4605|004|000|REGENCE BLUECROSS BLUESHIELD OF UTAH|Regence MedAdvantage + Rx Enhanced (PPO)|00025106|21.50|0| | |UT|46050|0|N
H4605|004|000|REGENCE BLUECROSS BLUESHIELD OF UTAH|Regence MedAdvantage + Rx Enhanced (PPO)|00025106|21.50|0| | |UT|46140|0|N
H4605|004|000|REGENCE BLUECROSS BLUESHIELD OF UTAH|Regence MedAdvantage + Rx Enhanced (PPO)|00025106|21.50|0| | |UT|46170|0|N
H4605|004|000|REGENCE BLUECROSS BLUESHIELD OF UTAH|Regence MedAdvantage + Rx Enhanced (PPO)|00025106|21.50|0| | |UT|46210|0|N
H4605|004|000|REGENCE BLUECROSS BLUESHIELD OF UTAH|Regence MedAdvantage + Rx Enhanced (PPO)|00025106|21.50|0| | |UT|46240|0|N
H4605|004|000|REGENCE BLUECROSS BLUESHIELD OF UTAH|Regence MedAdvantage + Rx Enhanced (PPO)|00025106|21.50|0| | |UT|46250|0|N
H4605|004|000|REGENCE BLUECROSS BLUESHIELD OF UTAH|Regence MedAdvantage + Rx Enhanced (PPO)|00025106|21.50|0| | |UT|46280|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11000|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11020|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11040|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11050|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11090|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11100|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11130|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11150|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11160|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11180|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11220|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11230|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11250|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11260|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11280|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11281|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11290|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11310|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11330|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11370|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11380|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11381|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11400|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11440|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11451|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11461|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11470|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11480|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11520|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11530|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11560|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11570|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11580|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11590|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11591|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11611|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11620|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11630|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11640|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11650|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11651|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11690|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11691|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11702|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11703|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11710|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11720|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11730|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11740|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11760|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11770|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11771|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11780|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11790|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11800|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11801|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11810|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11811|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11821|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11830|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11832|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11833|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11835|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11840|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11841|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11842|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11850|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11860|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11862|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11880|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11881|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11883|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11903|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11912|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11920|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11930|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11941|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11950|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11960|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11961|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11971|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11972|0|N
H4618|001|000|SONDER HEALTH PLANS, INC.|Sonder Access Plus (PPO)|00025263|0.00|0| | |GA|11973|0|N
H4620|001|000|ESSENCE HEALTHCARE OF OHIO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|0| | |OH|36070|0|N
H4620|001|000|ESSENCE HEALTHCARE OF OHIO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|0| | |OH|36080|0|N
H4620|001|000|ESSENCE HEALTHCARE OF OHIO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|0| | |OH|36120|0|N
H4620|001|000|ESSENCE HEALTHCARE OF OHIO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|0| | |OH|36130|0|N
H4620|001|000|ESSENCE HEALTHCARE OF OHIO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|0| | |OH|36310|0|N
H4620|001|000|ESSENCE HEALTHCARE OF OHIO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|0| | |OH|36840|0|N
H4623|001|000|HUMANA REGIONAL HEALTH PLAN, INC.|Humana Gold Plus H4623-001 (HMO-POS)|00025458|0.00|250| | |MO|26040|0|N
H4623|001|000|HUMANA REGIONAL HEALTH PLAN, INC.|Humana Gold Plus H4623-001 (HMO-POS)|00025458|0.00|250| | |MO|26050|0|N
H4623|001|000|HUMANA REGIONAL HEALTH PLAN, INC.|Humana Gold Plus H4623-001 (HMO-POS)|00025458|0.00|250| | |MO|26190|0|N
H4623|001|000|HUMANA REGIONAL HEALTH PLAN, INC.|Humana Gold Plus H4623-001 (HMO-POS)|00025458|0.00|250| | |MO|26210|0|N
H4623|001|000|HUMANA REGIONAL HEALTH PLAN, INC.|Humana Gold Plus H4623-001 (HMO-POS)|00025458|0.00|250| | |MO|26280|0|N
H4623|001|000|HUMANA REGIONAL HEALTH PLAN, INC.|Humana Gold Plus H4623-001 (HMO-POS)|00025458|0.00|250| | |MO|26290|0|N
H4623|001|000|HUMANA REGIONAL HEALTH PLAN, INC.|Humana Gold Plus H4623-001 (HMO-POS)|00025458|0.00|250| | |MO|26330|0|N
H4623|001|000|HUMANA REGIONAL HEALTH PLAN, INC.|Humana Gold Plus H4623-001 (HMO-POS)|00025458|0.00|250| | |MO|26380|0|N
H4623|001|000|HUMANA REGIONAL HEALTH PLAN, INC.|Humana Gold Plus H4623-001 (HMO-POS)|00025458|0.00|250| | |MO|26411|0|N
H4623|001|000|HUMANA REGIONAL HEALTH PLAN, INC.|Humana Gold Plus H4623-001 (HMO-POS)|00025458|0.00|250| | |MO|26450|0|N
H4623|001|000|HUMANA REGIONAL HEALTH PLAN, INC.|Humana Gold Plus H4623-001 (HMO-POS)|00025458|0.00|250| | |MO|26480|0|N
H4623|001|000|HUMANA REGIONAL HEALTH PLAN, INC.|Humana Gold Plus H4623-001 (HMO-POS)|00025458|0.00|250| | |MO|26520|0|N
H4623|001|000|HUMANA REGIONAL HEALTH PLAN, INC.|Humana Gold Plus H4623-001 (HMO-POS)|00025458|0.00|250| | |MO|26540|0|N
H4623|001|000|HUMANA REGIONAL HEALTH PLAN, INC.|Humana Gold Plus H4623-001 (HMO-POS)|00025458|0.00|250| | |MO|26590|0|N
H4623|001|000|HUMANA REGIONAL HEALTH PLAN, INC.|Humana Gold Plus H4623-001 (HMO-POS)|00025458|0.00|250| | |MO|26720|0|N
H4623|001|000|HUMANA REGIONAL HEALTH PLAN, INC.|Humana Gold Plus H4623-001 (HMO-POS)|00025458|0.00|250| | |MO|26740|0|N
H4623|001|000|HUMANA REGIONAL HEALTH PLAN, INC.|Humana Gold Plus H4623-001 (HMO-POS)|00025458|0.00|250| | |MO|26751|0|N
H4623|001|000|HUMANA REGIONAL HEALTH PLAN, INC.|Humana Gold Plus H4623-001 (HMO-POS)|00025458|0.00|250| | |MO|26821|0|N
H4623|001|000|HUMANA REGIONAL HEALTH PLAN, INC.|Humana Gold Plus H4623-001 (HMO-POS)|00025458|0.00|250| | |MO|26840|0|N
H4623|001|000|HUMANA REGIONAL HEALTH PLAN, INC.|Humana Gold Plus H4623-001 (HMO-POS)|00025458|0.00|250| | |MO|26911|0|N
H4623|001|000|HUMANA REGIONAL HEALTH PLAN, INC.|Humana Gold Plus H4623-001 (HMO-POS)|00025458|0.00|250| | |MO|26986|0|N
H4623|001|000|HUMANA REGIONAL HEALTH PLAN, INC.|Humana Gold Plus H4623-001 (HMO-POS)|00025458|0.00|250| | |MO|26988|0|N
H4623|001|000|HUMANA REGIONAL HEALTH PLAN, INC.|Humana Gold Plus H4623-001 (HMO-POS)|00025458|0.00|250| | |MO|26990|0|N
H4623|001|000|HUMANA REGIONAL HEALTH PLAN, INC.|Humana Gold Plus H4623-001 (HMO-POS)|00025458|0.00|250| | |MO|26994|0|N
H4623|001|000|HUMANA REGIONAL HEALTH PLAN, INC.|Humana Gold Plus H4623-001 (HMO-POS)|00025458|0.00|250| | |MO|26996|0|N
H4623|002|000|HUMANA REGIONAL HEALTH PLAN, INC.|Humana Community (HMO-POS)|00025458|0.00|0| | |MO|26040|0|N
H4623|002|000|HUMANA REGIONAL HEALTH PLAN, INC.|Humana Community (HMO-POS)|00025458|0.00|0| | |MO|26210|0|N
H4623|002|000|HUMANA REGIONAL HEALTH PLAN, INC.|Humana Community (HMO-POS)|00025458|0.00|0| | |MO|26290|0|N
H4623|002|000|HUMANA REGIONAL HEALTH PLAN, INC.|Humana Community (HMO-POS)|00025458|0.00|0| | |MO|26380|0|N
H4623|002|000|HUMANA REGIONAL HEALTH PLAN, INC.|Humana Community (HMO-POS)|00025458|0.00|0| | |MO|26480|0|N
H4623|002|000|HUMANA REGIONAL HEALTH PLAN, INC.|Humana Community (HMO-POS)|00025458|0.00|0| | |MO|26540|0|N
H4623|002|000|HUMANA REGIONAL HEALTH PLAN, INC.|Humana Community (HMO-POS)|00025458|0.00|0| | |MO|26720|0|N
H4623|002|000|HUMANA REGIONAL HEALTH PLAN, INC.|Humana Community (HMO-POS)|00025458|0.00|0| | |MO|26821|0|N
H4623|002|000|HUMANA REGIONAL HEALTH PLAN, INC.|Humana Community (HMO-POS)|00025458|0.00|0| | |MO|26986|0|N
H4623|002|000|HUMANA REGIONAL HEALTH PLAN, INC.|Humana Community (HMO-POS)|00025458|0.00|0| | |MO|26988|0|N
H4623|002|000|HUMANA REGIONAL HEALTH PLAN, INC.|Humana Community (HMO-POS)|00025458|0.00|0| | |MO|26994|0|N
H4624|001|000|ZING HEALTH OF MICHIGAN, INC.|Zing Choice IL (HMO)|00025302|0.00|0| | |IL|14030|0|N
H4624|001|000|ZING HEALTH OF MICHIGAN, INC.|Zing Choice IL (HMO)|00025302|0.00|0| | |IL|14141|0|N
H4624|001|000|ZING HEALTH OF MICHIGAN, INC.|Zing Choice IL (HMO)|00025302|0.00|0| | |IL|14170|0|N
H4624|001|000|ZING HEALTH OF MICHIGAN, INC.|Zing Choice IL (HMO)|00025302|0.00|0| | |IL|14250|0|N
H4624|001|000|ZING HEALTH OF MICHIGAN, INC.|Zing Choice IL (HMO)|00025302|0.00|0| | |IL|14530|0|N
H4624|001|000|ZING HEALTH OF MICHIGAN, INC.|Zing Choice IL (HMO)|00025302|0.00|0| | |IL|14540|0|N
H4624|001|000|ZING HEALTH OF MICHIGAN, INC.|Zing Choice IL (HMO)|00025302|0.00|0| | |IL|14550|0|N
H4624|001|000|ZING HEALTH OF MICHIGAN, INC.|Zing Choice IL (HMO)|00025302|0.00|0| | |IL|14570|0|N
H4624|001|000|ZING HEALTH OF MICHIGAN, INC.|Zing Choice IL (HMO)|00025302|0.00|0| | |IL|14640|0|N
H4624|001|000|ZING HEALTH OF MICHIGAN, INC.|Zing Choice IL (HMO)|00025302|0.00|0| | |IL|14790|0|N
H4624|001|000|ZING HEALTH OF MICHIGAN, INC.|Zing Choice IL (HMO)|00025302|0.00|0| | |IL|14989|0|N
H4624|001|000|ZING HEALTH OF MICHIGAN, INC.|Zing Choice IL (HMO)|00025302|0.00|0| | |IL|14991|0|N
H4624|003|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Care IN (HMO)|00025302|0.00|0| | |IN|15050|0|N
H4624|003|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Care IN (HMO)|00025302|0.00|0| | |IN|15280|0|N
H4624|003|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Care IN (HMO)|00025302|0.00|0| | |IN|15290|0|N
H4624|003|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Care IN (HMO)|00025302|0.00|0| | |IN|15310|0|N
H4624|003|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Care IN (HMO)|00025302|0.00|0| | |IN|15400|0|N
H4624|003|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Care IN (HMO)|00025302|0.00|0| | |IN|15440|0|N
H4624|003|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Care IN (HMO)|00025302|0.00|0| | |IN|15470|0|N
H4624|003|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Care IN (HMO)|00025302|0.00|0| | |IN|15480|0|N
H4624|003|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Care IN (HMO)|00025302|0.00|0| | |IN|15540|0|N
H4624|003|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Care IN (HMO)|00025302|0.00|0| | |IN|15630|0|N
H4624|003|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Care IN (HMO)|00025302|0.00|0| | |IN|15720|0|N
H4624|006|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Care MI (HMO)|00025302|0.00|0| | |MI|23240|0|N
H4624|006|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Care MI (HMO)|00025302|0.00|0| | |MI|23460|0|N
H4624|006|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Care MI (HMO)|00025302|0.00|0| | |MI|23490|0|N
H4624|006|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Care MI (HMO)|00025302|0.00|0| | |MI|23620|0|N
H4624|006|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Care MI (HMO)|00025302|0.00|0| | |MI|23800|0|N
H4624|006|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Care MI (HMO)|00025302|0.00|0| | |MI|23810|0|N
H4624|010|000|ZING HEALTH OF MICHIGAN, INC.|Zing Essential Wellness Diabetes & Heart IL (HMO C-SNP)|00025300|0.00|0| | |IL|14030|1|N
H4624|010|000|ZING HEALTH OF MICHIGAN, INC.|Zing Essential Wellness Diabetes & Heart IL (HMO C-SNP)|00025300|0.00|0| | |IL|14141|1|N
H4624|010|000|ZING HEALTH OF MICHIGAN, INC.|Zing Essential Wellness Diabetes & Heart IL (HMO C-SNP)|00025300|0.00|0| | |IL|14170|1|N
H4624|010|000|ZING HEALTH OF MICHIGAN, INC.|Zing Essential Wellness Diabetes & Heart IL (HMO C-SNP)|00025300|0.00|0| | |IL|14250|1|N
H4624|010|000|ZING HEALTH OF MICHIGAN, INC.|Zing Essential Wellness Diabetes & Heart IL (HMO C-SNP)|00025300|0.00|0| | |IL|14530|1|N
H4624|010|000|ZING HEALTH OF MICHIGAN, INC.|Zing Essential Wellness Diabetes & Heart IL (HMO C-SNP)|00025300|0.00|0| | |IL|14540|1|N
H4624|010|000|ZING HEALTH OF MICHIGAN, INC.|Zing Essential Wellness Diabetes & Heart IL (HMO C-SNP)|00025300|0.00|0| | |IL|14550|1|N
H4624|010|000|ZING HEALTH OF MICHIGAN, INC.|Zing Essential Wellness Diabetes & Heart IL (HMO C-SNP)|00025300|0.00|0| | |IL|14570|1|N
H4624|010|000|ZING HEALTH OF MICHIGAN, INC.|Zing Essential Wellness Diabetes & Heart IL (HMO C-SNP)|00025300|0.00|0| | |IL|14640|1|N
H4624|010|000|ZING HEALTH OF MICHIGAN, INC.|Zing Essential Wellness Diabetes & Heart IL (HMO C-SNP)|00025300|0.00|0| | |IL|14790|1|N
H4624|010|000|ZING HEALTH OF MICHIGAN, INC.|Zing Essential Wellness Diabetes & Heart IL (HMO C-SNP)|00025300|0.00|0| | |IL|14989|1|N
H4624|010|000|ZING HEALTH OF MICHIGAN, INC.|Zing Essential Wellness Diabetes & Heart IL (HMO C-SNP)|00025300|0.00|0| | |IL|14991|1|N
H4624|011|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart IN (HMO C-SNP)|00025300|0.00|0| | |IN|15050|1|N
H4624|011|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart IN (HMO C-SNP)|00025300|0.00|0| | |IN|15280|1|N
H4624|011|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart IN (HMO C-SNP)|00025300|0.00|0| | |IN|15290|1|N
H4624|011|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart IN (HMO C-SNP)|00025300|0.00|0| | |IN|15310|1|N
H4624|011|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart IN (HMO C-SNP)|00025300|0.00|0| | |IN|15400|1|N
H4624|011|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart IN (HMO C-SNP)|00025300|0.00|0| | |IN|15440|1|N
H4624|011|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart IN (HMO C-SNP)|00025300|0.00|0| | |IN|15470|1|N
H4624|011|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart IN (HMO C-SNP)|00025300|0.00|0| | |IN|15480|1|N
H4624|011|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart IN (HMO C-SNP)|00025300|0.00|0| | |IN|15540|1|N
H4624|011|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart IN (HMO C-SNP)|00025300|0.00|0| | |IN|15630|1|N
H4624|011|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart IN (HMO C-SNP)|00025300|0.00|0| | |IN|15720|1|N
H4624|012|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart MI (HMO C-SNP)|00025300|0.00|0| | |MI|23240|1|N
H4624|012|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart MI (HMO C-SNP)|00025300|0.00|0| | |MI|23460|1|N
H4624|012|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart MI (HMO C-SNP)|00025300|0.00|0| | |MI|23490|1|N
H4624|012|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart MI (HMO C-SNP)|00025300|0.00|0| | |MI|23620|1|N
H4624|012|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart MI (HMO C-SNP)|00025300|0.00|0| | |MI|23800|1|N
H4624|012|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart MI (HMO C-SNP)|00025300|0.00|0| | |MI|23810|1|N
H4624|019|000|ZING HEALTH OF MICHIGAN, INC.|Zing Dual Complete Select MI (HMO D-SNP)|00025302|0.00|590| | |MI|23240|2|N
H4624|019|000|ZING HEALTH OF MICHIGAN, INC.|Zing Dual Complete Select MI (HMO D-SNP)|00025302|0.00|590| | |MI|23460|2|N
H4624|019|000|ZING HEALTH OF MICHIGAN, INC.|Zing Dual Complete Select MI (HMO D-SNP)|00025302|0.00|590| | |MI|23490|2|N
H4624|019|000|ZING HEALTH OF MICHIGAN, INC.|Zing Dual Complete Select MI (HMO D-SNP)|00025302|0.00|590| | |MI|23620|2|N
H4624|019|000|ZING HEALTH OF MICHIGAN, INC.|Zing Dual Complete Select MI (HMO D-SNP)|00025302|0.00|590| | |MI|23800|2|N
H4624|019|000|ZING HEALTH OF MICHIGAN, INC.|Zing Dual Complete Select MI (HMO D-SNP)|00025302|0.00|590| | |MI|23810|2|N
H4624|022|000|ZING HEALTH OF MICHIGAN, INC.|Zing Elite Select MI (HMO)|00025302|0.00|0| | |MI|23490|0|N
H4624|022|000|ZING HEALTH OF MICHIGAN, INC.|Zing Elite Select MI (HMO)|00025302|0.00|0| | |MI|23620|0|N
H4624|022|000|ZING HEALTH OF MICHIGAN, INC.|Zing Elite Select MI (HMO)|00025302|0.00|0| | |MI|23810|0|N
H4624|023|000|ZING HEALTH OF MICHIGAN, INC.|Zing ESRD Select MI (HMO C-SNP)|00025300|0.00|0| | |MI|23240|1|N
H4624|023|000|ZING HEALTH OF MICHIGAN, INC.|Zing ESRD Select MI (HMO C-SNP)|00025300|0.00|0| | |MI|23460|1|N
H4624|023|000|ZING HEALTH OF MICHIGAN, INC.|Zing ESRD Select MI (HMO C-SNP)|00025300|0.00|0| | |MI|23490|1|N
H4624|023|000|ZING HEALTH OF MICHIGAN, INC.|Zing ESRD Select MI (HMO C-SNP)|00025300|0.00|0| | |MI|23620|1|N
H4624|023|000|ZING HEALTH OF MICHIGAN, INC.|Zing ESRD Select MI (HMO C-SNP)|00025300|0.00|0| | |MI|23800|1|N
H4624|023|000|ZING HEALTH OF MICHIGAN, INC.|Zing ESRD Select MI (HMO C-SNP)|00025300|0.00|0| | |MI|23810|1|N
H4624|024|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart Complete IN (HMO C-SNP)|00025300|0.00|590| | |IN|15050|1|N
H4624|024|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart Complete IN (HMO C-SNP)|00025300|0.00|590| | |IN|15280|1|N
H4624|024|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart Complete IN (HMO C-SNP)|00025300|0.00|590| | |IN|15290|1|N
H4624|024|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart Complete IN (HMO C-SNP)|00025300|0.00|590| | |IN|15310|1|N
H4624|024|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart Complete IN (HMO C-SNP)|00025300|0.00|590| | |IN|15400|1|N
H4624|024|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart Complete IN (HMO C-SNP)|00025300|0.00|590| | |IN|15440|1|N
H4624|024|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart Complete IN (HMO C-SNP)|00025300|0.00|590| | |IN|15470|1|N
H4624|024|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart Complete IN (HMO C-SNP)|00025300|0.00|590| | |IN|15480|1|N
H4624|024|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart Complete IN (HMO C-SNP)|00025300|0.00|590| | |IN|15540|1|N
H4624|024|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart Complete IN (HMO C-SNP)|00025300|0.00|590| | |IN|15630|1|N
H4624|024|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart Complete IN (HMO C-SNP)|00025300|0.00|590| | |IN|15720|1|N
H4624|025|000|ZING HEALTH OF MICHIGAN, INC.|Zing ESRD Select IN (HMO C-SNP)|00025300|0.00|0| | |IN|15050|1|N
H4624|025|000|ZING HEALTH OF MICHIGAN, INC.|Zing ESRD Select IN (HMO C-SNP)|00025300|0.00|0| | |IN|15280|1|N
H4624|025|000|ZING HEALTH OF MICHIGAN, INC.|Zing ESRD Select IN (HMO C-SNP)|00025300|0.00|0| | |IN|15290|1|N
H4624|025|000|ZING HEALTH OF MICHIGAN, INC.|Zing ESRD Select IN (HMO C-SNP)|00025300|0.00|0| | |IN|15310|1|N
H4624|025|000|ZING HEALTH OF MICHIGAN, INC.|Zing ESRD Select IN (HMO C-SNP)|00025300|0.00|0| | |IN|15400|1|N
H4624|025|000|ZING HEALTH OF MICHIGAN, INC.|Zing ESRD Select IN (HMO C-SNP)|00025300|0.00|0| | |IN|15440|1|N
H4624|025|000|ZING HEALTH OF MICHIGAN, INC.|Zing ESRD Select IN (HMO C-SNP)|00025300|0.00|0| | |IN|15470|1|N
H4624|025|000|ZING HEALTH OF MICHIGAN, INC.|Zing ESRD Select IN (HMO C-SNP)|00025300|0.00|0| | |IN|15480|1|N
H4624|025|000|ZING HEALTH OF MICHIGAN, INC.|Zing ESRD Select IN (HMO C-SNP)|00025300|0.00|0| | |IN|15540|1|N
H4624|025|000|ZING HEALTH OF MICHIGAN, INC.|Zing ESRD Select IN (HMO C-SNP)|00025300|0.00|0| | |IN|15630|1|N
H4624|025|000|ZING HEALTH OF MICHIGAN, INC.|Zing ESRD Select IN (HMO C-SNP)|00025300|0.00|0| | |IN|15720|1|N
H4624|026|000|ZING HEALTH OF MICHIGAN, INC.|Zing Elite Select IN (HMO)|00025302|0.00|0| | |IN|15440|0|N
H4624|026|000|ZING HEALTH OF MICHIGAN, INC.|Zing Elite Select IN (HMO)|00025302|0.00|0| | |IN|15480|0|N
H4624|027|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart Complete IL (HMO C-SNP)|00025300|0.00|590| | |IL|14030|1|N
H4624|027|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart Complete IL (HMO C-SNP)|00025300|0.00|590| | |IL|14141|1|N
H4624|027|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart Complete IL (HMO C-SNP)|00025300|0.00|590| | |IL|14170|1|N
H4624|027|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart Complete IL (HMO C-SNP)|00025300|0.00|590| | |IL|14250|1|N
H4624|027|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart Complete IL (HMO C-SNP)|00025300|0.00|590| | |IL|14530|1|N
H4624|027|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart Complete IL (HMO C-SNP)|00025300|0.00|590| | |IL|14540|1|N
H4624|027|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart Complete IL (HMO C-SNP)|00025300|0.00|590| | |IL|14550|1|N
H4624|027|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart Complete IL (HMO C-SNP)|00025300|0.00|590| | |IL|14570|1|N
H4624|027|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart Complete IL (HMO C-SNP)|00025300|0.00|590| | |IL|14640|1|N
H4624|027|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart Complete IL (HMO C-SNP)|00025300|0.00|590| | |IL|14790|1|N
H4624|027|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart Complete IL (HMO C-SNP)|00025300|0.00|590| | |IL|14989|1|N
H4624|027|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart Complete IL (HMO C-SNP)|00025300|0.00|590| | |IL|14991|1|N
H4624|028|000|ZING HEALTH OF MICHIGAN, INC.|Zing Elite Diabetes & Heart IL (HMO C-SNP)|00025300|0.00|0| | |IL|14030|1|N
H4624|028|000|ZING HEALTH OF MICHIGAN, INC.|Zing Elite Diabetes & Heart IL (HMO C-SNP)|00025300|0.00|0| | |IL|14141|1|N
H4624|028|000|ZING HEALTH OF MICHIGAN, INC.|Zing Elite Diabetes & Heart IL (HMO C-SNP)|00025300|0.00|0| | |IL|14530|1|N
H4624|028|000|ZING HEALTH OF MICHIGAN, INC.|Zing Elite Diabetes & Heart IL (HMO C-SNP)|00025300|0.00|0| | |IL|14989|1|N
H4624|028|000|ZING HEALTH OF MICHIGAN, INC.|Zing Elite Diabetes & Heart IL (HMO C-SNP)|00025300|0.00|0| | |IL|14991|1|N
H4624|029|000|ZING HEALTH OF MICHIGAN, INC.|Zing ESRD Select IL (HMO C-SNP)|00025300|0.00|0| | |IL|14030|1|N
H4624|029|000|ZING HEALTH OF MICHIGAN, INC.|Zing ESRD Select IL (HMO C-SNP)|00025300|0.00|0| | |IL|14141|1|N
H4624|029|000|ZING HEALTH OF MICHIGAN, INC.|Zing ESRD Select IL (HMO C-SNP)|00025300|0.00|0| | |IL|14170|1|N
H4624|029|000|ZING HEALTH OF MICHIGAN, INC.|Zing ESRD Select IL (HMO C-SNP)|00025300|0.00|0| | |IL|14250|1|N
H4624|029|000|ZING HEALTH OF MICHIGAN, INC.|Zing ESRD Select IL (HMO C-SNP)|00025300|0.00|0| | |IL|14530|1|N
H4624|029|000|ZING HEALTH OF MICHIGAN, INC.|Zing ESRD Select IL (HMO C-SNP)|00025300|0.00|0| | |IL|14540|1|N
H4624|029|000|ZING HEALTH OF MICHIGAN, INC.|Zing ESRD Select IL (HMO C-SNP)|00025300|0.00|0| | |IL|14550|1|N
H4624|029|000|ZING HEALTH OF MICHIGAN, INC.|Zing ESRD Select IL (HMO C-SNP)|00025300|0.00|0| | |IL|14570|1|N
H4624|029|000|ZING HEALTH OF MICHIGAN, INC.|Zing ESRD Select IL (HMO C-SNP)|00025300|0.00|0| | |IL|14640|1|N
H4624|029|000|ZING HEALTH OF MICHIGAN, INC.|Zing ESRD Select IL (HMO C-SNP)|00025300|0.00|0| | |IL|14790|1|N
H4624|029|000|ZING HEALTH OF MICHIGAN, INC.|Zing ESRD Select IL (HMO C-SNP)|00025300|0.00|0| | |IL|14989|1|N
H4624|029|000|ZING HEALTH OF MICHIGAN, INC.|Zing ESRD Select IL (HMO C-SNP)|00025300|0.00|0| | |IL|14991|1|N
H4624|030|000|ZING HEALTH OF MICHIGAN, INC.|Zing Elite Select IL (HMO)|00025302|0.00|0| | |IL|14030|0|N
H4624|030|000|ZING HEALTH OF MICHIGAN, INC.|Zing Elite Select IL (HMO)|00025302|0.00|0| | |IL|14141|0|N
H4624|030|000|ZING HEALTH OF MICHIGAN, INC.|Zing Elite Select IL (HMO)|00025302|0.00|0| | |IL|14530|0|N
H4624|030|000|ZING HEALTH OF MICHIGAN, INC.|Zing Elite Select IL (HMO)|00025302|0.00|0| | |IL|14989|0|N
H4624|030|000|ZING HEALTH OF MICHIGAN, INC.|Zing Elite Select IL (HMO)|00025302|0.00|0| | |IL|14991|0|N
H4624|031|000|ZING HEALTH OF MICHIGAN, INC.|Zing Elite Diabetes & Heart IN (HMO C-SNP)|00025300|0.00|0| | |IN|15440|1|N
H4624|031|000|ZING HEALTH OF MICHIGAN, INC.|Zing Elite Diabetes & Heart IN (HMO C-SNP)|00025300|0.00|0| | |IN|15480|1|N
H4624|032|000|ZING HEALTH OF MICHIGAN, INC.|Zing Elite Diabetes & Heart MI (HMO C-SNP)|00025300|0.00|0| | |MI|23490|1|N
H4624|032|000|ZING HEALTH OF MICHIGAN, INC.|Zing Elite Diabetes & Heart MI (HMO C-SNP)|00025300|0.00|0| | |MI|23620|1|N
H4624|032|000|ZING HEALTH OF MICHIGAN, INC.|Zing Elite Diabetes & Heart MI (HMO C-SNP)|00025300|0.00|0| | |MI|23810|1|N
H4624|033|000|ZING HEALTH OF MICHIGAN, INC.|Zing Elite Diabetes & Heart OH (HMO C-SNP)|00025300|0.00|0| | |OH|36170|1|N
H4624|033|000|ZING HEALTH OF MICHIGAN, INC.|Zing Elite Diabetes & Heart OH (HMO C-SNP)|00025300|0.00|0| | |OH|36780|1|N
H4624|034|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart OH (HMO C-SNP)|00025300|0.00|0| | |OH|36170|1|N
H4624|034|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart OH (HMO C-SNP)|00025300|0.00|0| | |OH|36280|1|N
H4624|034|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart OH (HMO C-SNP)|00025300|0.00|0| | |OH|36440|1|N
H4624|034|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart OH (HMO C-SNP)|00025300|0.00|0| | |OH|36480|1|N
H4624|034|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart OH (HMO C-SNP)|00025300|0.00|0| | |OH|36530|1|N
H4624|034|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart OH (HMO C-SNP)|00025300|0.00|0| | |OH|36680|1|N
H4624|034|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart OH (HMO C-SNP)|00025300|0.00|0| | |OH|36780|1|N
H4624|035|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart Complete OH (HMO C-SNP)|00025300|0.00|590| | |OH|36170|1|N
H4624|035|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart Complete OH (HMO C-SNP)|00025300|0.00|590| | |OH|36280|1|N
H4624|035|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart Complete OH (HMO C-SNP)|00025300|0.00|590| | |OH|36440|1|N
H4624|035|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart Complete OH (HMO C-SNP)|00025300|0.00|590| | |OH|36480|1|N
H4624|035|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart Complete OH (HMO C-SNP)|00025300|0.00|590| | |OH|36530|1|N
H4624|035|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart Complete OH (HMO C-SNP)|00025300|0.00|590| | |OH|36680|1|N
H4624|035|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart Complete OH (HMO C-SNP)|00025300|0.00|590| | |OH|36780|1|N
H4624|036|000|ZING HEALTH OF MICHIGAN, INC.|Zing ESRD Select OH (HMO C-SNP)|00025300|0.00|0| | |OH|36170|1|N
H4624|036|000|ZING HEALTH OF MICHIGAN, INC.|Zing ESRD Select OH (HMO C-SNP)|00025300|0.00|0| | |OH|36280|1|N
H4624|036|000|ZING HEALTH OF MICHIGAN, INC.|Zing ESRD Select OH (HMO C-SNP)|00025300|0.00|0| | |OH|36440|1|N
H4624|036|000|ZING HEALTH OF MICHIGAN, INC.|Zing ESRD Select OH (HMO C-SNP)|00025300|0.00|0| | |OH|36480|1|N
H4624|036|000|ZING HEALTH OF MICHIGAN, INC.|Zing ESRD Select OH (HMO C-SNP)|00025300|0.00|0| | |OH|36530|1|N
H4624|036|000|ZING HEALTH OF MICHIGAN, INC.|Zing ESRD Select OH (HMO C-SNP)|00025300|0.00|0| | |OH|36680|1|N
H4624|036|000|ZING HEALTH OF MICHIGAN, INC.|Zing ESRD Select OH (HMO C-SNP)|00025300|0.00|0| | |OH|36780|1|N
H4624|037|000|ZING HEALTH OF MICHIGAN, INC.|Zing Elite Select OH (HMO)|00025302|0.00|0| | |OH|36170|0|N
H4624|037|000|ZING HEALTH OF MICHIGAN, INC.|Zing Elite Select OH (HMO)|00025302|0.00|0| | |OH|36780|0|N
H4624|038|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Care OH (HMO)|00025302|0.00|0| | |OH|36170|0|N
H4624|038|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Care OH (HMO)|00025302|0.00|0| | |OH|36280|0|N
H4624|038|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Care OH (HMO)|00025302|0.00|0| | |OH|36440|0|N
H4624|038|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Care OH (HMO)|00025302|0.00|0| | |OH|36480|0|N
H4624|038|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Care OH (HMO)|00025302|0.00|0| | |OH|36530|0|N
H4624|038|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Care OH (HMO)|00025302|0.00|0| | |OH|36680|0|N
H4624|038|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Care OH (HMO)|00025302|0.00|0| | |OH|36780|0|N
H4624|039|000|ZING HEALTH OF MICHIGAN, INC.|Zing Elite Diabetes & Heart TN-MS (HMO C-SNP)|00025300|0.00|0| | |MS|25160|1|N
H4624|039|000|ZING HEALTH OF MICHIGAN, INC.|Zing Elite Diabetes & Heart TN-MS (HMO C-SNP)|00025300|0.00|0| | |TN|44780|1|N
H4624|040|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart TN-MS (HMO C-SNP)|00025300|0.00|0| | |MS|25160|1|N
H4624|040|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart TN-MS (HMO C-SNP)|00025300|0.00|0| | |MS|25460|1|N
H4624|040|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart TN-MS (HMO C-SNP)|00025300|0.00|0| | |MS|25680|1|N
H4624|040|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart TN-MS (HMO C-SNP)|00025300|0.00|0| | |MS|25710|1|N
H4624|040|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart TN-MS (HMO C-SNP)|00025300|0.00|0| | |TN|44180|1|N
H4624|040|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart TN-MS (HMO C-SNP)|00025300|0.00|0| | |TN|44230|1|N
H4624|040|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart TN-MS (HMO C-SNP)|00025300|0.00|0| | |TN|44780|1|N
H4624|041|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart Complete TN-MS (HMO C-SNP)|00025300|0.00|590| | |MS|25160|1|N
H4624|041|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart Complete TN-MS (HMO C-SNP)|00025300|0.00|590| | |MS|25460|1|N
H4624|041|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart Complete TN-MS (HMO C-SNP)|00025300|0.00|590| | |MS|25680|1|N
H4624|041|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart Complete TN-MS (HMO C-SNP)|00025300|0.00|590| | |MS|25710|1|N
H4624|041|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart Complete TN-MS (HMO C-SNP)|00025300|0.00|590| | |TN|44180|1|N
H4624|041|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart Complete TN-MS (HMO C-SNP)|00025300|0.00|590| | |TN|44230|1|N
H4624|041|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Diabetes & Heart Complete TN-MS (HMO C-SNP)|00025300|0.00|590| | |TN|44780|1|N
H4624|042|000|ZING HEALTH OF MICHIGAN, INC.|Zing ESRD Select TN-MS (HMO C-SNP)|00025300|0.00|0| | |MS|25160|1|N
H4624|042|000|ZING HEALTH OF MICHIGAN, INC.|Zing ESRD Select TN-MS (HMO C-SNP)|00025300|0.00|0| | |MS|25460|1|N
H4624|042|000|ZING HEALTH OF MICHIGAN, INC.|Zing ESRD Select TN-MS (HMO C-SNP)|00025300|0.00|0| | |MS|25680|1|N
H4624|042|000|ZING HEALTH OF MICHIGAN, INC.|Zing ESRD Select TN-MS (HMO C-SNP)|00025300|0.00|0| | |MS|25710|1|N
H4624|042|000|ZING HEALTH OF MICHIGAN, INC.|Zing ESRD Select TN-MS (HMO C-SNP)|00025300|0.00|0| | |TN|44180|1|N
H4624|042|000|ZING HEALTH OF MICHIGAN, INC.|Zing ESRD Select TN-MS (HMO C-SNP)|00025300|0.00|0| | |TN|44230|1|N
H4624|042|000|ZING HEALTH OF MICHIGAN, INC.|Zing ESRD Select TN-MS (HMO C-SNP)|00025300|0.00|0| | |TN|44780|1|N
H4624|043|000|ZING HEALTH OF MICHIGAN, INC.|Zing Elite Select TN-MS (HMO)|00025302|0.00|0| | |MS|25160|0|N
H4624|043|000|ZING HEALTH OF MICHIGAN, INC.|Zing Elite Select TN-MS (HMO)|00025302|0.00|0| | |TN|44780|0|N
H4624|044|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Care TN-MS (HMO)|00025302|0.00|0| | |MS|25160|0|N
H4624|044|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Care TN-MS (HMO)|00025302|0.00|0| | |MS|25460|0|N
H4624|044|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Care TN-MS (HMO)|00025302|0.00|0| | |MS|25680|0|N
H4624|044|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Care TN-MS (HMO)|00025302|0.00|0| | |MS|25710|0|N
H4624|044|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Care TN-MS (HMO)|00025302|0.00|0| | |TN|44180|0|N
H4624|044|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Care TN-MS (HMO)|00025302|0.00|0| | |TN|44230|0|N
H4624|044|000|ZING HEALTH OF MICHIGAN, INC.|Zing Select Care TN-MS (HMO)|00025302|0.00|0| | |TN|44780|0|N
H4647|001|000|NEW CENTURY HEALTH PLAN, INC.|UCLA Health Medicare Advantage Principal Plan (HMO)|00025235|0.00|0| | |CA|05200|0|N
H4647|002|000|NEW CENTURY HEALTH PLAN, INC.|UCLA Health Medicare Advantage Prestige Plan (HMO)|00025235|39.00|0| | |CA|05200|0|N
H4661|001|000|CELTIC INSURANCE COMPANY|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |DE|08000|0|N
H4661|001|000|CELTIC INSURANCE COMPANY|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |DE|08010|0|N
H4661|001|000|CELTIC INSURANCE COMPANY|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |DE|08020|0|N
H4661|002|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |DE|08000|2|N
H4661|002|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |DE|08010|2|N
H4661|002|000|CELTIC INSURANCE COMPANY|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |DE|08020|2|N
H4661|003|000|CELTIC INSURANCE COMPANY|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |DE|08000|2|N
H4661|003|000|CELTIC INSURANCE COMPANY|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |DE|08010|2|N
H4661|003|000|CELTIC INSURANCE COMPANY|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |DE|08020|2|N
H4676|001|000|TROY HEALTH, INC.|Troy Medicare (HMO)|00025405|0.00|0| | |NC|34010|0|N
H4676|001|000|TROY HEALTH, INC.|Troy Medicare (HMO)|00025405|0.00|0| | |NC|34030|0|N
H4676|001|000|TROY HEALTH, INC.|Troy Medicare (HMO)|00025405|0.00|0| | |NC|34080|0|N
H4676|001|000|TROY HEALTH, INC.|Troy Medicare (HMO)|00025405|0.00|0| | |NC|34100|0|N
H4676|001|000|TROY HEALTH, INC.|Troy Medicare (HMO)|00025405|0.00|0| | |NC|34110|0|N
H4676|001|000|TROY HEALTH, INC.|Troy Medicare (HMO)|00025405|0.00|0| | |NC|34130|0|N
H4676|001|000|TROY HEALTH, INC.|Troy Medicare (HMO)|00025405|0.00|0| | |NC|34170|0|N
H4676|001|000|TROY HEALTH, INC.|Troy Medicare (HMO)|00025405|0.00|0| | |NC|34180|0|N
H4676|001|000|TROY HEALTH, INC.|Troy Medicare (HMO)|00025405|0.00|0| | |NC|34230|0|N
H4676|001|000|TROY HEALTH, INC.|Troy Medicare (HMO)|00025405|0.00|0| | |NC|34250|0|N
H4676|001|000|TROY HEALTH, INC.|Troy Medicare (HMO)|00025405|0.00|0| | |NC|34310|0|N
H4676|001|000|TROY HEALTH, INC.|Troy Medicare (HMO)|00025405|0.00|0| | |NC|34340|0|N
H4676|001|000|TROY HEALTH, INC.|Troy Medicare (HMO)|00025405|0.00|0| | |NC|34380|0|N
H4676|001|000|TROY HEALTH, INC.|Troy Medicare (HMO)|00025405|0.00|0| | |NC|34420|0|N
H4676|001|000|TROY HEALTH, INC.|Troy Medicare (HMO)|00025405|0.00|0| | |NC|34430|0|N
H4676|001|000|TROY HEALTH, INC.|Troy Medicare (HMO)|00025405|0.00|0| | |NC|34440|0|N
H4676|001|000|TROY HEALTH, INC.|Troy Medicare (HMO)|00025405|0.00|0| | |NC|34460|0|N
H4676|001|000|TROY HEALTH, INC.|Troy Medicare (HMO)|00025405|0.00|0| | |NC|34480|0|N
H4676|001|000|TROY HEALTH, INC.|Troy Medicare (HMO)|00025405|0.00|0| | |NC|34490|0|N
H4676|001|000|TROY HEALTH, INC.|Troy Medicare (HMO)|00025405|0.00|0| | |NC|34520|0|N
H4676|001|000|TROY HEALTH, INC.|Troy Medicare (HMO)|00025405|0.00|0| | |NC|34550|0|N
H4676|001|000|TROY HEALTH, INC.|Troy Medicare (HMO)|00025405|0.00|0| | |NC|34600|0|N
H4676|001|000|TROY HEALTH, INC.|Troy Medicare (HMO)|00025405|0.00|0| | |NC|34610|0|N
H4676|001|000|TROY HEALTH, INC.|Troy Medicare (HMO)|00025405|0.00|0| | |NC|34620|0|N
H4676|001|000|TROY HEALTH, INC.|Troy Medicare (HMO)|00025405|0.00|0| | |NC|34670|0|N
H4676|001|000|TROY HEALTH, INC.|Troy Medicare (HMO)|00025405|0.00|0| | |NC|34720|0|N
H4676|001|000|TROY HEALTH, INC.|Troy Medicare (HMO)|00025405|0.00|0| | |NC|34740|0|N
H4676|001|000|TROY HEALTH, INC.|Troy Medicare (HMO)|00025405|0.00|0| | |NC|34760|0|N
H4676|001|000|TROY HEALTH, INC.|Troy Medicare (HMO)|00025405|0.00|0| | |NC|34770|0|N
H4676|001|000|TROY HEALTH, INC.|Troy Medicare (HMO)|00025405|0.00|0| | |NC|34810|0|N
H4676|001|000|TROY HEALTH, INC.|Troy Medicare (HMO)|00025405|0.00|0| | |NC|34820|0|N
H4676|001|000|TROY HEALTH, INC.|Troy Medicare (HMO)|00025405|0.00|0| | |NC|34860|0|N
H4676|001|000|TROY HEALTH, INC.|Troy Medicare (HMO)|00025405|0.00|0| | |NC|34870|0|N
H4676|001|000|TROY HEALTH, INC.|Troy Medicare (HMO)|00025405|0.00|0| | |NC|34900|0|N
H4676|001|000|TROY HEALTH, INC.|Troy Medicare (HMO)|00025405|0.00|0| | |NC|34981|0|N
H4676|002|000|TROY HEALTH, INC.|Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP)|00025405|0.00|590| | |NC|34010|2|N
H4676|002|000|TROY HEALTH, INC.|Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP)|00025405|0.00|590| | |NC|34030|2|N
H4676|002|000|TROY HEALTH, INC.|Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP)|00025405|0.00|590| | |NC|34080|2|N
H4676|002|000|TROY HEALTH, INC.|Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP)|00025405|0.00|590| | |NC|34100|2|N
H4676|002|000|TROY HEALTH, INC.|Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP)|00025405|0.00|590| | |NC|34110|2|N
H4676|002|000|TROY HEALTH, INC.|Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP)|00025405|0.00|590| | |NC|34130|2|N
H4676|002|000|TROY HEALTH, INC.|Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP)|00025405|0.00|590| | |NC|34170|2|N
H4676|002|000|TROY HEALTH, INC.|Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP)|00025405|0.00|590| | |NC|34180|2|N
H4676|002|000|TROY HEALTH, INC.|Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP)|00025405|0.00|590| | |NC|34230|2|N
H4676|002|000|TROY HEALTH, INC.|Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP)|00025405|0.00|590| | |NC|34250|2|N
H4676|002|000|TROY HEALTH, INC.|Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP)|00025405|0.00|590| | |NC|34310|2|N
H4676|002|000|TROY HEALTH, INC.|Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP)|00025405|0.00|590| | |NC|34340|2|N
H4676|002|000|TROY HEALTH, INC.|Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP)|00025405|0.00|590| | |NC|34380|2|N
H4676|002|000|TROY HEALTH, INC.|Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP)|00025405|0.00|590| | |NC|34420|2|N
H4676|002|000|TROY HEALTH, INC.|Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP)|00025405|0.00|590| | |NC|34430|2|N
H4676|002|000|TROY HEALTH, INC.|Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP)|00025405|0.00|590| | |NC|34440|2|N
H4676|002|000|TROY HEALTH, INC.|Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP)|00025405|0.00|590| | |NC|34460|2|N
H4676|002|000|TROY HEALTH, INC.|Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP)|00025405|0.00|590| | |NC|34480|2|N
H4676|002|000|TROY HEALTH, INC.|Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP)|00025405|0.00|590| | |NC|34490|2|N
H4676|002|000|TROY HEALTH, INC.|Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP)|00025405|0.00|590| | |NC|34520|2|N
H4676|002|000|TROY HEALTH, INC.|Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP)|00025405|0.00|590| | |NC|34550|2|N
H4676|002|000|TROY HEALTH, INC.|Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP)|00025405|0.00|590| | |NC|34600|2|N
H4676|002|000|TROY HEALTH, INC.|Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP)|00025405|0.00|590| | |NC|34610|2|N
H4676|002|000|TROY HEALTH, INC.|Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP)|00025405|0.00|590| | |NC|34620|2|N
H4676|002|000|TROY HEALTH, INC.|Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP)|00025405|0.00|590| | |NC|34670|2|N
H4676|002|000|TROY HEALTH, INC.|Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP)|00025405|0.00|590| | |NC|34720|2|N
H4676|002|000|TROY HEALTH, INC.|Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP)|00025405|0.00|590| | |NC|34740|2|N
H4676|002|000|TROY HEALTH, INC.|Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP)|00025405|0.00|590| | |NC|34760|2|N
H4676|002|000|TROY HEALTH, INC.|Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP)|00025405|0.00|590| | |NC|34770|2|N
H4676|002|000|TROY HEALTH, INC.|Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP)|00025405|0.00|590| | |NC|34810|2|N
H4676|002|000|TROY HEALTH, INC.|Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP)|00025405|0.00|590| | |NC|34820|2|N
H4676|002|000|TROY HEALTH, INC.|Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP)|00025405|0.00|590| | |NC|34860|2|N
H4676|002|000|TROY HEALTH, INC.|Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP)|00025405|0.00|590| | |NC|34870|2|N
H4676|002|000|TROY HEALTH, INC.|Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP)|00025405|0.00|590| | |NC|34900|2|N
H4676|002|000|TROY HEALTH, INC.|Troy Medicare for Dual-eligible Beneficiaries (HMO D-SNP)|00025405|0.00|590| | |NC|34981|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49010|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49011|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49020|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49030|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49040|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49050|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49060|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49070|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49080|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49090|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49100|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49110|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49111|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49120|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49130|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49140|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49141|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49150|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49160|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49170|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49180|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49190|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49191|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49194|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49200|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49210|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49212|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49213|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49220|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49230|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49240|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49241|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49250|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49260|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49270|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49280|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49288|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49290|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49291|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49300|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49310|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49320|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49328|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49330|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49340|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49342|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49343|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49350|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49360|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49370|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49380|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49390|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49400|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49410|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49411|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49420|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49421|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49430|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49440|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49450|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49451|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49460|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49470|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49480|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49490|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49500|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49510|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49520|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49522|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49530|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49540|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49550|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49551|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49560|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49561|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49563|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49565|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49570|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49580|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49590|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49600|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49620|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49621|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49622|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49641|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49650|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49660|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49661|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49670|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49680|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49690|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49700|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49701|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49710|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49711|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49712|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49720|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49730|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49740|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49750|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49770|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49771|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49780|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49790|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49791|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49800|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49801|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49810|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49820|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49830|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49838|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49840|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49850|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49860|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49870|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49880|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49890|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49891|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49892|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49900|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49910|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49920|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49921|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49930|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49950|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49951|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49960|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49961|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49962|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49970|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49980|2|N
H4694|001|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |VA|49981|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49010|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49011|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49020|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49030|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49040|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49050|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49060|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49070|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49080|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49090|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49100|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49110|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49111|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49120|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49130|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49140|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49141|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49150|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49160|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49170|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49180|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49190|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49191|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49194|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49200|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49210|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49212|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49213|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49220|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49230|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49240|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49241|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49250|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49260|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49270|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49280|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49288|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49290|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49291|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49300|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49310|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49320|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49328|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49330|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49340|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49342|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49343|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49350|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49360|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49370|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49380|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49390|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49400|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49410|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49411|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49420|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49421|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49430|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49440|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49450|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49451|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49460|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49470|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49480|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49490|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49500|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49510|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49520|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49522|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49530|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49540|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49550|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49551|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49560|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49561|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49563|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49565|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49570|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49580|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49590|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49600|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49620|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49621|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49622|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49641|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49650|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49660|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49661|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49670|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49680|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49690|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49700|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49701|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49710|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49711|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49712|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49720|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49730|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49740|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49750|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49770|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49771|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49780|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49790|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49791|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49800|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49801|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49810|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49820|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49830|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49838|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49840|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49850|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49860|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49870|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49880|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49890|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49891|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49892|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49900|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49910|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49920|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49921|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49930|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49950|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49951|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49960|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49961|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49962|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49970|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49980|2|N
H4694|002|000|HEALTHKEEPERS, INC.|Anthem Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49981|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49010|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49011|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49020|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49030|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49040|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49050|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49060|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49070|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49080|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49090|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49100|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49110|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49111|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49120|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49130|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49140|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49141|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49150|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49160|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49170|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49180|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49190|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49191|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49194|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49200|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49210|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49212|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49213|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49220|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49230|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49240|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49241|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49250|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49260|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49270|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49280|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49288|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49290|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49291|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49300|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49310|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49320|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49328|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49330|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49340|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49342|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49343|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49350|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49360|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49370|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49380|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49390|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49400|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49410|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49411|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49420|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49421|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49430|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49440|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49450|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49451|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49460|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49470|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49480|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49490|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49500|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49510|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49520|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49522|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49530|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49540|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49550|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49551|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49560|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49561|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49563|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49565|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49570|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49580|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49590|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49600|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49620|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49621|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49622|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49641|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49650|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49660|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49661|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49670|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49680|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49690|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49700|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49701|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49710|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49711|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49712|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49720|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49730|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49740|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49750|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49770|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49771|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49780|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49790|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49791|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49800|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49801|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49810|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49820|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49830|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49838|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49840|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49850|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49860|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49870|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49880|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49890|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49891|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49892|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49900|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49910|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49920|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49921|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49930|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49950|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49951|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49960|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49961|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49962|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49970|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49980|2|N
H4694|003|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |VA|49981|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49010|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49011|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49020|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49030|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49040|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49050|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49060|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49070|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49080|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49090|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49100|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49110|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49111|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49120|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49130|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49140|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49141|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49150|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49160|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49170|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49180|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49190|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49191|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49194|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49200|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49210|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49212|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49213|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49220|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49230|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49240|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49241|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49250|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49260|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49270|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49280|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49288|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49290|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49291|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49300|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49310|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49320|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49328|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49330|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49340|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49342|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49343|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49350|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49360|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49370|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49380|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49390|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49400|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49410|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49411|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49420|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49421|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49430|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49440|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49450|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49451|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49460|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49470|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49480|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49490|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49500|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49510|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49520|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49522|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49530|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49540|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49550|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49551|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49560|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49561|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49563|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49565|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49570|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49580|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49590|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49600|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49620|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49621|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49622|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49641|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49650|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49660|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49661|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49670|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49680|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49690|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49700|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49701|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49710|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49711|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49712|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49720|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49730|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49740|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49750|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49770|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49771|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49780|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49790|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49791|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49800|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49801|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49810|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49820|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49830|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49838|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49840|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49850|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49860|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49870|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49880|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49890|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49891|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49892|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49900|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49910|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49920|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49921|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49930|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49950|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49951|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49960|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49961|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49962|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49970|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49980|2|N
H4694|004|000|HEALTHKEEPERS, INC.|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |VA|49981|2|N
H4704|001|000|ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY|Anthem Dual Advantage (PPO D-SNP)|00025049|29.70|590| | |CA|05010|2|N
H4704|001|000|ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY|Anthem Dual Advantage (PPO D-SNP)|00025049|29.70|590| | |CA|05020|2|N
H4704|001|000|ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY|Anthem Dual Advantage (PPO D-SNP)|00025049|29.70|590| | |CA|05040|2|N
H4704|001|000|ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY|Anthem Dual Advantage (PPO D-SNP)|00025049|29.70|590| | |CA|05080|2|N
H4704|001|000|ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY|Anthem Dual Advantage (PPO D-SNP)|00025049|29.70|590| | |CA|05130|2|N
H4704|001|000|ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY|Anthem Dual Advantage (PPO D-SNP)|00025049|29.70|590| | |CA|05360|2|N
H4704|001|000|ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY|Anthem Dual Advantage (PPO D-SNP)|00025049|29.70|590| | |CA|05650|2|N
H4704|002|000|ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY|Anthem Dual Advantage 2 (PPO D-SNP)|00025049|18.60|590| | |CA|05030|2|Y
H4704|002|000|ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY|Anthem Dual Advantage 2 (PPO D-SNP)|00025049|18.60|590| | |CA|05380|2|Y
H4704|002|000|ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY|Anthem Dual Advantage 2 (PPO D-SNP)|00025049|18.60|590| | |CA|05550|2|Y
H4704|002|000|ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY|Anthem Dual Advantage 2 (PPO D-SNP)|00025049|18.60|590| | |CA|05580|2|Y
H4704|002|000|ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY|Anthem Dual Advantage 2 (PPO D-SNP)|00025049|18.60|590| | |CA|05590|2|Y
H4704|002|000|ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY|Anthem Dual Advantage 2 (PPO D-SNP)|00025049|18.60|590| | |CA|05610|2|Y
H4704|002|000|ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY|Anthem Dual Advantage 2 (PPO D-SNP)|00025049|18.60|590| | |CA|05620|2|Y
H4704|002|000|ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY|Anthem Dual Advantage 2 (PPO D-SNP)|00025049|18.60|590| | |CA|05680|2|Y
H4711|001|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NV|29010|0|N
H4711|001|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NV|29110|0|N
H4711|002|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Prime (HMO-POS)|00025101|0.00|590| | |NV|29010|0|N
H4711|002|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Prime (HMO-POS)|00025101|0.00|590| | |NV|29110|0|N
H4711|005|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NV|29000|0|N
H4711|005|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NV|29020|0|N
H4711|005|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NV|29090|0|N
H4711|005|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NV|29120|0|N
H4711|005|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NV|29140|0|N
H4711|005|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NV|29150|0|N
H4711|008|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Premier 3 (HMO-POS)|00025101|0.00|590| | |CO|06000|0|N
H4711|008|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Premier 3 (HMO-POS)|00025101|0.00|590| | |CO|06020|0|N
H4711|008|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Premier 3 (HMO-POS)|00025101|0.00|590| | |CO|06030|0|N
H4711|008|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Premier 3 (HMO-POS)|00025101|0.00|590| | |CO|06060|0|N
H4711|008|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Premier 3 (HMO-POS)|00025101|0.00|590| | |CO|06090|0|N
H4711|008|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Premier 3 (HMO-POS)|00025101|0.00|590| | |CO|06100|0|N
H4711|008|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Premier 3 (HMO-POS)|00025101|0.00|590| | |CO|06120|0|N
H4711|008|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Premier 3 (HMO-POS)|00025101|0.00|590| | |CO|06130|0|N
H4711|008|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Premier 3 (HMO-POS)|00025101|0.00|590| | |CO|06140|0|N
H4711|008|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Premier 3 (HMO-POS)|00025101|0.00|590| | |CO|06150|0|N
H4711|008|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Premier 3 (HMO-POS)|00025101|0.00|590| | |CO|06170|0|N
H4711|008|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Premier 3 (HMO-POS)|00025101|0.00|590| | |CO|06190|0|N
H4711|008|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Premier 3 (HMO-POS)|00025101|0.00|590| | |CO|06200|0|N
H4711|008|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Premier 3 (HMO-POS)|00025101|0.00|590| | |CO|06210|0|N
H4711|008|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Premier 3 (HMO-POS)|00025101|0.00|590| | |CO|06230|0|N
H4711|008|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Premier 3 (HMO-POS)|00025101|0.00|590| | |CO|06240|0|N
H4711|008|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Premier 3 (HMO-POS)|00025101|0.00|590| | |CO|06270|0|N
H4711|008|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Premier 3 (HMO-POS)|00025101|0.00|590| | |CO|06280|0|N
H4711|008|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Premier 3 (HMO-POS)|00025101|0.00|590| | |CO|06290|0|N
H4711|008|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Premier 3 (HMO-POS)|00025101|0.00|590| | |CO|06330|0|N
H4711|008|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Premier 3 (HMO-POS)|00025101|0.00|590| | |CO|06340|0|N
H4711|008|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Premier 3 (HMO-POS)|00025101|0.00|590| | |CO|06360|0|N
H4711|008|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Premier 3 (HMO-POS)|00025101|0.00|590| | |CO|06380|0|N
H4711|008|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Premier 3 (HMO-POS)|00025101|0.00|590| | |CO|06430|0|N
H4711|008|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Premier 3 (HMO-POS)|00025101|0.00|590| | |CO|06460|0|N
H4711|008|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Premier 3 (HMO-POS)|00025101|0.00|590| | |CO|06500|0|N
H4711|008|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Premier 3 (HMO-POS)|00025101|0.00|590| | |CO|06590|0|N
H4711|008|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Premier 3 (HMO-POS)|00025101|0.00|590| | |CO|06600|0|N
H4711|008|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Premier 3 (HMO-POS)|00025101|0.00|590| | |CO|06610|0|N
H4711|008|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Premier 3 (HMO-POS)|00025101|0.00|590| | |CO|06630|0|N
H4711|011|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Dual Prime (HMO D-SNP)|00025101|0.00|590| | |NV|29010|2|N
H4711|011|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Dual Prime (HMO D-SNP)|00025101|0.00|590| | |NV|29110|2|N
H4711|012|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |CO|06000|2|N
H4711|012|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |CO|06020|2|N
H4711|012|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |CO|06030|2|N
H4711|012|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |CO|06060|2|N
H4711|012|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |CO|06090|2|N
H4711|012|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |CO|06100|2|N
H4711|012|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |CO|06120|2|N
H4711|012|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |CO|06130|2|N
H4711|012|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |CO|06140|2|N
H4711|012|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |CO|06150|2|N
H4711|012|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |CO|06170|2|N
H4711|012|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |CO|06190|2|N
H4711|012|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |CO|06200|2|N
H4711|012|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |CO|06210|2|N
H4711|012|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |CO|06230|2|N
H4711|012|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |CO|06240|2|N
H4711|012|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |CO|06270|2|N
H4711|012|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |CO|06280|2|N
H4711|012|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |CO|06290|2|N
H4711|012|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |CO|06330|2|N
H4711|012|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |CO|06340|2|N
H4711|012|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |CO|06360|2|N
H4711|012|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |CO|06380|2|N
H4711|012|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |CO|06430|2|N
H4711|012|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |CO|06460|2|N
H4711|012|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |CO|06500|2|N
H4711|012|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |CO|06590|2|N
H4711|012|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |CO|06600|2|N
H4711|012|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |CO|06610|2|N
H4711|012|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |CO|06630|2|N
H4711|013|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |NV|29000|2|N
H4711|013|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |NV|29020|2|N
H4711|013|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |NV|29090|2|N
H4711|013|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |NV|29120|2|N
H4711|013|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |NV|29140|2|N
H4711|013|000|COVENTRY HEALTH CARE OF NEBRASKA, INC.|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |NV|29150|2|N
H4733|001|000|COMMUNITY HEALTH GROUP|CommuniCare Advantage (HMO D-SNP)|00025200|0.00|590| | |CA|05470|2|N
H4739|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care (HMO D-SNP)|00025400|0.00|590| | |SC|42000|2|N
H4739|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care (HMO D-SNP)|00025400|0.00|590| | |SC|42010|2|N
H4739|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care (HMO D-SNP)|00025400|0.00|590| | |SC|42020|2|N
H4739|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care (HMO D-SNP)|00025400|0.00|590| | |SC|42030|2|N
H4739|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care (HMO D-SNP)|00025400|0.00|590| | |SC|42040|2|N
H4739|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care (HMO D-SNP)|00025400|0.00|590| | |SC|42050|2|N
H4739|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care (HMO D-SNP)|00025400|0.00|590| | |SC|42060|2|N
H4739|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care (HMO D-SNP)|00025400|0.00|590| | |SC|42070|2|N
H4739|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care (HMO D-SNP)|00025400|0.00|590| | |SC|42080|2|N
H4739|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care (HMO D-SNP)|00025400|0.00|590| | |SC|42090|2|N
H4739|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care (HMO D-SNP)|00025400|0.00|590| | |SC|42100|2|N
H4739|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care (HMO D-SNP)|00025400|0.00|590| | |SC|42110|2|N
H4739|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care (HMO D-SNP)|00025400|0.00|590| | |SC|42120|2|N
H4739|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care (HMO D-SNP)|00025400|0.00|590| | |SC|42130|2|N
H4739|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care (HMO D-SNP)|00025400|0.00|590| | |SC|42140|2|N
H4739|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care (HMO D-SNP)|00025400|0.00|590| | |SC|42160|2|N
H4739|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care (HMO D-SNP)|00025400|0.00|590| | |SC|42170|2|N
H4739|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care (HMO D-SNP)|00025400|0.00|590| | |SC|42180|2|N
H4739|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care (HMO D-SNP)|00025400|0.00|590| | |SC|42190|2|N
H4739|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care (HMO D-SNP)|00025400|0.00|590| | |SC|42200|2|N
H4739|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care (HMO D-SNP)|00025400|0.00|590| | |SC|42210|2|N
H4739|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care (HMO D-SNP)|00025400|0.00|590| | |SC|42220|2|N
H4739|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care (HMO D-SNP)|00025400|0.00|590| | |SC|42230|2|N
H4739|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care (HMO D-SNP)|00025400|0.00|590| | |SC|42240|2|N
H4739|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care (HMO D-SNP)|00025400|0.00|590| | |SC|42250|2|N
H4739|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care (HMO D-SNP)|00025400|0.00|590| | |SC|42260|2|N
H4739|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care (HMO D-SNP)|00025400|0.00|590| | |SC|42270|2|N
H4739|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care (HMO D-SNP)|00025400|0.00|590| | |SC|42280|2|N
H4739|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care (HMO D-SNP)|00025400|0.00|590| | |SC|42290|2|N
H4739|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care (HMO D-SNP)|00025400|0.00|590| | |SC|42300|2|N
H4739|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care (HMO D-SNP)|00025400|0.00|590| | |SC|42310|2|N
H4739|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care (HMO D-SNP)|00025400|0.00|590| | |SC|42320|2|N
H4739|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care (HMO D-SNP)|00025400|0.00|590| | |SC|42330|2|N
H4739|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care (HMO D-SNP)|00025400|0.00|590| | |SC|42340|2|N
H4739|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care (HMO D-SNP)|00025400|0.00|590| | |SC|42350|2|N
H4739|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care (HMO D-SNP)|00025400|0.00|590| | |SC|42360|2|N
H4739|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care (HMO D-SNP)|00025400|0.00|590| | |SC|42370|2|N
H4739|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care (HMO D-SNP)|00025400|0.00|590| | |SC|42380|2|N
H4739|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care (HMO D-SNP)|00025400|0.00|590| | |SC|42390|2|N
H4739|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care (HMO D-SNP)|00025400|0.00|590| | |SC|42400|2|N
H4739|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care (HMO D-SNP)|00025400|0.00|590| | |SC|42410|2|N
H4739|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care (HMO D-SNP)|00025400|0.00|590| | |SC|42420|2|N
H4739|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care (HMO D-SNP)|00025400|0.00|590| | |SC|42430|2|N
H4739|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care (HMO D-SNP)|00025400|0.00|590| | |SC|42440|2|N
H4739|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care (HMO D-SNP)|00025400|0.00|590| | |SC|42450|2|N
H4754|004|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Explorer Rx 4 (PPO)|00025521|79.30|250| | |OR|38190|0|N
H4754|018|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Explorer Rx 18 (PPO)|00025521|29.00|499| | |ID|13000|0|N
H4754|018|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Explorer Rx 18 (PPO)|00025521|29.00|499| | |ID|13060|0|N
H4754|018|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Explorer Rx 18 (PPO)|00025521|29.00|499| | |ID|13070|0|N
H4754|018|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Explorer Rx 18 (PPO)|00025521|29.00|499| | |ID|13080|0|N
H4754|018|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Explorer Rx 18 (PPO)|00025521|29.00|499| | |ID|13100|0|N
H4754|018|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Explorer Rx 18 (PPO)|00025521|29.00|499| | |ID|13120|0|N
H4754|018|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Explorer Rx 18 (PPO)|00025521|29.00|499| | |ID|13130|0|N
H4754|018|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Explorer Rx 18 (PPO)|00025521|29.00|499| | |ID|13190|0|N
H4754|018|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Explorer Rx 18 (PPO)|00025521|29.00|499| | |ID|13220|0|N
H4754|018|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Explorer Rx 18 (PPO)|00025521|29.00|499| | |ID|13230|0|N
H4754|018|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Explorer Rx 18 (PPO)|00025521|29.00|499| | |ID|13260|0|N
H4754|018|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Explorer Rx 18 (PPO)|00025521|29.00|499| | |ID|13270|0|N
H4754|018|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Explorer Rx 18 (PPO)|00025521|29.00|499| | |ID|13310|0|N
H4754|018|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Explorer Rx 18 (PPO)|00025521|29.00|499| | |ID|13360|0|N
H4754|018|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Explorer Rx 18 (PPO)|00025521|29.00|499| | |ID|13370|0|N
H4754|018|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Explorer Rx 18 (PPO)|00025521|29.00|499| | |ID|13410|0|N
H4754|018|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Explorer Rx 18 (PPO)|00025521|29.00|499| | |ID|13420|0|N
H4754|018|000|PACIFICSOURCE COMMUNITY HEALTH PLANS|PacificSource Medicare Explorer Rx 18 (PPO)|00025521|29.00|499| | |MT|27550|0|N
H4801|002|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025443|0.00|250| | |TX|45310|0|N
H4801|002|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025443|0.00|250| | |TX|45390|0|N
H4801|002|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025443|0.00|250| | |TX|45410|0|N
H4801|002|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025443|0.00|250| | |TX|45530|0|N
H4801|002|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025443|0.00|250| | |TX|45550|0|N
H4801|002|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025443|0.00|250| | |TX|45564|0|N
H4801|002|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025443|0.00|250| | |TX|45610|0|N
H4801|002|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025443|0.00|250| | |TX|45670|0|N
H4801|002|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025443|0.00|250| | |TX|45700|0|N
H4801|002|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025443|0.00|250| | |TX|45730|0|N
H4801|002|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025443|0.00|250| | |TX|45757|0|N
H4801|002|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025443|0.00|250| | |TX|45800|0|N
H4801|002|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025443|0.00|250| | |TX|45801|0|N
H4801|002|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025443|0.00|250| | |TX|45910|0|N
H4801|002|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025443|0.00|250| | |TX|45940|0|N
H4801|002|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025443|0.00|250| | |TX|45970|0|N
H4801|002|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025443|0.00|250| | |TX|45973|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37000|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37010|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37020|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37050|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37060|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37070|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37080|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37090|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37100|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37130|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37140|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37150|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37160|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37170|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37180|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37190|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37210|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37230|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37240|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37250|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37260|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37270|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37280|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37310|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37320|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37330|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37340|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37350|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37360|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37370|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37400|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37410|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37420|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37430|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37450|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37460|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37470|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37480|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37490|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37500|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37510|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37520|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37530|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37540|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37550|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37560|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37580|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37590|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37600|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37610|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37620|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37630|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37650|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37660|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37680|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37700|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37710|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37720|0|N
H4801|007|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |OK|37730|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45000|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45010|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45030|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45040|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45050|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45070|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45080|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45110|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45113|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45120|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45130|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45140|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45150|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45160|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45170|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45180|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45190|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45200|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45201|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45210|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45221|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45224|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45240|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45250|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45251|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45260|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45270|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45281|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45290|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45291|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45292|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45300|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45301|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45330|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45341|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45360|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45362|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45370|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45380|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45391|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45392|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45400|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45420|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45421|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45430|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45431|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45440|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45451|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45460|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45470|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45480|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45490|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45500|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45520|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45521|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45522|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45531|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45540|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45541|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45542|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45551|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45552|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45560|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45561|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45570|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45580|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45582|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45583|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45590|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45591|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45592|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45620|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45621|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45630|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45640|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45650|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45652|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45654|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45660|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45661|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45662|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45671|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45672|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45680|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45681|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45691|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45710|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45711|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45722|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45732|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45733|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45740|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45741|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45742|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45743|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45744|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45750|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45751|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45753|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45754|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45756|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45758|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45760|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45762|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45770|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45771|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45772|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45780|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45782|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45783|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45784|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45785|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45791|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45793|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45794|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45796|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45797|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45802|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45803|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45804|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45810|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45830|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45832|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45840|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45841|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45842|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45843|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45845|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45850|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45860|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45861|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45870|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45871|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45872|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45874|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45875|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45876|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45877|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45878|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45880|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45881|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45883|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45884|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45885|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45886|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45887|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45889|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45890|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45891|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45892|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45893|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45900|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45901|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45902|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45903|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45904|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45905|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45913|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45920|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45921|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45930|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45941|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45942|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45943|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45944|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45945|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45947|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45948|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45949|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45950|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45952|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45953|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45955|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45962|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45972|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45974|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45980|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45981|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45982|0|N
H4801|011|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Complete (PPO)|00025443|0.00|0| | |TX|45983|0|N
H4801|015|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |TX|45310|0|N
H4801|015|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |TX|45390|0|N
H4801|015|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |TX|45410|0|N
H4801|015|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |TX|45910|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45000|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45010|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45030|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45040|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45050|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45070|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45080|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45110|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45113|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45120|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45130|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45140|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45150|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45160|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45170|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45180|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45190|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45200|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45201|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45210|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45221|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45224|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45240|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45250|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45251|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45260|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45270|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45281|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45290|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45291|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45292|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45300|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45301|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45310|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45330|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45341|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45360|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45362|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45370|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45380|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45390|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45391|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45392|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45400|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45410|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45420|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45421|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45430|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45431|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45440|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45451|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45460|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45470|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45480|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45490|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45500|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45520|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45521|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45522|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45530|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45531|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45540|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45541|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45542|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45550|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45551|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45552|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45560|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45561|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45564|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45570|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45580|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45582|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45583|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45590|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45591|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45592|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45610|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45620|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45621|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45630|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45640|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45650|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45652|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45654|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45660|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45661|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45662|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45670|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45671|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45672|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45680|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45681|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45691|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45700|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45710|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45711|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45722|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45730|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45732|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45733|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45740|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45741|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45742|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45743|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45744|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45750|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45751|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45753|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45754|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45756|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45757|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45758|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45760|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45762|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45770|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45771|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45772|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45780|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45782|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45783|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45784|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45785|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45791|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45793|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45794|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45796|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45797|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45800|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45801|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45802|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45803|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45804|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45810|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45830|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45832|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45840|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45841|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45842|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45843|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45845|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45850|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45860|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45861|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45870|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45871|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45872|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45874|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45875|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45876|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45877|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45878|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45880|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45881|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45883|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45884|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45885|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45886|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45887|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45889|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45890|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45891|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45892|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45893|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45900|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45901|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45902|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45903|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45904|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45905|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45910|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45913|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45920|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45921|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45930|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45940|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45941|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45942|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45943|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45944|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45945|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45947|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45948|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45949|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45950|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45952|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45953|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45955|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45962|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45970|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45972|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45973|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45974|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45980|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45981|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45982|0|N
H4801|016|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |TX|45983|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45000|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45010|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45030|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45040|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45050|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45070|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45080|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45110|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45113|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45120|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45130|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45140|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45150|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45160|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45170|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45180|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45190|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45200|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45201|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45210|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45221|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45224|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45240|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45250|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45251|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45260|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45270|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45281|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45290|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45291|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45292|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45300|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45301|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45310|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45330|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45341|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45360|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45362|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45370|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45380|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45390|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45391|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45392|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45400|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45410|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45420|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45421|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45430|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45431|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45440|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45451|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45460|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45470|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45480|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45490|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45500|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45520|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45521|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45522|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45530|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45531|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45540|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45541|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45542|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45550|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45551|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45552|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45560|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45561|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45564|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45570|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45580|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45582|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45583|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45590|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45591|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45592|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45610|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45620|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45621|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45630|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45640|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45650|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45652|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45654|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45660|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45661|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45662|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45670|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45671|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45672|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45680|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45681|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45691|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45700|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45710|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45711|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45722|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45730|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45732|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45733|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45740|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45741|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45742|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45743|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45744|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45750|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45751|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45753|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45754|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45756|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45757|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45758|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45760|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45762|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45770|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45771|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45772|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45780|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45782|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45783|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45784|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45785|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45791|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45793|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45794|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45796|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45797|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45800|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45801|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45802|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45803|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45804|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45810|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45830|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45832|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45840|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45841|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45842|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45843|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45845|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45850|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45860|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45861|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45870|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45871|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45872|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45874|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45875|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45876|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45877|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45878|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45880|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45881|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45883|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45884|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45885|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45886|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45887|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45889|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45890|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45891|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45892|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45893|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45900|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45901|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45902|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45903|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45904|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45905|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45910|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45913|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45920|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45921|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45930|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45940|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45941|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45942|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45943|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45944|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45945|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45947|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45948|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45949|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45950|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45952|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45953|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45955|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45962|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45970|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45972|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45973|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45974|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45980|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45981|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45982|0|N
H4801|018|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |TX|45983|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37000|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37010|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37020|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37050|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37060|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37070|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37080|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37090|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37100|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37130|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37140|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37150|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37160|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37170|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37180|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37190|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37210|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37230|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37240|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37250|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37260|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37270|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37280|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37310|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37320|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37330|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37340|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37350|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37360|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37370|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37400|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37410|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37420|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37430|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37450|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37460|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37470|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37480|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37490|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37500|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37510|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37520|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37530|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37540|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37550|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37560|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37580|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37590|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37600|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37610|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37620|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37630|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37650|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37660|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37680|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37700|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37710|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37720|0|N
H4801|021|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |OK|37730|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37000|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37010|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37020|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37050|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37060|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37070|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37080|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37090|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37100|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37130|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37140|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37150|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37160|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37170|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37180|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37190|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37210|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37230|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37240|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37250|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37260|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37270|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37280|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37310|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37320|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37330|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37340|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37350|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37360|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37370|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37400|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37410|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37420|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37430|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37450|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37460|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37470|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37480|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37490|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37500|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37510|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37520|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37530|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37540|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37550|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37560|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37580|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37590|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37600|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37610|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37620|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37630|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37650|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37660|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37680|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37700|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37710|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37720|0|N
H4801|022|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |OK|37730|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37000|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37010|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37020|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37050|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37060|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37070|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37080|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37090|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37100|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37130|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37140|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37150|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37160|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37170|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37180|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37190|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37210|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37230|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37240|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37250|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37260|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37270|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37280|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37310|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37320|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37330|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37340|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37350|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37360|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37370|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37400|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37410|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37420|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37430|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37450|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37460|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37470|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37480|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37490|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37500|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37510|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37520|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37530|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37540|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37550|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37560|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37580|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37590|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37600|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37610|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37620|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37630|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37650|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37660|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37680|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37700|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37710|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37720|0|N
H4801|023|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Balance (PPO)|00025445|75.00|250| | |OK|37730|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37000|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37010|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37020|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37050|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37060|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37070|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37080|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37090|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37100|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37130|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37140|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37150|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37160|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37170|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37180|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37190|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37210|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37230|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37240|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37250|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37260|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37270|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37280|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37310|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37320|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37330|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37340|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37350|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37360|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37370|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37400|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37410|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37420|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37430|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37450|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37460|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37470|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37480|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37490|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37500|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37510|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37520|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37530|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37540|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37550|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37560|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37580|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37590|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37600|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37610|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37620|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37630|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37650|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37660|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37680|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37700|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37710|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37720|0|N
H4801|024|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Optimum (PPO)|00025445|76.10|0| | |OK|37730|0|N
H4808|001|000|DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC|Devoted CHOICE Colorado (PPO)|00025185|0.00|590| | |CO|06070|0|N
H4808|001|000|DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC|Devoted CHOICE Colorado (PPO)|00025185|0.00|590| | |CO|06120|0|N
H4808|001|000|DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC|Devoted CHOICE Colorado (PPO)|00025185|0.00|590| | |CO|06130|0|N
H4808|001|000|DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC|Devoted CHOICE Colorado (PPO)|00025185|0.00|590| | |CO|06200|0|N
H4808|001|000|DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC|Devoted CHOICE Colorado (PPO)|00025185|0.00|590| | |CO|06210|0|N
H4808|001|000|DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC|Devoted CHOICE Colorado (PPO)|00025185|0.00|590| | |CO|06240|0|N
H4808|001|000|DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC|Devoted CHOICE Colorado (PPO)|00025185|0.00|590| | |CO|06270|0|N
H4808|001|000|DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC|Devoted CHOICE Colorado (PPO)|00025185|0.00|590| | |CO|06280|0|N
H4808|001|000|DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC|Devoted CHOICE Colorado (PPO)|00025185|0.00|590| | |CO|06340|0|N
H4808|001|000|DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC|Devoted CHOICE Colorado (PPO)|00025185|0.00|590| | |CO|06360|0|N
H4808|001|000|DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC|Devoted CHOICE Colorado (PPO)|00025185|0.00|590| | |CO|06500|0|N
H4808|001|000|DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC|Devoted CHOICE Colorado (PPO)|00025185|0.00|590| | |CO|06540|0|N
H4808|001|000|DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC|Devoted CHOICE Colorado (PPO)|00025185|0.00|590| | |CO|06590|0|N
H4808|001|000|DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC|Devoted CHOICE Colorado (PPO)|00025185|0.00|590| | |CO|06600|0|N
H4808|001|000|DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC|Devoted CHOICE Colorado (PPO)|00025185|0.00|590| | |CO|06610|0|N
H4808|002|000|DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC|Devoted CHOICE Colorado (PPO)|00025185|0.00|590| | |CO|06000|0|N
H4808|002|000|DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC|Devoted CHOICE Colorado (PPO)|00025185|0.00|590| | |CO|06020|0|N
H4808|002|000|DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC|Devoted CHOICE Colorado (PPO)|00025185|0.00|590| | |CO|06060|0|N
H4808|002|000|DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC|Devoted CHOICE Colorado (PPO)|00025185|0.00|590| | |CO|06090|0|N
H4808|002|000|DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC|Devoted CHOICE Colorado (PPO)|00025185|0.00|590| | |CO|06150|0|N
H4808|002|000|DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC|Devoted CHOICE Colorado (PPO)|00025185|0.00|590| | |CO|06170|0|N
H4808|002|000|DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC|Devoted CHOICE Colorado (PPO)|00025185|0.00|590| | |CO|06190|0|N
H4808|002|000|DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC|Devoted CHOICE Colorado (PPO)|00025185|0.00|590| | |CO|06230|0|N
H4808|002|000|DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC|Devoted CHOICE Colorado (PPO)|00025185|0.00|590| | |CO|06290|0|N
H4808|002|000|DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC|Devoted CHOICE Colorado (PPO)|00025185|0.00|590| | |CO|06460|0|N
H4808|002|000|DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC|Devoted CHOICE Colorado (PPO)|00025185|0.00|590| | |CO|06630|0|N
H4808|003|000|DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC|Devoted CHOICE GIVEBACK Colorado (PPO)|00025185|0.00|590| | |CO|06000|0|N
H4808|003|000|DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC|Devoted CHOICE GIVEBACK Colorado (PPO)|00025185|0.00|590| | |CO|06020|0|N
H4808|003|000|DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC|Devoted CHOICE GIVEBACK Colorado (PPO)|00025185|0.00|590| | |CO|06060|0|N
H4808|003|000|DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC|Devoted CHOICE GIVEBACK Colorado (PPO)|00025185|0.00|590| | |CO|06070|0|N
H4808|003|000|DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC|Devoted CHOICE GIVEBACK Colorado (PPO)|00025185|0.00|590| | |CO|06090|0|N
H4808|003|000|DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC|Devoted CHOICE GIVEBACK Colorado (PPO)|00025185|0.00|590| | |CO|06120|0|N
H4808|003|000|DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC|Devoted CHOICE GIVEBACK Colorado (PPO)|00025185|0.00|590| | |CO|06130|0|N
H4808|003|000|DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC|Devoted CHOICE GIVEBACK Colorado (PPO)|00025185|0.00|590| | |CO|06150|0|N
H4808|003|000|DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC|Devoted CHOICE GIVEBACK Colorado (PPO)|00025185|0.00|590| | |CO|06170|0|N
H4808|003|000|DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC|Devoted CHOICE GIVEBACK Colorado (PPO)|00025185|0.00|590| | |CO|06190|0|N
H4808|003|000|DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC|Devoted CHOICE GIVEBACK Colorado (PPO)|00025185|0.00|590| | |CO|06200|0|N
H4808|003|000|DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC|Devoted CHOICE GIVEBACK Colorado (PPO)|00025185|0.00|590| | |CO|06210|0|N
H4808|003|000|DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC|Devoted CHOICE GIVEBACK Colorado (PPO)|00025185|0.00|590| | |CO|06230|0|N
H4808|003|000|DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC|Devoted CHOICE GIVEBACK Colorado (PPO)|00025185|0.00|590| | |CO|06240|0|N
H4808|003|000|DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC|Devoted CHOICE GIVEBACK Colorado (PPO)|00025185|0.00|590| | |CO|06270|0|N
H4808|003|000|DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC|Devoted CHOICE GIVEBACK Colorado (PPO)|00025185|0.00|590| | |CO|06280|0|N
H4808|003|000|DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC|Devoted CHOICE GIVEBACK Colorado (PPO)|00025185|0.00|590| | |CO|06290|0|N
H4808|003|000|DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC|Devoted CHOICE GIVEBACK Colorado (PPO)|00025185|0.00|590| | |CO|06340|0|N
H4808|003|000|DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC|Devoted CHOICE GIVEBACK Colorado (PPO)|00025185|0.00|590| | |CO|06360|0|N
H4808|003|000|DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC|Devoted CHOICE GIVEBACK Colorado (PPO)|00025185|0.00|590| | |CO|06460|0|N
H4808|003|000|DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC|Devoted CHOICE GIVEBACK Colorado (PPO)|00025185|0.00|590| | |CO|06500|0|N
H4808|003|000|DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC|Devoted CHOICE GIVEBACK Colorado (PPO)|00025185|0.00|590| | |CO|06540|0|N
H4808|003|000|DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC|Devoted CHOICE GIVEBACK Colorado (PPO)|00025185|0.00|590| | |CO|06590|0|N
H4808|003|000|DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC|Devoted CHOICE GIVEBACK Colorado (PPO)|00025185|0.00|590| | |CO|06600|0|N
H4808|003|000|DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC|Devoted CHOICE GIVEBACK Colorado (PPO)|00025185|0.00|590| | |CO|06610|0|N
H4808|003|000|DEVOTED HEALTH INSURANCE COMPANY OF COLORADO INC|Devoted CHOICE GIVEBACK Colorado (PPO)|00025185|0.00|590| | |CO|06630|0|N
H4835|001|000|AETNA BETTER HEALTH OF OKLAHOMA INC.|Aetna Medicare Prime Plus (HMO-POS)|00025101|0.00|590| | |AZ|03060|0|N
H4835|002|000|AETNA BETTER HEALTH OF OKLAHOMA INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |AZ|03060|0|N
H4835|004|000|AETNA BETTER HEALTH OF OKLAHOMA INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |AZ|03090|0|N
H4835|005|000|AETNA BETTER HEALTH OF OKLAHOMA INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |AZ|03020|0|N
H4835|005|000|AETNA BETTER HEALTH OF OKLAHOMA INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |AZ|03070|0|N
H4835|005|000|AETNA BETTER HEALTH OF OKLAHOMA INC.|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |AZ|03120|0|N
H4847|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |SC|42000|0|N
H4847|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |SC|42010|0|N
H4847|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |SC|42020|0|N
H4847|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |SC|42030|0|N
H4847|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |SC|42040|0|N
H4847|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |SC|42050|0|N
H4847|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |SC|42060|0|N
H4847|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |SC|42070|0|N
H4847|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |SC|42080|0|N
H4847|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |SC|42090|0|N
H4847|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |SC|42100|0|N
H4847|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |SC|42110|0|N
H4847|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |SC|42120|0|N
H4847|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |SC|42130|0|N
H4847|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |SC|42140|0|N
H4847|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |SC|42150|0|N
H4847|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |SC|42160|0|N
H4847|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |SC|42170|0|N
H4847|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |SC|42180|0|N
H4847|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |SC|42190|0|N
H4847|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |SC|42200|0|N
H4847|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |SC|42210|0|N
H4847|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |SC|42220|0|N
H4847|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |SC|42230|0|N
H4847|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |SC|42240|0|N
H4847|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |SC|42250|0|N
H4847|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |SC|42260|0|N
H4847|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |SC|42270|0|N
H4847|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |SC|42280|0|N
H4847|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |SC|42290|0|N
H4847|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |SC|42300|0|N
H4847|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |SC|42310|0|N
H4847|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |SC|42320|0|N
H4847|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |SC|42330|0|N
H4847|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |SC|42340|0|N
H4847|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |SC|42350|0|N
H4847|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |SC|42360|0|N
H4847|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |SC|42370|0|N
H4847|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |SC|42380|0|N
H4847|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |SC|42390|0|N
H4847|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |SC|42400|0|N
H4847|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |SC|42410|0|N
H4847|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |SC|42420|0|N
H4847|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |SC|42430|0|N
H4847|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |SC|42440|0|N
H4847|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |SC|42450|0|N
H4847|004|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |SC|42000|2|N
H4847|004|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |SC|42010|2|N
H4847|004|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |SC|42020|2|N
H4847|004|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |SC|42030|2|N
H4847|004|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |SC|42040|2|N
H4847|004|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |SC|42050|2|N
H4847|004|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |SC|42060|2|N
H4847|004|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |SC|42070|2|N
H4847|004|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |SC|42080|2|N
H4847|004|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |SC|42090|2|N
H4847|004|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |SC|42100|2|N
H4847|004|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |SC|42110|2|N
H4847|004|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |SC|42120|2|N
H4847|004|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |SC|42130|2|N
H4847|004|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |SC|42140|2|N
H4847|004|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |SC|42150|2|N
H4847|004|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |SC|42160|2|N
H4847|004|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |SC|42170|2|N
H4847|004|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |SC|42180|2|N
H4847|004|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |SC|42190|2|N
H4847|004|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |SC|42200|2|N
H4847|004|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |SC|42210|2|N
H4847|004|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |SC|42220|2|N
H4847|004|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |SC|42230|2|N
H4847|004|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |SC|42240|2|N
H4847|004|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |SC|42250|2|N
H4847|004|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |SC|42260|2|N
H4847|004|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |SC|42270|2|N
H4847|004|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |SC|42280|2|N
H4847|004|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |SC|42290|2|N
H4847|004|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |SC|42300|2|N
H4847|004|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |SC|42310|2|N
H4847|004|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |SC|42320|2|N
H4847|004|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |SC|42330|2|N
H4847|004|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |SC|42340|2|N
H4847|004|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |SC|42350|2|N
H4847|004|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |SC|42360|2|N
H4847|004|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |SC|42370|2|N
H4847|004|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |SC|42380|2|N
H4847|004|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |SC|42390|2|N
H4847|004|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |SC|42400|2|N
H4847|004|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |SC|42410|2|N
H4847|004|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |SC|42420|2|N
H4847|004|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |SC|42430|2|N
H4847|004|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |SC|42440|2|N
H4847|004|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |SC|42450|2|N
H4847|005|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist (HMO-POS)|00025066|28.90|450| | |SC|42000|0|N
H4847|005|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist (HMO-POS)|00025066|28.90|450| | |SC|42010|0|N
H4847|005|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist (HMO-POS)|00025066|28.90|450| | |SC|42020|0|N
H4847|005|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist (HMO-POS)|00025066|28.90|450| | |SC|42030|0|N
H4847|005|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist (HMO-POS)|00025066|28.90|450| | |SC|42040|0|N
H4847|005|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist (HMO-POS)|00025066|28.90|450| | |SC|42050|0|N
H4847|005|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist (HMO-POS)|00025066|28.90|450| | |SC|42060|0|N
H4847|005|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist (HMO-POS)|00025066|28.90|450| | |SC|42070|0|N
H4847|005|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist (HMO-POS)|00025066|28.90|450| | |SC|42080|0|N
H4847|005|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist (HMO-POS)|00025066|28.90|450| | |SC|42090|0|N
H4847|005|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist (HMO-POS)|00025066|28.90|450| | |SC|42100|0|N
H4847|005|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist (HMO-POS)|00025066|28.90|450| | |SC|42110|0|N
H4847|005|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist (HMO-POS)|00025066|28.90|450| | |SC|42120|0|N
H4847|005|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist (HMO-POS)|00025066|28.90|450| | |SC|42130|0|N
H4847|005|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist (HMO-POS)|00025066|28.90|450| | |SC|42140|0|N
H4847|005|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist (HMO-POS)|00025066|28.90|450| | |SC|42150|0|N
H4847|005|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist (HMO-POS)|00025066|28.90|450| | |SC|42160|0|N
H4847|005|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist (HMO-POS)|00025066|28.90|450| | |SC|42170|0|N
H4847|005|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist (HMO-POS)|00025066|28.90|450| | |SC|42180|0|N
H4847|005|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist (HMO-POS)|00025066|28.90|450| | |SC|42190|0|N
H4847|005|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist (HMO-POS)|00025066|28.90|450| | |SC|42200|0|N
H4847|005|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist (HMO-POS)|00025066|28.90|450| | |SC|42210|0|N
H4847|005|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist (HMO-POS)|00025066|28.90|450| | |SC|42220|0|N
H4847|005|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist (HMO-POS)|00025066|28.90|450| | |SC|42230|0|N
H4847|005|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist (HMO-POS)|00025066|28.90|450| | |SC|42240|0|N
H4847|005|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist (HMO-POS)|00025066|28.90|450| | |SC|42250|0|N
H4847|005|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist (HMO-POS)|00025066|28.90|450| | |SC|42260|0|N
H4847|005|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist (HMO-POS)|00025066|28.90|450| | |SC|42270|0|N
H4847|005|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist (HMO-POS)|00025066|28.90|450| | |SC|42280|0|N
H4847|005|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist (HMO-POS)|00025066|28.90|450| | |SC|42290|0|N
H4847|005|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist (HMO-POS)|00025066|28.90|450| | |SC|42300|0|N
H4847|005|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist (HMO-POS)|00025066|28.90|450| | |SC|42310|0|N
H4847|005|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist (HMO-POS)|00025066|28.90|450| | |SC|42320|0|N
H4847|005|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist (HMO-POS)|00025066|28.90|450| | |SC|42330|0|N
H4847|005|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist (HMO-POS)|00025066|28.90|450| | |SC|42340|0|N
H4847|005|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist (HMO-POS)|00025066|28.90|450| | |SC|42350|0|N
H4847|005|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist (HMO-POS)|00025066|28.90|450| | |SC|42360|0|N
H4847|005|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist (HMO-POS)|00025066|28.90|450| | |SC|42370|0|N
H4847|005|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist (HMO-POS)|00025066|28.90|450| | |SC|42380|0|N
H4847|005|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist (HMO-POS)|00025066|28.90|450| | |SC|42390|0|N
H4847|005|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist (HMO-POS)|00025066|28.90|450| | |SC|42400|0|N
H4847|005|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist (HMO-POS)|00025066|28.90|450| | |SC|42410|0|N
H4847|005|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist (HMO-POS)|00025066|28.90|450| | |SC|42420|0|N
H4847|005|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist (HMO-POS)|00025066|28.90|450| | |SC|42430|0|N
H4847|005|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist (HMO-POS)|00025066|28.90|450| | |SC|42440|0|N
H4847|005|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist (HMO-POS)|00025066|28.90|450| | |SC|42450|0|N
H4868|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33000|2|N
H4868|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33030|2|N
H4868|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33230|2|N
H4868|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33240|2|N
H4868|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33370|2|N
H4868|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33500|2|N
H4868|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33510|2|N
H4868|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33520|2|N
H4868|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33540|2|N
H4868|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33600|2|N
H4868|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33620|2|N
H4868|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33640|2|N
H4868|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33650|2|N
H4868|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33700|2|N
H4868|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33740|2|N
H4868|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33770|2|N
H4868|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33800|2|N
H4868|014|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |NY|33020|2|N
H4868|014|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |NY|33331|2|N
H4868|014|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |NY|33400|2|N
H4868|014|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |NY|33420|2|N
H4868|014|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |NY|33590|2|N
H4868|014|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |NY|33610|2|N
H4868|016|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Assist (HMO-POS)|00025066|51.80|590| | |NY|33020|0|N
H4868|016|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Assist (HMO-POS)|00025066|51.80|590| | |NY|33290|0|N
H4868|016|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Assist (HMO-POS)|00025066|51.80|590| | |NY|33331|0|N
H4868|016|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Assist (HMO-POS)|00025066|51.80|590| | |NY|33350|0|N
H4868|016|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Assist (HMO-POS)|00025066|51.80|590| | |NY|33360|0|N
H4868|016|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Assist (HMO-POS)|00025066|51.80|590| | |NY|33420|0|N
H4868|016|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Assist (HMO-POS)|00025066|51.80|590| | |NY|33590|0|N
H4868|016|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Assist (HMO-POS)|00025066|51.80|590| | |NY|33610|0|N
H4868|016|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Assist (HMO-POS)|00025066|51.80|590| | |NY|33700|0|N
H4868|016|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Assist (HMO-POS)|00025066|51.80|590| | |NY|33730|0|N
H4868|019|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NY|33000|0|N
H4868|019|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NY|33020|0|N
H4868|019|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NY|33030|0|N
H4868|019|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NY|33050|0|N
H4868|019|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NY|33080|0|N
H4868|019|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NY|33210|0|N
H4868|019|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NY|33230|0|N
H4868|019|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NY|33240|0|N
H4868|019|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NY|33290|0|N
H4868|019|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NY|33330|0|N
H4868|019|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NY|33331|0|N
H4868|019|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NY|33350|0|N
H4868|019|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NY|33360|0|N
H4868|019|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NY|33370|0|N
H4868|019|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NY|33400|0|N
H4868|019|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NY|33420|0|N
H4868|019|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NY|33500|0|N
H4868|019|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NY|33510|0|N
H4868|019|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NY|33520|0|N
H4868|019|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NY|33540|0|N
H4868|019|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NY|33590|0|N
H4868|019|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NY|33600|0|N
H4868|019|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NY|33610|0|N
H4868|019|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NY|33620|0|N
H4868|019|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NY|33640|0|N
H4868|019|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NY|33650|0|N
H4868|019|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NY|33700|0|N
H4868|019|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NY|33730|0|N
H4868|019|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NY|33740|0|N
H4868|019|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NY|33770|0|N
H4868|019|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |NY|33800|0|N
H4869|001|000|GOLD KIDNEY OF ARIZONA|Gold Heart & Diabetes (HMO-POS C-SNP)|00025216|0.00|0| | |AZ|03030|1|N
H4869|001|000|GOLD KIDNEY OF ARIZONA|Gold Heart & Diabetes (HMO-POS C-SNP)|00025216|0.00|0| | |AZ|03060|1|N
H4869|001|000|GOLD KIDNEY OF ARIZONA|Gold Heart & Diabetes (HMO-POS C-SNP)|00025216|0.00|0| | |AZ|03090|1|N
H4869|001|000|GOLD KIDNEY OF ARIZONA|Gold Heart & Diabetes (HMO-POS C-SNP)|00025216|0.00|0| | |AZ|03100|1|N
H4869|002|000|GOLD KIDNEY OF ARIZONA|Gold Heart & Diabetes Complete (HMO-POS C-SNP)|00025318|10.90|590| | |AZ|03030|1|N
H4869|002|000|GOLD KIDNEY OF ARIZONA|Gold Heart & Diabetes Complete (HMO-POS C-SNP)|00025318|10.90|590| | |AZ|03060|1|N
H4869|002|000|GOLD KIDNEY OF ARIZONA|Gold Heart & Diabetes Complete (HMO-POS C-SNP)|00025318|10.90|590| | |AZ|03090|1|N
H4869|002|000|GOLD KIDNEY OF ARIZONA|Gold Heart & Diabetes Complete (HMO-POS C-SNP)|00025318|10.90|590| | |AZ|03100|1|N
H4869|003|000|GOLD KIDNEY OF ARIZONA|Gold Dialysis (HMO-POS C-SNP)|00025216|0.00|0| | |AZ|03030|1|N
H4869|003|000|GOLD KIDNEY OF ARIZONA|Gold Dialysis (HMO-POS C-SNP)|00025216|0.00|0| | |AZ|03060|1|N
H4869|003|000|GOLD KIDNEY OF ARIZONA|Gold Dialysis (HMO-POS C-SNP)|00025216|0.00|0| | |AZ|03090|1|N
H4869|003|000|GOLD KIDNEY OF ARIZONA|Gold Dialysis (HMO-POS C-SNP)|00025216|0.00|0| | |AZ|03100|1|N
H4869|004|000|GOLD KIDNEY OF ARIZONA|Gold Dialysis Complete (HMO-POS C-SNP)|00025318|30.10|590| | |AZ|03030|1|N
H4869|004|000|GOLD KIDNEY OF ARIZONA|Gold Dialysis Complete (HMO-POS C-SNP)|00025318|30.10|590| | |AZ|03060|1|N
H4869|004|000|GOLD KIDNEY OF ARIZONA|Gold Dialysis Complete (HMO-POS C-SNP)|00025318|30.10|590| | |AZ|03090|1|N
H4869|004|000|GOLD KIDNEY OF ARIZONA|Gold Dialysis Complete (HMO-POS C-SNP)|00025318|30.10|590| | |AZ|03100|1|N
H4869|005|000|GOLD KIDNEY OF ARIZONA|Gold Advantage (HMO-POS)|00025318|0.00|0| | |AZ|03010|0|N
H4869|005|000|GOLD KIDNEY OF ARIZONA|Gold Advantage (HMO-POS)|00025318|0.00|0| | |AZ|03020|0|N
H4869|005|000|GOLD KIDNEY OF ARIZONA|Gold Advantage (HMO-POS)|00025318|0.00|0| | |AZ|03030|0|N
H4869|005|000|GOLD KIDNEY OF ARIZONA|Gold Advantage (HMO-POS)|00025318|0.00|0| | |AZ|03040|0|N
H4869|005|000|GOLD KIDNEY OF ARIZONA|Gold Advantage (HMO-POS)|00025318|0.00|0| | |AZ|03060|0|N
H4869|005|000|GOLD KIDNEY OF ARIZONA|Gold Advantage (HMO-POS)|00025318|0.00|0| | |AZ|03080|0|N
H4869|005|000|GOLD KIDNEY OF ARIZONA|Gold Advantage (HMO-POS)|00025318|0.00|0| | |AZ|03090|0|N
H4869|005|000|GOLD KIDNEY OF ARIZONA|Gold Advantage (HMO-POS)|00025318|0.00|0| | |AZ|03100|0|N
H4869|010|000|GOLD KIDNEY OF ARIZONA|Gold Circle Heart & Diabetes (HMO-POS C-SNP)|00025318|0.00|590| | |AZ|03010|1|N
H4869|010|000|GOLD KIDNEY OF ARIZONA|Gold Circle Heart & Diabetes (HMO-POS C-SNP)|00025318|0.00|590| | |AZ|03020|1|N
H4869|010|000|GOLD KIDNEY OF ARIZONA|Gold Circle Heart & Diabetes (HMO-POS C-SNP)|00025318|0.00|590| | |AZ|03030|1|N
H4869|010|000|GOLD KIDNEY OF ARIZONA|Gold Circle Heart & Diabetes (HMO-POS C-SNP)|00025318|0.00|590| | |AZ|03040|1|N
H4869|010|000|GOLD KIDNEY OF ARIZONA|Gold Circle Heart & Diabetes (HMO-POS C-SNP)|00025318|0.00|590| | |AZ|03060|1|N
H4869|010|000|GOLD KIDNEY OF ARIZONA|Gold Circle Heart & Diabetes (HMO-POS C-SNP)|00025318|0.00|590| | |AZ|03080|1|N
H4869|010|000|GOLD KIDNEY OF ARIZONA|Gold Circle Heart & Diabetes (HMO-POS C-SNP)|00025318|0.00|590| | |AZ|03090|1|N
H4869|010|000|GOLD KIDNEY OF ARIZONA|Gold Circle Heart & Diabetes (HMO-POS C-SNP)|00025318|0.00|590| | |AZ|03100|1|N
H4869|011|000|GOLD KIDNEY OF ARIZONA|Gold Heart & Diabetes (HMO-POS C-SNP)|00025216|0.00|0| | |AZ|03010|1|N
H4869|011|000|GOLD KIDNEY OF ARIZONA|Gold Heart & Diabetes (HMO-POS C-SNP)|00025216|0.00|0| | |AZ|03020|1|N
H4869|011|000|GOLD KIDNEY OF ARIZONA|Gold Heart & Diabetes (HMO-POS C-SNP)|00025216|0.00|0| | |AZ|03040|1|N
H4869|011|000|GOLD KIDNEY OF ARIZONA|Gold Heart & Diabetes (HMO-POS C-SNP)|00025216|0.00|0| | |AZ|03080|1|N
H4869|012|000|GOLD KIDNEY OF ARIZONA|Gold Circle Dialysis (HMO-POS C-SNP)|00025318|0.00|590| | |AZ|03010|1|N
H4869|012|000|GOLD KIDNEY OF ARIZONA|Gold Circle Dialysis (HMO-POS C-SNP)|00025318|0.00|590| | |AZ|03020|1|N
H4869|012|000|GOLD KIDNEY OF ARIZONA|Gold Circle Dialysis (HMO-POS C-SNP)|00025318|0.00|590| | |AZ|03030|1|N
H4869|012|000|GOLD KIDNEY OF ARIZONA|Gold Circle Dialysis (HMO-POS C-SNP)|00025318|0.00|590| | |AZ|03040|1|N
H4869|012|000|GOLD KIDNEY OF ARIZONA|Gold Circle Dialysis (HMO-POS C-SNP)|00025318|0.00|590| | |AZ|03060|1|N
H4869|012|000|GOLD KIDNEY OF ARIZONA|Gold Circle Dialysis (HMO-POS C-SNP)|00025318|0.00|590| | |AZ|03080|1|N
H4869|012|000|GOLD KIDNEY OF ARIZONA|Gold Circle Dialysis (HMO-POS C-SNP)|00025318|0.00|590| | |AZ|03090|1|N
H4869|012|000|GOLD KIDNEY OF ARIZONA|Gold Circle Dialysis (HMO-POS C-SNP)|00025318|0.00|590| | |AZ|03100|1|N
H4869|013|000|GOLD KIDNEY OF ARIZONA|Gold Dialysis (HMO-POS C-SNP)|00025216|0.00|0| | |AZ|03010|1|N
H4869|013|000|GOLD KIDNEY OF ARIZONA|Gold Dialysis (HMO-POS C-SNP)|00025216|0.00|0| | |AZ|03020|1|N
H4869|013|000|GOLD KIDNEY OF ARIZONA|Gold Dialysis (HMO-POS C-SNP)|00025216|0.00|0| | |AZ|03040|1|N
H4869|013|000|GOLD KIDNEY OF ARIZONA|Gold Dialysis (HMO-POS C-SNP)|00025216|0.00|0| | |AZ|03080|1|N
H4875|016|001|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23000|0|N
H4875|016|001|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23040|0|N
H4875|016|001|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23090|0|N
H4875|016|001|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23140|0|N
H4875|016|001|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23170|0|N
H4875|016|001|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23190|0|N
H4875|016|001|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23270|0|N
H4875|016|001|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23290|0|N
H4875|016|001|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23420|0|N
H4875|016|001|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23430|0|N
H4875|016|001|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23440|0|N
H4875|016|001|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23500|0|N
H4875|016|001|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23530|0|N
H4875|016|001|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23570|0|N
H4875|016|002|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23030|0|N
H4875|016|002|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23150|0|N
H4875|016|002|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23220|0|N
H4875|016|002|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23230|0|N
H4875|016|002|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23250|0|N
H4875|016|002|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23280|0|N
H4875|016|002|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23340|0|N
H4875|016|002|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23370|0|N
H4875|016|002|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23390|0|N
H4875|016|002|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23590|0|N
H4875|016|002|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23670|0|N
H4875|016|002|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23700|0|N
H4875|016|002|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23710|0|N
H4875|016|002|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23740|0|N
H4875|016|002|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23750|0|N
H4875|016|002|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23770|0|N
H4875|016|003|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23050|0|N
H4875|016|003|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23080|0|N
H4875|016|003|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23110|0|N
H4875|016|003|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23180|0|N
H4875|016|003|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23240|0|N
H4875|016|003|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23310|0|N
H4875|016|003|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23320|0|N
H4875|016|003|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23460|0|N
H4875|016|003|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23490|0|N
H4875|016|003|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23620|0|N
H4875|016|003|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23640|0|N
H4875|016|003|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23720|0|N
H4875|016|003|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23780|0|N
H4875|016|003|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23800|0|N
H4875|016|003|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23810|0|N
H4875|016|004|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23020|0|N
H4875|016|004|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23070|0|N
H4875|016|004|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23400|0|N
H4875|016|004|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23450|0|N
H4875|016|004|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23690|0|N
H4875|016|005|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23100|0|N
H4875|016|005|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23120|0|N
H4875|016|005|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23130|0|N
H4875|016|005|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23330|0|N
H4875|016|005|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23360|0|N
H4875|016|005|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23380|0|N
H4875|016|005|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23520|0|N
H4875|016|005|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23550|0|N
H4875|016|005|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23560|0|N
H4875|016|005|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23580|0|N
H4875|016|005|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23600|0|N
H4875|016|005|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23610|0|N
H4875|016|005|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23630|0|N
H4875|016|005|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23660|0|N
H4875|016|005|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23680|0|N
H4875|016|005|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23730|0|N
H4875|016|005|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23790|0|N
H4875|016|005|PRIORITY HEALTH|PriorityMedicare Merit (PPO)|00025361|58.40|0| | |MI|23830|0|N
H4875|018|001|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23020|0|N
H4875|018|001|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23070|0|N
H4875|018|001|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23400|0|N
H4875|018|001|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23450|0|N
H4875|018|001|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23690|0|N
H4875|018|002|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23100|0|N
H4875|018|002|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23120|0|N
H4875|018|002|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23130|0|N
H4875|018|002|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23330|0|N
H4875|018|002|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23360|0|N
H4875|018|002|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23380|0|N
H4875|018|002|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23520|0|N
H4875|018|002|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23550|0|N
H4875|018|002|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23560|0|N
H4875|018|002|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23580|0|N
H4875|018|002|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23600|0|N
H4875|018|002|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23610|0|N
H4875|018|002|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23630|0|N
H4875|018|002|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23660|0|N
H4875|018|002|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23680|0|N
H4875|018|002|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23730|0|N
H4875|018|002|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23790|0|N
H4875|018|002|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23830|0|N
H4875|018|003|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23000|0|N
H4875|018|003|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23040|0|N
H4875|018|003|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23090|0|N
H4875|018|003|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23140|0|N
H4875|018|003|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23170|0|N
H4875|018|003|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23190|0|N
H4875|018|003|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23270|0|N
H4875|018|003|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23290|0|N
H4875|018|003|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23420|0|N
H4875|018|003|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23430|0|N
H4875|018|003|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23440|0|N
H4875|018|003|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23500|0|N
H4875|018|003|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23530|0|N
H4875|018|003|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23570|0|N
H4875|018|004|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23030|0|N
H4875|018|004|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23150|0|N
H4875|018|004|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23220|0|N
H4875|018|004|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23230|0|N
H4875|018|004|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23250|0|N
H4875|018|004|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23280|0|N
H4875|018|004|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23340|0|N
H4875|018|004|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23370|0|N
H4875|018|004|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23390|0|N
H4875|018|004|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23590|0|N
H4875|018|004|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23670|0|N
H4875|018|004|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23700|0|N
H4875|018|004|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23710|0|N
H4875|018|004|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23740|0|N
H4875|018|004|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23750|0|N
H4875|018|004|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23770|0|N
H4875|018|005|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23050|0|N
H4875|018|005|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23080|0|N
H4875|018|005|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23110|0|N
H4875|018|005|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23180|0|N
H4875|018|005|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23240|0|N
H4875|018|005|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23310|0|N
H4875|018|005|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23320|0|N
H4875|018|005|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23460|0|N
H4875|018|005|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23490|0|N
H4875|018|005|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23620|0|N
H4875|018|005|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23640|0|N
H4875|018|005|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23720|0|N
H4875|018|005|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23780|0|N
H4875|018|005|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23800|0|N
H4875|018|005|PRIORITY HEALTH|PriorityMedicare Thrive Plus (PPO)|00025361|39.00|0| | |MI|23810|0|N
H4875|020|001|PRIORITY HEALTH|PriorityMedicare Edge (PPO)|00025361|0.00|0| | |MI|23020|0|N
H4875|020|001|PRIORITY HEALTH|PriorityMedicare Edge (PPO)|00025361|0.00|0| | |MI|23070|0|N
H4875|020|001|PRIORITY HEALTH|PriorityMedicare Edge (PPO)|00025361|0.00|0| | |MI|23400|0|N
H4875|020|001|PRIORITY HEALTH|PriorityMedicare Edge (PPO)|00025361|0.00|0| | |MI|23450|0|N
H4875|020|001|PRIORITY HEALTH|PriorityMedicare Edge (PPO)|00025361|0.00|0| | |MI|23690|0|N
H4875|020|002|PRIORITY HEALTH|PriorityMedicare Edge (PPO)|00025361|0.00|0| | |MI|23100|0|N
H4875|020|002|PRIORITY HEALTH|PriorityMedicare Edge (PPO)|00025361|0.00|0| | |MI|23120|0|N
H4875|020|002|PRIORITY HEALTH|PriorityMedicare Edge (PPO)|00025361|0.00|0| | |MI|23130|0|N
H4875|020|002|PRIORITY HEALTH|PriorityMedicare Edge (PPO)|00025361|0.00|0| | |MI|23330|0|N
H4875|020|002|PRIORITY HEALTH|PriorityMedicare Edge (PPO)|00025361|0.00|0| | |MI|23360|0|N
H4875|020|002|PRIORITY HEALTH|PriorityMedicare Edge (PPO)|00025361|0.00|0| | |MI|23380|0|N
H4875|020|002|PRIORITY HEALTH|PriorityMedicare Edge (PPO)|00025361|0.00|0| | |MI|23520|0|N
H4875|020|002|PRIORITY HEALTH|PriorityMedicare Edge (PPO)|00025361|0.00|0| | |MI|23550|0|N
H4875|020|002|PRIORITY HEALTH|PriorityMedicare Edge (PPO)|00025361|0.00|0| | |MI|23560|0|N
H4875|020|002|PRIORITY HEALTH|PriorityMedicare Edge (PPO)|00025361|0.00|0| | |MI|23580|0|N
H4875|020|002|PRIORITY HEALTH|PriorityMedicare Edge (PPO)|00025361|0.00|0| | |MI|23600|0|N
H4875|020|002|PRIORITY HEALTH|PriorityMedicare Edge (PPO)|00025361|0.00|0| | |MI|23610|0|N
H4875|020|002|PRIORITY HEALTH|PriorityMedicare Edge (PPO)|00025361|0.00|0| | |MI|23630|0|N
H4875|020|002|PRIORITY HEALTH|PriorityMedicare Edge (PPO)|00025361|0.00|0| | |MI|23660|0|N
H4875|020|002|PRIORITY HEALTH|PriorityMedicare Edge (PPO)|00025361|0.00|0| | |MI|23680|0|N
H4875|020|002|PRIORITY HEALTH|PriorityMedicare Edge (PPO)|00025361|0.00|0| | |MI|23730|0|N
H4875|020|002|PRIORITY HEALTH|PriorityMedicare Edge (PPO)|00025361|0.00|0| | |MI|23790|0|N
H4875|020|002|PRIORITY HEALTH|PriorityMedicare Edge (PPO)|00025361|0.00|0| | |MI|23830|0|N
H4875|020|003|PRIORITY HEALTH|PriorityMedicare Edge (PPO)|00025361|0.00|0| | |MI|23050|0|N
H4875|020|003|PRIORITY HEALTH|PriorityMedicare Edge (PPO)|00025361|0.00|0| | |MI|23080|0|N
H4875|020|003|PRIORITY HEALTH|PriorityMedicare Edge (PPO)|00025361|0.00|0| | |MI|23110|0|N
H4875|020|003|PRIORITY HEALTH|PriorityMedicare Edge (PPO)|00025361|0.00|0| | |MI|23180|0|N
H4875|020|003|PRIORITY HEALTH|PriorityMedicare Edge (PPO)|00025361|0.00|0| | |MI|23240|0|N
H4875|020|003|PRIORITY HEALTH|PriorityMedicare Edge (PPO)|00025361|0.00|0| | |MI|23310|0|N
H4875|020|003|PRIORITY HEALTH|PriorityMedicare Edge (PPO)|00025361|0.00|0| | |MI|23320|0|N
H4875|020|003|PRIORITY HEALTH|PriorityMedicare Edge (PPO)|00025361|0.00|0| | |MI|23460|0|N
H4875|020|003|PRIORITY HEALTH|PriorityMedicare Edge (PPO)|00025361|0.00|0| | |MI|23490|0|N
H4875|020|003|PRIORITY HEALTH|PriorityMedicare Edge (PPO)|00025361|0.00|0| | |MI|23620|0|N
H4875|020|003|PRIORITY HEALTH|PriorityMedicare Edge (PPO)|00025361|0.00|0| | |MI|23640|0|N
H4875|020|003|PRIORITY HEALTH|PriorityMedicare Edge (PPO)|00025361|0.00|0| | |MI|23720|0|N
H4875|020|003|PRIORITY HEALTH|PriorityMedicare Edge (PPO)|00025361|0.00|0| | |MI|23780|0|N
H4875|020|003|PRIORITY HEALTH|PriorityMedicare Edge (PPO)|00025361|0.00|0| | |MI|23800|0|N
H4875|020|003|PRIORITY HEALTH|PriorityMedicare Edge (PPO)|00025361|0.00|0| | |MI|23810|0|N
H4875|022|001|PRIORITY HEALTH|PriorityMedicare Vital (PPO)|00025361|0.00|350| | |MI|23020|0|N
H4875|022|001|PRIORITY HEALTH|PriorityMedicare Vital (PPO)|00025361|0.00|350| | |MI|23070|0|N
H4875|022|001|PRIORITY HEALTH|PriorityMedicare Vital (PPO)|00025361|0.00|350| | |MI|23400|0|N
H4875|022|001|PRIORITY HEALTH|PriorityMedicare Vital (PPO)|00025361|0.00|350| | |MI|23450|0|N
H4875|022|001|PRIORITY HEALTH|PriorityMedicare Vital (PPO)|00025361|0.00|350| | |MI|23690|0|N
H4875|022|002|PRIORITY HEALTH|PriorityMedicare Vital (PPO)|00025361|0.00|350| | |MI|23100|0|N
H4875|022|002|PRIORITY HEALTH|PriorityMedicare Vital (PPO)|00025361|0.00|350| | |MI|23120|0|N
H4875|022|002|PRIORITY HEALTH|PriorityMedicare Vital (PPO)|00025361|0.00|350| | |MI|23130|0|N
H4875|022|002|PRIORITY HEALTH|PriorityMedicare Vital (PPO)|00025361|0.00|350| | |MI|23330|0|N
H4875|022|002|PRIORITY HEALTH|PriorityMedicare Vital (PPO)|00025361|0.00|350| | |MI|23360|0|N
H4875|022|002|PRIORITY HEALTH|PriorityMedicare Vital (PPO)|00025361|0.00|350| | |MI|23380|0|N
H4875|022|002|PRIORITY HEALTH|PriorityMedicare Vital (PPO)|00025361|0.00|350| | |MI|23520|0|N
H4875|022|002|PRIORITY HEALTH|PriorityMedicare Vital (PPO)|00025361|0.00|350| | |MI|23550|0|N
H4875|022|002|PRIORITY HEALTH|PriorityMedicare Vital (PPO)|00025361|0.00|350| | |MI|23560|0|N
H4875|022|002|PRIORITY HEALTH|PriorityMedicare Vital (PPO)|00025361|0.00|350| | |MI|23580|0|N
H4875|022|002|PRIORITY HEALTH|PriorityMedicare Vital (PPO)|00025361|0.00|350| | |MI|23600|0|N
H4875|022|002|PRIORITY HEALTH|PriorityMedicare Vital (PPO)|00025361|0.00|350| | |MI|23610|0|N
H4875|022|002|PRIORITY HEALTH|PriorityMedicare Vital (PPO)|00025361|0.00|350| | |MI|23630|0|N
H4875|022|002|PRIORITY HEALTH|PriorityMedicare Vital (PPO)|00025361|0.00|350| | |MI|23660|0|N
H4875|022|002|PRIORITY HEALTH|PriorityMedicare Vital (PPO)|00025361|0.00|350| | |MI|23680|0|N
H4875|022|002|PRIORITY HEALTH|PriorityMedicare Vital (PPO)|00025361|0.00|350| | |MI|23730|0|N
H4875|022|002|PRIORITY HEALTH|PriorityMedicare Vital (PPO)|00025361|0.00|350| | |MI|23790|0|N
H4875|022|002|PRIORITY HEALTH|PriorityMedicare Vital (PPO)|00025361|0.00|350| | |MI|23830|0|N
H4875|022|005|PRIORITY HEALTH|PriorityMedicare Vital (PPO)|00025361|0.00|350| | |MI|23050|0|N
H4875|022|005|PRIORITY HEALTH|PriorityMedicare Vital (PPO)|00025361|0.00|350| | |MI|23080|0|N
H4875|022|005|PRIORITY HEALTH|PriorityMedicare Vital (PPO)|00025361|0.00|350| | |MI|23110|0|N
H4875|022|005|PRIORITY HEALTH|PriorityMedicare Vital (PPO)|00025361|0.00|350| | |MI|23180|0|N
H4875|022|005|PRIORITY HEALTH|PriorityMedicare Vital (PPO)|00025361|0.00|350| | |MI|23240|0|N
H4875|022|005|PRIORITY HEALTH|PriorityMedicare Vital (PPO)|00025361|0.00|350| | |MI|23310|0|N
H4875|022|005|PRIORITY HEALTH|PriorityMedicare Vital (PPO)|00025361|0.00|350| | |MI|23320|0|N
H4875|022|005|PRIORITY HEALTH|PriorityMedicare Vital (PPO)|00025361|0.00|350| | |MI|23460|0|N
H4875|022|005|PRIORITY HEALTH|PriorityMedicare Vital (PPO)|00025361|0.00|350| | |MI|23490|0|N
H4875|022|005|PRIORITY HEALTH|PriorityMedicare Vital (PPO)|00025361|0.00|350| | |MI|23620|0|N
H4875|022|005|PRIORITY HEALTH|PriorityMedicare Vital (PPO)|00025361|0.00|350| | |MI|23640|0|N
H4875|022|005|PRIORITY HEALTH|PriorityMedicare Vital (PPO)|00025361|0.00|350| | |MI|23720|0|N
H4875|022|005|PRIORITY HEALTH|PriorityMedicare Vital (PPO)|00025361|0.00|350| | |MI|23780|0|N
H4875|022|005|PRIORITY HEALTH|PriorityMedicare Vital (PPO)|00025361|0.00|350| | |MI|23800|0|N
H4875|022|005|PRIORITY HEALTH|PriorityMedicare Vital (PPO)|00025361|0.00|350| | |MI|23810|0|N
H4875|024|001|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23020|0|N
H4875|024|001|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23050|0|N
H4875|024|001|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23070|0|N
H4875|024|001|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23080|0|N
H4875|024|001|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23100|0|N
H4875|024|001|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23110|0|N
H4875|024|001|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23120|0|N
H4875|024|001|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23130|0|N
H4875|024|001|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23180|0|N
H4875|024|001|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23240|0|N
H4875|024|001|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23310|0|N
H4875|024|001|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23320|0|N
H4875|024|001|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23330|0|N
H4875|024|001|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23360|0|N
H4875|024|001|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23380|0|N
H4875|024|001|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23400|0|N
H4875|024|001|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23450|0|N
H4875|024|001|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23460|0|N
H4875|024|001|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23490|0|N
H4875|024|001|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23520|0|N
H4875|024|001|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23550|0|N
H4875|024|001|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23560|0|N
H4875|024|001|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23580|0|N
H4875|024|001|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23600|0|N
H4875|024|001|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23610|0|N
H4875|024|001|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23620|0|N
H4875|024|001|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23630|0|N
H4875|024|001|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23640|0|N
H4875|024|001|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23660|0|N
H4875|024|001|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23680|0|N
H4875|024|001|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23690|0|N
H4875|024|001|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23720|0|N
H4875|024|001|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23730|0|N
H4875|024|001|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23780|0|N
H4875|024|001|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23790|0|N
H4875|024|001|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23800|0|N
H4875|024|001|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23810|0|N
H4875|024|001|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23830|0|N
H4875|024|002|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23000|0|N
H4875|024|002|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23030|0|N
H4875|024|002|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23040|0|N
H4875|024|002|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23090|0|N
H4875|024|002|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23140|0|N
H4875|024|002|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23150|0|N
H4875|024|002|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23170|0|N
H4875|024|002|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23190|0|N
H4875|024|002|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23220|0|N
H4875|024|002|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23230|0|N
H4875|024|002|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23250|0|N
H4875|024|002|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23270|0|N
H4875|024|002|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23280|0|N
H4875|024|002|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23290|0|N
H4875|024|002|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23340|0|N
H4875|024|002|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23370|0|N
H4875|024|002|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23390|0|N
H4875|024|002|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23420|0|N
H4875|024|002|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23430|0|N
H4875|024|002|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23440|0|N
H4875|024|002|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23500|0|N
H4875|024|002|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23530|0|N
H4875|024|002|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23570|0|N
H4875|024|002|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23590|0|N
H4875|024|002|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23670|0|N
H4875|024|002|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23700|0|N
H4875|024|002|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23710|0|N
H4875|024|002|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23740|0|N
H4875|024|002|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23750|0|N
H4875|024|002|PRIORITY HEALTH|PriorityMedicare Thrive (PPO)|00025361|0.00|0| | |MI|23770|0|N
H4882|003|000|HEALTHPARTNERS, INC.|HealthPartners Journey Steady (PPO)|00025128|72.20|300| | |MN|24010|0|N
H4882|003|000|HEALTHPARTNERS, INC.|HealthPartners Journey Steady (PPO)|00025128|72.20|300| | |MN|24040|0|N
H4882|003|000|HEALTHPARTNERS, INC.|HealthPartners Journey Steady (PPO)|00025128|72.20|300| | |MN|24090|0|N
H4882|003|000|HEALTHPARTNERS, INC.|HealthPartners Journey Steady (PPO)|00025128|72.20|300| | |MN|24120|0|N
H4882|003|000|HEALTHPARTNERS, INC.|HealthPartners Journey Steady (PPO)|00025128|72.20|300| | |MN|24180|0|N
H4882|003|000|HEALTHPARTNERS, INC.|HealthPartners Journey Steady (PPO)|00025128|72.20|300| | |MN|24200|0|N
H4882|003|000|HEALTHPARTNERS, INC.|HealthPartners Journey Steady (PPO)|00025128|72.20|300| | |MN|24260|0|N
H4882|003|000|HEALTHPARTNERS, INC.|HealthPartners Journey Steady (PPO)|00025128|72.20|300| | |MN|24290|0|N
H4882|003|000|HEALTHPARTNERS, INC.|HealthPartners Journey Steady (PPO)|00025128|72.20|300| | |MN|24330|0|N
H4882|003|000|HEALTHPARTNERS, INC.|HealthPartners Journey Steady (PPO)|00025128|72.20|300| | |MN|24460|0|N
H4882|003|000|HEALTHPARTNERS, INC.|HealthPartners Journey Steady (PPO)|00025128|72.20|300| | |MN|24480|0|N
H4882|003|000|HEALTHPARTNERS, INC.|HealthPartners Journey Steady (PPO)|00025128|72.20|300| | |MN|24600|0|N
H4882|003|000|HEALTHPARTNERS, INC.|HealthPartners Journey Steady (PPO)|00025128|72.20|300| | |MN|24610|0|N
H4882|003|000|HEALTHPARTNERS, INC.|HealthPartners Journey Steady (PPO)|00025128|72.20|300| | |MN|24630|0|N
H4882|003|000|HEALTHPARTNERS, INC.|HealthPartners Journey Steady (PPO)|00025128|72.20|300| | |MN|24690|0|N
H4882|003|000|HEALTHPARTNERS, INC.|HealthPartners Journey Steady (PPO)|00025128|72.20|300| | |MN|24700|0|N
H4882|003|000|HEALTHPARTNERS, INC.|HealthPartners Journey Steady (PPO)|00025128|72.20|300| | |MN|24720|0|N
H4882|003|000|HEALTHPARTNERS, INC.|HealthPartners Journey Steady (PPO)|00025128|72.20|300| | |MN|24750|0|N
H4882|003|000|HEALTHPARTNERS, INC.|HealthPartners Journey Steady (PPO)|00025128|72.20|300| | |MN|24760|0|N
H4882|003|000|HEALTHPARTNERS, INC.|HealthPartners Journey Steady (PPO)|00025128|72.20|300| | |MN|24790|0|N
H4882|003|000|HEALTHPARTNERS, INC.|HealthPartners Journey Steady (PPO)|00025128|72.20|300| | |MN|24810|0|N
H4882|003|000|HEALTHPARTNERS, INC.|HealthPartners Journey Steady (PPO)|00025128|72.20|300| | |MN|24850|0|N
H4882|004|000|HEALTHPARTNERS, INC.|HealthPartners Robin Birch (PPO)|00025128|0.00|200| | |WI|52040|0|N
H4882|004|000|HEALTHPARTNERS, INC.|HealthPartners Robin Birch (PPO)|00025128|0.00|200| | |WI|52070|0|N
H4882|004|000|HEALTHPARTNERS, INC.|HealthPartners Robin Birch (PPO)|00025128|0.00|200| | |WI|52140|0|N
H4882|004|000|HEALTHPARTNERS, INC.|HealthPartners Robin Birch (PPO)|00025128|0.00|200| | |WI|52180|0|N
H4882|004|000|HEALTHPARTNERS, INC.|HealthPartners Robin Birch (PPO)|00025128|0.00|200| | |WI|52230|0|N
H4882|004|000|HEALTHPARTNERS, INC.|HealthPartners Robin Birch (PPO)|00025128|0.00|200| | |WI|52300|0|N
H4882|004|000|HEALTHPARTNERS, INC.|HealthPartners Robin Birch (PPO)|00025128|0.00|200| | |WI|52350|0|N
H4882|004|000|HEALTHPARTNERS, INC.|HealthPartners Robin Birch (PPO)|00025128|0.00|200| | |WI|52370|0|N
H4882|004|000|HEALTHPARTNERS, INC.|HealthPartners Robin Birch (PPO)|00025128|0.00|200| | |WI|52380|0|N
H4882|004|000|HEALTHPARTNERS, INC.|HealthPartners Robin Birch (PPO)|00025128|0.00|200| | |WI|52381|0|N
H4882|004|000|HEALTHPARTNERS, INC.|HealthPartners Robin Birch (PPO)|00025128|0.00|200| | |WI|52410|0|N
H4882|004|000|HEALTHPARTNERS, INC.|HealthPartners Robin Birch (PPO)|00025128|0.00|200| | |WI|52430|0|N
H4882|004|000|HEALTHPARTNERS, INC.|HealthPartners Robin Birch (PPO)|00025128|0.00|200| | |WI|52570|0|N
H4882|004|000|HEALTHPARTNERS, INC.|HealthPartners Robin Birch (PPO)|00025128|0.00|200| | |WI|52670|0|N
H4882|004|000|HEALTHPARTNERS, INC.|HealthPartners Robin Birch (PPO)|00025128|0.00|200| | |WI|52680|0|N
H4882|004|000|HEALTHPARTNERS, INC.|HealthPartners Robin Birch (PPO)|00025128|0.00|200| | |WI|52690|0|N
H4882|005|000|HEALTHPARTNERS, INC.|HealthPartners Robin Maple (PPO)|00025128|23.30|200| | |WI|52040|0|N
H4882|005|000|HEALTHPARTNERS, INC.|HealthPartners Robin Maple (PPO)|00025128|23.30|200| | |WI|52070|0|N
H4882|005|000|HEALTHPARTNERS, INC.|HealthPartners Robin Maple (PPO)|00025128|23.30|200| | |WI|52140|0|N
H4882|005|000|HEALTHPARTNERS, INC.|HealthPartners Robin Maple (PPO)|00025128|23.30|200| | |WI|52180|0|N
H4882|005|000|HEALTHPARTNERS, INC.|HealthPartners Robin Maple (PPO)|00025128|23.30|200| | |WI|52230|0|N
H4882|005|000|HEALTHPARTNERS, INC.|HealthPartners Robin Maple (PPO)|00025128|23.30|200| | |WI|52300|0|N
H4882|005|000|HEALTHPARTNERS, INC.|HealthPartners Robin Maple (PPO)|00025128|23.30|200| | |WI|52350|0|N
H4882|005|000|HEALTHPARTNERS, INC.|HealthPartners Robin Maple (PPO)|00025128|23.30|200| | |WI|52370|0|N
H4882|005|000|HEALTHPARTNERS, INC.|HealthPartners Robin Maple (PPO)|00025128|23.30|200| | |WI|52380|0|N
H4882|005|000|HEALTHPARTNERS, INC.|HealthPartners Robin Maple (PPO)|00025128|23.30|200| | |WI|52381|0|N
H4882|005|000|HEALTHPARTNERS, INC.|HealthPartners Robin Maple (PPO)|00025128|23.30|200| | |WI|52410|0|N
H4882|005|000|HEALTHPARTNERS, INC.|HealthPartners Robin Maple (PPO)|00025128|23.30|200| | |WI|52430|0|N
H4882|005|000|HEALTHPARTNERS, INC.|HealthPartners Robin Maple (PPO)|00025128|23.30|200| | |WI|52570|0|N
H4882|005|000|HEALTHPARTNERS, INC.|HealthPartners Robin Maple (PPO)|00025128|23.30|200| | |WI|52670|0|N
H4882|005|000|HEALTHPARTNERS, INC.|HealthPartners Robin Maple (PPO)|00025128|23.30|200| | |WI|52680|0|N
H4882|005|000|HEALTHPARTNERS, INC.|HealthPartners Robin Maple (PPO)|00025128|23.30|200| | |WI|52690|0|N
H4882|009|001|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24010|0|N
H4882|009|001|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24040|0|N
H4882|009|001|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24090|0|N
H4882|009|001|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24120|0|N
H4882|009|001|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24180|0|N
H4882|009|001|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24200|0|N
H4882|009|001|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24260|0|N
H4882|009|001|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24290|0|N
H4882|009|001|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24330|0|N
H4882|009|001|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24460|0|N
H4882|009|001|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24480|0|N
H4882|009|001|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24600|0|N
H4882|009|001|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24610|0|N
H4882|009|001|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24630|0|N
H4882|009|001|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24690|0|N
H4882|009|001|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24700|0|N
H4882|009|001|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24720|0|N
H4882|009|001|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24750|0|N
H4882|009|001|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24760|0|N
H4882|009|001|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24790|0|N
H4882|009|001|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24810|0|N
H4882|009|001|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24850|0|N
H4882|009|002|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24000|0|N
H4882|009|002|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24020|0|N
H4882|009|002|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24030|0|N
H4882|009|002|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24050|0|N
H4882|009|002|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24080|0|N
H4882|009|002|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24100|0|N
H4882|009|002|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24110|0|N
H4882|009|002|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24130|0|N
H4882|009|002|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24140|0|N
H4882|009|002|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24150|0|N
H4882|009|002|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24170|0|N
H4882|009|002|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24250|0|N
H4882|009|002|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24280|0|N
H4882|009|002|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24300|0|N
H4882|009|002|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24320|0|N
H4882|009|002|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24340|0|N
H4882|009|002|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24350|0|N
H4882|009|002|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24360|0|N
H4882|009|002|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24370|0|N
H4882|009|002|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24380|0|N
H4882|009|002|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24390|0|N
H4882|009|002|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24400|0|N
H4882|009|002|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24410|0|N
H4882|009|002|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24420|0|N
H4882|009|002|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24430|0|N
H4882|009|002|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24440|0|N
H4882|009|002|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24470|0|N
H4882|009|002|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24500|0|N
H4882|009|002|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24520|0|N
H4882|009|002|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24530|0|N
H4882|009|002|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24550|0|N
H4882|009|002|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24560|0|N
H4882|009|002|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24570|0|N
H4882|009|002|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24580|0|N
H4882|009|002|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24590|0|N
H4882|009|002|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24620|0|N
H4882|009|002|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24640|0|N
H4882|009|002|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24650|0|N
H4882|009|002|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24660|0|N
H4882|009|002|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24670|0|N
H4882|009|002|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24680|0|N
H4882|009|002|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24710|0|N
H4882|009|002|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24740|0|N
H4882|009|002|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24770|0|N
H4882|009|002|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24830|0|N
H4882|009|002|HEALTHPARTNERS, INC.|HealthPartners Journey Pace (PPO)|00025128|0.00|300| | |MN|24860|0|N
H4882|010|001|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24010|0|N
H4882|010|001|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24040|0|N
H4882|010|001|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24090|0|N
H4882|010|001|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24120|0|N
H4882|010|001|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24180|0|N
H4882|010|001|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24200|0|N
H4882|010|001|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24260|0|N
H4882|010|001|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24290|0|N
H4882|010|001|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24330|0|N
H4882|010|001|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24460|0|N
H4882|010|001|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24480|0|N
H4882|010|001|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24600|0|N
H4882|010|001|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24610|0|N
H4882|010|001|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24630|0|N
H4882|010|001|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24690|0|N
H4882|010|001|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24700|0|N
H4882|010|001|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24720|0|N
H4882|010|001|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24750|0|N
H4882|010|001|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24760|0|N
H4882|010|001|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24790|0|N
H4882|010|001|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24810|0|N
H4882|010|001|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24850|0|N
H4882|010|002|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24000|0|N
H4882|010|002|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24020|0|N
H4882|010|002|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24030|0|N
H4882|010|002|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24050|0|N
H4882|010|002|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24080|0|N
H4882|010|002|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24100|0|N
H4882|010|002|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24110|0|N
H4882|010|002|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24130|0|N
H4882|010|002|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24140|0|N
H4882|010|002|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24150|0|N
H4882|010|002|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24170|0|N
H4882|010|002|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24250|0|N
H4882|010|002|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24280|0|N
H4882|010|002|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24300|0|N
H4882|010|002|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24320|0|N
H4882|010|002|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24340|0|N
H4882|010|002|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24350|0|N
H4882|010|002|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24360|0|N
H4882|010|002|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24370|0|N
H4882|010|002|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24380|0|N
H4882|010|002|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24390|0|N
H4882|010|002|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24400|0|N
H4882|010|002|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24410|0|N
H4882|010|002|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24420|0|N
H4882|010|002|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24430|0|N
H4882|010|002|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24440|0|N
H4882|010|002|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24470|0|N
H4882|010|002|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24500|0|N
H4882|010|002|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24520|0|N
H4882|010|002|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24530|0|N
H4882|010|002|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24550|0|N
H4882|010|002|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24560|0|N
H4882|010|002|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24570|0|N
H4882|010|002|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24580|0|N
H4882|010|002|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24590|0|N
H4882|010|002|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24620|0|N
H4882|010|002|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24640|0|N
H4882|010|002|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24650|0|N
H4882|010|002|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24660|0|N
H4882|010|002|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24670|0|N
H4882|010|002|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24680|0|N
H4882|010|002|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24710|0|N
H4882|010|002|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24740|0|N
H4882|010|002|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24770|0|N
H4882|010|002|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24830|0|N
H4882|010|002|HEALTHPARTNERS, INC.|HealthPartners Journey Dash (PPO)|00025128|67.70|250| | |MN|24860|0|N
H4882|011|001|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|41.00|300| | |MN|24010|0|N
H4882|011|001|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|41.00|300| | |MN|24040|0|N
H4882|011|001|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|41.00|300| | |MN|24090|0|N
H4882|011|001|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|41.00|300| | |MN|24120|0|N
H4882|011|001|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|41.00|300| | |MN|24180|0|N
H4882|011|001|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|41.00|300| | |MN|24200|0|N
H4882|011|001|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|41.00|300| | |MN|24260|0|N
H4882|011|001|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|41.00|300| | |MN|24290|0|N
H4882|011|001|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|41.00|300| | |MN|24330|0|N
H4882|011|001|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|41.00|300| | |MN|24460|0|N
H4882|011|001|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|41.00|300| | |MN|24480|0|N
H4882|011|001|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|41.00|300| | |MN|24600|0|N
H4882|011|001|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|41.00|300| | |MN|24610|0|N
H4882|011|001|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|41.00|300| | |MN|24630|0|N
H4882|011|001|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|41.00|300| | |MN|24690|0|N
H4882|011|001|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|41.00|300| | |MN|24700|0|N
H4882|011|001|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|41.00|300| | |MN|24720|0|N
H4882|011|001|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|41.00|300| | |MN|24750|0|N
H4882|011|001|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|41.00|300| | |MN|24760|0|N
H4882|011|001|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|41.00|300| | |MN|24790|0|N
H4882|011|001|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|41.00|300| | |MN|24810|0|N
H4882|011|001|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|41.00|300| | |MN|24850|0|N
H4882|011|002|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|51.00|300| | |MN|24000|0|N
H4882|011|002|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|51.00|300| | |MN|24020|0|N
H4882|011|002|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|51.00|300| | |MN|24030|0|N
H4882|011|002|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|51.00|300| | |MN|24050|0|N
H4882|011|002|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|51.00|300| | |MN|24080|0|N
H4882|011|002|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|51.00|300| | |MN|24100|0|N
H4882|011|002|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|51.00|300| | |MN|24110|0|N
H4882|011|002|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|51.00|300| | |MN|24130|0|N
H4882|011|002|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|51.00|300| | |MN|24140|0|N
H4882|011|002|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|51.00|300| | |MN|24150|0|N
H4882|011|002|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|51.00|300| | |MN|24170|0|N
H4882|011|002|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|51.00|300| | |MN|24250|0|N
H4882|011|002|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|51.00|300| | |MN|24280|0|N
H4882|011|002|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|51.00|300| | |MN|24300|0|N
H4882|011|002|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|51.00|300| | |MN|24320|0|N
H4882|011|002|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|51.00|300| | |MN|24340|0|N
H4882|011|002|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|51.00|300| | |MN|24350|0|N
H4882|011|002|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|51.00|300| | |MN|24360|0|N
H4882|011|002|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|51.00|300| | |MN|24370|0|N
H4882|011|002|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|51.00|300| | |MN|24380|0|N
H4882|011|002|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|51.00|300| | |MN|24390|0|N
H4882|011|002|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|51.00|300| | |MN|24400|0|N
H4882|011|002|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|51.00|300| | |MN|24410|0|N
H4882|011|002|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|51.00|300| | |MN|24420|0|N
H4882|011|002|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|51.00|300| | |MN|24430|0|N
H4882|011|002|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|51.00|300| | |MN|24440|0|N
H4882|011|002|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|51.00|300| | |MN|24470|0|N
H4882|011|002|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|51.00|300| | |MN|24500|0|N
H4882|011|002|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|51.00|300| | |MN|24520|0|N
H4882|011|002|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|51.00|300| | |MN|24530|0|N
H4882|011|002|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|51.00|300| | |MN|24550|0|N
H4882|011|002|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|51.00|300| | |MN|24560|0|N
H4882|011|002|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|51.00|300| | |MN|24570|0|N
H4882|011|002|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|51.00|300| | |MN|24580|0|N
H4882|011|002|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|51.00|300| | |MN|24590|0|N
H4882|011|002|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|51.00|300| | |MN|24620|0|N
H4882|011|002|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|51.00|300| | |MN|24640|0|N
H4882|011|002|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|51.00|300| | |MN|24650|0|N
H4882|011|002|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|51.00|300| | |MN|24660|0|N
H4882|011|002|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|51.00|300| | |MN|24670|0|N
H4882|011|002|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|51.00|300| | |MN|24680|0|N
H4882|011|002|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|51.00|300| | |MN|24710|0|N
H4882|011|002|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|51.00|300| | |MN|24740|0|N
H4882|011|002|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|51.00|300| | |MN|24770|0|N
H4882|011|002|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|51.00|300| | |MN|24830|0|N
H4882|011|002|HEALTHPARTNERS, INC.|HealthPartners Journey Stride (PPO)|00025128|51.00|300| | |MN|24860|0|N
H4882|013|000|HEALTHPARTNERS, INC.|HealthPartners Journey Smart (PPO)|00025128|0.00|400| | |MN|24010|0|N
H4882|013|000|HEALTHPARTNERS, INC.|HealthPartners Journey Smart (PPO)|00025128|0.00|400| | |MN|24040|0|N
H4882|013|000|HEALTHPARTNERS, INC.|HealthPartners Journey Smart (PPO)|00025128|0.00|400| | |MN|24090|0|N
H4882|013|000|HEALTHPARTNERS, INC.|HealthPartners Journey Smart (PPO)|00025128|0.00|400| | |MN|24120|0|N
H4882|013|000|HEALTHPARTNERS, INC.|HealthPartners Journey Smart (PPO)|00025128|0.00|400| | |MN|24180|0|N
H4882|013|000|HEALTHPARTNERS, INC.|HealthPartners Journey Smart (PPO)|00025128|0.00|400| | |MN|24200|0|N
H4882|013|000|HEALTHPARTNERS, INC.|HealthPartners Journey Smart (PPO)|00025128|0.00|400| | |MN|24260|0|N
H4882|013|000|HEALTHPARTNERS, INC.|HealthPartners Journey Smart (PPO)|00025128|0.00|400| | |MN|24290|0|N
H4882|013|000|HEALTHPARTNERS, INC.|HealthPartners Journey Smart (PPO)|00025128|0.00|400| | |MN|24330|0|N
H4882|013|000|HEALTHPARTNERS, INC.|HealthPartners Journey Smart (PPO)|00025128|0.00|400| | |MN|24460|0|N
H4882|013|000|HEALTHPARTNERS, INC.|HealthPartners Journey Smart (PPO)|00025128|0.00|400| | |MN|24480|0|N
H4882|013|000|HEALTHPARTNERS, INC.|HealthPartners Journey Smart (PPO)|00025128|0.00|400| | |MN|24600|0|N
H4882|013|000|HEALTHPARTNERS, INC.|HealthPartners Journey Smart (PPO)|00025128|0.00|400| | |MN|24610|0|N
H4882|013|000|HEALTHPARTNERS, INC.|HealthPartners Journey Smart (PPO)|00025128|0.00|400| | |MN|24630|0|N
H4882|013|000|HEALTHPARTNERS, INC.|HealthPartners Journey Smart (PPO)|00025128|0.00|400| | |MN|24690|0|N
H4882|013|000|HEALTHPARTNERS, INC.|HealthPartners Journey Smart (PPO)|00025128|0.00|400| | |MN|24700|0|N
H4882|013|000|HEALTHPARTNERS, INC.|HealthPartners Journey Smart (PPO)|00025128|0.00|400| | |MN|24720|0|N
H4882|013|000|HEALTHPARTNERS, INC.|HealthPartners Journey Smart (PPO)|00025128|0.00|400| | |MN|24750|0|N
H4882|013|000|HEALTHPARTNERS, INC.|HealthPartners Journey Smart (PPO)|00025128|0.00|400| | |MN|24760|0|N
H4882|013|000|HEALTHPARTNERS, INC.|HealthPartners Journey Smart (PPO)|00025128|0.00|400| | |MN|24790|0|N
H4882|013|000|HEALTHPARTNERS, INC.|HealthPartners Journey Smart (PPO)|00025128|0.00|400| | |MN|24810|0|N
H4882|013|000|HEALTHPARTNERS, INC.|HealthPartners Journey Smart (PPO)|00025128|0.00|400| | |MN|24850|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49020|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49030|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49040|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49050|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49070|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49090|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49100|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49110|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49120|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49130|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49140|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49141|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49150|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49160|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49170|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49180|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49190|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49191|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49194|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49200|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49210|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49212|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49213|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49241|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49250|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49260|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49270|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49280|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49291|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49310|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49320|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49328|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49330|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49340|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49343|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49350|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49370|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49380|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49390|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49400|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49410|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49440|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49450|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49460|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49470|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49480|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49490|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49510|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49520|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49522|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49540|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49550|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49551|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49560|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49563|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49570|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49580|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49590|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49600|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49620|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49641|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49650|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49661|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49670|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49680|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49690|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49700|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49701|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49710|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49711|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49720|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49730|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49770|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49771|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49780|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49791|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49800|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49801|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49810|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49820|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49838|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49840|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49870|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49880|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49890|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49891|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49892|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49900|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49910|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49921|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49930|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49950|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49961|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49962|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49970|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49980|0|N
H4909|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (PPO)|00025049|0.00|295| | |VA|49981|0|N
H4909|026|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025049|0.00|295| | |VA|49090|0|N
H4909|026|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025049|0.00|295| | |VA|49194|0|N
H4909|026|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025049|0.00|295| | |VA|49200|0|N
H4909|026|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025049|0.00|295| | |VA|49328|0|N
H4909|026|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025049|0.00|295| | |VA|49330|0|N
H4909|026|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025049|0.00|295| | |VA|49411|0|N
H4909|026|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025049|0.00|295| | |VA|49430|0|N
H4909|026|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025049|0.00|295| | |VA|49460|0|N
H4909|026|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025049|0.00|295| | |VA|49551|0|N
H4909|026|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025049|0.00|295| | |VA|49711|0|N
H4909|026|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025049|0.00|295| | |VA|49712|0|N
H4909|026|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025049|0.00|295| | |VA|49791|0|N
H4909|026|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025049|0.00|295| | |VA|49800|0|N
H4909|026|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025049|0.00|295| | |VA|49838|0|N
H4909|026|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025049|0.00|295| | |VA|49892|0|N
H4909|026|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Grocery (PPO)|00025049|0.00|295| | |VA|49921|0|N
H4931|007|000|BANNER - UNIVERSITY CARE ADVANTAGE|Banner Medicare Advantage Dual (HMO D-SNP)|00025138|0.00|590| | |AZ|03010|2|N
H4931|007|000|BANNER - UNIVERSITY CARE ADVANTAGE|Banner Medicare Advantage Dual (HMO D-SNP)|00025138|0.00|590| | |AZ|03030|2|N
H4931|007|000|BANNER - UNIVERSITY CARE ADVANTAGE|Banner Medicare Advantage Dual (HMO D-SNP)|00025138|0.00|590| | |AZ|03040|2|N
H4931|007|000|BANNER - UNIVERSITY CARE ADVANTAGE|Banner Medicare Advantage Dual (HMO D-SNP)|00025138|0.00|590| | |AZ|03050|2|N
H4931|007|000|BANNER - UNIVERSITY CARE ADVANTAGE|Banner Medicare Advantage Dual (HMO D-SNP)|00025138|0.00|590| | |AZ|03055|2|N
H4931|007|000|BANNER - UNIVERSITY CARE ADVANTAGE|Banner Medicare Advantage Dual (HMO D-SNP)|00025138|0.00|590| | |AZ|03060|2|N
H4931|007|000|BANNER - UNIVERSITY CARE ADVANTAGE|Banner Medicare Advantage Dual (HMO D-SNP)|00025138|0.00|590| | |AZ|03090|2|N
H4931|007|000|BANNER - UNIVERSITY CARE ADVANTAGE|Banner Medicare Advantage Dual (HMO D-SNP)|00025138|0.00|590| | |AZ|03100|2|N
H4931|007|000|BANNER - UNIVERSITY CARE ADVANTAGE|Banner Medicare Advantage Dual (HMO D-SNP)|00025138|0.00|590| | |AZ|03110|2|N
H4931|007|000|BANNER - UNIVERSITY CARE ADVANTAGE|Banner Medicare Advantage Dual (HMO D-SNP)|00025138|0.00|590| | |AZ|03130|2|N
H4931|015|000|BANNER - UNIVERSITY CARE ADVANTAGE|Banner Medicare Advantage Dual (HMO D-SNP)|00025138|0.00|590| | |AZ|03010|2|N
H4931|015|000|BANNER - UNIVERSITY CARE ADVANTAGE|Banner Medicare Advantage Dual (HMO D-SNP)|00025138|0.00|590| | |AZ|03030|2|N
H4931|015|000|BANNER - UNIVERSITY CARE ADVANTAGE|Banner Medicare Advantage Dual (HMO D-SNP)|00025138|0.00|590| | |AZ|03040|2|N
H4931|015|000|BANNER - UNIVERSITY CARE ADVANTAGE|Banner Medicare Advantage Dual (HMO D-SNP)|00025138|0.00|590| | |AZ|03050|2|N
H4931|015|000|BANNER - UNIVERSITY CARE ADVANTAGE|Banner Medicare Advantage Dual (HMO D-SNP)|00025138|0.00|590| | |AZ|03055|2|N
H4931|015|000|BANNER - UNIVERSITY CARE ADVANTAGE|Banner Medicare Advantage Dual (HMO D-SNP)|00025138|0.00|590| | |AZ|03060|2|N
H4931|015|000|BANNER - UNIVERSITY CARE ADVANTAGE|Banner Medicare Advantage Dual (HMO D-SNP)|00025138|0.00|590| | |AZ|03090|2|N
H4931|015|000|BANNER - UNIVERSITY CARE ADVANTAGE|Banner Medicare Advantage Dual (HMO D-SNP)|00025138|0.00|590| | |AZ|03100|2|N
H4931|015|000|BANNER - UNIVERSITY CARE ADVANTAGE|Banner Medicare Advantage Dual (HMO D-SNP)|00025138|0.00|590| | |AZ|03110|2|N
H4931|015|000|BANNER - UNIVERSITY CARE ADVANTAGE|Banner Medicare Advantage Dual (HMO D-SNP)|00025138|0.00|590| | |AZ|03130|2|N
H4937|001|000|CALIFORNIA PHYSICIANS' SERVICE|Blue Shield Select (PPO)|00025355|20.90|0| | |CA|05000|0|N
H4937|002|000|CALIFORNIA PHYSICIANS' SERVICE|Blue Shield Select (PPO)|00025355|19.00|0| | |CA|05400|0|N
H4937|002|000|CALIFORNIA PHYSICIANS' SERVICE|Blue Shield Select (PPO)|00025355|19.00|0| | |CA|05470|0|N
H4943|001|000|Scott & White Care Plans|Covenant Health Advantage Rx (HMO)|00025473|0.00|0| | |TX|45362|0|N
H4943|001|000|Scott & White Care Plans|Covenant Health Advantage Rx (HMO)|00025473|0.00|0| | |TX|45521|0|N
H4943|001|000|Scott & White Care Plans|Covenant Health Advantage Rx (HMO)|00025473|0.00|0| | |TX|45551|0|N
H4943|001|000|Scott & White Care Plans|Covenant Health Advantage Rx (HMO)|00025473|0.00|0| | |TX|45582|0|N
H4943|001|000|Scott & White Care Plans|Covenant Health Advantage Rx (HMO)|00025473|0.00|0| | |TX|45652|0|N
H4943|001|000|Scott & White Care Plans|Covenant Health Advantage Rx (HMO)|00025473|0.00|0| | |TX|45770|0|N
H4943|001|000|Scott & White Care Plans|Covenant Health Advantage Rx (HMO)|00025473|0.00|0| | |TX|45771|0|N
H4943|001|000|Scott & White Care Plans|Covenant Health Advantage Rx (HMO)|00025473|0.00|0| | |TX|45913|0|N
H4961|001|000|ALIGNMENT HEALTH PLAN|Alignment Health My Choice (PPO)|00025083|10.60|0| | |CA|05410|0|N
H4961|001|000|ALIGNMENT HEALTH PLAN|Alignment Health My Choice (PPO)|00025083|10.60|0| | |CA|05440|0|N
H4961|001|000|ALIGNMENT HEALTH PLAN|Alignment Health My Choice (PPO)|00025083|10.60|0| | |CA|05490|0|N
H4961|001|000|ALIGNMENT HEALTH PLAN|Alignment Health My Choice (PPO)|00025083|10.60|0| | |CA|05540|0|N
H4961|001|000|ALIGNMENT HEALTH PLAN|Alignment Health My Choice (PPO)|00025083|10.60|0| | |CA|05600|0|N
H4961|001|000|ALIGNMENT HEALTH PLAN|Alignment Health My Choice (PPO)|00025083|10.60|0| | |CA|05670|0|N
H4961|003|000|ALIGNMENT HEALTH PLAN|Alignment Health My Choice (PPO)|00025083|23.80|0| | |CA|05510|0|N
H4961|003|000|ALIGNMENT HEALTH PLAN|Alignment Health My Choice (PPO)|00025083|23.80|0| | |CA|05590|0|N
H4961|006|000|ALIGNMENT HEALTH PLAN|Alignment Health Balance (PPO)|00025083|0.00|0| | |CA|05490|0|N
H4961|006|000|ALIGNMENT HEALTH PLAN|Alignment Health Balance (PPO)|00025083|0.00|0| | |CA|05600|0|N
H4982|001|000|AETNA BETTER HEALTH OF CALIFORNIA INC.|Aetna Medicare Plus (HMO-POS)|00025101|0.00|590| | |CA|05200|0|N
H4982|001|000|AETNA BETTER HEALTH OF CALIFORNIA INC.|Aetna Medicare Plus (HMO-POS)|00025101|0.00|590| | |CA|05210|0|N
H4982|001|000|AETNA BETTER HEALTH OF CALIFORNIA INC.|Aetna Medicare Plus (HMO-POS)|00025101|0.00|590| | |CA|05400|0|N
H4982|002|000|AETNA BETTER HEALTH OF CALIFORNIA INC.|Aetna Medicare Plus (HMO-POS)|00025101|0.00|590| | |CA|05430|0|N
H4982|002|000|AETNA BETTER HEALTH OF CALIFORNIA INC.|Aetna Medicare Plus (HMO-POS)|00025101|0.00|590| | |CA|05460|0|N
H4982|003|000|AETNA BETTER HEALTH OF CALIFORNIA INC.|Aetna Medicare Plus (HMO-POS)|00025101|0.00|590| | |CA|05140|0|N
H4982|004|000|AETNA BETTER HEALTH OF CALIFORNIA INC.|Aetna Medicare Plus (HMO-POS)|00025101|0.00|590| | |CA|05470|0|N
H4982|007|000|AETNA BETTER HEALTH OF CALIFORNIA INC.|Aetna Medicare Plus (HMO-POS)|00025101|0.00|590| | |CA|05000|0|N
H4982|007|000|AETNA BETTER HEALTH OF CALIFORNIA INC.|Aetna Medicare Plus (HMO-POS)|00025101|0.00|590| | |CA|05480|0|N
H4982|008|000|AETNA BETTER HEALTH OF CALIFORNIA INC.|Aetna Medicare Preferred (HMO D-SNP)|00025101|0.00|590| | |CA|05000|2|Y
H4982|008|000|AETNA BETTER HEALTH OF CALIFORNIA INC.|Aetna Medicare Preferred (HMO D-SNP)|00025101|0.00|590| | |CA|05480|2|Y
H4982|009|000|AETNA BETTER HEALTH OF CALIFORNIA INC.|Aetna Medicare Preferred (HMO D-SNP)|00025101|0.00|589| | |CA|05090|2|Y
H4982|009|000|AETNA BETTER HEALTH OF CALIFORNIA INC.|Aetna Medicare Preferred (HMO D-SNP)|00025101|0.00|589| | |CA|05140|2|Y
H4982|010|000|AETNA BETTER HEALTH OF CALIFORNIA INC.|Aetna Medicare Plus (HMO-POS)|00025101|0.00|590| | |CA|05090|0|N
H4982|016|000|AETNA BETTER HEALTH OF CALIFORNIA INC.|Aetna Medicare Preferred (HMO D-SNP)|00025101|0.00|590| | |CA|05470|2|Y
H4982|017|000|AETNA BETTER HEALTH OF CALIFORNIA INC.|Aetna Medicare Value Plus (HMO-POS)|00025101|0.00|450| | |CA|05200|0|N
H4982|017|000|AETNA BETTER HEALTH OF CALIFORNIA INC.|Aetna Medicare Value Plus (HMO-POS)|00025101|0.00|450| | |CA|05210|0|N
H4982|017|000|AETNA BETTER HEALTH OF CALIFORNIA INC.|Aetna Medicare Value Plus (HMO-POS)|00025101|0.00|450| | |CA|05400|0|N
H4982|018|000|AETNA BETTER HEALTH OF CALIFORNIA INC.|Aetna Medicare Value Plus (HMO-POS)|00025101|0.00|450| | |CA|05140|0|N
H4982|018|000|AETNA BETTER HEALTH OF CALIFORNIA INC.|Aetna Medicare Value Plus (HMO-POS)|00025101|0.00|450| | |CA|05430|0|N
H4982|018|000|AETNA BETTER HEALTH OF CALIFORNIA INC.|Aetna Medicare Value Plus (HMO-POS)|00025101|0.00|450| | |CA|05460|0|N
H4982|020|000|AETNA BETTER HEALTH OF CALIFORNIA INC.|Aetna Medicare Preferred Plus (HMO-POS)|00025101|0.00|0| | |CA|05430|0|N
H4982|020|000|AETNA BETTER HEALTH OF CALIFORNIA INC.|Aetna Medicare Preferred Plus (HMO-POS)|00025101|0.00|0| | |CA|05460|0|N
H4982|021|000|AETNA BETTER HEALTH OF CALIFORNIA INC.|Aetna Medicare Prime Value Plus (HMO-POS)|00025101|0.00|450| | |CA|05200|0|N
H4982|021|000|AETNA BETTER HEALTH OF CALIFORNIA INC.|Aetna Medicare Prime Value Plus (HMO-POS)|00025101|0.00|450| | |CA|05210|0|N
H4982|022|000|AETNA BETTER HEALTH OF CALIFORNIA INC.|Aetna Medicare Prime Value Plus (HMO-POS)|00025101|0.50|450| | |CA|05140|0|N
H4982|022|000|AETNA BETTER HEALTH OF CALIFORNIA INC.|Aetna Medicare Prime Value Plus (HMO-POS)|00025101|0.50|450| | |CA|05430|0|N
H4982|022|000|AETNA BETTER HEALTH OF CALIFORNIA INC.|Aetna Medicare Prime Value Plus (HMO-POS)|00025101|0.50|450| | |CA|05460|0|N
H4982|023|000|AETNA BETTER HEALTH OF CALIFORNIA INC.|Aetna Medicare Prime II Preferred (HMO-POS)|00025101|0.00|0| | |CA|05400|0|N
H4982|024|000|AETNA BETTER HEALTH OF CALIFORNIA INC.|Aetna Medicare Prime II Value Plus (HMO-POS)|00025101|0.80|450| | |CA|05400|0|N
H4982|025|000|AETNA BETTER HEALTH OF CALIFORNIA INC.|Aetna Medicare Prime (HMO-POS)|00025101|0.00|0| | |CA|05200|0|N
H4982|025|000|AETNA BETTER HEALTH OF CALIFORNIA INC.|Aetna Medicare Prime (HMO-POS)|00025101|0.00|0| | |CA|05210|0|N
H4982|026|000|AETNA BETTER HEALTH OF CALIFORNIA INC.|Aetna Medicare Prime (HMO-POS)|00025101|0.00|0| | |CA|05430|0|N
H4982|026|000|AETNA BETTER HEALTH OF CALIFORNIA INC.|Aetna Medicare Prime (HMO-POS)|00025101|0.00|0| | |CA|05460|0|N
H4982|027|000|AETNA BETTER HEALTH OF CALIFORNIA INC.|Aetna Medicare Preferred Plus (HMO-POS)|00025101|0.00|0| | |CA|05200|0|N
H4982|027|000|AETNA BETTER HEALTH OF CALIFORNIA INC.|Aetna Medicare Preferred Plus (HMO-POS)|00025101|0.00|0| | |CA|05210|0|N
H4982|028|000|AETNA BETTER HEALTH OF CALIFORNIA INC.|Aetna Medicare Preferred Plus (HMO-POS)|00025101|0.00|590| | |CA|05140|0|N
H4982|029|000|AETNA BETTER HEALTH OF CALIFORNIA INC.|Aetna Medicare Plus II (HMO-POS)|00025101|0.00|590| | |CA|05470|0|N
H4982|030|000|AETNA BETTER HEALTH OF CALIFORNIA INC.|Aetna Medicare Plus II (HMO-POS)|00025101|18.40|590| | |CA|05530|0|N
H5008|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-S6 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50040|2|N
H5008|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-S6 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50070|2|N
H5008|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-S6 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50140|2|N
H5008|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-S6 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50150|2|N
H5008|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-S6 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50160|2|N
H5008|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-S6 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50170|2|N
H5008|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-S6 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50200|2|N
H5008|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-S6 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50220|2|N
H5008|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-S6 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50240|2|N
H5008|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-S6 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50260|2|N
H5008|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-S6 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50270|2|N
H5008|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-S6 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50280|2|N
H5008|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-S6 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50300|2|N
H5008|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-S6 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50330|2|N
H5008|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-S6 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50340|2|N
H5008|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-S6 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50360|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19000|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19010|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19020|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19030|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19040|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19050|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19060|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19070|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19080|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19090|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19100|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19110|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19120|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19130|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19140|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19150|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19160|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19170|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19180|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19190|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19200|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19210|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19220|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19230|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19240|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19250|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19260|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19270|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19280|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19290|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19300|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19310|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19320|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19330|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19340|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19350|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19360|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19370|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19380|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19390|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19400|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19410|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19420|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19430|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19440|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19450|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19460|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19470|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19480|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19490|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19500|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19510|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19520|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19530|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19540|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19550|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19560|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19570|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19580|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19590|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19600|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19610|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19620|2|N
H5008|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete LA-S003 (HMO-POS D-SNP)|00025002|0.00|590| | |LA|19630|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25010|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25020|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25030|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25040|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25050|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25060|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25070|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25080|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25090|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25100|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25110|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25120|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25130|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25140|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25150|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25160|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25170|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25180|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25190|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25200|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25220|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25230|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25240|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25250|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25260|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25270|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25280|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25290|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25300|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25310|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25320|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25330|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25340|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25350|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25370|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25380|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25390|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25400|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25410|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25420|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25440|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25450|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25460|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25470|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25480|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25490|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25500|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25510|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25520|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25530|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25540|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25550|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25560|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25570|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25580|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25590|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25600|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25610|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25620|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25630|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25640|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25650|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25660|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25670|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25680|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25690|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25700|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25710|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25720|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25730|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25740|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25750|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25760|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25770|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25780|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25790|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25800|2|N
H5008|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25810|2|N
H5008|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-V001 (HMO-POS D-SNP)|00025002|26.20|590| | |WA|50010|2|N
H5008|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-V001 (HMO-POS D-SNP)|00025002|26.20|590| | |WA|50020|2|N
H5008|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-V001 (HMO-POS D-SNP)|00025002|26.20|590| | |WA|50040|2|N
H5008|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-V001 (HMO-POS D-SNP)|00025002|26.20|590| | |WA|50050|2|N
H5008|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-V001 (HMO-POS D-SNP)|00025002|26.20|590| | |WA|50060|2|N
H5008|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-V001 (HMO-POS D-SNP)|00025002|26.20|590| | |WA|50070|2|N
H5008|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-V001 (HMO-POS D-SNP)|00025002|26.20|590| | |WA|50080|2|N
H5008|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-V001 (HMO-POS D-SNP)|00025002|26.20|590| | |WA|50100|2|N
H5008|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-V001 (HMO-POS D-SNP)|00025002|26.20|590| | |WA|50110|2|N
H5008|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-V001 (HMO-POS D-SNP)|00025002|26.20|590| | |WA|50140|2|N
H5008|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-V001 (HMO-POS D-SNP)|00025002|26.20|590| | |WA|50150|2|N
H5008|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-V001 (HMO-POS D-SNP)|00025002|26.20|590| | |WA|50160|2|N
H5008|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-V001 (HMO-POS D-SNP)|00025002|26.20|590| | |WA|50170|2|N
H5008|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-V001 (HMO-POS D-SNP)|00025002|26.20|590| | |WA|50180|2|N
H5008|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-V001 (HMO-POS D-SNP)|00025002|26.20|590| | |WA|50200|2|N
H5008|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-V001 (HMO-POS D-SNP)|00025002|26.20|590| | |WA|50210|2|N
H5008|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-V001 (HMO-POS D-SNP)|00025002|26.20|590| | |WA|50220|2|N
H5008|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-V001 (HMO-POS D-SNP)|00025002|26.20|590| | |WA|50240|2|N
H5008|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-V001 (HMO-POS D-SNP)|00025002|26.20|590| | |WA|50250|2|N
H5008|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-V001 (HMO-POS D-SNP)|00025002|26.20|590| | |WA|50260|2|N
H5008|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-V001 (HMO-POS D-SNP)|00025002|26.20|590| | |WA|50270|2|N
H5008|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-V001 (HMO-POS D-SNP)|00025002|26.20|590| | |WA|50280|2|N
H5008|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-V001 (HMO-POS D-SNP)|00025002|26.20|590| | |WA|50290|2|N
H5008|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-V001 (HMO-POS D-SNP)|00025002|26.20|590| | |WA|50300|2|N
H5008|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-V001 (HMO-POS D-SNP)|00025002|26.20|590| | |WA|50310|2|N
H5008|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-V001 (HMO-POS D-SNP)|00025002|26.20|590| | |WA|50330|2|N
H5008|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-V001 (HMO-POS D-SNP)|00025002|26.20|590| | |WA|50340|2|N
H5008|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-V001 (HMO-POS D-SNP)|00025002|26.20|590| | |WA|50350|2|N
H5008|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-V001 (HMO-POS D-SNP)|00025002|26.20|590| | |WA|50360|2|N
H5008|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-V001 (HMO-POS D-SNP)|00025002|26.20|590| | |WA|50370|2|N
H5008|015|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-V001 (HMO-POS D-SNP)|00025002|26.20|590| | |WA|50380|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25010|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25020|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25030|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25040|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25050|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25060|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25070|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25080|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25090|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25100|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25110|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25120|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25130|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25140|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25150|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25160|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25170|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25180|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25190|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25200|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25220|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25230|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25240|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25250|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25260|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25270|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25280|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25290|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25300|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25310|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25320|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25330|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25340|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25350|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25370|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25380|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25390|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25400|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25410|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25420|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25440|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25450|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25460|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25470|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25480|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25490|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25500|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25510|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25520|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25530|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25540|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25550|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25560|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25570|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25580|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25590|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25600|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25610|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25620|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25630|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25640|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25650|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25660|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25670|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25680|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25690|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25700|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25710|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25720|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25730|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25740|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25750|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25760|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25770|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25780|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25790|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25800|2|N
H5008|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-V001 (HMO-POS D-SNP)|00025002|47.30|590| | |MS|25810|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25010|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25020|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25030|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25040|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25050|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25060|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25070|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25080|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25090|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25100|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25110|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25120|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25130|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25140|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25150|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25160|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25170|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25180|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25190|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25200|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25220|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25230|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25240|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25250|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25260|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25270|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25280|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25290|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25300|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25310|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25320|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25330|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25340|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25350|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25370|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25380|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25390|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25400|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25410|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25420|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25440|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25450|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25460|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25470|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25480|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25490|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25500|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25510|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25520|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25530|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25540|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25550|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25560|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25570|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25580|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25590|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25600|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25610|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25620|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25630|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25640|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25650|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25660|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25670|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25680|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25690|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25700|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25710|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25720|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25730|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25740|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25750|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25760|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25770|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25780|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25790|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25800|2|N
H5008|017|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete MS-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |MS|25810|2|N
H5008|018|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50010|2|N
H5008|018|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50020|2|N
H5008|018|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50050|2|N
H5008|018|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50060|2|N
H5008|018|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50080|2|N
H5008|018|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50100|2|N
H5008|018|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50110|2|N
H5008|018|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50180|2|N
H5008|018|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50210|2|N
H5008|018|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50250|2|N
H5008|018|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50290|2|N
H5008|018|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50310|2|N
H5008|018|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50350|2|N
H5008|018|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50370|2|N
H5008|018|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50380|2|N
H5008|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-Q2 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50010|2|N
H5008|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-Q2 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50020|2|N
H5008|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-Q2 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50040|2|N
H5008|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-Q2 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50050|2|N
H5008|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-Q2 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50060|2|N
H5008|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-Q2 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50070|2|N
H5008|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-Q2 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50080|2|N
H5008|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-Q2 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50100|2|N
H5008|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-Q2 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50110|2|N
H5008|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-Q2 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50140|2|N
H5008|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-Q2 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50150|2|N
H5008|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-Q2 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50160|2|N
H5008|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-Q2 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50170|2|N
H5008|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-Q2 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50180|2|N
H5008|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-Q2 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50200|2|N
H5008|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-Q2 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50210|2|N
H5008|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-Q2 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50220|2|N
H5008|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-Q2 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50240|2|N
H5008|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-Q2 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50250|2|N
H5008|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-Q2 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50260|2|N
H5008|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-Q2 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50270|2|N
H5008|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-Q2 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50280|2|N
H5008|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-Q2 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50290|2|N
H5008|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-Q2 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50300|2|N
H5008|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-Q2 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50310|2|N
H5008|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-Q2 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50330|2|N
H5008|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-Q2 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50340|2|N
H5008|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-Q2 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50350|2|N
H5008|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-Q2 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50360|2|N
H5008|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-Q2 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50370|2|N
H5008|019|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-Q2 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50380|2|N
H5008|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50160|2|N
H5008|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50260|2|N
H5008|020|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete WA-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |WA|50300|2|N
H5009|002|000|REGENCE BLUESHIELD|Regence MedAdvantage + Rx Enhanced (PPO)|00025106|53.90|200| | |WA|50160|0|N
H5009|002|000|REGENCE BLUESHIELD|Regence MedAdvantage + Rx Enhanced (PPO)|00025106|53.90|200| | |WA|50260|0|N
H5009|002|000|REGENCE BLUESHIELD|Regence MedAdvantage + Rx Enhanced (PPO)|00025106|53.90|200| | |WA|50300|0|N
H5009|002|000|REGENCE BLUESHIELD|Regence MedAdvantage + Rx Enhanced (PPO)|00025106|53.90|200| | |WA|50330|0|N
H5009|002|000|REGENCE BLUESHIELD|Regence MedAdvantage + Rx Enhanced (PPO)|00025106|53.90|200| | |WA|50380|0|N
H5009|011|001|REGENCE BLUESHIELD|Regence MedAdvantage + Rx Primary (PPO)|00025106|4.60|300| | |WA|50160|0|N
H5009|011|001|REGENCE BLUESHIELD|Regence MedAdvantage + Rx Primary (PPO)|00025106|4.60|300| | |WA|50300|0|N
H5009|011|001|REGENCE BLUESHIELD|Regence MedAdvantage + Rx Primary (PPO)|00025106|4.60|300| | |WA|50330|0|N
H5009|011|002|REGENCE BLUESHIELD|Regence MedAdvantage + Rx Primary (PPO)|00025106|4.60|300| | |WA|50260|0|N
H5009|011|002|REGENCE BLUESHIELD|Regence MedAdvantage + Rx Primary (PPO)|00025106|4.60|300| | |WA|50380|0|N
H5010|011|000|ASURIS NORTHWEST HEALTH|Asuris TruAdvantage + Rx Classic (PPO)|00025106|21.70|200| | |WA|50310|0|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45030|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45060|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45070|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45090|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45100|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45113|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45130|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45140|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45210|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45221|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45222|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45223|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45224|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45240|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45260|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45280|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45312|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45320|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45340|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45410|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45420|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45430|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45440|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45511|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45530|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45531|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45541|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45550|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45552|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45561|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45562|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45570|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45580|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45581|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45590|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45600|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45610|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45620|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45631|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45650|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45651|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45680|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45681|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45700|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45710|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45711|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45722|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45731|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45732|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45743|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45752|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45753|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45754|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45755|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45757|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45760|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45761|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45781|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45783|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45785|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45790|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45792|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45796|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45801|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45803|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45830|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45841|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45842|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45873|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45876|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45881|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45884|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45886|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45892|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45893|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45900|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45910|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45940|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45943|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45952|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45953|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45954|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45962|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45970|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45971|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45973|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45974|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45982|3|N
H5015|001|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Health Plan, Inc. (HMO I-SNP)|00025266|18.30|590| | |TX|45983|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45030|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45060|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45070|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45090|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45100|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45113|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45130|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45140|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45210|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45221|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45222|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45223|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45224|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45240|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45260|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45280|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45312|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45320|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45340|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45410|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45420|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45430|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45440|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45511|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45530|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45531|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45541|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45550|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45552|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45561|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45562|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45570|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45580|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45581|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45590|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45600|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45610|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45620|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45631|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45650|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45651|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45680|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45681|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45700|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45710|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45711|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45722|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45731|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45732|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45743|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45752|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45753|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45754|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45755|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45757|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45760|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45761|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45781|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45783|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45785|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45790|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45792|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45796|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45801|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45803|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45830|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45841|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45842|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45873|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45876|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45881|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45884|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45886|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45892|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45893|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45900|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45910|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45940|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45943|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45952|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45953|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45954|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45962|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45970|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45971|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45973|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45974|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45982|3|N
H5015|002|000|TEXAS INDEPENDENCE HEALTH PLAN, INC.|Texas Independence Community Plan (HMO I-SNP)|00025266|18.30|590| | |TX|45983|3|N
H5042|009|000|CDPHP UNIVERSAL BENEFITS, INC.|CDPHP Vital Rx (PPO)|00025469|0.00|300| | |NY|33000|0|N
H5042|009|000|CDPHP UNIVERSAL BENEFITS, INC.|CDPHP Vital Rx (PPO)|00025469|0.00|300| | |NY|33010|0|N
H5042|009|000|CDPHP UNIVERSAL BENEFITS, INC.|CDPHP Vital Rx (PPO)|00025469|0.00|300| | |NY|33030|0|N
H5042|009|000|CDPHP UNIVERSAL BENEFITS, INC.|CDPHP Vital Rx (PPO)|00025469|0.00|300| | |NY|33070|0|N
H5042|009|000|CDPHP UNIVERSAL BENEFITS, INC.|CDPHP Vital Rx (PPO)|00025469|0.00|300| | |NY|33080|0|N
H5042|009|000|CDPHP UNIVERSAL BENEFITS, INC.|CDPHP Vital Rx (PPO)|00025469|0.00|300| | |NY|33090|0|N
H5042|009|000|CDPHP UNIVERSAL BENEFITS, INC.|CDPHP Vital Rx (PPO)|00025469|0.00|300| | |NY|33200|0|N
H5042|009|000|CDPHP UNIVERSAL BENEFITS, INC.|CDPHP Vital Rx (PPO)|00025469|0.00|300| | |NY|33220|0|N
H5042|009|000|CDPHP UNIVERSAL BENEFITS, INC.|CDPHP Vital Rx (PPO)|00025469|0.00|300| | |NY|33260|0|N
H5042|009|000|CDPHP UNIVERSAL BENEFITS, INC.|CDPHP Vital Rx (PPO)|00025469|0.00|300| | |NY|33270|0|N
H5042|009|000|CDPHP UNIVERSAL BENEFITS, INC.|CDPHP Vital Rx (PPO)|00025469|0.00|300| | |NY|33280|0|N
H5042|009|000|CDPHP UNIVERSAL BENEFITS, INC.|CDPHP Vital Rx (PPO)|00025469|0.00|300| | |NY|33300|0|N
H5042|009|000|CDPHP UNIVERSAL BENEFITS, INC.|CDPHP Vital Rx (PPO)|00025469|0.00|300| | |NY|33310|0|N
H5042|009|000|CDPHP UNIVERSAL BENEFITS, INC.|CDPHP Vital Rx (PPO)|00025469|0.00|300| | |NY|33320|0|N
H5042|009|000|CDPHP UNIVERSAL BENEFITS, INC.|CDPHP Vital Rx (PPO)|00025469|0.00|300| | |NY|33330|0|N
H5042|009|000|CDPHP UNIVERSAL BENEFITS, INC.|CDPHP Vital Rx (PPO)|00025469|0.00|300| | |NY|33340|0|N
H5042|009|000|CDPHP UNIVERSAL BENEFITS, INC.|CDPHP Vital Rx (PPO)|00025469|0.00|300| | |NY|33360|0|N
H5042|009|000|CDPHP UNIVERSAL BENEFITS, INC.|CDPHP Vital Rx (PPO)|00025469|0.00|300| | |NY|33370|0|N
H5042|009|000|CDPHP UNIVERSAL BENEFITS, INC.|CDPHP Vital Rx (PPO)|00025469|0.00|300| | |NY|33380|0|N
H5042|009|000|CDPHP UNIVERSAL BENEFITS, INC.|CDPHP Vital Rx (PPO)|00025469|0.00|300| | |NY|33510|0|N
H5042|009|000|CDPHP UNIVERSAL BENEFITS, INC.|CDPHP Vital Rx (PPO)|00025469|0.00|300| | |NY|33530|0|N
H5042|009|000|CDPHP UNIVERSAL BENEFITS, INC.|CDPHP Vital Rx (PPO)|00025469|0.00|300| | |NY|33570|0|N
H5042|009|000|CDPHP UNIVERSAL BENEFITS, INC.|CDPHP Vital Rx (PPO)|00025469|0.00|300| | |NY|33600|0|N
H5042|009|000|CDPHP UNIVERSAL BENEFITS, INC.|CDPHP Vital Rx (PPO)|00025469|0.00|300| | |NY|33630|0|N
H5042|009|000|CDPHP UNIVERSAL BENEFITS, INC.|CDPHP Vital Rx (PPO)|00025469|0.00|300| | |NY|33640|0|N
H5042|009|000|CDPHP UNIVERSAL BENEFITS, INC.|CDPHP Vital Rx (PPO)|00025469|0.00|300| | |NY|33650|0|N
H5042|009|000|CDPHP UNIVERSAL BENEFITS, INC.|CDPHP Vital Rx (PPO)|00025469|0.00|300| | |NY|33660|0|N
H5042|009|000|CDPHP UNIVERSAL BENEFITS, INC.|CDPHP Vital Rx (PPO)|00025469|0.00|300| | |NY|33670|0|N
H5042|009|000|CDPHP UNIVERSAL BENEFITS, INC.|CDPHP Vital Rx (PPO)|00025469|0.00|300| | |NY|33690|0|N
H5042|009|000|CDPHP UNIVERSAL BENEFITS, INC.|CDPHP Vital Rx (PPO)|00025469|0.00|300| | |NY|33720|0|N
H5042|009|000|CDPHP UNIVERSAL BENEFITS, INC.|CDPHP Vital Rx (PPO)|00025469|0.00|300| | |NY|33750|0|N
H5042|009|000|CDPHP UNIVERSAL BENEFITS, INC.|CDPHP Vital Rx (PPO)|00025469|0.00|300| | |NY|33760|0|N
H5042|009|000|CDPHP UNIVERSAL BENEFITS, INC.|CDPHP Vital Rx (PPO)|00025469|0.00|300| | |NY|33910|0|N
H5042|014|000|CDPHP UNIVERSAL BENEFITS, INC.|Complete Rx (PPO)|00025469|70.00|0| | |NY|33000|0|N
H5042|014|000|CDPHP UNIVERSAL BENEFITS, INC.|Complete Rx (PPO)|00025469|70.00|0| | |NY|33010|0|N
H5042|014|000|CDPHP UNIVERSAL BENEFITS, INC.|Complete Rx (PPO)|00025469|70.00|0| | |NY|33030|0|N
H5042|014|000|CDPHP UNIVERSAL BENEFITS, INC.|Complete Rx (PPO)|00025469|70.00|0| | |NY|33070|0|N
H5042|014|000|CDPHP UNIVERSAL BENEFITS, INC.|Complete Rx (PPO)|00025469|70.00|0| | |NY|33080|0|N
H5042|014|000|CDPHP UNIVERSAL BENEFITS, INC.|Complete Rx (PPO)|00025469|70.00|0| | |NY|33090|0|N
H5042|014|000|CDPHP UNIVERSAL BENEFITS, INC.|Complete Rx (PPO)|00025469|70.00|0| | |NY|33200|0|N
H5042|014|000|CDPHP UNIVERSAL BENEFITS, INC.|Complete Rx (PPO)|00025469|70.00|0| | |NY|33220|0|N
H5042|014|000|CDPHP UNIVERSAL BENEFITS, INC.|Complete Rx (PPO)|00025469|70.00|0| | |NY|33260|0|N
H5042|014|000|CDPHP UNIVERSAL BENEFITS, INC.|Complete Rx (PPO)|00025469|70.00|0| | |NY|33270|0|N
H5042|014|000|CDPHP UNIVERSAL BENEFITS, INC.|Complete Rx (PPO)|00025469|70.00|0| | |NY|33280|0|N
H5042|014|000|CDPHP UNIVERSAL BENEFITS, INC.|Complete Rx (PPO)|00025469|70.00|0| | |NY|33300|0|N
H5042|014|000|CDPHP UNIVERSAL BENEFITS, INC.|Complete Rx (PPO)|00025469|70.00|0| | |NY|33310|0|N
H5042|014|000|CDPHP UNIVERSAL BENEFITS, INC.|Complete Rx (PPO)|00025469|70.00|0| | |NY|33320|0|N
H5042|014|000|CDPHP UNIVERSAL BENEFITS, INC.|Complete Rx (PPO)|00025469|70.00|0| | |NY|33330|0|N
H5042|014|000|CDPHP UNIVERSAL BENEFITS, INC.|Complete Rx (PPO)|00025469|70.00|0| | |NY|33340|0|N
H5042|014|000|CDPHP UNIVERSAL BENEFITS, INC.|Complete Rx (PPO)|00025469|70.00|0| | |NY|33360|0|N
H5042|014|000|CDPHP UNIVERSAL BENEFITS, INC.|Complete Rx (PPO)|00025469|70.00|0| | |NY|33370|0|N
H5042|014|000|CDPHP UNIVERSAL BENEFITS, INC.|Complete Rx (PPO)|00025469|70.00|0| | |NY|33380|0|N
H5042|014|000|CDPHP UNIVERSAL BENEFITS, INC.|Complete Rx (PPO)|00025469|70.00|0| | |NY|33510|0|N
H5042|014|000|CDPHP UNIVERSAL BENEFITS, INC.|Complete Rx (PPO)|00025469|70.00|0| | |NY|33530|0|N
H5042|014|000|CDPHP UNIVERSAL BENEFITS, INC.|Complete Rx (PPO)|00025469|70.00|0| | |NY|33570|0|N
H5042|014|000|CDPHP UNIVERSAL BENEFITS, INC.|Complete Rx (PPO)|00025469|70.00|0| | |NY|33600|0|N
H5042|014|000|CDPHP UNIVERSAL BENEFITS, INC.|Complete Rx (PPO)|00025469|70.00|0| | |NY|33630|0|N
H5042|014|000|CDPHP UNIVERSAL BENEFITS, INC.|Complete Rx (PPO)|00025469|70.00|0| | |NY|33640|0|N
H5042|014|000|CDPHP UNIVERSAL BENEFITS, INC.|Complete Rx (PPO)|00025469|70.00|0| | |NY|33650|0|N
H5042|014|000|CDPHP UNIVERSAL BENEFITS, INC.|Complete Rx (PPO)|00025469|70.00|0| | |NY|33660|0|N
H5042|014|000|CDPHP UNIVERSAL BENEFITS, INC.|Complete Rx (PPO)|00025469|70.00|0| | |NY|33670|0|N
H5042|014|000|CDPHP UNIVERSAL BENEFITS, INC.|Complete Rx (PPO)|00025469|70.00|0| | |NY|33690|0|N
H5042|014|000|CDPHP UNIVERSAL BENEFITS, INC.|Complete Rx (PPO)|00025469|70.00|0| | |NY|33720|0|N
H5042|014|000|CDPHP UNIVERSAL BENEFITS, INC.|Complete Rx (PPO)|00025469|70.00|0| | |NY|33750|0|N
H5042|014|000|CDPHP UNIVERSAL BENEFITS, INC.|Complete Rx (PPO)|00025469|70.00|0| | |NY|33760|0|N
H5042|014|000|CDPHP UNIVERSAL BENEFITS, INC.|Complete Rx (PPO)|00025469|70.00|0| | |NY|33910|0|N
H5050|004|000|KAISER FOUNDATION HEALTH PLAN OF WASHINGTON|Kaiser Permanente Medicare Advantage Optimal (HMO)|00025408|91.90|0| | |WA|50130|0|N
H5050|004|000|KAISER FOUNDATION HEALTH PLAN OF WASHINGTON|Kaiser Permanente Medicare Advantage Optimal (HMO)|00025408|91.90|0| | |WA|50160|0|N
H5050|004|000|KAISER FOUNDATION HEALTH PLAN OF WASHINGTON|Kaiser Permanente Medicare Advantage Optimal (HMO)|00025408|91.90|0| | |WA|50170|0|N
H5050|004|000|KAISER FOUNDATION HEALTH PLAN OF WASHINGTON|Kaiser Permanente Medicare Advantage Optimal (HMO)|00025408|91.90|0| | |WA|50200|0|N
H5050|004|000|KAISER FOUNDATION HEALTH PLAN OF WASHINGTON|Kaiser Permanente Medicare Advantage Optimal (HMO)|00025408|91.90|0| | |WA|50220|0|N
H5050|004|000|KAISER FOUNDATION HEALTH PLAN OF WASHINGTON|Kaiser Permanente Medicare Advantage Optimal (HMO)|00025408|91.90|0| | |WA|50260|0|N
H5050|004|000|KAISER FOUNDATION HEALTH PLAN OF WASHINGTON|Kaiser Permanente Medicare Advantage Optimal (HMO)|00025408|91.90|0| | |WA|50300|0|N
H5050|004|000|KAISER FOUNDATION HEALTH PLAN OF WASHINGTON|Kaiser Permanente Medicare Advantage Optimal (HMO)|00025408|91.90|0| | |WA|50330|0|N
H5050|009|000|KAISER FOUNDATION HEALTH PLAN OF WASHINGTON|Kaiser Permanente Medicare Advantage Essential (HMO)|00025408|0.60|0| | |WA|50130|0|N
H5050|009|000|KAISER FOUNDATION HEALTH PLAN OF WASHINGTON|Kaiser Permanente Medicare Advantage Essential (HMO)|00025408|0.60|0| | |WA|50160|0|N
H5050|009|000|KAISER FOUNDATION HEALTH PLAN OF WASHINGTON|Kaiser Permanente Medicare Advantage Essential (HMO)|00025408|0.60|0| | |WA|50170|0|N
H5050|009|000|KAISER FOUNDATION HEALTH PLAN OF WASHINGTON|Kaiser Permanente Medicare Advantage Essential (HMO)|00025408|0.60|0| | |WA|50200|0|N
H5050|009|000|KAISER FOUNDATION HEALTH PLAN OF WASHINGTON|Kaiser Permanente Medicare Advantage Essential (HMO)|00025408|0.60|0| | |WA|50220|0|N
H5050|009|000|KAISER FOUNDATION HEALTH PLAN OF WASHINGTON|Kaiser Permanente Medicare Advantage Essential (HMO)|00025408|0.60|0| | |WA|50260|0|N
H5050|009|000|KAISER FOUNDATION HEALTH PLAN OF WASHINGTON|Kaiser Permanente Medicare Advantage Essential (HMO)|00025408|0.60|0| | |WA|50300|0|N
H5050|009|000|KAISER FOUNDATION HEALTH PLAN OF WASHINGTON|Kaiser Permanente Medicare Advantage Essential (HMO)|00025408|0.60|0| | |WA|50330|0|N
H5050|013|000|KAISER FOUNDATION HEALTH PLAN OF WASHINGTON|Kaiser Permanente Medicare Advantage Vital (HMO)|00025408|3.80|0| | |WA|50130|0|N
H5050|013|000|KAISER FOUNDATION HEALTH PLAN OF WASHINGTON|Kaiser Permanente Medicare Advantage Vital (HMO)|00025408|3.80|0| | |WA|50160|0|N
H5050|013|000|KAISER FOUNDATION HEALTH PLAN OF WASHINGTON|Kaiser Permanente Medicare Advantage Vital (HMO)|00025408|3.80|0| | |WA|50170|0|N
H5050|013|000|KAISER FOUNDATION HEALTH PLAN OF WASHINGTON|Kaiser Permanente Medicare Advantage Vital (HMO)|00025408|3.80|0| | |WA|50200|0|N
H5050|013|000|KAISER FOUNDATION HEALTH PLAN OF WASHINGTON|Kaiser Permanente Medicare Advantage Vital (HMO)|00025408|3.80|0| | |WA|50220|0|N
H5050|013|000|KAISER FOUNDATION HEALTH PLAN OF WASHINGTON|Kaiser Permanente Medicare Advantage Vital (HMO)|00025408|3.80|0| | |WA|50260|0|N
H5050|013|000|KAISER FOUNDATION HEALTH PLAN OF WASHINGTON|Kaiser Permanente Medicare Advantage Vital (HMO)|00025408|3.80|0| | |WA|50300|0|N
H5050|013|000|KAISER FOUNDATION HEALTH PLAN OF WASHINGTON|Kaiser Permanente Medicare Advantage Vital (HMO)|00025408|3.80|0| | |WA|50330|0|N
H5050|017|000|KAISER FOUNDATION HEALTH PLAN OF WASHINGTON|Kaiser Permanente Medicare Advantage Harbor (HMO)|00025408|62.20|150| | |WA|50140|0|N
H5050|017|000|KAISER FOUNDATION HEALTH PLAN OF WASHINGTON|Kaiser Permanente Medicare Advantage Harbor (HMO)|00025408|62.20|150| | |WA|50280|0|N
H5050|017|000|KAISER FOUNDATION HEALTH PLAN OF WASHINGTON|Kaiser Permanente Medicare Advantage Harbor (HMO)|00025408|62.20|150| | |WA|50360|0|N
H5050|019|000|KAISER FOUNDATION HEALTH PLAN OF WASHINGTON|Kaiser Permanente Medicare Advantage Columbia (HMO)|00025408|36.60|0| | |WA|50310|0|N
H5050|021|000|KAISER FOUNDATION HEALTH PLAN OF WASHINGTON|Kaiser Permanente Medicare Advantage Centennial (HMO)|00025408|0.00|0| | |WA|50310|0|N
H5050|022|000|KAISER FOUNDATION HEALTH PLAN OF WASHINGTON|Kaiser Permanente Medicare Advantage Key (HMO)|00025408|0.00|0| | |WA|50140|0|N
H5050|022|000|KAISER FOUNDATION HEALTH PLAN OF WASHINGTON|Kaiser Permanente Medicare Advantage Key (HMO)|00025408|0.00|0| | |WA|50160|0|N
H5050|022|000|KAISER FOUNDATION HEALTH PLAN OF WASHINGTON|Kaiser Permanente Medicare Advantage Key (HMO)|00025408|0.00|0| | |WA|50170|0|N
H5050|022|000|KAISER FOUNDATION HEALTH PLAN OF WASHINGTON|Kaiser Permanente Medicare Advantage Key (HMO)|00025408|0.00|0| | |WA|50260|0|N
H5050|022|000|KAISER FOUNDATION HEALTH PLAN OF WASHINGTON|Kaiser Permanente Medicare Advantage Key (HMO)|00025408|0.00|0| | |WA|50300|0|N
H5050|022|000|KAISER FOUNDATION HEALTH PLAN OF WASHINGTON|Kaiser Permanente Medicare Advantage Key (HMO)|00025408|0.00|0| | |WA|50330|0|N
H5050|023|000|KAISER FOUNDATION HEALTH PLAN OF WASHINGTON|Kaiser Permanente Medicare Advantage Anchor (HMO)|00025408|0.00|200| | |WA|50280|0|N
H5050|023|000|KAISER FOUNDATION HEALTH PLAN OF WASHINGTON|Kaiser Permanente Medicare Advantage Anchor (HMO)|00025408|0.00|200| | |WA|50360|0|N
H5087|005|000|WELLCARE OF CALIFORNIA, INC.|Wellcare Simple (HMO)|00025076|0.00|420| | |CA|05200|0|N
H5087|005|000|WELLCARE OF CALIFORNIA, INC.|Wellcare Simple (HMO)|00025076|0.00|420| | |CA|05210|0|N
H5087|005|000|WELLCARE OF CALIFORNIA, INC.|Wellcare Simple (HMO)|00025076|0.00|420| | |CA|05400|0|N
H5087|016|000|WELLCARE OF CALIFORNIA, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |CA|05430|0|N
H5087|016|000|WELLCARE OF CALIFORNIA, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |CA|05460|0|N
H5087|024|000|WELLCARE OF CALIFORNIA, INC.|Wellcare Simple (HMO)|00025076|0.00|420| | |CA|05490|0|N
H5087|024|000|WELLCARE OF CALIFORNIA, INC.|Wellcare Simple (HMO)|00025076|0.00|420| | |CA|05660|0|N
H5087|032|000|WELLCARE OF CALIFORNIA, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |CA|05200|0|N
H5087|032|000|WELLCARE OF CALIFORNIA, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |CA|05210|0|N
H5087|032|000|WELLCARE OF CALIFORNIA, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |CA|05400|0|N
H5087|032|000|WELLCARE OF CALIFORNIA, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |CA|05430|0|N
H5087|032|000|WELLCARE OF CALIFORNIA, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |CA|05460|0|N
H5106|013|000|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Standard (PPO)|00025023|58.70|0| | |WV|51000|0|N
H5106|013|000|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Standard (PPO)|00025023|58.70|0| | |WV|51010|0|N
H5106|013|000|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Standard (PPO)|00025023|58.70|0| | |WV|51040|0|N
H5106|013|000|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Standard (PPO)|00025023|58.70|0| | |WV|51050|0|N
H5106|013|000|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Standard (PPO)|00025023|58.70|0| | |WV|51080|0|N
H5106|013|000|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Standard (PPO)|00025023|58.70|0| | |WV|51090|0|N
H5106|013|000|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Standard (PPO)|00025023|58.70|0| | |WV|51120|0|N
H5106|013|000|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Standard (PPO)|00025023|58.70|0| | |WV|51130|0|N
H5106|013|000|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Standard (PPO)|00025023|58.70|0| | |WV|51150|0|N
H5106|013|000|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Standard (PPO)|00025023|58.70|0| | |WV|51160|0|N
H5106|013|000|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Standard (PPO)|00025023|58.70|0| | |WV|51170|0|N
H5106|013|000|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Standard (PPO)|00025023|58.70|0| | |WV|51180|0|N
H5106|013|000|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Standard (PPO)|00025023|58.70|0| | |WV|51190|0|N
H5106|013|000|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Standard (PPO)|00025023|58.70|0| | |WV|51200|0|N
H5106|013|000|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Standard (PPO)|00025023|58.70|0| | |WV|51240|0|N
H5106|013|000|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Standard (PPO)|00025023|58.70|0| | |WV|51260|0|N
H5106|013|000|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Standard (PPO)|00025023|58.70|0| | |WV|51270|0|N
H5106|013|000|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Standard (PPO)|00025023|58.70|0| | |WV|51290|0|N
H5106|013|000|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Standard (PPO)|00025023|58.70|0| | |WV|51300|0|N
H5106|013|000|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Standard (PPO)|00025023|58.70|0| | |WV|51330|0|N
H5106|013|000|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Standard (PPO)|00025023|58.70|0| | |WV|51340|0|N
H5106|013|000|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Standard (PPO)|00025023|58.70|0| | |WV|51350|0|N
H5106|013|000|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Standard (PPO)|00025023|58.70|0| | |WV|51390|0|N
H5106|013|000|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Standard (PPO)|00025023|58.70|0| | |WV|51420|0|N
H5106|013|000|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Standard (PPO)|00025023|58.70|0| | |WV|51440|0|N
H5106|013|000|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Standard (PPO)|00025023|58.70|0| | |WV|51450|0|N
H5106|013|000|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Standard (PPO)|00025023|58.70|0| | |WV|51460|0|N
H5106|013|000|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Standard (PPO)|00025023|58.70|0| | |WV|51470|0|N
H5106|013|000|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Standard (PPO)|00025023|58.70|0| | |WV|51480|0|N
H5106|013|000|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Standard (PPO)|00025023|58.70|0| | |WV|51510|0|N
H5106|013|000|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Standard (PPO)|00025023|58.70|0| | |WV|51520|0|N
H5106|013|000|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Standard (PPO)|00025023|58.70|0| | |WV|51530|0|N
H5106|013|000|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Standard (PPO)|00025023|58.70|0| | |WV|51540|0|N
H5106|029|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Distinct (PPO)|00025023|14.00|0| | |WV|51000|0|N
H5106|029|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Distinct (PPO)|00025023|14.00|0| | |WV|51010|0|N
H5106|029|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Distinct (PPO)|00025023|14.00|0| | |WV|51030|0|N
H5106|029|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Distinct (PPO)|00025023|14.00|0| | |WV|51040|0|N
H5106|029|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Distinct (PPO)|00025023|14.00|0| | |WV|51060|0|N
H5106|029|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Distinct (PPO)|00025023|14.00|0| | |WV|51080|0|N
H5106|029|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Distinct (PPO)|00025023|14.00|0| | |WV|51100|0|N
H5106|029|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Distinct (PPO)|00025023|14.00|0| | |WV|51110|0|N
H5106|029|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Distinct (PPO)|00025023|14.00|0| | |WV|51130|0|N
H5106|029|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Distinct (PPO)|00025023|14.00|0| | |WV|51140|0|N
H5106|029|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Distinct (PPO)|00025023|14.00|0| | |WV|51150|0|N
H5106|029|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Distinct (PPO)|00025023|14.00|0| | |WV|51160|0|N
H5106|029|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Distinct (PPO)|00025023|14.00|0| | |WV|51180|0|N
H5106|029|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Distinct (PPO)|00025023|14.00|0| | |WV|51200|0|N
H5106|029|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Distinct (PPO)|00025023|14.00|0| | |WV|51240|0|N
H5106|029|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Distinct (PPO)|00025023|14.00|0| | |WV|51250|0|N
H5106|029|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Distinct (PPO)|00025023|14.00|0| | |WV|51280|0|N
H5106|029|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Distinct (PPO)|00025023|14.00|0| | |WV|51300|0|N
H5106|029|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Distinct (PPO)|00025023|14.00|0| | |WV|51320|0|N
H5106|029|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Distinct (PPO)|00025023|14.00|0| | |WV|51340|0|N
H5106|029|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Distinct (PPO)|00025023|14.00|0| | |WV|51350|0|N
H5106|029|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Distinct (PPO)|00025023|14.00|0| | |WV|51360|0|N
H5106|029|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Distinct (PPO)|00025023|14.00|0| | |WV|51380|0|N
H5106|029|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Distinct (PPO)|00025023|14.00|0| | |WV|51410|0|N
H5106|029|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Distinct (PPO)|00025023|14.00|0| | |WV|51420|0|N
H5106|029|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Distinct (PPO)|00025023|14.00|0| | |WV|51450|0|N
H5106|029|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Distinct (PPO)|00025023|14.00|0| | |WV|51460|0|N
H5106|029|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Distinct (PPO)|00025023|14.00|0| | |WV|51470|0|N
H5106|029|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Distinct (PPO)|00025023|14.00|0| | |WV|51480|0|N
H5106|029|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Distinct (PPO)|00025023|14.00|0| | |WV|51510|0|N
H5106|029|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Distinct (PPO)|00025023|14.00|0| | |WV|51520|0|N
H5106|029|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Distinct (PPO)|00025023|14.00|0| | |WV|51530|0|N
H5106|029|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Distinct (PPO)|00025023|11.00|0| | |WV|51020|0|N
H5106|029|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Distinct (PPO)|00025023|11.00|0| | |WV|51050|0|N
H5106|029|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Distinct (PPO)|00025023|11.00|0| | |WV|51070|0|N
H5106|029|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Distinct (PPO)|00025023|11.00|0| | |WV|51090|0|N
H5106|029|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Distinct (PPO)|00025023|11.00|0| | |WV|51120|0|N
H5106|029|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Distinct (PPO)|00025023|11.00|0| | |WV|51170|0|N
H5106|029|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Distinct (PPO)|00025023|11.00|0| | |WV|51190|0|N
H5106|029|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Distinct (PPO)|00025023|11.00|0| | |WV|51210|0|N
H5106|029|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Distinct (PPO)|00025023|11.00|0| | |WV|51220|0|N
H5106|029|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Distinct (PPO)|00025023|11.00|0| | |WV|51230|0|N
H5106|029|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Distinct (PPO)|00025023|11.00|0| | |WV|51260|0|N
H5106|029|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Distinct (PPO)|00025023|11.00|0| | |WV|51270|0|N
H5106|029|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Distinct (PPO)|00025023|11.00|0| | |WV|51290|0|N
H5106|029|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Distinct (PPO)|00025023|11.00|0| | |WV|51310|0|N
H5106|029|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Distinct (PPO)|00025023|11.00|0| | |WV|51330|0|N
H5106|029|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Distinct (PPO)|00025023|11.00|0| | |WV|51370|0|N
H5106|029|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Distinct (PPO)|00025023|11.00|0| | |WV|51390|0|N
H5106|029|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Distinct (PPO)|00025023|11.00|0| | |WV|51400|0|N
H5106|029|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Distinct (PPO)|00025023|11.00|0| | |WV|51430|0|N
H5106|029|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Distinct (PPO)|00025023|11.00|0| | |WV|51440|0|N
H5106|029|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Distinct (PPO)|00025023|11.00|0| | |WV|51490|0|N
H5106|029|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Distinct (PPO)|00025023|11.00|0| | |WV|51500|0|N
H5106|029|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Distinct (PPO)|00025023|11.00|0| | |WV|51540|0|N
H5106|030|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |WV|51000|0|N
H5106|030|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |WV|51010|0|N
H5106|030|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |WV|51030|0|N
H5106|030|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |WV|51040|0|N
H5106|030|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |WV|51060|0|N
H5106|030|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |WV|51080|0|N
H5106|030|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |WV|51100|0|N
H5106|030|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |WV|51110|0|N
H5106|030|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |WV|51130|0|N
H5106|030|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |WV|51140|0|N
H5106|030|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |WV|51150|0|N
H5106|030|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |WV|51160|0|N
H5106|030|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |WV|51180|0|N
H5106|030|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |WV|51200|0|N
H5106|030|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |WV|51240|0|N
H5106|030|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |WV|51250|0|N
H5106|030|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |WV|51280|0|N
H5106|030|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |WV|51300|0|N
H5106|030|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |WV|51320|0|N
H5106|030|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |WV|51340|0|N
H5106|030|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |WV|51350|0|N
H5106|030|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |WV|51360|0|N
H5106|030|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |WV|51380|0|N
H5106|030|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |WV|51410|0|N
H5106|030|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |WV|51420|0|N
H5106|030|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |WV|51450|0|N
H5106|030|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |WV|51460|0|N
H5106|030|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |WV|51470|0|N
H5106|030|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |WV|51480|0|N
H5106|030|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |WV|51510|0|N
H5106|030|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |WV|51520|0|N
H5106|030|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |WV|51530|0|N
H5106|030|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |WV|51020|0|N
H5106|030|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |WV|51050|0|N
H5106|030|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |WV|51070|0|N
H5106|030|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |WV|51090|0|N
H5106|030|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |WV|51120|0|N
H5106|030|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |WV|51170|0|N
H5106|030|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |WV|51190|0|N
H5106|030|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |WV|51210|0|N
H5106|030|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |WV|51220|0|N
H5106|030|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |WV|51230|0|N
H5106|030|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |WV|51260|0|N
H5106|030|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |WV|51270|0|N
H5106|030|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |WV|51290|0|N
H5106|030|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |WV|51310|0|N
H5106|030|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |WV|51330|0|N
H5106|030|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |WV|51370|0|N
H5106|030|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |WV|51390|0|N
H5106|030|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |WV|51400|0|N
H5106|030|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |WV|51430|0|N
H5106|030|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |WV|51440|0|N
H5106|030|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |WV|51490|0|N
H5106|030|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |WV|51500|0|N
H5106|030|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |WV|51540|0|N
H5106|031|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Merit (PPO)|00025023|0.00|590| | |WV|51000|0|N
H5106|031|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Merit (PPO)|00025023|0.00|590| | |WV|51010|0|N
H5106|031|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Merit (PPO)|00025023|0.00|590| | |WV|51030|0|N
H5106|031|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Merit (PPO)|00025023|0.00|590| | |WV|51040|0|N
H5106|031|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Merit (PPO)|00025023|0.00|590| | |WV|51060|0|N
H5106|031|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Merit (PPO)|00025023|0.00|590| | |WV|51080|0|N
H5106|031|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Merit (PPO)|00025023|0.00|590| | |WV|51100|0|N
H5106|031|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Merit (PPO)|00025023|0.00|590| | |WV|51110|0|N
H5106|031|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Merit (PPO)|00025023|0.00|590| | |WV|51130|0|N
H5106|031|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Merit (PPO)|00025023|0.00|590| | |WV|51140|0|N
H5106|031|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Merit (PPO)|00025023|0.00|590| | |WV|51150|0|N
H5106|031|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Merit (PPO)|00025023|0.00|590| | |WV|51160|0|N
H5106|031|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Merit (PPO)|00025023|0.00|590| | |WV|51180|0|N
H5106|031|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Merit (PPO)|00025023|0.00|590| | |WV|51200|0|N
H5106|031|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Merit (PPO)|00025023|0.00|590| | |WV|51240|0|N
H5106|031|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Merit (PPO)|00025023|0.00|590| | |WV|51250|0|N
H5106|031|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Merit (PPO)|00025023|0.00|590| | |WV|51280|0|N
H5106|031|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Merit (PPO)|00025023|0.00|590| | |WV|51300|0|N
H5106|031|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Merit (PPO)|00025023|0.00|590| | |WV|51320|0|N
H5106|031|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Merit (PPO)|00025023|0.00|590| | |WV|51340|0|N
H5106|031|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Merit (PPO)|00025023|0.00|590| | |WV|51350|0|N
H5106|031|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Merit (PPO)|00025023|0.00|590| | |WV|51360|0|N
H5106|031|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Merit (PPO)|00025023|0.00|590| | |WV|51380|0|N
H5106|031|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Merit (PPO)|00025023|0.00|590| | |WV|51410|0|N
H5106|031|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Merit (PPO)|00025023|0.00|590| | |WV|51420|0|N
H5106|031|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Merit (PPO)|00025023|0.00|590| | |WV|51450|0|N
H5106|031|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Merit (PPO)|00025023|0.00|590| | |WV|51460|0|N
H5106|031|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Merit (PPO)|00025023|0.00|590| | |WV|51470|0|N
H5106|031|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Merit (PPO)|00025023|0.00|590| | |WV|51480|0|N
H5106|031|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Merit (PPO)|00025023|0.00|590| | |WV|51510|0|N
H5106|031|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Merit (PPO)|00025023|0.00|590| | |WV|51520|0|N
H5106|031|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Merit (PPO)|00025023|0.00|590| | |WV|51530|0|N
H5106|031|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Merit (PPO)|00025023|0.00|590| | |WV|51020|0|N
H5106|031|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Merit (PPO)|00025023|0.00|590| | |WV|51050|0|N
H5106|031|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Merit (PPO)|00025023|0.00|590| | |WV|51070|0|N
H5106|031|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Merit (PPO)|00025023|0.00|590| | |WV|51090|0|N
H5106|031|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Merit (PPO)|00025023|0.00|590| | |WV|51120|0|N
H5106|031|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Merit (PPO)|00025023|0.00|590| | |WV|51170|0|N
H5106|031|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Merit (PPO)|00025023|0.00|590| | |WV|51190|0|N
H5106|031|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Merit (PPO)|00025023|0.00|590| | |WV|51210|0|N
H5106|031|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Merit (PPO)|00025023|0.00|590| | |WV|51220|0|N
H5106|031|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Merit (PPO)|00025023|0.00|590| | |WV|51230|0|N
H5106|031|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Merit (PPO)|00025023|0.00|590| | |WV|51260|0|N
H5106|031|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Merit (PPO)|00025023|0.00|590| | |WV|51270|0|N
H5106|031|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Merit (PPO)|00025023|0.00|590| | |WV|51290|0|N
H5106|031|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Merit (PPO)|00025023|0.00|590| | |WV|51310|0|N
H5106|031|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Merit (PPO)|00025023|0.00|590| | |WV|51330|0|N
H5106|031|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Merit (PPO)|00025023|0.00|590| | |WV|51370|0|N
H5106|031|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Merit (PPO)|00025023|0.00|590| | |WV|51390|0|N
H5106|031|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Merit (PPO)|00025023|0.00|590| | |WV|51400|0|N
H5106|031|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Merit (PPO)|00025023|0.00|590| | |WV|51430|0|N
H5106|031|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Merit (PPO)|00025023|0.00|590| | |WV|51440|0|N
H5106|031|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Merit (PPO)|00025023|0.00|590| | |WV|51490|0|N
H5106|031|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Merit (PPO)|00025023|0.00|590| | |WV|51500|0|N
H5106|031|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Merit (PPO)|00025023|0.00|590| | |WV|51540|0|N
H5106|032|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Prestige (PPO)|00025023|29.00|0| | |WV|51000|0|N
H5106|032|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Prestige (PPO)|00025023|29.00|0| | |WV|51010|0|N
H5106|032|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Prestige (PPO)|00025023|29.00|0| | |WV|51030|0|N
H5106|032|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Prestige (PPO)|00025023|29.00|0| | |WV|51040|0|N
H5106|032|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Prestige (PPO)|00025023|29.00|0| | |WV|51060|0|N
H5106|032|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Prestige (PPO)|00025023|29.00|0| | |WV|51080|0|N
H5106|032|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Prestige (PPO)|00025023|29.00|0| | |WV|51100|0|N
H5106|032|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Prestige (PPO)|00025023|29.00|0| | |WV|51110|0|N
H5106|032|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Prestige (PPO)|00025023|29.00|0| | |WV|51130|0|N
H5106|032|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Prestige (PPO)|00025023|29.00|0| | |WV|51140|0|N
H5106|032|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Prestige (PPO)|00025023|29.00|0| | |WV|51150|0|N
H5106|032|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Prestige (PPO)|00025023|29.00|0| | |WV|51160|0|N
H5106|032|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Prestige (PPO)|00025023|29.00|0| | |WV|51180|0|N
H5106|032|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Prestige (PPO)|00025023|29.00|0| | |WV|51200|0|N
H5106|032|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Prestige (PPO)|00025023|29.00|0| | |WV|51240|0|N
H5106|032|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Prestige (PPO)|00025023|29.00|0| | |WV|51250|0|N
H5106|032|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Prestige (PPO)|00025023|29.00|0| | |WV|51280|0|N
H5106|032|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Prestige (PPO)|00025023|29.00|0| | |WV|51300|0|N
H5106|032|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Prestige (PPO)|00025023|29.00|0| | |WV|51320|0|N
H5106|032|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Prestige (PPO)|00025023|29.00|0| | |WV|51340|0|N
H5106|032|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Prestige (PPO)|00025023|29.00|0| | |WV|51350|0|N
H5106|032|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Prestige (PPO)|00025023|29.00|0| | |WV|51360|0|N
H5106|032|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Prestige (PPO)|00025023|29.00|0| | |WV|51380|0|N
H5106|032|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Prestige (PPO)|00025023|29.00|0| | |WV|51410|0|N
H5106|032|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Prestige (PPO)|00025023|29.00|0| | |WV|51420|0|N
H5106|032|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Prestige (PPO)|00025023|29.00|0| | |WV|51450|0|N
H5106|032|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Prestige (PPO)|00025023|29.00|0| | |WV|51460|0|N
H5106|032|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Prestige (PPO)|00025023|29.00|0| | |WV|51470|0|N
H5106|032|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Prestige (PPO)|00025023|29.00|0| | |WV|51480|0|N
H5106|032|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Prestige (PPO)|00025023|29.00|0| | |WV|51510|0|N
H5106|032|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Prestige (PPO)|00025023|29.00|0| | |WV|51520|0|N
H5106|032|001|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Prestige (PPO)|00025023|29.00|0| | |WV|51530|0|N
H5106|032|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Prestige (PPO)|00025023|29.00|0| | |WV|51020|0|N
H5106|032|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Prestige (PPO)|00025023|29.00|0| | |WV|51050|0|N
H5106|032|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Prestige (PPO)|00025023|29.00|0| | |WV|51070|0|N
H5106|032|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Prestige (PPO)|00025023|29.00|0| | |WV|51090|0|N
H5106|032|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Prestige (PPO)|00025023|29.00|0| | |WV|51120|0|N
H5106|032|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Prestige (PPO)|00025023|29.00|0| | |WV|51170|0|N
H5106|032|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Prestige (PPO)|00025023|29.00|0| | |WV|51190|0|N
H5106|032|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Prestige (PPO)|00025023|29.00|0| | |WV|51210|0|N
H5106|032|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Prestige (PPO)|00025023|29.00|0| | |WV|51220|0|N
H5106|032|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Prestige (PPO)|00025023|29.00|0| | |WV|51230|0|N
H5106|032|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Prestige (PPO)|00025023|29.00|0| | |WV|51260|0|N
H5106|032|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Prestige (PPO)|00025023|29.00|0| | |WV|51270|0|N
H5106|032|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Prestige (PPO)|00025023|29.00|0| | |WV|51290|0|N
H5106|032|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Prestige (PPO)|00025023|29.00|0| | |WV|51310|0|N
H5106|032|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Prestige (PPO)|00025023|29.00|0| | |WV|51330|0|N
H5106|032|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Prestige (PPO)|00025023|29.00|0| | |WV|51370|0|N
H5106|032|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Prestige (PPO)|00025023|29.00|0| | |WV|51390|0|N
H5106|032|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Prestige (PPO)|00025023|29.00|0| | |WV|51400|0|N
H5106|032|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Prestige (PPO)|00025023|29.00|0| | |WV|51430|0|N
H5106|032|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Prestige (PPO)|00025023|29.00|0| | |WV|51440|0|N
H5106|032|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Prestige (PPO)|00025023|29.00|0| | |WV|51490|0|N
H5106|032|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Prestige (PPO)|00025023|29.00|0| | |WV|51500|0|N
H5106|032|002|HIGHMARK SENIOR SOLUTIONS COMPANY|Freedom Blue PPO Prestige (PPO)|00025023|29.00|0| | |WV|51540|0|N
H5141|004|000|CLOVER INSURANCE COMPANY|Clover Health Choice (PPO)|00025169|0.00|150| | |NJ|31000|0|N
H5141|004|000|CLOVER INSURANCE COMPANY|Clover Health Choice (PPO)|00025169|0.00|150| | |NJ|31100|0|N
H5141|004|000|CLOVER INSURANCE COMPANY|Clover Health Choice (PPO)|00025169|0.00|150| | |NJ|31200|0|N
H5141|004|000|CLOVER INSURANCE COMPANY|Clover Health Choice (PPO)|00025169|0.00|150| | |NJ|31230|0|N
H5141|004|000|CLOVER INSURANCE COMPANY|Clover Health Choice (PPO)|00025169|0.00|150| | |NJ|31260|0|N
H5141|004|000|CLOVER INSURANCE COMPANY|Clover Health Choice (PPO)|00025169|0.00|150| | |NJ|31290|0|N
H5141|004|000|CLOVER INSURANCE COMPANY|Clover Health Choice (PPO)|00025169|0.00|150| | |NJ|31300|0|N
H5141|004|000|CLOVER INSURANCE COMPANY|Clover Health Choice (PPO)|00025169|0.00|150| | |NJ|31320|0|N
H5141|004|000|CLOVER INSURANCE COMPANY|Clover Health Choice (PPO)|00025169|0.00|150| | |NJ|31350|0|N
H5141|004|000|CLOVER INSURANCE COMPANY|Clover Health Choice (PPO)|00025169|0.00|150| | |NJ|31360|0|N
H5141|004|000|CLOVER INSURANCE COMPANY|Clover Health Choice (PPO)|00025169|0.00|150| | |NJ|31370|0|N
H5141|007|000|CLOVER INSURANCE COMPANY|Clover Health Choice Value (PPO)|00025169|48.30|220| | |NJ|31000|0|N
H5141|007|000|CLOVER INSURANCE COMPANY|Clover Health Choice Value (PPO)|00025169|48.30|220| | |NJ|31100|0|N
H5141|007|000|CLOVER INSURANCE COMPANY|Clover Health Choice Value (PPO)|00025169|48.30|220| | |NJ|31200|0|N
H5141|007|000|CLOVER INSURANCE COMPANY|Clover Health Choice Value (PPO)|00025169|48.30|220| | |NJ|31230|0|N
H5141|007|000|CLOVER INSURANCE COMPANY|Clover Health Choice Value (PPO)|00025169|48.30|220| | |NJ|31260|0|N
H5141|007|000|CLOVER INSURANCE COMPANY|Clover Health Choice Value (PPO)|00025169|48.30|220| | |NJ|31270|0|N
H5141|007|000|CLOVER INSURANCE COMPANY|Clover Health Choice Value (PPO)|00025169|48.30|220| | |NJ|31290|0|N
H5141|007|000|CLOVER INSURANCE COMPANY|Clover Health Choice Value (PPO)|00025169|48.30|220| | |NJ|31300|0|N
H5141|007|000|CLOVER INSURANCE COMPANY|Clover Health Choice Value (PPO)|00025169|48.30|220| | |NJ|31320|0|N
H5141|007|000|CLOVER INSURANCE COMPANY|Clover Health Choice Value (PPO)|00025169|48.30|220| | |NJ|31350|0|N
H5141|007|000|CLOVER INSURANCE COMPANY|Clover Health Choice Value (PPO)|00025169|48.30|220| | |NJ|31360|0|N
H5141|007|000|CLOVER INSURANCE COMPANY|Clover Health Choice Value (PPO)|00025169|48.30|220| | |NJ|31370|0|N
H5141|025|000|CLOVER INSURANCE COMPANY|Clover Health Choice (PPO)|00025167|0.00|0| | |TX|45060|0|N
H5141|025|000|CLOVER INSURANCE COMPANY|Clover Health Choice (PPO)|00025167|0.00|0| | |TX|45090|0|N
H5141|025|000|CLOVER INSURANCE COMPANY|Clover Health Choice (PPO)|00025167|0.00|0| | |TX|45130|0|N
H5141|025|000|CLOVER INSURANCE COMPANY|Clover Health Choice (PPO)|00025167|0.00|0| | |TX|45320|0|N
H5141|025|000|CLOVER INSURANCE COMPANY|Clover Health Choice (PPO)|00025167|0.00|0| | |TX|45581|0|N
H5141|025|000|CLOVER INSURANCE COMPANY|Clover Health Choice (PPO)|00025167|0.00|0| | |TX|45792|0|N
H5141|025|000|CLOVER INSURANCE COMPANY|Clover Health Choice (PPO)|00025167|0.00|0| | |TX|45971|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11000|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11010|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11011|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11020|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11030|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11040|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11050|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11060|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11070|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11080|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11090|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11100|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11110|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11120|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11130|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11140|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11150|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11160|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11161|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11170|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11180|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11190|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11200|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11210|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11220|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11230|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11240|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11250|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11260|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11270|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11280|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11281|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11290|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11291|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11300|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11310|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11311|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11320|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11330|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11340|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11341|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11350|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11360|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11370|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11380|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11381|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11390|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11400|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11410|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11420|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11421|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11430|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11440|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11441|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11450|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11451|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11461|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11462|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11470|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11471|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11480|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11490|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11510|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11520|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11530|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11540|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11550|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11560|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11570|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11580|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11581|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11590|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11591|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11600|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11601|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11610|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11611|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11612|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11620|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11630|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11640|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11650|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11651|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11660|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11670|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11680|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11690|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11691|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11701|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11702|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11703|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11710|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11720|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11730|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11740|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11741|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11750|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11760|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11770|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11771|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11772|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11780|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11790|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11800|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11801|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11810|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11811|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11812|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11820|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11821|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11830|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11831|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11832|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11833|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11834|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11835|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11840|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11841|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11842|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11850|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11851|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11860|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11861|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11862|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11870|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11880|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11881|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11882|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11883|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11884|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11885|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11890|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11900|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11903|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11910|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11911|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11912|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11913|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11920|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11930|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11940|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11941|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11950|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11960|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11961|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11962|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11963|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11971|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11972|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11973|0|N
H5141|026|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |GA|11980|0|N
H5141|032|000|CLOVER INSURANCE COMPANY|Clover Health Choice (PPO)|00025169|0.00|0| | |NJ|31150|0|N
H5141|032|000|CLOVER INSURANCE COMPANY|Clover Health Choice (PPO)|00025169|0.00|0| | |NJ|31160|0|N
H5141|032|000|CLOVER INSURANCE COMPANY|Clover Health Choice (PPO)|00025169|0.00|0| | |NJ|31180|0|N
H5141|032|000|CLOVER INSURANCE COMPANY|Clover Health Choice (PPO)|00025169|0.00|0| | |NJ|31190|0|N
H5141|032|000|CLOVER INSURANCE COMPANY|Clover Health Choice (PPO)|00025169|0.00|0| | |NJ|31220|0|N
H5141|032|000|CLOVER INSURANCE COMPANY|Clover Health Choice (PPO)|00025169|0.00|0| | |NJ|31250|0|N
H5141|032|000|CLOVER INSURANCE COMPANY|Clover Health Choice (PPO)|00025169|0.00|0| | |NJ|31270|0|N
H5141|032|000|CLOVER INSURANCE COMPANY|Clover Health Choice (PPO)|00025169|0.00|0| | |NJ|31310|0|N
H5141|032|000|CLOVER INSURANCE COMPANY|Clover Health Choice (PPO)|00025169|0.00|0| | |NJ|31340|0|N
H5141|036|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |SC|42010|0|N
H5141|036|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |SC|42020|0|N
H5141|036|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |SC|42040|0|N
H5141|036|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |SC|42050|0|N
H5141|036|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |SC|42060|0|N
H5141|036|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |SC|42070|0|N
H5141|036|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |SC|42080|0|N
H5141|036|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |SC|42090|0|N
H5141|036|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |SC|42140|0|N
H5141|036|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |SC|42170|0|N
H5141|036|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |SC|42180|0|N
H5141|036|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |SC|42210|0|N
H5141|036|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |SC|42240|0|N
H5141|036|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |SC|42250|0|N
H5141|036|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |SC|42260|0|N
H5141|036|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |SC|42320|0|N
H5141|036|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |SC|42370|0|N
H5141|036|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |SC|42400|0|N
H5141|036|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy (PPO)|00025167|0.00|0| | |SC|42440|0|N
H5141|038|000|CLOVER INSURANCE COMPANY|Clover Health Choice (PPO)|00025167|0.00|0| | |PA|39140|0|N
H5141|038|000|CLOVER INSURANCE COMPANY|Clover Health Choice (PPO)|00025167|0.00|0| | |PA|39290|0|N
H5141|038|000|CLOVER INSURANCE COMPANY|Clover Health Choice (PPO)|00025167|0.00|0| | |PA|39620|0|N
H5141|042|000|CLOVER INSURANCE COMPANY|Clover Health Choice Value (PPO)|00025169|56.90|150| | |NJ|31150|0|N
H5141|042|000|CLOVER INSURANCE COMPANY|Clover Health Choice Value (PPO)|00025169|56.90|150| | |NJ|31160|0|N
H5141|042|000|CLOVER INSURANCE COMPANY|Clover Health Choice Value (PPO)|00025169|56.90|150| | |NJ|31180|0|N
H5141|042|000|CLOVER INSURANCE COMPANY|Clover Health Choice Value (PPO)|00025169|56.90|150| | |NJ|31190|0|N
H5141|042|000|CLOVER INSURANCE COMPANY|Clover Health Choice Value (PPO)|00025169|56.90|150| | |NJ|31220|0|N
H5141|042|000|CLOVER INSURANCE COMPANY|Clover Health Choice Value (PPO)|00025169|56.90|150| | |NJ|31250|0|N
H5141|042|000|CLOVER INSURANCE COMPANY|Clover Health Choice Value (PPO)|00025169|56.90|150| | |NJ|31310|0|N
H5141|042|000|CLOVER INSURANCE COMPANY|Clover Health Choice Value (PPO)|00025169|56.90|150| | |NJ|31340|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11000|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11010|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11011|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11020|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11030|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11040|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11050|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11060|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11070|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11080|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11090|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11100|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11110|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11120|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11130|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11140|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11150|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11160|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11161|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11170|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11180|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11190|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11200|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11210|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11220|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11230|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11240|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11250|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11260|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11270|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11280|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11281|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11290|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11291|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11300|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11310|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11311|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11320|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11330|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11340|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11341|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11350|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11360|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11370|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11380|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11381|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11390|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11400|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11410|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11420|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11421|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11430|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11440|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11441|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11450|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11451|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11461|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11462|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11470|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11471|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11480|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11490|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11510|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11520|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11530|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11540|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11550|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11560|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11570|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11580|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11581|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11590|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11591|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11600|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11601|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11610|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11611|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11612|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11620|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11630|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11640|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11650|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11651|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11660|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11670|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11680|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11690|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11691|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11701|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11702|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11703|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11710|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11720|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11730|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11740|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11741|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11750|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11760|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11770|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11771|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11772|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11780|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11790|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11800|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11801|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11810|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11811|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11812|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11820|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11821|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11830|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11831|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11832|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11833|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11834|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11835|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11840|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11841|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11842|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11850|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11851|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11860|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11861|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11862|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11870|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11880|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11881|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11882|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11883|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11884|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11885|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11890|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11900|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11903|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11910|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11911|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11912|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11913|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11920|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11930|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11940|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11941|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11950|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11960|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11961|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11962|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11963|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11971|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11972|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11973|0|N
H5141|045|000|CLOVER INSURANCE COMPANY|Clover Health LiveHealthy Value (PPO)|00025167|29.40|200| | |GA|11980|0|N
H5141|054|000|CLOVER INSURANCE COMPANY|Clover Health Premier (PPO)|00025169|0.00|200| | |NJ|31000|0|N
H5141|054|000|CLOVER INSURANCE COMPANY|Clover Health Premier (PPO)|00025169|0.00|200| | |NJ|31100|0|N
H5141|054|000|CLOVER INSURANCE COMPANY|Clover Health Premier (PPO)|00025169|0.00|200| | |NJ|31150|0|N
H5141|054|000|CLOVER INSURANCE COMPANY|Clover Health Premier (PPO)|00025169|0.00|200| | |NJ|31160|0|N
H5141|054|000|CLOVER INSURANCE COMPANY|Clover Health Premier (PPO)|00025169|0.00|200| | |NJ|31180|0|N
H5141|054|000|CLOVER INSURANCE COMPANY|Clover Health Premier (PPO)|00025169|0.00|200| | |NJ|31190|0|N
H5141|054|000|CLOVER INSURANCE COMPANY|Clover Health Premier (PPO)|00025169|0.00|200| | |NJ|31200|0|N
H5141|054|000|CLOVER INSURANCE COMPANY|Clover Health Premier (PPO)|00025169|0.00|200| | |NJ|31220|0|N
H5141|054|000|CLOVER INSURANCE COMPANY|Clover Health Premier (PPO)|00025169|0.00|200| | |NJ|31230|0|N
H5141|054|000|CLOVER INSURANCE COMPANY|Clover Health Premier (PPO)|00025169|0.00|200| | |NJ|31250|0|N
H5141|054|000|CLOVER INSURANCE COMPANY|Clover Health Premier (PPO)|00025169|0.00|200| | |NJ|31260|0|N
H5141|054|000|CLOVER INSURANCE COMPANY|Clover Health Premier (PPO)|00025169|0.00|200| | |NJ|31270|0|N
H5141|054|000|CLOVER INSURANCE COMPANY|Clover Health Premier (PPO)|00025169|0.00|200| | |NJ|31290|0|N
H5141|054|000|CLOVER INSURANCE COMPANY|Clover Health Premier (PPO)|00025169|0.00|200| | |NJ|31300|0|N
H5141|054|000|CLOVER INSURANCE COMPANY|Clover Health Premier (PPO)|00025169|0.00|200| | |NJ|31310|0|N
H5141|054|000|CLOVER INSURANCE COMPANY|Clover Health Premier (PPO)|00025169|0.00|200| | |NJ|31320|0|N
H5141|054|000|CLOVER INSURANCE COMPANY|Clover Health Premier (PPO)|00025169|0.00|200| | |NJ|31340|0|N
H5141|054|000|CLOVER INSURANCE COMPANY|Clover Health Premier (PPO)|00025169|0.00|200| | |NJ|31350|0|N
H5141|054|000|CLOVER INSURANCE COMPANY|Clover Health Premier (PPO)|00025169|0.00|200| | |NJ|31360|0|N
H5141|054|000|CLOVER INSURANCE COMPANY|Clover Health Premier (PPO)|00025169|0.00|200| | |NJ|31370|0|N
H5163|001|000|VERDA HEALTH PLAN OF TEXAS INC|Verda Noble Care (HMO)|00025252|0.00|0| | |TX|45530|0|N
H5163|001|000|VERDA HEALTH PLAN OF TEXAS INC|Verda Noble Care (HMO)|00025252|0.00|0| | |TX|45610|0|N
H5163|001|000|VERDA HEALTH PLAN OF TEXAS INC|Verda Noble Care (HMO)|00025252|0.00|0| | |TX|45801|0|N
H5163|002|000|VERDA HEALTH PLAN OF TEXAS INC|Verda Noble Chronic Care (HMO C-SNP)|00025253|0.00|0| | |TX|45530|1|N
H5163|002|000|VERDA HEALTH PLAN OF TEXAS INC|Verda Noble Chronic Care (HMO C-SNP)|00025253|0.00|0| | |TX|45610|1|N
H5163|002|000|VERDA HEALTH PLAN OF TEXAS INC|Verda Noble Chronic Care (HMO C-SNP)|00025253|0.00|0| | |TX|45801|1|N
H5178|002|000|HUMANA HEALTH PLAN, INC.|Humana Community (HMO)|00025456|0.00|0| | |KY|18330|0|N
H5209|002|000|Molina Healthcare of Wisconsin, Inc.|My Choice Wisconsin Partnership Plan (HMO D-SNP)|00025316|0.00|590| | |WI|52040|2|N
H5209|002|000|Molina Healthcare of Wisconsin, Inc.|My Choice Wisconsin Partnership Plan (HMO D-SNP)|00025316|0.00|590| | |WI|52100|2|N
H5209|002|000|Molina Healthcare of Wisconsin, Inc.|My Choice Wisconsin Partnership Plan (HMO D-SNP)|00025316|0.00|590| | |WI|52120|2|N
H5209|002|000|Molina Healthcare of Wisconsin, Inc.|My Choice Wisconsin Partnership Plan (HMO D-SNP)|00025316|0.00|590| | |WI|52130|2|N
H5209|002|000|Molina Healthcare of Wisconsin, Inc.|My Choice Wisconsin Partnership Plan (HMO D-SNP)|00025316|0.00|590| | |WI|52190|2|N
H5209|002|000|Molina Healthcare of Wisconsin, Inc.|My Choice Wisconsin Partnership Plan (HMO D-SNP)|00025316|0.00|590| | |WI|52270|2|N
H5209|002|000|Molina Healthcare of Wisconsin, Inc.|My Choice Wisconsin Partnership Plan (HMO D-SNP)|00025316|0.00|590| | |WI|52350|2|N
H5209|002|000|Molina Healthcare of Wisconsin, Inc.|My Choice Wisconsin Partnership Plan (HMO D-SNP)|00025316|0.00|590| | |WI|52440|2|N
H5209|002|000|Molina Healthcare of Wisconsin, Inc.|My Choice Wisconsin Partnership Plan (HMO D-SNP)|00025316|0.00|590| | |WI|52550|2|N
H5209|002|000|Molina Healthcare of Wisconsin, Inc.|My Choice Wisconsin Partnership Plan (HMO D-SNP)|00025316|0.00|590| | |WI|52650|2|N
H5209|002|000|Molina Healthcare of Wisconsin, Inc.|My Choice Wisconsin Partnership Plan (HMO D-SNP)|00025316|0.00|590| | |WI|52660|2|N
H5209|002|000|Molina Healthcare of Wisconsin, Inc.|My Choice Wisconsin Partnership Plan (HMO D-SNP)|00025316|0.00|590| | |WI|52690|2|N
H5209|004|000|Molina Healthcare of Wisconsin, Inc.|My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP)|00025316|0.00|590| | |WI|52000|2|N
H5209|004|000|Molina Healthcare of Wisconsin, Inc.|My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP)|00025316|0.00|590| | |WI|52040|2|N
H5209|004|000|Molina Healthcare of Wisconsin, Inc.|My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP)|00025316|0.00|590| | |WI|52070|2|N
H5209|004|000|Molina Healthcare of Wisconsin, Inc.|My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP)|00025316|0.00|590| | |WI|52100|2|N
H5209|004|000|Molina Healthcare of Wisconsin, Inc.|My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP)|00025316|0.00|590| | |WI|52120|2|N
H5209|004|000|Molina Healthcare of Wisconsin, Inc.|My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP)|00025316|0.00|590| | |WI|52130|2|N
H5209|004|000|Molina Healthcare of Wisconsin, Inc.|My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP)|00025316|0.00|590| | |WI|52140|2|N
H5209|004|000|Molina Healthcare of Wisconsin, Inc.|My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP)|00025316|0.00|590| | |WI|52180|2|N
H5209|004|000|Molina Healthcare of Wisconsin, Inc.|My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP)|00025316|0.00|590| | |WI|52190|2|N
H5209|004|000|Molina Healthcare of Wisconsin, Inc.|My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP)|00025316|0.00|590| | |WI|52220|2|N
H5209|004|000|Molina Healthcare of Wisconsin, Inc.|My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP)|00025316|0.00|590| | |WI|52230|2|N
H5209|004|000|Molina Healthcare of Wisconsin, Inc.|My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP)|00025316|0.00|590| | |WI|52240|2|N
H5209|004|000|Molina Healthcare of Wisconsin, Inc.|My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP)|00025316|0.00|590| | |WI|52270|2|N
H5209|004|000|Molina Healthcare of Wisconsin, Inc.|My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP)|00025316|0.00|590| | |WI|52300|2|N
H5209|004|000|Molina Healthcare of Wisconsin, Inc.|My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP)|00025316|0.00|590| | |WI|52350|2|N
H5209|004|000|Molina Healthcare of Wisconsin, Inc.|My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP)|00025316|0.00|590| | |WI|52370|2|N
H5209|004|000|Molina Healthcare of Wisconsin, Inc.|My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP)|00025316|0.00|590| | |WI|52380|2|N
H5209|004|000|Molina Healthcare of Wisconsin, Inc.|My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP)|00025316|0.00|590| | |WI|52390|2|N
H5209|004|000|Molina Healthcare of Wisconsin, Inc.|My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP)|00025316|0.00|590| | |WI|52410|2|N
H5209|004|000|Molina Healthcare of Wisconsin, Inc.|My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP)|00025316|0.00|590| | |WI|52430|2|N
H5209|004|000|Molina Healthcare of Wisconsin, Inc.|My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP)|00025316|0.00|590| | |WI|52440|2|N
H5209|004|000|Molina Healthcare of Wisconsin, Inc.|My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP)|00025316|0.00|590| | |WI|52500|2|N
H5209|004|000|Molina Healthcare of Wisconsin, Inc.|My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP)|00025316|0.00|590| | |WI|52520|2|N
H5209|004|000|Molina Healthcare of Wisconsin, Inc.|My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP)|00025316|0.00|590| | |WI|52550|2|N
H5209|004|000|Molina Healthcare of Wisconsin, Inc.|My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP)|00025316|0.00|590| | |WI|52570|2|N
H5209|004|000|Molina Healthcare of Wisconsin, Inc.|My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP)|00025316|0.00|590| | |WI|52580|2|N
H5209|004|000|Molina Healthcare of Wisconsin, Inc.|My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP)|00025316|0.00|590| | |WI|52630|2|N
H5209|004|000|Molina Healthcare of Wisconsin, Inc.|My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP)|00025316|0.00|590| | |WI|52650|2|N
H5209|004|000|Molina Healthcare of Wisconsin, Inc.|My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP)|00025316|0.00|590| | |WI|52660|2|N
H5209|004|000|Molina Healthcare of Wisconsin, Inc.|My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP)|00025316|0.00|590| | |WI|52670|2|N
H5209|004|000|Molina Healthcare of Wisconsin, Inc.|My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP)|00025316|0.00|590| | |WI|52680|2|N
H5209|004|000|Molina Healthcare of Wisconsin, Inc.|My Choice Wisconsin Medicare Dual Advantage Plan (HMO D-SNP)|00025316|0.00|590| | |WI|52690|2|N
H5211|002|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Essence Rx (HMO-POS)|00025164|47.80|330| | |WI|52000|0|N
H5211|002|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Essence Rx (HMO-POS)|00025164|47.80|330| | |WI|52010|0|N
H5211|002|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Essence Rx (HMO-POS)|00025164|47.80|330| | |WI|52020|0|N
H5211|002|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Essence Rx (HMO-POS)|00025164|47.80|330| | |WI|52030|0|N
H5211|002|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Essence Rx (HMO-POS)|00025164|47.80|330| | |WI|52040|0|N
H5211|002|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Essence Rx (HMO-POS)|00025164|47.80|330| | |WI|52050|0|N
H5211|002|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Essence Rx (HMO-POS)|00025164|47.80|330| | |WI|52060|0|N
H5211|002|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Essence Rx (HMO-POS)|00025164|47.80|330| | |WI|52080|0|N
H5211|002|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Essence Rx (HMO-POS)|00025164|47.80|330| | |WI|52090|0|N
H5211|002|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Essence Rx (HMO-POS)|00025164|47.80|330| | |WI|52100|0|N
H5211|002|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Essence Rx (HMO-POS)|00025164|47.80|330| | |WI|52110|0|N
H5211|002|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Essence Rx (HMO-POS)|00025164|47.80|330| | |WI|52120|0|N
H5211|002|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Essence Rx (HMO-POS)|00025164|47.80|330| | |WI|52140|0|N
H5211|002|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Essence Rx (HMO-POS)|00025164|47.80|330| | |WI|52150|0|N
H5211|002|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Essence Rx (HMO-POS)|00025164|47.80|330| | |WI|52160|0|N
H5211|002|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Essence Rx (HMO-POS)|00025164|47.80|330| | |WI|52170|0|N
H5211|002|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Essence Rx (HMO-POS)|00025164|47.80|330| | |WI|52180|0|N
H5211|002|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Essence Rx (HMO-POS)|00025164|47.80|330| | |WI|52200|0|N
H5211|002|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Essence Rx (HMO-POS)|00025164|47.80|330| | |WI|52230|0|N
H5211|002|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Essence Rx (HMO-POS)|00025164|47.80|330| | |WI|52240|0|N
H5211|002|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Essence Rx (HMO-POS)|00025164|47.80|330| | |WI|52250|0|N
H5211|002|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Essence Rx (HMO-POS)|00025164|47.80|330| | |WI|52260|0|N
H5211|002|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Essence Rx (HMO-POS)|00025164|47.80|330| | |WI|52280|0|N
H5211|002|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Essence Rx (HMO-POS)|00025164|47.80|330| | |WI|52300|0|N
H5211|002|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Essence Rx (HMO-POS)|00025164|47.80|330| | |WI|52310|0|N
H5211|002|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Essence Rx (HMO-POS)|00025164|47.80|330| | |WI|52330|0|N
H5211|002|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Essence Rx (HMO-POS)|00025164|47.80|330| | |WI|52340|0|N
H5211|002|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Essence Rx (HMO-POS)|00025164|47.80|330| | |WI|52360|0|N
H5211|002|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Essence Rx (HMO-POS)|00025164|47.80|330| | |WI|52370|0|N
H5211|002|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Essence Rx (HMO-POS)|00025164|47.80|330| | |WI|52380|0|N
H5211|002|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Essence Rx (HMO-POS)|00025164|47.80|330| | |WI|52400|0|N
H5211|002|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Essence Rx (HMO-POS)|00025164|47.80|330| | |WI|52410|0|N
H5211|002|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Essence Rx (HMO-POS)|00025164|47.80|330| | |WI|52420|0|N
H5211|002|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Essence Rx (HMO-POS)|00025164|47.80|330| | |WI|52430|0|N
H5211|002|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Essence Rx (HMO-POS)|00025164|47.80|330| | |WI|52450|0|N
H5211|002|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Essence Rx (HMO-POS)|00025164|47.80|330| | |WI|52460|0|N
H5211|002|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Essence Rx (HMO-POS)|00025164|47.80|330| | |WI|52470|0|N
H5211|002|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Essence Rx (HMO-POS)|00025164|47.80|330| | |WI|52480|0|N
H5211|002|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Essence Rx (HMO-POS)|00025164|47.80|330| | |WI|52490|0|N
H5211|002|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Essence Rx (HMO-POS)|00025164|47.80|330| | |WI|52510|0|N
H5211|002|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Essence Rx (HMO-POS)|00025164|47.80|330| | |WI|52530|0|N
H5211|002|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Essence Rx (HMO-POS)|00025164|47.80|330| | |WI|52550|0|N
H5211|002|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Essence Rx (HMO-POS)|00025164|47.80|330| | |WI|52560|0|N
H5211|002|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Essence Rx (HMO-POS)|00025164|47.80|330| | |WI|52570|0|N
H5211|002|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Essence Rx (HMO-POS)|00025164|47.80|330| | |WI|52590|0|N
H5211|002|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Essence Rx (HMO-POS)|00025164|47.80|330| | |WI|52600|0|N
H5211|002|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Essence Rx (HMO-POS)|00025164|47.80|330| | |WI|52610|0|N
H5211|002|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Essence Rx (HMO-POS)|00025164|47.80|330| | |WI|52620|0|N
H5211|002|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Essence Rx (HMO-POS)|00025164|47.80|330| | |WI|52640|0|N
H5211|002|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Essence Rx (HMO-POS)|00025164|47.80|330| | |WI|52660|0|N
H5211|002|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Essence Rx (HMO-POS)|00025164|47.80|330| | |WI|52670|0|N
H5211|002|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Essence Rx (HMO-POS)|00025164|47.80|330| | |WI|52680|0|N
H5211|002|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Essence Rx (HMO-POS)|00025164|47.80|330| | |WI|52690|0|N
H5211|002|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Essence Rx (HMO-POS)|00025164|47.80|330| | |WI|52700|0|N
H5211|004|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Legacy Rx (HMO-POS)|00025164|89.60|0| | |WI|52000|0|N
H5211|004|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Legacy Rx (HMO-POS)|00025164|89.60|0| | |WI|52010|0|N
H5211|004|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Legacy Rx (HMO-POS)|00025164|89.60|0| | |WI|52020|0|N
H5211|004|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Legacy Rx (HMO-POS)|00025164|89.60|0| | |WI|52030|0|N
H5211|004|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Legacy Rx (HMO-POS)|00025164|89.60|0| | |WI|52040|0|N
H5211|004|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Legacy Rx (HMO-POS)|00025164|89.60|0| | |WI|52050|0|N
H5211|004|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Legacy Rx (HMO-POS)|00025164|89.60|0| | |WI|52060|0|N
H5211|004|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Legacy Rx (HMO-POS)|00025164|89.60|0| | |WI|52080|0|N
H5211|004|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Legacy Rx (HMO-POS)|00025164|89.60|0| | |WI|52090|0|N
H5211|004|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Legacy Rx (HMO-POS)|00025164|89.60|0| | |WI|52100|0|N
H5211|004|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Legacy Rx (HMO-POS)|00025164|89.60|0| | |WI|52110|0|N
H5211|004|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Legacy Rx (HMO-POS)|00025164|89.60|0| | |WI|52120|0|N
H5211|004|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Legacy Rx (HMO-POS)|00025164|89.60|0| | |WI|52140|0|N
H5211|004|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Legacy Rx (HMO-POS)|00025164|89.60|0| | |WI|52150|0|N
H5211|004|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Legacy Rx (HMO-POS)|00025164|89.60|0| | |WI|52160|0|N
H5211|004|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Legacy Rx (HMO-POS)|00025164|89.60|0| | |WI|52170|0|N
H5211|004|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Legacy Rx (HMO-POS)|00025164|89.60|0| | |WI|52180|0|N
H5211|004|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Legacy Rx (HMO-POS)|00025164|89.60|0| | |WI|52200|0|N
H5211|004|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Legacy Rx (HMO-POS)|00025164|89.60|0| | |WI|52230|0|N
H5211|004|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Legacy Rx (HMO-POS)|00025164|89.60|0| | |WI|52240|0|N
H5211|004|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Legacy Rx (HMO-POS)|00025164|89.60|0| | |WI|52250|0|N
H5211|004|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Legacy Rx (HMO-POS)|00025164|89.60|0| | |WI|52260|0|N
H5211|004|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Legacy Rx (HMO-POS)|00025164|89.60|0| | |WI|52280|0|N
H5211|004|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Legacy Rx (HMO-POS)|00025164|89.60|0| | |WI|52300|0|N
H5211|004|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Legacy Rx (HMO-POS)|00025164|89.60|0| | |WI|52310|0|N
H5211|004|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Legacy Rx (HMO-POS)|00025164|89.60|0| | |WI|52330|0|N
H5211|004|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Legacy Rx (HMO-POS)|00025164|89.60|0| | |WI|52340|0|N
H5211|004|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Legacy Rx (HMO-POS)|00025164|89.60|0| | |WI|52360|0|N
H5211|004|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Legacy Rx (HMO-POS)|00025164|89.60|0| | |WI|52370|0|N
H5211|004|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Legacy Rx (HMO-POS)|00025164|89.60|0| | |WI|52380|0|N
H5211|004|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Legacy Rx (HMO-POS)|00025164|89.60|0| | |WI|52400|0|N
H5211|004|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Legacy Rx (HMO-POS)|00025164|89.60|0| | |WI|52410|0|N
H5211|004|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Legacy Rx (HMO-POS)|00025164|89.60|0| | |WI|52420|0|N
H5211|004|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Legacy Rx (HMO-POS)|00025164|89.60|0| | |WI|52430|0|N
H5211|004|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Legacy Rx (HMO-POS)|00025164|89.60|0| | |WI|52450|0|N
H5211|004|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Legacy Rx (HMO-POS)|00025164|89.60|0| | |WI|52460|0|N
H5211|004|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Legacy Rx (HMO-POS)|00025164|89.60|0| | |WI|52470|0|N
H5211|004|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Legacy Rx (HMO-POS)|00025164|89.60|0| | |WI|52480|0|N
H5211|004|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Legacy Rx (HMO-POS)|00025164|89.60|0| | |WI|52490|0|N
H5211|004|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Legacy Rx (HMO-POS)|00025164|89.60|0| | |WI|52510|0|N
H5211|004|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Legacy Rx (HMO-POS)|00025164|89.60|0| | |WI|52530|0|N
H5211|004|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Legacy Rx (HMO-POS)|00025164|89.60|0| | |WI|52550|0|N
H5211|004|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Legacy Rx (HMO-POS)|00025164|89.60|0| | |WI|52560|0|N
H5211|004|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Legacy Rx (HMO-POS)|00025164|89.60|0| | |WI|52570|0|N
H5211|004|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Legacy Rx (HMO-POS)|00025164|89.60|0| | |WI|52590|0|N
H5211|004|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Legacy Rx (HMO-POS)|00025164|89.60|0| | |WI|52600|0|N
H5211|004|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Legacy Rx (HMO-POS)|00025164|89.60|0| | |WI|52610|0|N
H5211|004|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Legacy Rx (HMO-POS)|00025164|89.60|0| | |WI|52620|0|N
H5211|004|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Legacy Rx (HMO-POS)|00025164|89.60|0| | |WI|52640|0|N
H5211|004|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Legacy Rx (HMO-POS)|00025164|89.60|0| | |WI|52660|0|N
H5211|004|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Legacy Rx (HMO-POS)|00025164|89.60|0| | |WI|52670|0|N
H5211|004|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Legacy Rx (HMO-POS)|00025164|89.60|0| | |WI|52680|0|N
H5211|004|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Legacy Rx (HMO-POS)|00025164|89.60|0| | |WI|52690|0|N
H5211|004|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Legacy Rx (HMO-POS)|00025164|89.60|0| | |WI|52700|0|N
H5211|010|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Ally Rx (HMO D-SNP)|00025165|0.00|590| | |WI|52020|2|N
H5211|010|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Ally Rx (HMO D-SNP)|00025165|0.00|590| | |WI|52080|2|N
H5211|010|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Ally Rx (HMO D-SNP)|00025165|0.00|590| | |WI|52090|2|N
H5211|010|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Ally Rx (HMO D-SNP)|00025165|0.00|590| | |WI|52160|2|N
H5211|010|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Ally Rx (HMO D-SNP)|00025165|0.00|590| | |WI|52170|2|N
H5211|010|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Ally Rx (HMO D-SNP)|00025165|0.00|590| | |WI|52340|2|N
H5211|010|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Ally Rx (HMO D-SNP)|00025165|0.00|590| | |WI|52360|2|N
H5211|010|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Ally Rx (HMO D-SNP)|00025165|0.00|590| | |WI|52420|2|N
H5211|010|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Ally Rx (HMO D-SNP)|00025165|0.00|590| | |WI|52480|2|N
H5211|010|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Ally Rx (HMO D-SNP)|00025165|0.00|590| | |WI|52490|2|N
H5211|010|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Ally Rx (HMO D-SNP)|00025165|0.00|590| | |WI|52530|2|N
H5211|010|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Ally Rx (HMO D-SNP)|00025165|0.00|590| | |WI|52560|2|N
H5211|010|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Ally Rx (HMO D-SNP)|00025165|0.00|590| | |WI|52590|2|N
H5211|010|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Ally Rx (HMO D-SNP)|00025165|0.00|590| | |WI|52620|2|N
H5211|010|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Ally Rx (HMO D-SNP)|00025165|0.00|590| | |WI|52640|2|N
H5211|010|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Ally Rx (HMO D-SNP)|00025165|0.00|590| | |WI|52700|2|N
H5211|012|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Esteem Rx (HMO-POS)|00025164|0.00|250| | |WI|52000|0|N
H5211|012|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Esteem Rx (HMO-POS)|00025164|0.00|250| | |WI|52010|0|N
H5211|012|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Esteem Rx (HMO-POS)|00025164|0.00|250| | |WI|52020|0|N
H5211|012|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Esteem Rx (HMO-POS)|00025164|0.00|250| | |WI|52030|0|N
H5211|012|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Esteem Rx (HMO-POS)|00025164|0.00|250| | |WI|52040|0|N
H5211|012|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Esteem Rx (HMO-POS)|00025164|0.00|250| | |WI|52050|0|N
H5211|012|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Esteem Rx (HMO-POS)|00025164|0.00|250| | |WI|52060|0|N
H5211|012|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Esteem Rx (HMO-POS)|00025164|0.00|250| | |WI|52080|0|N
H5211|012|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Esteem Rx (HMO-POS)|00025164|0.00|250| | |WI|52090|0|N
H5211|012|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Esteem Rx (HMO-POS)|00025164|0.00|250| | |WI|52100|0|N
H5211|012|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Esteem Rx (HMO-POS)|00025164|0.00|250| | |WI|52110|0|N
H5211|012|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Esteem Rx (HMO-POS)|00025164|0.00|250| | |WI|52120|0|N
H5211|012|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Esteem Rx (HMO-POS)|00025164|0.00|250| | |WI|52140|0|N
H5211|012|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Esteem Rx (HMO-POS)|00025164|0.00|250| | |WI|52150|0|N
H5211|012|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Esteem Rx (HMO-POS)|00025164|0.00|250| | |WI|52160|0|N
H5211|012|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Esteem Rx (HMO-POS)|00025164|0.00|250| | |WI|52170|0|N
H5211|012|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Esteem Rx (HMO-POS)|00025164|0.00|250| | |WI|52180|0|N
H5211|012|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Esteem Rx (HMO-POS)|00025164|0.00|250| | |WI|52200|0|N
H5211|012|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Esteem Rx (HMO-POS)|00025164|0.00|250| | |WI|52230|0|N
H5211|012|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Esteem Rx (HMO-POS)|00025164|0.00|250| | |WI|52240|0|N
H5211|012|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Esteem Rx (HMO-POS)|00025164|0.00|250| | |WI|52250|0|N
H5211|012|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Esteem Rx (HMO-POS)|00025164|0.00|250| | |WI|52260|0|N
H5211|012|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Esteem Rx (HMO-POS)|00025164|0.00|250| | |WI|52280|0|N
H5211|012|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Esteem Rx (HMO-POS)|00025164|0.00|250| | |WI|52300|0|N
H5211|012|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Esteem Rx (HMO-POS)|00025164|0.00|250| | |WI|52310|0|N
H5211|012|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Esteem Rx (HMO-POS)|00025164|0.00|250| | |WI|52330|0|N
H5211|012|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Esteem Rx (HMO-POS)|00025164|0.00|250| | |WI|52340|0|N
H5211|012|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Esteem Rx (HMO-POS)|00025164|0.00|250| | |WI|52360|0|N
H5211|012|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Esteem Rx (HMO-POS)|00025164|0.00|250| | |WI|52370|0|N
H5211|012|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Esteem Rx (HMO-POS)|00025164|0.00|250| | |WI|52380|0|N
H5211|012|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Esteem Rx (HMO-POS)|00025164|0.00|250| | |WI|52400|0|N
H5211|012|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Esteem Rx (HMO-POS)|00025164|0.00|250| | |WI|52410|0|N
H5211|012|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Esteem Rx (HMO-POS)|00025164|0.00|250| | |WI|52420|0|N
H5211|012|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Esteem Rx (HMO-POS)|00025164|0.00|250| | |WI|52430|0|N
H5211|012|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Esteem Rx (HMO-POS)|00025164|0.00|250| | |WI|52450|0|N
H5211|012|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Esteem Rx (HMO-POS)|00025164|0.00|250| | |WI|52460|0|N
H5211|012|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Esteem Rx (HMO-POS)|00025164|0.00|250| | |WI|52470|0|N
H5211|012|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Esteem Rx (HMO-POS)|00025164|0.00|250| | |WI|52480|0|N
H5211|012|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Esteem Rx (HMO-POS)|00025164|0.00|250| | |WI|52490|0|N
H5211|012|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Esteem Rx (HMO-POS)|00025164|0.00|250| | |WI|52510|0|N
H5211|012|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Esteem Rx (HMO-POS)|00025164|0.00|250| | |WI|52530|0|N
H5211|012|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Esteem Rx (HMO-POS)|00025164|0.00|250| | |WI|52550|0|N
H5211|012|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Esteem Rx (HMO-POS)|00025164|0.00|250| | |WI|52560|0|N
H5211|012|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Esteem Rx (HMO-POS)|00025164|0.00|250| | |WI|52570|0|N
H5211|012|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Esteem Rx (HMO-POS)|00025164|0.00|250| | |WI|52590|0|N
H5211|012|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Esteem Rx (HMO-POS)|00025164|0.00|250| | |WI|52600|0|N
H5211|012|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Esteem Rx (HMO-POS)|00025164|0.00|250| | |WI|52610|0|N
H5211|012|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Esteem Rx (HMO-POS)|00025164|0.00|250| | |WI|52620|0|N
H5211|012|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Esteem Rx (HMO-POS)|00025164|0.00|250| | |WI|52640|0|N
H5211|012|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Esteem Rx (HMO-POS)|00025164|0.00|250| | |WI|52660|0|N
H5211|012|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Esteem Rx (HMO-POS)|00025164|0.00|250| | |WI|52670|0|N
H5211|012|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Esteem Rx (HMO-POS)|00025164|0.00|250| | |WI|52680|0|N
H5211|012|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Esteem Rx (HMO-POS)|00025164|0.00|250| | |WI|52690|0|N
H5211|012|000|SECURITY HEALTH PLAN OF WISCONSIN, INC.|Esteem Rx (HMO-POS)|00025164|0.00|250| | |WI|52700|0|N
H5215|002|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health PlusRx (PPO)|00025389|73.00|370| | |WI|52040|0|N
H5215|002|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health PlusRx (PPO)|00025389|73.00|370| | |WI|52070|0|N
H5215|002|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health PlusRx (PPO)|00025389|73.00|370| | |WI|52130|0|N
H5215|002|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health PlusRx (PPO)|00025389|73.00|370| | |WI|52140|0|N
H5215|002|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health PlusRx (PPO)|00025389|73.00|370| | |WI|52190|0|N
H5215|002|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health PlusRx (PPO)|00025389|73.00|370| | |WI|52230|0|N
H5215|002|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health PlusRx (PPO)|00025389|73.00|370| | |WI|52300|0|N
H5215|002|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health PlusRx (PPO)|00025389|73.00|370| | |WI|52350|0|N
H5215|002|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health PlusRx (PPO)|00025389|73.00|370| | |WI|52370|0|N
H5215|002|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health PlusRx (PPO)|00025389|73.00|370| | |WI|52380|0|N
H5215|002|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health PlusRx (PPO)|00025389|73.00|370| | |WI|52410|0|N
H5215|002|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health PlusRx (PPO)|00025389|73.00|370| | |WI|52430|0|N
H5215|002|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health PlusRx (PPO)|00025389|73.00|370| | |WI|52480|0|N
H5215|002|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health PlusRx (PPO)|00025389|73.00|370| | |WI|52570|0|N
H5215|002|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health PlusRx (PPO)|00025389|73.00|370| | |WI|52580|0|N
H5215|002|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health PlusRx (PPO)|00025389|73.00|370| | |WI|52670|0|N
H5215|002|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health PlusRx (PPO)|00025389|73.00|370| | |WI|52680|0|N
H5215|002|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health PlusRx (PPO)|00025389|73.00|370| | |WI|52690|0|N
H5215|005|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health PremierRx (PPO)|00025389|133.40|310| | |WI|52040|0|N
H5215|005|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health PremierRx (PPO)|00025389|133.40|310| | |WI|52070|0|N
H5215|005|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health PremierRx (PPO)|00025389|133.40|310| | |WI|52130|0|N
H5215|005|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health PremierRx (PPO)|00025389|133.40|310| | |WI|52140|0|N
H5215|005|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health PremierRx (PPO)|00025389|133.40|310| | |WI|52190|0|N
H5215|005|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health PremierRx (PPO)|00025389|133.40|310| | |WI|52230|0|N
H5215|005|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health PremierRx (PPO)|00025389|133.40|310| | |WI|52300|0|N
H5215|005|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health PremierRx (PPO)|00025389|133.40|310| | |WI|52350|0|N
H5215|005|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health PremierRx (PPO)|00025389|133.40|310| | |WI|52370|0|N
H5215|005|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health PremierRx (PPO)|00025389|133.40|310| | |WI|52380|0|N
H5215|005|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health PremierRx (PPO)|00025389|133.40|310| | |WI|52410|0|N
H5215|005|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health PremierRx (PPO)|00025389|133.40|310| | |WI|52430|0|N
H5215|005|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health PremierRx (PPO)|00025389|133.40|310| | |WI|52480|0|N
H5215|005|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health PremierRx (PPO)|00025389|133.40|310| | |WI|52570|0|N
H5215|005|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health PremierRx (PPO)|00025389|133.40|310| | |WI|52580|0|N
H5215|005|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health PremierRx (PPO)|00025389|133.40|310| | |WI|52670|0|N
H5215|005|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health PremierRx (PPO)|00025389|133.40|310| | |WI|52680|0|N
H5215|005|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health PremierRx (PPO)|00025389|133.40|310| | |WI|52690|0|N
H5215|007|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Cares (PPO D-SNP)|00025389|43.50|590| | |WI|52040|2|N
H5215|007|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Cares (PPO D-SNP)|00025389|43.50|590| | |WI|52070|2|N
H5215|007|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Cares (PPO D-SNP)|00025389|43.50|590| | |WI|52130|2|N
H5215|007|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Cares (PPO D-SNP)|00025389|43.50|590| | |WI|52140|2|N
H5215|007|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Cares (PPO D-SNP)|00025389|43.50|590| | |WI|52190|2|N
H5215|007|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Cares (PPO D-SNP)|00025389|43.50|590| | |WI|52230|2|N
H5215|007|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Cares (PPO D-SNP)|00025389|43.50|590| | |WI|52300|2|N
H5215|007|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Cares (PPO D-SNP)|00025389|43.50|590| | |WI|52350|2|N
H5215|007|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Cares (PPO D-SNP)|00025389|43.50|590| | |WI|52370|2|N
H5215|007|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Cares (PPO D-SNP)|00025389|43.50|590| | |WI|52380|2|N
H5215|007|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Cares (PPO D-SNP)|00025389|43.50|590| | |WI|52410|2|N
H5215|007|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Cares (PPO D-SNP)|00025389|43.50|590| | |WI|52430|2|N
H5215|007|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Cares (PPO D-SNP)|00025389|43.50|590| | |WI|52480|2|N
H5215|007|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Cares (PPO D-SNP)|00025389|43.50|590| | |WI|52570|2|N
H5215|007|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Cares (PPO D-SNP)|00025389|43.50|590| | |WI|52580|2|N
H5215|007|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Cares (PPO D-SNP)|00025389|43.50|590| | |WI|52670|2|N
H5215|007|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Cares (PPO D-SNP)|00025389|43.50|590| | |WI|52680|2|N
H5215|007|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Cares (PPO D-SNP)|00025389|43.50|590| | |WI|52690|2|N
H5215|008|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Select (PPO)|00025389|0.00|340| | |WI|52040|0|N
H5215|008|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Select (PPO)|00025389|0.00|340| | |WI|52070|0|N
H5215|008|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Select (PPO)|00025389|0.00|340| | |WI|52130|0|N
H5215|008|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Select (PPO)|00025389|0.00|340| | |WI|52140|0|N
H5215|008|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Select (PPO)|00025389|0.00|340| | |WI|52190|0|N
H5215|008|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Select (PPO)|00025389|0.00|340| | |WI|52230|0|N
H5215|008|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Select (PPO)|00025389|0.00|340| | |WI|52300|0|N
H5215|008|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Select (PPO)|00025389|0.00|340| | |WI|52350|0|N
H5215|008|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Select (PPO)|00025389|0.00|340| | |WI|52370|0|N
H5215|008|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Select (PPO)|00025389|0.00|340| | |WI|52380|0|N
H5215|008|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Select (PPO)|00025389|0.00|340| | |WI|52410|0|N
H5215|008|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Select (PPO)|00025389|0.00|340| | |WI|52430|0|N
H5215|008|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Select (PPO)|00025389|0.00|340| | |WI|52480|0|N
H5215|008|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Select (PPO)|00025389|0.00|340| | |WI|52570|0|N
H5215|008|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Select (PPO)|00025389|0.00|340| | |WI|52580|0|N
H5215|008|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Select (PPO)|00025389|0.00|340| | |WI|52670|0|N
H5215|008|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Select (PPO)|00025389|0.00|340| | |WI|52680|0|N
H5215|008|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Select (PPO)|00025389|0.00|340| | |WI|52690|0|N
H5215|009|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Go (PPO)|00025389|0.00|320| | |WI|52390|0|N
H5215|009|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Go (PPO)|00025389|0.00|320| | |WI|52440|0|N
H5215|009|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Go (PPO)|00025389|0.00|320| | |WI|52500|0|N
H5215|009|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Go (PPO)|00025389|0.00|320| | |WI|52650|0|N
H5215|009|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Go (PPO)|00025389|0.00|320| | |WI|52660|0|N
H5215|010|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Anywhere (PPO)|00025389|0.00|300| | |WI|52290|0|N
H5215|010|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Anywhere (PPO)|00025389|0.00|300| | |WI|52390|0|N
H5215|010|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Anywhere (PPO)|00025389|0.00|300| | |WI|52440|0|N
H5215|010|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Anywhere (PPO)|00025389|0.00|300| | |WI|52500|0|N
H5215|010|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Anywhere (PPO)|00025389|0.00|300| | |WI|52650|0|N
H5215|010|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Anywhere (PPO)|00025389|0.00|300| | |WI|52660|0|N
H5215|011|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Choice (PPO)|00025389|0.00|300| | |WI|52040|0|N
H5215|011|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Choice (PPO)|00025389|0.00|300| | |WI|52070|0|N
H5215|011|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Choice (PPO)|00025389|0.00|300| | |WI|52130|0|N
H5215|011|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Choice (PPO)|00025389|0.00|300| | |WI|52140|0|N
H5215|011|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Choice (PPO)|00025389|0.00|300| | |WI|52190|0|N
H5215|011|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Choice (PPO)|00025389|0.00|300| | |WI|52230|0|N
H5215|011|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Choice (PPO)|00025389|0.00|300| | |WI|52300|0|N
H5215|011|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Choice (PPO)|00025389|0.00|300| | |WI|52350|0|N
H5215|011|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Choice (PPO)|00025389|0.00|300| | |WI|52370|0|N
H5215|011|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Choice (PPO)|00025389|0.00|300| | |WI|52380|0|N
H5215|011|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Choice (PPO)|00025389|0.00|300| | |WI|52410|0|N
H5215|011|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Choice (PPO)|00025389|0.00|300| | |WI|52430|0|N
H5215|011|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Choice (PPO)|00025389|0.00|300| | |WI|52480|0|N
H5215|011|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Choice (PPO)|00025389|0.00|300| | |WI|52570|0|N
H5215|011|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Choice (PPO)|00025389|0.00|300| | |WI|52580|0|N
H5215|011|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Choice (PPO)|00025389|0.00|300| | |WI|52670|0|N
H5215|011|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Choice (PPO)|00025389|0.00|300| | |WI|52680|0|N
H5215|011|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Choice (PPO)|00025389|0.00|300| | |WI|52690|0|N
H5215|012|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Zero (PPO)|00025389|0.00|145| | |WI|52070|0|N
H5215|012|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Zero (PPO)|00025389|0.00|145| | |WI|52190|0|N
H5215|012|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Zero (PPO)|00025389|0.00|145| | |WI|52350|0|N
H5215|012|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Zero (PPO)|00025389|0.00|145| | |WI|52430|0|N
H5215|012|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Zero (PPO)|00025389|0.00|145| | |WI|52570|0|N
H5215|012|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Zero (PPO)|00025389|0.00|145| | |WI|52580|0|N
H5215|012|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Zero (PPO)|00025389|0.00|145| | |WI|52670|0|N
H5215|012|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Zero (PPO)|00025389|0.00|145| | |WI|52680|0|N
H5215|012|000|NETWORK HEALTH INSURANCE CORPORATION|Network Health Zero (PPO)|00025389|0.00|145| | |WI|52690|0|N
H5216|001|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-001 (PPO)|00025456|46.50|590| | |WI|52040|0|N
H5216|001|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-001 (PPO)|00025456|46.50|590| | |WI|52070|0|N
H5216|001|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-001 (PPO)|00025456|46.50|590| | |WI|52130|0|N
H5216|001|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-001 (PPO)|00025456|46.50|590| | |WI|52140|0|N
H5216|001|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-001 (PPO)|00025456|46.50|590| | |WI|52190|0|N
H5216|001|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-001 (PPO)|00025456|46.50|590| | |WI|52200|0|N
H5216|001|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-001 (PPO)|00025456|46.50|590| | |WI|52230|0|N
H5216|001|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-001 (PPO)|00025456|46.50|590| | |WI|52290|0|N
H5216|001|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-001 (PPO)|00025456|46.50|590| | |WI|52300|0|N
H5216|001|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-001 (PPO)|00025456|46.50|590| | |WI|52350|0|N
H5216|001|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-001 (PPO)|00025456|46.50|590| | |WI|52360|0|N
H5216|001|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-001 (PPO)|00025456|46.50|590| | |WI|52370|0|N
H5216|001|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-001 (PPO)|00025456|46.50|590| | |WI|52380|0|N
H5216|001|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-001 (PPO)|00025456|46.50|590| | |WI|52381|0|N
H5216|001|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-001 (PPO)|00025456|46.50|590| | |WI|52390|0|N
H5216|001|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-001 (PPO)|00025456|46.50|590| | |WI|52410|0|N
H5216|001|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-001 (PPO)|00025456|46.50|590| | |WI|52430|0|N
H5216|001|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-001 (PPO)|00025456|46.50|590| | |WI|52440|0|N
H5216|001|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-001 (PPO)|00025456|46.50|590| | |WI|52480|0|N
H5216|001|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-001 (PPO)|00025456|46.50|590| | |WI|52500|0|N
H5216|001|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-001 (PPO)|00025456|46.50|590| | |WI|52580|0|N
H5216|001|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-001 (PPO)|00025456|46.50|590| | |WI|52650|0|N
H5216|001|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-001 (PPO)|00025456|46.50|590| | |WI|52660|0|N
H5216|001|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-001 (PPO)|00025456|46.50|590| | |WI|52670|0|N
H5216|001|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-001 (PPO)|00025456|46.50|590| | |WI|52680|0|N
H5216|001|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-001 (PPO)|00025456|46.50|590| | |WI|52690|0|N
H5216|006|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-006 (PPO)|00025456|36.70|250| | |WI|52100|0|N
H5216|006|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-006 (PPO)|00025456|36.70|250| | |WI|52110|0|N
H5216|006|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-006 (PPO)|00025456|36.70|250| | |WI|52120|0|N
H5216|006|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-006 (PPO)|00025456|36.70|250| | |WI|52220|0|N
H5216|006|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-006 (PPO)|00025456|36.70|250| | |WI|52240|0|N
H5216|006|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-006 (PPO)|00025456|36.70|250| | |WI|52270|0|N
H5216|006|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-006 (PPO)|00025456|36.70|250| | |WI|52510|0|N
H5216|006|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-006 (PPO)|00025456|36.70|250| | |WI|52520|0|N
H5216|006|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-006 (PPO)|00025456|36.70|250| | |WI|52550|0|N
H5216|006|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-006 (PPO)|00025456|36.70|250| | |WI|52630|0|N
H5216|011|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-011 (PPO)|00025456|11.30|0| | |MI|23020|0|N
H5216|011|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-011 (PPO)|00025456|11.30|0| | |MI|23070|0|N
H5216|011|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-011 (PPO)|00025456|11.30|0| | |MI|23100|0|N
H5216|011|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-011 (PPO)|00025456|11.30|0| | |MI|23110|0|N
H5216|011|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-011 (PPO)|00025456|11.30|0| | |MI|23120|0|N
H5216|011|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-011 (PPO)|00025456|11.30|0| | |MI|23130|0|N
H5216|011|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-011 (PPO)|00025456|11.30|0| | |MI|23170|0|N
H5216|011|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-011 (PPO)|00025456|11.30|0| | |MI|23180|0|N
H5216|011|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-011 (PPO)|00025456|11.30|0| | |MI|23220|0|N
H5216|011|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-011 (PPO)|00025456|11.30|0| | |MI|23250|0|N
H5216|011|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-011 (PPO)|00025456|11.30|0| | |MI|23280|0|N
H5216|011|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-011 (PPO)|00025456|11.30|0| | |MI|23290|0|N
H5216|011|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-011 (PPO)|00025456|11.30|0| | |MI|23320|0|N
H5216|011|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-011 (PPO)|00025456|11.30|0| | |MI|23360|0|N
H5216|011|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-011 (PPO)|00025456|11.30|0| | |MI|23380|0|N
H5216|011|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-011 (PPO)|00025456|11.30|0| | |MI|23400|0|N
H5216|011|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-011 (PPO)|00025456|11.30|0| | |MI|23450|0|N
H5216|011|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-011 (PPO)|00025456|11.30|0| | |MI|23490|0|N
H5216|011|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-011 (PPO)|00025456|11.30|0| | |MI|23550|0|N
H5216|011|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-011 (PPO)|00025456|11.30|0| | |MI|23570|0|N
H5216|011|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-011 (PPO)|00025456|11.30|0| | |MI|23580|0|N
H5216|011|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-011 (PPO)|00025456|11.30|0| | |MI|23600|0|N
H5216|011|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-011 (PPO)|00025456|11.30|0| | |MI|23620|0|N
H5216|011|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-011 (PPO)|00025456|11.30|0| | |MI|23630|0|N
H5216|011|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-011 (PPO)|00025456|11.30|0| | |MI|23690|0|N
H5216|011|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-011 (PPO)|00025456|11.30|0| | |MI|23720|0|N
H5216|011|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-011 (PPO)|00025456|11.30|0| | |MI|23740|0|N
H5216|011|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-011 (PPO)|00025456|11.30|0| | |MI|23790|0|N
H5216|011|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-011 (PPO)|00025456|11.30|0| | |MI|23810|0|N
H5216|013|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-013 (PPO)|00025456|54.20|250| | |IL|14000|0|N
H5216|013|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-013 (PPO)|00025456|54.20|250| | |IL|14100|0|N
H5216|013|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-013 (PPO)|00025456|54.20|250| | |IL|14110|0|N
H5216|013|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-013 (PPO)|00025456|54.20|250| | |IL|14141|0|N
H5216|013|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-013 (PPO)|00025456|54.20|250| | |IL|14170|0|N
H5216|013|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-013 (PPO)|00025456|54.20|250| | |IL|14250|0|N
H5216|013|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-013 (PPO)|00025456|54.20|250| | |IL|14400|0|N
H5216|013|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-013 (PPO)|00025456|54.20|250| | |IL|14450|0|N
H5216|013|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-013 (PPO)|00025456|54.20|250| | |IL|14480|0|N
H5216|013|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-013 (PPO)|00025456|54.20|250| | |IL|14530|0|N
H5216|013|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-013 (PPO)|00025456|54.20|250| | |IL|14540|0|N
H5216|013|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-013 (PPO)|00025456|54.20|250| | |IL|14550|0|N
H5216|013|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-013 (PPO)|00025456|54.20|250| | |IL|14570|0|N
H5216|013|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-013 (PPO)|00025456|54.20|250| | |IL|14640|0|N
H5216|013|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-013 (PPO)|00025456|54.20|250| | |IL|14660|0|N
H5216|013|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-013 (PPO)|00025456|54.20|250| | |IL|14730|0|N
H5216|013|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-013 (PPO)|00025456|54.20|250| | |IL|14740|0|N
H5216|013|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-013 (PPO)|00025456|54.20|250| | |IL|14770|0|N
H5216|013|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-013 (PPO)|00025456|54.20|250| | |IL|14780|0|N
H5216|013|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-013 (PPO)|00025456|54.20|250| | |IL|14830|0|N
H5216|013|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-013 (PPO)|00025456|54.20|250| | |IL|14880|0|N
H5216|013|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-013 (PPO)|00025456|54.20|250| | |IL|14890|0|N
H5216|013|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-013 (PPO)|00025456|54.20|250| | |IL|14920|0|N
H5216|013|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-013 (PPO)|00025456|54.20|250| | |IL|14940|0|N
H5216|013|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-013 (PPO)|00025456|54.20|250| | |IL|14982|0|N
H5216|013|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-013 (PPO)|00025456|54.20|250| | |IL|14989|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16020|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16040|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16050|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16060|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16070|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16090|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16100|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16110|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16120|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16130|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16140|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16150|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16160|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16170|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16220|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16230|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16240|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16250|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16260|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16270|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16290|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16310|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16330|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16340|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16350|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16370|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16390|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16400|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16410|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16420|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16430|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16450|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16460|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16470|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16480|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16490|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16500|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16510|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16520|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16530|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16540|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16550|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16560|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16580|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16590|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16600|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16610|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16620|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16630|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16640|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16660|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16670|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16690|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16700|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16710|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16720|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16730|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16740|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16750|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16760|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16770|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16780|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16790|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16800|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16810|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16830|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16840|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16850|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16880|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16890|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16900|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16910|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16920|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16930|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16940|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16950|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16960|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16970|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |IA|16980|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |NE|28120|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |NE|28260|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |NE|28270|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |NE|28540|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |NE|28760|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |NE|28770|0|N
H5216|014|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-014 (PPO)|00025456|31.80|400| | |NE|28880|0|N
H5216|017|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-017 (PPO)|00025456|0.00|450| | |NC|34000|0|N
H5216|017|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-017 (PPO)|00025456|0.00|450| | |NC|34010|0|N
H5216|017|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-017 (PPO)|00025456|0.00|450| | |NC|34030|0|N
H5216|017|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-017 (PPO)|00025456|0.00|450| | |NC|34050|0|N
H5216|017|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-017 (PPO)|00025456|0.00|450| | |NC|34100|0|N
H5216|017|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-017 (PPO)|00025456|0.00|450| | |NC|34110|0|N
H5216|017|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-017 (PPO)|00025456|0.00|450| | |NC|34130|0|N
H5216|017|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-017 (PPO)|00025456|0.00|450| | |NC|34160|0|N
H5216|017|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-017 (PPO)|00025456|0.00|450| | |NC|34170|0|N
H5216|017|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-017 (PPO)|00025456|0.00|450| | |NC|34210|0|N
H5216|017|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-017 (PPO)|00025456|0.00|450| | |NC|34220|0|N
H5216|017|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-017 (PPO)|00025456|0.00|450| | |NC|34280|0|N
H5216|017|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-017 (PPO)|00025456|0.00|450| | |NC|34290|0|N
H5216|017|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-017 (PPO)|00025456|0.00|450| | |NC|34330|0|N
H5216|017|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-017 (PPO)|00025456|0.00|450| | |NC|34350|0|N
H5216|017|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-017 (PPO)|00025456|0.00|450| | |NC|34370|0|N
H5216|017|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-017 (PPO)|00025456|0.00|450| | |NC|34400|0|N
H5216|017|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-017 (PPO)|00025456|0.00|450| | |NC|34430|0|N
H5216|017|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-017 (PPO)|00025456|0.00|450| | |NC|34440|0|N
H5216|017|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-017 (PPO)|00025456|0.00|450| | |NC|34480|0|N
H5216|017|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-017 (PPO)|00025456|0.00|450| | |NC|34540|0|N
H5216|017|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-017 (PPO)|00025456|0.00|450| | |NC|34550|0|N
H5216|017|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-017 (PPO)|00025456|0.00|450| | |NC|34570|0|N
H5216|017|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-017 (PPO)|00025456|0.00|450| | |NC|34590|0|N
H5216|017|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-017 (PPO)|00025456|0.00|450| | |NC|34600|0|N
H5216|017|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-017 (PPO)|00025456|0.00|450| | |NC|34720|0|N
H5216|017|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-017 (PPO)|00025456|0.00|450| | |NC|34740|0|N
H5216|017|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-017 (PPO)|00025456|0.00|450| | |NC|34750|0|N
H5216|017|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-017 (PPO)|00025456|0.00|450| | |NC|34780|0|N
H5216|017|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-017 (PPO)|00025456|0.00|450| | |NC|34790|0|N
H5216|017|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-017 (PPO)|00025456|0.00|450| | |NC|34800|0|N
H5216|017|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-017 (PPO)|00025456|0.00|450| | |NC|34830|0|N
H5216|017|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-017 (PPO)|00025456|0.00|450| | |NC|34840|0|N
H5216|017|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-017 (PPO)|00025456|0.00|450| | |NC|34860|0|N
H5216|017|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-017 (PPO)|00025456|0.00|450| | |NC|34870|0|N
H5216|017|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-017 (PPO)|00025456|0.00|450| | |NC|34890|0|N
H5216|017|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-017 (PPO)|00025456|0.00|450| | |NC|34940|0|N
H5216|017|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-017 (PPO)|00025456|0.00|450| | |NC|34980|0|N
H5216|017|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-017 (PPO)|00025456|0.00|450| | |NC|34981|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |IN|15000|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |IN|15010|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |IN|15020|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |IN|15060|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |IN|15080|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |IN|15090|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |IN|15120|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |IN|15130|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |IN|15160|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |IN|15180|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |IN|15190|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |IN|15210|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |IN|15240|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |IN|15250|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |IN|15260|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |IN|15300|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |IN|15340|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |IN|15350|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |IN|15390|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |IN|15420|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |IN|15430|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |IN|15450|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |IN|15460|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |IN|15490|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |IN|15500|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |IN|15510|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |IN|15520|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |IN|15560|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |IN|15580|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |IN|15620|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |IN|15640|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |IN|15650|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |IN|15680|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |IN|15700|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |IN|15710|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |IN|15730|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |IN|15740|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |IN|15750|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |IN|15810|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |IN|15840|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |IN|15860|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |IN|15870|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |IN|15890|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |IN|15910|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |KY|18050|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |KY|18080|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |KY|18100|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |KY|18140|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |KY|18240|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |KY|18330|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |KY|18360|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |KY|18460|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |KY|18500|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |KY|18510|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |KY|18540|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |KY|18550|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |KY|18560|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |KY|18680|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |KY|18720|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |KY|18750|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |KY|18770|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |KY|18802|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |KY|18860|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |KY|18890|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |KY|18920|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |KY|18971|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |KY|18977|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |KY|18980|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |KY|18989|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |KY|18992|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |WV|51010|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |WV|51020|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |WV|51030|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |WV|51050|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |WV|51070|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |WV|51090|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |WV|51180|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |WV|51190|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |WV|51200|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |WV|51210|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |WV|51260|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |WV|51270|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |WV|51310|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |WV|51330|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |WV|51350|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |WV|51390|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |WV|51430|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |WV|51480|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |WV|51490|0|N
H5216|019|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-019 (PPO)|00025456|31.90|200| | |WV|51500|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |IN|15140|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |IN|15230|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |IN|15570|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |IN|15770|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |KY|18070|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |KY|18180|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |KY|18580|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |OH|36000|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |OH|36020|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |OH|36030|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |OH|36040|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |OH|36070|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |OH|36080|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |OH|36090|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |OH|36100|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |OH|36110|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |OH|36120|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |OH|36130|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |OH|36140|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |OH|36150|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |OH|36190|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |OH|36210|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |OH|36230|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |OH|36240|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |OH|36250|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |OH|36270|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |OH|36290|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |OH|36300|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |OH|36310|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |OH|36350|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |OH|36370|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |OH|36380|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |OH|36390|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |OH|36410|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |OH|36420|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |OH|36430|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |OH|36450|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |OH|36460|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |OH|36500|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |OH|36510|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |OH|36540|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |OH|36560|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |OH|36580|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |OH|36590|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |OH|36600|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |OH|36610|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |OH|36620|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |OH|36650|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |OH|36660|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |OH|36690|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |OH|36710|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |OH|36720|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |OH|36740|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |OH|36760|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |OH|36770|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |OH|36790|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |OH|36800|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |OH|36810|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |OH|36840|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |OH|36850|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |OH|36860|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |PA|39450|0|N
H5216|023|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-023 (PPO)|00025456|32.00|350| | |PA|39530|0|N
H5216|024|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-024 (PPO)|00025456|30.00|400| | |OH|36010|0|N
H5216|024|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-024 (PPO)|00025456|30.00|400| | |OH|36050|0|N
H5216|024|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-024 (PPO)|00025456|30.00|400| | |OH|36170|0|N
H5216|024|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-024 (PPO)|00025456|30.00|400| | |OH|36200|0|N
H5216|024|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-024 (PPO)|00025456|30.00|400| | |OH|36220|0|N
H5216|024|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-024 (PPO)|00025456|30.00|400| | |OH|36260|0|N
H5216|024|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-024 (PPO)|00025456|30.00|400| | |OH|36280|0|N
H5216|024|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-024 (PPO)|00025456|30.00|400| | |OH|36330|0|N
H5216|024|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-024 (PPO)|00025456|30.00|400| | |OH|36340|0|N
H5216|024|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-024 (PPO)|00025456|30.00|400| | |OH|36360|0|N
H5216|024|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-024 (PPO)|00025456|30.00|400| | |OH|36400|0|N
H5216|024|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-024 (PPO)|00025456|30.00|400| | |OH|36440|0|N
H5216|024|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-024 (PPO)|00025456|30.00|400| | |OH|36470|0|N
H5216|024|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-024 (PPO)|00025456|30.00|400| | |OH|36480|0|N
H5216|024|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-024 (PPO)|00025456|30.00|400| | |OH|36490|0|N
H5216|024|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-024 (PPO)|00025456|30.00|400| | |OH|36530|0|N
H5216|024|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-024 (PPO)|00025456|30.00|400| | |OH|36550|0|N
H5216|024|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-024 (PPO)|00025456|30.00|400| | |OH|36630|0|N
H5216|024|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-024 (PPO)|00025456|30.00|400| | |OH|36640|0|N
H5216|024|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-024 (PPO)|00025456|30.00|400| | |OH|36680|0|N
H5216|024|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-024 (PPO)|00025456|30.00|400| | |OH|36700|0|N
H5216|024|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-024 (PPO)|00025456|30.00|400| | |OH|36730|0|N
H5216|024|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-024 (PPO)|00025456|30.00|400| | |OH|36750|0|N
H5216|024|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-024 (PPO)|00025456|30.00|400| | |OH|36780|0|N
H5216|024|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-024 (PPO)|00025456|30.00|400| | |OH|36820|0|N
H5216|024|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-024 (PPO)|00025456|30.00|400| | |OH|36870|0|N
H5216|024|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-024 (PPO)|00025456|30.00|400| | |OH|36880|0|N
H5216|024|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-024 (PPO)|00025456|30.00|400| | |OH|36890|0|N
H5216|027|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-027 (PPO)|00025456|15.10|350| | |VA|49000|0|N
H5216|027|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-027 (PPO)|00025456|15.10|350| | |VA|49011|0|N
H5216|027|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-027 (PPO)|00025456|15.10|350| | |VA|49060|0|N
H5216|027|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-027 (PPO)|00025456|15.10|350| | |VA|49090|0|N
H5216|027|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-027 (PPO)|00025456|15.10|350| | |VA|49100|0|N
H5216|027|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-027 (PPO)|00025456|15.10|350| | |VA|49110|0|N
H5216|027|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-027 (PPO)|00025456|15.10|350| | |VA|49210|0|N
H5216|027|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-027 (PPO)|00025456|15.10|350| | |VA|49220|0|N
H5216|027|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-027 (PPO)|00025456|15.10|350| | |VA|49280|0|N
H5216|027|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-027 (PPO)|00025456|15.10|350| | |VA|49288|0|N
H5216|027|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-027 (PPO)|00025456|15.10|350| | |VA|49290|0|N
H5216|027|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-027 (PPO)|00025456|15.10|350| | |VA|49291|0|N
H5216|027|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-027 (PPO)|00025456|15.10|350| | |VA|49300|0|N
H5216|027|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-027 (PPO)|00025456|15.10|350| | |VA|49310|0|N
H5216|027|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-027 (PPO)|00025456|15.10|350| | |VA|49330|0|N
H5216|027|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-027 (PPO)|00025456|15.10|350| | |VA|49342|0|N
H5216|027|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-027 (PPO)|00025456|15.10|350| | |VA|49490|0|N
H5216|027|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-027 (PPO)|00025456|15.10|350| | |VA|49530|0|N
H5216|027|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-027 (PPO)|00025456|15.10|350| | |VA|49563|0|N
H5216|027|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-027 (PPO)|00025456|15.10|350| | |VA|49565|0|N
H5216|027|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-027 (PPO)|00025456|15.10|350| | |VA|49600|0|N
H5216|027|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-027 (PPO)|00025456|15.10|350| | |VA|49650|0|N
H5216|027|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-027 (PPO)|00025456|15.10|350| | |VA|49660|0|N
H5216|027|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-027 (PPO)|00025456|15.10|350| | |VA|49690|0|N
H5216|027|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-027 (PPO)|00025456|15.10|350| | |VA|49750|0|N
H5216|027|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-027 (PPO)|00025456|15.10|350| | |VA|49770|0|N
H5216|027|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-027 (PPO)|00025456|15.10|350| | |VA|49771|0|N
H5216|027|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-027 (PPO)|00025456|15.10|350| | |VA|49780|0|N
H5216|027|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-027 (PPO)|00025456|15.10|350| | |VA|49790|0|N
H5216|027|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-027 (PPO)|00025456|15.10|350| | |VA|49800|0|N
H5216|027|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-027 (PPO)|00025456|15.10|350| | |VA|49801|0|N
H5216|027|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-027 (PPO)|00025456|15.10|350| | |VA|49838|0|N
H5216|027|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-027 (PPO)|00025456|15.10|350| | |VA|49880|0|N
H5216|027|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-027 (PPO)|00025456|15.10|350| | |VA|49890|0|N
H5216|027|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-027 (PPO)|00025456|15.10|350| | |VA|49930|0|N
H5216|027|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-027 (PPO)|00025456|15.10|350| | |VA|49960|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |IL|14680|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |IL|14750|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |IL|14900|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |KS|17020|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |KS|17050|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |KS|17070|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |KS|17170|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |KS|17200|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |KS|17220|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |KS|17290|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |KS|17300|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |KS|17390|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |KS|17430|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |KS|17450|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |KS|17510|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |KS|17530|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |KS|17560|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |KS|17600|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |KS|17740|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |KS|17770|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |KS|17860|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |KS|17880|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |KS|17950|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |KS|17986|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26030|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26040|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26060|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26070|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26080|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26090|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26130|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26140|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26160|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26180|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26190|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26210|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26230|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26250|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26260|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26270|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26280|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26290|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26330|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26360|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26380|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26410|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26411|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26440|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26450|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26470|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26490|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26500|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26520|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26530|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26540|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26560|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26620|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26650|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26670|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26690|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26700|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26740|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26750|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26751|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26780|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26790|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26800|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26810|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26820|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26821|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26840|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26880|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26910|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26911|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26930|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26940|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26950|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26960|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26970|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26986|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26988|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26990|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26991|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26992|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26994|0|N
H5216|032|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-032 (PPO)|00025456|64.00|590| | |MO|26996|0|N
H5216|034|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-034 (PPO)|00025458|78.90|400| | |AZ|03060|0|N
H5216|034|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-034 (PPO)|00025458|78.90|400| | |AZ|03070|0|N
H5216|034|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-034 (PPO)|00025458|78.90|400| | |AZ|03090|0|N
H5216|034|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-034 (PPO)|00025458|78.90|400| | |AZ|03100|0|N
H5216|034|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-034 (PPO)|00025458|78.90|400| | |AZ|03120|0|N
H5216|037|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-037 (PPO)|00025458|9.00|225| | |NV|29010|0|N
H5216|037|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-037 (PPO)|00025458|9.00|225| | |NV|29110|0|N
H5216|039|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-039 (PPO)|00025458|0.00|0| | |NV|29000|0|N
H5216|039|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-039 (PPO)|00025458|0.00|0| | |NV|29020|0|N
H5216|039|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-039 (PPO)|00025458|0.00|0| | |NV|29090|0|N
H5216|039|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-039 (PPO)|00025458|0.00|0| | |NV|29100|0|N
H5216|039|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-039 (PPO)|00025458|0.00|0| | |NV|29120|0|N
H5216|039|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-039 (PPO)|00025458|0.00|0| | |NV|29140|0|N
H5216|039|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-039 (PPO)|00025458|0.00|0| | |NV|29150|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45000|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45030|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45050|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45060|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45070|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45090|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45113|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45130|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45230|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45250|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45251|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45281|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45301|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45310|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45312|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45320|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45340|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45390|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45391|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45392|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45400|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45410|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45430|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45450|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45451|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45460|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45470|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45490|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45510|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45530|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45531|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45541|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45563|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45564|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45570|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45581|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45600|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45610|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45620|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45640|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45653|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45661|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45700|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45711|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45720|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45721|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45731|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45742|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45743|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45757|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45783|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45784|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45791|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45792|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45794|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45801|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45803|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45820|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45830|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45840|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45841|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45842|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45850|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45860|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45871|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45873|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45879|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45881|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45884|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45885|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45889|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45890|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45892|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45910|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45911|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45942|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45943|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45945|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45947|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45948|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45949|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45950|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45952|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45953|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45954|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45971|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45974|0|N
H5216|042|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-042 (PPO)|00025456|60.00|250| | |TX|45983|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45030|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45050|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45060|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45090|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45113|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45130|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45223|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45230|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45240|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45251|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45301|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45310|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45320|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45340|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45390|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45392|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45430|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45451|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45460|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45470|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45480|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45541|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45550|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45564|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45581|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45650|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45651|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45653|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45661|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45700|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45711|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45720|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45730|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45731|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45734|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45743|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45770|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45780|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45784|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45791|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45792|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45794|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45800|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45820|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45830|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45843|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45860|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45871|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45873|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45879|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45885|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45889|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45910|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45962|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45971|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45973|0|N
H5216|043|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|11.00|250| | |TX|45974|0|N
H5216|043|005|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|26.00|250| | |TX|45000|0|N
H5216|043|005|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|26.00|250| | |TX|45250|0|N
H5216|043|005|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|26.00|250| | |TX|45281|0|N
H5216|043|005|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|26.00|250| | |TX|45531|0|N
H5216|043|005|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|26.00|250| | |TX|45570|0|N
H5216|043|005|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|26.00|250| | |TX|45620|0|N
H5216|043|005|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|26.00|250| | |TX|45640|0|N
H5216|043|005|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|26.00|250| | |TX|45783|0|N
H5216|043|005|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|26.00|250| | |TX|45803|0|N
H5216|043|005|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|26.00|250| | |TX|45842|0|N
H5216|043|005|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|26.00|250| | |TX|45881|0|N
H5216|043|005|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|26.00|250| | |TX|45890|0|N
H5216|043|005|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|26.00|250| | |TX|45892|0|N
H5216|043|005|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|26.00|250| | |TX|45943|0|N
H5216|043|005|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|26.00|250| | |TX|45947|0|N
H5216|043|006|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|0.00|250| | |TX|45070|0|N
H5216|043|006|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|0.00|250| | |TX|45170|0|N
H5216|043|006|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|0.00|250| | |TX|45224|0|N
H5216|043|006|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|0.00|250| | |TX|45260|0|N
H5216|043|006|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|0.00|250| | |TX|45400|0|N
H5216|043|006|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|0.00|250| | |TX|45450|0|N
H5216|043|006|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|0.00|250| | |TX|45510|0|N
H5216|043|006|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|0.00|250| | |TX|45511|0|N
H5216|043|006|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|0.00|250| | |TX|45600|0|N
H5216|043|006|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|0.00|250| | |TX|45610|0|N
H5216|043|006|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|0.00|250| | |TX|45750|0|N
H5216|043|006|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|0.00|250| | |TX|45757|0|N
H5216|043|006|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|0.00|250| | |TX|45790|0|N
H5216|043|006|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|0.00|250| | |TX|45801|0|N
H5216|043|006|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|0.00|250| | |TX|45840|0|N
H5216|043|006|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|0.00|250| | |TX|45841|0|N
H5216|043|006|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|0.00|250| | |TX|45850|0|N
H5216|043|006|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|0.00|250| | |TX|45874|0|N
H5216|043|006|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|0.00|250| | |TX|45884|0|N
H5216|043|006|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|0.00|250| | |TX|45921|0|N
H5216|043|006|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|0.00|250| | |TX|45941|0|N
H5216|043|006|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|0.00|250| | |TX|45942|0|N
H5216|043|006|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|0.00|250| | |TX|45948|0|N
H5216|043|006|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|0.00|250| | |TX|45952|0|N
H5216|043|006|HUMANA INSURANCE COMPANY|HumanaChoice H5216-043 (PPO)|00025456|0.00|250| | |TX|45954|0|N
H5216|047|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-047 (PPO)|00025456|28.20|400| | |WA|50020|0|N
H5216|047|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-047 (PPO)|00025456|28.20|400| | |WA|50050|0|N
H5216|047|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-047 (PPO)|00025456|28.20|400| | |WA|50070|0|N
H5216|047|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-047 (PPO)|00025456|28.20|400| | |WA|50100|0|N
H5216|047|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-047 (PPO)|00025456|28.20|400| | |WA|50140|0|N
H5216|047|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-047 (PPO)|00025456|28.20|400| | |WA|50160|0|N
H5216|047|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-047 (PPO)|00025456|28.20|400| | |WA|50170|0|N
H5216|047|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-047 (PPO)|00025456|28.20|400| | |WA|50280|0|N
H5216|047|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-047 (PPO)|00025456|28.20|400| | |WA|50300|0|N
H5216|047|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-047 (PPO)|00025456|28.20|400| | |WA|50310|0|N
H5216|047|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-047 (PPO)|00025456|28.20|400| | |WA|50350|0|N
H5216|047|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-047 (PPO)|00025456|28.20|400| | |WA|50360|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |ID|13000|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |ID|13010|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |ID|13020|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |ID|13030|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |ID|13050|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |ID|13060|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |ID|13070|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |ID|13090|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |ID|13120|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |ID|13130|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |ID|13140|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |ID|13150|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |ID|13160|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |ID|13190|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |ID|13200|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |ID|13210|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |ID|13220|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |ID|13230|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |ID|13250|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |ID|13260|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |ID|13310|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |ID|13330|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |ID|13350|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |ID|13360|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |ID|13370|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |ID|13380|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |ID|13400|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |ID|13410|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |ID|13420|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |ID|13430|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |MT|27000|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |MT|27010|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |MT|27030|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |MT|27040|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |MT|27060|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |MT|27070|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |MT|27110|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |MT|27130|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |MT|27140|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |MT|27150|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |MT|27170|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |MT|27180|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |MT|27190|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |MT|27210|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |MT|27220|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |MT|27230|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |MT|27240|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |MT|27250|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |MT|27260|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |MT|27280|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |MT|27290|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |MT|27300|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |MT|27310|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |MT|27320|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |MT|27330|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |MT|27360|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |MT|27380|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |MT|27400|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |MT|27430|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |MT|27440|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |MT|27460|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |MT|27470|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |MT|27480|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |MT|27490|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |MT|27500|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |MT|27510|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |MT|27530|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |MT|27550|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |OR|38000|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |OR|38020|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |OR|38040|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |OR|38100|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |OR|38130|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |OR|38210|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |OR|38220|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |OR|38240|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |OR|38250|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |OR|38270|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |OR|38310|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |OR|38330|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |UT|46000|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |UT|46010|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |UT|46020|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |UT|46050|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |UT|46060|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |UT|46070|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |UT|46080|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |UT|46090|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |UT|46100|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |UT|46110|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |UT|46120|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |UT|46130|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |UT|46140|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |UT|46150|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |UT|46160|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |UT|46170|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |UT|46180|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |UT|46210|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |UT|46220|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |UT|46240|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |UT|46250|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |UT|46260|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |UT|46280|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |WA|50000|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |WA|50020|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |WA|50030|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |WA|50050|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |WA|50060|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |WA|50070|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |WA|50080|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |WA|50090|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |WA|50100|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |WA|50110|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |WA|50120|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |WA|50140|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |WA|50150|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |WA|50160|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |WA|50170|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |WA|50180|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |WA|50200|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |WA|50210|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |WA|50220|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |WA|50230|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |WA|50250|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |WA|50260|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |WA|50270|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |WA|50280|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |WA|50290|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |WA|50300|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |WA|50310|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |WA|50330|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |WA|50340|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |WA|50350|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |WA|50360|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |WY|53000|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |WY|53050|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |WY|53070|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |WY|53100|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |WY|53110|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |WY|53140|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |WY|53190|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |WY|53200|0|N
H5216|048|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-048 (PPO)|00025456|66.00|590| | |WY|53220|0|N
H5216|053|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-053 (PPO)|00025456|48.00|200| | |IN|15030|0|N
H5216|053|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-053 (PPO)|00025456|48.00|200| | |IN|15050|0|N
H5216|053|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-053 (PPO)|00025456|48.00|200| | |IN|15100|0|N
H5216|053|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-053 (PPO)|00025456|48.00|200| | |IN|15170|0|N
H5216|053|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-053 (PPO)|00025456|48.00|200| | |IN|15200|0|N
H5216|053|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-053 (PPO)|00025456|48.00|200| | |IN|15280|0|N
H5216|053|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-053 (PPO)|00025456|48.00|200| | |IN|15290|0|N
H5216|053|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-053 (PPO)|00025456|48.00|200| | |IN|15310|0|N
H5216|053|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-053 (PPO)|00025456|48.00|200| | |IN|15320|0|N
H5216|053|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-053 (PPO)|00025456|48.00|200| | |IN|15370|0|N
H5216|053|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-053 (PPO)|00025456|48.00|200| | |IN|15400|0|N
H5216|053|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-053 (PPO)|00025456|48.00|200| | |IN|15470|0|N
H5216|053|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-053 (PPO)|00025456|48.00|200| | |IN|15480|0|N
H5216|053|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-053 (PPO)|00025456|48.00|200| | |IN|15530|0|N
H5216|053|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-053 (PPO)|00025456|48.00|200| | |IN|15540|0|N
H5216|053|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-053 (PPO)|00025456|48.00|200| | |IN|15590|0|N
H5216|053|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-053 (PPO)|00025456|48.00|200| | |IN|15600|0|N
H5216|053|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-053 (PPO)|00025456|48.00|200| | |IN|15660|0|N
H5216|053|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-053 (PPO)|00025456|48.00|200| | |IN|15690|0|N
H5216|053|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-053 (PPO)|00025456|48.00|200| | |IN|15720|0|N
H5216|053|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-053 (PPO)|00025456|48.00|200| | |IN|15760|0|N
H5216|053|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-053 (PPO)|00025456|48.00|200| | |IN|15780|0|N
H5216|053|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-053 (PPO)|00025456|48.00|200| | |IN|15800|0|N
H5216|053|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-053 (PPO)|00025456|48.00|200| | |IN|15830|0|N
H5216|053|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-053 (PPO)|00025456|48.00|200| | |IN|15880|0|N
H5216|062|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-062 (PPO)|00025458|0.00|150| | |FL|10040|0|N
H5216|062|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-062 (PPO)|00025458|0.00|150| | |FL|10210|0|N
H5216|062|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-062 (PPO)|00025458|0.00|150| | |FL|10300|0|N
H5216|062|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-062 (PPO)|00025458|0.00|150| | |FL|10420|0|N
H5216|062|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-062 (PPO)|00025458|0.00|150| | |FL|10460|0|N
H5216|062|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-062 (PPO)|00025458|0.00|150| | |FL|10550|0|N
H5216|063|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-063 (PPO)|00025456|6.50|250| | |MN|24000|0|N
H5216|063|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-063 (PPO)|00025456|6.50|250| | |MN|24010|0|N
H5216|063|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-063 (PPO)|00025456|6.50|250| | |MN|24020|0|N
H5216|063|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-063 (PPO)|00025456|6.50|250| | |MN|24030|0|N
H5216|063|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-063 (PPO)|00025456|6.50|250| | |MN|24040|0|N
H5216|063|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-063 (PPO)|00025456|6.50|250| | |MN|24060|0|N
H5216|063|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-063 (PPO)|00025456|6.50|250| | |MN|24090|0|N
H5216|063|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-063 (PPO)|00025456|6.50|250| | |MN|24130|0|N
H5216|063|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-063 (PPO)|00025456|6.50|250| | |MN|24140|0|N
H5216|063|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-063 (PPO)|00025456|6.50|250| | |MN|24180|0|N
H5216|063|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-063 (PPO)|00025456|6.50|250| | |MN|24220|0|N
H5216|063|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-063 (PPO)|00025456|6.50|250| | |MN|24260|0|N
H5216|063|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-063 (PPO)|00025456|6.50|250| | |MN|24270|0|N
H5216|063|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-063 (PPO)|00025456|6.50|250| | |MN|24290|0|N
H5216|063|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-063 (PPO)|00025456|6.50|250| | |MN|24300|0|N
H5216|063|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-063 (PPO)|00025456|6.50|250| | |MN|24340|0|N
H5216|063|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-063 (PPO)|00025456|6.50|250| | |MN|24350|0|N
H5216|063|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-063 (PPO)|00025456|6.50|250| | |MN|24360|0|N
H5216|063|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-063 (PPO)|00025456|6.50|250| | |MN|24370|0|N
H5216|063|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-063 (PPO)|00025456|6.50|250| | |MN|24380|0|N
H5216|063|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-063 (PPO)|00025456|6.50|250| | |MN|24390|0|N
H5216|063|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-063 (PPO)|00025456|6.50|250| | |MN|24400|0|N
H5216|063|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-063 (PPO)|00025456|6.50|250| | |MN|24420|0|N
H5216|063|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-063 (PPO)|00025456|6.50|250| | |MN|24430|0|N
H5216|063|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-063 (PPO)|00025456|6.50|250| | |MN|24440|0|N
H5216|063|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-063 (PPO)|00025456|6.50|250| | |MN|24460|0|N
H5216|063|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-063 (PPO)|00025456|6.50|250| | |MN|24480|0|N
H5216|063|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-063 (PPO)|00025456|6.50|250| | |MN|24500|0|N
H5216|063|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-063 (PPO)|00025456|6.50|250| | |MN|24530|0|N
H5216|063|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-063 (PPO)|00025456|6.50|250| | |MN|24550|0|N
H5216|063|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-063 (PPO)|00025456|6.50|250| | |MN|24560|0|N
H5216|063|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-063 (PPO)|00025456|6.50|250| | |MN|24610|0|N
H5216|063|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-063 (PPO)|00025456|6.50|250| | |MN|24620|0|N
H5216|063|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-063 (PPO)|00025456|6.50|250| | |MN|24640|0|N
H5216|063|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-063 (PPO)|00025456|6.50|250| | |MN|24660|0|N
H5216|063|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-063 (PPO)|00025456|6.50|250| | |MN|24670|0|N
H5216|063|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-063 (PPO)|00025456|6.50|250| | |MN|24680|0|N
H5216|063|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-063 (PPO)|00025456|6.50|250| | |MN|24690|0|N
H5216|063|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-063 (PPO)|00025456|6.50|250| | |MN|24730|0|N
H5216|063|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-063 (PPO)|00025456|6.50|250| | |MN|24760|0|N
H5216|063|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-063 (PPO)|00025456|6.50|250| | |MN|24770|0|N
H5216|063|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-063 (PPO)|00025456|6.50|250| | |MN|24810|0|N
H5216|063|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-063 (PPO)|00025456|6.50|250| | |MN|24840|0|N
H5216|063|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-063 (PPO)|00025456|6.50|250| | |MN|24850|0|N
H5216|063|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-063 (PPO)|00025456|6.50|250| | |MN|24860|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19000|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19010|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19020|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19030|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19040|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19050|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19060|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19070|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19080|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19090|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19100|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19110|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19120|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19130|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19140|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19150|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19160|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19170|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19180|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19190|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19200|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19210|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19220|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19230|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19240|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19250|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19260|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19270|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19280|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19290|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19300|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19310|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19320|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19330|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19340|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19350|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19360|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19370|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19380|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19390|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19400|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19410|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19420|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19430|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19440|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19450|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19460|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19470|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19480|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19490|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19500|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19510|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19520|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19530|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19540|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19550|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19560|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19570|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19580|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19590|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19600|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19610|0|N
H5216|064|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-064 (PPO)|00025456|49.00|0| | |LA|19630|0|N
H5216|068|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-068 (PPO)|00025458|0.00|250| | |FL|10050|0|N
H5216|068|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-068 (PPO)|00025458|0.00|250| | |FL|10120|0|N
H5216|068|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-068 (PPO)|00025458|0.00|250| | |FL|10490|0|N
H5216|070|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-070 (PPO)|00025458|0.00|275| | |FL|10000|0|N
H5216|070|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-070 (PPO)|00025458|0.00|275| | |FL|10010|0|N
H5216|070|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-070 (PPO)|00025458|0.00|275| | |FL|10020|0|N
H5216|070|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-070 (PPO)|00025458|0.00|275| | |FL|10030|0|N
H5216|070|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-070 (PPO)|00025458|0.00|275| | |FL|10060|0|N
H5216|070|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-070 (PPO)|00025458|0.00|275| | |FL|10090|0|N
H5216|070|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-070 (PPO)|00025458|0.00|275| | |FL|10110|0|N
H5216|070|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-070 (PPO)|00025458|0.00|275| | |FL|10140|0|N
H5216|070|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-070 (PPO)|00025458|0.00|275| | |FL|10150|0|N
H5216|070|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-070 (PPO)|00025458|0.00|275| | |FL|10160|0|N
H5216|070|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-070 (PPO)|00025458|0.00|275| | |FL|10170|0|N
H5216|070|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-070 (PPO)|00025458|0.00|275| | |FL|10180|0|N
H5216|070|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-070 (PPO)|00025458|0.00|275| | |FL|10190|0|N
H5216|070|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-070 (PPO)|00025458|0.00|275| | |FL|10200|0|N
H5216|070|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-070 (PPO)|00025458|0.00|275| | |FL|10220|0|N
H5216|070|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-070 (PPO)|00025458|0.00|275| | |FL|10230|0|N
H5216|070|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-070 (PPO)|00025458|0.00|275| | |FL|10290|0|N
H5216|070|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-070 (PPO)|00025458|0.00|275| | |FL|10310|0|N
H5216|070|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-070 (PPO)|00025458|0.00|275| | |FL|10320|0|N
H5216|070|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-070 (PPO)|00025458|0.00|275| | |FL|10330|0|N
H5216|070|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-070 (PPO)|00025458|0.00|275| | |FL|10370|0|N
H5216|070|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-070 (PPO)|00025458|0.00|275| | |FL|10380|0|N
H5216|070|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-070 (PPO)|00025458|0.00|275| | |FL|10390|0|N
H5216|070|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-070 (PPO)|00025458|0.00|275| | |FL|10440|0|N
H5216|070|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-070 (PPO)|00025458|0.00|275| | |FL|10450|0|N
H5216|070|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-070 (PPO)|00025458|0.00|275| | |FL|10530|0|N
H5216|070|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-070 (PPO)|00025458|0.00|275| | |FL|10540|0|N
H5216|070|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-070 (PPO)|00025458|0.00|275| | |FL|10560|0|N
H5216|070|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-070 (PPO)|00025458|0.00|275| | |FL|10600|0|N
H5216|070|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-070 (PPO)|00025458|0.00|275| | |FL|10610|0|N
H5216|070|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-070 (PPO)|00025458|0.00|275| | |FL|10620|0|N
H5216|070|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-070 (PPO)|00025458|0.00|275| | |FL|10630|0|N
H5216|070|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-070 (PPO)|00025458|0.00|275| | |FL|10640|0|N
H5216|070|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-070 (PPO)|00025458|0.00|275| | |FL|10650|0|N
H5216|070|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-070 (PPO)|00025458|0.00|275| | |FL|10660|0|N
H5216|072|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-072 (PPO)|00025458|0.00|250| | |FL|10070|0|N
H5216|072|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-072 (PPO)|00025458|0.00|250| | |FL|10080|0|N
H5216|072|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-072 (PPO)|00025458|0.00|250| | |FL|10100|0|N
H5216|072|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-072 (PPO)|00025458|0.00|250| | |FL|10130|0|N
H5216|072|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-072 (PPO)|00025458|0.00|250| | |FL|10250|0|N
H5216|072|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-072 (PPO)|00025458|0.00|250| | |FL|10260|0|N
H5216|072|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-072 (PPO)|00025458|0.00|250| | |FL|10270|0|N
H5216|072|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-072 (PPO)|00025458|0.00|250| | |FL|10280|0|N
H5216|072|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-072 (PPO)|00025458|0.00|250| | |FL|10350|0|N
H5216|072|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-072 (PPO)|00025458|0.00|250| | |FL|10400|0|N
H5216|072|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-072 (PPO)|00025458|0.00|250| | |FL|10470|0|N
H5216|072|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-072 (PPO)|00025458|0.00|250| | |FL|10480|0|N
H5216|072|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-072 (PPO)|00025458|0.00|250| | |FL|10500|0|N
H5216|072|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-072 (PPO)|00025458|0.00|250| | |FL|10510|0|N
H5216|072|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-072 (PPO)|00025458|0.00|250| | |FL|10520|0|N
H5216|072|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-072 (PPO)|00025458|0.00|250| | |FL|10570|0|N
H5216|072|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-072 (PPO)|00025458|0.00|250| | |FL|10580|0|N
H5216|073|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-073 (PPO)|00025456|56.00|360| | |GA|11060|0|N
H5216|073|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-073 (PPO)|00025456|56.00|360| | |GA|11190|0|N
H5216|073|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-073 (PPO)|00025456|56.00|360| | |GA|11250|0|N
H5216|073|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-073 (PPO)|00025456|56.00|360| | |GA|11280|0|N
H5216|073|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-073 (PPO)|00025456|56.00|360| | |GA|11290|0|N
H5216|073|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-073 (PPO)|00025456|56.00|360| | |GA|11320|0|N
H5216|073|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-073 (PPO)|00025456|56.00|360| | |GA|11350|0|N
H5216|073|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-073 (PPO)|00025456|56.00|360| | |GA|11370|0|N
H5216|073|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-073 (PPO)|00025456|56.00|360| | |GA|11400|0|N
H5216|073|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-073 (PPO)|00025456|56.00|360| | |GA|11451|0|N
H5216|073|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-073 (PPO)|00025456|56.00|360| | |GA|11460|0|N
H5216|073|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-073 (PPO)|00025456|56.00|360| | |GA|11461|0|N
H5216|073|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-073 (PPO)|00025456|56.00|360| | |GA|11470|0|N
H5216|073|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-073 (PPO)|00025456|56.00|360| | |GA|11530|0|N
H5216|073|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-073 (PPO)|00025456|56.00|360| | |GA|11570|0|N
H5216|073|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-073 (PPO)|00025456|56.00|360| | |GA|11591|0|N
H5216|073|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-073 (PPO)|00025456|56.00|360| | |GA|11740|0|N
H5216|073|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-073 (PPO)|00025456|56.00|360| | |GA|11790|0|N
H5216|073|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-073 (PPO)|00025456|56.00|360| | |GA|11810|0|N
H5216|073|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-073 (PPO)|00025456|56.00|360| | |GA|11812|0|N
H5216|073|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-073 (PPO)|00025456|56.00|360| | |GA|11841|0|N
H5216|073|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-073 (PPO)|00025456|56.00|360| | |GA|11930|0|N
H5216|074|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-074 (PPO)|00025458|0.00|0| | |FL|10340|0|N
H5216|074|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-074 (PPO)|00025458|0.00|0| | |FL|10410|0|N
H5216|074|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-074 (PPO)|00025458|0.00|0| | |FL|10590|0|N
H5216|078|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-078 (PPO)|00025458|8.10|250| | |CO|06000|0|N
H5216|078|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-078 (PPO)|00025458|8.10|250| | |CO|06010|0|N
H5216|078|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-078 (PPO)|00025458|8.10|250| | |CO|06020|0|N
H5216|078|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-078 (PPO)|00025458|8.10|250| | |CO|06030|0|N
H5216|078|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-078 (PPO)|00025458|8.10|250| | |CO|06060|0|N
H5216|078|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-078 (PPO)|00025458|8.10|250| | |CO|06090|0|N
H5216|078|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-078 (PPO)|00025458|8.10|250| | |CO|06100|0|N
H5216|078|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-078 (PPO)|00025458|8.10|250| | |CO|06110|0|N
H5216|078|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-078 (PPO)|00025458|8.10|250| | |CO|06120|0|N
H5216|078|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-078 (PPO)|00025458|8.10|250| | |CO|06130|0|N
H5216|078|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-078 (PPO)|00025458|8.10|250| | |CO|06150|0|N
H5216|078|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-078 (PPO)|00025458|8.10|250| | |CO|06170|0|N
H5216|078|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-078 (PPO)|00025458|8.10|250| | |CO|06230|0|N
H5216|078|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-078 (PPO)|00025458|8.10|250| | |CO|06240|0|N
H5216|078|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-078 (PPO)|00025458|8.10|250| | |CO|06270|0|N
H5216|078|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-078 (PPO)|00025458|8.10|250| | |CO|06290|0|N
H5216|078|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-078 (PPO)|00025458|8.10|250| | |CO|06340|0|N
H5216|078|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-078 (PPO)|00025458|8.10|250| | |CO|06350|0|N
H5216|078|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-078 (PPO)|00025458|8.10|250| | |CO|06370|0|N
H5216|078|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-078 (PPO)|00025458|8.10|250| | |CO|06430|0|N
H5216|078|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-078 (PPO)|00025458|8.10|250| | |CO|06440|0|N
H5216|078|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-078 (PPO)|00025458|8.10|250| | |CO|06610|0|N
H5216|078|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-078 (PPO)|00025458|8.10|250| | |CO|06630|0|N
H5216|078|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-078 (PPO)|00025458|0.00|250| | |CO|06140|0|N
H5216|078|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-078 (PPO)|00025458|0.00|250| | |CO|06200|0|N
H5216|078|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-078 (PPO)|00025458|0.00|250| | |CO|06210|0|N
H5216|078|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-078 (PPO)|00025458|0.00|250| | |CO|06380|0|N
H5216|078|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-078 (PPO)|00025458|0.00|250| | |CO|06420|0|N
H5216|078|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-078 (PPO)|00025458|0.00|250| | |CO|06460|0|N
H5216|078|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-078 (PPO)|00025458|0.00|250| | |CO|06500|0|N
H5216|078|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-078 (PPO)|00025458|0.00|250| | |CO|06590|0|N
H5216|078|006|HUMANA INSURANCE COMPANY|HumanaChoice H5216-078 (PPO)|00025458|0.00|250| | |NM|32000|0|N
H5216|078|006|HUMANA INSURANCE COMPANY|HumanaChoice H5216-078 (PPO)|00025458|0.00|250| | |NM|32190|0|N
H5216|078|006|HUMANA INSURANCE COMPANY|HumanaChoice H5216-078 (PPO)|00025458|0.00|250| | |NM|32210|0|N
H5216|078|006|HUMANA INSURANCE COMPANY|HumanaChoice H5216-078 (PPO)|00025458|0.00|250| | |NM|32220|0|N
H5216|078|006|HUMANA INSURANCE COMPANY|HumanaChoice H5216-078 (PPO)|00025458|0.00|250| | |NM|32230|0|N
H5216|078|006|HUMANA INSURANCE COMPANY|HumanaChoice H5216-078 (PPO)|00025458|0.00|250| | |NM|32240|0|N
H5216|078|006|HUMANA INSURANCE COMPANY|HumanaChoice H5216-078 (PPO)|00025458|0.00|250| | |NM|32270|0|N
H5216|078|006|HUMANA INSURANCE COMPANY|HumanaChoice H5216-078 (PPO)|00025458|0.00|250| | |NM|32280|0|N
H5216|078|006|HUMANA INSURANCE COMPANY|HumanaChoice H5216-078 (PPO)|00025458|0.00|250| | |NM|32300|0|N
H5216|081|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-081 (PPO)|00025456|14.00|0| | |OK|37000|0|N
H5216|081|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-081 (PPO)|00025456|14.00|0| | |OK|37060|0|N
H5216|081|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-081 (PPO)|00025456|14.00|0| | |OK|37070|0|N
H5216|081|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-081 (PPO)|00025456|14.00|0| | |OK|37080|0|N
H5216|081|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-081 (PPO)|00025456|14.00|0| | |OK|37090|0|N
H5216|081|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-081 (PPO)|00025456|14.00|0| | |OK|37100|0|N
H5216|081|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-081 (PPO)|00025456|14.00|0| | |OK|37130|0|N
H5216|081|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-081 (PPO)|00025456|14.00|0| | |OK|37150|0|N
H5216|081|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-081 (PPO)|00025456|14.00|0| | |OK|37170|0|N
H5216|081|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-081 (PPO)|00025456|14.00|0| | |OK|37180|0|N
H5216|081|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-081 (PPO)|00025456|14.00|0| | |OK|37200|0|N
H5216|081|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-081 (PPO)|00025456|14.00|0| | |OK|37210|0|N
H5216|081|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-081 (PPO)|00025456|14.00|0| | |OK|37240|0|N
H5216|081|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-081 (PPO)|00025456|14.00|0| | |OK|37250|0|N
H5216|081|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-081 (PPO)|00025456|14.00|0| | |OK|37300|0|N
H5216|081|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-081 (PPO)|00025456|14.00|0| | |OK|37310|0|N
H5216|081|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-081 (PPO)|00025456|14.00|0| | |OK|37340|0|N
H5216|081|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-081 (PPO)|00025456|14.00|0| | |OK|37350|0|N
H5216|081|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-081 (PPO)|00025456|14.00|0| | |OK|37360|0|N
H5216|081|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-081 (PPO)|00025456|14.00|0| | |OK|37370|0|N
H5216|081|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-081 (PPO)|00025456|14.00|0| | |OK|37380|0|N
H5216|081|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-081 (PPO)|00025456|14.00|0| | |OK|37390|0|N
H5216|081|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-081 (PPO)|00025456|14.00|0| | |OK|37400|0|N
H5216|081|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-081 (PPO)|00025456|14.00|0| | |OK|37410|0|N
H5216|081|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-081 (PPO)|00025456|14.00|0| | |OK|37430|0|N
H5216|081|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-081 (PPO)|00025456|14.00|0| | |OK|37450|0|N
H5216|081|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-081 (PPO)|00025456|14.00|0| | |OK|37480|0|N
H5216|081|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-081 (PPO)|00025456|14.00|0| | |OK|37490|0|N
H5216|081|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-081 (PPO)|00025456|14.00|0| | |OK|37500|0|N
H5216|081|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-081 (PPO)|00025456|14.00|0| | |OK|37510|0|N
H5216|081|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-081 (PPO)|00025456|14.00|0| | |OK|37520|0|N
H5216|081|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-081 (PPO)|00025456|14.00|0| | |OK|37530|0|N
H5216|081|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-081 (PPO)|00025456|14.00|0| | |OK|37540|0|N
H5216|081|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-081 (PPO)|00025456|14.00|0| | |OK|37550|0|N
H5216|081|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-081 (PPO)|00025456|14.00|0| | |OK|37560|0|N
H5216|081|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-081 (PPO)|00025456|14.00|0| | |OK|37570|0|N
H5216|081|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-081 (PPO)|00025456|14.00|0| | |OK|37580|0|N
H5216|081|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-081 (PPO)|00025456|14.00|0| | |OK|37590|0|N
H5216|081|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-081 (PPO)|00025456|14.00|0| | |OK|37600|0|N
H5216|081|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-081 (PPO)|00025456|14.00|0| | |OK|37610|0|N
H5216|081|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-081 (PPO)|00025456|14.00|0| | |OK|37620|0|N
H5216|081|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-081 (PPO)|00025456|14.00|0| | |OK|37630|0|N
H5216|081|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-081 (PPO)|00025456|14.00|0| | |OK|37650|0|N
H5216|081|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-081 (PPO)|00025456|14.00|0| | |OK|37660|0|N
H5216|081|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-081 (PPO)|00025456|14.00|0| | |OK|37670|0|N
H5216|081|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-081 (PPO)|00025456|14.00|0| | |OK|37680|0|N
H5216|081|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-081 (PPO)|00025456|14.00|0| | |OK|37710|0|N
H5216|081|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-081 (PPO)|00025456|14.00|0| | |OK|37720|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |AR|04000|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |AR|04020|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |AR|04030|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |AR|04040|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |AR|04050|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |AR|04060|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |AR|04070|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |AR|04080|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |AR|04090|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |AR|04110|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |AR|04120|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |AR|04140|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |AR|04150|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |AR|04160|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |AR|04190|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |AR|04200|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |AR|04220|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |AR|04230|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |AR|04240|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |AR|04250|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |AR|04260|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |AR|04270|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |AR|04290|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |AR|04320|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |AR|04340|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |AR|04350|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |AR|04380|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |AR|04390|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |AR|04410|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |AR|04420|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |AR|04430|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |AR|04440|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |AR|04480|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |AR|04490|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |AR|04500|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |AR|04520|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |AR|04530|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |AR|04540|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |AR|04550|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |AR|04570|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |AR|04580|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |AR|04590|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |AR|04600|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |AR|04610|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |AR|04620|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |AR|04630|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |AR|04640|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |AR|04650|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |AR|04680|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |AR|04690|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |AR|04700|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |AR|04710|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |AR|04740|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |OK|37000|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |OK|37060|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |OK|37070|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |OK|37080|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |OK|37090|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |OK|37100|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |OK|37130|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |OK|37150|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |OK|37170|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |OK|37180|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |OK|37200|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |OK|37210|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |OK|37240|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |OK|37250|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |OK|37300|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |OK|37310|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |OK|37340|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |OK|37350|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |OK|37360|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |OK|37370|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |OK|37380|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |OK|37390|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |OK|37400|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |OK|37410|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |OK|37430|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |OK|37450|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |OK|37480|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |OK|37490|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |OK|37500|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |OK|37510|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |OK|37520|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |OK|37530|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |OK|37540|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |OK|37550|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |OK|37560|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |OK|37570|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |OK|37580|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |OK|37590|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |OK|37600|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |OK|37610|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |OK|37620|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |OK|37630|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |OK|37650|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |OK|37660|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |OK|37670|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |OK|37680|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |OK|37710|0|N
H5216|083|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-083 (PPO)|00025456|42.70|0| | |OK|37720|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |ND|35000|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |ND|35010|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |ND|35050|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |ND|35070|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |ND|35080|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |ND|35090|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |ND|35100|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |ND|35140|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |ND|35150|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |ND|35170|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |ND|35180|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |ND|35190|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |ND|35200|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |ND|35210|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |ND|35220|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |ND|35230|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |ND|35250|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |ND|35270|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |ND|35280|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |ND|35290|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |ND|35310|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |ND|35320|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |ND|35330|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |ND|35360|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |ND|35380|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |ND|35400|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |ND|35410|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |ND|35430|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |ND|35450|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |ND|35460|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |ND|35480|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |ND|35490|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |ND|35510|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |SD|43010|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |SD|43040|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |SD|43050|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |SD|43090|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |SD|43100|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |SD|43110|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |SD|43120|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |SD|43130|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |SD|43140|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |SD|43160|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |SD|43170|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |SD|43180|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |SD|43190|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |SD|43210|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |SD|43220|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |SD|43230|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |SD|43240|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |SD|43250|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |SD|43260|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |SD|43270|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |SD|43280|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |SD|43290|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |SD|43300|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |SD|43310|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |SD|43330|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |SD|43340|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |SD|43350|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |SD|43360|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |SD|43380|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |SD|43390|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |SD|43400|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |SD|43410|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |SD|43430|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |SD|43440|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |SD|43450|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |SD|43460|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |SD|43480|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |SD|43490|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |SD|43500|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |SD|43510|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |SD|43520|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |SD|43530|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |SD|43540|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |SD|43550|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |SD|43570|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |SD|43620|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |SD|43630|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |SD|43640|0|N
H5216|088|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-088 (PPO)|00025456|44.00|590| | |SD|43670|0|N
H5216|089|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-089 (PPO)|00025456|13.90|350| | |MT|27040|0|N
H5216|089|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-089 (PPO)|00025456|13.90|350| | |MT|27060|0|N
H5216|089|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-089 (PPO)|00025456|13.90|350| | |MT|27140|0|N
H5216|089|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-089 (PPO)|00025456|13.90|350| | |MT|27150|0|N
H5216|089|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-089 (PPO)|00025456|13.90|350| | |MT|27330|0|N
H5216|089|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-089 (PPO)|00025456|13.90|350| | |MT|27400|0|N
H5216|089|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-089 (PPO)|00025456|13.90|350| | |MT|27470|0|N
H5216|089|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-089 (PPO)|00025456|13.90|350| | |MT|27550|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24000|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24010|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24020|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24030|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24040|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24060|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24070|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24080|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24090|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24130|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24140|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24170|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24180|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24190|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24210|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24220|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24230|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24260|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24270|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24280|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24290|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24300|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24320|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24340|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24360|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24370|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24380|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24390|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24400|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24410|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24420|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24430|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24440|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24450|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24460|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24480|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24490|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24510|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24520|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24530|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24550|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24560|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24580|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24590|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24610|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24620|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24640|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24660|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24670|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24680|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24690|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24730|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24760|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24790|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24800|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24810|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24840|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |MN|24850|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |ND|35070|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |ND|35080|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |ND|35170|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |ND|35290|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |ND|35380|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |ND|35460|0|N
H5216|092|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-092 (PPO)|00025456|4.70|590| | |SD|43490|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |AR|04170|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |MS|25040|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |MS|25160|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |MS|25680|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |MS|25710|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44000|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44020|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44040|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44050|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44060|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44070|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44100|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44110|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44120|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44130|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44140|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44150|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44160|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44170|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44180|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44190|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44200|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44210|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44230|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44240|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44250|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44260|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44270|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44280|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44300|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44310|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44320|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44340|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44350|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44390|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44400|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44410|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44420|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44430|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44440|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44460|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44470|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44490|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44500|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44520|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44530|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44540|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44550|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44560|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44570|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44580|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44590|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44600|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44610|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44620|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44640|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44660|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44670|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44690|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44700|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44710|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44720|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44730|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44740|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44750|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44760|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44770|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44780|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44790|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44800|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44820|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44830|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44840|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44860|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44870|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44880|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44920|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44930|0|N
H5216|097|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-097 (PPO)|00025458|55.00|590| | |TN|44940|0|N
H5216|100|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-100 (PPO)|00025458|45.00|0| | |VA|49111|0|N
H5216|100|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-100 (PPO)|00025458|45.00|0| | |VA|49130|0|N
H5216|100|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-100 (PPO)|00025458|45.00|0| | |VA|49250|0|N
H5216|100|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-100 (PPO)|00025458|45.00|0| | |VA|49380|0|N
H5216|100|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-100 (PPO)|00025458|45.00|0| | |VA|49520|0|N
H5216|100|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-100 (PPO)|00025458|45.00|0| | |VA|49661|0|N
H5216|100|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-100 (PPO)|00025458|45.00|0| | |VA|49830|0|N
H5216|100|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-100 (PPO)|00025458|45.00|0| | |VA|49840|0|N
H5216|100|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-100 (PPO)|00025458|45.00|0| | |VA|49860|0|N
H5216|100|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-100 (PPO)|00025458|45.00|0| | |VA|49920|0|N
H5216|100|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-100 (PPO)|00025458|45.00|0| | |VA|49950|0|N
H5216|100|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-100 (PPO)|00025458|45.00|0| | |VA|49970|0|N
H5216|100|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-100 (PPO)|00025458|45.00|0| | |VA|49980|0|N
H5216|106|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-106 (PPO)|00025456|12.00|0| | |OH|36020|0|N
H5216|106|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-106 (PPO)|00025456|12.00|0| | |OH|36030|0|N
H5216|106|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-106 (PPO)|00025456|12.00|0| | |OH|36090|0|N
H5216|106|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-106 (PPO)|00025456|12.00|0| | |OH|36140|0|N
H5216|106|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-106 (PPO)|00025456|12.00|0| | |OH|36170|0|N
H5216|106|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-106 (PPO)|00025456|12.00|0| | |OH|36280|0|N
H5216|106|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-106 (PPO)|00025456|12.00|0| | |OH|36350|0|N
H5216|106|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-106 (PPO)|00025456|12.00|0| | |OH|36390|0|N
H5216|106|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-106 (PPO)|00025456|12.00|0| | |OH|36400|0|N
H5216|106|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-106 (PPO)|00025456|12.00|0| | |OH|36420|0|N
H5216|106|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-106 (PPO)|00025456|12.00|0| | |OH|36430|0|N
H5216|106|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-106 (PPO)|00025456|12.00|0| | |OH|36440|0|N
H5216|106|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-106 (PPO)|00025456|12.00|0| | |OH|36480|0|N
H5216|106|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-106 (PPO)|00025456|12.00|0| | |OH|36510|0|N
H5216|106|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-106 (PPO)|00025456|12.00|0| | |OH|36530|0|N
H5216|106|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-106 (PPO)|00025456|12.00|0| | |OH|36680|0|N
H5216|106|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-106 (PPO)|00025456|12.00|0| | |OH|36770|0|N
H5216|106|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-106 (PPO)|00025456|12.00|0| | |OH|36780|0|N
H5216|106|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-106 (PPO)|00025456|12.00|0| | |OH|36790|0|N
H5216|106|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-106 (PPO)|00025456|12.00|0| | |OH|36800|0|N
H5216|106|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-106 (PPO)|00025456|12.00|0| | |OH|36860|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |IN|15090|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |IN|15210|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |IN|15300|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18000|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18010|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18020|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18030|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18040|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18050|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18060|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18080|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18090|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18100|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18110|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18120|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18130|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18140|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18150|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18160|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18170|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18190|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18191|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18220|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18230|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18240|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18250|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18260|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18270|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18271|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18290|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18291|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18310|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18320|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18330|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18340|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18350|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18360|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18361|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18362|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18390|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18410|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18420|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18421|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18450|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18460|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18470|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18480|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18490|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18510|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18511|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18530|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18540|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18550|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18560|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18570|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18590|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18600|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18610|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18620|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18630|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18640|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18650|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18660|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18670|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18680|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18690|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18700|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18710|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18720|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18730|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18740|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18750|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18760|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18770|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18780|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18790|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18800|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18802|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18830|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18831|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18850|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18860|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18861|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18880|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18890|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18900|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18910|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18920|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18930|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18931|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18960|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18970|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18971|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18972|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18973|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18974|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18975|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18976|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18977|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18978|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18979|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18980|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18981|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18982|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18983|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18984|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18985|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18986|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18987|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18988|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18989|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18990|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18991|0|N
H5216|107|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-107 (PPO)|00025456|71.30|300| | |KY|18992|0|N
H5216|114|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-114 (PPO)|00025456|0.00|250| | |IN|15170|0|N
H5216|114|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-114 (PPO)|00025456|0.00|250| | |IN|15280|0|N
H5216|114|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-114 (PPO)|00025456|0.00|250| | |IN|15290|0|N
H5216|114|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-114 (PPO)|00025456|0.00|250| | |IN|15310|0|N
H5216|114|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-114 (PPO)|00025456|0.00|250| | |IN|15400|0|N
H5216|114|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-114 (PPO)|00025456|0.00|250| | |IN|15470|0|N
H5216|114|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-114 (PPO)|00025456|0.00|250| | |IN|15480|0|N
H5216|114|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-114 (PPO)|00025456|0.00|250| | |IN|15540|0|N
H5216|117|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-117 (PPO)|00025456|28.70|590| | |PA|39000|0|N
H5216|117|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-117 (PPO)|00025456|28.70|590| | |PA|39010|0|N
H5216|117|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-117 (PPO)|00025456|28.70|590| | |PA|39070|0|N
H5216|117|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-117 (PPO)|00025456|28.70|590| | |PA|39080|0|N
H5216|117|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-117 (PPO)|00025456|28.70|590| | |PA|39130|0|N
H5216|117|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-117 (PPO)|00025456|28.70|590| | |PA|39150|0|N
H5216|117|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-117 (PPO)|00025456|28.70|590| | |PA|39190|0|N
H5216|117|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-117 (PPO)|00025456|28.70|590| | |PA|39240|0|N
H5216|117|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-117 (PPO)|00025456|28.70|590| | |PA|39250|0|N
H5216|117|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-117 (PPO)|00025456|28.70|590| | |PA|39260|0|N
H5216|117|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-117 (PPO)|00025456|28.70|590| | |PA|39320|0|N
H5216|117|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-117 (PPO)|00025456|28.70|590| | |PA|39380|0|N
H5216|117|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-117 (PPO)|00025456|28.70|590| | |PA|39410|0|N
H5216|117|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-117 (PPO)|00025456|28.70|590| | |PA|39460|0|N
H5216|117|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-117 (PPO)|00025456|28.70|590| | |PA|39510|0|N
H5216|117|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-117 (PPO)|00025456|28.70|590| | |PA|39520|0|N
H5216|117|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-117 (PPO)|00025456|28.70|590| | |PA|39550|0|N
H5216|117|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-117 (PPO)|00025456|28.70|590| | |PA|39580|0|N
H5216|117|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-117 (PPO)|00025456|28.70|590| | |PA|39640|0|N
H5216|117|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-117 (PPO)|00025456|28.70|590| | |PA|39650|0|N
H5216|117|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-117 (PPO)|00025456|28.70|590| | |PA|39670|0|N
H5216|117|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-117 (PPO)|00025456|28.70|590| | |PA|39690|0|N
H5216|117|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-117 (PPO)|00025456|28.70|590| | |PA|39700|0|N
H5216|117|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-117 (PPO)|00025456|28.70|590| | |PA|39710|0|N
H5216|117|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-117 (PPO)|00025456|28.70|590| | |PA|39740|0|N
H5216|117|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-117 (PPO)|00025456|28.70|590| | |PA|39750|0|N
H5216|117|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-117 (PPO)|00025456|28.70|590| | |PA|39760|0|N
H5216|117|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-117 (PPO)|00025456|28.70|590| | |PA|39770|0|N
H5216|117|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-117 (PPO)|00025456|28.70|590| | |PA|39800|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39000|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39010|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39070|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39080|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39100|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39110|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39120|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39130|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39140|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39150|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39180|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39190|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39200|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39210|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39220|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39230|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39240|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39250|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39260|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39270|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39280|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39290|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39310|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39320|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39330|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39340|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39350|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39360|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39370|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39380|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39400|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39410|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39420|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39440|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39450|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39460|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39470|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39480|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39510|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39520|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39530|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39540|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39550|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39560|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39580|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39590|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39610|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39620|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39640|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39650|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39670|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39680|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39690|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39700|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39710|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39720|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39730|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39740|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39750|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39760|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39770|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39790|0|N
H5216|120|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-120 (PPO)|00025456|59.80|300| | |PA|39800|0|N
H5216|124|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-124 (PPO)|00025456|81.70|0| | |WV|51000|0|N
H5216|124|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-124 (PPO)|00025456|81.70|0| | |WV|51010|0|N
H5216|124|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-124 (PPO)|00025456|81.70|0| | |WV|51020|0|N
H5216|124|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-124 (PPO)|00025456|81.70|0| | |WV|51030|0|N
H5216|124|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-124 (PPO)|00025456|81.70|0| | |WV|51040|0|N
H5216|124|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-124 (PPO)|00025456|81.70|0| | |WV|51050|0|N
H5216|124|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-124 (PPO)|00025456|81.70|0| | |WV|51060|0|N
H5216|124|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-124 (PPO)|00025456|81.70|0| | |WV|51070|0|N
H5216|124|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-124 (PPO)|00025456|81.70|0| | |WV|51080|0|N
H5216|124|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-124 (PPO)|00025456|81.70|0| | |WV|51090|0|N
H5216|124|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-124 (PPO)|00025456|81.70|0| | |WV|51100|0|N
H5216|124|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-124 (PPO)|00025456|81.70|0| | |WV|51110|0|N
H5216|124|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-124 (PPO)|00025456|81.70|0| | |WV|51120|0|N
H5216|124|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-124 (PPO)|00025456|81.70|0| | |WV|51130|0|N
H5216|124|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-124 (PPO)|00025456|81.70|0| | |WV|51140|0|N
H5216|124|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-124 (PPO)|00025456|81.70|0| | |WV|51150|0|N
H5216|124|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-124 (PPO)|00025456|81.70|0| | |WV|51160|0|N
H5216|124|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-124 (PPO)|00025456|81.70|0| | |WV|51170|0|N
H5216|124|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-124 (PPO)|00025456|81.70|0| | |WV|51180|0|N
H5216|124|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-124 (PPO)|00025456|81.70|0| | |WV|51190|0|N
H5216|124|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-124 (PPO)|00025456|81.70|0| | |WV|51200|0|N
H5216|124|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-124 (PPO)|00025456|81.70|0| | |WV|51210|0|N
H5216|124|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-124 (PPO)|00025456|81.70|0| | |WV|51220|0|N
H5216|124|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-124 (PPO)|00025456|81.70|0| | |WV|51230|0|N
H5216|124|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-124 (PPO)|00025456|81.70|0| | |WV|51240|0|N
H5216|124|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-124 (PPO)|00025456|81.70|0| | |WV|51250|0|N
H5216|124|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-124 (PPO)|00025456|81.70|0| | |WV|51260|0|N
H5216|124|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-124 (PPO)|00025456|81.70|0| | |WV|51270|0|N
H5216|124|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-124 (PPO)|00025456|81.70|0| | |WV|51290|0|N
H5216|124|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-124 (PPO)|00025456|81.70|0| | |WV|51300|0|N
H5216|124|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-124 (PPO)|00025456|81.70|0| | |WV|51310|0|N
H5216|124|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-124 (PPO)|00025456|81.70|0| | |WV|51320|0|N
H5216|124|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-124 (PPO)|00025456|81.70|0| | |WV|51330|0|N
H5216|124|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-124 (PPO)|00025456|81.70|0| | |WV|51340|0|N
H5216|124|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-124 (PPO)|00025456|81.70|0| | |WV|51350|0|N
H5216|124|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-124 (PPO)|00025456|81.70|0| | |WV|51360|0|N
H5216|124|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-124 (PPO)|00025456|81.70|0| | |WV|51370|0|N
H5216|124|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-124 (PPO)|00025456|81.70|0| | |WV|51380|0|N
H5216|124|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-124 (PPO)|00025456|81.70|0| | |WV|51390|0|N
H5216|124|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-124 (PPO)|00025456|81.70|0| | |WV|51400|0|N
H5216|124|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-124 (PPO)|00025456|81.70|0| | |WV|51410|0|N
H5216|124|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-124 (PPO)|00025456|81.70|0| | |WV|51420|0|N
H5216|124|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-124 (PPO)|00025456|81.70|0| | |WV|51430|0|N
H5216|124|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-124 (PPO)|00025456|81.70|0| | |WV|51440|0|N
H5216|124|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-124 (PPO)|00025456|81.70|0| | |WV|51450|0|N
H5216|124|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-124 (PPO)|00025456|81.70|0| | |WV|51460|0|N
H5216|124|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-124 (PPO)|00025456|81.70|0| | |WV|51470|0|N
H5216|124|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-124 (PPO)|00025456|81.70|0| | |WV|51490|0|N
H5216|124|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-124 (PPO)|00025456|81.70|0| | |WV|51500|0|N
H5216|124|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-124 (PPO)|00025456|81.70|0| | |WV|51510|0|N
H5216|124|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-124 (PPO)|00025456|81.70|0| | |WV|51520|0|N
H5216|124|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-124 (PPO)|00025456|81.70|0| | |WV|51530|0|N
H5216|124|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-124 (PPO)|00025456|81.70|0| | |WV|51540|0|N
H5216|131|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-131 (PPO)|00025456|0.00|0| | |UT|46020|0|N
H5216|131|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-131 (PPO)|00025456|0.00|0| | |UT|46050|0|N
H5216|131|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-131 (PPO)|00025456|0.00|0| | |UT|46100|0|N
H5216|131|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-131 (PPO)|00025456|0.00|0| | |UT|46140|0|N
H5216|131|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-131 (PPO)|00025456|0.00|0| | |UT|46160|0|N
H5216|131|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-131 (PPO)|00025456|0.00|0| | |UT|46170|0|N
H5216|131|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-131 (PPO)|00025456|0.00|0| | |UT|46210|0|N
H5216|131|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-131 (PPO)|00025456|0.00|0| | |UT|46220|0|N
H5216|131|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-131 (PPO)|00025456|0.00|0| | |UT|46240|0|N
H5216|131|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-131 (PPO)|00025456|0.00|0| | |UT|46250|0|N
H5216|131|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-131 (PPO)|00025456|0.00|0| | |UT|46260|0|N
H5216|131|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-131 (PPO)|00025456|0.00|0| | |UT|46280|0|N
H5216|132|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-132 (PPO)|00025456|0.00|150| | |ID|13000|0|N
H5216|132|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-132 (PPO)|00025456|0.00|150| | |ID|13070|0|N
H5216|132|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-132 (PPO)|00025456|0.00|150| | |ID|13130|0|N
H5216|132|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-132 (PPO)|00025456|0.00|150| | |ID|13220|0|N
H5216|132|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-132 (PPO)|00025456|0.00|150| | |ID|13360|0|N
H5216|132|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-132 (PPO)|00025456|0.00|150| | |ID|13370|0|N
H5216|132|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-132 (PPO)|00025456|0.00|150| | |ID|13410|0|N
H5216|132|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-132 (PPO)|00025456|0.00|150| | |ID|13430|0|N
H5216|132|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-132 (PPO)|00025456|0.00|150| | |OR|38220|0|N
H5216|133|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-133 (PPO)|00025456|11.00|200| | |MI|23490|0|N
H5216|133|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-133 (PPO)|00025456|11.00|200| | |MI|23620|0|N
H5216|133|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-133 (PPO)|00025456|11.00|200| | |MI|23810|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25000|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25010|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25020|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25030|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25040|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25050|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25060|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25080|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25090|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25100|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25110|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25130|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25140|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25150|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25160|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25170|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25180|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25190|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25200|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25210|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25220|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25230|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25240|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25250|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25260|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25270|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25290|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25300|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25310|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25320|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25330|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25340|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25350|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25360|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25370|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25380|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25390|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25410|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25420|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25440|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25450|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25460|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25470|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25480|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25490|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25500|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25510|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25530|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25540|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25550|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25560|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25580|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25590|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25600|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25610|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25620|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25630|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25640|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25650|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25660|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25670|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25680|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25690|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25700|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25710|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25720|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25730|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25740|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25750|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25760|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25770|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25780|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25790|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25800|0|N
H5216|136|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-136 (PPO)|00025456|33.00|590| | |MS|25810|0|N
H5216|138|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-138 (PPO)|00025456|0.00|395| | |CT|07010|0|N
H5216|138|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-138 (PPO)|00025456|0.00|395| | |CT|07020|0|N
H5216|138|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-138 (PPO)|00025456|0.00|395| | |CT|07030|0|N
H5216|138|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-138 (PPO)|00025456|0.00|395| | |CT|07040|0|N
H5216|138|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-138 (PPO)|00025456|0.00|395| | |CT|07060|0|N
H5216|138|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-138 (PPO)|00025456|0.00|395| | |MA|22020|0|N
H5216|138|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-138 (PPO)|00025456|0.00|395| | |MA|22030|0|N
H5216|138|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-138 (PPO)|00025456|0.00|395| | |MA|22040|0|N
H5216|138|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-138 (PPO)|00025456|0.00|395| | |MA|22070|0|N
H5216|138|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-138 (PPO)|00025456|0.00|395| | |MA|22160|0|N
H5216|138|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-138 (PPO)|00025456|0.00|395| | |MA|22170|0|N
H5216|138|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-138 (PPO)|00025456|0.00|395| | |ME|20000|0|N
H5216|138|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-138 (PPO)|00025456|0.00|395| | |ME|20010|0|N
H5216|138|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-138 (PPO)|00025456|0.00|395| | |ME|20020|0|N
H5216|138|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-138 (PPO)|00025456|0.00|395| | |ME|20030|0|N
H5216|138|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-138 (PPO)|00025456|0.00|395| | |ME|20040|0|N
H5216|138|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-138 (PPO)|00025456|0.00|395| | |ME|20050|0|N
H5216|138|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-138 (PPO)|00025456|0.00|395| | |ME|20060|0|N
H5216|138|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-138 (PPO)|00025456|0.00|395| | |ME|20070|0|N
H5216|138|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-138 (PPO)|00025456|0.00|395| | |ME|20080|0|N
H5216|138|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-138 (PPO)|00025456|0.00|395| | |ME|20090|0|N
H5216|138|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-138 (PPO)|00025456|0.00|395| | |ME|20100|0|N
H5216|138|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-138 (PPO)|00025456|0.00|395| | |ME|20110|0|N
H5216|138|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-138 (PPO)|00025456|0.00|395| | |ME|20120|0|N
H5216|138|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-138 (PPO)|00025456|0.00|395| | |ME|20130|0|N
H5216|138|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-138 (PPO)|00025456|0.00|395| | |ME|20140|0|N
H5216|138|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-138 (PPO)|00025456|0.00|395| | |ME|20150|0|N
H5216|138|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-138 (PPO)|00025456|0.00|395| | |NH|30000|0|N
H5216|138|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-138 (PPO)|00025456|0.00|395| | |NH|30020|0|N
H5216|138|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-138 (PPO)|00025456|0.00|395| | |NH|30050|0|N
H5216|138|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-138 (PPO)|00025456|0.00|395| | |NH|30060|0|N
H5216|138|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-138 (PPO)|00025456|0.00|395| | |NH|30070|0|N
H5216|138|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-138 (PPO)|00025456|0.00|395| | |NH|30080|0|N
H5216|138|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-138 (PPO)|00025456|0.00|395| | |VT|47010|0|N
H5216|138|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-138 (PPO)|00025456|0.00|395| | |VT|47020|0|N
H5216|138|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-138 (PPO)|00025456|0.00|395| | |VT|47040|0|N
H5216|138|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-138 (PPO)|00025456|0.00|395| | |VT|47080|0|N
H5216|138|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-138 (PPO)|00025456|0.00|395| | |VT|47120|0|N
H5216|138|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-138 (PPO)|00025456|0.00|395| | |VT|47130|0|N
H5216|141|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-141 (PPO)|00025456|0.00|365| | |NV|29010|0|N
H5216|141|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-141 (PPO)|00025456|0.00|365| | |NV|29110|0|N
H5216|142|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-142 (PPO)|00025456|0.00|350| | |SC|42310|0|N
H5216|142|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-142 (PPO)|00025456|0.00|350| | |SC|42350|0|N
H5216|142|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-142 (PPO)|00025456|0.00|350| | |SC|42390|0|N
H5216|142|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-142 (PPO)|00025456|0.00|350| | |SC|42400|0|N
H5216|142|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-142 (PPO)|00025456|21.00|350| | |AL|01080|0|N
H5216|142|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-142 (PPO)|00025456|21.00|350| | |AL|01400|0|N
H5216|142|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-142 (PPO)|00025456|21.00|350| | |AL|01550|0|N
H5216|142|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-142 (PPO)|00025456|21.00|350| | |AL|01560|0|N
H5216|142|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-142 (PPO)|00025456|21.00|350| | |GA|11030|0|N
H5216|142|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-142 (PPO)|00025456|21.00|350| | |GA|11130|0|N
H5216|142|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-142 (PPO)|00025456|21.00|350| | |GA|11140|0|N
H5216|142|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-142 (PPO)|00025456|21.00|350| | |GA|11150|0|N
H5216|142|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-142 (PPO)|00025456|21.00|350| | |GA|11170|0|N
H5216|142|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-142 (PPO)|00025456|21.00|350| | |GA|11220|0|N
H5216|142|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-142 (PPO)|00025456|21.00|350| | |GA|11230|0|N
H5216|142|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-142 (PPO)|00025456|21.00|350| | |GA|11260|0|N
H5216|142|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-142 (PPO)|00025456|21.00|350| | |GA|11310|0|N
H5216|142|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-142 (PPO)|00025456|21.00|350| | |GA|11421|0|N
H5216|142|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-142 (PPO)|00025456|21.00|350| | |GA|11430|0|N
H5216|142|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-142 (PPO)|00025456|21.00|350| | |GA|11441|0|N
H5216|142|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-142 (PPO)|00025456|21.00|350| | |GA|11480|0|N
H5216|142|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-142 (PPO)|00025456|21.00|350| | |GA|11490|0|N
H5216|142|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-142 (PPO)|00025456|21.00|350| | |GA|11520|0|N
H5216|142|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-142 (PPO)|00025456|21.00|350| | |GA|11560|0|N
H5216|142|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-142 (PPO)|00025456|21.00|350| | |GA|11580|0|N
H5216|142|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-142 (PPO)|00025456|21.00|350| | |GA|11581|0|N
H5216|142|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-142 (PPO)|00025456|21.00|350| | |GA|11610|0|N
H5216|142|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-142 (PPO)|00025456|21.00|350| | |GA|11620|0|N
H5216|142|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-142 (PPO)|00025456|21.00|350| | |GA|11690|0|N
H5216|142|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-142 (PPO)|00025456|21.00|350| | |GA|11701|0|N
H5216|142|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-142 (PPO)|00025456|21.00|350| | |GA|11702|0|N
H5216|142|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-142 (PPO)|00025456|21.00|350| | |GA|11703|0|N
H5216|142|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-142 (PPO)|00025456|21.00|350| | |GA|11720|0|N
H5216|142|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-142 (PPO)|00025456|21.00|350| | |GA|11730|0|N
H5216|142|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-142 (PPO)|00025456|21.00|350| | |GA|11771|0|N
H5216|142|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-142 (PPO)|00025456|21.00|350| | |GA|11780|0|N
H5216|142|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-142 (PPO)|00025456|21.00|350| | |GA|11800|0|N
H5216|142|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-142 (PPO)|00025456|21.00|350| | |GA|11801|0|N
H5216|142|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-142 (PPO)|00025456|21.00|350| | |GA|11834|0|N
H5216|142|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-142 (PPO)|00025456|21.00|350| | |GA|11835|0|N
H5216|142|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-142 (PPO)|00025456|21.00|350| | |GA|11840|0|N
H5216|142|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-142 (PPO)|00025456|21.00|350| | |GA|11850|0|N
H5216|142|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-142 (PPO)|00025456|21.00|350| | |GA|11861|0|N
H5216|142|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-142 (PPO)|00025456|21.00|350| | |GA|11862|0|N
H5216|142|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-142 (PPO)|00025456|21.00|350| | |GA|11880|0|N
H5216|142|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-142 (PPO)|00025456|21.00|350| | |GA|11881|0|N
H5216|142|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-142 (PPO)|00025456|21.00|350| | |GA|11902|0|N
H5216|142|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-142 (PPO)|00025456|21.00|350| | |GA|11913|0|N
H5216|142|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-142 (PPO)|00025456|21.00|350| | |GA|11941|0|N
H5216|142|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-142 (PPO)|00025456|21.00|350| | |GA|11950|0|N
H5216|142|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-142 (PPO)|00025456|21.00|350| | |GA|11961|0|N
H5216|142|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-142 (PPO)|00025456|21.00|350| | |GA|11972|0|N
H5216|142|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-142 (PPO)|00025456|21.00|350| | |SC|42010|0|N
H5216|142|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-142 (PPO)|00025456|21.00|350| | |SC|42050|0|N
H5216|142|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-142 (PPO)|00025456|21.00|350| | |SC|42180|0|N
H5216|144|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-144 (PPO)|00025456|0.00|350| | |VA|49030|0|N
H5216|144|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-144 (PPO)|00025456|0.00|350| | |VA|49160|0|N
H5216|144|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-144 (PPO)|00025456|0.00|350| | |VA|49194|0|N
H5216|144|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-144 (PPO)|00025456|0.00|350| | |VA|49200|0|N
H5216|144|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-144 (PPO)|00025456|0.00|350| | |VA|49212|0|N
H5216|144|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-144 (PPO)|00025456|0.00|350| | |VA|49240|0|N
H5216|144|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-144 (PPO)|00025456|0.00|350| | |VA|49260|0|N
H5216|144|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-144 (PPO)|00025456|0.00|350| | |VA|49328|0|N
H5216|144|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-144 (PPO)|00025456|0.00|350| | |VA|49360|0|N
H5216|144|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-144 (PPO)|00025456|0.00|350| | |VA|49370|0|N
H5216|144|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-144 (PPO)|00025456|0.00|350| | |VA|49411|0|N
H5216|144|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-144 (PPO)|00025456|0.00|350| | |VA|49420|0|N
H5216|144|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-144 (PPO)|00025456|0.00|350| | |VA|49430|0|N
H5216|144|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-144 (PPO)|00025456|0.00|350| | |VA|49451|0|N
H5216|144|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-144 (PPO)|00025456|0.00|350| | |VA|49460|0|N
H5216|144|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-144 (PPO)|00025456|0.00|350| | |VA|49470|0|N
H5216|144|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-144 (PPO)|00025456|0.00|350| | |VA|49480|0|N
H5216|144|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-144 (PPO)|00025456|0.00|350| | |VA|49540|0|N
H5216|144|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-144 (PPO)|00025456|0.00|350| | |VA|49621|0|N
H5216|144|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-144 (PPO)|00025456|0.00|350| | |VA|49622|0|N
H5216|144|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-144 (PPO)|00025456|0.00|350| | |VA|49641|0|N
H5216|144|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-144 (PPO)|00025456|0.00|350| | |VA|49701|0|N
H5216|144|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-144 (PPO)|00025456|0.00|350| | |VA|49711|0|N
H5216|144|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-144 (PPO)|00025456|0.00|350| | |VA|49712|0|N
H5216|144|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-144 (PPO)|00025456|0.00|350| | |VA|49720|0|N
H5216|144|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-144 (PPO)|00025456|0.00|350| | |VA|49740|0|N
H5216|144|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-144 (PPO)|00025456|0.00|350| | |VA|49791|0|N
H5216|144|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-144 (PPO)|00025456|0.00|350| | |VA|49870|0|N
H5216|144|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-144 (PPO)|00025456|0.00|350| | |VA|49892|0|N
H5216|144|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-144 (PPO)|00025456|0.00|350| | |VA|49900|0|N
H5216|144|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-144 (PPO)|00025456|0.00|350| | |VA|49910|0|N
H5216|144|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-144 (PPO)|00025456|0.00|350| | |VA|49921|0|N
H5216|144|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-144 (PPO)|00025456|0.00|350| | |VA|49961|0|N
H5216|144|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-144 (PPO)|00025456|0.00|350| | |VA|49981|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11000|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11010|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11011|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11020|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11030|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11040|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11050|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11060|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11070|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11080|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11090|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11100|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11110|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11120|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11130|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11140|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11150|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11160|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11161|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11170|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11180|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11190|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11200|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11210|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11220|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11230|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11240|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11250|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11260|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11270|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11280|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11281|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11291|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11310|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11311|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11330|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11340|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11341|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11350|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11360|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11370|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11380|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11381|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11390|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11400|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11410|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11420|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11421|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11430|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11440|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11441|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11450|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11451|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11460|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11461|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11462|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11470|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11471|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11480|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11490|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11500|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11510|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11520|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11530|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11540|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11560|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11570|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11580|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11581|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11590|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11591|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11600|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11601|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11610|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11611|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11612|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11620|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11630|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11640|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11650|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11651|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11652|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11660|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11670|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11680|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11690|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11691|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11700|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11701|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11702|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11703|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11710|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11720|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11730|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11740|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11741|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11750|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11760|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11770|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11771|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11772|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11780|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11790|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11800|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11801|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11810|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11811|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11812|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11820|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11821|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11830|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11831|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11832|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11833|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11834|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11835|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11840|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11841|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11842|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11850|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11851|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11860|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11861|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11862|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11870|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11880|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11881|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11882|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11883|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11884|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11885|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11890|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11900|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11901|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11902|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11903|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11910|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11911|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11912|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11913|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11920|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11921|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11930|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11941|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11950|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11960|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11961|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11962|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11963|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11970|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11971|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11972|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11973|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |GA|11980|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |SC|42000|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |SC|42010|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |SC|42020|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |SC|42030|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |SC|42040|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |SC|42050|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |SC|42060|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |SC|42070|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |SC|42080|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |SC|42090|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |SC|42100|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |SC|42110|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |SC|42120|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |SC|42130|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |SC|42140|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |SC|42150|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |SC|42160|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |SC|42170|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |SC|42180|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |SC|42190|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |SC|42200|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |SC|42210|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |SC|42220|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |SC|42230|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |SC|42240|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |SC|42250|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |SC|42260|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |SC|42270|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |SC|42280|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |SC|42290|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |SC|42300|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |SC|42310|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |SC|42320|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |SC|42330|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |SC|42340|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |SC|42350|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |SC|42360|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |SC|42370|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |SC|42380|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |SC|42390|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |SC|42400|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |SC|42410|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |SC|42420|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |SC|42430|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |SC|42440|0|N
H5216|154|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-154 (PPO)|00025456|0.00|400| | |SC|42450|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25000|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25010|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25030|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25040|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25050|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25060|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25080|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25090|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25100|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25110|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25130|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25140|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25150|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25160|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25170|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25180|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25190|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25200|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25220|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25230|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25240|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25260|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25270|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25290|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25300|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25310|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25320|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25330|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25340|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25350|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25360|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25370|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25390|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25410|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25440|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25450|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25460|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25470|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25480|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25490|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25530|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25540|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25550|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25560|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25580|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25590|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25600|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25610|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25620|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25650|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25660|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25670|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25680|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25700|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25710|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25720|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25730|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25740|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25750|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25760|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25770|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25780|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25790|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25800|0|N
H5216|160|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-160 (PPO)|00025456|37.50|590| | |MS|25810|0|N
H5216|161|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-161 (PPO)|00025456|47.30|590| | |LA|19010|0|N
H5216|161|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-161 (PPO)|00025456|47.30|590| | |LA|19040|0|N
H5216|161|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-161 (PPO)|00025456|47.30|590| | |LA|19050|0|N
H5216|161|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-161 (PPO)|00025456|47.30|590| | |LA|19060|0|N
H5216|161|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-161 (PPO)|00025456|47.30|590| | |LA|19070|0|N
H5216|161|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-161 (PPO)|00025456|47.30|590| | |LA|19080|0|N
H5216|161|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-161 (PPO)|00025456|47.30|590| | |LA|19090|0|N
H5216|161|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-161 (PPO)|00025456|47.30|590| | |LA|19100|0|N
H5216|161|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-161 (PPO)|00025456|47.30|590| | |LA|19110|0|N
H5216|161|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-161 (PPO)|00025456|47.30|590| | |LA|19120|0|N
H5216|161|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-161 (PPO)|00025456|47.30|590| | |LA|19130|0|N
H5216|161|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-161 (PPO)|00025456|47.30|590| | |LA|19140|0|N
H5216|161|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-161 (PPO)|00025456|47.30|590| | |LA|19150|0|N
H5216|161|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-161 (PPO)|00025456|47.30|590| | |LA|19170|0|N
H5216|161|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-161 (PPO)|00025456|47.30|590| | |LA|19190|0|N
H5216|161|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-161 (PPO)|00025456|47.30|590| | |LA|19200|0|N
H5216|161|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-161 (PPO)|00025456|47.30|590| | |LA|19210|0|N
H5216|161|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-161 (PPO)|00025456|47.30|590| | |LA|19240|0|N
H5216|161|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-161 (PPO)|00025456|47.30|590| | |LA|19260|0|N
H5216|161|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-161 (PPO)|00025456|47.30|590| | |LA|19290|0|N
H5216|161|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-161 (PPO)|00025456|47.30|590| | |LA|19300|0|N
H5216|161|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-161 (PPO)|00025456|47.30|590| | |LA|19320|0|N
H5216|161|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-161 (PPO)|00025456|47.30|590| | |LA|19330|0|N
H5216|161|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-161 (PPO)|00025456|47.30|590| | |LA|19340|0|N
H5216|161|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-161 (PPO)|00025456|47.30|590| | |LA|19360|0|N
H5216|161|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-161 (PPO)|00025456|47.30|590| | |LA|19390|0|N
H5216|161|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-161 (PPO)|00025456|47.30|590| | |LA|19400|0|N
H5216|161|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-161 (PPO)|00025456|47.30|590| | |LA|19410|0|N
H5216|161|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-161 (PPO)|00025456|47.30|590| | |LA|19420|0|N
H5216|161|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-161 (PPO)|00025456|47.30|590| | |LA|19430|0|N
H5216|161|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-161 (PPO)|00025456|47.30|590| | |LA|19500|0|N
H5216|161|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-161 (PPO)|00025456|47.30|590| | |LA|19510|0|N
H5216|161|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-161 (PPO)|00025456|47.30|590| | |LA|19520|0|N
H5216|161|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-161 (PPO)|00025456|47.30|590| | |LA|19530|0|N
H5216|161|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-161 (PPO)|00025456|47.30|590| | |LA|19550|0|N
H5216|161|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-161 (PPO)|00025456|47.30|590| | |LA|19570|0|N
H5216|161|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-161 (PPO)|00025456|47.30|590| | |LA|19580|0|N
H5216|161|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-161 (PPO)|00025456|47.30|590| | |LA|19590|0|N
H5216|161|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-161 (PPO)|00025456|47.30|590| | |LA|19610|0|N
H5216|161|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-161 (PPO)|00025456|47.30|590| | |LA|19630|0|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26000|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26010|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26020|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26030|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26050|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26060|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26070|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26080|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26090|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26110|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26120|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26130|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26140|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26150|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26160|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26170|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26200|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26220|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26240|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26250|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26260|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26300|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26310|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26320|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26340|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26350|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26360|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26370|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26390|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26410|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26411|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26412|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26440|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26510|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26541|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26560|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26570|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26580|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26600|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26620|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26630|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26631|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26650|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26660|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26670|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26680|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26690|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26700|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26710|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26730|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26740|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26750|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26751|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26770|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26790|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26800|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26850|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26860|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26870|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26880|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26881|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26900|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26911|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26960|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26970|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26980|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26981|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26982|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26983|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26984|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26985|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26987|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26989|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26990|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26993|2|N
H5216|164|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-164 (PPO D-SNP)|00025456|0.00|590| | |MO|26995|2|N
H5216|168|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-168 (PPO)|00025456|36.40|590| | |WI|52100|0|N
H5216|168|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-168 (PPO)|00025456|36.40|590| | |WI|52110|0|N
H5216|168|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-168 (PPO)|00025456|36.40|590| | |WI|52120|0|N
H5216|168|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-168 (PPO)|00025456|36.40|590| | |WI|52220|0|N
H5216|168|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-168 (PPO)|00025456|36.40|590| | |WI|52240|0|N
H5216|168|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-168 (PPO)|00025456|36.40|590| | |WI|52270|0|N
H5216|168|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-168 (PPO)|00025456|36.40|590| | |WI|52510|0|N
H5216|168|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-168 (PPO)|00025456|36.40|590| | |WI|52520|0|N
H5216|168|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-168 (PPO)|00025456|36.40|590| | |WI|52630|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16000|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16010|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16020|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16030|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16040|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16050|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16060|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16070|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16080|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16090|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16100|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16110|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16120|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16130|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16140|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16150|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16160|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16170|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16180|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16190|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16200|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16220|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16230|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16240|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16250|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16260|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16270|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16280|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16290|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16310|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16320|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16330|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16340|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16350|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16360|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16370|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16380|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16390|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16400|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16410|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16420|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16430|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16440|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16450|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16460|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16470|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16480|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16490|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16500|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16510|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16520|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16530|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16550|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16560|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16570|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16580|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16590|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16600|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16610|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16620|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16630|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16640|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16650|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16660|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16670|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16680|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16690|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16700|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16710|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16720|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16730|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16740|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16750|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16760|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16770|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16780|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16790|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16800|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16810|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16820|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16830|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16840|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16850|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16870|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16880|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16890|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16900|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16910|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16920|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16930|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16940|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16950|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16960|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16970|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |IA|16980|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |ND|35070|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |ND|35080|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |ND|35170|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |ND|35290|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |ND|35380|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |ND|35460|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |NE|28120|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |NE|28260|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |NE|28540|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |NE|28760|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |NE|28770|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |NE|28880|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |SD|43050|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |SD|43090|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |SD|43120|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |SD|43130|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |SD|43140|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |SD|43170|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |SD|43180|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |SD|43190|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |SD|43230|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |SD|43250|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |SD|43280|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |SD|43300|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |SD|43330|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |SD|43380|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |SD|43390|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |SD|43410|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |SD|43430|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |SD|43450|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |SD|43480|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |SD|43490|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |SD|43500|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |SD|43540|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |SD|43550|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |SD|43570|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |SD|43620|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |SD|43630|0|N
H5216|171|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-171 (PPO)|00025456|46.40|590| | |SD|43670|0|N
H5216|173|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-173 (PPO)|00025456|39.00|590| | |WI|52040|0|N
H5216|173|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-173 (PPO)|00025456|39.00|590| | |WI|52070|0|N
H5216|173|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-173 (PPO)|00025456|39.00|590| | |WI|52100|0|N
H5216|173|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-173 (PPO)|00025456|39.00|590| | |WI|52110|0|N
H5216|173|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-173 (PPO)|00025456|39.00|590| | |WI|52120|0|N
H5216|173|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-173 (PPO)|00025456|39.00|590| | |WI|52130|0|N
H5216|173|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-173 (PPO)|00025456|39.00|590| | |WI|52140|0|N
H5216|173|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-173 (PPO)|00025456|39.00|590| | |WI|52150|0|N
H5216|173|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-173 (PPO)|00025456|39.00|590| | |WI|52190|0|N
H5216|173|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-173 (PPO)|00025456|39.00|590| | |WI|52200|0|N
H5216|173|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-173 (PPO)|00025456|39.00|590| | |WI|52220|0|N
H5216|173|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-173 (PPO)|00025456|39.00|590| | |WI|52230|0|N
H5216|173|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-173 (PPO)|00025456|39.00|590| | |WI|52240|0|N
H5216|173|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-173 (PPO)|00025456|39.00|590| | |WI|52270|0|N
H5216|173|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-173 (PPO)|00025456|39.00|590| | |WI|52290|0|N
H5216|173|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-173 (PPO)|00025456|39.00|590| | |WI|52300|0|N
H5216|173|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-173 (PPO)|00025456|39.00|590| | |WI|52350|0|N
H5216|173|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-173 (PPO)|00025456|39.00|590| | |WI|52360|0|N
H5216|173|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-173 (PPO)|00025456|39.00|590| | |WI|52370|0|N
H5216|173|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-173 (PPO)|00025456|39.00|590| | |WI|52380|0|N
H5216|173|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-173 (PPO)|00025456|39.00|590| | |WI|52381|0|N
H5216|173|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-173 (PPO)|00025456|39.00|590| | |WI|52390|0|N
H5216|173|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-173 (PPO)|00025456|39.00|590| | |WI|52410|0|N
H5216|173|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-173 (PPO)|00025456|39.00|590| | |WI|52430|0|N
H5216|173|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-173 (PPO)|00025456|39.00|590| | |WI|52440|0|N
H5216|173|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-173 (PPO)|00025456|39.00|590| | |WI|52480|0|N
H5216|173|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-173 (PPO)|00025456|39.00|590| | |WI|52500|0|N
H5216|173|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-173 (PPO)|00025456|39.00|590| | |WI|52520|0|N
H5216|173|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-173 (PPO)|00025456|39.00|590| | |WI|52550|0|N
H5216|173|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-173 (PPO)|00025456|39.00|590| | |WI|52580|0|N
H5216|173|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-173 (PPO)|00025456|39.00|590| | |WI|52630|0|N
H5216|173|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-173 (PPO)|00025456|39.00|590| | |WI|52650|0|N
H5216|173|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-173 (PPO)|00025456|39.00|590| | |WI|52660|0|N
H5216|173|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-173 (PPO)|00025456|39.00|590| | |WI|52670|0|N
H5216|173|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-173 (PPO)|00025456|39.00|590| | |WI|52680|0|N
H5216|173|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-173 (PPO)|00025456|39.00|590| | |WI|52690|0|N
H5216|175|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-175 (PPO)|00025456|0.00|250| | |ME|20000|0|N
H5216|175|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-175 (PPO)|00025456|0.00|250| | |ME|20010|0|N
H5216|175|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-175 (PPO)|00025456|0.00|250| | |ME|20020|0|N
H5216|175|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-175 (PPO)|00025456|0.00|250| | |ME|20050|0|N
H5216|175|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-175 (PPO)|00025456|0.00|250| | |ME|20060|0|N
H5216|175|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-175 (PPO)|00025456|0.00|250| | |ME|20070|0|N
H5216|175|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-175 (PPO)|00025456|0.00|250| | |ME|20090|0|N
H5216|175|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-175 (PPO)|00025456|0.00|250| | |ME|20110|0|N
H5216|175|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-175 (PPO)|00025456|0.00|250| | |ME|20130|0|N
H5216|175|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-175 (PPO)|00025456|0.00|250| | |ME|20140|0|N
H5216|175|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-175 (PPO)|00025456|0.00|250| | |ME|20150|0|N
H5216|176|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-176 (PPO)|00025456|27.60|590| | |MN|24000|0|N
H5216|176|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-176 (PPO)|00025456|27.60|590| | |MN|24010|0|N
H5216|176|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-176 (PPO)|00025456|27.60|590| | |MN|24020|0|N
H5216|176|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-176 (PPO)|00025456|27.60|590| | |MN|24030|0|N
H5216|176|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-176 (PPO)|00025456|27.60|590| | |MN|24040|0|N
H5216|176|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-176 (PPO)|00025456|27.60|590| | |MN|24050|0|N
H5216|176|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-176 (PPO)|00025456|27.60|590| | |MN|24070|0|N
H5216|176|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-176 (PPO)|00025456|27.60|590| | |MN|24090|0|N
H5216|176|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-176 (PPO)|00025456|27.60|590| | |MN|24100|0|N
H5216|176|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-176 (PPO)|00025456|27.60|590| | |MN|24130|0|N
H5216|176|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-176 (PPO)|00025456|27.60|590| | |MN|24140|0|N
H5216|176|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-176 (PPO)|00025456|27.60|590| | |MN|24180|0|N
H5216|176|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-176 (PPO)|00025456|27.60|590| | |MN|24260|0|N
H5216|176|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-176 (PPO)|00025456|27.60|590| | |MN|24280|0|N
H5216|176|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-176 (PPO)|00025456|27.60|590| | |MN|24290|0|N
H5216|176|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-176 (PPO)|00025456|27.60|590| | |MN|24300|0|N
H5216|176|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-176 (PPO)|00025456|27.60|590| | |MN|24320|0|N
H5216|176|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-176 (PPO)|00025456|27.60|590| | |MN|24340|0|N
H5216|176|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-176 (PPO)|00025456|27.60|590| | |MN|24350|0|N
H5216|176|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-176 (PPO)|00025456|27.60|590| | |MN|24360|0|N
H5216|176|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-176 (PPO)|00025456|27.60|590| | |MN|24370|0|N
H5216|176|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-176 (PPO)|00025456|27.60|590| | |MN|24380|0|N
H5216|176|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-176 (PPO)|00025456|27.60|590| | |MN|24400|0|N
H5216|176|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-176 (PPO)|00025456|27.60|590| | |MN|24420|0|N
H5216|176|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-176 (PPO)|00025456|27.60|590| | |MN|24430|0|N
H5216|176|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-176 (PPO)|00025456|27.60|590| | |MN|24440|0|N
H5216|176|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-176 (PPO)|00025456|27.60|590| | |MN|24460|0|N
H5216|176|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-176 (PPO)|00025456|27.60|590| | |MN|24470|0|N
H5216|176|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-176 (PPO)|00025456|27.60|590| | |MN|24480|0|N
H5216|176|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-176 (PPO)|00025456|27.60|590| | |MN|24500|0|N
H5216|176|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-176 (PPO)|00025456|27.60|590| | |MN|24530|0|N
H5216|176|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-176 (PPO)|00025456|27.60|590| | |MN|24550|0|N
H5216|176|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-176 (PPO)|00025456|27.60|590| | |MN|24560|0|N
H5216|176|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-176 (PPO)|00025456|27.60|590| | |MN|24580|0|N
H5216|176|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-176 (PPO)|00025456|27.60|590| | |MN|24590|0|N
H5216|176|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-176 (PPO)|00025456|27.60|590| | |MN|24610|0|N
H5216|176|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-176 (PPO)|00025456|27.60|590| | |MN|24620|0|N
H5216|176|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-176 (PPO)|00025456|27.60|590| | |MN|24660|0|N
H5216|176|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-176 (PPO)|00025456|27.60|590| | |MN|24670|0|N
H5216|176|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-176 (PPO)|00025456|27.60|590| | |MN|24680|0|N
H5216|176|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-176 (PPO)|00025456|27.60|590| | |MN|24690|0|N
H5216|176|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-176 (PPO)|00025456|27.60|590| | |MN|24760|0|N
H5216|176|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-176 (PPO)|00025456|27.60|590| | |MN|24770|0|N
H5216|176|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-176 (PPO)|00025456|27.60|590| | |MN|24780|0|N
H5216|176|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-176 (PPO)|00025456|27.60|590| | |MN|24790|0|N
H5216|176|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-176 (PPO)|00025456|27.60|590| | |MN|24810|0|N
H5216|176|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-176 (PPO)|00025456|27.60|590| | |MN|24830|0|N
H5216|176|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-176 (PPO)|00025456|27.60|590| | |MN|24850|0|N
H5216|176|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-176 (PPO)|00025456|27.60|590| | |MN|24860|0|N
H5216|177|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-177 (PPO)|00025456|27.60|300| | |ME|20000|0|N
H5216|177|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-177 (PPO)|00025456|27.60|300| | |ME|20010|0|N
H5216|177|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-177 (PPO)|00025456|27.60|300| | |ME|20020|0|N
H5216|177|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-177 (PPO)|00025456|27.60|300| | |ME|20030|0|N
H5216|177|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-177 (PPO)|00025456|27.60|300| | |ME|20040|0|N
H5216|177|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-177 (PPO)|00025456|27.60|300| | |ME|20050|0|N
H5216|177|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-177 (PPO)|00025456|27.60|300| | |ME|20060|0|N
H5216|177|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-177 (PPO)|00025456|27.60|300| | |ME|20070|0|N
H5216|177|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-177 (PPO)|00025456|27.60|300| | |ME|20090|0|N
H5216|177|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-177 (PPO)|00025456|27.60|300| | |ME|20100|0|N
H5216|177|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-177 (PPO)|00025456|27.60|300| | |ME|20110|0|N
H5216|177|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-177 (PPO)|00025456|27.60|300| | |ME|20120|0|N
H5216|177|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-177 (PPO)|00025456|27.60|300| | |ME|20130|0|N
H5216|177|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-177 (PPO)|00025456|27.60|300| | |ME|20140|0|N
H5216|177|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-177 (PPO)|00025456|27.60|300| | |ME|20150|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01000|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01010|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01020|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01030|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01040|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01050|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01060|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01070|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01080|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01100|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01110|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01120|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01130|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01140|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01150|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01160|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01170|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01180|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01190|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01200|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01210|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01220|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01230|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01240|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01250|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01260|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01270|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01280|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01290|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01300|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01310|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01320|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01330|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01340|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01350|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01360|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01370|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01380|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01390|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01400|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01410|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01420|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01430|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01440|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01450|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01460|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01470|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01480|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01490|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01500|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01510|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01520|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01530|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01540|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01560|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01570|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01580|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01590|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01600|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01610|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01620|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01630|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01640|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01650|0|N
H5216|179|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-179 (PPO)|00025456|40.00|590| | |AL|01660|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44000|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44020|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44040|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44050|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44060|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44070|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44090|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44100|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44110|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44120|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44130|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44140|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44150|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44160|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44170|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44180|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44190|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44200|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44210|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44220|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44230|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44240|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44250|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44260|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44270|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44280|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44290|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44300|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44310|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44320|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44330|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44340|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44350|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44360|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44370|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44380|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44390|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44400|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44410|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44420|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44430|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44440|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44450|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44460|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44470|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44480|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44490|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44500|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44520|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44530|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44540|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44550|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44560|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44570|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44580|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44590|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44600|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44610|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44620|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44630|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44640|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44650|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44660|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44670|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44680|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44690|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44700|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44710|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44720|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44730|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44740|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44750|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44760|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44770|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44780|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44790|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44800|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44810|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44820|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44830|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44840|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44850|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44860|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44870|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44880|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44890|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44910|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44920|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44930|0|N
H5216|180|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-180 (PPO)|00025456|30.90|590| | |TN|44940|0|N
H5216|182|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-182 (PPO)|00025456|14.50|0| | |WV|51010|0|N
H5216|182|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-182 (PPO)|00025456|14.50|0| | |WV|51020|0|N
H5216|182|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-182 (PPO)|00025456|14.50|0| | |WV|51030|0|N
H5216|182|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-182 (PPO)|00025456|14.50|0| | |WV|51040|0|N
H5216|182|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-182 (PPO)|00025456|14.50|0| | |WV|51050|0|N
H5216|182|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-182 (PPO)|00025456|14.50|0| | |WV|51060|0|N
H5216|182|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-182 (PPO)|00025456|14.50|0| | |WV|51070|0|N
H5216|182|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-182 (PPO)|00025456|14.50|0| | |WV|51080|0|N
H5216|182|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-182 (PPO)|00025456|14.50|0| | |WV|51090|0|N
H5216|182|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-182 (PPO)|00025456|14.50|0| | |WV|51100|0|N
H5216|182|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-182 (PPO)|00025456|14.50|0| | |WV|51120|0|N
H5216|182|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-182 (PPO)|00025456|14.50|0| | |WV|51140|0|N
H5216|182|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-182 (PPO)|00025456|14.50|0| | |WV|51150|0|N
H5216|182|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-182 (PPO)|00025456|14.50|0| | |WV|51160|0|N
H5216|182|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-182 (PPO)|00025456|14.50|0| | |WV|51170|0|N
H5216|182|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-182 (PPO)|00025456|14.50|0| | |WV|51180|0|N
H5216|182|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-182 (PPO)|00025456|14.50|0| | |WV|51190|0|N
H5216|182|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-182 (PPO)|00025456|14.50|0| | |WV|51200|0|N
H5216|182|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-182 (PPO)|00025456|14.50|0| | |WV|51210|0|N
H5216|182|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-182 (PPO)|00025456|14.50|0| | |WV|51220|0|N
H5216|182|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-182 (PPO)|00025456|14.50|0| | |WV|51230|0|N
H5216|182|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-182 (PPO)|00025456|14.50|0| | |WV|51240|0|N
H5216|182|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-182 (PPO)|00025456|14.50|0| | |WV|51250|0|N
H5216|182|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-182 (PPO)|00025456|14.50|0| | |WV|51260|0|N
H5216|182|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-182 (PPO)|00025456|14.50|0| | |WV|51270|0|N
H5216|182|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-182 (PPO)|00025456|14.50|0| | |WV|51290|0|N
H5216|182|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-182 (PPO)|00025456|14.50|0| | |WV|51300|0|N
H5216|182|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-182 (PPO)|00025456|14.50|0| | |WV|51310|0|N
H5216|182|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-182 (PPO)|00025456|14.50|0| | |WV|51320|0|N
H5216|182|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-182 (PPO)|00025456|14.50|0| | |WV|51330|0|N
H5216|182|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-182 (PPO)|00025456|14.50|0| | |WV|51340|0|N
H5216|182|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-182 (PPO)|00025456|14.50|0| | |WV|51360|0|N
H5216|182|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-182 (PPO)|00025456|14.50|0| | |WV|51380|0|N
H5216|182|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-182 (PPO)|00025456|14.50|0| | |WV|51390|0|N
H5216|182|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-182 (PPO)|00025456|14.50|0| | |WV|51400|0|N
H5216|182|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-182 (PPO)|00025456|14.50|0| | |WV|51410|0|N
H5216|182|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-182 (PPO)|00025456|14.50|0| | |WV|51420|0|N
H5216|182|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-182 (PPO)|00025456|14.50|0| | |WV|51440|0|N
H5216|182|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-182 (PPO)|00025456|14.50|0| | |WV|51450|0|N
H5216|182|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-182 (PPO)|00025456|14.50|0| | |WV|51460|0|N
H5216|182|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-182 (PPO)|00025456|14.50|0| | |WV|51490|0|N
H5216|182|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-182 (PPO)|00025456|14.50|0| | |WV|51500|0|N
H5216|182|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-182 (PPO)|00025456|14.50|0| | |WV|51510|0|N
H5216|182|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-182 (PPO)|00025456|14.50|0| | |WV|51520|0|N
H5216|182|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-182 (PPO)|00025456|14.50|0| | |WV|51530|0|N
H5216|182|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-182 (PPO)|00025456|14.50|0| | |WV|51540|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |IN|15090|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |IN|15210|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |IN|15300|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18000|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18010|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18020|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18030|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18040|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18050|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18060|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18080|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18090|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18100|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18110|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18120|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18130|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18140|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18150|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18160|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18170|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18190|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18210|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18220|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18230|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18240|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18250|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18260|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18270|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18290|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18310|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18320|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18330|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18340|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18350|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18360|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18361|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18362|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18390|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18410|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18420|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18421|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18440|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18450|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18460|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18470|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18480|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18490|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18500|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18511|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18530|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18540|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18550|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18560|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18570|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18590|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18600|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18610|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18630|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18640|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18650|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18660|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18670|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18680|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18690|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18700|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18710|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18720|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18730|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18740|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18750|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18760|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18770|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18780|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18790|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18800|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18801|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18802|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18830|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18831|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18850|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18860|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18880|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18890|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18900|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18910|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18920|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18931|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18960|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18970|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18971|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18972|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18973|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18974|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18975|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18976|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18977|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18978|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18979|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18980|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18981|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18982|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18983|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18984|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18986|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18987|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18988|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18989|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18990|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18991|0|N
H5216|188|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-188 (PPO)|00025456|43.00|0| | |KY|18992|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15000|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15010|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15030|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15040|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15050|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15060|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15070|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15080|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15100|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15110|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15120|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15130|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15140|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15150|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15160|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15170|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15180|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15190|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15200|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15220|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15230|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15250|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15260|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15270|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15280|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15290|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15310|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15320|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15330|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15340|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15350|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15360|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15390|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15400|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15410|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15420|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15430|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15440|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15450|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15460|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15470|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15480|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15490|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15500|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15510|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15520|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15530|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15540|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15550|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15560|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15580|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15590|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15600|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15610|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15620|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15630|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15640|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15670|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15680|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15700|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15710|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15720|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15730|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15740|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15750|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15760|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15780|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15800|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15810|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15820|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15830|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15850|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15860|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15870|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15880|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15890|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15900|0|N
H5216|192|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-192 (PPO)|00025456|2.00|590| | |IN|15910|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15000|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15010|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15020|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15030|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15040|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15050|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15060|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15070|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15080|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15100|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15110|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15120|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15130|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15140|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15150|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15160|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15170|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15180|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15190|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15200|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15220|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15230|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15240|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15250|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15260|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15270|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15280|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15290|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15310|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15320|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15330|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15340|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15350|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15360|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15370|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15380|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15390|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15400|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15410|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15420|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15430|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15440|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15450|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15460|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15470|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15480|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15490|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15500|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15510|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15520|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15530|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15540|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15550|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15560|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15570|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15580|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15590|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15600|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15620|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15630|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15640|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15650|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15660|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15670|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15680|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15690|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15700|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15710|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15720|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15730|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15740|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15750|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15760|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15770|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15780|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15790|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15800|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15810|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15820|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15840|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15850|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15860|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15870|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15890|0|N
H5216|193|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-193 (PPO)|00025456|49.60|300| | |IN|15910|0|N
H5216|194|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-194 (PPO)|00025456|0.00|365| | |NV|29000|0|N
H5216|194|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-194 (PPO)|00025456|0.00|365| | |NV|29020|0|N
H5216|194|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-194 (PPO)|00025456|0.00|365| | |NV|29090|0|N
H5216|194|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-194 (PPO)|00025456|0.00|365| | |NV|29100|0|N
H5216|194|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-194 (PPO)|00025456|0.00|365| | |NV|29120|0|N
H5216|194|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-194 (PPO)|00025456|0.00|365| | |NV|29140|0|N
H5216|194|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-194 (PPO)|00025456|0.00|365| | |NV|29150|0|N
H5216|195|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-195 (PPO)|00025456|33.90|590| | |CO|06000|0|N
H5216|195|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-195 (PPO)|00025456|33.90|590| | |CO|06010|0|N
H5216|195|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-195 (PPO)|00025456|33.90|590| | |CO|06020|0|N
H5216|195|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-195 (PPO)|00025456|33.90|590| | |CO|06030|0|N
H5216|195|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-195 (PPO)|00025456|33.90|590| | |CO|06050|0|N
H5216|195|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-195 (PPO)|00025456|33.90|590| | |CO|06060|0|N
H5216|195|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-195 (PPO)|00025456|33.90|590| | |CO|06070|0|N
H5216|195|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-195 (PPO)|00025456|33.90|590| | |CO|06090|0|N
H5216|195|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-195 (PPO)|00025456|33.90|590| | |CO|06100|0|N
H5216|195|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-195 (PPO)|00025456|33.90|590| | |CO|06110|0|N
H5216|195|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-195 (PPO)|00025456|33.90|590| | |CO|06120|0|N
H5216|195|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-195 (PPO)|00025456|33.90|590| | |CO|06130|0|N
H5216|195|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-195 (PPO)|00025456|33.90|590| | |CO|06140|0|N
H5216|195|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-195 (PPO)|00025456|33.90|590| | |CO|06150|0|N
H5216|195|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-195 (PPO)|00025456|33.90|590| | |CO|06160|0|N
H5216|195|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-195 (PPO)|00025456|33.90|590| | |CO|06170|0|N
H5216|195|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-195 (PPO)|00025456|33.90|590| | |CO|06190|0|N
H5216|195|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-195 (PPO)|00025456|33.90|590| | |CO|06200|0|N
H5216|195|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-195 (PPO)|00025456|33.90|590| | |CO|06210|0|N
H5216|195|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-195 (PPO)|00025456|33.90|590| | |CO|06230|0|N
H5216|195|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-195 (PPO)|00025456|33.90|590| | |CO|06240|0|N
H5216|195|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-195 (PPO)|00025456|33.90|590| | |CO|06250|0|N
H5216|195|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-195 (PPO)|00025456|33.90|590| | |CO|06260|0|N
H5216|195|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-195 (PPO)|00025456|33.90|590| | |CO|06270|0|N
H5216|195|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-195 (PPO)|00025456|33.90|590| | |CO|06280|0|N
H5216|195|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-195 (PPO)|00025456|33.90|590| | |CO|06290|0|N
H5216|195|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-195 (PPO)|00025456|33.90|590| | |CO|06320|0|N
H5216|195|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-195 (PPO)|00025456|33.90|590| | |CO|06330|0|N
H5216|195|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-195 (PPO)|00025456|33.90|590| | |CO|06340|0|N
H5216|195|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-195 (PPO)|00025456|33.90|590| | |CO|06350|0|N
H5216|195|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-195 (PPO)|00025456|33.90|590| | |CO|06360|0|N
H5216|195|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-195 (PPO)|00025456|33.90|590| | |CO|06370|0|N
H5216|195|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-195 (PPO)|00025456|33.90|590| | |CO|06380|0|N
H5216|195|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-195 (PPO)|00025456|33.90|590| | |CO|06390|0|N
H5216|195|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-195 (PPO)|00025456|33.90|590| | |CO|06410|0|N
H5216|195|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-195 (PPO)|00025456|33.90|590| | |CO|06420|0|N
H5216|195|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-195 (PPO)|00025456|33.90|590| | |CO|06430|0|N
H5216|195|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-195 (PPO)|00025456|33.90|590| | |CO|06440|0|N
H5216|195|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-195 (PPO)|00025456|33.90|590| | |CO|06450|0|N
H5216|195|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-195 (PPO)|00025456|33.90|590| | |CO|06460|0|N
H5216|195|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-195 (PPO)|00025456|33.90|590| | |CO|06500|0|N
H5216|195|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-195 (PPO)|00025456|33.90|590| | |CO|06510|0|N
H5216|195|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-195 (PPO)|00025456|33.90|590| | |CO|06520|0|N
H5216|195|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-195 (PPO)|00025456|33.90|590| | |CO|06540|0|N
H5216|195|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-195 (PPO)|00025456|33.90|590| | |CO|06550|0|N
H5216|195|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-195 (PPO)|00025456|33.90|590| | |CO|06560|0|N
H5216|195|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-195 (PPO)|00025456|33.90|590| | |CO|06580|0|N
H5216|195|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-195 (PPO)|00025456|33.90|590| | |CO|06590|0|N
H5216|195|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-195 (PPO)|00025456|33.90|590| | |CO|06600|0|N
H5216|195|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-195 (PPO)|00025456|33.90|590| | |CO|06610|0|N
H5216|195|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-195 (PPO)|00025456|33.90|590| | |CO|06630|0|N
H5216|196|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-196 (PPO)|00025458|0.00|200| | |NM|32060|0|N
H5216|196|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-196 (PPO)|00025458|13.90|200| | |NM|32000|0|N
H5216|196|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-196 (PPO)|00025458|13.90|200| | |NM|32010|0|N
H5216|196|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-196 (PPO)|00025458|13.90|200| | |NM|32020|0|N
H5216|196|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-196 (PPO)|00025458|13.90|200| | |NM|32025|0|N
H5216|196|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-196 (PPO)|00025458|13.90|200| | |NM|32030|0|N
H5216|196|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-196 (PPO)|00025458|13.90|200| | |NM|32040|0|N
H5216|196|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-196 (PPO)|00025458|13.90|200| | |NM|32050|0|N
H5216|196|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-196 (PPO)|00025458|13.90|200| | |NM|32070|0|N
H5216|196|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-196 (PPO)|00025458|13.90|200| | |NM|32080|0|N
H5216|196|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-196 (PPO)|00025458|13.90|200| | |NM|32090|0|N
H5216|196|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-196 (PPO)|00025458|13.90|200| | |NM|32120|0|N
H5216|196|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-196 (PPO)|00025458|13.90|200| | |NM|32131|0|N
H5216|196|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-196 (PPO)|00025458|13.90|200| | |NM|32150|0|N
H5216|196|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-196 (PPO)|00025458|13.90|200| | |NM|32180|0|N
H5216|196|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-196 (PPO)|00025458|13.90|200| | |NM|32190|0|N
H5216|196|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-196 (PPO)|00025458|13.90|200| | |NM|32200|0|N
H5216|196|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-196 (PPO)|00025458|13.90|200| | |NM|32210|0|N
H5216|196|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-196 (PPO)|00025458|13.90|200| | |NM|32220|0|N
H5216|196|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-196 (PPO)|00025458|13.90|200| | |NM|32240|0|N
H5216|196|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-196 (PPO)|00025458|13.90|200| | |NM|32270|0|N
H5216|196|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-196 (PPO)|00025458|13.90|200| | |NM|32280|0|N
H5216|196|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-196 (PPO)|00025458|13.90|200| | |NM|32300|0|N
H5216|203|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-203 (PPO)|00025458|0.00|350| | |GA|11050|0|N
H5216|203|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-203 (PPO)|00025458|0.00|350| | |GA|11060|0|N
H5216|203|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-203 (PPO)|00025458|0.00|350| | |GA|11160|0|N
H5216|203|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-203 (PPO)|00025458|0.00|350| | |GA|11200|0|N
H5216|203|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-203 (PPO)|00025458|0.00|350| | |GA|11260|0|N
H5216|203|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-203 (PPO)|00025458|0.00|350| | |GA|11280|0|N
H5216|203|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-203 (PPO)|00025458|0.00|350| | |GA|11320|0|N
H5216|203|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-203 (PPO)|00025458|0.00|350| | |GA|11341|0|N
H5216|203|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-203 (PPO)|00025458|0.00|350| | |GA|11350|0|N
H5216|203|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-203 (PPO)|00025458|0.00|350| | |GA|11370|0|N
H5216|203|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-203 (PPO)|00025458|0.00|350| | |GA|11400|0|N
H5216|203|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-203 (PPO)|00025458|0.00|350| | |GA|11460|0|N
H5216|203|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-203 (PPO)|00025458|0.00|350| | |GA|11461|0|N
H5216|203|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-203 (PPO)|00025458|0.00|350| | |GA|11570|0|N
H5216|203|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-203 (PPO)|00025458|0.00|350| | |GA|11580|0|N
H5216|203|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-203 (PPO)|00025458|0.00|350| | |GA|11590|0|N
H5216|203|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-203 (PPO)|00025458|0.00|350| | |GA|11610|0|N
H5216|203|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-203 (PPO)|00025458|0.00|350| | |GA|11611|0|N
H5216|203|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-203 (PPO)|00025458|0.00|350| | |GA|11720|0|N
H5216|203|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-203 (PPO)|00025458|0.00|350| | |GA|11730|0|N
H5216|203|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-203 (PPO)|00025458|0.00|350| | |GA|11740|0|N
H5216|203|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-203 (PPO)|00025458|0.00|350| | |GA|11772|0|N
H5216|203|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-203 (PPO)|00025458|0.00|350| | |GA|11780|0|N
H5216|203|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-203 (PPO)|00025458|0.00|350| | |GA|11810|0|N
H5216|203|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-203 (PPO)|00025458|0.00|350| | |GA|11821|0|N
H5216|203|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-203 (PPO)|00025458|0.00|350| | |GA|11830|0|N
H5216|203|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-203 (PPO)|00025458|0.00|350| | |GA|11860|0|N
H5216|203|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-203 (PPO)|00025458|0.00|350| | |GA|11862|0|N
H5216|203|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-203 (PPO)|00025458|0.00|350| | |GA|11880|0|N
H5216|203|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-203 (PPO)|00025458|0.00|350| | |GA|11920|0|N
H5216|203|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-203 (PPO)|00025458|0.00|350| | |GA|11921|0|N
H5216|203|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-203 (PPO)|00025458|0.00|350| | |GA|11930|0|N
H5216|203|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-203 (PPO)|00025458|0.00|350| | |GA|11970|0|N
H5216|203|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-203 (PPO)|00025458|0.00|350| | |GA|11020|0|N
H5216|203|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-203 (PPO)|00025458|0.00|350| | |GA|11090|0|N
H5216|203|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-203 (PPO)|00025458|0.00|350| | |GA|11330|0|N
H5216|203|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-203 (PPO)|00025458|0.00|350| | |GA|11390|0|N
H5216|203|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-203 (PPO)|00025458|0.00|350| | |GA|11600|0|N
H5216|203|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-203 (PPO)|00025458|0.00|350| | |GA|11650|0|N
H5216|203|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-203 (PPO)|00025458|0.00|350| | |GA|11670|0|N
H5216|203|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-203 (PPO)|00025458|0.00|350| | |GA|11760|0|N
H5216|203|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-203 (PPO)|00025458|0.00|350| | |GA|11811|0|N
H5216|203|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-203 (PPO)|00025458|0.00|350| | |GA|11870|0|N
H5216|203|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-203 (PPO)|00025458|0.00|350| | |GA|11885|0|N
H5216|203|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-203 (PPO)|00025458|0.00|350| | |GA|11912|0|N
H5216|203|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-203 (PPO)|00025458|0.00|350| | |GA|11980|0|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11010|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11011|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11020|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11030|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11050|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11060|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11070|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11080|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11090|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11120|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11130|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11140|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11161|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11170|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11190|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11200|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11210|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11220|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11230|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11240|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11250|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11260|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11270|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11280|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11281|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11290|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11291|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11300|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11310|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11311|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11320|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11330|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11340|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11341|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11350|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11360|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11370|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11380|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11381|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11390|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11400|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11410|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11440|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11450|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11451|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11460|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11461|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11462|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11470|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11471|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11490|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11500|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11510|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11530|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11540|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11550|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11560|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11570|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11580|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11581|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11590|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11591|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11600|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11601|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11610|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11611|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11612|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11620|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11630|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11640|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11650|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11651|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11652|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11660|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11670|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11680|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11691|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11700|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11701|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11702|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11703|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11710|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11720|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11730|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11740|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11741|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11750|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11760|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11771|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11772|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11780|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11800|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11801|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11810|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11811|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11812|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11820|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11821|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11830|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11831|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11832|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11833|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11835|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11840|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11841|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11850|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11851|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11860|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11861|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11862|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11870|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11880|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11881|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11882|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11885|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11890|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11900|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11901|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11902|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11903|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11910|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11911|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11912|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11913|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11920|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11921|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11930|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11940|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11941|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11950|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11960|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11961|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11962|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11963|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11970|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11971|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11972|2|N
H5216|205|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-205 (PPO D-SNP)|00025456|0.00|590| | |GA|11973|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11010|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11011|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11020|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11030|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11040|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11050|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11060|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11070|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11080|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11090|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11120|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11130|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11140|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11150|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11160|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11161|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11170|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11190|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11200|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11210|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11220|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11230|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11240|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11250|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11260|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11270|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11280|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11281|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11290|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11291|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11300|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11310|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11311|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11320|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11330|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11340|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11341|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11350|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11360|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11370|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11380|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11381|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11390|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11400|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11410|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11421|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11430|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11440|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11450|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11451|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11460|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11461|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11462|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11470|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11471|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11480|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11490|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11500|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11510|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11520|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11530|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11540|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11550|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11560|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11570|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11580|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11581|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11590|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11591|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11600|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11601|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11610|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11611|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11612|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11620|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11630|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11640|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11650|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11651|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11652|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11660|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11670|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11680|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11690|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11691|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11700|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11701|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11702|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11703|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11710|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11720|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11730|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11740|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11741|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11750|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11760|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11771|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11772|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11780|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11790|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11800|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11801|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11810|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11811|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11812|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11820|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11821|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11830|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11831|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11832|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11833|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11835|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11840|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11841|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11842|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11850|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11851|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11860|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11861|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11862|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11870|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11880|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11881|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11882|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11883|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11885|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11890|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11900|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11901|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11902|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11903|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11910|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11911|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11912|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11913|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11920|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11921|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11930|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11940|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11941|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11950|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11960|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11961|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11962|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11963|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11970|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11971|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11972|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11973|2|N
H5216|206|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-206 (PPO D-SNP)|00025456|40.00|590| | |GA|11980|2|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11000|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11010|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11011|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11030|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11040|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11070|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11110|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11180|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11200|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11210|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11270|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11291|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11300|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11341|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11360|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11380|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11381|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11410|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11430|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11440|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11441|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11450|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11480|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11510|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11560|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11581|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11601|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11620|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11640|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11652|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11660|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11701|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11710|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11771|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11772|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11831|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11832|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11833|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11834|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11835|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11851|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11861|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11881|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11882|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11883|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11884|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11890|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11901|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11902|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11903|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11911|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11913|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11921|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11950|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11960|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11962|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11963|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11970|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11971|0|N
H5216|207|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-207 (PPO)|00025458|0.00|350| | |GA|11973|0|N
H5216|211|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-211 (PPO)|00025456|0.00|350| | |NC|34000|0|N
H5216|211|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-211 (PPO)|00025456|0.00|350| | |NC|34010|0|N
H5216|211|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-211 (PPO)|00025456|0.00|350| | |NC|34030|0|N
H5216|211|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-211 (PPO)|00025456|0.00|350| | |NC|34050|0|N
H5216|211|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-211 (PPO)|00025456|0.00|350| | |NC|34100|0|N
H5216|211|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-211 (PPO)|00025456|0.00|350| | |NC|34120|0|N
H5216|211|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-211 (PPO)|00025456|0.00|350| | |NC|34130|0|N
H5216|211|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-211 (PPO)|00025456|0.00|350| | |NC|34160|0|N
H5216|211|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-211 (PPO)|00025456|0.00|350| | |NC|34170|0|N
H5216|211|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-211 (PPO)|00025456|0.00|350| | |NC|34180|0|N
H5216|211|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-211 (PPO)|00025456|0.00|350| | |NC|34190|0|N
H5216|211|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-211 (PPO)|00025456|0.00|350| | |NC|34220|0|N
H5216|211|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-211 (PPO)|00025456|0.00|350| | |NC|34280|0|N
H5216|211|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-211 (PPO)|00025456|0.00|350| | |NC|34290|0|N
H5216|211|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-211 (PPO)|00025456|0.00|350| | |NC|34310|0|N
H5216|211|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-211 (PPO)|00025456|0.00|350| | |NC|34330|0|N
H5216|211|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-211 (PPO)|00025456|0.00|350| | |NC|34340|0|N
H5216|211|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-211 (PPO)|00025456|0.00|350| | |NC|34350|0|N
H5216|211|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-211 (PPO)|00025456|0.00|350| | |NC|34370|0|N
H5216|211|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-211 (PPO)|00025456|0.00|350| | |NC|34400|0|N
H5216|211|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-211 (PPO)|00025456|0.00|350| | |NC|34430|0|N
H5216|211|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-211 (PPO)|00025456|0.00|350| | |NC|34440|0|N
H5216|211|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-211 (PPO)|00025456|0.00|350| | |NC|34480|0|N
H5216|211|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-211 (PPO)|00025456|0.00|350| | |NC|34490|0|N
H5216|211|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-211 (PPO)|00025456|0.00|350| | |NC|34520|0|N
H5216|211|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-211 (PPO)|00025456|0.00|350| | |NC|34540|0|N
H5216|211|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-211 (PPO)|00025456|0.00|350| | |NC|34550|0|N
H5216|211|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-211 (PPO)|00025456|0.00|350| | |NC|34560|0|N
H5216|211|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-211 (PPO)|00025456|0.00|350| | |NC|34570|0|N
H5216|211|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-211 (PPO)|00025456|0.00|350| | |NC|34590|0|N
H5216|211|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-211 (PPO)|00025456|0.00|350| | |NC|34600|0|N
H5216|211|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-211 (PPO)|00025456|0.00|350| | |NC|34610|0|N
H5216|211|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-211 (PPO)|00025456|0.00|350| | |NC|34620|0|N
H5216|211|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-211 (PPO)|00025456|0.00|350| | |NC|34670|0|N
H5216|211|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-211 (PPO)|00025456|0.00|350| | |NC|34720|0|N
H5216|211|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-211 (PPO)|00025456|0.00|350| | |NC|34750|0|N
H5216|211|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-211 (PPO)|00025456|0.00|350| | |NC|34780|0|N
H5216|211|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-211 (PPO)|00025456|0.00|350| | |NC|34790|0|N
H5216|211|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-211 (PPO)|00025456|0.00|350| | |NC|34800|0|N
H5216|211|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-211 (PPO)|00025456|0.00|350| | |NC|34830|0|N
H5216|211|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-211 (PPO)|00025456|0.00|350| | |NC|34840|0|N
H5216|211|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-211 (PPO)|00025456|0.00|350| | |NC|34860|0|N
H5216|211|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-211 (PPO)|00025456|0.00|350| | |NC|34870|0|N
H5216|211|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-211 (PPO)|00025456|0.00|350| | |NC|34890|0|N
H5216|211|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-211 (PPO)|00025456|0.00|350| | |NC|34900|0|N
H5216|211|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-211 (PPO)|00025456|0.00|350| | |NC|34910|0|N
H5216|211|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-211 (PPO)|00025456|0.00|350| | |NC|34920|0|N
H5216|211|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-211 (PPO)|00025456|0.00|350| | |NC|34940|0|N
H5216|211|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-211 (PPO)|00025456|0.00|350| | |NC|34980|0|N
H5216|211|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-211 (PPO)|00025456|0.00|350| | |NC|34981|0|N
H5216|219|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-219 (PPO D-SNP)|00025456|0.00|590| | |AR|04050|2|N
H5216|219|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-219 (PPO D-SNP)|00025456|0.00|590| | |AR|04060|2|N
H5216|219|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-219 (PPO D-SNP)|00025456|0.00|590| | |AR|04080|2|N
H5216|219|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-219 (PPO D-SNP)|00025456|0.00|590| | |AR|04090|2|N
H5216|219|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-219 (PPO D-SNP)|00025456|0.00|590| | |AR|04120|2|N
H5216|219|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-219 (PPO D-SNP)|00025456|0.00|590| | |AR|04170|2|N
H5216|219|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-219 (PPO D-SNP)|00025456|0.00|590| | |AR|04190|2|N
H5216|219|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-219 (PPO D-SNP)|00025456|0.00|590| | |AR|04200|2|N
H5216|219|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-219 (PPO D-SNP)|00025456|0.00|590| | |AR|04260|2|N
H5216|219|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-219 (PPO D-SNP)|00025456|0.00|590| | |AR|04270|2|N
H5216|219|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-219 (PPO D-SNP)|00025456|0.00|590| | |AR|04290|2|N
H5216|219|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-219 (PPO D-SNP)|00025456|0.00|590| | |AR|04380|2|N
H5216|219|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-219 (PPO D-SNP)|00025456|0.00|590| | |AR|04390|2|N
H5216|219|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-219 (PPO D-SNP)|00025456|0.00|590| | |AR|04410|2|N
H5216|219|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-219 (PPO D-SNP)|00025456|0.00|590| | |AR|04490|2|N
H5216|219|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-219 (PPO D-SNP)|00025456|0.00|590| | |AR|04530|2|N
H5216|219|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-219 (PPO D-SNP)|00025456|0.00|590| | |AR|04540|2|N
H5216|219|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-219 (PPO D-SNP)|00025456|0.00|590| | |AR|04550|2|N
H5216|219|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-219 (PPO D-SNP)|00025456|0.00|590| | |AR|04580|2|N
H5216|219|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-219 (PPO D-SNP)|00025456|0.00|590| | |AR|04610|2|N
H5216|219|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-219 (PPO D-SNP)|00025456|0.00|590| | |AR|04630|2|N
H5216|219|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-219 (PPO D-SNP)|00025456|0.00|590| | |AR|04680|2|N
H5216|219|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-219 (PPO D-SNP)|00025456|0.00|590| | |AR|04690|2|N
H5216|220|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-220 (PPO D-SNP)|00025456|0.00|590| | |WV|51010|2|N
H5216|220|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-220 (PPO D-SNP)|00025456|0.00|590| | |WV|51020|2|N
H5216|220|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-220 (PPO D-SNP)|00025456|0.00|590| | |WV|51030|2|N
H5216|220|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-220 (PPO D-SNP)|00025456|0.00|590| | |WV|51040|2|N
H5216|220|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-220 (PPO D-SNP)|00025456|0.00|590| | |WV|51050|2|N
H5216|220|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-220 (PPO D-SNP)|00025456|0.00|590| | |WV|51070|2|N
H5216|220|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-220 (PPO D-SNP)|00025456|0.00|590| | |WV|51080|2|N
H5216|220|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-220 (PPO D-SNP)|00025456|0.00|590| | |WV|51090|2|N
H5216|220|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-220 (PPO D-SNP)|00025456|0.00|590| | |WV|51110|2|N
H5216|220|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-220 (PPO D-SNP)|00025456|0.00|590| | |WV|51120|2|N
H5216|220|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-220 (PPO D-SNP)|00025456|0.00|590| | |WV|51130|2|N
H5216|220|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-220 (PPO D-SNP)|00025456|0.00|590| | |WV|51140|2|N
H5216|220|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-220 (PPO D-SNP)|00025456|0.00|590| | |WV|51160|2|N
H5216|220|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-220 (PPO D-SNP)|00025456|0.00|590| | |WV|51180|2|N
H5216|220|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-220 (PPO D-SNP)|00025456|0.00|590| | |WV|51190|2|N
H5216|220|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-220 (PPO D-SNP)|00025456|0.00|590| | |WV|51200|2|N
H5216|220|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-220 (PPO D-SNP)|00025456|0.00|590| | |WV|51210|2|N
H5216|220|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-220 (PPO D-SNP)|00025456|0.00|590| | |WV|51220|2|N
H5216|220|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-220 (PPO D-SNP)|00025456|0.00|590| | |WV|51230|2|N
H5216|220|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-220 (PPO D-SNP)|00025456|0.00|590| | |WV|51240|2|N
H5216|220|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-220 (PPO D-SNP)|00025456|0.00|590| | |WV|51250|2|N
H5216|220|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-220 (PPO D-SNP)|00025456|0.00|590| | |WV|51260|2|N
H5216|220|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-220 (PPO D-SNP)|00025456|0.00|590| | |WV|51270|2|N
H5216|220|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-220 (PPO D-SNP)|00025456|0.00|590| | |WV|51290|2|N
H5216|220|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-220 (PPO D-SNP)|00025456|0.00|590| | |WV|51300|2|N
H5216|220|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-220 (PPO D-SNP)|00025456|0.00|590| | |WV|51310|2|N
H5216|220|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-220 (PPO D-SNP)|00025456|0.00|590| | |WV|51330|2|N
H5216|220|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-220 (PPO D-SNP)|00025456|0.00|590| | |WV|51340|2|N
H5216|220|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-220 (PPO D-SNP)|00025456|0.00|590| | |WV|51360|2|N
H5216|220|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-220 (PPO D-SNP)|00025456|0.00|590| | |WV|51370|2|N
H5216|220|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-220 (PPO D-SNP)|00025456|0.00|590| | |WV|51380|2|N
H5216|220|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-220 (PPO D-SNP)|00025456|0.00|590| | |WV|51390|2|N
H5216|220|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-220 (PPO D-SNP)|00025456|0.00|590| | |WV|51400|2|N
H5216|220|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-220 (PPO D-SNP)|00025456|0.00|590| | |WV|51410|2|N
H5216|220|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-220 (PPO D-SNP)|00025456|0.00|590| | |WV|51420|2|N
H5216|220|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-220 (PPO D-SNP)|00025456|0.00|590| | |WV|51440|2|N
H5216|220|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-220 (PPO D-SNP)|00025456|0.00|590| | |WV|51450|2|N
H5216|220|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-220 (PPO D-SNP)|00025456|0.00|590| | |WV|51490|2|N
H5216|220|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-220 (PPO D-SNP)|00025456|0.00|590| | |WV|51500|2|N
H5216|220|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-220 (PPO D-SNP)|00025456|0.00|590| | |WV|51510|2|N
H5216|220|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-220 (PPO D-SNP)|00025456|0.00|590| | |WV|51520|2|N
H5216|220|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-220 (PPO D-SNP)|00025456|0.00|590| | |WV|51530|2|N
H5216|220|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-220 (PPO D-SNP)|00025456|0.00|590| | |WV|51540|2|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |CO|06000|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |CO|06010|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |CO|06020|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |CO|06050|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |CO|06060|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |CO|06090|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |CO|06100|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |CO|06110|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |CO|06120|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |CO|06140|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |CO|06150|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |CO|06160|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |CO|06170|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |CO|06190|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |CO|06200|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |CO|06210|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |CO|06230|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |CO|06250|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |CO|06260|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |CO|06280|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |CO|06290|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |CO|06340|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |CO|06360|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |CO|06370|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |CO|06380|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |CO|06390|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |CO|06420|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |CO|06430|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |CO|06440|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |CO|06450|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |CO|06460|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |CO|06500|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |CO|06510|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |CO|06540|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |CO|06550|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |CO|06560|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |CO|06580|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |CO|06590|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |CO|06600|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |CO|06610|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |CO|06630|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |NM|32000|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |NM|32010|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |NM|32020|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |NM|32030|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |NM|32040|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |NM|32050|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |NM|32060|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |NM|32070|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |NM|32080|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |NM|32090|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |NM|32120|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |NM|32131|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |NM|32140|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |NM|32150|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |NM|32160|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |NM|32180|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |NM|32190|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |NM|32200|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |NM|32210|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |NM|32220|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |NM|32230|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |NM|32240|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |NM|32250|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |NM|32260|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |NM|32270|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |NM|32280|0|N
H5216|223|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-223 (PPO)|00025458|7.00|200| | |NM|32300|0|N
H5216|224|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-224 (PPO)|00025456|11.00|250| | |AZ|03000|0|N
H5216|224|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-224 (PPO)|00025456|11.00|250| | |AZ|03020|0|N
H5216|224|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-224 (PPO)|00025456|11.00|250| | |AZ|03030|0|N
H5216|224|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-224 (PPO)|00025456|11.00|250| | |AZ|03040|0|N
H5216|224|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-224 (PPO)|00025456|11.00|250| | |AZ|03050|0|N
H5216|224|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-224 (PPO)|00025456|11.00|250| | |AZ|03055|0|N
H5216|224|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-224 (PPO)|00025456|11.00|250| | |AZ|03060|0|N
H5216|224|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-224 (PPO)|00025456|11.00|250| | |AZ|03070|0|N
H5216|224|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-224 (PPO)|00025456|11.00|250| | |AZ|03080|0|N
H5216|224|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-224 (PPO)|00025456|11.00|250| | |AZ|03090|0|N
H5216|224|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-224 (PPO)|00025456|11.00|250| | |AZ|03100|0|N
H5216|224|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-224 (PPO)|00025456|11.00|250| | |AZ|03120|0|N
H5216|224|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-224 (PPO)|00025456|11.00|250| | |AZ|03130|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |IN|15090|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18000|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18010|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18020|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18030|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18040|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18050|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18060|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18080|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18090|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18100|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18110|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18120|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18130|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18140|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18150|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18170|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18190|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18191|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18210|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18220|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18230|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18240|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18250|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18260|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18270|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18271|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18290|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18291|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18310|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18320|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18330|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18340|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18360|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18361|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18362|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18410|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18420|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18440|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18450|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18470|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18480|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18490|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18510|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18511|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18530|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18540|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18550|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18560|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18570|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18590|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18600|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18610|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18630|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18640|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18650|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18670|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18680|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18690|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18700|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18710|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18720|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18730|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18750|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18760|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18770|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18790|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18801|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18802|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18830|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18831|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18860|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18861|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18880|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18890|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18900|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18910|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18920|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18930|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18931|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18960|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18970|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18971|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18972|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18974|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18975|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18976|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18977|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18979|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18980|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18981|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18982|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18983|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18984|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18986|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18987|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18988|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18989|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18990|0|N
H5216|226|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-226 (PPO)|00025456|0.00|200| | |KY|18992|0|N
H5216|227|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-227 (PPO D-SNP)|00025456|0.00|590| | |PA|39000|2|N
H5216|227|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-227 (PPO D-SNP)|00025456|0.00|590| | |PA|39010|2|N
H5216|227|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-227 (PPO D-SNP)|00025456|0.00|590| | |PA|39070|2|N
H5216|227|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-227 (PPO D-SNP)|00025456|0.00|590| | |PA|39080|2|N
H5216|227|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-227 (PPO D-SNP)|00025456|0.00|590| | |PA|39100|2|N
H5216|227|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-227 (PPO D-SNP)|00025456|0.00|590| | |PA|39120|2|N
H5216|227|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-227 (PPO D-SNP)|00025456|0.00|590| | |PA|39150|2|N
H5216|227|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-227 (PPO D-SNP)|00025456|0.00|590| | |PA|39180|2|N
H5216|227|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-227 (PPO D-SNP)|00025456|0.00|590| | |PA|39200|2|N
H5216|227|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-227 (PPO D-SNP)|00025456|0.00|590| | |PA|39220|2|N
H5216|227|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-227 (PPO D-SNP)|00025456|0.00|590| | |PA|39230|2|N
H5216|227|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-227 (PPO D-SNP)|00025456|0.00|590| | |PA|39240|2|N
H5216|227|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-227 (PPO D-SNP)|00025456|0.00|590| | |PA|39260|2|N
H5216|227|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-227 (PPO D-SNP)|00025456|0.00|590| | |PA|39310|2|N
H5216|227|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-227 (PPO D-SNP)|00025456|0.00|590| | |PA|39320|2|N
H5216|227|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-227 (PPO D-SNP)|00025456|0.00|590| | |PA|39330|2|N
H5216|227|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-227 (PPO D-SNP)|00025456|0.00|590| | |PA|39340|2|N
H5216|227|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-227 (PPO D-SNP)|00025456|0.00|590| | |PA|39360|2|N
H5216|227|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-227 (PPO D-SNP)|00025456|0.00|590| | |PA|39370|2|N
H5216|227|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-227 (PPO D-SNP)|00025456|0.00|590| | |PA|39380|2|N
H5216|227|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-227 (PPO D-SNP)|00025456|0.00|590| | |PA|39400|2|N
H5216|227|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-227 (PPO D-SNP)|00025456|0.00|590| | |PA|39410|2|N
H5216|227|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-227 (PPO D-SNP)|00025456|0.00|590| | |PA|39510|2|N
H5216|227|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-227 (PPO D-SNP)|00025456|0.00|590| | |PA|39520|2|N
H5216|227|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-227 (PPO D-SNP)|00025456|0.00|590| | |PA|39540|2|N
H5216|227|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-227 (PPO D-SNP)|00025456|0.00|590| | |PA|39580|2|N
H5216|227|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-227 (PPO D-SNP)|00025456|0.00|590| | |PA|39640|2|N
H5216|227|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-227 (PPO D-SNP)|00025456|0.00|590| | |PA|39670|2|N
H5216|227|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-227 (PPO D-SNP)|00025456|0.00|590| | |PA|39680|2|N
H5216|227|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-227 (PPO D-SNP)|00025456|0.00|590| | |PA|39690|2|N
H5216|227|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-227 (PPO D-SNP)|00025456|0.00|590| | |PA|39720|2|N
H5216|227|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-227 (PPO D-SNP)|00025456|0.00|590| | |PA|39730|2|N
H5216|227|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-227 (PPO D-SNP)|00025456|0.00|590| | |PA|39740|2|N
H5216|227|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-227 (PPO D-SNP)|00025456|0.00|590| | |PA|39750|2|N
H5216|227|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-227 (PPO D-SNP)|00025456|0.00|590| | |PA|39760|2|N
H5216|227|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-227 (PPO D-SNP)|00025456|0.00|590| | |PA|39770|2|N
H5216|227|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-227 (PPO D-SNP)|00025456|0.00|590| | |PA|39800|2|N
H5216|228|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-228 (PPO D-SNP)|00025456|0.00|590| | |OK|37000|2|N
H5216|228|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-228 (PPO D-SNP)|00025456|0.00|590| | |OK|37050|2|N
H5216|228|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-228 (PPO D-SNP)|00025456|0.00|590| | |OK|37060|2|N
H5216|228|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-228 (PPO D-SNP)|00025456|0.00|590| | |OK|37070|2|N
H5216|228|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-228 (PPO D-SNP)|00025456|0.00|590| | |OK|37080|2|N
H5216|228|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-228 (PPO D-SNP)|00025456|0.00|590| | |OK|37090|2|N
H5216|228|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-228 (PPO D-SNP)|00025456|0.00|590| | |OK|37100|2|N
H5216|228|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-228 (PPO D-SNP)|00025456|0.00|590| | |OK|37110|2|N
H5216|228|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-228 (PPO D-SNP)|00025456|0.00|590| | |OK|37130|2|N
H5216|228|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-228 (PPO D-SNP)|00025456|0.00|590| | |OK|37150|2|N
H5216|228|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-228 (PPO D-SNP)|00025456|0.00|590| | |OK|37170|2|N
H5216|228|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-228 (PPO D-SNP)|00025456|0.00|590| | |OK|37180|2|N
H5216|228|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-228 (PPO D-SNP)|00025456|0.00|590| | |OK|37200|2|N
H5216|228|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-228 (PPO D-SNP)|00025456|0.00|590| | |OK|37210|2|N
H5216|228|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-228 (PPO D-SNP)|00025456|0.00|590| | |OK|37230|2|N
H5216|228|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-228 (PPO D-SNP)|00025456|0.00|590| | |OK|37240|2|N
H5216|228|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-228 (PPO D-SNP)|00025456|0.00|590| | |OK|37250|2|N
H5216|228|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-228 (PPO D-SNP)|00025456|0.00|590| | |OK|37300|2|N
H5216|228|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-228 (PPO D-SNP)|00025456|0.00|590| | |OK|37310|2|N
H5216|228|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-228 (PPO D-SNP)|00025456|0.00|590| | |OK|37320|2|N
H5216|228|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-228 (PPO D-SNP)|00025456|0.00|590| | |OK|37340|2|N
H5216|228|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-228 (PPO D-SNP)|00025456|0.00|590| | |OK|37350|2|N
H5216|228|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-228 (PPO D-SNP)|00025456|0.00|590| | |OK|37360|2|N
H5216|228|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-228 (PPO D-SNP)|00025456|0.00|590| | |OK|37370|2|N
H5216|228|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-228 (PPO D-SNP)|00025456|0.00|590| | |OK|37380|2|N
H5216|228|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-228 (PPO D-SNP)|00025456|0.00|590| | |OK|37390|2|N
H5216|228|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-228 (PPO D-SNP)|00025456|0.00|590| | |OK|37400|2|N
H5216|228|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-228 (PPO D-SNP)|00025456|0.00|590| | |OK|37410|2|N
H5216|228|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-228 (PPO D-SNP)|00025456|0.00|590| | |OK|37430|2|N
H5216|228|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-228 (PPO D-SNP)|00025456|0.00|590| | |OK|37440|2|N
H5216|228|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-228 (PPO D-SNP)|00025456|0.00|590| | |OK|37450|2|N
H5216|228|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-228 (PPO D-SNP)|00025456|0.00|590| | |OK|37480|2|N
H5216|228|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-228 (PPO D-SNP)|00025456|0.00|590| | |OK|37490|2|N
H5216|228|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-228 (PPO D-SNP)|00025456|0.00|590| | |OK|37500|2|N
H5216|228|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-228 (PPO D-SNP)|00025456|0.00|590| | |OK|37510|2|N
H5216|228|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-228 (PPO D-SNP)|00025456|0.00|590| | |OK|37520|2|N
H5216|228|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-228 (PPO D-SNP)|00025456|0.00|590| | |OK|37530|2|N
H5216|228|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-228 (PPO D-SNP)|00025456|0.00|590| | |OK|37540|2|N
H5216|228|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-228 (PPO D-SNP)|00025456|0.00|590| | |OK|37550|2|N
H5216|228|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-228 (PPO D-SNP)|00025456|0.00|590| | |OK|37560|2|N
H5216|228|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-228 (PPO D-SNP)|00025456|0.00|590| | |OK|37570|2|N
H5216|228|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-228 (PPO D-SNP)|00025456|0.00|590| | |OK|37580|2|N
H5216|228|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-228 (PPO D-SNP)|00025456|0.00|590| | |OK|37590|2|N
H5216|228|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-228 (PPO D-SNP)|00025456|0.00|590| | |OK|37600|2|N
H5216|228|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-228 (PPO D-SNP)|00025456|0.00|590| | |OK|37610|2|N
H5216|228|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-228 (PPO D-SNP)|00025456|0.00|590| | |OK|37620|2|N
H5216|228|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-228 (PPO D-SNP)|00025456|0.00|590| | |OK|37630|2|N
H5216|228|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-228 (PPO D-SNP)|00025456|0.00|590| | |OK|37650|2|N
H5216|228|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-228 (PPO D-SNP)|00025456|0.00|590| | |OK|37660|2|N
H5216|228|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-228 (PPO D-SNP)|00025456|0.00|590| | |OK|37670|2|N
H5216|228|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-228 (PPO D-SNP)|00025456|0.00|590| | |OK|37680|2|N
H5216|228|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-228 (PPO D-SNP)|00025456|0.00|590| | |OK|37710|2|N
H5216|228|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-228 (PPO D-SNP)|00025456|0.00|590| | |OK|37720|2|N
H5216|228|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-228 (PPO D-SNP)|00025456|0.00|590| | |OK|37760|2|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |IN|15030|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |IN|15040|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |IN|15060|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |IN|15070|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |IN|15080|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |IN|15100|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |IN|15110|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |IN|15130|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |IN|15140|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |IN|15180|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |IN|15190|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |IN|15200|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |IN|15250|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |IN|15260|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |IN|15270|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |IN|15320|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |IN|15330|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |IN|15350|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |IN|15360|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |IN|15390|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |IN|15410|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |IN|15430|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |IN|15440|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |IN|15450|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |IN|15460|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |IN|15490|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |IN|15500|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |IN|15510|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |IN|15520|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |IN|15530|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |IN|15570|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |IN|15590|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |IN|15600|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |IN|15610|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |IN|15620|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |IN|15630|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |IN|15640|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |IN|15670|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |IN|15680|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |IN|15690|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |IN|15700|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |IN|15710|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |IN|15720|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |IN|15730|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |IN|15740|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |IN|15750|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |IN|15770|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |IN|15780|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |IN|15790|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |IN|15800|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |IN|15810|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |IN|15820|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |IN|15850|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |IN|15860|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |IN|15870|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |IN|15880|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |KY|18500|0|N
H5216|229|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-229 (PPO)|00025456|0.00|250| | |KY|18720|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04000|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04010|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04020|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04030|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04040|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04050|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04060|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04080|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04090|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04110|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04120|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04140|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04150|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04160|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04170|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04190|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04200|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04220|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04230|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04240|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04250|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04260|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04270|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04280|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04290|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04320|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04340|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04350|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04370|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04380|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04390|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04400|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04410|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04430|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04440|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04450|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04470|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04480|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04490|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04500|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04520|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04530|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04540|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04550|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04570|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04580|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04590|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04600|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04610|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04620|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04630|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04640|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04650|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04660|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04680|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04690|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04700|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04710|0|N
H5216|231|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-231 (PPO)|00025456|0.00|250| | |AR|04740|0|N
H5216|232|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-232 (PPO)|00025458|0.00|0| | |HI|12020|0|N
H5216|232|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-232 (PPO)|00025458|0.00|0| | |HI|12040|0|N
H5216|232|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-232 (PPO)|00025458|0.00|0| | |HI|12050|0|N
H5216|233|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-233 (PPO)|00025458|0.00|0| | |HI|12020|0|N
H5216|233|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-233 (PPO)|00025458|0.00|0| | |HI|12040|0|N
H5216|233|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-233 (PPO)|00025458|0.00|0| | |HI|12050|0|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11000|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11010|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11011|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11020|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11030|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11040|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11050|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11060|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11070|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11080|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11090|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11100|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11110|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11120|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11130|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11140|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11150|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11160|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11161|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11170|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11180|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11190|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11200|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11210|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11220|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11230|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11240|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11250|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11260|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11270|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11280|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11281|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11290|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11291|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11300|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11310|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11311|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11320|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11330|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11340|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11341|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11350|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11360|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11370|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11380|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11381|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11390|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11400|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11410|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11420|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11421|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11430|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11440|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11441|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11450|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11451|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11460|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11461|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11462|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11470|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11471|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11480|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11490|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11500|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11510|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11520|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11530|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11540|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11550|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11560|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11570|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11580|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11581|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11590|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11591|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11600|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11601|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11610|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11611|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11612|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11620|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11630|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11640|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11650|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11651|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11652|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11660|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11670|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11680|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11690|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11691|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11700|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11701|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11702|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11703|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11710|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11720|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11730|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11740|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11741|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11750|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11760|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11770|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11771|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11772|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11780|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11790|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11800|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11801|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11810|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11811|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11812|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11820|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11821|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11830|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11831|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11832|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11833|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11834|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11835|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11840|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11841|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11842|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11850|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11851|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11860|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11861|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11862|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11870|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11880|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11881|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11882|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11883|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11884|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11885|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11890|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11900|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11901|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11902|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11903|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11910|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11911|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11912|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11913|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11920|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11921|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11930|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11940|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11941|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11950|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11960|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11961|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11962|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11963|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11970|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11971|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11972|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11973|3|N
H5216|242|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |GA|11980|3|N
H5216|243|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |SC|42000|3|N
H5216|243|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |SC|42010|3|N
H5216|243|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |SC|42020|3|N
H5216|243|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |SC|42030|3|N
H5216|243|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |SC|42040|3|N
H5216|243|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |SC|42050|3|N
H5216|243|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |SC|42060|3|N
H5216|243|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |SC|42070|3|N
H5216|243|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |SC|42080|3|N
H5216|243|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |SC|42090|3|N
H5216|243|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |SC|42100|3|N
H5216|243|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |SC|42110|3|N
H5216|243|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |SC|42120|3|N
H5216|243|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |SC|42130|3|N
H5216|243|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |SC|42140|3|N
H5216|243|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |SC|42150|3|N
H5216|243|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |SC|42160|3|N
H5216|243|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |SC|42170|3|N
H5216|243|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |SC|42180|3|N
H5216|243|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |SC|42190|3|N
H5216|243|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |SC|42200|3|N
H5216|243|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |SC|42210|3|N
H5216|243|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |SC|42220|3|N
H5216|243|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |SC|42230|3|N
H5216|243|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |SC|42240|3|N
H5216|243|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |SC|42250|3|N
H5216|243|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |SC|42260|3|N
H5216|243|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |SC|42270|3|N
H5216|243|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |SC|42280|3|N
H5216|243|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |SC|42290|3|N
H5216|243|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |SC|42300|3|N
H5216|243|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |SC|42310|3|N
H5216|243|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |SC|42320|3|N
H5216|243|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |SC|42330|3|N
H5216|243|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |SC|42340|3|N
H5216|243|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |SC|42350|3|N
H5216|243|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |SC|42360|3|N
H5216|243|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |SC|42370|3|N
H5216|243|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |SC|42380|3|N
H5216|243|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |SC|42390|3|N
H5216|243|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |SC|42400|3|N
H5216|243|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |SC|42410|3|N
H5216|243|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |SC|42420|3|N
H5216|243|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |SC|42430|3|N
H5216|243|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |SC|42440|3|N
H5216|243|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |SC|42450|3|N
H5216|244|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |SC|42000|1|N
H5216|244|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |SC|42010|1|N
H5216|244|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |SC|42020|1|N
H5216|244|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |SC|42030|1|N
H5216|244|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |SC|42040|1|N
H5216|244|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |SC|42050|1|N
H5216|244|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |SC|42060|1|N
H5216|244|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |SC|42070|1|N
H5216|244|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |SC|42080|1|N
H5216|244|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |SC|42090|1|N
H5216|244|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |SC|42100|1|N
H5216|244|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |SC|42110|1|N
H5216|244|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |SC|42120|1|N
H5216|244|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |SC|42130|1|N
H5216|244|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |SC|42140|1|N
H5216|244|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |SC|42150|1|N
H5216|244|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |SC|42160|1|N
H5216|244|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |SC|42170|1|N
H5216|244|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |SC|42180|1|N
H5216|244|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |SC|42190|1|N
H5216|244|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |SC|42200|1|N
H5216|244|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |SC|42210|1|N
H5216|244|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |SC|42220|1|N
H5216|244|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |SC|42230|1|N
H5216|244|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |SC|42240|1|N
H5216|244|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |SC|42250|1|N
H5216|244|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |SC|42260|1|N
H5216|244|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |SC|42270|1|N
H5216|244|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |SC|42280|1|N
H5216|244|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |SC|42290|1|N
H5216|244|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |SC|42300|1|N
H5216|244|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |SC|42310|1|N
H5216|244|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |SC|42320|1|N
H5216|244|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |SC|42330|1|N
H5216|244|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |SC|42340|1|N
H5216|244|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |SC|42350|1|N
H5216|244|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |SC|42360|1|N
H5216|244|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |SC|42370|1|N
H5216|244|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |SC|42380|1|N
H5216|244|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |SC|42390|1|N
H5216|244|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |SC|42400|1|N
H5216|244|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |SC|42410|1|N
H5216|244|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |SC|42420|1|N
H5216|244|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |SC|42430|1|N
H5216|244|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |SC|42440|1|N
H5216|244|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |SC|42450|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11000|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11010|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11011|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11020|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11030|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11040|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11050|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11060|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11070|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11080|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11090|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11100|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11110|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11120|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11130|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11140|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11150|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11160|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11161|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11170|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11180|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11190|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11200|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11210|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11220|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11230|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11240|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11250|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11260|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11270|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11280|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11281|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11290|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11291|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11300|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11310|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11311|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11320|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11330|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11340|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11341|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11350|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11360|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11370|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11380|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11381|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11390|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11400|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11410|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11420|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11421|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11430|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11440|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11441|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11450|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11451|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11460|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11461|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11462|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11470|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11471|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11480|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11490|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11500|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11510|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11520|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11530|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11540|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11550|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11560|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11570|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11580|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11581|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11590|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11591|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11600|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11601|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11610|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11611|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11612|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11620|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11630|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11640|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11650|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11651|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11652|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11660|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11670|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11680|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11690|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11691|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11700|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11701|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11702|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11703|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11710|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11720|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11730|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11740|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11741|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11750|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11760|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11770|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11771|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11772|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11780|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11790|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11800|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11801|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11810|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11811|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11812|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11820|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11821|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11830|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11831|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11832|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11833|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11834|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11835|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11840|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11841|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11842|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11850|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11851|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11860|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11861|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11862|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11870|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11880|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11881|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11882|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11883|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11884|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11885|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11890|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11900|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11901|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11902|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11903|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11910|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11911|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11912|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11913|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11920|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11921|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11930|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11940|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11941|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11950|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11960|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11961|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11962|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11963|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11970|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11971|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11972|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11973|1|N
H5216|246|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025458|0.00|450| | |GA|11980|1|N
H5216|249|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-249 (PPO)|00025456|0.00|350| | |MA|22020|0|N
H5216|249|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-249 (PPO)|00025456|0.00|350| | |MA|22030|0|N
H5216|249|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-249 (PPO)|00025456|0.00|350| | |MA|22040|0|N
H5216|249|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-249 (PPO)|00025456|0.00|350| | |MA|22070|0|N
H5216|249|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-249 (PPO)|00025456|0.00|350| | |MA|22160|0|N
H5216|249|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-249 (PPO)|00025456|0.00|350| | |MA|22170|0|N
H5216|250|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-250 (PPO)|00025456|5.60|450| | |MA|22020|0|N
H5216|250|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-250 (PPO)|00025456|5.60|450| | |MA|22030|0|N
H5216|250|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-250 (PPO)|00025456|5.60|450| | |MA|22040|0|N
H5216|250|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-250 (PPO)|00025456|5.60|450| | |MA|22070|0|N
H5216|250|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-250 (PPO)|00025456|5.60|450| | |MA|22160|0|N
H5216|250|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-250 (PPO)|00025456|5.60|450| | |MA|22170|0|N
H5216|251|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-251 (PPO)|00025456|0.00|250| | |IL|14030|0|N
H5216|251|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-251 (PPO)|00025456|0.00|250| | |IL|14141|0|N
H5216|251|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-251 (PPO)|00025456|0.00|250| | |IL|14170|0|N
H5216|251|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-251 (PPO)|00025456|0.00|250| | |IL|14250|0|N
H5216|251|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-251 (PPO)|00025456|0.00|250| | |IL|14400|0|N
H5216|251|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-251 (PPO)|00025456|0.00|250| | |IL|14530|0|N
H5216|251|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-251 (PPO)|00025456|0.00|250| | |IL|14540|0|N
H5216|251|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-251 (PPO)|00025456|0.00|250| | |IL|14550|0|N
H5216|251|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-251 (PPO)|00025456|0.00|250| | |IL|14570|0|N
H5216|251|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-251 (PPO)|00025456|0.00|250| | |IL|14640|0|N
H5216|251|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-251 (PPO)|00025456|0.00|250| | |IL|14790|0|N
H5216|251|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-251 (PPO)|00025456|0.00|250| | |IL|14970|0|N
H5216|251|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-251 (PPO)|00025456|0.00|250| | |IL|14989|0|N
H5216|251|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-251 (PPO)|00025456|0.00|250| | |IL|14991|0|N
H5216|252|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|250| | |WI|52040|0|N
H5216|252|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|250| | |WI|52070|0|N
H5216|252|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|250| | |WI|52130|0|N
H5216|252|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|250| | |WI|52200|0|N
H5216|252|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|250| | |WI|52300|0|N
H5216|252|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|250| | |WI|52350|0|N
H5216|252|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|250| | |WI|52370|0|N
H5216|252|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|250| | |WI|52380|0|N
H5216|252|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|250| | |WI|52381|0|N
H5216|252|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|250| | |WI|52390|0|N
H5216|252|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|250| | |WI|52410|0|N
H5216|252|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|250| | |WI|52430|0|N
H5216|252|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|250| | |WI|52440|0|N
H5216|252|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|250| | |WI|52480|0|N
H5216|252|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|250| | |WI|52500|0|N
H5216|252|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|250| | |WI|52570|0|N
H5216|252|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|250| | |WI|52580|0|N
H5216|252|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|250| | |WI|52650|0|N
H5216|252|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|250| | |WI|52660|0|N
H5216|252|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|250| | |WI|52670|0|N
H5216|252|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|250| | |WI|52680|0|N
H5216|252|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|250| | |WI|52690|0|N
H5216|252|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|250| | |WI|52700|0|N
H5216|253|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-253 (PPO)|00025456|0.00|250| | |WI|52040|0|N
H5216|253|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-253 (PPO)|00025456|0.00|250| | |WI|52070|0|N
H5216|253|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-253 (PPO)|00025456|0.00|250| | |WI|52130|0|N
H5216|253|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-253 (PPO)|00025456|0.00|250| | |WI|52200|0|N
H5216|253|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-253 (PPO)|00025456|0.00|250| | |WI|52300|0|N
H5216|253|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-253 (PPO)|00025456|0.00|250| | |WI|52350|0|N
H5216|253|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-253 (PPO)|00025456|0.00|250| | |WI|52370|0|N
H5216|253|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-253 (PPO)|00025456|0.00|250| | |WI|52380|0|N
H5216|253|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-253 (PPO)|00025456|0.00|250| | |WI|52381|0|N
H5216|253|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-253 (PPO)|00025456|0.00|250| | |WI|52390|0|N
H5216|253|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-253 (PPO)|00025456|0.00|250| | |WI|52410|0|N
H5216|253|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-253 (PPO)|00025456|0.00|250| | |WI|52430|0|N
H5216|253|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-253 (PPO)|00025456|0.00|250| | |WI|52440|0|N
H5216|253|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-253 (PPO)|00025456|0.00|250| | |WI|52480|0|N
H5216|253|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-253 (PPO)|00025456|0.00|250| | |WI|52500|0|N
H5216|253|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-253 (PPO)|00025456|0.00|250| | |WI|52570|0|N
H5216|253|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-253 (PPO)|00025456|0.00|250| | |WI|52580|0|N
H5216|253|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-253 (PPO)|00025456|0.00|250| | |WI|52650|0|N
H5216|253|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-253 (PPO)|00025456|0.00|250| | |WI|52660|0|N
H5216|253|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-253 (PPO)|00025456|0.00|250| | |WI|52670|0|N
H5216|253|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-253 (PPO)|00025456|0.00|250| | |WI|52680|0|N
H5216|253|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-253 (PPO)|00025456|0.00|250| | |WI|52690|0|N
H5216|253|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-253 (PPO)|00025456|0.00|250| | |WI|52700|0|N
H5216|255|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-255 (PPO)|00025456|0.00|400| | |MT|27010|0|N
H5216|255|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-255 (PPO)|00025456|0.00|400| | |MT|27060|0|N
H5216|255|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-255 (PPO)|00025456|0.00|400| | |MT|27070|0|N
H5216|255|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-255 (PPO)|00025456|0.00|400| | |MT|27110|0|N
H5216|255|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-255 (PPO)|00025456|0.00|400| | |MT|27140|0|N
H5216|255|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-255 (PPO)|00025456|0.00|400| | |MT|27170|0|N
H5216|255|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-255 (PPO)|00025456|0.00|400| | |MT|27180|0|N
H5216|255|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-255 (PPO)|00025456|0.00|400| | |MT|27210|0|N
H5216|255|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-255 (PPO)|00025456|0.00|400| | |MT|27220|0|N
H5216|255|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-255 (PPO)|00025456|0.00|400| | |MT|27230|0|N
H5216|255|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-255 (PPO)|00025456|0.00|400| | |MT|27240|0|N
H5216|255|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-255 (PPO)|00025456|0.00|400| | |MT|27250|0|N
H5216|255|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-255 (PPO)|00025456|0.00|400| | |MT|27260|0|N
H5216|255|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-255 (PPO)|00025456|0.00|400| | |MT|27290|0|N
H5216|255|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-255 (PPO)|00025456|0.00|400| | |MT|27310|0|N
H5216|255|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-255 (PPO)|00025456|0.00|400| | |MT|27320|0|N
H5216|255|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-255 (PPO)|00025456|0.00|400| | |MT|27360|0|N
H5216|255|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-255 (PPO)|00025456|0.00|400| | |MT|27380|0|N
H5216|255|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-255 (PPO)|00025456|0.00|400| | |MT|27400|0|N
H5216|255|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-255 (PPO)|00025456|0.00|400| | |MT|27430|0|N
H5216|255|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-255 (PPO)|00025456|0.00|400| | |MT|27440|0|N
H5216|255|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-255 (PPO)|00025456|0.00|400| | |MT|27460|0|N
H5216|255|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-255 (PPO)|00025456|0.00|400| | |MT|27470|0|N
H5216|255|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-255 (PPO)|00025456|0.00|400| | |MT|27480|0|N
H5216|255|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-255 (PPO)|00025456|0.00|400| | |MT|27500|0|N
H5216|255|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-255 (PPO)|00025456|0.00|400| | |MT|27510|0|N
H5216|255|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-255 (PPO)|00025456|0.00|400| | |MT|27530|0|N
H5216|255|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-255 (PPO)|00025456|0.00|400| | |MT|27550|0|N
H5216|261|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-261 (PPO)|00025458|0.00|200| | |CO|06000|0|N
H5216|261|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-261 (PPO)|00025458|0.00|200| | |CO|06020|0|N
H5216|261|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-261 (PPO)|00025458|0.00|200| | |CO|06060|0|N
H5216|261|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-261 (PPO)|00025458|0.00|200| | |CO|06150|0|N
H5216|261|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-261 (PPO)|00025458|0.00|200| | |CO|06170|0|N
H5216|261|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-261 (PPO)|00025458|0.00|200| | |CO|06290|0|N
H5216|261|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-261 (PPO)|00025458|0.00|200| | |CO|06610|0|N
H5216|261|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-261 (PPO)|00025458|0.00|200| | |CO|06630|0|N
H5216|263|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-263 (PPO)|00025458|0.00|300| | |AZ|03000|0|N
H5216|263|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-263 (PPO)|00025458|0.00|300| | |AZ|03070|0|N
H5216|263|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-263 (PPO)|00025458|0.00|300| | |AZ|03080|0|N
H5216|263|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-263 (PPO)|00025458|0.00|300| | |AZ|03110|0|N
H5216|263|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-263 (PPO)|00025458|0.00|300| | |AZ|03120|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04000|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04010|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04020|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04030|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04040|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04050|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04060|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04070|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04080|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04090|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04110|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04120|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04130|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04140|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04150|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04160|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04170|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04190|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04200|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04220|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04230|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04240|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04250|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04260|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04270|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04280|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04290|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04320|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04340|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04350|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04370|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04380|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04390|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04400|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04410|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04420|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04430|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04440|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04450|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04460|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04470|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04480|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04490|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04500|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04510|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04520|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04530|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04540|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04550|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04570|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04580|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04590|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04600|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04610|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04620|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04630|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04640|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04650|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04660|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04680|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04690|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04700|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04710|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |AR|04740|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |OK|37000|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |OK|37060|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |OK|37070|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |OK|37080|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |OK|37100|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |OK|37130|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |OK|37140|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |OK|37150|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |OK|37170|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |OK|37180|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |OK|37200|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |OK|37230|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |OK|37240|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |OK|37250|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |OK|37310|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |OK|37340|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |OK|37350|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |OK|37360|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |OK|37390|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |OK|37400|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |OK|37410|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |OK|37430|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |OK|37450|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |OK|37480|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |OK|37490|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |OK|37500|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |OK|37510|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |OK|37530|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |OK|37540|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |OK|37550|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |OK|37560|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |OK|37570|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |OK|37580|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |OK|37590|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |OK|37600|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |OK|37610|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |OK|37620|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |OK|37650|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |OK|37660|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |OK|37670|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |OK|37680|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |OK|37710|0|N
H5216|264|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-264 (PPO)|00025456|0.00|590| | |OK|37720|0|N
H5216|265|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-265 (PPO)|00025458|0.00|300| | |AZ|03060|0|N
H5216|265|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-265 (PPO)|00025458|0.00|300| | |AZ|03090|0|N
H5216|265|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-265 (PPO)|00025458|0.00|300| | |AZ|03100|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49000|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49010|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49020|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49030|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49040|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49050|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49060|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49070|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49090|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49100|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49110|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49120|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49140|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49150|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49160|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49170|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49180|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49190|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49191|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49194|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49210|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49213|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49220|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49230|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49240|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49241|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49260|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49270|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49280|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49288|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49290|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49310|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49320|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49328|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49330|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49340|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49343|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49360|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49370|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49390|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49400|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49410|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49411|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49420|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49430|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49440|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49450|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49451|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49460|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49470|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49480|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49490|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49500|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49522|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49540|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49550|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49551|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49560|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49561|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49563|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49565|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49570|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49580|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49590|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49600|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49620|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49622|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49641|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49650|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49700|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49701|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49710|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49711|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49712|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49720|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49730|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49740|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49770|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49771|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49780|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49790|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49791|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49800|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49801|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49810|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49820|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49838|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49870|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49880|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49890|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49891|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49892|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49900|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49910|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49921|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49930|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49951|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49960|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49961|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49962|0|N
H5216|266|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-266 (PPO)|00025456|0.00|350| | |VA|49981|0|N
H5216|267|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-267 (PPO D-SNP)|00025456|0.00|590| | |CO|06000|2|N
H5216|267|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-267 (PPO D-SNP)|00025456|0.00|590| | |CO|06010|2|N
H5216|267|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-267 (PPO D-SNP)|00025456|0.00|590| | |CO|06020|2|N
H5216|267|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-267 (PPO D-SNP)|00025456|0.00|590| | |CO|06030|2|N
H5216|267|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-267 (PPO D-SNP)|00025456|0.00|590| | |CO|06050|2|N
H5216|267|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-267 (PPO D-SNP)|00025456|0.00|590| | |CO|06060|2|N
H5216|267|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-267 (PPO D-SNP)|00025456|0.00|590| | |CO|06070|2|N
H5216|267|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-267 (PPO D-SNP)|00025456|0.00|590| | |CO|06090|2|N
H5216|267|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-267 (PPO D-SNP)|00025456|0.00|590| | |CO|06100|2|N
H5216|267|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-267 (PPO D-SNP)|00025456|0.00|590| | |CO|06110|2|N
H5216|267|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-267 (PPO D-SNP)|00025456|0.00|590| | |CO|06120|2|N
H5216|267|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-267 (PPO D-SNP)|00025456|0.00|590| | |CO|06130|2|N
H5216|267|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-267 (PPO D-SNP)|00025456|0.00|590| | |CO|06140|2|N
H5216|267|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-267 (PPO D-SNP)|00025456|0.00|590| | |CO|06150|2|N
H5216|267|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-267 (PPO D-SNP)|00025456|0.00|590| | |CO|06160|2|N
H5216|267|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-267 (PPO D-SNP)|00025456|0.00|590| | |CO|06170|2|N
H5216|267|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-267 (PPO D-SNP)|00025456|0.00|590| | |CO|06190|2|N
H5216|267|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-267 (PPO D-SNP)|00025456|0.00|590| | |CO|06200|2|N
H5216|267|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-267 (PPO D-SNP)|00025456|0.00|590| | |CO|06210|2|N
H5216|267|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-267 (PPO D-SNP)|00025456|0.00|590| | |CO|06230|2|N
H5216|267|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-267 (PPO D-SNP)|00025456|0.00|590| | |CO|06240|2|N
H5216|267|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-267 (PPO D-SNP)|00025456|0.00|590| | |CO|06250|2|N
H5216|267|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-267 (PPO D-SNP)|00025456|0.00|590| | |CO|06260|2|N
H5216|267|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-267 (PPO D-SNP)|00025456|0.00|590| | |CO|06270|2|N
H5216|267|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-267 (PPO D-SNP)|00025456|0.00|590| | |CO|06280|2|N
H5216|267|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-267 (PPO D-SNP)|00025456|0.00|590| | |CO|06290|2|N
H5216|267|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-267 (PPO D-SNP)|00025456|0.00|590| | |CO|06320|2|N
H5216|267|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-267 (PPO D-SNP)|00025456|0.00|590| | |CO|06330|2|N
H5216|267|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-267 (PPO D-SNP)|00025456|0.00|590| | |CO|06340|2|N
H5216|267|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-267 (PPO D-SNP)|00025456|0.00|590| | |CO|06360|2|N
H5216|267|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-267 (PPO D-SNP)|00025456|0.00|590| | |CO|06370|2|N
H5216|267|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-267 (PPO D-SNP)|00025456|0.00|590| | |CO|06380|2|N
H5216|267|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-267 (PPO D-SNP)|00025456|0.00|590| | |CO|06390|2|N
H5216|267|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-267 (PPO D-SNP)|00025456|0.00|590| | |CO|06410|2|N
H5216|267|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-267 (PPO D-SNP)|00025456|0.00|590| | |CO|06420|2|N
H5216|267|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-267 (PPO D-SNP)|00025456|0.00|590| | |CO|06430|2|N
H5216|267|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-267 (PPO D-SNP)|00025456|0.00|590| | |CO|06440|2|N
H5216|267|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-267 (PPO D-SNP)|00025456|0.00|590| | |CO|06450|2|N
H5216|267|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-267 (PPO D-SNP)|00025456|0.00|590| | |CO|06460|2|N
H5216|267|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-267 (PPO D-SNP)|00025456|0.00|590| | |CO|06500|2|N
H5216|267|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-267 (PPO D-SNP)|00025456|0.00|590| | |CO|06510|2|N
H5216|267|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-267 (PPO D-SNP)|00025456|0.00|590| | |CO|06520|2|N
H5216|267|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-267 (PPO D-SNP)|00025456|0.00|590| | |CO|06540|2|N
H5216|267|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-267 (PPO D-SNP)|00025456|0.00|590| | |CO|06550|2|N
H5216|267|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-267 (PPO D-SNP)|00025456|0.00|590| | |CO|06560|2|N
H5216|267|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-267 (PPO D-SNP)|00025456|0.00|590| | |CO|06580|2|N
H5216|267|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-267 (PPO D-SNP)|00025456|0.00|590| | |CO|06590|2|N
H5216|267|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-267 (PPO D-SNP)|00025456|0.00|590| | |CO|06600|2|N
H5216|267|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-267 (PPO D-SNP)|00025456|0.00|590| | |CO|06610|2|N
H5216|267|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-267 (PPO D-SNP)|00025456|0.00|590| | |CO|06630|2|N
H5216|268|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-268 (PPO D-SNP)|00025456|0.00|590| | |IA|16050|2|N
H5216|268|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-268 (PPO D-SNP)|00025456|0.00|590| | |IA|16060|2|N
H5216|268|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-268 (PPO D-SNP)|00025456|0.00|590| | |IA|16070|2|N
H5216|268|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-268 (PPO D-SNP)|00025456|0.00|590| | |IA|16080|2|N
H5216|268|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-268 (PPO D-SNP)|00025456|0.00|590| | |IA|16090|2|N
H5216|268|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-268 (PPO D-SNP)|00025456|0.00|590| | |IA|16100|2|N
H5216|268|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-268 (PPO D-SNP)|00025456|0.00|590| | |IA|16110|2|N
H5216|268|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-268 (PPO D-SNP)|00025456|0.00|590| | |IA|16150|2|N
H5216|268|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-268 (PPO D-SNP)|00025456|0.00|590| | |IA|16170|2|N
H5216|268|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-268 (PPO D-SNP)|00025456|0.00|590| | |IA|16220|2|N
H5216|268|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-268 (PPO D-SNP)|00025456|0.00|590| | |IA|16240|2|N
H5216|268|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-268 (PPO D-SNP)|00025456|0.00|590| | |IA|16270|2|N
H5216|268|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-268 (PPO D-SNP)|00025456|0.00|590| | |IA|16280|2|N
H5216|268|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-268 (PPO D-SNP)|00025456|0.00|590| | |IA|16330|2|N
H5216|268|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-268 (PPO D-SNP)|00025456|0.00|590| | |IA|16370|2|N
H5216|268|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-268 (PPO D-SNP)|00025456|0.00|590| | |IA|16390|2|N
H5216|268|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-268 (PPO D-SNP)|00025456|0.00|590| | |IA|16410|2|N
H5216|268|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-268 (PPO D-SNP)|00025456|0.00|590| | |IA|16430|2|N
H5216|268|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-268 (PPO D-SNP)|00025456|0.00|590| | |IA|16480|2|N
H5216|268|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-268 (PPO D-SNP)|00025456|0.00|590| | |IA|16490|2|N
H5216|268|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-268 (PPO D-SNP)|00025456|0.00|590| | |IA|16500|2|N
H5216|268|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-268 (PPO D-SNP)|00025456|0.00|590| | |IA|16510|2|N
H5216|268|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-268 (PPO D-SNP)|00025456|0.00|590| | |IA|16520|2|N
H5216|268|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-268 (PPO D-SNP)|00025456|0.00|590| | |IA|16530|2|N
H5216|268|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-268 (PPO D-SNP)|00025456|0.00|590| | |IA|16560|2|N
H5216|268|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-268 (PPO D-SNP)|00025456|0.00|590| | |IA|16570|2|N
H5216|268|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-268 (PPO D-SNP)|00025456|0.00|590| | |IA|16590|2|N
H5216|268|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-268 (PPO D-SNP)|00025456|0.00|590| | |IA|16600|2|N
H5216|268|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-268 (PPO D-SNP)|00025456|0.00|590| | |IA|16610|2|N
H5216|268|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-268 (PPO D-SNP)|00025456|0.00|590| | |IA|16620|2|N
H5216|268|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-268 (PPO D-SNP)|00025456|0.00|590| | |IA|16630|2|N
H5216|268|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-268 (PPO D-SNP)|00025456|0.00|590| | |IA|16640|2|N
H5216|268|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-268 (PPO D-SNP)|00025456|0.00|590| | |IA|16650|2|N
H5216|268|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-268 (PPO D-SNP)|00025456|0.00|590| | |IA|16690|2|N
H5216|268|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-268 (PPO D-SNP)|00025456|0.00|590| | |IA|16740|2|N
H5216|268|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-268 (PPO D-SNP)|00025456|0.00|590| | |IA|16760|2|N
H5216|268|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-268 (PPO D-SNP)|00025456|0.00|590| | |IA|16770|2|N
H5216|268|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-268 (PPO D-SNP)|00025456|0.00|590| | |IA|16780|2|N
H5216|268|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-268 (PPO D-SNP)|00025456|0.00|590| | |IA|16810|2|N
H5216|268|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-268 (PPO D-SNP)|00025456|0.00|590| | |IA|16830|2|N
H5216|268|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-268 (PPO D-SNP)|00025456|0.00|590| | |IA|16840|2|N
H5216|268|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-268 (PPO D-SNP)|00025456|0.00|590| | |IA|16850|2|N
H5216|268|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-268 (PPO D-SNP)|00025456|0.00|590| | |IA|16900|2|N
H5216|268|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-268 (PPO D-SNP)|00025456|0.00|590| | |IA|16910|2|N
H5216|268|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-268 (PPO D-SNP)|00025456|0.00|590| | |IA|16930|2|N
H5216|268|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-268 (PPO D-SNP)|00025456|0.00|590| | |IA|16940|2|N
H5216|268|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-268 (PPO D-SNP)|00025456|0.00|590| | |IA|16960|2|N
H5216|268|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-268 (PPO D-SNP)|00025456|0.00|590| | |IA|16970|2|N
H5216|269|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-269 (PPO)|00025458|0.00|590| | |AL|01000|0|N
H5216|269|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-269 (PPO)|00025458|0.00|590| | |AL|01010|0|N
H5216|269|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-269 (PPO)|00025458|0.00|590| | |AL|01020|0|N
H5216|269|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-269 (PPO)|00025458|0.00|590| | |AL|01030|0|N
H5216|269|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-269 (PPO)|00025458|0.00|590| | |AL|01050|0|N
H5216|269|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-269 (PPO)|00025458|0.00|590| | |AL|01060|0|N
H5216|269|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-269 (PPO)|00025458|0.00|590| | |AL|01080|0|N
H5216|269|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-269 (PPO)|00025458|0.00|590| | |AL|01100|0|N
H5216|269|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-269 (PPO)|00025458|0.00|590| | |AL|01110|0|N
H5216|269|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-269 (PPO)|00025458|0.00|590| | |AL|01120|0|N
H5216|269|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-269 (PPO)|00025458|0.00|590| | |AL|01150|0|N
H5216|269|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-269 (PPO)|00025458|0.00|590| | |AL|01160|0|N
H5216|269|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-269 (PPO)|00025458|0.00|590| | |AL|01170|0|N
H5216|269|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-269 (PPO)|00025458|0.00|590| | |AL|01190|0|N
H5216|269|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-269 (PPO)|00025458|0.00|590| | |AL|01200|0|N
H5216|269|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-269 (PPO)|00025458|0.00|590| | |AL|01210|0|N
H5216|269|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-269 (PPO)|00025458|0.00|590| | |AL|01220|0|N
H5216|269|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-269 (PPO)|00025458|0.00|590| | |AL|01230|0|N
H5216|269|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-269 (PPO)|00025458|0.00|590| | |AL|01250|0|N
H5216|269|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-269 (PPO)|00025458|0.00|590| | |AL|01260|0|N
H5216|269|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-269 (PPO)|00025458|0.00|590| | |AL|01270|0|N
H5216|269|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-269 (PPO)|00025458|0.00|590| | |AL|01280|0|N
H5216|269|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-269 (PPO)|00025458|0.00|590| | |AL|01290|0|N
H5216|269|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-269 (PPO)|00025458|0.00|590| | |AL|01300|0|N
H5216|269|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-269 (PPO)|00025458|0.00|590| | |AL|01310|0|N
H5216|269|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-269 (PPO)|00025458|0.00|590| | |AL|01320|0|N
H5216|269|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-269 (PPO)|00025458|0.00|590| | |AL|01330|0|N
H5216|269|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-269 (PPO)|00025458|0.00|590| | |AL|01340|0|N
H5216|269|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-269 (PPO)|00025458|0.00|590| | |AL|01370|0|N
H5216|269|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-269 (PPO)|00025458|0.00|590| | |AL|01380|0|N
H5216|269|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-269 (PPO)|00025458|0.00|590| | |AL|01390|0|N
H5216|269|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-269 (PPO)|00025458|0.00|590| | |AL|01400|0|N
H5216|269|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-269 (PPO)|00025458|0.00|590| | |AL|01410|0|N
H5216|269|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-269 (PPO)|00025458|0.00|590| | |AL|01420|0|N
H5216|269|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-269 (PPO)|00025458|0.00|590| | |AL|01430|0|N
H5216|269|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-269 (PPO)|00025458|0.00|590| | |AL|01440|0|N
H5216|269|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-269 (PPO)|00025458|0.00|590| | |AL|01450|0|N
H5216|269|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-269 (PPO)|00025458|0.00|590| | |AL|01460|0|N
H5216|269|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-269 (PPO)|00025458|0.00|590| | |AL|01480|0|N
H5216|269|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-269 (PPO)|00025458|0.00|590| | |AL|01490|0|N
H5216|269|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-269 (PPO)|00025458|0.00|590| | |AL|01500|0|N
H5216|269|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-269 (PPO)|00025458|0.00|590| | |AL|01510|0|N
H5216|269|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-269 (PPO)|00025458|0.00|590| | |AL|01520|0|N
H5216|269|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-269 (PPO)|00025458|0.00|590| | |AL|01530|0|N
H5216|269|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-269 (PPO)|00025458|0.00|590| | |AL|01540|0|N
H5216|269|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-269 (PPO)|00025458|0.00|590| | |AL|01560|0|N
H5216|269|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-269 (PPO)|00025458|0.00|590| | |AL|01570|0|N
H5216|269|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-269 (PPO)|00025458|0.00|590| | |AL|01590|0|N
H5216|269|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-269 (PPO)|00025458|0.00|590| | |AL|01600|0|N
H5216|269|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-269 (PPO)|00025458|0.00|590| | |AL|01610|0|N
H5216|269|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-269 (PPO)|00025458|0.00|590| | |AL|01630|0|N
H5216|269|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-269 (PPO)|00025458|0.00|590| | |AL|01640|0|N
H5216|269|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-269 (PPO)|00025458|0.00|590| | |AL|01650|0|N
H5216|269|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-269 (PPO)|00025458|0.00|590| | |AL|01660|0|N
H5216|271|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-271 (PPO)|00025458|0.00|590| | |VA|49111|0|N
H5216|271|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-271 (PPO)|00025458|0.00|590| | |VA|49130|0|N
H5216|271|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-271 (PPO)|00025458|0.00|590| | |VA|49250|0|N
H5216|271|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-271 (PPO)|00025458|0.00|590| | |VA|49380|0|N
H5216|271|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-271 (PPO)|00025458|0.00|590| | |VA|49520|0|N
H5216|271|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-271 (PPO)|00025458|0.00|590| | |VA|49661|0|N
H5216|271|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-271 (PPO)|00025458|0.00|590| | |VA|49830|0|N
H5216|271|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-271 (PPO)|00025458|0.00|590| | |VA|49840|0|N
H5216|271|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-271 (PPO)|00025458|0.00|590| | |VA|49860|0|N
H5216|271|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-271 (PPO)|00025458|0.00|590| | |VA|49920|0|N
H5216|271|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-271 (PPO)|00025458|0.00|590| | |VA|49950|0|N
H5216|271|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-271 (PPO)|00025458|0.00|590| | |VA|49970|0|N
H5216|271|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-271 (PPO)|00025458|0.00|590| | |VA|49980|0|N
H5216|275|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-275 (PPO)|00025456|0.00|590| | |MN|24000|0|N
H5216|275|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-275 (PPO)|00025456|0.00|590| | |MN|24010|0|N
H5216|275|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-275 (PPO)|00025456|0.00|590| | |MN|24020|0|N
H5216|275|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-275 (PPO)|00025456|0.00|590| | |MN|24030|0|N
H5216|275|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-275 (PPO)|00025456|0.00|590| | |MN|24040|0|N
H5216|275|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-275 (PPO)|00025456|0.00|590| | |MN|24090|0|N
H5216|275|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-275 (PPO)|00025456|0.00|590| | |MN|24130|0|N
H5216|275|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-275 (PPO)|00025456|0.00|590| | |MN|24180|0|N
H5216|275|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-275 (PPO)|00025456|0.00|590| | |MN|24260|0|N
H5216|275|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-275 (PPO)|00025456|0.00|590| | |MN|24280|0|N
H5216|275|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-275 (PPO)|00025456|0.00|590| | |MN|24290|0|N
H5216|275|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-275 (PPO)|00025456|0.00|590| | |MN|24300|0|N
H5216|275|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-275 (PPO)|00025456|0.00|590| | |MN|24350|0|N
H5216|275|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-275 (PPO)|00025456|0.00|590| | |MN|24370|0|N
H5216|275|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-275 (PPO)|00025456|0.00|590| | |MN|24380|0|N
H5216|275|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-275 (PPO)|00025456|0.00|590| | |MN|24420|0|N
H5216|275|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-275 (PPO)|00025456|0.00|590| | |MN|24430|0|N
H5216|275|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-275 (PPO)|00025456|0.00|590| | |MN|24460|0|N
H5216|275|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-275 (PPO)|00025456|0.00|590| | |MN|24530|0|N
H5216|275|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-275 (PPO)|00025456|0.00|590| | |MN|24550|0|N
H5216|275|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-275 (PPO)|00025456|0.00|590| | |MN|24560|0|N
H5216|275|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-275 (PPO)|00025456|0.00|590| | |MN|24610|0|N
H5216|275|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-275 (PPO)|00025456|0.00|590| | |MN|24620|0|N
H5216|275|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-275 (PPO)|00025456|0.00|590| | |MN|24670|0|N
H5216|275|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-275 (PPO)|00025456|0.00|590| | |MN|24680|0|N
H5216|275|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-275 (PPO)|00025456|0.00|590| | |MN|24690|0|N
H5216|275|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-275 (PPO)|00025456|0.00|590| | |MN|24760|0|N
H5216|275|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-275 (PPO)|00025456|0.00|590| | |MN|24810|0|N
H5216|275|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-275 (PPO)|00025456|0.00|590| | |MN|24850|0|N
H5216|277|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-277 (PPO D-SNP)|00025456|0.00|590| | |SC|42000|2|N
H5216|277|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-277 (PPO D-SNP)|00025456|0.00|590| | |SC|42010|2|N
H5216|277|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-277 (PPO D-SNP)|00025456|0.00|590| | |SC|42020|2|N
H5216|277|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-277 (PPO D-SNP)|00025456|0.00|590| | |SC|42030|2|N
H5216|277|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-277 (PPO D-SNP)|00025456|0.00|590| | |SC|42040|2|N
H5216|277|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-277 (PPO D-SNP)|00025456|0.00|590| | |SC|42050|2|N
H5216|277|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-277 (PPO D-SNP)|00025456|0.00|590| | |SC|42060|2|N
H5216|277|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-277 (PPO D-SNP)|00025456|0.00|590| | |SC|42070|2|N
H5216|277|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-277 (PPO D-SNP)|00025456|0.00|590| | |SC|42080|2|N
H5216|277|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-277 (PPO D-SNP)|00025456|0.00|590| | |SC|42090|2|N
H5216|277|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-277 (PPO D-SNP)|00025456|0.00|590| | |SC|42100|2|N
H5216|277|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-277 (PPO D-SNP)|00025456|0.00|590| | |SC|42110|2|N
H5216|277|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-277 (PPO D-SNP)|00025456|0.00|590| | |SC|42120|2|N
H5216|277|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-277 (PPO D-SNP)|00025456|0.00|590| | |SC|42130|2|N
H5216|277|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-277 (PPO D-SNP)|00025456|0.00|590| | |SC|42140|2|N
H5216|277|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-277 (PPO D-SNP)|00025456|0.00|590| | |SC|42150|2|N
H5216|277|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-277 (PPO D-SNP)|00025456|0.00|590| | |SC|42160|2|N
H5216|277|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-277 (PPO D-SNP)|00025456|0.00|590| | |SC|42170|2|N
H5216|277|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-277 (PPO D-SNP)|00025456|0.00|590| | |SC|42180|2|N
H5216|277|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-277 (PPO D-SNP)|00025456|0.00|590| | |SC|42190|2|N
H5216|277|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-277 (PPO D-SNP)|00025456|0.00|590| | |SC|42200|2|N
H5216|277|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-277 (PPO D-SNP)|00025456|0.00|590| | |SC|42210|2|N
H5216|277|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-277 (PPO D-SNP)|00025456|0.00|590| | |SC|42220|2|N
H5216|277|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-277 (PPO D-SNP)|00025456|0.00|590| | |SC|42230|2|N
H5216|277|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-277 (PPO D-SNP)|00025456|0.00|590| | |SC|42240|2|N
H5216|277|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-277 (PPO D-SNP)|00025456|0.00|590| | |SC|42250|2|N
H5216|277|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-277 (PPO D-SNP)|00025456|0.00|590| | |SC|42260|2|N
H5216|277|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-277 (PPO D-SNP)|00025456|0.00|590| | |SC|42270|2|N
H5216|277|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-277 (PPO D-SNP)|00025456|0.00|590| | |SC|42280|2|N
H5216|277|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-277 (PPO D-SNP)|00025456|0.00|590| | |SC|42290|2|N
H5216|277|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-277 (PPO D-SNP)|00025456|0.00|590| | |SC|42300|2|N
H5216|277|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-277 (PPO D-SNP)|00025456|0.00|590| | |SC|42310|2|N
H5216|277|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-277 (PPO D-SNP)|00025456|0.00|590| | |SC|42320|2|N
H5216|277|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-277 (PPO D-SNP)|00025456|0.00|590| | |SC|42330|2|N
H5216|277|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-277 (PPO D-SNP)|00025456|0.00|590| | |SC|42340|2|N
H5216|277|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-277 (PPO D-SNP)|00025456|0.00|590| | |SC|42350|2|N
H5216|277|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-277 (PPO D-SNP)|00025456|0.00|590| | |SC|42360|2|N
H5216|277|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-277 (PPO D-SNP)|00025456|0.00|590| | |SC|42370|2|N
H5216|277|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-277 (PPO D-SNP)|00025456|0.00|590| | |SC|42380|2|N
H5216|277|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-277 (PPO D-SNP)|00025456|0.00|590| | |SC|42390|2|N
H5216|277|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-277 (PPO D-SNP)|00025456|0.00|590| | |SC|42400|2|N
H5216|277|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-277 (PPO D-SNP)|00025456|0.00|590| | |SC|42410|2|N
H5216|277|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-277 (PPO D-SNP)|00025456|0.00|590| | |SC|42420|2|N
H5216|277|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-277 (PPO D-SNP)|00025456|0.00|590| | |SC|42430|2|N
H5216|277|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-277 (PPO D-SNP)|00025456|0.00|590| | |SC|42440|2|N
H5216|277|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-277 (PPO D-SNP)|00025456|0.00|590| | |SC|42450|2|N
H5216|280|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|40.00|590| | |GA|11050|0|N
H5216|280|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|40.00|590| | |GA|11060|0|N
H5216|280|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|40.00|590| | |GA|11130|0|N
H5216|280|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|40.00|590| | |GA|11150|0|N
H5216|280|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|40.00|590| | |GA|11160|0|N
H5216|280|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|40.00|590| | |GA|11190|0|N
H5216|280|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|40.00|590| | |GA|11220|0|N
H5216|280|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|40.00|590| | |GA|11230|0|N
H5216|280|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|40.00|590| | |GA|11260|0|N
H5216|280|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|40.00|590| | |GA|11280|0|N
H5216|280|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|40.00|590| | |GA|11310|0|N
H5216|280|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|40.00|590| | |GA|11320|0|N
H5216|280|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|40.00|590| | |GA|11350|0|N
H5216|280|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|40.00|590| | |GA|11370|0|N
H5216|280|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|40.00|590| | |GA|11400|0|N
H5216|280|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|40.00|590| | |GA|11421|0|N
H5216|280|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|40.00|590| | |GA|11451|0|N
H5216|280|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|40.00|590| | |GA|11460|0|N
H5216|280|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|40.00|590| | |GA|11461|0|N
H5216|280|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|40.00|590| | |GA|11470|0|N
H5216|280|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|40.00|590| | |GA|11500|0|N
H5216|280|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|40.00|590| | |GA|11530|0|N
H5216|280|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|40.00|590| | |GA|11570|0|N
H5216|280|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|40.00|590| | |GA|11580|0|N
H5216|280|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|40.00|590| | |GA|11590|0|N
H5216|280|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|40.00|590| | |GA|11591|0|N
H5216|280|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|40.00|590| | |GA|11610|0|N
H5216|280|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|40.00|590| | |GA|11611|0|N
H5216|280|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|40.00|590| | |GA|11651|0|N
H5216|280|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|40.00|590| | |GA|11680|0|N
H5216|280|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|40.00|590| | |GA|11690|0|N
H5216|280|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|40.00|590| | |GA|11702|0|N
H5216|280|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|40.00|590| | |GA|11720|0|N
H5216|280|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|40.00|590| | |GA|11730|0|N
H5216|280|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|40.00|590| | |GA|11740|0|N
H5216|280|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|40.00|590| | |GA|11780|0|N
H5216|280|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|40.00|590| | |GA|11790|0|N
H5216|280|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|40.00|590| | |GA|11800|0|N
H5216|280|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|40.00|590| | |GA|11801|0|N
H5216|280|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|40.00|590| | |GA|11821|0|N
H5216|280|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|40.00|590| | |GA|11840|0|N
H5216|280|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|40.00|590| | |GA|11841|0|N
H5216|280|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|40.00|590| | |GA|11860|0|N
H5216|280|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|40.00|590| | |GA|11910|0|N
H5216|280|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|40.00|590| | |GA|11920|0|N
H5216|280|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|40.00|590| | |GA|11930|0|N
H5216|280|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|46.60|590| | |SC|42000|0|N
H5216|280|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|46.60|590| | |SC|42010|0|N
H5216|280|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|46.60|590| | |SC|42030|0|N
H5216|280|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|46.60|590| | |SC|42040|0|N
H5216|280|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|46.60|590| | |SC|42050|0|N
H5216|280|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|46.60|590| | |SC|42070|0|N
H5216|280|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|46.60|590| | |SC|42080|0|N
H5216|280|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|46.60|590| | |SC|42090|0|N
H5216|280|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|46.60|590| | |SC|42100|0|N
H5216|280|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|46.60|590| | |SC|42120|0|N
H5216|280|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|46.60|590| | |SC|42130|0|N
H5216|280|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|46.60|590| | |SC|42140|0|N
H5216|280|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|46.60|590| | |SC|42150|0|N
H5216|280|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|46.60|590| | |SC|42160|0|N
H5216|280|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|46.60|590| | |SC|42170|0|N
H5216|280|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|46.60|590| | |SC|42180|0|N
H5216|280|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|46.60|590| | |SC|42190|0|N
H5216|280|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|46.60|590| | |SC|42200|0|N
H5216|280|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|46.60|590| | |SC|42210|0|N
H5216|280|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|46.60|590| | |SC|42220|0|N
H5216|280|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|46.60|590| | |SC|42230|0|N
H5216|280|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|46.60|590| | |SC|42240|0|N
H5216|280|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|46.60|590| | |SC|42250|0|N
H5216|280|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|46.60|590| | |SC|42260|0|N
H5216|280|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|46.60|590| | |SC|42270|0|N
H5216|280|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|46.60|590| | |SC|42280|0|N
H5216|280|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|46.60|590| | |SC|42290|0|N
H5216|280|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|46.60|590| | |SC|42300|0|N
H5216|280|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|46.60|590| | |SC|42310|0|N
H5216|280|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|46.60|590| | |SC|42320|0|N
H5216|280|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|46.60|590| | |SC|42330|0|N
H5216|280|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|46.60|590| | |SC|42340|0|N
H5216|280|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|46.60|590| | |SC|42350|0|N
H5216|280|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|46.60|590| | |SC|42360|0|N
H5216|280|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|46.60|590| | |SC|42370|0|N
H5216|280|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|46.60|590| | |SC|42380|0|N
H5216|280|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|46.60|590| | |SC|42390|0|N
H5216|280|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|46.60|590| | |SC|42400|0|N
H5216|280|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|46.60|590| | |SC|42410|0|N
H5216|280|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|46.60|590| | |SC|42420|0|N
H5216|280|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|46.60|590| | |SC|42440|0|N
H5216|280|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-280 (PPO)|00025458|46.60|590| | |SC|42450|0|N
H5216|281|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-281 (PPO)|00025456|0.00|250| | |NV|29010|0|N
H5216|281|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-281 (PPO)|00025456|0.00|250| | |NV|29110|0|N
H5216|283|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-283 (PPO)|00025456|22.80|590| | |IL|14030|0|N
H5216|283|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-283 (PPO)|00025456|22.80|590| | |IL|14141|0|N
H5216|283|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-283 (PPO)|00025456|22.80|590| | |IL|14170|0|N
H5216|283|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-283 (PPO)|00025456|22.80|590| | |IL|14250|0|N
H5216|283|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-283 (PPO)|00025456|22.80|590| | |IL|14400|0|N
H5216|283|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-283 (PPO)|00025456|22.80|590| | |IL|14530|0|N
H5216|283|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-283 (PPO)|00025456|22.80|590| | |IL|14540|0|N
H5216|283|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-283 (PPO)|00025456|22.80|590| | |IL|14550|0|N
H5216|283|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-283 (PPO)|00025456|22.80|590| | |IL|14570|0|N
H5216|283|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-283 (PPO)|00025456|22.80|590| | |IL|14790|0|N
H5216|283|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-283 (PPO)|00025456|22.80|590| | |IL|14970|0|N
H5216|283|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-283 (PPO)|00025456|22.80|590| | |IL|14989|0|N
H5216|283|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-283 (PPO)|00025456|22.80|590| | |IL|14991|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11000|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11010|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11011|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11020|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11030|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11040|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11070|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11080|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11090|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11100|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11110|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11120|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11140|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11161|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11170|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11180|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11200|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11210|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11240|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11270|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11281|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11291|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11311|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11330|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11340|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11341|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11360|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11380|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11381|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11410|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11420|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11430|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11440|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11441|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11450|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11462|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11471|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11480|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11490|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11510|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11520|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11540|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11560|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11581|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11600|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11601|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11612|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11620|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11630|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11640|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11650|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11652|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11660|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11670|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11691|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11700|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11701|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11703|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11710|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11741|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11760|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11770|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11771|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11772|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11811|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11820|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11831|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11832|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11833|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11834|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11835|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11842|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11850|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11851|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11861|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11862|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11870|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11880|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11881|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11882|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11883|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11884|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11885|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11890|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11900|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11901|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11902|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11903|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11911|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11912|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11913|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11921|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11940|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11941|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11950|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11960|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11961|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11962|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11963|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11970|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11971|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11972|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11973|0|N
H5216|284|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-284 (PPO)|00025458|40.00|590| | |GA|11980|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |KY|18070|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |KY|18180|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |KY|18580|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |KY|18932|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36000|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36010|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36020|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36030|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36050|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36060|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36070|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36080|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36090|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36100|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36110|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36120|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36130|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36140|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36170|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36190|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36210|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36220|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36230|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36250|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36260|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36270|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36280|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36290|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36300|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36310|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36330|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36340|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36350|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36360|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36390|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36400|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36410|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36420|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36430|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36440|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36450|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36460|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36470|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36480|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36490|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36500|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36510|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36520|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36530|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36540|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36560|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36570|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36580|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36600|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36610|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36620|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36630|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36640|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36650|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36660|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36680|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36690|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36700|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36720|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36730|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36740|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36750|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36760|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36770|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36780|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36790|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36800|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36810|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36820|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36840|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36850|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36860|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36870|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36880|0|N
H5216|285|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-285 (PPO)|00025456|0.00|250| | |OH|36890|0|N
H5216|287|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-287 (PPO)|00025456|0.00|350| | |MI|23490|0|N
H5216|287|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-287 (PPO)|00025456|0.00|350| | |MI|23620|0|N
H5216|287|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-287 (PPO)|00025456|0.00|350| | |MI|23810|0|N
H5216|288|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-288 (PPO)|00025456|24.60|275| | |CT|07010|0|N
H5216|288|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-288 (PPO)|00025456|24.60|275| | |CT|07020|0|N
H5216|288|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-288 (PPO)|00025456|24.60|275| | |CT|07030|0|N
H5216|288|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-288 (PPO)|00025456|24.60|275| | |CT|07040|0|N
H5216|288|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-288 (PPO)|00025456|24.60|275| | |CT|07060|0|N
H5216|289|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-289 (PPO)|00025456|0.00|300| | |CT|07010|0|N
H5216|289|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-289 (PPO)|00025456|0.00|300| | |CT|07020|0|N
H5216|289|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-289 (PPO)|00025456|0.00|300| | |CT|07030|0|N
H5216|289|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-289 (PPO)|00025456|0.00|300| | |CT|07040|0|N
H5216|289|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-289 (PPO)|00025456|0.00|300| | |CT|07060|0|N
H5216|291|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-291 (PPO D-SNP)|00025456|0.00|590| | |ME|20000|2|N
H5216|291|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-291 (PPO D-SNP)|00025456|0.00|590| | |ME|20010|2|N
H5216|291|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-291 (PPO D-SNP)|00025456|0.00|590| | |ME|20020|2|N
H5216|291|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-291 (PPO D-SNP)|00025456|0.00|590| | |ME|20030|2|N
H5216|291|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-291 (PPO D-SNP)|00025456|0.00|590| | |ME|20040|2|N
H5216|291|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-291 (PPO D-SNP)|00025456|0.00|590| | |ME|20050|2|N
H5216|291|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-291 (PPO D-SNP)|00025456|0.00|590| | |ME|20060|2|N
H5216|291|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-291 (PPO D-SNP)|00025456|0.00|590| | |ME|20070|2|N
H5216|291|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-291 (PPO D-SNP)|00025456|0.00|590| | |ME|20080|2|N
H5216|291|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-291 (PPO D-SNP)|00025456|0.00|590| | |ME|20090|2|N
H5216|291|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-291 (PPO D-SNP)|00025456|0.00|590| | |ME|20100|2|N
H5216|291|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-291 (PPO D-SNP)|00025456|0.00|590| | |ME|20110|2|N
H5216|291|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-291 (PPO D-SNP)|00025456|0.00|590| | |ME|20120|2|N
H5216|291|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-291 (PPO D-SNP)|00025456|0.00|590| | |ME|20130|2|N
H5216|291|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-291 (PPO D-SNP)|00025456|0.00|590| | |ME|20140|2|N
H5216|291|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-291 (PPO D-SNP)|00025456|0.00|590| | |ME|20150|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25000|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25010|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25030|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25040|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25050|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25060|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25080|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25090|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25100|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25110|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25130|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25140|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25150|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25160|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25170|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25180|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25190|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25200|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25220|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25230|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25240|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25260|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25270|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25290|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25300|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25310|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25320|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25330|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25340|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25350|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25360|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25370|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25390|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25410|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25440|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25450|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25460|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25470|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25480|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25490|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25530|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25540|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25550|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25560|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25580|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25590|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25600|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25610|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25620|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25650|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25660|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25670|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25680|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25700|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25710|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25720|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25730|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25740|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25750|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25760|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25770|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25780|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25790|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25800|2|N
H5216|292|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-292 (PPO D-SNP)|00025456|0.00|590| | |MS|25810|2|N
H5216|293|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-293 (PPO)|00025456|41.90|590| | |ID|13000|0|N
H5216|293|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-293 (PPO)|00025456|41.90|590| | |ID|13010|0|N
H5216|293|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-293 (PPO)|00025456|41.90|590| | |ID|13020|0|N
H5216|293|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-293 (PPO)|00025456|41.90|590| | |ID|13030|0|N
H5216|293|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-293 (PPO)|00025456|41.90|590| | |ID|13050|0|N
H5216|293|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-293 (PPO)|00025456|41.90|590| | |ID|13060|0|N
H5216|293|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-293 (PPO)|00025456|41.90|590| | |ID|13070|0|N
H5216|293|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-293 (PPO)|00025456|41.90|590| | |ID|13090|0|N
H5216|293|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-293 (PPO)|00025456|41.90|590| | |ID|13120|0|N
H5216|293|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-293 (PPO)|00025456|41.90|590| | |ID|13130|0|N
H5216|293|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-293 (PPO)|00025456|41.90|590| | |ID|13140|0|N
H5216|293|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-293 (PPO)|00025456|41.90|590| | |ID|13150|0|N
H5216|293|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-293 (PPO)|00025456|41.90|590| | |ID|13160|0|N
H5216|293|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-293 (PPO)|00025456|41.90|590| | |ID|13190|0|N
H5216|293|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-293 (PPO)|00025456|41.90|590| | |ID|13200|0|N
H5216|293|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-293 (PPO)|00025456|41.90|590| | |ID|13210|0|N
H5216|293|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-293 (PPO)|00025456|41.90|590| | |ID|13220|0|N
H5216|293|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-293 (PPO)|00025456|41.90|590| | |ID|13230|0|N
H5216|293|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-293 (PPO)|00025456|41.90|590| | |ID|13250|0|N
H5216|293|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-293 (PPO)|00025456|41.90|590| | |ID|13260|0|N
H5216|293|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-293 (PPO)|00025456|41.90|590| | |ID|13310|0|N
H5216|293|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-293 (PPO)|00025456|41.90|590| | |ID|13330|0|N
H5216|293|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-293 (PPO)|00025456|41.90|590| | |ID|13350|0|N
H5216|293|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-293 (PPO)|00025456|41.90|590| | |ID|13360|0|N
H5216|293|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-293 (PPO)|00025456|41.90|590| | |ID|13370|0|N
H5216|293|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-293 (PPO)|00025456|41.90|590| | |ID|13380|0|N
H5216|293|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-293 (PPO)|00025456|41.90|590| | |ID|13400|0|N
H5216|293|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-293 (PPO)|00025456|41.90|590| | |ID|13410|0|N
H5216|293|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-293 (PPO)|00025456|41.90|590| | |ID|13420|0|N
H5216|293|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-293 (PPO)|00025456|41.90|590| | |ID|13430|0|N
H5216|296|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-296 (PPO D-SNP)|00025456|0.00|590| | |UT|46000|2|N
H5216|296|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-296 (PPO D-SNP)|00025456|0.00|590| | |UT|46010|2|N
H5216|296|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-296 (PPO D-SNP)|00025456|0.00|590| | |UT|46020|2|N
H5216|296|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-296 (PPO D-SNP)|00025456|0.00|590| | |UT|46050|2|N
H5216|296|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-296 (PPO D-SNP)|00025456|0.00|590| | |UT|46060|2|N
H5216|296|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-296 (PPO D-SNP)|00025456|0.00|590| | |UT|46070|2|N
H5216|296|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-296 (PPO D-SNP)|00025456|0.00|590| | |UT|46080|2|N
H5216|296|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-296 (PPO D-SNP)|00025456|0.00|590| | |UT|46090|2|N
H5216|296|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-296 (PPO D-SNP)|00025456|0.00|590| | |UT|46100|2|N
H5216|296|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-296 (PPO D-SNP)|00025456|0.00|590| | |UT|46110|2|N
H5216|296|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-296 (PPO D-SNP)|00025456|0.00|590| | |UT|46120|2|N
H5216|296|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-296 (PPO D-SNP)|00025456|0.00|590| | |UT|46130|2|N
H5216|296|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-296 (PPO D-SNP)|00025456|0.00|590| | |UT|46140|2|N
H5216|296|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-296 (PPO D-SNP)|00025456|0.00|590| | |UT|46150|2|N
H5216|296|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-296 (PPO D-SNP)|00025456|0.00|590| | |UT|46160|2|N
H5216|296|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-296 (PPO D-SNP)|00025456|0.00|590| | |UT|46170|2|N
H5216|296|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-296 (PPO D-SNP)|00025456|0.00|590| | |UT|46180|2|N
H5216|296|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-296 (PPO D-SNP)|00025456|0.00|590| | |UT|46210|2|N
H5216|296|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-296 (PPO D-SNP)|00025456|0.00|590| | |UT|46220|2|N
H5216|296|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-296 (PPO D-SNP)|00025456|0.00|590| | |UT|46240|2|N
H5216|296|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-296 (PPO D-SNP)|00025456|0.00|590| | |UT|46250|2|N
H5216|296|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-296 (PPO D-SNP)|00025456|0.00|590| | |UT|46260|2|N
H5216|296|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-296 (PPO D-SNP)|00025456|0.00|590| | |UT|46280|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25000|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25010|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25030|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25040|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25050|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25060|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25080|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25090|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25100|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25110|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25130|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25140|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25150|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25160|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25170|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25180|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25190|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25200|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25220|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25230|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25240|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25260|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25270|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25290|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25300|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25310|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25320|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25330|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25340|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25350|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25360|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25370|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25390|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25410|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25440|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25450|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25460|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25470|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25480|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25490|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25530|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25540|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25550|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25560|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25580|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25590|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25600|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25610|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25620|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25650|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25660|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25670|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25680|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25700|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25710|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25720|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25730|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25740|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25750|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25760|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25770|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25780|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25790|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25800|2|N
H5216|298|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-298 (PPO D-SNP)|00025456|47.30|590| | |MS|25810|2|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25000|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25010|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25030|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25040|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25050|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25060|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25080|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25090|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25100|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25130|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25140|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25150|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25160|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25170|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25180|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25190|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25200|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25220|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25230|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25240|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25260|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25270|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25290|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25300|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25320|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25330|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25340|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25350|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25360|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25370|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25390|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25410|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25440|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25450|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25460|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25470|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25480|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25490|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25530|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25540|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25550|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25560|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25580|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25590|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25600|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25610|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25620|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25650|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25660|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25670|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25680|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25700|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25710|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25720|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25730|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25740|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25750|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25760|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25770|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25780|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25790|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25800|0|N
H5216|300|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-300 (PPO)|00025456|0.00|590| | |MS|25810|0|N
H5216|302|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-302 (PPO D-SNP)|00025456|0.00|590| | |NV|29000|2|N
H5216|302|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-302 (PPO D-SNP)|00025456|0.00|590| | |NV|29010|2|N
H5216|302|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-302 (PPO D-SNP)|00025456|0.00|590| | |NV|29020|2|N
H5216|302|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-302 (PPO D-SNP)|00025456|0.00|590| | |NV|29090|2|N
H5216|302|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-302 (PPO D-SNP)|00025456|0.00|590| | |NV|29100|2|N
H5216|302|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-302 (PPO D-SNP)|00025456|0.00|590| | |NV|29110|2|N
H5216|302|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-302 (PPO D-SNP)|00025456|0.00|590| | |NV|29120|2|N
H5216|302|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-302 (PPO D-SNP)|00025456|0.00|590| | |NV|29140|2|N
H5216|302|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-302 (PPO D-SNP)|00025456|0.00|590| | |NV|29150|2|N
H5216|304|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-304 (PPO)|00025458|0.00|300| | |FL|10070|0|N
H5216|304|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-304 (PPO)|00025458|0.00|300| | |FL|10080|0|N
H5216|304|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-304 (PPO)|00025458|0.00|300| | |FL|10100|0|N
H5216|304|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-304 (PPO)|00025458|0.00|300| | |FL|10130|0|N
H5216|304|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-304 (PPO)|00025458|0.00|300| | |FL|10250|0|N
H5216|304|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-304 (PPO)|00025458|0.00|300| | |FL|10260|0|N
H5216|304|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-304 (PPO)|00025458|0.00|300| | |FL|10270|0|N
H5216|304|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-304 (PPO)|00025458|0.00|300| | |FL|10340|0|N
H5216|304|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-304 (PPO)|00025458|0.00|300| | |FL|10350|0|N
H5216|304|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-304 (PPO)|00025458|0.00|300| | |FL|10400|0|N
H5216|304|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-304 (PPO)|00025458|0.00|300| | |FL|10410|0|N
H5216|304|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-304 (PPO)|00025458|0.00|300| | |FL|10470|0|N
H5216|304|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-304 (PPO)|00025458|0.00|300| | |FL|10480|0|N
H5216|304|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-304 (PPO)|00025458|0.00|300| | |FL|10510|0|N
H5216|304|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-304 (PPO)|00025458|0.00|300| | |FL|10520|0|N
H5216|304|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-304 (PPO)|00025458|0.00|300| | |FL|10570|0|N
H5216|304|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida H5216-304 (PPO)|00025458|0.00|300| | |FL|10590|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23000|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23010|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23020|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23030|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23040|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23050|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23060|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23070|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23080|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23090|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23100|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23110|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23120|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23130|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23140|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23150|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23160|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23170|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23180|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23190|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23200|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23210|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23220|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23230|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23240|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23250|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23260|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23270|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23280|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23290|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23300|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23310|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23320|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23330|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23340|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23350|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23360|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23370|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23380|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23390|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23400|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23410|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23420|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23430|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23440|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23450|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23460|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23470|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23480|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23490|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23500|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23510|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23520|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23530|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23540|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23550|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23560|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23570|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23580|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23590|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23600|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23610|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23620|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23630|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23640|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23650|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23660|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23670|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23680|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23690|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23700|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23710|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23720|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23730|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23740|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23750|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23760|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23770|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23780|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23790|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23800|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23810|0|N
H5216|305|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |MI|23830|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23000|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23010|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23020|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23030|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23040|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23050|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23070|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23080|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23090|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23100|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23110|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23120|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23130|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23140|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23150|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23160|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23170|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23180|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23190|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23210|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23220|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23230|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23240|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23250|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23260|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23270|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23280|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23290|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23300|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23310|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23320|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23330|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23350|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23370|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23380|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23390|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23400|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23410|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23420|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23430|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23440|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23450|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23460|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23490|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23510|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23530|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23540|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23550|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23560|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23570|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23580|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23590|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23600|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23610|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23620|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23630|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23640|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23670|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23680|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23690|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23700|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23710|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23720|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23730|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23740|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23750|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23770|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23780|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23790|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23800|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23810|0|N
H5216|306|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-306 (PPO)|00025456|0.00|0| | |MI|23830|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15000|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15010|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15020|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15030|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15040|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15050|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15060|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15070|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15080|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15090|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15100|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15110|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15120|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15130|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15140|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15150|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15160|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15170|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15180|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15190|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15200|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15210|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15220|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15230|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15240|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15250|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15260|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15270|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15280|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15290|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15300|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15310|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15320|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15330|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15340|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15350|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15360|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15370|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15380|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15390|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15400|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15410|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15420|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15430|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15440|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15450|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15460|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15470|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15480|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15490|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15500|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15510|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15520|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15530|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15540|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15550|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15560|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15570|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15580|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15590|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15600|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15610|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15620|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15630|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15640|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15650|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15660|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15670|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15680|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15690|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15700|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15710|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15720|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15730|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15740|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15750|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15760|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15770|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15780|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15790|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15800|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15810|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15820|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15830|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15840|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15850|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15860|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15870|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15880|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15890|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15900|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |IN|15910|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36000|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36010|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36020|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36030|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36040|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36050|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36060|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36070|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36080|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36090|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36100|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36110|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36120|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36130|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36140|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36150|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36160|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36170|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36190|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36200|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36210|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36220|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36230|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36240|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36250|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36260|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36270|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36280|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36290|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36300|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36310|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36330|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36340|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36350|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36360|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36370|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36380|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36390|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36400|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36410|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36420|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36430|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36440|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36450|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36460|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36470|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36480|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36490|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36500|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36510|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36520|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36530|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36540|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36550|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36560|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36570|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36580|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36590|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36600|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36610|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36620|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36630|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36640|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36650|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36660|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36670|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36680|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36690|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36700|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36710|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36720|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36730|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36740|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36750|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36760|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36770|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36780|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36790|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36800|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36810|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36820|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36830|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36840|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36850|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36860|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36870|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36880|0|N
H5216|307|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |OH|36890|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |DE|08000|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |DE|08010|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |DE|08020|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49000|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49010|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49011|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49020|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49030|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49040|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49050|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49060|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49070|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49080|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49090|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49100|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49110|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49120|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49140|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49141|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49150|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49160|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49170|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49180|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49190|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49191|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49194|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49200|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49210|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49212|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49213|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49220|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49230|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49240|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49241|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49260|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49270|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49280|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49288|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49290|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49291|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49300|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49310|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49320|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49328|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49330|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49340|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49342|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49343|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49350|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49360|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49370|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49390|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49400|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49410|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49411|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49420|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49421|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49430|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49440|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49450|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49451|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49460|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49470|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49480|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49490|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49500|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49510|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49522|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49530|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49540|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49550|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49551|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49560|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49561|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49563|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49565|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49570|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49580|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49590|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49600|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49620|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49621|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49622|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49641|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49650|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49660|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49670|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49680|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49690|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49700|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49701|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49710|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49711|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49712|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49720|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49730|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49740|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49750|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49770|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49771|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49780|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49790|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49791|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49800|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49801|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49810|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49820|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49838|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49850|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49870|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49880|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49890|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49891|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49892|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49900|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49910|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49921|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49930|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49951|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49960|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49961|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49962|0|N
H5216|308|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-308 (PPO)|00025456|0.00|450| | |VA|49981|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15000|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15010|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15030|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15040|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15050|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15060|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15070|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15080|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15100|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15110|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15130|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15140|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15160|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15170|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15180|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15190|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15200|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15220|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15230|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15240|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15250|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15260|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15270|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15280|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15290|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15310|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15320|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15330|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15340|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15350|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15360|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15370|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15390|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15400|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15410|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15420|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15430|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15440|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15450|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15460|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15470|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15480|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15490|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15500|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15510|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15520|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15530|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15540|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15550|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15560|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15570|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15580|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15590|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15600|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15620|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15630|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15640|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15660|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15670|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15680|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15700|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15710|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15720|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15730|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15740|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15750|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15760|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15770|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15780|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15800|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15810|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15820|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15840|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15850|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15860|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15870|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15890|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15900|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |IN|15910|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |KY|18070|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |KY|18180|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |KY|18500|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |KY|18580|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |KY|18932|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36000|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36010|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36020|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36030|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36050|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36060|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36070|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36080|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36090|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36100|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36110|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36120|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36130|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36140|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36150|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36170|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36190|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36210|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36220|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36230|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36250|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36260|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36280|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36290|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36300|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36310|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36330|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36340|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36350|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36360|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36390|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36410|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36420|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36430|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36440|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36450|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36460|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36470|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36480|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36490|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36500|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36510|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36520|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36530|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36540|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36550|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36560|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36570|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36580|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36600|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36610|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36620|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36630|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36640|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36650|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36660|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36680|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36690|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36700|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36720|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36730|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36740|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36750|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36760|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36770|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36780|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36790|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36800|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36810|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36820|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36830|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36840|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36850|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36860|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36870|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36880|0|N
H5216|309|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-309 (PPO)|00025456|0.00|510| | |OH|36890|0|N
H5216|311|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-311 (PPO)|00025458|0.00|350| | |FL|10040|0|N
H5216|311|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-311 (PPO)|00025458|0.00|350| | |FL|10050|0|N
H5216|311|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-311 (PPO)|00025458|0.00|350| | |FL|10120|0|N
H5216|311|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-311 (PPO)|00025458|0.00|350| | |FL|10210|0|N
H5216|311|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-311 (PPO)|00025458|0.00|350| | |FL|10300|0|N
H5216|311|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-311 (PPO)|00025458|0.00|350| | |FL|10420|0|N
H5216|311|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-311 (PPO)|00025458|0.00|350| | |FL|10460|0|N
H5216|311|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-311 (PPO)|00025458|0.00|350| | |FL|10490|0|N
H5216|311|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-311 (PPO)|00025458|0.00|350| | |FL|10550|0|N
H5216|313|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-313 (PPO)|00025458|0.00|0| | |HI|12020|0|N
H5216|313|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-313 (PPO)|00025458|0.00|0| | |HI|12040|0|N
H5216|313|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-313 (PPO)|00025458|0.00|0| | |HI|12050|0|N
H5216|314|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|0| | |HI|12020|0|N
H5216|316|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-316 (PPO)|00025456|37.00|250| | |OK|37000|0|N
H5216|316|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-316 (PPO)|00025456|37.00|250| | |OK|37050|0|N
H5216|316|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-316 (PPO)|00025456|37.00|250| | |OK|37070|0|N
H5216|316|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-316 (PPO)|00025456|37.00|250| | |OK|37100|0|N
H5216|316|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-316 (PPO)|00025456|37.00|250| | |OK|37110|0|N
H5216|316|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-316 (PPO)|00025456|37.00|250| | |OK|37140|0|N
H5216|316|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-316 (PPO)|00025456|37.00|250| | |OK|37150|0|N
H5216|316|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-316 (PPO)|00025456|37.00|250| | |OK|37170|0|N
H5216|316|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-316 (PPO)|00025456|37.00|250| | |OK|37200|0|N
H5216|316|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-316 (PPO)|00025456|37.00|250| | |OK|37210|0|N
H5216|316|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-316 (PPO)|00025456|37.00|250| | |OK|37230|0|N
H5216|316|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-316 (PPO)|00025456|37.00|250| | |OK|37240|0|N
H5216|316|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-316 (PPO)|00025456|37.00|250| | |OK|37300|0|N
H5216|316|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-316 (PPO)|00025456|37.00|250| | |OK|37310|0|N
H5216|316|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-316 (PPO)|00025456|37.00|250| | |OK|37320|0|N
H5216|316|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-316 (PPO)|00025456|37.00|250| | |OK|37340|0|N
H5216|316|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-316 (PPO)|00025456|37.00|250| | |OK|37370|0|N
H5216|316|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-316 (PPO)|00025456|37.00|250| | |OK|37380|0|N
H5216|316|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-316 (PPO)|00025456|37.00|250| | |OK|37390|0|N
H5216|316|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-316 (PPO)|00025456|37.00|250| | |OK|37440|0|N
H5216|316|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-316 (PPO)|00025456|37.00|250| | |OK|37450|0|N
H5216|316|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-316 (PPO)|00025456|37.00|250| | |OK|37490|0|N
H5216|316|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-316 (PPO)|00025456|37.00|250| | |OK|37500|0|N
H5216|316|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-316 (PPO)|00025456|37.00|250| | |OK|37510|0|N
H5216|316|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-316 (PPO)|00025456|37.00|250| | |OK|37520|0|N
H5216|316|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-316 (PPO)|00025456|37.00|250| | |OK|37530|0|N
H5216|316|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-316 (PPO)|00025456|37.00|250| | |OK|37570|0|N
H5216|316|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-316 (PPO)|00025456|37.00|250| | |OK|37580|0|N
H5216|316|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-316 (PPO)|00025456|37.00|250| | |OK|37590|0|N
H5216|316|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-316 (PPO)|00025456|37.00|250| | |OK|37600|0|N
H5216|316|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-316 (PPO)|00025456|37.00|250| | |OK|37610|0|N
H5216|316|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-316 (PPO)|00025456|37.00|250| | |OK|37630|0|N
H5216|316|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-316 (PPO)|00025456|37.00|250| | |OK|37670|0|N
H5216|316|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-316 (PPO)|00025456|37.00|250| | |OK|37680|0|N
H5216|316|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-316 (PPO)|00025456|37.00|250| | |OK|37760|0|N
H5216|316|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-316 (PPO)|00025456|35.00|250| | |OK|37080|0|N
H5216|316|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-316 (PPO)|00025456|35.00|250| | |OK|37130|0|N
H5216|316|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-316 (PPO)|00025456|35.00|250| | |OK|37180|0|N
H5216|316|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-316 (PPO)|00025456|35.00|250| | |OK|37250|0|N
H5216|316|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-316 (PPO)|00025456|35.00|250| | |OK|37360|0|N
H5216|316|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-316 (PPO)|00025456|35.00|250| | |OK|37400|0|N
H5216|316|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-316 (PPO)|00025456|35.00|250| | |OK|37410|0|N
H5216|316|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-316 (PPO)|00025456|35.00|250| | |OK|37430|0|N
H5216|316|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-316 (PPO)|00025456|35.00|250| | |OK|37480|0|N
H5216|316|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-316 (PPO)|00025456|35.00|250| | |OK|37540|0|N
H5216|316|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-316 (PPO)|00025456|35.00|250| | |OK|37550|0|N
H5216|316|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-316 (PPO)|00025456|35.00|250| | |OK|37560|0|N
H5216|316|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-316 (PPO)|00025456|35.00|250| | |OK|37620|0|N
H5216|316|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-316 (PPO)|00025456|35.00|250| | |OK|37650|0|N
H5216|316|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-316 (PPO)|00025456|35.00|250| | |OK|37660|0|N
H5216|316|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-316 (PPO)|00025456|35.00|250| | |OK|37710|0|N
H5216|316|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-316 (PPO)|00025456|35.00|250| | |OK|37720|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |IN|15090|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18000|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18010|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18020|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18030|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18040|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18050|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18060|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18080|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18090|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18100|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18110|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18120|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18130|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18140|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18150|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18170|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18190|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18220|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18230|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18240|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18250|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18260|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18270|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18310|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18330|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18340|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18360|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18361|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18362|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18390|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18410|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18420|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18470|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18490|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18510|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18511|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18530|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18540|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18550|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18560|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18570|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18590|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18600|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18610|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18630|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18640|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18650|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18670|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18680|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18690|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18700|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18710|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18720|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18730|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18750|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18760|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18770|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18790|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18802|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18830|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18831|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18860|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18861|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18880|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18890|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18900|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18931|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18960|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18970|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18971|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18972|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18974|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18975|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18976|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18977|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18979|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18980|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18981|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18985|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18986|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18987|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18988|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18990|0|N
H5216|317|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-317 (PPO)|00025456|0.00|250| | |KY|18992|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |IL|14020|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |IL|14060|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |IL|14130|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |IL|14500|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |IL|14670|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |IL|14680|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |IL|14750|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |IL|14900|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26030|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26040|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26050|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26060|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26070|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26080|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26090|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26110|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26130|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26140|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26150|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26160|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26170|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26190|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26210|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26250|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26260|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26270|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26280|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26290|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26320|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26330|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26340|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26350|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26360|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26380|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26411|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26440|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26450|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26460|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26480|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26490|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26520|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26540|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26560|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26590|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26601|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26620|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26650|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26670|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26690|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26700|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26720|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26740|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26750|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26751|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26780|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26790|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26800|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26810|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26821|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26840|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26881|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26910|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26911|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26930|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26940|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26950|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26960|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26970|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26982|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26985|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26986|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26988|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26989|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26990|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26991|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26992|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26993|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26994|0|N
H5216|318|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26996|0|N
H5216|318|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |KS|17000|0|N
H5216|318|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |KS|17010|0|N
H5216|318|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |KS|17020|0|N
H5216|318|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |KS|17050|0|N
H5216|318|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |KS|17060|0|N
H5216|318|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |KS|17100|0|N
H5216|318|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |KS|17150|0|N
H5216|318|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |KS|17180|0|N
H5216|318|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |KS|17210|0|N
H5216|318|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |KS|17220|0|N
H5216|318|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |KS|17290|0|N
H5216|318|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |KS|17420|0|N
H5216|318|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |KS|17430|0|N
H5216|318|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |KS|17450|0|N
H5216|318|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |KS|17490|0|N
H5216|318|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |KS|17510|0|N
H5216|318|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |KS|17530|0|N
H5216|318|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |KS|17600|0|N
H5216|318|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |KS|17620|0|N
H5216|318|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |KS|17650|0|N
H5216|318|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |KS|17660|0|N
H5216|318|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |KS|17690|0|N
H5216|318|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |KS|17880|0|N
H5216|318|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |KS|17984|0|N
H5216|318|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |KS|17986|0|N
H5216|318|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26230|0|N
H5216|318|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26470|0|N
H5216|318|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26530|0|N
H5216|318|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26820|0|N
H5216|318|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |MO|26880|0|N
H5216|318|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |KS|17040|0|N
H5216|318|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |KS|17070|0|N
H5216|318|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |KS|17080|0|N
H5216|318|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |KS|17130|0|N
H5216|318|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |KS|17170|0|N
H5216|318|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |KS|17200|0|N
H5216|318|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |KS|17260|0|N
H5216|318|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |KS|17300|0|N
H5216|318|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |KS|17360|0|N
H5216|318|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |KS|17380|0|N
H5216|318|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |KS|17390|0|N
H5216|318|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |KS|17470|0|N
H5216|318|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |KS|17560|0|N
H5216|318|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |KS|17570|0|N
H5216|318|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |KS|17580|0|N
H5216|318|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |KS|17630|0|N
H5216|318|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |KS|17710|0|N
H5216|318|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |KS|17720|0|N
H5216|318|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |KS|17740|0|N
H5216|318|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |KS|17750|0|N
H5216|318|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |KS|17770|0|N
H5216|318|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |KS|17800|0|N
H5216|318|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |KS|17830|0|N
H5216|318|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |KS|17840|0|N
H5216|318|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |KS|17860|0|N
H5216|318|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |KS|17950|0|N
H5216|318|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |KS|17980|0|N
H5216|318|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-318 (PPO)|00025458|0.00|0| | |KS|17982|0|N
H5216|319|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-319 (PPO)|00025456|0.00|590| | |NJ|31000|0|N
H5216|319|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-319 (PPO)|00025456|0.00|590| | |NJ|31100|0|N
H5216|319|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-319 (PPO)|00025456|0.00|590| | |NJ|31150|0|N
H5216|319|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-319 (PPO)|00025456|0.00|590| | |NJ|31160|0|N
H5216|319|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-319 (PPO)|00025456|0.00|590| | |NJ|31180|0|N
H5216|319|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-319 (PPO)|00025456|0.00|590| | |NJ|31190|0|N
H5216|319|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-319 (PPO)|00025456|0.00|590| | |NJ|31200|0|N
H5216|319|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-319 (PPO)|00025456|0.00|590| | |NJ|31220|0|N
H5216|319|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-319 (PPO)|00025456|0.00|590| | |NJ|31230|0|N
H5216|319|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-319 (PPO)|00025456|0.00|590| | |NJ|31250|0|N
H5216|319|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-319 (PPO)|00025456|0.00|590| | |NJ|31260|0|N
H5216|319|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-319 (PPO)|00025456|0.00|590| | |NJ|31270|0|N
H5216|319|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-319 (PPO)|00025456|0.00|590| | |NJ|31290|0|N
H5216|319|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-319 (PPO)|00025456|0.00|590| | |NJ|31300|0|N
H5216|319|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-319 (PPO)|00025456|0.00|590| | |NJ|31320|0|N
H5216|319|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-319 (PPO)|00025456|0.00|590| | |NJ|31340|0|N
H5216|319|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-319 (PPO)|00025456|0.00|590| | |NJ|31350|0|N
H5216|319|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-319 (PPO)|00025456|0.00|590| | |NJ|31370|0|N
H5216|319|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-319 (PPO)|00025456|0.00|590| | |NJ|31390|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |IN|15090|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |IN|15210|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |IN|15300|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18000|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18010|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18030|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18040|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18050|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18060|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18080|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18090|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18100|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18110|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18120|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18130|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18140|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18150|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18170|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18190|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18210|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18220|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18230|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18240|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18250|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18260|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18270|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18271|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18290|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18291|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18310|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18330|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18340|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18360|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18361|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18362|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18390|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18410|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18420|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18421|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18450|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18470|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18480|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18490|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18510|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18511|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18530|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18540|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18550|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18560|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18570|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18590|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18600|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18610|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18630|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18640|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18650|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18660|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18670|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18680|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18690|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18700|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18710|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18720|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18730|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18740|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18750|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18760|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18770|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18780|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18790|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18801|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18802|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18830|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18831|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18850|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18860|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18861|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18880|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18890|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18900|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18910|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18920|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18931|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18960|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18970|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18971|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18972|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18973|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18974|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18975|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18976|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18977|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18978|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18979|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18980|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18981|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18982|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18983|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18985|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18986|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18987|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18988|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18989|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18990|0|N
H5216|322|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-322 (PPO)|00025456|0.00|590| | |KY|18992|0|N
H5216|325|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-325 (PPO)|00025456|0.00|590| | |LA|19020|0|N
H5216|325|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-325 (PPO)|00025456|0.00|590| | |LA|19160|0|N
H5216|325|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-325 (PPO)|00025456|0.00|590| | |LA|19180|0|N
H5216|325|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-325 (PPO)|00025456|0.00|590| | |LA|19230|0|N
H5216|325|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-325 (PPO)|00025456|0.00|590| | |LA|19310|0|N
H5216|325|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-325 (PPO)|00025456|0.00|590| | |LA|19380|0|N
H5216|325|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-325 (PPO)|00025456|0.00|590| | |LA|19450|0|N
H5216|325|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-325 (PPO)|00025456|0.00|590| | |LA|19600|0|N
H5216|326|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-326 (PPO)|00025456|0.00|590| | |LA|19000|0|N
H5216|326|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-326 (PPO)|00025456|0.00|590| | |LA|19010|0|N
H5216|326|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-326 (PPO)|00025456|0.00|590| | |LA|19040|0|N
H5216|326|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-326 (PPO)|00025456|0.00|590| | |LA|19050|0|N
H5216|326|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-326 (PPO)|00025456|0.00|590| | |LA|19060|0|N
H5216|326|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-326 (PPO)|00025456|0.00|590| | |LA|19070|0|N
H5216|326|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-326 (PPO)|00025456|0.00|590| | |LA|19080|0|N
H5216|326|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-326 (PPO)|00025456|0.00|590| | |LA|19090|0|N
H5216|326|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-326 (PPO)|00025456|0.00|590| | |LA|19100|0|N
H5216|326|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-326 (PPO)|00025456|0.00|590| | |LA|19110|0|N
H5216|326|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-326 (PPO)|00025456|0.00|590| | |LA|19120|0|N
H5216|326|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-326 (PPO)|00025456|0.00|590| | |LA|19130|0|N
H5216|326|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-326 (PPO)|00025456|0.00|590| | |LA|19140|0|N
H5216|326|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-326 (PPO)|00025456|0.00|590| | |LA|19150|0|N
H5216|326|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-326 (PPO)|00025456|0.00|590| | |LA|19170|0|N
H5216|326|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-326 (PPO)|00025456|0.00|590| | |LA|19190|0|N
H5216|326|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-326 (PPO)|00025456|0.00|590| | |LA|19200|0|N
H5216|326|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-326 (PPO)|00025456|0.00|590| | |LA|19210|0|N
H5216|326|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-326 (PPO)|00025456|0.00|590| | |LA|19220|0|N
H5216|326|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-326 (PPO)|00025456|0.00|590| | |LA|19240|0|N
H5216|326|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-326 (PPO)|00025456|0.00|590| | |LA|19260|0|N
H5216|326|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-326 (PPO)|00025456|0.00|590| | |LA|19270|0|N
H5216|326|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-326 (PPO)|00025456|0.00|590| | |LA|19290|0|N
H5216|326|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-326 (PPO)|00025456|0.00|590| | |LA|19300|0|N
H5216|326|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-326 (PPO)|00025456|0.00|590| | |LA|19320|0|N
H5216|326|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-326 (PPO)|00025456|0.00|590| | |LA|19330|0|N
H5216|326|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-326 (PPO)|00025456|0.00|590| | |LA|19340|0|N
H5216|326|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-326 (PPO)|00025456|0.00|590| | |LA|19360|0|N
H5216|326|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-326 (PPO)|00025456|0.00|590| | |LA|19390|0|N
H5216|326|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-326 (PPO)|00025456|0.00|590| | |LA|19400|0|N
H5216|326|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-326 (PPO)|00025456|0.00|590| | |LA|19410|0|N
H5216|326|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-326 (PPO)|00025456|0.00|590| | |LA|19420|0|N
H5216|326|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-326 (PPO)|00025456|0.00|590| | |LA|19480|0|N
H5216|326|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-326 (PPO)|00025456|0.00|590| | |LA|19490|0|N
H5216|326|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-326 (PPO)|00025456|0.00|590| | |LA|19500|0|N
H5216|326|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-326 (PPO)|00025456|0.00|590| | |LA|19510|0|N
H5216|326|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-326 (PPO)|00025456|0.00|590| | |LA|19520|0|N
H5216|326|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-326 (PPO)|00025456|0.00|590| | |LA|19530|0|N
H5216|326|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-326 (PPO)|00025456|0.00|590| | |LA|19550|0|N
H5216|326|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-326 (PPO)|00025456|0.00|590| | |LA|19560|0|N
H5216|326|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-326 (PPO)|00025456|0.00|590| | |LA|19570|0|N
H5216|326|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-326 (PPO)|00025456|0.00|590| | |LA|19580|0|N
H5216|326|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-326 (PPO)|00025456|0.00|590| | |LA|19590|0|N
H5216|326|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-326 (PPO)|00025456|0.00|590| | |LA|19610|0|N
H5216|326|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-326 (PPO)|00025456|0.00|590| | |LA|19630|0|N
H5216|327|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-327 (PPO)|00025456|0.00|200| | |WV|51000|0|N
H5216|327|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-327 (PPO)|00025456|0.00|200| | |WV|51010|0|N
H5216|327|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-327 (PPO)|00025456|0.00|200| | |WV|51020|0|N
H5216|327|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-327 (PPO)|00025456|0.00|200| | |WV|51030|0|N
H5216|327|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-327 (PPO)|00025456|0.00|200| | |WV|51040|0|N
H5216|327|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-327 (PPO)|00025456|0.00|200| | |WV|51050|0|N
H5216|327|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-327 (PPO)|00025456|0.00|200| | |WV|51070|0|N
H5216|327|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-327 (PPO)|00025456|0.00|200| | |WV|51090|0|N
H5216|327|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-327 (PPO)|00025456|0.00|200| | |WV|51100|0|N
H5216|327|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-327 (PPO)|00025456|0.00|200| | |WV|51120|0|N
H5216|327|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-327 (PPO)|00025456|0.00|200| | |WV|51140|0|N
H5216|327|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-327 (PPO)|00025456|0.00|200| | |WV|51150|0|N
H5216|327|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-327 (PPO)|00025456|0.00|200| | |WV|51160|0|N
H5216|327|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-327 (PPO)|00025456|0.00|200| | |WV|51180|0|N
H5216|327|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-327 (PPO)|00025456|0.00|200| | |WV|51190|0|N
H5216|327|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-327 (PPO)|00025456|0.00|200| | |WV|51200|0|N
H5216|327|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-327 (PPO)|00025456|0.00|200| | |WV|51210|0|N
H5216|327|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-327 (PPO)|00025456|0.00|200| | |WV|51220|0|N
H5216|327|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-327 (PPO)|00025456|0.00|200| | |WV|51230|0|N
H5216|327|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-327 (PPO)|00025456|0.00|200| | |WV|51240|0|N
H5216|327|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-327 (PPO)|00025456|0.00|200| | |WV|51250|0|N
H5216|327|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-327 (PPO)|00025456|0.00|200| | |WV|51260|0|N
H5216|327|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-327 (PPO)|00025456|0.00|200| | |WV|51270|0|N
H5216|327|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-327 (PPO)|00025456|0.00|200| | |WV|51290|0|N
H5216|327|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-327 (PPO)|00025456|0.00|200| | |WV|51310|0|N
H5216|327|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-327 (PPO)|00025456|0.00|200| | |WV|51320|0|N
H5216|327|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-327 (PPO)|00025456|0.00|200| | |WV|51330|0|N
H5216|327|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-327 (PPO)|00025456|0.00|200| | |WV|51340|0|N
H5216|327|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-327 (PPO)|00025456|0.00|200| | |WV|51360|0|N
H5216|327|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-327 (PPO)|00025456|0.00|200| | |WV|51390|0|N
H5216|327|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-327 (PPO)|00025456|0.00|200| | |WV|51400|0|N
H5216|327|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-327 (PPO)|00025456|0.00|200| | |WV|51420|0|N
H5216|327|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-327 (PPO)|00025456|0.00|200| | |WV|51440|0|N
H5216|327|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-327 (PPO)|00025456|0.00|200| | |WV|51450|0|N
H5216|327|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-327 (PPO)|00025456|0.00|200| | |WV|51490|0|N
H5216|327|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-327 (PPO)|00025456|0.00|200| | |WV|51500|0|N
H5216|327|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-327 (PPO)|00025456|0.00|200| | |WV|51510|0|N
H5216|327|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-327 (PPO)|00025456|0.00|200| | |WV|51520|0|N
H5216|327|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-327 (PPO)|00025456|0.00|200| | |WV|51530|0|N
H5216|328|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-328 (PPO)|00025456|0.00|590| | |WV|51010|0|N
H5216|328|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-328 (PPO)|00025456|0.00|590| | |WV|51020|0|N
H5216|328|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-328 (PPO)|00025456|0.00|590| | |WV|51030|0|N
H5216|328|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-328 (PPO)|00025456|0.00|590| | |WV|51040|0|N
H5216|328|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-328 (PPO)|00025456|0.00|590| | |WV|51050|0|N
H5216|328|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-328 (PPO)|00025456|0.00|590| | |WV|51070|0|N
H5216|328|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-328 (PPO)|00025456|0.00|590| | |WV|51080|0|N
H5216|328|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-328 (PPO)|00025456|0.00|590| | |WV|51090|0|N
H5216|328|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-328 (PPO)|00025456|0.00|590| | |WV|51120|0|N
H5216|328|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-328 (PPO)|00025456|0.00|590| | |WV|51140|0|N
H5216|328|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-328 (PPO)|00025456|0.00|590| | |WV|51150|0|N
H5216|328|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-328 (PPO)|00025456|0.00|590| | |WV|51160|0|N
H5216|328|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-328 (PPO)|00025456|0.00|590| | |WV|51180|0|N
H5216|328|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-328 (PPO)|00025456|0.00|590| | |WV|51190|0|N
H5216|328|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-328 (PPO)|00025456|0.00|590| | |WV|51200|0|N
H5216|328|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-328 (PPO)|00025456|0.00|590| | |WV|51210|0|N
H5216|328|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-328 (PPO)|00025456|0.00|590| | |WV|51220|0|N
H5216|328|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-328 (PPO)|00025456|0.00|590| | |WV|51230|0|N
H5216|328|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-328 (PPO)|00025456|0.00|590| | |WV|51240|0|N
H5216|328|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-328 (PPO)|00025456|0.00|590| | |WV|51250|0|N
H5216|328|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-328 (PPO)|00025456|0.00|590| | |WV|51260|0|N
H5216|328|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-328 (PPO)|00025456|0.00|590| | |WV|51270|0|N
H5216|328|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-328 (PPO)|00025456|0.00|590| | |WV|51280|0|N
H5216|328|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-328 (PPO)|00025456|0.00|590| | |WV|51290|0|N
H5216|328|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-328 (PPO)|00025456|0.00|590| | |WV|51310|0|N
H5216|328|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-328 (PPO)|00025456|0.00|590| | |WV|51330|0|N
H5216|328|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-328 (PPO)|00025456|0.00|590| | |WV|51340|0|N
H5216|328|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-328 (PPO)|00025456|0.00|590| | |WV|51360|0|N
H5216|328|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-328 (PPO)|00025456|0.00|590| | |WV|51370|0|N
H5216|328|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-328 (PPO)|00025456|0.00|590| | |WV|51390|0|N
H5216|328|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-328 (PPO)|00025456|0.00|590| | |WV|51400|0|N
H5216|328|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-328 (PPO)|00025456|0.00|590| | |WV|51420|0|N
H5216|328|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-328 (PPO)|00025456|0.00|590| | |WV|51440|0|N
H5216|328|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-328 (PPO)|00025456|0.00|590| | |WV|51450|0|N
H5216|328|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-328 (PPO)|00025456|0.00|590| | |WV|51460|0|N
H5216|328|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-328 (PPO)|00025456|0.00|590| | |WV|51470|0|N
H5216|328|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-328 (PPO)|00025456|0.00|590| | |WV|51490|0|N
H5216|328|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-328 (PPO)|00025456|0.00|590| | |WV|51500|0|N
H5216|328|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-328 (PPO)|00025456|0.00|590| | |WV|51510|0|N
H5216|328|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-328 (PPO)|00025456|0.00|590| | |WV|51520|0|N
H5216|328|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-328 (PPO)|00025456|0.00|590| | |WV|51530|0|N
H5216|330|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-330 (PPO D-SNP)|00025456|0.00|590| | |LA|19000|2|N
H5216|330|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-330 (PPO D-SNP)|00025456|0.00|590| | |LA|19010|2|N
H5216|330|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-330 (PPO D-SNP)|00025456|0.00|590| | |LA|19040|2|N
H5216|330|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-330 (PPO D-SNP)|00025456|0.00|590| | |LA|19050|2|N
H5216|330|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-330 (PPO D-SNP)|00025456|0.00|590| | |LA|19060|2|N
H5216|330|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-330 (PPO D-SNP)|00025456|0.00|590| | |LA|19070|2|N
H5216|330|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-330 (PPO D-SNP)|00025456|0.00|590| | |LA|19080|2|N
H5216|330|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-330 (PPO D-SNP)|00025456|0.00|590| | |LA|19090|2|N
H5216|330|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-330 (PPO D-SNP)|00025456|0.00|590| | |LA|19100|2|N
H5216|330|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-330 (PPO D-SNP)|00025456|0.00|590| | |LA|19110|2|N
H5216|330|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-330 (PPO D-SNP)|00025456|0.00|590| | |LA|19120|2|N
H5216|330|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-330 (PPO D-SNP)|00025456|0.00|590| | |LA|19130|2|N
H5216|330|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-330 (PPO D-SNP)|00025456|0.00|590| | |LA|19140|2|N
H5216|330|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-330 (PPO D-SNP)|00025456|0.00|590| | |LA|19150|2|N
H5216|330|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-330 (PPO D-SNP)|00025456|0.00|590| | |LA|19170|2|N
H5216|330|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-330 (PPO D-SNP)|00025456|0.00|590| | |LA|19190|2|N
H5216|330|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-330 (PPO D-SNP)|00025456|0.00|590| | |LA|19200|2|N
H5216|330|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-330 (PPO D-SNP)|00025456|0.00|590| | |LA|19210|2|N
H5216|330|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-330 (PPO D-SNP)|00025456|0.00|590| | |LA|19220|2|N
H5216|330|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-330 (PPO D-SNP)|00025456|0.00|590| | |LA|19240|2|N
H5216|330|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-330 (PPO D-SNP)|00025456|0.00|590| | |LA|19260|2|N
H5216|330|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-330 (PPO D-SNP)|00025456|0.00|590| | |LA|19270|2|N
H5216|330|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-330 (PPO D-SNP)|00025456|0.00|590| | |LA|19290|2|N
H5216|330|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-330 (PPO D-SNP)|00025456|0.00|590| | |LA|19300|2|N
H5216|330|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-330 (PPO D-SNP)|00025456|0.00|590| | |LA|19320|2|N
H5216|330|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-330 (PPO D-SNP)|00025456|0.00|590| | |LA|19330|2|N
H5216|330|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-330 (PPO D-SNP)|00025456|0.00|590| | |LA|19340|2|N
H5216|330|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-330 (PPO D-SNP)|00025456|0.00|590| | |LA|19360|2|N
H5216|330|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-330 (PPO D-SNP)|00025456|0.00|590| | |LA|19390|2|N
H5216|330|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-330 (PPO D-SNP)|00025456|0.00|590| | |LA|19400|2|N
H5216|330|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-330 (PPO D-SNP)|00025456|0.00|590| | |LA|19410|2|N
H5216|330|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-330 (PPO D-SNP)|00025456|0.00|590| | |LA|19420|2|N
H5216|330|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-330 (PPO D-SNP)|00025456|0.00|590| | |LA|19480|2|N
H5216|330|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-330 (PPO D-SNP)|00025456|0.00|590| | |LA|19490|2|N
H5216|330|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-330 (PPO D-SNP)|00025456|0.00|590| | |LA|19500|2|N
H5216|330|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-330 (PPO D-SNP)|00025456|0.00|590| | |LA|19520|2|N
H5216|330|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-330 (PPO D-SNP)|00025456|0.00|590| | |LA|19530|2|N
H5216|330|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-330 (PPO D-SNP)|00025456|0.00|590| | |LA|19550|2|N
H5216|330|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-330 (PPO D-SNP)|00025456|0.00|590| | |LA|19560|2|N
H5216|330|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-330 (PPO D-SNP)|00025456|0.00|590| | |LA|19570|2|N
H5216|330|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-330 (PPO D-SNP)|00025456|0.00|590| | |LA|19590|2|N
H5216|330|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-330 (PPO D-SNP)|00025456|0.00|590| | |LA|19610|2|N
H5216|330|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-330 (PPO D-SNP)|00025456|0.00|590| | |LA|19630|2|N
H5216|331|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-331 (PPO D-SNP)|00025456|0.00|590| | |OK|37000|2|N
H5216|331|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-331 (PPO D-SNP)|00025456|0.00|590| | |OK|37050|2|N
H5216|331|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-331 (PPO D-SNP)|00025456|0.00|590| | |OK|37060|2|N
H5216|331|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-331 (PPO D-SNP)|00025456|0.00|590| | |OK|37070|2|N
H5216|331|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-331 (PPO D-SNP)|00025456|0.00|590| | |OK|37080|2|N
H5216|331|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-331 (PPO D-SNP)|00025456|0.00|590| | |OK|37090|2|N
H5216|331|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-331 (PPO D-SNP)|00025456|0.00|590| | |OK|37100|2|N
H5216|331|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-331 (PPO D-SNP)|00025456|0.00|590| | |OK|37110|2|N
H5216|331|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-331 (PPO D-SNP)|00025456|0.00|590| | |OK|37130|2|N
H5216|331|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-331 (PPO D-SNP)|00025456|0.00|590| | |OK|37140|2|N
H5216|331|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-331 (PPO D-SNP)|00025456|0.00|590| | |OK|37150|2|N
H5216|331|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-331 (PPO D-SNP)|00025456|0.00|590| | |OK|37170|2|N
H5216|331|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-331 (PPO D-SNP)|00025456|0.00|590| | |OK|37180|2|N
H5216|331|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-331 (PPO D-SNP)|00025456|0.00|590| | |OK|37200|2|N
H5216|331|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-331 (PPO D-SNP)|00025456|0.00|590| | |OK|37210|2|N
H5216|331|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-331 (PPO D-SNP)|00025456|0.00|590| | |OK|37230|2|N
H5216|331|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-331 (PPO D-SNP)|00025456|0.00|590| | |OK|37240|2|N
H5216|331|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-331 (PPO D-SNP)|00025456|0.00|590| | |OK|37250|2|N
H5216|331|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-331 (PPO D-SNP)|00025456|0.00|590| | |OK|37300|2|N
H5216|331|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-331 (PPO D-SNP)|00025456|0.00|590| | |OK|37310|2|N
H5216|331|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-331 (PPO D-SNP)|00025456|0.00|590| | |OK|37320|2|N
H5216|331|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-331 (PPO D-SNP)|00025456|0.00|590| | |OK|37340|2|N
H5216|331|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-331 (PPO D-SNP)|00025456|0.00|590| | |OK|37350|2|N
H5216|331|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-331 (PPO D-SNP)|00025456|0.00|590| | |OK|37360|2|N
H5216|331|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-331 (PPO D-SNP)|00025456|0.00|590| | |OK|37370|2|N
H5216|331|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-331 (PPO D-SNP)|00025456|0.00|590| | |OK|37380|2|N
H5216|331|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-331 (PPO D-SNP)|00025456|0.00|590| | |OK|37390|2|N
H5216|331|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-331 (PPO D-SNP)|00025456|0.00|590| | |OK|37400|2|N
H5216|331|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-331 (PPO D-SNP)|00025456|0.00|590| | |OK|37410|2|N
H5216|331|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-331 (PPO D-SNP)|00025456|0.00|590| | |OK|37430|2|N
H5216|331|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-331 (PPO D-SNP)|00025456|0.00|590| | |OK|37450|2|N
H5216|331|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-331 (PPO D-SNP)|00025456|0.00|590| | |OK|37480|2|N
H5216|331|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-331 (PPO D-SNP)|00025456|0.00|590| | |OK|37490|2|N
H5216|331|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-331 (PPO D-SNP)|00025456|0.00|590| | |OK|37500|2|N
H5216|331|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-331 (PPO D-SNP)|00025456|0.00|590| | |OK|37510|2|N
H5216|331|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-331 (PPO D-SNP)|00025456|0.00|590| | |OK|37520|2|N
H5216|331|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-331 (PPO D-SNP)|00025456|0.00|590| | |OK|37530|2|N
H5216|331|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-331 (PPO D-SNP)|00025456|0.00|590| | |OK|37540|2|N
H5216|331|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-331 (PPO D-SNP)|00025456|0.00|590| | |OK|37550|2|N
H5216|331|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-331 (PPO D-SNP)|00025456|0.00|590| | |OK|37560|2|N
H5216|331|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-331 (PPO D-SNP)|00025456|0.00|590| | |OK|37570|2|N
H5216|331|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-331 (PPO D-SNP)|00025456|0.00|590| | |OK|37580|2|N
H5216|331|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-331 (PPO D-SNP)|00025456|0.00|590| | |OK|37590|2|N
H5216|331|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-331 (PPO D-SNP)|00025456|0.00|590| | |OK|37600|2|N
H5216|331|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-331 (PPO D-SNP)|00025456|0.00|590| | |OK|37610|2|N
H5216|331|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-331 (PPO D-SNP)|00025456|0.00|590| | |OK|37620|2|N
H5216|331|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-331 (PPO D-SNP)|00025456|0.00|590| | |OK|37630|2|N
H5216|331|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-331 (PPO D-SNP)|00025456|0.00|590| | |OK|37650|2|N
H5216|331|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-331 (PPO D-SNP)|00025456|0.00|590| | |OK|37660|2|N
H5216|331|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-331 (PPO D-SNP)|00025456|0.00|590| | |OK|37670|2|N
H5216|331|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-331 (PPO D-SNP)|00025456|0.00|590| | |OK|37680|2|N
H5216|331|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-331 (PPO D-SNP)|00025456|0.00|590| | |OK|37710|2|N
H5216|331|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-331 (PPO D-SNP)|00025456|0.00|590| | |OK|37720|2|N
H5216|331|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-331 (PPO D-SNP)|00025456|0.00|590| | |OK|37760|2|N
H5216|332|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-332 (PPO D-SNP)|00025456|0.00|590| | |LA|19020|2|N
H5216|332|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-332 (PPO D-SNP)|00025456|0.00|590| | |LA|19030|2|N
H5216|332|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-332 (PPO D-SNP)|00025456|0.00|590| | |LA|19160|2|N
H5216|332|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-332 (PPO D-SNP)|00025456|0.00|590| | |LA|19180|2|N
H5216|332|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-332 (PPO D-SNP)|00025456|0.00|590| | |LA|19230|2|N
H5216|332|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-332 (PPO D-SNP)|00025456|0.00|590| | |LA|19250|2|N
H5216|332|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-332 (PPO D-SNP)|00025456|0.00|590| | |LA|19280|2|N
H5216|332|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-332 (PPO D-SNP)|00025456|0.00|590| | |LA|19310|2|N
H5216|332|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-332 (PPO D-SNP)|00025456|0.00|590| | |LA|19350|2|N
H5216|332|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-332 (PPO D-SNP)|00025456|0.00|590| | |LA|19370|2|N
H5216|332|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-332 (PPO D-SNP)|00025456|0.00|590| | |LA|19380|2|N
H5216|332|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-332 (PPO D-SNP)|00025456|0.00|590| | |LA|19430|2|N
H5216|332|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-332 (PPO D-SNP)|00025456|0.00|590| | |LA|19440|2|N
H5216|332|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-332 (PPO D-SNP)|00025456|0.00|590| | |LA|19450|2|N
H5216|332|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-332 (PPO D-SNP)|00025456|0.00|590| | |LA|19460|2|N
H5216|332|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-332 (PPO D-SNP)|00025456|0.00|590| | |LA|19470|2|N
H5216|332|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-332 (PPO D-SNP)|00025456|0.00|590| | |LA|19510|2|N
H5216|332|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-332 (PPO D-SNP)|00025456|0.00|590| | |LA|19540|2|N
H5216|332|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-332 (PPO D-SNP)|00025456|0.00|590| | |LA|19580|2|N
H5216|332|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-332 (PPO D-SNP)|00025456|0.00|590| | |LA|19600|2|N
H5216|333|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-333 (PPO)|00025458|9.60|0| | |CO|06000|0|N
H5216|333|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-333 (PPO)|00025458|9.60|0| | |CO|06010|0|N
H5216|333|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-333 (PPO)|00025458|9.60|0| | |CO|06020|0|N
H5216|333|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-333 (PPO)|00025458|9.60|0| | |CO|06030|0|N
H5216|333|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-333 (PPO)|00025458|9.60|0| | |CO|06050|0|N
H5216|333|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-333 (PPO)|00025458|9.60|0| | |CO|06060|0|N
H5216|333|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-333 (PPO)|00025458|9.60|0| | |CO|06070|0|N
H5216|333|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-333 (PPO)|00025458|9.60|0| | |CO|06090|0|N
H5216|333|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-333 (PPO)|00025458|9.60|0| | |CO|06100|0|N
H5216|333|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-333 (PPO)|00025458|9.60|0| | |CO|06110|0|N
H5216|333|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-333 (PPO)|00025458|9.60|0| | |CO|06120|0|N
H5216|333|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-333 (PPO)|00025458|9.60|0| | |CO|06130|0|N
H5216|333|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-333 (PPO)|00025458|9.60|0| | |CO|06140|0|N
H5216|333|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-333 (PPO)|00025458|9.60|0| | |CO|06150|0|N
H5216|333|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-333 (PPO)|00025458|9.60|0| | |CO|06160|0|N
H5216|333|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-333 (PPO)|00025458|9.60|0| | |CO|06170|0|N
H5216|333|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-333 (PPO)|00025458|9.60|0| | |CO|06190|0|N
H5216|333|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-333 (PPO)|00025458|9.60|0| | |CO|06200|0|N
H5216|333|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-333 (PPO)|00025458|9.60|0| | |CO|06210|0|N
H5216|333|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-333 (PPO)|00025458|9.60|0| | |CO|06230|0|N
H5216|333|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-333 (PPO)|00025458|9.60|0| | |CO|06240|0|N
H5216|333|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-333 (PPO)|00025458|9.60|0| | |CO|06250|0|N
H5216|333|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-333 (PPO)|00025458|9.60|0| | |CO|06260|0|N
H5216|333|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-333 (PPO)|00025458|9.60|0| | |CO|06270|0|N
H5216|333|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-333 (PPO)|00025458|9.60|0| | |CO|06280|0|N
H5216|333|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-333 (PPO)|00025458|9.60|0| | |CO|06290|0|N
H5216|333|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-333 (PPO)|00025458|9.60|0| | |CO|06320|0|N
H5216|333|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-333 (PPO)|00025458|9.60|0| | |CO|06330|0|N
H5216|333|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-333 (PPO)|00025458|9.60|0| | |CO|06350|0|N
H5216|333|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-333 (PPO)|00025458|9.60|0| | |CO|06360|0|N
H5216|333|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-333 (PPO)|00025458|9.60|0| | |CO|06370|0|N
H5216|333|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-333 (PPO)|00025458|9.60|0| | |CO|06380|0|N
H5216|333|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-333 (PPO)|00025458|9.60|0| | |CO|06390|0|N
H5216|333|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-333 (PPO)|00025458|9.60|0| | |CO|06410|0|N
H5216|333|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-333 (PPO)|00025458|9.60|0| | |CO|06420|0|N
H5216|333|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-333 (PPO)|00025458|9.60|0| | |CO|06430|0|N
H5216|333|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-333 (PPO)|00025458|9.60|0| | |CO|06440|0|N
H5216|333|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-333 (PPO)|00025458|9.60|0| | |CO|06450|0|N
H5216|333|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-333 (PPO)|00025458|9.60|0| | |CO|06460|0|N
H5216|333|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-333 (PPO)|00025458|9.60|0| | |CO|06500|0|N
H5216|333|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-333 (PPO)|00025458|9.60|0| | |CO|06510|0|N
H5216|333|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-333 (PPO)|00025458|9.60|0| | |CO|06520|0|N
H5216|333|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-333 (PPO)|00025458|9.60|0| | |CO|06540|0|N
H5216|333|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-333 (PPO)|00025458|9.60|0| | |CO|06550|0|N
H5216|333|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-333 (PPO)|00025458|9.60|0| | |CO|06560|0|N
H5216|333|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-333 (PPO)|00025458|9.60|0| | |CO|06580|0|N
H5216|333|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-333 (PPO)|00025458|9.60|0| | |CO|06590|0|N
H5216|333|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-333 (PPO)|00025458|9.60|0| | |CO|06600|0|N
H5216|333|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-333 (PPO)|00025458|9.60|0| | |CO|06610|0|N
H5216|333|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-333 (PPO)|00025458|9.60|0| | |CO|06630|0|N
H5216|334|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025462|0.00|0| | |MS|25000|1|N
H5216|334|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025462|0.00|0| | |MS|25010|1|N
H5216|334|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025462|0.00|0| | |MS|25030|1|N
H5216|334|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025462|0.00|0| | |MS|25050|1|N
H5216|334|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025462|0.00|0| | |MS|25080|1|N
H5216|334|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025462|0.00|0| | |MS|25090|1|N
H5216|334|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025462|0.00|0| | |MS|25100|1|N
H5216|334|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025462|0.00|0| | |MS|25130|1|N
H5216|334|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025462|0.00|0| | |MS|25150|1|N
H5216|334|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025462|0.00|0| | |MS|25160|1|N
H5216|334|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025462|0.00|0| | |MS|25180|1|N
H5216|334|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025462|0.00|0| | |MS|25190|1|N
H5216|334|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025462|0.00|0| | |MS|25200|1|N
H5216|334|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025462|0.00|0| | |MS|25230|1|N
H5216|334|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025462|0.00|0| | |MS|25240|1|N
H5216|334|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025462|0.00|0| | |MS|25260|1|N
H5216|334|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025462|0.00|0| | |MS|25290|1|N
H5216|334|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025462|0.00|0| | |MS|25300|1|N
H5216|334|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025462|0.00|0| | |MS|25330|1|N
H5216|334|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025462|0.00|0| | |MS|25360|1|N
H5216|334|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025462|0.00|0| | |MS|25370|1|N
H5216|334|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025462|0.00|0| | |MS|25410|1|N
H5216|334|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025462|0.00|0| | |MS|25450|1|N
H5216|334|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025462|0.00|0| | |MS|25530|1|N
H5216|334|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025462|0.00|0| | |MS|25560|1|N
H5216|334|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025462|0.00|0| | |MS|25590|1|N
H5216|334|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025462|0.00|0| | |MS|25610|1|N
H5216|334|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025462|0.00|0| | |MS|25620|1|N
H5216|334|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025462|0.00|0| | |MS|25650|1|N
H5216|334|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025462|0.00|0| | |MS|25660|1|N
H5216|334|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025462|0.00|0| | |MS|25670|1|N
H5216|334|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025462|0.00|0| | |MS|25680|1|N
H5216|334|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025462|0.00|0| | |MS|25700|1|N
H5216|334|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025462|0.00|0| | |MS|25710|1|N
H5216|334|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025462|0.00|0| | |MS|25730|1|N
H5216|334|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025462|0.00|0| | |MS|25750|1|N
H5216|334|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025462|0.00|0| | |MS|25760|1|N
H5216|334|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025462|0.00|0| | |MS|25800|1|N
H5216|337|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37000|0|N
H5216|337|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37010|0|N
H5216|337|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37050|0|N
H5216|337|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37060|0|N
H5216|337|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37070|0|N
H5216|337|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37090|0|N
H5216|337|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37100|0|N
H5216|337|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37110|0|N
H5216|337|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37140|0|N
H5216|337|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37150|0|N
H5216|337|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37160|0|N
H5216|337|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37170|0|N
H5216|337|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37200|0|N
H5216|337|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37210|0|N
H5216|337|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37230|0|N
H5216|337|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37240|0|N
H5216|337|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37260|0|N
H5216|337|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37270|0|N
H5216|337|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37300|0|N
H5216|337|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37310|0|N
H5216|337|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37320|0|N
H5216|337|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37330|0|N
H5216|337|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37340|0|N
H5216|337|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37350|0|N
H5216|337|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37370|0|N
H5216|337|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37380|0|N
H5216|337|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37390|0|N
H5216|337|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37420|0|N
H5216|337|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37440|0|N
H5216|337|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37450|0|N
H5216|337|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37460|0|N
H5216|337|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37470|0|N
H5216|337|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37490|0|N
H5216|337|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37500|0|N
H5216|337|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37510|0|N
H5216|337|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37520|0|N
H5216|337|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37530|0|N
H5216|337|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37570|0|N
H5216|337|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37580|0|N
H5216|337|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37590|0|N
H5216|337|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37600|0|N
H5216|337|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37610|0|N
H5216|337|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37630|0|N
H5216|337|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37670|0|N
H5216|337|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37680|0|N
H5216|337|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37700|0|N
H5216|337|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37750|0|N
H5216|337|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37760|0|N
H5216|337|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37080|0|N
H5216|337|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37130|0|N
H5216|337|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37180|0|N
H5216|337|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37250|0|N
H5216|337|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37360|0|N
H5216|337|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37400|0|N
H5216|337|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37410|0|N
H5216|337|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37430|0|N
H5216|337|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37480|0|N
H5216|337|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37540|0|N
H5216|337|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37550|0|N
H5216|337|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37560|0|N
H5216|337|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37620|0|N
H5216|337|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37650|0|N
H5216|337|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37660|0|N
H5216|337|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37710|0|N
H5216|337|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |OK|37720|0|N
H5216|337|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |AR|04000|0|N
H5216|337|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |AR|04010|0|N
H5216|337|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |AR|04020|0|N
H5216|337|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |AR|04030|0|N
H5216|337|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |AR|04040|0|N
H5216|337|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |AR|04050|0|N
H5216|337|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |AR|04060|0|N
H5216|337|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |AR|04080|0|N
H5216|337|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |AR|04090|0|N
H5216|337|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |AR|04110|0|N
H5216|337|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |AR|04120|0|N
H5216|337|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |AR|04130|0|N
H5216|337|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |AR|04140|0|N
H5216|337|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |AR|04160|0|N
H5216|337|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |AR|04170|0|N
H5216|337|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |AR|04190|0|N
H5216|337|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |AR|04230|0|N
H5216|337|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |AR|04240|0|N
H5216|337|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |AR|04260|0|N
H5216|337|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |AR|04280|0|N
H5216|337|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |AR|04320|0|N
H5216|337|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |AR|04350|0|N
H5216|337|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |AR|04370|0|N
H5216|337|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |AR|04380|0|N
H5216|337|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |AR|04390|0|N
H5216|337|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |AR|04400|0|N
H5216|337|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |AR|04410|0|N
H5216|337|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |AR|04420|0|N
H5216|337|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |AR|04430|0|N
H5216|337|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |AR|04440|0|N
H5216|337|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |AR|04450|0|N
H5216|337|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |AR|04470|0|N
H5216|337|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |AR|04480|0|N
H5216|337|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |AR|04490|0|N
H5216|337|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |AR|04500|0|N
H5216|337|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |AR|04510|0|N
H5216|337|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |AR|04520|0|N
H5216|337|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |AR|04530|0|N
H5216|337|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |AR|04540|0|N
H5216|337|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |AR|04550|0|N
H5216|337|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |AR|04570|0|N
H5216|337|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |AR|04580|0|N
H5216|337|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |AR|04590|0|N
H5216|337|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |AR|04600|0|N
H5216|337|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |AR|04620|0|N
H5216|337|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |AR|04630|0|N
H5216|337|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |AR|04640|0|N
H5216|337|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |AR|04650|0|N
H5216|337|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |AR|04660|0|N
H5216|337|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |AR|04680|0|N
H5216|337|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |AR|04690|0|N
H5216|337|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |AR|04710|0|N
H5216|337|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-337 (PPO)|00025456|0.00|250| | |AR|04740|0|N
H5216|338|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|0| | |AZ|03060|0|N
H5216|339|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-339 (PPO)|00025458|0.00|200| | |NM|32010|0|N
H5216|339|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-339 (PPO)|00025458|0.00|200| | |NM|32020|0|N
H5216|339|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-339 (PPO)|00025458|0.00|200| | |NM|32025|0|N
H5216|339|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-339 (PPO)|00025458|0.00|200| | |NM|32030|0|N
H5216|339|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-339 (PPO)|00025458|0.00|200| | |NM|32040|0|N
H5216|339|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-339 (PPO)|00025458|0.00|200| | |NM|32050|0|N
H5216|339|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-339 (PPO)|00025458|0.00|200| | |NM|32070|0|N
H5216|339|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-339 (PPO)|00025458|0.00|200| | |NM|32080|0|N
H5216|339|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-339 (PPO)|00025458|0.00|200| | |NM|32090|0|N
H5216|339|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-339 (PPO)|00025458|0.00|200| | |NM|32160|0|N
H5216|339|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-339 (PPO)|00025458|0.00|200| | |NM|32180|0|N
H5216|339|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-339 (PPO)|00025458|0.00|200| | |NM|32200|0|N
H5216|339|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-339 (PPO)|00025458|0.00|200| | |NM|32250|0|N
H5216|339|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-339 (PPO)|00025458|0.00|200| | |NM|32260|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16000|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16010|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16020|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16030|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16040|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16050|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16060|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16070|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16080|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16090|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16100|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16110|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16120|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16130|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16140|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16150|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16160|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16170|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16180|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16190|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16200|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16210|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16220|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16230|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16240|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16250|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16260|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16270|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16280|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16290|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16300|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16310|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16320|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16330|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16340|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16350|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16360|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16370|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16380|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16390|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16400|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16410|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16420|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16430|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16440|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16450|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16460|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16470|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16480|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16490|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16500|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16510|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16520|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16530|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16540|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16550|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16560|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16570|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16580|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16590|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16600|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16610|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16620|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16630|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16640|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16650|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16660|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16670|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16680|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16690|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16700|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16710|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16720|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16730|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16740|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16750|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16760|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16770|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16780|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16790|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16800|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16810|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16820|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16830|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16840|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16850|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16870|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16880|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16890|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16900|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16910|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16920|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16930|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16940|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16950|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16960|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16970|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |IA|16980|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |NE|28030|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |NE|28100|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |NE|28110|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |NE|28120|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |NE|28160|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |NE|28180|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |NE|28190|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |NE|28210|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |NE|28250|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |NE|28260|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |NE|28270|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |NE|28290|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |NE|28470|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |NE|28520|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |NE|28540|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |NE|28590|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |NE|28610|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |NE|28620|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |NE|28630|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |NE|28700|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |NE|28710|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |NE|28750|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |NE|28760|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |NE|28770|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |NE|28780|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |NE|28790|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |NE|28820|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |NE|28840|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |NE|28860|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |NE|28880|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |NE|28890|0|N
H5216|340|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|400| | |NE|28920|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11000|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11010|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11011|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11020|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11030|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11040|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11050|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11060|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11070|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11080|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11090|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11100|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11110|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11130|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11140|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11150|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11160|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11161|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11170|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11180|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11200|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11210|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11220|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11230|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11240|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11260|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11270|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11280|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11281|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11290|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11291|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11300|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11310|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11311|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11330|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11340|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11341|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11350|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11370|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11380|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11381|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11400|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11410|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11420|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11430|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11441|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11450|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11460|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11461|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11462|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11470|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11480|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11490|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11500|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11510|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11520|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11530|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11550|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11560|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11580|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11581|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11590|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11591|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11600|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11601|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11610|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11611|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11612|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11620|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11630|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11640|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11650|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11651|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11652|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11660|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11670|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11680|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11690|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11691|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11701|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11702|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11703|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11710|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11720|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11730|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11740|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11741|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11760|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11770|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11771|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11772|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11780|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11790|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11800|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11801|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11810|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11811|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11820|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11821|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11831|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11832|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11833|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11834|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11835|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11840|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11841|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11842|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11850|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11851|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11860|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11861|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11862|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11870|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11880|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11881|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11882|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11883|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11884|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11885|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11890|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11900|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11902|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11903|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11911|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11912|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11913|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11920|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11921|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11930|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11940|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11941|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11950|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11961|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11962|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11963|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11970|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11971|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11972|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11973|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |GA|11980|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |SC|42000|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |SC|42010|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |SC|42020|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |SC|42030|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |SC|42040|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |SC|42050|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |SC|42070|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |SC|42080|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |SC|42090|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |SC|42100|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |SC|42130|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |SC|42140|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |SC|42150|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |SC|42160|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |SC|42170|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |SC|42180|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |SC|42190|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |SC|42200|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |SC|42210|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |SC|42220|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |SC|42230|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |SC|42240|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |SC|42260|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |SC|42270|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |SC|42290|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |SC|42300|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |SC|42310|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |SC|42320|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |SC|42330|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |SC|42340|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |SC|42350|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |SC|42360|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |SC|42370|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |SC|42380|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |SC|42390|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |SC|42400|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |SC|42410|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |SC|42420|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |SC|42430|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |SC|42440|0|N
H5216|345|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-345 (PPO)|00025458|0.00|450| | |SC|42450|0|N
H5216|346|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-346 (PPO)|00025456|2.00|350| | |SC|42000|0|N
H5216|346|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-346 (PPO)|00025456|2.00|350| | |SC|42030|0|N
H5216|346|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-346 (PPO)|00025456|2.00|350| | |SC|42100|0|N
H5216|346|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-346 (PPO)|00025456|2.00|350| | |SC|42220|0|N
H5216|346|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-346 (PPO)|00025456|2.00|350| | |SC|42290|0|N
H5216|346|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-346 (PPO)|00025456|2.00|350| | |SC|42360|0|N
H5216|346|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-346 (PPO)|00025456|2.00|350| | |SC|42380|0|N
H5216|346|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-346 (PPO)|00025456|2.00|350| | |SC|42410|0|N
H5216|346|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-346 (PPO)|00025456|2.00|350| | |SC|42430|0|N
H5216|346|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-346 (PPO)|00025456|2.00|350| | |SC|42450|0|N
H5216|347|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-347 (PPO)|00025458|0.00|350| | |GA|11130|0|N
H5216|347|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-347 (PPO)|00025458|0.00|350| | |GA|11140|0|N
H5216|347|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-347 (PPO)|00025458|0.00|350| | |GA|11170|0|N
H5216|347|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-347 (PPO)|00025458|0.00|350| | |GA|11220|0|N
H5216|347|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-347 (PPO)|00025458|0.00|350| | |GA|11310|0|N
H5216|347|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-347 (PPO)|00025458|0.00|350| | |GA|11680|0|N
H5216|347|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-347 (PPO)|00025458|0.00|350| | |GA|11691|0|N
H5216|347|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-347 (PPO)|00025458|0.00|350| | |GA|11702|0|N
H5216|347|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-347 (PPO)|00025458|0.00|350| | |GA|11703|0|N
H5216|347|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-347 (PPO)|00025458|0.00|350| | |GA|11840|0|N
H5216|347|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-347 (PPO)|00025458|0.00|350| | |SC|42000|0|N
H5216|347|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-347 (PPO)|00025458|0.00|350| | |SC|42010|0|N
H5216|347|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-347 (PPO)|00025458|0.00|350| | |SC|42020|0|N
H5216|347|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-347 (PPO)|00025458|0.00|350| | |SC|42030|0|N
H5216|347|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-347 (PPO)|00025458|0.00|350| | |SC|42040|0|N
H5216|347|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-347 (PPO)|00025458|0.00|350| | |SC|42050|0|N
H5216|347|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-347 (PPO)|00025458|0.00|350| | |SC|42070|0|N
H5216|347|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-347 (PPO)|00025458|0.00|350| | |SC|42080|0|N
H5216|347|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-347 (PPO)|00025458|0.00|350| | |SC|42090|0|N
H5216|347|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-347 (PPO)|00025458|0.00|350| | |SC|42100|0|N
H5216|347|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-347 (PPO)|00025458|0.00|350| | |SC|42110|0|N
H5216|347|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-347 (PPO)|00025458|0.00|350| | |SC|42120|0|N
H5216|347|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-347 (PPO)|00025458|0.00|350| | |SC|42130|0|N
H5216|347|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-347 (PPO)|00025458|0.00|350| | |SC|42140|0|N
H5216|347|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-347 (PPO)|00025458|0.00|350| | |SC|42160|0|N
H5216|347|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-347 (PPO)|00025458|0.00|350| | |SC|42170|0|N
H5216|347|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-347 (PPO)|00025458|0.00|350| | |SC|42180|0|N
H5216|347|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-347 (PPO)|00025458|0.00|350| | |SC|42190|0|N
H5216|347|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-347 (PPO)|00025458|0.00|350| | |SC|42200|0|N
H5216|347|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-347 (PPO)|00025458|0.00|350| | |SC|42210|0|N
H5216|347|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-347 (PPO)|00025458|0.00|350| | |SC|42220|0|N
H5216|347|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-347 (PPO)|00025458|0.00|350| | |SC|42230|0|N
H5216|347|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-347 (PPO)|00025458|0.00|350| | |SC|42240|0|N
H5216|347|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-347 (PPO)|00025458|0.00|350| | |SC|42250|0|N
H5216|347|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-347 (PPO)|00025458|0.00|350| | |SC|42260|0|N
H5216|347|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-347 (PPO)|00025458|0.00|350| | |SC|42270|0|N
H5216|347|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-347 (PPO)|00025458|0.00|350| | |SC|42280|0|N
H5216|347|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-347 (PPO)|00025458|0.00|350| | |SC|42290|0|N
H5216|347|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-347 (PPO)|00025458|0.00|350| | |SC|42300|0|N
H5216|347|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-347 (PPO)|00025458|0.00|350| | |SC|42310|0|N
H5216|347|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-347 (PPO)|00025458|0.00|350| | |SC|42320|0|N
H5216|347|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-347 (PPO)|00025458|0.00|350| | |SC|42330|0|N
H5216|347|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-347 (PPO)|00025458|0.00|350| | |SC|42340|0|N
H5216|347|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-347 (PPO)|00025458|0.00|350| | |SC|42350|0|N
H5216|347|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-347 (PPO)|00025458|0.00|350| | |SC|42360|0|N
H5216|347|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-347 (PPO)|00025458|0.00|350| | |SC|42370|0|N
H5216|347|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-347 (PPO)|00025458|0.00|350| | |SC|42380|0|N
H5216|347|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-347 (PPO)|00025458|0.00|350| | |SC|42390|0|N
H5216|347|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-347 (PPO)|00025458|0.00|350| | |SC|42400|0|N
H5216|347|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-347 (PPO)|00025458|0.00|350| | |SC|42410|0|N
H5216|347|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-347 (PPO)|00025458|0.00|350| | |SC|42420|0|N
H5216|347|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-347 (PPO)|00025458|0.00|350| | |SC|42430|0|N
H5216|347|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-347 (PPO)|00025458|0.00|350| | |SC|42440|0|N
H5216|347|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-347 (PPO)|00025458|0.00|350| | |SC|42450|0|N
H5216|350|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-350 (PPO)|00025456|0.00|0| | |TX|45240|0|N
H5216|350|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-350 (PPO)|00025456|0.00|0| | |TX|45480|0|N
H5216|350|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-350 (PPO)|00025456|0.00|0| | |TX|45650|0|N
H5216|350|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-350 (PPO)|00025456|0.00|0| | |TX|45900|0|N
H5216|350|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-350 (PPO)|00025456|0.00|0| | |TX|45953|0|N
H5216|350|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-350 (PPO)|00025456|0.00|0| | |TX|45962|0|N
H5216|350|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-350 (PPO)|00025456|0.00|0| | |TX|45982|0|N
H5216|351|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|590| | |TX|45060|0|N
H5216|351|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|590| | |TX|45090|0|N
H5216|351|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|590| | |TX|45130|0|N
H5216|351|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|590| | |TX|45180|0|N
H5216|351|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|590| | |TX|45320|0|N
H5216|351|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|590| | |TX|45390|0|N
H5216|351|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|590| | |TX|45550|0|N
H5216|351|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|590| | |TX|45581|0|N
H5216|351|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|590| | |TX|45731|0|N
H5216|351|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|590| | |TX|45792|0|N
H5216|351|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|590| | |TX|45971|0|N
H5216|352|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-352 (PPO)|00025456|0.00|250| | |TX|45340|0|N
H5216|352|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-352 (PPO)|00025456|0.00|250| | |TX|45390|0|N
H5216|352|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-352 (PPO)|00025456|0.00|250| | |TX|45410|0|N
H5216|352|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-352 (PPO)|00025456|0.00|250| | |TX|45470|0|N
H5216|352|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-352 (PPO)|00025456|0.00|250| | |TX|45531|0|N
H5216|352|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-352 (PPO)|00025456|0.00|250| | |TX|45570|0|N
H5216|352|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-352 (PPO)|00025456|0.00|250| | |TX|45620|0|N
H5216|352|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-352 (PPO)|00025456|0.00|250| | |TX|45640|0|N
H5216|352|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-352 (PPO)|00025456|0.00|250| | |TX|45730|0|N
H5216|352|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-352 (PPO)|00025456|0.00|250| | |TX|45800|0|N
H5216|352|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-352 (PPO)|00025456|0.00|250| | |TX|45890|0|N
H5216|352|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-352 (PPO)|00025456|0.00|250| | |TX|45892|0|N
H5216|352|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-352 (PPO)|00025456|0.00|250| | |TX|45910|0|N
H5216|352|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-352 (PPO)|00025456|0.00|250| | |TX|45943|0|N
H5216|352|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-352 (PPO)|00025456|0.00|250| | |TX|45947|0|N
H5216|352|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-352 (PPO)|00025456|0.00|250| | |TX|45973|0|N
H5216|353|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-353 (PPO)|00025456|0.00|250| | |TX|45480|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45000|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45020|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45030|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45100|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45113|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45120|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45170|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45190|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45223|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45260|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45280|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45312|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45341|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45400|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45451|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45510|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45511|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45564|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45570|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45582|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45600|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45610|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45620|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45631|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45640|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45651|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45653|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45654|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45661|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45690|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45700|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45711|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45720|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45730|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45743|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45750|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45757|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45761|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45770|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45791|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45795|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45800|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45810|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45820|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45830|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45840|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45843|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45860|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45871|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45874|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45879|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45881|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45884|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45885|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45892|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45910|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45921|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45930|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45940|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45942|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45943|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45947|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45948|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45949|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45950|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45952|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45954|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45960|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45970|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45973|0|N
H5216|358|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-358 (PPO)|00025456|0.00|590| | |TX|45974|0|N
H5216|359|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-359 (PPO)|00025456|0.00|590| | |MN|24000|0|N
H5216|359|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-359 (PPO)|00025456|0.00|590| | |MN|24010|0|N
H5216|359|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-359 (PPO)|00025456|0.00|590| | |MN|24020|0|N
H5216|359|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-359 (PPO)|00025456|0.00|590| | |MN|24030|0|N
H5216|359|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-359 (PPO)|00025456|0.00|590| | |MN|24040|0|N
H5216|359|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-359 (PPO)|00025456|0.00|590| | |MN|24060|0|N
H5216|359|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-359 (PPO)|00025456|0.00|590| | |MN|24080|0|N
H5216|359|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-359 (PPO)|00025456|0.00|590| | |MN|24090|0|N
H5216|359|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-359 (PPO)|00025456|0.00|590| | |MN|24100|0|N
H5216|359|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-359 (PPO)|00025456|0.00|590| | |MN|24130|0|N
H5216|359|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-359 (PPO)|00025456|0.00|590| | |MN|24140|0|N
H5216|359|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-359 (PPO)|00025456|0.00|590| | |MN|24170|0|N
H5216|359|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-359 (PPO)|00025456|0.00|590| | |MN|24180|0|N
H5216|359|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-359 (PPO)|00025456|0.00|590| | |MN|24220|0|N
H5216|359|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-359 (PPO)|00025456|0.00|590| | |MN|24260|0|N
H5216|359|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-359 (PPO)|00025456|0.00|590| | |MN|24270|0|N
H5216|359|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-359 (PPO)|00025456|0.00|590| | |MN|24280|0|N
H5216|359|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-359 (PPO)|00025456|0.00|590| | |MN|24290|0|N
H5216|359|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-359 (PPO)|00025456|0.00|590| | |MN|24300|0|N
H5216|359|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-359 (PPO)|00025456|0.00|590| | |MN|24320|0|N
H5216|359|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-359 (PPO)|00025456|0.00|590| | |MN|24350|0|N
H5216|359|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-359 (PPO)|00025456|0.00|590| | |MN|24370|0|N
H5216|359|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-359 (PPO)|00025456|0.00|590| | |MN|24380|0|N
H5216|359|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-359 (PPO)|00025456|0.00|590| | |MN|24390|0|N
H5216|359|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-359 (PPO)|00025456|0.00|590| | |MN|24420|0|N
H5216|359|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-359 (PPO)|00025456|0.00|590| | |MN|24430|0|N
H5216|359|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-359 (PPO)|00025456|0.00|590| | |MN|24440|0|N
H5216|359|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-359 (PPO)|00025456|0.00|590| | |MN|24450|0|N
H5216|359|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-359 (PPO)|00025456|0.00|590| | |MN|24460|0|N
H5216|359|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-359 (PPO)|00025456|0.00|590| | |MN|24470|0|N
H5216|359|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-359 (PPO)|00025456|0.00|590| | |MN|24480|0|N
H5216|359|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-359 (PPO)|00025456|0.00|590| | |MN|24530|0|N
H5216|359|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-359 (PPO)|00025456|0.00|590| | |MN|24550|0|N
H5216|359|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-359 (PPO)|00025456|0.00|590| | |MN|24560|0|N
H5216|359|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-359 (PPO)|00025456|0.00|590| | |MN|24570|0|N
H5216|359|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-359 (PPO)|00025456|0.00|590| | |MN|24590|0|N
H5216|359|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-359 (PPO)|00025456|0.00|590| | |MN|24610|0|N
H5216|359|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-359 (PPO)|00025456|0.00|590| | |MN|24620|0|N
H5216|359|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-359 (PPO)|00025456|0.00|590| | |MN|24650|0|N
H5216|359|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-359 (PPO)|00025456|0.00|590| | |MN|24670|0|N
H5216|359|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-359 (PPO)|00025456|0.00|590| | |MN|24680|0|N
H5216|359|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-359 (PPO)|00025456|0.00|590| | |MN|24690|0|N
H5216|359|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-359 (PPO)|00025456|0.00|590| | |MN|24730|0|N
H5216|359|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-359 (PPO)|00025456|0.00|590| | |MN|24760|0|N
H5216|359|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-359 (PPO)|00025456|0.00|590| | |MN|24790|0|N
H5216|359|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-359 (PPO)|00025456|0.00|590| | |MN|24810|0|N
H5216|359|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-359 (PPO)|00025456|0.00|590| | |MN|24830|0|N
H5216|359|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-359 (PPO)|00025456|0.00|590| | |MN|24840|0|N
H5216|359|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-359 (PPO)|00025456|0.00|590| | |MN|24850|0|N
H5216|359|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-359 (PPO)|00025456|0.00|590| | |WI|52060|0|N
H5216|359|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-359 (PPO)|00025456|0.00|590| | |WI|52150|0|N
H5216|359|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-359 (PPO)|00025456|0.00|590| | |WI|52470|0|N
H5216|360|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-360 (PPO)|00025456|0.00|250| | |TX|45030|0|N
H5216|360|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-360 (PPO)|00025456|0.00|250| | |TX|45050|0|N
H5216|360|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-360 (PPO)|00025456|0.00|250| | |TX|45090|0|N
H5216|360|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-360 (PPO)|00025456|0.00|250| | |TX|45130|0|N
H5216|360|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-360 (PPO)|00025456|0.00|250| | |TX|45240|0|N
H5216|360|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-360 (PPO)|00025456|0.00|250| | |TX|45251|0|N
H5216|360|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-360 (PPO)|00025456|0.00|250| | |TX|45320|0|N
H5216|360|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-360 (PPO)|00025456|0.00|250| | |TX|45460|0|N
H5216|360|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-360 (PPO)|00025456|0.00|250| | |TX|45581|0|N
H5216|360|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-360 (PPO)|00025456|0.00|250| | |TX|45650|0|N
H5216|360|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-360 (PPO)|00025456|0.00|250| | |TX|45711|0|N
H5216|360|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-360 (PPO)|00025456|0.00|250| | |TX|45731|0|N
H5216|360|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-360 (PPO)|00025456|0.00|250| | |TX|45734|0|N
H5216|360|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-360 (PPO)|00025456|0.00|250| | |TX|45743|0|N
H5216|360|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-360 (PPO)|00025456|0.00|250| | |TX|45784|0|N
H5216|360|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-360 (PPO)|00025456|0.00|250| | |TX|45792|0|N
H5216|360|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-360 (PPO)|00025456|0.00|250| | |TX|45830|0|N
H5216|360|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-360 (PPO)|00025456|0.00|250| | |TX|45873|0|N
H5216|360|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-360 (PPO)|00025456|0.00|250| | |TX|45876|0|N
H5216|360|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-360 (PPO)|00025456|0.00|250| | |TX|45889|0|N
H5216|360|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-360 (PPO)|00025456|0.00|250| | |TX|45962|0|N
H5216|360|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-360 (PPO)|00025456|0.00|250| | |TX|45971|0|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04000|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04010|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04020|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04030|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04040|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04050|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04060|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04070|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04080|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04090|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04110|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04120|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04130|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04140|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04150|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04160|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04170|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04190|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04200|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04220|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04230|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04240|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04250|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04260|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04270|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04280|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04290|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04320|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04340|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04350|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04370|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04380|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04390|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04400|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04410|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04420|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04430|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04440|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04450|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04460|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04480|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04490|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04500|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04510|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04520|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04530|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04540|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04550|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04570|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04580|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04590|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04600|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04610|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04620|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04630|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04640|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04650|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04660|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04680|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04690|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04700|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04710|2|N
H5216|361|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-361 (PPO D-SNP)|00025456|20.90|590| | |AR|04740|2|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49000|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49010|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49011|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49020|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49030|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49040|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49050|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49060|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49070|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49080|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49090|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49100|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49110|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49111|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49120|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49130|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49140|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49141|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49150|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49160|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49170|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49180|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49190|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49191|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49194|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49200|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49210|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49212|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49213|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49220|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49230|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49240|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49241|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49250|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49260|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49270|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49280|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49288|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49290|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49291|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49300|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49310|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49320|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49328|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49330|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49340|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49342|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49343|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49350|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49360|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49370|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49380|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49390|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49400|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49410|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49411|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49420|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49421|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49430|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49440|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49450|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49451|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49460|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49470|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49480|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49490|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49500|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49510|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49520|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49522|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49530|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49540|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49550|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49551|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49560|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49561|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49563|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49565|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49570|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49580|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49590|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49600|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49620|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49621|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49622|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49641|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49650|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49660|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49661|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49670|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49680|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49690|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49700|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49701|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49710|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49711|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49712|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49720|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49730|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49740|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49750|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49770|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49771|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49780|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49790|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49791|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49800|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49801|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49810|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49820|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49830|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49838|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49840|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49850|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49860|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49870|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49880|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49890|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49891|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49892|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49900|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49910|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49920|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49921|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49930|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49950|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49951|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49960|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49961|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49962|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49970|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49980|3|N
H5216|362|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |VA|49981|3|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49000|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49010|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49011|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49020|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49030|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49040|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49050|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49060|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49070|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49080|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49090|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49100|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49110|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49120|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49140|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49141|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49150|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49160|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49170|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49180|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49190|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49191|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49194|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49200|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49210|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49212|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49213|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49220|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49230|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49240|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49241|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49260|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49270|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49280|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49288|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49290|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49291|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49300|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49310|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49320|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49328|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49330|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49340|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49342|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49343|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49350|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49360|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49370|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49390|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49400|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49410|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49411|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49420|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49421|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49430|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49440|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49450|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49451|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49460|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49470|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49480|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49490|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49500|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49510|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49522|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49530|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49540|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49550|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49551|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49560|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49561|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49563|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49565|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49570|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49580|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49590|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49600|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49620|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49621|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49622|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49641|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49650|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49660|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49670|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49680|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49690|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49700|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49701|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49710|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49711|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49712|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49720|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49730|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49740|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49750|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49770|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49771|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49780|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49790|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49791|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49800|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49801|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49810|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49820|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49838|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49850|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49870|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49880|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49890|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49891|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49892|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49900|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49910|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49921|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49930|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49951|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49960|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49961|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49962|0|N
H5216|363|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-363 (PPO)|00025458|30.70|590| | |VA|49981|0|N
H5216|364|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-364 (PPO)|00025456|0.00|300| | |MT|27000|0|N
H5216|364|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-364 (PPO)|00025456|0.00|300| | |MT|27010|0|N
H5216|364|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-364 (PPO)|00025456|0.00|300| | |MT|27030|0|N
H5216|364|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-364 (PPO)|00025456|0.00|300| | |MT|27040|0|N
H5216|364|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-364 (PPO)|00025456|0.00|300| | |MT|27060|0|N
H5216|364|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-364 (PPO)|00025456|0.00|300| | |MT|27070|0|N
H5216|364|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-364 (PPO)|00025456|0.00|300| | |MT|27110|0|N
H5216|364|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-364 (PPO)|00025456|0.00|300| | |MT|27130|0|N
H5216|364|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-364 (PPO)|00025456|0.00|300| | |MT|27140|0|N
H5216|364|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-364 (PPO)|00025456|0.00|300| | |MT|27150|0|N
H5216|364|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-364 (PPO)|00025456|0.00|300| | |MT|27170|0|N
H5216|364|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-364 (PPO)|00025456|0.00|300| | |MT|27180|0|N
H5216|364|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-364 (PPO)|00025456|0.00|300| | |MT|27190|0|N
H5216|364|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-364 (PPO)|00025456|0.00|300| | |MT|27210|0|N
H5216|364|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-364 (PPO)|00025456|0.00|300| | |MT|27220|0|N
H5216|364|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-364 (PPO)|00025456|0.00|300| | |MT|27230|0|N
H5216|364|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-364 (PPO)|00025456|0.00|300| | |MT|27240|0|N
H5216|364|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-364 (PPO)|00025456|0.00|300| | |MT|27250|0|N
H5216|364|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-364 (PPO)|00025456|0.00|300| | |MT|27260|0|N
H5216|364|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-364 (PPO)|00025456|0.00|300| | |MT|27280|0|N
H5216|364|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-364 (PPO)|00025456|0.00|300| | |MT|27290|0|N
H5216|364|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-364 (PPO)|00025456|0.00|300| | |MT|27300|0|N
H5216|364|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-364 (PPO)|00025456|0.00|300| | |MT|27310|0|N
H5216|364|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-364 (PPO)|00025456|0.00|300| | |MT|27320|0|N
H5216|364|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-364 (PPO)|00025456|0.00|300| | |MT|27330|0|N
H5216|364|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-364 (PPO)|00025456|0.00|300| | |MT|27360|0|N
H5216|364|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-364 (PPO)|00025456|0.00|300| | |MT|27380|0|N
H5216|364|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-364 (PPO)|00025456|0.00|300| | |MT|27400|0|N
H5216|364|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-364 (PPO)|00025456|0.00|300| | |MT|27430|0|N
H5216|364|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-364 (PPO)|00025456|0.00|300| | |MT|27440|0|N
H5216|364|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-364 (PPO)|00025456|0.00|300| | |MT|27460|0|N
H5216|364|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-364 (PPO)|00025456|0.00|300| | |MT|27470|0|N
H5216|364|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-364 (PPO)|00025456|0.00|300| | |MT|27480|0|N
H5216|364|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-364 (PPO)|00025456|0.00|300| | |MT|27490|0|N
H5216|364|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-364 (PPO)|00025456|0.00|300| | |MT|27500|0|N
H5216|364|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-364 (PPO)|00025456|0.00|300| | |MT|27510|0|N
H5216|364|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-364 (PPO)|00025456|0.00|300| | |MT|27530|0|N
H5216|364|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-364 (PPO)|00025456|0.00|300| | |MT|27550|0|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04000|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04010|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04020|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04030|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04040|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04050|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04060|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04070|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04080|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04090|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04110|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04120|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04130|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04140|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04150|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04160|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04170|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04190|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04200|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04220|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04230|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04240|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04250|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04260|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04270|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04280|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04290|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04320|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04340|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04350|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04370|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04380|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04390|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04400|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04410|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04420|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04430|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04440|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04450|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04460|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04480|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04490|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04500|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04510|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04520|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04530|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04540|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04550|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04570|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04580|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04590|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04600|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04610|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04620|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04630|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04640|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04650|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04660|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04680|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04690|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04700|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04710|1|N
H5216|366|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |AR|04740|1|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25000|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25010|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25020|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25030|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25040|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25050|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25060|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25070|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25080|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25090|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25100|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25110|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25130|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25140|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25150|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25160|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25170|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25180|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25190|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25200|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25210|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25220|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25230|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25240|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25250|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25260|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25270|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25290|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25300|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25310|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25320|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25330|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25340|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25350|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25360|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25370|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25380|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25390|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25410|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25420|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25440|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25450|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25460|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25470|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25480|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25490|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25500|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25510|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25530|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25540|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25550|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25560|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25580|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25590|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25600|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25610|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25620|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25630|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25640|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25650|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25660|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25670|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25680|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25690|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25700|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25710|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25720|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25730|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25740|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25750|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25760|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25770|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25780|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25790|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25800|2|N
H5216|367|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-367 (PPO D-SNP)|00025456|0.00|590| | |MS|25810|2|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01000|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01010|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01020|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01030|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01040|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01050|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01060|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01070|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01080|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01090|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01100|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01110|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01120|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01130|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01140|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01150|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01160|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01170|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01180|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01190|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01200|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01210|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01220|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01230|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01240|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01250|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01260|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01270|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01280|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01290|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01300|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01310|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01320|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01330|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01340|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01350|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01360|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01370|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01380|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01390|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01400|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01410|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01420|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01430|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01440|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01450|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01460|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01470|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01480|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01490|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01500|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01510|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01520|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01530|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01540|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01550|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01560|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01570|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01580|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01590|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01600|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01610|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01620|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01630|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01640|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01650|0|N
H5216|368|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-368 (PPO)|00025458|10.00|590| | |AL|01660|0|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45000|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45010|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45020|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45030|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45040|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45050|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45060|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45070|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45090|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45100|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45110|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45113|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45120|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45130|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45140|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45160|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45170|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45180|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45190|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45210|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45220|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45221|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45222|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45223|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45224|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45230|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45240|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45250|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45251|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45260|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45270|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45280|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45281|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45291|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45300|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45301|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45310|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45312|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45320|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45321|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45330|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45340|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45341|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45362|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45390|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45391|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45392|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45400|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45410|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45420|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45421|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45430|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45440|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45450|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45451|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45460|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45470|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45480|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45490|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45500|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45510|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45511|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45530|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45531|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45540|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45541|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45550|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45551|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45552|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45561|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45562|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45563|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45564|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45570|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45580|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45581|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45582|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45583|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45590|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45600|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45610|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45620|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45621|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45630|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45631|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45640|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45650|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45651|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45652|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45653|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45654|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45660|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45661|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45662|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45670|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45671|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45672|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45680|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45681|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45690|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45700|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45710|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45711|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45720|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45721|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45722|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45730|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45731|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45732|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45734|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45742|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45743|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45750|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45751|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45752|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45754|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45755|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45756|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45757|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45758|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45760|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45761|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45770|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45771|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45772|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45780|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45782|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45783|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45784|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45790|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45791|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45792|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45794|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45795|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45796|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45800|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45801|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45802|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45803|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45810|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45820|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45821|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45822|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45830|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45840|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45841|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45842|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45843|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45845|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45850|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45860|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45870|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45871|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45873|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45874|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45875|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45876|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45878|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45879|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45880|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45881|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45882|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45883|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45884|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45885|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45886|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45887|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45889|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45890|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45892|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45893|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45900|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45901|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45910|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45911|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45913|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45920|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45921|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45930|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45940|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45941|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45942|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45943|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45945|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45946|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45947|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45948|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45949|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45950|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45951|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45952|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45953|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45954|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45960|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45961|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45962|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45970|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45971|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45973|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45974|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45981|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45982|3|N
H5216|369|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|500| | |TX|45983|3|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01000|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01010|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01020|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01030|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01040|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01050|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01060|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01070|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01080|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01090|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01100|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01110|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01120|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01130|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01140|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01150|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01160|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01170|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01180|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01190|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01200|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01210|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01220|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01230|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01240|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01250|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01260|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01270|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01280|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01290|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01300|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01310|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01320|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01330|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01340|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01350|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01360|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01370|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01380|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01390|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01400|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01410|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01420|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01430|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01440|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01450|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01460|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01470|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01480|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01490|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01500|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01510|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01520|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01530|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01540|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01550|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01560|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01570|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01580|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01590|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01600|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01610|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01620|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01630|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01640|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01650|2|N
H5216|370|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-370 (PPO D-SNP)|00025456|0.00|590| | |AL|01660|2|N
H5216|371|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-371 (PPO)|00025456|0.00|0| | |AZ|03060|0|N
H5216|371|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-371 (PPO)|00025456|0.00|0| | |AZ|03090|0|N
H5216|371|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-371 (PPO)|00025456|0.00|0| | |AZ|03100|0|N
H5216|372|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |OK|37000|1|N
H5216|372|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |OK|37060|1|N
H5216|372|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |OK|37070|1|N
H5216|372|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |OK|37080|1|N
H5216|372|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |OK|37090|1|N
H5216|372|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |OK|37100|1|N
H5216|372|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |OK|37130|1|N
H5216|372|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |OK|37150|1|N
H5216|372|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |OK|37170|1|N
H5216|372|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |OK|37180|1|N
H5216|372|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |OK|37200|1|N
H5216|372|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |OK|37230|1|N
H5216|372|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |OK|37240|1|N
H5216|372|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |OK|37250|1|N
H5216|372|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |OK|37310|1|N
H5216|372|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |OK|37350|1|N
H5216|372|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |OK|37360|1|N
H5216|372|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |OK|37390|1|N
H5216|372|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |OK|37400|1|N
H5216|372|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |OK|37410|1|N
H5216|372|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |OK|37430|1|N
H5216|372|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |OK|37450|1|N
H5216|372|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |OK|37480|1|N
H5216|372|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |OK|37490|1|N
H5216|372|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |OK|37500|1|N
H5216|372|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |OK|37510|1|N
H5216|372|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |OK|37540|1|N
H5216|372|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |OK|37550|1|N
H5216|372|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |OK|37560|1|N
H5216|372|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |OK|37570|1|N
H5216|372|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |OK|37580|1|N
H5216|372|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |OK|37590|1|N
H5216|372|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |OK|37600|1|N
H5216|372|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |OK|37610|1|N
H5216|372|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |OK|37620|1|N
H5216|372|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |OK|37650|1|N
H5216|372|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |OK|37660|1|N
H5216|372|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |OK|37670|1|N
H5216|372|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |OK|37680|1|N
H5216|372|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |OK|37710|1|N
H5216|372|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |OK|37720|1|N
H5216|373|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-373 (PPO D-SNP)|00025456|0.00|590| | |PA|39140|2|N
H5216|373|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-373 (PPO D-SNP)|00025456|0.00|590| | |PA|39210|2|N
H5216|373|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-373 (PPO D-SNP)|00025456|0.00|590| | |PA|39290|2|N
H5216|373|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-373 (PPO D-SNP)|00025456|0.00|590| | |PA|39560|2|N
H5216|373|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-373 (PPO D-SNP)|00025456|0.00|590| | |PA|39620|2|N
H5216|375|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |MI|23020|1|N
H5216|375|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |MI|23050|1|N
H5216|375|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |MI|23070|1|N
H5216|375|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |MI|23080|1|N
H5216|375|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |MI|23100|1|N
H5216|375|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |MI|23110|1|N
H5216|375|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |MI|23120|1|N
H5216|375|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |MI|23130|1|N
H5216|375|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |MI|23170|1|N
H5216|375|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |MI|23180|1|N
H5216|375|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |MI|23220|1|N
H5216|375|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |MI|23240|1|N
H5216|375|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |MI|23250|1|N
H5216|375|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |MI|23280|1|N
H5216|375|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |MI|23290|1|N
H5216|375|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |MI|23310|1|N
H5216|375|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |MI|23320|1|N
H5216|375|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |MI|23330|1|N
H5216|375|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |MI|23360|1|N
H5216|375|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |MI|23370|1|N
H5216|375|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |MI|23380|1|N
H5216|375|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |MI|23400|1|N
H5216|375|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |MI|23420|1|N
H5216|375|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |MI|23430|1|N
H5216|375|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |MI|23450|1|N
H5216|375|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |MI|23460|1|N
H5216|375|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |MI|23490|1|N
H5216|375|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |MI|23520|1|N
H5216|375|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |MI|23530|1|N
H5216|375|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |MI|23550|1|N
H5216|375|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |MI|23570|1|N
H5216|375|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |MI|23580|1|N
H5216|375|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |MI|23600|1|N
H5216|375|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |MI|23610|1|N
H5216|375|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |MI|23620|1|N
H5216|375|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |MI|23630|1|N
H5216|375|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |MI|23660|1|N
H5216|375|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |MI|23690|1|N
H5216|375|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |MI|23720|1|N
H5216|375|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |MI|23730|1|N
H5216|375|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |MI|23740|1|N
H5216|375|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |MI|23750|1|N
H5216|375|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |MI|23770|1|N
H5216|375|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |MI|23780|1|N
H5216|375|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |MI|23790|1|N
H5216|375|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |MI|23800|1|N
H5216|375|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|200| | |MI|23810|1|N
H5216|376|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-376 (PPO)|00025458|25.00|505| | |MD|21000|0|N
H5216|376|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-376 (PPO)|00025458|25.00|505| | |MD|21040|0|N
H5216|376|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-376 (PPO)|00025458|25.00|505| | |MD|21050|0|N
H5216|376|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-376 (PPO)|00025458|25.00|505| | |MD|21060|0|N
H5216|376|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-376 (PPO)|00025458|25.00|505| | |MD|21070|0|N
H5216|376|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-376 (PPO)|00025458|25.00|505| | |MD|21080|0|N
H5216|376|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-376 (PPO)|00025458|25.00|505| | |MD|21090|0|N
H5216|376|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-376 (PPO)|00025458|25.00|505| | |MD|21100|0|N
H5216|376|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-376 (PPO)|00025458|25.00|505| | |MD|21110|0|N
H5216|376|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-376 (PPO)|00025458|25.00|505| | |MD|21140|0|N
H5216|376|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-376 (PPO)|00025458|25.00|505| | |MD|21150|0|N
H5216|376|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-376 (PPO)|00025458|25.00|505| | |MD|21160|0|N
H5216|376|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-376 (PPO)|00025458|25.00|505| | |MD|21170|0|N
H5216|376|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-376 (PPO)|00025458|25.00|505| | |MD|21180|0|N
H5216|376|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-376 (PPO)|00025458|25.00|505| | |MD|21190|0|N
H5216|376|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-376 (PPO)|00025458|25.00|505| | |MD|21200|0|N
H5216|376|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-376 (PPO)|00025458|25.00|505| | |MD|21210|0|N
H5216|376|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-376 (PPO)|00025458|25.00|505| | |MD|21220|0|N
H5216|376|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-376 (PPO)|00025458|25.00|505| | |MD|21230|0|N
H5216|377|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-377 (PPO D-SNP)|00025456|0.00|590| | |MD|21000|2|N
H5216|377|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-377 (PPO D-SNP)|00025456|0.00|590| | |MD|21040|2|N
H5216|377|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-377 (PPO D-SNP)|00025456|0.00|590| | |MD|21050|2|N
H5216|377|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-377 (PPO D-SNP)|00025456|0.00|590| | |MD|21060|2|N
H5216|377|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-377 (PPO D-SNP)|00025456|0.00|590| | |MD|21070|2|N
H5216|377|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-377 (PPO D-SNP)|00025456|0.00|590| | |MD|21080|2|N
H5216|377|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-377 (PPO D-SNP)|00025456|0.00|590| | |MD|21090|2|N
H5216|377|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-377 (PPO D-SNP)|00025456|0.00|590| | |MD|21100|2|N
H5216|377|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-377 (PPO D-SNP)|00025456|0.00|590| | |MD|21110|2|N
H5216|377|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-377 (PPO D-SNP)|00025456|0.00|590| | |MD|21140|2|N
H5216|377|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-377 (PPO D-SNP)|00025456|0.00|590| | |MD|21150|2|N
H5216|377|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-377 (PPO D-SNP)|00025456|0.00|590| | |MD|21160|2|N
H5216|377|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-377 (PPO D-SNP)|00025456|0.00|590| | |MD|21170|2|N
H5216|377|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-377 (PPO D-SNP)|00025456|0.00|590| | |MD|21180|2|N
H5216|377|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-377 (PPO D-SNP)|00025456|0.00|590| | |MD|21190|2|N
H5216|377|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-377 (PPO D-SNP)|00025456|0.00|590| | |MD|21200|2|N
H5216|377|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-377 (PPO D-SNP)|00025456|0.00|590| | |MD|21210|2|N
H5216|377|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-377 (PPO D-SNP)|00025456|0.00|590| | |MD|21220|2|N
H5216|377|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-377 (PPO D-SNP)|00025456|0.00|590| | |MD|21230|2|N
H5216|378|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-378 (PPO)|00025456|0.00|250| | |IN|15030|0|N
H5216|378|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-378 (PPO)|00025456|0.00|250| | |IN|15190|0|N
H5216|378|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-378 (PPO)|00025456|0.00|250| | |IN|15240|0|N
H5216|378|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-378 (PPO)|00025456|0.00|250| | |IN|15360|0|N
H5216|378|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-378 (PPO)|00025456|0.00|250| | |IN|15440|0|N
H5216|378|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-378 (PPO)|00025456|0.00|250| | |IN|15450|0|N
H5216|378|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-378 (PPO)|00025456|0.00|250| | |IN|15490|0|N
H5216|378|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-378 (PPO)|00025456|0.00|250| | |IN|15550|0|N
H5216|378|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-378 (PPO)|00025456|0.00|250| | |IN|15630|0|N
H5216|378|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-378 (PPO)|00025456|0.00|250| | |IN|15650|0|N
H5216|378|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-378 (PPO)|00025456|0.00|250| | |IN|15700|0|N
H5216|378|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-378 (PPO)|00025456|0.00|250| | |IN|15740|0|N
H5216|378|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-378 (PPO)|00025456|0.00|250| | |IN|15900|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23000|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23020|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23030|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23040|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23050|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23070|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23080|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23090|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23100|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23110|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23120|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23130|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23140|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23150|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23160|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23170|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23180|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23190|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23200|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23210|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23220|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23230|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23240|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23250|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23260|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23270|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23280|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23290|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23300|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23310|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23320|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23330|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23340|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23370|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23380|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23390|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23400|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23410|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23420|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23430|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23440|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23450|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23460|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23510|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23520|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23530|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23540|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23550|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23560|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23570|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23580|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23590|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23600|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23610|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23620|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23630|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23640|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23660|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23670|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23680|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23690|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23700|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23710|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23720|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23730|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23740|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23750|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23770|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23790|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23800|0|N
H5216|380|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-380 (PPO)|00025456|19.30|200| | |MI|23830|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23000|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23010|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23020|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23030|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23040|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23050|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23070|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23080|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23090|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23100|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23110|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23120|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23130|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23140|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23150|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23160|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23180|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23190|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23200|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23210|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23220|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23230|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23240|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23250|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23260|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23270|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23280|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23290|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23300|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23310|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23320|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23330|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23340|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23350|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23360|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23370|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23380|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23390|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23400|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23410|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23420|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23430|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23440|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23450|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23460|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23500|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23510|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23520|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23530|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23540|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23550|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23560|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23570|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23580|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23590|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23600|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23610|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23630|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23640|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23650|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23660|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23670|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23680|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23690|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23700|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23710|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23720|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23730|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23740|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23750|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23770|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23780|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23790|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23800|0|N
H5216|382|000|HUMANA INSURANCE COMPANY|Humana Value Plus H5216-382 (PPO)|00025456|20.90|250| | |MI|23830|0|N
H5216|383|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-383 (PPO)|00025456|0.00|395| | |DC|09000|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23020|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23030|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23040|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23050|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23070|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23080|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23090|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23100|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23110|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23120|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23130|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23140|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23150|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23160|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23180|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23190|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23210|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23220|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23230|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23240|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23250|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23260|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23270|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23280|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23290|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23310|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23320|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23330|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23360|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23370|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23380|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23390|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23400|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23420|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23430|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23440|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23450|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23460|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23510|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23530|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23540|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23550|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23560|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23570|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23580|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23590|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23600|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23610|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23630|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23640|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23670|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23680|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23690|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23700|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23710|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23720|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23730|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23740|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23750|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23770|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23790|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23800|0|N
H5216|384|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-384 (PPO)|00025456|0.00|250| | |MI|23830|0|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23000|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23010|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23020|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23030|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23040|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23050|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23070|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23080|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23090|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23100|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23110|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23120|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23130|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23140|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23150|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23160|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23170|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23180|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23190|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23210|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23220|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23230|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23240|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23250|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23260|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23270|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23280|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23290|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23300|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23310|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23320|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23330|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23360|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23370|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23380|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23390|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23400|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23410|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23420|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23430|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23440|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23450|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23460|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23490|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23510|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23520|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23530|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23540|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23550|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23560|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23570|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23580|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23590|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23600|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23610|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23620|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23630|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23640|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23650|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23660|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23670|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23680|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23690|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23700|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23710|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23720|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23730|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23740|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23750|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23770|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23780|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23790|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23800|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23810|2|N
H5216|385|000|HUMANA INSURANCE COMPANY|Humana Dual Select H5216-385 (PPO D-SNP)|00025456|26.60|590| | |MI|23830|2|N
H5216|387|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-387 (PPO)|00025456|18.10|265| | |MD|21000|0|N
H5216|387|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-387 (PPO)|00025456|18.10|265| | |MD|21040|0|N
H5216|387|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-387 (PPO)|00025456|18.10|265| | |MD|21050|0|N
H5216|387|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-387 (PPO)|00025456|18.10|265| | |MD|21060|0|N
H5216|387|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-387 (PPO)|00025456|18.10|265| | |MD|21070|0|N
H5216|387|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-387 (PPO)|00025456|18.10|265| | |MD|21080|0|N
H5216|387|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-387 (PPO)|00025456|18.10|265| | |MD|21090|0|N
H5216|387|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-387 (PPO)|00025456|18.10|265| | |MD|21100|0|N
H5216|387|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-387 (PPO)|00025456|18.10|265| | |MD|21110|0|N
H5216|387|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-387 (PPO)|00025456|18.10|265| | |MD|21140|0|N
H5216|387|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-387 (PPO)|00025456|18.10|265| | |MD|21150|0|N
H5216|387|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-387 (PPO)|00025456|18.10|265| | |MD|21160|0|N
H5216|387|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-387 (PPO)|00025456|18.10|265| | |MD|21170|0|N
H5216|387|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-387 (PPO)|00025456|18.10|265| | |MD|21180|0|N
H5216|387|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-387 (PPO)|00025456|18.10|265| | |MD|21210|0|N
H5216|387|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-387 (PPO)|00025456|18.10|265| | |MD|21220|0|N
H5216|387|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-387 (PPO)|00025456|18.10|265| | |MD|21230|0|N
H5216|387|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-387 (PPO)|00025456|18.10|265| | |DE|08000|0|N
H5216|387|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-387 (PPO)|00025456|18.10|265| | |DE|08010|0|N
H5216|387|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-387 (PPO)|00025456|18.10|265| | |DE|08020|0|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23000|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23010|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23020|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23030|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23040|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23050|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23060|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23070|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23080|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23090|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23100|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23110|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23120|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23130|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23140|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23150|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23160|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23170|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23180|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23190|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23200|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23210|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23220|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23230|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23250|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23260|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23270|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23280|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23290|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23300|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23310|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23330|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23340|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23350|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23360|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23370|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23380|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23390|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23400|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23410|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23420|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23440|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23450|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23470|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23480|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23500|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23510|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23520|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23530|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23540|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23550|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23560|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23570|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23580|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23590|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23600|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23610|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23630|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23640|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23650|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23660|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23670|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23680|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23690|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23700|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23710|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23720|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23740|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23760|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23770|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23790|2|N
H5216|388|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-388 (PPO D-SNP)|00025456|0.00|590| | |MI|23830|2|N
H5216|389|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-389 (PPO)|00025456|29.00|300| | |DC|09000|0|N
H5216|390|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-390 (PPO)|00025456|24.90|0| | |DE|08000|0|N
H5216|390|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-390 (PPO)|00025456|24.90|0| | |DE|08010|0|N
H5216|390|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-390 (PPO)|00025456|24.90|0| | |DE|08020|0|N
H5216|391|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |WV|51000|0|N
H5216|391|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |WV|51010|0|N
H5216|391|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |WV|51020|0|N
H5216|391|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |WV|51030|0|N
H5216|391|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |WV|51040|0|N
H5216|391|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |WV|51050|0|N
H5216|391|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |WV|51060|0|N
H5216|391|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |WV|51070|0|N
H5216|391|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |WV|51080|0|N
H5216|391|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |WV|51090|0|N
H5216|391|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |WV|51100|0|N
H5216|391|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |WV|51110|0|N
H5216|391|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |WV|51120|0|N
H5216|391|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |WV|51130|0|N
H5216|391|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |WV|51140|0|N
H5216|391|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |WV|51150|0|N
H5216|391|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |WV|51160|0|N
H5216|391|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |WV|51170|0|N
H5216|391|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |WV|51180|0|N
H5216|391|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |WV|51190|0|N
H5216|391|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |WV|51200|0|N
H5216|391|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |WV|51210|0|N
H5216|391|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |WV|51220|0|N
H5216|391|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |WV|51230|0|N
H5216|391|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |WV|51240|0|N
H5216|391|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |WV|51250|0|N
H5216|391|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |WV|51260|0|N
H5216|391|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |WV|51270|0|N
H5216|391|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |WV|51280|0|N
H5216|391|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |WV|51290|0|N
H5216|391|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |WV|51300|0|N
H5216|391|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |WV|51310|0|N
H5216|391|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |WV|51320|0|N
H5216|391|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |WV|51330|0|N
H5216|391|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |WV|51340|0|N
H5216|391|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |WV|51350|0|N
H5216|391|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |WV|51360|0|N
H5216|391|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |WV|51370|0|N
H5216|391|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |WV|51380|0|N
H5216|391|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |WV|51390|0|N
H5216|391|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |WV|51400|0|N
H5216|391|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |WV|51410|0|N
H5216|391|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |WV|51420|0|N
H5216|391|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |WV|51430|0|N
H5216|391|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |WV|51440|0|N
H5216|391|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |WV|51450|0|N
H5216|391|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |WV|51460|0|N
H5216|391|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |WV|51470|0|N
H5216|391|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |WV|51480|0|N
H5216|391|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |WV|51490|0|N
H5216|391|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |WV|51500|0|N
H5216|391|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |WV|51510|0|N
H5216|391|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |WV|51520|0|N
H5216|391|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |WV|51530|0|N
H5216|391|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |WV|51540|0|N
H5216|393|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-393 (PPO)|00025458|0.00|0| | |FL|10000|0|N
H5216|393|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-393 (PPO)|00025458|0.00|0| | |FL|10010|0|N
H5216|393|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-393 (PPO)|00025458|0.00|0| | |FL|10020|0|N
H5216|393|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-393 (PPO)|00025458|0.00|0| | |FL|10030|0|N
H5216|393|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-393 (PPO)|00025458|0.00|0| | |FL|10060|0|N
H5216|393|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-393 (PPO)|00025458|0.00|0| | |FL|10070|0|N
H5216|393|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-393 (PPO)|00025458|0.00|0| | |FL|10080|0|N
H5216|393|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-393 (PPO)|00025458|0.00|0| | |FL|10090|0|N
H5216|393|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-393 (PPO)|00025458|0.00|0| | |FL|10100|0|N
H5216|393|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-393 (PPO)|00025458|0.00|0| | |FL|10110|0|N
H5216|393|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-393 (PPO)|00025458|0.00|0| | |FL|10130|0|N
H5216|393|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-393 (PPO)|00025458|0.00|0| | |FL|10140|0|N
H5216|393|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-393 (PPO)|00025458|0.00|0| | |FL|10150|0|N
H5216|393|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-393 (PPO)|00025458|0.00|0| | |FL|10160|0|N
H5216|393|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-393 (PPO)|00025458|0.00|0| | |FL|10170|0|N
H5216|393|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-393 (PPO)|00025458|0.00|0| | |FL|10180|0|N
H5216|393|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-393 (PPO)|00025458|0.00|0| | |FL|10190|0|N
H5216|393|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-393 (PPO)|00025458|0.00|0| | |FL|10200|0|N
H5216|393|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-393 (PPO)|00025458|0.00|0| | |FL|10220|0|N
H5216|393|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-393 (PPO)|00025458|0.00|0| | |FL|10230|0|N
H5216|393|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-393 (PPO)|00025458|0.00|0| | |FL|10240|0|N
H5216|393|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-393 (PPO)|00025458|0.00|0| | |FL|10250|0|N
H5216|393|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-393 (PPO)|00025458|0.00|0| | |FL|10260|0|N
H5216|393|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-393 (PPO)|00025458|0.00|0| | |FL|10270|0|N
H5216|393|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-393 (PPO)|00025458|0.00|0| | |FL|10280|0|N
H5216|393|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-393 (PPO)|00025458|0.00|0| | |FL|10290|0|N
H5216|393|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-393 (PPO)|00025458|0.00|0| | |FL|10310|0|N
H5216|393|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-393 (PPO)|00025458|0.00|0| | |FL|10320|0|N
H5216|393|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-393 (PPO)|00025458|0.00|0| | |FL|10330|0|N
H5216|393|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-393 (PPO)|00025458|0.00|0| | |FL|10340|0|N
H5216|393|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-393 (PPO)|00025458|0.00|0| | |FL|10350|0|N
H5216|393|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-393 (PPO)|00025458|0.00|0| | |FL|10370|0|N
H5216|393|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-393 (PPO)|00025458|0.00|0| | |FL|10380|0|N
H5216|393|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-393 (PPO)|00025458|0.00|0| | |FL|10390|0|N
H5216|393|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-393 (PPO)|00025458|0.00|0| | |FL|10400|0|N
H5216|393|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-393 (PPO)|00025458|0.00|0| | |FL|10410|0|N
H5216|393|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-393 (PPO)|00025458|0.00|0| | |FL|10440|0|N
H5216|393|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-393 (PPO)|00025458|0.00|0| | |FL|10450|0|N
H5216|393|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-393 (PPO)|00025458|0.00|0| | |FL|10470|0|N
H5216|393|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-393 (PPO)|00025458|0.00|0| | |FL|10480|0|N
H5216|393|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-393 (PPO)|00025458|0.00|0| | |FL|10500|0|N
H5216|393|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-393 (PPO)|00025458|0.00|0| | |FL|10510|0|N
H5216|393|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-393 (PPO)|00025458|0.00|0| | |FL|10520|0|N
H5216|393|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-393 (PPO)|00025458|0.00|0| | |FL|10530|0|N
H5216|393|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-393 (PPO)|00025458|0.00|0| | |FL|10540|0|N
H5216|393|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-393 (PPO)|00025458|0.00|0| | |FL|10560|0|N
H5216|393|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-393 (PPO)|00025458|0.00|0| | |FL|10570|0|N
H5216|393|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-393 (PPO)|00025458|0.00|0| | |FL|10580|0|N
H5216|393|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-393 (PPO)|00025458|0.00|0| | |FL|10590|0|N
H5216|393|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-393 (PPO)|00025458|0.00|0| | |FL|10600|0|N
H5216|393|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-393 (PPO)|00025458|0.00|0| | |FL|10610|0|N
H5216|393|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-393 (PPO)|00025458|0.00|0| | |FL|10620|0|N
H5216|393|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-393 (PPO)|00025458|0.00|0| | |FL|10630|0|N
H5216|393|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-393 (PPO)|00025458|0.00|0| | |FL|10640|0|N
H5216|393|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-393 (PPO)|00025458|0.00|0| | |FL|10650|0|N
H5216|393|000|HUMANA INSURANCE COMPANY|Humana Full Access Giveback H5216-393 (PPO)|00025458|0.00|0| | |FL|10660|0|N
H5216|394|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)|00025461|20.30|590| | |FL|10000|2|N
H5216|394|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)|00025461|20.30|590| | |FL|10010|2|N
H5216|394|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)|00025461|20.30|590| | |FL|10020|2|N
H5216|394|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)|00025461|20.30|590| | |FL|10030|2|N
H5216|394|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)|00025461|20.30|590| | |FL|10060|2|N
H5216|394|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)|00025461|20.30|590| | |FL|10070|2|N
H5216|394|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)|00025461|20.30|590| | |FL|10080|2|N
H5216|394|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)|00025461|20.30|590| | |FL|10090|2|N
H5216|394|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)|00025461|20.30|590| | |FL|10100|2|N
H5216|394|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)|00025461|20.30|590| | |FL|10110|2|N
H5216|394|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)|00025461|20.30|590| | |FL|10130|2|N
H5216|394|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)|00025461|20.30|590| | |FL|10140|2|N
H5216|394|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)|00025461|20.30|590| | |FL|10150|2|N
H5216|394|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)|00025461|20.30|590| | |FL|10160|2|N
H5216|394|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)|00025461|20.30|590| | |FL|10170|2|N
H5216|394|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)|00025461|20.30|590| | |FL|10180|2|N
H5216|394|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)|00025461|20.30|590| | |FL|10190|2|N
H5216|394|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)|00025461|20.30|590| | |FL|10200|2|N
H5216|394|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)|00025461|20.30|590| | |FL|10220|2|N
H5216|394|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)|00025461|20.30|590| | |FL|10230|2|N
H5216|394|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)|00025461|20.30|590| | |FL|10240|2|N
H5216|394|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)|00025461|20.30|590| | |FL|10250|2|N
H5216|394|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)|00025461|20.30|590| | |FL|10260|2|N
H5216|394|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)|00025461|20.30|590| | |FL|10270|2|N
H5216|394|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)|00025461|20.30|590| | |FL|10280|2|N
H5216|394|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)|00025461|20.30|590| | |FL|10290|2|N
H5216|394|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)|00025461|20.30|590| | |FL|10310|2|N
H5216|394|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)|00025461|20.30|590| | |FL|10320|2|N
H5216|394|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)|00025461|20.30|590| | |FL|10330|2|N
H5216|394|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)|00025461|20.30|590| | |FL|10340|2|N
H5216|394|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)|00025461|20.30|590| | |FL|10350|2|N
H5216|394|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)|00025461|20.30|590| | |FL|10370|2|N
H5216|394|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)|00025461|20.30|590| | |FL|10380|2|N
H5216|394|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)|00025461|20.30|590| | |FL|10390|2|N
H5216|394|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)|00025461|20.30|590| | |FL|10400|2|N
H5216|394|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)|00025461|20.30|590| | |FL|10410|2|N
H5216|394|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)|00025461|20.30|590| | |FL|10440|2|N
H5216|394|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)|00025461|20.30|590| | |FL|10450|2|N
H5216|394|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)|00025461|20.30|590| | |FL|10470|2|N
H5216|394|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)|00025461|20.30|590| | |FL|10480|2|N
H5216|394|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)|00025461|20.30|590| | |FL|10500|2|N
H5216|394|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)|00025461|20.30|590| | |FL|10510|2|N
H5216|394|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)|00025461|20.30|590| | |FL|10520|2|N
H5216|394|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)|00025461|20.30|590| | |FL|10530|2|N
H5216|394|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)|00025461|20.30|590| | |FL|10540|2|N
H5216|394|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)|00025461|20.30|590| | |FL|10560|2|N
H5216|394|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)|00025461|20.30|590| | |FL|10570|2|N
H5216|394|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)|00025461|20.30|590| | |FL|10580|2|N
H5216|394|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)|00025461|20.30|590| | |FL|10590|2|N
H5216|394|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)|00025461|20.30|590| | |FL|10600|2|N
H5216|394|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)|00025461|20.30|590| | |FL|10610|2|N
H5216|394|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)|00025461|20.30|590| | |FL|10620|2|N
H5216|394|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)|00025461|20.30|590| | |FL|10630|2|N
H5216|394|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)|00025461|20.30|590| | |FL|10640|2|N
H5216|394|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)|00025461|20.30|590| | |FL|10650|2|N
H5216|394|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida SNP-DE H5216-394 (PPO D-SNP)|00025461|20.30|590| | |FL|10660|2|N
H5216|395|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-395 (PPO)|00025456|28.00|400| | |OH|36060|0|N
H5216|395|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-395 (PPO)|00025456|28.00|400| | |OH|36570|0|N
H5216|395|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-395 (PPO)|00025456|28.00|400| | |WV|51060|0|N
H5216|395|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-395 (PPO)|00025456|28.00|400| | |WV|51080|0|N
H5216|395|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-395 (PPO)|00025456|28.00|400| | |WV|51160|0|N
H5216|395|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-395 (PPO)|00025456|28.00|400| | |WV|51170|0|N
H5216|395|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-395 (PPO)|00025456|28.00|400| | |WV|51240|0|N
H5216|395|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-395 (PPO)|00025456|28.00|400| | |WV|51250|0|N
H5216|395|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-395 (PPO)|00025456|28.00|400| | |WV|51300|0|N
H5216|395|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-395 (PPO)|00025456|28.00|400| | |WV|51340|0|N
H5216|395|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-395 (PPO)|00025456|28.00|400| | |WV|51360|0|N
H5216|395|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-395 (PPO)|00025456|28.00|400| | |WV|51420|0|N
H5216|395|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-395 (PPO)|00025456|28.00|400| | |WV|51470|0|N
H5216|395|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-395 (PPO)|00025456|28.00|400| | |WV|51510|0|N
H5216|395|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-395 (PPO)|00025456|28.00|400| | |WV|51520|0|N
H5216|395|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-395 (PPO)|00025456|28.00|400| | |WV|51530|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18000|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18010|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18020|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18030|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18040|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18050|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18060|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18070|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18080|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18090|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18100|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18110|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18120|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18130|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18140|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18150|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18160|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18170|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18180|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18190|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18191|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18210|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18220|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18230|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18240|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18250|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18260|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18270|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18271|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18290|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18291|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18310|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18320|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18330|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18340|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18350|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18360|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18361|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18362|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18390|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18400|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18410|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18420|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18421|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18440|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18450|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18460|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18470|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18480|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18490|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18500|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18510|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18511|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18530|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18540|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18550|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18560|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18570|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18580|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18590|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18600|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18610|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18620|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18630|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18640|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18650|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18660|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18670|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18680|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18690|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18700|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18710|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18720|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18730|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18740|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18750|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18760|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18770|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18780|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18790|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18800|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18801|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18802|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18830|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18831|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18850|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18860|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18861|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18880|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18890|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18900|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18910|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18920|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18930|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18931|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18932|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18960|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18970|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18971|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18972|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18973|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18974|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18975|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18976|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18977|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18978|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18979|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18980|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18981|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18982|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18983|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18984|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18985|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18986|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18987|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18988|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18989|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18990|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18991|0|N
H5216|396|000|HUMANA INSURANCE COMPANY|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|350| | |KY|18992|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24000|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24010|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24020|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24030|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24040|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24050|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24060|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24080|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24090|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24100|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24130|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24140|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24170|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24180|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24220|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24260|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24270|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24280|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24290|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24300|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24320|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24340|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24350|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24360|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24370|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24380|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24390|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24400|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24410|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24420|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24430|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24440|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24450|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24460|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24470|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24480|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24500|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24520|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24530|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24550|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24560|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24570|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24580|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24590|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24610|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24620|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24640|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24650|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24660|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24670|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24680|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24690|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24730|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24760|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24770|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24790|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24810|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24830|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24840|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24850|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |MN|24860|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |WI|52060|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |WI|52470|0|N
H5216|397|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-397 (PPO)|00025456|56.00|250| | |WI|52540|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14000|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14010|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14020|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14040|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14050|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14060|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14070|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14080|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14090|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14100|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14110|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14120|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14130|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14140|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14150|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14160|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14180|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14190|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14310|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14320|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14330|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14340|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14350|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14360|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14370|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14380|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14390|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14410|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14420|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14421|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14440|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14450|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14460|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14470|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14480|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14490|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14500|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14510|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14520|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14560|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14580|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14590|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14600|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14610|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14620|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14630|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14650|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14660|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14670|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14680|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14690|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14700|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14710|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14720|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14730|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14740|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14750|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14760|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14770|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14780|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14800|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14810|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14820|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14830|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14831|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14850|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14860|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14870|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14880|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14890|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14900|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14910|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14920|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14921|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14940|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14950|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14960|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14980|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14981|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14982|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14983|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14984|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14985|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14986|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14987|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14988|0|N
H5216|399|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-399 (PPO)|00025456|0.00|590| | |IL|14992|0|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15000|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15010|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15020|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15030|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15040|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15050|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15060|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15070|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15080|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15090|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15100|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15110|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15120|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15130|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15140|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15150|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15160|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15170|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15180|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15190|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15200|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15210|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15220|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15230|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15240|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15250|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15260|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15270|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15280|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15290|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15300|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15310|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15320|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15330|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15340|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15350|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15360|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15370|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15380|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15390|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15400|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15410|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15420|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15430|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15440|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15450|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15460|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15470|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15480|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15490|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15500|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15510|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15520|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15530|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15540|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15550|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15560|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15570|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15580|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15590|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15600|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15610|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15620|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15630|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15640|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15650|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15660|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15670|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15680|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15690|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15700|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15710|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15720|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15730|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15740|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15750|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15760|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15770|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15780|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15790|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15800|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15810|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15820|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15830|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15840|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15850|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15860|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15870|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15880|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15890|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15900|3|N
H5216|400|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|560| | |IN|15910|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36000|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36010|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36020|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36030|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36040|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36050|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36060|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36070|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36090|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36100|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36110|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36140|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36150|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36160|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36170|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36190|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36200|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36220|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36230|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36240|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36270|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36280|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36290|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36300|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36330|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36340|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36350|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36360|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36370|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36380|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36390|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36400|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36410|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36420|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36430|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36440|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36450|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36460|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36470|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36480|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36510|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36520|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36530|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36540|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36550|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36560|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36570|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36580|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36590|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36600|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36610|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36620|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36640|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36650|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36670|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36680|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36690|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36700|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36710|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36720|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36730|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36740|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36750|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36760|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36770|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36780|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36790|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36800|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36820|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36830|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36850|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36860|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36870|3|N
H5216|401|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |OH|36890|3|N
H5216|402|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |WA|50000|3|N
H5216|402|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |WA|50020|3|N
H5216|402|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |WA|50030|3|N
H5216|402|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |WA|50050|3|N
H5216|402|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |WA|50060|3|N
H5216|402|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |WA|50070|3|N
H5216|402|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |WA|50080|3|N
H5216|402|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |WA|50090|3|N
H5216|402|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |WA|50100|3|N
H5216|402|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |WA|50110|3|N
H5216|402|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |WA|50120|3|N
H5216|402|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |WA|50140|3|N
H5216|402|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |WA|50150|3|N
H5216|402|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |WA|50160|3|N
H5216|402|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |WA|50170|3|N
H5216|402|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |WA|50180|3|N
H5216|402|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |WA|50200|3|N
H5216|402|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |WA|50210|3|N
H5216|402|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |WA|50220|3|N
H5216|402|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |WA|50230|3|N
H5216|402|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |WA|50250|3|N
H5216|402|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |WA|50260|3|N
H5216|402|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |WA|50270|3|N
H5216|402|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |WA|50280|3|N
H5216|402|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |WA|50290|3|N
H5216|402|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |WA|50300|3|N
H5216|402|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |WA|50310|3|N
H5216|402|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |WA|50330|3|N
H5216|402|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |WA|50340|3|N
H5216|402|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |WA|50350|3|N
H5216|402|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |WA|50360|3|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14000|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14010|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14020|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14040|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14050|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14060|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14070|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14080|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14090|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14100|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14110|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14120|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14130|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14140|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14150|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14160|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14180|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14190|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14310|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14320|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14330|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14340|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14350|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14360|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14370|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14380|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14390|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14410|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14420|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14421|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14440|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14450|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14460|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14470|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14480|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14490|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14500|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14510|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14520|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14560|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14580|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14590|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14600|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14610|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14620|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14630|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14650|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14660|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14670|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14680|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14690|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14700|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14710|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14720|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14730|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14740|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14750|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14760|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14770|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14780|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14800|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14810|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14820|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14830|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14831|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14850|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14860|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14870|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14880|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14890|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14900|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14910|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14920|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14921|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14940|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14950|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14960|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14980|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14981|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14982|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14983|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14984|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14985|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14986|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14987|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14988|0|N
H5216|403|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-403 (PPO)|00025456|0.00|590| | |IL|14992|0|N
H5216|404|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-404 (PPO)|00025458|0.00|250| | |MO|26040|0|N
H5216|404|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-404 (PPO)|00025458|0.00|250| | |MO|26050|0|N
H5216|404|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-404 (PPO)|00025458|0.00|250| | |MO|26150|0|N
H5216|404|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-404 (PPO)|00025458|0.00|250| | |MO|26190|0|N
H5216|404|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-404 (PPO)|00025458|0.00|250| | |MO|26210|0|N
H5216|404|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-404 (PPO)|00025458|0.00|250| | |MO|26280|0|N
H5216|404|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-404 (PPO)|00025458|0.00|250| | |MO|26290|0|N
H5216|404|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-404 (PPO)|00025458|0.00|250| | |MO|26330|0|N
H5216|404|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-404 (PPO)|00025458|0.00|250| | |MO|26380|0|N
H5216|404|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-404 (PPO)|00025458|0.00|250| | |MO|26411|0|N
H5216|404|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-404 (PPO)|00025458|0.00|250| | |MO|26450|0|N
H5216|404|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-404 (PPO)|00025458|0.00|250| | |MO|26480|0|N
H5216|404|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-404 (PPO)|00025458|0.00|250| | |MO|26520|0|N
H5216|404|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-404 (PPO)|00025458|0.00|250| | |MO|26540|0|N
H5216|404|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-404 (PPO)|00025458|0.00|250| | |MO|26590|0|N
H5216|404|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-404 (PPO)|00025458|0.00|250| | |MO|26720|0|N
H5216|404|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-404 (PPO)|00025458|0.00|250| | |MO|26740|0|N
H5216|404|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-404 (PPO)|00025458|0.00|250| | |MO|26751|0|N
H5216|404|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-404 (PPO)|00025458|0.00|250| | |MO|26821|0|N
H5216|404|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-404 (PPO)|00025458|0.00|250| | |MO|26840|0|N
H5216|404|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-404 (PPO)|00025458|0.00|250| | |MO|26911|0|N
H5216|404|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-404 (PPO)|00025458|0.00|250| | |MO|26982|0|N
H5216|404|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-404 (PPO)|00025458|0.00|250| | |MO|26986|0|N
H5216|404|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-404 (PPO)|00025458|0.00|250| | |MO|26988|0|N
H5216|404|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-404 (PPO)|00025458|0.00|250| | |MO|26990|0|N
H5216|404|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-404 (PPO)|00025458|0.00|250| | |MO|26994|0|N
H5216|404|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-404 (PPO)|00025458|0.00|250| | |MO|26996|0|N
H5216|405|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-405 (PPO)|00025458|0.00|250| | |KS|17000|0|N
H5216|405|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-405 (PPO)|00025458|0.00|250| | |KS|17010|0|N
H5216|405|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-405 (PPO)|00025458|0.00|250| | |KS|17020|0|N
H5216|405|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-405 (PPO)|00025458|0.00|250| | |KS|17050|0|N
H5216|405|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-405 (PPO)|00025458|0.00|250| | |KS|17060|0|N
H5216|405|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-405 (PPO)|00025458|0.00|250| | |KS|17100|0|N
H5216|405|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-405 (PPO)|00025458|0.00|250| | |KS|17150|0|N
H5216|405|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-405 (PPO)|00025458|0.00|250| | |KS|17180|0|N
H5216|405|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-405 (PPO)|00025458|0.00|250| | |KS|17210|0|N
H5216|405|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-405 (PPO)|00025458|0.00|250| | |KS|17220|0|N
H5216|405|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-405 (PPO)|00025458|0.00|250| | |KS|17290|0|N
H5216|405|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-405 (PPO)|00025458|0.00|250| | |KS|17420|0|N
H5216|405|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-405 (PPO)|00025458|0.00|250| | |KS|17430|0|N
H5216|405|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-405 (PPO)|00025458|0.00|250| | |KS|17450|0|N
H5216|405|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-405 (PPO)|00025458|0.00|250| | |KS|17510|0|N
H5216|405|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-405 (PPO)|00025458|0.00|250| | |KS|17530|0|N
H5216|405|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-405 (PPO)|00025458|0.00|250| | |KS|17600|0|N
H5216|405|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-405 (PPO)|00025458|0.00|250| | |KS|17620|0|N
H5216|405|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-405 (PPO)|00025458|0.00|250| | |KS|17650|0|N
H5216|405|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-405 (PPO)|00025458|0.00|250| | |KS|17690|0|N
H5216|405|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-405 (PPO)|00025458|0.00|250| | |KS|17880|0|N
H5216|405|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-405 (PPO)|00025458|0.00|250| | |KS|17984|0|N
H5216|405|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-405 (PPO)|00025458|0.00|250| | |KS|17986|0|N
H5216|405|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-405 (PPO)|00025458|0.00|250| | |MO|26230|0|N
H5216|405|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-405 (PPO)|00025458|0.00|250| | |MO|26470|0|N
H5216|405|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-405 (PPO)|00025458|0.00|250| | |MO|26530|0|N
H5216|405|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-405 (PPO)|00025458|0.00|250| | |MO|26820|0|N
H5216|405|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-405 (PPO)|00025458|0.00|250| | |MO|26880|0|N
H5216|406|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-406 (PPO)|00025456|0.00|450| | |VA|49011|0|N
H5216|406|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-406 (PPO)|00025456|0.00|450| | |VA|49060|0|N
H5216|406|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-406 (PPO)|00025456|0.00|450| | |VA|49210|0|N
H5216|406|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-406 (PPO)|00025456|0.00|450| | |VA|49230|0|N
H5216|406|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-406 (PPO)|00025456|0.00|450| | |VA|49288|0|N
H5216|406|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-406 (PPO)|00025456|0.00|450| | |VA|49290|0|N
H5216|406|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-406 (PPO)|00025456|0.00|450| | |VA|49291|0|N
H5216|406|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-406 (PPO)|00025456|0.00|450| | |VA|49300|0|N
H5216|406|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-406 (PPO)|00025456|0.00|450| | |VA|49340|0|N
H5216|406|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-406 (PPO)|00025456|0.00|450| | |VA|49530|0|N
H5216|406|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-406 (PPO)|00025456|0.00|450| | |VA|49563|0|N
H5216|406|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-406 (PPO)|00025456|0.00|450| | |VA|49565|0|N
H5216|406|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-406 (PPO)|00025456|0.00|450| | |VA|49690|0|N
H5216|406|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-406 (PPO)|00025456|0.00|450| | |VA|49750|0|N
H5216|406|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-406 (PPO)|00025456|0.00|450| | |VA|49780|0|N
H5216|406|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-406 (PPO)|00025456|0.00|450| | |VA|49850|0|N
H5216|406|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-406 (PPO)|00025456|0.00|450| | |VA|49930|0|N
H5216|406|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-406 (PPO)|00025456|0.00|450| | |VA|49962|0|N
H5216|407|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-407 (PPO)|00025458|0.00|250| | |IL|14020|0|N
H5216|407|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-407 (PPO)|00025458|0.00|250| | |IL|14060|0|N
H5216|407|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-407 (PPO)|00025458|0.00|250| | |IL|14130|0|N
H5216|407|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-407 (PPO)|00025458|0.00|250| | |IL|14500|0|N
H5216|407|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-407 (PPO)|00025458|0.00|250| | |IL|14680|0|N
H5216|407|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-407 (PPO)|00025458|0.00|250| | |IL|14900|0|N
H5216|407|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-407 (PPO)|00025458|0.00|250| | |MO|26030|0|N
H5216|407|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-407 (PPO)|00025458|0.00|250| | |MO|26090|0|N
H5216|407|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-407 (PPO)|00025458|0.00|250| | |MO|26130|0|N
H5216|407|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-407 (PPO)|00025458|0.00|250| | |MO|26270|0|N
H5216|407|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-407 (PPO)|00025458|0.00|250| | |MO|26350|0|N
H5216|407|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-407 (PPO)|00025458|0.00|250| | |MO|26460|0|N
H5216|407|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-407 (PPO)|00025458|0.00|250| | |MO|26490|0|N
H5216|407|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-407 (PPO)|00025458|0.00|250| | |MO|26560|0|N
H5216|407|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-407 (PPO)|00025458|0.00|250| | |MO|26601|0|N
H5216|407|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-407 (PPO)|00025458|0.00|250| | |MO|26780|0|N
H5216|407|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-407 (PPO)|00025458|0.00|250| | |MO|26810|0|N
H5216|407|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-407 (PPO)|00025458|0.00|250| | |MO|26910|0|N
H5216|407|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-407 (PPO)|00025458|0.00|250| | |MO|26930|0|N
H5216|407|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-407 (PPO)|00025458|0.00|250| | |MO|26940|0|N
H5216|407|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-407 (PPO)|00025458|0.00|250| | |MO|26950|0|N
H5216|407|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-407 (PPO)|00025458|0.00|250| | |MO|26991|0|N
H5216|407|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-407 (PPO)|00025458|0.00|250| | |MO|26992|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49000|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49010|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49011|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49020|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49030|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49040|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49050|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49060|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49070|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49090|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49100|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49110|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49120|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49140|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49150|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49160|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49170|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49180|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49190|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49191|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49194|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49200|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49210|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49213|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49220|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49230|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49240|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49241|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49260|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49270|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49280|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49288|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49290|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49300|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49310|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49320|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49328|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49330|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49340|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49342|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49343|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49350|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49360|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49370|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49390|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49400|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49410|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49411|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49420|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49430|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49440|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49450|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49451|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49460|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49470|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49480|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49490|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49500|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49522|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49530|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49540|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49550|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49551|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49560|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49561|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49563|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49565|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49570|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49580|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49590|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49600|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49620|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49621|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49622|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49641|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49650|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49660|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49670|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49690|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49700|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49701|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49710|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49711|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49712|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49720|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49730|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49740|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49750|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49770|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49771|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49780|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49790|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49791|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49800|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49801|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49810|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49820|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49838|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49870|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49880|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49890|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49891|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49892|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49900|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49910|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49921|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49930|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49951|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49960|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49961|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49962|0|N
H5216|408|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-408 (PPO)|00025456|0.00|450| | |VA|49981|0|N
H5216|409|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-409 (PPO)|00025458|0.00|250| | |KS|17040|0|N
H5216|409|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-409 (PPO)|00025458|0.00|250| | |KS|17070|0|N
H5216|409|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-409 (PPO)|00025458|0.00|250| | |KS|17080|0|N
H5216|409|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-409 (PPO)|00025458|0.00|250| | |KS|17130|0|N
H5216|409|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-409 (PPO)|00025458|0.00|250| | |KS|17170|0|N
H5216|409|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-409 (PPO)|00025458|0.00|250| | |KS|17200|0|N
H5216|409|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-409 (PPO)|00025458|0.00|250| | |KS|17260|0|N
H5216|409|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-409 (PPO)|00025458|0.00|250| | |KS|17300|0|N
H5216|409|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-409 (PPO)|00025458|0.00|250| | |KS|17360|0|N
H5216|409|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-409 (PPO)|00025458|0.00|250| | |KS|17380|0|N
H5216|409|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-409 (PPO)|00025458|0.00|250| | |KS|17390|0|N
H5216|409|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-409 (PPO)|00025458|0.00|250| | |KS|17470|0|N
H5216|409|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-409 (PPO)|00025458|0.00|250| | |KS|17550|0|N
H5216|409|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-409 (PPO)|00025458|0.00|250| | |KS|17560|0|N
H5216|409|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-409 (PPO)|00025458|0.00|250| | |KS|17570|0|N
H5216|409|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-409 (PPO)|00025458|0.00|250| | |KS|17580|0|N
H5216|409|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-409 (PPO)|00025458|0.00|250| | |KS|17630|0|N
H5216|409|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-409 (PPO)|00025458|0.00|250| | |KS|17710|0|N
H5216|409|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-409 (PPO)|00025458|0.00|250| | |KS|17720|0|N
H5216|409|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-409 (PPO)|00025458|0.00|250| | |KS|17740|0|N
H5216|409|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-409 (PPO)|00025458|0.00|250| | |KS|17750|0|N
H5216|409|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-409 (PPO)|00025458|0.00|250| | |KS|17770|0|N
H5216|409|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-409 (PPO)|00025458|0.00|250| | |KS|17790|0|N
H5216|409|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-409 (PPO)|00025458|0.00|250| | |KS|17800|0|N
H5216|409|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-409 (PPO)|00025458|0.00|250| | |KS|17830|0|N
H5216|409|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-409 (PPO)|00025458|0.00|250| | |KS|17840|0|N
H5216|409|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-409 (PPO)|00025458|0.00|250| | |KS|17860|0|N
H5216|409|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-409 (PPO)|00025458|0.00|250| | |KS|17950|0|N
H5216|409|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-409 (PPO)|00025458|0.00|250| | |KS|17980|0|N
H5216|409|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-409 (PPO)|00025458|0.00|250| | |KS|17982|0|N
H5216|410|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-410 (PPO)|00025456|0.00|350| | |WI|52040|0|N
H5216|410|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-410 (PPO)|00025456|0.00|350| | |WI|52070|0|N
H5216|410|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-410 (PPO)|00025456|0.00|350| | |WI|52130|0|N
H5216|410|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-410 (PPO)|00025456|0.00|350| | |WI|52140|0|N
H5216|410|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-410 (PPO)|00025456|0.00|350| | |WI|52190|0|N
H5216|410|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-410 (PPO)|00025456|0.00|350| | |WI|52200|0|N
H5216|410|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-410 (PPO)|00025456|0.00|350| | |WI|52230|0|N
H5216|410|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-410 (PPO)|00025456|0.00|350| | |WI|52290|0|N
H5216|410|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-410 (PPO)|00025456|0.00|350| | |WI|52300|0|N
H5216|410|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-410 (PPO)|00025456|0.00|350| | |WI|52350|0|N
H5216|410|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-410 (PPO)|00025456|0.00|350| | |WI|52360|0|N
H5216|410|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-410 (PPO)|00025456|0.00|350| | |WI|52370|0|N
H5216|410|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-410 (PPO)|00025456|0.00|350| | |WI|52380|0|N
H5216|410|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-410 (PPO)|00025456|0.00|350| | |WI|52381|0|N
H5216|410|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-410 (PPO)|00025456|0.00|350| | |WI|52390|0|N
H5216|410|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-410 (PPO)|00025456|0.00|350| | |WI|52410|0|N
H5216|410|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-410 (PPO)|00025456|0.00|350| | |WI|52430|0|N
H5216|410|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-410 (PPO)|00025456|0.00|350| | |WI|52440|0|N
H5216|410|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-410 (PPO)|00025456|0.00|350| | |WI|52480|0|N
H5216|410|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-410 (PPO)|00025456|0.00|350| | |WI|52500|0|N
H5216|410|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-410 (PPO)|00025456|0.00|350| | |WI|52570|0|N
H5216|410|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-410 (PPO)|00025456|0.00|350| | |WI|52580|0|N
H5216|410|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-410 (PPO)|00025456|0.00|350| | |WI|52650|0|N
H5216|410|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-410 (PPO)|00025456|0.00|350| | |WI|52660|0|N
H5216|410|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-410 (PPO)|00025456|0.00|350| | |WI|52670|0|N
H5216|410|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-410 (PPO)|00025456|0.00|350| | |WI|52680|0|N
H5216|410|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-410 (PPO)|00025456|0.00|350| | |WI|52690|0|N
H5216|410|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-410 (PPO)|00025456|0.00|350| | |WI|52700|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16000|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16010|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16020|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16030|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16040|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16050|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16060|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16070|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16080|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16100|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16110|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16120|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16130|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16140|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16150|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16170|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16180|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16190|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16200|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16210|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16220|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16230|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16240|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16250|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16260|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16270|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16280|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16290|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16300|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16320|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16330|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16340|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16350|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16360|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16370|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16380|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16390|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16400|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16410|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16430|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16440|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16450|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16460|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16480|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16490|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16500|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16510|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16520|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16530|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16560|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16570|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16580|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16590|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16600|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16610|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16630|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16640|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16650|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16660|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16670|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16680|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16690|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16700|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16710|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16720|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16730|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16740|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16750|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16760|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16770|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16780|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16790|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16800|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16810|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16820|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16830|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16840|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16850|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16870|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16880|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16890|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16900|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16910|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16920|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16930|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16940|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16950|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16960|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16970|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |IA|16980|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |NE|28030|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |NE|28100|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |NE|28110|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |NE|28120|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |NE|28160|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |NE|28180|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |NE|28190|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |NE|28210|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |NE|28250|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |NE|28260|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |NE|28270|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |NE|28290|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |NE|28470|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |NE|28520|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |NE|28540|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |NE|28590|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |NE|28610|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |NE|28620|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |NE|28630|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |NE|28700|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |NE|28710|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |NE|28750|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |NE|28760|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |NE|28770|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |NE|28780|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |NE|28790|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |NE|28820|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |NE|28840|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |NE|28860|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |NE|28890|0|N
H5216|411|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-411 (PPO)|00025458|0.00|250| | |NE|28920|0|N
H5216|412|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-412 (PPO)|00025456|0.00|250| | |IL|14030|0|N
H5216|412|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-412 (PPO)|00025456|0.00|250| | |IL|14141|0|N
H5216|412|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-412 (PPO)|00025456|0.00|250| | |IL|14170|0|N
H5216|412|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-412 (PPO)|00025456|0.00|250| | |IL|14250|0|N
H5216|412|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-412 (PPO)|00025456|0.00|250| | |IL|14400|0|N
H5216|412|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-412 (PPO)|00025456|0.00|250| | |IL|14530|0|N
H5216|412|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-412 (PPO)|00025456|0.00|250| | |IL|14540|0|N
H5216|412|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-412 (PPO)|00025456|0.00|250| | |IL|14550|0|N
H5216|412|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-412 (PPO)|00025456|0.00|250| | |IL|14570|0|N
H5216|412|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-412 (PPO)|00025456|0.00|250| | |IL|14640|0|N
H5216|412|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-412 (PPO)|00025456|0.00|250| | |IL|14790|0|N
H5216|412|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-412 (PPO)|00025456|0.00|250| | |IL|14970|0|N
H5216|412|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-412 (PPO)|00025456|0.00|250| | |IL|14989|0|N
H5216|412|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-412 (PPO)|00025456|0.00|250| | |IL|14991|0|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16000|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16010|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16020|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16030|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16040|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16050|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16060|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16070|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16080|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16090|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16100|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16110|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16120|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16130|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16140|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16150|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16160|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16170|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16180|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16190|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16200|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16210|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16220|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16230|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16240|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16250|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16260|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16270|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16280|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16290|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16300|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16310|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16320|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16330|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16340|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16350|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16360|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16370|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16380|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16390|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16400|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16410|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16420|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16430|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16440|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16450|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16460|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16470|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16480|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16490|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16500|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16510|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16520|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16530|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16540|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16550|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16560|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16570|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16580|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16590|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16600|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16610|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16620|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16630|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16640|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16650|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16660|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16670|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16680|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16690|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16700|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16710|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16720|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16730|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16740|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16750|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16760|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16770|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16780|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16790|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16800|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16810|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16820|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16830|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16840|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16850|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16870|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16880|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16890|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16900|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16910|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16920|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16930|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16940|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16950|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16960|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16970|3|N
H5216|413|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |IA|16980|3|N
H5216|414|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|12.90|590| | |IL|14560|1|N
H5216|414|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|12.90|590| | |IL|14580|1|N
H5216|414|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|12.90|590| | |IL|14610|1|N
H5216|414|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|12.90|590| | |IL|14650|1|N
H5216|414|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|12.90|590| | |IL|14700|1|N
H5216|414|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|12.90|590| | |IL|14800|1|N
H5216|414|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|12.90|590| | |IL|14960|1|N
H5216|414|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|12.90|590| | |IL|14980|1|N
H5216|414|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|12.90|590| | |IL|14992|1|N
H5216|415|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|44.80|590| | |MN|24010|1|N
H5216|415|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|44.80|590| | |MN|24020|1|N
H5216|415|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|44.80|590| | |MN|24080|1|N
H5216|415|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|44.80|590| | |MN|24090|1|N
H5216|415|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|44.80|590| | |MN|24100|1|N
H5216|415|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|44.80|590| | |MN|24130|1|N
H5216|415|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|44.80|590| | |MN|24170|1|N
H5216|415|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|44.80|590| | |MN|24180|1|N
H5216|415|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|44.80|590| | |MN|24260|1|N
H5216|415|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|44.80|590| | |MN|24280|1|N
H5216|415|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|44.80|590| | |MN|24300|1|N
H5216|415|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|44.80|590| | |MN|24550|1|N
H5216|415|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|44.80|590| | |MN|24610|1|N
H5216|415|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|44.80|590| | |MN|24680|1|N
H5216|415|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|44.80|590| | |MN|24690|1|N
H5216|415|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|44.80|590| | |MN|24790|1|N
H5216|415|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|44.80|590| | |MN|24810|1|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44000|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44010|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44020|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44030|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44040|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44050|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44060|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44070|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44080|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44090|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44100|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44110|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44120|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44130|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44140|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44150|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44160|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44170|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44180|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44190|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44200|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44210|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44220|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44230|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44240|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44250|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44260|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44270|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44280|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44290|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44300|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44310|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44320|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44330|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44340|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44350|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44360|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44370|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44380|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44390|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44400|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44410|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44420|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44430|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44440|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44450|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44460|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44470|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44480|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44490|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44500|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44510|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44520|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44530|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44540|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44550|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44560|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44570|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44580|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44590|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44600|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44610|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44620|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44630|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44640|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44650|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44660|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44670|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44680|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44690|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44700|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44710|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44720|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44730|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44740|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44750|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44760|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44770|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44780|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44790|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44800|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44810|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44820|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44830|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44840|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44850|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44860|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44870|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44880|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44890|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44900|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44910|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44920|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44930|3|N
H5216|416|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|460| | |TN|44940|3|N
H5216|417|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-417 (PPO)|00025456|0.00|590| | |LA|19250|0|N
H5216|417|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-417 (PPO)|00025456|0.00|590| | |LA|19350|0|N
H5216|418|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-418 (PPO D-SNP)|00025456|0.00|590| | |ND|35000|2|N
H5216|418|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-418 (PPO D-SNP)|00025456|0.00|590| | |ND|35010|2|N
H5216|418|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-418 (PPO D-SNP)|00025456|0.00|590| | |ND|35050|2|N
H5216|418|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-418 (PPO D-SNP)|00025456|0.00|590| | |ND|35070|2|N
H5216|418|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-418 (PPO D-SNP)|00025456|0.00|590| | |ND|35080|2|N
H5216|418|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-418 (PPO D-SNP)|00025456|0.00|590| | |ND|35090|2|N
H5216|418|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-418 (PPO D-SNP)|00025456|0.00|590| | |ND|35100|2|N
H5216|418|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-418 (PPO D-SNP)|00025456|0.00|590| | |ND|35140|2|N
H5216|418|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-418 (PPO D-SNP)|00025456|0.00|590| | |ND|35150|2|N
H5216|418|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-418 (PPO D-SNP)|00025456|0.00|590| | |ND|35170|2|N
H5216|418|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-418 (PPO D-SNP)|00025456|0.00|590| | |ND|35180|2|N
H5216|418|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-418 (PPO D-SNP)|00025456|0.00|590| | |ND|35190|2|N
H5216|418|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-418 (PPO D-SNP)|00025456|0.00|590| | |ND|35200|2|N
H5216|418|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-418 (PPO D-SNP)|00025456|0.00|590| | |ND|35210|2|N
H5216|418|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-418 (PPO D-SNP)|00025456|0.00|590| | |ND|35220|2|N
H5216|418|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-418 (PPO D-SNP)|00025456|0.00|590| | |ND|35230|2|N
H5216|418|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-418 (PPO D-SNP)|00025456|0.00|590| | |ND|35250|2|N
H5216|418|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-418 (PPO D-SNP)|00025456|0.00|590| | |ND|35270|2|N
H5216|418|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-418 (PPO D-SNP)|00025456|0.00|590| | |ND|35280|2|N
H5216|418|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-418 (PPO D-SNP)|00025456|0.00|590| | |ND|35290|2|N
H5216|418|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-418 (PPO D-SNP)|00025456|0.00|590| | |ND|35310|2|N
H5216|418|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-418 (PPO D-SNP)|00025456|0.00|590| | |ND|35320|2|N
H5216|418|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-418 (PPO D-SNP)|00025456|0.00|590| | |ND|35330|2|N
H5216|418|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-418 (PPO D-SNP)|00025456|0.00|590| | |ND|35360|2|N
H5216|418|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-418 (PPO D-SNP)|00025456|0.00|590| | |ND|35380|2|N
H5216|418|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-418 (PPO D-SNP)|00025456|0.00|590| | |ND|35400|2|N
H5216|418|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-418 (PPO D-SNP)|00025456|0.00|590| | |ND|35410|2|N
H5216|418|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-418 (PPO D-SNP)|00025456|0.00|590| | |ND|35430|2|N
H5216|418|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-418 (PPO D-SNP)|00025456|0.00|590| | |ND|35450|2|N
H5216|418|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-418 (PPO D-SNP)|00025456|0.00|590| | |ND|35460|2|N
H5216|418|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-418 (PPO D-SNP)|00025456|0.00|590| | |ND|35480|2|N
H5216|418|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-418 (PPO D-SNP)|00025456|0.00|590| | |ND|35490|2|N
H5216|418|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-418 (PPO D-SNP)|00025456|0.00|590| | |ND|35510|2|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19000|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19010|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19020|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19030|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19040|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19050|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19060|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19070|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19080|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19090|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19100|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19110|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19120|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19130|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19140|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19150|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19160|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19170|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19180|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19190|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19200|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19210|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19220|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19230|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19240|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19250|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19260|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19270|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19280|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19290|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19300|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19310|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19320|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19330|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19340|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19350|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19360|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19370|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19380|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19390|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19400|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19410|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19420|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19430|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19440|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19450|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19460|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19470|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19480|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19490|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19500|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19510|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19520|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19530|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19540|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19550|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19560|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19570|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19580|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19590|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19600|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19610|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19620|3|N
H5216|419|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|480| | |LA|19630|3|N
H5216|420|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-420 (PPO D-SNP)|00025456|43.50|590| | |WI|52040|2|N
H5216|420|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-420 (PPO D-SNP)|00025456|43.50|590| | |WI|52070|2|N
H5216|420|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-420 (PPO D-SNP)|00025456|43.50|590| | |WI|52100|2|N
H5216|420|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-420 (PPO D-SNP)|00025456|43.50|590| | |WI|52130|2|N
H5216|420|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-420 (PPO D-SNP)|00025456|43.50|590| | |WI|52140|2|N
H5216|420|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-420 (PPO D-SNP)|00025456|43.50|590| | |WI|52180|2|N
H5216|420|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-420 (PPO D-SNP)|00025456|43.50|590| | |WI|52190|2|N
H5216|420|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-420 (PPO D-SNP)|00025456|43.50|590| | |WI|52220|2|N
H5216|420|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-420 (PPO D-SNP)|00025456|43.50|590| | |WI|52230|2|N
H5216|420|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-420 (PPO D-SNP)|00025456|43.50|590| | |WI|52270|2|N
H5216|420|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-420 (PPO D-SNP)|00025456|43.50|590| | |WI|52290|2|N
H5216|420|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-420 (PPO D-SNP)|00025456|43.50|590| | |WI|52300|2|N
H5216|420|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-420 (PPO D-SNP)|00025456|43.50|590| | |WI|52350|2|N
H5216|420|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-420 (PPO D-SNP)|00025456|43.50|590| | |WI|52370|2|N
H5216|420|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-420 (PPO D-SNP)|00025456|43.50|590| | |WI|52380|2|N
H5216|420|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-420 (PPO D-SNP)|00025456|43.50|590| | |WI|52381|2|N
H5216|420|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-420 (PPO D-SNP)|00025456|43.50|590| | |WI|52390|2|N
H5216|420|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-420 (PPO D-SNP)|00025456|43.50|590| | |WI|52410|2|N
H5216|420|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-420 (PPO D-SNP)|00025456|43.50|590| | |WI|52430|2|N
H5216|420|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-420 (PPO D-SNP)|00025456|43.50|590| | |WI|52440|2|N
H5216|420|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-420 (PPO D-SNP)|00025456|43.50|590| | |WI|52500|2|N
H5216|420|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-420 (PPO D-SNP)|00025456|43.50|590| | |WI|52520|2|N
H5216|420|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-420 (PPO D-SNP)|00025456|43.50|590| | |WI|52570|2|N
H5216|420|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-420 (PPO D-SNP)|00025456|43.50|590| | |WI|52580|2|N
H5216|420|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-420 (PPO D-SNP)|00025456|43.50|590| | |WI|52630|2|N
H5216|420|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-420 (PPO D-SNP)|00025456|43.50|590| | |WI|52650|2|N
H5216|420|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-420 (PPO D-SNP)|00025456|43.50|590| | |WI|52660|2|N
H5216|420|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-420 (PPO D-SNP)|00025456|43.50|590| | |WI|52670|2|N
H5216|420|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-420 (PPO D-SNP)|00025456|43.50|590| | |WI|52680|2|N
H5216|420|000|HUMANA INSURANCE COMPANY|HumanaChoice SNP-DE H5216-420 (PPO D-SNP)|00025456|43.50|590| | |WI|52690|2|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11000|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11010|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11011|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11020|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11030|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11040|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11050|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11060|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11070|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11080|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11090|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11100|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11110|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11120|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11130|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11140|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11150|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11160|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11161|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11170|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11180|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11190|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11200|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11210|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11220|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11230|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11240|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11250|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11260|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11270|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11280|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11281|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11290|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11291|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11300|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11310|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11311|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11320|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11330|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11340|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11341|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11350|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11360|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11370|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11380|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11381|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11390|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11400|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11410|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11420|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11421|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11430|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11440|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11441|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11450|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11451|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11460|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11461|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11462|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11470|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11471|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11480|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11490|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11500|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11510|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11520|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11530|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11540|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11550|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11560|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11570|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11580|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11581|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11590|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11591|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11600|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11601|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11610|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11611|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11612|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11620|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11630|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11640|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11650|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11651|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11652|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11660|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11670|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11680|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11690|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11691|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11700|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11701|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11702|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11703|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11710|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11720|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11730|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11740|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11741|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11750|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11760|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11770|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11771|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11772|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11780|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11790|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11800|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11801|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11810|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11811|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11812|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11820|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11821|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11830|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11831|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11832|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11833|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11834|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11835|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11840|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11841|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11842|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11850|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11851|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11860|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11861|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11862|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11870|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11880|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11881|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11882|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11883|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11884|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11885|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11890|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11900|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11901|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11902|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11903|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11910|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11911|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11912|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11913|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11920|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11921|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11930|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11940|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11941|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11950|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11960|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11961|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11962|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11963|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11970|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11971|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11972|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11973|0|N
H5216|421|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-421 (PPO)|00025456|0.00|450| | |GA|11980|0|N
H5216|423|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-423 (PPO)|00025456|0.00|450| | |SC|42000|0|N
H5216|423|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-423 (PPO)|00025456|0.00|450| | |SC|42010|0|N
H5216|423|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-423 (PPO)|00025456|0.00|450| | |SC|42020|0|N
H5216|423|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-423 (PPO)|00025456|0.00|450| | |SC|42030|0|N
H5216|423|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-423 (PPO)|00025456|0.00|450| | |SC|42040|0|N
H5216|423|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-423 (PPO)|00025456|0.00|450| | |SC|42050|0|N
H5216|423|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-423 (PPO)|00025456|0.00|450| | |SC|42070|0|N
H5216|423|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-423 (PPO)|00025456|0.00|450| | |SC|42080|0|N
H5216|423|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-423 (PPO)|00025456|0.00|450| | |SC|42090|0|N
H5216|423|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-423 (PPO)|00025456|0.00|450| | |SC|42100|0|N
H5216|423|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-423 (PPO)|00025456|0.00|450| | |SC|42110|0|N
H5216|423|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-423 (PPO)|00025456|0.00|450| | |SC|42120|0|N
H5216|423|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-423 (PPO)|00025456|0.00|450| | |SC|42130|0|N
H5216|423|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-423 (PPO)|00025456|0.00|450| | |SC|42140|0|N
H5216|423|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-423 (PPO)|00025456|0.00|450| | |SC|42160|0|N
H5216|423|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-423 (PPO)|00025456|0.00|450| | |SC|42170|0|N
H5216|423|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-423 (PPO)|00025456|0.00|450| | |SC|42180|0|N
H5216|423|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-423 (PPO)|00025456|0.00|450| | |SC|42190|0|N
H5216|423|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-423 (PPO)|00025456|0.00|450| | |SC|42200|0|N
H5216|423|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-423 (PPO)|00025456|0.00|450| | |SC|42210|0|N
H5216|423|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-423 (PPO)|00025456|0.00|450| | |SC|42220|0|N
H5216|423|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-423 (PPO)|00025456|0.00|450| | |SC|42230|0|N
H5216|423|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-423 (PPO)|00025456|0.00|450| | |SC|42240|0|N
H5216|423|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-423 (PPO)|00025456|0.00|450| | |SC|42250|0|N
H5216|423|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-423 (PPO)|00025456|0.00|450| | |SC|42260|0|N
H5216|423|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-423 (PPO)|00025456|0.00|450| | |SC|42270|0|N
H5216|423|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-423 (PPO)|00025456|0.00|450| | |SC|42280|0|N
H5216|423|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-423 (PPO)|00025456|0.00|450| | |SC|42290|0|N
H5216|423|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-423 (PPO)|00025456|0.00|450| | |SC|42300|0|N
H5216|423|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-423 (PPO)|00025456|0.00|450| | |SC|42310|0|N
H5216|423|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-423 (PPO)|00025456|0.00|450| | |SC|42320|0|N
H5216|423|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-423 (PPO)|00025456|0.00|450| | |SC|42330|0|N
H5216|423|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-423 (PPO)|00025456|0.00|450| | |SC|42340|0|N
H5216|423|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-423 (PPO)|00025456|0.00|450| | |SC|42350|0|N
H5216|423|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-423 (PPO)|00025456|0.00|450| | |SC|42360|0|N
H5216|423|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-423 (PPO)|00025456|0.00|450| | |SC|42370|0|N
H5216|423|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-423 (PPO)|00025456|0.00|450| | |SC|42380|0|N
H5216|423|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-423 (PPO)|00025456|0.00|450| | |SC|42390|0|N
H5216|423|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-423 (PPO)|00025456|0.00|450| | |SC|42400|0|N
H5216|423|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-423 (PPO)|00025456|0.00|450| | |SC|42410|0|N
H5216|423|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-423 (PPO)|00025456|0.00|450| | |SC|42420|0|N
H5216|423|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-423 (PPO)|00025456|0.00|450| | |SC|42430|0|N
H5216|423|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-423 (PPO)|00025456|0.00|450| | |SC|42440|0|N
H5216|423|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-423 (PPO)|00025456|0.00|450| | |SC|42450|0|N
H5216|424|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-424 (PPO)|00025456|0.00|395| | |MA|22020|0|N
H5216|424|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-424 (PPO)|00025456|0.00|395| | |MA|22030|0|N
H5216|424|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-424 (PPO)|00025456|0.00|395| | |MA|22040|0|N
H5216|424|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-424 (PPO)|00025456|0.00|395| | |MA|22070|0|N
H5216|424|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-424 (PPO)|00025456|0.00|395| | |MA|22160|0|N
H5216|424|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-424 (PPO)|00025456|0.00|395| | |MA|22170|0|N
H5216|425|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-425 (PPO)|00025456|25.00|0| | |WV|51000|0|N
H5216|425|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-425 (PPO)|00025456|25.00|0| | |WV|51010|0|N
H5216|425|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-425 (PPO)|00025456|25.00|0| | |WV|51020|0|N
H5216|425|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-425 (PPO)|00025456|25.00|0| | |WV|51030|0|N
H5216|425|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-425 (PPO)|00025456|25.00|0| | |WV|51040|0|N
H5216|425|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-425 (PPO)|00025456|25.00|0| | |WV|51050|0|N
H5216|425|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-425 (PPO)|00025456|25.00|0| | |WV|51070|0|N
H5216|425|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-425 (PPO)|00025456|25.00|0| | |WV|51090|0|N
H5216|425|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-425 (PPO)|00025456|25.00|0| | |WV|51100|0|N
H5216|425|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-425 (PPO)|00025456|25.00|0| | |WV|51120|0|N
H5216|425|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-425 (PPO)|00025456|25.00|0| | |WV|51140|0|N
H5216|425|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-425 (PPO)|00025456|25.00|0| | |WV|51150|0|N
H5216|425|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-425 (PPO)|00025456|25.00|0| | |WV|51160|0|N
H5216|425|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-425 (PPO)|00025456|25.00|0| | |WV|51180|0|N
H5216|425|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-425 (PPO)|00025456|25.00|0| | |WV|51190|0|N
H5216|425|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-425 (PPO)|00025456|25.00|0| | |WV|51200|0|N
H5216|425|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-425 (PPO)|00025456|25.00|0| | |WV|51210|0|N
H5216|425|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-425 (PPO)|00025456|25.00|0| | |WV|51220|0|N
H5216|425|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-425 (PPO)|00025456|25.00|0| | |WV|51230|0|N
H5216|425|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-425 (PPO)|00025456|25.00|0| | |WV|51240|0|N
H5216|425|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-425 (PPO)|00025456|25.00|0| | |WV|51250|0|N
H5216|425|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-425 (PPO)|00025456|25.00|0| | |WV|51260|0|N
H5216|425|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-425 (PPO)|00025456|25.00|0| | |WV|51270|0|N
H5216|425|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-425 (PPO)|00025456|25.00|0| | |WV|51290|0|N
H5216|425|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-425 (PPO)|00025456|25.00|0| | |WV|51310|0|N
H5216|425|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-425 (PPO)|00025456|25.00|0| | |WV|51320|0|N
H5216|425|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-425 (PPO)|00025456|25.00|0| | |WV|51330|0|N
H5216|425|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-425 (PPO)|00025456|25.00|0| | |WV|51340|0|N
H5216|425|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-425 (PPO)|00025456|25.00|0| | |WV|51360|0|N
H5216|425|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-425 (PPO)|00025456|25.00|0| | |WV|51390|0|N
H5216|425|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-425 (PPO)|00025456|25.00|0| | |WV|51400|0|N
H5216|425|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-425 (PPO)|00025456|25.00|0| | |WV|51420|0|N
H5216|425|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-425 (PPO)|00025456|25.00|0| | |WV|51440|0|N
H5216|425|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-425 (PPO)|00025456|25.00|0| | |WV|51450|0|N
H5216|425|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-425 (PPO)|00025456|25.00|0| | |WV|51470|0|N
H5216|425|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-425 (PPO)|00025456|25.00|0| | |WV|51490|0|N
H5216|425|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-425 (PPO)|00025456|25.00|0| | |WV|51500|0|N
H5216|425|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-425 (PPO)|00025456|25.00|0| | |WV|51510|0|N
H5216|425|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-425 (PPO)|00025456|25.00|0| | |WV|51520|0|N
H5216|425|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-425 (PPO)|00025456|25.00|0| | |WV|51530|0|N
H5216|426|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-426 (PPO)|00025456|0.00|350| | |WA|50050|0|N
H5216|426|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-426 (PPO)|00025456|0.00|350| | |WA|50070|0|N
H5216|426|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-426 (PPO)|00025456|0.00|350| | |WA|50160|0|N
H5216|426|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-426 (PPO)|00025456|0.00|350| | |WA|50170|0|N
H5216|426|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-426 (PPO)|00025456|0.00|350| | |WA|50260|0|N
H5216|426|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-426 (PPO)|00025456|0.00|350| | |WA|50300|0|N
H5216|426|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-426 (PPO)|00025456|0.00|350| | |WA|50310|0|N
H5216|426|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-426 (PPO)|00025456|0.00|350| | |WA|50330|0|N
H5216|428|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-428 (PPO)|00025456|0.00|125| | |WA|50050|0|N
H5216|428|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-428 (PPO)|00025456|0.00|125| | |WA|50070|0|N
H5216|428|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-428 (PPO)|00025456|0.00|125| | |WA|50160|0|N
H5216|428|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-428 (PPO)|00025456|0.00|125| | |WA|50170|0|N
H5216|428|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-428 (PPO)|00025456|0.00|125| | |WA|50260|0|N
H5216|428|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-428 (PPO)|00025456|0.00|125| | |WA|50300|0|N
H5216|428|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-428 (PPO)|00025456|0.00|125| | |WA|50310|0|N
H5216|428|001|HUMANA INSURANCE COMPANY|HumanaChoice H5216-428 (PPO)|00025456|0.00|125| | |WA|50330|0|N
H5216|428|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-428 (PPO)|00025456|0.00|125| | |OR|38000|0|N
H5216|428|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-428 (PPO)|00025456|0.00|125| | |OR|38020|0|N
H5216|428|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-428 (PPO)|00025456|0.00|125| | |OR|38040|0|N
H5216|428|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-428 (PPO)|00025456|0.00|125| | |OR|38100|0|N
H5216|428|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-428 (PPO)|00025456|0.00|125| | |OR|38130|0|N
H5216|428|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-428 (PPO)|00025456|0.00|125| | |OR|38210|0|N
H5216|428|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-428 (PPO)|00025456|0.00|125| | |OR|38220|0|N
H5216|428|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-428 (PPO)|00025456|0.00|125| | |OR|38240|0|N
H5216|428|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-428 (PPO)|00025456|0.00|125| | |OR|38250|0|N
H5216|428|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-428 (PPO)|00025456|0.00|125| | |OR|38270|0|N
H5216|428|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-428 (PPO)|00025456|0.00|125| | |OR|38310|0|N
H5216|428|002|HUMANA INSURANCE COMPANY|HumanaChoice H5216-428 (PPO)|00025456|0.00|125| | |OR|38330|0|N
H5216|428|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-428 (PPO)|00025456|0.00|125| | |UT|46100|0|N
H5216|428|003|HUMANA INSURANCE COMPANY|HumanaChoice H5216-428 (PPO)|00025456|0.00|125| | |UT|46260|0|N
H5216|429|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-429 (PPO)|00025456|0.00|350| | |ID|13000|0|N
H5216|429|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-429 (PPO)|00025456|0.00|350| | |ID|13070|0|N
H5216|429|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-429 (PPO)|00025456|0.00|350| | |ID|13130|0|N
H5216|429|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-429 (PPO)|00025456|0.00|350| | |ID|13190|0|N
H5216|429|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-429 (PPO)|00025456|0.00|350| | |ID|13220|0|N
H5216|429|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-429 (PPO)|00025456|0.00|350| | |ID|13360|0|N
H5216|429|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-429 (PPO)|00025456|0.00|350| | |ID|13370|0|N
H5216|429|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-429 (PPO)|00025456|0.00|350| | |ID|13410|0|N
H5216|429|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-429 (PPO)|00025456|0.00|350| | |ID|13420|0|N
H5216|429|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-429 (PPO)|00025456|0.00|350| | |ID|13430|0|N
H5216|430|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-430 (PPO)|00025456|0.00|350| | |UT|46000|0|N
H5216|430|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-430 (PPO)|00025456|0.00|350| | |UT|46010|0|N
H5216|430|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-430 (PPO)|00025456|0.00|350| | |UT|46020|0|N
H5216|430|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-430 (PPO)|00025456|0.00|350| | |UT|46050|0|N
H5216|430|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-430 (PPO)|00025456|0.00|350| | |UT|46060|0|N
H5216|430|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-430 (PPO)|00025456|0.00|350| | |UT|46070|0|N
H5216|430|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-430 (PPO)|00025456|0.00|350| | |UT|46080|0|N
H5216|430|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-430 (PPO)|00025456|0.00|350| | |UT|46090|0|N
H5216|430|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-430 (PPO)|00025456|0.00|350| | |UT|46100|0|N
H5216|430|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-430 (PPO)|00025456|0.00|350| | |UT|46110|0|N
H5216|430|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-430 (PPO)|00025456|0.00|350| | |UT|46120|0|N
H5216|430|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-430 (PPO)|00025456|0.00|350| | |UT|46130|0|N
H5216|430|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-430 (PPO)|00025456|0.00|350| | |UT|46140|0|N
H5216|430|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-430 (PPO)|00025456|0.00|350| | |UT|46150|0|N
H5216|430|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-430 (PPO)|00025456|0.00|350| | |UT|46160|0|N
H5216|430|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-430 (PPO)|00025456|0.00|350| | |UT|46170|0|N
H5216|430|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-430 (PPO)|00025456|0.00|350| | |UT|46180|0|N
H5216|430|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-430 (PPO)|00025456|0.00|350| | |UT|46210|0|N
H5216|430|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-430 (PPO)|00025456|0.00|350| | |UT|46220|0|N
H5216|430|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-430 (PPO)|00025456|0.00|350| | |UT|46240|0|N
H5216|430|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-430 (PPO)|00025456|0.00|350| | |UT|46250|0|N
H5216|430|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-430 (PPO)|00025456|0.00|350| | |UT|46260|0|N
H5216|430|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-430 (PPO)|00025456|0.00|350| | |UT|46280|0|N
H5216|431|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-431 (PPO)|00025456|0.00|590| | |TX|45310|0|N
H5216|431|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-431 (PPO)|00025456|0.00|590| | |TX|45410|0|N
H5216|432|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-432 (PPO)|00025456|0.00|345| | |TX|45100|0|N
H5216|432|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-432 (PPO)|00025456|0.00|345| | |TX|45222|0|N
H5216|432|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-432 (PPO)|00025456|0.00|345| | |TX|45631|0|N
H5216|432|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-432 (PPO)|00025456|0.00|345| | |TX|45780|0|N
H5216|432|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-432 (PPO)|00025456|0.00|345| | |TX|45940|0|N
H5216|432|000|HUMANA INSURANCE COMPANY|Humana Full Access H5216-432 (PPO)|00025456|0.00|345| | |TX|45970|0|N
H5216|433|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-433 (PPO)|00025456|0.00|590| | |TX|45480|0|N
H5216|434|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-434 (PPO)|00025459|0.00|200| | |CO|06000|0|N
H5216|434|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-434 (PPO)|00025459|0.00|200| | |CO|06020|0|N
H5216|434|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-434 (PPO)|00025459|0.00|200| | |CO|06060|0|N
H5216|434|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-434 (PPO)|00025459|0.00|200| | |CO|06150|0|N
H5216|434|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-434 (PPO)|00025459|0.00|200| | |CO|06170|0|N
H5216|434|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-434 (PPO)|00025459|0.00|200| | |CO|06290|0|N
H5216|434|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-434 (PPO)|00025459|0.00|200| | |CO|06610|0|N
H5216|434|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-434 (PPO)|00025459|0.00|200| | |CO|06630|0|N
H5216|435|001|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |AZ|03010|0|N
H5216|435|001|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |AZ|03030|0|N
H5216|435|001|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |AZ|03040|0|N
H5216|435|001|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |AZ|03050|0|N
H5216|435|001|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |AZ|03055|0|N
H5216|435|001|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |AZ|03060|0|N
H5216|435|001|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |AZ|03070|0|N
H5216|435|001|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |AZ|03090|0|N
H5216|435|001|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |AZ|03100|0|N
H5216|435|001|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |AZ|03110|0|N
H5216|435|001|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |AZ|03120|0|N
H5216|435|001|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |AZ|03130|0|N
H5216|435|002|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |CO|06000|0|N
H5216|435|002|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |CO|06010|0|N
H5216|435|002|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |CO|06020|0|N
H5216|435|002|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |CO|06030|0|N
H5216|435|002|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |CO|06050|0|N
H5216|435|002|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |CO|06060|0|N
H5216|435|002|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |CO|06070|0|N
H5216|435|002|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |CO|06090|0|N
H5216|435|002|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |CO|06100|0|N
H5216|435|002|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |CO|06110|0|N
H5216|435|002|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |CO|06120|0|N
H5216|435|002|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |CO|06130|0|N
H5216|435|002|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |CO|06140|0|N
H5216|435|002|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |CO|06150|0|N
H5216|435|002|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |CO|06160|0|N
H5216|435|002|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |CO|06170|0|N
H5216|435|002|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |CO|06190|0|N
H5216|435|002|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |CO|06200|0|N
H5216|435|002|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |CO|06210|0|N
H5216|435|002|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |CO|06230|0|N
H5216|435|002|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |CO|06240|0|N
H5216|435|002|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |CO|06250|0|N
H5216|435|002|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |CO|06260|0|N
H5216|435|002|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |CO|06270|0|N
H5216|435|002|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |CO|06280|0|N
H5216|435|002|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |CO|06290|0|N
H5216|435|002|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |CO|06320|0|N
H5216|435|002|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |CO|06330|0|N
H5216|435|002|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |CO|06340|0|N
H5216|435|002|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |CO|06350|0|N
H5216|435|002|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |CO|06360|0|N
H5216|435|002|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |CO|06370|0|N
H5216|435|002|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |CO|06380|0|N
H5216|435|002|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |CO|06390|0|N
H5216|435|002|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |CO|06410|0|N
H5216|435|002|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |CO|06420|0|N
H5216|435|002|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |CO|06430|0|N
H5216|435|002|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |CO|06440|0|N
H5216|435|002|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |CO|06450|0|N
H5216|435|002|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |CO|06460|0|N
H5216|435|002|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |CO|06500|0|N
H5216|435|002|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |CO|06510|0|N
H5216|435|002|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |CO|06520|0|N
H5216|435|002|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |CO|06540|0|N
H5216|435|002|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |CO|06550|0|N
H5216|435|002|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |CO|06560|0|N
H5216|435|002|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |CO|06580|0|N
H5216|435|002|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |CO|06590|0|N
H5216|435|002|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |CO|06600|0|N
H5216|435|002|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |CO|06610|0|N
H5216|435|002|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |CO|06630|0|N
H5216|435|003|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |NM|32000|0|N
H5216|435|003|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |NM|32010|0|N
H5216|435|003|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |NM|32020|0|N
H5216|435|003|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |NM|32030|0|N
H5216|435|003|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |NM|32040|0|N
H5216|435|003|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |NM|32050|0|N
H5216|435|003|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |NM|32060|0|N
H5216|435|003|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |NM|32070|0|N
H5216|435|003|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |NM|32080|0|N
H5216|435|003|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |NM|32090|0|N
H5216|435|003|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |NM|32130|0|N
H5216|435|003|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |NM|32131|0|N
H5216|435|003|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |NM|32140|0|N
H5216|435|003|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |NM|32160|0|N
H5216|435|003|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |NM|32180|0|N
H5216|435|003|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |NM|32190|0|N
H5216|435|003|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |NM|32200|0|N
H5216|435|003|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |NM|32210|0|N
H5216|435|003|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |NM|32220|0|N
H5216|435|003|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |NM|32230|0|N
H5216|435|003|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |NM|32240|0|N
H5216|435|003|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |NM|32250|0|N
H5216|435|003|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |NM|32260|0|N
H5216|435|003|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |NM|32270|0|N
H5216|435|003|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |NM|32280|0|N
H5216|435|003|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-435 (PPO)|00025456|0.00|0| | |NM|32300|0|N
H5216|438|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-438 (PPO)|00025456|0.00|220| | |CO|06000|0|N
H5216|438|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-438 (PPO)|00025456|0.00|220| | |CO|06020|0|N
H5216|438|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-438 (PPO)|00025456|0.00|220| | |CO|06060|0|N
H5216|438|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-438 (PPO)|00025456|0.00|220| | |CO|06150|0|N
H5216|438|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-438 (PPO)|00025456|0.00|220| | |CO|06170|0|N
H5216|438|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-438 (PPO)|00025456|0.00|220| | |CO|06290|0|N
H5216|438|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-438 (PPO)|00025456|0.00|220| | |CO|06630|0|N
H5216|439|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-439 (PPO)|00025458|0.00|300| | |AZ|03060|0|N
H5216|440|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-440 (PPO)|00025458|0.00|300| | |AZ|03090|0|N
H5216|440|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-440 (PPO)|00025458|0.00|300| | |AZ|03100|0|N
H5216|443|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|590| | |NM|32000|1|N
H5216|443|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|590| | |NM|32010|1|N
H5216|443|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|590| | |NM|32020|1|N
H5216|443|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|590| | |NM|32025|1|N
H5216|443|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|590| | |NM|32030|1|N
H5216|443|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|590| | |NM|32040|1|N
H5216|443|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|590| | |NM|32050|1|N
H5216|443|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|590| | |NM|32060|1|N
H5216|443|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|590| | |NM|32070|1|N
H5216|443|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|590| | |NM|32080|1|N
H5216|443|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|590| | |NM|32090|1|N
H5216|443|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|590| | |NM|32120|1|N
H5216|443|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|590| | |NM|32130|1|N
H5216|443|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|590| | |NM|32131|1|N
H5216|443|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|590| | |NM|32140|1|N
H5216|443|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|590| | |NM|32150|1|N
H5216|443|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|590| | |NM|32160|1|N
H5216|443|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|590| | |NM|32180|1|N
H5216|443|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|590| | |NM|32190|1|N
H5216|443|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|590| | |NM|32200|1|N
H5216|443|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|590| | |NM|32210|1|N
H5216|443|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|590| | |NM|32220|1|N
H5216|443|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|590| | |NM|32230|1|N
H5216|443|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|590| | |NM|32240|1|N
H5216|443|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|590| | |NM|32250|1|N
H5216|443|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|590| | |NM|32260|1|N
H5216|443|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|590| | |NM|32270|1|N
H5216|443|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|590| | |NM|32280|1|N
H5216|443|000|HUMANA INSURANCE COMPANY|HumanaChoice - Diabetes and Heart (PPO C-SNP)|00025460|0.00|590| | |NM|32300|1|N
H5216|444|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |NM|32000|3|N
H5216|444|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |NM|32010|3|N
H5216|444|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |NM|32020|3|N
H5216|444|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |NM|32025|3|N
H5216|444|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |NM|32030|3|N
H5216|444|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |NM|32040|3|N
H5216|444|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |NM|32050|3|N
H5216|444|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |NM|32060|3|N
H5216|444|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |NM|32070|3|N
H5216|444|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |NM|32080|3|N
H5216|444|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |NM|32090|3|N
H5216|444|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |NM|32120|3|N
H5216|444|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |NM|32130|3|N
H5216|444|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |NM|32131|3|N
H5216|444|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |NM|32140|3|N
H5216|444|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |NM|32150|3|N
H5216|444|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |NM|32160|3|N
H5216|444|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |NM|32180|3|N
H5216|444|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |NM|32190|3|N
H5216|444|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |NM|32200|3|N
H5216|444|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |NM|32210|3|N
H5216|444|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |NM|32220|3|N
H5216|444|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |NM|32230|3|N
H5216|444|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |NM|32240|3|N
H5216|444|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |NM|32250|3|N
H5216|444|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |NM|32260|3|N
H5216|444|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |NM|32270|3|N
H5216|444|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |NM|32280|3|N
H5216|444|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|590| | |NM|32300|3|N
H5216|445|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-445 (PPO)|00025456|0.00|70| | |NM|32000|0|N
H5216|445|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-445 (PPO)|00025456|0.00|70| | |NM|32210|0|N
H5216|445|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-445 (PPO)|00025456|0.00|70| | |NM|32230|0|N
H5216|445|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-445 (PPO)|00025456|0.00|70| | |NM|32240|0|N
H5216|445|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-445 (PPO)|00025456|0.00|70| | |NM|32280|0|N
H5216|445|000|HUMANA INSURANCE COMPANY|HumanaChoice Giveback H5216-445 (PPO)|00025456|0.00|70| | |NM|32300|0|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18000|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18010|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18020|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18030|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18040|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18050|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18060|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18070|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18080|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18090|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18100|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18110|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18120|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18130|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18140|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18150|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18160|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18170|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18180|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18190|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18191|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18210|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18220|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18230|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18240|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18250|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18260|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18270|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18271|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18290|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18291|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18310|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18320|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18330|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18340|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18350|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18360|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18361|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18362|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18390|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18400|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18410|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18420|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18421|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18440|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18450|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18460|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18470|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18480|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18490|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18500|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18510|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18511|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18530|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18540|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18550|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18560|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18570|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18580|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18590|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18600|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18610|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18620|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18630|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18640|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18650|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18660|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18670|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18680|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18690|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18700|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18710|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18720|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18730|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18740|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18750|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18760|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18770|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18780|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18790|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18800|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18801|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18802|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18830|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18831|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18850|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18860|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18861|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18880|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18890|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18900|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18910|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18920|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18930|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18931|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18932|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18960|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18970|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18971|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18972|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18973|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18974|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18975|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18976|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18977|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18978|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18979|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18980|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18981|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18982|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18983|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18984|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18985|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18986|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18987|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18988|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18989|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18990|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18991|3|N
H5216|446|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|510| | |KY|18992|3|N
H5216|447|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |WV|51000|3|N
H5216|447|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |WV|51010|3|N
H5216|447|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |WV|51020|3|N
H5216|447|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |WV|51030|3|N
H5216|447|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |WV|51040|3|N
H5216|447|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |WV|51050|3|N
H5216|447|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |WV|51060|3|N
H5216|447|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |WV|51070|3|N
H5216|447|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |WV|51080|3|N
H5216|447|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |WV|51090|3|N
H5216|447|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |WV|51100|3|N
H5216|447|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |WV|51110|3|N
H5216|447|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |WV|51120|3|N
H5216|447|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |WV|51130|3|N
H5216|447|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |WV|51140|3|N
H5216|447|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |WV|51150|3|N
H5216|447|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |WV|51160|3|N
H5216|447|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |WV|51170|3|N
H5216|447|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |WV|51180|3|N
H5216|447|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |WV|51190|3|N
H5216|447|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |WV|51200|3|N
H5216|447|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |WV|51210|3|N
H5216|447|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |WV|51220|3|N
H5216|447|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |WV|51230|3|N
H5216|447|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |WV|51240|3|N
H5216|447|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |WV|51250|3|N
H5216|447|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |WV|51260|3|N
H5216|447|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |WV|51270|3|N
H5216|447|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |WV|51280|3|N
H5216|447|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |WV|51290|3|N
H5216|447|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |WV|51300|3|N
H5216|447|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |WV|51310|3|N
H5216|447|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |WV|51320|3|N
H5216|447|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |WV|51330|3|N
H5216|447|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |WV|51340|3|N
H5216|447|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |WV|51350|3|N
H5216|447|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |WV|51360|3|N
H5216|447|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |WV|51370|3|N
H5216|447|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |WV|51380|3|N
H5216|447|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |WV|51390|3|N
H5216|447|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |WV|51400|3|N
H5216|447|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |WV|51410|3|N
H5216|447|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |WV|51420|3|N
H5216|447|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |WV|51430|3|N
H5216|447|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |WV|51440|3|N
H5216|447|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |WV|51450|3|N
H5216|447|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |WV|51460|3|N
H5216|447|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |WV|51470|3|N
H5216|447|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |WV|51480|3|N
H5216|447|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |WV|51490|3|N
H5216|447|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |WV|51500|3|N
H5216|447|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |WV|51510|3|N
H5216|447|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |WV|51520|3|N
H5216|447|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |WV|51530|3|N
H5216|447|000|HUMANA INSURANCE COMPANY|Humana Together in Health (PPO I-SNP)|00025456|0.00|470| | |WV|51540|3|N
H5216|448|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-448 (PPO)|00025458|32.60|300| | |AL|01160|0|N
H5216|448|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-448 (PPO)|00025458|32.60|300| | |AL|01240|0|N
H5216|448|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-448 (PPO)|00025458|32.60|300| | |AL|01290|0|N
H5216|448|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-448 (PPO)|00025458|32.60|300| | |AL|01350|0|N
H5216|448|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-448 (PPO)|00025458|32.60|300| | |AL|01380|0|N
H5216|448|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-448 (PPO)|00025458|32.60|300| | |AL|01390|0|N
H5216|448|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-448 (PPO)|00025458|32.60|300| | |AL|01410|0|N
H5216|448|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-448 (PPO)|00025458|32.60|300| | |AL|01440|0|N
H5216|448|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-448 (PPO)|00025458|32.60|300| | |AL|01460|0|N
H5216|448|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-448 (PPO)|00025458|32.60|300| | |AL|01470|0|N
H5216|448|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-448 (PPO)|00025458|32.60|300| | |AL|01510|0|N
H5216|448|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-448 (PPO)|00025458|32.60|300| | |AL|01660|0|N
H5216|449|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-449 (PPO)|00025458|22.90|300| | |TN|44070|0|N
H5216|449|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-449 (PPO)|00025458|22.90|300| | |TN|44180|0|N
H5216|449|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-449 (PPO)|00025458|22.90|300| | |TN|44200|0|N
H5216|449|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-449 (PPO)|00025458|22.90|300| | |TN|44270|0|N
H5216|449|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-449 (PPO)|00025458|22.90|300| | |TN|44390|0|N
H5216|449|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-449 (PPO)|00025458|22.90|300| | |TN|44590|0|N
H5216|449|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-449 (PPO)|00025458|22.90|300| | |TN|44740|0|N
H5216|449|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-449 (PPO)|00025458|22.90|300| | |TN|44880|0|N
H5216|449|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-449 (PPO)|00025458|22.90|300| | |TN|44920|0|N
H5216|449|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-449 (PPO)|00025458|22.90|300| | |TN|44930|0|N
H5216|449|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-449 (PPO)|00025458|22.90|300| | |TN|44940|0|N
H5216|450|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-450 (PPO)|00025458|25.60|400| | |TN|44070|0|N
H5216|450|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-450 (PPO)|00025458|25.60|400| | |TN|44180|0|N
H5216|450|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-450 (PPO)|00025458|25.60|400| | |TN|44200|0|N
H5216|450|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-450 (PPO)|00025458|25.60|400| | |TN|44270|0|N
H5216|450|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-450 (PPO)|00025458|25.60|400| | |TN|44390|0|N
H5216|450|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-450 (PPO)|00025458|25.60|400| | |TN|44590|0|N
H5216|450|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-450 (PPO)|00025458|25.60|400| | |TN|44740|0|N
H5216|450|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-450 (PPO)|00025458|25.60|400| | |TN|44880|0|N
H5216|450|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-450 (PPO)|00025458|25.60|400| | |TN|44920|0|N
H5216|450|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-450 (PPO)|00025458|25.60|400| | |TN|44930|0|N
H5216|450|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-450 (PPO)|00025458|25.60|400| | |TN|44940|0|N
H5216|451|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-451 (PPO)|00025458|0.00|590| | |TN|44070|0|N
H5216|451|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-451 (PPO)|00025458|0.00|590| | |TN|44200|0|N
H5216|451|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-451 (PPO)|00025458|0.00|590| | |TN|44270|0|N
H5216|451|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-451 (PPO)|00025458|0.00|590| | |TN|44390|0|N
H5216|451|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-451 (PPO)|00025458|0.00|590| | |TN|44590|0|N
H5216|451|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-451 (PPO)|00025458|0.00|590| | |TN|44740|0|N
H5216|451|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-451 (PPO)|00025458|0.00|590| | |TN|44880|0|N
H5216|451|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-451 (PPO)|00025458|0.00|590| | |TN|44920|0|N
H5216|451|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-451 (PPO)|00025458|0.00|590| | |TN|44930|0|N
H5216|451|000|HUMANA INSURANCE COMPANY|HumanaChoice H5216-451 (PPO)|00025458|0.00|590| | |TN|44940|0|N
H5216|452|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida Giveback H5216-452 (PPO)|00025458|0.00|0| | |FL|10070|0|N
H5216|452|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida Giveback H5216-452 (PPO)|00025458|0.00|0| | |FL|10080|0|N
H5216|452|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida Giveback H5216-452 (PPO)|00025458|0.00|0| | |FL|10100|0|N
H5216|452|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida Giveback H5216-452 (PPO)|00025458|0.00|0| | |FL|10130|0|N
H5216|452|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida Giveback H5216-452 (PPO)|00025458|0.00|0| | |FL|10240|0|N
H5216|452|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida Giveback H5216-452 (PPO)|00025458|0.00|0| | |FL|10260|0|N
H5216|452|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida Giveback H5216-452 (PPO)|00025458|0.00|0| | |FL|10270|0|N
H5216|452|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida Giveback H5216-452 (PPO)|00025458|0.00|0| | |FL|10280|0|N
H5216|452|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida Giveback H5216-452 (PPO)|00025458|0.00|0| | |FL|10340|0|N
H5216|452|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida Giveback H5216-452 (PPO)|00025458|0.00|0| | |FL|10350|0|N
H5216|452|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida Giveback H5216-452 (PPO)|00025458|0.00|0| | |FL|10400|0|N
H5216|452|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida Giveback H5216-452 (PPO)|00025458|0.00|0| | |FL|10410|0|N
H5216|452|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida Giveback H5216-452 (PPO)|00025458|0.00|0| | |FL|10470|0|N
H5216|452|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida Giveback H5216-452 (PPO)|00025458|0.00|0| | |FL|10480|0|N
H5216|452|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida Giveback H5216-452 (PPO)|00025458|0.00|0| | |FL|10500|0|N
H5216|452|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida Giveback H5216-452 (PPO)|00025458|0.00|0| | |FL|10510|0|N
H5216|452|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida Giveback H5216-452 (PPO)|00025458|0.00|0| | |FL|10520|0|N
H5216|452|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida Giveback H5216-452 (PPO)|00025458|0.00|0| | |FL|10570|0|N
H5216|452|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida Giveback H5216-452 (PPO)|00025458|0.00|0| | |FL|10580|0|N
H5216|452|000|HUMANA INSURANCE COMPANY|HumanaChoice Florida Giveback H5216-452 (PPO)|00025458|0.00|0| | |FL|10590|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |IN|15000|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |IN|15010|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |IN|15140|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |IN|15160|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |IN|15230|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |IN|15560|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |IN|15570|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |IN|15770|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |KY|18070|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |KY|18180|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |KY|18580|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |MI|23110|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |MI|23290|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |MI|23450|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |MI|23570|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |MI|23800|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |OH|36000|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |OH|36010|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |OH|36020|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |OH|36050|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |OH|36070|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |OH|36080|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |OH|36100|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |OH|36110|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |OH|36120|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |OH|36130|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |OH|36160|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |OH|36170|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |OH|36190|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |OH|36200|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |OH|36220|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |OH|36240|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |OH|36260|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |OH|36280|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |OH|36290|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |OH|36310|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |OH|36340|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |OH|36360|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |OH|36370|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |OH|36400|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |OH|36440|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |OH|36480|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |OH|36490|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |OH|36500|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |OH|36530|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |OH|36550|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |OH|36560|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |OH|36580|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |OH|36630|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |OH|36640|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |OH|36680|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |OH|36690|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |OH|36700|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |OH|36730|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |OH|36750|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |OH|36760|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |OH|36780|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |OH|36820|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |OH|36840|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |OH|36860|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |OH|36870|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |OH|36880|0|N
H5232|001|000|PARAMOUNT INSURANCE COMPANY|Paramount Elite Preferred (PPO)|00025295|0.00|0| | |OH|36890|0|N
H5244|001|000|SCAN HEALTH PLAN (NM)|SCAN Classic (HMO)|00025409|0.00|0| | |NM|32000|0|N
H5244|001|000|SCAN HEALTH PLAN (NM)|SCAN Classic (HMO)|00025409|0.00|0| | |NM|32210|0|N
H5244|002|000|SCAN HEALTH PLAN (NM)|SCAN Balance (HMO C-SNP)|00025409|0.00|0| | |NM|32000|1|N
H5244|002|000|SCAN HEALTH PLAN (NM)|SCAN Balance (HMO C-SNP)|00025409|0.00|0| | |NM|32210|1|N
H5244|004|000|SCAN HEALTH PLAN (NM)|SCAN Strive (HMO C-SNP)|00025409|15.80|590| | |NM|32000|1|N
H5244|004|000|SCAN HEALTH PLAN (NM)|SCAN Strive (HMO C-SNP)|00025409|15.80|590| | |NM|32210|1|N
H5244|005|000|SCAN HEALTH PLAN (NM)|SCAN MyChoice (HMO)|00025409|0.00|0| | |NM|32000|0|N
H5244|005|000|SCAN HEALTH PLAN (NM)|SCAN MyChoice (HMO)|00025409|0.00|0| | |NM|32210|0|N
H5253|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0010 (HMO-POS)|00025002|34.00|340| | |WI|52290|0|N
H5253|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0010 (HMO-POS)|00025002|34.00|340| | |WI|52390|0|N
H5253|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0010 (HMO-POS)|00025002|34.00|340| | |WI|52440|0|N
H5253|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0010 (HMO-POS)|00025002|34.00|340| | |WI|52500|0|N
H5253|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0010 (HMO-POS)|00025002|34.00|340| | |WI|52650|0|N
H5253|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0010 (HMO-POS)|00025002|34.00|340| | |WI|52660|0|N
H5253|007|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP)|00025002|43.50|590| | |WI|52040|3|N
H5253|007|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP)|00025002|43.50|590| | |WI|52120|3|N
H5253|007|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP)|00025002|43.50|590| | |WI|52150|3|N
H5253|007|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP)|00025002|43.50|590| | |WI|52190|3|N
H5253|007|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP)|00025002|43.50|590| | |WI|52270|3|N
H5253|007|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP)|00025002|43.50|590| | |WI|52290|3|N
H5253|007|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP)|00025002|43.50|590| | |WI|52350|3|N
H5253|007|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP)|00025002|43.50|590| | |WI|52360|3|N
H5253|007|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP)|00025002|43.50|590| | |WI|52390|3|N
H5253|007|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP)|00025002|43.50|590| | |WI|52430|3|N
H5253|007|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP)|00025002|43.50|590| | |WI|52440|3|N
H5253|007|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP)|00025002|43.50|590| | |WI|52470|3|N
H5253|007|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP)|00025002|43.50|590| | |WI|52500|3|N
H5253|007|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP)|00025002|43.50|590| | |WI|52520|3|N
H5253|007|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP)|00025002|43.50|590| | |WI|52580|3|N
H5253|007|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP)|00025002|43.50|590| | |WI|52630|3|N
H5253|007|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP)|00025002|43.50|590| | |WI|52650|3|N
H5253|007|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP)|00025002|43.50|590| | |WI|52660|3|N
H5253|007|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP)|00025002|43.50|590| | |WI|52670|3|N
H5253|007|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP)|00025002|43.50|590| | |WI|52690|3|N
H5253|011|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0011 (HMO-POS)|00025002|43.00|340| | |WI|52000|0|N
H5253|011|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0011 (HMO-POS)|00025002|43.00|340| | |WI|52040|0|N
H5253|011|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0011 (HMO-POS)|00025002|43.00|340| | |WI|52070|0|N
H5253|011|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0011 (HMO-POS)|00025002|43.00|340| | |WI|52130|0|N
H5253|011|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0011 (HMO-POS)|00025002|43.00|340| | |WI|52140|0|N
H5253|011|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0011 (HMO-POS)|00025002|43.00|340| | |WI|52180|0|N
H5253|011|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0011 (HMO-POS)|00025002|43.00|340| | |WI|52190|0|N
H5253|011|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0011 (HMO-POS)|00025002|43.00|340| | |WI|52200|0|N
H5253|011|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0011 (HMO-POS)|00025002|43.00|340| | |WI|52230|0|N
H5253|011|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0011 (HMO-POS)|00025002|43.00|340| | |WI|52300|0|N
H5253|011|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0011 (HMO-POS)|00025002|43.00|340| | |WI|52330|0|N
H5253|011|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0011 (HMO-POS)|00025002|43.00|340| | |WI|52350|0|N
H5253|011|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0011 (HMO-POS)|00025002|43.00|340| | |WI|52370|0|N
H5253|011|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0011 (HMO-POS)|00025002|43.00|340| | |WI|52380|0|N
H5253|011|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0011 (HMO-POS)|00025002|43.00|340| | |WI|52381|0|N
H5253|011|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0011 (HMO-POS)|00025002|43.00|340| | |WI|52410|0|N
H5253|011|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0011 (HMO-POS)|00025002|43.00|340| | |WI|52430|0|N
H5253|011|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0011 (HMO-POS)|00025002|43.00|340| | |WI|52570|0|N
H5253|011|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0011 (HMO-POS)|00025002|43.00|340| | |WI|52580|0|N
H5253|011|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0011 (HMO-POS)|00025002|43.00|340| | |WI|52670|0|N
H5253|011|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0011 (HMO-POS)|00025002|43.00|340| | |WI|52680|0|N
H5253|011|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0011 (HMO-POS)|00025002|43.00|340| | |WI|52690|0|N
H5253|024|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D003 (HMO-POS D-SNP)|00025002|38.10|590| | |WI|52040|2|N
H5253|024|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D003 (HMO-POS D-SNP)|00025002|38.10|590| | |WI|52070|2|N
H5253|024|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D003 (HMO-POS D-SNP)|00025002|38.10|590| | |WI|52230|2|N
H5253|024|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D003 (HMO-POS D-SNP)|00025002|38.10|590| | |WI|52300|2|N
H5253|024|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D003 (HMO-POS D-SNP)|00025002|38.10|590| | |WI|52310|2|N
H5253|024|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D003 (HMO-POS D-SNP)|00025002|38.10|590| | |WI|52390|2|N
H5253|024|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D003 (HMO-POS D-SNP)|00025002|38.10|590| | |WI|52400|2|N
H5253|024|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D003 (HMO-POS D-SNP)|00025002|38.10|590| | |WI|52410|2|N
H5253|024|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D003 (HMO-POS D-SNP)|00025002|38.10|590| | |WI|52430|2|N
H5253|024|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D003 (HMO-POS D-SNP)|00025002|38.10|590| | |WI|52440|2|N
H5253|024|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D003 (HMO-POS D-SNP)|00025002|38.10|590| | |WI|52500|2|N
H5253|024|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D003 (HMO-POS D-SNP)|00025002|38.10|590| | |WI|52570|2|N
H5253|024|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D003 (HMO-POS D-SNP)|00025002|38.10|590| | |WI|52580|2|N
H5253|024|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D003 (HMO-POS D-SNP)|00025002|38.10|590| | |WI|52600|2|N
H5253|024|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D003 (HMO-POS D-SNP)|00025002|38.10|590| | |WI|52610|2|N
H5253|024|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D003 (HMO-POS D-SNP)|00025002|38.10|590| | |WI|52650|2|N
H5253|024|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D003 (HMO-POS D-SNP)|00025002|38.10|590| | |WI|52660|2|N
H5253|024|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D003 (HMO-POS D-SNP)|00025002|38.10|590| | |WI|52670|2|N
H5253|024|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D003 (HMO-POS D-SNP)|00025002|38.10|590| | |WI|52680|2|N
H5253|024|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete WI-D003 (HMO-POS D-SNP)|00025002|38.10|590| | |WI|52690|2|N
H5253|030|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0012 (HMO-POS)|00025002|6.60|340| | |WI|52100|0|N
H5253|030|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0012 (HMO-POS)|00025002|6.60|340| | |WI|52120|0|N
H5253|030|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0012 (HMO-POS)|00025002|6.60|340| | |WI|52210|0|N
H5253|030|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0012 (HMO-POS)|00025002|6.60|340| | |WI|52220|0|N
H5253|030|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0012 (HMO-POS)|00025002|6.60|340| | |WI|52240|0|N
H5253|030|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0012 (HMO-POS)|00025002|6.60|340| | |WI|52270|0|N
H5253|030|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0012 (HMO-POS)|00025002|6.60|340| | |WI|52290|0|N
H5253|030|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0012 (HMO-POS)|00025002|6.60|340| | |WI|52320|0|N
H5253|030|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0012 (HMO-POS)|00025002|6.60|340| | |WI|52520|0|N
H5253|030|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0012 (HMO-POS)|00025002|6.60|340| | |WI|52550|0|N
H5253|030|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0012 (HMO-POS)|00025002|6.60|340| | |WI|52630|0|N
H5253|033|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0013 (HMO-POS)|00025002|0.00|340| | |WI|52290|0|N
H5253|033|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0013 (HMO-POS)|00025002|0.00|340| | |WI|52390|0|N
H5253|033|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0013 (HMO-POS)|00025002|0.00|340| | |WI|52440|0|N
H5253|033|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0013 (HMO-POS)|00025002|0.00|340| | |WI|52500|0|N
H5253|033|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0013 (HMO-POS)|00025002|0.00|340| | |WI|52650|0|N
H5253|033|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0013 (HMO-POS)|00025002|0.00|340| | |WI|52660|0|N
H5253|034|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0014 (HMO-POS)|00025002|0.00|340| | |WI|52000|0|N
H5253|034|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0014 (HMO-POS)|00025002|0.00|340| | |WI|52040|0|N
H5253|034|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0014 (HMO-POS)|00025002|0.00|340| | |WI|52070|0|N
H5253|034|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0014 (HMO-POS)|00025002|0.00|340| | |WI|52130|0|N
H5253|034|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0014 (HMO-POS)|00025002|0.00|340| | |WI|52140|0|N
H5253|034|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0014 (HMO-POS)|00025002|0.00|340| | |WI|52180|0|N
H5253|034|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0014 (HMO-POS)|00025002|0.00|340| | |WI|52190|0|N
H5253|034|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0014 (HMO-POS)|00025002|0.00|340| | |WI|52200|0|N
H5253|034|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0014 (HMO-POS)|00025002|0.00|340| | |WI|52230|0|N
H5253|034|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0014 (HMO-POS)|00025002|0.00|340| | |WI|52300|0|N
H5253|034|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0014 (HMO-POS)|00025002|0.00|340| | |WI|52330|0|N
H5253|034|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0014 (HMO-POS)|00025002|0.00|340| | |WI|52350|0|N
H5253|034|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0014 (HMO-POS)|00025002|0.00|340| | |WI|52370|0|N
H5253|034|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0014 (HMO-POS)|00025002|0.00|340| | |WI|52380|0|N
H5253|034|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0014 (HMO-POS)|00025002|0.00|340| | |WI|52381|0|N
H5253|034|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0014 (HMO-POS)|00025002|0.00|340| | |WI|52410|0|N
H5253|034|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0014 (HMO-POS)|00025002|0.00|340| | |WI|52430|0|N
H5253|034|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0014 (HMO-POS)|00025002|0.00|340| | |WI|52570|0|N
H5253|034|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0014 (HMO-POS)|00025002|0.00|340| | |WI|52580|0|N
H5253|034|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0014 (HMO-POS)|00025002|0.00|340| | |WI|52670|0|N
H5253|034|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0014 (HMO-POS)|00025002|0.00|340| | |WI|52680|0|N
H5253|034|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0014 (HMO-POS)|00025002|0.00|340| | |WI|52690|0|N
H5253|035|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC AZ-0013 (HMO-POS)|00025002|29.50|340| | |AZ|03040|0|N
H5253|035|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC AZ-0013 (HMO-POS)|00025002|29.50|340| | |AZ|03090|0|N
H5253|035|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC AZ-0013 (HMO-POS)|00025002|29.50|340| | |AZ|03110|0|N
H5253|036|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC AZ-0014 (HMO-POS)|00025002|19.80|340| | |AZ|03120|0|N
H5253|037|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0021 (HMO-POS)|00025002|37.00|255| | |NC|34000|0|N
H5253|037|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0021 (HMO-POS)|00025002|37.00|255| | |NC|34010|0|N
H5253|037|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0021 (HMO-POS)|00025002|37.00|255| | |NC|34120|0|N
H5253|037|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0021 (HMO-POS)|00025002|37.00|255| | |NC|34130|0|N
H5253|037|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0021 (HMO-POS)|00025002|37.00|255| | |NC|34160|0|N
H5253|037|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0021 (HMO-POS)|00025002|37.00|255| | |NC|34170|0|N
H5253|037|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0021 (HMO-POS)|00025002|37.00|255| | |NC|34180|0|N
H5253|037|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0021 (HMO-POS)|00025002|37.00|255| | |NC|34220|0|N
H5253|037|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0021 (HMO-POS)|00025002|37.00|255| | |NC|34250|0|N
H5253|037|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0021 (HMO-POS)|00025002|37.00|255| | |NC|34280|0|N
H5253|037|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0021 (HMO-POS)|00025002|37.00|255| | |NC|34290|0|N
H5253|037|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0021 (HMO-POS)|00025002|37.00|255| | |NC|34330|0|N
H5253|037|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0021 (HMO-POS)|00025002|37.00|255| | |NC|34350|0|N
H5253|037|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0021 (HMO-POS)|00025002|37.00|255| | |NC|34400|0|N
H5253|037|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0021 (HMO-POS)|00025002|37.00|255| | |NC|34440|0|N
H5253|037|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0021 (HMO-POS)|00025002|37.00|255| | |NC|34480|0|N
H5253|037|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0021 (HMO-POS)|00025002|37.00|255| | |NC|34500|0|N
H5253|037|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0021 (HMO-POS)|00025002|37.00|255| | |NC|34540|0|N
H5253|037|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0021 (HMO-POS)|00025002|37.00|255| | |NC|34590|0|N
H5253|037|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0021 (HMO-POS)|00025002|37.00|255| | |NC|34670|0|N
H5253|037|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0021 (HMO-POS)|00025002|37.00|255| | |NC|34720|0|N
H5253|037|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0021 (HMO-POS)|00025002|37.00|255| | |NC|34750|0|N
H5253|037|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0021 (HMO-POS)|00025002|37.00|255| | |NC|34760|0|N
H5253|037|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0021 (HMO-POS)|00025002|37.00|255| | |NC|34780|0|N
H5253|037|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0021 (HMO-POS)|00025002|37.00|255| | |NC|34790|0|N
H5253|037|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0021 (HMO-POS)|00025002|37.00|255| | |NC|34840|0|N
H5253|037|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0021 (HMO-POS)|00025002|37.00|255| | |NC|34850|0|N
H5253|037|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0021 (HMO-POS)|00025002|37.00|255| | |NC|34890|0|N
H5253|037|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0021 (HMO-POS)|00025002|37.00|255| | |NC|34960|0|N
H5253|037|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0021 (HMO-POS)|00025002|37.00|255| | |NC|34980|0|N
H5253|038|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0022 (HMO-POS)|00025002|0.00|340| | |NC|34000|0|N
H5253|038|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0022 (HMO-POS)|00025002|0.00|340| | |NC|34010|0|N
H5253|038|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0022 (HMO-POS)|00025002|0.00|340| | |NC|34120|0|N
H5253|038|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0022 (HMO-POS)|00025002|0.00|340| | |NC|34130|0|N
H5253|038|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0022 (HMO-POS)|00025002|0.00|340| | |NC|34160|0|N
H5253|038|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0022 (HMO-POS)|00025002|0.00|340| | |NC|34170|0|N
H5253|038|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0022 (HMO-POS)|00025002|0.00|340| | |NC|34180|0|N
H5253|038|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0022 (HMO-POS)|00025002|0.00|340| | |NC|34220|0|N
H5253|038|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0022 (HMO-POS)|00025002|0.00|340| | |NC|34250|0|N
H5253|038|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0022 (HMO-POS)|00025002|0.00|340| | |NC|34280|0|N
H5253|038|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0022 (HMO-POS)|00025002|0.00|340| | |NC|34290|0|N
H5253|038|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0022 (HMO-POS)|00025002|0.00|340| | |NC|34330|0|N
H5253|038|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0022 (HMO-POS)|00025002|0.00|340| | |NC|34350|0|N
H5253|038|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0022 (HMO-POS)|00025002|0.00|340| | |NC|34400|0|N
H5253|038|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0022 (HMO-POS)|00025002|0.00|340| | |NC|34440|0|N
H5253|038|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0022 (HMO-POS)|00025002|0.00|340| | |NC|34480|0|N
H5253|038|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0022 (HMO-POS)|00025002|0.00|340| | |NC|34500|0|N
H5253|038|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0022 (HMO-POS)|00025002|0.00|340| | |NC|34540|0|N
H5253|038|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0022 (HMO-POS)|00025002|0.00|340| | |NC|34590|0|N
H5253|038|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0022 (HMO-POS)|00025002|0.00|340| | |NC|34670|0|N
H5253|038|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0022 (HMO-POS)|00025002|0.00|340| | |NC|34720|0|N
H5253|038|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0022 (HMO-POS)|00025002|0.00|340| | |NC|34750|0|N
H5253|038|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0022 (HMO-POS)|00025002|0.00|340| | |NC|34760|0|N
H5253|038|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0022 (HMO-POS)|00025002|0.00|340| | |NC|34780|0|N
H5253|038|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0022 (HMO-POS)|00025002|0.00|340| | |NC|34790|0|N
H5253|038|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0022 (HMO-POS)|00025002|0.00|340| | |NC|34840|0|N
H5253|038|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0022 (HMO-POS)|00025002|0.00|340| | |NC|34850|0|N
H5253|038|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0022 (HMO-POS)|00025002|0.00|340| | |NC|34890|0|N
H5253|038|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0022 (HMO-POS)|00025002|0.00|340| | |NC|34960|0|N
H5253|038|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0022 (HMO-POS)|00025002|0.00|340| | |NC|34980|0|N
H5253|039|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0007 (HMO-POS)|00025002|0.00|340| | |NC|34310|0|N
H5253|039|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0007 (HMO-POS)|00025002|0.00|340| | |NC|34910|0|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34000|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34010|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34020|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34030|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34040|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34050|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34060|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34070|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34080|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34090|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34100|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34110|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34120|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34130|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34140|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34160|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34170|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34180|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34190|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34200|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34210|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34220|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34230|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34240|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34250|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34251|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34270|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34280|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34290|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34300|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34310|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34320|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34330|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34340|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34350|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34360|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34370|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34380|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34390|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34400|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34410|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34420|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34430|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34440|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34450|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34460|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34470|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34480|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34490|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34500|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34510|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34520|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34530|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34540|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34550|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34560|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34570|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34580|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34590|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34600|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34610|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34620|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34630|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34640|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34650|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34660|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34670|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34680|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34690|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34700|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34710|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34720|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34730|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34740|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34750|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34760|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34770|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34780|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34790|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34800|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34810|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34820|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34830|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34840|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34850|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34860|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34870|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34880|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34890|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34900|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34910|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34920|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34930|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34940|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34950|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34960|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34970|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34980|2|N
H5253|041|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-D001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34981|2|N
H5253|042|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP)|00025002|51.20|590| | |NC|34000|3|N
H5253|042|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP)|00025002|51.20|590| | |NC|34100|3|N
H5253|042|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP)|00025002|51.20|590| | |NC|34120|3|N
H5253|042|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP)|00025002|51.20|590| | |NC|34180|3|N
H5253|042|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP)|00025002|51.20|590| | |NC|34220|3|N
H5253|042|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP)|00025002|51.20|590| | |NC|34250|3|N
H5253|042|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP)|00025002|51.20|590| | |NC|34280|3|N
H5253|042|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP)|00025002|51.20|590| | |NC|34310|3|N
H5253|042|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP)|00025002|51.20|590| | |NC|34330|3|N
H5253|042|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP)|00025002|51.20|590| | |NC|34350|3|N
H5253|042|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP)|00025002|51.20|590| | |NC|34400|3|N
H5253|042|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP)|00025002|51.20|590| | |NC|34590|3|N
H5253|042|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP)|00025002|51.20|590| | |NC|34750|3|N
H5253|042|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP)|00025002|51.20|590| | |NC|34780|3|N
H5253|042|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP)|00025002|51.20|590| | |NC|34790|3|N
H5253|042|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP)|00025002|51.20|590| | |NC|34840|3|N
H5253|042|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP)|00025002|51.20|590| | |NC|34910|3|N
H5253|042|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Nursing Home Plan NC-F002 (HMO-POS I-SNP)|00025002|51.20|590| | |NC|34960|3|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |TN|44000|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |TN|44030|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |TN|44040|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |TN|44050|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |TN|44060|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |TN|44090|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |TN|44120|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |TN|44130|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |TN|44140|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |TN|44170|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |TN|44240|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |TN|44250|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |TN|44280|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |TN|44290|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |TN|44300|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |TN|44310|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |TN|44320|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |TN|44330|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |TN|44360|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |TN|44440|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |TN|44450|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |TN|44460|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |TN|44520|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |TN|44530|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |TN|44570|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |TN|44600|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |TN|44610|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |TN|44640|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |TN|44660|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |TN|44680|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |TN|44690|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |TN|44700|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |TN|44710|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |TN|44720|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |TN|44750|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |TN|44760|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |TN|44770|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |TN|44810|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |TN|44850|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |TN|44860|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |TN|44870|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |TN|44880|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |TN|44890|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |TN|44920|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |VA|49100|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |VA|49111|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |VA|49130|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |VA|49250|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |VA|49380|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |VA|49520|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |VA|49661|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |VA|49830|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |VA|49840|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |VA|49860|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |VA|49920|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |VA|49950|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |VA|49970|0|N
H5253|047|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0002 (HMO-POS)|00025002|0.00|255| | |VA|49980|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |TN|44000|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |TN|44030|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |TN|44040|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |TN|44050|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |TN|44060|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |TN|44090|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |TN|44120|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |TN|44130|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |TN|44140|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |TN|44170|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |TN|44240|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |TN|44250|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |TN|44280|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |TN|44290|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |TN|44300|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |TN|44310|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |TN|44320|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |TN|44330|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |TN|44360|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |TN|44440|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |TN|44450|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |TN|44460|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |TN|44520|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |TN|44530|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |TN|44570|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |TN|44600|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |TN|44610|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |TN|44640|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |TN|44660|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |TN|44680|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |TN|44690|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |TN|44700|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |TN|44710|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |TN|44720|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |TN|44750|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |TN|44760|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |TN|44770|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |TN|44810|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |TN|44850|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |TN|44860|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |TN|44870|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |TN|44880|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |TN|44890|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |TN|44920|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |VA|49100|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |VA|49111|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |VA|49130|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |VA|49250|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |VA|49380|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |VA|49520|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |VA|49661|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |VA|49830|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |VA|49840|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |VA|49860|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |VA|49920|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |VA|49950|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |VA|49970|0|N
H5253|048|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TC-0003 (HMO-POS)|00025002|41.00|255| | |VA|49980|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |KY|18070|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |KY|18180|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |KY|18400|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |KY|18580|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |KY|18932|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |OH|36010|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |OH|36020|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |OH|36030|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |OH|36060|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |OH|36070|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |OH|36080|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |OH|36090|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |OH|36100|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |OH|36110|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |OH|36120|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |OH|36130|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |OH|36140|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |OH|36170|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |OH|36210|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |OH|36220|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |OH|36230|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |OH|36240|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |OH|36250|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |OH|36260|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |OH|36280|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |OH|36290|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |OH|36310|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |OH|36330|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |OH|36350|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |OH|36400|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |OH|36420|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |OH|36430|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |OH|36440|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |OH|36460|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |OH|36480|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |OH|36490|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |OH|36500|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |OH|36510|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |OH|36520|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |OH|36530|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |OH|36560|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |OH|36580|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |OH|36600|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |OH|36610|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |OH|36630|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |OH|36660|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |OH|36670|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |OH|36680|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |OH|36690|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |OH|36710|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |OH|36720|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |OH|36730|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |OH|36750|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |OH|36770|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |OH|36780|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |OH|36790|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |OH|36800|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |OH|36810|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |OH|36840|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |OH|36860|0|N
H5253|051|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0001 (HMO-POS)|00025002|53.10|255| | |OH|36880|0|N
H5253|059|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete OH-D001 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36080|2|N
H5253|059|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete OH-D001 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36110|2|N
H5253|059|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete OH-D001 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36170|2|N
H5253|059|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete OH-D001 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36250|2|N
H5253|059|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete OH-D001 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36290|2|N
H5253|059|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete OH-D001 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36310|2|N
H5253|059|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete OH-D001 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36500|2|N
H5253|059|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete OH-D001 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36510|2|N
H5253|059|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete OH-D001 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36580|2|N
H5253|059|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete OH-D001 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36770|2|N
H5253|059|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete OH-D001 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36780|2|N
H5253|059|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete OH-D001 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36790|2|N
H5253|059|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete OH-D001 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36840|2|N
H5253|060|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Nursing Home Plan OH-F002 (HMO-POS I-SNP)|00025002|39.30|590| | |OH|36110|3|N
H5253|060|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Nursing Home Plan OH-F002 (HMO-POS I-SNP)|00025002|39.30|590| | |OH|36440|3|N
H5253|060|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Nursing Home Plan OH-F002 (HMO-POS I-SNP)|00025002|39.30|590| | |OH|36490|3|N
H5253|062|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-2 (HMO-POS)|00025002|0.00|340| | |OH|36210|0|N
H5253|062|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-2 (HMO-POS)|00025002|0.00|340| | |OH|36230|0|N
H5253|062|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-2 (HMO-POS)|00025002|0.00|340| | |OH|36240|0|N
H5253|062|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-2 (HMO-POS)|00025002|0.00|340| | |OH|36250|0|N
H5253|062|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-2 (HMO-POS)|00025002|0.00|340| | |OH|36430|0|N
H5253|062|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-2 (HMO-POS)|00025002|0.00|340| | |OH|36460|0|N
H5253|062|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-2 (HMO-POS)|00025002|0.00|340| | |OH|36500|0|N
H5253|062|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-2 (HMO-POS)|00025002|0.00|340| | |OH|36520|0|N
H5253|062|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-2 (HMO-POS)|00025002|0.00|340| | |OH|36570|0|N
H5253|062|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-2 (HMO-POS)|00025002|0.00|340| | |OH|36590|0|N
H5253|062|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-2 (HMO-POS)|00025002|0.00|340| | |OH|36600|0|N
H5253|062|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-2 (HMO-POS)|00025002|0.00|340| | |OH|36610|0|N
H5253|062|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-2 (HMO-POS)|00025002|0.00|340| | |OH|36620|0|N
H5253|062|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-2 (HMO-POS)|00025002|0.00|340| | |OH|36650|0|N
H5253|062|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-2 (HMO-POS)|00025002|0.00|340| | |OH|36660|0|N
H5253|062|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-2 (HMO-POS)|00025002|0.00|340| | |OH|36710|0|N
H5253|062|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-2 (HMO-POS)|00025002|0.00|340| | |OH|36810|0|N
H5253|064|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Care Advantage WI-E001 (HMO-POS I-SNP)|00025003|43.50|195| | |WI|52040|3|N
H5253|064|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Care Advantage WI-E001 (HMO-POS I-SNP)|00025003|43.50|195| | |WI|52120|3|N
H5253|064|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Care Advantage WI-E001 (HMO-POS I-SNP)|00025003|43.50|195| | |WI|52130|3|N
H5253|064|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Care Advantage WI-E001 (HMO-POS I-SNP)|00025003|43.50|195| | |WI|52150|3|N
H5253|064|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Care Advantage WI-E001 (HMO-POS I-SNP)|00025003|43.50|195| | |WI|52190|3|N
H5253|064|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Care Advantage WI-E001 (HMO-POS I-SNP)|00025003|43.50|195| | |WI|52270|3|N
H5253|064|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Care Advantage WI-E001 (HMO-POS I-SNP)|00025003|43.50|195| | |WI|52290|3|N
H5253|064|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Care Advantage WI-E001 (HMO-POS I-SNP)|00025003|43.50|195| | |WI|52350|3|N
H5253|064|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Care Advantage WI-E001 (HMO-POS I-SNP)|00025003|43.50|195| | |WI|52390|3|N
H5253|064|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Care Advantage WI-E001 (HMO-POS I-SNP)|00025003|43.50|195| | |WI|52430|3|N
H5253|064|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Care Advantage WI-E001 (HMO-POS I-SNP)|00025003|43.50|195| | |WI|52440|3|N
H5253|064|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Care Advantage WI-E001 (HMO-POS I-SNP)|00025003|43.50|195| | |WI|52470|3|N
H5253|064|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Care Advantage WI-E001 (HMO-POS I-SNP)|00025003|43.50|195| | |WI|52500|3|N
H5253|064|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Care Advantage WI-E001 (HMO-POS I-SNP)|00025003|43.50|195| | |WI|52520|3|N
H5253|064|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Care Advantage WI-E001 (HMO-POS I-SNP)|00025003|43.50|195| | |WI|52540|3|N
H5253|064|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Care Advantage WI-E001 (HMO-POS I-SNP)|00025003|43.50|195| | |WI|52580|3|N
H5253|064|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Care Advantage WI-E001 (HMO-POS I-SNP)|00025003|43.50|195| | |WI|52630|3|N
H5253|064|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Care Advantage WI-E001 (HMO-POS I-SNP)|00025003|43.50|195| | |WI|52650|3|N
H5253|064|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Care Advantage WI-E001 (HMO-POS I-SNP)|00025003|43.50|195| | |WI|52660|3|N
H5253|064|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Care Advantage WI-E001 (HMO-POS I-SNP)|00025003|43.50|195| | |WI|52670|3|N
H5253|064|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Care Advantage WI-E001 (HMO-POS I-SNP)|00025003|43.50|195| | |WI|52690|3|N
H5253|072|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0015 (HMO-POS)|00025002|0.00|340| | |WI|52080|0|N
H5253|072|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0015 (HMO-POS)|00025002|0.00|340| | |WI|52170|0|N
H5253|072|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0015 (HMO-POS)|00025002|0.00|340| | |WI|52310|0|N
H5253|072|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0015 (HMO-POS)|00025002|0.00|340| | |WI|52340|0|N
H5253|072|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0015 (HMO-POS)|00025002|0.00|340| | |WI|52360|0|N
H5253|072|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0015 (HMO-POS)|00025002|0.00|340| | |WI|52400|0|N
H5253|072|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0015 (HMO-POS)|00025002|0.00|340| | |WI|52420|0|N
H5253|072|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0015 (HMO-POS)|00025002|0.00|340| | |WI|52480|0|N
H5253|072|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0015 (HMO-POS)|00025002|0.00|340| | |WI|52600|0|N
H5253|072|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0015 (HMO-POS)|00025002|0.00|340| | |WI|52620|0|N
H5253|072|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0015 (HMO-POS)|00025002|0.00|340| | |WI|52700|0|N
H5253|073|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0016 (HMO-POS)|00025002|43.60|340| | |WI|52080|0|N
H5253|073|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0016 (HMO-POS)|00025002|43.60|340| | |WI|52170|0|N
H5253|073|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0016 (HMO-POS)|00025002|43.60|340| | |WI|52310|0|N
H5253|073|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0016 (HMO-POS)|00025002|43.60|340| | |WI|52340|0|N
H5253|073|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0016 (HMO-POS)|00025002|43.60|340| | |WI|52360|0|N
H5253|073|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0016 (HMO-POS)|00025002|43.60|340| | |WI|52400|0|N
H5253|073|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0016 (HMO-POS)|00025002|43.60|340| | |WI|52420|0|N
H5253|073|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0016 (HMO-POS)|00025002|43.60|340| | |WI|52480|0|N
H5253|073|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0016 (HMO-POS)|00025002|43.60|340| | |WI|52600|0|N
H5253|073|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0016 (HMO-POS)|00025002|43.60|340| | |WI|52620|0|N
H5253|073|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0016 (HMO-POS)|00025002|43.60|340| | |WI|52700|0|N
H5253|079|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0008 (HMO-POS)|00025002|0.00|340| | |NC|34050|0|N
H5253|079|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0008 (HMO-POS)|00025002|0.00|340| | |NC|34100|0|N
H5253|079|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0008 (HMO-POS)|00025002|0.00|340| | |NC|34110|0|N
H5253|079|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0008 (HMO-POS)|00025002|0.00|340| | |NC|34190|0|N
H5253|079|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0008 (HMO-POS)|00025002|0.00|340| | |NC|34210|0|N
H5253|079|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0008 (HMO-POS)|00025002|0.00|340| | |NC|34370|0|N
H5253|079|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0008 (HMO-POS)|00025002|0.00|340| | |NC|34430|0|N
H5253|079|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0008 (HMO-POS)|00025002|0.00|340| | |NC|34490|0|N
H5253|079|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0008 (HMO-POS)|00025002|0.00|340| | |NC|34550|0|N
H5253|079|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0008 (HMO-POS)|00025002|0.00|340| | |NC|34560|0|N
H5253|079|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0008 (HMO-POS)|00025002|0.00|340| | |NC|34570|0|N
H5253|079|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0008 (HMO-POS)|00025002|0.00|340| | |NC|34600|0|N
H5253|079|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0008 (HMO-POS)|00025002|0.00|340| | |NC|34740|0|N
H5253|079|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0008 (HMO-POS)|00025002|0.00|340| | |NC|34800|0|N
H5253|079|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0008 (HMO-POS)|00025002|0.00|340| | |NC|34860|0|N
H5253|079|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0008 (HMO-POS)|00025002|0.00|340| | |NC|34870|0|N
H5253|079|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0008 (HMO-POS)|00025002|0.00|340| | |NC|34981|0|N
H5253|080|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0009 (HMO-POS)|00025002|48.00|340| | |NC|34050|0|N
H5253|080|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0009 (HMO-POS)|00025002|48.00|340| | |NC|34100|0|N
H5253|080|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0009 (HMO-POS)|00025002|48.00|340| | |NC|34110|0|N
H5253|080|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0009 (HMO-POS)|00025002|48.00|340| | |NC|34190|0|N
H5253|080|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0009 (HMO-POS)|00025002|48.00|340| | |NC|34210|0|N
H5253|080|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0009 (HMO-POS)|00025002|48.00|340| | |NC|34370|0|N
H5253|080|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0009 (HMO-POS)|00025002|48.00|340| | |NC|34430|0|N
H5253|080|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0009 (HMO-POS)|00025002|48.00|340| | |NC|34490|0|N
H5253|080|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0009 (HMO-POS)|00025002|48.00|340| | |NC|34550|0|N
H5253|080|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0009 (HMO-POS)|00025002|48.00|340| | |NC|34560|0|N
H5253|080|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0009 (HMO-POS)|00025002|48.00|340| | |NC|34570|0|N
H5253|080|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0009 (HMO-POS)|00025002|48.00|340| | |NC|34600|0|N
H5253|080|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0009 (HMO-POS)|00025002|48.00|340| | |NC|34740|0|N
H5253|080|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0009 (HMO-POS)|00025002|48.00|340| | |NC|34800|0|N
H5253|080|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0009 (HMO-POS)|00025002|48.00|340| | |NC|34860|0|N
H5253|080|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0009 (HMO-POS)|00025002|48.00|340| | |NC|34870|0|N
H5253|080|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0009 (HMO-POS)|00025002|48.00|340| | |NC|34981|0|N
H5253|081|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0003 (HMO-POS)|00025002|0.00|340| | |TN|44020|0|N
H5253|081|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0003 (HMO-POS)|00025002|0.00|340| | |TN|44080|0|N
H5253|081|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0003 (HMO-POS)|00025002|0.00|340| | |TN|44110|0|N
H5253|081|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0003 (HMO-POS)|00025002|0.00|340| | |TN|44160|0|N
H5253|081|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0003 (HMO-POS)|00025002|0.00|340| | |TN|44190|0|N
H5253|081|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0003 (HMO-POS)|00025002|0.00|340| | |TN|44220|0|N
H5253|081|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0003 (HMO-POS)|00025002|0.00|340| | |TN|44230|0|N
H5253|081|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0003 (HMO-POS)|00025002|0.00|340| | |TN|44260|0|N
H5253|081|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0003 (HMO-POS)|00025002|0.00|340| | |TN|44340|0|N
H5253|081|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0003 (HMO-POS)|00025002|0.00|340| | |TN|44350|0|N
H5253|081|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0003 (HMO-POS)|00025002|0.00|340| | |TN|44370|0|N
H5253|081|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0003 (HMO-POS)|00025002|0.00|340| | |TN|44380|0|N
H5253|081|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0003 (HMO-POS)|00025002|0.00|340| | |TN|44390|0|N
H5253|081|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0003 (HMO-POS)|00025002|0.00|340| | |TN|44470|0|N
H5253|081|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0003 (HMO-POS)|00025002|0.00|340| | |TN|44480|0|N
H5253|081|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0003 (HMO-POS)|00025002|0.00|340| | |TN|44540|0|N
H5253|081|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0003 (HMO-POS)|00025002|0.00|340| | |TN|44560|0|N
H5253|081|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0003 (HMO-POS)|00025002|0.00|340| | |TN|44650|0|N
H5253|081|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0003 (HMO-POS)|00025002|0.00|340| | |TN|44780|0|N
H5253|081|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0003 (HMO-POS)|00025002|0.00|340| | |TN|44830|0|N
H5253|081|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0003 (HMO-POS)|00025002|0.00|340| | |TN|44910|0|N
H5253|082|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0004 (HMO-POS)|00025002|39.00|340| | |TN|44020|0|N
H5253|082|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0004 (HMO-POS)|00025002|39.00|340| | |TN|44080|0|N
H5253|082|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0004 (HMO-POS)|00025002|39.00|340| | |TN|44110|0|N
H5253|082|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0004 (HMO-POS)|00025002|39.00|340| | |TN|44160|0|N
H5253|082|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0004 (HMO-POS)|00025002|39.00|340| | |TN|44190|0|N
H5253|082|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0004 (HMO-POS)|00025002|39.00|340| | |TN|44220|0|N
H5253|082|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0004 (HMO-POS)|00025002|39.00|340| | |TN|44230|0|N
H5253|082|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0004 (HMO-POS)|00025002|39.00|340| | |TN|44260|0|N
H5253|082|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0004 (HMO-POS)|00025002|39.00|340| | |TN|44340|0|N
H5253|082|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0004 (HMO-POS)|00025002|39.00|340| | |TN|44350|0|N
H5253|082|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0004 (HMO-POS)|00025002|39.00|340| | |TN|44370|0|N
H5253|082|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0004 (HMO-POS)|00025002|39.00|340| | |TN|44380|0|N
H5253|082|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0004 (HMO-POS)|00025002|39.00|340| | |TN|44390|0|N
H5253|082|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0004 (HMO-POS)|00025002|39.00|340| | |TN|44470|0|N
H5253|082|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0004 (HMO-POS)|00025002|39.00|340| | |TN|44480|0|N
H5253|082|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0004 (HMO-POS)|00025002|39.00|340| | |TN|44540|0|N
H5253|082|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0004 (HMO-POS)|00025002|39.00|340| | |TN|44560|0|N
H5253|082|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0004 (HMO-POS)|00025002|39.00|340| | |TN|44650|0|N
H5253|082|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0004 (HMO-POS)|00025002|39.00|340| | |TN|44780|0|N
H5253|082|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0004 (HMO-POS)|00025002|39.00|340| | |TN|44830|0|N
H5253|082|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0004 (HMO-POS)|00025002|39.00|340| | |TN|44910|0|N
H5253|083|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0005 (HMO-POS)|00025002|0.00|340| | |TN|44010|0|N
H5253|083|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0005 (HMO-POS)|00025002|0.00|340| | |TN|44070|0|N
H5253|083|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0005 (HMO-POS)|00025002|0.00|340| | |TN|44100|0|N
H5253|083|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0005 (HMO-POS)|00025002|0.00|340| | |TN|44150|0|N
H5253|083|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0005 (HMO-POS)|00025002|0.00|340| | |TN|44180|0|N
H5253|083|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0005 (HMO-POS)|00025002|0.00|340| | |TN|44200|0|N
H5253|083|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0005 (HMO-POS)|00025002|0.00|340| | |TN|44210|0|N
H5253|083|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0005 (HMO-POS)|00025002|0.00|340| | |TN|44270|0|N
H5253|083|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0005 (HMO-POS)|00025002|0.00|340| | |TN|44400|0|N
H5253|083|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0005 (HMO-POS)|00025002|0.00|340| | |TN|44410|0|N
H5253|083|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0005 (HMO-POS)|00025002|0.00|340| | |TN|44420|0|N
H5253|083|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0005 (HMO-POS)|00025002|0.00|340| | |TN|44430|0|N
H5253|083|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0005 (HMO-POS)|00025002|0.00|340| | |TN|44490|0|N
H5253|083|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0005 (HMO-POS)|00025002|0.00|340| | |TN|44500|0|N
H5253|083|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0005 (HMO-POS)|00025002|0.00|340| | |TN|44510|0|N
H5253|083|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0005 (HMO-POS)|00025002|0.00|340| | |TN|44550|0|N
H5253|083|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0005 (HMO-POS)|00025002|0.00|340| | |TN|44580|0|N
H5253|083|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0005 (HMO-POS)|00025002|0.00|340| | |TN|44590|0|N
H5253|083|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0005 (HMO-POS)|00025002|0.00|340| | |TN|44620|0|N
H5253|083|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0005 (HMO-POS)|00025002|0.00|340| | |TN|44630|0|N
H5253|083|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0005 (HMO-POS)|00025002|0.00|340| | |TN|44670|0|N
H5253|083|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0005 (HMO-POS)|00025002|0.00|340| | |TN|44730|0|N
H5253|083|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0005 (HMO-POS)|00025002|0.00|340| | |TN|44740|0|N
H5253|083|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0005 (HMO-POS)|00025002|0.00|340| | |TN|44790|0|N
H5253|083|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0005 (HMO-POS)|00025002|0.00|340| | |TN|44800|0|N
H5253|083|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0005 (HMO-POS)|00025002|0.00|340| | |TN|44820|0|N
H5253|083|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0005 (HMO-POS)|00025002|0.00|340| | |TN|44840|0|N
H5253|083|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0005 (HMO-POS)|00025002|0.00|340| | |TN|44900|0|N
H5253|083|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0005 (HMO-POS)|00025002|0.00|340| | |TN|44930|0|N
H5253|083|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0005 (HMO-POS)|00025002|0.00|340| | |TN|44940|0|N
H5253|084|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0006 (HMO-POS)|00025002|45.00|340| | |TN|44010|0|N
H5253|084|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0006 (HMO-POS)|00025002|45.00|340| | |TN|44070|0|N
H5253|084|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0006 (HMO-POS)|00025002|45.00|340| | |TN|44100|0|N
H5253|084|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0006 (HMO-POS)|00025002|45.00|340| | |TN|44150|0|N
H5253|084|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0006 (HMO-POS)|00025002|45.00|340| | |TN|44180|0|N
H5253|084|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0006 (HMO-POS)|00025002|45.00|340| | |TN|44200|0|N
H5253|084|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0006 (HMO-POS)|00025002|45.00|340| | |TN|44210|0|N
H5253|084|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0006 (HMO-POS)|00025002|45.00|340| | |TN|44270|0|N
H5253|084|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0006 (HMO-POS)|00025002|45.00|340| | |TN|44400|0|N
H5253|084|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0006 (HMO-POS)|00025002|45.00|340| | |TN|44410|0|N
H5253|084|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0006 (HMO-POS)|00025002|45.00|340| | |TN|44420|0|N
H5253|084|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0006 (HMO-POS)|00025002|45.00|340| | |TN|44430|0|N
H5253|084|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0006 (HMO-POS)|00025002|45.00|340| | |TN|44490|0|N
H5253|084|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0006 (HMO-POS)|00025002|45.00|340| | |TN|44500|0|N
H5253|084|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0006 (HMO-POS)|00025002|45.00|340| | |TN|44510|0|N
H5253|084|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0006 (HMO-POS)|00025002|45.00|340| | |TN|44550|0|N
H5253|084|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0006 (HMO-POS)|00025002|45.00|340| | |TN|44580|0|N
H5253|084|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0006 (HMO-POS)|00025002|45.00|340| | |TN|44590|0|N
H5253|084|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0006 (HMO-POS)|00025002|45.00|340| | |TN|44620|0|N
H5253|084|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0006 (HMO-POS)|00025002|45.00|340| | |TN|44630|0|N
H5253|084|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0006 (HMO-POS)|00025002|45.00|340| | |TN|44670|0|N
H5253|084|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0006 (HMO-POS)|00025002|45.00|340| | |TN|44730|0|N
H5253|084|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0006 (HMO-POS)|00025002|45.00|340| | |TN|44740|0|N
H5253|084|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0006 (HMO-POS)|00025002|45.00|340| | |TN|44790|0|N
H5253|084|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0006 (HMO-POS)|00025002|45.00|340| | |TN|44800|0|N
H5253|084|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0006 (HMO-POS)|00025002|45.00|340| | |TN|44820|0|N
H5253|084|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0006 (HMO-POS)|00025002|45.00|340| | |TN|44840|0|N
H5253|084|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0006 (HMO-POS)|00025002|45.00|340| | |TN|44900|0|N
H5253|084|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0006 (HMO-POS)|00025002|45.00|340| | |TN|44930|0|N
H5253|084|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC TN-0006 (HMO-POS)|00025002|45.00|340| | |TN|44940|0|N
H5253|087|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0008 (HMO-POS)|00025002|0.00|255| | |VA|49194|0|N
H5253|087|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0008 (HMO-POS)|00025002|0.00|255| | |VA|49411|0|N
H5253|087|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0008 (HMO-POS)|00025002|0.00|255| | |VA|49460|0|N
H5253|087|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0008 (HMO-POS)|00025002|0.00|255| | |VA|49470|0|N
H5253|087|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0008 (HMO-POS)|00025002|0.00|255| | |VA|49622|0|N
H5253|087|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0008 (HMO-POS)|00025002|0.00|255| | |VA|49641|0|N
H5253|087|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0008 (HMO-POS)|00025002|0.00|255| | |VA|49711|0|N
H5253|087|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0008 (HMO-POS)|00025002|0.00|255| | |VA|49712|0|N
H5253|087|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0008 (HMO-POS)|00025002|0.00|255| | |VA|49892|0|N
H5253|087|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0008 (HMO-POS)|00025002|0.00|255| | |VA|49921|0|N
H5253|087|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0008 (HMO-POS)|00025002|0.00|255| | |VA|49961|0|N
H5253|087|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0008 (HMO-POS)|00025002|0.00|255| | |VA|49981|0|N
H5253|088|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0009 (HMO-POS)|00025002|28.90|255| | |VA|49194|0|N
H5253|088|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0009 (HMO-POS)|00025002|28.90|255| | |VA|49411|0|N
H5253|088|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0009 (HMO-POS)|00025002|28.90|255| | |VA|49460|0|N
H5253|088|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0009 (HMO-POS)|00025002|28.90|255| | |VA|49470|0|N
H5253|088|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0009 (HMO-POS)|00025002|28.90|255| | |VA|49622|0|N
H5253|088|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0009 (HMO-POS)|00025002|28.90|255| | |VA|49641|0|N
H5253|088|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0009 (HMO-POS)|00025002|28.90|255| | |VA|49711|0|N
H5253|088|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0009 (HMO-POS)|00025002|28.90|255| | |VA|49712|0|N
H5253|088|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0009 (HMO-POS)|00025002|28.90|255| | |VA|49892|0|N
H5253|088|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0009 (HMO-POS)|00025002|28.90|255| | |VA|49921|0|N
H5253|088|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0009 (HMO-POS)|00025002|28.90|255| | |VA|49961|0|N
H5253|088|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0009 (HMO-POS)|00025002|28.90|255| | |VA|49981|0|N
H5253|089|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0010 (HMO-POS)|00025002|37.00|340| | |VA|49011|0|N
H5253|089|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0010 (HMO-POS)|00025002|37.00|340| | |VA|49060|0|N
H5253|089|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0010 (HMO-POS)|00025002|37.00|340| | |VA|49210|0|N
H5253|089|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0010 (HMO-POS)|00025002|37.00|340| | |VA|49288|0|N
H5253|089|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0010 (HMO-POS)|00025002|37.00|340| | |VA|49290|0|N
H5253|089|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0010 (HMO-POS)|00025002|37.00|340| | |VA|49291|0|N
H5253|089|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0010 (HMO-POS)|00025002|37.00|340| | |VA|49340|0|N
H5253|089|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0010 (HMO-POS)|00025002|37.00|340| | |VA|49530|0|N
H5253|089|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0010 (HMO-POS)|00025002|37.00|340| | |VA|49563|0|N
H5253|089|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0010 (HMO-POS)|00025002|37.00|340| | |VA|49565|0|N
H5253|089|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0010 (HMO-POS)|00025002|37.00|340| | |VA|49750|0|N
H5253|089|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0010 (HMO-POS)|00025002|37.00|340| | |VA|49850|0|N
H5253|089|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0010 (HMO-POS)|00025002|37.00|340| | |VA|49930|0|N
H5253|089|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0010 (HMO-POS)|00025002|37.00|340| | |VA|49962|0|N
H5253|097|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0017 (HMO-POS)|00025002|0.00|340| | |WI|52100|0|N
H5253|097|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0017 (HMO-POS)|00025002|0.00|340| | |WI|52120|0|N
H5253|097|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0017 (HMO-POS)|00025002|0.00|340| | |WI|52210|0|N
H5253|097|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0017 (HMO-POS)|00025002|0.00|340| | |WI|52220|0|N
H5253|097|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0017 (HMO-POS)|00025002|0.00|340| | |WI|52240|0|N
H5253|097|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0017 (HMO-POS)|00025002|0.00|340| | |WI|52270|0|N
H5253|097|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0017 (HMO-POS)|00025002|0.00|340| | |WI|52290|0|N
H5253|097|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0017 (HMO-POS)|00025002|0.00|340| | |WI|52320|0|N
H5253|097|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0017 (HMO-POS)|00025002|0.00|340| | |WI|52520|0|N
H5253|097|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0017 (HMO-POS)|00025002|0.00|340| | |WI|52550|0|N
H5253|097|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC WI-0017 (HMO-POS)|00025002|0.00|340| | |WI|52630|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18000|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18010|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18020|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18030|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18040|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18050|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18060|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18080|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18090|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18100|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18110|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18120|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18130|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18140|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18150|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18160|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18170|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18190|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18191|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18210|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18220|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18230|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18240|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18250|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18260|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18270|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18271|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18290|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18291|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18310|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18320|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18330|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18340|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18350|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18360|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18361|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18362|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18390|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18410|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18420|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18421|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18440|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18450|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18460|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18470|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18480|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18490|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18500|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18510|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18511|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18530|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18540|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18550|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18560|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18570|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18590|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18600|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18610|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18620|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18630|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18640|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18650|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18660|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18670|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18680|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18690|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18700|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18710|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18720|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18730|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18740|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18750|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18760|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18770|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18780|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18790|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18800|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18801|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18802|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18830|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18831|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18850|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18860|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18861|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18880|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18890|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18900|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18910|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18920|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18930|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18931|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18960|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18970|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18971|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18972|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18973|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18974|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18975|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18976|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18977|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18978|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18979|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18980|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18981|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18982|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18983|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18984|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18985|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18986|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18987|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18988|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18989|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18990|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18991|0|N
H5253|099|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC KY-1 (HMO-POS)|00025002|0.00|340| | |KY|18992|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18000|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18010|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18020|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18030|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18040|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18050|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18060|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18080|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18090|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18100|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18110|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18120|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18130|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18140|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18150|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18160|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18170|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18190|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18191|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18210|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18220|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18230|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18240|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18250|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18260|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18270|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18271|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18290|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18291|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18310|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18320|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18330|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18340|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18350|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18360|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18361|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18362|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18390|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18410|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18420|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18421|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18440|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18450|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18460|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18470|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18480|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18490|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18500|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18510|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18511|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18530|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18540|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18550|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18560|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18570|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18590|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18600|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18610|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18620|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18630|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18640|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18650|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18660|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18670|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18680|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18690|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18700|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18710|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18720|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18730|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18740|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18750|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18760|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18770|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18780|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18790|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18800|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18801|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18802|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18830|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18831|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18850|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18860|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18861|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18880|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18890|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18900|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18910|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18920|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18930|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18931|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18960|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18970|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18971|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18972|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18973|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18974|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18975|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18976|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18977|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18978|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18979|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18980|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18981|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18982|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18983|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18984|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18985|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18986|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18987|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18988|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18989|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18990|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18991|0|N
H5253|100|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC KY-0002 (HMO-POS)|00025002|39.00|340| | |KY|18992|0|N
H5253|102|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0010 (HMO-POS)|00025002|49.00|340| | |NC|34310|0|N
H5253|102|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0010 (HMO-POS)|00025002|49.00|340| | |NC|34910|0|N
H5253|103|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0011 (HMO-POS)|00025002|0.00|340| | |NC|34320|0|N
H5253|103|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0011 (HMO-POS)|00025002|0.00|340| | |NC|34340|0|N
H5253|103|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0011 (HMO-POS)|00025002|0.00|340| | |NC|34380|0|N
H5253|103|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0011 (HMO-POS)|00025002|0.00|340| | |NC|34390|0|N
H5253|103|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0011 (HMO-POS)|00025002|0.00|340| | |NC|34410|0|N
H5253|103|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0011 (HMO-POS)|00025002|0.00|340| | |NC|34420|0|N
H5253|103|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0011 (HMO-POS)|00025002|0.00|340| | |NC|34520|0|N
H5253|103|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0011 (HMO-POS)|00025002|0.00|340| | |NC|34580|0|N
H5253|103|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0011 (HMO-POS)|00025002|0.00|340| | |NC|34630|0|N
H5253|103|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0011 (HMO-POS)|00025002|0.00|340| | |NC|34730|0|N
H5253|103|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0011 (HMO-POS)|00025002|0.00|340| | |NC|34810|0|N
H5253|103|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0011 (HMO-POS)|00025002|0.00|340| | |NC|34900|0|N
H5253|103|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0011 (HMO-POS)|00025002|0.00|340| | |NC|34950|0|N
H5253|103|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0011 (HMO-POS)|00025002|0.00|340| | |NC|34970|0|N
H5253|104|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0012 (HMO-POS)|00025002|49.00|340| | |NC|34320|0|N
H5253|104|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0012 (HMO-POS)|00025002|49.00|340| | |NC|34340|0|N
H5253|104|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0012 (HMO-POS)|00025002|49.00|340| | |NC|34380|0|N
H5253|104|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0012 (HMO-POS)|00025002|49.00|340| | |NC|34390|0|N
H5253|104|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0012 (HMO-POS)|00025002|49.00|340| | |NC|34410|0|N
H5253|104|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0012 (HMO-POS)|00025002|49.00|340| | |NC|34420|0|N
H5253|104|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0012 (HMO-POS)|00025002|49.00|340| | |NC|34520|0|N
H5253|104|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0012 (HMO-POS)|00025002|49.00|340| | |NC|34580|0|N
H5253|104|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0012 (HMO-POS)|00025002|49.00|340| | |NC|34630|0|N
H5253|104|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0012 (HMO-POS)|00025002|49.00|340| | |NC|34730|0|N
H5253|104|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0012 (HMO-POS)|00025002|49.00|340| | |NC|34810|0|N
H5253|104|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0012 (HMO-POS)|00025002|49.00|340| | |NC|34900|0|N
H5253|104|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0012 (HMO-POS)|00025002|49.00|340| | |NC|34950|0|N
H5253|104|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0012 (HMO-POS)|00025002|49.00|340| | |NC|34970|0|N
H5253|105|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS)|00025002|0.00|570| | |NC|34050|0|N
H5253|105|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS)|00025002|0.00|570| | |NC|34100|0|N
H5253|105|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS)|00025002|0.00|570| | |NC|34110|0|N
H5253|105|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS)|00025002|0.00|570| | |NC|34190|0|N
H5253|105|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS)|00025002|0.00|570| | |NC|34210|0|N
H5253|105|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS)|00025002|0.00|570| | |NC|34370|0|N
H5253|105|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS)|00025002|0.00|570| | |NC|34430|0|N
H5253|105|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS)|00025002|0.00|570| | |NC|34440|0|N
H5253|105|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS)|00025002|0.00|570| | |NC|34490|0|N
H5253|105|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS)|00025002|0.00|570| | |NC|34550|0|N
H5253|105|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS)|00025002|0.00|570| | |NC|34560|0|N
H5253|105|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS)|00025002|0.00|570| | |NC|34570|0|N
H5253|105|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS)|00025002|0.00|570| | |NC|34600|0|N
H5253|105|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS)|00025002|0.00|570| | |NC|34740|0|N
H5253|105|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS)|00025002|0.00|570| | |NC|34800|0|N
H5253|105|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS)|00025002|0.00|570| | |NC|34860|0|N
H5253|105|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS)|00025002|0.00|570| | |NC|34870|0|N
H5253|105|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC NC-13 (HMO-POS)|00025002|0.00|570| | |NC|34981|0|N
H5253|107|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16240|0|N
H5253|107|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16490|0|N
H5253|107|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16600|0|N
H5253|107|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16630|0|N
H5253|107|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16760|0|N
H5253|107|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16840|0|N
H5253|107|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16900|0|N
H5253|107|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16050|0|N
H5253|107|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16060|0|N
H5253|107|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16070|0|N
H5253|107|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16100|0|N
H5253|107|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16110|0|N
H5253|107|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16120|0|N
H5253|107|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16130|0|N
H5253|107|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16150|0|N
H5253|107|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16160|0|N
H5253|107|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16200|0|N
H5253|107|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16210|0|N
H5253|107|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16220|0|N
H5253|107|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16230|0|N
H5253|107|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16270|0|N
H5253|107|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16280|0|N
H5253|107|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16290|0|N
H5253|107|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16300|0|N
H5253|107|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16310|0|N
H5253|107|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16320|0|N
H5253|107|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16330|0|N
H5253|107|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16340|0|N
H5253|107|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16370|0|N
H5253|107|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16390|0|N
H5253|107|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16400|0|N
H5253|107|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16410|0|N
H5253|107|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16430|0|N
H5253|107|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16450|0|N
H5253|107|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16470|0|N
H5253|107|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16480|0|N
H5253|107|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16510|0|N
H5253|107|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16520|0|N
H5253|107|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16530|0|N
H5253|107|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16540|0|N
H5253|107|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16550|0|N
H5253|107|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16560|0|N
H5253|107|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16570|0|N
H5253|107|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16690|0|N
H5253|107|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16730|0|N
H5253|107|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16750|0|N
H5253|107|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16780|0|N
H5253|107|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16800|0|N
H5253|107|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16810|0|N
H5253|107|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16850|0|N
H5253|107|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16910|0|N
H5253|107|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16930|0|N
H5253|107|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16940|0|N
H5253|107|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16980|0|N
H5253|107|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IL|14450|0|N
H5253|107|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IL|14740|0|N
H5253|107|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IL|14890|0|N
H5253|107|003|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16000|0|N
H5253|107|003|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16010|0|N
H5253|107|003|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16020|0|N
H5253|107|003|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16030|0|N
H5253|107|003|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16040|0|N
H5253|107|003|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16080|0|N
H5253|107|003|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16090|0|N
H5253|107|003|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16180|0|N
H5253|107|003|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16190|0|N
H5253|107|003|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16250|0|N
H5253|107|003|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16260|0|N
H5253|107|003|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16360|0|N
H5253|107|003|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16380|0|N
H5253|107|003|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16440|0|N
H5253|107|003|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16500|0|N
H5253|107|003|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16580|0|N
H5253|107|003|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16610|0|N
H5253|107|003|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16620|0|N
H5253|107|003|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16650|0|N
H5253|107|003|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16670|0|N
H5253|107|003|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16790|0|N
H5253|107|003|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16860|0|N
H5253|107|003|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16870|0|N
H5253|107|003|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16880|0|N
H5253|107|003|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16890|0|N
H5253|107|003|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16920|0|N
H5253|107|003|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16950|0|N
H5253|107|003|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0001 (HMO-POS)|00025002|0.00|420| | |IA|16970|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14030|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14040|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14050|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14070|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14080|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14100|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14110|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14120|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14140|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14150|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14160|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14180|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14190|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14310|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14320|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14330|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14360|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14370|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14380|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14410|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14420|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14421|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14440|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14480|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14490|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14510|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14520|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14560|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14590|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14600|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14620|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14630|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14650|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14660|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14700|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14710|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14720|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14730|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14770|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14780|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14790|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14800|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14820|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14831|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14850|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14860|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14880|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14910|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14920|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14921|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14940|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14950|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14960|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14970|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14980|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14982|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14983|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14984|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14986|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14987|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14988|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14991|0|N
H5253|108|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|38.00|340| | |IL|14992|0|N
H5253|108|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|46.00|340| | |IA|16050|0|N
H5253|108|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|46.00|340| | |IA|16060|0|N
H5253|108|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|46.00|340| | |IA|16070|0|N
H5253|108|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|46.00|340| | |IA|16100|0|N
H5253|108|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|46.00|340| | |IA|16110|0|N
H5253|108|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|46.00|340| | |IA|16120|0|N
H5253|108|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|46.00|340| | |IA|16130|0|N
H5253|108|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|46.00|340| | |IA|16150|0|N
H5253|108|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|46.00|340| | |IA|16160|0|N
H5253|108|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|46.00|340| | |IA|16200|0|N
H5253|108|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|46.00|340| | |IA|16210|0|N
H5253|108|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|46.00|340| | |IA|16220|0|N
H5253|108|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|46.00|340| | |IA|16230|0|N
H5253|108|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|46.00|340| | |IA|16270|0|N
H5253|108|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|46.00|340| | |IA|16280|0|N
H5253|108|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|46.00|340| | |IA|16290|0|N
H5253|108|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|46.00|340| | |IA|16300|0|N
H5253|108|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|46.00|340| | |IA|16310|0|N
H5253|108|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|46.00|340| | |IA|16320|0|N
H5253|108|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|46.00|340| | |IA|16330|0|N
H5253|108|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|46.00|340| | |IA|16340|0|N
H5253|108|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|46.00|340| | |IA|16370|0|N
H5253|108|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|46.00|340| | |IA|16390|0|N
H5253|108|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|46.00|340| | |IA|16400|0|N
H5253|108|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|46.00|340| | |IA|16410|0|N
H5253|108|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|46.00|340| | |IA|16430|0|N
H5253|108|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|46.00|340| | |IA|16450|0|N
H5253|108|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|46.00|340| | |IA|16470|0|N
H5253|108|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|46.00|340| | |IA|16480|0|N
H5253|108|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|46.00|340| | |IA|16510|0|N
H5253|108|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|46.00|340| | |IA|16520|0|N
H5253|108|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|46.00|340| | |IA|16530|0|N
H5253|108|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|46.00|340| | |IA|16540|0|N
H5253|108|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|46.00|340| | |IA|16550|0|N
H5253|108|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|46.00|340| | |IA|16560|0|N
H5253|108|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|46.00|340| | |IA|16570|0|N
H5253|108|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|46.00|340| | |IA|16690|0|N
H5253|108|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|46.00|340| | |IA|16730|0|N
H5253|108|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|46.00|340| | |IA|16750|0|N
H5253|108|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|46.00|340| | |IA|16780|0|N
H5253|108|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|46.00|340| | |IA|16800|0|N
H5253|108|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|46.00|340| | |IA|16810|0|N
H5253|108|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|46.00|340| | |IA|16850|0|N
H5253|108|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|46.00|340| | |IA|16910|0|N
H5253|108|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|46.00|340| | |IA|16930|0|N
H5253|108|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|46.00|340| | |IA|16940|0|N
H5253|108|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|46.00|340| | |IA|16980|0|N
H5253|108|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|46.00|340| | |IL|14450|0|N
H5253|108|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|46.00|340| | |IL|14740|0|N
H5253|108|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|46.00|340| | |IL|14890|0|N
H5253|108|003|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|45.00|340| | |IA|16240|0|N
H5253|108|003|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|45.00|340| | |IA|16490|0|N
H5253|108|003|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|45.00|340| | |IA|16600|0|N
H5253|108|003|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|45.00|340| | |IA|16630|0|N
H5253|108|003|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|45.00|340| | |IA|16760|0|N
H5253|108|003|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|45.00|340| | |IA|16840|0|N
H5253|108|003|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|45.00|340| | |IA|16900|0|N
H5253|108|004|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|44.00|340| | |IA|16000|0|N
H5253|108|004|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|44.00|340| | |IA|16010|0|N
H5253|108|004|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|44.00|340| | |IA|16020|0|N
H5253|108|004|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|44.00|340| | |IA|16030|0|N
H5253|108|004|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|44.00|340| | |IA|16040|0|N
H5253|108|004|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|44.00|340| | |IA|16080|0|N
H5253|108|004|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|44.00|340| | |IA|16090|0|N
H5253|108|004|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|44.00|340| | |IA|16180|0|N
H5253|108|004|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|44.00|340| | |IA|16190|0|N
H5253|108|004|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|44.00|340| | |IA|16250|0|N
H5253|108|004|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|44.00|340| | |IA|16260|0|N
H5253|108|004|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|44.00|340| | |IA|16360|0|N
H5253|108|004|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|44.00|340| | |IA|16380|0|N
H5253|108|004|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|44.00|340| | |IA|16440|0|N
H5253|108|004|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|44.00|340| | |IA|16500|0|N
H5253|108|004|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|44.00|340| | |IA|16580|0|N
H5253|108|004|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|44.00|340| | |IA|16610|0|N
H5253|108|004|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|44.00|340| | |IA|16620|0|N
H5253|108|004|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|44.00|340| | |IA|16650|0|N
H5253|108|004|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|44.00|340| | |IA|16670|0|N
H5253|108|004|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|44.00|340| | |IA|16790|0|N
H5253|108|004|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|44.00|340| | |IA|16860|0|N
H5253|108|004|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|44.00|340| | |IA|16870|0|N
H5253|108|004|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|44.00|340| | |IA|16880|0|N
H5253|108|004|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|44.00|340| | |IA|16890|0|N
H5253|108|004|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|44.00|340| | |IA|16920|0|N
H5253|108|004|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|44.00|340| | |IA|16950|0|N
H5253|108|004|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC IA-0002 (HMO-POS)|00025002|44.00|340| | |IA|16970|0|N
H5253|109|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0003 (HMO-POS)|00025002|33.00|340| | |OH|36210|0|N
H5253|109|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0003 (HMO-POS)|00025002|33.00|340| | |OH|36230|0|N
H5253|109|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0003 (HMO-POS)|00025002|33.00|340| | |OH|36240|0|N
H5253|109|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0003 (HMO-POS)|00025002|33.00|340| | |OH|36250|0|N
H5253|109|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0003 (HMO-POS)|00025002|33.00|340| | |OH|36430|0|N
H5253|109|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0003 (HMO-POS)|00025002|33.00|340| | |OH|36460|0|N
H5253|109|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0003 (HMO-POS)|00025002|33.00|340| | |OH|36500|0|N
H5253|109|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0003 (HMO-POS)|00025002|33.00|340| | |OH|36520|0|N
H5253|109|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0003 (HMO-POS)|00025002|33.00|340| | |OH|36570|0|N
H5253|109|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0003 (HMO-POS)|00025002|33.00|340| | |OH|36590|0|N
H5253|109|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0003 (HMO-POS)|00025002|33.00|340| | |OH|36600|0|N
H5253|109|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0003 (HMO-POS)|00025002|33.00|340| | |OH|36610|0|N
H5253|109|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0003 (HMO-POS)|00025002|33.00|340| | |OH|36620|0|N
H5253|109|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0003 (HMO-POS)|00025002|33.00|340| | |OH|36650|0|N
H5253|109|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0003 (HMO-POS)|00025002|33.00|340| | |OH|36660|0|N
H5253|109|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0003 (HMO-POS)|00025002|33.00|340| | |OH|36710|0|N
H5253|109|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0003 (HMO-POS)|00025002|33.00|340| | |OH|36810|0|N
H5253|109|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0003 (HMO-POS)|00025002|33.00|340| | |KY|18070|0|N
H5253|109|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0003 (HMO-POS)|00025002|33.00|340| | |KY|18180|0|N
H5253|109|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0003 (HMO-POS)|00025002|33.00|340| | |KY|18400|0|N
H5253|109|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0003 (HMO-POS)|00025002|33.00|340| | |KY|18580|0|N
H5253|109|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0003 (HMO-POS)|00025002|33.00|340| | |KY|18932|0|N
H5253|109|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0003 (HMO-POS)|00025002|33.00|340| | |OH|36000|0|N
H5253|109|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0003 (HMO-POS)|00025002|33.00|340| | |OH|36040|0|N
H5253|109|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0003 (HMO-POS)|00025002|33.00|340| | |OH|36070|0|N
H5253|109|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0003 (HMO-POS)|00025002|33.00|340| | |OH|36080|0|N
H5253|109|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0003 (HMO-POS)|00025002|33.00|340| | |OH|36120|0|N
H5253|109|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0003 (HMO-POS)|00025002|33.00|340| | |OH|36130|0|N
H5253|109|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0003 (HMO-POS)|00025002|33.00|340| | |OH|36270|0|N
H5253|109|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0003 (HMO-POS)|00025002|33.00|340| | |OH|36310|0|N
H5253|109|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0003 (HMO-POS)|00025002|33.00|340| | |OH|36370|0|N
H5253|109|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0003 (HMO-POS)|00025002|33.00|340| | |OH|36380|0|N
H5253|109|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0003 (HMO-POS)|00025002|33.00|340| | |OH|36410|0|N
H5253|109|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0003 (HMO-POS)|00025002|33.00|340| | |OH|36450|0|N
H5253|109|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0003 (HMO-POS)|00025002|33.00|340| | |OH|36540|0|N
H5253|109|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0003 (HMO-POS)|00025002|33.00|340| | |OH|36670|0|N
H5253|109|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0003 (HMO-POS)|00025002|33.00|340| | |OH|36720|0|N
H5253|109|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0003 (HMO-POS)|00025002|33.00|340| | |OH|36740|0|N
H5253|109|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0003 (HMO-POS)|00025002|33.00|340| | |OH|36830|0|N
H5253|109|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0003 (HMO-POS)|00025002|33.00|340| | |OH|36840|0|N
H5253|109|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0003 (HMO-POS)|00025002|33.00|340| | |OH|36850|0|N
H5253|109|004|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0003 (HMO-POS)|00025002|25.00|340| | |OH|36100|0|N
H5253|109|004|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0003 (HMO-POS)|00025002|25.00|340| | |OH|36110|0|N
H5253|109|004|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0003 (HMO-POS)|00025002|25.00|340| | |OH|36190|0|N
H5253|109|004|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0003 (HMO-POS)|00025002|25.00|340| | |OH|36290|0|N
H5253|109|004|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0003 (HMO-POS)|00025002|25.00|340| | |OH|36560|0|N
H5253|109|004|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0003 (HMO-POS)|00025002|25.00|340| | |OH|36580|0|N
H5253|109|004|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0003 (HMO-POS)|00025002|25.00|340| | |OH|36690|0|N
H5253|109|004|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OH-0003 (HMO-POS)|00025002|25.00|340| | |OH|36760|0|N
H5253|110|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS)|00025002|0.00|570| | |NC|34000|0|N
H5253|110|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS)|00025002|0.00|570| | |NC|34010|0|N
H5253|110|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS)|00025002|0.00|570| | |NC|34130|0|N
H5253|110|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS)|00025002|0.00|570| | |NC|34170|0|N
H5253|110|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS)|00025002|0.00|570| | |NC|34180|0|N
H5253|110|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS)|00025002|0.00|570| | |NC|34250|0|N
H5253|110|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS)|00025002|0.00|570| | |NC|34280|0|N
H5253|110|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS)|00025002|0.00|570| | |NC|34290|0|N
H5253|110|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS)|00025002|0.00|570| | |NC|34310|0|N
H5253|110|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS)|00025002|0.00|570| | |NC|34330|0|N
H5253|110|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS)|00025002|0.00|570| | |NC|34400|0|N
H5253|110|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS)|00025002|0.00|570| | |NC|34480|0|N
H5253|110|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS)|00025002|0.00|570| | |NC|34500|0|N
H5253|110|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS)|00025002|0.00|570| | |NC|34590|0|N
H5253|110|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS)|00025002|0.00|570| | |NC|34670|0|N
H5253|110|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS)|00025002|0.00|570| | |NC|34750|0|N
H5253|110|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS)|00025002|0.00|570| | |NC|34780|0|N
H5253|110|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS)|00025002|0.00|570| | |NC|34790|0|N
H5253|110|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS)|00025002|0.00|570| | |NC|34840|0|N
H5253|110|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC NC-14 (HMO-POS)|00025002|0.00|570| | |NC|34910|0|N
H5253|111|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0011 (HMO-POS)|00025002|0.00|340| | |VA|49020|0|N
H5253|111|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0011 (HMO-POS)|00025002|0.00|340| | |VA|49040|0|N
H5253|111|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0011 (HMO-POS)|00025002|0.00|340| | |VA|49050|0|N
H5253|111|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0011 (HMO-POS)|00025002|0.00|340| | |VA|49070|0|N
H5253|111|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0011 (HMO-POS)|00025002|0.00|340| | |VA|49090|0|N
H5253|111|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0011 (HMO-POS)|00025002|0.00|340| | |VA|49110|0|N
H5253|111|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0011 (HMO-POS)|00025002|0.00|340| | |VA|49141|0|N
H5253|111|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0011 (HMO-POS)|00025002|0.00|340| | |VA|49150|0|N
H5253|111|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0011 (HMO-POS)|00025002|0.00|340| | |VA|49190|0|N
H5253|111|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0011 (HMO-POS)|00025002|0.00|340| | |VA|49213|0|N
H5253|111|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0011 (HMO-POS)|00025002|0.00|340| | |VA|49220|0|N
H5253|111|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0011 (HMO-POS)|00025002|0.00|340| | |VA|49241|0|N
H5253|111|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0011 (HMO-POS)|00025002|0.00|340| | |VA|49310|0|N
H5253|111|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0011 (HMO-POS)|00025002|0.00|340| | |VA|49330|0|N
H5253|111|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0011 (HMO-POS)|00025002|0.00|340| | |VA|49350|0|N
H5253|111|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0011 (HMO-POS)|00025002|0.00|340| | |VA|49410|0|N
H5253|111|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0011 (HMO-POS)|00025002|0.00|340| | |VA|49440|0|N
H5253|111|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0011 (HMO-POS)|00025002|0.00|340| | |VA|49522|0|N
H5253|111|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0011 (HMO-POS)|00025002|0.00|340| | |VA|49551|0|N
H5253|111|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0011 (HMO-POS)|00025002|0.00|340| | |VA|49561|0|N
H5253|111|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0011 (HMO-POS)|00025002|0.00|340| | |VA|49600|0|N
H5253|111|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0011 (HMO-POS)|00025002|0.00|340| | |VA|49710|0|N
H5253|111|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0011 (HMO-POS)|00025002|0.00|340| | |VA|49730|0|N
H5253|111|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0011 (HMO-POS)|00025002|0.00|340| | |VA|49770|0|N
H5253|111|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0011 (HMO-POS)|00025002|0.00|340| | |VA|49771|0|N
H5253|111|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0011 (HMO-POS)|00025002|0.00|340| | |VA|49800|0|N
H5253|111|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0011 (HMO-POS)|00025002|0.00|340| | |VA|49801|0|N
H5253|111|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0011 (HMO-POS)|00025002|0.00|340| | |VA|49810|0|N
H5253|111|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0011 (HMO-POS)|00025002|0.00|340| | |VA|49820|0|N
H5253|111|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0011 (HMO-POS)|00025002|0.00|340| | |VA|49838|0|N
H5253|111|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0011 (HMO-POS)|00025002|0.00|340| | |VA|49891|0|N
H5253|111|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0011 (HMO-POS)|00025002|0.00|340| | |VA|49951|0|N
H5253|111|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0011 (HMO-POS)|00025002|0.00|340| | |VA|49030|0|N
H5253|111|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0011 (HMO-POS)|00025002|0.00|340| | |VA|49180|0|N
H5253|111|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0011 (HMO-POS)|00025002|0.00|340| | |VA|49200|0|N
H5253|111|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0011 (HMO-POS)|00025002|0.00|340| | |VA|49212|0|N
H5253|111|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0011 (HMO-POS)|00025002|0.00|340| | |VA|49370|0|N
H5253|111|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0011 (HMO-POS)|00025002|0.00|340| | |VA|49420|0|N
H5253|111|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0011 (HMO-POS)|00025002|0.00|340| | |VA|49430|0|N
H5253|111|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0011 (HMO-POS)|00025002|0.00|340| | |VA|49451|0|N
H5253|111|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0011 (HMO-POS)|00025002|0.00|340| | |VA|49621|0|N
H5253|111|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0011 (HMO-POS)|00025002|0.00|340| | |VA|49701|0|N
H5253|111|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0011 (HMO-POS)|00025002|0.00|340| | |VA|49720|0|N
H5253|111|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0011 (HMO-POS)|00025002|0.00|340| | |VA|49791|0|N
H5253|112|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0012 (HMO-POS)|00025002|30.90|340| | |VA|49020|0|N
H5253|112|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0012 (HMO-POS)|00025002|30.90|340| | |VA|49040|0|N
H5253|112|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0012 (HMO-POS)|00025002|30.90|340| | |VA|49050|0|N
H5253|112|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0012 (HMO-POS)|00025002|30.90|340| | |VA|49070|0|N
H5253|112|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0012 (HMO-POS)|00025002|30.90|340| | |VA|49090|0|N
H5253|112|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0012 (HMO-POS)|00025002|30.90|340| | |VA|49110|0|N
H5253|112|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0012 (HMO-POS)|00025002|30.90|340| | |VA|49141|0|N
H5253|112|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0012 (HMO-POS)|00025002|30.90|340| | |VA|49150|0|N
H5253|112|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0012 (HMO-POS)|00025002|30.90|340| | |VA|49190|0|N
H5253|112|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0012 (HMO-POS)|00025002|30.90|340| | |VA|49213|0|N
H5253|112|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0012 (HMO-POS)|00025002|30.90|340| | |VA|49220|0|N
H5253|112|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0012 (HMO-POS)|00025002|30.90|340| | |VA|49241|0|N
H5253|112|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0012 (HMO-POS)|00025002|30.90|340| | |VA|49310|0|N
H5253|112|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0012 (HMO-POS)|00025002|30.90|340| | |VA|49330|0|N
H5253|112|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0012 (HMO-POS)|00025002|30.90|340| | |VA|49350|0|N
H5253|112|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0012 (HMO-POS)|00025002|30.90|340| | |VA|49410|0|N
H5253|112|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0012 (HMO-POS)|00025002|30.90|340| | |VA|49440|0|N
H5253|112|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0012 (HMO-POS)|00025002|30.90|340| | |VA|49522|0|N
H5253|112|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0012 (HMO-POS)|00025002|30.90|340| | |VA|49551|0|N
H5253|112|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0012 (HMO-POS)|00025002|30.90|340| | |VA|49561|0|N
H5253|112|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0012 (HMO-POS)|00025002|30.90|340| | |VA|49600|0|N
H5253|112|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0012 (HMO-POS)|00025002|30.90|340| | |VA|49710|0|N
H5253|112|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0012 (HMO-POS)|00025002|30.90|340| | |VA|49730|0|N
H5253|112|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0012 (HMO-POS)|00025002|30.90|340| | |VA|49770|0|N
H5253|112|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0012 (HMO-POS)|00025002|30.90|340| | |VA|49771|0|N
H5253|112|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0012 (HMO-POS)|00025002|30.90|340| | |VA|49800|0|N
H5253|112|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0012 (HMO-POS)|00025002|30.90|340| | |VA|49801|0|N
H5253|112|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0012 (HMO-POS)|00025002|30.90|340| | |VA|49810|0|N
H5253|112|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0012 (HMO-POS)|00025002|30.90|340| | |VA|49820|0|N
H5253|112|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0012 (HMO-POS)|00025002|30.90|340| | |VA|49838|0|N
H5253|112|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0012 (HMO-POS)|00025002|30.90|340| | |VA|49891|0|N
H5253|112|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0012 (HMO-POS)|00025002|30.90|340| | |VA|49951|0|N
H5253|112|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0012 (HMO-POS)|00025002|30.90|340| | |VA|49030|0|N
H5253|112|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0012 (HMO-POS)|00025002|30.90|340| | |VA|49180|0|N
H5253|112|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0012 (HMO-POS)|00025002|30.90|340| | |VA|49200|0|N
H5253|112|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0012 (HMO-POS)|00025002|30.90|340| | |VA|49212|0|N
H5253|112|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0012 (HMO-POS)|00025002|30.90|340| | |VA|49370|0|N
H5253|112|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0012 (HMO-POS)|00025002|30.90|340| | |VA|49420|0|N
H5253|112|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0012 (HMO-POS)|00025002|30.90|340| | |VA|49430|0|N
H5253|112|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0012 (HMO-POS)|00025002|30.90|340| | |VA|49451|0|N
H5253|112|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0012 (HMO-POS)|00025002|30.90|340| | |VA|49621|0|N
H5253|112|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0012 (HMO-POS)|00025002|30.90|340| | |VA|49701|0|N
H5253|112|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0012 (HMO-POS)|00025002|30.90|340| | |VA|49720|0|N
H5253|112|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0012 (HMO-POS)|00025002|30.90|340| | |VA|49791|0|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34000|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34010|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34020|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34030|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34040|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34050|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34060|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34070|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34080|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34090|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34100|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34110|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34120|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34130|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34140|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34160|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34170|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34180|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34190|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34200|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34210|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34220|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34230|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34240|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34250|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34251|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34270|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34280|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34290|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34300|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34310|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34320|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34330|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34340|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34350|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34360|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34370|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34380|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34390|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34400|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34410|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34420|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34430|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34440|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34450|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34460|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34470|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34480|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34490|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34500|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34510|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34520|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34530|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34540|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34550|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34560|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34570|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34580|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34590|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34600|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34610|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34620|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34630|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34640|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34650|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34660|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34670|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34680|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34690|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34700|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34710|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34720|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34730|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34740|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34750|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34760|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34770|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34780|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34790|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34800|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34810|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34820|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34830|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34840|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34850|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34860|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34870|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34880|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34890|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34900|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34910|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34920|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34930|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34940|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34950|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34960|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34970|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34980|2|N
H5253|116|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-V001 (HMO-POS D-SNP)|00025002|51.20|590| | |NC|34981|2|N
H5253|117|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0015 (HMO-POS)|00025002|0.00|255| | |NC|34000|0|N
H5253|117|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0015 (HMO-POS)|00025002|0.00|255| | |NC|34010|0|N
H5253|117|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0015 (HMO-POS)|00025002|0.00|255| | |NC|34030|0|N
H5253|117|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0015 (HMO-POS)|00025002|0.00|255| | |NC|34120|0|N
H5253|117|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0015 (HMO-POS)|00025002|0.00|255| | |NC|34160|0|N
H5253|117|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0015 (HMO-POS)|00025002|0.00|255| | |NC|34170|0|N
H5253|117|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0015 (HMO-POS)|00025002|0.00|255| | |NC|34180|0|N
H5253|117|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0015 (HMO-POS)|00025002|0.00|255| | |NC|34250|0|N
H5253|117|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0015 (HMO-POS)|00025002|0.00|255| | |NC|34280|0|N
H5253|117|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0015 (HMO-POS)|00025002|0.00|255| | |NC|34290|0|N
H5253|117|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0015 (HMO-POS)|00025002|0.00|255| | |NC|34310|0|N
H5253|117|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0015 (HMO-POS)|00025002|0.00|255| | |NC|34330|0|N
H5253|117|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0015 (HMO-POS)|00025002|0.00|255| | |NC|34340|0|N
H5253|117|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0015 (HMO-POS)|00025002|0.00|255| | |NC|34350|0|N
H5253|117|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0015 (HMO-POS)|00025002|0.00|255| | |NC|34380|0|N
H5253|117|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0015 (HMO-POS)|00025002|0.00|255| | |NC|34400|0|N
H5253|117|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0015 (HMO-POS)|00025002|0.00|255| | |NC|34420|0|N
H5253|117|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0015 (HMO-POS)|00025002|0.00|255| | |NC|34460|0|N
H5253|117|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0015 (HMO-POS)|00025002|0.00|255| | |NC|34480|0|N
H5253|117|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0015 (HMO-POS)|00025002|0.00|255| | |NC|34500|0|N
H5253|117|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0015 (HMO-POS)|00025002|0.00|255| | |NC|34520|0|N
H5253|117|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0015 (HMO-POS)|00025002|0.00|255| | |NC|34590|0|N
H5253|117|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0015 (HMO-POS)|00025002|0.00|255| | |NC|34610|0|N
H5253|117|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0015 (HMO-POS)|00025002|0.00|255| | |NC|34620|0|N
H5253|117|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0015 (HMO-POS)|00025002|0.00|255| | |NC|34630|0|N
H5253|117|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0015 (HMO-POS)|00025002|0.00|255| | |NC|34670|0|N
H5253|117|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0015 (HMO-POS)|00025002|0.00|255| | |NC|34720|0|N
H5253|117|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0015 (HMO-POS)|00025002|0.00|255| | |NC|34750|0|N
H5253|117|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0015 (HMO-POS)|00025002|0.00|255| | |NC|34760|0|N
H5253|117|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0015 (HMO-POS)|00025002|0.00|255| | |NC|34780|0|N
H5253|117|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0015 (HMO-POS)|00025002|0.00|255| | |NC|34790|0|N
H5253|117|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0015 (HMO-POS)|00025002|0.00|255| | |NC|34810|0|N
H5253|117|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0015 (HMO-POS)|00025002|0.00|255| | |NC|34820|0|N
H5253|117|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0015 (HMO-POS)|00025002|0.00|255| | |NC|34830|0|N
H5253|117|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0015 (HMO-POS)|00025002|0.00|255| | |NC|34840|0|N
H5253|117|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0015 (HMO-POS)|00025002|0.00|255| | |NC|34850|0|N
H5253|117|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0015 (HMO-POS)|00025002|0.00|255| | |NC|34890|0|N
H5253|117|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0015 (HMO-POS)|00025002|0.00|255| | |NC|34900|0|N
H5253|117|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0015 (HMO-POS)|00025002|0.00|255| | |NC|34910|0|N
H5253|117|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0015 (HMO-POS)|00025002|0.00|255| | |NC|34950|0|N
H5253|117|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0015 (HMO-POS)|00025002|0.00|255| | |NC|34970|0|N
H5253|117|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-0015 (HMO-POS)|00025002|0.00|255| | |NC|34980|0|N
H5253|119|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)|00025002|0.00|495| | |VA|49020|0|N
H5253|119|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)|00025002|0.00|495| | |VA|49030|0|N
H5253|119|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)|00025002|0.00|495| | |VA|49040|0|N
H5253|119|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)|00025002|0.00|495| | |VA|49050|0|N
H5253|119|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)|00025002|0.00|495| | |VA|49070|0|N
H5253|119|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)|00025002|0.00|495| | |VA|49090|0|N
H5253|119|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)|00025002|0.00|495| | |VA|49110|0|N
H5253|119|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)|00025002|0.00|495| | |VA|49141|0|N
H5253|119|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)|00025002|0.00|495| | |VA|49150|0|N
H5253|119|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)|00025002|0.00|495| | |VA|49180|0|N
H5253|119|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)|00025002|0.00|495| | |VA|49190|0|N
H5253|119|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)|00025002|0.00|495| | |VA|49194|0|N
H5253|119|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)|00025002|0.00|495| | |VA|49200|0|N
H5253|119|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)|00025002|0.00|495| | |VA|49212|0|N
H5253|119|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)|00025002|0.00|495| | |VA|49213|0|N
H5253|119|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)|00025002|0.00|495| | |VA|49220|0|N
H5253|119|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)|00025002|0.00|495| | |VA|49241|0|N
H5253|119|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)|00025002|0.00|495| | |VA|49310|0|N
H5253|119|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)|00025002|0.00|495| | |VA|49330|0|N
H5253|119|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)|00025002|0.00|495| | |VA|49350|0|N
H5253|119|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)|00025002|0.00|495| | |VA|49370|0|N
H5253|119|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)|00025002|0.00|495| | |VA|49410|0|N
H5253|119|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)|00025002|0.00|495| | |VA|49411|0|N
H5253|119|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)|00025002|0.00|495| | |VA|49420|0|N
H5253|119|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)|00025002|0.00|495| | |VA|49430|0|N
H5253|119|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)|00025002|0.00|495| | |VA|49440|0|N
H5253|119|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)|00025002|0.00|495| | |VA|49451|0|N
H5253|119|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)|00025002|0.00|495| | |VA|49460|0|N
H5253|119|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)|00025002|0.00|495| | |VA|49470|0|N
H5253|119|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)|00025002|0.00|495| | |VA|49522|0|N
H5253|119|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)|00025002|0.00|495| | |VA|49551|0|N
H5253|119|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)|00025002|0.00|495| | |VA|49561|0|N
H5253|119|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)|00025002|0.00|495| | |VA|49600|0|N
H5253|119|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)|00025002|0.00|495| | |VA|49621|0|N
H5253|119|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)|00025002|0.00|495| | |VA|49622|0|N
H5253|119|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)|00025002|0.00|495| | |VA|49641|0|N
H5253|119|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)|00025002|0.00|495| | |VA|49701|0|N
H5253|119|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)|00025002|0.00|495| | |VA|49710|0|N
H5253|119|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)|00025002|0.00|495| | |VA|49711|0|N
H5253|119|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)|00025002|0.00|495| | |VA|49712|0|N
H5253|119|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)|00025002|0.00|495| | |VA|49720|0|N
H5253|119|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)|00025002|0.00|495| | |VA|49730|0|N
H5253|119|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)|00025002|0.00|495| | |VA|49770|0|N
H5253|119|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)|00025002|0.00|495| | |VA|49771|0|N
H5253|119|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)|00025002|0.00|495| | |VA|49791|0|N
H5253|119|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)|00025002|0.00|495| | |VA|49800|0|N
H5253|119|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)|00025002|0.00|495| | |VA|49801|0|N
H5253|119|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)|00025002|0.00|495| | |VA|49810|0|N
H5253|119|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)|00025002|0.00|495| | |VA|49820|0|N
H5253|119|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)|00025002|0.00|495| | |VA|49838|0|N
H5253|119|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)|00025002|0.00|495| | |VA|49891|0|N
H5253|119|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)|00025002|0.00|495| | |VA|49892|0|N
H5253|119|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)|00025002|0.00|495| | |VA|49921|0|N
H5253|119|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)|00025002|0.00|495| | |VA|49951|0|N
H5253|119|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)|00025002|0.00|495| | |VA|49961|0|N
H5253|119|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC VA-13 (HMO-POS)|00025002|0.00|495| | |VA|49981|0|N
H5253|120|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0014 (HMO-POS)|00025002|0.00|420| | |VA|49011|0|N
H5253|120|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0014 (HMO-POS)|00025002|0.00|420| | |VA|49060|0|N
H5253|120|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0014 (HMO-POS)|00025002|0.00|420| | |VA|49210|0|N
H5253|120|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0014 (HMO-POS)|00025002|0.00|420| | |VA|49288|0|N
H5253|120|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0014 (HMO-POS)|00025002|0.00|420| | |VA|49290|0|N
H5253|120|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0014 (HMO-POS)|00025002|0.00|420| | |VA|49291|0|N
H5253|120|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0014 (HMO-POS)|00025002|0.00|420| | |VA|49340|0|N
H5253|120|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0014 (HMO-POS)|00025002|0.00|420| | |VA|49530|0|N
H5253|120|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0014 (HMO-POS)|00025002|0.00|420| | |VA|49563|0|N
H5253|120|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0014 (HMO-POS)|00025002|0.00|420| | |VA|49565|0|N
H5253|120|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0014 (HMO-POS)|00025002|0.00|420| | |VA|49750|0|N
H5253|120|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0014 (HMO-POS)|00025002|0.00|420| | |VA|49850|0|N
H5253|120|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0014 (HMO-POS)|00025002|0.00|420| | |VA|49930|0|N
H5253|120|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC VA-0014 (HMO-POS)|00025002|0.00|420| | |VA|49962|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44000|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44010|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44020|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44030|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44040|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44050|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44060|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44070|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44080|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44090|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44100|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44110|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44120|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44130|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44140|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44150|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44160|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44170|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44180|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44190|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44200|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44210|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44220|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44230|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44240|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44250|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44260|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44270|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44280|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44290|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44300|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44310|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44320|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44330|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44340|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44350|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44360|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44370|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44380|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44390|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44400|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44410|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44420|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44430|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44440|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44450|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44460|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44470|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44480|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44490|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44500|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44510|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44520|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44530|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44540|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44550|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44560|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44570|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44580|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44590|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44600|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44610|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44620|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44630|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44640|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44650|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44660|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44670|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44680|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44690|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44700|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44710|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44720|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44730|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44740|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44750|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44760|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44770|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44780|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44790|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44800|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44810|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44820|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44830|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44840|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44850|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44860|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44870|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44880|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44890|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44900|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44910|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44920|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44930|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |TN|44940|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |VA|49100|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |VA|49111|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |VA|49130|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |VA|49250|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |VA|49380|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |VA|49520|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |VA|49661|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |VA|49830|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |VA|49840|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |VA|49860|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |VA|49920|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |VA|49950|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |VA|49970|0|N
H5253|121|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)|00025002|0.00|495| | |VA|49980|0|N
H5253|122|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete OH-V001 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36080|2|N
H5253|122|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete OH-V001 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36110|2|N
H5253|122|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete OH-V001 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36170|2|N
H5253|122|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete OH-V001 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36250|2|N
H5253|122|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete OH-V001 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36290|2|N
H5253|122|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete OH-V001 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36310|2|N
H5253|122|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete OH-V001 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36500|2|N
H5253|122|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete OH-V001 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36510|2|N
H5253|122|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete OH-V001 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36580|2|N
H5253|122|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete OH-V001 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36770|2|N
H5253|122|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete OH-V001 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36780|2|N
H5253|122|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete OH-V001 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36790|2|N
H5253|122|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete OH-V001 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36840|2|N
H5253|124|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-6 (HMO-POS)|00025002|29.00|255| | |OH|36020|0|N
H5253|124|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-6 (HMO-POS)|00025002|29.00|255| | |OH|36030|0|N
H5253|124|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-6 (HMO-POS)|00025002|29.00|255| | |OH|36060|0|N
H5253|124|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-6 (HMO-POS)|00025002|29.00|255| | |OH|36090|0|N
H5253|124|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-6 (HMO-POS)|00025002|29.00|255| | |OH|36140|0|N
H5253|124|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-6 (HMO-POS)|00025002|29.00|255| | |OH|36150|0|N
H5253|124|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-6 (HMO-POS)|00025002|29.00|255| | |OH|36170|0|N
H5253|124|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-6 (HMO-POS)|00025002|29.00|255| | |OH|36280|0|N
H5253|124|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-6 (HMO-POS)|00025002|29.00|255| | |OH|36300|0|N
H5253|124|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-6 (HMO-POS)|00025002|29.00|255| | |OH|36350|0|N
H5253|124|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-6 (HMO-POS)|00025002|29.00|255| | |OH|36390|0|N
H5253|124|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-6 (HMO-POS)|00025002|29.00|255| | |OH|36420|0|N
H5253|124|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-6 (HMO-POS)|00025002|29.00|255| | |OH|36440|0|N
H5253|124|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-6 (HMO-POS)|00025002|29.00|255| | |OH|36480|0|N
H5253|124|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-6 (HMO-POS)|00025002|29.00|255| | |OH|36510|0|N
H5253|124|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-6 (HMO-POS)|00025002|29.00|255| | |OH|36530|0|N
H5253|124|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-6 (HMO-POS)|00025002|29.00|255| | |OH|36680|0|N
H5253|124|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-6 (HMO-POS)|00025002|29.00|255| | |OH|36770|0|N
H5253|124|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-6 (HMO-POS)|00025002|29.00|255| | |OH|36780|0|N
H5253|124|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-6 (HMO-POS)|00025002|29.00|255| | |OH|36790|0|N
H5253|124|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-6 (HMO-POS)|00025002|29.00|255| | |OH|36800|0|N
H5253|124|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-6 (HMO-POS)|00025002|29.00|255| | |OH|36860|0|N
H5253|124|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-6 (HMO-POS)|00025002|34.00|255| | |OH|36010|0|N
H5253|124|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-6 (HMO-POS)|00025002|34.00|255| | |OH|36050|0|N
H5253|124|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-6 (HMO-POS)|00025002|34.00|255| | |OH|36160|0|N
H5253|124|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-6 (HMO-POS)|00025002|34.00|255| | |OH|36200|0|N
H5253|124|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-6 (HMO-POS)|00025002|34.00|255| | |OH|36220|0|N
H5253|124|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-6 (HMO-POS)|00025002|34.00|255| | |OH|36260|0|N
H5253|124|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-6 (HMO-POS)|00025002|34.00|255| | |OH|36330|0|N
H5253|124|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-6 (HMO-POS)|00025002|34.00|255| | |OH|36340|0|N
H5253|124|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-6 (HMO-POS)|00025002|34.00|255| | |OH|36360|0|N
H5253|124|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-6 (HMO-POS)|00025002|34.00|255| | |OH|36400|0|N
H5253|124|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-6 (HMO-POS)|00025002|34.00|255| | |OH|36470|0|N
H5253|124|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-6 (HMO-POS)|00025002|34.00|255| | |OH|36490|0|N
H5253|124|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-6 (HMO-POS)|00025002|34.00|255| | |OH|36550|0|N
H5253|124|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-6 (HMO-POS)|00025002|34.00|255| | |OH|36630|0|N
H5253|124|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-6 (HMO-POS)|00025002|34.00|255| | |OH|36640|0|N
H5253|124|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-6 (HMO-POS)|00025002|34.00|255| | |OH|36700|0|N
H5253|124|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-6 (HMO-POS)|00025002|34.00|255| | |OH|36730|0|N
H5253|124|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-6 (HMO-POS)|00025002|34.00|255| | |OH|36750|0|N
H5253|124|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-6 (HMO-POS)|00025002|34.00|255| | |OH|36820|0|N
H5253|124|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-6 (HMO-POS)|00025002|34.00|255| | |OH|36870|0|N
H5253|124|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-6 (HMO-POS)|00025002|34.00|255| | |OH|36880|0|N
H5253|124|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-6 (HMO-POS)|00025002|34.00|255| | |OH|36890|0|N
H5253|125|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-7 (HMO-POS)|00025002|0.00|340| | |KY|18070|0|N
H5253|125|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-7 (HMO-POS)|00025002|0.00|340| | |KY|18180|0|N
H5253|125|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-7 (HMO-POS)|00025002|0.00|340| | |KY|18400|0|N
H5253|125|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-7 (HMO-POS)|00025002|0.00|340| | |KY|18580|0|N
H5253|125|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-7 (HMO-POS)|00025002|0.00|340| | |KY|18932|0|N
H5253|125|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-7 (HMO-POS)|00025002|0.00|340| | |OH|36000|0|N
H5253|125|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-7 (HMO-POS)|00025002|0.00|340| | |OH|36040|0|N
H5253|125|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-7 (HMO-POS)|00025002|0.00|340| | |OH|36070|0|N
H5253|125|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-7 (HMO-POS)|00025002|0.00|340| | |OH|36080|0|N
H5253|125|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-7 (HMO-POS)|00025002|0.00|340| | |OH|36120|0|N
H5253|125|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-7 (HMO-POS)|00025002|0.00|340| | |OH|36130|0|N
H5253|125|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-7 (HMO-POS)|00025002|0.00|340| | |OH|36270|0|N
H5253|125|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-7 (HMO-POS)|00025002|0.00|340| | |OH|36310|0|N
H5253|125|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-7 (HMO-POS)|00025002|0.00|340| | |OH|36370|0|N
H5253|125|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-7 (HMO-POS)|00025002|0.00|340| | |OH|36380|0|N
H5253|125|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-7 (HMO-POS)|00025002|0.00|340| | |OH|36410|0|N
H5253|125|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-7 (HMO-POS)|00025002|0.00|340| | |OH|36450|0|N
H5253|125|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-7 (HMO-POS)|00025002|0.00|340| | |OH|36540|0|N
H5253|125|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-7 (HMO-POS)|00025002|0.00|340| | |OH|36670|0|N
H5253|125|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-7 (HMO-POS)|00025002|0.00|340| | |OH|36720|0|N
H5253|125|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-7 (HMO-POS)|00025002|0.00|340| | |OH|36740|0|N
H5253|125|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-7 (HMO-POS)|00025002|0.00|340| | |OH|36830|0|N
H5253|125|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-7 (HMO-POS)|00025002|0.00|340| | |OH|36840|0|N
H5253|125|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-7 (HMO-POS)|00025002|0.00|340| | |OH|36850|0|N
H5253|125|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-7 (HMO-POS)|00025002|0.00|340| | |OH|36100|0|N
H5253|125|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-7 (HMO-POS)|00025002|0.00|340| | |OH|36110|0|N
H5253|125|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-7 (HMO-POS)|00025002|0.00|340| | |OH|36190|0|N
H5253|125|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-7 (HMO-POS)|00025002|0.00|340| | |OH|36290|0|N
H5253|125|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-7 (HMO-POS)|00025002|0.00|340| | |OH|36560|0|N
H5253|125|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-7 (HMO-POS)|00025002|0.00|340| | |OH|36580|0|N
H5253|125|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-7 (HMO-POS)|00025002|0.00|340| | |OH|36690|0|N
H5253|125|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-7 (HMO-POS)|00025002|0.00|340| | |OH|36760|0|N
H5253|126|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-8 (HMO-POS)|00025002|39.00|340| | |OH|36020|0|N
H5253|126|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-8 (HMO-POS)|00025002|39.00|340| | |OH|36030|0|N
H5253|126|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-8 (HMO-POS)|00025002|39.00|340| | |OH|36060|0|N
H5253|126|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-8 (HMO-POS)|00025002|39.00|340| | |OH|36090|0|N
H5253|126|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-8 (HMO-POS)|00025002|39.00|340| | |OH|36140|0|N
H5253|126|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-8 (HMO-POS)|00025002|39.00|340| | |OH|36150|0|N
H5253|126|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-8 (HMO-POS)|00025002|39.00|340| | |OH|36170|0|N
H5253|126|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-8 (HMO-POS)|00025002|39.00|340| | |OH|36280|0|N
H5253|126|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-8 (HMO-POS)|00025002|39.00|340| | |OH|36300|0|N
H5253|126|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-8 (HMO-POS)|00025002|39.00|340| | |OH|36350|0|N
H5253|126|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-8 (HMO-POS)|00025002|39.00|340| | |OH|36390|0|N
H5253|126|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-8 (HMO-POS)|00025002|39.00|340| | |OH|36420|0|N
H5253|126|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-8 (HMO-POS)|00025002|39.00|340| | |OH|36440|0|N
H5253|126|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-8 (HMO-POS)|00025002|39.00|340| | |OH|36480|0|N
H5253|126|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-8 (HMO-POS)|00025002|39.00|340| | |OH|36510|0|N
H5253|126|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-8 (HMO-POS)|00025002|39.00|340| | |OH|36530|0|N
H5253|126|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-8 (HMO-POS)|00025002|39.00|340| | |OH|36680|0|N
H5253|126|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-8 (HMO-POS)|00025002|39.00|340| | |OH|36770|0|N
H5253|126|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-8 (HMO-POS)|00025002|39.00|340| | |OH|36780|0|N
H5253|126|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-8 (HMO-POS)|00025002|39.00|340| | |OH|36790|0|N
H5253|126|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-8 (HMO-POS)|00025002|39.00|340| | |OH|36800|0|N
H5253|126|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-8 (HMO-POS)|00025002|39.00|340| | |OH|36860|0|N
H5253|126|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-8 (HMO-POS)|00025002|39.00|340| | |OH|36010|0|N
H5253|126|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-8 (HMO-POS)|00025002|39.00|340| | |OH|36050|0|N
H5253|126|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-8 (HMO-POS)|00025002|39.00|340| | |OH|36160|0|N
H5253|126|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-8 (HMO-POS)|00025002|39.00|340| | |OH|36200|0|N
H5253|126|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-8 (HMO-POS)|00025002|39.00|340| | |OH|36220|0|N
H5253|126|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-8 (HMO-POS)|00025002|39.00|340| | |OH|36260|0|N
H5253|126|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-8 (HMO-POS)|00025002|39.00|340| | |OH|36330|0|N
H5253|126|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-8 (HMO-POS)|00025002|39.00|340| | |OH|36340|0|N
H5253|126|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-8 (HMO-POS)|00025002|39.00|340| | |OH|36360|0|N
H5253|126|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-8 (HMO-POS)|00025002|39.00|340| | |OH|36400|0|N
H5253|126|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-8 (HMO-POS)|00025002|39.00|340| | |OH|36470|0|N
H5253|126|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-8 (HMO-POS)|00025002|39.00|340| | |OH|36490|0|N
H5253|126|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-8 (HMO-POS)|00025002|39.00|340| | |OH|36550|0|N
H5253|126|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-8 (HMO-POS)|00025002|39.00|340| | |OH|36630|0|N
H5253|126|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-8 (HMO-POS)|00025002|39.00|340| | |OH|36640|0|N
H5253|126|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-8 (HMO-POS)|00025002|39.00|340| | |OH|36700|0|N
H5253|126|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-8 (HMO-POS)|00025002|39.00|340| | |OH|36730|0|N
H5253|126|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-8 (HMO-POS)|00025002|39.00|340| | |OH|36750|0|N
H5253|126|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-8 (HMO-POS)|00025002|39.00|340| | |OH|36820|0|N
H5253|126|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-8 (HMO-POS)|00025002|39.00|340| | |OH|36870|0|N
H5253|126|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-8 (HMO-POS)|00025002|39.00|340| | |OH|36880|0|N
H5253|126|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-8 (HMO-POS)|00025002|39.00|340| | |OH|36890|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18000|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18010|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18020|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18030|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18040|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18050|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18060|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18070|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18080|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18090|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18100|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18110|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18120|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18130|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18140|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18150|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18160|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18170|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18180|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18190|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18191|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18210|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18220|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18230|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18240|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18250|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18260|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18270|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18271|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18290|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18291|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18310|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18320|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18330|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18340|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18350|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18360|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18361|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18362|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18390|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18400|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18410|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18420|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18421|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18440|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18450|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18460|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18470|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18480|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18490|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18500|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18510|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18511|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18530|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18540|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18550|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18560|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18570|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18580|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18590|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18600|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18610|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18620|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18630|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18640|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18650|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18660|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18670|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18680|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18690|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18700|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18710|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18720|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18730|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18740|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18750|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18760|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18770|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18780|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18790|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18800|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18801|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18802|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18830|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18831|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18850|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18860|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18861|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18880|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18890|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18900|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18910|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18920|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18930|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18931|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18932|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18960|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18970|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18971|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18972|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18973|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18974|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18975|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18976|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18977|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18978|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18979|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18980|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18981|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18982|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18983|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18984|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18985|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18986|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18987|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18988|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18989|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18990|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18991|0|N
H5253|127|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC KY-4 (HMO-POS)|00025002|0.00|495| | |KY|18992|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18000|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18010|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18020|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18030|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18040|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18050|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18060|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18080|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18090|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18100|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18110|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18120|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18130|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18140|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18150|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18160|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18170|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18190|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18191|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18210|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18220|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18230|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18240|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18250|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18260|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18270|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18271|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18290|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18291|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18310|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18320|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18330|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18340|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18350|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18360|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18361|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18362|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18390|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18410|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18420|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18421|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18440|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18450|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18460|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18470|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18480|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18490|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18500|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18510|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18511|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18530|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18540|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18550|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18560|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18570|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18590|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18600|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18610|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18620|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18630|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18640|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18650|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18660|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18670|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18680|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18690|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18700|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18710|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18720|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18730|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18740|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18750|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18760|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18770|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18780|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18790|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18800|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18801|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18802|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18830|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18831|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18850|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18860|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18861|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18880|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18890|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18900|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18910|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18920|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18930|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18931|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18960|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18970|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18971|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18972|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18973|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18974|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18975|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18976|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18977|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18978|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18979|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18980|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18981|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18982|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18983|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18984|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18985|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18986|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18987|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18988|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18989|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18990|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18991|0|N
H5253|128|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC KY-5 (HMO-POS)|00025002|0.00|420| | |KY|18992|0|N
H5253|130|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-9 (HMO-POS)|00025002|0.00|420| | |OH|36010|0|N
H5253|130|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-9 (HMO-POS)|00025002|0.00|420| | |OH|36050|0|N
H5253|130|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-9 (HMO-POS)|00025002|0.00|420| | |OH|36160|0|N
H5253|130|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-9 (HMO-POS)|00025002|0.00|420| | |OH|36200|0|N
H5253|130|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-9 (HMO-POS)|00025002|0.00|420| | |OH|36220|0|N
H5253|130|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-9 (HMO-POS)|00025002|0.00|420| | |OH|36260|0|N
H5253|130|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-9 (HMO-POS)|00025002|0.00|420| | |OH|36330|0|N
H5253|130|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-9 (HMO-POS)|00025002|0.00|420| | |OH|36340|0|N
H5253|130|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-9 (HMO-POS)|00025002|0.00|420| | |OH|36360|0|N
H5253|130|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-9 (HMO-POS)|00025002|0.00|420| | |OH|36400|0|N
H5253|130|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-9 (HMO-POS)|00025002|0.00|420| | |OH|36470|0|N
H5253|130|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-9 (HMO-POS)|00025002|0.00|420| | |OH|36490|0|N
H5253|130|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-9 (HMO-POS)|00025002|0.00|420| | |OH|36550|0|N
H5253|130|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-9 (HMO-POS)|00025002|0.00|420| | |OH|36630|0|N
H5253|130|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-9 (HMO-POS)|00025002|0.00|420| | |OH|36640|0|N
H5253|130|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-9 (HMO-POS)|00025002|0.00|420| | |OH|36700|0|N
H5253|130|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-9 (HMO-POS)|00025002|0.00|420| | |OH|36730|0|N
H5253|130|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-9 (HMO-POS)|00025002|0.00|420| | |OH|36750|0|N
H5253|130|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-9 (HMO-POS)|00025002|0.00|420| | |OH|36820|0|N
H5253|130|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-9 (HMO-POS)|00025002|0.00|420| | |OH|36870|0|N
H5253|130|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-9 (HMO-POS)|00025002|0.00|420| | |OH|36880|0|N
H5253|130|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-9 (HMO-POS)|00025002|0.00|420| | |OH|36890|0|N
H5253|131|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-10 (HMO-POS)|00025002|0.00|420| | |OH|36020|0|N
H5253|131|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-10 (HMO-POS)|00025002|0.00|420| | |OH|36030|0|N
H5253|131|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-10 (HMO-POS)|00025002|0.00|420| | |OH|36060|0|N
H5253|131|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-10 (HMO-POS)|00025002|0.00|420| | |OH|36090|0|N
H5253|131|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-10 (HMO-POS)|00025002|0.00|420| | |OH|36140|0|N
H5253|131|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-10 (HMO-POS)|00025002|0.00|420| | |OH|36150|0|N
H5253|131|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-10 (HMO-POS)|00025002|0.00|420| | |OH|36170|0|N
H5253|131|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-10 (HMO-POS)|00025002|0.00|420| | |OH|36280|0|N
H5253|131|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-10 (HMO-POS)|00025002|0.00|420| | |OH|36300|0|N
H5253|131|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-10 (HMO-POS)|00025002|0.00|420| | |OH|36350|0|N
H5253|131|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-10 (HMO-POS)|00025002|0.00|420| | |OH|36390|0|N
H5253|131|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-10 (HMO-POS)|00025002|0.00|420| | |OH|36420|0|N
H5253|131|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-10 (HMO-POS)|00025002|0.00|420| | |OH|36440|0|N
H5253|131|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-10 (HMO-POS)|00025002|0.00|420| | |OH|36480|0|N
H5253|131|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-10 (HMO-POS)|00025002|0.00|420| | |OH|36510|0|N
H5253|131|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-10 (HMO-POS)|00025002|0.00|420| | |OH|36530|0|N
H5253|131|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-10 (HMO-POS)|00025002|0.00|420| | |OH|36680|0|N
H5253|131|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-10 (HMO-POS)|00025002|0.00|420| | |OH|36770|0|N
H5253|131|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-10 (HMO-POS)|00025002|0.00|420| | |OH|36780|0|N
H5253|131|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-10 (HMO-POS)|00025002|0.00|420| | |OH|36790|0|N
H5253|131|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-10 (HMO-POS)|00025002|0.00|420| | |OH|36800|0|N
H5253|131|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-10 (HMO-POS)|00025002|0.00|420| | |OH|36860|0|N
H5253|132|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-11 (HMO-POS)|00025002|0.00|495| | |OH|36210|0|N
H5253|132|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-11 (HMO-POS)|00025002|0.00|495| | |OH|36230|0|N
H5253|132|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-11 (HMO-POS)|00025002|0.00|495| | |OH|36240|0|N
H5253|132|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-11 (HMO-POS)|00025002|0.00|495| | |OH|36250|0|N
H5253|132|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-11 (HMO-POS)|00025002|0.00|495| | |OH|36430|0|N
H5253|132|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-11 (HMO-POS)|00025002|0.00|495| | |OH|36460|0|N
H5253|132|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-11 (HMO-POS)|00025002|0.00|495| | |OH|36500|0|N
H5253|132|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-11 (HMO-POS)|00025002|0.00|495| | |OH|36520|0|N
H5253|132|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-11 (HMO-POS)|00025002|0.00|495| | |OH|36570|0|N
H5253|132|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-11 (HMO-POS)|00025002|0.00|495| | |OH|36590|0|N
H5253|132|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-11 (HMO-POS)|00025002|0.00|495| | |OH|36600|0|N
H5253|132|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-11 (HMO-POS)|00025002|0.00|495| | |OH|36610|0|N
H5253|132|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-11 (HMO-POS)|00025002|0.00|495| | |OH|36620|0|N
H5253|132|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-11 (HMO-POS)|00025002|0.00|495| | |OH|36650|0|N
H5253|132|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-11 (HMO-POS)|00025002|0.00|495| | |OH|36660|0|N
H5253|132|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-11 (HMO-POS)|00025002|0.00|495| | |OH|36710|0|N
H5253|132|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-11 (HMO-POS)|00025002|0.00|495| | |OH|36810|0|N
H5253|133|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-12 (HMO-POS)|00025002|0.00|420| | |OH|36100|0|N
H5253|133|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-12 (HMO-POS)|00025002|0.00|420| | |OH|36110|0|N
H5253|133|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-12 (HMO-POS)|00025002|0.00|420| | |OH|36190|0|N
H5253|133|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-12 (HMO-POS)|00025002|0.00|420| | |OH|36290|0|N
H5253|133|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-12 (HMO-POS)|00025002|0.00|420| | |OH|36560|0|N
H5253|133|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-12 (HMO-POS)|00025002|0.00|420| | |OH|36580|0|N
H5253|133|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-12 (HMO-POS)|00025002|0.00|420| | |OH|36690|0|N
H5253|133|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-12 (HMO-POS)|00025002|0.00|420| | |OH|36760|0|N
H5253|134|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-13 (HMO-POS)|00025002|0.00|420| | |KY|18070|0|N
H5253|134|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-13 (HMO-POS)|00025002|0.00|420| | |KY|18180|0|N
H5253|134|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-13 (HMO-POS)|00025002|0.00|420| | |KY|18400|0|N
H5253|134|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-13 (HMO-POS)|00025002|0.00|420| | |KY|18580|0|N
H5253|134|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-13 (HMO-POS)|00025002|0.00|420| | |KY|18932|0|N
H5253|134|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-13 (HMO-POS)|00025002|0.00|420| | |OH|36000|0|N
H5253|134|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-13 (HMO-POS)|00025002|0.00|420| | |OH|36040|0|N
H5253|134|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-13 (HMO-POS)|00025002|0.00|420| | |OH|36070|0|N
H5253|134|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-13 (HMO-POS)|00025002|0.00|420| | |OH|36080|0|N
H5253|134|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-13 (HMO-POS)|00025002|0.00|420| | |OH|36120|0|N
H5253|134|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-13 (HMO-POS)|00025002|0.00|420| | |OH|36130|0|N
H5253|134|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-13 (HMO-POS)|00025002|0.00|420| | |OH|36270|0|N
H5253|134|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-13 (HMO-POS)|00025002|0.00|420| | |OH|36310|0|N
H5253|134|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-13 (HMO-POS)|00025002|0.00|420| | |OH|36370|0|N
H5253|134|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-13 (HMO-POS)|00025002|0.00|420| | |OH|36380|0|N
H5253|134|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-13 (HMO-POS)|00025002|0.00|420| | |OH|36410|0|N
H5253|134|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-13 (HMO-POS)|00025002|0.00|420| | |OH|36450|0|N
H5253|134|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-13 (HMO-POS)|00025002|0.00|420| | |OH|36540|0|N
H5253|134|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-13 (HMO-POS)|00025002|0.00|420| | |OH|36670|0|N
H5253|134|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-13 (HMO-POS)|00025002|0.00|420| | |OH|36720|0|N
H5253|134|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-13 (HMO-POS)|00025002|0.00|420| | |OH|36740|0|N
H5253|134|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-13 (HMO-POS)|00025002|0.00|420| | |OH|36830|0|N
H5253|134|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-13 (HMO-POS)|00025002|0.00|420| | |OH|36840|0|N
H5253|134|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Extras from UHC OH-13 (HMO-POS)|00025002|0.00|420| | |OH|36850|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36000|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36010|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36020|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36030|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36040|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36050|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36060|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36070|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36080|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36090|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36100|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36110|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36120|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36130|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36140|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36150|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36160|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36170|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36190|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36200|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36210|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36220|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36230|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36240|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36250|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36260|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36270|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36280|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36290|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36300|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36310|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36330|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36340|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36350|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36360|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36370|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36380|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36390|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36400|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36410|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36420|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36430|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36440|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36450|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36460|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36470|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36480|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36490|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36500|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36510|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36520|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36530|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36540|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36550|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36560|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36570|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36580|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36590|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36600|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36610|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36620|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36630|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36640|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36650|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36660|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36670|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36680|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36690|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36700|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36710|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36720|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36730|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36740|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36750|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36760|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36770|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36780|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36790|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36800|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36810|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36820|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36830|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36840|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36850|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36860|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36870|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36880|0|N
H5253|135|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Giveback from UHC OH-17 (HMO-POS)|00025002|0.00|495| | |OH|36890|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25010|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25020|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25030|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25040|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25050|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25060|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25070|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25080|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25090|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25100|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25110|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25120|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25130|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25140|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25150|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25160|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25170|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25180|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25190|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25200|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25210|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25220|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25230|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25240|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25250|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25260|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25270|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25280|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25290|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25300|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25310|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25320|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25330|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25340|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25350|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25360|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25370|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25380|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25390|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25400|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25410|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25420|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25440|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25450|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25460|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25470|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25480|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25490|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25500|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25510|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25530|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25540|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25550|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25560|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25570|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25580|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25590|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25600|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25610|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25620|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25630|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25640|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25650|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25660|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25670|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25680|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25690|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25700|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25710|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25720|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25730|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25740|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25750|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25760|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25770|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25780|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25790|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25800|0|N
H5253|141|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MS-0001 (HMO-POS)|00025002|0.00|255| | |MS|25810|0|N
H5253|142|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC DE-0003 (HMO-POS)|00025002|0.00|340| | |DE|08000|0|N
H5253|142|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC DE-0003 (HMO-POS)|00025002|0.00|340| | |DE|08010|0|N
H5253|142|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC DE-0003 (HMO-POS)|00025002|0.00|340| | |DE|08020|0|N
H5253|144|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-5 (HMO-POS)|00025002|0.00|340| | |OH|36020|0|N
H5253|144|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-5 (HMO-POS)|00025002|0.00|340| | |OH|36030|0|N
H5253|144|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-5 (HMO-POS)|00025002|0.00|340| | |OH|36060|0|N
H5253|144|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-5 (HMO-POS)|00025002|0.00|340| | |OH|36090|0|N
H5253|144|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-5 (HMO-POS)|00025002|0.00|340| | |OH|36140|0|N
H5253|144|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-5 (HMO-POS)|00025002|0.00|340| | |OH|36150|0|N
H5253|144|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-5 (HMO-POS)|00025002|0.00|340| | |OH|36170|0|N
H5253|144|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-5 (HMO-POS)|00025002|0.00|340| | |OH|36280|0|N
H5253|144|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-5 (HMO-POS)|00025002|0.00|340| | |OH|36300|0|N
H5253|144|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-5 (HMO-POS)|00025002|0.00|340| | |OH|36350|0|N
H5253|144|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-5 (HMO-POS)|00025002|0.00|340| | |OH|36390|0|N
H5253|144|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-5 (HMO-POS)|00025002|0.00|340| | |OH|36420|0|N
H5253|144|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-5 (HMO-POS)|00025002|0.00|340| | |OH|36440|0|N
H5253|144|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-5 (HMO-POS)|00025002|0.00|340| | |OH|36480|0|N
H5253|144|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-5 (HMO-POS)|00025002|0.00|340| | |OH|36510|0|N
H5253|144|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-5 (HMO-POS)|00025002|0.00|340| | |OH|36530|0|N
H5253|144|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-5 (HMO-POS)|00025002|0.00|340| | |OH|36680|0|N
H5253|144|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-5 (HMO-POS)|00025002|0.00|340| | |OH|36770|0|N
H5253|144|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-5 (HMO-POS)|00025002|0.00|340| | |OH|36780|0|N
H5253|144|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-5 (HMO-POS)|00025002|0.00|340| | |OH|36790|0|N
H5253|144|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-5 (HMO-POS)|00025002|0.00|340| | |OH|36800|0|N
H5253|144|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-5 (HMO-POS)|00025002|0.00|340| | |OH|36860|0|N
H5253|144|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-5 (HMO-POS)|00025002|0.00|340| | |OH|36010|0|N
H5253|144|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-5 (HMO-POS)|00025002|0.00|340| | |OH|36050|0|N
H5253|144|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-5 (HMO-POS)|00025002|0.00|340| | |OH|36160|0|N
H5253|144|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-5 (HMO-POS)|00025002|0.00|340| | |OH|36200|0|N
H5253|144|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-5 (HMO-POS)|00025002|0.00|340| | |OH|36220|0|N
H5253|144|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-5 (HMO-POS)|00025002|0.00|340| | |OH|36260|0|N
H5253|144|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-5 (HMO-POS)|00025002|0.00|340| | |OH|36330|0|N
H5253|144|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-5 (HMO-POS)|00025002|0.00|340| | |OH|36340|0|N
H5253|144|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-5 (HMO-POS)|00025002|0.00|340| | |OH|36360|0|N
H5253|144|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-5 (HMO-POS)|00025002|0.00|340| | |OH|36400|0|N
H5253|144|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-5 (HMO-POS)|00025002|0.00|340| | |OH|36470|0|N
H5253|144|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-5 (HMO-POS)|00025002|0.00|340| | |OH|36490|0|N
H5253|144|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-5 (HMO-POS)|00025002|0.00|340| | |OH|36550|0|N
H5253|144|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-5 (HMO-POS)|00025002|0.00|340| | |OH|36630|0|N
H5253|144|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-5 (HMO-POS)|00025002|0.00|340| | |OH|36640|0|N
H5253|144|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-5 (HMO-POS)|00025002|0.00|340| | |OH|36700|0|N
H5253|144|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-5 (HMO-POS)|00025002|0.00|340| | |OH|36730|0|N
H5253|144|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-5 (HMO-POS)|00025002|0.00|340| | |OH|36750|0|N
H5253|144|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-5 (HMO-POS)|00025002|0.00|340| | |OH|36820|0|N
H5253|144|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-5 (HMO-POS)|00025002|0.00|340| | |OH|36870|0|N
H5253|144|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-5 (HMO-POS)|00025002|0.00|340| | |OH|36880|0|N
H5253|144|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage Essentials from UHC OH-5 (HMO-POS)|00025002|0.00|340| | |OH|36890|0|N
H5253|145|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0001 (HMO-POS)|00025002|28.30|340| | |PA|39140|0|N
H5253|145|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0001 (HMO-POS)|00025002|28.30|340| | |PA|39210|0|N
H5253|145|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0001 (HMO-POS)|00025002|28.30|340| | |PA|39290|0|N
H5253|145|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0001 (HMO-POS)|00025002|28.30|340| | |PA|39560|0|N
H5253|145|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0001 (HMO-POS)|00025002|28.30|340| | |PA|39620|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39000|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39010|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39070|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39080|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39100|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39110|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39120|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39130|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39150|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39160|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39180|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39190|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39200|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39220|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39230|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39240|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39250|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39260|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39270|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39280|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39310|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39320|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39330|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39340|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39350|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39360|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39370|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39380|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39390|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39400|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39410|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39420|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39440|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39450|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39460|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39470|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39480|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39510|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39520|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39530|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39540|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39550|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39580|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39590|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39600|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39610|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39630|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39640|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39650|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39670|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39680|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39690|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39700|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39710|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39720|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39730|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39740|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39750|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39760|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39770|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39790|0|N
H5253|146|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0002 (HMO-POS)|00025002|0.00|340| | |PA|39800|0|N
H5253|147|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0003 (HMO-POS)|00025002|0.00|255| | |PA|39010|0|N
H5253|147|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0003 (HMO-POS)|00025002|0.00|255| | |PA|39070|0|N
H5253|147|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0003 (HMO-POS)|00025002|0.00|255| | |PA|39080|0|N
H5253|147|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0003 (HMO-POS)|00025002|0.00|255| | |PA|39100|0|N
H5253|147|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0003 (HMO-POS)|00025002|0.00|255| | |PA|39120|0|N
H5253|147|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0003 (HMO-POS)|00025002|0.00|255| | |PA|39150|0|N
H5253|147|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0003 (HMO-POS)|00025002|0.00|255| | |PA|39160|0|N
H5253|147|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0003 (HMO-POS)|00025002|0.00|255| | |PA|39180|0|N
H5253|147|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0003 (HMO-POS)|00025002|0.00|255| | |PA|39200|0|N
H5253|147|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0003 (HMO-POS)|00025002|0.00|255| | |PA|39220|0|N
H5253|147|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0003 (HMO-POS)|00025002|0.00|255| | |PA|39230|0|N
H5253|147|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0003 (HMO-POS)|00025002|0.00|255| | |PA|39240|0|N
H5253|147|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0003 (HMO-POS)|00025002|0.00|255| | |PA|39260|0|N
H5253|147|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0003 (HMO-POS)|00025002|0.00|255| | |PA|39310|0|N
H5253|147|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0003 (HMO-POS)|00025002|0.00|255| | |PA|39320|0|N
H5253|147|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0003 (HMO-POS)|00025002|0.00|255| | |PA|39330|0|N
H5253|147|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0003 (HMO-POS)|00025002|0.00|255| | |PA|39340|0|N
H5253|147|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0003 (HMO-POS)|00025002|0.00|255| | |PA|39360|0|N
H5253|147|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0003 (HMO-POS)|00025002|0.00|255| | |PA|39370|0|N
H5253|147|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0003 (HMO-POS)|00025002|0.00|255| | |PA|39380|0|N
H5253|147|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0003 (HMO-POS)|00025002|0.00|255| | |PA|39390|0|N
H5253|147|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0003 (HMO-POS)|00025002|0.00|255| | |PA|39400|0|N
H5253|147|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0003 (HMO-POS)|00025002|0.00|255| | |PA|39450|0|N
H5253|147|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0003 (HMO-POS)|00025002|0.00|255| | |PA|39510|0|N
H5253|147|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0003 (HMO-POS)|00025002|0.00|255| | |PA|39520|0|N
H5253|147|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0003 (HMO-POS)|00025002|0.00|255| | |PA|39530|0|N
H5253|147|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0003 (HMO-POS)|00025002|0.00|255| | |PA|39640|0|N
H5253|147|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0003 (HMO-POS)|00025002|0.00|255| | |PA|39680|0|N
H5253|147|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0003 (HMO-POS)|00025002|0.00|255| | |PA|39710|0|N
H5253|147|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0003 (HMO-POS)|00025002|0.00|255| | |PA|39730|0|N
H5253|147|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0003 (HMO-POS)|00025002|0.00|255| | |PA|39740|0|N
H5253|147|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0003 (HMO-POS)|00025002|0.00|255| | |PA|39750|0|N
H5253|147|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0003 (HMO-POS)|00025002|0.00|255| | |PA|39770|0|N
H5253|148|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC RI-0001 (HMO-POS)|00025002|16.90|255| | |RI|41000|0|N
H5253|148|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC RI-0001 (HMO-POS)|00025002|16.90|255| | |RI|41010|0|N
H5253|148|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC RI-0001 (HMO-POS)|00025002|16.90|255| | |RI|41020|0|N
H5253|148|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC RI-0001 (HMO-POS)|00025002|16.90|255| | |RI|41030|0|N
H5253|148|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC RI-0001 (HMO-POS)|00025002|16.90|255| | |RI|41050|0|N
H5253|150|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC RI-0002 (HMO-POS)|00025002|0.00|255| | |RI|41000|0|N
H5253|150|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC RI-0002 (HMO-POS)|00025002|0.00|255| | |RI|41010|0|N
H5253|150|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC RI-0002 (HMO-POS)|00025002|0.00|255| | |RI|41020|0|N
H5253|150|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC RI-0002 (HMO-POS)|00025002|0.00|255| | |RI|41030|0|N
H5253|150|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC RI-0002 (HMO-POS)|00025002|0.00|255| | |RI|41050|0|N
H5253|154|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0005 (HMO-POS)|00025002|0.00|340| | |PA|39140|0|N
H5253|154|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0005 (HMO-POS)|00025002|0.00|340| | |PA|39210|0|N
H5253|154|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0005 (HMO-POS)|00025002|0.00|340| | |PA|39290|0|N
H5253|154|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0005 (HMO-POS)|00025002|0.00|340| | |PA|39560|0|N
H5253|154|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC PA-0005 (HMO-POS)|00025002|0.00|340| | |PA|39620|0|N
H5253|155|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MA-7 (HMO-POS C-SNP)|00025003|0.00|340| | |MA|22060|1|N
H5253|155|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MA-7 (HMO-POS C-SNP)|00025003|0.00|340| | |MA|22070|1|N
H5253|155|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MA-7 (HMO-POS C-SNP)|00025003|0.00|340| | |MA|22080|1|N
H5253|155|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MA-7 (HMO-POS C-SNP)|00025003|0.00|340| | |MA|22170|1|N
H5253|157|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MA-0003 (HMO-POS)|00025002|0.00|340| | |MA|22060|0|N
H5253|157|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MA-0003 (HMO-POS)|00025002|0.00|340| | |MA|22070|0|N
H5253|157|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MA-0003 (HMO-POS)|00025002|0.00|340| | |MA|22080|0|N
H5253|157|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MA-0003 (HMO-POS)|00025002|0.00|340| | |MA|22170|0|N
H5253|157|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MA-0003 (HMO-POS)|00025002|0.00|340| | |MA|22020|0|N
H5253|157|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MA-0003 (HMO-POS)|00025002|0.00|340| | |MA|22040|0|N
H5253|157|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MA-0003 (HMO-POS)|00025002|0.00|340| | |MA|22090|0|N
H5253|157|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MA-0003 (HMO-POS)|00025002|0.00|340| | |MA|22130|0|N
H5253|157|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MA-0003 (HMO-POS)|00025002|0.00|340| | |MA|22150|0|N
H5253|157|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC MA-0003 (HMO-POS)|00025002|0.00|340| | |MA|22160|0|N
H5253|159|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage CareFlex from UHC MA-9 (HMO-POS)|00025002|0.00|495| | |MA|22060|0|N
H5253|159|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage CareFlex from UHC MA-9 (HMO-POS)|00025002|0.00|495| | |MA|22070|0|N
H5253|159|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage CareFlex from UHC MA-9 (HMO-POS)|00025002|0.00|495| | |MA|22080|0|N
H5253|159|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage CareFlex from UHC MA-9 (HMO-POS)|00025002|0.00|495| | |MA|22170|0|N
H5253|161|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care ME-6 (HMO-POS C-SNP)|00025003|0.00|340| | |ME|20000|1|N
H5253|161|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care ME-6 (HMO-POS C-SNP)|00025003|0.00|340| | |ME|20020|1|N
H5253|161|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care ME-6 (HMO-POS C-SNP)|00025003|0.00|340| | |ME|20050|1|N
H5253|161|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care ME-6 (HMO-POS C-SNP)|00025003|0.00|340| | |ME|20150|1|N
H5253|162|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Northern Light Health ME-0001 (HMO-POS)|00025002|0.00|340| | |ME|20000|0|N
H5253|162|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Northern Light Health ME-0001 (HMO-POS)|00025002|0.00|340| | |ME|20020|0|N
H5253|162|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Northern Light Health ME-0001 (HMO-POS)|00025002|0.00|340| | |ME|20050|0|N
H5253|162|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Northern Light Health ME-0001 (HMO-POS)|00025002|0.00|340| | |ME|20150|0|N
H5253|162|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Northern Light Health ME-0001 (HMO-POS)|00025002|0.00|340| | |ME|20010|0|N
H5253|162|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Northern Light Health ME-0001 (HMO-POS)|00025002|0.00|340| | |ME|20030|0|N
H5253|162|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Northern Light Health ME-0001 (HMO-POS)|00025002|0.00|340| | |ME|20040|0|N
H5253|162|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Northern Light Health ME-0001 (HMO-POS)|00025002|0.00|340| | |ME|20060|0|N
H5253|162|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Northern Light Health ME-0001 (HMO-POS)|00025002|0.00|340| | |ME|20070|0|N
H5253|162|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Northern Light Health ME-0001 (HMO-POS)|00025002|0.00|340| | |ME|20080|0|N
H5253|162|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Northern Light Health ME-0001 (HMO-POS)|00025002|0.00|340| | |ME|20090|0|N
H5253|162|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Northern Light Health ME-0001 (HMO-POS)|00025002|0.00|340| | |ME|20100|0|N
H5253|162|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Northern Light Health ME-0001 (HMO-POS)|00025002|0.00|340| | |ME|20110|0|N
H5253|162|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Northern Light Health ME-0001 (HMO-POS)|00025002|0.00|340| | |ME|20120|0|N
H5253|162|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Northern Light Health ME-0001 (HMO-POS)|00025002|0.00|340| | |ME|20130|0|N
H5253|162|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Northern Light Health ME-0001 (HMO-POS)|00025002|0.00|340| | |ME|20140|0|N
H5253|164|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NH-0002 (HMO-POS)|00025002|0.00|420| | |NH|30050|0|N
H5253|164|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NH-0002 (HMO-POS)|00025002|0.00|420| | |NH|30060|0|N
H5253|164|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NH-0002 (HMO-POS)|00025002|0.00|420| | |NH|30070|0|N
H5253|164|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NH-0002 (HMO-POS)|00025002|0.00|420| | |NH|30080|0|N
H5253|164|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NH-0002 (HMO-POS)|00025002|0.00|420| | |NH|30000|0|N
H5253|164|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NH-0002 (HMO-POS)|00025002|0.00|420| | |NH|30010|0|N
H5253|164|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NH-0002 (HMO-POS)|00025002|0.00|420| | |NH|30020|0|N
H5253|164|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NH-0002 (HMO-POS)|00025002|0.00|420| | |NH|30030|0|N
H5253|164|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NH-0002 (HMO-POS)|00025002|0.00|420| | |NH|30040|0|N
H5253|164|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NH-0002 (HMO-POS)|00025002|0.00|420| | |NH|30090|0|N
H5253|165|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NH-0001 (HMO-POS)|00025002|39.00|420| | |NH|30050|0|N
H5253|165|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NH-0001 (HMO-POS)|00025002|39.00|420| | |NH|30060|0|N
H5253|165|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NH-0001 (HMO-POS)|00025002|39.00|420| | |NH|30070|0|N
H5253|165|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NH-0001 (HMO-POS)|00025002|39.00|420| | |NH|30080|0|N
H5253|165|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NH-0001 (HMO-POS)|00025002|46.00|420| | |NH|30000|0|N
H5253|165|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NH-0001 (HMO-POS)|00025002|46.00|420| | |NH|30010|0|N
H5253|165|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NH-0001 (HMO-POS)|00025002|46.00|420| | |NH|30020|0|N
H5253|165|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NH-0001 (HMO-POS)|00025002|46.00|420| | |NH|30030|0|N
H5253|165|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NH-0001 (HMO-POS)|00025002|46.00|420| | |NH|30040|0|N
H5253|165|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NH-0001 (HMO-POS)|00025002|46.00|420| | |NH|30090|0|N
H5253|166|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support NH-2A (HMO C-SNP)|00025003|32.50|590| | |NH|30050|1|N
H5253|166|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support NH-2A (HMO C-SNP)|00025003|32.50|590| | |NH|30060|1|N
H5253|166|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support NH-2A (HMO C-SNP)|00025003|32.50|590| | |NH|30070|1|N
H5253|166|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support NH-2A (HMO C-SNP)|00025003|32.50|590| | |NH|30080|1|N
H5253|168|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care RI-4 (HMO-POS C-SNP)|00025003|0.00|255| | |RI|41000|1|N
H5253|168|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care RI-4 (HMO-POS C-SNP)|00025003|0.00|255| | |RI|41010|1|N
H5253|168|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care RI-4 (HMO-POS C-SNP)|00025003|0.00|255| | |RI|41020|1|N
H5253|168|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care RI-4 (HMO-POS C-SNP)|00025003|0.00|255| | |RI|41030|1|N
H5253|168|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care RI-4 (HMO-POS C-SNP)|00025003|0.00|255| | |RI|41050|1|N
H5253|169|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage CareFlex from UHC RI-5 (HMO-POS)|00025002|0.00|495| | |RI|41000|0|N
H5253|169|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage CareFlex from UHC RI-5 (HMO-POS)|00025002|0.00|495| | |RI|41010|0|N
H5253|169|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage CareFlex from UHC RI-5 (HMO-POS)|00025002|0.00|495| | |RI|41020|0|N
H5253|169|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage CareFlex from UHC RI-5 (HMO-POS)|00025002|0.00|495| | |RI|41030|0|N
H5253|169|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage CareFlex from UHC RI-5 (HMO-POS)|00025002|0.00|495| | |RI|41050|0|N
H5253|170|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support VT-2A (HMO-POS C-SNP)|00025003|52.50|590| | |VT|47000|1|N
H5253|170|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support VT-2A (HMO-POS C-SNP)|00025003|52.50|590| | |VT|47010|1|N
H5253|170|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support VT-2A (HMO-POS C-SNP)|00025003|52.50|590| | |VT|47020|1|N
H5253|170|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support VT-2A (HMO-POS C-SNP)|00025003|52.50|590| | |VT|47030|1|N
H5253|170|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support VT-2A (HMO-POS C-SNP)|00025003|52.50|590| | |VT|47040|1|N
H5253|170|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support VT-2A (HMO-POS C-SNP)|00025003|52.50|590| | |VT|47050|1|N
H5253|170|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support VT-2A (HMO-POS C-SNP)|00025003|52.50|590| | |VT|47060|1|N
H5253|170|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support VT-2A (HMO-POS C-SNP)|00025003|52.50|590| | |VT|47070|1|N
H5253|170|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support VT-2A (HMO-POS C-SNP)|00025003|52.50|590| | |VT|47080|1|N
H5253|170|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support VT-2A (HMO-POS C-SNP)|00025003|52.50|590| | |VT|47090|1|N
H5253|170|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support VT-2A (HMO-POS C-SNP)|00025003|52.50|590| | |VT|47100|1|N
H5253|170|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support VT-2A (HMO-POS C-SNP)|00025003|52.50|590| | |VT|47110|1|N
H5253|170|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support VT-2A (HMO-POS C-SNP)|00025003|52.50|590| | |VT|47120|1|N
H5253|170|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support VT-2A (HMO-POS C-SNP)|00025003|52.50|590| | |VT|47130|1|N
H5253|171|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0001 (HMO-POS)|00025002|24.00|340| | |OK|37010|0|N
H5253|171|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0001 (HMO-POS)|00025002|24.00|340| | |OK|37030|0|N
H5253|171|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0001 (HMO-POS)|00025002|24.00|340| | |OK|37040|0|N
H5253|171|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0001 (HMO-POS)|00025002|24.00|340| | |OK|37050|0|N
H5253|171|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0001 (HMO-POS)|00025002|24.00|340| | |OK|37070|0|N
H5253|171|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0001 (HMO-POS)|00025002|24.00|340| | |OK|37080|0|N
H5253|171|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0001 (HMO-POS)|00025002|24.00|340| | |OK|37090|0|N
H5253|171|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0001 (HMO-POS)|00025002|24.00|340| | |OK|37120|0|N
H5253|171|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0001 (HMO-POS)|00025002|24.00|340| | |OK|37130|0|N
H5253|171|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0001 (HMO-POS)|00025002|24.00|340| | |OK|37150|0|N
H5253|171|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0001 (HMO-POS)|00025002|24.00|340| | |OK|37160|0|N
H5253|171|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0001 (HMO-POS)|00025002|24.00|340| | |OK|37190|0|N
H5253|171|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0001 (HMO-POS)|00025002|24.00|340| | |OK|37210|0|N
H5253|171|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0001 (HMO-POS)|00025002|24.00|340| | |OK|37220|0|N
H5253|171|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0001 (HMO-POS)|00025002|24.00|340| | |OK|37230|0|N
H5253|171|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0001 (HMO-POS)|00025002|24.00|340| | |OK|37240|0|N
H5253|171|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0001 (HMO-POS)|00025002|24.00|340| | |OK|37250|0|N
H5253|171|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0001 (HMO-POS)|00025002|24.00|340| | |OK|37260|0|N
H5253|171|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0001 (HMO-POS)|00025002|24.00|340| | |OK|37270|0|N
H5253|171|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0001 (HMO-POS)|00025002|24.00|340| | |OK|37280|0|N
H5253|171|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0001 (HMO-POS)|00025002|24.00|340| | |OK|37290|0|N
H5253|171|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0001 (HMO-POS)|00025002|24.00|340| | |OK|37310|0|N
H5253|171|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0001 (HMO-POS)|00025002|24.00|340| | |OK|37320|0|N
H5253|171|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0001 (HMO-POS)|00025002|24.00|340| | |OK|37330|0|N
H5253|171|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0001 (HMO-POS)|00025002|24.00|340| | |OK|37360|0|N
H5253|171|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0001 (HMO-POS)|00025002|24.00|340| | |OK|37370|0|N
H5253|171|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0001 (HMO-POS)|00025002|24.00|340| | |OK|37400|0|N
H5253|171|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0001 (HMO-POS)|00025002|24.00|340| | |OK|37410|0|N
H5253|171|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0001 (HMO-POS)|00025002|24.00|340| | |OK|37420|0|N
H5253|171|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0001 (HMO-POS)|00025002|24.00|340| | |OK|37430|0|N
H5253|171|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0001 (HMO-POS)|00025002|24.00|340| | |OK|37460|0|N
H5253|171|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0001 (HMO-POS)|00025002|24.00|340| | |OK|37490|0|N
H5253|171|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0001 (HMO-POS)|00025002|24.00|340| | |OK|37530|0|N
H5253|171|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0001 (HMO-POS)|00025002|24.00|340| | |OK|37540|0|N
H5253|171|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0001 (HMO-POS)|00025002|24.00|340| | |OK|37610|0|N
H5253|171|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0001 (HMO-POS)|00025002|24.00|340| | |OK|37620|0|N
H5253|171|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0001 (HMO-POS)|00025002|24.00|340| | |OK|37640|0|N
H5253|171|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0001 (HMO-POS)|00025002|24.00|340| | |OK|37660|0|N
H5253|171|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0001 (HMO-POS)|00025002|24.00|340| | |OK|37680|0|N
H5253|171|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0001 (HMO-POS)|00025002|24.00|340| | |OK|37690|0|N
H5253|171|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0001 (HMO-POS)|00025002|24.00|340| | |OK|37700|0|N
H5253|171|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0001 (HMO-POS)|00025002|24.00|340| | |OK|37740|0|N
H5253|171|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0001 (HMO-POS)|00025002|24.00|340| | |OK|37750|0|N
H5253|171|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0001 (HMO-POS)|00025002|24.00|340| | |OK|37760|0|N
H5253|172|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0002 (HMO-POS)|00025002|24.00|340| | |OK|37000|0|N
H5253|172|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0002 (HMO-POS)|00025002|24.00|340| | |OK|37020|0|N
H5253|172|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0002 (HMO-POS)|00025002|24.00|340| | |OK|37060|0|N
H5253|172|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0002 (HMO-POS)|00025002|24.00|340| | |OK|37100|0|N
H5253|172|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0002 (HMO-POS)|00025002|24.00|340| | |OK|37110|0|N
H5253|172|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0002 (HMO-POS)|00025002|24.00|340| | |OK|37140|0|N
H5253|172|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0002 (HMO-POS)|00025002|24.00|340| | |OK|37170|0|N
H5253|172|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0002 (HMO-POS)|00025002|24.00|340| | |OK|37180|0|N
H5253|172|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0002 (HMO-POS)|00025002|24.00|340| | |OK|37200|0|N
H5253|172|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0002 (HMO-POS)|00025002|24.00|340| | |OK|37300|0|N
H5253|172|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0002 (HMO-POS)|00025002|24.00|340| | |OK|37310|0|N
H5253|172|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0002 (HMO-POS)|00025002|24.00|340| | |OK|37340|0|N
H5253|172|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0002 (HMO-POS)|00025002|24.00|340| | |OK|37350|0|N
H5253|172|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0002 (HMO-POS)|00025002|24.00|340| | |OK|37380|0|N
H5253|172|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0002 (HMO-POS)|00025002|24.00|340| | |OK|37390|0|N
H5253|172|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0002 (HMO-POS)|00025002|24.00|340| | |OK|37440|0|N
H5253|172|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0002 (HMO-POS)|00025002|24.00|340| | |OK|37450|0|N
H5253|172|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0002 (HMO-POS)|00025002|24.00|340| | |OK|37470|0|N
H5253|172|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0002 (HMO-POS)|00025002|24.00|340| | |OK|37480|0|N
H5253|172|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0002 (HMO-POS)|00025002|24.00|340| | |OK|37500|0|N
H5253|172|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0002 (HMO-POS)|00025002|24.00|340| | |OK|37510|0|N
H5253|172|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0002 (HMO-POS)|00025002|24.00|340| | |OK|37520|0|N
H5253|172|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0002 (HMO-POS)|00025002|24.00|340| | |OK|37530|0|N
H5253|172|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0002 (HMO-POS)|00025002|24.00|340| | |OK|37550|0|N
H5253|172|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0002 (HMO-POS)|00025002|24.00|340| | |OK|37560|0|N
H5253|172|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0002 (HMO-POS)|00025002|24.00|340| | |OK|37570|0|N
H5253|172|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0002 (HMO-POS)|00025002|24.00|340| | |OK|37580|0|N
H5253|172|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0002 (HMO-POS)|00025002|24.00|340| | |OK|37600|0|N
H5253|172|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0002 (HMO-POS)|00025002|24.00|340| | |OK|37630|0|N
H5253|172|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0002 (HMO-POS)|00025002|24.00|340| | |OK|37650|0|N
H5253|172|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0002 (HMO-POS)|00025002|24.00|340| | |OK|37670|0|N
H5253|172|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0002 (HMO-POS)|00025002|24.00|340| | |OK|37710|0|N
H5253|172|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0002 (HMO-POS)|00025002|24.00|340| | |OK|37720|0|N
H5253|172|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0002 (HMO-POS)|00025002|24.00|340| | |OK|37730|0|N
H5253|173|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0003 (HMO-POS)|00025002|0.00|340| | |OK|37010|0|N
H5253|173|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0003 (HMO-POS)|00025002|0.00|340| | |OK|37030|0|N
H5253|173|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0003 (HMO-POS)|00025002|0.00|340| | |OK|37040|0|N
H5253|173|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0003 (HMO-POS)|00025002|0.00|340| | |OK|37050|0|N
H5253|173|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0003 (HMO-POS)|00025002|0.00|340| | |OK|37070|0|N
H5253|173|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0003 (HMO-POS)|00025002|0.00|340| | |OK|37080|0|N
H5253|173|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0003 (HMO-POS)|00025002|0.00|340| | |OK|37090|0|N
H5253|173|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0003 (HMO-POS)|00025002|0.00|340| | |OK|37120|0|N
H5253|173|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0003 (HMO-POS)|00025002|0.00|340| | |OK|37130|0|N
H5253|173|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0003 (HMO-POS)|00025002|0.00|340| | |OK|37150|0|N
H5253|173|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0003 (HMO-POS)|00025002|0.00|340| | |OK|37160|0|N
H5253|173|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0003 (HMO-POS)|00025002|0.00|340| | |OK|37190|0|N
H5253|173|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0003 (HMO-POS)|00025002|0.00|340| | |OK|37210|0|N
H5253|173|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0003 (HMO-POS)|00025002|0.00|340| | |OK|37220|0|N
H5253|173|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0003 (HMO-POS)|00025002|0.00|340| | |OK|37230|0|N
H5253|173|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0003 (HMO-POS)|00025002|0.00|340| | |OK|37240|0|N
H5253|173|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0003 (HMO-POS)|00025002|0.00|340| | |OK|37250|0|N
H5253|173|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0003 (HMO-POS)|00025002|0.00|340| | |OK|37260|0|N
H5253|173|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0003 (HMO-POS)|00025002|0.00|340| | |OK|37270|0|N
H5253|173|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0003 (HMO-POS)|00025002|0.00|340| | |OK|37280|0|N
H5253|173|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0003 (HMO-POS)|00025002|0.00|340| | |OK|37290|0|N
H5253|173|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0003 (HMO-POS)|00025002|0.00|340| | |OK|37310|0|N
H5253|173|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0003 (HMO-POS)|00025002|0.00|340| | |OK|37320|0|N
H5253|173|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0003 (HMO-POS)|00025002|0.00|340| | |OK|37330|0|N
H5253|173|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0003 (HMO-POS)|00025002|0.00|340| | |OK|37360|0|N
H5253|173|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0003 (HMO-POS)|00025002|0.00|340| | |OK|37370|0|N
H5253|173|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0003 (HMO-POS)|00025002|0.00|340| | |OK|37400|0|N
H5253|173|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0003 (HMO-POS)|00025002|0.00|340| | |OK|37410|0|N
H5253|173|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0003 (HMO-POS)|00025002|0.00|340| | |OK|37420|0|N
H5253|173|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0003 (HMO-POS)|00025002|0.00|340| | |OK|37430|0|N
H5253|173|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0003 (HMO-POS)|00025002|0.00|340| | |OK|37460|0|N
H5253|173|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0003 (HMO-POS)|00025002|0.00|340| | |OK|37490|0|N
H5253|173|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0003 (HMO-POS)|00025002|0.00|340| | |OK|37530|0|N
H5253|173|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0003 (HMO-POS)|00025002|0.00|340| | |OK|37540|0|N
H5253|173|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0003 (HMO-POS)|00025002|0.00|340| | |OK|37610|0|N
H5253|173|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0003 (HMO-POS)|00025002|0.00|340| | |OK|37620|0|N
H5253|173|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0003 (HMO-POS)|00025002|0.00|340| | |OK|37640|0|N
H5253|173|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0003 (HMO-POS)|00025002|0.00|340| | |OK|37660|0|N
H5253|173|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0003 (HMO-POS)|00025002|0.00|340| | |OK|37680|0|N
H5253|173|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0003 (HMO-POS)|00025002|0.00|340| | |OK|37690|0|N
H5253|173|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0003 (HMO-POS)|00025002|0.00|340| | |OK|37700|0|N
H5253|173|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0003 (HMO-POS)|00025002|0.00|340| | |OK|37740|0|N
H5253|173|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0003 (HMO-POS)|00025002|0.00|340| | |OK|37750|0|N
H5253|173|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0003 (HMO-POS)|00025002|0.00|340| | |OK|37760|0|N
H5253|174|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0004 (HMO-POS)|00025002|0.00|340| | |OK|37000|0|N
H5253|174|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0004 (HMO-POS)|00025002|0.00|340| | |OK|37020|0|N
H5253|174|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0004 (HMO-POS)|00025002|0.00|340| | |OK|37060|0|N
H5253|174|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0004 (HMO-POS)|00025002|0.00|340| | |OK|37100|0|N
H5253|174|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0004 (HMO-POS)|00025002|0.00|340| | |OK|37110|0|N
H5253|174|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0004 (HMO-POS)|00025002|0.00|340| | |OK|37140|0|N
H5253|174|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0004 (HMO-POS)|00025002|0.00|340| | |OK|37170|0|N
H5253|174|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0004 (HMO-POS)|00025002|0.00|340| | |OK|37180|0|N
H5253|174|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0004 (HMO-POS)|00025002|0.00|340| | |OK|37200|0|N
H5253|174|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0004 (HMO-POS)|00025002|0.00|340| | |OK|37300|0|N
H5253|174|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0004 (HMO-POS)|00025002|0.00|340| | |OK|37310|0|N
H5253|174|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0004 (HMO-POS)|00025002|0.00|340| | |OK|37340|0|N
H5253|174|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0004 (HMO-POS)|00025002|0.00|340| | |OK|37350|0|N
H5253|174|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0004 (HMO-POS)|00025002|0.00|340| | |OK|37380|0|N
H5253|174|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0004 (HMO-POS)|00025002|0.00|340| | |OK|37390|0|N
H5253|174|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0004 (HMO-POS)|00025002|0.00|340| | |OK|37440|0|N
H5253|174|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0004 (HMO-POS)|00025002|0.00|340| | |OK|37450|0|N
H5253|174|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0004 (HMO-POS)|00025002|0.00|340| | |OK|37470|0|N
H5253|174|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0004 (HMO-POS)|00025002|0.00|340| | |OK|37480|0|N
H5253|174|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0004 (HMO-POS)|00025002|0.00|340| | |OK|37500|0|N
H5253|174|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0004 (HMO-POS)|00025002|0.00|340| | |OK|37510|0|N
H5253|174|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0004 (HMO-POS)|00025002|0.00|340| | |OK|37520|0|N
H5253|174|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0004 (HMO-POS)|00025002|0.00|340| | |OK|37530|0|N
H5253|174|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0004 (HMO-POS)|00025002|0.00|340| | |OK|37550|0|N
H5253|174|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0004 (HMO-POS)|00025002|0.00|340| | |OK|37560|0|N
H5253|174|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0004 (HMO-POS)|00025002|0.00|340| | |OK|37570|0|N
H5253|174|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0004 (HMO-POS)|00025002|0.00|340| | |OK|37580|0|N
H5253|174|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0004 (HMO-POS)|00025002|0.00|340| | |OK|37600|0|N
H5253|174|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0004 (HMO-POS)|00025002|0.00|340| | |OK|37630|0|N
H5253|174|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0004 (HMO-POS)|00025002|0.00|340| | |OK|37650|0|N
H5253|174|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0004 (HMO-POS)|00025002|0.00|340| | |OK|37670|0|N
H5253|174|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0004 (HMO-POS)|00025002|0.00|340| | |OK|37710|0|N
H5253|174|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0004 (HMO-POS)|00025002|0.00|340| | |OK|37720|0|N
H5253|174|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC OK-0004 (HMO-POS)|00025002|0.00|340| | |OK|37730|0|N
H5253|175|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OK-8 (HMO-POS C-SNP)|00025003|0.00|340| | |OK|37070|1|N
H5253|175|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OK-8 (HMO-POS C-SNP)|00025003|0.00|340| | |OK|37080|1|N
H5253|175|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OK-8 (HMO-POS C-SNP)|00025003|0.00|340| | |OK|37130|1|N
H5253|175|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OK-8 (HMO-POS C-SNP)|00025003|0.00|340| | |OK|37250|1|N
H5253|175|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OK-8 (HMO-POS C-SNP)|00025003|0.00|340| | |OK|37360|1|N
H5253|175|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OK-8 (HMO-POS C-SNP)|00025003|0.00|340| | |OK|37400|1|N
H5253|175|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OK-8 (HMO-POS C-SNP)|00025003|0.00|340| | |OK|37410|1|N
H5253|175|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OK-8 (HMO-POS C-SNP)|00025003|0.00|340| | |OK|37430|1|N
H5253|175|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OK-8 (HMO-POS C-SNP)|00025003|0.00|340| | |OK|37540|1|N
H5253|175|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OK-8 (HMO-POS C-SNP)|00025003|0.00|340| | |OK|37620|1|N
H5253|176|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OK-9 (HMO-POS C-SNP)|00025003|0.00|340| | |OK|37180|1|N
H5253|176|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OK-9 (HMO-POS C-SNP)|00025003|0.00|340| | |OK|37480|1|N
H5253|176|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OK-9 (HMO-POS C-SNP)|00025003|0.00|340| | |OK|37500|1|N
H5253|176|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OK-9 (HMO-POS C-SNP)|00025003|0.00|340| | |OK|37550|1|N
H5253|176|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OK-9 (HMO-POS C-SNP)|00025003|0.00|340| | |OK|37560|1|N
H5253|176|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OK-9 (HMO-POS C-SNP)|00025003|0.00|340| | |OK|37710|1|N
H5253|176|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OK-9 (HMO-POS C-SNP)|00025003|0.00|340| | |OK|37720|1|N
H5253|176|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OK-9 (HMO-POS C-SNP)|00025003|0.00|340| | |OK|37730|1|N
H5253|178|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage CareFlex from UHC AZ-17 (HMO-POS)|00025002|0.00|495| | |AZ|03040|0|N
H5253|178|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage CareFlex from UHC AZ-17 (HMO-POS)|00025002|0.00|495| | |AZ|03090|0|N
H5253|178|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage CareFlex from UHC AZ-17 (HMO-POS)|00025002|0.00|495| | |AZ|03110|0|N
H5253|179|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care DE-4 (HMO-POS C-SNP)|00025003|0.00|340| | |DE|08000|1|N
H5253|179|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care DE-4 (HMO-POS C-SNP)|00025003|0.00|340| | |DE|08010|1|N
H5253|179|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care DE-4 (HMO-POS C-SNP)|00025003|0.00|340| | |DE|08020|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IA|16050|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IA|16060|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IA|16070|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IA|16100|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IA|16110|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IA|16120|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IA|16130|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IA|16150|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IA|16160|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IA|16200|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IA|16210|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IA|16220|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IA|16230|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IA|16240|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IA|16270|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IA|16280|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IA|16290|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IA|16300|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IA|16310|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IA|16320|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IA|16330|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IA|16340|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IA|16370|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IA|16390|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IA|16400|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IA|16410|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IA|16430|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IA|16450|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IA|16470|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IA|16480|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IA|16490|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IA|16510|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IA|16520|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IA|16530|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IA|16540|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IA|16550|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IA|16560|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IA|16570|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IA|16600|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IA|16630|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IA|16690|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IA|16730|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IA|16750|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IA|16760|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IA|16780|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IA|16800|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IA|16810|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IA|16840|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IA|16850|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IA|16900|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IA|16910|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IA|16930|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IA|16940|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IA|16980|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IL|14450|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IL|14740|1|N
H5253|180|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care IA-5 (HMO-POS C-SNP)|00025003|0.00|420| | |IL|14890|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18000|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18010|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18020|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18030|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18040|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18050|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18060|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18080|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18090|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18100|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18110|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18120|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18130|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18140|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18150|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18160|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18170|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18190|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18191|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18210|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18220|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18230|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18240|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18250|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18260|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18270|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18271|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18290|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18291|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18310|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18320|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18330|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18340|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18350|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18360|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18361|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18362|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18390|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18410|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18420|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18421|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18440|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18450|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18460|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18470|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18480|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18490|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18500|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18510|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18511|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18530|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18540|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18550|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18560|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18570|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18590|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18600|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18610|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18620|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18630|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18640|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18650|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18660|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18670|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18680|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18690|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18700|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18710|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18720|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18730|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18740|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18750|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18760|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18770|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18780|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18790|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18800|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18801|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18802|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18830|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18831|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18850|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18860|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18861|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18880|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18890|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18900|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18910|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18920|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18930|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18931|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18960|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18970|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18971|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18972|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18973|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18974|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18975|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18976|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18977|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18978|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18979|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18980|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18981|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18982|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18983|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18984|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18985|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18986|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18987|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18988|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18989|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18990|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18991|1|N
H5253|182|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care KY-6 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18992|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25010|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25020|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25030|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25040|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25050|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25060|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25070|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25080|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25090|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25100|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25110|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25120|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25130|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25140|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25150|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25160|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25170|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25180|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25190|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25200|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25210|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25220|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25230|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25240|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25250|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25260|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25270|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25280|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25290|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25300|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25310|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25320|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25330|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25340|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25350|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25360|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25370|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25380|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25390|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25400|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25410|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25420|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25440|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25450|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25460|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25470|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25480|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25490|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25500|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25510|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25530|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25540|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25550|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25560|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25570|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25580|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25590|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25600|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25610|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25620|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25630|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25640|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25650|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25660|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25670|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25680|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25690|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25700|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25710|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25720|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25730|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25740|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25750|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25760|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25770|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25780|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25790|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25800|1|N
H5253|183|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care MS-6 (HMO-POS C-SNP)|00025003|0.00|255| | |MS|25810|1|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34000|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34010|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34020|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34030|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34040|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34050|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34060|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34070|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34080|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34090|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34100|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34110|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34120|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34130|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34140|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34160|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34170|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34180|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34190|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34200|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34210|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34220|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34230|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34240|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34250|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34251|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34270|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34280|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34290|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34300|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34310|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34320|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34330|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34340|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34350|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34360|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34370|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34380|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34390|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34400|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34410|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34420|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34430|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34440|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34450|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34460|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34470|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34480|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34490|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34500|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34510|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34520|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34530|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34540|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34550|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34560|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34570|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34580|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34590|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34600|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34610|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34620|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34630|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34640|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34650|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34660|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34670|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34680|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34690|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34700|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34710|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34720|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34730|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34740|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34750|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34760|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34770|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34780|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34790|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34800|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34810|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34820|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34830|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34840|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34850|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34860|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34870|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34880|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34890|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34900|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34910|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34920|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34930|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34940|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34950|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34960|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34970|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34980|2|N
H5253|184|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete NC-S3 (HMO-POS D-SNP)|00025002|0.00|590| | |NC|34981|2|N
H5253|185|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-24 (HMO-POS)|00025002|0.00|340| | |NC|34020|0|N
H5253|185|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-24 (HMO-POS)|00025002|0.00|340| | |NC|34040|0|N
H5253|185|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-24 (HMO-POS)|00025002|0.00|340| | |NC|34050|0|N
H5253|185|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-24 (HMO-POS)|00025002|0.00|340| | |NC|34100|0|N
H5253|185|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-24 (HMO-POS)|00025002|0.00|340| | |NC|34110|0|N
H5253|185|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-24 (HMO-POS)|00025002|0.00|340| | |NC|34130|0|N
H5253|185|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-24 (HMO-POS)|00025002|0.00|340| | |NC|34190|0|N
H5253|185|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-24 (HMO-POS)|00025002|0.00|340| | |NC|34210|0|N
H5253|185|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-24 (HMO-POS)|00025002|0.00|340| | |NC|34220|0|N
H5253|185|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-24 (HMO-POS)|00025002|0.00|340| | |NC|34370|0|N
H5253|185|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-24 (HMO-POS)|00025002|0.00|340| | |NC|34430|0|N
H5253|185|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-24 (HMO-POS)|00025002|0.00|340| | |NC|34440|0|N
H5253|185|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-24 (HMO-POS)|00025002|0.00|340| | |NC|34490|0|N
H5253|185|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-24 (HMO-POS)|00025002|0.00|340| | |NC|34540|0|N
H5253|185|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-24 (HMO-POS)|00025002|0.00|340| | |NC|34550|0|N
H5253|185|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-24 (HMO-POS)|00025002|0.00|340| | |NC|34560|0|N
H5253|185|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-24 (HMO-POS)|00025002|0.00|340| | |NC|34570|0|N
H5253|185|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-24 (HMO-POS)|00025002|0.00|340| | |NC|34600|0|N
H5253|185|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-24 (HMO-POS)|00025002|0.00|340| | |NC|34740|0|N
H5253|185|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-24 (HMO-POS)|00025002|0.00|340| | |NC|34800|0|N
H5253|185|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-24 (HMO-POS)|00025002|0.00|340| | |NC|34860|0|N
H5253|185|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-24 (HMO-POS)|00025002|0.00|340| | |NC|34870|0|N
H5253|185|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-24 (HMO-POS)|00025002|0.00|340| | |NC|34940|0|N
H5253|185|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-24 (HMO-POS)|00025002|0.00|340| | |NC|34960|0|N
H5253|185|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-24 (HMO-POS)|00025002|0.00|340| | |NC|34981|0|N
H5253|186|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-25 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34020|1|N
H5253|186|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-25 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34040|1|N
H5253|186|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-25 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34050|1|N
H5253|186|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-25 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34100|1|N
H5253|186|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-25 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34110|1|N
H5253|186|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-25 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34130|1|N
H5253|186|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-25 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34190|1|N
H5253|186|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-25 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34210|1|N
H5253|186|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-25 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34220|1|N
H5253|186|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-25 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34370|1|N
H5253|186|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-25 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34430|1|N
H5253|186|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-25 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34440|1|N
H5253|186|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-25 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34490|1|N
H5253|186|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-25 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34540|1|N
H5253|186|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-25 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34550|1|N
H5253|186|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-25 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34560|1|N
H5253|186|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-25 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34570|1|N
H5253|186|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-25 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34600|1|N
H5253|186|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-25 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34740|1|N
H5253|186|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-25 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34800|1|N
H5253|186|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-25 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34860|1|N
H5253|186|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-25 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34870|1|N
H5253|186|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-25 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34940|1|N
H5253|186|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-25 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34960|1|N
H5253|186|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-25 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34981|1|N
H5253|187|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-26 (HMO-POS)|00025002|0.00|340| | |NC|34060|0|N
H5253|187|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-26 (HMO-POS)|00025002|0.00|340| | |NC|34070|0|N
H5253|187|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-26 (HMO-POS)|00025002|0.00|340| | |NC|34080|0|N
H5253|187|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-26 (HMO-POS)|00025002|0.00|340| | |NC|34090|0|N
H5253|187|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-26 (HMO-POS)|00025002|0.00|340| | |NC|34140|0|N
H5253|187|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-26 (HMO-POS)|00025002|0.00|340| | |NC|34200|0|N
H5253|187|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-26 (HMO-POS)|00025002|0.00|340| | |NC|34230|0|N
H5253|187|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-26 (HMO-POS)|00025002|0.00|340| | |NC|34240|0|N
H5253|187|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-26 (HMO-POS)|00025002|0.00|340| | |NC|34251|0|N
H5253|187|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-26 (HMO-POS)|00025002|0.00|340| | |NC|34270|0|N
H5253|187|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-26 (HMO-POS)|00025002|0.00|340| | |NC|34300|0|N
H5253|187|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-26 (HMO-POS)|00025002|0.00|340| | |NC|34320|0|N
H5253|187|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-26 (HMO-POS)|00025002|0.00|340| | |NC|34360|0|N
H5253|187|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-26 (HMO-POS)|00025002|0.00|340| | |NC|34390|0|N
H5253|187|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-26 (HMO-POS)|00025002|0.00|340| | |NC|34410|0|N
H5253|187|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-26 (HMO-POS)|00025002|0.00|340| | |NC|34450|0|N
H5253|187|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-26 (HMO-POS)|00025002|0.00|340| | |NC|34470|0|N
H5253|187|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-26 (HMO-POS)|00025002|0.00|340| | |NC|34510|0|N
H5253|187|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-26 (HMO-POS)|00025002|0.00|340| | |NC|34530|0|N
H5253|187|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-26 (HMO-POS)|00025002|0.00|340| | |NC|34580|0|N
H5253|187|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-26 (HMO-POS)|00025002|0.00|340| | |NC|34640|0|N
H5253|187|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-26 (HMO-POS)|00025002|0.00|340| | |NC|34650|0|N
H5253|187|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-26 (HMO-POS)|00025002|0.00|340| | |NC|34660|0|N
H5253|187|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-26 (HMO-POS)|00025002|0.00|340| | |NC|34680|0|N
H5253|187|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-26 (HMO-POS)|00025002|0.00|340| | |NC|34690|0|N
H5253|187|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-26 (HMO-POS)|00025002|0.00|340| | |NC|34700|0|N
H5253|187|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-26 (HMO-POS)|00025002|0.00|340| | |NC|34710|0|N
H5253|187|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-26 (HMO-POS)|00025002|0.00|340| | |NC|34730|0|N
H5253|187|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-26 (HMO-POS)|00025002|0.00|340| | |NC|34770|0|N
H5253|187|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-26 (HMO-POS)|00025002|0.00|340| | |NC|34880|0|N
H5253|187|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-26 (HMO-POS)|00025002|0.00|340| | |NC|34920|0|N
H5253|187|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage from UHC NC-26 (HMO-POS)|00025002|0.00|340| | |NC|34930|0|N
H5253|188|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-27 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34060|1|N
H5253|188|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-27 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34070|1|N
H5253|188|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-27 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34080|1|N
H5253|188|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-27 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34090|1|N
H5253|188|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-27 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34140|1|N
H5253|188|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-27 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34200|1|N
H5253|188|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-27 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34230|1|N
H5253|188|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-27 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34240|1|N
H5253|188|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-27 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34251|1|N
H5253|188|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-27 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34270|1|N
H5253|188|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-27 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34300|1|N
H5253|188|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-27 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34320|1|N
H5253|188|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-27 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34360|1|N
H5253|188|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-27 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34390|1|N
H5253|188|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-27 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34410|1|N
H5253|188|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-27 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34450|1|N
H5253|188|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-27 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34470|1|N
H5253|188|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-27 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34510|1|N
H5253|188|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-27 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34530|1|N
H5253|188|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-27 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34580|1|N
H5253|188|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-27 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34640|1|N
H5253|188|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-27 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34650|1|N
H5253|188|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-27 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34660|1|N
H5253|188|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-27 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34680|1|N
H5253|188|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-27 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34690|1|N
H5253|188|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-27 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34700|1|N
H5253|188|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-27 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34710|1|N
H5253|188|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-27 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34730|1|N
H5253|188|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-27 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34770|1|N
H5253|188|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-27 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34880|1|N
H5253|188|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-27 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34920|1|N
H5253|188|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-27 (HMO-POS C-SNP)|00025003|0.00|340| | |NC|34930|1|N
H5253|189|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-28 (HMO-POS C-SNP)|00025003|0.00|255| | |NC|34000|1|N
H5253|189|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-28 (HMO-POS C-SNP)|00025003|0.00|255| | |NC|34010|1|N
H5253|189|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-28 (HMO-POS C-SNP)|00025003|0.00|255| | |NC|34030|1|N
H5253|189|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-28 (HMO-POS C-SNP)|00025003|0.00|255| | |NC|34120|1|N
H5253|189|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-28 (HMO-POS C-SNP)|00025003|0.00|255| | |NC|34160|1|N
H5253|189|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-28 (HMO-POS C-SNP)|00025003|0.00|255| | |NC|34170|1|N
H5253|189|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-28 (HMO-POS C-SNP)|00025003|0.00|255| | |NC|34180|1|N
H5253|189|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-28 (HMO-POS C-SNP)|00025003|0.00|255| | |NC|34250|1|N
H5253|189|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-28 (HMO-POS C-SNP)|00025003|0.00|255| | |NC|34280|1|N
H5253|189|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-28 (HMO-POS C-SNP)|00025003|0.00|255| | |NC|34290|1|N
H5253|189|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-28 (HMO-POS C-SNP)|00025003|0.00|255| | |NC|34310|1|N
H5253|189|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-28 (HMO-POS C-SNP)|00025003|0.00|255| | |NC|34330|1|N
H5253|189|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-28 (HMO-POS C-SNP)|00025003|0.00|255| | |NC|34340|1|N
H5253|189|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-28 (HMO-POS C-SNP)|00025003|0.00|255| | |NC|34350|1|N
H5253|189|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-28 (HMO-POS C-SNP)|00025003|0.00|255| | |NC|34380|1|N
H5253|189|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-28 (HMO-POS C-SNP)|00025003|0.00|255| | |NC|34400|1|N
H5253|189|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-28 (HMO-POS C-SNP)|00025003|0.00|255| | |NC|34420|1|N
H5253|189|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-28 (HMO-POS C-SNP)|00025003|0.00|255| | |NC|34460|1|N
H5253|189|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-28 (HMO-POS C-SNP)|00025003|0.00|255| | |NC|34480|1|N
H5253|189|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-28 (HMO-POS C-SNP)|00025003|0.00|255| | |NC|34500|1|N
H5253|189|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-28 (HMO-POS C-SNP)|00025003|0.00|255| | |NC|34520|1|N
H5253|189|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-28 (HMO-POS C-SNP)|00025003|0.00|255| | |NC|34590|1|N
H5253|189|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-28 (HMO-POS C-SNP)|00025003|0.00|255| | |NC|34610|1|N
H5253|189|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-28 (HMO-POS C-SNP)|00025003|0.00|255| | |NC|34620|1|N
H5253|189|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-28 (HMO-POS C-SNP)|00025003|0.00|255| | |NC|34630|1|N
H5253|189|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-28 (HMO-POS C-SNP)|00025003|0.00|255| | |NC|34670|1|N
H5253|189|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-28 (HMO-POS C-SNP)|00025003|0.00|255| | |NC|34720|1|N
H5253|189|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-28 (HMO-POS C-SNP)|00025003|0.00|255| | |NC|34750|1|N
H5253|189|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-28 (HMO-POS C-SNP)|00025003|0.00|255| | |NC|34760|1|N
H5253|189|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-28 (HMO-POS C-SNP)|00025003|0.00|255| | |NC|34780|1|N
H5253|189|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-28 (HMO-POS C-SNP)|00025003|0.00|255| | |NC|34790|1|N
H5253|189|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-28 (HMO-POS C-SNP)|00025003|0.00|255| | |NC|34810|1|N
H5253|189|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-28 (HMO-POS C-SNP)|00025003|0.00|255| | |NC|34820|1|N
H5253|189|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-28 (HMO-POS C-SNP)|00025003|0.00|255| | |NC|34830|1|N
H5253|189|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-28 (HMO-POS C-SNP)|00025003|0.00|255| | |NC|34840|1|N
H5253|189|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-28 (HMO-POS C-SNP)|00025003|0.00|255| | |NC|34850|1|N
H5253|189|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-28 (HMO-POS C-SNP)|00025003|0.00|255| | |NC|34890|1|N
H5253|189|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-28 (HMO-POS C-SNP)|00025003|0.00|255| | |NC|34900|1|N
H5253|189|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-28 (HMO-POS C-SNP)|00025003|0.00|255| | |NC|34910|1|N
H5253|189|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-28 (HMO-POS C-SNP)|00025003|0.00|255| | |NC|34950|1|N
H5253|189|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-28 (HMO-POS C-SNP)|00025003|0.00|255| | |NC|34970|1|N
H5253|189|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care NC-28 (HMO-POS C-SNP)|00025003|0.00|255| | |NC|34980|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18070|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18180|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18400|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18580|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |KY|18932|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36000|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36010|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36020|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36030|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36040|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36050|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36060|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36070|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36080|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36090|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36100|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36110|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36120|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36130|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36140|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36150|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36160|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36170|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36190|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36200|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36210|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36220|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36230|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36240|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36250|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36260|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36270|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36280|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36290|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36300|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36310|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36330|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36340|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36350|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36360|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36370|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36380|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36390|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36400|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36410|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36420|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36430|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36440|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36450|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36460|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36470|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36480|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36490|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36500|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36510|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36520|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36530|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36540|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36550|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36560|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36570|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36580|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36590|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36600|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36610|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36620|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36630|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36640|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36650|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36660|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36670|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36680|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36690|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36700|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36710|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36720|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36730|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36740|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36750|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36760|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36770|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36780|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36790|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36800|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36810|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36820|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36830|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36840|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36850|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36860|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36870|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36880|1|N
H5253|190|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care OH-18 (HMO-POS C-SNP)|00025003|0.00|340| | |OH|36890|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39000|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39010|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39070|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39080|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39100|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39110|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39120|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39130|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39140|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39150|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39160|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39180|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39190|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39200|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39210|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39220|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39230|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39240|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39250|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39260|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39270|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39280|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39290|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39310|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39320|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39330|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39340|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39350|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39360|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39370|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39380|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39390|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39400|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39410|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39420|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39440|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39450|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39460|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39470|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39480|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39510|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39520|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39530|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39540|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39550|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39560|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39580|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39590|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39600|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39610|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39620|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39630|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39640|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39650|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39670|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39680|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39690|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39700|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39710|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39720|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39730|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39740|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39750|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39760|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39770|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39790|1|N
H5253|192|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care PA-17 (HMO-POS C-SNP)|00025003|0.00|340| | |PA|39800|1|N
H5253|193|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44010|1|N
H5253|193|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44020|1|N
H5253|193|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44070|1|N
H5253|193|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44080|1|N
H5253|193|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44100|1|N
H5253|193|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44110|1|N
H5253|193|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44150|1|N
H5253|193|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44160|1|N
H5253|193|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44180|1|N
H5253|193|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44190|1|N
H5253|193|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44200|1|N
H5253|193|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44210|1|N
H5253|193|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44220|1|N
H5253|193|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44230|1|N
H5253|193|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44260|1|N
H5253|193|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44270|1|N
H5253|193|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44340|1|N
H5253|193|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44350|1|N
H5253|193|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44370|1|N
H5253|193|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44380|1|N
H5253|193|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44390|1|N
H5253|193|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44400|1|N
H5253|193|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44410|1|N
H5253|193|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44420|1|N
H5253|193|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44430|1|N
H5253|193|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44470|1|N
H5253|193|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44480|1|N
H5253|193|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44490|1|N
H5253|193|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44500|1|N
H5253|193|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44510|1|N
H5253|193|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44540|1|N
H5253|193|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44550|1|N
H5253|193|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44560|1|N
H5253|193|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44580|1|N
H5253|193|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44590|1|N
H5253|193|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44620|1|N
H5253|193|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44630|1|N
H5253|193|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44650|1|N
H5253|193|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44670|1|N
H5253|193|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44730|1|N
H5253|193|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44740|1|N
H5253|193|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44780|1|N
H5253|193|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44790|1|N
H5253|193|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44800|1|N
H5253|193|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44820|1|N
H5253|193|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44830|1|N
H5253|193|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44840|1|N
H5253|193|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44900|1|N
H5253|193|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44910|1|N
H5253|193|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44930|1|N
H5253|193|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44940|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44000|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44030|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44040|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44050|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44060|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44090|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44120|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44130|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44140|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44170|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44240|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44250|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44280|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44290|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44300|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44310|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44320|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44330|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44360|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44440|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44450|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44460|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44520|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44530|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44570|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44600|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44610|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44640|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44660|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44680|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44690|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44700|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44710|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44720|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44750|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44760|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44770|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44810|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44850|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44860|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44870|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44880|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44890|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |TN|44920|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |VA|49100|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |VA|49111|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |VA|49130|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |VA|49250|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |VA|49380|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |VA|49520|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |VA|49661|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |VA|49830|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |VA|49840|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |VA|49860|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |VA|49920|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |VA|49950|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |VA|49970|1|N
H5253|193|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care TC-0005 (HMO-POS C-SNP)|00025003|0.00|255| | |VA|49980|1|N
H5253|194|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|40.00|590| | |TN|44010|1|N
H5253|194|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|40.00|590| | |TN|44020|1|N
H5253|194|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|40.00|590| | |TN|44070|1|N
H5253|194|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|40.00|590| | |TN|44080|1|N
H5253|194|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|40.00|590| | |TN|44100|1|N
H5253|194|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|40.00|590| | |TN|44110|1|N
H5253|194|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|40.00|590| | |TN|44150|1|N
H5253|194|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|40.00|590| | |TN|44160|1|N
H5253|194|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|40.00|590| | |TN|44180|1|N
H5253|194|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|40.00|590| | |TN|44190|1|N
H5253|194|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|40.00|590| | |TN|44200|1|N
H5253|194|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|40.00|590| | |TN|44210|1|N
H5253|194|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|40.00|590| | |TN|44220|1|N
H5253|194|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|40.00|590| | |TN|44230|1|N
H5253|194|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|40.00|590| | |TN|44260|1|N
H5253|194|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|40.00|590| | |TN|44270|1|N
H5253|194|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|40.00|590| | |TN|44340|1|N
H5253|194|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|40.00|590| | |TN|44350|1|N
H5253|194|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|40.00|590| | |TN|44370|1|N
H5253|194|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|40.00|590| | |TN|44380|1|N
H5253|194|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|40.00|590| | |TN|44390|1|N
H5253|194|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|40.00|590| | |TN|44400|1|N
H5253|194|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|40.00|590| | |TN|44410|1|N
H5253|194|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|40.00|590| | |TN|44420|1|N
H5253|194|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|40.00|590| | |TN|44430|1|N
H5253|194|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|40.00|590| | |TN|44470|1|N
H5253|194|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|40.00|590| | |TN|44480|1|N
H5253|194|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|40.00|590| | |TN|44490|1|N
H5253|194|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|40.00|590| | |TN|44500|1|N
H5253|194|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|40.00|590| | |TN|44510|1|N
H5253|194|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|40.00|590| | |TN|44540|1|N
H5253|194|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|40.00|590| | |TN|44550|1|N
H5253|194|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|40.00|590| | |TN|44560|1|N
H5253|194|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|40.00|590| | |TN|44580|1|N
H5253|194|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|40.00|590| | |TN|44590|1|N
H5253|194|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|40.00|590| | |TN|44620|1|N
H5253|194|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|40.00|590| | |TN|44630|1|N
H5253|194|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|40.00|590| | |TN|44650|1|N
H5253|194|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|40.00|590| | |TN|44670|1|N
H5253|194|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|40.00|590| | |TN|44730|1|N
H5253|194|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|40.00|590| | |TN|44740|1|N
H5253|194|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|40.00|590| | |TN|44780|1|N
H5253|194|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|40.00|590| | |TN|44790|1|N
H5253|194|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|40.00|590| | |TN|44800|1|N
H5253|194|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|40.00|590| | |TN|44820|1|N
H5253|194|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|40.00|590| | |TN|44830|1|N
H5253|194|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|40.00|590| | |TN|44840|1|N
H5253|194|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|40.00|590| | |TN|44900|1|N
H5253|194|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|40.00|590| | |TN|44910|1|N
H5253|194|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|40.00|590| | |TN|44930|1|N
H5253|194|001|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|40.00|590| | |TN|44940|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |TN|44000|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |TN|44030|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |TN|44040|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |TN|44050|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |TN|44060|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |TN|44090|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |TN|44120|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |TN|44130|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |TN|44140|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |TN|44170|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |TN|44240|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |TN|44250|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |TN|44280|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |TN|44290|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |TN|44300|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |TN|44310|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |TN|44320|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |TN|44330|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |TN|44360|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |TN|44440|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |TN|44450|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |TN|44460|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |TN|44520|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |TN|44530|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |TN|44570|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |TN|44600|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |TN|44610|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |TN|44640|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |TN|44660|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |TN|44680|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |TN|44690|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |TN|44700|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |TN|44710|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |TN|44720|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |TN|44750|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |TN|44760|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |TN|44770|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |TN|44810|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |TN|44850|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |TN|44860|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |TN|44870|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |TN|44880|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |TN|44890|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |TN|44920|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |VA|49100|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |VA|49111|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |VA|49130|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |VA|49250|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |VA|49380|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |VA|49520|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |VA|49661|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |VA|49830|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |VA|49840|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |VA|49860|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |VA|49920|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |VA|49950|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |VA|49970|1|N
H5253|194|002|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care Support TC-6 (HMO-POS C-SNP)|00025003|35.40|590| | |VA|49980|1|N
H5253|195|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care VA-21 (HMO-POS C-SNP)|00025003|0.00|340| | |VA|49030|1|N
H5253|195|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care VA-21 (HMO-POS C-SNP)|00025003|0.00|340| | |VA|49180|1|N
H5253|195|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care VA-21 (HMO-POS C-SNP)|00025003|0.00|340| | |VA|49200|1|N
H5253|195|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care VA-21 (HMO-POS C-SNP)|00025003|0.00|340| | |VA|49212|1|N
H5253|195|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care VA-21 (HMO-POS C-SNP)|00025003|0.00|340| | |VA|49370|1|N
H5253|195|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care VA-21 (HMO-POS C-SNP)|00025003|0.00|340| | |VA|49420|1|N
H5253|195|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care VA-21 (HMO-POS C-SNP)|00025003|0.00|340| | |VA|49430|1|N
H5253|195|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care VA-21 (HMO-POS C-SNP)|00025003|0.00|340| | |VA|49451|1|N
H5253|195|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care VA-21 (HMO-POS C-SNP)|00025003|0.00|340| | |VA|49621|1|N
H5253|195|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care VA-21 (HMO-POS C-SNP)|00025003|0.00|340| | |VA|49701|1|N
H5253|195|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care VA-21 (HMO-POS C-SNP)|00025003|0.00|340| | |VA|49720|1|N
H5253|195|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care VA-21 (HMO-POS C-SNP)|00025003|0.00|340| | |VA|49791|1|N
H5253|196|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care VA-22 (HMO-POS C-SNP)|00025003|0.00|255| | |VA|49194|1|N
H5253|196|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care VA-22 (HMO-POS C-SNP)|00025003|0.00|255| | |VA|49411|1|N
H5253|196|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care VA-22 (HMO-POS C-SNP)|00025003|0.00|255| | |VA|49460|1|N
H5253|196|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care VA-22 (HMO-POS C-SNP)|00025003|0.00|255| | |VA|49470|1|N
H5253|196|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care VA-22 (HMO-POS C-SNP)|00025003|0.00|255| | |VA|49622|1|N
H5253|196|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care VA-22 (HMO-POS C-SNP)|00025003|0.00|255| | |VA|49641|1|N
H5253|196|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care VA-22 (HMO-POS C-SNP)|00025003|0.00|255| | |VA|49711|1|N
H5253|196|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care VA-22 (HMO-POS C-SNP)|00025003|0.00|255| | |VA|49712|1|N
H5253|196|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care VA-22 (HMO-POS C-SNP)|00025003|0.00|255| | |VA|49892|1|N
H5253|196|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care VA-22 (HMO-POS C-SNP)|00025003|0.00|255| | |VA|49921|1|N
H5253|196|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care VA-22 (HMO-POS C-SNP)|00025003|0.00|255| | |VA|49961|1|N
H5253|196|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care VA-22 (HMO-POS C-SNP)|00025003|0.00|255| | |VA|49981|1|N
H5253|197|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care VA-23 (HMO-POS C-SNP)|00025003|0.00|340| | |VA|49020|1|N
H5253|197|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care VA-23 (HMO-POS C-SNP)|00025003|0.00|340| | |VA|49040|1|N
H5253|197|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care VA-23 (HMO-POS C-SNP)|00025003|0.00|340| | |VA|49050|1|N
H5253|197|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care VA-23 (HMO-POS C-SNP)|00025003|0.00|340| | |VA|49070|1|N
H5253|197|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care VA-23 (HMO-POS C-SNP)|00025003|0.00|340| | |VA|49090|1|N
H5253|197|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care VA-23 (HMO-POS C-SNP)|00025003|0.00|340| | |VA|49110|1|N
H5253|197|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care VA-23 (HMO-POS C-SNP)|00025003|0.00|340| | |VA|49141|1|N
H5253|197|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care VA-23 (HMO-POS C-SNP)|00025003|0.00|340| | |VA|49150|1|N
H5253|197|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care VA-23 (HMO-POS C-SNP)|00025003|0.00|340| | |VA|49190|1|N
H5253|197|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care VA-23 (HMO-POS C-SNP)|00025003|0.00|340| | |VA|49213|1|N
H5253|197|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care VA-23 (HMO-POS C-SNP)|00025003|0.00|340| | |VA|49220|1|N
H5253|197|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care VA-23 (HMO-POS C-SNP)|00025003|0.00|340| | |VA|49241|1|N
H5253|197|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care VA-23 (HMO-POS C-SNP)|00025003|0.00|340| | |VA|49310|1|N
H5253|197|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care VA-23 (HMO-POS C-SNP)|00025003|0.00|340| | |VA|49330|1|N
H5253|197|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care VA-23 (HMO-POS C-SNP)|00025003|0.00|340| | |VA|49410|1|N
H5253|197|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care VA-23 (HMO-POS C-SNP)|00025003|0.00|340| | |VA|49440|1|N
H5253|197|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care VA-23 (HMO-POS C-SNP)|00025003|0.00|340| | |VA|49522|1|N
H5253|197|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care VA-23 (HMO-POS C-SNP)|00025003|0.00|340| | |VA|49551|1|N
H5253|197|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care VA-23 (HMO-POS C-SNP)|00025003|0.00|340| | |VA|49561|1|N
H5253|197|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care VA-23 (HMO-POS C-SNP)|00025003|0.00|340| | |VA|49600|1|N
H5253|197|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care VA-23 (HMO-POS C-SNP)|00025003|0.00|340| | |VA|49710|1|N
H5253|197|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care VA-23 (HMO-POS C-SNP)|00025003|0.00|340| | |VA|49730|1|N
H5253|197|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care VA-23 (HMO-POS C-SNP)|00025003|0.00|340| | |VA|49771|1|N
H5253|197|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care VA-23 (HMO-POS C-SNP)|00025003|0.00|340| | |VA|49800|1|N
H5253|197|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care VA-23 (HMO-POS C-SNP)|00025003|0.00|340| | |VA|49801|1|N
H5253|197|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care VA-23 (HMO-POS C-SNP)|00025003|0.00|340| | |VA|49810|1|N
H5253|197|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care VA-23 (HMO-POS C-SNP)|00025003|0.00|340| | |VA|49820|1|N
H5253|197|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care VA-23 (HMO-POS C-SNP)|00025003|0.00|340| | |VA|49838|1|N
H5253|197|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care VA-23 (HMO-POS C-SNP)|00025003|0.00|340| | |VA|49891|1|N
H5253|197|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Complete Care VA-23 (HMO-POS C-SNP)|00025003|0.00|340| | |VA|49951|1|N
H5253|198|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage CareFlex from UHC WI-18 (HMO-POS)|00025002|0.00|495| | |WI|52000|0|N
H5253|198|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage CareFlex from UHC WI-18 (HMO-POS)|00025002|0.00|495| | |WI|52040|0|N
H5253|198|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage CareFlex from UHC WI-18 (HMO-POS)|00025002|0.00|495| | |WI|52070|0|N
H5253|198|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage CareFlex from UHC WI-18 (HMO-POS)|00025002|0.00|495| | |WI|52100|0|N
H5253|198|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage CareFlex from UHC WI-18 (HMO-POS)|00025002|0.00|495| | |WI|52120|0|N
H5253|198|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage CareFlex from UHC WI-18 (HMO-POS)|00025002|0.00|495| | |WI|52130|0|N
H5253|198|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage CareFlex from UHC WI-18 (HMO-POS)|00025002|0.00|495| | |WI|52140|0|N
H5253|198|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage CareFlex from UHC WI-18 (HMO-POS)|00025002|0.00|495| | |WI|52180|0|N
H5253|198|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage CareFlex from UHC WI-18 (HMO-POS)|00025002|0.00|495| | |WI|52190|0|N
H5253|198|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage CareFlex from UHC WI-18 (HMO-POS)|00025002|0.00|495| | |WI|52200|0|N
H5253|198|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage CareFlex from UHC WI-18 (HMO-POS)|00025002|0.00|495| | |WI|52210|0|N
H5253|198|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage CareFlex from UHC WI-18 (HMO-POS)|00025002|0.00|495| | |WI|52220|0|N
H5253|198|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage CareFlex from UHC WI-18 (HMO-POS)|00025002|0.00|495| | |WI|52230|0|N
H5253|198|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage CareFlex from UHC WI-18 (HMO-POS)|00025002|0.00|495| | |WI|52240|0|N
H5253|198|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage CareFlex from UHC WI-18 (HMO-POS)|00025002|0.00|495| | |WI|52270|0|N
H5253|198|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage CareFlex from UHC WI-18 (HMO-POS)|00025002|0.00|495| | |WI|52290|0|N
H5253|198|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage CareFlex from UHC WI-18 (HMO-POS)|00025002|0.00|495| | |WI|52300|0|N
H5253|198|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage CareFlex from UHC WI-18 (HMO-POS)|00025002|0.00|495| | |WI|52320|0|N
H5253|198|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage CareFlex from UHC WI-18 (HMO-POS)|00025002|0.00|495| | |WI|52330|0|N
H5253|198|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage CareFlex from UHC WI-18 (HMO-POS)|00025002|0.00|495| | |WI|52350|0|N
H5253|198|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage CareFlex from UHC WI-18 (HMO-POS)|00025002|0.00|495| | |WI|52370|0|N
H5253|198|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage CareFlex from UHC WI-18 (HMO-POS)|00025002|0.00|495| | |WI|52380|0|N
H5253|198|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage CareFlex from UHC WI-18 (HMO-POS)|00025002|0.00|495| | |WI|52381|0|N
H5253|198|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage CareFlex from UHC WI-18 (HMO-POS)|00025002|0.00|495| | |WI|52390|0|N
H5253|198|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage CareFlex from UHC WI-18 (HMO-POS)|00025002|0.00|495| | |WI|52410|0|N
H5253|198|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage CareFlex from UHC WI-18 (HMO-POS)|00025002|0.00|495| | |WI|52430|0|N
H5253|198|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage CareFlex from UHC WI-18 (HMO-POS)|00025002|0.00|495| | |WI|52440|0|N
H5253|198|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage CareFlex from UHC WI-18 (HMO-POS)|00025002|0.00|495| | |WI|52500|0|N
H5253|198|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage CareFlex from UHC WI-18 (HMO-POS)|00025002|0.00|495| | |WI|52520|0|N
H5253|198|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage CareFlex from UHC WI-18 (HMO-POS)|00025002|0.00|495| | |WI|52550|0|N
H5253|198|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage CareFlex from UHC WI-18 (HMO-POS)|00025002|0.00|495| | |WI|52570|0|N
H5253|198|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage CareFlex from UHC WI-18 (HMO-POS)|00025002|0.00|495| | |WI|52580|0|N
H5253|198|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage CareFlex from UHC WI-18 (HMO-POS)|00025002|0.00|495| | |WI|52630|0|N
H5253|198|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage CareFlex from UHC WI-18 (HMO-POS)|00025002|0.00|495| | |WI|52650|0|N
H5253|198|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage CareFlex from UHC WI-18 (HMO-POS)|00025002|0.00|495| | |WI|52660|0|N
H5253|198|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage CareFlex from UHC WI-18 (HMO-POS)|00025002|0.00|495| | |WI|52670|0|N
H5253|198|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage CareFlex from UHC WI-18 (HMO-POS)|00025002|0.00|495| | |WI|52680|0|N
H5253|198|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|AARP Medicare Advantage CareFlex from UHC WI-18 (HMO-POS)|00025002|0.00|495| | |WI|52690|0|N
H5262|001|000|QUARTZ HEALTH PLAN CORPORATION|Gundersen Quartz Med Advantage Elite D (w/Rx) (HMO)|00025414|58.60|200| | |IA|16020|0|N
H5262|001|000|QUARTZ HEALTH PLAN CORPORATION|Gundersen Quartz Med Advantage Elite D (w/Rx) (HMO)|00025414|58.60|200| | |IA|16210|0|N
H5262|001|000|QUARTZ HEALTH PLAN CORPORATION|Gundersen Quartz Med Advantage Elite D (w/Rx) (HMO)|00025414|58.60|200| | |IA|16320|0|N
H5262|001|000|QUARTZ HEALTH PLAN CORPORATION|Gundersen Quartz Med Advantage Elite D (w/Rx) (HMO)|00025414|58.60|200| | |IA|16440|0|N
H5262|001|000|QUARTZ HEALTH PLAN CORPORATION|Gundersen Quartz Med Advantage Elite D (w/Rx) (HMO)|00025414|58.60|200| | |IA|16950|0|N
H5262|001|000|QUARTZ HEALTH PLAN CORPORATION|Gundersen Quartz Med Advantage Elite D (w/Rx) (HMO)|00025414|58.60|200| | |WI|52050|0|N
H5262|001|000|QUARTZ HEALTH PLAN CORPORATION|Gundersen Quartz Med Advantage Elite D (w/Rx) (HMO)|00025414|58.60|200| | |WI|52080|0|N
H5262|001|000|QUARTZ HEALTH PLAN CORPORATION|Gundersen Quartz Med Advantage Elite D (w/Rx) (HMO)|00025414|58.60|200| | |WI|52110|0|N
H5262|001|000|QUARTZ HEALTH PLAN CORPORATION|Gundersen Quartz Med Advantage Elite D (w/Rx) (HMO)|00025414|58.60|200| | |WI|52170|0|N
H5262|001|000|QUARTZ HEALTH PLAN CORPORATION|Gundersen Quartz Med Advantage Elite D (w/Rx) (HMO)|00025414|58.60|200| | |WI|52260|0|N
H5262|001|000|QUARTZ HEALTH PLAN CORPORATION|Gundersen Quartz Med Advantage Elite D (w/Rx) (HMO)|00025414|58.60|200| | |WI|52280|0|N
H5262|001|000|QUARTZ HEALTH PLAN CORPORATION|Gundersen Quartz Med Advantage Elite D (w/Rx) (HMO)|00025414|58.60|200| | |WI|52310|0|N
H5262|001|000|QUARTZ HEALTH PLAN CORPORATION|Gundersen Quartz Med Advantage Elite D (w/Rx) (HMO)|00025414|58.60|200| | |WI|52400|0|N
H5262|001|000|QUARTZ HEALTH PLAN CORPORATION|Gundersen Quartz Med Advantage Elite D (w/Rx) (HMO)|00025414|58.60|200| | |WI|52450|0|N
H5262|001|000|QUARTZ HEALTH PLAN CORPORATION|Gundersen Quartz Med Advantage Elite D (w/Rx) (HMO)|00025414|58.60|200| | |WI|52600|0|N
H5262|001|000|QUARTZ HEALTH PLAN CORPORATION|Gundersen Quartz Med Advantage Elite D (w/Rx) (HMO)|00025414|58.60|200| | |WI|52610|0|N
H5262|003|000|QUARTZ HEALTH PLAN CORPORATION|Gundersen Quartz Med Advantage Value D (w/Rx) (HMO)|00025414|64.00|225| | |IA|16020|0|N
H5262|003|000|QUARTZ HEALTH PLAN CORPORATION|Gundersen Quartz Med Advantage Value D (w/Rx) (HMO)|00025414|64.00|225| | |IA|16210|0|N
H5262|003|000|QUARTZ HEALTH PLAN CORPORATION|Gundersen Quartz Med Advantage Value D (w/Rx) (HMO)|00025414|64.00|225| | |IA|16320|0|N
H5262|003|000|QUARTZ HEALTH PLAN CORPORATION|Gundersen Quartz Med Advantage Value D (w/Rx) (HMO)|00025414|64.00|225| | |IA|16440|0|N
H5262|003|000|QUARTZ HEALTH PLAN CORPORATION|Gundersen Quartz Med Advantage Value D (w/Rx) (HMO)|00025414|64.00|225| | |IA|16950|0|N
H5262|003|000|QUARTZ HEALTH PLAN CORPORATION|Gundersen Quartz Med Advantage Value D (w/Rx) (HMO)|00025414|64.00|225| | |WI|52050|0|N
H5262|003|000|QUARTZ HEALTH PLAN CORPORATION|Gundersen Quartz Med Advantage Value D (w/Rx) (HMO)|00025414|64.00|225| | |WI|52080|0|N
H5262|003|000|QUARTZ HEALTH PLAN CORPORATION|Gundersen Quartz Med Advantage Value D (w/Rx) (HMO)|00025414|64.00|225| | |WI|52110|0|N
H5262|003|000|QUARTZ HEALTH PLAN CORPORATION|Gundersen Quartz Med Advantage Value D (w/Rx) (HMO)|00025414|64.00|225| | |WI|52170|0|N
H5262|003|000|QUARTZ HEALTH PLAN CORPORATION|Gundersen Quartz Med Advantage Value D (w/Rx) (HMO)|00025414|64.00|225| | |WI|52260|0|N
H5262|003|000|QUARTZ HEALTH PLAN CORPORATION|Gundersen Quartz Med Advantage Value D (w/Rx) (HMO)|00025414|64.00|225| | |WI|52280|0|N
H5262|003|000|QUARTZ HEALTH PLAN CORPORATION|Gundersen Quartz Med Advantage Value D (w/Rx) (HMO)|00025414|64.00|225| | |WI|52310|0|N
H5262|003|000|QUARTZ HEALTH PLAN CORPORATION|Gundersen Quartz Med Advantage Value D (w/Rx) (HMO)|00025414|64.00|225| | |WI|52400|0|N
H5262|003|000|QUARTZ HEALTH PLAN CORPORATION|Gundersen Quartz Med Advantage Value D (w/Rx) (HMO)|00025414|64.00|225| | |WI|52450|0|N
H5262|003|000|QUARTZ HEALTH PLAN CORPORATION|Gundersen Quartz Med Advantage Value D (w/Rx) (HMO)|00025414|64.00|225| | |WI|52600|0|N
H5262|003|000|QUARTZ HEALTH PLAN CORPORATION|Gundersen Quartz Med Advantage Value D (w/Rx) (HMO)|00025414|64.00|225| | |WI|52610|0|N
H5262|007|000|QUARTZ HEALTH PLAN CORPORATION|UW Health Quartz Med Advantage Elite D (w/Rx) (HMO)|00025414|116.50|175| | |WI|52000|0|N
H5262|007|000|QUARTZ HEALTH PLAN CORPORATION|UW Health Quartz Med Advantage Elite D (w/Rx) (HMO)|00025414|116.50|175| | |WI|52100|0|N
H5262|007|000|QUARTZ HEALTH PLAN CORPORATION|UW Health Quartz Med Advantage Elite D (w/Rx) (HMO)|00025414|116.50|175| | |WI|52120|0|N
H5262|007|000|QUARTZ HEALTH PLAN CORPORATION|UW Health Quartz Med Advantage Elite D (w/Rx) (HMO)|00025414|116.50|175| | |WI|52130|0|N
H5262|007|000|QUARTZ HEALTH PLAN CORPORATION|UW Health Quartz Med Advantage Elite D (w/Rx) (HMO)|00025414|116.50|175| | |WI|52210|0|N
H5262|007|000|QUARTZ HEALTH PLAN CORPORATION|UW Health Quartz Med Advantage Elite D (w/Rx) (HMO)|00025414|116.50|175| | |WI|52220|0|N
H5262|007|000|QUARTZ HEALTH PLAN CORPORATION|UW Health Quartz Med Advantage Elite D (w/Rx) (HMO)|00025414|116.50|175| | |WI|52230|0|N
H5262|007|000|QUARTZ HEALTH PLAN CORPORATION|UW Health Quartz Med Advantage Elite D (w/Rx) (HMO)|00025414|116.50|175| | |WI|52240|0|N
H5262|007|000|QUARTZ HEALTH PLAN CORPORATION|UW Health Quartz Med Advantage Elite D (w/Rx) (HMO)|00025414|116.50|175| | |WI|52270|0|N
H5262|007|000|QUARTZ HEALTH PLAN CORPORATION|UW Health Quartz Med Advantage Elite D (w/Rx) (HMO)|00025414|116.50|175| | |WI|52320|0|N
H5262|007|000|QUARTZ HEALTH PLAN CORPORATION|UW Health Quartz Med Advantage Elite D (w/Rx) (HMO)|00025414|116.50|175| | |WI|52380|0|N
H5262|007|000|QUARTZ HEALTH PLAN CORPORATION|UW Health Quartz Med Advantage Elite D (w/Rx) (HMO)|00025414|116.50|175| | |WI|52510|0|N
H5262|007|000|QUARTZ HEALTH PLAN CORPORATION|UW Health Quartz Med Advantage Elite D (w/Rx) (HMO)|00025414|116.50|175| | |WI|52520|0|N
H5262|007|000|QUARTZ HEALTH PLAN CORPORATION|UW Health Quartz Med Advantage Elite D (w/Rx) (HMO)|00025414|116.50|175| | |WI|52550|0|N
H5262|007|000|QUARTZ HEALTH PLAN CORPORATION|UW Health Quartz Med Advantage Elite D (w/Rx) (HMO)|00025414|116.50|175| | |WI|52680|0|N
H5262|008|000|QUARTZ HEALTH PLAN CORPORATION|UW Health Quartz Med Advantage Value D (w/Rx) (HMO)|00025414|42.30|200| | |WI|52000|0|N
H5262|008|000|QUARTZ HEALTH PLAN CORPORATION|UW Health Quartz Med Advantage Value D (w/Rx) (HMO)|00025414|42.30|200| | |WI|52100|0|N
H5262|008|000|QUARTZ HEALTH PLAN CORPORATION|UW Health Quartz Med Advantage Value D (w/Rx) (HMO)|00025414|42.30|200| | |WI|52120|0|N
H5262|008|000|QUARTZ HEALTH PLAN CORPORATION|UW Health Quartz Med Advantage Value D (w/Rx) (HMO)|00025414|42.30|200| | |WI|52130|0|N
H5262|008|000|QUARTZ HEALTH PLAN CORPORATION|UW Health Quartz Med Advantage Value D (w/Rx) (HMO)|00025414|42.30|200| | |WI|52210|0|N
H5262|008|000|QUARTZ HEALTH PLAN CORPORATION|UW Health Quartz Med Advantage Value D (w/Rx) (HMO)|00025414|42.30|200| | |WI|52220|0|N
H5262|008|000|QUARTZ HEALTH PLAN CORPORATION|UW Health Quartz Med Advantage Value D (w/Rx) (HMO)|00025414|42.30|200| | |WI|52230|0|N
H5262|008|000|QUARTZ HEALTH PLAN CORPORATION|UW Health Quartz Med Advantage Value D (w/Rx) (HMO)|00025414|42.30|200| | |WI|52240|0|N
H5262|008|000|QUARTZ HEALTH PLAN CORPORATION|UW Health Quartz Med Advantage Value D (w/Rx) (HMO)|00025414|42.30|200| | |WI|52270|0|N
H5262|008|000|QUARTZ HEALTH PLAN CORPORATION|UW Health Quartz Med Advantage Value D (w/Rx) (HMO)|00025414|42.30|200| | |WI|52320|0|N
H5262|008|000|QUARTZ HEALTH PLAN CORPORATION|UW Health Quartz Med Advantage Value D (w/Rx) (HMO)|00025414|42.30|200| | |WI|52380|0|N
H5262|008|000|QUARTZ HEALTH PLAN CORPORATION|UW Health Quartz Med Advantage Value D (w/Rx) (HMO)|00025414|42.30|200| | |WI|52510|0|N
H5262|008|000|QUARTZ HEALTH PLAN CORPORATION|UW Health Quartz Med Advantage Value D (w/Rx) (HMO)|00025414|42.30|200| | |WI|52520|0|N
H5262|008|000|QUARTZ HEALTH PLAN CORPORATION|UW Health Quartz Med Advantage Value D (w/Rx) (HMO)|00025414|42.30|200| | |WI|52550|0|N
H5262|008|000|QUARTZ HEALTH PLAN CORPORATION|UW Health Quartz Med Advantage Value D (w/Rx) (HMO)|00025414|42.30|200| | |WI|52680|0|N
H5262|011|000|QUARTZ HEALTH PLAN CORPORATION|Aurora Health Quartz Med Advantage Value D (w/Rx) (HMO)|00025414|23.00|300| | |WI|52040|0|N
H5262|011|000|QUARTZ HEALTH PLAN CORPORATION|Aurora Health Quartz Med Advantage Value D (w/Rx) (HMO)|00025414|23.00|300| | |WI|52070|0|N
H5262|011|000|QUARTZ HEALTH PLAN CORPORATION|Aurora Health Quartz Med Advantage Value D (w/Rx) (HMO)|00025414|23.00|300| | |WI|52180|0|N
H5262|011|000|QUARTZ HEALTH PLAN CORPORATION|Aurora Health Quartz Med Advantage Value D (w/Rx) (HMO)|00025414|23.00|300| | |WI|52290|0|N
H5262|011|000|QUARTZ HEALTH PLAN CORPORATION|Aurora Health Quartz Med Advantage Value D (w/Rx) (HMO)|00025414|23.00|300| | |WI|52300|0|N
H5262|011|000|QUARTZ HEALTH PLAN CORPORATION|Aurora Health Quartz Med Advantage Value D (w/Rx) (HMO)|00025414|23.00|300| | |WI|52350|0|N
H5262|011|000|QUARTZ HEALTH PLAN CORPORATION|Aurora Health Quartz Med Advantage Value D (w/Rx) (HMO)|00025414|23.00|300| | |WI|52370|0|N
H5262|011|000|QUARTZ HEALTH PLAN CORPORATION|Aurora Health Quartz Med Advantage Value D (w/Rx) (HMO)|00025414|23.00|300| | |WI|52390|0|N
H5262|011|000|QUARTZ HEALTH PLAN CORPORATION|Aurora Health Quartz Med Advantage Value D (w/Rx) (HMO)|00025414|23.00|300| | |WI|52410|0|N
H5262|011|000|QUARTZ HEALTH PLAN CORPORATION|Aurora Health Quartz Med Advantage Value D (w/Rx) (HMO)|00025414|23.00|300| | |WI|52430|0|N
H5262|011|000|QUARTZ HEALTH PLAN CORPORATION|Aurora Health Quartz Med Advantage Value D (w/Rx) (HMO)|00025414|23.00|300| | |WI|52440|0|N
H5262|011|000|QUARTZ HEALTH PLAN CORPORATION|Aurora Health Quartz Med Advantage Value D (w/Rx) (HMO)|00025414|23.00|300| | |WI|52500|0|N
H5262|011|000|QUARTZ HEALTH PLAN CORPORATION|Aurora Health Quartz Med Advantage Value D (w/Rx) (HMO)|00025414|23.00|300| | |WI|52570|0|N
H5262|011|000|QUARTZ HEALTH PLAN CORPORATION|Aurora Health Quartz Med Advantage Value D (w/Rx) (HMO)|00025414|23.00|300| | |WI|52580|0|N
H5262|011|000|QUARTZ HEALTH PLAN CORPORATION|Aurora Health Quartz Med Advantage Value D (w/Rx) (HMO)|00025414|23.00|300| | |WI|52630|0|N
H5262|011|000|QUARTZ HEALTH PLAN CORPORATION|Aurora Health Quartz Med Advantage Value D (w/Rx) (HMO)|00025414|23.00|300| | |WI|52650|0|N
H5262|011|000|QUARTZ HEALTH PLAN CORPORATION|Aurora Health Quartz Med Advantage Value D (w/Rx) (HMO)|00025414|23.00|300| | |WI|52660|0|N
H5262|011|000|QUARTZ HEALTH PLAN CORPORATION|Aurora Health Quartz Med Advantage Value D (w/Rx) (HMO)|00025414|23.00|300| | |WI|52690|0|N
H5262|012|000|QUARTZ HEALTH PLAN CORPORATION|Aurora Health Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|325| | |WI|52040|0|N
H5262|012|000|QUARTZ HEALTH PLAN CORPORATION|Aurora Health Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|325| | |WI|52070|0|N
H5262|012|000|QUARTZ HEALTH PLAN CORPORATION|Aurora Health Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|325| | |WI|52180|0|N
H5262|012|000|QUARTZ HEALTH PLAN CORPORATION|Aurora Health Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|325| | |WI|52290|0|N
H5262|012|000|QUARTZ HEALTH PLAN CORPORATION|Aurora Health Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|325| | |WI|52300|0|N
H5262|012|000|QUARTZ HEALTH PLAN CORPORATION|Aurora Health Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|325| | |WI|52350|0|N
H5262|012|000|QUARTZ HEALTH PLAN CORPORATION|Aurora Health Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|325| | |WI|52370|0|N
H5262|012|000|QUARTZ HEALTH PLAN CORPORATION|Aurora Health Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|325| | |WI|52390|0|N
H5262|012|000|QUARTZ HEALTH PLAN CORPORATION|Aurora Health Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|325| | |WI|52410|0|N
H5262|012|000|QUARTZ HEALTH PLAN CORPORATION|Aurora Health Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|325| | |WI|52430|0|N
H5262|012|000|QUARTZ HEALTH PLAN CORPORATION|Aurora Health Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|325| | |WI|52440|0|N
H5262|012|000|QUARTZ HEALTH PLAN CORPORATION|Aurora Health Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|325| | |WI|52500|0|N
H5262|012|000|QUARTZ HEALTH PLAN CORPORATION|Aurora Health Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|325| | |WI|52570|0|N
H5262|012|000|QUARTZ HEALTH PLAN CORPORATION|Aurora Health Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|325| | |WI|52580|0|N
H5262|012|000|QUARTZ HEALTH PLAN CORPORATION|Aurora Health Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|325| | |WI|52630|0|N
H5262|012|000|QUARTZ HEALTH PLAN CORPORATION|Aurora Health Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|325| | |WI|52650|0|N
H5262|012|000|QUARTZ HEALTH PLAN CORPORATION|Aurora Health Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|325| | |WI|52660|0|N
H5262|012|000|QUARTZ HEALTH PLAN CORPORATION|Aurora Health Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|325| | |WI|52690|0|N
H5262|018|000|QUARTZ HEALTH PLAN CORPORATION|UW Health IL Quartz Med Advantage Value D(w/Rx) (HMO)|00025414|32.00|225| | |IL|14030|0|N
H5262|018|000|QUARTZ HEALTH PLAN CORPORATION|UW Health IL Quartz Med Advantage Value D(w/Rx) (HMO)|00025414|32.00|225| | |IL|14070|0|N
H5262|018|000|QUARTZ HEALTH PLAN CORPORATION|UW Health IL Quartz Med Advantage Value D(w/Rx) (HMO)|00025414|32.00|225| | |IL|14510|0|N
H5262|018|000|QUARTZ HEALTH PLAN CORPORATION|UW Health IL Quartz Med Advantage Value D(w/Rx) (HMO)|00025414|32.00|225| | |IL|14600|0|N
H5262|018|000|QUARTZ HEALTH PLAN CORPORATION|UW Health IL Quartz Med Advantage Value D(w/Rx) (HMO)|00025414|32.00|225| | |IL|14790|0|N
H5262|018|000|QUARTZ HEALTH PLAN CORPORATION|UW Health IL Quartz Med Advantage Value D(w/Rx) (HMO)|00025414|32.00|225| | |IL|14970|0|N
H5262|018|000|QUARTZ HEALTH PLAN CORPORATION|UW Health IL Quartz Med Advantage Value D(w/Rx) (HMO)|00025414|32.00|225| | |IL|14991|0|N
H5262|019|000|QUARTZ HEALTH PLAN CORPORATION|UW Health IL Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|225| | |IL|14030|0|N
H5262|019|000|QUARTZ HEALTH PLAN CORPORATION|UW Health IL Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|225| | |IL|14070|0|N
H5262|019|000|QUARTZ HEALTH PLAN CORPORATION|UW Health IL Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|225| | |IL|14510|0|N
H5262|019|000|QUARTZ HEALTH PLAN CORPORATION|UW Health IL Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|225| | |IL|14600|0|N
H5262|019|000|QUARTZ HEALTH PLAN CORPORATION|UW Health IL Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|225| | |IL|14790|0|N
H5262|019|000|QUARTZ HEALTH PLAN CORPORATION|UW Health IL Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|225| | |IL|14970|0|N
H5262|019|000|QUARTZ HEALTH PLAN CORPORATION|UW Health IL Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|225| | |IL|14991|0|N
H5262|021|000|QUARTZ HEALTH PLAN CORPORATION|Gundersen Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|225| | |IA|16020|0|N
H5262|021|000|QUARTZ HEALTH PLAN CORPORATION|Gundersen Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|225| | |IA|16210|0|N
H5262|021|000|QUARTZ HEALTH PLAN CORPORATION|Gundersen Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|225| | |IA|16320|0|N
H5262|021|000|QUARTZ HEALTH PLAN CORPORATION|Gundersen Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|225| | |IA|16440|0|N
H5262|021|000|QUARTZ HEALTH PLAN CORPORATION|Gundersen Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|225| | |IA|16950|0|N
H5262|021|000|QUARTZ HEALTH PLAN CORPORATION|Gundersen Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|225| | |WI|52050|0|N
H5262|021|000|QUARTZ HEALTH PLAN CORPORATION|Gundersen Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|225| | |WI|52080|0|N
H5262|021|000|QUARTZ HEALTH PLAN CORPORATION|Gundersen Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|225| | |WI|52110|0|N
H5262|021|000|QUARTZ HEALTH PLAN CORPORATION|Gundersen Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|225| | |WI|52170|0|N
H5262|021|000|QUARTZ HEALTH PLAN CORPORATION|Gundersen Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|225| | |WI|52260|0|N
H5262|021|000|QUARTZ HEALTH PLAN CORPORATION|Gundersen Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|225| | |WI|52280|0|N
H5262|021|000|QUARTZ HEALTH PLAN CORPORATION|Gundersen Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|225| | |WI|52310|0|N
H5262|021|000|QUARTZ HEALTH PLAN CORPORATION|Gundersen Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|225| | |WI|52400|0|N
H5262|021|000|QUARTZ HEALTH PLAN CORPORATION|Gundersen Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|225| | |WI|52450|0|N
H5262|021|000|QUARTZ HEALTH PLAN CORPORATION|Gundersen Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|225| | |WI|52600|0|N
H5262|021|000|QUARTZ HEALTH PLAN CORPORATION|Gundersen Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|225| | |WI|52610|0|N
H5262|023|000|QUARTZ HEALTH PLAN CORPORATION|UW Health Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|200| | |WI|52000|0|N
H5262|023|000|QUARTZ HEALTH PLAN CORPORATION|UW Health Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|200| | |WI|52100|0|N
H5262|023|000|QUARTZ HEALTH PLAN CORPORATION|UW Health Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|200| | |WI|52120|0|N
H5262|023|000|QUARTZ HEALTH PLAN CORPORATION|UW Health Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|200| | |WI|52130|0|N
H5262|023|000|QUARTZ HEALTH PLAN CORPORATION|UW Health Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|200| | |WI|52210|0|N
H5262|023|000|QUARTZ HEALTH PLAN CORPORATION|UW Health Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|200| | |WI|52220|0|N
H5262|023|000|QUARTZ HEALTH PLAN CORPORATION|UW Health Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|200| | |WI|52230|0|N
H5262|023|000|QUARTZ HEALTH PLAN CORPORATION|UW Health Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|200| | |WI|52240|0|N
H5262|023|000|QUARTZ HEALTH PLAN CORPORATION|UW Health Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|200| | |WI|52270|0|N
H5262|023|000|QUARTZ HEALTH PLAN CORPORATION|UW Health Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|200| | |WI|52320|0|N
H5262|023|000|QUARTZ HEALTH PLAN CORPORATION|UW Health Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|200| | |WI|52380|0|N
H5262|023|000|QUARTZ HEALTH PLAN CORPORATION|UW Health Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|200| | |WI|52510|0|N
H5262|023|000|QUARTZ HEALTH PLAN CORPORATION|UW Health Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|200| | |WI|52520|0|N
H5262|023|000|QUARTZ HEALTH PLAN CORPORATION|UW Health Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|200| | |WI|52550|0|N
H5262|023|000|QUARTZ HEALTH PLAN CORPORATION|UW Health Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|200| | |WI|52680|0|N
H5262|024|000|QUARTZ HEALTH PLAN CORPORATION|Aurora Health Quartz Med Advantage Elite D (w/Rx) (HMO)|00025414|58.80|275| | |WI|52040|0|N
H5262|024|000|QUARTZ HEALTH PLAN CORPORATION|Aurora Health Quartz Med Advantage Elite D (w/Rx) (HMO)|00025414|58.80|275| | |WI|52070|0|N
H5262|024|000|QUARTZ HEALTH PLAN CORPORATION|Aurora Health Quartz Med Advantage Elite D (w/Rx) (HMO)|00025414|58.80|275| | |WI|52180|0|N
H5262|024|000|QUARTZ HEALTH PLAN CORPORATION|Aurora Health Quartz Med Advantage Elite D (w/Rx) (HMO)|00025414|58.80|275| | |WI|52290|0|N
H5262|024|000|QUARTZ HEALTH PLAN CORPORATION|Aurora Health Quartz Med Advantage Elite D (w/Rx) (HMO)|00025414|58.80|275| | |WI|52300|0|N
H5262|024|000|QUARTZ HEALTH PLAN CORPORATION|Aurora Health Quartz Med Advantage Elite D (w/Rx) (HMO)|00025414|58.80|275| | |WI|52350|0|N
H5262|024|000|QUARTZ HEALTH PLAN CORPORATION|Aurora Health Quartz Med Advantage Elite D (w/Rx) (HMO)|00025414|58.80|275| | |WI|52370|0|N
H5262|024|000|QUARTZ HEALTH PLAN CORPORATION|Aurora Health Quartz Med Advantage Elite D (w/Rx) (HMO)|00025414|58.80|275| | |WI|52390|0|N
H5262|024|000|QUARTZ HEALTH PLAN CORPORATION|Aurora Health Quartz Med Advantage Elite D (w/Rx) (HMO)|00025414|58.80|275| | |WI|52410|0|N
H5262|024|000|QUARTZ HEALTH PLAN CORPORATION|Aurora Health Quartz Med Advantage Elite D (w/Rx) (HMO)|00025414|58.80|275| | |WI|52430|0|N
H5262|024|000|QUARTZ HEALTH PLAN CORPORATION|Aurora Health Quartz Med Advantage Elite D (w/Rx) (HMO)|00025414|58.80|275| | |WI|52440|0|N
H5262|024|000|QUARTZ HEALTH PLAN CORPORATION|Aurora Health Quartz Med Advantage Elite D (w/Rx) (HMO)|00025414|58.80|275| | |WI|52500|0|N
H5262|024|000|QUARTZ HEALTH PLAN CORPORATION|Aurora Health Quartz Med Advantage Elite D (w/Rx) (HMO)|00025414|58.80|275| | |WI|52570|0|N
H5262|024|000|QUARTZ HEALTH PLAN CORPORATION|Aurora Health Quartz Med Advantage Elite D (w/Rx) (HMO)|00025414|58.80|275| | |WI|52580|0|N
H5262|024|000|QUARTZ HEALTH PLAN CORPORATION|Aurora Health Quartz Med Advantage Elite D (w/Rx) (HMO)|00025414|58.80|275| | |WI|52630|0|N
H5262|024|000|QUARTZ HEALTH PLAN CORPORATION|Aurora Health Quartz Med Advantage Elite D (w/Rx) (HMO)|00025414|58.80|275| | |WI|52650|0|N
H5262|024|000|QUARTZ HEALTH PLAN CORPORATION|Aurora Health Quartz Med Advantage Elite D (w/Rx) (HMO)|00025414|58.80|275| | |WI|52660|0|N
H5262|024|000|QUARTZ HEALTH PLAN CORPORATION|Aurora Health Quartz Med Advantage Elite D (w/Rx) (HMO)|00025414|58.80|275| | |WI|52690|0|N
H5262|026|000|QUARTZ HEALTH PLAN CORPORATION|UW Health IL Quartz Med Advantage Elite D(w/Rx) (HMO)|00025414|64.60|200| | |IL|14030|0|N
H5262|026|000|QUARTZ HEALTH PLAN CORPORATION|UW Health IL Quartz Med Advantage Elite D(w/Rx) (HMO)|00025414|64.60|200| | |IL|14070|0|N
H5262|026|000|QUARTZ HEALTH PLAN CORPORATION|UW Health IL Quartz Med Advantage Elite D(w/Rx) (HMO)|00025414|64.60|200| | |IL|14510|0|N
H5262|026|000|QUARTZ HEALTH PLAN CORPORATION|UW Health IL Quartz Med Advantage Elite D(w/Rx) (HMO)|00025414|64.60|200| | |IL|14600|0|N
H5262|026|000|QUARTZ HEALTH PLAN CORPORATION|UW Health IL Quartz Med Advantage Elite D(w/Rx) (HMO)|00025414|64.60|200| | |IL|14790|0|N
H5262|026|000|QUARTZ HEALTH PLAN CORPORATION|UW Health IL Quartz Med Advantage Elite D(w/Rx) (HMO)|00025414|64.60|200| | |IL|14970|0|N
H5262|026|000|QUARTZ HEALTH PLAN CORPORATION|UW Health IL Quartz Med Advantage Elite D(w/Rx) (HMO)|00025414|64.60|200| | |IL|14991|0|N
H5262|029|000|QUARTZ HEALTH PLAN CORPORATION|Gundersen Quartz Med Advantage Dual Eligible (HMO D-SNP)|00025414|43.50|590| | |WI|52310|2|N
H5262|030|000|QUARTZ HEALTH PLAN CORPORATION|UW Health Quartz Med Advantage Dual Eligible (HMO D-SNP)|00025414|43.50|590| | |WI|52120|2|N
H5262|031|000|QUARTZ HEALTH PLAN CORPORATION|Aurora Health Quartz Med Advantage Dual Eligible (HMO D-SNP)|00025414|43.50|590| | |WI|52390|2|N
H5273|001|000|CAREPARTNERS OF CONNECTICUT, INC.|CarePartners of CT CareAdvantage Preferred (HMO)|00025502|0.00|0| | |CT|07010|0|N
H5273|001|000|CAREPARTNERS OF CONNECTICUT, INC.|CarePartners of CT CareAdvantage Preferred (HMO)|00025502|0.00|0| | |CT|07020|0|N
H5273|001|000|CAREPARTNERS OF CONNECTICUT, INC.|CarePartners of CT CareAdvantage Preferred (HMO)|00025502|0.00|0| | |CT|07030|0|N
H5273|001|000|CAREPARTNERS OF CONNECTICUT, INC.|CarePartners of CT CareAdvantage Preferred (HMO)|00025502|0.00|0| | |CT|07040|0|N
H5273|001|000|CAREPARTNERS OF CONNECTICUT, INC.|CarePartners of CT CareAdvantage Preferred (HMO)|00025502|0.00|0| | |CT|07050|0|N
H5273|001|000|CAREPARTNERS OF CONNECTICUT, INC.|CarePartners of CT CareAdvantage Preferred (HMO)|00025502|0.00|0| | |CT|07060|0|N
H5273|001|000|CAREPARTNERS OF CONNECTICUT, INC.|CarePartners of CT CareAdvantage Preferred (HMO)|00025502|0.00|0| | |CT|07070|0|N
H5280|001|000|MOLINA HEALTHCARE OF OHIO, INC.|Molina Dual Options MyCare Ohio (Medicare-Medicaid Plan)|00025289|0.00|0| | |OH|36080|0|N
H5280|001|000|MOLINA HEALTHCARE OF OHIO, INC.|Molina Dual Options MyCare Ohio (Medicare-Medicaid Plan)|00025289|0.00|0| | |OH|36110|0|N
H5280|001|000|MOLINA HEALTHCARE OF OHIO, INC.|Molina Dual Options MyCare Ohio (Medicare-Medicaid Plan)|00025289|0.00|0| | |OH|36120|0|N
H5280|001|000|MOLINA HEALTHCARE OF OHIO, INC.|Molina Dual Options MyCare Ohio (Medicare-Medicaid Plan)|00025289|0.00|0| | |OH|36130|0|N
H5280|001|000|MOLINA HEALTHCARE OF OHIO, INC.|Molina Dual Options MyCare Ohio (Medicare-Medicaid Plan)|00025289|0.00|0| | |OH|36210|0|N
H5280|001|000|MOLINA HEALTHCARE OF OHIO, INC.|Molina Dual Options MyCare Ohio (Medicare-Medicaid Plan)|00025289|0.00|0| | |OH|36250|0|N
H5280|001|000|MOLINA HEALTHCARE OF OHIO, INC.|Molina Dual Options MyCare Ohio (Medicare-Medicaid Plan)|00025289|0.00|0| | |OH|36290|0|N
H5280|001|000|MOLINA HEALTHCARE OF OHIO, INC.|Molina Dual Options MyCare Ohio (Medicare-Medicaid Plan)|00025289|0.00|0| | |OH|36310|0|N
H5280|001|000|MOLINA HEALTHCARE OF OHIO, INC.|Molina Dual Options MyCare Ohio (Medicare-Medicaid Plan)|00025289|0.00|0| | |OH|36500|0|N
H5280|001|000|MOLINA HEALTHCARE OF OHIO, INC.|Molina Dual Options MyCare Ohio (Medicare-Medicaid Plan)|00025289|0.00|0| | |OH|36580|0|N
H5280|001|000|MOLINA HEALTHCARE OF OHIO, INC.|Molina Dual Options MyCare Ohio (Medicare-Medicaid Plan)|00025289|0.00|0| | |OH|36660|0|N
H5280|001|000|MOLINA HEALTHCARE OF OHIO, INC.|Molina Dual Options MyCare Ohio (Medicare-Medicaid Plan)|00025289|0.00|0| | |OH|36810|0|N
H5280|001|000|MOLINA HEALTHCARE OF OHIO, INC.|Molina Dual Options MyCare Ohio (Medicare-Medicaid Plan)|00025289|0.00|0| | |OH|36840|0|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45030|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45050|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45060|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45080|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45090|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45113|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45150|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45160|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45201|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45210|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45224|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45240|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45270|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45292|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45300|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45312|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45362|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45420|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45421|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45430|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45431|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45440|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45451|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45470|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45490|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45511|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45520|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45521|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45551|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45552|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45560|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45561|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45562|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45564|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45580|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45582|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45590|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45650|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45651|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45652|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45653|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45670|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45672|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45680|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45710|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45711|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45722|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45731|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45732|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45733|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45740|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45743|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45751|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45753|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45756|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45758|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45770|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45771|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45772|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45781|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45782|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45784|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45785|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45791|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45792|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45796|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45797|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45820|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45822|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45830|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45841|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45843|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45860|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45871|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45873|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45876|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45878|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45885|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45886|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45889|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45892|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45893|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45900|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45902|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45905|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45913|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45920|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45945|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45947|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45948|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45953|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45962|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45971|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45973|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45982|2|N
H5294|010|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Liberty (HMO D-SNP)|00025035|0.00|590| | |TX|45983|2|N
H5294|011|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45030|0|N
H5294|011|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45113|0|N
H5294|011|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45210|0|N
H5294|011|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45240|0|N
H5294|011|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45440|0|N
H5294|011|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45561|0|N
H5294|011|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45650|0|N
H5294|011|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45710|0|N
H5294|011|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45711|0|N
H5294|011|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45732|0|N
H5294|011|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45743|0|N
H5294|011|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45753|0|N
H5294|011|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45781|0|N
H5294|011|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45830|0|N
H5294|011|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45876|0|N
H5294|011|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45885|0|N
H5294|011|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45900|0|N
H5294|011|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45948|0|N
H5294|011|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45953|0|N
H5294|011|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45962|0|N
H5294|011|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45982|0|N
H5294|013|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.20|580| | |TX|45030|0|N
H5294|013|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.20|580| | |TX|45113|0|N
H5294|013|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.20|580| | |TX|45210|0|N
H5294|013|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.20|580| | |TX|45240|0|N
H5294|013|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.20|580| | |TX|45440|0|N
H5294|013|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.20|580| | |TX|45561|0|N
H5294|013|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.20|580| | |TX|45650|0|N
H5294|013|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.20|580| | |TX|45710|0|N
H5294|013|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.20|580| | |TX|45711|0|N
H5294|013|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.20|580| | |TX|45732|0|N
H5294|013|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.20|580| | |TX|45743|0|N
H5294|013|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.20|580| | |TX|45753|0|N
H5294|013|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.20|580| | |TX|45781|0|N
H5294|013|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.20|580| | |TX|45830|0|N
H5294|013|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.20|580| | |TX|45876|0|N
H5294|013|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.20|580| | |TX|45885|0|N
H5294|013|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.20|580| | |TX|45900|0|N
H5294|013|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.20|580| | |TX|45948|0|N
H5294|013|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.20|580| | |TX|45953|0|N
H5294|013|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.20|580| | |TX|45962|0|N
H5294|013|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.20|580| | |TX|45982|0|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45030|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45050|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45060|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45080|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45090|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45113|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45150|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45160|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45201|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45210|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45224|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45240|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45270|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45292|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45300|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45312|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45362|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45420|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45421|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45430|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45431|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45440|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45451|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45470|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45490|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45511|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45520|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45521|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45551|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45552|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45560|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45561|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45562|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45564|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45580|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45582|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45590|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45650|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45651|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45652|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45653|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45670|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45672|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45680|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45710|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45711|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45722|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45731|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45732|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45733|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45740|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45743|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45751|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45753|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45756|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45758|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45770|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45771|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45772|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45781|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45782|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45784|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45785|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45791|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45792|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45796|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45797|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45820|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45822|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45830|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45841|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45843|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45860|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45871|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45873|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45876|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45878|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45885|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45886|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45889|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45892|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45893|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45900|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45902|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45905|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45913|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45920|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45945|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45947|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45948|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45953|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45962|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45971|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45973|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45982|2|N
H5294|015|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Dual Access (HMO D-SNP)|00025035|0.00|590| | |TX|45983|2|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45050|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45060|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45080|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45090|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45150|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45160|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45201|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45224|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45270|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45300|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45312|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45362|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45420|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45421|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45430|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45451|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45470|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45490|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45511|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45520|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45521|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45551|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45552|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45560|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45562|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45564|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45580|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45590|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45651|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45652|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45653|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45670|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45680|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45722|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45731|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45733|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45740|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45751|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45756|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45758|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45770|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45771|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45772|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45784|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45785|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45791|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45792|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45796|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45797|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45820|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45822|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45841|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45843|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45860|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45871|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45873|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45886|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45889|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45892|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45893|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45902|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45905|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45913|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45920|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45945|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45947|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45971|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45973|0|N
H5294|016|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Assist (HMO)|00025066|18.30|570| | |TX|45983|0|N
H5294|017|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45060|0|N
H5294|017|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45090|0|N
H5294|017|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45420|0|N
H5294|017|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45430|0|N
H5294|017|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45562|0|N
H5294|017|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45722|0|N
H5294|017|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45731|0|N
H5294|017|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45791|0|N
H5294|017|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45792|0|N
H5294|017|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45873|0|N
H5294|017|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45945|0|N
H5294|017|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45971|0|N
H5294|017|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45983|0|N
H5294|018|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45050|0|N
H5294|018|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45080|0|N
H5294|018|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45150|0|N
H5294|018|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45201|0|N
H5294|018|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45270|0|N
H5294|018|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45300|0|N
H5294|018|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45362|0|N
H5294|018|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45421|0|N
H5294|018|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45451|0|N
H5294|018|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45520|0|N
H5294|018|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45521|0|N
H5294|018|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45551|0|N
H5294|018|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45560|0|N
H5294|018|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45652|0|N
H5294|018|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45733|0|N
H5294|018|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45751|0|N
H5294|018|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45770|0|N
H5294|018|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45771|0|N
H5294|018|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45784|0|N
H5294|018|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45797|0|N
H5294|018|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45822|0|N
H5294|018|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45889|0|N
H5294|018|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45902|0|N
H5294|018|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45905|0|N
H5294|018|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45913|0|N
H5294|018|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45920|0|N
H5294|019|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45050|0|N
H5294|019|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45080|0|N
H5294|019|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45150|0|N
H5294|019|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45201|0|N
H5294|019|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45270|0|N
H5294|019|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45300|0|N
H5294|019|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45362|0|N
H5294|019|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45421|0|N
H5294|019|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45451|0|N
H5294|019|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45520|0|N
H5294|019|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45521|0|N
H5294|019|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45551|0|N
H5294|019|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45560|0|N
H5294|019|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45652|0|N
H5294|019|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45733|0|N
H5294|019|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45751|0|N
H5294|019|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45770|0|N
H5294|019|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45771|0|N
H5294|019|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45784|0|N
H5294|019|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45797|0|N
H5294|019|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45822|0|N
H5294|019|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45889|0|N
H5294|019|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45902|0|N
H5294|019|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45905|0|N
H5294|019|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45913|0|N
H5294|019|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Giveback (HMO)|00025076|0.00|420| | |TX|45920|0|N
H5294|020|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45860|0|N
H5294|020|000|SUPERIOR HEALTHPLAN, INC.|Wellcare Simple (HMO)|00025084|0.00|420| | |TX|45871|0|N
H5296|003|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health Platinum (HMO-POS)|00025083|0.00|0| | |NC|34050|0|N
H5296|003|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health Platinum (HMO-POS)|00025083|0.00|0| | |NC|34100|0|N
H5296|003|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health Platinum (HMO-POS)|00025083|0.00|0| | |NC|34180|0|N
H5296|003|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health Platinum (HMO-POS)|00025083|0.00|0| | |NC|34280|0|N
H5296|003|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health Platinum (HMO-POS)|00025083|0.00|0| | |NC|34290|0|N
H5296|003|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health Platinum (HMO-POS)|00025083|0.00|0| | |NC|34330|0|N
H5296|003|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health Platinum (HMO-POS)|00025083|0.00|0| | |NC|34400|0|N
H5296|003|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health Platinum (HMO-POS)|00025083|0.00|0| | |NC|34440|0|N
H5296|003|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health Platinum (HMO-POS)|00025083|0.00|0| | |NC|34500|0|N
H5296|003|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health Platinum (HMO-POS)|00025083|0.00|0| | |NC|34550|0|N
H5296|003|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health Platinum (HMO-POS)|00025083|0.00|0| | |NC|34570|0|N
H5296|003|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health Platinum (HMO-POS)|00025083|0.00|0| | |NC|34600|0|N
H5296|003|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health Platinum (HMO-POS)|00025083|0.00|0| | |NC|34670|0|N
H5296|003|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health Platinum (HMO-POS)|00025083|0.00|0| | |NC|34870|0|N
H5296|003|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health Platinum (HMO-POS)|00025083|0.00|0| | |NC|34910|0|N
H5296|003|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health Platinum (HMO-POS)|00025083|0.00|0| | |NC|34960|0|N
H5296|004|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health NC Duals (HMO-POS D-SNP)|00025086|0.00|590| | |NC|34050|2|N
H5296|004|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health NC Duals (HMO-POS D-SNP)|00025086|0.00|590| | |NC|34100|2|N
H5296|004|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health NC Duals (HMO-POS D-SNP)|00025086|0.00|590| | |NC|34180|2|N
H5296|004|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health NC Duals (HMO-POS D-SNP)|00025086|0.00|590| | |NC|34280|2|N
H5296|004|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health NC Duals (HMO-POS D-SNP)|00025086|0.00|590| | |NC|34290|2|N
H5296|004|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health NC Duals (HMO-POS D-SNP)|00025086|0.00|590| | |NC|34330|2|N
H5296|004|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health NC Duals (HMO-POS D-SNP)|00025086|0.00|590| | |NC|34400|2|N
H5296|004|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health NC Duals (HMO-POS D-SNP)|00025086|0.00|590| | |NC|34440|2|N
H5296|004|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health NC Duals (HMO-POS D-SNP)|00025086|0.00|590| | |NC|34500|2|N
H5296|004|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health NC Duals (HMO-POS D-SNP)|00025086|0.00|590| | |NC|34550|2|N
H5296|004|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health NC Duals (HMO-POS D-SNP)|00025086|0.00|590| | |NC|34570|2|N
H5296|004|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health NC Duals (HMO-POS D-SNP)|00025086|0.00|590| | |NC|34600|2|N
H5296|004|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health NC Duals (HMO-POS D-SNP)|00025086|0.00|590| | |NC|34670|2|N
H5296|004|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health NC Duals (HMO-POS D-SNP)|00025086|0.00|590| | |NC|34870|2|N
H5296|004|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health NC Duals (HMO-POS D-SNP)|00025086|0.00|590| | |NC|34910|2|N
H5296|004|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health NC Duals (HMO-POS D-SNP)|00025086|0.00|590| | |NC|34960|2|N
H5296|005|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health Heart & Diabetes (HMO-POS C-SNP)|00025083|0.00|0| | |NC|34050|1|N
H5296|005|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health Heart & Diabetes (HMO-POS C-SNP)|00025083|0.00|0| | |NC|34100|1|N
H5296|005|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health Heart & Diabetes (HMO-POS C-SNP)|00025083|0.00|0| | |NC|34180|1|N
H5296|005|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health Heart & Diabetes (HMO-POS C-SNP)|00025083|0.00|0| | |NC|34280|1|N
H5296|005|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health Heart & Diabetes (HMO-POS C-SNP)|00025083|0.00|0| | |NC|34290|1|N
H5296|005|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health Heart & Diabetes (HMO-POS C-SNP)|00025083|0.00|0| | |NC|34330|1|N
H5296|005|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health Heart & Diabetes (HMO-POS C-SNP)|00025083|0.00|0| | |NC|34400|1|N
H5296|005|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health Heart & Diabetes (HMO-POS C-SNP)|00025083|0.00|0| | |NC|34440|1|N
H5296|005|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health Heart & Diabetes (HMO-POS C-SNP)|00025083|0.00|0| | |NC|34500|1|N
H5296|005|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health Heart & Diabetes (HMO-POS C-SNP)|00025083|0.00|0| | |NC|34550|1|N
H5296|005|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health Heart & Diabetes (HMO-POS C-SNP)|00025083|0.00|0| | |NC|34570|1|N
H5296|005|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health Heart & Diabetes (HMO-POS C-SNP)|00025083|0.00|0| | |NC|34600|1|N
H5296|005|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health Heart & Diabetes (HMO-POS C-SNP)|00025083|0.00|0| | |NC|34670|1|N
H5296|005|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health Heart & Diabetes (HMO-POS C-SNP)|00025083|0.00|0| | |NC|34870|1|N
H5296|005|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health Heart & Diabetes (HMO-POS C-SNP)|00025083|0.00|0| | |NC|34910|1|N
H5296|005|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health Heart & Diabetes (HMO-POS C-SNP)|00025083|0.00|0| | |NC|34960|1|N
H5296|006|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health smartHMO (HMO)|00025083|0.00|590| | |NC|34050|0|N
H5296|006|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health smartHMO (HMO)|00025083|0.00|590| | |NC|34100|0|N
H5296|006|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health smartHMO (HMO)|00025083|0.00|590| | |NC|34180|0|N
H5296|006|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health smartHMO (HMO)|00025083|0.00|590| | |NC|34280|0|N
H5296|006|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health smartHMO (HMO)|00025083|0.00|590| | |NC|34290|0|N
H5296|006|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health smartHMO (HMO)|00025083|0.00|590| | |NC|34330|0|N
H5296|006|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health smartHMO (HMO)|00025083|0.00|590| | |NC|34400|0|N
H5296|006|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health smartHMO (HMO)|00025083|0.00|590| | |NC|34440|0|N
H5296|006|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health smartHMO (HMO)|00025083|0.00|590| | |NC|34500|0|N
H5296|006|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health smartHMO (HMO)|00025083|0.00|590| | |NC|34550|0|N
H5296|006|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health smartHMO (HMO)|00025083|0.00|590| | |NC|34570|0|N
H5296|006|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health smartHMO (HMO)|00025083|0.00|590| | |NC|34600|0|N
H5296|006|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health smartHMO (HMO)|00025083|0.00|590| | |NC|34670|0|N
H5296|006|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health smartHMO (HMO)|00025083|0.00|590| | |NC|34870|0|N
H5296|006|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health smartHMO (HMO)|00025083|0.00|590| | |NC|34910|0|N
H5296|006|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health smartHMO (HMO)|00025083|0.00|590| | |NC|34960|0|N
H5296|007|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health Platinum + Instacart (HMO)|00025083|0.00|0| | |NV|29010|0|N
H5296|007|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health Platinum + Instacart (HMO)|00025083|0.00|0| | |NV|29150|0|N
H5296|008|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health smartHMO (HMO)|00025083|0.00|590| | |NV|29010|0|N
H5296|008|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health smartHMO (HMO)|00025083|0.00|590| | |NV|29150|0|N
H5299|001|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CORE North Carolina (HMO)|00025185|0.00|590| | |NC|34000|0|N
H5299|001|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CORE North Carolina (HMO)|00025185|0.00|590| | |NC|34160|0|N
H5299|001|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CORE North Carolina (HMO)|00025185|0.00|590| | |NC|34280|0|N
H5299|001|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CORE North Carolina (HMO)|00025185|0.00|590| | |NC|34290|0|N
H5299|001|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CORE North Carolina (HMO)|00025185|0.00|590| | |NC|34330|0|N
H5299|001|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CORE North Carolina (HMO)|00025185|0.00|590| | |NC|34400|0|N
H5299|001|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CORE North Carolina (HMO)|00025185|0.00|590| | |NC|34720|0|N
H5299|001|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CORE North Carolina (HMO)|00025185|0.00|590| | |NC|34750|0|N
H5299|001|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CORE North Carolina (HMO)|00025185|0.00|590| | |NC|34780|0|N
H5299|001|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CORE North Carolina (HMO)|00025185|0.00|590| | |NC|34840|0|N
H5299|001|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CORE North Carolina (HMO)|00025185|0.00|590| | |NC|34980|0|N
H5299|002|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted GIVEBACK North Carolina (HMO)|00025185|0.00|590| | |NC|34000|0|N
H5299|002|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted GIVEBACK North Carolina (HMO)|00025185|0.00|590| | |NC|34160|0|N
H5299|002|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted GIVEBACK North Carolina (HMO)|00025185|0.00|590| | |NC|34280|0|N
H5299|002|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted GIVEBACK North Carolina (HMO)|00025185|0.00|590| | |NC|34290|0|N
H5299|002|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted GIVEBACK North Carolina (HMO)|00025185|0.00|590| | |NC|34330|0|N
H5299|002|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted GIVEBACK North Carolina (HMO)|00025185|0.00|590| | |NC|34400|0|N
H5299|002|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted GIVEBACK North Carolina (HMO)|00025185|0.00|590| | |NC|34720|0|N
H5299|002|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted GIVEBACK North Carolina (HMO)|00025185|0.00|590| | |NC|34750|0|N
H5299|002|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted GIVEBACK North Carolina (HMO)|00025185|0.00|590| | |NC|34780|0|N
H5299|002|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted GIVEBACK North Carolina (HMO)|00025185|0.00|590| | |NC|34840|0|N
H5299|002|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted GIVEBACK North Carolina (HMO)|00025185|0.00|590| | |NC|34980|0|N
H5299|006|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL PLUS North Carolina (HMO D-SNP)|00025185|0.00|590| | |NC|34000|2|N
H5299|006|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL PLUS North Carolina (HMO D-SNP)|00025185|0.00|590| | |NC|34010|2|N
H5299|006|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL PLUS North Carolina (HMO D-SNP)|00025185|0.00|590| | |NC|34030|2|N
H5299|006|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL PLUS North Carolina (HMO D-SNP)|00025185|0.00|590| | |NC|34050|2|N
H5299|006|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL PLUS North Carolina (HMO D-SNP)|00025185|0.00|590| | |NC|34100|2|N
H5299|006|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL PLUS North Carolina (HMO D-SNP)|00025185|0.00|590| | |NC|34120|2|N
H5299|006|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL PLUS North Carolina (HMO D-SNP)|00025185|0.00|590| | |NC|34160|2|N
H5299|006|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL PLUS North Carolina (HMO D-SNP)|00025185|0.00|590| | |NC|34170|2|N
H5299|006|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL PLUS North Carolina (HMO D-SNP)|00025185|0.00|590| | |NC|34190|2|N
H5299|006|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL PLUS North Carolina (HMO D-SNP)|00025185|0.00|590| | |NC|34210|2|N
H5299|006|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL PLUS North Carolina (HMO D-SNP)|00025185|0.00|590| | |NC|34220|2|N
H5299|006|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL PLUS North Carolina (HMO D-SNP)|00025185|0.00|590| | |NC|34280|2|N
H5299|006|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL PLUS North Carolina (HMO D-SNP)|00025185|0.00|590| | |NC|34290|2|N
H5299|006|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL PLUS North Carolina (HMO D-SNP)|00025185|0.00|590| | |NC|34330|2|N
H5299|006|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL PLUS North Carolina (HMO D-SNP)|00025185|0.00|590| | |NC|34350|2|N
H5299|006|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL PLUS North Carolina (HMO D-SNP)|00025185|0.00|590| | |NC|34370|2|N
H5299|006|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL PLUS North Carolina (HMO D-SNP)|00025185|0.00|590| | |NC|34400|2|N
H5299|006|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL PLUS North Carolina (HMO D-SNP)|00025185|0.00|590| | |NC|34430|2|N
H5299|006|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL PLUS North Carolina (HMO D-SNP)|00025185|0.00|590| | |NC|34440|2|N
H5299|006|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL PLUS North Carolina (HMO D-SNP)|00025185|0.00|590| | |NC|34480|2|N
H5299|006|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL PLUS North Carolina (HMO D-SNP)|00025185|0.00|590| | |NC|34490|2|N
H5299|006|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL PLUS North Carolina (HMO D-SNP)|00025185|0.00|590| | |NC|34540|2|N
H5299|006|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL PLUS North Carolina (HMO D-SNP)|00025185|0.00|590| | |NC|34550|2|N
H5299|006|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL PLUS North Carolina (HMO D-SNP)|00025185|0.00|590| | |NC|34570|2|N
H5299|006|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL PLUS North Carolina (HMO D-SNP)|00025185|0.00|590| | |NC|34590|2|N
H5299|006|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL PLUS North Carolina (HMO D-SNP)|00025185|0.00|590| | |NC|34600|2|N
H5299|006|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL PLUS North Carolina (HMO D-SNP)|00025185|0.00|590| | |NC|34720|2|N
H5299|006|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL PLUS North Carolina (HMO D-SNP)|00025185|0.00|590| | |NC|34740|2|N
H5299|006|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL PLUS North Carolina (HMO D-SNP)|00025185|0.00|590| | |NC|34750|2|N
H5299|006|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL PLUS North Carolina (HMO D-SNP)|00025185|0.00|590| | |NC|34780|2|N
H5299|006|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL PLUS North Carolina (HMO D-SNP)|00025185|0.00|590| | |NC|34790|2|N
H5299|006|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL PLUS North Carolina (HMO D-SNP)|00025185|0.00|590| | |NC|34800|2|N
H5299|006|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL PLUS North Carolina (HMO D-SNP)|00025185|0.00|590| | |NC|34840|2|N
H5299|006|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL PLUS North Carolina (HMO D-SNP)|00025185|0.00|590| | |NC|34860|2|N
H5299|006|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL PLUS North Carolina (HMO D-SNP)|00025185|0.00|590| | |NC|34870|2|N
H5299|006|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL PLUS North Carolina (HMO D-SNP)|00025185|0.00|590| | |NC|34890|2|N
H5299|006|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL PLUS North Carolina (HMO D-SNP)|00025185|0.00|590| | |NC|34980|2|N
H5299|006|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL PLUS North Carolina (HMO D-SNP)|00025185|0.00|590| | |NC|34981|2|N
H5299|009|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL North Carolina (HMO D-SNP)|00025185|46.00|590| | |NC|34000|2|N
H5299|009|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL North Carolina (HMO D-SNP)|00025185|46.00|590| | |NC|34010|2|N
H5299|009|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL North Carolina (HMO D-SNP)|00025185|46.00|590| | |NC|34030|2|N
H5299|009|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL North Carolina (HMO D-SNP)|00025185|46.00|590| | |NC|34050|2|N
H5299|009|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL North Carolina (HMO D-SNP)|00025185|46.00|590| | |NC|34100|2|N
H5299|009|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL North Carolina (HMO D-SNP)|00025185|46.00|590| | |NC|34120|2|N
H5299|009|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL North Carolina (HMO D-SNP)|00025185|46.00|590| | |NC|34160|2|N
H5299|009|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL North Carolina (HMO D-SNP)|00025185|46.00|590| | |NC|34170|2|N
H5299|009|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL North Carolina (HMO D-SNP)|00025185|46.00|590| | |NC|34190|2|N
H5299|009|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL North Carolina (HMO D-SNP)|00025185|46.00|590| | |NC|34210|2|N
H5299|009|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL North Carolina (HMO D-SNP)|00025185|46.00|590| | |NC|34220|2|N
H5299|009|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL North Carolina (HMO D-SNP)|00025185|46.00|590| | |NC|34280|2|N
H5299|009|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL North Carolina (HMO D-SNP)|00025185|46.00|590| | |NC|34290|2|N
H5299|009|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL North Carolina (HMO D-SNP)|00025185|46.00|590| | |NC|34330|2|N
H5299|009|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL North Carolina (HMO D-SNP)|00025185|46.00|590| | |NC|34350|2|N
H5299|009|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL North Carolina (HMO D-SNP)|00025185|46.00|590| | |NC|34370|2|N
H5299|009|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL North Carolina (HMO D-SNP)|00025185|46.00|590| | |NC|34400|2|N
H5299|009|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL North Carolina (HMO D-SNP)|00025185|46.00|590| | |NC|34430|2|N
H5299|009|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL North Carolina (HMO D-SNP)|00025185|46.00|590| | |NC|34440|2|N
H5299|009|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL North Carolina (HMO D-SNP)|00025185|46.00|590| | |NC|34480|2|N
H5299|009|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL North Carolina (HMO D-SNP)|00025185|46.00|590| | |NC|34490|2|N
H5299|009|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL North Carolina (HMO D-SNP)|00025185|46.00|590| | |NC|34540|2|N
H5299|009|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL North Carolina (HMO D-SNP)|00025185|46.00|590| | |NC|34550|2|N
H5299|009|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL North Carolina (HMO D-SNP)|00025185|46.00|590| | |NC|34570|2|N
H5299|009|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL North Carolina (HMO D-SNP)|00025185|46.00|590| | |NC|34590|2|N
H5299|009|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL North Carolina (HMO D-SNP)|00025185|46.00|590| | |NC|34600|2|N
H5299|009|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL North Carolina (HMO D-SNP)|00025185|46.00|590| | |NC|34720|2|N
H5299|009|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL North Carolina (HMO D-SNP)|00025185|46.00|590| | |NC|34740|2|N
H5299|009|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL North Carolina (HMO D-SNP)|00025185|46.00|590| | |NC|34750|2|N
H5299|009|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL North Carolina (HMO D-SNP)|00025185|46.00|590| | |NC|34780|2|N
H5299|009|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL North Carolina (HMO D-SNP)|00025185|46.00|590| | |NC|34790|2|N
H5299|009|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL North Carolina (HMO D-SNP)|00025185|46.00|590| | |NC|34800|2|N
H5299|009|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL North Carolina (HMO D-SNP)|00025185|46.00|590| | |NC|34840|2|N
H5299|009|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL North Carolina (HMO D-SNP)|00025185|46.00|590| | |NC|34860|2|N
H5299|009|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL North Carolina (HMO D-SNP)|00025185|46.00|590| | |NC|34870|2|N
H5299|009|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL North Carolina (HMO D-SNP)|00025185|46.00|590| | |NC|34890|2|N
H5299|009|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL North Carolina (HMO D-SNP)|00025185|46.00|590| | |NC|34980|2|N
H5299|009|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted DUAL North Carolina (HMO D-SNP)|00025185|46.00|590| | |NC|34981|2|N
H5299|012|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted GIVEBACK North Carolina (HMO)|00025185|0.00|590| | |NC|34010|0|N
H5299|012|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted GIVEBACK North Carolina (HMO)|00025185|0.00|590| | |NC|34030|0|N
H5299|012|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted GIVEBACK North Carolina (HMO)|00025185|0.00|590| | |NC|34120|0|N
H5299|012|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted GIVEBACK North Carolina (HMO)|00025185|0.00|590| | |NC|34170|0|N
H5299|012|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted GIVEBACK North Carolina (HMO)|00025185|0.00|590| | |NC|34220|0|N
H5299|012|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted GIVEBACK North Carolina (HMO)|00025185|0.00|590| | |NC|34350|0|N
H5299|012|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted GIVEBACK North Carolina (HMO)|00025185|0.00|590| | |NC|34480|0|N
H5299|012|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted GIVEBACK North Carolina (HMO)|00025185|0.00|590| | |NC|34540|0|N
H5299|012|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted GIVEBACK North Carolina (HMO)|00025185|0.00|590| | |NC|34590|0|N
H5299|012|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted GIVEBACK North Carolina (HMO)|00025185|0.00|590| | |NC|34790|0|N
H5299|012|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted GIVEBACK North Carolina (HMO)|00025185|0.00|590| | |NC|34890|0|N
H5302|012|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|22.00|590| | |GA|11090|2|N
H5302|012|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|22.00|590| | |GA|11280|2|N
H5302|012|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|22.00|590| | |GA|11290|2|N
H5302|012|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|22.00|590| | |GA|11320|2|N
H5302|012|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|22.00|590| | |GA|11330|2|N
H5302|012|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|22.00|590| | |GA|11370|2|N
H5302|012|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|22.00|590| | |GA|11381|2|N
H5302|012|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|22.00|590| | |GA|11400|2|N
H5302|012|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|22.00|590| | |GA|11451|2|N
H5302|012|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|22.00|590| | |GA|11461|2|N
H5302|012|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|22.00|590| | |GA|11470|2|N
H5302|012|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|22.00|590| | |GA|11530|2|N
H5302|012|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|22.00|590| | |GA|11591|2|N
H5302|012|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|22.00|590| | |GA|11600|2|N
H5302|012|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|22.00|590| | |GA|11710|2|N
H5302|012|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|22.00|590| | |GA|11760|2|N
H5302|012|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|22.00|590| | |GA|11780|2|N
H5302|012|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|22.00|590| | |GA|11790|2|N
H5302|012|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|22.00|590| | |GA|11810|2|N
H5302|012|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|22.00|590| | |GA|11811|2|N
H5302|012|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|22.00|590| | |GA|11841|2|N
H5302|012|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|22.00|590| | |GA|11860|2|N
H5302|012|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|22.00|590| | |GA|11883|2|N
H5302|013|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|28.00|590| | |GA|11040|2|N
H5302|013|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|28.00|590| | |GA|11050|2|N
H5302|013|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|28.00|590| | |GA|11060|2|N
H5302|013|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|28.00|590| | |GA|11160|2|N
H5302|013|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|28.00|590| | |GA|11190|2|N
H5302|013|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|28.00|590| | |GA|11200|2|N
H5302|013|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|28.00|590| | |GA|11240|2|N
H5302|013|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|28.00|590| | |GA|11260|2|N
H5302|013|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|28.00|590| | |GA|11290|2|N
H5302|013|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|28.00|590| | |GA|11340|2|N
H5302|013|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|28.00|590| | |GA|11390|2|N
H5302|013|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|28.00|590| | |GA|11430|2|N
H5302|013|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|28.00|590| | |GA|11460|2|N
H5302|013|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|28.00|590| | |GA|11462|2|N
H5302|013|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|28.00|590| | |GA|11500|2|N
H5302|013|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|28.00|590| | |GA|11540|2|N
H5302|013|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|28.00|590| | |GA|11550|2|N
H5302|013|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|28.00|590| | |GA|11570|2|N
H5302|013|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|28.00|590| | |GA|11580|2|N
H5302|013|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|28.00|590| | |GA|11581|2|N
H5302|013|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|28.00|590| | |GA|11610|2|N
H5302|013|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|28.00|590| | |GA|11670|2|N
H5302|013|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|28.00|590| | |GA|11720|2|N
H5302|013|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|28.00|590| | |GA|11740|2|N
H5302|013|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|28.00|590| | |GA|11772|2|N
H5302|013|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|28.00|590| | |GA|11780|2|N
H5302|013|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|28.00|590| | |GA|11812|2|N
H5302|013|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|28.00|590| | |GA|11861|2|N
H5302|013|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|28.00|590| | |GA|11870|2|N
H5302|013|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|28.00|590| | |GA|11880|2|N
H5302|013|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|28.00|590| | |GA|11885|2|N
H5302|013|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|28.00|590| | |GA|11910|2|N
H5302|013|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|28.00|590| | |GA|11911|2|N
H5302|013|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|28.00|590| | |GA|11921|2|N
H5302|013|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|28.00|590| | |GA|11930|2|N
H5302|013|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|28.00|590| | |GA|11980|2|N
H5302|014|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|27.00|590| | |GA|11150|2|N
H5302|014|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|27.00|590| | |GA|11220|2|N
H5302|014|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|27.00|590| | |GA|11300|2|N
H5302|014|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|27.00|590| | |GA|11310|2|N
H5302|014|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|27.00|590| | |GA|11421|2|N
H5302|014|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|27.00|590| | |GA|11490|2|N
H5302|014|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|27.00|590| | |GA|11680|2|N
H5302|014|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|27.00|590| | |GA|11702|2|N
H5302|014|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|27.00|590| | |GA|11840|2|N
H5302|014|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|27.00|590| | |GA|11900|2|N
H5302|020|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|36.70|590| | |GA|11040|2|N
H5302|020|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|36.70|590| | |GA|11050|2|N
H5302|020|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|36.70|590| | |GA|11060|2|N
H5302|020|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|36.70|590| | |GA|11090|2|N
H5302|020|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|36.70|590| | |GA|11160|2|N
H5302|020|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|36.70|590| | |GA|11190|2|N
H5302|020|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|36.70|590| | |GA|11200|2|N
H5302|020|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|36.70|590| | |GA|11240|2|N
H5302|020|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|36.70|590| | |GA|11260|2|N
H5302|020|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|36.70|590| | |GA|11300|2|N
H5302|020|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|36.70|590| | |GA|11330|2|N
H5302|020|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|36.70|590| | |GA|11340|2|N
H5302|020|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|36.70|590| | |GA|11381|2|N
H5302|020|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|36.70|590| | |GA|11390|2|N
H5302|020|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|36.70|590| | |GA|11430|2|N
H5302|020|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|36.70|590| | |GA|11460|2|N
H5302|020|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|36.70|590| | |GA|11462|2|N
H5302|020|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|36.70|590| | |GA|11500|2|N
H5302|020|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|36.70|590| | |GA|11540|2|N
H5302|020|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|36.70|590| | |GA|11550|2|N
H5302|020|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|36.70|590| | |GA|11570|2|N
H5302|020|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|36.70|590| | |GA|11580|2|N
H5302|020|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|36.70|590| | |GA|11581|2|N
H5302|020|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|36.70|590| | |GA|11600|2|N
H5302|020|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|36.70|590| | |GA|11610|2|N
H5302|020|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|36.70|590| | |GA|11670|2|N
H5302|020|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|36.70|590| | |GA|11710|2|N
H5302|020|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|36.70|590| | |GA|11720|2|N
H5302|020|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|36.70|590| | |GA|11740|2|N
H5302|020|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|36.70|590| | |GA|11760|2|N
H5302|020|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|36.70|590| | |GA|11772|2|N
H5302|020|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|36.70|590| | |GA|11780|2|N
H5302|020|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|36.70|590| | |GA|11790|2|N
H5302|020|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|36.70|590| | |GA|11811|2|N
H5302|020|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|36.70|590| | |GA|11812|2|N
H5302|020|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|36.70|590| | |GA|11861|2|N
H5302|020|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|36.70|590| | |GA|11870|2|N
H5302|020|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|36.70|590| | |GA|11880|2|N
H5302|020|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|36.70|590| | |GA|11883|2|N
H5302|020|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|36.70|590| | |GA|11885|2|N
H5302|020|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|36.70|590| | |GA|11900|2|N
H5302|020|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|36.70|590| | |GA|11910|2|N
H5302|020|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|36.70|590| | |GA|11911|2|N
H5302|020|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|36.70|590| | |GA|11921|2|N
H5302|020|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|36.70|590| | |GA|11930|2|N
H5302|020|000|AETNA HEALTH INC. (GA)|Aetna Medicare Dual Select (HMO D-SNP)|00025101|36.70|590| | |GA|11980|2|N
H5302|022|000|AETNA HEALTH INC. (GA)|Aetna Medicare Signature (HMO)|00025100|0.00|590| | |GA|11090|0|N
H5302|022|000|AETNA HEALTH INC. (GA)|Aetna Medicare Signature (HMO)|00025100|0.00|590| | |GA|11220|0|N
H5302|022|000|AETNA HEALTH INC. (GA)|Aetna Medicare Signature (HMO)|00025100|0.00|590| | |GA|11310|0|N
H5302|022|000|AETNA HEALTH INC. (GA)|Aetna Medicare Signature (HMO)|00025100|0.00|590| | |GA|11600|0|N
H5302|022|000|AETNA HEALTH INC. (GA)|Aetna Medicare Signature (HMO)|00025100|0.00|590| | |GA|11702|0|N
H5302|022|000|AETNA HEALTH INC. (GA)|Aetna Medicare Signature (HMO)|00025100|0.00|590| | |GA|11780|0|N
H5302|022|000|AETNA HEALTH INC. (GA)|Aetna Medicare Signature (HMO)|00025100|0.00|590| | |GA|11811|0|N
H5302|022|000|AETNA HEALTH INC. (GA)|Aetna Medicare Signature (HMO)|00025100|0.00|590| | |GA|11840|0|N
H5302|023|000|AETNA HEALTH INC. (GA)|Aetna Medicare Premier (HMO)|00025100|0.00|590| | |GA|11260|0|N
H5302|023|000|AETNA HEALTH INC. (GA)|Aetna Medicare Premier (HMO)|00025100|0.00|590| | |GA|11421|0|N
H5302|023|000|AETNA HEALTH INC. (GA)|Aetna Medicare Premier (HMO)|00025100|0.00|590| | |GA|11540|0|N
H5302|023|000|AETNA HEALTH INC. (GA)|Aetna Medicare Premier (HMO)|00025100|0.00|590| | |GA|11913|0|N
H5302|023|000|AETNA HEALTH INC. (GA)|Aetna Medicare Premier (HMO)|00025100|0.00|590| | |GA|11963|0|N
H5309|001|000|AETNA HEALTH OF CALIFORNIA INC.|Aetna Medicare Core Elite (PPO)|00025101|15.00|590| | |CA|05010|0|N
H5309|001|000|AETNA HEALTH OF CALIFORNIA INC.|Aetna Medicare Core Elite (PPO)|00025101|15.00|590| | |CA|05040|0|N
H5309|001|000|AETNA HEALTH OF CALIFORNIA INC.|Aetna Medicare Core Elite (PPO)|00025101|15.00|590| | |CA|05130|0|N
H5309|001|000|AETNA HEALTH OF CALIFORNIA INC.|Aetna Medicare Core Elite (PPO)|00025101|15.00|590| | |CA|05320|0|N
H5309|001|000|AETNA HEALTH OF CALIFORNIA INC.|Aetna Medicare Core Elite (PPO)|00025101|15.00|590| | |CA|05360|0|N
H5309|001|000|AETNA HEALTH OF CALIFORNIA INC.|Aetna Medicare Core Elite (PPO)|00025101|15.00|590| | |CA|05420|0|N
H5309|001|000|AETNA HEALTH OF CALIFORNIA INC.|Aetna Medicare Core Elite (PPO)|00025101|15.00|590| | |CA|05450|0|N
H5309|001|000|AETNA HEALTH OF CALIFORNIA INC.|Aetna Medicare Core Elite (PPO)|00025101|15.00|590| | |CA|05560|0|N
H5309|001|000|AETNA HEALTH OF CALIFORNIA INC.|Aetna Medicare Core Elite (PPO)|00025101|15.00|590| | |CA|05650|0|N
H5309|002|000|AETNA HEALTH OF CALIFORNIA INC.|Aetna Medicare Core Elite (PPO)|00025101|15.30|590| | |CA|05050|0|N
H5309|002|000|AETNA HEALTH OF CALIFORNIA INC.|Aetna Medicare Core Elite (PPO)|00025101|15.30|590| | |CA|05100|0|N
H5309|002|000|AETNA HEALTH OF CALIFORNIA INC.|Aetna Medicare Core Elite (PPO)|00025101|15.30|590| | |CA|05160|0|N
H5309|002|000|AETNA HEALTH OF CALIFORNIA INC.|Aetna Medicare Core Elite (PPO)|00025101|15.30|590| | |CA|05550|0|N
H5309|002|000|AETNA HEALTH OF CALIFORNIA INC.|Aetna Medicare Core Elite (PPO)|00025101|15.30|590| | |CA|05630|0|N
H5309|003|000|AETNA HEALTH OF CALIFORNIA INC.|Aetna Medicare Core Elite (PPO)|00025101|0.00|590| | |CA|05110|0|N
H5309|003|000|AETNA HEALTH OF CALIFORNIA INC.|Aetna Medicare Core Elite (PPO)|00025101|0.00|590| | |CA|05570|0|N
H5322|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F006 (HMO-POS I-SNP)|00025002|31.40|590| | |FL|10120|3|N
H5322|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Nursing Home Plan EX-F006 (HMO-POS I-SNP)|00025002|31.40|590| | |NJ|31310|3|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45000|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45010|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45020|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45040|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45050|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45070|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45080|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45090|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45110|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45120|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45140|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45150|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45160|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45170|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45190|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45210|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45224|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45250|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45251|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45260|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45270|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45281|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45291|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45292|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45312|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45340|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45341|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45362|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45391|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45392|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45400|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45420|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45430|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45440|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45450|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45451|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45490|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45500|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45510|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45511|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45520|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45521|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45531|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45540|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45541|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45551|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45552|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45561|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45562|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45563|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45564|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45570|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45580|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45582|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45590|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45591|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45600|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45620|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45651|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45652|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45653|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45654|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45660|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45661|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45670|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45671|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45680|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45690|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45710|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45721|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45722|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45732|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45734|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45750|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45751|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45752|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45753|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45754|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45756|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45758|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45761|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45770|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45771|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45780|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45782|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45783|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45784|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45790|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45791|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45792|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45794|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45795|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45796|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45800|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45802|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45803|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45810|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45820|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45822|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45840|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45841|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45842|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45843|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45860|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45870|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45871|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45874|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45876|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45877|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45878|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45881|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45882|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45883|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45884|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45886|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45890|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45893|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45900|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45905|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45911|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45913|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45921|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45930|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45941|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45942|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45943|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45945|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45948|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45949|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45952|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45953|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45954|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45960|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45973|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45982|2|N
H5322|025|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-D007 (HMO-POS D-SNP)|00025002|16.10|590| | |TX|45983|2|N
H5322|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V005 (HMO-POS D-SNP)|00025002|9.10|590| | |TX|45240|2|N
H5322|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V005 (HMO-POS D-SNP)|00025002|9.10|590| | |TX|45650|2|N
H5322|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V005 (HMO-POS D-SNP)|00025002|9.10|590| | |TX|45962|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36000|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36010|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36020|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36030|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36040|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36050|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36060|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36070|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36090|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36100|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36120|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36130|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36140|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36150|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36160|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36190|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36200|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36210|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36220|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36230|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36240|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36260|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36270|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36280|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36300|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36330|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36340|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36350|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36360|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36370|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36380|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36390|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36400|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36410|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36420|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36430|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36440|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36450|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36460|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36470|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36480|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36490|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36520|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36530|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36540|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36550|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36560|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36570|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36590|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36600|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36610|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36620|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36630|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36640|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36650|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36660|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36670|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36680|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36690|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36700|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36710|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36720|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36730|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36740|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36750|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36760|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36800|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36810|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36820|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36830|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36850|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36860|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36870|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36880|2|N
H5322|028|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-D002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36890|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17000|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17010|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17020|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17030|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17050|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17060|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17070|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17080|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17090|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17100|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17130|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17140|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17170|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17180|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17200|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17210|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17220|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17230|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17240|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17260|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17290|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17300|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17360|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17380|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17390|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17420|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17430|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17440|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17450|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17470|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17480|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17490|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17510|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17520|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17530|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17550|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17560|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17570|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17580|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17600|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17610|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17620|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17630|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17650|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17660|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17690|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17700|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17710|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17720|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17730|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17750|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17770|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17780|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17790|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17810|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17820|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17830|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17840|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17860|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17880|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17910|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17920|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17950|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17980|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17982|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17984|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17985|2|N
H5322|029|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete KS-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KS|17986|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11000|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11010|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11011|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11020|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11030|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11040|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11050|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11060|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11070|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11080|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11090|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11100|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11110|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11120|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11130|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11140|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11150|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11160|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11161|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11170|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11180|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11200|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11210|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11220|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11230|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11240|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11250|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11260|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11270|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11280|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11281|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11290|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11291|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11300|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11310|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11311|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11320|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11330|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11340|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11341|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11350|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11360|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11370|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11380|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11381|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11400|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11410|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11420|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11421|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11430|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11440|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11441|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11450|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11451|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11460|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11461|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11462|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11470|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11471|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11480|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11490|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11500|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11510|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11520|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11530|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11540|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11550|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11560|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11570|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11580|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11581|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11590|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11591|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11600|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11601|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11610|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11611|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11612|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11620|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11630|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11640|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11650|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11651|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11652|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11660|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11670|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11680|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11690|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11691|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11700|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11701|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11702|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11703|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11710|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11720|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11730|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11740|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11741|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11750|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11760|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11770|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11771|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11772|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11780|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11790|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11800|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11801|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11810|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11811|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11812|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11820|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11821|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11830|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11831|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11832|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11833|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11834|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11835|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11840|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11841|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11842|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11850|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11851|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11860|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11861|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11862|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11870|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11880|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11881|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11882|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11883|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11884|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11885|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11890|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11900|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11901|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11902|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11903|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11910|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11911|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11912|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11913|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11920|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11921|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11930|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11940|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11941|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11950|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11960|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11961|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11962|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11963|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11970|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11971|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11972|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11973|2|N
H5322|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-D002 (HMO-POS D-SNP)|00025002|25.50|590| | |GA|11980|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37000|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37010|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37020|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37030|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37040|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37050|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37060|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37070|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37080|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37090|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37100|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37110|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37120|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37130|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37140|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37150|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37160|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37170|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37180|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37190|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37200|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37210|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37220|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37240|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37250|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37260|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37270|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37280|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37300|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37310|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37320|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37330|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37340|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37350|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37360|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37370|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37380|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37390|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37400|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37410|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37420|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37430|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37440|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37450|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37460|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37470|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37480|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37490|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37500|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37510|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37520|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37530|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37540|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37550|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37560|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37570|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37580|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37600|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37610|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37620|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37630|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37640|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37650|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37660|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37670|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37680|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37690|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37700|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37710|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37720|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37740|2|N
H5322|031|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-S002 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37750|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37000|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37010|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37020|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37030|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37040|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37050|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37060|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37070|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37080|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37090|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37100|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37110|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37120|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37130|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37140|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37150|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37160|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37170|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37180|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37190|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37200|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37210|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37220|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37240|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37250|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37260|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37270|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37280|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37300|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37310|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37320|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37330|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37340|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37350|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37360|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37370|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37380|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37390|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37400|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37410|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37420|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37430|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37440|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37450|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37460|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37470|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37480|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37490|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37500|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37510|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37520|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37530|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37540|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37550|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37560|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37570|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37580|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37600|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37610|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37620|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37630|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37640|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37650|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37660|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37670|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37680|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37690|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37700|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37710|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37720|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37740|2|N
H5322|033|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OK-V001 (HMO-POS D-SNP)|00025002|49.80|590| | |OK|37750|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36000|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36010|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36020|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36030|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36040|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36050|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36060|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36070|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36090|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36100|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36120|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36130|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36140|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36150|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36160|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36190|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36200|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36210|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36220|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36230|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36240|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36260|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36270|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36280|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36300|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36330|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36340|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36350|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36360|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36370|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36380|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36390|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36400|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36410|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36420|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36430|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36440|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36450|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36460|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36470|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36480|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36490|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36520|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36530|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36540|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36550|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36560|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36570|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36590|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36600|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36610|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36620|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36630|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36640|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36650|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36660|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36670|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36680|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36690|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36700|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36710|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36720|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36730|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36740|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36750|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36760|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36800|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36810|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36820|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36830|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36850|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36860|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36870|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36880|2|N
H5322|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete OH-V002 (HMO-POS D-SNP)|00025002|39.30|590| | |OH|36890|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45000|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45010|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45020|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45040|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45050|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45070|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45080|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45090|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45110|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45120|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45140|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45150|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45160|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45170|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45190|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45210|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45224|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45250|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45251|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45260|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45270|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45281|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45291|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45292|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45312|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45340|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45341|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45362|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45391|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45392|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45400|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45420|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45430|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45440|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45450|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45451|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45490|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45500|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45510|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45511|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45520|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45521|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45531|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45540|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45541|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45551|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45552|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45561|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45562|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45563|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45564|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45570|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45580|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45582|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45590|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45591|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45600|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45620|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45651|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45652|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45653|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45654|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45660|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45661|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45670|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45671|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45680|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45690|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45710|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45721|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45722|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45732|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45734|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45750|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45751|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45752|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45753|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45754|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45756|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45758|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45761|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45770|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45771|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45780|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45782|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45783|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45784|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45790|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45791|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45792|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45794|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45795|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45796|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45800|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45802|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45803|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45810|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45820|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45822|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45840|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45841|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45842|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45843|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45860|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45870|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45871|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45874|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45876|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45877|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45878|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45881|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45882|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45883|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45884|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45886|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45890|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45893|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45900|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45905|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45911|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45913|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45921|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45930|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45941|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45942|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45943|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45945|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45948|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45949|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45952|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45953|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45954|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45960|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45973|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45982|2|N
H5322|038|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-V010 (HMO-POS D-SNP)|00025002|18.30|590| | |TX|45983|2|N
H5322|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0005 (HMO-POS)|00025002|0.00|340| | |SC|42000|0|N
H5322|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0005 (HMO-POS)|00025002|0.00|340| | |SC|42010|0|N
H5322|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0005 (HMO-POS)|00025002|0.00|340| | |SC|42020|0|N
H5322|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0005 (HMO-POS)|00025002|0.00|340| | |SC|42030|0|N
H5322|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0005 (HMO-POS)|00025002|0.00|340| | |SC|42040|0|N
H5322|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0005 (HMO-POS)|00025002|0.00|340| | |SC|42050|0|N
H5322|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0005 (HMO-POS)|00025002|0.00|340| | |SC|42060|0|N
H5322|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0005 (HMO-POS)|00025002|0.00|340| | |SC|42070|0|N
H5322|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0005 (HMO-POS)|00025002|0.00|340| | |SC|42080|0|N
H5322|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0005 (HMO-POS)|00025002|0.00|340| | |SC|42090|0|N
H5322|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0005 (HMO-POS)|00025002|0.00|340| | |SC|42100|0|N
H5322|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0005 (HMO-POS)|00025002|0.00|340| | |SC|42110|0|N
H5322|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0005 (HMO-POS)|00025002|0.00|340| | |SC|42120|0|N
H5322|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0005 (HMO-POS)|00025002|0.00|340| | |SC|42130|0|N
H5322|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0005 (HMO-POS)|00025002|0.00|340| | |SC|42140|0|N
H5322|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0005 (HMO-POS)|00025002|0.00|340| | |SC|42150|0|N
H5322|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0005 (HMO-POS)|00025002|0.00|340| | |SC|42160|0|N
H5322|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0005 (HMO-POS)|00025002|0.00|340| | |SC|42170|0|N
H5322|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0005 (HMO-POS)|00025002|0.00|340| | |SC|42180|0|N
H5322|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0005 (HMO-POS)|00025002|0.00|340| | |SC|42190|0|N
H5322|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0005 (HMO-POS)|00025002|0.00|340| | |SC|42200|0|N
H5322|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0005 (HMO-POS)|00025002|0.00|340| | |SC|42210|0|N
H5322|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0005 (HMO-POS)|00025002|0.00|340| | |SC|42220|0|N
H5322|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0005 (HMO-POS)|00025002|0.00|340| | |SC|42230|0|N
H5322|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0005 (HMO-POS)|00025002|0.00|340| | |SC|42240|0|N
H5322|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0005 (HMO-POS)|00025002|0.00|340| | |SC|42250|0|N
H5322|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0005 (HMO-POS)|00025002|0.00|340| | |SC|42260|0|N
H5322|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0005 (HMO-POS)|00025002|0.00|340| | |SC|42270|0|N
H5322|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0005 (HMO-POS)|00025002|0.00|340| | |SC|42280|0|N
H5322|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0005 (HMO-POS)|00025002|0.00|340| | |SC|42290|0|N
H5322|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0005 (HMO-POS)|00025002|0.00|340| | |SC|42300|0|N
H5322|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0005 (HMO-POS)|00025002|0.00|340| | |SC|42310|0|N
H5322|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0005 (HMO-POS)|00025002|0.00|340| | |SC|42320|0|N
H5322|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0005 (HMO-POS)|00025002|0.00|340| | |SC|42330|0|N
H5322|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0005 (HMO-POS)|00025002|0.00|340| | |SC|42340|0|N
H5322|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0005 (HMO-POS)|00025002|0.00|340| | |SC|42350|0|N
H5322|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0005 (HMO-POS)|00025002|0.00|340| | |SC|42360|0|N
H5322|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0005 (HMO-POS)|00025002|0.00|340| | |SC|42370|0|N
H5322|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0005 (HMO-POS)|00025002|0.00|340| | |SC|42380|0|N
H5322|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0005 (HMO-POS)|00025002|0.00|340| | |SC|42390|0|N
H5322|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0005 (HMO-POS)|00025002|0.00|340| | |SC|42400|0|N
H5322|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0005 (HMO-POS)|00025002|0.00|340| | |SC|42410|0|N
H5322|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0005 (HMO-POS)|00025002|0.00|340| | |SC|42420|0|N
H5322|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0005 (HMO-POS)|00025002|0.00|340| | |SC|42430|0|N
H5322|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0005 (HMO-POS)|00025002|0.00|340| | |SC|42440|0|N
H5322|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0005 (HMO-POS)|00025002|0.00|340| | |SC|42450|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11000|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11010|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11011|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11020|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11030|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11040|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11050|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11060|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11070|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11080|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11090|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11100|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11110|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11120|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11130|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11140|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11150|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11160|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11161|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11170|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11180|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11200|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11210|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11220|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11230|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11240|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11250|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11260|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11270|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11280|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11281|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11290|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11291|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11300|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11310|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11311|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11320|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11330|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11340|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11341|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11350|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11360|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11370|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11380|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11381|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11400|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11410|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11420|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11421|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11430|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11440|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11441|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11450|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11451|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11460|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11461|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11462|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11470|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11471|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11480|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11490|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11500|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11510|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11520|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11530|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11540|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11550|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11560|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11570|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11580|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11581|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11590|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11591|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11600|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11601|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11610|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11611|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11612|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11620|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11630|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11640|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11650|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11651|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11652|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11660|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11670|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11680|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11690|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11691|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11700|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11701|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11702|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11703|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11710|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11720|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11730|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11740|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11741|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11750|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11760|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11770|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11771|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11772|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11780|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11790|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11800|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11801|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11810|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11811|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11812|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11820|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11821|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11830|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11831|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11832|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11833|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11834|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11835|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11840|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11841|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11842|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11850|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11851|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11860|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11861|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11862|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11870|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11880|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11881|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11882|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11883|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11884|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11885|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11890|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11900|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11901|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11902|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11903|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11910|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11911|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11912|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11913|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11920|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11921|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11930|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11940|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11941|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11950|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11960|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11961|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11962|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11963|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11970|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11971|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11972|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11973|0|N
H5322|041|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0005 (HMO-POS)|00025002|0.00|420| | |GA|11980|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11000|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11010|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11011|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11020|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11030|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11040|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11050|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11060|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11070|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11080|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11090|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11100|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11110|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11120|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11130|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11140|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11150|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11160|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11161|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11170|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11180|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11200|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11210|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11220|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11230|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11240|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11250|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11260|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11270|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11280|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11281|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11290|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11291|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11300|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11310|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11311|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11320|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11330|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11340|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11341|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11350|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11360|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11370|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11380|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11381|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11400|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11410|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11420|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11421|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11430|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11440|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11441|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11450|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11451|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11460|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11461|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11462|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11470|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11471|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11480|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11490|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11500|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11510|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11520|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11530|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11540|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11550|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11560|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11570|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11580|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11581|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11590|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11591|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11600|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11601|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11610|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11611|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11612|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11620|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11630|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11640|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11650|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11651|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11652|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11660|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11670|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11680|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11690|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11691|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11700|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11701|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11702|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11703|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11710|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11720|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11730|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11740|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11741|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11750|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11760|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11770|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11771|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11772|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11780|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11790|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11800|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11801|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11810|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11811|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11812|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11820|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11821|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11830|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11831|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11832|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11833|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11834|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11835|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11840|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11841|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11842|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11850|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11851|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11860|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11861|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11862|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11870|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11880|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11881|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11882|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11883|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11884|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11885|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11890|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11900|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11901|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11902|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11903|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11910|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11911|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11912|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11913|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11920|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11921|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11930|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11940|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11941|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11950|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11960|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11961|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11962|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11963|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11970|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11971|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11972|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11973|0|N
H5322|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC GA-0006 (HMO-POS)|00025002|47.00|420| | |GA|11980|0|N
H5322|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0006 (HMO-POS)|00025002|39.00|340| | |SC|42000|0|N
H5322|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0006 (HMO-POS)|00025002|39.00|340| | |SC|42010|0|N
H5322|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0006 (HMO-POS)|00025002|39.00|340| | |SC|42020|0|N
H5322|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0006 (HMO-POS)|00025002|39.00|340| | |SC|42030|0|N
H5322|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0006 (HMO-POS)|00025002|39.00|340| | |SC|42040|0|N
H5322|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0006 (HMO-POS)|00025002|39.00|340| | |SC|42050|0|N
H5322|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0006 (HMO-POS)|00025002|39.00|340| | |SC|42060|0|N
H5322|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0006 (HMO-POS)|00025002|39.00|340| | |SC|42070|0|N
H5322|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0006 (HMO-POS)|00025002|39.00|340| | |SC|42080|0|N
H5322|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0006 (HMO-POS)|00025002|39.00|340| | |SC|42090|0|N
H5322|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0006 (HMO-POS)|00025002|39.00|340| | |SC|42100|0|N
H5322|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0006 (HMO-POS)|00025002|39.00|340| | |SC|42110|0|N
H5322|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0006 (HMO-POS)|00025002|39.00|340| | |SC|42120|0|N
H5322|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0006 (HMO-POS)|00025002|39.00|340| | |SC|42130|0|N
H5322|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0006 (HMO-POS)|00025002|39.00|340| | |SC|42140|0|N
H5322|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0006 (HMO-POS)|00025002|39.00|340| | |SC|42150|0|N
H5322|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0006 (HMO-POS)|00025002|39.00|340| | |SC|42160|0|N
H5322|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0006 (HMO-POS)|00025002|39.00|340| | |SC|42170|0|N
H5322|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0006 (HMO-POS)|00025002|39.00|340| | |SC|42180|0|N
H5322|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0006 (HMO-POS)|00025002|39.00|340| | |SC|42190|0|N
H5322|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0006 (HMO-POS)|00025002|39.00|340| | |SC|42200|0|N
H5322|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0006 (HMO-POS)|00025002|39.00|340| | |SC|42210|0|N
H5322|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0006 (HMO-POS)|00025002|39.00|340| | |SC|42220|0|N
H5322|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0006 (HMO-POS)|00025002|39.00|340| | |SC|42230|0|N
H5322|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0006 (HMO-POS)|00025002|39.00|340| | |SC|42240|0|N
H5322|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0006 (HMO-POS)|00025002|39.00|340| | |SC|42250|0|N
H5322|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0006 (HMO-POS)|00025002|39.00|340| | |SC|42260|0|N
H5322|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0006 (HMO-POS)|00025002|39.00|340| | |SC|42270|0|N
H5322|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0006 (HMO-POS)|00025002|39.00|340| | |SC|42280|0|N
H5322|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0006 (HMO-POS)|00025002|39.00|340| | |SC|42290|0|N
H5322|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0006 (HMO-POS)|00025002|39.00|340| | |SC|42300|0|N
H5322|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0006 (HMO-POS)|00025002|39.00|340| | |SC|42310|0|N
H5322|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0006 (HMO-POS)|00025002|39.00|340| | |SC|42320|0|N
H5322|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0006 (HMO-POS)|00025002|39.00|340| | |SC|42330|0|N
H5322|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0006 (HMO-POS)|00025002|39.00|340| | |SC|42340|0|N
H5322|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0006 (HMO-POS)|00025002|39.00|340| | |SC|42350|0|N
H5322|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0006 (HMO-POS)|00025002|39.00|340| | |SC|42360|0|N
H5322|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0006 (HMO-POS)|00025002|39.00|340| | |SC|42370|0|N
H5322|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0006 (HMO-POS)|00025002|39.00|340| | |SC|42380|0|N
H5322|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0006 (HMO-POS)|00025002|39.00|340| | |SC|42390|0|N
H5322|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0006 (HMO-POS)|00025002|39.00|340| | |SC|42400|0|N
H5322|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0006 (HMO-POS)|00025002|39.00|340| | |SC|42410|0|N
H5322|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0006 (HMO-POS)|00025002|39.00|340| | |SC|42420|0|N
H5322|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0006 (HMO-POS)|00025002|39.00|340| | |SC|42430|0|N
H5322|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0006 (HMO-POS)|00025002|39.00|340| | |SC|42440|0|N
H5322|044|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC SC-0006 (HMO-POS)|00025002|39.00|340| | |SC|42450|0|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11000|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11010|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11011|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11020|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11030|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11040|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11050|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11060|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11070|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11080|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11090|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11100|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11110|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11120|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11130|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11140|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11150|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11160|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11161|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11170|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11180|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11200|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11210|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11220|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11230|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11240|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11250|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11260|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11270|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11280|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11281|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11290|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11291|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11300|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11310|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11311|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11320|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11330|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11340|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11341|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11350|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11360|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11370|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11380|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11381|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11400|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11410|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11420|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11421|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11430|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11440|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11441|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11450|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11451|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11460|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11461|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11462|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11470|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11471|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11480|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11490|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11500|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11510|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11520|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11530|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11540|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11550|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11560|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11570|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11580|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11581|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11590|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11591|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11600|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11601|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11610|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11611|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11612|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11620|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11630|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11640|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11650|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11651|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11652|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11660|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11670|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11680|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11690|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11691|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11700|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11701|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11702|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11703|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11710|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11720|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11730|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11740|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11741|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11750|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11760|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11770|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11771|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11772|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11780|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11790|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11800|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11801|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11810|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11811|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11812|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11820|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11821|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11830|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11831|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11832|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11833|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11834|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11835|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11840|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11841|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11842|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11850|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11851|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11860|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11861|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11862|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11870|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11880|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11881|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11882|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11883|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11884|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11885|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11890|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11900|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11901|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11902|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11903|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11910|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11911|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11912|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11913|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11920|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11921|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11930|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11940|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11941|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11950|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11960|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11961|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11962|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11963|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11970|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11971|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11972|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11973|2|N
H5322|045|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete GA-S3 (HMO-POS D-SNP)|00025002|40.00|590| | |GA|11980|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45010|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45040|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45050|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45080|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45110|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45150|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45210|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45224|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45251|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45270|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45291|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45292|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45362|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45391|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45392|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45430|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45450|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45451|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45520|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45521|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45541|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45551|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45561|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45563|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45582|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45591|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45600|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45652|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45661|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45671|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45680|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45690|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45721|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45722|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45732|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45734|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45751|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45753|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45770|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45771|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45784|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45794|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45802|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45822|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45840|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45841|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45860|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45871|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45876|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45877|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45884|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45905|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45911|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45913|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45930|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45942|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45945|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45948|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45949|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45960|2|N
H5322|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S5 (HMO-POS D-SNP)|00025002|0.00|590| | |TX|45983|2|N
H5325|003|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26010|2|N
H5325|003|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26020|2|N
H5325|003|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26060|2|N
H5325|003|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26070|2|N
H5325|003|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26100|2|N
H5325|003|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26120|2|N
H5325|003|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26160|2|N
H5325|003|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26180|2|N
H5325|003|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26230|2|N
H5325|003|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26240|2|N
H5325|003|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26300|2|N
H5325|003|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26310|2|N
H5325|003|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26370|2|N
H5325|003|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26390|2|N
H5325|003|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26400|2|N
H5325|003|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26410|2|N
H5325|003|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26412|2|N
H5325|003|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26470|2|N
H5325|003|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26500|2|N
H5325|003|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26530|2|N
H5325|003|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26580|2|N
H5325|003|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26631|2|N
H5325|003|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26730|2|N
H5325|003|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26790|2|N
H5325|003|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26820|2|N
H5325|003|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26880|2|N
H5325|003|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26970|2|N
H5325|003|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26990|2|N
H5325|003|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26995|2|N
H5325|004|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26040|2|N
H5325|004|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26050|2|N
H5325|004|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26190|2|N
H5325|004|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26210|2|N
H5325|004|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26280|2|N
H5325|004|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26290|2|N
H5325|004|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26330|2|N
H5325|004|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26380|2|N
H5325|004|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26411|2|N
H5325|004|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26480|2|N
H5325|004|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26520|2|N
H5325|004|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26540|2|N
H5325|004|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26590|2|N
H5325|004|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26720|2|N
H5325|004|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26751|2|N
H5325|004|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26821|2|N
H5325|004|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26911|2|N
H5325|004|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26986|2|N
H5325|004|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26988|2|N
H5325|004|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26994|2|N
H5325|004|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26996|2|N
H5325|005|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26130|2|N
H5325|005|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26270|2|N
H5325|005|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26350|2|N
H5325|005|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26360|2|N
H5325|005|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26490|2|N
H5325|005|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26560|2|N
H5325|005|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26910|2|N
H5325|005|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26940|2|N
H5325|005|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26950|2|N
H5325|005|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26991|2|N
H5325|006|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26000|2|N
H5325|006|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26030|2|N
H5325|006|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26080|2|N
H5325|006|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26090|2|N
H5325|006|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26110|2|N
H5325|006|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26140|2|N
H5325|006|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26150|2|N
H5325|006|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26170|2|N
H5325|006|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26200|2|N
H5325|006|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26220|2|N
H5325|006|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26250|2|N
H5325|006|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26260|2|N
H5325|006|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26320|2|N
H5325|006|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26440|2|N
H5325|006|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26450|2|N
H5325|006|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26460|2|N
H5325|006|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26510|2|N
H5325|006|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26541|2|N
H5325|006|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26570|2|N
H5325|006|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26600|2|N
H5325|006|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26601|2|N
H5325|006|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26620|2|N
H5325|006|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26630|2|N
H5325|006|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26650|2|N
H5325|006|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26660|2|N
H5325|006|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26670|2|N
H5325|006|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26680|2|N
H5325|006|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26690|2|N
H5325|006|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26700|2|N
H5325|006|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26710|2|N
H5325|006|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26740|2|N
H5325|006|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26750|2|N
H5325|006|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26770|2|N
H5325|006|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26780|2|N
H5325|006|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26800|2|N
H5325|006|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26810|2|N
H5325|006|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26840|2|N
H5325|006|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26850|2|N
H5325|006|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26860|2|N
H5325|006|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26870|2|N
H5325|006|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26881|2|N
H5325|006|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26900|2|N
H5325|006|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26930|2|N
H5325|006|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26960|2|N
H5325|006|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26980|2|N
H5325|006|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26981|2|N
H5325|006|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26982|2|N
H5325|006|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26983|2|N
H5325|006|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26984|2|N
H5325|006|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26985|2|N
H5325|006|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26987|2|N
H5325|006|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26989|2|N
H5325|006|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26992|2|N
H5325|006|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Assure (HMO D-SNP)|00025101|0.00|590| | |MO|26993|2|N
H5325|007|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |AR|04030|2|N
H5325|007|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |AR|04070|2|N
H5325|007|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |AR|04090|2|N
H5325|007|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |AR|04110|2|N
H5325|007|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |AR|04160|2|N
H5325|007|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |AR|04220|2|N
H5325|007|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |AR|04230|2|N
H5325|007|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |AR|04250|2|N
H5325|007|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |AR|04290|2|N
H5325|007|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |AR|04350|2|N
H5325|007|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |AR|04410|2|N
H5325|007|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |AR|04430|2|N
H5325|007|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |AR|04480|2|N
H5325|007|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |AR|04500|2|N
H5325|007|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |AR|04520|2|N
H5325|007|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |AR|04590|2|N
H5325|007|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |AR|04620|2|N
H5325|007|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |AR|04630|2|N
H5325|007|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |AR|04640|2|N
H5325|007|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |AR|04650|2|N
H5325|007|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |AR|04710|2|N
H5325|010|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|0.00|590| | |AR|04220|2|N
H5325|010|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|0.00|590| | |AR|04250|2|N
H5325|010|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|0.00|590| | |AR|04590|2|N
H5325|010|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Dual Signature (HMO D-SNP)|00025101|0.00|590| | |AR|04620|2|N
H5325|011|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Dual Signature Select (HMO D-SNP)|00025101|20.90|590| | |AR|04220|2|N
H5325|011|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Dual Signature Select (HMO D-SNP)|00025101|20.90|590| | |AR|04250|2|N
H5325|011|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Dual Signature Select (HMO D-SNP)|00025101|20.90|590| | |AR|04590|2|N
H5325|011|000|COVENTRY HEALTH CARE OF KANSAS, INC.|Aetna Medicare Dual Signature Select (HMO D-SNP)|00025101|20.90|590| | |AR|04620|2|N
H5361|001|000|AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY|AmeriHealth Medicare Core (PPO)|00025343|0.00|0| | |NJ|31000|0|N
H5361|001|000|AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY|AmeriHealth Medicare Core (PPO)|00025343|0.00|0| | |NJ|31150|0|N
H5361|001|000|AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY|AmeriHealth Medicare Core (PPO)|00025343|0.00|0| | |NJ|31160|0|N
H5361|001|000|AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY|AmeriHealth Medicare Core (PPO)|00025343|0.00|0| | |NJ|31220|0|N
H5361|001|000|AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY|AmeriHealth Medicare Core (PPO)|00025343|0.00|0| | |NJ|31260|0|N
H5361|001|000|AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY|AmeriHealth Medicare Core (PPO)|00025343|0.00|0| | |NJ|31270|0|N
H5361|001|000|AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY|AmeriHealth Medicare Core (PPO)|00025343|0.00|0| | |NJ|31310|0|N
H5361|002|000|AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY|AmeriHealth Medicare Enhanced (PPO)|00025343|30.40|0| | |NJ|31000|0|N
H5361|002|000|AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY|AmeriHealth Medicare Enhanced (PPO)|00025343|30.40|0| | |NJ|31150|0|N
H5361|002|000|AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY|AmeriHealth Medicare Enhanced (PPO)|00025343|30.40|0| | |NJ|31160|0|N
H5361|002|000|AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY|AmeriHealth Medicare Enhanced (PPO)|00025343|30.40|0| | |NJ|31220|0|N
H5361|002|000|AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY|AmeriHealth Medicare Enhanced (PPO)|00025343|30.40|0| | |NJ|31260|0|N
H5361|002|000|AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY|AmeriHealth Medicare Enhanced (PPO)|00025343|30.40|0| | |NJ|31270|0|N
H5361|002|000|AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY|AmeriHealth Medicare Enhanced (PPO)|00025343|30.40|0| | |NJ|31310|0|N
H5361|003|000|AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY|AmeriHealth Medicare Secure (PPO)|00025343|0.00|200| | |NJ|31000|0|N
H5361|003|000|AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY|AmeriHealth Medicare Secure (PPO)|00025343|0.00|200| | |NJ|31150|0|N
H5361|003|000|AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY|AmeriHealth Medicare Secure (PPO)|00025343|0.00|200| | |NJ|31160|0|N
H5361|003|000|AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY|AmeriHealth Medicare Secure (PPO)|00025343|0.00|200| | |NJ|31220|0|N
H5361|003|000|AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY|AmeriHealth Medicare Secure (PPO)|00025343|0.00|200| | |NJ|31260|0|N
H5361|003|000|AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY|AmeriHealth Medicare Secure (PPO)|00025343|0.00|200| | |NJ|31270|0|N
H5361|003|000|AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY|AmeriHealth Medicare Secure (PPO)|00025343|0.00|200| | |NJ|31310|0|N
H5361|004|000|AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY|AmeriHealth Medicare Ultimate (PPO)|00025343|0.00|150| | |NJ|31000|0|N
H5361|004|000|AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY|AmeriHealth Medicare Ultimate (PPO)|00025343|0.00|150| | |NJ|31150|0|N
H5361|004|000|AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY|AmeriHealth Medicare Ultimate (PPO)|00025343|0.00|150| | |NJ|31160|0|N
H5361|004|000|AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY|AmeriHealth Medicare Ultimate (PPO)|00025343|0.00|150| | |NJ|31220|0|N
H5361|004|000|AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY|AmeriHealth Medicare Ultimate (PPO)|00025343|0.00|150| | |NJ|31260|0|N
H5361|004|000|AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY|AmeriHealth Medicare Ultimate (PPO)|00025343|0.00|150| | |NJ|31270|0|N
H5361|004|000|AMERIHEALTH INSURANCE COMPANY OF NEW JERSEY|AmeriHealth Medicare Ultimate (PPO)|00025343|0.00|150| | |NJ|31310|0|N
H5374|001|000|LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|51.20|590| | |NC|34000|3|N
H5374|001|000|LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|51.20|590| | |NC|34030|3|N
H5374|001|000|LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|51.20|590| | |NC|34090|3|N
H5374|001|000|LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|51.20|590| | |NC|34100|3|N
H5374|001|000|LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|51.20|590| | |NC|34110|3|N
H5374|001|000|LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|51.20|590| | |NC|34120|3|N
H5374|001|000|LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|51.20|590| | |NC|34160|3|N
H5374|001|000|LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|51.20|590| | |NC|34170|3|N
H5374|001|000|LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|51.20|590| | |NC|34250|3|N
H5374|001|000|LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|51.20|590| | |NC|34280|3|N
H5374|001|000|LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|51.20|590| | |NC|34290|3|N
H5374|001|000|LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|51.20|590| | |NC|34300|3|N
H5374|001|000|LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|51.20|590| | |NC|34310|3|N
H5374|001|000|LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|51.20|590| | |NC|34320|3|N
H5374|001|000|LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|51.20|590| | |NC|34330|3|N
H5374|001|000|LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|51.20|590| | |NC|34350|3|N
H5374|001|000|LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|51.20|590| | |NC|34400|3|N
H5374|001|000|LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|51.20|590| | |NC|34420|3|N
H5374|001|000|LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|51.20|590| | |NC|34430|3|N
H5374|001|000|LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|51.20|590| | |NC|34440|3|N
H5374|001|000|LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|51.20|590| | |NC|34460|3|N
H5374|001|000|LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|51.20|590| | |NC|34480|3|N
H5374|001|000|LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|51.20|590| | |NC|34500|3|N
H5374|001|000|LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|51.20|590| | |NC|34540|3|N
H5374|001|000|LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|51.20|590| | |NC|34550|3|N
H5374|001|000|LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|51.20|590| | |NC|34590|3|N
H5374|001|000|LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|51.20|590| | |NC|34610|3|N
H5374|001|000|LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|51.20|590| | |NC|34620|3|N
H5374|001|000|LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|51.20|590| | |NC|34630|3|N
H5374|001|000|LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|51.20|590| | |NC|34640|3|N
H5374|001|000|LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|51.20|590| | |NC|34730|3|N
H5374|001|000|LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|51.20|590| | |NC|34740|3|N
H5374|001|000|LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|51.20|590| | |NC|34750|3|N
H5374|001|000|LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|51.20|590| | |NC|34770|3|N
H5374|001|000|LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|51.20|590| | |NC|34780|3|N
H5374|001|000|LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|51.20|590| | |NC|34790|3|N
H5374|001|000|LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|51.20|590| | |NC|34800|3|N
H5374|001|000|LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|51.20|590| | |NC|34820|3|N
H5374|001|000|LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|51.20|590| | |NC|34840|3|N
H5374|001|000|LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|51.20|590| | |NC|34850|3|N
H5374|001|000|LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|51.20|590| | |NC|34890|3|N
H5374|001|000|LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|51.20|590| | |NC|34910|3|N
H5374|001|000|LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|51.20|590| | |NC|34950|3|N
H5374|001|000|LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|51.20|590| | |NC|34970|3|N
H5374|001|000|LONGEVITY HEALTH PLAN OF NORTH CAROLINA, INC.|Longevity Health Plan (HMO I-SNP)|00025394|51.20|590| | |NC|34980|3|N
H5377|002|000|HUMANA MEDICAL PLAN OF PENNSYLVANIA, INC.|Humana Gold Plus H5377-002 (HMO-POS)|00025456|0.00|350| | |VA|49040|0|N
H5377|002|000|HUMANA MEDICAL PLAN OF PENNSYLVANIA, INC.|Humana Gold Plus H5377-002 (HMO-POS)|00025456|0.00|350| | |VA|49050|0|N
H5377|002|000|HUMANA MEDICAL PLAN OF PENNSYLVANIA, INC.|Humana Gold Plus H5377-002 (HMO-POS)|00025456|0.00|350| | |VA|49110|0|N
H5377|002|000|HUMANA MEDICAL PLAN OF PENNSYLVANIA, INC.|Humana Gold Plus H5377-002 (HMO-POS)|00025456|0.00|350| | |VA|49150|0|N
H5377|002|000|HUMANA MEDICAL PLAN OF PENNSYLVANIA, INC.|Humana Gold Plus H5377-002 (HMO-POS)|00025456|0.00|350| | |VA|49190|0|N
H5377|002|000|HUMANA MEDICAL PLAN OF PENNSYLVANIA, INC.|Humana Gold Plus H5377-002 (HMO-POS)|00025456|0.00|350| | |VA|49220|0|N
H5377|002|000|HUMANA MEDICAL PLAN OF PENNSYLVANIA, INC.|Humana Gold Plus H5377-002 (HMO-POS)|00025456|0.00|350| | |VA|49241|0|N
H5377|002|000|HUMANA MEDICAL PLAN OF PENNSYLVANIA, INC.|Humana Gold Plus H5377-002 (HMO-POS)|00025456|0.00|350| | |VA|49310|0|N
H5377|002|000|HUMANA MEDICAL PLAN OF PENNSYLVANIA, INC.|Humana Gold Plus H5377-002 (HMO-POS)|00025456|0.00|350| | |VA|49330|0|N
H5377|002|000|HUMANA MEDICAL PLAN OF PENNSYLVANIA, INC.|Humana Gold Plus H5377-002 (HMO-POS)|00025456|0.00|350| | |VA|49410|0|N
H5377|002|000|HUMANA MEDICAL PLAN OF PENNSYLVANIA, INC.|Humana Gold Plus H5377-002 (HMO-POS)|00025456|0.00|350| | |VA|49440|0|N
H5377|002|000|HUMANA MEDICAL PLAN OF PENNSYLVANIA, INC.|Humana Gold Plus H5377-002 (HMO-POS)|00025456|0.00|350| | |VA|49551|0|N
H5377|002|000|HUMANA MEDICAL PLAN OF PENNSYLVANIA, INC.|Humana Gold Plus H5377-002 (HMO-POS)|00025456|0.00|350| | |VA|49561|0|N
H5377|002|000|HUMANA MEDICAL PLAN OF PENNSYLVANIA, INC.|Humana Gold Plus H5377-002 (HMO-POS)|00025456|0.00|350| | |VA|49600|0|N
H5377|002|000|HUMANA MEDICAL PLAN OF PENNSYLVANIA, INC.|Humana Gold Plus H5377-002 (HMO-POS)|00025456|0.00|350| | |VA|49710|0|N
H5377|002|000|HUMANA MEDICAL PLAN OF PENNSYLVANIA, INC.|Humana Gold Plus H5377-002 (HMO-POS)|00025456|0.00|350| | |VA|49730|0|N
H5377|002|000|HUMANA MEDICAL PLAN OF PENNSYLVANIA, INC.|Humana Gold Plus H5377-002 (HMO-POS)|00025456|0.00|350| | |VA|49770|0|N
H5377|002|000|HUMANA MEDICAL PLAN OF PENNSYLVANIA, INC.|Humana Gold Plus H5377-002 (HMO-POS)|00025456|0.00|350| | |VA|49800|0|N
H5377|002|000|HUMANA MEDICAL PLAN OF PENNSYLVANIA, INC.|Humana Gold Plus H5377-002 (HMO-POS)|00025456|0.00|350| | |VA|49801|0|N
H5377|002|000|HUMANA MEDICAL PLAN OF PENNSYLVANIA, INC.|Humana Gold Plus H5377-002 (HMO-POS)|00025456|0.00|350| | |VA|49838|0|N
H5386|003|000|SHARP HEALTH PLAN|Sharp Direct Advantage Gold Card (HMO)|00025296|0.00|0| | |CA|05470|0|N
H5386|004|000|SHARP HEALTH PLAN|Sharp Direct Advantage Platinum Card (HMO)|00025296|51.00|0| | |CA|05470|0|N
H5386|005|000|SHARP HEALTH PLAN|Sharp Direct Advantage VIP Plan (HMO)|00025296|0.00|0| | |CA|05470|0|N
H5398|002|000|CENTENE VENTURE COMPANY KANSAS|Wellcare Complete Simple (HMO-POS)|00025084|0.00|420| | |KS|17070|0|N
H5398|002|000|CENTENE VENTURE COMPANY KANSAS|Wellcare Complete Simple (HMO-POS)|00025084|0.00|420| | |KS|17170|0|N
H5398|002|000|CENTENE VENTURE COMPANY KANSAS|Wellcare Complete Simple (HMO-POS)|00025084|0.00|420| | |KS|17390|0|N
H5398|002|000|CENTENE VENTURE COMPANY KANSAS|Wellcare Complete Simple (HMO-POS)|00025084|0.00|420| | |KS|17470|0|N
H5398|002|000|CENTENE VENTURE COMPANY KANSAS|Wellcare Complete Simple (HMO-POS)|00025084|0.00|420| | |KS|17860|0|N
H5398|002|000|CENTENE VENTURE COMPANY KANSAS|Wellcare Complete Simple (HMO-POS)|00025084|0.00|420| | |KS|17950|0|N
H5398|004|000|CENTENE VENTURE COMPANY KANSAS|Wellcare Complete - Giveback (HMO-POS)|00025076|0.00|420| | |KS|17070|0|N
H5398|004|000|CENTENE VENTURE COMPANY KANSAS|Wellcare Complete - Giveback (HMO-POS)|00025076|0.00|420| | |KS|17170|0|N
H5398|004|000|CENTENE VENTURE COMPANY KANSAS|Wellcare Complete - Giveback (HMO-POS)|00025076|0.00|420| | |KS|17390|0|N
H5398|004|000|CENTENE VENTURE COMPANY KANSAS|Wellcare Complete - Giveback (HMO-POS)|00025076|0.00|420| | |KS|17470|0|N
H5398|004|000|CENTENE VENTURE COMPANY KANSAS|Wellcare Complete - Giveback (HMO-POS)|00025076|0.00|420| | |KS|17860|0|N
H5398|004|000|CENTENE VENTURE COMPANY KANSAS|Wellcare Complete - Giveback (HMO-POS)|00025076|0.00|420| | |KS|17950|0|N
H5410|013|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|20.30|590| | |FL|10020|2|N
H5410|013|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|20.30|590| | |FL|10160|2|N
H5410|013|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|20.30|590| | |FL|10450|2|N
H5410|013|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|20.30|590| | |FL|10560|2|N
H5410|013|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|20.30|590| | |FL|10650|2|N
H5410|018|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |FL|10020|0|N
H5410|018|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |FL|10160|0|N
H5410|018|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |FL|10450|0|N
H5410|018|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |FL|10560|0|N
H5410|018|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |FL|10650|0|N
H5410|024|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |FL|10340|0|N
H5410|024|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |FL|10410|0|N
H5410|024|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |FL|10470|0|N
H5410|024|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |FL|10480|0|N
H5410|024|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |FL|10520|0|N
H5410|024|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |FL|10580|0|N
H5410|024|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |FL|10590|0|N
H5410|025|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |FL|10340|2|N
H5410|025|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |FL|10410|2|N
H5410|025|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |FL|10470|2|N
H5410|025|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |FL|10480|2|N
H5410|025|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |FL|10520|2|N
H5410|025|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |FL|10580|2|N
H5410|025|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |FL|10590|2|N
H5410|026|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |FL|10340|0|N
H5410|026|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |FL|10410|0|N
H5410|026|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |FL|10470|0|N
H5410|026|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |FL|10480|0|N
H5410|026|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |FL|10520|0|N
H5410|026|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |FL|10580|0|N
H5410|026|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |FL|10590|0|N
H5410|027|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |FL|10040|0|N
H5410|027|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |FL|10170|0|N
H5410|027|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |FL|10630|0|N
H5410|028|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |FL|10040|0|N
H5410|028|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |FL|10170|0|N
H5410|028|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |FL|10630|0|N
H5410|029|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |FL|10260|0|N
H5410|029|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |FL|10280|0|N
H5410|029|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |FL|10400|0|N
H5410|029|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |FL|10500|0|N
H5410|029|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |FL|10510|0|N
H5410|029|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |FL|10570|0|N
H5410|030|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |FL|10260|0|N
H5410|030|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |FL|10280|0|N
H5410|030|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |FL|10400|0|N
H5410|030|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |FL|10500|0|N
H5410|030|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |FL|10510|0|N
H5410|030|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |FL|10570|0|N
H5410|031|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |FL|10040|2|N
H5410|031|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |FL|10090|2|N
H5410|031|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |FL|10150|2|N
H5410|031|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |FL|10170|2|N
H5410|031|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |FL|10630|2|N
H5410|032|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |FL|10260|2|N
H5410|032|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |FL|10280|2|N
H5410|032|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |FL|10400|2|N
H5410|032|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |FL|10500|2|N
H5410|032|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |FL|10510|2|N
H5410|032|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |FL|10570|2|N
H5410|037|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |FL|10300|0|N
H5410|037|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |FL|10420|0|N
H5410|037|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |FL|10550|0|N
H5410|039|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |FL|10070|0|N
H5410|039|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |FL|10100|0|N
H5410|039|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |FL|10350|0|N
H5410|040|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |FL|10300|0|N
H5410|040|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |FL|10420|0|N
H5410|040|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |FL|10550|0|N
H5410|041|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |FL|10070|0|N
H5410|041|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |FL|10100|0|N
H5410|041|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |FL|10350|0|N
H5410|042|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |FL|10020|2|N
H5410|042|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |FL|10160|2|N
H5410|042|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |FL|10450|2|N
H5410|042|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |FL|10560|2|N
H5410|042|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |FL|10650|2|N
H5410|043|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |FL|10090|0|N
H5410|043|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |FL|10150|0|N
H5410|044|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |FL|10090|0|N
H5410|044|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |FL|10150|0|N
H5410|045|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|16.70|590| | |FL|10040|2|N
H5410|045|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|16.70|590| | |FL|10090|2|N
H5410|045|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|16.70|590| | |FL|10150|2|N
H5410|045|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|16.70|590| | |FL|10170|2|N
H5410|045|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|16.70|590| | |FL|10630|2|N
H5410|046|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|18.50|590| | |FL|10260|2|N
H5410|046|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|18.50|590| | |FL|10280|2|N
H5410|046|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|18.50|590| | |FL|10340|2|N
H5410|046|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|18.50|590| | |FL|10400|2|N
H5410|046|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|18.50|590| | |FL|10410|2|N
H5410|046|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|18.50|590| | |FL|10470|2|N
H5410|046|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|18.50|590| | |FL|10480|2|N
H5410|046|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|18.50|590| | |FL|10500|2|N
H5410|046|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|18.50|590| | |FL|10510|2|N
H5410|046|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|18.50|590| | |FL|10520|2|N
H5410|046|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|18.50|590| | |FL|10570|2|N
H5410|046|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|18.50|590| | |FL|10580|2|N
H5410|046|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|18.50|590| | |FL|10590|2|N
H5410|047|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |FL|10070|2|N
H5410|047|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |FL|10100|2|N
H5410|047|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |FL|10300|2|N
H5410|047|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |FL|10350|2|N
H5410|047|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |FL|10420|2|N
H5410|047|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |FL|10550|2|N
H5410|048|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |FL|10050|0|N
H5410|049|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |FL|10050|2|N
H5410|049|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |FL|10120|2|N
H5410|049|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |FL|10490|2|N
H5410|050|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |FL|10050|0|N
H5410|051|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |FL|10120|0|N
H5410|052|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |FL|10120|0|N
H5410|053|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |FL|10490|0|N
H5410|054|000|HEALTHSPRING OF FLORIDA, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |FL|10490|0|N
H5410|055|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|17.50|590| | |FL|10070|2|N
H5410|055|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|17.50|590| | |FL|10100|2|N
H5410|055|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|17.50|590| | |FL|10300|2|N
H5410|055|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|17.50|590| | |FL|10350|2|N
H5410|055|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|17.50|590| | |FL|10420|2|N
H5410|055|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|17.50|590| | |FL|10550|2|N
H5410|056|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|17.40|590| | |FL|10050|2|N
H5410|056|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|17.40|590| | |FL|10120|2|N
H5410|056|000|HEALTHSPRING OF FLORIDA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|17.40|590| | |FL|10490|2|N
H5420|001|000|Preferred Care Network, Inc.|UHC MedicareMax Medicare Advantage FL-0028 (HMO)|00025002|0.00|0| | |FL|10120|0|N
H5420|003|000|Preferred Care Network, Inc.|UHC MedicareMax Medicare Advantage FL-0029 (HMO)|00025002|0.00|175| | |FL|10050|0|N
H5420|006|000|Preferred Care Network, Inc.|UHC MedicareMax Dual Complete FL-D4 (HMO D-SNP)|00025002|20.30|590| | |FL|10050|2|N
H5420|006|000|Preferred Care Network, Inc.|UHC MedicareMax Dual Complete FL-D4 (HMO D-SNP)|00025002|20.30|590| | |FL|10120|2|N
H5420|014|000|Preferred Care Network, Inc.|UHC MedicareMax Complete Care FL-30 (HMO C-SNP)|00025003|0.00|0| | |FL|10050|1|N
H5420|014|000|Preferred Care Network, Inc.|UHC MedicareMax Complete Care FL-30 (HMO C-SNP)|00025003|0.00|0| | |FL|10120|1|N
H5420|015|000|Preferred Care Network, Inc.|UHC MedicareMax Dual Complete FL-V3 (HMO D-SNP)|00025002|20.30|590| | |FL|10050|2|N
H5420|015|000|Preferred Care Network, Inc.|UHC MedicareMax Dual Complete FL-V3 (HMO D-SNP)|00025002|20.30|590| | |FL|10120|2|N
H5420|016|000|Preferred Care Network, Inc.|UHC MedicareMax Dual Complete FL-Y6 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10050|2|N
H5420|016|000|Preferred Care Network, Inc.|UHC MedicareMax Dual Complete FL-Y6 (HMO-POS D-SNP)|00025002|0.00|590| | |FL|10120|2|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11000|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11010|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11011|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11020|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11030|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11040|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11050|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11060|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11070|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11090|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11100|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11110|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11130|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11140|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11150|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11160|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11180|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11190|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11210|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11220|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11230|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11240|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11250|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11260|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11280|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11281|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11290|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11291|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11310|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11320|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11330|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11340|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11350|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11370|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11380|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11381|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11400|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11421|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11430|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11440|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11441|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11450|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11451|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11461|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11462|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11470|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11471|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11480|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11520|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11530|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11540|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11550|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11560|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11570|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11580|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11581|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11590|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11591|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11600|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11601|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11610|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11611|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11612|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11620|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11630|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11640|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11650|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11651|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11660|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11680|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11690|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11691|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11700|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11701|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11702|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11703|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11710|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11720|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11730|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11740|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11760|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11770|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11771|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11772|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11780|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11790|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11800|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11801|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11810|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11811|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11812|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11820|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11821|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11830|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11831|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11832|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11833|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11834|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11840|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11841|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11842|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11850|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11860|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11861|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11862|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11880|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11881|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11882|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11883|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11884|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11900|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11901|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11902|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11903|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11910|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11911|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11912|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11913|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11920|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11930|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11940|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11941|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11950|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11960|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11961|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11962|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11963|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11971|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11972|0|N
H5422|011|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|295| | |GA|11973|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11000|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11010|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11011|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11020|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11030|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11040|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11050|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11060|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11070|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11090|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11100|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11110|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11130|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11140|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11150|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11160|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11180|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11190|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11210|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11220|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11230|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11240|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11250|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11260|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11280|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11281|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11290|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11291|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11310|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11320|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11330|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11340|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11350|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11370|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11380|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11381|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11400|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11421|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11430|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11440|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11441|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11450|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11451|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11461|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11462|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11470|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11471|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11480|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11520|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11530|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11540|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11550|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11560|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11570|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11580|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11581|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11590|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11591|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11600|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11601|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11610|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11611|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11612|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11620|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11630|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11640|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11650|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11651|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11660|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11680|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11690|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11691|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11700|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11701|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11702|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11703|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11710|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11720|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11730|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11740|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11760|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11770|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11771|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11772|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11780|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11790|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11800|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11801|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11810|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11811|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11812|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11820|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11821|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11830|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11831|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11832|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11833|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11834|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11840|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11841|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11842|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11850|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11860|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11861|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11862|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11880|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11881|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11882|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11883|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11884|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11900|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11901|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11902|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11903|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11910|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11911|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11912|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11913|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11920|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11930|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11940|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11941|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11950|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11960|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11961|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11962|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11963|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11971|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11972|0|N
H5422|013|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Extra Help (HMO-POS)|00025049|38.60|590| | |GA|11973|0|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11000|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11010|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11011|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11020|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11030|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11040|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11050|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11060|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11070|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11090|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11100|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11110|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11130|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11140|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11150|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11160|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11180|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11190|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11210|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11220|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11230|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11240|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11250|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11260|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11280|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11281|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11290|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11291|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11310|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11320|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11330|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11340|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11350|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11370|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11380|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11381|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11400|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11421|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11430|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11440|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11441|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11450|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11451|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11461|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11462|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11470|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11471|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11480|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11520|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11530|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11540|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11550|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11560|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11570|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11580|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11581|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11590|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11591|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11600|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11601|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11610|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11611|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11612|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11620|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11630|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11640|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11650|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11651|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11660|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11680|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11690|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11691|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11700|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11701|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11702|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11703|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11710|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11720|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11730|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11740|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11760|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11770|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11771|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11772|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11780|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11790|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11800|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11801|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11810|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11811|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11812|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11820|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11821|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11830|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11831|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11832|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11833|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11834|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11840|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11841|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11842|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11850|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11860|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11861|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11862|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11880|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11881|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11882|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11883|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11884|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11900|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11901|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11902|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11903|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11910|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11911|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11912|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11913|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11920|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11930|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11940|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11941|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11950|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11960|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11961|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11962|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11963|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11971|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11972|1|N
H5422|015|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |GA|11973|1|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11000|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11010|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11011|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11020|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11030|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11040|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11050|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11060|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11070|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11090|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11100|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11110|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11130|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11140|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11150|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11160|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11180|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11190|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11210|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11220|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11230|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11240|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11250|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11260|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11280|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11281|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11290|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11291|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11310|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11320|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11330|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11340|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11350|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11370|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11380|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11381|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11400|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11421|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11430|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11440|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11441|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11450|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11451|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11461|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11462|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11470|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11471|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11480|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11520|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11530|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11540|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11550|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11560|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11570|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11580|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11581|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11590|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11591|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11600|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11601|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11610|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11611|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11612|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11620|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11630|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11640|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11650|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11651|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11660|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11680|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11690|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11691|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11700|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11701|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11702|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11703|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11710|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11720|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11730|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11740|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11760|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11770|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11771|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11772|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11780|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11790|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11800|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11801|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11810|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11811|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11812|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11820|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11821|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11830|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11831|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11832|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11833|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11834|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11840|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11841|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11842|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11850|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11860|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11861|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11862|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11880|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11881|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11882|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11883|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11884|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11900|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11901|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11902|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11903|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11910|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11911|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11912|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11913|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11920|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11930|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11940|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11941|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11950|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11960|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11961|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11962|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11963|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11971|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11972|2|N
H5422|018|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Dual Advantage (HMO D-SNP)|00025049|18.90|590| | |GA|11973|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11000|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11010|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11011|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11020|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11030|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11040|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11050|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11060|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11070|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11090|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11100|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11110|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11130|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11140|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11150|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11160|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11180|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11190|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11210|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11220|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11230|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11240|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11250|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11260|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11280|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11281|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11290|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11291|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11310|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11320|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11330|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11340|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11350|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11370|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11380|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11381|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11400|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11421|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11430|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11440|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11441|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11450|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11451|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11461|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11462|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11470|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11471|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11480|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11520|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11530|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11540|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11550|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11560|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11570|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11580|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11581|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11590|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11591|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11600|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11601|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11610|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11611|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11612|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11620|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11630|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11640|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11650|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11651|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11660|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11680|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11690|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11691|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11700|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11701|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11702|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11703|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11710|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11720|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11730|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11740|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11760|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11770|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11771|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11772|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11780|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11790|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11800|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11801|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11810|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11811|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11812|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11820|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11821|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11830|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11831|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11832|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11833|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11834|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11840|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11841|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11842|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11850|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11860|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11861|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11862|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11880|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11881|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11882|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11883|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11884|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11900|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11901|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11902|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11903|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11910|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11911|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11912|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11913|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11920|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11930|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11940|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11941|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11950|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11960|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11961|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11962|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11963|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11971|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11972|2|N
H5422|019|000|BLUE CROSS BLUE SHIELD HEALTHCARE PLAN OF GEORGIA|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |GA|11973|2|N
H5425|001|000|SCAN HEALTH PLAN|SCAN Classic (HMO)|00025409|0.00|0| | |CA|05660|0|N
H5425|005|000|SCAN HEALTH PLAN|SCAN Classic (HMO)|00025409|0.00|0| | |CA|05470|0|N
H5425|006|000|SCAN HEALTH PLAN|SCAN Classic (HMO)|00025409|0.00|0| | |CA|05200|0|N
H5425|006|000|SCAN HEALTH PLAN|SCAN Classic (HMO)|00025409|0.00|0| | |CA|05210|0|N
H5425|007|000|SCAN HEALTH PLAN|SCAN Classic (HMO)|00025409|0.00|0| | |CA|05400|0|N
H5425|008|000|SCAN HEALTH PLAN|SCAN Classic (HMO)|00025409|0.00|0| | |CA|05430|0|N
H5425|009|000|SCAN HEALTH PLAN|SCAN Classic (HMO)|00025409|0.00|0| | |CA|05460|0|N
H5425|019|000|SCAN HEALTH PLAN|SCAN Classic (HMO)|00025409|0.00|0| | |CA|05480|0|N
H5425|034|000|SCAN HEALTH PLAN|SCAN Balance (HMO C-SNP)|00025409|0.00|0| | |CA|05200|1|N
H5425|034|000|SCAN HEALTH PLAN|SCAN Balance (HMO C-SNP)|00025409|0.00|0| | |CA|05210|1|N
H5425|034|000|SCAN HEALTH PLAN|SCAN Balance (HMO C-SNP)|00025409|0.00|0| | |CA|05400|1|N
H5425|065|000|SCAN HEALTH PLAN|SCAN Prime (HMO)|00025409|0.00|0| | |CA|05200|0|N
H5425|065|000|SCAN HEALTH PLAN|SCAN Prime (HMO)|00025409|0.00|0| | |CA|05210|0|N
H5425|065|000|SCAN HEALTH PLAN|SCAN Prime (HMO)|00025409|0.00|0| | |CA|05400|0|N
H5425|065|000|SCAN HEALTH PLAN|SCAN Prime (HMO)|00025409|0.00|0| | |CA|05460|0|N
H5425|069|000|SCAN HEALTH PLAN|SCAN Classic (HMO)|00025409|0.00|0| | |CA|05530|0|N
H5425|069|000|SCAN HEALTH PLAN|SCAN Classic (HMO)|00025409|0.00|0| | |CA|05600|0|N
H5425|070|000|SCAN HEALTH PLAN|SCAN Balance (HMO C-SNP)|00025409|0.00|0| | |CA|05530|1|N
H5425|070|000|SCAN HEALTH PLAN|SCAN Balance (HMO C-SNP)|00025409|0.00|0| | |CA|05600|1|N
H5425|075|000|SCAN HEALTH PLAN|SCAN Classic (HMO)|00025409|0.00|0| | |CA|05000|0|N
H5425|075|000|SCAN HEALTH PLAN|SCAN Classic (HMO)|00025409|0.00|0| | |CA|05510|0|N
H5425|076|000|SCAN HEALTH PLAN|SCAN Balance (HMO C-SNP)|00025409|0.00|0| | |CA|05000|1|N
H5425|076|000|SCAN HEALTH PLAN|SCAN Balance (HMO C-SNP)|00025409|0.00|0| | |CA|05510|1|N
H5425|082|000|SCAN HEALTH PLAN|SCAN Alta (HMO)|00025409|0.00|0| | |CA|05470|0|N
H5425|084|000|SCAN HEALTH PLAN|SCAN Venture (HMO)|00025409|0.00|0| | |CA|05200|0|N
H5425|084|000|SCAN HEALTH PLAN|SCAN Venture (HMO)|00025409|0.00|0| | |CA|05210|0|N
H5425|084|000|SCAN HEALTH PLAN|SCAN Venture (HMO)|00025409|0.00|0| | |CA|05400|0|N
H5425|085|000|SCAN HEALTH PLAN|SCAN Venture (HMO)|00025409|0.00|0| | |CA|05430|0|N
H5425|085|000|SCAN HEALTH PLAN|SCAN Venture (HMO)|00025409|0.00|0| | |CA|05460|0|N
H5425|086|000|SCAN HEALTH PLAN|SCAN Embrace (HMO I-SNP)|00025409|0.00|0| | |CA|05200|3|N
H5425|086|000|SCAN HEALTH PLAN|SCAN Embrace (HMO I-SNP)|00025409|0.00|0| | |CA|05210|3|N
H5425|087|000|SCAN HEALTH PLAN|SCAN Embrace (HMO I-SNP)|00025409|0.00|0| | |CA|05400|3|N
H5425|091|000|SCAN HEALTH PLAN|SCAN Embrace (HMO-POS I-SNP)|00025409|0.00|0| | |CA|05460|3|N
H5425|092|000|SCAN HEALTH PLAN|SCAN Affirm partnered with Included LGBTQ+ Health (HMO)|00025409|0.00|0| | |CA|05200|0|N
H5425|092|000|SCAN HEALTH PLAN|SCAN Affirm partnered with Included LGBTQ+ Health (HMO)|00025409|0.00|0| | |CA|05210|0|N
H5425|092|000|SCAN HEALTH PLAN|SCAN Affirm partnered with Included LGBTQ+ Health (HMO)|00025409|0.00|0| | |CA|05400|0|N
H5425|092|000|SCAN HEALTH PLAN|SCAN Affirm partnered with Included LGBTQ+ Health (HMO)|00025409|0.00|0| | |CA|05430|0|N
H5425|096|000|SCAN HEALTH PLAN|SCAN Affirm partnered with Included LGBTQ+ Health (HMO)|00025409|0.00|0| | |CA|05470|0|N
H5425|097|000|SCAN HEALTH PLAN|SCAN Strive (HMO C-SNP)|00025409|25.70|590| | |CA|05200|1|N
H5425|097|000|SCAN HEALTH PLAN|SCAN Strive (HMO C-SNP)|00025409|25.70|590| | |CA|05210|1|N
H5425|097|000|SCAN HEALTH PLAN|SCAN Strive (HMO C-SNP)|00025409|25.70|590| | |CA|05400|1|N
H5425|097|000|SCAN HEALTH PLAN|SCAN Strive (HMO C-SNP)|00025409|25.70|590| | |CA|05430|1|N
H5425|097|000|SCAN HEALTH PLAN|SCAN Strive (HMO C-SNP)|00025409|25.70|590| | |CA|05460|1|N
H5425|097|000|SCAN HEALTH PLAN|SCAN Strive (HMO C-SNP)|00025409|25.70|590| | |CA|05470|1|N
H5425|097|000|SCAN HEALTH PLAN|SCAN Strive (HMO C-SNP)|00025409|25.70|590| | |CA|05660|1|N
H5425|098|000|SCAN HEALTH PLAN|SCAN Strive (HMO C-SNP)|00025409|25.90|590| | |CA|05000|1|N
H5425|098|000|SCAN HEALTH PLAN|SCAN Strive (HMO C-SNP)|00025409|25.90|590| | |CA|05090|1|N
H5425|098|000|SCAN HEALTH PLAN|SCAN Strive (HMO C-SNP)|00025409|25.90|590| | |CA|05300|1|N
H5425|098|000|SCAN HEALTH PLAN|SCAN Strive (HMO C-SNP)|00025409|25.90|590| | |CA|05480|1|N
H5425|098|000|SCAN HEALTH PLAN|SCAN Strive (HMO C-SNP)|00025409|25.90|590| | |CA|05510|1|N
H5425|098|000|SCAN HEALTH PLAN|SCAN Strive (HMO C-SNP)|00025409|25.90|590| | |CA|05530|1|N
H5425|098|000|SCAN HEALTH PLAN|SCAN Strive (HMO C-SNP)|00025409|25.90|590| | |CA|05600|1|N
H5425|100|000|SCAN HEALTH PLAN|SCAN Inspired by women for women (HMO)|00025409|0.00|0| | |CA|05200|0|N
H5425|100|000|SCAN HEALTH PLAN|SCAN Inspired by women for women (HMO)|00025409|0.00|0| | |CA|05210|0|N
H5425|100|000|SCAN HEALTH PLAN|SCAN Inspired by women for women (HMO)|00025409|0.00|0| | |CA|05400|0|N
H5425|101|000|SCAN HEALTH PLAN|SCAN Classic (HMO)|00025409|0.00|0| | |CA|05090|0|N
H5425|101|000|SCAN HEALTH PLAN|SCAN Classic (HMO)|00025409|0.00|0| | |CA|05300|0|N
H5425|102|000|SCAN HEALTH PLAN|SCAN Balance (HMO C-SNP)|00025409|0.00|0| | |CA|05090|1|N
H5425|102|000|SCAN HEALTH PLAN|SCAN Balance (HMO C-SNP)|00025409|0.00|0| | |CA|05300|1|N
H5425|104|000|SCAN HEALTH PLAN|SCAN Balance (HMO C-SNP)|00025409|0.00|0| | |CA|05430|1|N
H5425|104|000|SCAN HEALTH PLAN|SCAN Balance (HMO C-SNP)|00025409|0.00|0| | |CA|05460|1|N
H5425|105|000|SCAN HEALTH PLAN|SCAN Balance (HMO C-SNP)|00025409|0.00|0| | |CA|05470|1|N
H5425|106|000|SCAN HEALTH PLAN|SCAN Balance (HMO C-SNP)|00025409|0.00|0| | |CA|05480|1|N
H5425|107|000|SCAN HEALTH PLAN|SCAN Affirm partnered with Included LGBTQ+ Health (HMO)|00025409|0.00|0| | |CA|05480|0|N
H5425|108|000|SCAN HEALTH PLAN|SCAN MyChoice (HMO)|00025409|0.00|0| | |CA|05200|0|N
H5425|108|000|SCAN HEALTH PLAN|SCAN MyChoice (HMO)|00025409|0.00|0| | |CA|05210|0|N
H5425|108|000|SCAN HEALTH PLAN|SCAN MyChoice (HMO)|00025409|0.00|0| | |CA|05400|0|N
H5425|108|000|SCAN HEALTH PLAN|SCAN MyChoice (HMO)|00025409|0.00|0| | |CA|05430|0|N
H5425|108|000|SCAN HEALTH PLAN|SCAN MyChoice (HMO)|00025409|0.00|0| | |CA|05460|0|N
H5425|109|000|SCAN HEALTH PLAN|SCAN MyChoice (HMO)|00025409|0.00|0| | |CA|05470|0|N
H5425|110|000|SCAN HEALTH PLAN|SCAN MyChoice (HMO)|00025409|0.00|0| | |CA|05000|0|N
H5425|110|000|SCAN HEALTH PLAN|SCAN MyChoice (HMO)|00025409|0.00|0| | |CA|05510|0|N
H5425|118|000|SCAN HEALTH PLAN|SCAN Allied (HMO)|00025409|0.00|0| | |CA|05480|0|N
H5425|119|000|SCAN HEALTH PLAN|SCAN MyChoice (HMO)|00025409|0.00|0| | |CA|05090|0|N
H5425|119|000|SCAN HEALTH PLAN|SCAN MyChoice (HMO)|00025409|0.00|0| | |CA|05300|0|N
H5425|120|000|SCAN HEALTH PLAN|SCAN MyChoice (HMO)|00025409|0.00|0| | |CA|05530|0|N
H5425|120|000|SCAN HEALTH PLAN|SCAN MyChoice (HMO)|00025409|0.00|0| | |CA|05600|0|N
H5425|121|000|SCAN HEALTH PLAN|SCAN MyChoice (HMO)|00025409|0.00|0| | |CA|05480|0|N
H5425|122|000|SCAN HEALTH PLAN|SCAN Allied (HMO)|00025409|0.00|0| | |CA|05510|0|N
H5425|123|000|SCAN HEALTH PLAN|SCAN Allied (HMO)|00025409|0.00|0| | |CA|05200|0|N
H5425|123|000|SCAN HEALTH PLAN|SCAN Allied (HMO)|00025409|0.00|0| | |CA|05210|0|N
H5427|059|000|FREEDOM HEALTH, INC.|Freedom Medicare Plan Rx (HMO)|00025087|0.00|0| | |FL|10040|0|N
H5427|059|000|FREEDOM HEALTH, INC.|Freedom Medicare Plan Rx (HMO)|00025087|0.00|0| | |FL|10070|0|N
H5427|059|000|FREEDOM HEALTH, INC.|Freedom Medicare Plan Rx (HMO)|00025087|0.00|0| | |FL|10350|0|N
H5427|059|000|FREEDOM HEALTH, INC.|Freedom Medicare Plan Rx (HMO)|00025087|0.00|0| | |FL|10510|0|N
H5427|059|000|FREEDOM HEALTH, INC.|Freedom Medicare Plan Rx (HMO)|00025087|0.00|0| | |FL|10630|0|N
H5427|060|000|FREEDOM HEALTH, INC.|Freedom Medicare Plan Rx (HMO)|00025087|0.00|0| | |FL|10280|0|N
H5427|060|000|FREEDOM HEALTH, INC.|Freedom Medicare Plan Rx (HMO)|00025087|0.00|0| | |FL|10410|0|N
H5427|060|000|FREEDOM HEALTH, INC.|Freedom Medicare Plan Rx (HMO)|00025087|0.00|0| | |FL|10490|0|N
H5427|060|000|FREEDOM HEALTH, INC.|Freedom Medicare Plan Rx (HMO)|00025087|0.00|0| | |FL|10500|0|N
H5427|060|000|FREEDOM HEALTH, INC.|Freedom Medicare Plan Rx (HMO)|00025087|0.00|0| | |FL|10570|0|N
H5427|070|000|FREEDOM HEALTH, INC.|Freedom VIP Care (HMO C-SNP)|00025079|0.00|0| | |FL|10080|1|N
H5427|070|000|FREEDOM HEALTH, INC.|Freedom VIP Care (HMO C-SNP)|00025079|0.00|0| | |FL|10260|1|N
H5427|070|000|FREEDOM HEALTH, INC.|Freedom VIP Care (HMO C-SNP)|00025079|0.00|0| | |FL|10280|1|N
H5427|070|000|FREEDOM HEALTH, INC.|Freedom VIP Care (HMO C-SNP)|00025079|0.00|0| | |FL|10340|1|N
H5427|070|000|FREEDOM HEALTH, INC.|Freedom VIP Care (HMO C-SNP)|00025079|0.00|0| | |FL|10400|1|N
H5427|070|000|FREEDOM HEALTH, INC.|Freedom VIP Care (HMO C-SNP)|00025079|0.00|0| | |FL|10410|1|N
H5427|070|000|FREEDOM HEALTH, INC.|Freedom VIP Care (HMO C-SNP)|00025079|0.00|0| | |FL|10470|1|N
H5427|070|000|FREEDOM HEALTH, INC.|Freedom VIP Care (HMO C-SNP)|00025079|0.00|0| | |FL|10480|1|N
H5427|070|000|FREEDOM HEALTH, INC.|Freedom VIP Care (HMO C-SNP)|00025079|0.00|0| | |FL|10490|1|N
H5427|070|000|FREEDOM HEALTH, INC.|Freedom VIP Care (HMO C-SNP)|00025079|0.00|0| | |FL|10500|1|N
H5427|070|000|FREEDOM HEALTH, INC.|Freedom VIP Care (HMO C-SNP)|00025079|0.00|0| | |FL|10510|1|N
H5427|070|000|FREEDOM HEALTH, INC.|Freedom VIP Care (HMO C-SNP)|00025079|0.00|0| | |FL|10520|1|N
H5427|070|000|FREEDOM HEALTH, INC.|Freedom VIP Care (HMO C-SNP)|00025079|0.00|0| | |FL|10570|1|N
H5427|070|000|FREEDOM HEALTH, INC.|Freedom VIP Care (HMO C-SNP)|00025079|0.00|0| | |FL|10580|1|N
H5427|070|000|FREEDOM HEALTH, INC.|Freedom VIP Care (HMO C-SNP)|00025079|0.00|0| | |FL|10590|1|N
H5427|070|000|FREEDOM HEALTH, INC.|Freedom VIP Care (HMO C-SNP)|00025079|0.00|0| | |FL|10630|1|N
H5427|072|000|FREEDOM HEALTH, INC.|Freedom VIP Savings (HMO C-SNP)|00025079|0.00|0| | |FL|10080|1|N
H5427|072|000|FREEDOM HEALTH, INC.|Freedom VIP Savings (HMO C-SNP)|00025079|0.00|0| | |FL|10260|1|N
H5427|072|000|FREEDOM HEALTH, INC.|Freedom VIP Savings (HMO C-SNP)|00025079|0.00|0| | |FL|10280|1|N
H5427|072|000|FREEDOM HEALTH, INC.|Freedom VIP Savings (HMO C-SNP)|00025079|0.00|0| | |FL|10340|1|N
H5427|072|000|FREEDOM HEALTH, INC.|Freedom VIP Savings (HMO C-SNP)|00025079|0.00|0| | |FL|10400|1|N
H5427|072|000|FREEDOM HEALTH, INC.|Freedom VIP Savings (HMO C-SNP)|00025079|0.00|0| | |FL|10410|1|N
H5427|072|000|FREEDOM HEALTH, INC.|Freedom VIP Savings (HMO C-SNP)|00025079|0.00|0| | |FL|10470|1|N
H5427|072|000|FREEDOM HEALTH, INC.|Freedom VIP Savings (HMO C-SNP)|00025079|0.00|0| | |FL|10480|1|N
H5427|072|000|FREEDOM HEALTH, INC.|Freedom VIP Savings (HMO C-SNP)|00025079|0.00|0| | |FL|10490|1|N
H5427|072|000|FREEDOM HEALTH, INC.|Freedom VIP Savings (HMO C-SNP)|00025079|0.00|0| | |FL|10500|1|N
H5427|072|000|FREEDOM HEALTH, INC.|Freedom VIP Savings (HMO C-SNP)|00025079|0.00|0| | |FL|10510|1|N
H5427|072|000|FREEDOM HEALTH, INC.|Freedom VIP Savings (HMO C-SNP)|00025079|0.00|0| | |FL|10520|1|N
H5427|072|000|FREEDOM HEALTH, INC.|Freedom VIP Savings (HMO C-SNP)|00025079|0.00|0| | |FL|10570|1|N
H5427|072|000|FREEDOM HEALTH, INC.|Freedom VIP Savings (HMO C-SNP)|00025079|0.00|0| | |FL|10580|1|N
H5427|072|000|FREEDOM HEALTH, INC.|Freedom VIP Savings (HMO C-SNP)|00025079|0.00|0| | |FL|10590|1|N
H5427|072|000|FREEDOM HEALTH, INC.|Freedom VIP Savings (HMO C-SNP)|00025079|0.00|0| | |FL|10630|1|N
H5427|077|000|FREEDOM HEALTH, INC.|Freedom VIP Savings COPD (HMO C-SNP)|00025087|0.00|0| | |FL|10080|1|N
H5427|077|000|FREEDOM HEALTH, INC.|Freedom VIP Savings COPD (HMO C-SNP)|00025087|0.00|0| | |FL|10260|1|N
H5427|077|000|FREEDOM HEALTH, INC.|Freedom VIP Savings COPD (HMO C-SNP)|00025087|0.00|0| | |FL|10280|1|N
H5427|077|000|FREEDOM HEALTH, INC.|Freedom VIP Savings COPD (HMO C-SNP)|00025087|0.00|0| | |FL|10340|1|N
H5427|077|000|FREEDOM HEALTH, INC.|Freedom VIP Savings COPD (HMO C-SNP)|00025087|0.00|0| | |FL|10400|1|N
H5427|077|000|FREEDOM HEALTH, INC.|Freedom VIP Savings COPD (HMO C-SNP)|00025087|0.00|0| | |FL|10410|1|N
H5427|077|000|FREEDOM HEALTH, INC.|Freedom VIP Savings COPD (HMO C-SNP)|00025087|0.00|0| | |FL|10470|1|N
H5427|077|000|FREEDOM HEALTH, INC.|Freedom VIP Savings COPD (HMO C-SNP)|00025087|0.00|0| | |FL|10480|1|N
H5427|077|000|FREEDOM HEALTH, INC.|Freedom VIP Savings COPD (HMO C-SNP)|00025087|0.00|0| | |FL|10490|1|N
H5427|077|000|FREEDOM HEALTH, INC.|Freedom VIP Savings COPD (HMO C-SNP)|00025087|0.00|0| | |FL|10500|1|N
H5427|077|000|FREEDOM HEALTH, INC.|Freedom VIP Savings COPD (HMO C-SNP)|00025087|0.00|0| | |FL|10510|1|N
H5427|077|000|FREEDOM HEALTH, INC.|Freedom VIP Savings COPD (HMO C-SNP)|00025087|0.00|0| | |FL|10520|1|N
H5427|077|000|FREEDOM HEALTH, INC.|Freedom VIP Savings COPD (HMO C-SNP)|00025087|0.00|0| | |FL|10570|1|N
H5427|077|000|FREEDOM HEALTH, INC.|Freedom VIP Savings COPD (HMO C-SNP)|00025087|0.00|0| | |FL|10580|1|N
H5427|077|000|FREEDOM HEALTH, INC.|Freedom VIP Savings COPD (HMO C-SNP)|00025087|0.00|0| | |FL|10590|1|N
H5427|077|000|FREEDOM HEALTH, INC.|Freedom VIP Savings COPD (HMO C-SNP)|00025087|0.00|0| | |FL|10630|1|N
H5427|078|000|FREEDOM HEALTH, INC.|Freedom Medi-Medi Partial (HMO D-SNP)|00025091|16.50|590| | |FL|10040|2|N
H5427|078|000|FREEDOM HEALTH, INC.|Freedom Medi-Medi Partial (HMO D-SNP)|00025091|16.50|590| | |FL|10050|2|N
H5427|078|000|FREEDOM HEALTH, INC.|Freedom Medi-Medi Partial (HMO D-SNP)|00025091|16.50|590| | |FL|10070|2|N
H5427|078|000|FREEDOM HEALTH, INC.|Freedom Medi-Medi Partial (HMO D-SNP)|00025091|16.50|590| | |FL|10080|2|N
H5427|078|000|FREEDOM HEALTH, INC.|Freedom Medi-Medi Partial (HMO D-SNP)|00025091|16.50|590| | |FL|10100|2|N
H5427|078|000|FREEDOM HEALTH, INC.|Freedom Medi-Medi Partial (HMO D-SNP)|00025091|16.50|590| | |FL|10260|2|N
H5427|078|000|FREEDOM HEALTH, INC.|Freedom Medi-Medi Partial (HMO D-SNP)|00025091|16.50|590| | |FL|10280|2|N
H5427|078|000|FREEDOM HEALTH, INC.|Freedom Medi-Medi Partial (HMO D-SNP)|00025091|16.50|590| | |FL|10300|2|N
H5427|078|000|FREEDOM HEALTH, INC.|Freedom Medi-Medi Partial (HMO D-SNP)|00025091|16.50|590| | |FL|10340|2|N
H5427|078|000|FREEDOM HEALTH, INC.|Freedom Medi-Medi Partial (HMO D-SNP)|00025091|16.50|590| | |FL|10350|2|N
H5427|078|000|FREEDOM HEALTH, INC.|Freedom Medi-Medi Partial (HMO D-SNP)|00025091|16.50|590| | |FL|10400|2|N
H5427|078|000|FREEDOM HEALTH, INC.|Freedom Medi-Medi Partial (HMO D-SNP)|00025091|16.50|590| | |FL|10410|2|N
H5427|078|000|FREEDOM HEALTH, INC.|Freedom Medi-Medi Partial (HMO D-SNP)|00025091|16.50|590| | |FL|10420|2|N
H5427|078|000|FREEDOM HEALTH, INC.|Freedom Medi-Medi Partial (HMO D-SNP)|00025091|16.50|590| | |FL|10470|2|N
H5427|078|000|FREEDOM HEALTH, INC.|Freedom Medi-Medi Partial (HMO D-SNP)|00025091|16.50|590| | |FL|10480|2|N
H5427|078|000|FREEDOM HEALTH, INC.|Freedom Medi-Medi Partial (HMO D-SNP)|00025091|16.50|590| | |FL|10490|2|N
H5427|078|000|FREEDOM HEALTH, INC.|Freedom Medi-Medi Partial (HMO D-SNP)|00025091|16.50|590| | |FL|10500|2|N
H5427|078|000|FREEDOM HEALTH, INC.|Freedom Medi-Medi Partial (HMO D-SNP)|00025091|16.50|590| | |FL|10510|2|N
H5427|078|000|FREEDOM HEALTH, INC.|Freedom Medi-Medi Partial (HMO D-SNP)|00025091|16.50|590| | |FL|10520|2|N
H5427|078|000|FREEDOM HEALTH, INC.|Freedom Medi-Medi Partial (HMO D-SNP)|00025091|16.50|590| | |FL|10550|2|N
H5427|078|000|FREEDOM HEALTH, INC.|Freedom Medi-Medi Partial (HMO D-SNP)|00025091|16.50|590| | |FL|10570|2|N
H5427|078|000|FREEDOM HEALTH, INC.|Freedom Medi-Medi Partial (HMO D-SNP)|00025091|16.50|590| | |FL|10580|2|N
H5427|078|000|FREEDOM HEALTH, INC.|Freedom Medi-Medi Partial (HMO D-SNP)|00025091|16.50|590| | |FL|10590|2|N
H5427|078|000|FREEDOM HEALTH, INC.|Freedom Medi-Medi Partial (HMO D-SNP)|00025091|16.50|590| | |FL|10630|2|N
H5427|082|000|FREEDOM HEALTH, INC.|Freedom VIP Savings (HMO C-SNP)|00025079|0.00|0| | |FL|10040|1|N
H5427|082|000|FREEDOM HEALTH, INC.|Freedom VIP Savings (HMO C-SNP)|00025079|0.00|0| | |FL|10050|1|N
H5427|082|000|FREEDOM HEALTH, INC.|Freedom VIP Savings (HMO C-SNP)|00025079|0.00|0| | |FL|10070|1|N
H5427|082|000|FREEDOM HEALTH, INC.|Freedom VIP Savings (HMO C-SNP)|00025079|0.00|0| | |FL|10100|1|N
H5427|082|000|FREEDOM HEALTH, INC.|Freedom VIP Savings (HMO C-SNP)|00025079|0.00|0| | |FL|10300|1|N
H5427|082|000|FREEDOM HEALTH, INC.|Freedom VIP Savings (HMO C-SNP)|00025079|0.00|0| | |FL|10350|1|N
H5427|082|000|FREEDOM HEALTH, INC.|Freedom VIP Savings (HMO C-SNP)|00025079|0.00|0| | |FL|10420|1|N
H5427|082|000|FREEDOM HEALTH, INC.|Freedom VIP Savings (HMO C-SNP)|00025079|0.00|0| | |FL|10550|1|N
H5427|083|000|FREEDOM HEALTH, INC.|Freedom VIP Savings COPD (HMO C-SNP)|00025087|0.00|0| | |FL|10050|1|N
H5427|083|000|FREEDOM HEALTH, INC.|Freedom VIP Savings COPD (HMO C-SNP)|00025087|0.00|0| | |FL|10070|1|N
H5427|083|000|FREEDOM HEALTH, INC.|Freedom VIP Savings COPD (HMO C-SNP)|00025087|0.00|0| | |FL|10100|1|N
H5427|083|000|FREEDOM HEALTH, INC.|Freedom VIP Savings COPD (HMO C-SNP)|00025087|0.00|0| | |FL|10300|1|N
H5427|083|000|FREEDOM HEALTH, INC.|Freedom VIP Savings COPD (HMO C-SNP)|00025087|0.00|0| | |FL|10350|1|N
H5427|083|000|FREEDOM HEALTH, INC.|Freedom VIP Savings COPD (HMO C-SNP)|00025087|0.00|0| | |FL|10420|1|N
H5427|083|000|FREEDOM HEALTH, INC.|Freedom VIP Savings COPD (HMO C-SNP)|00025087|0.00|0| | |FL|10550|1|N
H5427|087|000|FREEDOM HEALTH, INC.|Freedom Medi-Medi Full (HMO D-SNP)|00025091|0.00|590| | |FL|10040|2|N
H5427|087|000|FREEDOM HEALTH, INC.|Freedom Medi-Medi Full (HMO D-SNP)|00025091|0.00|590| | |FL|10050|2|N
H5427|087|000|FREEDOM HEALTH, INC.|Freedom Medi-Medi Full (HMO D-SNP)|00025091|0.00|590| | |FL|10070|2|N
H5427|087|000|FREEDOM HEALTH, INC.|Freedom Medi-Medi Full (HMO D-SNP)|00025091|0.00|590| | |FL|10080|2|N
H5427|087|000|FREEDOM HEALTH, INC.|Freedom Medi-Medi Full (HMO D-SNP)|00025091|0.00|590| | |FL|10100|2|N
H5427|087|000|FREEDOM HEALTH, INC.|Freedom Medi-Medi Full (HMO D-SNP)|00025091|0.00|590| | |FL|10260|2|N
H5427|087|000|FREEDOM HEALTH, INC.|Freedom Medi-Medi Full (HMO D-SNP)|00025091|0.00|590| | |FL|10280|2|N
H5427|087|000|FREEDOM HEALTH, INC.|Freedom Medi-Medi Full (HMO D-SNP)|00025091|0.00|590| | |FL|10300|2|N
H5427|087|000|FREEDOM HEALTH, INC.|Freedom Medi-Medi Full (HMO D-SNP)|00025091|0.00|590| | |FL|10340|2|N
H5427|087|000|FREEDOM HEALTH, INC.|Freedom Medi-Medi Full (HMO D-SNP)|00025091|0.00|590| | |FL|10350|2|N
H5427|087|000|FREEDOM HEALTH, INC.|Freedom Medi-Medi Full (HMO D-SNP)|00025091|0.00|590| | |FL|10400|2|N
H5427|087|000|FREEDOM HEALTH, INC.|Freedom Medi-Medi Full (HMO D-SNP)|00025091|0.00|590| | |FL|10410|2|N
H5427|087|000|FREEDOM HEALTH, INC.|Freedom Medi-Medi Full (HMO D-SNP)|00025091|0.00|590| | |FL|10420|2|N
H5427|087|000|FREEDOM HEALTH, INC.|Freedom Medi-Medi Full (HMO D-SNP)|00025091|0.00|590| | |FL|10470|2|N
H5427|087|000|FREEDOM HEALTH, INC.|Freedom Medi-Medi Full (HMO D-SNP)|00025091|0.00|590| | |FL|10480|2|N
H5427|087|000|FREEDOM HEALTH, INC.|Freedom Medi-Medi Full (HMO D-SNP)|00025091|0.00|590| | |FL|10490|2|N
H5427|087|000|FREEDOM HEALTH, INC.|Freedom Medi-Medi Full (HMO D-SNP)|00025091|0.00|590| | |FL|10500|2|N
H5427|087|000|FREEDOM HEALTH, INC.|Freedom Medi-Medi Full (HMO D-SNP)|00025091|0.00|590| | |FL|10510|2|N
H5427|087|000|FREEDOM HEALTH, INC.|Freedom Medi-Medi Full (HMO D-SNP)|00025091|0.00|590| | |FL|10520|2|N
H5427|087|000|FREEDOM HEALTH, INC.|Freedom Medi-Medi Full (HMO D-SNP)|00025091|0.00|590| | |FL|10550|2|N
H5427|087|000|FREEDOM HEALTH, INC.|Freedom Medi-Medi Full (HMO D-SNP)|00025091|0.00|590| | |FL|10570|2|N
H5427|087|000|FREEDOM HEALTH, INC.|Freedom Medi-Medi Full (HMO D-SNP)|00025091|0.00|590| | |FL|10580|2|N
H5427|087|000|FREEDOM HEALTH, INC.|Freedom Medi-Medi Full (HMO D-SNP)|00025091|0.00|590| | |FL|10590|2|N
H5427|087|000|FREEDOM HEALTH, INC.|Freedom Medi-Medi Full (HMO D-SNP)|00025091|0.00|590| | |FL|10630|2|N
H5427|088|000|FREEDOM HEALTH, INC.|Freedom Platinum Plan Rx (HMO)|00025087|0.00|0| | |FL|10040|0|N
H5427|088|000|FREEDOM HEALTH, INC.|Freedom Platinum Plan Rx (HMO)|00025087|0.00|0| | |FL|10300|0|N
H5427|088|000|FREEDOM HEALTH, INC.|Freedom Platinum Plan Rx (HMO)|00025087|0.00|0| | |FL|10420|0|N
H5427|088|000|FREEDOM HEALTH, INC.|Freedom Platinum Plan Rx (HMO)|00025087|0.00|0| | |FL|10550|0|N
H5427|089|000|FREEDOM HEALTH, INC.|Freedom Platinum Plan Rx (HMO)|00025087|0.00|0| | |FL|10470|0|N
H5427|089|000|FREEDOM HEALTH, INC.|Freedom Platinum Plan Rx (HMO)|00025087|0.00|0| | |FL|10480|0|N
H5427|089|000|FREEDOM HEALTH, INC.|Freedom Platinum Plan Rx (HMO)|00025087|0.00|0| | |FL|10580|0|N
H5427|089|000|FREEDOM HEALTH, INC.|Freedom Platinum Plan Rx (HMO)|00025087|0.00|0| | |FL|10630|0|N
H5427|091|000|FREEDOM HEALTH, INC.|Freedom Platinum Plan Rx (HMO)|00025087|0.00|0| | |FL|10400|0|N
H5427|091|000|FREEDOM HEALTH, INC.|Freedom Platinum Plan Rx (HMO)|00025087|0.00|0| | |FL|10570|0|N
H5427|092|000|FREEDOM HEALTH, INC.|Freedom Platinum Plan Rx (HMO)|00025087|0.00|0| | |FL|10520|0|N
H5427|093|000|FREEDOM HEALTH, INC.|Freedom Platinum Plan Rx (HMO)|00025087|0.00|0| | |FL|10080|0|N
H5427|094|000|FREEDOM HEALTH, INC.|Freedom Platinum Plan Rx (HMO)|00025087|0.00|0| | |FL|10340|0|N
H5427|094|000|FREEDOM HEALTH, INC.|Freedom Platinum Plan Rx (HMO)|00025087|0.00|0| | |FL|10410|0|N
H5427|094|000|FREEDOM HEALTH, INC.|Freedom Platinum Plan Rx (HMO)|00025087|0.00|0| | |FL|10590|0|N
H5427|096|000|FREEDOM HEALTH, INC.|Freedom Platinum Rewards Plan Rx (HMO)|00025087|0.00|0| | |FL|10340|0|N
H5427|096|000|FREEDOM HEALTH, INC.|Freedom Platinum Rewards Plan Rx (HMO)|00025087|0.00|0| | |FL|10410|0|N
H5427|096|000|FREEDOM HEALTH, INC.|Freedom Platinum Rewards Plan Rx (HMO)|00025087|0.00|0| | |FL|10590|0|N
H5427|098|000|FREEDOM HEALTH, INC.|Freedom Platinum Plan Rx (HMO)|00025087|0.00|0| | |FL|10070|0|N
H5427|098|000|FREEDOM HEALTH, INC.|Freedom Platinum Plan Rx (HMO)|00025087|0.00|0| | |FL|10100|0|N
H5427|098|000|FREEDOM HEALTH, INC.|Freedom Platinum Plan Rx (HMO)|00025087|0.00|0| | |FL|10350|0|N
H5427|099|000|FREEDOM HEALTH, INC.|Freedom VIP Rewards (HMO C-SNP)|00025079|0.00|0| | |FL|10080|1|N
H5427|099|000|FREEDOM HEALTH, INC.|Freedom VIP Rewards (HMO C-SNP)|00025079|0.00|0| | |FL|10520|1|N
H5427|102|000|FREEDOM HEALTH, INC.|Freedom Platinum Rewards Plan Rx (HMO)|00025087|0.00|0| | |FL|10470|0|N
H5427|102|000|FREEDOM HEALTH, INC.|Freedom Platinum Rewards Plan Rx (HMO)|00025087|0.00|0| | |FL|10480|0|N
H5427|102|000|FREEDOM HEALTH, INC.|Freedom Platinum Rewards Plan Rx (HMO)|00025087|0.00|0| | |FL|10580|0|N
H5427|102|000|FREEDOM HEALTH, INC.|Freedom Platinum Rewards Plan Rx (HMO)|00025087|0.00|0| | |FL|10630|0|N
H5427|103|000|FREEDOM HEALTH, INC.|Freedom Platinum Rewards Plan Rx (HMO)|00025087|0.00|0| | |FL|10400|0|N
H5427|103|000|FREEDOM HEALTH, INC.|Freedom Platinum Rewards Plan Rx (HMO)|00025087|0.00|0| | |FL|10570|0|N
H5427|105|000|FREEDOM HEALTH, INC.|Freedom Platinum Rewards Plan Rx (HMO)|00025087|0.00|0| | |FL|10070|0|N
H5427|105|000|FREEDOM HEALTH, INC.|Freedom Platinum Rewards Plan Rx (HMO)|00025087|0.00|0| | |FL|10100|0|N
H5427|105|000|FREEDOM HEALTH, INC.|Freedom Platinum Rewards Plan Rx (HMO)|00025087|0.00|0| | |FL|10350|0|N
H5427|106|000|FREEDOM HEALTH, INC.|Freedom Platinum Rewards Plan Rx (HMO)|00025087|0.00|0| | |FL|10040|0|N
H5427|106|000|FREEDOM HEALTH, INC.|Freedom Platinum Rewards Plan Rx (HMO)|00025087|0.00|0| | |FL|10300|0|N
H5427|106|000|FREEDOM HEALTH, INC.|Freedom Platinum Rewards Plan Rx (HMO)|00025087|0.00|0| | |FL|10420|0|N
H5427|106|000|FREEDOM HEALTH, INC.|Freedom Platinum Rewards Plan Rx (HMO)|00025087|0.00|0| | |FL|10550|0|N
H5427|107|000|FREEDOM HEALTH, INC.|Freedom Platinum Rewards Plan Rx (HMO)|00025087|0.00|0| | |FL|10520|0|N
H5427|108|000|FREEDOM HEALTH, INC.|Freedom VIP Rewards (HMO C-SNP)|00025079|0.00|0| | |FL|10040|1|N
H5427|108|000|FREEDOM HEALTH, INC.|Freedom VIP Rewards (HMO C-SNP)|00025079|0.00|0| | |FL|10300|1|N
H5427|108|000|FREEDOM HEALTH, INC.|Freedom VIP Rewards (HMO C-SNP)|00025079|0.00|0| | |FL|10420|1|N
H5427|108|000|FREEDOM HEALTH, INC.|Freedom VIP Rewards (HMO C-SNP)|00025079|0.00|0| | |FL|10550|1|N
H5427|112|000|FREEDOM HEALTH, INC.|Freedom Mximo (HMO-POS)|00025087|0.00|0| | |FL|10470|0|N
H5427|112|000|FREEDOM HEALTH, INC.|Freedom Mximo (HMO-POS)|00025087|0.00|0| | |FL|10480|0|N
H5427|112|000|FREEDOM HEALTH, INC.|Freedom Mximo (HMO-POS)|00025087|0.00|0| | |FL|10580|0|N
H5427|113|000|FREEDOM HEALTH, INC.|Freedom Mximo (HMO-POS)|00025087|0.00|0| | |FL|10280|0|N
H5427|113|000|FREEDOM HEALTH, INC.|Freedom Mximo (HMO-POS)|00025087|0.00|0| | |FL|10520|0|N
H5431|001|000|HEALTHSUN HEALTH PLANS, INC.|HealthSun HealthAdvantage Plan (HMO)|00025102|0.00|0| | |FL|10120|0|N
H5431|006|000|HEALTHSUN HEALTH PLANS, INC.|HealthSun MediMax (HMO)|00025102|0.00|590| | |FL|10050|0|N
H5431|006|000|HEALTHSUN HEALTH PLANS, INC.|HealthSun MediMax (HMO)|00025102|0.00|590| | |FL|10120|0|N
H5431|012|000|HEALTHSUN HEALTH PLANS, INC.|HealthSun HealthAdvantage Plan (HMO)|00025102|0.00|0| | |FL|10050|0|N
H5431|013|000|HEALTHSUN HEALTH PLANS, INC.|HealthSun HealthAdvantage Plan (HMO)|00025102|0.00|0| | |FL|10490|0|N
H5431|016|000|HEALTHSUN HEALTH PLANS, INC.|HealthSun MediSun Plus (HMO D-SNP)|00025102|0.00|590| | |FL|10490|2|N
H5431|017|000|HEALTHSUN HEALTH PLANS, INC.|HealthSun HealthAdvantage Plus (HMO)|00025102|0.00|0| | |FL|10120|0|N
H5431|018|000|HEALTHSUN HEALTH PLANS, INC.|HealthSun HealthAdvantage Plus (HMO)|00025102|0.00|0| | |FL|10050|0|N
H5431|019|000|HEALTHSUN HEALTH PLANS, INC.|HealthSun MediSun Extra (HMO D-SNP)|00025102|0.00|590| | |FL|10050|2|N
H5431|019|000|HEALTHSUN HEALTH PLANS, INC.|HealthSun MediSun Extra (HMO D-SNP)|00025102|0.00|590| | |FL|10120|2|N
H5431|020|000|HEALTHSUN HEALTH PLANS, INC.|HealthSun HealthAdvantage Plus (HMO)|00025102|0.00|0| | |FL|10490|0|N
H5431|021|000|HEALTHSUN HEALTH PLANS, INC.|HealthSun VitalCare (HMO C-SNP)|00025102|0.00|0| | |FL|10050|1|N
H5431|021|000|HEALTHSUN HEALTH PLANS, INC.|HealthSun VitalCare (HMO C-SNP)|00025102|0.00|0| | |FL|10120|1|N
H5431|022|000|HEALTHSUN HEALTH PLANS, INC.|HealthSun VitalCare (HMO C-SNP)|00025102|0.00|0| | |FL|10490|1|N
H5433|001|000|ORANGE COUNTY HEALTH AUTHORITY|CalOptima Health OneCare Complete (HMO D-SNP)|00025516|0.00|590| | |CA|05400|2|N
H5433|003|000|ORANGE COUNTY HEALTH AUTHORITY|CalOptima Health OneCare Flex Plus (HMO D-SNP)|00025516|0.00|590| | |CA|05400|2|N
H5434|002|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Select (PPO)|00025163|26.60|290| | |FL|10020|0|N
H5434|002|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Select (PPO)|00025163|26.60|290| | |FL|10050|0|N
H5434|002|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Select (PPO)|00025163|26.60|290| | |FL|10070|0|N
H5434|002|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Select (PPO)|00025163|26.60|290| | |FL|10100|0|N
H5434|002|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Select (PPO)|00025163|26.60|290| | |FL|10120|0|N
H5434|002|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Select (PPO)|00025163|26.60|290| | |FL|10150|0|N
H5434|002|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Select (PPO)|00025163|26.60|290| | |FL|10160|0|N
H5434|002|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Select (PPO)|00025163|26.60|290| | |FL|10270|0|N
H5434|002|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Select (PPO)|00025163|26.60|290| | |FL|10280|0|N
H5434|002|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Select (PPO)|00025163|26.60|290| | |FL|10350|0|N
H5434|002|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Select (PPO)|00025163|26.60|290| | |FL|10400|0|N
H5434|002|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Select (PPO)|00025163|26.60|290| | |FL|10410|0|N
H5434|002|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Select (PPO)|00025163|26.60|290| | |FL|10470|0|N
H5434|002|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Select (PPO)|00025163|26.60|290| | |FL|10480|0|N
H5434|002|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Select (PPO)|00025163|26.60|290| | |FL|10490|0|N
H5434|002|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Select (PPO)|00025163|26.60|290| | |FL|10510|0|N
H5434|002|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Select (PPO)|00025163|26.60|290| | |FL|10550|0|N
H5434|002|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Select (PPO)|00025163|26.60|290| | |FL|10560|0|N
H5434|002|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Select (PPO)|00025163|26.60|290| | |FL|10580|0|N
H5434|023|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Value (PPO)|00025158|0.00|175| | |FL|10510|0|N
H5434|024|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Value (PPO)|00025158|0.00|175| | |FL|10270|0|N
H5434|024|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Value (PPO)|00025158|0.00|175| | |FL|10400|0|N
H5434|024|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Value (PPO)|00025158|0.00|175| | |FL|10570|0|N
H5434|025|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Value (PPO)|00025158|0.00|175| | |FL|10020|0|N
H5434|025|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Value (PPO)|00025158|0.00|175| | |FL|10060|0|N
H5434|025|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Value (PPO)|00025158|0.00|175| | |FL|10160|0|N
H5434|025|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Value (PPO)|00025158|0.00|175| | |FL|10180|0|N
H5434|025|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Value (PPO)|00025158|0.00|175| | |FL|10190|0|N
H5434|025|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Value (PPO)|00025158|0.00|175| | |FL|10320|0|N
H5434|025|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Value (PPO)|00025158|0.00|175| | |FL|10360|0|N
H5434|025|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Value (PPO)|00025158|0.00|175| | |FL|10380|0|N
H5434|025|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Value (PPO)|00025158|0.00|175| | |FL|10450|0|N
H5434|025|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Value (PPO)|00025158|0.00|175| | |FL|10560|0|N
H5434|025|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Value (PPO)|00025158|0.00|175| | |FL|10640|0|N
H5434|025|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Value (PPO)|00025158|0.00|175| | |FL|10650|0|N
H5434|026|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Value (PPO)|00025158|0.00|175| | |FL|10050|0|N
H5434|026|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Value (PPO)|00025158|0.00|175| | |FL|10300|0|N
H5434|026|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Value (PPO)|00025158|0.00|175| | |FL|10420|0|N
H5434|026|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Value (PPO)|00025158|0.00|175| | |FL|10490|0|N
H5434|026|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Value (PPO)|00025158|0.00|175| | |FL|10550|0|N
H5434|030|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Value (PPO)|00025158|0.00|175| | |FL|10070|0|N
H5434|030|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Value (PPO)|00025158|0.00|175| | |FL|10350|0|N
H5434|031|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Value (PPO)|00025158|0.00|175| | |FL|10040|0|N
H5434|031|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Value (PPO)|00025158|0.00|175| | |FL|10090|0|N
H5434|031|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Value (PPO)|00025158|0.00|175| | |FL|10150|0|N
H5434|031|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Value (PPO)|00025158|0.00|175| | |FL|10170|0|N
H5434|031|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Value (PPO)|00025158|0.00|175| | |FL|10440|0|N
H5434|031|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Value (PPO)|00025158|0.00|175| | |FL|10540|0|N
H5434|031|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Value (PPO)|00025158|0.00|175| | |FL|10630|0|N
H5434|034|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Value (PPO)|00025158|0.00|175| | |FL|10280|0|N
H5434|034|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Value (PPO)|00025158|0.00|175| | |FL|10520|0|N
H5434|035|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Value (PPO)|00025158|0.00|175| | |FL|10080|0|N
H5434|035|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Value (PPO)|00025158|0.00|175| | |FL|10260|0|N
H5434|036|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Value (PPO)|00025158|0.00|150| | |FL|10340|0|N
H5434|036|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Value (PPO)|00025158|0.00|150| | |FL|10410|0|N
H5434|036|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Value (PPO)|00025158|0.00|150| | |FL|10590|0|N
H5434|045|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Select (PPO)|00025158|16.40|590| | |FL|10000|0|N
H5434|045|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Select (PPO)|00025158|16.40|590| | |FL|10010|0|N
H5434|045|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Select (PPO)|00025158|16.40|590| | |FL|10030|0|N
H5434|045|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Select (PPO)|00025158|16.40|590| | |FL|10100|0|N
H5434|045|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Select (PPO)|00025158|16.40|590| | |FL|10110|0|N
H5434|045|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Select (PPO)|00025158|16.40|590| | |FL|10130|0|N
H5434|045|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Select (PPO)|00025158|16.40|590| | |FL|10140|0|N
H5434|045|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Select (PPO)|00025158|16.40|590| | |FL|10200|0|N
H5434|045|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Select (PPO)|00025158|16.40|590| | |FL|10210|0|N
H5434|045|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Select (PPO)|00025158|16.40|590| | |FL|10220|0|N
H5434|045|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Select (PPO)|00025158|16.40|590| | |FL|10230|0|N
H5434|045|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Select (PPO)|00025158|16.40|590| | |FL|10240|0|N
H5434|045|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Select (PPO)|00025158|16.40|590| | |FL|10250|0|N
H5434|045|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Select (PPO)|00025158|16.40|590| | |FL|10290|0|N
H5434|045|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Select (PPO)|00025158|16.40|590| | |FL|10310|0|N
H5434|045|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Select (PPO)|00025158|16.40|590| | |FL|10330|0|N
H5434|045|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Select (PPO)|00025158|16.40|590| | |FL|10370|0|N
H5434|045|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Select (PPO)|00025158|16.40|590| | |FL|10390|0|N
H5434|045|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Select (PPO)|00025158|16.40|590| | |FL|10430|0|N
H5434|045|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Select (PPO)|00025158|16.40|590| | |FL|10460|0|N
H5434|045|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Select (PPO)|00025158|16.40|590| | |FL|10500|0|N
H5434|045|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Select (PPO)|00025158|16.40|590| | |FL|10530|0|N
H5434|045|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Select (PPO)|00025158|16.40|590| | |FL|10600|0|N
H5434|045|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Select (PPO)|00025158|16.40|590| | |FL|10610|0|N
H5434|045|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Select (PPO)|00025158|16.40|590| | |FL|10620|0|N
H5434|045|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Select (PPO)|00025158|16.40|590| | |FL|10660|0|N
H5435|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC MedicareDirect PF-0001 (PFFS)|00025002|82.00|495| | |KS|17110|0|N
H5435|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC MedicareDirect PF-0001 (PFFS)|00025002|82.00|495| | |KS|17190|0|N
H5435|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC MedicareDirect PF-0001 (PFFS)|00025002|82.00|495| | |KS|17250|0|N
H5435|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC MedicareDirect PF-0001 (PFFS)|00025002|82.00|495| | |KS|17500|0|N
H5435|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC MedicareDirect PF-0001 (PFFS)|00025002|82.00|495| | |KS|17540|0|N
H5435|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC MedicareDirect PF-0001 (PFFS)|00025002|82.00|495| | |KS|17760|0|N
H5435|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC MedicareDirect PF-0001 (PFFS)|00025002|82.00|495| | |KS|17810|0|N
H5435|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC MedicareDirect PF-0001 (PFFS)|00025002|82.00|495| | |KS|17841|0|N
H5435|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC MedicareDirect PF-0001 (PFFS)|00025002|82.00|495| | |KS|17890|0|N
H5435|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC MedicareDirect PF-0001 (PFFS)|00025002|82.00|495| | |KS|17960|0|N
H5435|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC MedicareDirect PF-0001 (PFFS)|00025002|82.00|495| | |MT|27050|0|N
H5435|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC MedicareDirect PF-0001 (PFFS)|00025002|82.00|495| | |MT|27090|0|N
H5435|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC MedicareDirect PF-0001 (PFFS)|00025002|82.00|495| | |MT|27120|0|N
H5435|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC MedicareDirect PF-0001 (PFFS)|00025002|82.00|495| | |MT|27160|0|N
H5435|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC MedicareDirect PF-0001 (PFFS)|00025002|82.00|495| | |MT|27340|0|N
H5435|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC MedicareDirect PF-0001 (PFFS)|00025002|82.00|495| | |MT|27350|0|N
H5435|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC MedicareDirect PF-0001 (PFFS)|00025002|82.00|495| | |MT|27370|0|N
H5435|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC MedicareDirect PF-0001 (PFFS)|00025002|82.00|495| | |MT|27390|0|N
H5435|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC MedicareDirect PF-0001 (PFFS)|00025002|82.00|495| | |MT|27420|0|N
H5435|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC MedicareDirect PF-0001 (PFFS)|00025002|82.00|495| | |MT|27450|0|N
H5435|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC MedicareDirect PF-0001 (PFFS)|00025002|82.00|495| | |MT|27520|0|N
H5435|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC MedicareDirect PF-0001 (PFFS)|00025002|82.00|495| | |WY|53160|0|N
H5439|011|000|HEALTH NET LIFE INSURANCE COMPANY|Wellcare Premium Ultra Open (PPO)|00025084|23.60|420| | |OR|38010|0|N
H5439|011|000|HEALTH NET LIFE INSURANCE COMPANY|Wellcare Premium Ultra Open (PPO)|00025084|23.60|420| | |OR|38020|0|N
H5439|011|000|HEALTH NET LIFE INSURANCE COMPANY|Wellcare Premium Ultra Open (PPO)|00025084|23.60|420| | |OR|38090|0|N
H5439|011|000|HEALTH NET LIFE INSURANCE COMPANY|Wellcare Premium Ultra Open (PPO)|00025084|23.60|420| | |OR|38140|0|N
H5439|011|000|HEALTH NET LIFE INSURANCE COMPANY|Wellcare Premium Ultra Open (PPO)|00025084|23.60|420| | |OR|38160|0|N
H5439|011|000|HEALTH NET LIFE INSURANCE COMPANY|Wellcare Premium Ultra Open (PPO)|00025084|23.60|420| | |OR|38190|0|N
H5439|011|000|HEALTH NET LIFE INSURANCE COMPANY|Wellcare Premium Ultra Open (PPO)|00025084|23.60|420| | |OR|38210|0|N
H5439|011|000|HEALTH NET LIFE INSURANCE COMPANY|Wellcare Premium Ultra Open (PPO)|00025084|23.60|420| | |OR|38230|0|N
H5439|011|000|HEALTH NET LIFE INSURANCE COMPANY|Wellcare Premium Ultra Open (PPO)|00025084|23.60|420| | |OR|38250|0|N
H5439|011|000|HEALTH NET LIFE INSURANCE COMPANY|Wellcare Premium Ultra Open (PPO)|00025084|23.60|420| | |OR|38260|0|N
H5439|011|000|HEALTH NET LIFE INSURANCE COMPANY|Wellcare Premium Ultra Open (PPO)|00025084|23.60|420| | |OR|38330|0|N
H5439|011|000|HEALTH NET LIFE INSURANCE COMPANY|Wellcare Premium Ultra Open (PPO)|00025084|23.60|420| | |OR|38350|0|N
H5439|015|000|HEALTH NET LIFE INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |OR|38010|0|N
H5439|015|000|HEALTH NET LIFE INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |OR|38020|0|N
H5439|015|000|HEALTH NET LIFE INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |OR|38090|0|N
H5439|015|000|HEALTH NET LIFE INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |OR|38140|0|N
H5439|015|000|HEALTH NET LIFE INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |OR|38160|0|N
H5439|015|000|HEALTH NET LIFE INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |OR|38190|0|N
H5439|015|000|HEALTH NET LIFE INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |OR|38210|0|N
H5439|015|000|HEALTH NET LIFE INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |OR|38230|0|N
H5439|015|000|HEALTH NET LIFE INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |OR|38250|0|N
H5439|015|000|HEALTH NET LIFE INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |OR|38260|0|N
H5439|015|000|HEALTH NET LIFE INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |OR|38330|0|N
H5439|015|000|HEALTH NET LIFE INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |OR|38350|0|N
H5439|015|000|HEALTH NET LIFE INSURANCE COMPANY|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |WA|50050|0|N
H5439|017|000|HEALTH NET LIFE INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OR|38010|0|N
H5439|017|000|HEALTH NET LIFE INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OR|38020|0|N
H5439|017|000|HEALTH NET LIFE INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OR|38090|0|N
H5439|017|000|HEALTH NET LIFE INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OR|38140|0|N
H5439|017|000|HEALTH NET LIFE INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OR|38160|0|N
H5439|017|000|HEALTH NET LIFE INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OR|38190|0|N
H5439|017|000|HEALTH NET LIFE INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OR|38210|0|N
H5439|017|000|HEALTH NET LIFE INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OR|38230|0|N
H5439|017|000|HEALTH NET LIFE INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OR|38250|0|N
H5439|017|000|HEALTH NET LIFE INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OR|38260|0|N
H5439|017|000|HEALTH NET LIFE INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OR|38330|0|N
H5439|017|000|HEALTH NET LIFE INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OR|38350|0|N
H5439|019|000|HEALTH NET LIFE INSURANCE COMPANY|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |OR|38010|0|N
H5439|019|000|HEALTH NET LIFE INSURANCE COMPANY|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |OR|38020|0|N
H5439|019|000|HEALTH NET LIFE INSURANCE COMPANY|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |OR|38090|0|N
H5439|019|000|HEALTH NET LIFE INSURANCE COMPANY|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |OR|38140|0|N
H5439|019|000|HEALTH NET LIFE INSURANCE COMPANY|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |OR|38160|0|N
H5439|019|000|HEALTH NET LIFE INSURANCE COMPANY|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |OR|38190|0|N
H5439|019|000|HEALTH NET LIFE INSURANCE COMPANY|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |OR|38210|0|N
H5439|019|000|HEALTH NET LIFE INSURANCE COMPANY|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |OR|38230|0|N
H5439|019|000|HEALTH NET LIFE INSURANCE COMPANY|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |OR|38250|0|N
H5439|019|000|HEALTH NET LIFE INSURANCE COMPANY|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |OR|38260|0|N
H5439|019|000|HEALTH NET LIFE INSURANCE COMPANY|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |OR|38330|0|N
H5439|019|000|HEALTH NET LIFE INSURANCE COMPANY|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |OR|38350|0|N
H5439|019|000|HEALTH NET LIFE INSURANCE COMPANY|Wellcare Low Premium Open (PPO)|00025084|7.00|420| | |WA|50050|0|N
H5447|001|000|COMMUNITY FIRST HEALTH PLANS, INC.|Community First Medicare Advantage Alamo Plan (HMO)|00025053|0.00|200| | |TX|45130|0|N
H5447|002|000|COMMUNITY FIRST HEALTH PLANS, INC.|Community First Medicare Advantage D-SNP (HMO D-SNP)|00025053|0.00|590| | |TX|45060|2|N
H5447|002|000|COMMUNITY FIRST HEALTH PLANS, INC.|Community First Medicare Advantage D-SNP (HMO D-SNP)|00025053|0.00|590| | |TX|45090|2|N
H5447|002|000|COMMUNITY FIRST HEALTH PLANS, INC.|Community First Medicare Advantage D-SNP (HMO D-SNP)|00025053|0.00|590| | |TX|45130|2|N
H5447|002|000|COMMUNITY FIRST HEALTH PLANS, INC.|Community First Medicare Advantage D-SNP (HMO D-SNP)|00025053|0.00|590| | |TX|45320|2|N
H5447|002|000|COMMUNITY FIRST HEALTH PLANS, INC.|Community First Medicare Advantage D-SNP (HMO D-SNP)|00025053|0.00|590| | |TX|45581|2|N
H5447|002|000|COMMUNITY FIRST HEALTH PLANS, INC.|Community First Medicare Advantage D-SNP (HMO D-SNP)|00025053|0.00|590| | |TX|45731|2|N
H5447|002|000|COMMUNITY FIRST HEALTH PLANS, INC.|Community First Medicare Advantage D-SNP (HMO D-SNP)|00025053|0.00|590| | |TX|45792|2|N
H5447|002|000|COMMUNITY FIRST HEALTH PLANS, INC.|Community First Medicare Advantage D-SNP (HMO D-SNP)|00025053|0.00|590| | |TX|45971|2|N
H5453|001|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE Georgia (PPO)|00025188|0.00|590| | |GA|11250|0|N
H5453|001|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE Georgia (PPO)|00025188|0.00|590| | |GA|11280|0|N
H5453|001|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE Georgia (PPO)|00025188|0.00|590| | |GA|11290|0|N
H5453|001|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE Georgia (PPO)|00025188|0.00|590| | |GA|11320|0|N
H5453|001|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE Georgia (PPO)|00025188|0.00|590| | |GA|11370|0|N
H5453|001|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE Georgia (PPO)|00025188|0.00|590| | |GA|11400|0|N
H5453|001|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE Georgia (PPO)|00025188|0.00|590| | |GA|11451|0|N
H5453|001|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE Georgia (PPO)|00025188|0.00|590| | |GA|11461|0|N
H5453|001|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE Georgia (PPO)|00025188|0.00|590| | |GA|11470|0|N
H5453|001|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE Georgia (PPO)|00025188|0.00|590| | |GA|11591|0|N
H5453|001|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE Georgia (PPO)|00025188|0.00|590| | |GA|11810|0|N
H5453|001|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE Georgia (PPO)|00025188|0.00|590| | |GA|11812|0|N
H5453|001|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE Georgia (PPO)|00025188|0.00|590| | |GA|11841|0|N
H5453|001|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE Georgia (PPO)|00025188|0.00|590| | |GA|11860|0|N
H5453|002|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE GIVEBACK Georgia (PPO)|00025188|0.00|590| | |GA|11250|0|N
H5453|002|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE GIVEBACK Georgia (PPO)|00025188|0.00|590| | |GA|11280|0|N
H5453|002|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE GIVEBACK Georgia (PPO)|00025188|0.00|590| | |GA|11290|0|N
H5453|002|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE GIVEBACK Georgia (PPO)|00025188|0.00|590| | |GA|11320|0|N
H5453|002|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE GIVEBACK Georgia (PPO)|00025188|0.00|590| | |GA|11370|0|N
H5453|002|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE GIVEBACK Georgia (PPO)|00025188|0.00|590| | |GA|11400|0|N
H5453|002|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE GIVEBACK Georgia (PPO)|00025188|0.00|590| | |GA|11451|0|N
H5453|002|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE GIVEBACK Georgia (PPO)|00025188|0.00|590| | |GA|11461|0|N
H5453|002|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE GIVEBACK Georgia (PPO)|00025188|0.00|590| | |GA|11470|0|N
H5453|002|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE GIVEBACK Georgia (PPO)|00025188|0.00|590| | |GA|11591|0|N
H5453|002|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE GIVEBACK Georgia (PPO)|00025188|0.00|590| | |GA|11810|0|N
H5453|002|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE GIVEBACK Georgia (PPO)|00025188|0.00|590| | |GA|11812|0|N
H5453|002|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE GIVEBACK Georgia (PPO)|00025188|0.00|590| | |GA|11841|0|N
H5453|002|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE GIVEBACK Georgia (PPO)|00025188|0.00|590| | |GA|11860|0|N
H5453|004|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE Georgia (PPO)|00025188|0.00|590| | |GA|11060|0|N
H5453|004|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE Georgia (PPO)|00025188|0.00|590| | |GA|11160|0|N
H5453|004|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE Georgia (PPO)|00025188|0.00|590| | |GA|11200|0|N
H5453|004|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE Georgia (PPO)|00025188|0.00|590| | |GA|11230|0|N
H5453|004|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE Georgia (PPO)|00025188|0.00|590| | |GA|11240|0|N
H5453|004|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE Georgia (PPO)|00025188|0.00|590| | |GA|11330|0|N
H5453|004|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE Georgia (PPO)|00025188|0.00|590| | |GA|11341|0|N
H5453|004|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE Georgia (PPO)|00025188|0.00|590| | |GA|11580|0|N
H5453|004|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE Georgia (PPO)|00025188|0.00|590| | |GA|11590|0|N
H5453|004|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE Georgia (PPO)|00025188|0.00|590| | |GA|11611|0|N
H5453|004|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE Georgia (PPO)|00025188|0.00|590| | |GA|11620|0|N
H5453|004|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE Georgia (PPO)|00025188|0.00|590| | |GA|11651|0|N
H5453|004|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE Georgia (PPO)|00025188|0.00|590| | |GA|11740|0|N
H5453|004|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE Georgia (PPO)|00025188|0.00|590| | |GA|11760|0|N
H5453|004|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE Georgia (PPO)|00025188|0.00|590| | |GA|11780|0|N
H5453|004|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE Georgia (PPO)|00025188|0.00|590| | |GA|11821|0|N
H5453|004|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE Georgia (PPO)|00025188|0.00|590| | |GA|11881|0|N
H5453|004|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE Georgia (PPO)|00025188|0.00|590| | |GA|11883|0|N
H5453|004|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE Georgia (PPO)|00025188|0.00|590| | |GA|11920|0|N
H5453|004|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE Georgia (PPO)|00025188|0.00|590| | |GA|11921|0|N
H5453|004|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE Georgia (PPO)|00025188|0.00|590| | |GA|11972|0|N
H5453|005|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE GIVEBACK Georgia (PPO)|00025188|0.00|590| | |GA|11060|0|N
H5453|005|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE GIVEBACK Georgia (PPO)|00025188|0.00|590| | |GA|11160|0|N
H5453|005|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE GIVEBACK Georgia (PPO)|00025188|0.00|590| | |GA|11200|0|N
H5453|005|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE GIVEBACK Georgia (PPO)|00025188|0.00|590| | |GA|11230|0|N
H5453|005|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE GIVEBACK Georgia (PPO)|00025188|0.00|590| | |GA|11240|0|N
H5453|005|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE GIVEBACK Georgia (PPO)|00025188|0.00|590| | |GA|11330|0|N
H5453|005|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE GIVEBACK Georgia (PPO)|00025188|0.00|590| | |GA|11341|0|N
H5453|005|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE GIVEBACK Georgia (PPO)|00025188|0.00|590| | |GA|11580|0|N
H5453|005|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE GIVEBACK Georgia (PPO)|00025188|0.00|590| | |GA|11590|0|N
H5453|005|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE GIVEBACK Georgia (PPO)|00025188|0.00|590| | |GA|11611|0|N
H5453|005|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE GIVEBACK Georgia (PPO)|00025188|0.00|590| | |GA|11620|0|N
H5453|005|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE GIVEBACK Georgia (PPO)|00025188|0.00|590| | |GA|11651|0|N
H5453|005|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE GIVEBACK Georgia (PPO)|00025188|0.00|590| | |GA|11740|0|N
H5453|005|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE GIVEBACK Georgia (PPO)|00025188|0.00|590| | |GA|11760|0|N
H5453|005|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE GIVEBACK Georgia (PPO)|00025188|0.00|590| | |GA|11780|0|N
H5453|005|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE GIVEBACK Georgia (PPO)|00025188|0.00|590| | |GA|11821|0|N
H5453|005|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE GIVEBACK Georgia (PPO)|00025188|0.00|590| | |GA|11881|0|N
H5453|005|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE GIVEBACK Georgia (PPO)|00025188|0.00|590| | |GA|11883|0|N
H5453|005|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE GIVEBACK Georgia (PPO)|00025188|0.00|590| | |GA|11920|0|N
H5453|005|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE GIVEBACK Georgia (PPO)|00025188|0.00|590| | |GA|11921|0|N
H5453|005|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE GIVEBACK Georgia (PPO)|00025188|0.00|590| | |GA|11972|0|N
H5453|010|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE Georgia (PPO)|00025188|0.00|590| | |GA|11130|0|N
H5453|010|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE Georgia (PPO)|00025188|0.00|590| | |GA|11140|0|N
H5453|010|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE Georgia (PPO)|00025188|0.00|590| | |GA|11150|0|N
H5453|010|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE Georgia (PPO)|00025188|0.00|590| | |GA|11220|0|N
H5453|010|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE Georgia (PPO)|00025188|0.00|590| | |GA|11310|0|N
H5453|010|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE Georgia (PPO)|00025188|0.00|590| | |GA|11421|0|N
H5453|010|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE Georgia (PPO)|00025188|0.00|590| | |GA|11630|0|N
H5453|010|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE Georgia (PPO)|00025188|0.00|590| | |GA|11690|0|N
H5453|010|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE Georgia (PPO)|00025188|0.00|590| | |GA|11702|0|N
H5453|010|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE Georgia (PPO)|00025188|0.00|590| | |GA|11840|0|N
H5453|011|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE GIVEBACK Georgia (PPO)|00025188|0.00|590| | |GA|11130|0|N
H5453|011|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE GIVEBACK Georgia (PPO)|00025188|0.00|590| | |GA|11140|0|N
H5453|011|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE GIVEBACK Georgia (PPO)|00025188|0.00|590| | |GA|11150|0|N
H5453|011|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE GIVEBACK Georgia (PPO)|00025188|0.00|590| | |GA|11220|0|N
H5453|011|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE GIVEBACK Georgia (PPO)|00025188|0.00|590| | |GA|11310|0|N
H5453|011|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE GIVEBACK Georgia (PPO)|00025188|0.00|590| | |GA|11421|0|N
H5453|011|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE GIVEBACK Georgia (PPO)|00025188|0.00|590| | |GA|11630|0|N
H5453|011|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE GIVEBACK Georgia (PPO)|00025188|0.00|590| | |GA|11690|0|N
H5453|011|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE GIVEBACK Georgia (PPO)|00025188|0.00|590| | |GA|11702|0|N
H5453|011|000|DEVOTED HEALTH INSURANCE COMPANY OF GEORGIA INC|Devoted CHOICE GIVEBACK Georgia (PPO)|00025188|0.00|590| | |GA|11840|0|N
H5454|001|000|CLEAR SPRING HEALTH OF ILLINOIS, INC.|Clear Spring Health Essential (HMO)|00025494|0.00|0| | |IL|14030|0|N
H5454|001|000|CLEAR SPRING HEALTH OF ILLINOIS, INC.|Clear Spring Health Essential (HMO)|00025494|0.00|0| | |IL|14130|0|N
H5454|001|000|CLEAR SPRING HEALTH OF ILLINOIS, INC.|Clear Spring Health Essential (HMO)|00025494|0.00|0| | |IL|14670|0|N
H5454|001|000|CLEAR SPRING HEALTH OF ILLINOIS, INC.|Clear Spring Health Essential (HMO)|00025494|0.00|0| | |IL|14680|0|N
H5454|001|000|CLEAR SPRING HEALTH OF ILLINOIS, INC.|Clear Spring Health Essential (HMO)|00025494|0.00|0| | |IL|14790|0|N
H5454|001|000|CLEAR SPRING HEALTH OF ILLINOIS, INC.|Clear Spring Health Essential (HMO)|00025494|0.00|0| | |IL|14900|0|N
H5454|001|000|CLEAR SPRING HEALTH OF ILLINOIS, INC.|Clear Spring Health Essential (HMO)|00025494|0.00|0| | |IL|14970|0|N
H5454|001|000|CLEAR SPRING HEALTH OF ILLINOIS, INC.|Clear Spring Health Essential (HMO)|00025494|0.00|0| | |IL|14991|0|N
H5454|002|000|CLEAR SPRING HEALTH OF ILLINOIS, INC.|Clear Spring Health Essential (HMO)|00025494|0.00|0| | |IL|14141|0|N
H5454|002|000|CLEAR SPRING HEALTH OF ILLINOIS, INC.|Clear Spring Health Essential (HMO)|00025494|0.00|0| | |IL|14250|0|N
H5454|002|000|CLEAR SPRING HEALTH OF ILLINOIS, INC.|Clear Spring Health Essential (HMO)|00025494|0.00|0| | |IL|14530|0|N
H5454|002|000|CLEAR SPRING HEALTH OF ILLINOIS, INC.|Clear Spring Health Essential (HMO)|00025494|0.00|0| | |IL|14540|0|N
H5454|002|000|CLEAR SPRING HEALTH OF ILLINOIS, INC.|Clear Spring Health Essential (HMO)|00025494|0.00|0| | |IL|14580|0|N
H5454|002|000|CLEAR SPRING HEALTH OF ILLINOIS, INC.|Clear Spring Health Essential (HMO)|00025494|0.00|0| | |IL|14640|0|N
H5454|002|000|CLEAR SPRING HEALTH OF ILLINOIS, INC.|Clear Spring Health Essential (HMO)|00025494|0.00|0| | |IL|14989|0|N
H5454|005|000|CLEAR SPRING HEALTH OF ILLINOIS, INC.|Clear Spring Health Essential (HMO C-SNP)|00025494|0.00|250| | |IL|14030|1|N
H5454|005|000|CLEAR SPRING HEALTH OF ILLINOIS, INC.|Clear Spring Health Essential (HMO C-SNP)|00025494|0.00|250| | |IL|14130|1|N
H5454|005|000|CLEAR SPRING HEALTH OF ILLINOIS, INC.|Clear Spring Health Essential (HMO C-SNP)|00025494|0.00|250| | |IL|14670|1|N
H5454|005|000|CLEAR SPRING HEALTH OF ILLINOIS, INC.|Clear Spring Health Essential (HMO C-SNP)|00025494|0.00|250| | |IL|14680|1|N
H5454|005|000|CLEAR SPRING HEALTH OF ILLINOIS, INC.|Clear Spring Health Essential (HMO C-SNP)|00025494|0.00|250| | |IL|14790|1|N
H5454|005|000|CLEAR SPRING HEALTH OF ILLINOIS, INC.|Clear Spring Health Essential (HMO C-SNP)|00025494|0.00|250| | |IL|14900|1|N
H5454|005|000|CLEAR SPRING HEALTH OF ILLINOIS, INC.|Clear Spring Health Essential (HMO C-SNP)|00025494|0.00|250| | |IL|14970|1|N
H5454|005|000|CLEAR SPRING HEALTH OF ILLINOIS, INC.|Clear Spring Health Essential (HMO C-SNP)|00025494|0.00|250| | |IL|14991|1|N
H5454|006|000|CLEAR SPRING HEALTH OF ILLINOIS, INC.|Clear Spring Health Essential (HMO C-SNP)|00025494|0.00|250| | |IL|14141|1|N
H5454|006|000|CLEAR SPRING HEALTH OF ILLINOIS, INC.|Clear Spring Health Essential (HMO C-SNP)|00025494|0.00|250| | |IL|14250|1|N
H5454|006|000|CLEAR SPRING HEALTH OF ILLINOIS, INC.|Clear Spring Health Essential (HMO C-SNP)|00025494|0.00|250| | |IL|14530|1|N
H5454|006|000|CLEAR SPRING HEALTH OF ILLINOIS, INC.|Clear Spring Health Essential (HMO C-SNP)|00025494|0.00|250| | |IL|14540|1|N
H5454|006|000|CLEAR SPRING HEALTH OF ILLINOIS, INC.|Clear Spring Health Essential (HMO C-SNP)|00025494|0.00|250| | |IL|14580|1|N
H5454|006|000|CLEAR SPRING HEALTH OF ILLINOIS, INC.|Clear Spring Health Essential (HMO C-SNP)|00025494|0.00|250| | |IL|14640|1|N
H5454|006|000|CLEAR SPRING HEALTH OF ILLINOIS, INC.|Clear Spring Health Essential (HMO C-SNP)|00025494|0.00|250| | |IL|14989|1|N
H5471|064|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Complete (HMO D-SNP)|00025102|0.00|590| | |FL|10120|2|N
H5471|065|000|SIMPLY HEALTHCARE PLANS, INC.|Simply More (HMO)|00025102|0.00|0| | |FL|10120|0|N
H5471|066|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Complete (HMO D-SNP)|00025102|0.00|590| | |FL|10520|2|N
H5471|068|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Comfort (HMO I-SNP)|00025102|0.00|590| | |FL|10050|3|N
H5471|068|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Comfort (HMO I-SNP)|00025102|0.00|590| | |FL|10120|3|N
H5471|068|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Comfort (HMO I-SNP)|00025102|0.00|590| | |FL|10260|3|N
H5471|068|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Comfort (HMO I-SNP)|00025102|0.00|590| | |FL|10280|3|N
H5471|068|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Comfort (HMO I-SNP)|00025102|0.00|590| | |FL|10470|3|N
H5471|068|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Comfort (HMO I-SNP)|00025102|0.00|590| | |FL|10480|3|N
H5471|068|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Comfort (HMO I-SNP)|00025102|0.00|590| | |FL|10490|3|N
H5471|068|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Comfort (HMO I-SNP)|00025102|0.00|590| | |FL|10500|3|N
H5471|068|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Comfort (HMO I-SNP)|00025102|0.00|590| | |FL|10510|3|N
H5471|068|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Comfort (HMO I-SNP)|00025102|0.00|590| | |FL|10520|3|N
H5471|068|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Comfort (HMO I-SNP)|00025102|0.00|590| | |FL|10580|3|N
H5471|069|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Level (HMO C-SNP)|00025102|0.00|0| | |FL|10120|1|N
H5471|070|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Level (HMO C-SNP)|00025102|0.00|0| | |FL|10520|1|N
H5471|071|000|SIMPLY HEALTHCARE PLANS, INC.|Simply More (HMO)|00025102|0.00|0| | |FL|10520|0|N
H5471|072|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Complete (HMO D-SNP)|00025102|0.00|590| | |FL|10470|2|N
H5471|072|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Complete (HMO D-SNP)|00025102|0.00|590| | |FL|10480|2|N
H5471|072|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Complete (HMO D-SNP)|00025102|0.00|590| | |FL|10580|2|N
H5471|073|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Level (HMO C-SNP)|00025102|0.00|0| | |FL|10470|1|N
H5471|073|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Level (HMO C-SNP)|00025102|0.00|0| | |FL|10480|1|N
H5471|073|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Level (HMO C-SNP)|00025102|0.00|0| | |FL|10580|1|N
H5471|074|000|SIMPLY HEALTHCARE PLANS, INC.|Simply More (HMO)|00025102|0.00|0| | |FL|10470|0|N
H5471|074|000|SIMPLY HEALTHCARE PLANS, INC.|Simply More (HMO)|00025102|0.00|0| | |FL|10480|0|N
H5471|074|000|SIMPLY HEALTHCARE PLANS, INC.|Simply More (HMO)|00025102|0.00|0| | |FL|10580|0|N
H5471|075|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Level (HMO C-SNP)|00025102|0.00|0| | |FL|10260|1|N
H5471|075|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Level (HMO C-SNP)|00025102|0.00|0| | |FL|10280|1|N
H5471|075|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Level (HMO C-SNP)|00025102|0.00|0| | |FL|10500|1|N
H5471|075|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Level (HMO C-SNP)|00025102|0.00|0| | |FL|10510|1|N
H5471|076|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Complete (HMO D-SNP)|00025102|0.00|590| | |FL|10050|2|N
H5471|077|000|SIMPLY HEALTHCARE PLANS, INC.|Simply More (HMO)|00025102|0.00|0| | |FL|10050|0|N
H5471|078|000|SIMPLY HEALTHCARE PLANS, INC.|Simply More (HMO)|00025102|0.00|0| | |FL|10260|0|N
H5471|078|000|SIMPLY HEALTHCARE PLANS, INC.|Simply More (HMO)|00025102|0.00|0| | |FL|10280|0|N
H5471|078|000|SIMPLY HEALTHCARE PLANS, INC.|Simply More (HMO)|00025102|0.00|0| | |FL|10500|0|N
H5471|078|000|SIMPLY HEALTHCARE PLANS, INC.|Simply More (HMO)|00025102|0.00|0| | |FL|10510|0|N
H5471|080|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Level (HMO C-SNP)|00025102|0.00|0| | |FL|10050|1|N
H5471|082|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Complete (HMO D-SNP)|00025102|0.00|590| | |FL|10260|2|N
H5471|082|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Complete (HMO D-SNP)|00025102|0.00|590| | |FL|10280|2|N
H5471|082|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Complete (HMO D-SNP)|00025102|0.00|590| | |FL|10500|2|N
H5471|082|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Complete (HMO D-SNP)|00025102|0.00|590| | |FL|10510|2|N
H5471|083|000|SIMPLY HEALTHCARE PLANS, INC.|Simply More (HMO)|00025102|0.00|0| | |FL|10490|0|N
H5471|084|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Complete (HMO D-SNP)|00025102|0.00|590| | |FL|10490|2|N
H5471|085|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Level (HMO C-SNP)|00025102|0.00|0| | |FL|10490|1|N
H5471|103|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Extra (HMO)|00025102|0.00|0| | |FL|10120|0|N
H5471|104|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Extra (HMO)|00025102|0.00|0| | |FL|10050|0|N
H5471|105|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Extra (HMO)|00025102|0.00|100| | |FL|10490|0|N
H5471|106|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Extra (HMO)|00025102|0.00|0| | |FL|10520|0|N
H5471|107|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Extra (HMO)|00025102|0.00|0| | |FL|10470|0|N
H5471|107|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Extra (HMO)|00025102|0.00|0| | |FL|10480|0|N
H5471|107|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Extra (HMO)|00025102|0.00|0| | |FL|10580|0|N
H5471|108|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Extra (HMO)|00025102|0.00|0| | |FL|10260|0|N
H5471|108|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Extra (HMO)|00025102|0.00|0| | |FL|10280|0|N
H5471|108|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Extra (HMO)|00025102|0.00|0| | |FL|10500|0|N
H5471|108|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Extra (HMO)|00025102|0.00|0| | |FL|10510|0|N
H5471|110|000|SIMPLY HEALTHCARE PLANS, INC.|Simply More (HMO)|00025102|0.00|0| | |FL|10090|0|N
H5471|110|000|SIMPLY HEALTHCARE PLANS, INC.|Simply More (HMO)|00025102|0.00|0| | |FL|10150|0|N
H5471|110|000|SIMPLY HEALTHCARE PLANS, INC.|Simply More (HMO)|00025102|0.00|0| | |FL|10540|0|N
H5471|111|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Complete (HMO D-SNP)|00025102|0.00|590| | |FL|10090|2|N
H5471|111|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Complete (HMO D-SNP)|00025102|0.00|590| | |FL|10150|2|N
H5471|111|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Complete (HMO D-SNP)|00025102|0.00|590| | |FL|10540|2|N
H5471|112|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Extra (HMO)|00025102|0.00|0| | |FL|10090|0|N
H5471|112|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Extra (HMO)|00025102|0.00|0| | |FL|10150|0|N
H5471|112|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Extra (HMO)|00025102|0.00|0| | |FL|10540|0|N
H5471|113|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Extra Platinum (HMO)|00025102|0.00|0| | |FL|10120|0|N
H5471|114|000|SIMPLY HEALTHCARE PLANS, INC.|Simply More Platinum (HMO)|00025102|0.00|0| | |FL|10120|0|N
H5471|115|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Complete Platinum (HMO D-SNP)|00025102|0.00|590| | |FL|10120|2|N
H5471|116|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Level Platinum (HMO C-SNP)|00025102|0.00|0| | |FL|10120|1|N
H5471|117|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Extra Platinum (HMO)|00025102|0.00|0| | |FL|10260|0|N
H5471|117|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Extra Platinum (HMO)|00025102|0.00|0| | |FL|10280|0|N
H5471|117|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Extra Platinum (HMO)|00025102|0.00|0| | |FL|10500|0|N
H5471|117|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Extra Platinum (HMO)|00025102|0.00|0| | |FL|10510|0|N
H5471|117|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Extra Platinum (HMO)|00025102|0.00|0| | |FL|10520|0|N
H5471|118|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Complete Platinum (HMO D-SNP)|00025102|0.00|590| | |FL|10260|2|N
H5471|118|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Complete Platinum (HMO D-SNP)|00025102|0.00|590| | |FL|10280|2|N
H5471|118|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Complete Platinum (HMO D-SNP)|00025102|0.00|590| | |FL|10500|2|N
H5471|118|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Complete Platinum (HMO D-SNP)|00025102|0.00|590| | |FL|10510|2|N
H5471|118|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Complete Platinum (HMO D-SNP)|00025102|0.00|590| | |FL|10520|2|N
H5471|119|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Level Platinum (HMO C-SNP)|00025102|0.00|0| | |FL|10260|1|N
H5471|119|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Level Platinum (HMO C-SNP)|00025102|0.00|0| | |FL|10280|1|N
H5471|119|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Level Platinum (HMO C-SNP)|00025102|0.00|0| | |FL|10500|1|N
H5471|119|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Level Platinum (HMO C-SNP)|00025102|0.00|0| | |FL|10510|1|N
H5471|119|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Level Platinum (HMO C-SNP)|00025102|0.00|0| | |FL|10520|1|N
H5471|120|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Extra Platinum (HMO)|00025102|0.00|0| | |FL|10470|0|N
H5471|120|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Extra Platinum (HMO)|00025102|0.00|0| | |FL|10480|0|N
H5471|120|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Extra Platinum (HMO)|00025102|0.00|0| | |FL|10580|0|N
H5471|121|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Complete Platinum (HMO D-SNP)|00025102|0.00|590| | |FL|10470|2|N
H5471|121|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Complete Platinum (HMO D-SNP)|00025102|0.00|590| | |FL|10480|2|N
H5471|121|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Complete Platinum (HMO D-SNP)|00025102|0.00|590| | |FL|10580|2|N
H5471|122|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Level Platinum (HMO C-SNP)|00025102|0.00|0| | |FL|10470|1|N
H5471|122|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Level Platinum (HMO C-SNP)|00025102|0.00|0| | |FL|10480|1|N
H5471|122|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Level Platinum (HMO C-SNP)|00025102|0.00|0| | |FL|10580|1|N
H5471|123|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Extra Platinum (HMO)|00025102|0.00|0| | |FL|10050|0|N
H5471|123|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Extra Platinum (HMO)|00025102|0.00|0| | |FL|10490|0|N
H5471|124|000|SIMPLY HEALTHCARE PLANS, INC.|Simply More Platinum (HMO)|00025102|0.00|0| | |FL|10050|0|N
H5471|124|000|SIMPLY HEALTHCARE PLANS, INC.|Simply More Platinum (HMO)|00025102|0.00|0| | |FL|10490|0|N
H5471|125|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Complete Platinum (HMO D-SNP)|00025102|0.00|590| | |FL|10050|2|N
H5471|125|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Complete Platinum (HMO D-SNP)|00025102|0.00|590| | |FL|10490|2|N
H5471|126|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Level Platinum (HMO C-SNP)|00025102|0.00|0| | |FL|10050|1|N
H5471|126|000|SIMPLY HEALTHCARE PLANS, INC.|Simply Level Platinum (HMO C-SNP)|00025102|0.00|0| | |FL|10490|1|N
H5472|001|000|ALIGNMENT HEALTH INSURANCE COMPANY OF ARIZONA INC|Alignment Health the ONE + Walgreens (HMO-POS)|00025083|0.00|0| | |TX|45480|0|N
H5472|001|000|ALIGNMENT HEALTH INSURANCE COMPANY OF ARIZONA INC|Alignment Health the ONE + Walgreens (HMO-POS)|00025083|0.00|0| | |TX|45662|0|N
H5472|002|000|ALIGNMENT HEALTH INSURANCE COMPANY OF ARIZONA INC|Alignment Health Heart & Diabetes (HMO-POS C-SNP)|00025083|0.00|0| | |TX|45480|1|N
H5472|002|000|ALIGNMENT HEALTH INSURANCE COMPANY OF ARIZONA INC|Alignment Health Heart & Diabetes (HMO-POS C-SNP)|00025083|0.00|0| | |TX|45662|1|N
H5472|003|000|ALIGNMENT HEALTH INSURANCE COMPANY OF ARIZONA INC|Alignment Health smartHMO (HMO-POS)|00025083|0.00|590| | |TX|45480|0|N
H5472|003|000|ALIGNMENT HEALTH INSURANCE COMPANY OF ARIZONA INC|Alignment Health smartHMO (HMO-POS)|00025083|0.00|590| | |TX|45662|0|N
H5472|004|000|ALIGNMENT HEALTH INSURANCE COMPANY OF ARIZONA INC|Alignment Health Heart & Diabetes Plus (HMO-POS C-SNP)|00025086|18.30|590| | |TX|45480|1|N
H5472|004|000|ALIGNMENT HEALTH INSURANCE COMPANY OF ARIZONA INC|Alignment Health Heart & Diabetes Plus (HMO-POS C-SNP)|00025086|18.30|590| | |TX|45662|1|N
H5472|005|000|ALIGNMENT HEALTH INSURANCE COMPANY OF ARIZONA INC|Alignment Health Premium (HMO-POS)|00025083|0.00|0| | |TX|45480|0|N
H5472|005|000|ALIGNMENT HEALTH INSURANCE COMPANY OF ARIZONA INC|Alignment Health Premium (HMO-POS)|00025083|0.00|0| | |TX|45662|0|N
H5472|007|000|ALIGNMENT HEALTH INSURANCE COMPANY OF ARIZONA INC|Alignment Health Dual Select+ (HMO-POS D-SNP)|00025086|0.00|590| | |TX|45480|2|N
H5472|007|000|ALIGNMENT HEALTH INSURANCE COMPANY OF ARIZONA INC|Alignment Health Dual Select+ (HMO-POS D-SNP)|00025086|0.00|590| | |TX|45662|2|N
H5475|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|430| | |MI|23020|2|N
H5475|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|430| | |MI|23050|2|N
H5475|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|430| | |MI|23070|2|N
H5475|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|430| | |MI|23080|2|N
H5475|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|430| | |MI|23110|2|N
H5475|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|430| | |MI|23120|2|N
H5475|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|430| | |MI|23130|2|N
H5475|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|430| | |MI|23240|2|N
H5475|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|430| | |MI|23250|2|N
H5475|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|430| | |MI|23280|2|N
H5475|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|430| | |MI|23290|2|N
H5475|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|430| | |MI|23310|2|N
H5475|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|430| | |MI|23370|2|N
H5475|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|430| | |MI|23380|2|N
H5475|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|430| | |MI|23400|2|N
H5475|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|430| | |MI|23420|2|N
H5475|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|430| | |MI|23430|2|N
H5475|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|430| | |MI|23460|2|N
H5475|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|430| | |MI|23490|2|N
H5475|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|430| | |MI|23530|2|N
H5475|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|430| | |MI|23570|2|N
H5475|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|430| | |MI|23580|2|N
H5475|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|430| | |MI|23600|2|N
H5475|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|430| | |MI|23610|2|N
H5475|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|430| | |MI|23620|2|N
H5475|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|430| | |MI|23630|2|N
H5475|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|430| | |MI|23660|2|N
H5475|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|430| | |MI|23690|2|N
H5475|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|430| | |MI|23720|2|N
H5475|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|430| | |MI|23730|2|N
H5475|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|430| | |MI|23740|2|N
H5475|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|430| | |MI|23750|2|N
H5475|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|430| | |MI|23770|2|N
H5475|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|430| | |MI|23780|2|N
H5475|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|430| | |MI|23790|2|N
H5475|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|430| | |MI|23800|2|N
H5475|001|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025066|0.00|430| | |MI|23810|2|N
H5475|024|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MI|23020|0|N
H5475|024|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MI|23050|0|N
H5475|024|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MI|23070|0|N
H5475|024|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MI|23080|0|N
H5475|024|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MI|23110|0|N
H5475|024|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MI|23120|0|N
H5475|024|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MI|23130|0|N
H5475|024|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MI|23190|0|N
H5475|024|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MI|23220|0|N
H5475|024|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MI|23240|0|N
H5475|024|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MI|23250|0|N
H5475|024|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MI|23280|0|N
H5475|024|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MI|23290|0|N
H5475|024|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MI|23310|0|N
H5475|024|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MI|23320|0|N
H5475|024|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MI|23340|0|N
H5475|024|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MI|23370|0|N
H5475|024|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MI|23380|0|N
H5475|024|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MI|23390|0|N
H5475|024|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MI|23400|0|N
H5475|024|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MI|23420|0|N
H5475|024|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MI|23430|0|N
H5475|024|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MI|23460|0|N
H5475|024|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MI|23490|0|N
H5475|024|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MI|23530|0|N
H5475|024|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MI|23560|0|N
H5475|024|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MI|23570|0|N
H5475|024|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MI|23580|0|N
H5475|024|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MI|23600|0|N
H5475|024|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MI|23610|0|N
H5475|024|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MI|23620|0|N
H5475|024|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MI|23630|0|N
H5475|024|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MI|23640|0|N
H5475|024|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MI|23660|0|N
H5475|024|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MI|23670|0|N
H5475|024|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MI|23680|0|N
H5475|024|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MI|23690|0|N
H5475|024|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MI|23710|0|N
H5475|024|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MI|23720|0|N
H5475|024|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MI|23730|0|N
H5475|024|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MI|23740|0|N
H5475|024|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MI|23750|0|N
H5475|024|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MI|23770|0|N
H5475|024|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MI|23780|0|N
H5475|024|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MI|23790|0|N
H5475|024|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MI|23800|0|N
H5475|024|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MI|23810|0|N
H5475|024|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Low Premium (HMO-POS)|00025084|7.00|420| | |MI|23830|0|N
H5475|026|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MI|23020|0|N
H5475|026|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MI|23050|0|N
H5475|026|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MI|23070|0|N
H5475|026|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MI|23080|0|N
H5475|026|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MI|23110|0|N
H5475|026|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MI|23120|0|N
H5475|026|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MI|23130|0|N
H5475|026|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MI|23190|0|N
H5475|026|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MI|23220|0|N
H5475|026|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MI|23240|0|N
H5475|026|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MI|23250|0|N
H5475|026|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MI|23280|0|N
H5475|026|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MI|23290|0|N
H5475|026|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MI|23310|0|N
H5475|026|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MI|23320|0|N
H5475|026|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MI|23340|0|N
H5475|026|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MI|23370|0|N
H5475|026|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MI|23380|0|N
H5475|026|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MI|23390|0|N
H5475|026|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MI|23400|0|N
H5475|026|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MI|23420|0|N
H5475|026|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MI|23430|0|N
H5475|026|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MI|23460|0|N
H5475|026|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MI|23490|0|N
H5475|026|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MI|23530|0|N
H5475|026|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MI|23560|0|N
H5475|026|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MI|23570|0|N
H5475|026|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MI|23580|0|N
H5475|026|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MI|23600|0|N
H5475|026|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MI|23610|0|N
H5475|026|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MI|23620|0|N
H5475|026|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MI|23630|0|N
H5475|026|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MI|23640|0|N
H5475|026|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MI|23660|0|N
H5475|026|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MI|23670|0|N
H5475|026|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MI|23680|0|N
H5475|026|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MI|23690|0|N
H5475|026|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MI|23710|0|N
H5475|026|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MI|23720|0|N
H5475|026|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MI|23730|0|N
H5475|026|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MI|23740|0|N
H5475|026|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MI|23750|0|N
H5475|026|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MI|23770|0|N
H5475|026|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MI|23780|0|N
H5475|026|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MI|23790|0|N
H5475|026|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MI|23800|0|N
H5475|026|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MI|23810|0|N
H5475|026|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Simple (HMO-POS)|00025076|0.00|420| | |MI|23830|0|N
H5475|031|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MI|23020|0|N
H5475|031|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MI|23050|0|N
H5475|031|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MI|23070|0|N
H5475|031|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MI|23080|0|N
H5475|031|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MI|23110|0|N
H5475|031|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MI|23120|0|N
H5475|031|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MI|23130|0|N
H5475|031|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MI|23190|0|N
H5475|031|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MI|23220|0|N
H5475|031|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MI|23240|0|N
H5475|031|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MI|23250|0|N
H5475|031|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MI|23280|0|N
H5475|031|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MI|23290|0|N
H5475|031|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MI|23310|0|N
H5475|031|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MI|23320|0|N
H5475|031|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MI|23340|0|N
H5475|031|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MI|23370|0|N
H5475|031|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MI|23380|0|N
H5475|031|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MI|23390|0|N
H5475|031|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MI|23400|0|N
H5475|031|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MI|23420|0|N
H5475|031|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MI|23430|0|N
H5475|031|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MI|23460|0|N
H5475|031|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MI|23490|0|N
H5475|031|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MI|23530|0|N
H5475|031|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MI|23560|0|N
H5475|031|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MI|23570|0|N
H5475|031|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MI|23580|0|N
H5475|031|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MI|23600|0|N
H5475|031|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MI|23610|0|N
H5475|031|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MI|23620|0|N
H5475|031|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MI|23630|0|N
H5475|031|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MI|23640|0|N
H5475|031|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MI|23660|0|N
H5475|031|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MI|23670|0|N
H5475|031|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MI|23680|0|N
H5475|031|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MI|23690|0|N
H5475|031|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MI|23710|0|N
H5475|031|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MI|23720|0|N
H5475|031|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MI|23730|0|N
H5475|031|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MI|23740|0|N
H5475|031|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MI|23750|0|N
H5475|031|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MI|23770|0|N
H5475|031|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MI|23780|0|N
H5475|031|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MI|23790|0|N
H5475|031|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MI|23800|0|N
H5475|031|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MI|23810|0|N
H5475|031|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |MI|23830|0|N
H5475|038|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Assist (HMO-POS)|00025066|16.20|520| | |MI|23020|0|N
H5475|038|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Assist (HMO-POS)|00025066|16.20|520| | |MI|23050|0|N
H5475|038|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Assist (HMO-POS)|00025066|16.20|520| | |MI|23070|0|N
H5475|038|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Assist (HMO-POS)|00025066|16.20|520| | |MI|23080|0|N
H5475|038|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Assist (HMO-POS)|00025066|16.20|520| | |MI|23110|0|N
H5475|038|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Assist (HMO-POS)|00025066|16.20|520| | |MI|23120|0|N
H5475|038|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Assist (HMO-POS)|00025066|16.20|520| | |MI|23130|0|N
H5475|038|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Assist (HMO-POS)|00025066|16.20|520| | |MI|23190|0|N
H5475|038|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Assist (HMO-POS)|00025066|16.20|520| | |MI|23220|0|N
H5475|038|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Assist (HMO-POS)|00025066|16.20|520| | |MI|23240|0|N
H5475|038|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Assist (HMO-POS)|00025066|16.20|520| | |MI|23250|0|N
H5475|038|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Assist (HMO-POS)|00025066|16.20|520| | |MI|23280|0|N
H5475|038|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Assist (HMO-POS)|00025066|16.20|520| | |MI|23290|0|N
H5475|038|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Assist (HMO-POS)|00025066|16.20|520| | |MI|23310|0|N
H5475|038|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Assist (HMO-POS)|00025066|16.20|520| | |MI|23320|0|N
H5475|038|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Assist (HMO-POS)|00025066|16.20|520| | |MI|23340|0|N
H5475|038|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Assist (HMO-POS)|00025066|16.20|520| | |MI|23370|0|N
H5475|038|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Assist (HMO-POS)|00025066|16.20|520| | |MI|23380|0|N
H5475|038|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Assist (HMO-POS)|00025066|16.20|520| | |MI|23390|0|N
H5475|038|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Assist (HMO-POS)|00025066|16.20|520| | |MI|23400|0|N
H5475|038|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Assist (HMO-POS)|00025066|16.20|520| | |MI|23420|0|N
H5475|038|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Assist (HMO-POS)|00025066|16.20|520| | |MI|23430|0|N
H5475|038|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Assist (HMO-POS)|00025066|16.20|520| | |MI|23460|0|N
H5475|038|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Assist (HMO-POS)|00025066|16.20|520| | |MI|23490|0|N
H5475|038|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Assist (HMO-POS)|00025066|16.20|520| | |MI|23530|0|N
H5475|038|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Assist (HMO-POS)|00025066|16.20|520| | |MI|23560|0|N
H5475|038|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Assist (HMO-POS)|00025066|16.20|520| | |MI|23570|0|N
H5475|038|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Assist (HMO-POS)|00025066|16.20|520| | |MI|23580|0|N
H5475|038|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Assist (HMO-POS)|00025066|16.20|520| | |MI|23600|0|N
H5475|038|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Assist (HMO-POS)|00025066|16.20|520| | |MI|23610|0|N
H5475|038|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Assist (HMO-POS)|00025066|16.20|520| | |MI|23620|0|N
H5475|038|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Assist (HMO-POS)|00025066|16.20|520| | |MI|23630|0|N
H5475|038|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Assist (HMO-POS)|00025066|16.20|520| | |MI|23640|0|N
H5475|038|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Assist (HMO-POS)|00025066|16.20|520| | |MI|23660|0|N
H5475|038|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Assist (HMO-POS)|00025066|16.20|520| | |MI|23670|0|N
H5475|038|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Assist (HMO-POS)|00025066|16.20|520| | |MI|23680|0|N
H5475|038|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Assist (HMO-POS)|00025066|16.20|520| | |MI|23690|0|N
H5475|038|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Assist (HMO-POS)|00025066|16.20|520| | |MI|23710|0|N
H5475|038|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Assist (HMO-POS)|00025066|16.20|520| | |MI|23720|0|N
H5475|038|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Assist (HMO-POS)|00025066|16.20|520| | |MI|23730|0|N
H5475|038|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Assist (HMO-POS)|00025066|16.20|520| | |MI|23740|0|N
H5475|038|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Assist (HMO-POS)|00025066|16.20|520| | |MI|23750|0|N
H5475|038|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Assist (HMO-POS)|00025066|16.20|520| | |MI|23770|0|N
H5475|038|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Assist (HMO-POS)|00025066|16.20|520| | |MI|23780|0|N
H5475|038|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Assist (HMO-POS)|00025066|16.20|520| | |MI|23790|0|N
H5475|038|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Assist (HMO-POS)|00025066|16.20|520| | |MI|23800|0|N
H5475|038|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Assist (HMO-POS)|00025066|16.20|520| | |MI|23810|0|N
H5475|038|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Assist (HMO-POS)|00025066|16.20|520| | |MI|23830|0|N
H5475|039|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|18.20|590| | |MI|23020|2|N
H5475|039|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|18.20|590| | |MI|23050|2|N
H5475|039|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|18.20|590| | |MI|23070|2|N
H5475|039|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|18.20|590| | |MI|23080|2|N
H5475|039|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|18.20|590| | |MI|23110|2|N
H5475|039|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|18.20|590| | |MI|23120|2|N
H5475|039|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|18.20|590| | |MI|23130|2|N
H5475|039|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|18.20|590| | |MI|23240|2|N
H5475|039|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|18.20|590| | |MI|23250|2|N
H5475|039|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|18.20|590| | |MI|23280|2|N
H5475|039|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|18.20|590| | |MI|23290|2|N
H5475|039|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|18.20|590| | |MI|23310|2|N
H5475|039|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|18.20|590| | |MI|23370|2|N
H5475|039|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|18.20|590| | |MI|23380|2|N
H5475|039|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|18.20|590| | |MI|23400|2|N
H5475|039|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|18.20|590| | |MI|23420|2|N
H5475|039|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|18.20|590| | |MI|23430|2|N
H5475|039|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|18.20|590| | |MI|23460|2|N
H5475|039|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|18.20|590| | |MI|23490|2|N
H5475|039|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|18.20|590| | |MI|23530|2|N
H5475|039|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|18.20|590| | |MI|23570|2|N
H5475|039|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|18.20|590| | |MI|23580|2|N
H5475|039|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|18.20|590| | |MI|23600|2|N
H5475|039|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|18.20|590| | |MI|23610|2|N
H5475|039|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|18.20|590| | |MI|23620|2|N
H5475|039|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|18.20|590| | |MI|23630|2|N
H5475|039|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|18.20|590| | |MI|23660|2|N
H5475|039|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|18.20|590| | |MI|23690|2|N
H5475|039|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|18.20|590| | |MI|23720|2|N
H5475|039|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|18.20|590| | |MI|23730|2|N
H5475|039|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|18.20|590| | |MI|23740|2|N
H5475|039|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|18.20|590| | |MI|23750|2|N
H5475|039|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|18.20|590| | |MI|23770|2|N
H5475|039|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|18.20|590| | |MI|23780|2|N
H5475|039|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|18.20|590| | |MI|23790|2|N
H5475|039|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|18.20|590| | |MI|23800|2|N
H5475|039|000|MERIDIAN HEALTH PLAN OF MICHIGAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|18.20|590| | |MI|23810|2|N
H5496|005|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Senior Value (HMO C-SNP)|00025222|0.00|0| | |CA|05000|1|N
H5496|005|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Senior Value (HMO C-SNP)|00025222|0.00|0| | |CA|05020|1|N
H5496|005|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Senior Value (HMO C-SNP)|00025222|0.00|0| | |CA|05030|1|N
H5496|005|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Senior Value (HMO C-SNP)|00025222|0.00|0| | |CA|05060|1|N
H5496|005|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Senior Value (HMO C-SNP)|00025222|0.00|0| | |CA|05070|1|N
H5496|005|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Senior Value (HMO C-SNP)|00025222|0.00|0| | |CA|05080|1|N
H5496|005|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Senior Value (HMO C-SNP)|00025222|0.00|0| | |CA|05090|1|N
H5496|005|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Senior Value (HMO C-SNP)|00025222|0.00|0| | |CA|05100|1|N
H5496|005|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Senior Value (HMO C-SNP)|00025222|0.00|0| | |CA|05110|1|N
H5496|005|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Senior Value (HMO C-SNP)|00025222|0.00|0| | |CA|05120|1|N
H5496|005|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Senior Value (HMO C-SNP)|00025222|0.00|0| | |CA|05130|1|N
H5496|005|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Senior Value (HMO C-SNP)|00025222|0.00|0| | |CA|05140|1|N
H5496|005|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Senior Value (HMO C-SNP)|00025222|0.00|0| | |CA|05150|1|N
H5496|005|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Senior Value (HMO C-SNP)|00025222|0.00|0| | |CA|05200|1|N
H5496|005|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Senior Value (HMO C-SNP)|00025222|0.00|0| | |CA|05210|1|N
H5496|005|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Senior Value (HMO C-SNP)|00025222|0.00|0| | |CA|05300|1|N
H5496|005|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Senior Value (HMO C-SNP)|00025222|0.00|0| | |CA|05310|1|N
H5496|005|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Senior Value (HMO C-SNP)|00025222|0.00|0| | |CA|05320|1|N
H5496|005|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Senior Value (HMO C-SNP)|00025222|0.00|0| | |CA|05330|1|N
H5496|005|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Senior Value (HMO C-SNP)|00025222|0.00|0| | |CA|05340|1|N
H5496|005|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Senior Value (HMO C-SNP)|00025222|0.00|0| | |CA|05350|1|N
H5496|005|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Senior Value (HMO C-SNP)|00025222|0.00|0| | |CA|05360|1|N
H5496|005|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Senior Value (HMO C-SNP)|00025222|0.00|0| | |CA|05370|1|N
H5496|005|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Senior Value (HMO C-SNP)|00025222|0.00|0| | |CA|05380|1|N
H5496|005|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Senior Value (HMO C-SNP)|00025222|0.00|0| | |CA|05390|1|N
H5496|005|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Senior Value (HMO C-SNP)|00025222|0.00|0| | |CA|05400|1|N
H5496|005|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Senior Value (HMO C-SNP)|00025222|0.00|0| | |CA|05410|1|N
H5496|005|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Senior Value (HMO C-SNP)|00025222|0.00|0| | |CA|05420|1|N
H5496|005|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Senior Value (HMO C-SNP)|00025222|0.00|0| | |CA|05430|1|N
H5496|005|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Senior Value (HMO C-SNP)|00025222|0.00|0| | |CA|05440|1|N
H5496|005|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Senior Value (HMO C-SNP)|00025222|0.00|0| | |CA|05450|1|N
H5496|005|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Senior Value (HMO C-SNP)|00025222|0.00|0| | |CA|05460|1|N
H5496|005|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Senior Value (HMO C-SNP)|00025222|0.00|0| | |CA|05470|1|N
H5496|005|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Senior Value (HMO C-SNP)|00025222|0.00|0| | |CA|05480|1|N
H5496|005|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Senior Value (HMO C-SNP)|00025222|0.00|0| | |CA|05490|1|N
H5496|005|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Senior Value (HMO C-SNP)|00025222|0.00|0| | |CA|05500|1|N
H5496|005|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Senior Value (HMO C-SNP)|00025222|0.00|0| | |CA|05510|1|N
H5496|005|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Senior Value (HMO C-SNP)|00025222|0.00|0| | |CA|05520|1|N
H5496|005|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Senior Value (HMO C-SNP)|00025222|0.00|0| | |CA|05530|1|N
H5496|005|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Senior Value (HMO C-SNP)|00025222|0.00|0| | |CA|05540|1|N
H5496|005|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Senior Value (HMO C-SNP)|00025222|0.00|0| | |CA|05550|1|N
H5496|005|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Senior Value (HMO C-SNP)|00025222|0.00|0| | |CA|05570|1|N
H5496|005|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Senior Value (HMO C-SNP)|00025222|0.00|0| | |CA|05580|1|N
H5496|005|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Senior Value (HMO C-SNP)|00025222|0.00|0| | |CA|05590|1|N
H5496|005|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Senior Value (HMO C-SNP)|00025222|0.00|0| | |CA|05600|1|N
H5496|005|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Senior Value (HMO C-SNP)|00025222|0.00|0| | |CA|05620|1|N
H5496|005|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Senior Value (HMO C-SNP)|00025222|0.00|0| | |CA|05640|1|N
H5496|005|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Senior Value (HMO C-SNP)|00025222|0.00|0| | |CA|05650|1|N
H5496|005|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Senior Value (HMO C-SNP)|00025222|0.00|0| | |CA|05660|1|N
H5496|005|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Senior Value (HMO C-SNP)|00025222|0.00|0| | |CA|05670|1|N
H5496|005|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Senior Value (HMO C-SNP)|00025222|0.00|0| | |CA|05680|1|N
H5496|007|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Traditional (HMO)|00025220|0.00|0| | |CA|05000|0|N
H5496|007|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Traditional (HMO)|00025220|0.00|0| | |CA|05020|0|N
H5496|007|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Traditional (HMO)|00025220|0.00|0| | |CA|05030|0|N
H5496|007|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Traditional (HMO)|00025220|0.00|0| | |CA|05060|0|N
H5496|007|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Traditional (HMO)|00025220|0.00|0| | |CA|05070|0|N
H5496|007|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Traditional (HMO)|00025220|0.00|0| | |CA|05080|0|N
H5496|007|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Traditional (HMO)|00025220|0.00|0| | |CA|05090|0|N
H5496|007|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Traditional (HMO)|00025220|0.00|0| | |CA|05100|0|N
H5496|007|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Traditional (HMO)|00025220|0.00|0| | |CA|05110|0|N
H5496|007|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Traditional (HMO)|00025220|0.00|0| | |CA|05120|0|N
H5496|007|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Traditional (HMO)|00025220|0.00|0| | |CA|05130|0|N
H5496|007|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Traditional (HMO)|00025220|0.00|0| | |CA|05140|0|N
H5496|007|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Traditional (HMO)|00025220|0.00|0| | |CA|05150|0|N
H5496|007|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Traditional (HMO)|00025220|0.00|0| | |CA|05200|0|N
H5496|007|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Traditional (HMO)|00025220|0.00|0| | |CA|05210|0|N
H5496|007|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Traditional (HMO)|00025220|0.00|0| | |CA|05300|0|N
H5496|007|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Traditional (HMO)|00025220|0.00|0| | |CA|05310|0|N
H5496|007|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Traditional (HMO)|00025220|0.00|0| | |CA|05320|0|N
H5496|007|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Traditional (HMO)|00025220|0.00|0| | |CA|05330|0|N
H5496|007|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Traditional (HMO)|00025220|0.00|0| | |CA|05340|0|N
H5496|007|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Traditional (HMO)|00025220|0.00|0| | |CA|05350|0|N
H5496|007|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Traditional (HMO)|00025220|0.00|0| | |CA|05360|0|N
H5496|007|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Traditional (HMO)|00025220|0.00|0| | |CA|05370|0|N
H5496|007|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Traditional (HMO)|00025220|0.00|0| | |CA|05380|0|N
H5496|007|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Traditional (HMO)|00025220|0.00|0| | |CA|05390|0|N
H5496|007|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Traditional (HMO)|00025220|0.00|0| | |CA|05400|0|N
H5496|007|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Traditional (HMO)|00025220|0.00|0| | |CA|05410|0|N
H5496|007|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Traditional (HMO)|00025220|0.00|0| | |CA|05420|0|N
H5496|007|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Traditional (HMO)|00025220|0.00|0| | |CA|05430|0|N
H5496|007|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Traditional (HMO)|00025220|0.00|0| | |CA|05440|0|N
H5496|007|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Traditional (HMO)|00025220|0.00|0| | |CA|05450|0|N
H5496|007|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Traditional (HMO)|00025220|0.00|0| | |CA|05460|0|N
H5496|007|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Traditional (HMO)|00025220|0.00|0| | |CA|05470|0|N
H5496|007|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Traditional (HMO)|00025220|0.00|0| | |CA|05480|0|N
H5496|007|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Traditional (HMO)|00025220|0.00|0| | |CA|05490|0|N
H5496|007|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Traditional (HMO)|00025220|0.00|0| | |CA|05500|0|N
H5496|007|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Traditional (HMO)|00025220|0.00|0| | |CA|05510|0|N
H5496|007|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Traditional (HMO)|00025220|0.00|0| | |CA|05520|0|N
H5496|007|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Traditional (HMO)|00025220|0.00|0| | |CA|05530|0|N
H5496|007|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Traditional (HMO)|00025220|0.00|0| | |CA|05540|0|N
H5496|007|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Traditional (HMO)|00025220|0.00|0| | |CA|05550|0|N
H5496|007|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Traditional (HMO)|00025220|0.00|0| | |CA|05570|0|N
H5496|007|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Traditional (HMO)|00025220|0.00|0| | |CA|05580|0|N
H5496|007|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Traditional (HMO)|00025220|0.00|0| | |CA|05590|0|N
H5496|007|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Traditional (HMO)|00025220|0.00|0| | |CA|05600|0|N
H5496|007|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Traditional (HMO)|00025220|0.00|0| | |CA|05620|0|N
H5496|007|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Traditional (HMO)|00025220|0.00|0| | |CA|05640|0|N
H5496|007|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Traditional (HMO)|00025220|0.00|0| | |CA|05650|0|N
H5496|007|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Traditional (HMO)|00025220|0.00|0| | |CA|05660|0|N
H5496|007|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Traditional (HMO)|00025220|0.00|0| | |CA|05670|0|N
H5496|007|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Traditional (HMO)|00025220|0.00|0| | |CA|05680|0|N
H5496|011|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dual Plan (HMO D-SNP)|00025220|0.00|590| | |CA|05000|2|Y
H5496|011|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dual Plan (HMO D-SNP)|00025220|0.00|590| | |CA|05060|2|Y
H5496|011|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dual Plan (HMO D-SNP)|00025220|0.00|590| | |CA|05090|2|Y
H5496|011|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dual Plan (HMO D-SNP)|00025220|0.00|590| | |CA|05140|2|Y
H5496|011|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dual Plan (HMO D-SNP)|00025220|0.00|590| | |CA|05150|2|Y
H5496|011|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dual Plan (HMO D-SNP)|00025220|0.00|590| | |CA|05300|2|Y
H5496|011|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dual Plan (HMO D-SNP)|00025220|0.00|590| | |CA|05340|2|Y
H5496|011|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dual Plan (HMO D-SNP)|00025220|0.00|590| | |CA|05410|2|Y
H5496|011|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dual Plan (HMO D-SNP)|00025220|0.00|590| | |CA|05440|2|Y
H5496|011|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dual Plan (HMO D-SNP)|00025220|0.00|590| | |CA|05480|2|Y
H5496|011|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dual Plan (HMO D-SNP)|00025220|0.00|590| | |CA|05490|2|Y
H5496|011|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dual Plan (HMO D-SNP)|00025220|0.00|590| | |CA|05520|2|Y
H5496|011|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dual Plan (HMO D-SNP)|00025220|0.00|590| | |CA|05600|2|Y
H5496|011|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dual Plan (HMO D-SNP)|00025220|0.00|590| | |CA|05640|2|Y
H5496|011|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dual Plan (HMO D-SNP)|00025220|0.00|590| | |CA|05660|2|Y
H5496|011|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dual Plan (HMO D-SNP)|00025220|0.00|590| | |CA|05670|2|Y
H5496|012|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dynamic Plan (HMO)|00025220|0.00|0| | |CA|05000|0|N
H5496|012|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dynamic Plan (HMO)|00025220|0.00|0| | |CA|05020|0|N
H5496|012|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dynamic Plan (HMO)|00025220|0.00|0| | |CA|05030|0|N
H5496|012|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dynamic Plan (HMO)|00025220|0.00|0| | |CA|05060|0|N
H5496|012|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dynamic Plan (HMO)|00025220|0.00|0| | |CA|05070|0|N
H5496|012|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dynamic Plan (HMO)|00025220|0.00|0| | |CA|05080|0|N
H5496|012|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dynamic Plan (HMO)|00025220|0.00|0| | |CA|05090|0|N
H5496|012|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dynamic Plan (HMO)|00025220|0.00|0| | |CA|05100|0|N
H5496|012|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dynamic Plan (HMO)|00025220|0.00|0| | |CA|05110|0|N
H5496|012|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dynamic Plan (HMO)|00025220|0.00|0| | |CA|05120|0|N
H5496|012|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dynamic Plan (HMO)|00025220|0.00|0| | |CA|05130|0|N
H5496|012|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dynamic Plan (HMO)|00025220|0.00|0| | |CA|05140|0|N
H5496|012|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dynamic Plan (HMO)|00025220|0.00|0| | |CA|05150|0|N
H5496|012|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dynamic Plan (HMO)|00025220|0.00|0| | |CA|05200|0|N
H5496|012|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dynamic Plan (HMO)|00025220|0.00|0| | |CA|05210|0|N
H5496|012|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dynamic Plan (HMO)|00025220|0.00|0| | |CA|05300|0|N
H5496|012|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dynamic Plan (HMO)|00025220|0.00|0| | |CA|05310|0|N
H5496|012|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dynamic Plan (HMO)|00025220|0.00|0| | |CA|05320|0|N
H5496|012|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dynamic Plan (HMO)|00025220|0.00|0| | |CA|05330|0|N
H5496|012|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dynamic Plan (HMO)|00025220|0.00|0| | |CA|05340|0|N
H5496|012|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dynamic Plan (HMO)|00025220|0.00|0| | |CA|05350|0|N
H5496|012|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dynamic Plan (HMO)|00025220|0.00|0| | |CA|05360|0|N
H5496|012|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dynamic Plan (HMO)|00025220|0.00|0| | |CA|05370|0|N
H5496|012|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dynamic Plan (HMO)|00025220|0.00|0| | |CA|05380|0|N
H5496|012|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dynamic Plan (HMO)|00025220|0.00|0| | |CA|05390|0|N
H5496|012|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dynamic Plan (HMO)|00025220|0.00|0| | |CA|05400|0|N
H5496|012|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dynamic Plan (HMO)|00025220|0.00|0| | |CA|05410|0|N
H5496|012|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dynamic Plan (HMO)|00025220|0.00|0| | |CA|05420|0|N
H5496|012|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dynamic Plan (HMO)|00025220|0.00|0| | |CA|05430|0|N
H5496|012|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dynamic Plan (HMO)|00025220|0.00|0| | |CA|05440|0|N
H5496|012|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dynamic Plan (HMO)|00025220|0.00|0| | |CA|05450|0|N
H5496|012|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dynamic Plan (HMO)|00025220|0.00|0| | |CA|05460|0|N
H5496|012|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dynamic Plan (HMO)|00025220|0.00|0| | |CA|05470|0|N
H5496|012|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dynamic Plan (HMO)|00025220|0.00|0| | |CA|05480|0|N
H5496|012|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dynamic Plan (HMO)|00025220|0.00|0| | |CA|05490|0|N
H5496|012|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dynamic Plan (HMO)|00025220|0.00|0| | |CA|05500|0|N
H5496|012|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dynamic Plan (HMO)|00025220|0.00|0| | |CA|05510|0|N
H5496|012|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dynamic Plan (HMO)|00025220|0.00|0| | |CA|05520|0|N
H5496|012|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dynamic Plan (HMO)|00025220|0.00|0| | |CA|05530|0|N
H5496|012|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dynamic Plan (HMO)|00025220|0.00|0| | |CA|05540|0|N
H5496|012|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dynamic Plan (HMO)|00025220|0.00|0| | |CA|05550|0|N
H5496|012|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dynamic Plan (HMO)|00025220|0.00|0| | |CA|05570|0|N
H5496|012|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dynamic Plan (HMO)|00025220|0.00|0| | |CA|05580|0|N
H5496|012|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dynamic Plan (HMO)|00025220|0.00|0| | |CA|05590|0|N
H5496|012|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dynamic Plan (HMO)|00025220|0.00|0| | |CA|05600|0|N
H5496|012|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dynamic Plan (HMO)|00025220|0.00|0| | |CA|05620|0|N
H5496|012|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dynamic Plan (HMO)|00025220|0.00|0| | |CA|05640|0|N
H5496|012|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dynamic Plan (HMO)|00025220|0.00|0| | |CA|05650|0|N
H5496|012|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dynamic Plan (HMO)|00025220|0.00|0| | |CA|05660|0|N
H5496|012|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dynamic Plan (HMO)|00025220|0.00|0| | |CA|05670|0|N
H5496|012|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Dynamic Plan (HMO)|00025220|0.00|0| | |CA|05680|0|N
H5496|014|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Giveback (HMO)|00025225|0.00|590| | |CA|05000|0|N
H5496|014|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Giveback (HMO)|00025225|0.00|590| | |CA|05020|0|N
H5496|014|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Giveback (HMO)|00025225|0.00|590| | |CA|05030|0|N
H5496|014|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Giveback (HMO)|00025225|0.00|590| | |CA|05060|0|N
H5496|014|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Giveback (HMO)|00025225|0.00|590| | |CA|05070|0|N
H5496|014|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Giveback (HMO)|00025225|0.00|590| | |CA|05080|0|N
H5496|014|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Giveback (HMO)|00025225|0.00|590| | |CA|05090|0|N
H5496|014|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Giveback (HMO)|00025225|0.00|590| | |CA|05100|0|N
H5496|014|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Giveback (HMO)|00025225|0.00|590| | |CA|05110|0|N
H5496|014|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Giveback (HMO)|00025225|0.00|590| | |CA|05120|0|N
H5496|014|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Giveback (HMO)|00025225|0.00|590| | |CA|05130|0|N
H5496|014|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Giveback (HMO)|00025225|0.00|590| | |CA|05140|0|N
H5496|014|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Giveback (HMO)|00025225|0.00|590| | |CA|05150|0|N
H5496|014|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Giveback (HMO)|00025225|0.00|590| | |CA|05200|0|N
H5496|014|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Giveback (HMO)|00025225|0.00|590| | |CA|05210|0|N
H5496|014|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Giveback (HMO)|00025225|0.00|590| | |CA|05300|0|N
H5496|014|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Giveback (HMO)|00025225|0.00|590| | |CA|05310|0|N
H5496|014|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Giveback (HMO)|00025225|0.00|590| | |CA|05320|0|N
H5496|014|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Giveback (HMO)|00025225|0.00|590| | |CA|05330|0|N
H5496|014|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Giveback (HMO)|00025225|0.00|590| | |CA|05340|0|N
H5496|014|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Giveback (HMO)|00025225|0.00|590| | |CA|05350|0|N
H5496|014|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Giveback (HMO)|00025225|0.00|590| | |CA|05360|0|N
H5496|014|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Giveback (HMO)|00025225|0.00|590| | |CA|05370|0|N
H5496|014|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Giveback (HMO)|00025225|0.00|590| | |CA|05380|0|N
H5496|014|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Giveback (HMO)|00025225|0.00|590| | |CA|05390|0|N
H5496|014|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Giveback (HMO)|00025225|0.00|590| | |CA|05400|0|N
H5496|014|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Giveback (HMO)|00025225|0.00|590| | |CA|05410|0|N
H5496|014|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Giveback (HMO)|00025225|0.00|590| | |CA|05420|0|N
H5496|014|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Giveback (HMO)|00025225|0.00|590| | |CA|05430|0|N
H5496|014|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Giveback (HMO)|00025225|0.00|590| | |CA|05440|0|N
H5496|014|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Giveback (HMO)|00025225|0.00|590| | |CA|05450|0|N
H5496|014|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Giveback (HMO)|00025225|0.00|590| | |CA|05460|0|N
H5496|014|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Giveback (HMO)|00025225|0.00|590| | |CA|05470|0|N
H5496|014|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Giveback (HMO)|00025225|0.00|590| | |CA|05480|0|N
H5496|014|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Giveback (HMO)|00025225|0.00|590| | |CA|05490|0|N
H5496|014|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Giveback (HMO)|00025225|0.00|590| | |CA|05500|0|N
H5496|014|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Giveback (HMO)|00025225|0.00|590| | |CA|05510|0|N
H5496|014|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Giveback (HMO)|00025225|0.00|590| | |CA|05520|0|N
H5496|014|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Giveback (HMO)|00025225|0.00|590| | |CA|05530|0|N
H5496|014|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Giveback (HMO)|00025225|0.00|590| | |CA|05540|0|N
H5496|014|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Giveback (HMO)|00025225|0.00|590| | |CA|05550|0|N
H5496|014|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Giveback (HMO)|00025225|0.00|590| | |CA|05570|0|N
H5496|014|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Giveback (HMO)|00025225|0.00|590| | |CA|05580|0|N
H5496|014|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Giveback (HMO)|00025225|0.00|590| | |CA|05590|0|N
H5496|014|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Giveback (HMO)|00025225|0.00|590| | |CA|05600|0|N
H5496|014|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Giveback (HMO)|00025225|0.00|590| | |CA|05620|0|N
H5496|014|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Giveback (HMO)|00025225|0.00|590| | |CA|05640|0|N
H5496|014|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Giveback (HMO)|00025225|0.00|590| | |CA|05650|0|N
H5496|014|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Giveback (HMO)|00025225|0.00|590| | |CA|05660|0|N
H5496|014|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Giveback (HMO)|00025225|0.00|590| | |CA|05670|0|N
H5496|014|000|IMPERIAL HEALTH PLAN OF CALIFORNIA, INC.|Imperial Giveback (HMO)|00025225|0.00|590| | |CA|05680|0|N
H5521|013|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Explorer Premier (PPO)|00025101|31.30|590| | |CT|07000|0|N
H5521|013|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Explorer Premier (PPO)|00025101|31.30|590| | |CT|07010|0|N
H5521|013|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Explorer Premier (PPO)|00025101|31.30|590| | |CT|07020|0|N
H5521|013|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Explorer Premier (PPO)|00025101|31.30|590| | |CT|07030|0|N
H5521|013|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Explorer Premier (PPO)|00025101|31.30|590| | |CT|07040|0|N
H5521|013|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Explorer Premier (PPO)|00025101|31.30|590| | |CT|07050|0|N
H5521|013|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Explorer Premier (PPO)|00025101|31.30|590| | |CT|07060|0|N
H5521|013|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Explorer Premier (PPO)|00025101|31.30|590| | |CT|07070|0|N
H5521|015|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|55.00|250| | |DC|09000|0|N
H5521|016|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|31.00|590| | |IL|14141|0|N
H5521|016|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|31.00|590| | |IL|14250|0|N
H5521|016|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|31.00|590| | |IL|14400|0|N
H5521|016|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|31.00|590| | |IL|14530|0|N
H5521|016|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|31.00|590| | |IL|14540|0|N
H5521|016|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|31.00|590| | |IL|14570|0|N
H5521|016|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|31.00|590| | |IL|14640|0|N
H5521|016|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|31.00|590| | |IL|14989|0|N
H5521|020|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier 2 (PPO)|00025101|46.80|0| | |KY|18070|0|N
H5521|020|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier 2 (PPO)|00025101|46.80|0| | |KY|18180|0|N
H5521|020|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier 2 (PPO)|00025101|46.80|0| | |KY|18580|0|N
H5521|020|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier 2 (PPO)|00025101|46.80|0| | |OH|36020|0|N
H5521|020|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier 2 (PPO)|00025101|46.80|0| | |OH|36060|0|N
H5521|020|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier 2 (PPO)|00025101|46.80|0| | |OH|36070|0|N
H5521|020|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier 2 (PPO)|00025101|46.80|0| | |OH|36080|0|N
H5521|020|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier 2 (PPO)|00025101|46.80|0| | |OH|36110|0|N
H5521|020|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier 2 (PPO)|00025101|46.80|0| | |OH|36120|0|N
H5521|020|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier 2 (PPO)|00025101|46.80|0| | |OH|36140|0|N
H5521|020|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier 2 (PPO)|00025101|46.80|0| | |OH|36170|0|N
H5521|020|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier 2 (PPO)|00025101|46.80|0| | |OH|36210|0|N
H5521|020|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier 2 (PPO)|00025101|46.80|0| | |OH|36230|0|N
H5521|020|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier 2 (PPO)|00025101|46.80|0| | |OH|36250|0|N
H5521|020|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier 2 (PPO)|00025101|46.80|0| | |OH|36280|0|N
H5521|020|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier 2 (PPO)|00025101|46.80|0| | |OH|36310|0|N
H5521|020|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier 2 (PPO)|00025101|46.80|0| | |OH|36330|0|N
H5521|020|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier 2 (PPO)|00025101|46.80|0| | |OH|36350|0|N
H5521|020|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier 2 (PPO)|00025101|46.80|0| | |OH|36420|0|N
H5521|020|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier 2 (PPO)|00025101|46.80|0| | |OH|36440|0|N
H5521|020|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier 2 (PPO)|00025101|46.80|0| | |OH|36460|0|N
H5521|020|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier 2 (PPO)|00025101|46.80|0| | |OH|36490|0|N
H5521|020|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier 2 (PPO)|00025101|46.80|0| | |OH|36510|0|N
H5521|020|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier 2 (PPO)|00025101|46.80|0| | |OH|36520|0|N
H5521|020|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier 2 (PPO)|00025101|46.80|0| | |OH|36530|0|N
H5521|020|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier 2 (PPO)|00025101|46.80|0| | |OH|36560|0|N
H5521|020|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier 2 (PPO)|00025101|46.80|0| | |OH|36610|0|N
H5521|020|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier 2 (PPO)|00025101|46.80|0| | |OH|36680|0|N
H5521|020|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier 2 (PPO)|00025101|46.80|0| | |OH|36750|0|N
H5521|020|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier 2 (PPO)|00025101|46.80|0| | |OH|36770|0|N
H5521|020|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier 2 (PPO)|00025101|46.80|0| | |OH|36780|0|N
H5521|020|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier 2 (PPO)|00025101|46.80|0| | |OH|36790|0|N
H5521|020|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier 2 (PPO)|00025101|46.80|0| | |OH|36880|0|N
H5521|022|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Select (PPO)|00025101|22.00|590| | |NV|29010|0|N
H5521|022|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Select (PPO)|00025101|22.00|590| | |NV|29110|0|N
H5521|027|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|84.00|590| | |VA|49011|0|N
H5521|027|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|84.00|590| | |VA|49030|0|N
H5521|027|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|84.00|590| | |VA|49060|0|N
H5521|027|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|84.00|590| | |VA|49070|0|N
H5521|027|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|84.00|590| | |VA|49140|0|N
H5521|027|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|84.00|590| | |VA|49160|0|N
H5521|027|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|84.00|590| | |VA|49180|0|N
H5521|027|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|84.00|590| | |VA|49200|0|N
H5521|027|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|84.00|590| | |VA|49210|0|N
H5521|027|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|84.00|590| | |VA|49212|0|N
H5521|027|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|84.00|590| | |VA|49240|0|N
H5521|027|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|84.00|590| | |VA|49260|0|N
H5521|027|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|84.00|590| | |VA|49270|0|N
H5521|027|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|84.00|590| | |VA|49288|0|N
H5521|027|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|84.00|590| | |VA|49290|0|N
H5521|027|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|84.00|590| | |VA|49291|0|N
H5521|027|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|84.00|590| | |VA|49300|0|N
H5521|027|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|84.00|590| | |VA|49340|0|N
H5521|027|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|84.00|590| | |VA|49342|0|N
H5521|027|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|84.00|590| | |VA|49370|0|N
H5521|027|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|84.00|590| | |VA|49400|0|N
H5521|027|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|84.00|590| | |VA|49420|0|N
H5521|027|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|84.00|590| | |VA|49430|0|N
H5521|027|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|84.00|590| | |VA|49451|0|N
H5521|027|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|84.00|590| | |VA|49500|0|N
H5521|027|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|84.00|590| | |VA|49530|0|N
H5521|027|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|84.00|590| | |VA|49563|0|N
H5521|027|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|84.00|590| | |VA|49565|0|N
H5521|027|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|84.00|590| | |VA|49621|0|N
H5521|027|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|84.00|590| | |VA|49670|0|N
H5521|027|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|84.00|590| | |VA|49690|0|N
H5521|027|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|84.00|590| | |VA|49701|0|N
H5521|027|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|84.00|590| | |VA|49720|0|N
H5521|027|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|84.00|590| | |VA|49740|0|N
H5521|027|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|84.00|590| | |VA|49750|0|N
H5521|027|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|84.00|590| | |VA|49780|0|N
H5521|027|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|84.00|590| | |VA|49791|0|N
H5521|027|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|84.00|590| | |VA|49880|0|N
H5521|027|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|84.00|590| | |VA|49890|0|N
H5521|027|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|84.00|590| | |VA|49891|0|N
H5521|027|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|84.00|590| | |VA|49930|0|N
H5521|027|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|84.00|590| | |VA|49951|0|N
H5521|027|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|84.00|590| | |VA|49962|0|N
H5521|033|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10010|0|N
H5521|033|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10070|0|N
H5521|033|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10080|0|N
H5521|033|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10090|0|N
H5521|033|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10100|0|N
H5521|033|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10130|0|N
H5521|033|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10150|0|N
H5521|033|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10160|0|N
H5521|033|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10260|0|N
H5521|033|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10270|0|N
H5521|033|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10280|0|N
H5521|033|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10340|0|N
H5521|033|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10350|0|N
H5521|033|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10370|0|N
H5521|033|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10400|0|N
H5521|033|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10410|0|N
H5521|033|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10420|0|N
H5521|033|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10470|0|N
H5521|033|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10480|0|N
H5521|033|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10490|0|N
H5521|033|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10500|0|N
H5521|033|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10510|0|N
H5521|033|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10520|0|N
H5521|033|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10540|0|N
H5521|033|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10550|0|N
H5521|033|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10560|0|N
H5521|033|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10570|0|N
H5521|033|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10580|0|N
H5521|033|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10590|0|N
H5521|037|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Explorer Premier (PPO)|00025101|79.00|0| | |NJ|31100|0|N
H5521|037|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Explorer Premier (PPO)|00025101|79.00|0| | |NJ|31200|0|N
H5521|037|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Explorer Premier (PPO)|00025101|79.00|0| | |NJ|31230|0|N
H5521|037|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Explorer Premier (PPO)|00025101|79.00|0| | |NJ|31260|0|N
H5521|037|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Explorer Premier (PPO)|00025101|79.00|0| | |NJ|31270|0|N
H5521|037|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Explorer Premier (PPO)|00025101|79.00|0| | |NJ|31290|0|N
H5521|037|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Explorer Premier (PPO)|00025101|79.00|0| | |NJ|31300|0|N
H5521|037|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Explorer Premier (PPO)|00025101|79.00|0| | |NJ|31310|0|N
H5521|037|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Explorer Premier (PPO)|00025101|79.00|0| | |NJ|31320|0|N
H5521|037|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Explorer Premier (PPO)|00025101|79.00|0| | |NJ|31370|0|N
H5521|040|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|81.00|590| | |NY|33331|0|N
H5521|040|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|81.00|590| | |NY|33400|0|N
H5521|040|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|81.00|590| | |NY|33420|0|N
H5521|040|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|81.00|590| | |NY|33590|0|N
H5521|040|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|81.00|590| | |NY|33610|0|N
H5521|055|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|0.00|590| | |NV|29010|0|N
H5521|055|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|0.00|590| | |NV|29110|0|N
H5521|077|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NY|33010|0|N
H5521|077|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NY|33030|0|N
H5521|077|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NY|33050|0|N
H5521|077|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NY|33270|0|N
H5521|077|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NY|33280|0|N
H5521|077|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NY|33310|0|N
H5521|077|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NY|33320|0|N
H5521|077|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NY|33330|0|N
H5521|077|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NY|33340|0|N
H5521|077|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NY|33360|0|N
H5521|077|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NY|33510|0|N
H5521|077|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NY|33520|0|N
H5521|077|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NY|33630|0|N
H5521|077|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NY|33670|0|N
H5521|077|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NY|33690|0|N
H5521|077|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |NY|33730|0|N
H5521|081|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |NC|34000|0|N
H5521|081|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |NC|34010|0|N
H5521|081|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |NC|34030|0|N
H5521|081|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |NC|34110|0|N
H5521|081|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |NC|34120|0|N
H5521|081|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |NC|34130|0|N
H5521|081|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |NC|34160|0|N
H5521|081|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |NC|34170|0|N
H5521|081|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |NC|34220|0|N
H5521|081|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |NC|34250|0|N
H5521|081|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |NC|34280|0|N
H5521|081|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |NC|34290|0|N
H5521|081|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |NC|34330|0|N
H5521|081|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |NC|34350|0|N
H5521|081|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |NC|34400|0|N
H5521|081|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |NC|34480|0|N
H5521|081|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |NC|34500|0|N
H5521|081|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |NC|34540|0|N
H5521|081|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |NC|34550|0|N
H5521|081|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |NC|34590|0|N
H5521|081|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |NC|34670|0|N
H5521|081|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |NC|34720|0|N
H5521|081|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |NC|34750|0|N
H5521|081|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |NC|34780|0|N
H5521|081|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |NC|34790|0|N
H5521|081|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |NC|34830|0|N
H5521|081|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |NC|34840|0|N
H5521|081|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |NC|34890|0|N
H5521|081|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |NC|34980|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49000|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49010|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49020|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49030|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49070|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49080|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49100|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49110|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49120|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49130|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49140|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49141|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49160|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49170|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49180|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49190|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49191|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49194|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49200|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49212|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49213|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49220|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49240|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49241|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49250|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49260|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49270|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49280|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49310|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49320|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49328|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49330|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49343|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49350|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49360|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49370|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49380|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49390|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49400|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49410|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49411|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49420|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49430|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49440|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49450|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49451|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49460|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49470|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49480|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49490|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49500|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49510|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49520|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49522|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49540|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49550|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49560|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49561|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49570|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49580|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49590|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49600|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49620|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49621|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49622|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49641|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49650|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49660|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49661|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49670|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49680|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49700|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49701|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49710|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49711|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49712|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49720|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49740|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49770|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49771|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49790|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49791|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49800|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49801|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49810|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49830|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49838|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49840|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49850|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49860|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49870|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49891|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49892|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49900|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49910|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49920|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49921|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49950|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49951|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49960|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49961|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49970|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49980|0|N
H5521|084|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |VA|49981|0|N
H5521|085|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |KY|18070|0|N
H5521|085|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |KY|18090|0|N
H5521|085|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |KY|18110|0|N
H5521|085|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |KY|18180|0|N
H5521|085|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |KY|18191|0|N
H5521|085|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |KY|18210|0|N
H5521|085|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |KY|18350|0|N
H5521|085|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |KY|18362|0|N
H5521|085|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |KY|18400|0|N
H5521|085|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |KY|18440|0|N
H5521|085|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |KY|18480|0|N
H5521|085|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |KY|18580|0|N
H5521|085|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |KY|18590|0|N
H5521|085|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |KY|18600|0|N
H5521|085|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |KY|18660|0|N
H5521|085|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |KY|18670|0|N
H5521|085|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |KY|18790|0|N
H5521|085|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |KY|18800|0|N
H5521|085|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |KY|18932|0|N
H5521|085|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |KY|18970|0|N
H5521|085|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |KY|18973|0|N
H5521|085|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |KY|18975|0|N
H5521|086|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IL|14141|0|N
H5521|086|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IL|14250|0|N
H5521|086|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IL|14400|0|N
H5521|086|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IL|14530|0|N
H5521|086|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IL|14540|0|N
H5521|086|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IL|14570|0|N
H5521|086|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IL|14640|0|N
H5521|086|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IL|14989|0|N
H5521|087|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|0| | |OH|36000|0|N
H5521|087|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|0| | |OH|36070|0|N
H5521|087|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|0| | |OH|36080|0|N
H5521|087|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|0| | |OH|36100|0|N
H5521|087|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|0| | |OH|36110|0|N
H5521|087|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|0| | |OH|36120|0|N
H5521|087|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|0| | |OH|36190|0|N
H5521|087|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|0| | |OH|36290|0|N
H5521|087|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|0| | |OH|36310|0|N
H5521|087|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|0| | |OH|36470|0|N
H5521|087|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|0| | |OH|36560|0|N
H5521|087|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|0| | |OH|36580|0|N
H5521|087|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|0| | |OH|36690|0|N
H5521|087|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|0| | |OH|36760|0|N
H5521|087|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|0| | |OH|36840|0|N
H5521|088|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |OH|36010|0|N
H5521|088|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |OH|36020|0|N
H5521|088|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |OH|36030|0|N
H5521|088|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |OH|36050|0|N
H5521|088|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |OH|36060|0|N
H5521|088|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |OH|36090|0|N
H5521|088|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |OH|36140|0|N
H5521|088|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |OH|36160|0|N
H5521|088|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |OH|36170|0|N
H5521|088|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |OH|36200|0|N
H5521|088|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |OH|36220|0|N
H5521|088|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |OH|36260|0|N
H5521|088|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |OH|36330|0|N
H5521|088|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |OH|36340|0|N
H5521|088|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |OH|36350|0|N
H5521|088|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |OH|36360|0|N
H5521|088|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |OH|36390|0|N
H5521|088|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |OH|36400|0|N
H5521|088|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |OH|36420|0|N
H5521|088|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |OH|36440|0|N
H5521|088|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |OH|36480|0|N
H5521|088|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |OH|36490|0|N
H5521|088|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |OH|36510|0|N
H5521|088|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |OH|36530|0|N
H5521|088|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |OH|36550|0|N
H5521|088|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |OH|36630|0|N
H5521|088|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |OH|36640|0|N
H5521|088|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |OH|36680|0|N
H5521|088|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |OH|36700|0|N
H5521|088|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |OH|36710|0|N
H5521|088|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |OH|36730|0|N
H5521|088|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |OH|36750|0|N
H5521|088|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |OH|36770|0|N
H5521|088|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |OH|36780|0|N
H5521|088|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |OH|36790|0|N
H5521|088|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |OH|36800|0|N
H5521|088|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |OH|36820|0|N
H5521|088|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |OH|36860|0|N
H5521|088|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |OH|36870|0|N
H5521|088|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |OH|36880|0|N
H5521|088|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |OH|36890|0|N
H5521|089|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |OH|36040|0|N
H5521|089|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |OH|36210|0|N
H5521|089|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |OH|36230|0|N
H5521|089|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |OH|36250|0|N
H5521|089|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |OH|36270|0|N
H5521|089|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |OH|36300|0|N
H5521|089|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |OH|36380|0|N
H5521|089|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |OH|36410|0|N
H5521|089|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |OH|36430|0|N
H5521|089|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |OH|36450|0|N
H5521|089|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |OH|36460|0|N
H5521|089|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |OH|36500|0|N
H5521|089|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |OH|36520|0|N
H5521|089|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |OH|36540|0|N
H5521|089|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |OH|36570|0|N
H5521|089|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |OH|36590|0|N
H5521|089|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |OH|36600|0|N
H5521|089|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |OH|36610|0|N
H5521|089|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |OH|36620|0|N
H5521|089|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |OH|36650|0|N
H5521|089|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |OH|36660|0|N
H5521|089|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |OH|36720|0|N
H5521|089|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |OH|36740|0|N
H5521|089|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |OH|36810|0|N
H5521|089|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |OH|36830|0|N
H5521|089|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |OH|36850|0|N
H5521|091|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |AL|01020|0|N
H5521|091|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |AL|01560|0|N
H5521|091|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |GA|11060|0|N
H5521|091|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |GA|11190|0|N
H5521|091|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |GA|11280|0|N
H5521|091|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |GA|11320|0|N
H5521|091|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |GA|11350|0|N
H5521|091|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |GA|11370|0|N
H5521|091|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |GA|11400|0|N
H5521|091|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |GA|11451|0|N
H5521|091|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |GA|11461|0|N
H5521|091|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |GA|11470|0|N
H5521|091|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |GA|11530|0|N
H5521|091|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |GA|11591|0|N
H5521|091|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |GA|11611|0|N
H5521|091|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |GA|11790|0|N
H5521|091|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |GA|11812|0|N
H5521|091|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |GA|11841|0|N
H5521|091|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |GA|11860|0|N
H5521|091|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |GA|11930|0|N
H5521|095|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|59.70|590| | |DE|08000|0|N
H5521|095|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|59.70|590| | |DE|08010|0|N
H5521|095|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|59.70|590| | |DE|08020|0|N
H5521|099|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15000|0|N
H5521|099|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15010|0|N
H5521|099|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15040|0|N
H5521|099|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15190|0|N
H5521|099|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15260|0|N
H5521|099|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15340|0|N
H5521|099|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15560|0|N
H5521|099|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15840|0|N
H5521|099|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15910|0|N
H5521|101|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|0.00|590| | |UT|46050|0|N
H5521|101|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|0.00|590| | |UT|46100|0|N
H5521|101|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|0.00|590| | |UT|46170|0|N
H5521|101|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|0.00|590| | |UT|46240|0|N
H5521|101|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|0.00|590| | |UT|46260|0|N
H5521|101|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|0.00|590| | |UT|46280|0|N
H5521|110|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|31.00|450| | |NY|33000|0|N
H5521|110|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|31.00|450| | |NY|33200|0|N
H5521|110|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|31.00|450| | |NY|33220|0|N
H5521|110|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|31.00|450| | |NY|33230|0|N
H5521|110|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|31.00|450| | |NY|33300|0|N
H5521|110|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|31.00|450| | |NY|33380|0|N
H5521|110|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|31.00|450| | |NY|33540|0|N
H5521|110|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|31.00|450| | |NY|33580|0|N
H5521|110|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|31.00|450| | |NY|33600|0|N
H5521|110|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|31.00|450| | |NY|33640|0|N
H5521|110|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|31.00|450| | |NY|33650|0|N
H5521|110|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|31.00|450| | |NY|33660|0|N
H5521|110|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|31.00|450| | |NY|33710|0|N
H5521|110|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|31.00|450| | |NY|33740|0|N
H5521|110|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|31.00|450| | |NY|33750|0|N
H5521|110|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|31.00|450| | |NY|33760|0|N
H5521|116|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01010|0|N
H5521|116|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01110|0|N
H5521|116|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01120|0|N
H5521|116|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01260|0|N
H5521|116|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01450|0|N
H5521|116|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01480|0|N
H5521|116|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01640|0|N
H5521|117|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|71.00|590| | |NY|33700|0|N
H5521|119|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |NY|33000|0|N
H5521|119|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |NY|33200|0|N
H5521|119|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |NY|33220|0|N
H5521|119|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |NY|33230|0|N
H5521|119|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |NY|33300|0|N
H5521|119|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |NY|33380|0|N
H5521|119|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |NY|33540|0|N
H5521|119|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |NY|33580|0|N
H5521|119|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |NY|33600|0|N
H5521|119|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |NY|33640|0|N
H5521|119|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |NY|33650|0|N
H5521|119|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |NY|33660|0|N
H5521|119|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |NY|33710|0|N
H5521|119|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |NY|33740|0|N
H5521|119|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |NY|33750|0|N
H5521|119|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |NY|33760|0|N
H5521|120|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |NY|33020|0|N
H5521|120|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |NY|33331|0|N
H5521|120|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |NY|33400|0|N
H5521|120|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |NY|33590|0|N
H5521|120|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |NY|33620|0|N
H5521|120|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |NY|33700|0|N
H5521|120|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |NY|33800|0|N
H5521|121|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|46.00|590| | |NY|33020|0|N
H5521|121|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|46.00|590| | |NY|33620|0|N
H5521|121|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|46.00|590| | |NY|33800|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39000|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39010|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39070|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39080|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39100|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39110|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39120|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39130|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39140|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39150|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39160|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39180|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39190|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39200|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39210|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39220|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39230|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39240|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39250|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39260|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39270|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39280|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39290|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39310|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39320|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39330|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39340|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39350|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39360|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39370|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39380|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39390|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39400|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39410|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39420|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39440|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39450|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39460|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39470|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39480|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39510|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39520|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39530|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39540|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39550|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39560|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39580|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39590|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39600|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39610|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39620|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39630|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39640|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39650|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39670|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39680|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39690|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39700|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39710|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39720|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39730|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39740|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39750|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39760|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39770|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39790|0|N
H5521|122|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|111.30|590| | |PA|39800|0|N
H5521|123|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|30.00|450| | |NJ|31000|0|N
H5521|123|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|30.00|450| | |NJ|31150|0|N
H5521|123|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|30.00|450| | |NJ|31160|0|N
H5521|123|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|30.00|450| | |NJ|31180|0|N
H5521|123|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|30.00|450| | |NJ|31190|0|N
H5521|123|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|30.00|450| | |NJ|31220|0|N
H5521|123|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|30.00|450| | |NJ|31310|0|N
H5521|123|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|30.00|450| | |NJ|31340|0|N
H5521|124|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Explorer Premier 2 (PPO)|00025101|70.40|450| | |NJ|31000|0|N
H5521|124|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Explorer Premier 2 (PPO)|00025101|70.40|450| | |NJ|31150|0|N
H5521|124|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Explorer Premier 2 (PPO)|00025101|70.40|450| | |NJ|31160|0|N
H5521|124|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Explorer Premier 2 (PPO)|00025101|70.40|450| | |NJ|31180|0|N
H5521|124|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Explorer Premier 2 (PPO)|00025101|70.40|450| | |NJ|31190|0|N
H5521|124|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Explorer Premier 2 (PPO)|00025101|70.40|450| | |NJ|31220|0|N
H5521|124|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Explorer Premier 2 (PPO)|00025101|70.40|450| | |NJ|31340|0|N
H5521|139|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|21.00|250| | |NC|34020|0|N
H5521|139|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|21.00|250| | |NC|34040|0|N
H5521|139|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|21.00|250| | |NC|34050|0|N
H5521|139|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|21.00|250| | |NC|34340|0|N
H5521|139|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|21.00|250| | |NC|34380|0|N
H5521|139|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|21.00|250| | |NC|34500|0|N
H5521|139|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|21.00|250| | |NC|34850|0|N
H5521|139|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|21.00|250| | |NC|34900|0|N
H5521|139|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|21.00|250| | |NC|34920|0|N
H5521|139|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|21.00|250| | |NC|34960|0|N
H5521|140|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |SC|42030|0|N
H5521|140|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |SC|42100|0|N
H5521|140|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |SC|42220|0|N
H5521|140|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |SC|42290|0|N
H5521|140|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |SC|42360|0|N
H5521|140|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |SC|42380|0|N
H5521|140|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |SC|42410|0|N
H5521|140|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |SC|42450|0|N
H5521|141|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |TN|44070|0|N
H5521|141|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |TN|44100|0|N
H5521|141|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |TN|44400|0|N
H5521|141|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |TN|44740|0|N
H5521|141|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |TN|44840|0|N
H5521|150|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|16.00|0| | |WI|52290|0|N
H5521|150|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|16.00|0| | |WI|52390|0|N
H5521|150|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|16.00|0| | |WI|52440|0|N
H5521|150|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|16.00|0| | |WI|52500|0|N
H5521|150|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|16.00|0| | |WI|52580|0|N
H5521|150|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|16.00|0| | |WI|52650|0|N
H5521|150|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|16.00|0| | |WI|52660|0|N
H5521|156|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |KY|18240|0|N
H5521|156|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |KY|18330|0|N
H5521|156|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |KY|18360|0|N
H5521|156|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |KY|18560|0|N
H5521|156|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |KY|18620|0|N
H5521|156|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |KY|18730|0|N
H5521|156|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |KY|18750|0|N
H5521|156|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |KY|18860|0|N
H5521|156|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |KY|18900|0|N
H5521|156|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |KY|18972|0|N
H5521|156|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |KY|18976|0|N
H5521|156|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |KY|18977|0|N
H5521|156|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |KY|18981|0|N
H5521|156|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |KY|18988|0|N
H5521|156|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |KY|18990|0|N
H5521|156|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |KY|18992|0|N
H5521|157|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |CT|07010|0|N
H5521|157|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |CT|07020|0|N
H5521|157|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |CT|07030|0|N
H5521|157|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |CT|07040|0|N
H5521|157|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |CT|07050|0|N
H5521|157|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |CT|07060|0|N
H5521|157|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |CT|07070|0|N
H5521|159|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Explorer (PPO)|00025101|0.00|450| | |MA|22020|0|N
H5521|159|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Explorer (PPO)|00025101|0.00|450| | |MA|22040|0|N
H5521|159|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Explorer (PPO)|00025101|0.00|450| | |MA|22090|0|N
H5521|159|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Explorer (PPO)|00025101|0.00|450| | |MA|22130|0|N
H5521|159|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Explorer (PPO)|00025101|0.00|450| | |MA|22150|0|N
H5521|159|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Explorer (PPO)|00025101|0.00|450| | |MA|22160|0|N
H5521|160|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Explorer (PPO)|00025101|0.00|0| | |MA|22070|0|N
H5521|160|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Explorer (PPO)|00025101|0.00|0| | |MA|22080|0|N
H5521|160|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Explorer (PPO)|00025101|0.00|0| | |MA|22170|0|N
H5521|169|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|15.00|250| | |NC|34080|0|N
H5521|169|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|15.00|250| | |NC|34090|0|N
H5521|169|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|15.00|250| | |NC|34180|0|N
H5521|169|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|15.00|250| | |NC|34230|0|N
H5521|169|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|15.00|250| | |NC|34250|0|N
H5521|169|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|15.00|250| | |NC|34420|0|N
H5521|169|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|15.00|250| | |NC|34460|0|N
H5521|169|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|15.00|250| | |NC|34520|0|N
H5521|169|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|15.00|250| | |NC|34610|0|N
H5521|169|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|15.00|250| | |NC|34620|0|N
H5521|169|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|15.00|250| | |NC|34700|0|N
H5521|169|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|15.00|250| | |NC|34760|0|N
H5521|169|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|15.00|250| | |NC|34770|0|N
H5521|169|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|15.00|250| | |NC|34810|0|N
H5521|169|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|15.00|250| | |NC|34820|0|N
H5521|170|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |NC|34000|0|N
H5521|170|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |NC|34010|0|N
H5521|170|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |NC|34130|0|N
H5521|170|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |NC|34160|0|N
H5521|170|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |NC|34170|0|N
H5521|170|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |NC|34180|0|N
H5521|170|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |NC|34250|0|N
H5521|170|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |NC|34280|0|N
H5521|170|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |NC|34290|0|N
H5521|170|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |NC|34330|0|N
H5521|170|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |NC|34400|0|N
H5521|170|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |NC|34420|0|N
H5521|170|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |NC|34460|0|N
H5521|170|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |NC|34480|0|N
H5521|170|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |NC|34520|0|N
H5521|170|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |NC|34610|0|N
H5521|170|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |NC|34620|0|N
H5521|170|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |NC|34670|0|N
H5521|170|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |NC|34720|0|N
H5521|170|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |NC|34750|0|N
H5521|170|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |NC|34760|0|N
H5521|170|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |NC|34780|0|N
H5521|170|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |NC|34790|0|N
H5521|170|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |NC|34840|0|N
H5521|171|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01030|0|N
H5521|171|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01040|0|N
H5521|171|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01070|0|N
H5521|171|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01130|0|N
H5521|171|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01140|0|N
H5521|171|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01210|0|N
H5521|171|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01270|0|N
H5521|171|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01360|0|N
H5521|171|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01570|0|N
H5521|171|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01580|0|N
H5521|171|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01600|0|N
H5521|171|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01630|0|N
H5521|178|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |LA|19020|0|N
H5521|178|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |LA|19030|0|N
H5521|178|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |LA|19060|0|N
H5521|178|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |LA|19070|0|N
H5521|178|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |LA|19080|0|N
H5521|178|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |LA|19160|0|N
H5521|178|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |LA|19180|0|N
H5521|178|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |LA|19230|0|N
H5521|178|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |LA|19250|0|N
H5521|178|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |LA|19280|0|N
H5521|178|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |LA|19310|0|N
H5521|178|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |LA|19350|0|N
H5521|178|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |LA|19370|0|N
H5521|178|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |LA|19380|0|N
H5521|178|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |LA|19400|0|N
H5521|178|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |LA|19430|0|N
H5521|178|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |LA|19440|0|N
H5521|178|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |LA|19450|0|N
H5521|178|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |LA|19460|0|N
H5521|178|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |LA|19470|0|N
H5521|178|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |LA|19500|0|N
H5521|178|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |LA|19520|0|N
H5521|178|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |LA|19540|0|N
H5521|178|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |LA|19580|0|N
H5521|178|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |LA|19590|0|N
H5521|178|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |LA|19600|0|N
H5521|178|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |LA|19620|0|N
H5521|194|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|11.00|590| | |MI|23020|0|N
H5521|194|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|11.00|590| | |MI|23070|0|N
H5521|194|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|11.00|590| | |MI|23100|0|N
H5521|194|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|11.00|590| | |MI|23110|0|N
H5521|194|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|11.00|590| | |MI|23120|0|N
H5521|194|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|11.00|590| | |MI|23130|0|N
H5521|194|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|11.00|590| | |MI|23220|0|N
H5521|194|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|11.00|590| | |MI|23330|0|N
H5521|194|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|11.00|590| | |MI|23380|0|N
H5521|194|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|11.00|590| | |MI|23400|0|N
H5521|194|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|11.00|590| | |MI|23420|0|N
H5521|194|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|11.00|590| | |MI|23520|0|N
H5521|194|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|11.00|590| | |MI|23530|0|N
H5521|194|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|11.00|590| | |MI|23580|0|N
H5521|194|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|11.00|590| | |MI|23600|0|N
H5521|194|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|11.00|590| | |MI|23610|0|N
H5521|194|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|11.00|590| | |MI|23630|0|N
H5521|194|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|11.00|590| | |MI|23660|0|N
H5521|194|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|11.00|590| | |MI|23690|0|N
H5521|194|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|11.00|590| | |MI|23740|0|N
H5521|194|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|11.00|590| | |MI|23790|0|N
H5521|195|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |WI|52290|0|N
H5521|195|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |WI|52390|0|N
H5521|195|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |WI|52440|0|N
H5521|195|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |WI|52500|0|N
H5521|195|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |WI|52580|0|N
H5521|195|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |WI|52650|0|N
H5521|195|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |WI|52660|0|N
H5521|197|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|50.70|590| | |UT|46010|0|N
H5521|197|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|50.70|590| | |UT|46020|0|N
H5521|197|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|50.70|590| | |UT|46030|0|N
H5521|197|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|50.70|590| | |UT|46060|0|N
H5521|197|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|50.70|590| | |UT|46110|0|N
H5521|197|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|50.70|590| | |UT|46140|0|N
H5521|197|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|50.70|590| | |UT|46160|0|N
H5521|197|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|50.70|590| | |UT|46210|0|N
H5521|197|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|50.70|590| | |UT|46220|0|N
H5521|197|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|50.70|590| | |UT|46230|0|N
H5521|197|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|50.70|590| | |WY|53200|0|N
H5521|207|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus 2 (PPO)|00025101|0.00|590| | |CO|06030|0|N
H5521|207|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus 2 (PPO)|00025101|0.00|590| | |CO|06100|0|N
H5521|207|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus 2 (PPO)|00025101|0.00|590| | |CO|06120|0|N
H5521|207|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus 2 (PPO)|00025101|0.00|590| | |CO|06130|0|N
H5521|207|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus 2 (PPO)|00025101|0.00|590| | |CO|06140|0|N
H5521|207|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus 2 (PPO)|00025101|0.00|590| | |CO|06190|0|N
H5521|207|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus 2 (PPO)|00025101|0.00|590| | |CO|06200|0|N
H5521|207|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus 2 (PPO)|00025101|0.00|590| | |CO|06210|0|N
H5521|207|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus 2 (PPO)|00025101|0.00|590| | |CO|06270|0|N
H5521|207|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus 2 (PPO)|00025101|0.00|590| | |CO|06330|0|N
H5521|207|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus 2 (PPO)|00025101|0.00|590| | |CO|06350|0|N
H5521|207|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus 2 (PPO)|00025101|0.00|590| | |CO|06360|0|N
H5521|207|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus 2 (PPO)|00025101|0.00|590| | |CO|06380|0|N
H5521|207|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus 2 (PPO)|00025101|0.00|590| | |CO|06420|0|N
H5521|207|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus 2 (PPO)|00025101|0.00|590| | |CO|06460|0|N
H5521|207|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus 2 (PPO)|00025101|0.00|590| | |CO|06500|0|N
H5521|207|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus 2 (PPO)|00025101|0.00|590| | |CO|06540|0|N
H5521|207|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus 2 (PPO)|00025101|0.00|590| | |CO|06590|0|N
H5521|211|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15130|0|N
H5521|211|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15180|0|N
H5521|211|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15250|0|N
H5521|211|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15410|0|N
H5521|211|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15500|0|N
H5521|211|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15620|0|N
H5521|211|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15640|0|N
H5521|211|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15730|0|N
H5521|211|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15810|0|N
H5521|211|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15860|0|N
H5521|214|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23180|0|N
H5521|214|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23240|0|N
H5521|214|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23290|0|N
H5521|214|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23320|0|N
H5521|214|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23370|0|N
H5521|214|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23430|0|N
H5521|214|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23450|0|N
H5521|214|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23460|0|N
H5521|214|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23490|0|N
H5521|214|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23570|0|N
H5521|214|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23620|0|N
H5521|214|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23730|0|N
H5521|214|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23770|0|N
H5521|214|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23800|0|N
H5521|214|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23810|0|N
H5521|215|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|450| | |NY|33040|0|N
H5521|215|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|450| | |NY|33060|0|N
H5521|215|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|450| | |NY|33240|0|N
H5521|215|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|450| | |NY|33290|0|N
H5521|215|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|450| | |NY|33500|0|N
H5521|215|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|450| | |NY|33900|0|N
H5521|216|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01280|0|N
H5521|216|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01310|0|N
H5521|216|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01320|0|N
H5521|216|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01370|0|N
H5521|216|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01530|0|N
H5521|216|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01620|0|N
H5521|217|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|14.20|0| | |MI|23180|0|N
H5521|217|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|14.20|0| | |MI|23240|0|N
H5521|217|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|14.20|0| | |MI|23290|0|N
H5521|217|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|14.20|0| | |MI|23320|0|N
H5521|217|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|14.20|0| | |MI|23370|0|N
H5521|217|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|14.20|0| | |MI|23430|0|N
H5521|217|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|14.20|0| | |MI|23450|0|N
H5521|217|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|14.20|0| | |MI|23460|0|N
H5521|217|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|14.20|0| | |MI|23490|0|N
H5521|217|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|14.20|0| | |MI|23570|0|N
H5521|217|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|14.20|0| | |MI|23620|0|N
H5521|217|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|14.20|0| | |MI|23730|0|N
H5521|217|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|14.20|0| | |MI|23770|0|N
H5521|217|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|14.20|0| | |MI|23800|0|N
H5521|217|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|14.20|0| | |MI|23810|0|N
H5521|218|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |MS|25010|0|N
H5521|218|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |MS|25060|0|N
H5521|218|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |MS|25080|0|N
H5521|218|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |MS|25120|0|N
H5521|218|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |MS|25130|0|N
H5521|218|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |MS|25160|0|N
H5521|218|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |MS|25350|0|N
H5521|218|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |MS|25400|0|N
H5521|218|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |MS|25460|0|N
H5521|218|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |MS|25470|0|N
H5521|218|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |MS|25520|0|N
H5521|218|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |MS|25590|0|N
H5521|218|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |MS|25670|0|N
H5521|218|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |MS|25680|0|N
H5521|218|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |MS|25700|0|N
H5521|218|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |MS|25710|0|N
H5521|218|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |MS|25720|0|N
H5521|218|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |MS|25770|0|N
H5521|218|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |MS|25800|0|N
H5521|219|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23020|0|N
H5521|219|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23070|0|N
H5521|219|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23100|0|N
H5521|219|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23110|0|N
H5521|219|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23120|0|N
H5521|219|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23130|0|N
H5521|219|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23220|0|N
H5521|219|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23330|0|N
H5521|219|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23380|0|N
H5521|219|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23400|0|N
H5521|219|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23420|0|N
H5521|219|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23520|0|N
H5521|219|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23530|0|N
H5521|219|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23580|0|N
H5521|219|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23600|0|N
H5521|219|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23610|0|N
H5521|219|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23630|0|N
H5521|219|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23660|0|N
H5521|219|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23690|0|N
H5521|219|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23740|0|N
H5521|219|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23790|0|N
H5521|220|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |MS|25000|0|N
H5521|220|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |MS|25020|0|N
H5521|220|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |MS|25150|0|N
H5521|220|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |MS|25180|0|N
H5521|220|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |MS|25190|0|N
H5521|220|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |MS|25200|0|N
H5521|220|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |MS|25230|0|N
H5521|220|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |MS|25290|0|N
H5521|220|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |MS|25320|0|N
H5521|220|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |MS|25380|0|N
H5521|220|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |MS|25420|0|N
H5521|220|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |MS|25450|0|N
H5521|220|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |MS|25550|0|N
H5521|220|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |MS|25560|0|N
H5521|220|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |MS|25650|0|N
H5521|220|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |MS|25730|0|N
H5521|220|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |MS|25760|0|N
H5521|220|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |MS|25780|0|N
H5521|222|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01020|0|N
H5521|222|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01050|0|N
H5521|222|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01150|0|N
H5521|222|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01190|0|N
H5521|222|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01200|0|N
H5521|222|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01300|0|N
H5521|222|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01330|0|N
H5521|222|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01340|0|N
H5521|222|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01430|0|N
H5521|222|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01540|0|N
H5521|222|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01560|0|N
H5521|223|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15030|0|N
H5521|223|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15070|0|N
H5521|223|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15080|0|N
H5521|223|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15240|0|N
H5521|223|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15360|0|N
H5521|223|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15440|0|N
H5521|223|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15490|0|N
H5521|223|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15510|0|N
H5521|223|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15630|0|N
H5521|223|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15650|0|N
H5521|223|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15700|0|N
H5521|223|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15740|0|N
H5521|224|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01000|0|N
H5521|224|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01060|0|N
H5521|224|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01080|0|N
H5521|224|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01100|0|N
H5521|224|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01230|0|N
H5521|224|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01250|0|N
H5521|224|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01400|0|N
H5521|224|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01420|0|N
H5521|224|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01500|0|N
H5521|224|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01610|0|N
H5521|224|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01650|0|N
H5521|227|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01090|0|N
H5521|227|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01160|0|N
H5521|227|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01240|0|N
H5521|227|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01290|0|N
H5521|227|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01350|0|N
H5521|227|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01380|0|N
H5521|227|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01410|0|N
H5521|227|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01440|0|N
H5521|227|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01460|0|N
H5521|227|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01470|0|N
H5521|227|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AL|01510|0|N
H5521|230|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |LA|19170|0|N
H5521|230|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |LA|19200|0|N
H5521|230|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |LA|19300|0|N
H5521|230|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |LA|19320|0|N
H5521|230|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |LA|19330|0|N
H5521|230|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |LA|19360|0|N
H5521|230|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |LA|19530|0|N
H5521|230|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |LA|19550|0|N
H5521|230|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |LA|19610|0|N
H5521|231|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15020|0|N
H5521|231|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15050|0|N
H5521|231|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15060|0|N
H5521|231|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15100|0|N
H5521|231|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15110|0|N
H5521|231|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15140|0|N
H5521|231|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15150|0|N
H5521|231|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15170|0|N
H5521|231|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15200|0|N
H5521|231|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15220|0|N
H5521|231|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15230|0|N
H5521|231|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15270|0|N
H5521|231|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15280|0|N
H5521|231|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15290|0|N
H5521|231|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15310|0|N
H5521|231|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15320|0|N
H5521|231|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15330|0|N
H5521|231|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15350|0|N
H5521|231|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15390|0|N
H5521|231|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15460|0|N
H5521|231|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15470|0|N
H5521|231|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15480|0|N
H5521|231|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15530|0|N
H5521|231|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15540|0|N
H5521|231|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15590|0|N
H5521|231|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15600|0|N
H5521|231|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15660|0|N
H5521|231|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15670|0|N
H5521|231|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15680|0|N
H5521|231|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15690|0|N
H5521|231|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15720|0|N
H5521|231|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15760|0|N
H5521|231|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15780|0|N
H5521|231|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15800|0|N
H5521|231|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15820|0|N
H5521|231|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15850|0|N
H5521|232|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |LA|19040|0|N
H5521|232|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |LA|19120|0|N
H5521|232|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |LA|19290|0|N
H5521|232|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |LA|19390|0|N
H5521|233|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |LA|19010|0|N
H5521|233|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |LA|19050|0|N
H5521|233|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |LA|19090|0|N
H5521|233|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |LA|19110|0|N
H5521|233|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |LA|19260|0|N
H5521|236|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |NC|34050|0|N
H5521|236|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |NC|34100|0|N
H5521|236|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |NC|34190|0|N
H5521|236|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |NC|34210|0|N
H5521|236|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |NC|34370|0|N
H5521|236|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |NC|34430|0|N
H5521|236|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |NC|34440|0|N
H5521|236|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |NC|34490|0|N
H5521|236|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |NC|34560|0|N
H5521|236|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |NC|34570|0|N
H5521|236|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |NC|34600|0|N
H5521|236|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |NC|34740|0|N
H5521|236|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |NC|34800|0|N
H5521|236|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |NC|34860|0|N
H5521|236|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |NC|34870|0|N
H5521|236|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |NC|34981|0|N
H5521|243|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |NC|34060|0|N
H5521|243|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |NC|34070|0|N
H5521|243|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |NC|34080|0|N
H5521|243|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |NC|34090|0|N
H5521|243|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |NC|34140|0|N
H5521|243|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |NC|34200|0|N
H5521|243|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |NC|34230|0|N
H5521|243|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |NC|34251|0|N
H5521|243|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |NC|34300|0|N
H5521|243|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |NC|34320|0|N
H5521|243|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |NC|34340|0|N
H5521|243|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |NC|34360|0|N
H5521|243|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |NC|34380|0|N
H5521|243|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |NC|34390|0|N
H5521|243|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |NC|34410|0|N
H5521|243|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |NC|34450|0|N
H5521|243|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |NC|34470|0|N
H5521|243|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |NC|34510|0|N
H5521|243|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |NC|34530|0|N
H5521|243|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |NC|34580|0|N
H5521|243|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |NC|34630|0|N
H5521|243|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |NC|34650|0|N
H5521|243|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |NC|34680|0|N
H5521|243|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |NC|34690|0|N
H5521|243|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |NC|34700|0|N
H5521|243|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |NC|34710|0|N
H5521|243|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |NC|34730|0|N
H5521|243|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |NC|34770|0|N
H5521|243|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |NC|34810|0|N
H5521|243|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |NC|34820|0|N
H5521|243|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |NC|34880|0|N
H5521|243|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |NC|34900|0|N
H5521|243|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |NC|34920|0|N
H5521|243|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |NC|34930|0|N
H5521|243|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |NC|34950|0|N
H5521|243|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |NC|34970|0|N
H5521|245|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |SC|42000|0|N
H5521|245|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |SC|42010|0|N
H5521|245|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |SC|42020|0|N
H5521|245|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |SC|42040|0|N
H5521|245|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |SC|42050|0|N
H5521|245|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |SC|42080|0|N
H5521|245|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |SC|42110|0|N
H5521|245|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |SC|42130|0|N
H5521|245|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |SC|42180|0|N
H5521|245|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |SC|42190|0|N
H5521|245|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |SC|42230|0|N
H5521|245|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |SC|42270|0|N
H5521|245|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |SC|42280|0|N
H5521|245|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |SC|42310|0|N
H5521|245|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |SC|42320|0|N
H5521|245|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |SC|42350|0|N
H5521|245|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |SC|42370|0|N
H5521|245|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |SC|42390|0|N
H5521|245|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |SC|42400|0|N
H5521|245|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |SC|42420|0|N
H5521|245|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |SC|42430|0|N
H5521|246|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |UT|46050|0|N
H5521|246|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |UT|46170|0|N
H5521|246|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |UT|46240|0|N
H5521|246|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |UT|46280|0|N
H5521|249|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|0| | |SC|42120|0|N
H5521|249|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|0| | |SC|42150|0|N
H5521|249|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|0| | |SC|42160|0|N
H5521|249|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|0| | |SC|42200|0|N
H5521|249|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|0| | |SC|42300|0|N
H5521|249|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|0| | |SC|42330|0|N
H5521|249|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|0| | |SC|42340|0|N
H5521|249|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|0| | |SC|42440|0|N
H5521|250|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus 1 (PPO)|00025101|0.00|590| | |CO|06000|0|N
H5521|250|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus 1 (PPO)|00025101|0.00|590| | |CO|06060|0|N
H5521|250|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus 1 (PPO)|00025101|0.00|590| | |CO|06090|0|N
H5521|250|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus 1 (PPO)|00025101|0.00|590| | |CO|06150|0|N
H5521|250|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus 1 (PPO)|00025101|0.00|590| | |CO|06230|0|N
H5521|250|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus 1 (PPO)|00025101|0.00|590| | |CO|06240|0|N
H5521|250|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus 1 (PPO)|00025101|0.00|590| | |CO|06280|0|N
H5521|250|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus 1 (PPO)|00025101|0.00|590| | |CO|06290|0|N
H5521|250|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus 1 (PPO)|00025101|0.00|590| | |CO|06340|0|N
H5521|250|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus 1 (PPO)|00025101|0.00|590| | |CO|06430|0|N
H5521|250|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus 1 (PPO)|00025101|0.00|590| | |CO|06600|0|N
H5521|250|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus 1 (PPO)|00025101|0.00|590| | |CO|06610|0|N
H5521|250|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus 1 (PPO)|00025101|0.00|590| | |CO|06630|0|N
H5521|251|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|250| | |SC|42000|0|N
H5521|251|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|250| | |SC|42010|0|N
H5521|251|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|250| | |SC|42020|0|N
H5521|251|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|250| | |SC|42030|0|N
H5521|251|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|250| | |SC|42040|0|N
H5521|251|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|250| | |SC|42050|0|N
H5521|251|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|250| | |SC|42060|0|N
H5521|251|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|250| | |SC|42070|0|N
H5521|251|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|250| | |SC|42080|0|N
H5521|251|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|250| | |SC|42090|0|N
H5521|251|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|250| | |SC|42100|0|N
H5521|251|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|250| | |SC|42110|0|N
H5521|251|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|250| | |SC|42120|0|N
H5521|251|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|250| | |SC|42130|0|N
H5521|251|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|250| | |SC|42140|0|N
H5521|251|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|250| | |SC|42150|0|N
H5521|251|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|250| | |SC|42160|0|N
H5521|251|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|250| | |SC|42170|0|N
H5521|251|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|250| | |SC|42180|0|N
H5521|251|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|250| | |SC|42190|0|N
H5521|251|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|250| | |SC|42200|0|N
H5521|251|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|250| | |SC|42210|0|N
H5521|251|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|250| | |SC|42220|0|N
H5521|251|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|250| | |SC|42230|0|N
H5521|251|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|250| | |SC|42240|0|N
H5521|251|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|250| | |SC|42250|0|N
H5521|251|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|250| | |SC|42260|0|N
H5521|251|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|250| | |SC|42270|0|N
H5521|251|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|250| | |SC|42280|0|N
H5521|251|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|250| | |SC|42290|0|N
H5521|251|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|250| | |SC|42300|0|N
H5521|251|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|250| | |SC|42310|0|N
H5521|251|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|250| | |SC|42320|0|N
H5521|251|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|250| | |SC|42330|0|N
H5521|251|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|250| | |SC|42340|0|N
H5521|251|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|250| | |SC|42350|0|N
H5521|251|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|250| | |SC|42360|0|N
H5521|251|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|250| | |SC|42370|0|N
H5521|251|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|250| | |SC|42380|0|N
H5521|251|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|250| | |SC|42390|0|N
H5521|251|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|250| | |SC|42400|0|N
H5521|251|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|250| | |SC|42410|0|N
H5521|251|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|250| | |SC|42420|0|N
H5521|251|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|250| | |SC|42430|0|N
H5521|251|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|250| | |SC|42440|0|N
H5521|251|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|250| | |SC|42450|0|N
H5521|254|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |TN|44010|0|N
H5521|254|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |TN|44130|0|N
H5521|254|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |TN|44170|0|N
H5521|254|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |TN|44200|0|N
H5521|254|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |TN|44210|0|N
H5521|254|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |TN|44240|0|N
H5521|254|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |TN|44250|0|N
H5521|254|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |TN|44270|0|N
H5521|254|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |TN|44300|0|N
H5521|254|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |TN|44410|0|N
H5521|254|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |TN|44420|0|N
H5521|254|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |TN|44500|0|N
H5521|254|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |TN|44550|0|N
H5521|254|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |TN|44580|0|N
H5521|254|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |TN|44590|0|N
H5521|254|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |TN|44620|0|N
H5521|254|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |TN|44660|0|N
H5521|254|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |TN|44680|0|N
H5521|254|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |TN|44790|0|N
H5521|254|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |TN|44800|0|N
H5521|254|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |TN|44870|0|N
H5521|254|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |TN|44880|0|N
H5521|254|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |TN|44920|0|N
H5521|254|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |TN|44940|0|N
H5521|259|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |KY|18140|0|N
H5521|259|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |KY|18510|0|N
H5521|259|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |KY|18550|0|N
H5521|259|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |KY|18890|0|N
H5521|259|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |KY|18920|0|N
H5521|259|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |KY|18930|0|N
H5521|259|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |KY|18978|0|N
H5521|259|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |KY|18980|0|N
H5521|259|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|250| | |KY|18984|0|N
H5521|260|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |KY|18040|0|N
H5521|260|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |KY|18130|0|N
H5521|260|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |KY|18150|0|N
H5521|260|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |KY|18170|0|N
H5521|260|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |KY|18230|0|N
H5521|260|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |KY|18291|0|N
H5521|260|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |KY|18410|0|N
H5521|260|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |KY|18420|0|N
H5521|260|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |KY|18450|0|N
H5521|260|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |KY|18460|0|N
H5521|260|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |KY|18490|0|N
H5521|260|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |KY|18500|0|N
H5521|260|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |KY|18530|0|N
H5521|260|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |KY|18610|0|N
H5521|260|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |KY|18700|0|N
H5521|260|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |KY|18720|0|N
H5521|260|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |KY|18740|0|N
H5521|260|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |KY|18780|0|N
H5521|260|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |KY|18801|0|N
H5521|260|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |KY|18880|0|N
H5521|260|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |KY|18910|0|N
H5521|260|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |KY|18982|0|N
H5521|260|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |KY|18986|0|N
H5521|260|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |KY|18989|0|N
H5521|261|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39010|0|N
H5521|261|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39070|0|N
H5521|261|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39080|0|N
H5521|261|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39100|0|N
H5521|261|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39150|0|N
H5521|261|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39160|0|N
H5521|261|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39180|0|N
H5521|261|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39220|0|N
H5521|261|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39230|0|N
H5521|261|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39260|0|N
H5521|261|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39310|0|N
H5521|261|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39320|0|N
H5521|261|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39330|0|N
H5521|261|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39340|0|N
H5521|261|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39370|0|N
H5521|261|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39390|0|N
H5521|261|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39400|0|N
H5521|261|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39450|0|N
H5521|261|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39520|0|N
H5521|261|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39530|0|N
H5521|261|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39680|0|N
H5521|261|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39730|0|N
H5521|261|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39740|0|N
H5521|261|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39750|0|N
H5521|261|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39770|0|N
H5521|263|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39000|0|N
H5521|263|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39110|0|N
H5521|263|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39120|0|N
H5521|263|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39130|0|N
H5521|263|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39140|0|N
H5521|263|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39200|0|N
H5521|263|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39210|0|N
H5521|263|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39240|0|N
H5521|263|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39250|0|N
H5521|263|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39270|0|N
H5521|263|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39280|0|N
H5521|263|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39350|0|N
H5521|263|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39360|0|N
H5521|263|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39380|0|N
H5521|263|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39410|0|N
H5521|263|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39420|0|N
H5521|263|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39440|0|N
H5521|263|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39460|0|N
H5521|263|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39480|0|N
H5521|263|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39510|0|N
H5521|263|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39540|0|N
H5521|263|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39580|0|N
H5521|263|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39600|0|N
H5521|263|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39610|0|N
H5521|263|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39630|0|N
H5521|263|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39640|0|N
H5521|263|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39670|0|N
H5521|263|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39690|0|N
H5521|263|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39700|0|N
H5521|263|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39710|0|N
H5521|263|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39720|0|N
H5521|263|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39760|0|N
H5521|263|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39790|0|N
H5521|263|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |PA|39800|0|N
H5521|269|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10000|0|N
H5521|269|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10010|0|N
H5521|269|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10090|0|N
H5521|269|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10110|0|N
H5521|269|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10150|0|N
H5521|269|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10170|0|N
H5521|269|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10440|0|N
H5521|269|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10530|0|N
H5521|269|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10540|0|N
H5521|269|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10630|0|N
H5521|270|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10260|0|N
H5521|270|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10280|0|N
H5521|270|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10500|0|N
H5521|270|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10510|0|N
H5521|270|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10520|0|N
H5521|271|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10340|0|N
H5521|271|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10370|0|N
H5521|271|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10410|0|N
H5521|271|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10590|0|N
H5521|272|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10070|0|N
H5521|272|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10100|0|N
H5521|272|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10130|0|N
H5521|272|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10270|0|N
H5521|272|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10350|0|N
H5521|272|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10400|0|N
H5521|272|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10570|0|N
H5521|273|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10420|0|N
H5521|273|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10490|0|N
H5521|273|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10550|0|N
H5521|275|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Prime Premier (PPO)|00025101|39.00|590| | |NJ|31100|0|N
H5521|275|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Prime Premier (PPO)|00025101|39.00|590| | |NJ|31250|0|N
H5521|275|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Prime Premier (PPO)|00025101|39.00|590| | |NJ|31260|0|N
H5521|275|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Prime Premier (PPO)|00025101|39.00|590| | |NJ|31290|0|N
H5521|275|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Prime Premier (PPO)|00025101|39.00|590| | |NJ|31300|0|N
H5521|275|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Prime Premier (PPO)|00025101|39.00|590| | |NJ|31320|0|N
H5521|275|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Prime Premier (PPO)|00025101|39.00|590| | |NJ|31350|0|N
H5521|275|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Prime Premier (PPO)|00025101|39.00|590| | |NJ|31360|0|N
H5521|275|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Prime Premier (PPO)|00025101|39.00|590| | |NJ|31370|0|N
H5521|275|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Prime Premier (PPO)|00025101|39.00|590| | |NJ|31390|0|N
H5521|277|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Prime Credit (PPO)|00025101|0.00|590| | |NJ|31100|0|N
H5521|277|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Prime Credit (PPO)|00025101|0.00|590| | |NJ|31250|0|N
H5521|277|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Prime Credit (PPO)|00025101|0.00|590| | |NJ|31260|0|N
H5521|277|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Prime Credit (PPO)|00025101|0.00|590| | |NJ|31290|0|N
H5521|277|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Prime Credit (PPO)|00025101|0.00|590| | |NJ|31300|0|N
H5521|277|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Prime Credit (PPO)|00025101|0.00|590| | |NJ|31320|0|N
H5521|277|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Prime Credit (PPO)|00025101|0.00|590| | |NJ|31350|0|N
H5521|277|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Prime Credit (PPO)|00025101|0.00|590| | |NJ|31360|0|N
H5521|277|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Prime Credit (PPO)|00025101|0.00|590| | |NJ|31370|0|N
H5521|277|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Prime Credit (PPO)|00025101|0.00|590| | |NJ|31390|0|N
H5521|283|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|0| | |WI|52040|0|N
H5521|283|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|0| | |WI|52300|0|N
H5521|283|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|0| | |WI|52350|0|N
H5521|283|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|0| | |WI|52370|0|N
H5521|283|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|0| | |WI|52410|0|N
H5521|283|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|0| | |WI|52430|0|N
H5521|283|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|0| | |WI|52570|0|N
H5521|283|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|0| | |WI|52690|0|N
H5521|284|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|16.00|590| | |MI|23040|0|N
H5521|284|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|16.00|590| | |MI|23090|0|N
H5521|284|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|16.00|590| | |MI|23140|0|N
H5521|284|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|16.00|590| | |MI|23190|0|N
H5521|284|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|16.00|590| | |MI|23230|0|N
H5521|284|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|16.00|590| | |MI|23270|0|N
H5521|284|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|16.00|590| | |MI|23340|0|N
H5521|284|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|16.00|590| | |MI|23390|0|N
H5521|284|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|16.00|590| | |MI|23440|0|N
H5521|284|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|16.00|590| | |MI|23500|0|N
H5521|284|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|16.00|590| | |MI|23560|0|N
H5521|284|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|16.00|590| | |MI|23670|0|N
H5521|284|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|16.00|590| | |MI|23680|0|N
H5521|284|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|16.00|590| | |MI|23710|0|N
H5521|284|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|16.00|590| | |MI|23830|0|N
H5521|285|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23040|0|N
H5521|285|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23090|0|N
H5521|285|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23140|0|N
H5521|285|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23190|0|N
H5521|285|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23230|0|N
H5521|285|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23270|0|N
H5521|285|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23340|0|N
H5521|285|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23390|0|N
H5521|285|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23440|0|N
H5521|285|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23500|0|N
H5521|285|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23560|0|N
H5521|285|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23670|0|N
H5521|285|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23680|0|N
H5521|285|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23710|0|N
H5521|285|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23830|0|N
H5521|288|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23050|0|N
H5521|288|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23080|0|N
H5521|288|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23280|0|N
H5521|288|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23720|0|N
H5521|288|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23750|0|N
H5521|288|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |MI|23780|0|N
H5521|289|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |WI|52000|0|N
H5521|289|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |WI|52100|0|N
H5521|289|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |WI|52120|0|N
H5521|289|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |WI|52180|0|N
H5521|289|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |WI|52200|0|N
H5521|289|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |WI|52220|0|N
H5521|289|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |WI|52240|0|N
H5521|289|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |WI|52310|0|N
H5521|289|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |WI|52320|0|N
H5521|289|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |WI|52330|0|N
H5521|289|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |WI|52380|0|N
H5521|289|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |WI|52400|0|N
H5521|289|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |WI|52480|0|N
H5521|289|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |WI|52520|0|N
H5521|289|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |WI|52600|0|N
H5521|289|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |WI|52610|0|N
H5521|289|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |WI|52680|0|N
H5521|290|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |AZ|03020|0|N
H5521|290|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |AZ|03070|0|N
H5521|290|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |AZ|03120|0|N
H5521|292|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|82.80|590| | |CA|05660|0|N
H5521|299|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |NV|29010|0|N
H5521|299|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |NV|29110|0|N
H5521|302|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|28.00|590| | |IN|15020|0|N
H5521|302|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|28.00|590| | |IN|15050|0|N
H5521|302|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|28.00|590| | |IN|15060|0|N
H5521|302|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|28.00|590| | |IN|15100|0|N
H5521|302|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|28.00|590| | |IN|15110|0|N
H5521|302|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|28.00|590| | |IN|15140|0|N
H5521|302|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|28.00|590| | |IN|15150|0|N
H5521|302|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|28.00|590| | |IN|15170|0|N
H5521|302|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|28.00|590| | |IN|15200|0|N
H5521|302|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|28.00|590| | |IN|15220|0|N
H5521|302|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|28.00|590| | |IN|15230|0|N
H5521|302|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|28.00|590| | |IN|15270|0|N
H5521|302|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|28.00|590| | |IN|15280|0|N
H5521|302|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|28.00|590| | |IN|15290|0|N
H5521|302|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|28.00|590| | |IN|15310|0|N
H5521|302|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|28.00|590| | |IN|15320|0|N
H5521|302|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|28.00|590| | |IN|15330|0|N
H5521|302|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|28.00|590| | |IN|15350|0|N
H5521|302|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|28.00|590| | |IN|15390|0|N
H5521|302|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|28.00|590| | |IN|15460|0|N
H5521|302|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|28.00|590| | |IN|15470|0|N
H5521|302|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|28.00|590| | |IN|15480|0|N
H5521|302|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|28.00|590| | |IN|15530|0|N
H5521|302|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|28.00|590| | |IN|15540|0|N
H5521|302|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|28.00|590| | |IN|15590|0|N
H5521|302|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|28.00|590| | |IN|15600|0|N
H5521|302|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|28.00|590| | |IN|15660|0|N
H5521|302|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|28.00|590| | |IN|15670|0|N
H5521|302|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|28.00|590| | |IN|15680|0|N
H5521|302|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|28.00|590| | |IN|15690|0|N
H5521|302|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|28.00|590| | |IN|15720|0|N
H5521|302|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|28.00|590| | |IN|15760|0|N
H5521|302|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|28.00|590| | |IN|15780|0|N
H5521|302|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|28.00|590| | |IN|15800|0|N
H5521|302|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|28.00|590| | |IN|15820|0|N
H5521|302|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|28.00|590| | |IN|15850|0|N
H5521|303|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |NV|29000|0|N
H5521|303|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |NV|29020|0|N
H5521|303|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |NV|29090|0|N
H5521|303|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |NV|29120|0|N
H5521|303|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |NV|29140|0|N
H5521|303|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |NV|29150|0|N
H5521|305|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10160|0|N
H5521|305|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|590| | |FL|10560|0|N
H5521|311|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|0| | |MI|23010|0|N
H5521|311|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|0| | |MI|23060|0|N
H5521|311|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|0| | |MI|23200|0|N
H5521|311|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|0| | |MI|23210|0|N
H5521|311|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|0| | |MI|23300|0|N
H5521|311|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|0| | |MI|23350|0|N
H5521|311|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|0| | |MI|23410|0|N
H5521|311|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|0| | |MI|23470|0|N
H5521|311|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|0| | |MI|23510|0|N
H5521|311|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|0| | |MI|23540|0|N
H5521|311|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|0| | |MI|23650|0|N
H5521|312|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Discover Value (PPO)|00025101|35.00|590| | |NY|33331|0|N
H5521|312|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Discover Value (PPO)|00025101|35.00|590| | |NY|33420|0|N
H5521|312|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Discover Value (PPO)|00025101|35.00|590| | |NY|33590|0|N
H5521|314|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Duly Prime (PPO)|00025101|0.00|0| | |IL|14250|0|N
H5521|314|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Duly Prime (PPO)|00025101|0.00|0| | |IL|14530|0|N
H5521|314|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Duly Prime (PPO)|00025101|0.00|0| | |IL|14989|0|N
H5521|319|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |SC|42030|0|N
H5521|319|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |SC|42100|0|N
H5521|319|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |SC|42220|0|N
H5521|319|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |SC|42290|0|N
H5521|319|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |SC|42360|0|N
H5521|319|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |SC|42380|0|N
H5521|319|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |SC|42410|0|N
H5521|319|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus (PPO)|00025101|0.00|0| | |SC|42450|0|N
H5521|326|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |LA|19000|0|N
H5521|326|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |LA|19010|0|N
H5521|326|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |LA|19030|0|N
H5521|326|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |LA|19040|0|N
H5521|326|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |LA|19050|0|N
H5521|326|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |LA|19060|0|N
H5521|326|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |LA|19070|0|N
H5521|326|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |LA|19090|0|N
H5521|326|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |LA|19120|0|N
H5521|326|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |LA|19130|0|N
H5521|326|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |LA|19140|0|N
H5521|326|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |LA|19160|0|N
H5521|326|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |LA|19170|0|N
H5521|326|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |LA|19200|0|N
H5521|326|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |LA|19210|0|N
H5521|326|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |LA|19220|0|N
H5521|326|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |LA|19230|0|N
H5521|326|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |LA|19240|0|N
H5521|326|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |LA|19250|0|N
H5521|326|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |LA|19270|0|N
H5521|326|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |LA|19280|0|N
H5521|326|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |LA|19290|0|N
H5521|326|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |LA|19320|0|N
H5521|326|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |LA|19330|0|N
H5521|326|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |LA|19340|0|N
H5521|326|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |LA|19370|0|N
H5521|326|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |LA|19390|0|N
H5521|326|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |LA|19410|0|N
H5521|326|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |LA|19450|0|N
H5521|326|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |LA|19490|0|N
H5521|326|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |LA|19500|0|N
H5521|326|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |LA|19520|0|N
H5521|326|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |LA|19530|0|N
H5521|326|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |LA|19540|0|N
H5521|326|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |LA|19560|0|N
H5521|326|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |LA|19580|0|N
H5521|326|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |LA|19590|0|N
H5521|326|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |LA|19600|0|N
H5521|326|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |LA|19610|0|N
H5521|326|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |LA|19620|0|N
H5521|326|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|20.00|590| | |LA|19630|0|N
H5521|328|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|0.00|590| | |GA|11190|0|N
H5521|328|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|0.00|590| | |GA|11350|0|N
H5521|328|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|0.00|590| | |GA|11400|0|N
H5521|328|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|0.00|590| | |GA|11461|0|N
H5521|328|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|0.00|590| | |GA|11591|0|N
H5521|328|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|0.00|590| | |GA|11611|0|N
H5521|328|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|0.00|590| | |GA|11841|0|N
H5521|328|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|0.00|590| | |GA|11860|0|N
H5521|331|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |AZ|03010|0|N
H5521|331|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |AZ|03030|0|N
H5521|331|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |AZ|03110|0|N
H5521|332|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|0.00|590| | |CA|05090|0|N
H5521|332|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|0.00|590| | |CA|05300|0|N
H5521|340|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Discover Value (PPO)|00025101|33.00|590| | |NY|33010|0|N
H5521|340|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Discover Value (PPO)|00025101|33.00|590| | |NY|33030|0|N
H5521|340|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Discover Value (PPO)|00025101|33.00|590| | |NY|33050|0|N
H5521|340|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Discover Value (PPO)|00025101|33.00|590| | |NY|33270|0|N
H5521|340|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Discover Value (PPO)|00025101|33.00|590| | |NY|33280|0|N
H5521|340|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Discover Value (PPO)|00025101|33.00|590| | |NY|33310|0|N
H5521|340|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Discover Value (PPO)|00025101|33.00|590| | |NY|33320|0|N
H5521|340|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Discover Value (PPO)|00025101|33.00|590| | |NY|33330|0|N
H5521|340|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Discover Value (PPO)|00025101|33.00|590| | |NY|33340|0|N
H5521|340|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Discover Value (PPO)|00025101|33.00|590| | |NY|33360|0|N
H5521|340|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Discover Value (PPO)|00025101|33.00|590| | |NY|33510|0|N
H5521|340|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Discover Value (PPO)|00025101|33.00|590| | |NY|33520|0|N
H5521|340|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Discover Value (PPO)|00025101|33.00|590| | |NY|33630|0|N
H5521|340|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Discover Value (PPO)|00025101|33.00|590| | |NY|33670|0|N
H5521|340|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Discover Value (PPO)|00025101|33.00|590| | |NY|33690|0|N
H5521|340|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Discover Value (PPO)|00025101|33.00|590| | |NY|33730|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34000|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34010|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34020|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34030|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34040|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34050|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34060|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34070|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34080|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34090|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34100|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34110|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34120|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34130|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34140|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34160|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34170|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34180|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34190|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34200|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34210|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34220|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34230|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34250|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34251|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34280|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34290|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34300|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34320|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34330|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34340|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34350|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34360|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34370|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34380|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34390|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34400|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34410|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34420|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34430|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34440|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34450|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34460|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34470|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34480|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34490|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34500|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34510|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34520|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34530|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34540|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34550|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34560|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34570|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34580|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34590|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34600|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34610|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34620|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34630|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34650|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34670|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34680|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34690|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34700|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34710|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34720|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34730|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34740|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34750|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34760|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34770|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34780|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34790|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34800|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34810|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34820|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34830|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34840|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34850|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34860|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34870|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34880|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34890|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34900|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34920|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34930|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34940|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34950|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34960|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34970|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34980|0|N
H5521|348|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025101|0.00|590| | |NC|34981|0|N
H5521|352|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential Elite (PPO)|00025101|0.00|450| | |CT|07010|0|N
H5521|352|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential Elite (PPO)|00025101|0.00|450| | |CT|07020|0|N
H5521|352|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential Elite (PPO)|00025101|0.00|450| | |CT|07030|0|N
H5521|352|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential Elite (PPO)|00025101|0.00|450| | |CT|07040|0|N
H5521|352|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential Elite (PPO)|00025101|0.00|450| | |CT|07050|0|N
H5521|352|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential Elite (PPO)|00025101|0.00|450| | |CT|07060|0|N
H5521|352|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential Elite (PPO)|00025101|0.00|450| | |CT|07070|0|N
H5521|363|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |AZ|03060|0|N
H5521|363|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |AZ|03090|0|N
H5521|363|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |AZ|03100|0|N
H5521|364|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|38.30|590| | |GA|11250|0|N
H5521|364|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|38.30|590| | |GA|11280|0|N
H5521|364|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|38.30|590| | |GA|11320|0|N
H5521|364|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|38.30|590| | |GA|11370|0|N
H5521|364|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|38.30|590| | |GA|11400|0|N
H5521|364|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|38.30|590| | |GA|11451|0|N
H5521|364|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|38.30|590| | |GA|11461|0|N
H5521|364|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|38.30|590| | |GA|11470|0|N
H5521|364|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|38.30|590| | |GA|11530|0|N
H5521|364|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|38.30|590| | |GA|11591|0|N
H5521|364|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|38.30|590| | |GA|11841|0|N
H5521|364|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|38.30|590| | |GA|11860|0|N
H5521|365|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Signature (PPO)|00025101|0.00|590| | |LA|19250|0|N
H5521|365|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Signature (PPO)|00025101|0.00|590| | |LA|19280|0|N
H5521|365|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Signature (PPO)|00025101|0.00|590| | |LA|19350|0|N
H5521|365|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Signature (PPO)|00025101|0.00|590| | |LA|19430|0|N
H5521|365|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Signature (PPO)|00025101|0.00|590| | |LA|19440|0|N
H5521|365|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Signature (PPO)|00025101|0.00|590| | |LA|19540|0|N
H5521|370|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|24.00|590| | |CA|05020|0|N
H5521|370|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|24.00|590| | |CA|05080|0|N
H5521|370|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|24.00|590| | |CA|05540|0|N
H5521|370|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|24.00|590| | |CA|05580|0|N
H5521|371|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|4.30|590| | |CA|05500|0|N
H5521|374|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Explorer (PPO)|00025101|0.00|250| | |NH|30050|0|N
H5521|374|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Explorer (PPO)|00025101|0.00|250| | |NH|30070|0|N
H5521|375|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Explorer (PPO)|00025101|0.00|0| | |RI|41000|0|N
H5521|375|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Explorer (PPO)|00025101|0.00|0| | |RI|41010|0|N
H5521|375|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Explorer (PPO)|00025101|0.00|0| | |RI|41020|0|N
H5521|375|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Explorer (PPO)|00025101|0.00|0| | |RI|41030|0|N
H5521|375|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Explorer (PPO)|00025101|0.00|0| | |RI|41050|0|N
H5521|376|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|33.80|590| | |NH|30050|0|N
H5521|376|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|33.80|590| | |NH|30070|0|N
H5521|377|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare FL Explorer Premier (PPO)|00025101|0.00|590| | |FL|10080|0|N
H5521|380|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Preferred (PPO)|00025101|0.00|450| | |WA|50160|0|N
H5521|380|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Preferred (PPO)|00025101|0.00|450| | |WA|50170|0|N
H5521|380|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Preferred (PPO)|00025101|0.00|450| | |WA|50260|0|N
H5521|380|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Preferred (PPO)|00025101|0.00|450| | |WA|50280|0|N
H5521|380|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Preferred (PPO)|00025101|0.00|450| | |WA|50300|0|N
H5521|380|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Preferred (PPO)|00025101|0.00|450| | |WA|50310|0|N
H5521|380|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Preferred (PPO)|00025101|0.00|450| | |WA|50330|0|N
H5521|381|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Discover Value (PPO)|00025101|25.00|450| | |NY|33040|0|N
H5521|381|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Discover Value (PPO)|00025101|25.00|450| | |NY|33060|0|N
H5521|381|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Discover Value (PPO)|00025101|25.00|450| | |NY|33240|0|N
H5521|381|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Discover Value (PPO)|00025101|25.00|450| | |NY|33290|0|N
H5521|381|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Discover Value (PPO)|00025101|25.00|450| | |NY|33500|0|N
H5521|381|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Discover Value (PPO)|00025101|25.00|450| | |NY|33900|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15000|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15010|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15020|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15030|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15040|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15050|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15060|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15070|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15080|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15090|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15100|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15110|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15120|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15130|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15140|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15150|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15160|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15170|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15180|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15190|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15200|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15210|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15220|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15230|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15240|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15250|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15260|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15270|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15280|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15290|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15300|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15310|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15320|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15330|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15340|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15350|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15360|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15370|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15380|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15390|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15400|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15410|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15420|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15430|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15440|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15450|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15460|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15470|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15480|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15490|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15500|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15510|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15520|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15530|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15540|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15550|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15560|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15570|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15580|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15590|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15600|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15610|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15620|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15630|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15640|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15650|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15660|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15670|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15680|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15690|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15700|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15710|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15720|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15730|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15740|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15750|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15760|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15770|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15780|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15790|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15800|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15810|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15820|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15830|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15840|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15850|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15860|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15870|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15890|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15900|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |IN|15910|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23020|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23040|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23050|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23070|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23080|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23090|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23100|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23110|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23120|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23130|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23140|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23170|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23180|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23190|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23220|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23230|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23240|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23250|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23270|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23280|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23290|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23310|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23320|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23330|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23340|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23370|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23380|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23390|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23400|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23420|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23430|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23440|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23450|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23460|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23490|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23500|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23520|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23530|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23560|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23570|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23580|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23590|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23600|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23610|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23620|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23630|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23640|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23660|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23670|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23680|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23690|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23710|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23720|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23730|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23740|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23750|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23770|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23780|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23790|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23800|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23810|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |MI|23830|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |WI|52000|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |WI|52100|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |WI|52120|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |WI|52220|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |WI|52240|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |WI|52290|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |WI|52310|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |WI|52320|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |WI|52380|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |WI|52390|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |WI|52400|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |WI|52440|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |WI|52500|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |WI|52520|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |WI|52580|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |WI|52600|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |WI|52610|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |WI|52630|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |WI|52650|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |WI|52660|0|N
H5521|386|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|42.90|590| | |WI|52680|0|N
H5521|388|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|14.00|0| | |WI|52000|0|N
H5521|388|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|14.00|0| | |WI|52100|0|N
H5521|388|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|14.00|0| | |WI|52120|0|N
H5521|388|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|14.00|0| | |WI|52180|0|N
H5521|388|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|14.00|0| | |WI|52200|0|N
H5521|388|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|14.00|0| | |WI|52220|0|N
H5521|388|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|14.00|0| | |WI|52240|0|N
H5521|388|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|14.00|0| | |WI|52310|0|N
H5521|388|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|14.00|0| | |WI|52320|0|N
H5521|388|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|14.00|0| | |WI|52330|0|N
H5521|388|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|14.00|0| | |WI|52380|0|N
H5521|388|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|14.00|0| | |WI|52400|0|N
H5521|388|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|14.00|0| | |WI|52480|0|N
H5521|388|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|14.00|0| | |WI|52520|0|N
H5521|388|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|14.00|0| | |WI|52600|0|N
H5521|388|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|14.00|0| | |WI|52610|0|N
H5521|388|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|14.00|0| | |WI|52680|0|N
H5521|392|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Prime Value (PPO)|00025101|0.00|450| | |NJ|31100|0|N
H5521|392|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Prime Value (PPO)|00025101|0.00|450| | |NJ|31250|0|N
H5521|392|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Prime Value (PPO)|00025101|0.00|450| | |NJ|31260|0|N
H5521|392|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Prime Value (PPO)|00025101|0.00|450| | |NJ|31290|0|N
H5521|392|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Prime Value (PPO)|00025101|0.00|450| | |NJ|31300|0|N
H5521|392|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Prime Value (PPO)|00025101|0.00|450| | |NJ|31320|0|N
H5521|392|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Prime Value (PPO)|00025101|0.00|450| | |NJ|31350|0|N
H5521|392|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Prime Value (PPO)|00025101|0.00|450| | |NJ|31360|0|N
H5521|392|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Prime Value (PPO)|00025101|0.00|450| | |NJ|31370|0|N
H5521|392|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Prime Value (PPO)|00025101|0.00|450| | |NJ|31390|0|N
H5521|395|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49000|0|N
H5521|395|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49194|0|N
H5521|395|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49280|0|N
H5521|395|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49328|0|N
H5521|395|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49360|0|N
H5521|395|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49411|0|N
H5521|395|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49460|0|N
H5521|395|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49470|0|N
H5521|395|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49480|0|N
H5521|395|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49510|0|N
H5521|395|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49570|0|N
H5521|395|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49590|0|N
H5521|395|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49622|0|N
H5521|395|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49641|0|N
H5521|395|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49650|0|N
H5521|395|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49660|0|N
H5521|395|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49711|0|N
H5521|395|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49712|0|N
H5521|395|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49790|0|N
H5521|395|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49870|0|N
H5521|395|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49892|0|N
H5521|395|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49900|0|N
H5521|395|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49910|0|N
H5521|395|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49921|0|N
H5521|395|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49960|0|N
H5521|395|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49961|0|N
H5521|395|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49981|0|N
H5521|398|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |UT|46010|2|N
H5521|398|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |UT|46020|2|N
H5521|398|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |UT|46030|2|N
H5521|398|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |UT|46050|2|N
H5521|398|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |UT|46060|2|N
H5521|398|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |UT|46100|2|N
H5521|398|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |UT|46110|2|N
H5521|398|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |UT|46140|2|N
H5521|398|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |UT|46160|2|N
H5521|398|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |UT|46170|2|N
H5521|398|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |UT|46210|2|N
H5521|398|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |UT|46220|2|N
H5521|398|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |UT|46230|2|N
H5521|398|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |UT|46240|2|N
H5521|398|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |UT|46260|2|N
H5521|398|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |UT|46280|2|N
H5521|399|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|24.30|590| | |MI|23180|0|N
H5521|399|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|24.30|590| | |MI|23240|0|N
H5521|399|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|24.30|590| | |MI|23290|0|N
H5521|399|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|24.30|590| | |MI|23320|0|N
H5521|399|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|24.30|590| | |MI|23370|0|N
H5521|399|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|24.30|590| | |MI|23430|0|N
H5521|399|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|24.30|590| | |MI|23450|0|N
H5521|399|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|24.30|590| | |MI|23460|0|N
H5521|399|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|24.30|590| | |MI|23490|0|N
H5521|399|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|24.30|590| | |MI|23570|0|N
H5521|399|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|24.30|590| | |MI|23620|0|N
H5521|399|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|24.30|590| | |MI|23730|0|N
H5521|399|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|24.30|590| | |MI|23770|0|N
H5521|399|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|24.30|590| | |MI|23800|0|N
H5521|399|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|24.30|590| | |MI|23810|0|N
H5521|400|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|29.00|590| | |WI|52290|0|N
H5521|400|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|29.00|590| | |WI|52390|0|N
H5521|400|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|29.00|590| | |WI|52440|0|N
H5521|400|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|29.00|590| | |WI|52500|0|N
H5521|400|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|29.00|590| | |WI|52580|0|N
H5521|400|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|29.00|590| | |WI|52650|0|N
H5521|400|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|29.00|590| | |WI|52660|0|N
H5521|403|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |WI|52290|0|N
H5521|403|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |WI|52390|0|N
H5521|403|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |WI|52440|0|N
H5521|403|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |WI|52500|0|N
H5521|403|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |WI|52580|0|N
H5521|403|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |WI|52650|0|N
H5521|403|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |WI|52660|0|N
H5521|404|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MI|23180|0|N
H5521|404|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MI|23240|0|N
H5521|404|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MI|23290|0|N
H5521|404|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MI|23320|0|N
H5521|404|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MI|23370|0|N
H5521|404|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MI|23430|0|N
H5521|404|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MI|23450|0|N
H5521|404|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MI|23460|0|N
H5521|404|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MI|23490|0|N
H5521|404|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MI|23570|0|N
H5521|404|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MI|23620|0|N
H5521|404|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MI|23730|0|N
H5521|404|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MI|23770|0|N
H5521|404|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MI|23800|0|N
H5521|404|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MI|23810|0|N
H5521|405|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15020|0|N
H5521|405|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15050|0|N
H5521|405|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15060|0|N
H5521|405|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15100|0|N
H5521|405|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15110|0|N
H5521|405|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15140|0|N
H5521|405|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15150|0|N
H5521|405|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15170|0|N
H5521|405|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15200|0|N
H5521|405|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15220|0|N
H5521|405|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15230|0|N
H5521|405|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15270|0|N
H5521|405|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15280|0|N
H5521|405|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15290|0|N
H5521|405|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15310|0|N
H5521|405|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15320|0|N
H5521|405|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15330|0|N
H5521|405|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15350|0|N
H5521|405|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15390|0|N
H5521|405|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15460|0|N
H5521|405|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15470|0|N
H5521|405|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15480|0|N
H5521|405|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15530|0|N
H5521|405|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15540|0|N
H5521|405|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15590|0|N
H5521|405|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15600|0|N
H5521|405|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15660|0|N
H5521|405|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15670|0|N
H5521|405|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15680|0|N
H5521|405|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15690|0|N
H5521|405|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15720|0|N
H5521|405|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15760|0|N
H5521|405|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15780|0|N
H5521|405|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15800|0|N
H5521|405|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15820|0|N
H5521|405|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15850|0|N
H5521|406|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15000|0|N
H5521|406|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15010|0|N
H5521|406|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15030|0|N
H5521|406|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15040|0|N
H5521|406|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15070|0|N
H5521|406|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15080|0|N
H5521|406|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15190|0|N
H5521|406|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15240|0|N
H5521|406|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15260|0|N
H5521|406|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15340|0|N
H5521|406|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15360|0|N
H5521|406|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15440|0|N
H5521|406|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15490|0|N
H5521|406|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15510|0|N
H5521|406|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15560|0|N
H5521|406|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15630|0|N
H5521|406|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15650|0|N
H5521|406|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15700|0|N
H5521|406|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15740|0|N
H5521|406|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15840|0|N
H5521|406|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IN|15910|0|N
H5521|407|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MI|23020|0|N
H5521|407|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MI|23070|0|N
H5521|407|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MI|23100|0|N
H5521|407|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MI|23110|0|N
H5521|407|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MI|23120|0|N
H5521|407|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MI|23130|0|N
H5521|407|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MI|23220|0|N
H5521|407|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MI|23330|0|N
H5521|407|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MI|23380|0|N
H5521|407|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MI|23400|0|N
H5521|407|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MI|23420|0|N
H5521|407|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MI|23520|0|N
H5521|407|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MI|23530|0|N
H5521|407|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MI|23580|0|N
H5521|407|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MI|23600|0|N
H5521|407|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MI|23610|0|N
H5521|407|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MI|23630|0|N
H5521|407|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MI|23660|0|N
H5521|407|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MI|23690|0|N
H5521|407|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MI|23740|0|N
H5521|407|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |MI|23790|0|N
H5521|408|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15090|0|N
H5521|408|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15120|0|N
H5521|408|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15210|0|N
H5521|408|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15300|0|N
H5521|408|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15380|0|N
H5521|408|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15570|0|N
H5521|408|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15580|0|N
H5521|408|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15610|0|N
H5521|408|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15710|0|N
H5521|408|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15770|0|N
H5521|408|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IN|15870|0|N
H5521|409|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|19.00|590| | |IN|15090|0|N
H5521|409|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|19.00|590| | |IN|15120|0|N
H5521|409|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|19.00|590| | |IN|15210|0|N
H5521|409|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|19.00|590| | |IN|15300|0|N
H5521|409|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|19.00|590| | |IN|15380|0|N
H5521|409|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|19.00|590| | |IN|15570|0|N
H5521|409|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|19.00|590| | |IN|15580|0|N
H5521|409|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|19.00|590| | |IN|15610|0|N
H5521|409|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|19.00|590| | |IN|15710|0|N
H5521|409|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|19.00|590| | |IN|15770|0|N
H5521|409|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|19.00|590| | |IN|15870|0|N
H5521|414|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|38.10|590| | |UT|46050|0|N
H5521|414|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|38.10|590| | |UT|46100|0|N
H5521|414|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|38.10|590| | |UT|46170|0|N
H5521|414|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|38.10|590| | |UT|46240|0|N
H5521|414|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|38.10|590| | |UT|46260|0|N
H5521|414|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|38.10|590| | |UT|46280|0|N
H5521|419|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Core (PPO)|00025101|0.00|590| | |CA|05200|0|N
H5521|419|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Core (PPO)|00025101|0.00|590| | |CA|05210|0|N
H5521|419|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Core (PPO)|00025101|0.00|590| | |CA|05400|0|N
H5521|421|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Core (PPO)|00025101|0.00|590| | |CA|05140|0|N
H5521|421|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Core (PPO)|00025101|0.00|590| | |CA|05430|0|N
H5521|421|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Core (PPO)|00025101|0.00|590| | |CA|05460|0|N
H5521|422|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Core (PPO)|00025101|0.00|590| | |CA|05470|0|N
H5521|424|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|6.00|590| | |AZ|03020|0|N
H5521|424|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|6.00|590| | |AZ|03070|0|N
H5521|424|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|6.00|590| | |AZ|03120|0|N
H5521|425|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Core (PPO)|00025101|0.00|590| | |CA|05000|0|N
H5521|425|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Core (PPO)|00025101|0.00|590| | |CA|05020|0|N
H5521|425|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Core (PPO)|00025101|0.00|590| | |CA|05080|0|N
H5521|425|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Core (PPO)|00025101|0.00|590| | |CA|05090|0|N
H5521|425|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Core (PPO)|00025101|0.00|590| | |CA|05300|0|N
H5521|425|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Core (PPO)|00025101|0.00|590| | |CA|05310|0|N
H5521|425|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Core (PPO)|00025101|0.00|590| | |CA|05380|0|N
H5521|425|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Core (PPO)|00025101|0.00|590| | |CA|05410|0|N
H5521|425|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Core (PPO)|00025101|0.00|590| | |CA|05440|0|N
H5521|425|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Core (PPO)|00025101|0.00|590| | |CA|05480|0|N
H5521|425|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Core (PPO)|00025101|0.00|590| | |CA|05490|0|N
H5521|425|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Core (PPO)|00025101|0.00|590| | |CA|05500|0|N
H5521|425|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Core (PPO)|00025101|0.00|590| | |CA|05510|0|N
H5521|425|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Core (PPO)|00025101|0.00|590| | |CA|05530|0|N
H5521|425|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Core (PPO)|00025101|0.00|590| | |CA|05540|0|N
H5521|425|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Core (PPO)|00025101|0.00|590| | |CA|05580|0|N
H5521|425|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Core (PPO)|00025101|0.00|590| | |CA|05590|0|N
H5521|425|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Core (PPO)|00025101|0.00|590| | |CA|05600|0|N
H5521|425|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Core (PPO)|00025101|0.00|590| | |CA|05670|0|N
H5521|431|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |WA|50160|0|N
H5521|431|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |WA|50170|0|N
H5521|431|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |WA|50260|0|N
H5521|431|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |WA|50280|0|N
H5521|431|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |WA|50300|0|N
H5521|431|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |WA|50310|0|N
H5521|431|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |WA|50330|0|N
H5521|432|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare FL Explorer Premier (PPO)|00025101|0.00|590| | |FL|10420|0|N
H5521|432|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare FL Explorer Premier (PPO)|00025101|0.00|590| | |FL|10490|0|N
H5521|432|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare FL Explorer Premier (PPO)|00025101|0.00|590| | |FL|10550|0|N
H5521|433|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare FL Explorer Premier (PPO)|00025101|0.00|590| | |FL|10040|0|N
H5521|434|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare FL Explorer Premier (PPO)|00025101|0.00|590| | |FL|10000|0|N
H5521|434|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare FL Explorer Premier (PPO)|00025101|0.00|590| | |FL|10010|0|N
H5521|434|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare FL Explorer Premier (PPO)|00025101|0.00|590| | |FL|10090|0|N
H5521|434|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare FL Explorer Premier (PPO)|00025101|0.00|590| | |FL|10110|0|N
H5521|434|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare FL Explorer Premier (PPO)|00025101|0.00|590| | |FL|10150|0|N
H5521|434|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare FL Explorer Premier (PPO)|00025101|0.00|590| | |FL|10170|0|N
H5521|434|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare FL Explorer Premier (PPO)|00025101|0.00|590| | |FL|10440|0|N
H5521|434|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare FL Explorer Premier (PPO)|00025101|0.00|590| | |FL|10530|0|N
H5521|434|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare FL Explorer Premier (PPO)|00025101|0.00|590| | |FL|10540|0|N
H5521|434|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare FL Explorer Premier (PPO)|00025101|0.00|590| | |FL|10630|0|N
H5521|435|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare FL Explorer Premier (PPO)|00025101|0.00|590| | |FL|10160|0|N
H5521|435|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare FL Explorer Premier (PPO)|00025101|0.00|590| | |FL|10450|0|N
H5521|435|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare FL Explorer Premier (PPO)|00025101|0.00|590| | |FL|10560|0|N
H5521|435|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare FL Explorer Premier (PPO)|00025101|0.00|590| | |FL|10650|0|N
H5521|437|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare FL Explorer Premier (PPO)|00025101|0.00|590| | |FL|10260|0|N
H5521|437|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare FL Explorer Premier (PPO)|00025101|0.00|590| | |FL|10280|0|N
H5521|437|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare FL Explorer Premier (PPO)|00025101|0.00|590| | |FL|10500|0|N
H5521|437|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare FL Explorer Premier (PPO)|00025101|0.00|590| | |FL|10510|0|N
H5521|437|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare FL Explorer Premier (PPO)|00025101|0.00|590| | |FL|10520|0|N
H5521|438|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare FL Explorer Premier (PPO)|00025101|0.00|590| | |FL|10070|0|N
H5521|438|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare FL Explorer Premier (PPO)|00025101|0.00|590| | |FL|10100|0|N
H5521|438|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare FL Explorer Premier (PPO)|00025101|0.00|590| | |FL|10130|0|N
H5521|438|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare FL Explorer Premier (PPO)|00025101|0.00|590| | |FL|10270|0|N
H5521|438|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare FL Explorer Premier (PPO)|00025101|0.00|590| | |FL|10350|0|N
H5521|438|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare FL Explorer Premier (PPO)|00025101|0.00|590| | |FL|10400|0|N
H5521|438|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare FL Explorer Premier (PPO)|00025101|0.00|590| | |FL|10570|0|N
H5521|439|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare FL Explorer Premier (PPO)|00025101|0.00|590| | |FL|10340|0|N
H5521|439|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare FL Explorer Premier (PPO)|00025101|0.00|590| | |FL|10370|0|N
H5521|439|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare FL Explorer Premier (PPO)|00025101|0.00|590| | |FL|10410|0|N
H5521|439|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare FL Explorer Premier (PPO)|00025101|0.00|590| | |FL|10590|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18040|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18070|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18090|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18110|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18130|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18140|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18150|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18170|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18180|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18191|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18210|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18230|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18240|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18291|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18330|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18350|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18360|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18362|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18400|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18410|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18420|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18440|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18450|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18460|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18480|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18490|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18500|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18510|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18530|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18550|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18560|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18580|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18590|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18600|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18610|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18620|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18660|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18670|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18700|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18720|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18730|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18740|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18750|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18780|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18790|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18800|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18801|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18860|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18880|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18890|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18900|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18910|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18920|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18930|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18932|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18970|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18972|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18973|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18975|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18976|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18977|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18978|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18980|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18981|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18982|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18984|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18986|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18988|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18989|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18990|0|N
H5521|442|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |KY|18992|0|N
H5521|443|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.60|590| | |CO|06000|0|N
H5521|443|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.60|590| | |CO|06020|0|N
H5521|443|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.60|590| | |CO|06030|0|N
H5521|443|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.60|590| | |CO|06060|0|N
H5521|443|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.60|590| | |CO|06090|0|N
H5521|443|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.60|590| | |CO|06100|0|N
H5521|443|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.60|590| | |CO|06120|0|N
H5521|443|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.60|590| | |CO|06130|0|N
H5521|443|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.60|590| | |CO|06140|0|N
H5521|443|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.60|590| | |CO|06150|0|N
H5521|443|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.60|590| | |CO|06170|0|N
H5521|443|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.60|590| | |CO|06190|0|N
H5521|443|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.60|590| | |CO|06200|0|N
H5521|443|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.60|590| | |CO|06210|0|N
H5521|443|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.60|590| | |CO|06230|0|N
H5521|443|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.60|590| | |CO|06240|0|N
H5521|443|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.60|590| | |CO|06270|0|N
H5521|443|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.60|590| | |CO|06280|0|N
H5521|443|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.60|590| | |CO|06290|0|N
H5521|443|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.60|590| | |CO|06330|0|N
H5521|443|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.60|590| | |CO|06340|0|N
H5521|443|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.60|590| | |CO|06350|0|N
H5521|443|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.60|590| | |CO|06360|0|N
H5521|443|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.60|590| | |CO|06380|0|N
H5521|443|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.60|590| | |CO|06420|0|N
H5521|443|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.60|590| | |CO|06430|0|N
H5521|443|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.60|590| | |CO|06460|0|N
H5521|443|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.60|590| | |CO|06500|0|N
H5521|443|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.60|590| | |CO|06540|0|N
H5521|443|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.60|590| | |CO|06590|0|N
H5521|443|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.60|590| | |CO|06600|0|N
H5521|443|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.60|590| | |CO|06610|0|N
H5521|443|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.60|590| | |CO|06630|0|N
H5521|446|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Discover (PPO)|00025101|0.00|450| | |CT|07010|0|N
H5521|446|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Discover (PPO)|00025101|0.00|450| | |CT|07020|0|N
H5521|446|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Discover (PPO)|00025101|0.00|450| | |CT|07030|0|N
H5521|446|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Discover (PPO)|00025101|0.00|450| | |CT|07040|0|N
H5521|446|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Discover (PPO)|00025101|0.00|450| | |CT|07050|0|N
H5521|446|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Discover (PPO)|00025101|0.00|450| | |CT|07060|0|N
H5521|446|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Discover (PPO)|00025101|0.00|450| | |CT|07070|0|N
H5521|449|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|28.20|590| | |RI|41000|0|N
H5521|449|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|28.20|590| | |RI|41010|0|N
H5521|449|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|28.20|590| | |RI|41020|0|N
H5521|449|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|28.20|590| | |RI|41030|0|N
H5521|449|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|28.20|590| | |RI|41050|0|N
H5521|450|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Discover (PPO)|00025101|0.00|250| | |MA|22070|0|N
H5521|450|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Discover (PPO)|00025101|0.00|250| | |MA|22080|0|N
H5521|450|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Discover (PPO)|00025101|0.00|250| | |MA|22170|0|N
H5521|451|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Discover (PPO)|00025101|0.00|250| | |MA|22020|0|N
H5521|451|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Discover (PPO)|00025101|0.00|250| | |MA|22040|0|N
H5521|451|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Discover (PPO)|00025101|0.00|250| | |MA|22090|0|N
H5521|451|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Discover (PPO)|00025101|0.00|250| | |MA|22130|0|N
H5521|451|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Discover (PPO)|00025101|0.00|250| | |MA|22150|0|N
H5521|451|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Discover (PPO)|00025101|0.00|250| | |MA|22160|0|N
H5521|456|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|68.80|450| | |NJ|31000|0|N
H5521|456|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|68.80|450| | |NJ|31100|0|N
H5521|456|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|68.80|450| | |NJ|31150|0|N
H5521|456|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|68.80|450| | |NJ|31160|0|N
H5521|456|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|68.80|450| | |NJ|31180|0|N
H5521|456|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|68.80|450| | |NJ|31190|0|N
H5521|456|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|68.80|450| | |NJ|31200|0|N
H5521|456|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|68.80|450| | |NJ|31220|0|N
H5521|456|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|68.80|450| | |NJ|31230|0|N
H5521|456|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|68.80|450| | |NJ|31250|0|N
H5521|456|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|68.80|450| | |NJ|31260|0|N
H5521|456|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|68.80|450| | |NJ|31270|0|N
H5521|456|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|68.80|450| | |NJ|31290|0|N
H5521|456|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|68.80|450| | |NJ|31300|0|N
H5521|456|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|68.80|450| | |NJ|31310|0|N
H5521|456|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|68.80|450| | |NJ|31320|0|N
H5521|456|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|68.80|450| | |NJ|31340|0|N
H5521|456|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|68.80|450| | |NJ|31350|0|N
H5521|456|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|68.80|450| | |NJ|31360|0|N
H5521|456|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|68.80|450| | |NJ|31370|0|N
H5521|456|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|68.80|450| | |NJ|31390|0|N
H5521|457|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Discover Value (PPO)|00025101|26.00|590| | |NY|33020|0|N
H5521|459|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|70.30|590| | |NY|33000|0|N
H5521|459|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|70.30|590| | |NY|33010|0|N
H5521|459|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|70.30|590| | |NY|33030|0|N
H5521|459|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|70.30|590| | |NY|33040|0|N
H5521|459|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|70.30|590| | |NY|33050|0|N
H5521|459|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|70.30|590| | |NY|33060|0|N
H5521|459|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|70.30|590| | |NY|33070|0|N
H5521|459|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|70.30|590| | |NY|33080|0|N
H5521|459|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|70.30|590| | |NY|33090|0|N
H5521|459|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|70.30|590| | |NY|33200|0|N
H5521|459|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|70.30|590| | |NY|33210|0|N
H5521|459|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|70.30|590| | |NY|33220|0|N
H5521|459|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|70.30|590| | |NY|33230|0|N
H5521|459|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|70.30|590| | |NY|33240|0|N
H5521|459|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|70.30|590| | |NY|33260|0|N
H5521|459|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|70.30|590| | |NY|33270|0|N
H5521|459|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|70.30|590| | |NY|33280|0|N
H5521|459|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|70.30|590| | |NY|33290|0|N
H5521|459|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|70.30|590| | |NY|33300|0|N
H5521|459|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|70.30|590| | |NY|33310|0|N
H5521|459|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|70.30|590| | |NY|33320|0|N
H5521|459|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|70.30|590| | |NY|33330|0|N
H5521|459|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|70.30|590| | |NY|33340|0|N
H5521|459|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|70.30|590| | |NY|33350|0|N
H5521|459|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|70.30|590| | |NY|33360|0|N
H5521|459|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|70.30|590| | |NY|33370|0|N
H5521|459|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|70.30|590| | |NY|33380|0|N
H5521|459|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|70.30|590| | |NY|33500|0|N
H5521|459|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|70.30|590| | |NY|33510|0|N
H5521|459|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|70.30|590| | |NY|33520|0|N
H5521|459|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|70.30|590| | |NY|33530|0|N
H5521|459|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|70.30|590| | |NY|33540|0|N
H5521|459|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|70.30|590| | |NY|33550|0|N
H5521|459|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|70.30|590| | |NY|33560|0|N
H5521|459|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|70.30|590| | |NY|33570|0|N
H5521|459|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|70.30|590| | |NY|33580|0|N
H5521|459|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|70.30|590| | |NY|33600|0|N
H5521|459|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|70.30|590| | |NY|33630|0|N
H5521|459|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|70.30|590| | |NY|33640|0|N
H5521|459|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|70.30|590| | |NY|33650|0|N
H5521|459|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|70.30|590| | |NY|33660|0|N
H5521|459|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|70.30|590| | |NY|33670|0|N
H5521|459|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|70.30|590| | |NY|33680|0|N
H5521|459|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|70.30|590| | |NY|33690|0|N
H5521|459|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|70.30|590| | |NY|33710|0|N
H5521|459|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|70.30|590| | |NY|33720|0|N
H5521|459|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|70.30|590| | |NY|33730|0|N
H5521|459|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|70.30|590| | |NY|33740|0|N
H5521|459|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|70.30|590| | |NY|33750|0|N
H5521|459|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|70.30|590| | |NY|33760|0|N
H5521|459|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|70.30|590| | |NY|33770|0|N
H5521|459|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|70.30|590| | |NY|33900|0|N
H5521|459|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|70.30|590| | |NY|33910|0|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33000|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33010|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33020|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33030|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33040|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33050|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33060|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33070|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33080|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33090|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33200|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33210|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33220|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33230|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33240|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33260|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33270|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33280|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33290|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33300|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33310|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33320|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33330|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33331|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33340|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33350|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33360|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33370|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33380|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33400|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33420|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33500|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33510|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33520|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33530|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33540|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33550|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33560|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33570|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33580|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33590|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33600|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33610|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33620|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33630|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33640|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33650|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33660|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33670|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33680|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33690|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33700|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33710|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33720|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33730|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33740|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33750|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33760|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33770|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33800|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33900|3|N
H5521|461|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|72.30|590| | |NY|33910|3|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01000|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01010|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01020|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01030|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01040|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01050|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01060|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01070|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01080|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01090|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01100|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01110|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01120|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01130|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01140|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01150|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01160|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01180|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01190|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01200|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01210|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01220|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01230|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01240|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01250|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01260|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01270|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01280|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01290|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01300|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01310|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01320|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01330|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01340|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01350|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01360|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01370|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01380|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01390|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01400|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01410|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01420|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01430|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01440|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01450|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01460|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01470|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01480|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01500|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01510|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01520|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01530|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01540|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01550|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01560|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01570|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01580|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01600|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01610|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01620|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01630|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01640|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01650|2|N
H5521|462|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|11.70|590| | |AL|01660|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01000|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01010|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01020|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01030|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01040|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01050|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01060|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01070|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01080|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01090|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01100|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01110|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01120|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01130|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01140|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01150|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01160|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01180|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01190|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01200|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01210|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01220|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01230|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01240|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01250|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01260|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01270|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01280|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01290|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01300|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01310|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01320|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01330|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01340|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01350|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01360|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01370|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01380|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01390|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01400|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01410|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01420|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01430|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01440|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01450|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01460|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01470|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01480|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01500|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01510|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01520|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01530|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01540|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01550|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01560|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01570|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01580|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01600|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01610|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01620|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01630|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01640|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01650|2|N
H5521|463|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|12.40|590| | |AL|01660|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25000|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25010|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25020|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25030|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25040|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25050|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25060|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25070|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25080|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25090|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25100|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25120|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25130|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25140|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25150|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25160|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25180|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25190|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25200|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25210|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25220|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25230|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25240|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25250|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25260|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25270|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25280|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25290|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25310|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25320|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25350|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25380|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25390|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25400|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25410|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25420|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25430|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25440|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25450|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25460|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25470|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25480|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25510|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25520|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25530|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25540|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25550|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25560|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25570|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25580|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25590|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25600|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25610|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25620|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25630|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25640|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25650|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25660|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25670|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25680|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25690|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25700|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25710|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25720|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25730|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25740|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25750|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25760|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25770|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25780|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25800|2|N
H5521|464|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |MS|25810|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25000|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25010|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25020|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25030|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25050|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25070|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25080|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25090|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25100|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25120|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25130|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25140|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25150|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25160|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25180|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25190|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25200|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25210|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25220|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25240|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25250|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25260|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25270|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25280|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25290|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25310|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25320|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25350|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25380|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25390|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25400|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25410|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25420|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25430|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25440|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25450|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25470|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25480|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25510|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25530|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25550|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25560|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25570|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25580|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25590|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25600|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25610|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25620|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25630|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25640|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25650|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25660|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25670|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25710|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25730|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25740|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25750|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25760|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25770|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25780|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25800|2|N
H5521|465|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Select Choice (PPO D-SNP)|00025101|45.90|590| | |MS|25810|2|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01000|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01010|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01020|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01030|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01040|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01050|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01060|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01070|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01080|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01090|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01100|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01110|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01120|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01130|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01140|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01150|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01160|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01180|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01190|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01200|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01210|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01220|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01230|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01240|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01250|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01260|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01270|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01280|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01290|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01300|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01310|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01320|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01330|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01340|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01350|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01360|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01370|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01380|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01390|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01400|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01410|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01420|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01430|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01440|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01450|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01460|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01470|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01480|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01500|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01510|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01520|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01530|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01540|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01550|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01560|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01570|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01580|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01600|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01610|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01620|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01630|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01640|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01650|0|N
H5521|467|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|9.70|590| | |AL|01660|0|N
H5521|469|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19000|2|N
H5521|469|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19010|2|N
H5521|469|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19040|2|N
H5521|469|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19050|2|N
H5521|469|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19060|2|N
H5521|469|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19070|2|N
H5521|469|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19080|2|N
H5521|469|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19100|2|N
H5521|469|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19110|2|N
H5521|469|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19120|2|N
H5521|469|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19130|2|N
H5521|469|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19140|2|N
H5521|469|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19150|2|N
H5521|469|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19170|2|N
H5521|469|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19180|2|N
H5521|469|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19190|2|N
H5521|469|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19200|2|N
H5521|469|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19210|2|N
H5521|469|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19220|2|N
H5521|469|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19230|2|N
H5521|469|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19240|2|N
H5521|469|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19260|2|N
H5521|469|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19290|2|N
H5521|469|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19300|2|N
H5521|469|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19320|2|N
H5521|469|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19330|2|N
H5521|469|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19340|2|N
H5521|469|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19360|2|N
H5521|469|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19370|2|N
H5521|469|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19400|2|N
H5521|469|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19410|2|N
H5521|469|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19420|2|N
H5521|469|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19450|2|N
H5521|469|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19470|2|N
H5521|469|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19490|2|N
H5521|469|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19500|2|N
H5521|469|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19530|2|N
H5521|469|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19550|2|N
H5521|469|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19560|2|N
H5521|469|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19570|2|N
H5521|469|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19580|2|N
H5521|469|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19590|2|N
H5521|469|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19610|2|N
H5521|469|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19620|2|N
H5521|469|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19630|2|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25000|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25010|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25020|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25030|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25040|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25050|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25060|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25070|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25080|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25090|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25100|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25120|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25130|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25140|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25150|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25160|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25180|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25190|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25200|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25210|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25220|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25230|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25240|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25250|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25260|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25270|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25280|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25290|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25310|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25320|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25350|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25380|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25390|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25400|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25410|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25420|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25430|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25440|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25450|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25460|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25470|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25480|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25510|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25520|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25530|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25540|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25550|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25560|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25570|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25580|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25590|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25600|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25610|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25620|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25630|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25640|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25650|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25660|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25670|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25680|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25690|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25700|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25710|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25720|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25730|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25740|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25750|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25760|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25770|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25780|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25800|0|N
H5521|470|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|40.50|590| | |MS|25810|0|N
H5521|471|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |MS|25030|0|N
H5521|471|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |MS|25050|0|N
H5521|471|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |MS|25070|0|N
H5521|471|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |MS|25090|0|N
H5521|471|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |MS|25100|0|N
H5521|471|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |MS|25140|0|N
H5521|471|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |MS|25240|0|N
H5521|471|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |MS|25250|0|N
H5521|471|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |MS|25260|0|N
H5521|471|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |MS|25270|0|N
H5521|471|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |MS|25310|0|N
H5521|471|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |MS|25390|0|N
H5521|471|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |MS|25410|0|N
H5521|471|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |MS|25440|0|N
H5521|471|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |MS|25480|0|N
H5521|471|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |MS|25510|0|N
H5521|471|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |MS|25600|0|N
H5521|471|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |MS|25610|0|N
H5521|471|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |MS|25620|0|N
H5521|471|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |MS|25630|0|N
H5521|471|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |MS|25640|0|N
H5521|471|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |MS|25660|0|N
H5521|471|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |MS|25740|0|N
H5521|471|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |MS|25750|0|N
H5521|471|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|0| | |MS|25810|0|N
H5521|472|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19020|2|N
H5521|472|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19030|2|N
H5521|472|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19090|2|N
H5521|472|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19160|2|N
H5521|472|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19250|2|N
H5521|472|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19270|2|N
H5521|472|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19280|2|N
H5521|472|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19310|2|N
H5521|472|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19350|2|N
H5521|472|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19380|2|N
H5521|472|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19390|2|N
H5521|472|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19430|2|N
H5521|472|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19440|2|N
H5521|472|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19460|2|N
H5521|472|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19480|2|N
H5521|472|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19510|2|N
H5521|472|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19520|2|N
H5521|472|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19540|2|N
H5521|472|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Signature Choice (PPO D-SNP)|00025101|0.00|590| | |LA|19600|2|N
H5521|474|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|20.00|0| | |LA|19020|0|N
H5521|474|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|20.00|0| | |LA|19030|0|N
H5521|474|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|20.00|0| | |LA|19090|0|N
H5521|474|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|20.00|0| | |LA|19160|0|N
H5521|474|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|20.00|0| | |LA|19250|0|N
H5521|474|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|20.00|0| | |LA|19270|0|N
H5521|474|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|20.00|0| | |LA|19280|0|N
H5521|474|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|20.00|0| | |LA|19310|0|N
H5521|474|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|20.00|0| | |LA|19350|0|N
H5521|474|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|20.00|0| | |LA|19380|0|N
H5521|474|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|20.00|0| | |LA|19390|0|N
H5521|474|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|20.00|0| | |LA|19430|0|N
H5521|474|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|20.00|0| | |LA|19440|0|N
H5521|474|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|20.00|0| | |LA|19460|0|N
H5521|474|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|20.00|0| | |LA|19480|0|N
H5521|474|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|20.00|0| | |LA|19510|0|N
H5521|474|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|20.00|0| | |LA|19520|0|N
H5521|474|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|20.00|0| | |LA|19540|0|N
H5521|474|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus Signature (PPO)|00025101|20.00|0| | |LA|19600|0|N
H5521|475|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Giveback Choice (PPO)|00025101|0.00|590| | |AL|01010|0|N
H5521|475|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Giveback Choice (PPO)|00025101|0.00|590| | |AL|01070|0|N
H5521|475|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Giveback Choice (PPO)|00025101|0.00|590| | |AL|01360|0|N
H5521|475|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Giveback Choice (PPO)|00025101|0.00|590| | |AL|01400|0|N
H5521|475|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Giveback Choice (PPO)|00025101|0.00|590| | |AL|01440|0|N
H5521|475|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Giveback Choice (PPO)|00025101|0.00|590| | |AL|01480|0|N
H5521|475|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Giveback Choice (PPO)|00025101|0.00|590| | |AL|01500|0|N
H5521|475|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Giveback Choice (PPO)|00025101|0.00|590| | |AL|01510|0|N
H5521|475|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Giveback Choice (PPO)|00025101|0.00|590| | |AL|01580|0|N
H5521|475|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Giveback Choice (PPO)|00025101|0.00|590| | |AL|01620|0|N
H5521|476|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Giveback Choice (PPO)|00025101|0.00|590| | |LA|19020|0|N
H5521|476|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Giveback Choice (PPO)|00025101|0.00|590| | |LA|19030|0|N
H5521|476|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Giveback Choice (PPO)|00025101|0.00|590| | |LA|19160|0|N
H5521|476|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Giveback Choice (PPO)|00025101|0.00|590| | |LA|19250|0|N
H5521|476|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Giveback Choice (PPO)|00025101|0.00|590| | |LA|19280|0|N
H5521|476|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Giveback Choice (PPO)|00025101|0.00|590| | |LA|19310|0|N
H5521|476|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Giveback Choice (PPO)|00025101|0.00|590| | |LA|19350|0|N
H5521|476|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Giveback Choice (PPO)|00025101|0.00|590| | |LA|19370|0|N
H5521|476|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Giveback Choice (PPO)|00025101|0.00|590| | |LA|19380|0|N
H5521|476|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Giveback Choice (PPO)|00025101|0.00|590| | |LA|19430|0|N
H5521|476|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Giveback Choice (PPO)|00025101|0.00|590| | |LA|19440|0|N
H5521|476|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Giveback Choice (PPO)|00025101|0.00|590| | |LA|19460|0|N
H5521|476|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Giveback Choice (PPO)|00025101|0.00|590| | |LA|19470|0|N
H5521|476|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Giveback Choice (PPO)|00025101|0.00|590| | |LA|19510|0|N
H5521|476|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Giveback Choice (PPO)|00025101|0.00|590| | |LA|19520|0|N
H5521|476|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Giveback Choice (PPO)|00025101|0.00|590| | |LA|19540|0|N
H5521|476|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Giveback Choice (PPO)|00025101|0.00|590| | |LA|19600|0|N
H5521|477|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Giveback Choice (PPO)|00025101|0.00|590| | |MS|25160|0|N
H5521|477|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Giveback Choice (PPO)|00025101|0.00|590| | |MS|25230|0|N
H5521|477|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Giveback Choice (PPO)|00025101|0.00|590| | |MS|25240|0|N
H5521|477|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Giveback Choice (PPO)|00025101|0.00|590| | |MS|25290|0|N
H5521|477|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Giveback Choice (PPO)|00025101|0.00|590| | |MS|25430|0|N
H5521|477|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Giveback Choice (PPO)|00025101|0.00|590| | |MS|25440|0|N
H5521|477|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Giveback Choice (PPO)|00025101|0.00|590| | |MS|25540|0|N
H5521|477|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Giveback Choice (PPO)|00025101|0.00|590| | |MS|25600|0|N
H5521|477|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Giveback Choice (PPO)|00025101|0.00|590| | |MS|25650|0|N
H5521|478|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Core (PPO)|00025100|10.30|590| | |CA|05520|0|N
H5521|482|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|17.70|590| | |MD|21010|0|N
H5521|482|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|17.70|590| | |MD|21020|0|N
H5521|482|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|17.70|590| | |MD|21030|0|N
H5521|482|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|17.70|590| | |MD|21060|0|N
H5521|482|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|17.70|590| | |MD|21100|0|N
H5521|482|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|17.70|590| | |MD|21120|0|N
H5521|482|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|17.70|590| | |MD|21130|0|N
H5521|482|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|17.70|590| | |MD|21150|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49010|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49020|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49030|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49070|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49080|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49100|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49110|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49120|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49130|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49140|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49141|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49160|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49170|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49180|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49190|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49191|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49200|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49212|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49213|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49220|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49240|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49241|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49250|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49260|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49270|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49310|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49320|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49330|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49343|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49350|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49370|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49380|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49390|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49400|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49410|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49420|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49430|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49440|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49450|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49451|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49490|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49500|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49520|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49522|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49540|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49550|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49560|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49561|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49580|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49600|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49620|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49621|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49661|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49670|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49680|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49700|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49701|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49710|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49720|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49740|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49770|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49771|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49791|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49800|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49801|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49810|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49830|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49838|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49840|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49850|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49860|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49891|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49920|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49950|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49951|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49970|0|N
H5521|484|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |VA|49980|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18040|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18070|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18090|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18110|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18130|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18140|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18150|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18170|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18180|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18191|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18210|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18230|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18240|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18291|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18330|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18350|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18360|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18362|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18400|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18410|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18420|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18440|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18450|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18460|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18480|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18490|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18500|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18510|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18530|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18550|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18560|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18580|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18590|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18600|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18610|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18620|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18660|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18670|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18700|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18720|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18730|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18740|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18750|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18780|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18790|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18800|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18801|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18860|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18880|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18890|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18900|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18910|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18920|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18930|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18932|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18970|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18972|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18973|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18975|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18976|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18977|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18978|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18980|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18981|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18982|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18984|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18986|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18988|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18989|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18990|0|N
H5521|490|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|49.60|250| | |KY|18992|0|N
H5521|492|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Preferred (PPO)|00025100|0.00|590| | |OR|38020|0|N
H5521|492|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Preferred (PPO)|00025100|0.00|590| | |OR|38040|0|N
H5521|492|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Preferred (PPO)|00025100|0.00|590| | |OR|38210|0|N
H5521|492|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Preferred (PPO)|00025100|0.00|590| | |OR|38230|0|N
H5521|492|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Preferred (PPO)|00025100|0.00|590| | |OR|38250|0|N
H5521|492|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Preferred (PPO)|00025100|0.00|590| | |OR|38330|0|N
H5521|492|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Preferred (PPO)|00025100|0.00|590| | |OR|38350|0|N
H5521|495|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|46.20|250| | |ME|20020|0|N
H5521|495|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|46.20|250| | |ME|20110|0|N
H5521|495|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|46.20|250| | |ME|20150|0|N
H5521|496|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|28.00|590| | |IN|15000|0|N
H5521|496|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|28.00|590| | |IN|15010|0|N
H5521|496|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|28.00|590| | |IN|15030|0|N
H5521|496|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|28.00|590| | |IN|15040|0|N
H5521|496|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|28.00|590| | |IN|15070|0|N
H5521|496|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|28.00|590| | |IN|15080|0|N
H5521|496|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|28.00|590| | |IN|15160|0|N
H5521|496|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|28.00|590| | |IN|15190|0|N
H5521|496|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|28.00|590| | |IN|15240|0|N
H5521|496|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|28.00|590| | |IN|15260|0|N
H5521|496|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|28.00|590| | |IN|15340|0|N
H5521|496|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|28.00|590| | |IN|15360|0|N
H5521|496|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|28.00|590| | |IN|15370|0|N
H5521|496|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|28.00|590| | |IN|15420|0|N
H5521|496|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|28.00|590| | |IN|15430|0|N
H5521|496|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|28.00|590| | |IN|15440|0|N
H5521|496|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|28.00|590| | |IN|15450|0|N
H5521|496|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|28.00|590| | |IN|15490|0|N
H5521|496|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|28.00|590| | |IN|15510|0|N
H5521|496|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|28.00|590| | |IN|15550|0|N
H5521|496|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|28.00|590| | |IN|15560|0|N
H5521|496|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|28.00|590| | |IN|15630|0|N
H5521|496|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|28.00|590| | |IN|15650|0|N
H5521|496|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|28.00|590| | |IN|15700|0|N
H5521|496|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|28.00|590| | |IN|15740|0|N
H5521|496|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|28.00|590| | |IN|15750|0|N
H5521|496|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|28.00|590| | |IN|15840|0|N
H5521|496|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|28.00|590| | |IN|15890|0|N
H5521|496|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|28.00|590| | |IN|15900|0|N
H5521|496|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025100|28.00|590| | |IN|15910|0|N
H5521|497|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|56.20|590| | |IN|15130|0|N
H5521|497|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|56.20|590| | |IN|15180|0|N
H5521|497|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|56.20|590| | |IN|15250|0|N
H5521|497|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|56.20|590| | |IN|15410|0|N
H5521|497|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|56.20|590| | |IN|15500|0|N
H5521|497|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|56.20|590| | |IN|15620|0|N
H5521|497|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|56.20|590| | |IN|15640|0|N
H5521|497|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|56.20|590| | |IN|15730|0|N
H5521|497|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|56.20|590| | |IN|15810|0|N
H5521|497|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|56.20|590| | |IN|15860|0|N
H5521|498|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|37.70|590| | |MI|23010|0|N
H5521|498|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|37.70|590| | |MI|23040|0|N
H5521|498|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|37.70|590| | |MI|23050|0|N
H5521|498|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|37.70|590| | |MI|23060|0|N
H5521|498|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|37.70|590| | |MI|23080|0|N
H5521|498|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|37.70|590| | |MI|23090|0|N
H5521|498|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|37.70|590| | |MI|23140|0|N
H5521|498|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|37.70|590| | |MI|23170|0|N
H5521|498|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|37.70|590| | |MI|23190|0|N
H5521|498|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|37.70|590| | |MI|23200|0|N
H5521|498|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|37.70|590| | |MI|23210|0|N
H5521|498|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|37.70|590| | |MI|23230|0|N
H5521|498|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|37.70|590| | |MI|23250|0|N
H5521|498|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|37.70|590| | |MI|23270|0|N
H5521|498|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|37.70|590| | |MI|23280|0|N
H5521|498|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|37.70|590| | |MI|23300|0|N
H5521|498|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|37.70|590| | |MI|23310|0|N
H5521|498|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|37.70|590| | |MI|23340|0|N
H5521|498|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|37.70|590| | |MI|23350|0|N
H5521|498|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|37.70|590| | |MI|23390|0|N
H5521|498|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|37.70|590| | |MI|23410|0|N
H5521|498|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|37.70|590| | |MI|23440|0|N
H5521|498|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|37.70|590| | |MI|23470|0|N
H5521|498|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|37.70|590| | |MI|23500|0|N
H5521|498|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|37.70|590| | |MI|23510|0|N
H5521|498|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|37.70|590| | |MI|23540|0|N
H5521|498|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|37.70|590| | |MI|23560|0|N
H5521|498|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|37.70|590| | |MI|23590|0|N
H5521|498|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|37.70|590| | |MI|23640|0|N
H5521|498|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|37.70|590| | |MI|23650|0|N
H5521|498|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|37.70|590| | |MI|23670|0|N
H5521|498|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|37.70|590| | |MI|23680|0|N
H5521|498|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|37.70|590| | |MI|23710|0|N
H5521|498|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|37.70|590| | |MI|23720|0|N
H5521|498|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|37.70|590| | |MI|23750|0|N
H5521|498|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|37.70|590| | |MI|23780|0|N
H5521|498|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|37.70|590| | |MI|23830|0|N
H5521|499|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|39.30|590| | |WI|52040|0|N
H5521|499|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|39.30|590| | |WI|52100|0|N
H5521|499|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|39.30|590| | |WI|52120|0|N
H5521|499|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|39.30|590| | |WI|52220|0|N
H5521|499|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|39.30|590| | |WI|52240|0|N
H5521|499|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|39.30|590| | |WI|52300|0|N
H5521|499|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|39.30|590| | |WI|52320|0|N
H5521|499|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|39.30|590| | |WI|52350|0|N
H5521|499|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|39.30|590| | |WI|52370|0|N
H5521|499|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|39.30|590| | |WI|52380|0|N
H5521|499|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|39.30|590| | |WI|52410|0|N
H5521|499|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|39.30|590| | |WI|52430|0|N
H5521|499|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|39.30|590| | |WI|52520|0|N
H5521|499|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|39.30|590| | |WI|52570|0|N
H5521|499|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|39.30|590| | |WI|52680|0|N
H5521|499|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Smart Plus (PPO)|00025100|39.30|590| | |WI|52690|0|N
H5521|500|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Primary (PPO)|00025101|0.00|0| | |SC|42030|0|N
H5521|500|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Primary (PPO)|00025101|0.00|0| | |SC|42070|0|N
H5521|500|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Primary (PPO)|00025101|0.00|0| | |SC|42090|0|N
H5521|500|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Primary (PPO)|00025101|0.00|0| | |SC|42100|0|N
H5521|500|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Primary (PPO)|00025101|0.00|0| | |SC|42170|0|N
H5521|500|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Primary (PPO)|00025101|0.00|0| | |SC|42220|0|N
H5521|500|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Primary (PPO)|00025101|0.00|0| | |SC|42250|0|N
H5521|500|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Primary (PPO)|00025101|0.00|0| | |SC|42290|0|N
H5521|500|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Primary (PPO)|00025101|0.00|0| | |SC|42310|0|N
H5521|500|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Primary (PPO)|00025101|0.00|0| | |SC|42360|0|N
H5521|500|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Primary (PPO)|00025101|0.00|0| | |SC|42380|0|N
H5521|500|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Primary (PPO)|00025101|0.00|0| | |SC|42390|0|N
H5521|500|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Primary (PPO)|00025101|0.00|0| | |SC|42410|0|N
H5521|500|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Primary (PPO)|00025101|0.00|0| | |SC|42450|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44010|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44020|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44030|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44050|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44070|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44080|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44100|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44110|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44130|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44150|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44160|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44170|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44180|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44190|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44200|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44210|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44220|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44230|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44240|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44250|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44260|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44270|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44300|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44320|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44340|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44350|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44370|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44390|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44400|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44410|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44420|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44430|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44470|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44480|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44490|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44500|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44510|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44540|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44550|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44570|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44580|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44590|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44600|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44620|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44630|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44650|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44660|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44670|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44680|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44690|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44700|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44710|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44730|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44740|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44760|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44780|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44790|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44800|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44820|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44830|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44840|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44870|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44880|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44900|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44910|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44920|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44930|0|N
H5521|501|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|11.00|250| | |TN|44940|0|N
H5521|502|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Primary (PPO)|00025101|0.00|0| | |TN|44780|0|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23020|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23040|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23050|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23070|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23080|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23090|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23100|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23110|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23120|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23130|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23140|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23170|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23180|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23190|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23220|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23230|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23240|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23250|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23270|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23280|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23290|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23310|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23320|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23330|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23340|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23370|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23380|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23390|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23400|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23420|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23430|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23440|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23450|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23460|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23490|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23500|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23520|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23530|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23560|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23570|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23580|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23590|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23600|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23610|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23620|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23630|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23640|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23660|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23670|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23680|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23690|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23710|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23720|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23730|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23740|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23750|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23770|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23780|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23790|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23800|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23810|2|N
H5521|505|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Assure Premier (PPO D-SNP)|00025101|0.00|590| | |MI|23830|2|N
H5521|506|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|52.50|590| | |CT|07000|3|N
H5521|506|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|52.50|590| | |CT|07010|3|N
H5521|506|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|52.50|590| | |CT|07020|3|N
H5521|506|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|52.50|590| | |CT|07030|3|N
H5521|506|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|52.50|590| | |CT|07040|3|N
H5521|506|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|52.50|590| | |CT|07050|3|N
H5521|506|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|52.50|590| | |CT|07060|3|N
H5521|506|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Longevity (PPO I-SNP)|00025101|52.50|590| | |CT|07070|3|N
H5521|509|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|34.90|450| | |MA|22020|0|N
H5521|509|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|34.90|450| | |MA|22040|0|N
H5521|509|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|34.90|450| | |MA|22070|0|N
H5521|509|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|34.90|450| | |MA|22080|0|N
H5521|509|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|34.90|450| | |MA|22090|0|N
H5521|509|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|34.90|450| | |MA|22130|0|N
H5521|509|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|34.90|450| | |MA|22150|0|N
H5521|509|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|34.90|450| | |MA|22160|0|N
H5521|509|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|34.90|450| | |MA|22170|0|N
H5521|510|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier NJ South (PPO)|00025101|66.00|450| | |NJ|31000|0|N
H5521|510|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier NJ South (PPO)|00025101|66.00|450| | |NJ|31150|0|N
H5521|510|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier NJ South (PPO)|00025101|66.00|450| | |NJ|31160|0|N
H5521|510|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier NJ South (PPO)|00025101|66.00|450| | |NJ|31180|0|N
H5521|510|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier NJ South (PPO)|00025101|66.00|450| | |NJ|31190|0|N
H5521|510|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier NJ South (PPO)|00025101|66.00|450| | |NJ|31220|0|N
H5521|510|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier NJ South (PPO)|00025101|66.00|450| | |NJ|31310|0|N
H5521|510|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier NJ South (PPO)|00025101|66.00|450| | |NJ|31340|0|N
H5521|511|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite 2 NJ South (PPO)|00025100|25.00|590| | |NJ|31000|0|N
H5521|511|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite 2 NJ South (PPO)|00025100|25.00|590| | |NJ|31150|0|N
H5521|511|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite 2 NJ South (PPO)|00025100|25.00|590| | |NJ|31160|0|N
H5521|511|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite 2 NJ South (PPO)|00025100|25.00|590| | |NJ|31180|0|N
H5521|511|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite 2 NJ South (PPO)|00025100|25.00|590| | |NJ|31190|0|N
H5521|511|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite 2 NJ South (PPO)|00025100|25.00|590| | |NJ|31220|0|N
H5521|511|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite 2 NJ South (PPO)|00025100|25.00|590| | |NJ|31310|0|N
H5521|511|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite 2 NJ South (PPO)|00025100|25.00|590| | |NJ|31340|0|N
H5521|512|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus NJ South (PPO)|00025101|49.00|450| | |NJ|31000|0|N
H5521|512|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus NJ South (PPO)|00025101|49.00|450| | |NJ|31150|0|N
H5521|512|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus NJ South (PPO)|00025101|49.00|450| | |NJ|31160|0|N
H5521|512|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus NJ South (PPO)|00025101|49.00|450| | |NJ|31180|0|N
H5521|512|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus NJ South (PPO)|00025101|49.00|450| | |NJ|31190|0|N
H5521|512|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus NJ South (PPO)|00025101|49.00|450| | |NJ|31220|0|N
H5521|512|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus NJ South (PPO)|00025101|49.00|450| | |NJ|31310|0|N
H5521|512|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus NJ South (PPO)|00025101|49.00|450| | |NJ|31340|0|N
H5521|513|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier NJ North (PPO)|00025101|66.00|450| | |NJ|31100|0|N
H5521|513|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier NJ North (PPO)|00025101|66.00|450| | |NJ|31200|0|N
H5521|513|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier NJ North (PPO)|00025101|66.00|450| | |NJ|31230|0|N
H5521|513|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier NJ North (PPO)|00025101|66.00|450| | |NJ|31250|0|N
H5521|513|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier NJ North (PPO)|00025101|66.00|450| | |NJ|31260|0|N
H5521|513|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier NJ North (PPO)|00025101|66.00|450| | |NJ|31270|0|N
H5521|513|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier NJ North (PPO)|00025101|66.00|450| | |NJ|31290|0|N
H5521|513|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier NJ North (PPO)|00025101|66.00|450| | |NJ|31300|0|N
H5521|513|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier NJ North (PPO)|00025101|66.00|450| | |NJ|31320|0|N
H5521|513|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier NJ North (PPO)|00025101|66.00|450| | |NJ|31350|0|N
H5521|513|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier NJ North (PPO)|00025101|66.00|450| | |NJ|31360|0|N
H5521|513|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier NJ North (PPO)|00025101|66.00|450| | |NJ|31370|0|N
H5521|513|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier NJ North (PPO)|00025101|66.00|450| | |NJ|31390|0|N
H5521|514|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite 2 NJ North (PPO)|00025100|21.00|590| | |NJ|31100|0|N
H5521|514|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite 2 NJ North (PPO)|00025100|21.00|590| | |NJ|31200|0|N
H5521|514|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite 2 NJ North (PPO)|00025100|21.00|590| | |NJ|31230|0|N
H5521|514|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite 2 NJ North (PPO)|00025100|21.00|590| | |NJ|31250|0|N
H5521|514|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite 2 NJ North (PPO)|00025100|21.00|590| | |NJ|31260|0|N
H5521|514|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite 2 NJ North (PPO)|00025100|21.00|590| | |NJ|31270|0|N
H5521|514|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite 2 NJ North (PPO)|00025100|21.00|590| | |NJ|31290|0|N
H5521|514|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite 2 NJ North (PPO)|00025100|21.00|590| | |NJ|31300|0|N
H5521|514|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite 2 NJ North (PPO)|00025100|21.00|590| | |NJ|31320|0|N
H5521|514|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite 2 NJ North (PPO)|00025100|21.00|590| | |NJ|31350|0|N
H5521|514|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite 2 NJ North (PPO)|00025100|21.00|590| | |NJ|31360|0|N
H5521|514|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite 2 NJ North (PPO)|00025100|21.00|590| | |NJ|31370|0|N
H5521|514|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite 2 NJ North (PPO)|00025100|21.00|590| | |NJ|31390|0|N
H5521|515|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus NJ North (PPO)|00025101|41.00|590| | |NJ|31100|0|N
H5521|515|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus NJ North (PPO)|00025101|41.00|590| | |NJ|31200|0|N
H5521|515|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus NJ North (PPO)|00025101|41.00|590| | |NJ|31230|0|N
H5521|515|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus NJ North (PPO)|00025101|41.00|590| | |NJ|31250|0|N
H5521|515|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus NJ North (PPO)|00025101|41.00|590| | |NJ|31260|0|N
H5521|515|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus NJ North (PPO)|00025101|41.00|590| | |NJ|31270|0|N
H5521|515|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus NJ North (PPO)|00025101|41.00|590| | |NJ|31290|0|N
H5521|515|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus NJ North (PPO)|00025101|41.00|590| | |NJ|31300|0|N
H5521|515|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus NJ North (PPO)|00025101|41.00|590| | |NJ|31320|0|N
H5521|515|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus NJ North (PPO)|00025101|41.00|590| | |NJ|31350|0|N
H5521|515|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus NJ North (PPO)|00025101|41.00|590| | |NJ|31360|0|N
H5521|515|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus NJ North (PPO)|00025101|41.00|590| | |NJ|31370|0|N
H5521|515|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus NJ North (PPO)|00025101|41.00|590| | |NJ|31390|0|N
H5521|520|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|36.00|590| | |NY|33070|0|N
H5521|520|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|36.00|590| | |NY|33080|0|N
H5521|520|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|36.00|590| | |NY|33090|0|N
H5521|520|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|36.00|590| | |NY|33210|0|N
H5521|520|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|36.00|590| | |NY|33260|0|N
H5521|520|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|36.00|590| | |NY|33560|0|N
H5521|520|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|36.00|590| | |NY|33570|0|N
H5521|520|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|36.00|590| | |NY|33720|0|N
H5521|521|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025100|58.70|590| | |NY|33350|0|N
H5521|521|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025100|58.70|590| | |NY|33370|0|N
H5521|521|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025100|58.70|590| | |NY|33530|0|N
H5521|521|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025100|58.70|590| | |NY|33550|0|N
H5521|521|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025100|58.70|590| | |NY|33680|0|N
H5521|521|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025100|58.70|590| | |NY|33770|0|N
H5521|521|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025100|58.70|590| | |NY|33910|0|N
H5521|522|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|58.30|590| | |NY|33350|0|N
H5521|522|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|58.30|590| | |NY|33370|0|N
H5521|522|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|58.30|590| | |NY|33530|0|N
H5521|522|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|58.30|590| | |NY|33550|0|N
H5521|522|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|58.30|590| | |NY|33680|0|N
H5521|522|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|58.30|590| | |NY|33770|0|N
H5521|522|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025100|58.30|590| | |NY|33910|0|N
H5521|536|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025100|0.00|590| | |NY|33610|0|N
H5521|537|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025100|0.00|590| | |NY|33420|0|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34000|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34010|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34020|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34030|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34040|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34050|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34060|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34070|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34080|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34090|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34100|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34110|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34120|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34130|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34140|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34160|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34170|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34180|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34190|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34200|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34210|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34220|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34230|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34250|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34251|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34280|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34290|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34300|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34310|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34320|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34330|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34340|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34350|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34360|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34370|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34380|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34390|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34400|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34410|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34420|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34430|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34440|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34450|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34460|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34470|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34480|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34490|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34500|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34510|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34520|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34530|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34540|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34550|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34560|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34570|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34580|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34590|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34600|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34610|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34620|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34630|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34650|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34670|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34680|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34690|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34700|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34710|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34720|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34730|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34740|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34750|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34760|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34770|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34780|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34790|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34800|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34810|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34820|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34830|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34840|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34850|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34860|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34870|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34880|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34890|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34900|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34910|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34920|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34930|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34940|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34950|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34960|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34970|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34980|2|N
H5521|538|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|41.80|590| | |NC|34981|2|N
H5521|539|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |SC|42000|2|N
H5521|539|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |SC|42010|2|N
H5521|539|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |SC|42020|2|N
H5521|539|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |SC|42030|2|N
H5521|539|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |SC|42040|2|N
H5521|539|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |SC|42050|2|N
H5521|539|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |SC|42060|2|N
H5521|539|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |SC|42070|2|N
H5521|539|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |SC|42080|2|N
H5521|539|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |SC|42090|2|N
H5521|539|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |SC|42100|2|N
H5521|539|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |SC|42110|2|N
H5521|539|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |SC|42120|2|N
H5521|539|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |SC|42130|2|N
H5521|539|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |SC|42140|2|N
H5521|539|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |SC|42150|2|N
H5521|539|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |SC|42160|2|N
H5521|539|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |SC|42170|2|N
H5521|539|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |SC|42180|2|N
H5521|539|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |SC|42190|2|N
H5521|539|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |SC|42200|2|N
H5521|539|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |SC|42210|2|N
H5521|539|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |SC|42220|2|N
H5521|539|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |SC|42230|2|N
H5521|539|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |SC|42240|2|N
H5521|539|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |SC|42250|2|N
H5521|539|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |SC|42260|2|N
H5521|539|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |SC|42270|2|N
H5521|539|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |SC|42280|2|N
H5521|539|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |SC|42290|2|N
H5521|539|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |SC|42300|2|N
H5521|539|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |SC|42310|2|N
H5521|539|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |SC|42320|2|N
H5521|539|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |SC|42330|2|N
H5521|539|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |SC|42340|2|N
H5521|539|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |SC|42350|2|N
H5521|539|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |SC|42360|2|N
H5521|539|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |SC|42370|2|N
H5521|539|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |SC|42380|2|N
H5521|539|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |SC|42390|2|N
H5521|539|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |SC|42400|2|N
H5521|539|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |SC|42410|2|N
H5521|539|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |SC|42420|2|N
H5521|539|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |SC|42430|2|N
H5521|539|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |SC|42440|2|N
H5521|539|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Choice (PPO D-SNP)|00025101|0.00|590| | |SC|42450|2|N
H5521|543|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Explorer (PPO)|00025101|47.00|590| | |NH|30000|0|N
H5521|543|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Explorer (PPO)|00025101|47.00|590| | |NH|30010|0|N
H5521|543|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Explorer (PPO)|00025101|47.00|590| | |NH|30040|0|N
H5521|543|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Explorer (PPO)|00025101|47.00|590| | |NH|30060|0|N
H5521|543|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Explorer (PPO)|00025101|47.00|590| | |NH|30080|0|N
H5521|543|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Explorer (PPO)|00025101|47.00|590| | |NH|30090|0|N
H5521|550|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Signature (PPO)|00025101|0.00|590| | |LA|19510|0|N
H5521|551|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Signature (PPO)|00025101|0.00|590| | |LA|19020|0|N
H5521|551|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Signature (PPO)|00025101|0.00|590| | |LA|19030|0|N
H5521|551|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Signature (PPO)|00025101|0.00|590| | |LA|19090|0|N
H5521|551|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Signature (PPO)|00025101|0.00|590| | |LA|19160|0|N
H5521|551|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Signature (PPO)|00025101|0.00|590| | |LA|19270|0|N
H5521|551|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Signature (PPO)|00025101|0.00|590| | |LA|19310|0|N
H5521|551|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Signature (PPO)|00025101|0.00|590| | |LA|19380|0|N
H5521|551|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Signature (PPO)|00025101|0.00|590| | |LA|19390|0|N
H5521|551|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Signature (PPO)|00025101|0.00|590| | |LA|19460|0|N
H5521|551|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Signature (PPO)|00025101|0.00|590| | |LA|19480|0|N
H5521|551|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Signature (PPO)|00025101|0.00|590| | |LA|19520|0|N
H5521|551|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Signature (PPO)|00025101|0.00|590| | |LA|19600|0|N
H5521|553|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025100|0.00|590| | |MS|25040|0|N
H5521|553|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025100|0.00|590| | |MS|25210|0|N
H5521|553|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025100|0.00|590| | |MS|25220|0|N
H5521|553|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025100|0.00|590| | |MS|25280|0|N
H5521|553|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025100|0.00|590| | |MS|25430|0|N
H5521|553|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025100|0.00|590| | |MS|25530|0|N
H5521|553|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025100|0.00|590| | |MS|25540|0|N
H5521|553|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025100|0.00|590| | |MS|25570|0|N
H5521|553|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025100|0.00|590| | |MS|25580|0|N
H5521|553|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025100|0.00|590| | |MS|25690|0|N
H5521|554|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AZ|03060|0|N
H5521|554|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AZ|03090|0|N
H5521|554|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|590| | |AZ|03100|0|N
H5521|557|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|14.70|0| | |NV|29010|0|N
H5521|557|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Platinum (PPO)|00025101|14.70|0| | |NV|29110|0|N
H5521|558|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|0.00|590| | |NV|29000|0|N
H5521|558|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|0.00|590| | |NV|29020|0|N
H5521|558|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|0.00|590| | |NV|29090|0|N
H5521|558|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|0.00|590| | |NV|29120|0|N
H5521|558|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|0.00|590| | |NV|29140|0|N
H5521|558|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Choice (PPO)|00025101|0.00|590| | |NV|29150|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36000|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36010|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36020|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36030|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36040|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36050|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36060|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36070|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36080|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36090|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36100|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36110|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36120|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36130|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36140|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36150|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36160|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36170|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36190|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36200|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36210|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36220|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36230|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36240|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36250|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36260|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36270|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36280|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36290|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36300|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36310|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36330|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36340|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36350|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36360|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36370|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36380|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36390|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36400|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36410|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36420|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36430|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36440|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36450|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36460|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36470|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36480|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36490|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36500|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36510|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36520|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36530|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36540|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36550|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36560|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36570|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36580|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36590|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36600|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36610|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36620|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36630|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36640|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36650|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36660|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36670|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36680|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36690|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36700|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36710|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36720|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36730|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36740|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36750|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36760|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36770|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36780|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36790|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36800|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36810|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36820|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36830|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36840|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36850|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36860|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36870|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36880|0|N
H5521|565|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare SmartFit (PPO)|00025100|0.00|590| | |OH|36890|0|N
H5521|569|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare FL Explorer Premier (PPO)|00025100|0.00|590| | |FL|10470|0|N
H5521|569|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare FL Explorer Premier (PPO)|00025100|0.00|590| | |FL|10480|0|N
H5521|569|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare FL Explorer Premier (PPO)|00025100|0.00|590| | |FL|10580|0|N
H5521|574|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare FL Explorer Premier (PPO)|00025100|0.00|590| | |FL|10050|0|N
H5521|574|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare FL Explorer Premier (PPO)|00025100|0.00|590| | |FL|10300|0|N
H5521|578|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Core II (PPO)|00025100|10.00|590| | |CA|05200|0|N
H5521|578|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Core II (PPO)|00025100|10.00|590| | |CA|05210|0|N
H5521|578|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Core II (PPO)|00025100|10.00|590| | |CA|05400|0|N
H5521|579|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Core II (PPO)|00025100|10.10|590| | |CA|05140|0|N
H5521|579|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Core II (PPO)|00025100|10.10|590| | |CA|05430|0|N
H5521|579|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Core II (PPO)|00025100|10.10|590| | |CA|05460|0|N
H5521|580|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Core II (PPO)|00025100|9.90|590| | |CA|05470|0|N
H5521|581|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Core II (PPO)|00025100|10.20|590| | |CA|05000|0|N
H5521|581|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Core II (PPO)|00025100|10.20|590| | |CA|05020|0|N
H5521|581|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Core II (PPO)|00025100|10.20|590| | |CA|05080|0|N
H5521|581|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Core II (PPO)|00025100|10.20|590| | |CA|05090|0|N
H5521|581|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Core II (PPO)|00025100|10.20|590| | |CA|05300|0|N
H5521|581|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Core II (PPO)|00025100|10.20|590| | |CA|05310|0|N
H5521|581|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Core II (PPO)|00025100|10.20|590| | |CA|05380|0|N
H5521|581|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Core II (PPO)|00025100|10.20|590| | |CA|05410|0|N
H5521|581|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Core II (PPO)|00025100|10.20|590| | |CA|05440|0|N
H5521|581|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Core II (PPO)|00025100|10.20|590| | |CA|05480|0|N
H5521|581|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Core II (PPO)|00025100|10.20|590| | |CA|05490|0|N
H5521|581|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Core II (PPO)|00025100|10.20|590| | |CA|05510|0|N
H5521|581|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Core II (PPO)|00025100|10.20|590| | |CA|05530|0|N
H5521|581|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Core II (PPO)|00025100|10.20|590| | |CA|05540|0|N
H5521|581|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Core II (PPO)|00025100|10.20|590| | |CA|05580|0|N
H5521|581|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Core II (PPO)|00025100|10.20|590| | |CA|05590|0|N
H5521|581|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Core II (PPO)|00025100|10.20|590| | |CA|05600|0|N
H5521|581|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Core II (PPO)|00025100|10.20|590| | |CA|05670|0|N
H5521|584|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|54.80|590| | |IN|15030|0|N
H5521|584|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|54.80|590| | |IN|15070|0|N
H5521|584|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|54.80|590| | |IN|15080|0|N
H5521|584|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|54.80|590| | |IN|15240|0|N
H5521|584|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|54.80|590| | |IN|15360|0|N
H5521|584|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|54.80|590| | |IN|15440|0|N
H5521|584|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|54.80|590| | |IN|15450|0|N
H5521|584|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|54.80|590| | |IN|15490|0|N
H5521|584|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|54.80|590| | |IN|15510|0|N
H5521|584|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|54.80|590| | |IN|15550|0|N
H5521|584|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|54.80|590| | |IN|15630|0|N
H5521|584|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|54.80|590| | |IN|15650|0|N
H5521|584|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|54.80|590| | |IN|15700|0|N
H5521|584|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|54.80|590| | |IN|15740|0|N
H5521|584|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|54.80|590| | |IN|15900|0|N
H5521|586|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare FL Explorer Premier (PPO)|00025100|8.70|590| | |FL|10470|0|N
H5521|586|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare FL Explorer Premier (PPO)|00025100|8.70|590| | |FL|10480|0|N
H5521|586|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare FL Explorer Premier (PPO)|00025100|8.70|590| | |FL|10580|0|N
H5521|590|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025100|53.50|590| | |IN|15020|0|N
H5521|590|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025100|53.50|590| | |IN|15050|0|N
H5521|590|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025100|53.50|590| | |IN|15060|0|N
H5521|590|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025100|53.50|590| | |IN|15100|0|N
H5521|590|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025100|53.50|590| | |IN|15110|0|N
H5521|590|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025100|53.50|590| | |IN|15140|0|N
H5521|590|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025100|53.50|590| | |IN|15150|0|N
H5521|590|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025100|53.50|590| | |IN|15170|0|N
H5521|590|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025100|53.50|590| | |IN|15200|0|N
H5521|590|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025100|53.50|590| | |IN|15220|0|N
H5521|590|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025100|53.50|590| | |IN|15230|0|N
H5521|590|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025100|53.50|590| | |IN|15270|0|N
H5521|590|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025100|53.50|590| | |IN|15280|0|N
H5521|590|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025100|53.50|590| | |IN|15290|0|N
H5521|590|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025100|53.50|590| | |IN|15310|0|N
H5521|590|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025100|53.50|590| | |IN|15320|0|N
H5521|590|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025100|53.50|590| | |IN|15330|0|N
H5521|590|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025100|53.50|590| | |IN|15350|0|N
H5521|590|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025100|53.50|590| | |IN|15390|0|N
H5521|590|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025100|53.50|590| | |IN|15460|0|N
H5521|590|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025100|53.50|590| | |IN|15470|0|N
H5521|590|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025100|53.50|590| | |IN|15480|0|N
H5521|590|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025100|53.50|590| | |IN|15530|0|N
H5521|590|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025100|53.50|590| | |IN|15540|0|N
H5521|590|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025100|53.50|590| | |IN|15590|0|N
H5521|590|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025100|53.50|590| | |IN|15600|0|N
H5521|590|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025100|53.50|590| | |IN|15660|0|N
H5521|590|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025100|53.50|590| | |IN|15670|0|N
H5521|590|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025100|53.50|590| | |IN|15680|0|N
H5521|590|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025100|53.50|590| | |IN|15690|0|N
H5521|590|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025100|53.50|590| | |IN|15720|0|N
H5521|590|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025100|53.50|590| | |IN|15760|0|N
H5521|590|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025100|53.50|590| | |IN|15780|0|N
H5521|590|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025100|53.50|590| | |IN|15800|0|N
H5521|590|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025100|53.50|590| | |IN|15820|0|N
H5521|590|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Essential (PPO)|00025100|53.50|590| | |IN|15850|0|N
H5521|592|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare FL Explorer Premier (PPO)|00025100|8.00|590| | |FL|10050|0|N
H5521|592|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare FL Explorer Premier (PPO)|00025100|8.00|590| | |FL|10300|0|N
H5521|593|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|57.00|0| | |IN|15000|0|N
H5521|593|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|57.00|0| | |IN|15010|0|N
H5521|593|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|57.00|0| | |IN|15040|0|N
H5521|593|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|57.00|0| | |IN|15090|0|N
H5521|593|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|57.00|0| | |IN|15120|0|N
H5521|593|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|57.00|0| | |IN|15160|0|N
H5521|593|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|57.00|0| | |IN|15190|0|N
H5521|593|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|57.00|0| | |IN|15210|0|N
H5521|593|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|57.00|0| | |IN|15260|0|N
H5521|593|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|57.00|0| | |IN|15300|0|N
H5521|593|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|57.00|0| | |IN|15340|0|N
H5521|593|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|57.00|0| | |IN|15370|0|N
H5521|593|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|57.00|0| | |IN|15380|0|N
H5521|593|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|57.00|0| | |IN|15420|0|N
H5521|593|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|57.00|0| | |IN|15430|0|N
H5521|593|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|57.00|0| | |IN|15560|0|N
H5521|593|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|57.00|0| | |IN|15570|0|N
H5521|593|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|57.00|0| | |IN|15580|0|N
H5521|593|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|57.00|0| | |IN|15610|0|N
H5521|593|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|57.00|0| | |IN|15710|0|N
H5521|593|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|57.00|0| | |IN|15750|0|N
H5521|593|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|57.00|0| | |IN|15770|0|N
H5521|593|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|57.00|0| | |IN|15840|0|N
H5521|593|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|57.00|0| | |IN|15870|0|N
H5521|593|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|57.00|0| | |IN|15890|0|N
H5521|593|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025101|57.00|0| | |IN|15910|0|N
H5521|598|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Signature (PPO)|00025100|0.00|590| | |GA|11250|0|N
H5521|598|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Signature (PPO)|00025100|0.00|590| | |GA|11280|0|N
H5521|598|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Signature (PPO)|00025100|0.00|590| | |GA|11320|0|N
H5521|598|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Signature (PPO)|00025100|0.00|590| | |GA|11370|0|N
H5521|598|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Signature (PPO)|00025100|0.00|590| | |GA|11400|0|N
H5521|598|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Signature (PPO)|00025100|0.00|590| | |GA|11451|0|N
H5521|598|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Signature (PPO)|00025100|0.00|590| | |GA|11461|0|N
H5521|598|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Signature (PPO)|00025100|0.00|590| | |GA|11470|0|N
H5521|598|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Signature (PPO)|00025100|0.00|590| | |GA|11530|0|N
H5521|598|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Signature (PPO)|00025100|0.00|590| | |GA|11591|0|N
H5521|598|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Signature (PPO)|00025100|0.00|590| | |GA|11841|0|N
H5521|598|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Signature (PPO)|00025100|0.00|590| | |GA|11860|0|N
H5521|607|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|36.40|590| | |MI|23020|0|N
H5521|607|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|36.40|590| | |MI|23070|0|N
H5521|607|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|36.40|590| | |MI|23100|0|N
H5521|607|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|36.40|590| | |MI|23110|0|N
H5521|607|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|36.40|590| | |MI|23120|0|N
H5521|607|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|36.40|590| | |MI|23130|0|N
H5521|607|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|36.40|590| | |MI|23180|0|N
H5521|607|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|36.40|590| | |MI|23220|0|N
H5521|607|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|36.40|590| | |MI|23240|0|N
H5521|607|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|36.40|590| | |MI|23290|0|N
H5521|607|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|36.40|590| | |MI|23320|0|N
H5521|607|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|36.40|590| | |MI|23330|0|N
H5521|607|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|36.40|590| | |MI|23370|0|N
H5521|607|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|36.40|590| | |MI|23380|0|N
H5521|607|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|36.40|590| | |MI|23400|0|N
H5521|607|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|36.40|590| | |MI|23420|0|N
H5521|607|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|36.40|590| | |MI|23430|0|N
H5521|607|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|36.40|590| | |MI|23450|0|N
H5521|607|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|36.40|590| | |MI|23460|0|N
H5521|607|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|36.40|590| | |MI|23490|0|N
H5521|607|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|36.40|590| | |MI|23520|0|N
H5521|607|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|36.40|590| | |MI|23530|0|N
H5521|607|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|36.40|590| | |MI|23570|0|N
H5521|607|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|36.40|590| | |MI|23580|0|N
H5521|607|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|36.40|590| | |MI|23600|0|N
H5521|607|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|36.40|590| | |MI|23610|0|N
H5521|607|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|36.40|590| | |MI|23620|0|N
H5521|607|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|36.40|590| | |MI|23630|0|N
H5521|607|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|36.40|590| | |MI|23660|0|N
H5521|607|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|36.40|590| | |MI|23690|0|N
H5521|607|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|36.40|590| | |MI|23730|0|N
H5521|607|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|36.40|590| | |MI|23740|0|N
H5521|607|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|36.40|590| | |MI|23770|0|N
H5521|607|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|36.40|590| | |MI|23790|0|N
H5521|607|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|36.40|590| | |MI|23800|0|N
H5521|607|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|36.40|590| | |MI|23810|0|N
H5521|609|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |NC|34310|0|N
H5521|609|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (PPO)|00025101|0.00|250| | |NC|34910|0|N
H5521|614|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|37.30|590| | |WI|52290|0|N
H5521|614|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|37.30|590| | |WI|52390|0|N
H5521|614|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|37.30|590| | |WI|52440|0|N
H5521|614|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|37.30|590| | |WI|52500|0|N
H5521|614|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|37.30|590| | |WI|52580|0|N
H5521|614|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|37.30|590| | |WI|52630|0|N
H5521|614|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|37.30|590| | |WI|52650|0|N
H5521|614|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Gold (PPO)|00025100|37.30|590| | |WI|52660|0|N
H5521|644|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|450| | |AL|01180|0|N
H5521|644|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|450| | |AL|01220|0|N
H5521|644|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|450| | |AL|01390|0|N
H5521|644|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|450| | |AL|01520|0|N
H5521|644|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|450| | |AL|01550|0|N
H5521|644|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025101|0.00|450| | |AL|01660|0|N
H5521|645|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025100|0.00|590| | |LA|19000|0|N
H5521|645|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025100|0.00|590| | |LA|19100|0|N
H5521|645|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025100|0.00|590| | |LA|19130|0|N
H5521|645|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025100|0.00|590| | |LA|19140|0|N
H5521|645|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025100|0.00|590| | |LA|19150|0|N
H5521|645|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025100|0.00|590| | |LA|19190|0|N
H5521|645|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025100|0.00|590| | |LA|19210|0|N
H5521|645|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025100|0.00|590| | |LA|19220|0|N
H5521|645|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025100|0.00|590| | |LA|19240|0|N
H5521|645|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025100|0.00|590| | |LA|19270|0|N
H5521|645|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025100|0.00|590| | |LA|19340|0|N
H5521|645|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025100|0.00|590| | |LA|19410|0|N
H5521|645|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025100|0.00|590| | |LA|19420|0|N
H5521|645|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025100|0.00|590| | |LA|19480|0|N
H5521|645|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025100|0.00|590| | |LA|19490|0|N
H5521|645|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025100|0.00|590| | |LA|19510|0|N
H5521|645|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025100|0.00|590| | |LA|19560|0|N
H5521|645|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025100|0.00|590| | |LA|19570|0|N
H5521|645|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom (PPO)|00025100|0.00|590| | |LA|19630|0|N
H5521|646|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|25.00|590| | |LA|19030|0|N
H5521|646|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|25.00|590| | |LA|19080|0|N
H5521|646|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|25.00|590| | |LA|19100|0|N
H5521|646|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|25.00|590| | |LA|19110|0|N
H5521|646|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|25.00|590| | |LA|19150|0|N
H5521|646|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|25.00|590| | |LA|19180|0|N
H5521|646|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|25.00|590| | |LA|19190|0|N
H5521|646|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|25.00|590| | |LA|19260|0|N
H5521|646|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|25.00|590| | |LA|19300|0|N
H5521|646|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|25.00|590| | |LA|19310|0|N
H5521|646|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|25.00|590| | |LA|19350|0|N
H5521|646|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|25.00|590| | |LA|19360|0|N
H5521|646|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|25.00|590| | |LA|19380|0|N
H5521|646|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|25.00|590| | |LA|19400|0|N
H5521|646|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|25.00|590| | |LA|19420|0|N
H5521|646|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|25.00|590| | |LA|19430|0|N
H5521|646|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|25.00|590| | |LA|19440|0|N
H5521|646|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|25.00|590| | |LA|19460|0|N
H5521|646|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|25.00|590| | |LA|19470|0|N
H5521|646|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|25.00|590| | |LA|19480|0|N
H5521|646|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|25.00|590| | |LA|19510|0|N
H5521|646|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|25.00|590| | |LA|19550|0|N
H5521|646|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|25.00|590| | |LA|19570|0|N
H5521|648|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premium (PPO)|00025100|20.90|590| | |CO|06000|0|N
H5521|648|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premium (PPO)|00025100|20.90|590| | |CO|06020|0|N
H5521|648|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premium (PPO)|00025100|20.90|590| | |CO|06030|0|N
H5521|648|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premium (PPO)|00025100|20.90|590| | |CO|06060|0|N
H5521|648|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premium (PPO)|00025100|20.90|590| | |CO|06090|0|N
H5521|648|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premium (PPO)|00025100|20.90|590| | |CO|06100|0|N
H5521|648|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premium (PPO)|00025100|20.90|590| | |CO|06120|0|N
H5521|648|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premium (PPO)|00025100|20.90|590| | |CO|06130|0|N
H5521|648|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premium (PPO)|00025100|20.90|590| | |CO|06140|0|N
H5521|648|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premium (PPO)|00025100|20.90|590| | |CO|06150|0|N
H5521|648|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premium (PPO)|00025100|20.90|590| | |CO|06170|0|N
H5521|648|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premium (PPO)|00025100|20.90|590| | |CO|06190|0|N
H5521|648|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premium (PPO)|00025100|20.90|590| | |CO|06200|0|N
H5521|648|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premium (PPO)|00025100|20.90|590| | |CO|06210|0|N
H5521|648|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premium (PPO)|00025100|20.90|590| | |CO|06230|0|N
H5521|648|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premium (PPO)|00025100|20.90|590| | |CO|06240|0|N
H5521|648|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premium (PPO)|00025100|20.90|590| | |CO|06270|0|N
H5521|648|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premium (PPO)|00025100|20.90|590| | |CO|06280|0|N
H5521|648|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premium (PPO)|00025100|20.90|590| | |CO|06290|0|N
H5521|648|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premium (PPO)|00025100|20.90|590| | |CO|06330|0|N
H5521|648|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premium (PPO)|00025100|20.90|590| | |CO|06340|0|N
H5521|648|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premium (PPO)|00025100|20.90|590| | |CO|06350|0|N
H5521|648|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premium (PPO)|00025100|20.90|590| | |CO|06360|0|N
H5521|648|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premium (PPO)|00025100|20.90|590| | |CO|06380|0|N
H5521|648|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premium (PPO)|00025100|20.90|590| | |CO|06420|0|N
H5521|648|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premium (PPO)|00025100|20.90|590| | |CO|06430|0|N
H5521|648|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premium (PPO)|00025100|20.90|590| | |CO|06460|0|N
H5521|648|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premium (PPO)|00025100|20.90|590| | |CO|06500|0|N
H5521|648|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premium (PPO)|00025100|20.90|590| | |CO|06540|0|N
H5521|648|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premium (PPO)|00025100|20.90|590| | |CO|06590|0|N
H5521|648|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premium (PPO)|00025100|20.90|590| | |CO|06600|0|N
H5521|648|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premium (PPO)|00025100|20.90|590| | |CO|06610|0|N
H5521|648|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premium (PPO)|00025100|20.90|590| | |CO|06630|0|N
H5522|001|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|28.00|590| | |PA|39010|0|N
H5522|002|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Premier Plus (PPO)|00025101|56.40|590| | |PA|39000|0|N
H5522|002|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Premier Plus (PPO)|00025101|56.40|590| | |PA|39110|0|N
H5522|002|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Premier Plus (PPO)|00025101|56.40|590| | |PA|39120|0|N
H5522|002|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Premier Plus (PPO)|00025101|56.40|590| | |PA|39130|0|N
H5522|002|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Premier Plus (PPO)|00025101|56.40|590| | |PA|39190|0|N
H5522|002|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Premier Plus (PPO)|00025101|56.40|590| | |PA|39200|0|N
H5522|002|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Premier Plus (PPO)|00025101|56.40|590| | |PA|39240|0|N
H5522|002|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Premier Plus (PPO)|00025101|56.40|590| | |PA|39250|0|N
H5522|002|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Premier Plus (PPO)|00025101|56.40|590| | |PA|39270|0|N
H5522|002|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Premier Plus (PPO)|00025101|56.40|590| | |PA|39280|0|N
H5522|002|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Premier Plus (PPO)|00025101|56.40|590| | |PA|39350|0|N
H5522|002|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Premier Plus (PPO)|00025101|56.40|590| | |PA|39360|0|N
H5522|002|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Premier Plus (PPO)|00025101|56.40|590| | |PA|39380|0|N
H5522|002|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Premier Plus (PPO)|00025101|56.40|590| | |PA|39410|0|N
H5522|002|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Premier Plus (PPO)|00025101|56.40|590| | |PA|39420|0|N
H5522|002|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Premier Plus (PPO)|00025101|56.40|590| | |PA|39440|0|N
H5522|002|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Premier Plus (PPO)|00025101|56.40|590| | |PA|39460|0|N
H5522|002|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Premier Plus (PPO)|00025101|56.40|590| | |PA|39470|0|N
H5522|002|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Premier Plus (PPO)|00025101|56.40|590| | |PA|39480|0|N
H5522|002|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Premier Plus (PPO)|00025101|56.40|590| | |PA|39510|0|N
H5522|002|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Premier Plus (PPO)|00025101|56.40|590| | |PA|39540|0|N
H5522|002|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Premier Plus (PPO)|00025101|56.40|590| | |PA|39550|0|N
H5522|002|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Premier Plus (PPO)|00025101|56.40|590| | |PA|39580|0|N
H5522|002|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Premier Plus (PPO)|00025101|56.40|590| | |PA|39590|0|N
H5522|002|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Premier Plus (PPO)|00025101|56.40|590| | |PA|39600|0|N
H5522|002|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Premier Plus (PPO)|00025101|56.40|590| | |PA|39610|0|N
H5522|002|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Premier Plus (PPO)|00025101|56.40|590| | |PA|39630|0|N
H5522|002|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Premier Plus (PPO)|00025101|56.40|590| | |PA|39640|0|N
H5522|002|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Premier Plus (PPO)|00025101|56.40|590| | |PA|39650|0|N
H5522|002|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Premier Plus (PPO)|00025101|56.40|590| | |PA|39670|0|N
H5522|002|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Premier Plus (PPO)|00025101|56.40|590| | |PA|39690|0|N
H5522|002|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Premier Plus (PPO)|00025101|56.40|590| | |PA|39700|0|N
H5522|002|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Premier Plus (PPO)|00025101|56.40|590| | |PA|39710|0|N
H5522|002|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Premier Plus (PPO)|00025101|56.40|590| | |PA|39720|0|N
H5522|002|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Premier Plus (PPO)|00025101|56.40|590| | |PA|39760|0|N
H5522|002|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Premier Plus (PPO)|00025101|56.40|590| | |PA|39790|0|N
H5522|002|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Premier Plus (PPO)|00025101|56.40|590| | |PA|39800|0|N
H5522|004|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Silver (PPO)|00025101|0.00|590| | |PA|39000|0|N
H5522|004|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Silver (PPO)|00025101|0.00|590| | |PA|39110|0|N
H5522|004|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Silver (PPO)|00025101|0.00|590| | |PA|39120|0|N
H5522|004|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Silver (PPO)|00025101|0.00|590| | |PA|39130|0|N
H5522|004|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Silver (PPO)|00025101|0.00|590| | |PA|39190|0|N
H5522|004|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Silver (PPO)|00025101|0.00|590| | |PA|39200|0|N
H5522|004|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Silver (PPO)|00025101|0.00|590| | |PA|39240|0|N
H5522|004|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Silver (PPO)|00025101|0.00|590| | |PA|39250|0|N
H5522|004|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Silver (PPO)|00025101|0.00|590| | |PA|39270|0|N
H5522|004|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Silver (PPO)|00025101|0.00|590| | |PA|39280|0|N
H5522|004|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Silver (PPO)|00025101|0.00|590| | |PA|39350|0|N
H5522|004|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Silver (PPO)|00025101|0.00|590| | |PA|39360|0|N
H5522|004|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Silver (PPO)|00025101|0.00|590| | |PA|39380|0|N
H5522|004|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Silver (PPO)|00025101|0.00|590| | |PA|39410|0|N
H5522|004|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Silver (PPO)|00025101|0.00|590| | |PA|39420|0|N
H5522|004|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Silver (PPO)|00025101|0.00|590| | |PA|39440|0|N
H5522|004|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Silver (PPO)|00025101|0.00|590| | |PA|39460|0|N
H5522|004|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Silver (PPO)|00025101|0.00|590| | |PA|39470|0|N
H5522|004|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Silver (PPO)|00025101|0.00|590| | |PA|39480|0|N
H5522|004|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Silver (PPO)|00025101|0.00|590| | |PA|39510|0|N
H5522|004|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Silver (PPO)|00025101|0.00|590| | |PA|39540|0|N
H5522|004|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Silver (PPO)|00025101|0.00|590| | |PA|39550|0|N
H5522|004|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Silver (PPO)|00025101|0.00|590| | |PA|39580|0|N
H5522|004|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Silver (PPO)|00025101|0.00|590| | |PA|39590|0|N
H5522|004|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Silver (PPO)|00025101|0.00|590| | |PA|39600|0|N
H5522|004|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Silver (PPO)|00025101|0.00|590| | |PA|39610|0|N
H5522|004|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Silver (PPO)|00025101|0.00|590| | |PA|39630|0|N
H5522|004|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Silver (PPO)|00025101|0.00|590| | |PA|39640|0|N
H5522|004|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Silver (PPO)|00025101|0.00|590| | |PA|39650|0|N
H5522|004|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Silver (PPO)|00025101|0.00|590| | |PA|39670|0|N
H5522|004|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Silver (PPO)|00025101|0.00|590| | |PA|39690|0|N
H5522|004|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Silver (PPO)|00025101|0.00|590| | |PA|39700|0|N
H5522|004|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Silver (PPO)|00025101|0.00|590| | |PA|39710|0|N
H5522|004|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Silver (PPO)|00025101|0.00|590| | |PA|39720|0|N
H5522|004|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Silver (PPO)|00025101|0.00|590| | |PA|39760|0|N
H5522|004|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Silver (PPO)|00025101|0.00|590| | |PA|39790|0|N
H5522|004|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Silver (PPO)|00025101|0.00|590| | |PA|39800|0|N
H5522|005|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|13.00|590| | |PA|39070|0|N
H5522|005|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|13.00|590| | |PA|39080|0|N
H5522|005|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|13.00|590| | |PA|39100|0|N
H5522|005|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|13.00|590| | |PA|39150|0|N
H5522|005|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|13.00|590| | |PA|39160|0|N
H5522|005|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|13.00|590| | |PA|39180|0|N
H5522|005|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|13.00|590| | |PA|39220|0|N
H5522|005|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|13.00|590| | |PA|39230|0|N
H5522|005|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|13.00|590| | |PA|39260|0|N
H5522|005|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|13.00|590| | |PA|39310|0|N
H5522|005|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|13.00|590| | |PA|39320|0|N
H5522|005|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|13.00|590| | |PA|39330|0|N
H5522|005|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|13.00|590| | |PA|39340|0|N
H5522|005|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|13.00|590| | |PA|39370|0|N
H5522|005|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|13.00|590| | |PA|39390|0|N
H5522|005|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|13.00|590| | |PA|39400|0|N
H5522|005|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|13.00|590| | |PA|39450|0|N
H5522|005|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|13.00|590| | |PA|39520|0|N
H5522|005|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|13.00|590| | |PA|39530|0|N
H5522|005|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|13.00|590| | |PA|39680|0|N
H5522|005|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|13.00|590| | |PA|39730|0|N
H5522|005|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|13.00|590| | |PA|39740|0|N
H5522|005|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|13.00|590| | |PA|39750|0|N
H5522|005|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|13.00|590| | |PA|39770|0|N
H5522|013|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|590| | |PA|39000|0|N
H5522|013|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|590| | |PA|39110|0|N
H5522|013|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|590| | |PA|39120|0|N
H5522|013|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|590| | |PA|39130|0|N
H5522|013|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|590| | |PA|39200|0|N
H5522|013|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|590| | |PA|39240|0|N
H5522|013|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|590| | |PA|39250|0|N
H5522|013|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|590| | |PA|39270|0|N
H5522|013|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|590| | |PA|39280|0|N
H5522|013|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|590| | |PA|39350|0|N
H5522|013|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|590| | |PA|39360|0|N
H5522|013|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|590| | |PA|39380|0|N
H5522|013|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|590| | |PA|39410|0|N
H5522|013|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|590| | |PA|39420|0|N
H5522|013|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|590| | |PA|39440|0|N
H5522|013|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|590| | |PA|39460|0|N
H5522|013|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|590| | |PA|39480|0|N
H5522|013|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|590| | |PA|39510|0|N
H5522|013|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|590| | |PA|39540|0|N
H5522|013|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|590| | |PA|39580|0|N
H5522|013|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|590| | |PA|39600|0|N
H5522|013|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|590| | |PA|39610|0|N
H5522|013|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|590| | |PA|39630|0|N
H5522|013|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|590| | |PA|39640|0|N
H5522|013|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|590| | |PA|39670|0|N
H5522|013|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|590| | |PA|39690|0|N
H5522|013|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|590| | |PA|39700|0|N
H5522|013|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|590| | |PA|39710|0|N
H5522|013|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|590| | |PA|39720|0|N
H5522|013|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|590| | |PA|39760|0|N
H5522|013|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|590| | |PA|39790|0|N
H5522|013|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Value Plus (PPO)|00025101|19.00|590| | |PA|39800|0|N
H5522|014|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Premier Plus (PPO)|00025101|65.00|590| | |PA|39140|0|N
H5522|014|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Premier Plus (PPO)|00025101|65.00|590| | |PA|39210|0|N
H5522|014|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Premier Plus (PPO)|00025101|65.00|590| | |PA|39290|0|N
H5522|014|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Premier Plus (PPO)|00025101|65.00|590| | |PA|39560|0|N
H5522|014|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Premier Plus (PPO)|00025101|65.00|590| | |PA|39620|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39000|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39010|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39070|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39080|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39100|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39110|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39120|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39130|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39140|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39150|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39160|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39180|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39200|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39210|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39220|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39230|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39240|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39250|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39260|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39270|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39280|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39290|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39310|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39320|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39330|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39340|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39350|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39360|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39370|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39380|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39390|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39400|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39410|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39420|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39440|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39450|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39460|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39480|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39510|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39520|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39530|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39540|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39560|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39580|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39600|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39610|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39620|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39630|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39640|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39670|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39680|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39690|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39700|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39710|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39720|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39730|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39740|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39750|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39760|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39770|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39790|0|N
H5522|017|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Advantra Credit Value (PPO)|00025101|0.00|590| | |PA|39800|0|N
H5522|022|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Silver Back (PPO)|00025101|0.00|590| | |PA|39000|0|N
H5522|022|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Silver Back (PPO)|00025101|0.00|590| | |PA|39110|0|N
H5522|022|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Silver Back (PPO)|00025101|0.00|590| | |PA|39190|0|N
H5522|022|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Silver Back (PPO)|00025101|0.00|590| | |PA|39270|0|N
H5522|022|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Silver Back (PPO)|00025101|0.00|590| | |PA|39280|0|N
H5522|022|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Silver Back (PPO)|00025101|0.00|590| | |PA|39350|0|N
H5522|022|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Silver Back (PPO)|00025101|0.00|590| | |PA|39410|0|N
H5522|022|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Silver Back (PPO)|00025101|0.00|590| | |PA|39440|0|N
H5522|022|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Silver Back (PPO)|00025101|0.00|590| | |PA|39460|0|N
H5522|022|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Silver Back (PPO)|00025101|0.00|590| | |PA|39470|0|N
H5522|022|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Silver Back (PPO)|00025101|0.00|590| | |PA|39550|0|N
H5522|022|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Silver Back (PPO)|00025101|0.00|590| | |PA|39590|0|N
H5522|022|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Silver Back (PPO)|00025101|0.00|590| | |PA|39610|0|N
H5522|022|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Silver Back (PPO)|00025101|0.00|590| | |PA|39650|0|N
H5522|022|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Silver Back (PPO)|00025101|0.00|590| | |PA|39800|0|N
H5522|024|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |PA|39120|2|N
H5522|024|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |PA|39130|2|N
H5522|024|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |PA|39160|2|N
H5522|024|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |PA|39180|2|N
H5522|024|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |PA|39190|2|N
H5522|024|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |PA|39200|2|N
H5522|024|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |PA|39230|2|N
H5522|024|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |PA|39240|2|N
H5522|024|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |PA|39250|2|N
H5522|024|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |PA|39310|2|N
H5522|024|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |PA|39380|2|N
H5522|024|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |PA|39400|2|N
H5522|024|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |PA|39410|2|N
H5522|024|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |PA|39420|2|N
H5522|024|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |PA|39480|2|N
H5522|024|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |PA|39510|2|N
H5522|024|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |PA|39520|2|N
H5522|024|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |PA|39540|2|N
H5522|024|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |PA|39550|2|N
H5522|024|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |PA|39580|2|N
H5522|024|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |PA|39590|2|N
H5522|024|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |PA|39600|2|N
H5522|024|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |PA|39630|2|N
H5522|024|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |PA|39640|2|N
H5522|024|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |PA|39650|2|N
H5522|024|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |PA|39670|2|N
H5522|024|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |PA|39690|2|N
H5522|024|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |PA|39700|2|N
H5522|024|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |PA|39710|2|N
H5522|024|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |PA|39720|2|N
H5522|024|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |PA|39760|2|N
H5522|024|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Dual Preferred (PPO D-SNP)|00025101|0.00|590| | |PA|39790|2|N
H5522|028|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|590| | |PA|39140|0|N
H5522|028|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|590| | |PA|39210|0|N
H5522|028|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|590| | |PA|39290|0|N
H5522|028|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|590| | |PA|39560|0|N
H5522|028|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Freedom Core (PPO)|00025101|0.00|590| | |PA|39620|0|N
H5522|029|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare PinnacleHealth Prime (PPO)|00025101|0.00|590| | |PA|39270|0|N
H5522|029|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare PinnacleHealth Prime (PPO)|00025101|0.00|590| | |PA|39280|0|N
H5522|029|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare PinnacleHealth Prime (PPO)|00025101|0.00|590| | |PA|39410|0|N
H5522|029|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare PinnacleHealth Prime (PPO)|00025101|0.00|590| | |PA|39610|0|N
H5522|029|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare PinnacleHealth Prime (PPO)|00025101|0.00|590| | |PA|39800|0|N
H5522|032|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Bronze (PPO)|00025100|32.00|590| | |PA|39190|0|N
H5522|032|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Bronze (PPO)|00025100|32.00|590| | |PA|39470|0|N
H5522|032|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Bronze (PPO)|00025100|32.00|590| | |PA|39550|0|N
H5522|032|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Bronze (PPO)|00025100|32.00|590| | |PA|39590|0|N
H5522|032|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Bronze (PPO)|00025100|32.00|590| | |PA|39650|0|N
H5525|004|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-004 (PPO)|00025456|10.10|300| | |IL|14030|0|N
H5525|004|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-004 (PPO)|00025456|10.10|300| | |IL|14040|0|N
H5525|004|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-004 (PPO)|00025456|10.10|300| | |IL|14080|0|N
H5525|004|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-004 (PPO)|00025456|10.10|300| | |IL|14370|0|N
H5525|004|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-004 (PPO)|00025456|10.10|300| | |IL|14420|0|N
H5525|004|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-004 (PPO)|00025456|10.10|300| | |IL|14440|0|N
H5525|004|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-004 (PPO)|00025456|10.10|300| | |IL|14560|0|N
H5525|004|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-004 (PPO)|00025456|10.10|300| | |IL|14580|0|N
H5525|004|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-004 (PPO)|00025456|10.10|300| | |IL|14600|0|N
H5525|004|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-004 (PPO)|00025456|10.10|300| | |IL|14610|0|N
H5525|004|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-004 (PPO)|00025456|10.10|300| | |IL|14630|0|N
H5525|004|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-004 (PPO)|00025456|10.10|300| | |IL|14650|0|N
H5525|004|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-004 (PPO)|00025456|10.10|300| | |IL|14700|0|N
H5525|004|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-004 (PPO)|00025456|10.10|300| | |IL|14790|0|N
H5525|004|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-004 (PPO)|00025456|10.10|300| | |IL|14800|0|N
H5525|004|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-004 (PPO)|00025456|10.10|300| | |IL|14860|0|N
H5525|004|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-004 (PPO)|00025456|10.10|300| | |IL|14921|0|N
H5525|004|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-004 (PPO)|00025456|10.10|300| | |IL|14960|0|N
H5525|004|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-004 (PPO)|00025456|10.10|300| | |IL|14970|0|N
H5525|004|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-004 (PPO)|00025456|10.10|300| | |IL|14980|0|N
H5525|004|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-004 (PPO)|00025456|10.10|300| | |IL|14991|0|N
H5525|004|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-004 (PPO)|00025456|10.10|300| | |IL|14992|0|N
H5525|005|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-005 (PPO)|00025456|40.90|300| | |PA|39070|0|N
H5525|005|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-005 (PPO)|00025456|40.90|300| | |PA|39130|0|N
H5525|005|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-005 (PPO)|00025456|40.90|300| | |PA|39190|0|N
H5525|005|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-005 (PPO)|00025456|40.90|300| | |PA|39200|0|N
H5525|005|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-005 (PPO)|00025456|40.90|300| | |PA|39210|0|N
H5525|005|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-005 (PPO)|00025456|40.90|300| | |PA|39240|0|N
H5525|005|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-005 (PPO)|00025456|40.90|300| | |PA|39250|0|N
H5525|005|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-005 (PPO)|00025456|40.90|300| | |PA|39260|0|N
H5525|005|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-005 (PPO)|00025456|40.90|300| | |PA|39290|0|N
H5525|005|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-005 (PPO)|00025456|40.90|300| | |PA|39320|0|N
H5525|005|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-005 (PPO)|00025456|40.90|300| | |PA|39400|0|N
H5525|005|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-005 (PPO)|00025456|40.90|300| | |PA|39420|0|N
H5525|005|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-005 (PPO)|00025456|40.90|300| | |PA|39450|0|N
H5525|005|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-005 (PPO)|00025456|40.90|300| | |PA|39480|0|N
H5525|005|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-005 (PPO)|00025456|40.90|300| | |PA|39510|0|N
H5525|005|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-005 (PPO)|00025456|40.90|300| | |PA|39520|0|N
H5525|005|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-005 (PPO)|00025456|40.90|300| | |PA|39530|0|N
H5525|005|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-005 (PPO)|00025456|40.90|300| | |PA|39550|0|N
H5525|005|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-005 (PPO)|00025456|40.90|300| | |PA|39560|0|N
H5525|005|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-005 (PPO)|00025456|40.90|300| | |PA|39580|0|N
H5525|005|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-005 (PPO)|00025456|40.90|300| | |PA|39590|0|N
H5525|005|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-005 (PPO)|00025456|40.90|300| | |PA|39620|0|N
H5525|005|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-005 (PPO)|00025456|40.90|300| | |PA|39640|0|N
H5525|005|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-005 (PPO)|00025456|40.90|300| | |PA|39650|0|N
H5525|005|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-005 (PPO)|00025456|40.90|300| | |PA|39690|0|N
H5525|005|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-005 (PPO)|00025456|40.90|300| | |PA|39700|0|N
H5525|005|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-005 (PPO)|00025456|40.90|300| | |PA|39710|0|N
H5525|005|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-005 (PPO)|00025456|40.90|300| | |PA|39720|0|N
H5525|005|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-005 (PPO)|00025456|40.90|300| | |PA|39740|0|N
H5525|005|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-005 (PPO)|00025456|40.90|300| | |PA|39760|0|N
H5525|005|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-005 (PPO)|00025456|40.90|300| | |PA|39790|0|N
H5525|005|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-005 (PPO)|00025456|40.90|300| | |WV|51040|0|N
H5525|005|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-005 (PPO)|00025456|40.90|300| | |WV|51140|0|N
H5525|005|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-005 (PPO)|00025456|40.90|300| | |WV|51220|0|N
H5525|005|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-005 (PPO)|00025456|40.90|300| | |WV|51280|0|N
H5525|005|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-005 (PPO)|00025456|40.90|300| | |WV|51290|0|N
H5525|005|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-005 (PPO)|00025456|40.90|300| | |WV|51370|0|N
H5525|005|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-005 (PPO)|00025456|40.90|300| | |WV|51400|0|N
H5525|005|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-005 (PPO)|00025456|40.90|300| | |WV|51450|0|N
H5525|005|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-005 (PPO)|00025456|40.90|300| | |WV|51540|0|N
H5525|006|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-006 (PPO)|00025456|38.00|300| | |PA|39000|0|N
H5525|006|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-006 (PPO)|00025456|38.00|300| | |PA|39110|0|N
H5525|006|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-006 (PPO)|00025456|38.00|300| | |PA|39120|0|N
H5525|006|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-006 (PPO)|00025456|38.00|300| | |PA|39270|0|N
H5525|006|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-006 (PPO)|00025456|38.00|300| | |PA|39280|0|N
H5525|006|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-006 (PPO)|00025456|38.00|300| | |PA|39350|0|N
H5525|006|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-006 (PPO)|00025456|38.00|300| | |PA|39360|0|N
H5525|006|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-006 (PPO)|00025456|38.00|300| | |PA|39380|0|N
H5525|006|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-006 (PPO)|00025456|38.00|300| | |PA|39410|0|N
H5525|006|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-006 (PPO)|00025456|38.00|300| | |PA|39440|0|N
H5525|006|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-006 (PPO)|00025456|38.00|300| | |PA|39460|0|N
H5525|006|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-006 (PPO)|00025456|38.00|300| | |PA|39470|0|N
H5525|006|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-006 (PPO)|00025456|38.00|300| | |PA|39540|0|N
H5525|006|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-006 (PPO)|00025456|38.00|300| | |PA|39610|0|N
H5525|006|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-006 (PPO)|00025456|38.00|300| | |PA|39670|0|N
H5525|006|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-006 (PPO)|00025456|38.00|300| | |PA|39800|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |IN|15040|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |IN|15070|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |IN|15110|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |IN|15220|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |IN|15270|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |IN|15330|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |IN|15360|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |IN|15410|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |IN|15440|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |IN|15550|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |IN|15610|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |IN|15630|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |IN|15670|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |IN|15820|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |IN|15850|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |IN|15900|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |KY|18000|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |KY|18010|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |KY|18090|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |KY|18150|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |KY|18170|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |KY|18191|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |KY|18210|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |KY|18220|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |KY|18230|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |KY|18250|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |KY|18260|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |KY|18270|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |KY|18271|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |KY|18290|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |KY|18350|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |KY|18361|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |KY|18362|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |KY|18400|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |KY|18410|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |KY|18421|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |KY|18440|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |KY|18470|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |KY|18490|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |KY|18511|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |KY|18530|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |KY|18570|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |KY|18590|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |KY|18650|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |KY|18660|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |KY|18690|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |KY|18700|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |KY|18760|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |KY|18780|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |KY|18790|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |KY|18830|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |KY|18861|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |KY|18930|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |KY|18931|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |KY|18932|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |KY|18960|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |KY|18970|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |KY|18979|0|N
H5525|008|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-008 (PPO)|00025456|26.00|220| | |KY|18990|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39000|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39010|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39070|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39080|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39100|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39110|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39120|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39130|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39150|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39160|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39180|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39200|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39210|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39220|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39230|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39240|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39260|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39270|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39280|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39290|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39310|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39320|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39330|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39340|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39360|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39370|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39380|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39390|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39400|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39410|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39420|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39440|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39450|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39470|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39480|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39510|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39530|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39540|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39550|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39560|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39580|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39590|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39600|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39610|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39620|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39640|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39650|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39670|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39680|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39690|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39700|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39720|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39730|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39740|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39750|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39760|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39770|0|N
H5525|017|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-017 (PPO)|00025456|26.00|300| | |PA|39790|0|N
H5525|024|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-024 (PPO)|00025456|30.00|350| | |GA|11010|0|N
H5525|024|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-024 (PPO)|00025456|30.00|350| | |GA|11011|0|N
H5525|024|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-024 (PPO)|00025456|30.00|350| | |GA|11050|0|N
H5525|024|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-024 (PPO)|00025456|30.00|350| | |GA|11080|0|N
H5525|024|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-024 (PPO)|00025456|30.00|350| | |GA|11090|0|N
H5525|024|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-024 (PPO)|00025456|30.00|350| | |GA|11110|0|N
H5525|024|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-024 (PPO)|00025456|30.00|350| | |GA|11160|0|N
H5525|024|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-024 (PPO)|00025456|30.00|350| | |GA|11210|0|N
H5525|024|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-024 (PPO)|00025456|30.00|350| | |GA|11281|0|N
H5525|024|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-024 (PPO)|00025456|30.00|350| | |GA|11291|0|N
H5525|024|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-024 (PPO)|00025456|30.00|350| | |GA|11330|0|N
H5525|024|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-024 (PPO)|00025456|30.00|350| | |GA|11380|0|N
H5525|024|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-024 (PPO)|00025456|30.00|350| | |GA|11450|0|N
H5525|024|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-024 (PPO)|00025456|30.00|350| | |GA|11471|0|N
H5525|024|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-024 (PPO)|00025456|30.00|350| | |GA|11590|0|N
H5525|024|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-024 (PPO)|00025456|30.00|350| | |GA|11600|0|N
H5525|024|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-024 (PPO)|00025456|30.00|350| | |GA|11611|0|N
H5525|024|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-024 (PPO)|00025456|30.00|350| | |GA|11640|0|N
H5525|024|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-024 (PPO)|00025456|30.00|350| | |GA|11650|0|N
H5525|024|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-024 (PPO)|00025456|30.00|350| | |GA|11651|0|N
H5525|024|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-024 (PPO)|00025456|30.00|350| | |GA|11660|0|N
H5525|024|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-024 (PPO)|00025456|30.00|350| | |GA|11690|0|N
H5525|024|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-024 (PPO)|00025456|30.00|350| | |GA|11710|0|N
H5525|024|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-024 (PPO)|00025456|30.00|350| | |GA|11760|0|N
H5525|024|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-024 (PPO)|00025456|30.00|350| | |GA|11770|0|N
H5525|024|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-024 (PPO)|00025456|30.00|350| | |GA|11811|0|N
H5525|024|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-024 (PPO)|00025456|30.00|350| | |GA|11830|0|N
H5525|024|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-024 (PPO)|00025456|30.00|350| | |GA|11832|0|N
H5525|024|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-024 (PPO)|00025456|30.00|350| | |GA|11882|0|N
H5525|024|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-024 (PPO)|00025456|30.00|350| | |GA|11912|0|N
H5525|024|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-024 (PPO)|00025456|30.00|350| | |GA|11960|0|N
H5525|024|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-024 (PPO)|00025456|30.00|350| | |SC|42040|0|N
H5525|024|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-024 (PPO)|00025456|30.00|350| | |SC|42110|0|N
H5525|024|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-024 (PPO)|00025456|30.00|350| | |SC|42210|0|N
H5525|024|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-024 (PPO)|00025456|30.00|350| | |SC|42270|0|N
H5525|024|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-024 (PPO)|00025456|30.00|350| | |SC|42280|0|N
H5525|024|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-024 (PPO)|00025456|30.00|350| | |SC|42300|0|N
H5525|024|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-024 (PPO)|00025456|30.00|350| | |SC|42370|0|N
H5525|026|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-026 (PPO)|00025456|60.30|350| | |NC|34080|0|N
H5525|026|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-026 (PPO)|00025456|60.30|350| | |NC|34110|0|N
H5525|026|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-026 (PPO)|00025456|60.30|350| | |NC|34140|0|N
H5525|026|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-026 (PPO)|00025456|60.30|350| | |NC|34230|0|N
H5525|026|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-026 (PPO)|00025456|60.30|350| | |NC|34250|0|N
H5525|026|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-026 (PPO)|00025456|60.30|350| | |NC|34360|0|N
H5525|026|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-026 (PPO)|00025456|60.30|350| | |NC|34460|0|N
H5525|026|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-026 (PPO)|00025456|60.30|350| | |NC|34500|0|N
H5525|026|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-026 (PPO)|00025456|60.30|350| | |NC|34580|0|N
H5525|026|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-026 (PPO)|00025456|60.30|350| | |NC|34630|0|N
H5525|026|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-026 (PPO)|00025456|60.30|350| | |NC|34640|0|N
H5525|026|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-026 (PPO)|00025456|60.30|350| | |NC|34650|0|N
H5525|026|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-026 (PPO)|00025456|60.30|350| | |NC|34680|0|N
H5525|026|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-026 (PPO)|00025456|60.30|350| | |NC|34700|0|N
H5525|026|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-026 (PPO)|00025456|60.30|350| | |NC|34760|0|N
H5525|026|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-026 (PPO)|00025456|60.30|350| | |NC|34820|0|N
H5525|026|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-026 (PPO)|00025456|60.30|350| | |NC|34930|0|N
H5525|027|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-027 (PPO)|00025456|55.80|350| | |MT|27030|0|N
H5525|027|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-027 (PPO)|00025456|55.80|350| | |MT|27070|0|N
H5525|027|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-027 (PPO)|00025456|55.80|350| | |MT|27110|0|N
H5525|027|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-027 (PPO)|00025456|55.80|350| | |MT|27130|0|N
H5525|027|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-027 (PPO)|00025456|55.80|350| | |MT|27190|0|N
H5525|027|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-027 (PPO)|00025456|55.80|350| | |MT|27210|0|N
H5525|027|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-027 (PPO)|00025456|55.80|350| | |MT|27220|0|N
H5525|027|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-027 (PPO)|00025456|55.80|350| | |MT|27230|0|N
H5525|027|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-027 (PPO)|00025456|55.80|350| | |MT|27240|0|N
H5525|027|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-027 (PPO)|00025456|55.80|350| | |MT|27250|0|N
H5525|027|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-027 (PPO)|00025456|55.80|350| | |MT|27260|0|N
H5525|027|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-027 (PPO)|00025456|55.80|350| | |MT|27280|0|N
H5525|027|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-027 (PPO)|00025456|55.80|350| | |MT|27290|0|N
H5525|027|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-027 (PPO)|00025456|55.80|350| | |MT|27300|0|N
H5525|027|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-027 (PPO)|00025456|55.80|350| | |MT|27310|0|N
H5525|027|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-027 (PPO)|00025456|55.80|350| | |MT|27360|0|N
H5525|027|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-027 (PPO)|00025456|55.80|350| | |MT|27380|0|N
H5525|027|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-027 (PPO)|00025456|55.80|350| | |MT|27440|0|N
H5525|027|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-027 (PPO)|00025456|55.80|350| | |MT|27460|0|N
H5525|027|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-027 (PPO)|00025456|55.80|350| | |MT|27490|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |KY|18070|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |KY|18180|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |KY|18580|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36000|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36010|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36020|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36030|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36040|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36050|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36060|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36070|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36080|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36090|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36100|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36110|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36120|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36130|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36140|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36160|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36170|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36190|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36210|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36220|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36230|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36240|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36250|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36260|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36280|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36290|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36300|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36310|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36330|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36340|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36350|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36360|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36370|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36380|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36390|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36400|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36410|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36420|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36430|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36440|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36450|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36460|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36470|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36480|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36490|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36500|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36510|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36520|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36530|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36540|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36550|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36560|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36570|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36580|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36590|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36600|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36610|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36620|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36630|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36640|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36650|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36660|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36670|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36680|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36690|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36700|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36720|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36730|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36740|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36750|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36760|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36770|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36780|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36790|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36800|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36810|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36820|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36830|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36840|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36850|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36860|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36870|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36880|0|N
H5525|030|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-030 (PPO)|00025456|51.80|350| | |OH|36890|0|N
H5525|034|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-034 (PPO)|00025456|0.00|350| | |NC|34080|0|N
H5525|034|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-034 (PPO)|00025456|0.00|350| | |NC|34090|0|N
H5525|034|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-034 (PPO)|00025456|0.00|350| | |NC|34230|0|N
H5525|034|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-034 (PPO)|00025456|0.00|350| | |NC|34640|0|N
H5525|034|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-034 (PPO)|00025456|0.00|350| | |NC|34700|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34000|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34010|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34020|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34030|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34040|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34050|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34060|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34080|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34090|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34100|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34110|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34120|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34130|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34160|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34170|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34180|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34190|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34200|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34210|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34220|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34230|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34250|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34251|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34280|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34290|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34300|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34310|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34320|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34330|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34340|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34350|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34360|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34370|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34380|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34390|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34400|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34410|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34420|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34430|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34440|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34450|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34460|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34470|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34480|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34490|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34500|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34510|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34520|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34530|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34540|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34550|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34560|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34570|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34580|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34590|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34600|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34610|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34620|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34630|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34640|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34650|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34670|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34680|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34690|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34700|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34710|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34720|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34730|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34740|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34750|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34760|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34770|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34780|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34790|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34800|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34810|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34820|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34830|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34840|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34850|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34860|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34870|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34880|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34890|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34900|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34910|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34920|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34930|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34940|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34950|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34960|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34970|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34980|0|N
H5525|035|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-035 (PPO)|00025456|0.00|450| | |NC|34981|0|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34000|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34010|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34020|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34030|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34040|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34050|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34060|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34070|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34080|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34090|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34100|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34110|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34120|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34130|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34140|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34160|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34170|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34180|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34190|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34200|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34210|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34220|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34230|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34250|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34251|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34270|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34280|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34290|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34300|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34310|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34320|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34330|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34340|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34350|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34360|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34370|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34380|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34390|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34400|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34410|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34420|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34430|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34440|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34450|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34460|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34470|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34480|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34490|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34500|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34510|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34520|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34530|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34540|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34550|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34560|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34570|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34580|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34590|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34600|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34610|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34620|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34630|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34640|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34650|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34670|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34680|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34690|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34700|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34710|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34720|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34730|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34740|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34750|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34760|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34770|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34780|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34790|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34800|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34810|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34820|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34830|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34840|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34850|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34860|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34870|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34880|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34890|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34900|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34910|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34920|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34930|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34940|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34950|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34960|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34970|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34980|2|N
H5525|036|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-036 (PPO D-SNP)|00025456|0.00|590| | |NC|34981|2|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36000|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36010|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36020|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36030|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36040|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36050|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36060|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36070|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36080|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36090|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36100|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36110|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36120|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36130|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36140|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36170|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36190|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36200|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36210|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36220|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36230|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36240|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36250|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36260|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36280|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36290|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36300|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36310|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36330|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36340|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36350|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36360|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36380|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36390|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36400|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36410|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36420|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36430|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36440|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36450|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36460|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36470|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36480|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36490|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36500|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36510|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36520|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36530|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36540|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36550|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36560|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36570|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36580|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36590|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36600|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36610|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36620|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36630|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36640|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36650|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36660|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36670|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36680|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36690|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36700|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36710|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36720|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36730|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36740|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36750|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36760|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36770|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36780|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36790|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36800|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36810|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36820|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36830|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36840|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36850|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36860|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36870|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36880|0|N
H5525|041|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Value Plus H5525-041 (PPO)|00025456|11.00|590| | |OH|36890|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36000|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36010|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36020|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36030|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36040|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36050|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36060|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36070|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36080|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36090|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36100|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36110|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36120|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36130|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36140|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36160|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36170|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36190|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36210|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36220|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36230|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36240|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36250|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36260|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36270|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36280|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36290|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36300|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36310|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36330|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36340|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36350|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36360|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36370|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36380|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36390|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36400|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36410|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36420|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36430|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36440|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36450|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36460|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36470|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36480|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36490|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36500|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36510|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36520|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36530|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36540|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36550|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36560|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36570|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36580|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36590|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36600|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36610|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36620|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36630|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36640|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36650|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36660|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36680|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36690|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36700|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36710|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36720|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36730|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36740|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36750|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36760|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36770|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36780|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36790|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36800|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36810|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36820|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36840|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36850|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36860|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36870|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36880|0|N
H5525|042|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Full Access H5525-042 (PPO)|00025456|5.00|590| | |OH|36890|0|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18000|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18010|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18020|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18030|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18040|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18050|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18060|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18080|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18090|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18100|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18110|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18120|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18130|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18140|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18150|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18170|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18190|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18191|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18210|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18220|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18230|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18240|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18250|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18260|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18270|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18290|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18291|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18310|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18320|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18330|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18340|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18350|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18360|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18361|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18362|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18410|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18420|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18421|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18440|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18460|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18470|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18490|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18500|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18510|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18511|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18530|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18540|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18550|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18560|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18570|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18590|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18600|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18610|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18630|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18640|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18650|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18670|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18680|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18690|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18700|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18710|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18720|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18730|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18740|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18750|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18760|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18770|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18790|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18800|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18801|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18802|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18830|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18831|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18850|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18860|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18861|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18880|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18890|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18900|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18920|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18930|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18931|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18960|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18970|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18971|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18972|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18973|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18974|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18975|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18976|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18977|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18978|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18979|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18980|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18981|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18982|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18984|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18986|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18987|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18988|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18989|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18990|2|N
H5525|045|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-045 (PPO D-SNP)|00025456|0.00|590| | |KY|18992|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36000|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36010|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36020|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36030|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36040|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36050|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36060|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36070|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36080|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36090|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36100|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36110|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36120|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36130|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36140|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36150|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36160|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36170|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36190|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36200|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36210|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36220|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36230|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36250|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36260|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36270|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36280|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36290|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36300|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36310|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36330|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36340|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36350|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36360|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36370|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36390|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36410|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36420|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36430|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36440|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36450|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36460|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36470|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36480|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36490|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36500|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36510|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36520|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36530|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36540|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36560|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36570|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36580|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36590|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36600|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36610|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36620|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36630|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36640|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36650|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36660|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36680|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36690|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36700|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36720|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36730|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36740|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36750|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36760|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36770|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36780|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36790|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36800|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36810|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36820|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36830|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36840|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36850|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36860|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36870|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36880|2|N
H5525|046|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice SNP-DE H5525-046 (PPO D-SNP)|00025456|39.30|590| | |OH|36890|2|N
H5525|049|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-049 (PPO)|00025456|31.00|350| | |NC|34040|0|N
H5525|049|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-049 (PPO)|00025456|31.00|350| | |NC|34060|0|N
H5525|049|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-049 (PPO)|00025456|31.00|350| | |NC|34080|0|N
H5525|049|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-049 (PPO)|00025456|31.00|350| | |NC|34090|0|N
H5525|049|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-049 (PPO)|00025456|31.00|350| | |NC|34230|0|N
H5525|049|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-049 (PPO)|00025456|31.00|350| | |NC|34250|0|N
H5525|049|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-049 (PPO)|00025456|31.00|350| | |NC|34251|0|N
H5525|049|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-049 (PPO)|00025456|31.00|350| | |NC|34270|0|N
H5525|049|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-049 (PPO)|00025456|31.00|350| | |NC|34300|0|N
H5525|049|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-049 (PPO)|00025456|31.00|350| | |NC|34310|0|N
H5525|049|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-049 (PPO)|00025456|31.00|350| | |NC|34320|0|N
H5525|049|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-049 (PPO)|00025456|31.00|350| | |NC|34340|0|N
H5525|049|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-049 (PPO)|00025456|31.00|350| | |NC|34360|0|N
H5525|049|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-049 (PPO)|00025456|31.00|350| | |NC|34380|0|N
H5525|049|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-049 (PPO)|00025456|31.00|350| | |NC|34390|0|N
H5525|049|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-049 (PPO)|00025456|31.00|350| | |NC|34410|0|N
H5525|049|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-049 (PPO)|00025456|31.00|350| | |NC|34420|0|N
H5525|049|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-049 (PPO)|00025456|31.00|350| | |NC|34450|0|N
H5525|049|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-049 (PPO)|00025456|31.00|350| | |NC|34460|0|N
H5525|049|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-049 (PPO)|00025456|31.00|350| | |NC|34470|0|N
H5525|049|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-049 (PPO)|00025456|31.00|350| | |NC|34510|0|N
H5525|049|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-049 (PPO)|00025456|31.00|350| | |NC|34520|0|N
H5525|049|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-049 (PPO)|00025456|31.00|350| | |NC|34530|0|N
H5525|049|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-049 (PPO)|00025456|31.00|350| | |NC|34580|0|N
H5525|049|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-049 (PPO)|00025456|31.00|350| | |NC|34620|0|N
H5525|049|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-049 (PPO)|00025456|31.00|350| | |NC|34630|0|N
H5525|049|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-049 (PPO)|00025456|31.00|350| | |NC|34640|0|N
H5525|049|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-049 (PPO)|00025456|31.00|350| | |NC|34650|0|N
H5525|049|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-049 (PPO)|00025456|31.00|350| | |NC|34670|0|N
H5525|049|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-049 (PPO)|00025456|31.00|350| | |NC|34680|0|N
H5525|049|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-049 (PPO)|00025456|31.00|350| | |NC|34690|0|N
H5525|049|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-049 (PPO)|00025456|31.00|350| | |NC|34760|0|N
H5525|049|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-049 (PPO)|00025456|31.00|350| | |NC|34770|0|N
H5525|049|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-049 (PPO)|00025456|31.00|350| | |NC|34850|0|N
H5525|049|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-049 (PPO)|00025456|31.00|350| | |NC|34880|0|N
H5525|049|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-049 (PPO)|00025456|31.00|350| | |NC|34900|0|N
H5525|049|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-049 (PPO)|00025456|31.00|350| | |NC|34920|0|N
H5525|049|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-049 (PPO)|00025456|31.00|350| | |NC|34930|0|N
H5525|049|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-049 (PPO)|00025456|31.00|350| | |NC|34950|0|N
H5525|049|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-049 (PPO)|00025456|31.00|350| | |NC|34960|0|N
H5525|049|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-049 (PPO)|00025456|31.00|350| | |NC|34970|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34000|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34010|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34020|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34030|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34040|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34050|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34060|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34080|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34090|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34100|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34110|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34120|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34130|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34140|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34160|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34170|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34180|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34190|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34200|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34210|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34220|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34230|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34250|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34251|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34270|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34280|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34290|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34300|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34310|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34320|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34330|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34340|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34350|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34360|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34370|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34390|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34400|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34410|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34420|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34430|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34440|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34450|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34460|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34470|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34480|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34490|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34500|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34510|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34520|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34530|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34540|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34550|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34560|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34570|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34580|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34590|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34600|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34610|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34620|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34630|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34640|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34650|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34670|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34680|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34690|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34700|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34710|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34720|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34740|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34750|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34760|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34770|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34780|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34790|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34800|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34810|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34820|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34830|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34840|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34850|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34860|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34870|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34880|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34890|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34900|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34910|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34920|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34930|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34940|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34950|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34960|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34970|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34980|0|N
H5525|050|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-050 (PPO)|00025456|0.00|350| | |NC|34981|0|N
H5525|051|001|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39000|0|N
H5525|051|001|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39010|0|N
H5525|051|001|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39070|0|N
H5525|051|001|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39080|0|N
H5525|051|001|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39100|0|N
H5525|051|001|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39110|0|N
H5525|051|001|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39120|0|N
H5525|051|001|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39130|0|N
H5525|051|001|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39150|0|N
H5525|051|001|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39160|0|N
H5525|051|001|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39180|0|N
H5525|051|001|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39190|0|N
H5525|051|001|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39220|0|N
H5525|051|001|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39230|0|N
H5525|051|001|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39240|0|N
H5525|051|001|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39250|0|N
H5525|051|001|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39260|0|N
H5525|051|001|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39270|0|N
H5525|051|001|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39280|0|N
H5525|051|001|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39310|0|N
H5525|051|001|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39320|0|N
H5525|051|001|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39330|0|N
H5525|051|001|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39340|0|N
H5525|051|001|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39360|0|N
H5525|051|001|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39370|0|N
H5525|051|001|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39380|0|N
H5525|051|001|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39400|0|N
H5525|051|001|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39410|0|N
H5525|051|001|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39420|0|N
H5525|051|001|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39440|0|N
H5525|051|001|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39450|0|N
H5525|051|001|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39460|0|N
H5525|051|001|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39470|0|N
H5525|051|001|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39480|0|N
H5525|051|001|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39510|0|N
H5525|051|001|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39520|0|N
H5525|051|001|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39530|0|N
H5525|051|001|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39540|0|N
H5525|051|001|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39550|0|N
H5525|051|001|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39580|0|N
H5525|051|001|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39590|0|N
H5525|051|001|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39610|0|N
H5525|051|001|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39650|0|N
H5525|051|001|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39670|0|N
H5525|051|001|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39680|0|N
H5525|051|001|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39690|0|N
H5525|051|001|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39700|0|N
H5525|051|001|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39720|0|N
H5525|051|001|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39730|0|N
H5525|051|001|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39740|0|N
H5525|051|001|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39750|0|N
H5525|051|001|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39760|0|N
H5525|051|001|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39770|0|N
H5525|051|001|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39790|0|N
H5525|051|001|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39800|0|N
H5525|051|002|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39210|0|N
H5525|051|002|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39290|0|N
H5525|051|002|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39560|0|N
H5525|051|002|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-051 (PPO)|00025456|0.00|300| | |PA|39620|0|N
H5525|054|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-054 (PPO)|00025456|17.10|350| | |ID|13010|0|N
H5525|054|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-054 (PPO)|00025456|17.10|350| | |ID|13020|0|N
H5525|054|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-054 (PPO)|00025456|17.10|350| | |ID|13030|0|N
H5525|054|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-054 (PPO)|00025456|17.10|350| | |ID|13050|0|N
H5525|054|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-054 (PPO)|00025456|17.10|350| | |ID|13090|0|N
H5525|054|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-054 (PPO)|00025456|17.10|350| | |ID|13140|0|N
H5525|054|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-054 (PPO)|00025456|17.10|350| | |ID|13160|0|N
H5525|054|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-054 (PPO)|00025456|17.10|350| | |ID|13200|0|N
H5525|054|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-054 (PPO)|00025456|17.10|350| | |ID|13210|0|N
H5525|054|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-054 (PPO)|00025456|17.10|350| | |ID|13250|0|N
H5525|054|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-054 (PPO)|00025456|17.10|350| | |ID|13350|0|N
H5525|054|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-054 (PPO)|00025456|17.10|350| | |ID|13380|0|N
H5525|054|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-054 (PPO)|00025456|17.10|350| | |OR|38000|0|N
H5525|054|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-054 (PPO)|00025456|17.10|350| | |OR|38100|0|N
H5525|054|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-054 (PPO)|00025456|17.10|350| | |OR|38240|0|N
H5525|054|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-054 (PPO)|00025456|17.10|350| | |OR|38270|0|N
H5525|054|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-054 (PPO)|00025456|17.10|350| | |OR|38310|0|N
H5525|054|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-054 (PPO)|00025456|17.10|350| | |WY|53000|0|N
H5525|054|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-054 (PPO)|00025456|17.10|350| | |WY|53050|0|N
H5525|054|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-054 (PPO)|00025456|17.10|350| | |WY|53070|0|N
H5525|054|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-054 (PPO)|00025456|17.10|350| | |WY|53100|0|N
H5525|054|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-054 (PPO)|00025456|17.10|350| | |WY|53110|0|N
H5525|054|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-054 (PPO)|00025456|17.10|350| | |WY|53140|0|N
H5525|054|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-054 (PPO)|00025456|17.10|350| | |WY|53190|0|N
H5525|054|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-054 (PPO)|00025456|17.10|350| | |WY|53200|0|N
H5525|054|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-054 (PPO)|00025456|17.10|350| | |WY|53220|0|N
H5525|055|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-055 (PPO)|00025456|11.00|400| | |CA|05310|0|N
H5525|055|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-055 (PPO)|00025456|11.00|400| | |CA|05480|0|N
H5525|056|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-056 (PPO)|00025458|0.00|250| | |CA|05010|0|N
H5525|056|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-056 (PPO)|00025458|0.00|250| | |CA|05040|0|N
H5525|056|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-056 (PPO)|00025458|0.00|250| | |CA|05170|0|N
H5525|056|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-056 (PPO)|00025458|0.00|250| | |CA|05320|0|N
H5525|056|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-056 (PPO)|00025458|0.00|250| | |CA|05360|0|N
H5525|056|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-056 (PPO)|00025458|0.00|250| | |CA|05420|0|N
H5525|056|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-056 (PPO)|00025458|0.00|250| | |CA|05560|0|N
H5525|057|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|350| | |CA|05200|0|N
H5525|057|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|350| | |CA|05210|0|N
H5525|057|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|350| | |CA|05400|0|N
H5525|057|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|350| | |CA|05430|0|N
H5525|057|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|350| | |CA|05460|0|N
H5525|057|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025458|0.00|350| | |CA|05470|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39000|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39010|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39070|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39080|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39100|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39110|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39120|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39130|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39140|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39150|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39180|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39190|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39200|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39210|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39220|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39230|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39240|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39260|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39270|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39280|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39290|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39310|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39320|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39330|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39340|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39350|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39360|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39370|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39380|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39400|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39410|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39420|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39440|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39450|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39460|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39470|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39480|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39510|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39520|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39530|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39540|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39550|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39560|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39580|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39590|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39610|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39620|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39640|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39650|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39670|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39680|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39690|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39700|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39710|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39720|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39730|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39740|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39750|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39760|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39770|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39790|0|N
H5525|058|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice Giveback H5525-058 (PPO)|00025456|0.00|225| | |PA|39800|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39000|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39010|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39070|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39080|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39100|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39110|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39120|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39130|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39140|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39150|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39180|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39190|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39200|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39210|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39220|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39230|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39240|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39260|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39270|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39280|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39290|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39310|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39320|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39330|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39340|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39350|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39360|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39370|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39380|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39400|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39410|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39420|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39440|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39450|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39460|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39470|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39480|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39510|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39520|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39530|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39540|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39550|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39560|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39580|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39590|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39610|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39620|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39640|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39650|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39670|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39680|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39690|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39700|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39710|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39720|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39730|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39740|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39750|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39760|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39770|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39790|0|N
H5525|059|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana USAA Honor Giveback with Rx (PPO)|00025456|0.00|300| | |PA|39800|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34000|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34010|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34020|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34030|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34040|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34050|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34060|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34070|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34080|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34090|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34100|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34110|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34120|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34130|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34140|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34160|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34170|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34180|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34190|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34200|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34210|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34220|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34230|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34250|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34251|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34270|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34280|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34290|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34300|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34310|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34320|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34330|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34340|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34350|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34360|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34370|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34380|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34390|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34400|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34410|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34420|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34430|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34440|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34450|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34460|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34470|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34480|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34490|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34500|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34510|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34520|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34530|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34540|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34550|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34560|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34570|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34580|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34590|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34600|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34610|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34620|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34630|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34640|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34650|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34670|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34680|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34690|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34700|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34710|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34720|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34730|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34740|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34750|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34760|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34770|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34780|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34790|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34800|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34810|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34820|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34830|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34840|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34850|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34860|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34870|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34880|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34890|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34900|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34910|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34920|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34930|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34940|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34950|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34960|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34970|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34980|0|N
H5525|070|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-070 (PPO)|00025458|51.20|590| | |NC|34981|0|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34000|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34010|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34020|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34030|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34040|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34050|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34060|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34070|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34080|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34090|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34100|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34110|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34120|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34130|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34140|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34160|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34170|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34180|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34190|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34200|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34210|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34220|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34230|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34250|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34251|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34270|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34280|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34290|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34300|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34310|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34320|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34330|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34340|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34350|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34360|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34370|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34380|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34390|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34400|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34410|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34420|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34430|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34440|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34450|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34460|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34470|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34480|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34490|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34500|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34510|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34520|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34530|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34540|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34550|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34560|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34570|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34580|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34590|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34600|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34610|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34620|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34630|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34640|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34650|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34670|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34680|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34690|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34700|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34710|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34720|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34730|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34740|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34750|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34760|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34770|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34780|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34790|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34800|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34810|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34820|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34830|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34840|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34850|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34860|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34870|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34880|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34890|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34900|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34910|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34920|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34930|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34940|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34950|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34960|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34970|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34980|2|N
H5525|072|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|Humana Dual Select H5525-072 (PPO D-SNP)|00025456|45.60|590| | |NC|34981|2|N
H5525|074|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-074 (PPO)|00025456|0.40|0| | |CA|05200|0|N
H5525|074|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-074 (PPO)|00025456|0.40|0| | |CA|05210|0|N
H5525|074|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-074 (PPO)|00025456|0.40|0| | |CA|05400|0|N
H5525|074|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-074 (PPO)|00025456|0.40|0| | |CA|05430|0|N
H5525|074|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-074 (PPO)|00025456|0.40|0| | |CA|05460|0|N
H5525|075|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-075 (PPO)|00025456|0.00|0| | |CA|05200|0|N
H5525|075|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-075 (PPO)|00025456|0.00|0| | |CA|05210|0|N
H5525|075|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-075 (PPO)|00025456|0.00|0| | |CA|05400|0|N
H5525|075|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-075 (PPO)|00025456|0.00|0| | |CA|05430|0|N
H5525|075|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-075 (PPO)|00025456|0.00|0| | |CA|05460|0|N
H5525|076|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-076 (PPO)|00025456|0.00|0| | |CA|05470|0|N
H5525|077|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-077 (PPO)|00025456|0.00|0| | |CA|05470|0|N
H5525|080|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-080 (PPO)|00025456|0.00|0| | |CA|05490|0|N
H5525|080|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-080 (PPO)|00025456|0.00|0| | |CA|05600|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34000|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34010|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34020|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34030|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34040|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34050|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34060|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34070|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34080|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34090|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34100|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34110|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34120|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34130|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34140|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34160|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34170|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34180|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34190|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34210|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34220|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34230|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34250|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34251|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34280|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34290|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34300|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34310|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34320|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34330|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34340|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34350|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34360|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34370|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34380|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34390|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34400|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34410|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34420|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34430|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34440|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34450|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34460|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34470|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34480|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34490|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34500|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34510|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34520|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34530|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34540|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34550|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34560|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34570|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34580|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34590|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34600|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34610|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34620|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34630|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34640|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34650|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34670|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34680|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34690|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34700|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34710|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34720|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34740|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34750|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34760|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34770|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34780|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34790|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34800|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34810|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34820|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34830|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34840|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34850|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34860|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34870|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34880|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34890|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34900|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34910|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34920|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34930|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34940|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34950|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34960|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34970|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34980|0|N
H5525|083|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-083 (PPO)|00025456|0.00|450| | |NC|34981|0|N
H5525|084|000|HUMANA BENEFIT PLAN OF ILLINOIS, INC.|HumanaChoice H5525-084 (PPO)|00025456|0.00|300| | |CA|05060|0|N
H5526|004|000|Highmark Western and Northeastern New York Inc.|Forever Blue 751 (PPO)|00025025|131.90|0| | |NY|33010|0|N
H5526|004|000|Highmark Western and Northeastern New York Inc.|Forever Blue 751 (PPO)|00025025|131.90|0| | |NY|33040|0|N
H5526|004|000|Highmark Western and Northeastern New York Inc.|Forever Blue 751 (PPO)|00025025|131.90|0| | |NY|33060|0|N
H5526|004|000|Highmark Western and Northeastern New York Inc.|Forever Blue 751 (PPO)|00025025|131.90|0| | |NY|33240|0|N
H5526|004|000|Highmark Western and Northeastern New York Inc.|Forever Blue 751 (PPO)|00025025|131.90|0| | |NY|33290|0|N
H5526|004|000|Highmark Western and Northeastern New York Inc.|Forever Blue 751 (PPO)|00025025|131.90|0| | |NY|33500|0|N
H5526|004|000|Highmark Western and Northeastern New York Inc.|Forever Blue 751 (PPO)|00025025|131.90|0| | |NY|33550|0|N
H5526|004|000|Highmark Western and Northeastern New York Inc.|Forever Blue 751 (PPO)|00025025|131.90|0| | |NY|33900|0|N
H5526|016|000|Highmark Western and Northeastern New York Inc.|Forever Blue Value (PPO)|00025025|97.00|0| | |NY|33010|0|N
H5526|016|000|Highmark Western and Northeastern New York Inc.|Forever Blue Value (PPO)|00025025|97.00|0| | |NY|33040|0|N
H5526|016|000|Highmark Western and Northeastern New York Inc.|Forever Blue Value (PPO)|00025025|97.00|0| | |NY|33060|0|N
H5526|016|000|Highmark Western and Northeastern New York Inc.|Forever Blue Value (PPO)|00025025|97.00|0| | |NY|33240|0|N
H5526|016|000|Highmark Western and Northeastern New York Inc.|Forever Blue Value (PPO)|00025025|97.00|0| | |NY|33290|0|N
H5526|016|000|Highmark Western and Northeastern New York Inc.|Forever Blue Value (PPO)|00025025|97.00|0| | |NY|33500|0|N
H5526|016|000|Highmark Western and Northeastern New York Inc.|Forever Blue Value (PPO)|00025025|97.00|0| | |NY|33550|0|N
H5526|016|000|Highmark Western and Northeastern New York Inc.|Forever Blue Value (PPO)|00025025|97.00|0| | |NY|33900|0|N
H5526|018|000|Highmark Western and Northeastern New York Inc.|Forever Blue 770 (PPO)|00025025|136.80|0| | |NY|33000|0|N
H5526|018|000|Highmark Western and Northeastern New York Inc.|Forever Blue 770 (PPO)|00025025|136.80|0| | |NY|33200|0|N
H5526|018|000|Highmark Western and Northeastern New York Inc.|Forever Blue 770 (PPO)|00025025|136.80|0| | |NY|33280|0|N
H5526|018|000|Highmark Western and Northeastern New York Inc.|Forever Blue 770 (PPO)|00025025|136.80|0| | |NY|33300|0|N
H5526|018|000|Highmark Western and Northeastern New York Inc.|Forever Blue 770 (PPO)|00025025|136.80|0| | |NY|33380|0|N
H5526|018|000|Highmark Western and Northeastern New York Inc.|Forever Blue 770 (PPO)|00025025|136.80|0| | |NY|33600|0|N
H5526|018|000|Highmark Western and Northeastern New York Inc.|Forever Blue 770 (PPO)|00025025|136.80|0| | |NY|33640|0|N
H5526|018|000|Highmark Western and Northeastern New York Inc.|Forever Blue 770 (PPO)|00025025|136.80|0| | |NY|33650|0|N
H5526|018|000|Highmark Western and Northeastern New York Inc.|Forever Blue 770 (PPO)|00025025|136.80|0| | |NY|33750|0|N
H5526|018|000|Highmark Western and Northeastern New York Inc.|Forever Blue 770 (PPO)|00025025|136.80|0| | |NY|33760|0|N
H5526|020|000|Highmark Western and Northeastern New York Inc.|Freedom Nation (PPO)|00025025|30.00|0| | |NY|33010|0|N
H5526|020|000|Highmark Western and Northeastern New York Inc.|Freedom Nation (PPO)|00025025|30.00|0| | |NY|33040|0|N
H5526|020|000|Highmark Western and Northeastern New York Inc.|Freedom Nation (PPO)|00025025|30.00|0| | |NY|33060|0|N
H5526|020|000|Highmark Western and Northeastern New York Inc.|Freedom Nation (PPO)|00025025|30.00|0| | |NY|33240|0|N
H5526|020|000|Highmark Western and Northeastern New York Inc.|Freedom Nation (PPO)|00025025|30.00|0| | |NY|33290|0|N
H5526|020|000|Highmark Western and Northeastern New York Inc.|Freedom Nation (PPO)|00025025|30.00|0| | |NY|33500|0|N
H5526|020|000|Highmark Western and Northeastern New York Inc.|Freedom Nation (PPO)|00025025|30.00|0| | |NY|33550|0|N
H5526|020|000|Highmark Western and Northeastern New York Inc.|Freedom Nation (PPO)|00025025|30.00|0| | |NY|33900|0|N
H5526|027|000|Highmark Western and Northeastern New York Inc.|Freedom Nation Prestige (PPO)|00025025|52.00|0| | |NY|33010|0|N
H5526|027|000|Highmark Western and Northeastern New York Inc.|Freedom Nation Prestige (PPO)|00025025|52.00|0| | |NY|33040|0|N
H5526|027|000|Highmark Western and Northeastern New York Inc.|Freedom Nation Prestige (PPO)|00025025|52.00|0| | |NY|33060|0|N
H5526|027|000|Highmark Western and Northeastern New York Inc.|Freedom Nation Prestige (PPO)|00025025|52.00|0| | |NY|33240|0|N
H5526|027|000|Highmark Western and Northeastern New York Inc.|Freedom Nation Prestige (PPO)|00025025|52.00|0| | |NY|33290|0|N
H5526|027|000|Highmark Western and Northeastern New York Inc.|Freedom Nation Prestige (PPO)|00025025|52.00|0| | |NY|33500|0|N
H5526|027|000|Highmark Western and Northeastern New York Inc.|Freedom Nation Prestige (PPO)|00025025|52.00|0| | |NY|33550|0|N
H5526|027|000|Highmark Western and Northeastern New York Inc.|Freedom Nation Prestige (PPO)|00025025|52.00|0| | |NY|33900|0|N
H5533|003|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO High Deductible Rx (PPO)|00025184|33.00|175| | |PA|39010|0|N
H5533|003|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO High Deductible Rx (PPO)|00025184|33.00|175| | |PA|39070|0|N
H5533|003|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO High Deductible Rx (PPO)|00025184|33.00|175| | |PA|39080|0|N
H5533|003|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO High Deductible Rx (PPO)|00025184|33.00|175| | |PA|39100|0|N
H5533|003|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO High Deductible Rx (PPO)|00025184|33.00|175| | |PA|39120|0|N
H5533|003|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO High Deductible Rx (PPO)|00025184|33.00|175| | |PA|39150|0|N
H5533|003|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO High Deductible Rx (PPO)|00025184|33.00|175| | |PA|39160|0|N
H5533|003|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO High Deductible Rx (PPO)|00025184|33.00|175| | |PA|39180|0|N
H5533|003|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO High Deductible Rx (PPO)|00025184|33.00|175| | |PA|39190|0|N
H5533|003|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO High Deductible Rx (PPO)|00025184|33.00|175| | |PA|39220|0|N
H5533|003|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO High Deductible Rx (PPO)|00025184|33.00|175| | |PA|39230|0|N
H5533|003|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO High Deductible Rx (PPO)|00025184|33.00|175| | |PA|39260|0|N
H5533|003|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO High Deductible Rx (PPO)|00025184|33.00|175| | |PA|39310|0|N
H5533|003|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO High Deductible Rx (PPO)|00025184|33.00|175| | |PA|39320|0|N
H5533|003|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO High Deductible Rx (PPO)|00025184|33.00|175| | |PA|39330|0|N
H5533|003|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO High Deductible Rx (PPO)|00025184|33.00|175| | |PA|39340|0|N
H5533|003|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO High Deductible Rx (PPO)|00025184|33.00|175| | |PA|39370|0|N
H5533|003|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO High Deductible Rx (PPO)|00025184|33.00|175| | |PA|39380|0|N
H5533|003|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO High Deductible Rx (PPO)|00025184|33.00|175| | |PA|39390|0|N
H5533|003|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO High Deductible Rx (PPO)|00025184|33.00|175| | |PA|39400|0|N
H5533|003|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO High Deductible Rx (PPO)|00025184|33.00|175| | |PA|39450|0|N
H5533|003|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO High Deductible Rx (PPO)|00025184|33.00|175| | |PA|39520|0|N
H5533|003|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO High Deductible Rx (PPO)|00025184|33.00|175| | |PA|39530|0|N
H5533|003|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO High Deductible Rx (PPO)|00025184|33.00|175| | |PA|39680|0|N
H5533|003|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO High Deductible Rx (PPO)|00025184|33.00|175| | |PA|39730|0|N
H5533|003|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO High Deductible Rx (PPO)|00025184|33.00|175| | |PA|39740|0|N
H5533|003|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO High Deductible Rx (PPO)|00025184|33.00|175| | |PA|39750|0|N
H5533|003|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO High Deductible Rx (PPO)|00025184|33.00|175| | |PA|39770|0|N
H5533|005|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Enhanced (PPO)|00025184|91.50|0| | |PA|39010|0|N
H5533|005|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Enhanced (PPO)|00025184|91.50|0| | |PA|39070|0|N
H5533|005|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Enhanced (PPO)|00025184|91.50|0| | |PA|39080|0|N
H5533|005|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Enhanced (PPO)|00025184|91.50|0| | |PA|39100|0|N
H5533|005|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Enhanced (PPO)|00025184|91.50|0| | |PA|39120|0|N
H5533|005|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Enhanced (PPO)|00025184|91.50|0| | |PA|39150|0|N
H5533|005|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Enhanced (PPO)|00025184|91.50|0| | |PA|39160|0|N
H5533|005|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Enhanced (PPO)|00025184|91.50|0| | |PA|39180|0|N
H5533|005|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Enhanced (PPO)|00025184|91.50|0| | |PA|39190|0|N
H5533|005|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Enhanced (PPO)|00025184|91.50|0| | |PA|39220|0|N
H5533|005|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Enhanced (PPO)|00025184|91.50|0| | |PA|39230|0|N
H5533|005|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Enhanced (PPO)|00025184|91.50|0| | |PA|39260|0|N
H5533|005|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Enhanced (PPO)|00025184|91.50|0| | |PA|39310|0|N
H5533|005|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Enhanced (PPO)|00025184|91.50|0| | |PA|39320|0|N
H5533|005|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Enhanced (PPO)|00025184|91.50|0| | |PA|39330|0|N
H5533|005|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Enhanced (PPO)|00025184|91.50|0| | |PA|39340|0|N
H5533|005|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Enhanced (PPO)|00025184|91.50|0| | |PA|39370|0|N
H5533|005|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Enhanced (PPO)|00025184|91.50|0| | |PA|39380|0|N
H5533|005|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Enhanced (PPO)|00025184|91.50|0| | |PA|39390|0|N
H5533|005|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Enhanced (PPO)|00025184|91.50|0| | |PA|39400|0|N
H5533|005|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Enhanced (PPO)|00025184|91.50|0| | |PA|39450|0|N
H5533|005|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Enhanced (PPO)|00025184|91.50|0| | |PA|39520|0|N
H5533|005|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Enhanced (PPO)|00025184|91.50|0| | |PA|39530|0|N
H5533|005|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Enhanced (PPO)|00025184|91.50|0| | |PA|39680|0|N
H5533|005|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Enhanced (PPO)|00025184|91.50|0| | |PA|39730|0|N
H5533|005|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Enhanced (PPO)|00025184|91.50|0| | |PA|39740|0|N
H5533|005|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Enhanced (PPO)|00025184|91.50|0| | |PA|39750|0|N
H5533|005|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Enhanced (PPO)|00025184|91.50|0| | |PA|39770|0|N
H5533|008|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Enhanced (PPO)|00025184|16.10|175| | |PA|39000|0|N
H5533|008|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Enhanced (PPO)|00025184|16.10|175| | |PA|39110|0|N
H5533|008|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Enhanced (PPO)|00025184|16.10|175| | |PA|39130|0|N
H5533|008|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Enhanced (PPO)|00025184|16.10|175| | |PA|39270|0|N
H5533|008|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Enhanced (PPO)|00025184|16.10|175| | |PA|39280|0|N
H5533|008|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Enhanced (PPO)|00025184|16.10|175| | |PA|39360|0|N
H5533|008|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Enhanced (PPO)|00025184|16.10|175| | |PA|39410|0|N
H5533|008|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Enhanced (PPO)|00025184|16.10|175| | |PA|39440|0|N
H5533|008|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Enhanced (PPO)|00025184|16.10|175| | |PA|39460|0|N
H5533|008|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Enhanced (PPO)|00025184|16.10|175| | |PA|39470|0|N
H5533|008|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Enhanced (PPO)|00025184|16.10|175| | |PA|39540|0|N
H5533|008|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Enhanced (PPO)|00025184|16.10|175| | |PA|39590|0|N
H5533|008|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Enhanced (PPO)|00025184|16.10|175| | |PA|39610|0|N
H5533|008|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Enhanced (PPO)|00025184|16.10|175| | |PA|39700|0|N
H5533|008|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Enhanced (PPO)|00025184|16.10|175| | |PA|39760|0|N
H5533|008|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Enhanced (PPO)|00025184|16.10|175| | |PA|39790|0|N
H5533|008|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Enhanced (PPO)|00025184|16.10|175| | |PA|39800|0|N
H5533|011|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Premier Rx (PPO)|00025186|0.00|350| | |PA|39000|0|N
H5533|011|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Premier Rx (PPO)|00025186|0.00|350| | |PA|39200|0|N
H5533|011|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Premier Rx (PPO)|00025186|0.00|350| | |PA|39240|0|N
H5533|011|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Premier Rx (PPO)|00025186|0.00|350| | |PA|39270|0|N
H5533|011|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Premier Rx (PPO)|00025186|0.00|350| | |PA|39280|0|N
H5533|011|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Premier Rx (PPO)|00025186|0.00|350| | |PA|39360|0|N
H5533|011|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Premier Rx (PPO)|00025186|0.00|350| | |PA|39410|0|N
H5533|011|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Premier Rx (PPO)|00025186|0.00|350| | |PA|39440|0|N
H5533|011|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Premier Rx (PPO)|00025186|0.00|350| | |PA|39460|0|N
H5533|011|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Premier Rx (PPO)|00025186|0.00|350| | |PA|39510|0|N
H5533|011|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Premier Rx (PPO)|00025186|0.00|350| | |PA|39540|0|N
H5533|011|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Premier Rx (PPO)|00025186|0.00|350| | |PA|39580|0|N
H5533|011|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Premier Rx (PPO)|00025186|0.00|350| | |PA|39610|0|N
H5533|011|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Premier Rx (PPO)|00025186|0.00|350| | |PA|39640|0|N
H5533|011|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Premier Rx (PPO)|00025186|0.00|350| | |PA|39670|0|N
H5533|011|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Premier Rx (PPO)|00025186|0.00|350| | |PA|39690|0|N
H5533|011|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Premier Rx (PPO)|00025186|0.00|350| | |PA|39720|0|N
H5533|013|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Premier Rx (PPO)|00025186|0.00|350| | |PA|39010|0|N
H5533|013|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Premier Rx (PPO)|00025186|0.00|350| | |PA|39070|0|N
H5533|013|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Premier Rx (PPO)|00025186|0.00|350| | |PA|39080|0|N
H5533|013|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Premier Rx (PPO)|00025186|0.00|350| | |PA|39100|0|N
H5533|013|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Premier Rx (PPO)|00025186|0.00|350| | |PA|39120|0|N
H5533|013|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Premier Rx (PPO)|00025186|0.00|350| | |PA|39150|0|N
H5533|013|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Premier Rx (PPO)|00025186|0.00|350| | |PA|39160|0|N
H5533|013|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Premier Rx (PPO)|00025186|0.00|350| | |PA|39180|0|N
H5533|013|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Premier Rx (PPO)|00025186|0.00|350| | |PA|39190|0|N
H5533|013|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Premier Rx (PPO)|00025186|0.00|350| | |PA|39220|0|N
H5533|013|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Premier Rx (PPO)|00025186|0.00|350| | |PA|39230|0|N
H5533|013|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Premier Rx (PPO)|00025186|0.00|350| | |PA|39260|0|N
H5533|013|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Premier Rx (PPO)|00025186|0.00|350| | |PA|39310|0|N
H5533|013|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Premier Rx (PPO)|00025186|0.00|350| | |PA|39320|0|N
H5533|013|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Premier Rx (PPO)|00025186|0.00|350| | |PA|39330|0|N
H5533|013|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Premier Rx (PPO)|00025186|0.00|350| | |PA|39340|0|N
H5533|013|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Premier Rx (PPO)|00025186|0.00|350| | |PA|39370|0|N
H5533|013|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Premier Rx (PPO)|00025186|0.00|350| | |PA|39380|0|N
H5533|013|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Premier Rx (PPO)|00025186|0.00|350| | |PA|39390|0|N
H5533|013|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Premier Rx (PPO)|00025186|0.00|350| | |PA|39400|0|N
H5533|013|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Premier Rx (PPO)|00025186|0.00|350| | |PA|39450|0|N
H5533|013|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Premier Rx (PPO)|00025186|0.00|350| | |PA|39520|0|N
H5533|013|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Premier Rx (PPO)|00025186|0.00|350| | |PA|39530|0|N
H5533|013|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Premier Rx (PPO)|00025186|0.00|350| | |PA|39680|0|N
H5533|013|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Premier Rx (PPO)|00025186|0.00|350| | |PA|39730|0|N
H5533|013|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Premier Rx (PPO)|00025186|0.00|350| | |PA|39740|0|N
H5533|013|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Premier Rx (PPO)|00025186|0.00|350| | |PA|39750|0|N
H5533|013|000|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Premier Rx (PPO)|00025186|0.00|350| | |PA|39770|0|N
H5533|015|001|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Choice (PPO)|00025184|13.90|175| | |PA|39010|0|N
H5533|015|002|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Choice (PPO)|00025184|13.90|175| | |PA|39070|0|N
H5533|015|002|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Choice (PPO)|00025184|13.90|175| | |PA|39080|0|N
H5533|015|002|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Choice (PPO)|00025184|13.90|175| | |PA|39150|0|N
H5533|015|002|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Choice (PPO)|00025184|13.90|175| | |PA|39330|0|N
H5533|015|002|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Choice (PPO)|00025184|13.90|175| | |PA|39370|0|N
H5533|015|002|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Choice (PPO)|00025184|13.90|175| | |PA|39390|0|N
H5533|015|002|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Choice (PPO)|00025184|13.90|175| | |PA|39450|0|N
H5533|015|002|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Choice (PPO)|00025184|13.90|175| | |PA|39750|0|N
H5533|015|002|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Choice (PPO)|00025184|13.90|175| | |PA|39770|0|N
H5533|015|003|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Choice (PPO)|00025184|13.90|175| | |PA|39180|0|N
H5533|015|003|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Choice (PPO)|00025184|13.90|175| | |PA|39220|0|N
H5533|015|003|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Choice (PPO)|00025184|13.90|175| | |PA|39230|0|N
H5533|015|003|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Choice (PPO)|00025184|13.90|175| | |PA|39260|0|N
H5533|015|003|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Choice (PPO)|00025184|13.90|175| | |PA|39310|0|N
H5533|015|003|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Choice (PPO)|00025184|13.90|175| | |PA|39320|0|N
H5533|015|003|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Choice (PPO)|00025184|13.90|175| | |PA|39340|0|N
H5533|015|003|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Choice (PPO)|00025184|13.90|175| | |PA|39400|0|N
H5533|015|003|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Choice (PPO)|00025184|13.90|175| | |PA|39520|0|N
H5533|015|003|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Choice (PPO)|00025184|13.90|175| | |PA|39530|0|N
H5533|015|003|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Choice (PPO)|00025184|13.90|175| | |PA|39730|0|N
H5533|015|003|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Choice (PPO)|00025184|13.90|175| | |PA|39740|0|N
H5533|015|004|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Choice (PPO)|00025184|13.90|175| | |PA|39000|0|N
H5533|015|004|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Choice (PPO)|00025184|13.90|175| | |PA|39190|0|N
H5533|015|004|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Choice (PPO)|00025184|13.90|175| | |PA|39200|0|N
H5533|015|004|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Choice (PPO)|00025184|13.90|175| | |PA|39240|0|N
H5533|015|004|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Choice (PPO)|00025184|13.90|175| | |PA|39270|0|N
H5533|015|004|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Choice (PPO)|00025184|13.90|175| | |PA|39280|0|N
H5533|015|004|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Choice (PPO)|00025184|13.90|175| | |PA|39360|0|N
H5533|015|004|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Choice (PPO)|00025184|13.90|175| | |PA|39410|0|N
H5533|015|004|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Choice (PPO)|00025184|13.90|175| | |PA|39440|0|N
H5533|015|004|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Choice (PPO)|00025184|13.90|175| | |PA|39460|0|N
H5533|015|004|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Choice (PPO)|00025184|13.90|175| | |PA|39510|0|N
H5533|015|004|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Choice (PPO)|00025184|13.90|175| | |PA|39540|0|N
H5533|015|004|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Choice (PPO)|00025184|13.90|175| | |PA|39580|0|N
H5533|015|004|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Choice (PPO)|00025184|13.90|175| | |PA|39610|0|N
H5533|015|004|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Choice (PPO)|00025184|13.90|175| | |PA|39640|0|N
H5533|015|004|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Choice (PPO)|00025184|13.90|175| | |PA|39670|0|N
H5533|015|004|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Choice (PPO)|00025184|13.90|175| | |PA|39690|0|N
H5533|015|004|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Choice (PPO)|00025184|13.90|175| | |PA|39710|0|N
H5533|015|004|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Choice (PPO)|00025184|13.90|175| | |PA|39720|0|N
H5533|015|004|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Choice (PPO)|00025184|13.90|175| | |PA|39800|0|N
H5533|015|005|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Choice (PPO)|00025184|13.90|175| | |PA|39100|0|N
H5533|015|005|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Choice (PPO)|00025184|13.90|175| | |PA|39120|0|N
H5533|015|005|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Choice (PPO)|00025184|13.90|175| | |PA|39160|0|N
H5533|015|005|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Choice (PPO)|00025184|13.90|175| | |PA|39380|0|N
H5533|015|005|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Rx Choice (PPO)|00025184|13.90|175| | |PA|39680|0|N
H5533|017|001|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Essential Care Rx (PPO)|00025186|0.00|350| | |PA|39000|0|N
H5533|017|001|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Essential Care Rx (PPO)|00025186|0.00|350| | |PA|39010|0|N
H5533|017|001|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Essential Care Rx (PPO)|00025186|0.00|350| | |PA|39070|0|N
H5533|017|001|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Essential Care Rx (PPO)|00025186|0.00|350| | |PA|39080|0|N
H5533|017|001|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Essential Care Rx (PPO)|00025186|0.00|350| | |PA|39110|0|N
H5533|017|001|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Essential Care Rx (PPO)|00025186|0.00|350| | |PA|39130|0|N
H5533|017|001|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Essential Care Rx (PPO)|00025186|0.00|350| | |PA|39150|0|N
H5533|017|001|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Essential Care Rx (PPO)|00025186|0.00|350| | |PA|39180|0|N
H5533|017|001|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Essential Care Rx (PPO)|00025186|0.00|350| | |PA|39190|0|N
H5533|017|001|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Essential Care Rx (PPO)|00025186|0.00|350| | |PA|39200|0|N
H5533|017|001|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Essential Care Rx (PPO)|00025186|0.00|350| | |PA|39220|0|N
H5533|017|001|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Essential Care Rx (PPO)|00025186|0.00|350| | |PA|39230|0|N
H5533|017|001|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Essential Care Rx (PPO)|00025186|0.00|350| | |PA|39240|0|N
H5533|017|001|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Essential Care Rx (PPO)|00025186|0.00|350| | |PA|39260|0|N
H5533|017|001|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Essential Care Rx (PPO)|00025186|0.00|350| | |PA|39270|0|N
H5533|017|001|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Essential Care Rx (PPO)|00025186|0.00|350| | |PA|39280|0|N
H5533|017|001|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Essential Care Rx (PPO)|00025186|0.00|350| | |PA|39310|0|N
H5533|017|001|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Essential Care Rx (PPO)|00025186|0.00|350| | |PA|39320|0|N
H5533|017|001|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Essential Care Rx (PPO)|00025186|0.00|350| | |PA|39330|0|N
H5533|017|001|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Essential Care Rx (PPO)|00025186|0.00|350| | |PA|39340|0|N
H5533|017|001|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Essential Care Rx (PPO)|00025186|0.00|350| | |PA|39360|0|N
H5533|017|001|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Essential Care Rx (PPO)|00025186|0.00|350| | |PA|39370|0|N
H5533|017|001|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Essential Care Rx (PPO)|00025186|0.00|350| | |PA|39390|0|N
H5533|017|001|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Essential Care Rx (PPO)|00025186|0.00|350| | |PA|39400|0|N
H5533|017|001|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Essential Care Rx (PPO)|00025186|0.00|350| | |PA|39410|0|N
H5533|017|001|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Essential Care Rx (PPO)|00025186|0.00|350| | |PA|39440|0|N
H5533|017|001|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Essential Care Rx (PPO)|00025186|0.00|350| | |PA|39450|0|N
H5533|017|001|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Essential Care Rx (PPO)|00025186|0.00|350| | |PA|39460|0|N
H5533|017|001|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Essential Care Rx (PPO)|00025186|0.00|350| | |PA|39470|0|N
H5533|017|001|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Essential Care Rx (PPO)|00025186|0.00|350| | |PA|39510|0|N
H5533|017|001|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Essential Care Rx (PPO)|00025186|0.00|350| | |PA|39520|0|N
H5533|017|001|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Essential Care Rx (PPO)|00025186|0.00|350| | |PA|39530|0|N
H5533|017|001|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Essential Care Rx (PPO)|00025186|0.00|350| | |PA|39540|0|N
H5533|017|001|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Essential Care Rx (PPO)|00025186|0.00|350| | |PA|39580|0|N
H5533|017|001|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Essential Care Rx (PPO)|00025186|0.00|350| | |PA|39590|0|N
H5533|017|001|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Essential Care Rx (PPO)|00025186|0.00|350| | |PA|39610|0|N
H5533|017|001|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Essential Care Rx (PPO)|00025186|0.00|350| | |PA|39640|0|N
H5533|017|001|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Essential Care Rx (PPO)|00025186|0.00|350| | |PA|39670|0|N
H5533|017|001|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Essential Care Rx (PPO)|00025186|0.00|350| | |PA|39690|0|N
H5533|017|001|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Essential Care Rx (PPO)|00025186|0.00|350| | |PA|39700|0|N
H5533|017|001|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Essential Care Rx (PPO)|00025186|0.00|350| | |PA|39710|0|N
H5533|017|001|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Essential Care Rx (PPO)|00025186|0.00|350| | |PA|39720|0|N
H5533|017|001|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Essential Care Rx (PPO)|00025186|0.00|350| | |PA|39730|0|N
H5533|017|001|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Essential Care Rx (PPO)|00025186|0.00|350| | |PA|39740|0|N
H5533|017|001|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Essential Care Rx (PPO)|00025186|0.00|350| | |PA|39750|0|N
H5533|017|001|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Essential Care Rx (PPO)|00025186|0.00|350| | |PA|39760|0|N
H5533|017|001|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Essential Care Rx (PPO)|00025186|0.00|350| | |PA|39770|0|N
H5533|017|001|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Essential Care Rx (PPO)|00025186|0.00|350| | |PA|39790|0|N
H5533|017|001|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Essential Care Rx (PPO)|00025186|0.00|350| | |PA|39800|0|N
H5533|017|002|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Essential Care Rx (PPO)|00025186|0.00|350| | |PA|39100|0|N
H5533|017|002|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Essential Care Rx (PPO)|00025186|0.00|350| | |PA|39120|0|N
H5533|017|002|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Essential Care Rx (PPO)|00025186|0.00|350| | |PA|39160|0|N
H5533|017|002|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Essential Care Rx (PPO)|00025186|0.00|350| | |PA|39380|0|N
H5533|017|002|UPMC HEALTH NETWORK, INC.|UPMC for Life PPO Essential Care Rx (PPO)|00025186|0.00|350| | |PA|39680|0|N
H5549|003|000|VNS CHOICE|VNS Health Total (HMO D-SNP)|00025254|0.00|590| | |NY|33000|2|N
H5549|003|000|VNS CHOICE|VNS Health Total (HMO D-SNP)|00025254|0.00|590| | |NY|33020|2|N
H5549|003|000|VNS CHOICE|VNS Health Total (HMO D-SNP)|00025254|0.00|590| | |NY|33240|2|N
H5549|003|000|VNS CHOICE|VNS Health Total (HMO D-SNP)|00025254|0.00|590| | |NY|33331|2|N
H5549|003|000|VNS CHOICE|VNS Health Total (HMO D-SNP)|00025254|0.00|590| | |NY|33370|2|N
H5549|003|000|VNS CHOICE|VNS Health Total (HMO D-SNP)|00025254|0.00|590| | |NY|33400|2|N
H5549|003|000|VNS CHOICE|VNS Health Total (HMO D-SNP)|00025254|0.00|590| | |NY|33420|2|N
H5549|003|000|VNS CHOICE|VNS Health Total (HMO D-SNP)|00025254|0.00|590| | |NY|33590|2|N
H5549|003|000|VNS CHOICE|VNS Health Total (HMO D-SNP)|00025254|0.00|590| | |NY|33600|2|N
H5549|003|000|VNS CHOICE|VNS Health Total (HMO D-SNP)|00025254|0.00|590| | |NY|33610|2|N
H5549|003|000|VNS CHOICE|VNS Health Total (HMO D-SNP)|00025254|0.00|590| | |NY|33650|2|N
H5549|003|000|VNS CHOICE|VNS Health Total (HMO D-SNP)|00025254|0.00|590| | |NY|33700|2|N
H5549|003|000|VNS CHOICE|VNS Health Total (HMO D-SNP)|00025254|0.00|590| | |NY|33800|2|N
H5549|011|000|VNS CHOICE|VNS Health EasyCare Plus (HMO D-SNP)|00025254|72.30|590| | |NY|33000|2|N
H5549|011|000|VNS CHOICE|VNS Health EasyCare Plus (HMO D-SNP)|00025254|72.30|590| | |NY|33020|2|N
H5549|011|000|VNS CHOICE|VNS Health EasyCare Plus (HMO D-SNP)|00025254|72.30|590| | |NY|33240|2|N
H5549|011|000|VNS CHOICE|VNS Health EasyCare Plus (HMO D-SNP)|00025254|72.30|590| | |NY|33331|2|N
H5549|011|000|VNS CHOICE|VNS Health EasyCare Plus (HMO D-SNP)|00025254|72.30|590| | |NY|33370|2|N
H5549|011|000|VNS CHOICE|VNS Health EasyCare Plus (HMO D-SNP)|00025254|72.30|590| | |NY|33400|2|N
H5549|011|000|VNS CHOICE|VNS Health EasyCare Plus (HMO D-SNP)|00025254|72.30|590| | |NY|33420|2|N
H5549|011|000|VNS CHOICE|VNS Health EasyCare Plus (HMO D-SNP)|00025254|72.30|590| | |NY|33590|2|N
H5549|011|000|VNS CHOICE|VNS Health EasyCare Plus (HMO D-SNP)|00025254|72.30|590| | |NY|33600|2|N
H5549|011|000|VNS CHOICE|VNS Health EasyCare Plus (HMO D-SNP)|00025254|72.30|590| | |NY|33610|2|N
H5549|011|000|VNS CHOICE|VNS Health EasyCare Plus (HMO D-SNP)|00025254|72.30|590| | |NY|33650|2|N
H5549|011|000|VNS CHOICE|VNS Health EasyCare Plus (HMO D-SNP)|00025254|72.30|590| | |NY|33700|2|N
H5549|011|000|VNS CHOICE|VNS Health EasyCare Plus (HMO D-SNP)|00025254|72.30|590| | |NY|33800|2|N
H5549|012|000|VNS CHOICE|VNS Health EasyCare (HMO)|00025255|25.00|145| | |NY|33000|0|N
H5549|012|000|VNS CHOICE|VNS Health EasyCare (HMO)|00025255|25.00|145| | |NY|33020|0|N
H5549|012|000|VNS CHOICE|VNS Health EasyCare (HMO)|00025255|25.00|145| | |NY|33240|0|N
H5549|012|000|VNS CHOICE|VNS Health EasyCare (HMO)|00025255|25.00|145| | |NY|33331|0|N
H5549|012|000|VNS CHOICE|VNS Health EasyCare (HMO)|00025255|25.00|145| | |NY|33370|0|N
H5549|012|000|VNS CHOICE|VNS Health EasyCare (HMO)|00025255|25.00|145| | |NY|33400|0|N
H5549|012|000|VNS CHOICE|VNS Health EasyCare (HMO)|00025255|25.00|145| | |NY|33420|0|N
H5549|012|000|VNS CHOICE|VNS Health EasyCare (HMO)|00025255|25.00|145| | |NY|33590|0|N
H5549|012|000|VNS CHOICE|VNS Health EasyCare (HMO)|00025255|25.00|145| | |NY|33600|0|N
H5549|012|000|VNS CHOICE|VNS Health EasyCare (HMO)|00025255|25.00|145| | |NY|33610|0|N
H5549|012|000|VNS CHOICE|VNS Health EasyCare (HMO)|00025255|25.00|145| | |NY|33650|0|N
H5549|012|000|VNS CHOICE|VNS Health EasyCare (HMO)|00025255|25.00|145| | |NY|33700|0|N
H5549|012|000|VNS CHOICE|VNS Health EasyCare (HMO)|00025255|25.00|145| | |NY|33800|0|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40010|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40020|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40030|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40040|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40050|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40060|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40070|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40080|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40090|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40100|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40110|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40120|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40130|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40140|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40145|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40150|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40160|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40170|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40180|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40190|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40200|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40210|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40220|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40230|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40240|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40250|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40260|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40265|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40270|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40280|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40290|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40300|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40310|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40320|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40330|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40340|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40350|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40360|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40370|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40380|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40390|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40400|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40410|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40420|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40430|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40440|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40450|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40460|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40470|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40480|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40490|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40500|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40510|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40520|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40530|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40540|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40550|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40560|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40570|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40580|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40590|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40610|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40620|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40630|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40640|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40650|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40660|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40670|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40680|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40690|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40700|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40710|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40720|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40730|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40740|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40750|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40760|2|N
H5577|002|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Ideal (HMO D-SNP)|00025511|0.00|590| | |PR|40770|2|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40010|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40020|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40030|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40040|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40050|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40060|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40070|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40080|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40090|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40100|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40110|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40120|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40130|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40140|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40145|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40150|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40160|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40170|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40180|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40190|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40200|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40210|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40220|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40230|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40240|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40250|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40260|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40265|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40270|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40280|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40290|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40300|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40310|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40320|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40330|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40340|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40350|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40360|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40370|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40380|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40390|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40400|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40410|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40420|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40430|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40440|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40450|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40460|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40470|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40480|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40490|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40500|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40510|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40520|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40530|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40540|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40550|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40560|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40570|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40580|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40590|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40610|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40620|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40630|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40640|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40650|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40660|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40670|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40680|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40690|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40700|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40710|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40720|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40730|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40740|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40750|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40760|0|N
H5577|005|000|MCS ADVANTAGE, INC.|MCS Classicare Efectivo (HMO)|00025511|0.00|0| | |PR|40770|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40010|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40020|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40030|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40040|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40050|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40060|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40070|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40080|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40090|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40100|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40110|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40120|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40130|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40140|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40145|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40150|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40160|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40170|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40180|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40190|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40200|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40210|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40220|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40230|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40240|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40250|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40260|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40265|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40270|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40280|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40290|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40300|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40310|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40320|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40330|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40340|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40350|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40360|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40370|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40380|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40390|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40400|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40410|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40420|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40430|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40440|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40450|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40460|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40470|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40480|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40490|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40500|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40510|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40520|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40530|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40540|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40550|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40560|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40570|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40580|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40590|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40610|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40620|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40630|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40640|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40650|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40660|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40670|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40680|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40690|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40700|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40710|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40720|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40730|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40740|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40750|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40760|0|N
H5577|008|000|MCS ADVANTAGE, INC.|MCS Classicare Essential (HMO-POS)|00025511|0.00|0| | |PR|40770|0|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40010|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40020|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40030|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40040|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40050|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40060|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40070|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40080|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40090|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40100|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40110|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40120|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40130|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40140|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40145|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40150|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40160|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40170|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40180|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40190|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40200|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40210|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40220|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40230|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40240|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40250|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40260|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40265|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40270|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40280|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40290|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40300|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40310|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40320|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40330|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40340|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40350|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40360|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40370|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40380|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40390|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40400|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40410|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40420|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40430|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40440|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40450|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40460|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40470|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40480|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40490|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40500|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40510|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40520|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40530|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40540|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40550|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40560|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40570|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40580|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40590|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40610|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40620|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40630|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40640|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40650|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40660|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40670|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40680|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40690|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40700|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40710|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40720|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40730|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40740|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40750|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40760|2|N
H5577|017|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Progreso (HMO D-SNP)|00025511|0.00|590| | |PR|40770|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40010|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40020|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40030|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40040|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40050|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40060|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40070|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40080|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40090|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40100|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40110|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40120|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40130|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40140|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40145|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40150|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40160|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40170|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40180|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40190|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40200|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40210|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40220|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40230|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40240|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40250|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40260|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40265|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40270|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40280|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40290|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40300|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40310|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40320|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40330|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40340|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40350|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40360|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40370|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40380|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40390|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40400|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40410|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40420|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40430|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40440|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40450|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40460|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40470|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40480|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40490|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40500|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40510|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40520|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40530|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40540|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40550|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40560|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40570|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40580|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40590|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40610|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40620|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40630|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40640|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40650|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40660|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40670|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40680|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40690|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40700|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40710|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40720|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40730|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40740|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40750|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40760|2|N
H5577|029|000|MCS ADVANTAGE, INC.|MCS Classicare Platino MasCa$h (HMO D-SNP)|00025511|0.00|590| | |PR|40770|2|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40010|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40020|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40030|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40040|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40050|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40060|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40070|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40080|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40090|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40100|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40110|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40120|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40130|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40140|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40145|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40150|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40160|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40170|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40180|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40190|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40200|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40210|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40220|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40230|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40240|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40250|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40260|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40265|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40270|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40280|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40290|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40300|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40310|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40320|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40330|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40340|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40350|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40360|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40370|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40380|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40390|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40400|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40410|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40420|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40430|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40440|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40450|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40460|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40470|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40480|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40490|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40500|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40510|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40520|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40530|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40540|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40550|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40560|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40570|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40580|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40590|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40610|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40620|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40630|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40640|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40650|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40660|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40670|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40680|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40690|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40700|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40710|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40720|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40730|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40740|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40750|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40760|1|N
H5577|038|000|MCS ADVANTAGE, INC.|MCS Classicare Primero (HMO C-SNP)|00025511|0.00|0| | |PR|40770|1|N
H5577|042|000|MCS ADVANTAGE, INC.|MCS Classicare Firme (HMO)|00025511|0.00|0| | |PR|40010|0|N
H5577|042|000|MCS ADVANTAGE, INC.|MCS Classicare Firme (HMO)|00025511|0.00|0| | |PR|40020|0|N
H5577|042|000|MCS ADVANTAGE, INC.|MCS Classicare Firme (HMO)|00025511|0.00|0| | |PR|40030|0|N
H5577|042|000|MCS ADVANTAGE, INC.|MCS Classicare Firme (HMO)|00025511|0.00|0| | |PR|40060|0|N
H5577|042|000|MCS ADVANTAGE, INC.|MCS Classicare Firme (HMO)|00025511|0.00|0| | |PR|40070|0|N
H5577|042|000|MCS ADVANTAGE, INC.|MCS Classicare Firme (HMO)|00025511|0.00|0| | |PR|40090|0|N
H5577|042|000|MCS ADVANTAGE, INC.|MCS Classicare Firme (HMO)|00025511|0.00|0| | |PR|40120|0|N
H5577|042|000|MCS ADVANTAGE, INC.|MCS Classicare Firme (HMO)|00025511|0.00|0| | |PR|40140|0|N
H5577|042|000|MCS ADVANTAGE, INC.|MCS Classicare Firme (HMO)|00025511|0.00|0| | |PR|40190|0|N
H5577|042|000|MCS ADVANTAGE, INC.|MCS Classicare Firme (HMO)|00025511|0.00|0| | |PR|40230|0|N
H5577|042|000|MCS ADVANTAGE, INC.|MCS Classicare Firme (HMO)|00025511|0.00|0| | |PR|40265|0|N
H5577|042|000|MCS ADVANTAGE, INC.|MCS Classicare Firme (HMO)|00025511|0.00|0| | |PR|40270|0|N
H5577|042|000|MCS ADVANTAGE, INC.|MCS Classicare Firme (HMO)|00025511|0.00|0| | |PR|40290|0|N
H5577|042|000|MCS ADVANTAGE, INC.|MCS Classicare Firme (HMO)|00025511|0.00|0| | |PR|40320|0|N
H5577|042|000|MCS ADVANTAGE, INC.|MCS Classicare Firme (HMO)|00025511|0.00|0| | |PR|40330|0|N
H5577|042|000|MCS ADVANTAGE, INC.|MCS Classicare Firme (HMO)|00025511|0.00|0| | |PR|40350|0|N
H5577|042|000|MCS ADVANTAGE, INC.|MCS Classicare Firme (HMO)|00025511|0.00|0| | |PR|40360|0|N
H5577|042|000|MCS ADVANTAGE, INC.|MCS Classicare Firme (HMO)|00025511|0.00|0| | |PR|40370|0|N
H5577|042|000|MCS ADVANTAGE, INC.|MCS Classicare Firme (HMO)|00025511|0.00|0| | |PR|40390|0|N
H5577|042|000|MCS ADVANTAGE, INC.|MCS Classicare Firme (HMO)|00025511|0.00|0| | |PR|40400|0|N
H5577|042|000|MCS ADVANTAGE, INC.|MCS Classicare Firme (HMO)|00025511|0.00|0| | |PR|40410|0|N
H5577|042|000|MCS ADVANTAGE, INC.|MCS Classicare Firme (HMO)|00025511|0.00|0| | |PR|40450|0|N
H5577|042|000|MCS ADVANTAGE, INC.|MCS Classicare Firme (HMO)|00025511|0.00|0| | |PR|40460|0|N
H5577|042|000|MCS ADVANTAGE, INC.|MCS Classicare Firme (HMO)|00025511|0.00|0| | |PR|40480|0|N
H5577|042|000|MCS ADVANTAGE, INC.|MCS Classicare Firme (HMO)|00025511|0.00|0| | |PR|40490|0|N
H5577|042|000|MCS ADVANTAGE, INC.|MCS Classicare Firme (HMO)|00025511|0.00|0| | |PR|40500|0|N
H5577|042|000|MCS ADVANTAGE, INC.|MCS Classicare Firme (HMO)|00025511|0.00|0| | |PR|40530|0|N
H5577|042|000|MCS ADVANTAGE, INC.|MCS Classicare Firme (HMO)|00025511|0.00|0| | |PR|40550|0|N
H5577|042|000|MCS ADVANTAGE, INC.|MCS Classicare Firme (HMO)|00025511|0.00|0| | |PR|40560|0|N
H5577|042|000|MCS ADVANTAGE, INC.|MCS Classicare Firme (HMO)|00025511|0.00|0| | |PR|40570|0|N
H5577|042|000|MCS ADVANTAGE, INC.|MCS Classicare Firme (HMO)|00025511|0.00|0| | |PR|40580|0|N
H5577|042|000|MCS ADVANTAGE, INC.|MCS Classicare Firme (HMO)|00025511|0.00|0| | |PR|40610|0|N
H5577|042|000|MCS ADVANTAGE, INC.|MCS Classicare Firme (HMO)|00025511|0.00|0| | |PR|40630|0|N
H5577|042|000|MCS ADVANTAGE, INC.|MCS Classicare Firme (HMO)|00025511|0.00|0| | |PR|40660|0|N
H5577|042|000|MCS ADVANTAGE, INC.|MCS Classicare Firme (HMO)|00025511|0.00|0| | |PR|40710|0|N
H5577|042|000|MCS ADVANTAGE, INC.|MCS Classicare Firme (HMO)|00025511|0.00|0| | |PR|40720|0|N
H5577|042|000|MCS ADVANTAGE, INC.|MCS Classicare Firme (HMO)|00025511|0.00|0| | |PR|40730|0|N
H5577|042|000|MCS ADVANTAGE, INC.|MCS Classicare Firme (HMO)|00025511|0.00|0| | |PR|40750|0|N
H5577|042|000|MCS ADVANTAGE, INC.|MCS Classicare Firme (HMO)|00025511|0.00|0| | |PR|40770|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40010|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40020|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40030|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40040|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40050|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40060|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40070|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40080|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40090|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40100|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40110|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40120|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40130|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40140|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40145|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40150|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40160|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40170|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40180|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40190|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40200|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40210|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40220|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40230|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40240|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40250|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40260|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40265|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40270|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40280|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40290|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40300|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40310|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40320|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40330|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40340|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40350|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40360|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40370|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40380|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40390|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40400|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40410|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40420|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40430|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40440|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40450|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40460|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40470|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40480|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40490|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40500|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40510|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40520|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40530|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40540|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40550|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40560|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40570|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40580|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40590|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40610|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40620|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40630|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40640|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40650|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40660|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40670|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40680|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40690|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40700|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40710|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40720|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40730|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40740|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40750|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40760|0|N
H5577|043|000|MCS ADVANTAGE, INC.|MCS Classicare En Tu Hogar (HMO)|00025511|0.00|0| | |PR|40770|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40010|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40020|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40030|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40040|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40050|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40060|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40070|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40080|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40090|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40100|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40110|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40120|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40130|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40140|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40145|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40150|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40160|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40170|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40180|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40190|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40200|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40210|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40220|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40230|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40240|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40250|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40260|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40265|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40270|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40280|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40290|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40300|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40310|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40320|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40330|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40340|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40350|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40360|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40370|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40380|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40390|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40400|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40410|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40420|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40430|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40440|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40450|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40460|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40470|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40480|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40490|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40500|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40510|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40520|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40530|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40540|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40550|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40560|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40570|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40580|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40590|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40610|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40620|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40630|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40640|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40650|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40660|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40670|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40680|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40690|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40700|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40710|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40720|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40730|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40740|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40750|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40760|0|N
H5577|044|000|MCS ADVANTAGE, INC.|MCS Classicare Hero (HMO)|00025511|0.00|0| | |PR|40770|0|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40010|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40020|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40030|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40040|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40050|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40060|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40070|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40080|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40090|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40100|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40110|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40120|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40130|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40140|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40145|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40150|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40160|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40170|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40180|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40190|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40200|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40210|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40220|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40230|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40240|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40250|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40260|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40265|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40270|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40280|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40290|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40300|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40310|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40320|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40330|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40340|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40350|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40360|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40370|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40380|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40390|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40400|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40410|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40420|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40430|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40440|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40450|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40460|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40470|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40480|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40490|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40500|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40510|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40520|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40530|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40540|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40550|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40560|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40570|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40580|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40590|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40610|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40620|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40630|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40640|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40650|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40660|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40670|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40680|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40690|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40700|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40710|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40720|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40730|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40740|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40750|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40760|2|N
H5577|046|000|MCS ADVANTAGE, INC.|MCS Classicare Platino Total (HMO D-SNP)|00025511|0.00|590| | |PR|40770|2|N
H5577|051|000|MCS ADVANTAGE, INC.|MCS Classicare Metro (HMO)|00025509|0.00|0| | |PR|40110|0|N
H5577|051|000|MCS ADVANTAGE, INC.|MCS Classicare Metro (HMO)|00025509|0.00|0| | |PR|40130|0|N
H5577|051|000|MCS ADVANTAGE, INC.|MCS Classicare Metro (HMO)|00025509|0.00|0| | |PR|40145|0|N
H5577|051|000|MCS ADVANTAGE, INC.|MCS Classicare Metro (HMO)|00025509|0.00|0| | |PR|40150|0|N
H5577|051|000|MCS ADVANTAGE, INC.|MCS Classicare Metro (HMO)|00025509|0.00|0| | |PR|40160|0|N
H5577|051|000|MCS ADVANTAGE, INC.|MCS Classicare Metro (HMO)|00025509|0.00|0| | |PR|40300|0|N
H5577|051|000|MCS ADVANTAGE, INC.|MCS Classicare Metro (HMO)|00025509|0.00|0| | |PR|40640|0|N
H5577|051|000|MCS ADVANTAGE, INC.|MCS Classicare Metro (HMO)|00025509|0.00|0| | |PR|40700|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40010|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40020|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40030|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40040|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40050|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40060|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40070|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40080|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40090|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40100|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40110|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40120|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40130|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40140|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40145|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40150|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40160|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40170|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40180|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40190|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40200|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40210|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40220|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40230|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40240|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40250|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40260|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40265|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40270|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40280|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40290|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40300|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40310|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40320|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40330|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40340|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40350|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40360|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40370|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40380|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40390|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40400|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40410|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40420|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40430|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40440|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40450|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40460|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40470|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40480|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40490|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40500|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40510|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40520|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40530|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40540|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40550|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40560|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40570|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40580|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40590|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40610|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40620|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40630|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40640|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40650|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40660|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40670|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40680|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40690|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40700|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40710|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40720|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40730|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40740|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40750|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40760|0|N
H5577|052|000|MCS ADVANTAGE, INC.|MCS Classicare InteliCare (HMO)|00025511|0.00|0| | |PR|40770|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40010|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40020|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40030|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40040|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40050|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40060|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40070|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40080|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40090|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40100|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40110|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40120|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40130|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40140|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40145|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40150|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40160|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40170|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40180|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40190|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40200|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40210|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40220|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40230|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40240|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40250|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40260|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40265|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40270|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40280|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40290|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40300|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40310|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40320|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40330|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40340|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40350|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40360|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40370|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40380|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40390|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40400|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40410|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40420|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40430|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40440|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40450|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40460|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40470|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40480|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40490|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40500|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40510|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40520|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40530|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40540|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40550|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40560|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40570|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40580|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40590|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40610|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40620|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40630|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40640|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40650|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40660|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40670|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40680|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40690|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40700|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40710|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40720|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40730|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40740|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40750|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40760|0|N
H5577|053|000|MCS ADVANTAGE, INC.|MCS Classicare Exacto (HMO)|00025511|0.00|0| | |PR|40770|0|N
H5577|054|001|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40020|2|N
H5577|054|001|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40030|2|N
H5577|054|001|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40060|2|N
H5577|054|001|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40070|2|N
H5577|054|001|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40140|2|N
H5577|054|001|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40320|2|N
H5577|054|001|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40350|2|N
H5577|054|001|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40480|2|N
H5577|054|001|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40490|2|N
H5577|054|001|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40570|2|N
H5577|054|001|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40580|2|N
H5577|054|001|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40660|2|N
H5577|054|001|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40710|2|N
H5577|054|002|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40010|2|N
H5577|054|002|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40090|2|N
H5577|054|002|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40120|2|N
H5577|054|002|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40190|2|N
H5577|054|002|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40230|2|N
H5577|054|002|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40265|2|N
H5577|054|002|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40270|2|N
H5577|054|002|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40330|2|N
H5577|054|002|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40360|2|N
H5577|054|002|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40390|2|N
H5577|054|002|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40400|2|N
H5577|054|002|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40410|2|N
H5577|054|002|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40450|2|N
H5577|054|002|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40460|2|N
H5577|054|002|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40500|2|N
H5577|054|002|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40530|2|N
H5577|054|002|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40610|2|N
H5577|054|002|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40630|2|N
H5577|054|002|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40720|2|N
H5577|054|002|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40730|2|N
H5577|054|002|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40770|2|N
H5577|054|003|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40040|2|N
H5577|054|003|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40050|2|N
H5577|054|003|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40080|2|N
H5577|054|003|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40100|2|N
H5577|054|003|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40110|2|N
H5577|054|003|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40130|2|N
H5577|054|003|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40145|2|N
H5577|054|003|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40150|2|N
H5577|054|003|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40160|2|N
H5577|054|003|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40170|2|N
H5577|054|003|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40180|2|N
H5577|054|003|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40200|2|N
H5577|054|003|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40210|2|N
H5577|054|003|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40220|2|N
H5577|054|003|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40240|2|N
H5577|054|003|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40250|2|N
H5577|054|003|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40260|2|N
H5577|054|003|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40280|2|N
H5577|054|003|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40290|2|N
H5577|054|003|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40300|2|N
H5577|054|003|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40310|2|N
H5577|054|003|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40340|2|N
H5577|054|003|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40370|2|N
H5577|054|003|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40380|2|N
H5577|054|003|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40420|2|N
H5577|054|003|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40430|2|N
H5577|054|003|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40440|2|N
H5577|054|003|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40470|2|N
H5577|054|003|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40510|2|N
H5577|054|003|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40520|2|N
H5577|054|003|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40540|2|N
H5577|054|003|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40550|2|N
H5577|054|003|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40560|2|N
H5577|054|003|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40590|2|N
H5577|054|003|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40620|2|N
H5577|054|003|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40640|2|N
H5577|054|003|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40650|2|N
H5577|054|003|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40670|2|N
H5577|054|003|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40680|2|N
H5577|054|003|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40690|2|N
H5577|054|003|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40700|2|N
H5577|054|003|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40740|2|N
H5577|054|003|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40750|2|N
H5577|054|003|MCS ADVANTAGE, INC.|MCS Classicare Platino Maximo (HMO D-SNP)|00025511|0.00|590| | |PR|40760|2|N
H5577|056|001|MCS ADVANTAGE, INC.|MCS Classicare Excede (HMO)|00025511|0.00|0| | |PR|40020|0|N
H5577|056|001|MCS ADVANTAGE, INC.|MCS Classicare Excede (HMO)|00025511|0.00|0| | |PR|40030|0|N
H5577|056|001|MCS ADVANTAGE, INC.|MCS Classicare Excede (HMO)|00025511|0.00|0| | |PR|40060|0|N
H5577|056|001|MCS ADVANTAGE, INC.|MCS Classicare Excede (HMO)|00025511|0.00|0| | |PR|40070|0|N
H5577|056|001|MCS ADVANTAGE, INC.|MCS Classicare Excede (HMO)|00025511|0.00|0| | |PR|40140|0|N
H5577|056|001|MCS ADVANTAGE, INC.|MCS Classicare Excede (HMO)|00025511|0.00|0| | |PR|40320|0|N
H5577|056|001|MCS ADVANTAGE, INC.|MCS Classicare Excede (HMO)|00025511|0.00|0| | |PR|40350|0|N
H5577|056|001|MCS ADVANTAGE, INC.|MCS Classicare Excede (HMO)|00025511|0.00|0| | |PR|40480|0|N
H5577|056|001|MCS ADVANTAGE, INC.|MCS Classicare Excede (HMO)|00025511|0.00|0| | |PR|40490|0|N
H5577|056|001|MCS ADVANTAGE, INC.|MCS Classicare Excede (HMO)|00025511|0.00|0| | |PR|40570|0|N
H5577|056|001|MCS ADVANTAGE, INC.|MCS Classicare Excede (HMO)|00025511|0.00|0| | |PR|40580|0|N
H5577|056|001|MCS ADVANTAGE, INC.|MCS Classicare Excede (HMO)|00025511|0.00|0| | |PR|40660|0|N
H5577|056|001|MCS ADVANTAGE, INC.|MCS Classicare Excede (HMO)|00025511|0.00|0| | |PR|40710|0|N
H5577|056|002|MCS ADVANTAGE, INC.|MCS Classicare Excede (HMO)|00025511|0.00|0| | |PR|40010|0|N
H5577|056|002|MCS ADVANTAGE, INC.|MCS Classicare Excede (HMO)|00025511|0.00|0| | |PR|40090|0|N
H5577|056|002|MCS ADVANTAGE, INC.|MCS Classicare Excede (HMO)|00025511|0.00|0| | |PR|40120|0|N
H5577|056|002|MCS ADVANTAGE, INC.|MCS Classicare Excede (HMO)|00025511|0.00|0| | |PR|40190|0|N
H5577|056|002|MCS ADVANTAGE, INC.|MCS Classicare Excede (HMO)|00025511|0.00|0| | |PR|40230|0|N
H5577|056|002|MCS ADVANTAGE, INC.|MCS Classicare Excede (HMO)|00025511|0.00|0| | |PR|40265|0|N
H5577|056|002|MCS ADVANTAGE, INC.|MCS Classicare Excede (HMO)|00025511|0.00|0| | |PR|40270|0|N
H5577|056|002|MCS ADVANTAGE, INC.|MCS Classicare Excede (HMO)|00025511|0.00|0| | |PR|40330|0|N
H5577|056|002|MCS ADVANTAGE, INC.|MCS Classicare Excede (HMO)|00025511|0.00|0| | |PR|40360|0|N
H5577|056|002|MCS ADVANTAGE, INC.|MCS Classicare Excede (HMO)|00025511|0.00|0| | |PR|40390|0|N
H5577|056|002|MCS ADVANTAGE, INC.|MCS Classicare Excede (HMO)|00025511|0.00|0| | |PR|40400|0|N
H5577|056|002|MCS ADVANTAGE, INC.|MCS Classicare Excede (HMO)|00025511|0.00|0| | |PR|40410|0|N
H5577|056|002|MCS ADVANTAGE, INC.|MCS Classicare Excede (HMO)|00025511|0.00|0| | |PR|40450|0|N
H5577|056|002|MCS ADVANTAGE, INC.|MCS Classicare Excede (HMO)|00025511|0.00|0| | |PR|40460|0|N
H5577|056|002|MCS ADVANTAGE, INC.|MCS Classicare Excede (HMO)|00025511|0.00|0| | |PR|40500|0|N
H5577|056|002|MCS ADVANTAGE, INC.|MCS Classicare Excede (HMO)|00025511|0.00|0| | |PR|40530|0|N
H5577|056|002|MCS ADVANTAGE, INC.|MCS Classicare Excede (HMO)|00025511|0.00|0| | |PR|40610|0|N
H5577|056|002|MCS ADVANTAGE, INC.|MCS Classicare Excede (HMO)|00025511|0.00|0| | |PR|40630|0|N
H5577|056|002|MCS ADVANTAGE, INC.|MCS Classicare Excede (HMO)|00025511|0.00|0| | |PR|40720|0|N
H5577|056|002|MCS ADVANTAGE, INC.|MCS Classicare Excede (HMO)|00025511|0.00|0| | |PR|40730|0|N
H5577|056|002|MCS ADVANTAGE, INC.|MCS Classicare Excede (HMO)|00025511|0.00|0| | |PR|40770|0|N
H5577|057|000|MCS ADVANTAGE, INC.|MCS Classicare Del Caribe (HMO)|00025511|0.00|0| | |PR|40210|0|N
H5577|057|000|MCS ADVANTAGE, INC.|MCS Classicare Del Caribe (HMO)|00025511|0.00|0| | |PR|40290|0|N
H5577|057|000|MCS ADVANTAGE, INC.|MCS Classicare Del Caribe (HMO)|00025511|0.00|0| | |PR|40370|0|N
H5577|057|000|MCS ADVANTAGE, INC.|MCS Classicare Del Caribe (HMO)|00025511|0.00|0| | |PR|40550|0|N
H5577|057|000|MCS ADVANTAGE, INC.|MCS Classicare Del Caribe (HMO)|00025511|0.00|0| | |PR|40560|0|N
H5577|057|000|MCS ADVANTAGE, INC.|MCS Classicare Del Caribe (HMO)|00025511|0.00|0| | |PR|40620|0|N
H5577|057|000|MCS ADVANTAGE, INC.|MCS Classicare Del Caribe (HMO)|00025511|0.00|0| | |PR|40670|0|N
H5577|057|000|MCS ADVANTAGE, INC.|MCS Classicare Del Caribe (HMO)|00025511|0.00|0| | |PR|40750|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40010|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40020|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40030|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40040|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40050|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40060|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40070|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40080|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40090|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40100|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40110|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40120|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40130|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40140|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40145|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40150|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40160|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40170|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40180|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40190|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40200|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40210|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40220|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40230|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40240|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40250|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40260|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40265|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40270|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40280|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40290|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40300|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40310|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40320|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40330|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40340|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40350|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40360|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40370|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40380|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40390|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40400|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40410|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40420|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40430|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40440|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40450|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40460|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40470|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40480|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40490|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40500|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40510|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40520|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40530|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40540|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40550|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40560|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40570|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40580|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40590|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40610|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40620|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40630|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40640|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40650|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40660|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40670|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40680|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40690|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40700|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40710|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40720|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40730|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40740|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40750|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40760|0|N
H5577|059|000|MCS ADVANTAGE, INC.|MCS Classicare RxMax (HMO)|00025512|0.00|0| | |PR|40770|0|N
H5580|001|000|MERCY CARE|Mercy Care Advantage (HMO D-SNP)|00025117|0.00|590| | |AZ|03030|2|N
H5580|001|000|MERCY CARE|Mercy Care Advantage (HMO D-SNP)|00025117|0.00|590| | |AZ|03060|2|N
H5580|001|000|MERCY CARE|Mercy Care Advantage (HMO D-SNP)|00025117|0.00|590| | |AZ|03100|2|N
H5580|004|000|MERCY CARE|Mercy Care Advantage (HMO D-SNP)|00025117|0.00|590| | |AZ|03030|2|N
H5580|004|000|MERCY CARE|Mercy Care Advantage (HMO D-SNP)|00025117|0.00|590| | |AZ|03060|2|N
H5580|004|000|MERCY CARE|Mercy Care Advantage (HMO D-SNP)|00025117|0.00|590| | |AZ|03090|2|N
H5580|004|000|MERCY CARE|Mercy Care Advantage (HMO D-SNP)|00025117|0.00|590| | |AZ|03100|2|N
H5580|005|000|MERCY CARE|Mercy Care Advantage (HMO D-SNP)|00025117|0.00|590| | |AZ|03000|2|N
H5580|005|000|MERCY CARE|Mercy Care Advantage (HMO D-SNP)|00025117|0.00|590| | |AZ|03010|2|N
H5580|005|000|MERCY CARE|Mercy Care Advantage (HMO D-SNP)|00025117|0.00|590| | |AZ|03020|2|N
H5580|005|000|MERCY CARE|Mercy Care Advantage (HMO D-SNP)|00025117|0.00|590| | |AZ|03030|2|N
H5580|005|000|MERCY CARE|Mercy Care Advantage (HMO D-SNP)|00025117|0.00|590| | |AZ|03040|2|N
H5580|005|000|MERCY CARE|Mercy Care Advantage (HMO D-SNP)|00025117|0.00|590| | |AZ|03050|2|N
H5580|005|000|MERCY CARE|Mercy Care Advantage (HMO D-SNP)|00025117|0.00|590| | |AZ|03055|2|N
H5580|005|000|MERCY CARE|Mercy Care Advantage (HMO D-SNP)|00025117|0.00|590| | |AZ|03060|2|N
H5580|005|000|MERCY CARE|Mercy Care Advantage (HMO D-SNP)|00025117|0.00|590| | |AZ|03070|2|N
H5580|005|000|MERCY CARE|Mercy Care Advantage (HMO D-SNP)|00025117|0.00|590| | |AZ|03080|2|N
H5580|005|000|MERCY CARE|Mercy Care Advantage (HMO D-SNP)|00025117|0.00|590| | |AZ|03090|2|N
H5580|005|000|MERCY CARE|Mercy Care Advantage (HMO D-SNP)|00025117|0.00|590| | |AZ|03100|2|N
H5580|005|000|MERCY CARE|Mercy Care Advantage (HMO D-SNP)|00025117|0.00|590| | |AZ|03110|2|N
H5580|005|000|MERCY CARE|Mercy Care Advantage (HMO D-SNP)|00025117|0.00|590| | |AZ|03120|2|N
H5580|005|000|MERCY CARE|Mercy Care Advantage (HMO D-SNP)|00025117|0.00|590| | |AZ|03130|2|N
H5587|002|000|HEALTH CHOICE ARIZONA, INC.|BCBSAZ Health Choice Pathway (HMO D-SNP)|00025207|0.00|590| | |AZ|03000|2|N
H5587|002|000|HEALTH CHOICE ARIZONA, INC.|BCBSAZ Health Choice Pathway (HMO D-SNP)|00025207|0.00|590| | |AZ|03020|2|N
H5587|002|000|HEALTH CHOICE ARIZONA, INC.|BCBSAZ Health Choice Pathway (HMO D-SNP)|00025207|0.00|590| | |AZ|03030|2|N
H5587|002|000|HEALTH CHOICE ARIZONA, INC.|BCBSAZ Health Choice Pathway (HMO D-SNP)|00025207|0.00|590| | |AZ|03060|2|N
H5587|002|000|HEALTH CHOICE ARIZONA, INC.|BCBSAZ Health Choice Pathway (HMO D-SNP)|00025207|0.00|590| | |AZ|03070|2|N
H5587|002|000|HEALTH CHOICE ARIZONA, INC.|BCBSAZ Health Choice Pathway (HMO D-SNP)|00025207|0.00|590| | |AZ|03080|2|N
H5587|002|000|HEALTH CHOICE ARIZONA, INC.|BCBSAZ Health Choice Pathway (HMO D-SNP)|00025207|0.00|590| | |AZ|03100|2|N
H5587|002|000|HEALTH CHOICE ARIZONA, INC.|BCBSAZ Health Choice Pathway (HMO D-SNP)|00025207|0.00|590| | |AZ|03120|2|N
H5590|008|000|Bridgeway Health Solutions of Arizona, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |AZ|03000|2|N
H5590|008|000|Bridgeway Health Solutions of Arizona, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |AZ|03010|2|N
H5590|008|000|Bridgeway Health Solutions of Arizona, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |AZ|03020|2|N
H5590|008|000|Bridgeway Health Solutions of Arizona, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |AZ|03030|2|N
H5590|008|000|Bridgeway Health Solutions of Arizona, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |AZ|03040|2|N
H5590|008|000|Bridgeway Health Solutions of Arizona, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |AZ|03050|2|N
H5590|008|000|Bridgeway Health Solutions of Arizona, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |AZ|03055|2|N
H5590|008|000|Bridgeway Health Solutions of Arizona, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |AZ|03060|2|N
H5590|008|000|Bridgeway Health Solutions of Arizona, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |AZ|03070|2|N
H5590|008|000|Bridgeway Health Solutions of Arizona, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |AZ|03080|2|N
H5590|008|000|Bridgeway Health Solutions of Arizona, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |AZ|03090|2|N
H5590|008|000|Bridgeway Health Solutions of Arizona, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |AZ|03100|2|N
H5590|008|000|Bridgeway Health Solutions of Arizona, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |AZ|03110|2|N
H5590|008|000|Bridgeway Health Solutions of Arizona, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |AZ|03120|2|N
H5590|008|000|Bridgeway Health Solutions of Arizona, Inc.|Wellcare Dual Liberty (HMO D-SNP)|00025040|0.00|590| | |AZ|03130|2|N
H5590|010|000|Bridgeway Health Solutions of Arizona, Inc.|Wellcare Dual Align (HMO D-SNP)|00025040|0.00|590| | |AZ|03000|2|Y
H5590|010|000|Bridgeway Health Solutions of Arizona, Inc.|Wellcare Dual Align (HMO D-SNP)|00025040|0.00|590| | |AZ|03010|2|Y
H5590|010|000|Bridgeway Health Solutions of Arizona, Inc.|Wellcare Dual Align (HMO D-SNP)|00025040|0.00|590| | |AZ|03020|2|Y
H5590|010|000|Bridgeway Health Solutions of Arizona, Inc.|Wellcare Dual Align (HMO D-SNP)|00025040|0.00|590| | |AZ|03030|2|Y
H5590|010|000|Bridgeway Health Solutions of Arizona, Inc.|Wellcare Dual Align (HMO D-SNP)|00025040|0.00|590| | |AZ|03040|2|Y
H5590|010|000|Bridgeway Health Solutions of Arizona, Inc.|Wellcare Dual Align (HMO D-SNP)|00025040|0.00|590| | |AZ|03050|2|Y
H5590|010|000|Bridgeway Health Solutions of Arizona, Inc.|Wellcare Dual Align (HMO D-SNP)|00025040|0.00|590| | |AZ|03055|2|Y
H5590|010|000|Bridgeway Health Solutions of Arizona, Inc.|Wellcare Dual Align (HMO D-SNP)|00025040|0.00|590| | |AZ|03060|2|Y
H5590|010|000|Bridgeway Health Solutions of Arizona, Inc.|Wellcare Dual Align (HMO D-SNP)|00025040|0.00|590| | |AZ|03070|2|Y
H5590|010|000|Bridgeway Health Solutions of Arizona, Inc.|Wellcare Dual Align (HMO D-SNP)|00025040|0.00|590| | |AZ|03080|2|Y
H5590|010|000|Bridgeway Health Solutions of Arizona, Inc.|Wellcare Dual Align (HMO D-SNP)|00025040|0.00|590| | |AZ|03090|2|Y
H5590|010|000|Bridgeway Health Solutions of Arizona, Inc.|Wellcare Dual Align (HMO D-SNP)|00025040|0.00|590| | |AZ|03100|2|Y
H5590|010|000|Bridgeway Health Solutions of Arizona, Inc.|Wellcare Dual Align (HMO D-SNP)|00025040|0.00|590| | |AZ|03110|2|Y
H5590|010|000|Bridgeway Health Solutions of Arizona, Inc.|Wellcare Dual Align (HMO D-SNP)|00025040|0.00|590| | |AZ|03120|2|Y
H5590|010|000|Bridgeway Health Solutions of Arizona, Inc.|Wellcare Dual Align (HMO D-SNP)|00025040|0.00|590| | |AZ|03130|2|Y
H5591|005|000|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Prime (HMO-POS)|00025236|3.40|0| | |NH|30020|0|N
H5591|005|000|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Prime (HMO-POS)|00025236|3.40|0| | |NH|30050|0|N
H5591|005|000|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Prime (HMO-POS)|00025236|3.40|0| | |NH|30060|0|N
H5591|005|000|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Prime (HMO-POS)|00025236|3.40|0| | |NH|30070|0|N
H5591|005|000|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Prime (HMO-POS)|00025236|3.40|0| | |NH|30080|0|N
H5591|005|000|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Prime (HMO-POS)|00025236|3.40|0| | |NH|30090|0|N
H5591|006|001|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Prime (HMO-POS)|00025236|0.00|0| | |ME|20020|0|N
H5591|006|001|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Prime (HMO-POS)|00025236|0.00|0| | |ME|20150|0|N
H5591|006|002|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Prime (HMO-POS)|00025236|21.80|0| | |ME|20000|0|N
H5591|006|002|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Prime (HMO-POS)|00025236|21.80|0| | |ME|20050|0|N
H5591|006|002|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Prime (HMO-POS)|00025236|21.80|0| | |ME|20110|0|N
H5591|009|000|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Value Plus (HMO-POS)|00025239|0.00|150| | |ME|20000|0|N
H5591|009|000|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Value Plus (HMO-POS)|00025239|0.00|150| | |ME|20010|0|N
H5591|009|000|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Value Plus (HMO-POS)|00025239|0.00|150| | |ME|20020|0|N
H5591|009|000|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Value Plus (HMO-POS)|00025239|0.00|150| | |ME|20030|0|N
H5591|009|000|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Value Plus (HMO-POS)|00025239|0.00|150| | |ME|20040|0|N
H5591|009|000|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Value Plus (HMO-POS)|00025239|0.00|150| | |ME|20050|0|N
H5591|009|000|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Value Plus (HMO-POS)|00025239|0.00|150| | |ME|20060|0|N
H5591|009|000|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Value Plus (HMO-POS)|00025239|0.00|150| | |ME|20070|0|N
H5591|009|000|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Value Plus (HMO-POS)|00025239|0.00|150| | |ME|20080|0|N
H5591|009|000|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Value Plus (HMO-POS)|00025239|0.00|150| | |ME|20090|0|N
H5591|009|000|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Value Plus (HMO-POS)|00025239|0.00|150| | |ME|20100|0|N
H5591|009|000|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Value Plus (HMO-POS)|00025239|0.00|150| | |ME|20110|0|N
H5591|009|000|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Value Plus (HMO-POS)|00025239|0.00|150| | |ME|20120|0|N
H5591|009|000|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Value Plus (HMO-POS)|00025239|0.00|150| | |ME|20130|0|N
H5591|009|000|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Value Plus (HMO-POS)|00025239|0.00|150| | |ME|20140|0|N
H5591|009|000|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Value Plus (HMO-POS)|00025239|0.00|150| | |ME|20150|0|N
H5591|015|001|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Prime (HMO-POS)|00025236|8.50|0| | |ME|20070|0|N
H5591|015|001|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Prime (HMO-POS)|00025236|8.50|0| | |ME|20080|0|N
H5591|015|001|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Prime (HMO-POS)|00025236|8.50|0| | |ME|20100|0|N
H5591|015|001|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Prime (HMO-POS)|00025236|8.50|0| | |ME|20120|0|N
H5591|015|001|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Prime (HMO-POS)|00025236|8.50|0| | |ME|20130|0|N
H5591|015|001|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Prime (HMO-POS)|00025236|8.50|0| | |NH|30000|0|N
H5591|015|001|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Prime (HMO-POS)|00025236|8.50|0| | |NH|30010|0|N
H5591|015|001|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Prime (HMO-POS)|00025236|8.50|0| | |NH|30030|0|N
H5591|015|001|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Prime (HMO-POS)|00025236|8.50|0| | |NH|30040|0|N
H5591|015|002|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Prime (HMO-POS)|00025236|8.50|0| | |ME|20010|0|N
H5591|015|002|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Prime (HMO-POS)|00025236|8.50|0| | |ME|20030|0|N
H5591|015|002|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Prime (HMO-POS)|00025236|8.50|0| | |ME|20040|0|N
H5591|015|002|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Prime (HMO-POS)|00025236|8.50|0| | |ME|20060|0|N
H5591|015|002|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Prime (HMO-POS)|00025236|8.50|0| | |ME|20090|0|N
H5591|015|002|MARTIN'S POINT GENERATIONS ADVANTAGE, INC.|Martin's Point Generations Advantage Prime (HMO-POS)|00025236|8.50|0| | |ME|20140|0|N
H5593|001|000|AETNA HEALTH OF IOWA INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |IA|16060|2|N
H5593|001|000|AETNA HEALTH OF IOWA INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |IA|16070|2|N
H5593|001|000|AETNA HEALTH OF IOWA INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |IA|16220|2|N
H5593|001|000|AETNA HEALTH OF IOWA INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |IA|16240|2|N
H5593|001|000|AETNA HEALTH OF IOWA INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |IA|16490|2|N
H5593|001|000|AETNA HEALTH OF IOWA INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |IA|16510|2|N
H5593|001|000|AETNA HEALTH OF IOWA INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |IA|16560|2|N
H5593|001|000|AETNA HEALTH OF IOWA INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |IA|16600|2|N
H5593|001|000|AETNA HEALTH OF IOWA INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |IA|16620|2|N
H5593|001|000|AETNA HEALTH OF IOWA INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |IA|16630|2|N
H5593|001|000|AETNA HEALTH OF IOWA INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |IA|16660|2|N
H5593|001|000|AETNA HEALTH OF IOWA INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |IA|16690|2|N
H5593|001|000|AETNA HEALTH OF IOWA INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |IA|16740|2|N
H5593|001|000|AETNA HEALTH OF IOWA INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |IA|16760|2|N
H5593|001|000|AETNA HEALTH OF IOWA INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |IA|16770|2|N
H5593|001|000|AETNA HEALTH OF IOWA INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |IA|16810|2|N
H5593|001|000|AETNA HEALTH OF IOWA INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |IA|16840|2|N
H5593|001|000|AETNA HEALTH OF IOWA INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |IA|16890|2|N
H5593|001|000|AETNA HEALTH OF IOWA INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |IA|16900|2|N
H5593|001|000|AETNA HEALTH OF IOWA INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |IA|16930|2|N
H5593|001|000|AETNA HEALTH OF IOWA INC.|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |IA|16960|2|N
H5594|001|000|OPTIMUM HEALTHCARE, INC.|Optimum Gold Rewards Plan (HMO)|00025087|0.00|0| | |FL|10050|0|N
H5594|001|000|OPTIMUM HEALTHCARE, INC.|Optimum Gold Rewards Plan (HMO)|00025087|0.00|0| | |FL|10080|0|N
H5594|001|000|OPTIMUM HEALTHCARE, INC.|Optimum Gold Rewards Plan (HMO)|00025087|0.00|0| | |FL|10260|0|N
H5594|001|000|OPTIMUM HEALTHCARE, INC.|Optimum Gold Rewards Plan (HMO)|00025087|0.00|0| | |FL|10280|0|N
H5594|001|000|OPTIMUM HEALTHCARE, INC.|Optimum Gold Rewards Plan (HMO)|00025087|0.00|0| | |FL|10500|0|N
H5594|001|000|OPTIMUM HEALTHCARE, INC.|Optimum Gold Rewards Plan (HMO)|00025087|0.00|0| | |FL|10510|0|N
H5594|002|000|OPTIMUM HEALTHCARE, INC.|Optimum Platinum Plan (HMO)|00025087|0.00|0| | |FL|10050|0|N
H5594|002|000|OPTIMUM HEALTHCARE, INC.|Optimum Platinum Plan (HMO)|00025087|0.00|0| | |FL|10080|0|N
H5594|002|000|OPTIMUM HEALTHCARE, INC.|Optimum Platinum Plan (HMO)|00025087|0.00|0| | |FL|10260|0|N
H5594|002|000|OPTIMUM HEALTHCARE, INC.|Optimum Platinum Plan (HMO)|00025087|0.00|0| | |FL|10280|0|N
H5594|002|000|OPTIMUM HEALTHCARE, INC.|Optimum Platinum Plan (HMO)|00025087|0.00|0| | |FL|10500|0|N
H5594|002|000|OPTIMUM HEALTHCARE, INC.|Optimum Platinum Plan (HMO)|00025087|0.00|0| | |FL|10510|0|N
H5594|016|000|OPTIMUM HEALTHCARE, INC.|Optimum Emerald Partial (HMO D-SNP)|00025091|19.50|590| | |FL|10040|2|N
H5594|016|000|OPTIMUM HEALTHCARE, INC.|Optimum Emerald Partial (HMO D-SNP)|00025091|19.50|590| | |FL|10050|2|N
H5594|016|000|OPTIMUM HEALTHCARE, INC.|Optimum Emerald Partial (HMO D-SNP)|00025091|19.50|590| | |FL|10070|2|N
H5594|016|000|OPTIMUM HEALTHCARE, INC.|Optimum Emerald Partial (HMO D-SNP)|00025091|19.50|590| | |FL|10080|2|N
H5594|016|000|OPTIMUM HEALTHCARE, INC.|Optimum Emerald Partial (HMO D-SNP)|00025091|19.50|590| | |FL|10100|2|N
H5594|016|000|OPTIMUM HEALTHCARE, INC.|Optimum Emerald Partial (HMO D-SNP)|00025091|19.50|590| | |FL|10260|2|N
H5594|016|000|OPTIMUM HEALTHCARE, INC.|Optimum Emerald Partial (HMO D-SNP)|00025091|19.50|590| | |FL|10280|2|N
H5594|016|000|OPTIMUM HEALTHCARE, INC.|Optimum Emerald Partial (HMO D-SNP)|00025091|19.50|590| | |FL|10300|2|N
H5594|016|000|OPTIMUM HEALTHCARE, INC.|Optimum Emerald Partial (HMO D-SNP)|00025091|19.50|590| | |FL|10340|2|N
H5594|016|000|OPTIMUM HEALTHCARE, INC.|Optimum Emerald Partial (HMO D-SNP)|00025091|19.50|590| | |FL|10350|2|N
H5594|016|000|OPTIMUM HEALTHCARE, INC.|Optimum Emerald Partial (HMO D-SNP)|00025091|19.50|590| | |FL|10400|2|N
H5594|016|000|OPTIMUM HEALTHCARE, INC.|Optimum Emerald Partial (HMO D-SNP)|00025091|19.50|590| | |FL|10410|2|N
H5594|016|000|OPTIMUM HEALTHCARE, INC.|Optimum Emerald Partial (HMO D-SNP)|00025091|19.50|590| | |FL|10420|2|N
H5594|016|000|OPTIMUM HEALTHCARE, INC.|Optimum Emerald Partial (HMO D-SNP)|00025091|19.50|590| | |FL|10470|2|N
H5594|016|000|OPTIMUM HEALTHCARE, INC.|Optimum Emerald Partial (HMO D-SNP)|00025091|19.50|590| | |FL|10480|2|N
H5594|016|000|OPTIMUM HEALTHCARE, INC.|Optimum Emerald Partial (HMO D-SNP)|00025091|19.50|590| | |FL|10490|2|N
H5594|016|000|OPTIMUM HEALTHCARE, INC.|Optimum Emerald Partial (HMO D-SNP)|00025091|19.50|590| | |FL|10500|2|N
H5594|016|000|OPTIMUM HEALTHCARE, INC.|Optimum Emerald Partial (HMO D-SNP)|00025091|19.50|590| | |FL|10510|2|N
H5594|016|000|OPTIMUM HEALTHCARE, INC.|Optimum Emerald Partial (HMO D-SNP)|00025091|19.50|590| | |FL|10520|2|N
H5594|016|000|OPTIMUM HEALTHCARE, INC.|Optimum Emerald Partial (HMO D-SNP)|00025091|19.50|590| | |FL|10550|2|N
H5594|016|000|OPTIMUM HEALTHCARE, INC.|Optimum Emerald Partial (HMO D-SNP)|00025091|19.50|590| | |FL|10570|2|N
H5594|016|000|OPTIMUM HEALTHCARE, INC.|Optimum Emerald Partial (HMO D-SNP)|00025091|19.50|590| | |FL|10580|2|N
H5594|016|000|OPTIMUM HEALTHCARE, INC.|Optimum Emerald Partial (HMO D-SNP)|00025091|19.50|590| | |FL|10590|2|N
H5594|016|000|OPTIMUM HEALTHCARE, INC.|Optimum Emerald Partial (HMO D-SNP)|00025091|19.50|590| | |FL|10630|2|N
H5594|017|000|OPTIMUM HEALTHCARE, INC.|Optimum Emerald Full (HMO D-SNP)|00025091|0.00|590| | |FL|10040|2|N
H5594|017|000|OPTIMUM HEALTHCARE, INC.|Optimum Emerald Full (HMO D-SNP)|00025091|0.00|590| | |FL|10050|2|N
H5594|017|000|OPTIMUM HEALTHCARE, INC.|Optimum Emerald Full (HMO D-SNP)|00025091|0.00|590| | |FL|10070|2|N
H5594|017|000|OPTIMUM HEALTHCARE, INC.|Optimum Emerald Full (HMO D-SNP)|00025091|0.00|590| | |FL|10080|2|N
H5594|017|000|OPTIMUM HEALTHCARE, INC.|Optimum Emerald Full (HMO D-SNP)|00025091|0.00|590| | |FL|10100|2|N
H5594|017|000|OPTIMUM HEALTHCARE, INC.|Optimum Emerald Full (HMO D-SNP)|00025091|0.00|590| | |FL|10260|2|N
H5594|017|000|OPTIMUM HEALTHCARE, INC.|Optimum Emerald Full (HMO D-SNP)|00025091|0.00|590| | |FL|10280|2|N
H5594|017|000|OPTIMUM HEALTHCARE, INC.|Optimum Emerald Full (HMO D-SNP)|00025091|0.00|590| | |FL|10300|2|N
H5594|017|000|OPTIMUM HEALTHCARE, INC.|Optimum Emerald Full (HMO D-SNP)|00025091|0.00|590| | |FL|10340|2|N
H5594|017|000|OPTIMUM HEALTHCARE, INC.|Optimum Emerald Full (HMO D-SNP)|00025091|0.00|590| | |FL|10350|2|N
H5594|017|000|OPTIMUM HEALTHCARE, INC.|Optimum Emerald Full (HMO D-SNP)|00025091|0.00|590| | |FL|10400|2|N
H5594|017|000|OPTIMUM HEALTHCARE, INC.|Optimum Emerald Full (HMO D-SNP)|00025091|0.00|590| | |FL|10410|2|N
H5594|017|000|OPTIMUM HEALTHCARE, INC.|Optimum Emerald Full (HMO D-SNP)|00025091|0.00|590| | |FL|10420|2|N
H5594|017|000|OPTIMUM HEALTHCARE, INC.|Optimum Emerald Full (HMO D-SNP)|00025091|0.00|590| | |FL|10470|2|N
H5594|017|000|OPTIMUM HEALTHCARE, INC.|Optimum Emerald Full (HMO D-SNP)|00025091|0.00|590| | |FL|10480|2|N
H5594|017|000|OPTIMUM HEALTHCARE, INC.|Optimum Emerald Full (HMO D-SNP)|00025091|0.00|590| | |FL|10490|2|N
H5594|017|000|OPTIMUM HEALTHCARE, INC.|Optimum Emerald Full (HMO D-SNP)|00025091|0.00|590| | |FL|10500|2|N
H5594|017|000|OPTIMUM HEALTHCARE, INC.|Optimum Emerald Full (HMO D-SNP)|00025091|0.00|590| | |FL|10510|2|N
H5594|017|000|OPTIMUM HEALTHCARE, INC.|Optimum Emerald Full (HMO D-SNP)|00025091|0.00|590| | |FL|10520|2|N
H5594|017|000|OPTIMUM HEALTHCARE, INC.|Optimum Emerald Full (HMO D-SNP)|00025091|0.00|590| | |FL|10550|2|N
H5594|017|000|OPTIMUM HEALTHCARE, INC.|Optimum Emerald Full (HMO D-SNP)|00025091|0.00|590| | |FL|10570|2|N
H5594|017|000|OPTIMUM HEALTHCARE, INC.|Optimum Emerald Full (HMO D-SNP)|00025091|0.00|590| | |FL|10580|2|N
H5594|017|000|OPTIMUM HEALTHCARE, INC.|Optimum Emerald Full (HMO D-SNP)|00025091|0.00|590| | |FL|10590|2|N
H5594|017|000|OPTIMUM HEALTHCARE, INC.|Optimum Emerald Full (HMO D-SNP)|00025091|0.00|590| | |FL|10630|2|N
H5594|019|000|OPTIMUM HEALTHCARE, INC.|Optimum Gold Plan (HMO)|00025087|0.00|0| | |FL|10080|0|N
H5594|019|000|OPTIMUM HEALTHCARE, INC.|Optimum Gold Plan (HMO)|00025087|0.00|0| | |FL|10520|0|N
H5594|019|000|OPTIMUM HEALTHCARE, INC.|Optimum Gold Plan (HMO)|00025087|0.00|0| | |FL|10570|0|N
H5594|022|000|OPTIMUM HEALTHCARE, INC.|Optimum Gold Rewards Plan (HMO)|00025087|0.00|0| | |FL|10470|0|N
H5594|022|000|OPTIMUM HEALTHCARE, INC.|Optimum Gold Rewards Plan (HMO)|00025087|0.00|0| | |FL|10480|0|N
H5594|022|000|OPTIMUM HEALTHCARE, INC.|Optimum Gold Rewards Plan (HMO)|00025087|0.00|0| | |FL|10580|0|N
H5594|022|000|OPTIMUM HEALTHCARE, INC.|Optimum Gold Rewards Plan (HMO)|00025087|0.00|0| | |FL|10630|0|N
H5594|026|000|OPTIMUM HEALTHCARE, INC.|Optimum Gold Rewards Plan (HMO)|00025087|0.00|0| | |FL|10340|0|N
H5594|026|000|OPTIMUM HEALTHCARE, INC.|Optimum Gold Rewards Plan (HMO)|00025087|0.00|0| | |FL|10410|0|N
H5594|026|000|OPTIMUM HEALTHCARE, INC.|Optimum Gold Rewards Plan (HMO)|00025087|0.00|0| | |FL|10590|0|N
H5594|028|000|OPTIMUM HEALTHCARE, INC.|Optimum Diamond Rewards (HMO C-SNP)|00025079|0.00|0| | |FL|10080|1|N
H5594|028|000|OPTIMUM HEALTHCARE, INC.|Optimum Diamond Rewards (HMO C-SNP)|00025079|0.00|0| | |FL|10260|1|N
H5594|028|000|OPTIMUM HEALTHCARE, INC.|Optimum Diamond Rewards (HMO C-SNP)|00025079|0.00|0| | |FL|10280|1|N
H5594|028|000|OPTIMUM HEALTHCARE, INC.|Optimum Diamond Rewards (HMO C-SNP)|00025079|0.00|0| | |FL|10500|1|N
H5594|028|000|OPTIMUM HEALTHCARE, INC.|Optimum Diamond Rewards (HMO C-SNP)|00025079|0.00|0| | |FL|10510|1|N
H5594|029|000|OPTIMUM HEALTHCARE, INC.|Optimum Diamond Rewards COPD (HMO C-SNP)|00025087|0.00|0| | |FL|10080|1|N
H5594|029|000|OPTIMUM HEALTHCARE, INC.|Optimum Diamond Rewards COPD (HMO C-SNP)|00025087|0.00|0| | |FL|10260|1|N
H5594|029|000|OPTIMUM HEALTHCARE, INC.|Optimum Diamond Rewards COPD (HMO C-SNP)|00025087|0.00|0| | |FL|10280|1|N
H5594|029|000|OPTIMUM HEALTHCARE, INC.|Optimum Diamond Rewards COPD (HMO C-SNP)|00025087|0.00|0| | |FL|10500|1|N
H5594|029|000|OPTIMUM HEALTHCARE, INC.|Optimum Diamond Rewards COPD (HMO C-SNP)|00025087|0.00|0| | |FL|10510|1|N
H5594|030|000|OPTIMUM HEALTHCARE, INC.|Optimum Diamond Savings (HMO C-SNP)|00025079|0.00|0| | |FL|10080|1|N
H5594|030|000|OPTIMUM HEALTHCARE, INC.|Optimum Diamond Savings (HMO C-SNP)|00025079|0.00|0| | |FL|10340|1|N
H5594|030|000|OPTIMUM HEALTHCARE, INC.|Optimum Diamond Savings (HMO C-SNP)|00025079|0.00|0| | |FL|10400|1|N
H5594|030|000|OPTIMUM HEALTHCARE, INC.|Optimum Diamond Savings (HMO C-SNP)|00025079|0.00|0| | |FL|10410|1|N
H5594|030|000|OPTIMUM HEALTHCARE, INC.|Optimum Diamond Savings (HMO C-SNP)|00025079|0.00|0| | |FL|10470|1|N
H5594|030|000|OPTIMUM HEALTHCARE, INC.|Optimum Diamond Savings (HMO C-SNP)|00025079|0.00|0| | |FL|10480|1|N
H5594|030|000|OPTIMUM HEALTHCARE, INC.|Optimum Diamond Savings (HMO C-SNP)|00025079|0.00|0| | |FL|10520|1|N
H5594|030|000|OPTIMUM HEALTHCARE, INC.|Optimum Diamond Savings (HMO C-SNP)|00025079|0.00|0| | |FL|10570|1|N
H5594|030|000|OPTIMUM HEALTHCARE, INC.|Optimum Diamond Savings (HMO C-SNP)|00025079|0.00|0| | |FL|10580|1|N
H5594|030|000|OPTIMUM HEALTHCARE, INC.|Optimum Diamond Savings (HMO C-SNP)|00025079|0.00|0| | |FL|10590|1|N
H5594|030|000|OPTIMUM HEALTHCARE, INC.|Optimum Diamond Savings (HMO C-SNP)|00025079|0.00|0| | |FL|10630|1|N
H5594|031|000|OPTIMUM HEALTHCARE, INC.|Optimum Diamond Savings COPD (HMO C-SNP)|00025087|0.00|0| | |FL|10080|1|N
H5594|031|000|OPTIMUM HEALTHCARE, INC.|Optimum Diamond Savings COPD (HMO C-SNP)|00025087|0.00|0| | |FL|10340|1|N
H5594|031|000|OPTIMUM HEALTHCARE, INC.|Optimum Diamond Savings COPD (HMO C-SNP)|00025087|0.00|0| | |FL|10410|1|N
H5594|031|000|OPTIMUM HEALTHCARE, INC.|Optimum Diamond Savings COPD (HMO C-SNP)|00025087|0.00|0| | |FL|10470|1|N
H5594|031|000|OPTIMUM HEALTHCARE, INC.|Optimum Diamond Savings COPD (HMO C-SNP)|00025087|0.00|0| | |FL|10480|1|N
H5594|031|000|OPTIMUM HEALTHCARE, INC.|Optimum Diamond Savings COPD (HMO C-SNP)|00025087|0.00|0| | |FL|10520|1|N
H5594|031|000|OPTIMUM HEALTHCARE, INC.|Optimum Diamond Savings COPD (HMO C-SNP)|00025087|0.00|0| | |FL|10580|1|N
H5594|031|000|OPTIMUM HEALTHCARE, INC.|Optimum Diamond Savings COPD (HMO C-SNP)|00025087|0.00|0| | |FL|10590|1|N
H5594|032|000|OPTIMUM HEALTHCARE, INC.|Optimum Gold Plus Plan (HMO)|00025087|0.00|0| | |FL|10080|0|N
H5594|032|000|OPTIMUM HEALTHCARE, INC.|Optimum Gold Plus Plan (HMO)|00025087|0.00|0| | |FL|10260|0|N
H5594|034|000|OPTIMUM HEALTHCARE, INC.|Optimum Diamond Rewards (HMO C-SNP)|00025079|0.00|0| | |FL|10040|1|N
H5594|034|000|OPTIMUM HEALTHCARE, INC.|Optimum Diamond Rewards (HMO C-SNP)|00025079|0.00|0| | |FL|10070|1|N
H5594|034|000|OPTIMUM HEALTHCARE, INC.|Optimum Diamond Rewards (HMO C-SNP)|00025079|0.00|0| | |FL|10100|1|N
H5594|034|000|OPTIMUM HEALTHCARE, INC.|Optimum Diamond Rewards (HMO C-SNP)|00025079|0.00|0| | |FL|10300|1|N
H5594|034|000|OPTIMUM HEALTHCARE, INC.|Optimum Diamond Rewards (HMO C-SNP)|00025079|0.00|0| | |FL|10350|1|N
H5594|034|000|OPTIMUM HEALTHCARE, INC.|Optimum Diamond Rewards (HMO C-SNP)|00025079|0.00|0| | |FL|10420|1|N
H5594|034|000|OPTIMUM HEALTHCARE, INC.|Optimum Diamond Rewards (HMO C-SNP)|00025079|0.00|0| | |FL|10550|1|N
H5594|035|000|OPTIMUM HEALTHCARE, INC.|Optimum Diamond Rewards COPD (HMO C-SNP)|00025087|0.00|0| | |FL|10070|1|N
H5594|035|000|OPTIMUM HEALTHCARE, INC.|Optimum Diamond Rewards COPD (HMO C-SNP)|00025087|0.00|0| | |FL|10100|1|N
H5594|035|000|OPTIMUM HEALTHCARE, INC.|Optimum Diamond Rewards COPD (HMO C-SNP)|00025087|0.00|0| | |FL|10300|1|N
H5594|035|000|OPTIMUM HEALTHCARE, INC.|Optimum Diamond Rewards COPD (HMO C-SNP)|00025087|0.00|0| | |FL|10350|1|N
H5594|035|000|OPTIMUM HEALTHCARE, INC.|Optimum Diamond Rewards COPD (HMO C-SNP)|00025087|0.00|0| | |FL|10420|1|N
H5594|035|000|OPTIMUM HEALTHCARE, INC.|Optimum Diamond Rewards COPD (HMO C-SNP)|00025087|0.00|0| | |FL|10550|1|N
H5594|036|000|OPTIMUM HEALTHCARE, INC.|Optimum Diamond (HMO C-SNP)|00025079|0.00|0| | |FL|10080|1|N
H5594|036|000|OPTIMUM HEALTHCARE, INC.|Optimum Diamond (HMO C-SNP)|00025079|0.00|0| | |FL|10260|1|N
H5594|036|000|OPTIMUM HEALTHCARE, INC.|Optimum Diamond (HMO C-SNP)|00025079|0.00|0| | |FL|10280|1|N
H5594|036|000|OPTIMUM HEALTHCARE, INC.|Optimum Diamond (HMO C-SNP)|00025079|0.00|0| | |FL|10500|1|N
H5594|036|000|OPTIMUM HEALTHCARE, INC.|Optimum Diamond (HMO C-SNP)|00025079|0.00|0| | |FL|10510|1|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33000|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33010|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33020|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33030|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33040|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33050|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33070|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33080|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33090|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33200|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33210|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33220|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33230|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33240|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33260|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33270|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33280|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33290|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33300|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33310|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33320|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33330|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33331|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33340|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33350|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33360|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33370|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33380|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33400|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33420|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33500|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33510|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33520|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33530|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33540|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33550|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33560|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33570|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33580|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33590|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33600|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33610|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33620|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33630|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33640|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33650|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33660|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33670|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33680|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33690|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33700|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33710|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33720|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33740|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33750|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33760|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33770|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33800|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33900|2|N
H5599|001|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Access (HMO D-SNP)|00025040|0.00|590| | |NY|33910|2|N
H5599|002|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Assist (HMO-POS)|00025066|38.40|460| | |NY|33000|0|N
H5599|002|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Assist (HMO-POS)|00025066|38.40|460| | |NY|33010|0|N
H5599|002|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Assist (HMO-POS)|00025066|38.40|460| | |NY|33020|0|N
H5599|002|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Assist (HMO-POS)|00025066|38.40|460| | |NY|33030|0|N
H5599|002|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Assist (HMO-POS)|00025066|38.40|460| | |NY|33040|0|N
H5599|002|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Assist (HMO-POS)|00025066|38.40|460| | |NY|33050|0|N
H5599|002|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Assist (HMO-POS)|00025066|38.40|460| | |NY|33070|0|N
H5599|002|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Assist (HMO-POS)|00025066|38.40|460| | |NY|33080|0|N
H5599|002|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Assist (HMO-POS)|00025066|38.40|460| | |NY|33090|0|N
H5599|002|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Assist (HMO-POS)|00025066|38.40|460| | |NY|33200|0|N
H5599|002|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Assist (HMO-POS)|00025066|38.40|460| | |NY|33210|0|N
H5599|002|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Assist (HMO-POS)|00025066|38.40|460| | |NY|33220|0|N
H5599|002|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Assist (HMO-POS)|00025066|38.40|460| | |NY|33230|0|N
H5599|002|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Assist (HMO-POS)|00025066|38.40|460| | |NY|33240|0|N
H5599|002|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Assist (HMO-POS)|00025066|38.40|460| | |NY|33260|0|N
H5599|002|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Assist (HMO-POS)|00025066|38.40|460| | |NY|33270|0|N
H5599|002|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Assist (HMO-POS)|00025066|38.40|460| | |NY|33280|0|N
H5599|002|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Assist (HMO-POS)|00025066|38.40|460| | |NY|33290|0|N
H5599|002|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Assist (HMO-POS)|00025066|38.40|460| | |NY|33300|0|N
H5599|002|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Assist (HMO-POS)|00025066|38.40|460| | |NY|33310|0|N
H5599|002|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Assist (HMO-POS)|00025066|38.40|460| | |NY|33320|0|N
H5599|002|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Assist (HMO-POS)|00025066|38.40|460| | |NY|33340|0|N
H5599|002|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Assist (HMO-POS)|00025066|38.40|460| | |NY|33350|0|N
H5599|002|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Assist (HMO-POS)|00025066|38.40|460| | |NY|33360|0|N
H5599|002|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Assist (HMO-POS)|00025066|38.40|460| | |NY|33380|0|N
H5599|002|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Assist (HMO-POS)|00025066|38.40|460| | |NY|33420|0|N
H5599|002|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Assist (HMO-POS)|00025066|38.40|460| | |NY|33500|0|N
H5599|002|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Assist (HMO-POS)|00025066|38.40|460| | |NY|33510|0|N
H5599|002|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Assist (HMO-POS)|00025066|38.40|460| | |NY|33520|0|N
H5599|002|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Assist (HMO-POS)|00025066|38.40|460| | |NY|33530|0|N
H5599|002|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Assist (HMO-POS)|00025066|38.40|460| | |NY|33550|0|N
H5599|002|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Assist (HMO-POS)|00025066|38.40|460| | |NY|33560|0|N
H5599|002|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Assist (HMO-POS)|00025066|38.40|460| | |NY|33570|0|N
H5599|002|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Assist (HMO-POS)|00025066|38.40|460| | |NY|33580|0|N
H5599|002|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Assist (HMO-POS)|00025066|38.40|460| | |NY|33600|0|N
H5599|002|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Assist (HMO-POS)|00025066|38.40|460| | |NY|33610|0|N
H5599|002|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Assist (HMO-POS)|00025066|38.40|460| | |NY|33620|0|N
H5599|002|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Assist (HMO-POS)|00025066|38.40|460| | |NY|33630|0|N
H5599|002|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Assist (HMO-POS)|00025066|38.40|460| | |NY|33640|0|N
H5599|002|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Assist (HMO-POS)|00025066|38.40|460| | |NY|33650|0|N
H5599|002|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Assist (HMO-POS)|00025066|38.40|460| | |NY|33660|0|N
H5599|002|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Assist (HMO-POS)|00025066|38.40|460| | |NY|33670|0|N
H5599|002|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Assist (HMO-POS)|00025066|38.40|460| | |NY|33680|0|N
H5599|002|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Assist (HMO-POS)|00025066|38.40|460| | |NY|33690|0|N
H5599|002|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Assist (HMO-POS)|00025066|38.40|460| | |NY|33700|0|N
H5599|002|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Assist (HMO-POS)|00025066|38.40|460| | |NY|33710|0|N
H5599|002|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Assist (HMO-POS)|00025066|38.40|460| | |NY|33720|0|N
H5599|002|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Assist (HMO-POS)|00025066|38.40|460| | |NY|33740|0|N
H5599|002|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Assist (HMO-POS)|00025066|38.40|460| | |NY|33750|0|N
H5599|002|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Assist (HMO-POS)|00025066|38.40|460| | |NY|33760|0|N
H5599|002|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Assist (HMO-POS)|00025066|38.40|460| | |NY|33800|0|N
H5599|002|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Assist (HMO-POS)|00025066|38.40|460| | |NY|33900|0|N
H5599|002|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Assist (HMO-POS)|00025066|38.40|460| | |NY|33910|0|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33000|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33010|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33020|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33030|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33040|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33050|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33070|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33080|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33090|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33200|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33210|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33220|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33230|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33240|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33260|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33270|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33280|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33290|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33300|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33310|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33330|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33331|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33340|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33350|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33360|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33370|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33380|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33400|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33420|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33500|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33510|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33520|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33530|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33540|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33550|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33560|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33570|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33580|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33590|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33600|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33610|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33620|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33630|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33640|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33650|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33660|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33670|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33680|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33690|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33700|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33710|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33720|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33740|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33750|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33760|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33770|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33800|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33900|2|N
H5599|003|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Dual Plus (HMO D-SNP)|00025035|0.00|590| | |NY|33910|2|N
H5599|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Simple (HMO-POS)|00025084|0.00|420| | |NY|33000|0|N
H5599|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Simple (HMO-POS)|00025084|0.00|420| | |NY|33010|0|N
H5599|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Simple (HMO-POS)|00025084|0.00|420| | |NY|33020|0|N
H5599|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Simple (HMO-POS)|00025084|0.00|420| | |NY|33030|0|N
H5599|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Simple (HMO-POS)|00025084|0.00|420| | |NY|33040|0|N
H5599|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Simple (HMO-POS)|00025084|0.00|420| | |NY|33050|0|N
H5599|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Simple (HMO-POS)|00025084|0.00|420| | |NY|33070|0|N
H5599|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Simple (HMO-POS)|00025084|0.00|420| | |NY|33080|0|N
H5599|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Simple (HMO-POS)|00025084|0.00|420| | |NY|33090|0|N
H5599|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Simple (HMO-POS)|00025084|0.00|420| | |NY|33200|0|N
H5599|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Simple (HMO-POS)|00025084|0.00|420| | |NY|33210|0|N
H5599|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Simple (HMO-POS)|00025084|0.00|420| | |NY|33220|0|N
H5599|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Simple (HMO-POS)|00025084|0.00|420| | |NY|33230|0|N
H5599|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Simple (HMO-POS)|00025084|0.00|420| | |NY|33240|0|N
H5599|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Simple (HMO-POS)|00025084|0.00|420| | |NY|33260|0|N
H5599|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Simple (HMO-POS)|00025084|0.00|420| | |NY|33270|0|N
H5599|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Simple (HMO-POS)|00025084|0.00|420| | |NY|33280|0|N
H5599|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Simple (HMO-POS)|00025084|0.00|420| | |NY|33290|0|N
H5599|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Simple (HMO-POS)|00025084|0.00|420| | |NY|33300|0|N
H5599|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Simple (HMO-POS)|00025084|0.00|420| | |NY|33310|0|N
H5599|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Simple (HMO-POS)|00025084|0.00|420| | |NY|33320|0|N
H5599|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Simple (HMO-POS)|00025084|0.00|420| | |NY|33340|0|N
H5599|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Simple (HMO-POS)|00025084|0.00|420| | |NY|33350|0|N
H5599|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Simple (HMO-POS)|00025084|0.00|420| | |NY|33360|0|N
H5599|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Simple (HMO-POS)|00025084|0.00|420| | |NY|33380|0|N
H5599|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Simple (HMO-POS)|00025084|0.00|420| | |NY|33420|0|N
H5599|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Simple (HMO-POS)|00025084|0.00|420| | |NY|33500|0|N
H5599|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Simple (HMO-POS)|00025084|0.00|420| | |NY|33510|0|N
H5599|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Simple (HMO-POS)|00025084|0.00|420| | |NY|33520|0|N
H5599|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Simple (HMO-POS)|00025084|0.00|420| | |NY|33530|0|N
H5599|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Simple (HMO-POS)|00025084|0.00|420| | |NY|33550|0|N
H5599|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Simple (HMO-POS)|00025084|0.00|420| | |NY|33560|0|N
H5599|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Simple (HMO-POS)|00025084|0.00|420| | |NY|33570|0|N
H5599|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Simple (HMO-POS)|00025084|0.00|420| | |NY|33580|0|N
H5599|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Simple (HMO-POS)|00025084|0.00|420| | |NY|33600|0|N
H5599|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Simple (HMO-POS)|00025084|0.00|420| | |NY|33610|0|N
H5599|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Simple (HMO-POS)|00025084|0.00|420| | |NY|33620|0|N
H5599|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Simple (HMO-POS)|00025084|0.00|420| | |NY|33630|0|N
H5599|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Simple (HMO-POS)|00025084|0.00|420| | |NY|33640|0|N
H5599|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Simple (HMO-POS)|00025084|0.00|420| | |NY|33650|0|N
H5599|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Simple (HMO-POS)|00025084|0.00|420| | |NY|33660|0|N
H5599|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Simple (HMO-POS)|00025084|0.00|420| | |NY|33670|0|N
H5599|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Simple (HMO-POS)|00025084|0.00|420| | |NY|33680|0|N
H5599|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Simple (HMO-POS)|00025084|0.00|420| | |NY|33690|0|N
H5599|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Simple (HMO-POS)|00025084|0.00|420| | |NY|33700|0|N
H5599|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Simple (HMO-POS)|00025084|0.00|420| | |NY|33710|0|N
H5599|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Simple (HMO-POS)|00025084|0.00|420| | |NY|33720|0|N
H5599|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Simple (HMO-POS)|00025084|0.00|420| | |NY|33740|0|N
H5599|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Simple (HMO-POS)|00025084|0.00|420| | |NY|33750|0|N
H5599|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Simple (HMO-POS)|00025084|0.00|420| | |NY|33760|0|N
H5599|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Simple (HMO-POS)|00025084|0.00|420| | |NY|33800|0|N
H5599|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Simple (HMO-POS)|00025084|0.00|420| | |NY|33900|0|N
H5599|004|000|NEW YORK QUALITY HEALTHCARE CORPORATION|Wellcare Fidelis Simple (HMO-POS)|00025084|0.00|420| | |NY|33910|0|N
H5608|001|000|DENVER HEALTH MEDICAL PLAN, INC.|Elevate Medicare Choice (HMO D-SNP)|00025213|0.00|590| | |CO|06000|2|N
H5608|001|000|DENVER HEALTH MEDICAL PLAN, INC.|Elevate Medicare Choice (HMO D-SNP)|00025213|0.00|590| | |CO|06020|2|N
H5608|001|000|DENVER HEALTH MEDICAL PLAN, INC.|Elevate Medicare Choice (HMO D-SNP)|00025213|0.00|590| | |CO|06150|2|N
H5608|001|000|DENVER HEALTH MEDICAL PLAN, INC.|Elevate Medicare Choice (HMO D-SNP)|00025213|0.00|590| | |CO|06290|2|N
H5608|002|000|DENVER HEALTH MEDICAL PLAN, INC.|Elevate Medicare Select (HMO)|00025211|0.00|0| | |CO|06000|0|N
H5608|002|000|DENVER HEALTH MEDICAL PLAN, INC.|Elevate Medicare Select (HMO)|00025211|0.00|0| | |CO|06020|0|N
H5608|002|000|DENVER HEALTH MEDICAL PLAN, INC.|Elevate Medicare Select (HMO)|00025211|0.00|0| | |CO|06150|0|N
H5608|002|000|DENVER HEALTH MEDICAL PLAN, INC.|Elevate Medicare Select (HMO)|00025211|0.00|0| | |CO|06290|0|N
H5619|001|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-001 (HMO)|00025456|0.00|590| | |ME|20000|0|N
H5619|001|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-001 (HMO)|00025456|0.00|590| | |ME|20010|0|N
H5619|001|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-001 (HMO)|00025456|0.00|590| | |ME|20020|0|N
H5619|001|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-001 (HMO)|00025456|0.00|590| | |ME|20030|0|N
H5619|001|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-001 (HMO)|00025456|0.00|590| | |ME|20040|0|N
H5619|001|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-001 (HMO)|00025456|0.00|590| | |ME|20050|0|N
H5619|001|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-001 (HMO)|00025456|0.00|590| | |ME|20060|0|N
H5619|001|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-001 (HMO)|00025456|0.00|590| | |ME|20070|0|N
H5619|001|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-001 (HMO)|00025456|0.00|590| | |ME|20080|0|N
H5619|001|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-001 (HMO)|00025456|0.00|590| | |ME|20090|0|N
H5619|001|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-001 (HMO)|00025456|0.00|590| | |ME|20100|0|N
H5619|001|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-001 (HMO)|00025456|0.00|590| | |ME|20110|0|N
H5619|001|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-001 (HMO)|00025456|0.00|590| | |ME|20120|0|N
H5619|001|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-001 (HMO)|00025456|0.00|590| | |ME|20130|0|N
H5619|001|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-001 (HMO)|00025456|0.00|590| | |ME|20140|0|N
H5619|001|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-001 (HMO)|00025456|0.00|590| | |ME|20150|0|N
H5619|003|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-003 (HMO D-SNP)|00025456|0.00|590| | |ME|20000|2|N
H5619|003|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-003 (HMO D-SNP)|00025456|0.00|590| | |ME|20010|2|N
H5619|003|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-003 (HMO D-SNP)|00025456|0.00|590| | |ME|20020|2|N
H5619|003|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-003 (HMO D-SNP)|00025456|0.00|590| | |ME|20030|2|N
H5619|003|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-003 (HMO D-SNP)|00025456|0.00|590| | |ME|20040|2|N
H5619|003|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-003 (HMO D-SNP)|00025456|0.00|590| | |ME|20050|2|N
H5619|003|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-003 (HMO D-SNP)|00025456|0.00|590| | |ME|20060|2|N
H5619|003|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-003 (HMO D-SNP)|00025456|0.00|590| | |ME|20070|2|N
H5619|003|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-003 (HMO D-SNP)|00025456|0.00|590| | |ME|20080|2|N
H5619|003|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-003 (HMO D-SNP)|00025456|0.00|590| | |ME|20090|2|N
H5619|003|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-003 (HMO D-SNP)|00025456|0.00|590| | |ME|20100|2|N
H5619|003|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-003 (HMO D-SNP)|00025456|0.00|590| | |ME|20110|2|N
H5619|003|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-003 (HMO D-SNP)|00025456|0.00|590| | |ME|20120|2|N
H5619|003|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-003 (HMO D-SNP)|00025456|0.00|590| | |ME|20130|2|N
H5619|003|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-003 (HMO D-SNP)|00025456|0.00|590| | |ME|20140|2|N
H5619|003|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-003 (HMO D-SNP)|00025456|0.00|590| | |ME|20150|2|N
H5619|012|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-012 (HMO)|00025458|0.00|0| | |CA|05090|0|N
H5619|012|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-012 (HMO)|00025458|0.00|0| | |CA|05300|0|N
H5619|015|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-015 (HMO)|00025458|0.00|150| | |CA|05150|0|N
H5619|015|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-015 (HMO)|00025458|0.00|150| | |CA|05640|0|N
H5619|016|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-016 (HMO)|00025458|0.00|0| | |CA|05470|0|N
H5619|021|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-021 (HMO)|00025458|0.00|0| | |CA|05200|0|N
H5619|021|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-021 (HMO)|00025458|0.00|0| | |CA|05210|0|N
H5619|021|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-021 (HMO)|00025458|0.00|0| | |CA|05400|0|N
H5619|026|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-026 (HMO)|00025458|0.00|590| | |CA|05490|0|N
H5619|038|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-038 (HMO D-SNP)|00025456|0.00|590| | |CA|05090|2|Y
H5619|038|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-038 (HMO D-SNP)|00025456|0.00|590| | |CA|05140|2|Y
H5619|038|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-038 (HMO D-SNP)|00025456|0.00|590| | |CA|05300|2|Y
H5619|038|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-038 (HMO D-SNP)|00025456|0.00|590| | |CA|05490|2|Y
H5619|038|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-038 (HMO D-SNP)|00025456|0.00|590| | |CA|05500|2|Y
H5619|038|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-038 (HMO D-SNP)|00025456|0.00|590| | |CA|05600|2|Y
H5619|038|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-038 (HMO D-SNP)|00025456|0.00|590| | |CA|05660|2|Y
H5619|046|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|0.00|450| | |VA|49194|1|N
H5619|046|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|0.00|450| | |VA|49200|1|N
H5619|046|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|0.00|450| | |VA|49212|1|N
H5619|046|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|0.00|450| | |VA|49411|1|N
H5619|046|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|0.00|450| | |VA|49420|1|N
H5619|046|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|0.00|450| | |VA|49430|1|N
H5619|046|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|0.00|450| | |VA|49451|1|N
H5619|046|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|0.00|450| | |VA|49622|1|N
H5619|046|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|0.00|450| | |VA|49641|1|N
H5619|046|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|0.00|450| | |VA|49701|1|N
H5619|046|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|0.00|450| | |VA|49711|1|N
H5619|046|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|0.00|450| | |VA|49791|1|N
H5619|046|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|0.00|450| | |VA|49921|1|N
H5619|047|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-047 (HMO)|00025456|0.00|350| | |VA|49011|0|N
H5619|047|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-047 (HMO)|00025456|0.00|350| | |VA|49060|0|N
H5619|047|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-047 (HMO)|00025456|0.00|350| | |VA|49210|0|N
H5619|047|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-047 (HMO)|00025456|0.00|350| | |VA|49230|0|N
H5619|047|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-047 (HMO)|00025456|0.00|350| | |VA|49288|0|N
H5619|047|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-047 (HMO)|00025456|0.00|350| | |VA|49290|0|N
H5619|047|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-047 (HMO)|00025456|0.00|350| | |VA|49291|0|N
H5619|047|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-047 (HMO)|00025456|0.00|350| | |VA|49300|0|N
H5619|047|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-047 (HMO)|00025456|0.00|350| | |VA|49530|0|N
H5619|047|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-047 (HMO)|00025456|0.00|350| | |VA|49563|0|N
H5619|047|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-047 (HMO)|00025456|0.00|350| | |VA|49565|0|N
H5619|047|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-047 (HMO)|00025456|0.00|350| | |VA|49690|0|N
H5619|047|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-047 (HMO)|00025456|0.00|350| | |VA|49750|0|N
H5619|047|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-047 (HMO)|00025456|0.00|350| | |VA|49780|0|N
H5619|047|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-047 (HMO)|00025456|0.00|350| | |VA|49930|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15020|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15030|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15050|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15060|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15070|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15080|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15100|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15110|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15120|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15130|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15140|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15170|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15180|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15190|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15200|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15240|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15250|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15270|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15280|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15290|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15310|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15320|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15330|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15350|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15360|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15390|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15400|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15410|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15440|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15450|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15460|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15470|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15480|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15490|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15500|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15510|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15520|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15530|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15540|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15550|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15590|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15600|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15610|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15620|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15630|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15640|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15650|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15660|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15670|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15680|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15700|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15710|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15720|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15730|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15740|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15780|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15800|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15810|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15850|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15860|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15870|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |IN|15900|0|N
H5619|049|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-049 (HMO-POS)|00025456|0.00|250| | |KY|18500|0|N
H5619|051|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-051 (HMO-POS)|00025456|0.00|250| | |IN|15000|0|N
H5619|051|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-051 (HMO-POS)|00025456|0.00|250| | |IN|15010|0|N
H5619|051|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-051 (HMO-POS)|00025456|0.00|250| | |IN|15040|0|N
H5619|051|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-051 (HMO-POS)|00025456|0.00|250| | |IN|15160|0|N
H5619|051|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-051 (HMO-POS)|00025456|0.00|250| | |IN|15260|0|N
H5619|051|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-051 (HMO-POS)|00025456|0.00|250| | |IN|15340|0|N
H5619|051|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-051 (HMO-POS)|00025456|0.00|250| | |IN|15420|0|N
H5619|051|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-051 (HMO-POS)|00025456|0.00|250| | |IN|15430|0|N
H5619|051|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-051 (HMO-POS)|00025456|0.00|250| | |IN|15560|0|N
H5619|051|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-051 (HMO-POS)|00025456|0.00|250| | |IN|15750|0|N
H5619|051|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-051 (HMO-POS)|00025456|0.00|250| | |IN|15890|0|N
H5619|051|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-051 (HMO-POS)|00025456|0.00|250| | |IN|15910|0|N
H5619|053|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-053 (HMO-POS)|00025456|0.00|250| | |IN|15030|0|N
H5619|053|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-053 (HMO-POS)|00025456|0.00|250| | |IN|15120|0|N
H5619|053|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-053 (HMO-POS)|00025456|0.00|250| | |IN|15180|0|N
H5619|053|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-053 (HMO-POS)|00025456|0.00|250| | |IN|15190|0|N
H5619|053|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-053 (HMO-POS)|00025456|0.00|250| | |IN|15250|0|N
H5619|053|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-053 (HMO-POS)|00025456|0.00|250| | |IN|15360|0|N
H5619|053|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-053 (HMO-POS)|00025456|0.00|250| | |IN|15410|0|N
H5619|053|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-053 (HMO-POS)|00025456|0.00|250| | |IN|15440|0|N
H5619|053|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-053 (HMO-POS)|00025456|0.00|250| | |IN|15450|0|N
H5619|053|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-053 (HMO-POS)|00025456|0.00|250| | |IN|15490|0|N
H5619|053|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-053 (HMO-POS)|00025456|0.00|250| | |IN|15550|0|N
H5619|053|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-053 (HMO-POS)|00025456|0.00|250| | |IN|15620|0|N
H5619|053|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-053 (HMO-POS)|00025456|0.00|250| | |IN|15630|0|N
H5619|053|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-053 (HMO-POS)|00025456|0.00|250| | |IN|15640|0|N
H5619|053|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-053 (HMO-POS)|00025456|0.00|250| | |IN|15650|0|N
H5619|053|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-053 (HMO-POS)|00025456|0.00|250| | |IN|15700|0|N
H5619|053|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-053 (HMO-POS)|00025456|0.00|250| | |IN|15730|0|N
H5619|053|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-053 (HMO-POS)|00025456|0.00|250| | |IN|15740|0|N
H5619|053|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-053 (HMO-POS)|00025456|0.00|250| | |IN|15810|0|N
H5619|053|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-053 (HMO-POS)|00025456|0.00|250| | |IN|15860|0|N
H5619|053|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-053 (HMO-POS)|00025456|0.00|250| | |IN|15900|0|N
H5619|053|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-053 (HMO-POS)|00025456|0.00|250| | |KY|18500|0|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15000|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15010|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15020|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15030|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15040|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15050|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15060|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15070|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15080|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15090|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15100|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15110|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15120|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15130|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15140|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15150|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15160|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15170|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15180|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15190|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15200|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15210|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15220|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15230|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15240|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15250|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15260|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15270|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15280|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15290|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15300|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15310|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15320|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15330|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15340|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15350|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15360|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15370|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15380|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15390|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15400|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15410|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15420|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15430|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15440|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15450|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15460|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15470|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15480|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15490|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15500|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15510|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15520|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15530|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15540|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15550|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15560|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15570|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15580|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15590|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15600|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15610|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15620|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15630|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15640|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15650|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15660|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15670|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15680|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15690|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15700|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15710|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15720|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15730|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15740|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15750|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15760|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15770|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15780|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15790|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15800|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15810|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15820|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15830|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15840|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15850|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15860|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15870|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15880|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15890|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15900|2|N
H5619|054|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Integrated SNP-DE H5619-054 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15910|2|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15000|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15010|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15020|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15030|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15040|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15050|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15060|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15070|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15080|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15090|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15100|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15110|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15120|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15130|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15140|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15150|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15160|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15170|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15180|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15190|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15200|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15210|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15220|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15230|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15240|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15250|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15260|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15270|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15280|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15290|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15300|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15310|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15320|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15330|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15340|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15350|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15360|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15370|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15380|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15390|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15400|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15410|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15420|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15430|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15440|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15450|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15460|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15470|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15480|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15490|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15500|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15510|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15520|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15530|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15540|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15550|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15560|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15570|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15580|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15590|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15600|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15610|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15620|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15630|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15640|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15650|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15660|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15670|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15680|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15690|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15700|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15710|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15720|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15730|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15740|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15750|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15760|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15770|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15780|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15790|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15800|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15810|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15820|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15840|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15850|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15860|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15870|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15880|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15890|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15900|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |IN|15910|1|N
H5619|055|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|495| | |KY|18500|1|N
H5619|056|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-056 (HMO)|00025456|0.00|150| | |WA|50050|0|N
H5619|056|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-056 (HMO)|00025456|0.00|150| | |WA|50070|0|N
H5619|057|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-057 (HMO)|00025458|0.00|0| | |WA|50160|0|N
H5619|057|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-057 (HMO)|00025458|0.00|0| | |WA|50170|0|N
H5619|057|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-057 (HMO)|00025458|0.00|0| | |WA|50300|0|N
H5619|059|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-059 (HMO)|00025458|0.00|100| | |WA|50050|0|N
H5619|059|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-059 (HMO)|00025458|0.00|100| | |WA|50070|0|N
H5619|059|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-059 (HMO)|00025458|0.00|100| | |WA|50160|0|N
H5619|059|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-059 (HMO)|00025458|0.00|100| | |WA|50280|0|N
H5619|059|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-059 (HMO)|00025458|0.00|100| | |WA|50300|0|N
H5619|061|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-061 (HMO)|00025458|0.00|50| | |WA|50000|0|N
H5619|061|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-061 (HMO)|00025458|0.00|50| | |WA|50030|0|N
H5619|061|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-061 (HMO)|00025458|0.00|50| | |WA|50060|0|N
H5619|061|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-061 (HMO)|00025458|0.00|50| | |WA|50080|0|N
H5619|061|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-061 (HMO)|00025458|0.00|50| | |WA|50090|0|N
H5619|061|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-061 (HMO)|00025458|0.00|50| | |WA|50110|0|N
H5619|061|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-061 (HMO)|00025458|0.00|50| | |WA|50120|0|N
H5619|061|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-061 (HMO)|00025458|0.00|50| | |WA|50150|0|N
H5619|061|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-061 (HMO)|00025458|0.00|50| | |WA|50180|0|N
H5619|061|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-061 (HMO)|00025458|0.00|50| | |WA|50200|0|N
H5619|061|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-061 (HMO)|00025458|0.00|50| | |WA|50210|0|N
H5619|061|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-061 (HMO)|00025458|0.00|50| | |WA|50220|0|N
H5619|061|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-061 (HMO)|00025458|0.00|50| | |WA|50230|0|N
H5619|061|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-061 (HMO)|00025458|0.00|50| | |WA|50250|0|N
H5619|061|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-061 (HMO)|00025458|0.00|50| | |WA|50260|0|N
H5619|061|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-061 (HMO)|00025458|0.00|50| | |WA|50290|0|N
H5619|061|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-061 (HMO)|00025458|0.00|50| | |WA|50330|0|N
H5619|061|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-061 (HMO)|00025458|0.00|50| | |WA|50340|0|N
H5619|063|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-063 (HMO)|00025458|0.00|590| | |WA|50300|0|N
H5619|066|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-066 (HMO)|00025456|0.00|355| | |ME|20000|0|N
H5619|066|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-066 (HMO)|00025456|0.00|355| | |ME|20010|0|N
H5619|066|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-066 (HMO)|00025456|0.00|355| | |ME|20020|0|N
H5619|066|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-066 (HMO)|00025456|0.00|355| | |ME|20030|0|N
H5619|066|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-066 (HMO)|00025456|0.00|355| | |ME|20040|0|N
H5619|066|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-066 (HMO)|00025456|0.00|355| | |ME|20050|0|N
H5619|066|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-066 (HMO)|00025456|0.00|355| | |ME|20060|0|N
H5619|066|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-066 (HMO)|00025456|0.00|355| | |ME|20070|0|N
H5619|066|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-066 (HMO)|00025456|0.00|355| | |ME|20090|0|N
H5619|066|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-066 (HMO)|00025456|0.00|355| | |ME|20100|0|N
H5619|066|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-066 (HMO)|00025456|0.00|355| | |ME|20110|0|N
H5619|066|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-066 (HMO)|00025456|0.00|355| | |ME|20120|0|N
H5619|066|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-066 (HMO)|00025456|0.00|355| | |ME|20130|0|N
H5619|066|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-066 (HMO)|00025456|0.00|355| | |ME|20140|0|N
H5619|066|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-066 (HMO)|00025456|0.00|355| | |ME|20150|0|N
H5619|069|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-069 (HMO-POS)|00025456|0.00|0| | |AR|04090|0|N
H5619|069|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-069 (HMO-POS)|00025456|0.00|0| | |AR|04280|0|N
H5619|069|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-069 (HMO-POS)|00025456|0.00|0| | |AR|04400|0|N
H5619|069|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-069 (HMO-POS)|00025456|0.00|0| | |AR|04450|0|N
H5619|069|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-069 (HMO-POS)|00025456|0.00|0| | |AR|04490|0|N
H5619|069|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-069 (HMO-POS)|00025456|0.00|0| | |AR|04540|0|N
H5619|069|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-069 (HMO-POS)|00025456|0.00|0| | |AR|04660|0|N
H5619|069|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-069 (HMO-POS)|00025456|0.00|0| | |AR|04690|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |IN|15090|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18020|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18050|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18080|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18100|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18110|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18120|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18130|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18140|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18170|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18190|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18220|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18230|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18240|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18250|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18260|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18270|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18271|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18310|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18330|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18340|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18361|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18362|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18410|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18420|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18470|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18511|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18540|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18550|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18560|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18570|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18590|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18600|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18610|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18630|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18650|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18660|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18670|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18680|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18690|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18710|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18720|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18730|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18740|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18760|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18770|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18780|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18790|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18800|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18860|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18861|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18880|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18900|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18930|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18931|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18960|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18971|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18972|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18973|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18974|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18975|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18977|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18980|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18982|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18987|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18988|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18990|0|N
H5619|071|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-071 (HMO)|00025456|0.00|250| | |KY|18992|0|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18000|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18010|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18030|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18040|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18050|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18060|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18080|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18090|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18100|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18110|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18120|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18130|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18140|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18150|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18160|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18170|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18190|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18191|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18220|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18230|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18240|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18250|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18260|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18270|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18271|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18290|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18310|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18320|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18330|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18340|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18350|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18360|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18361|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18362|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18390|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18410|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18420|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18421|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18440|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18450|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18460|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18470|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18480|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18490|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18500|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18510|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18511|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18530|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18540|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18550|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18560|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18570|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18590|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18600|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18610|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18620|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18630|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18640|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18650|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18660|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18670|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18680|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18690|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18700|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18710|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18720|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18730|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18740|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18750|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18760|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18770|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18780|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18790|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18800|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18801|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18802|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18830|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18831|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18860|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18861|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18880|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18890|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18900|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18910|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18930|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18931|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18960|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18970|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18971|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18972|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18973|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18974|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18975|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18976|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18977|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18978|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18979|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18980|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18981|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18982|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18983|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18984|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18985|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18986|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18987|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18988|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18989|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18990|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18991|2|N
H5619|075|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-075 (HMO D-SNP)|00025456|49.60|590| | |KY|18992|2|N
H5619|077|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-077 (HMO)|00025456|18.70|150| | |ID|13000|0|N
H5619|077|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-077 (HMO)|00025456|18.70|150| | |ID|13130|0|N
H5619|077|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-077 (HMO)|00025456|18.70|150| | |ID|13370|0|N
H5619|082|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)|00025456|0.00|590| | |SC|42000|2|N
H5619|082|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)|00025456|0.00|590| | |SC|42010|2|N
H5619|082|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)|00025456|0.00|590| | |SC|42020|2|N
H5619|082|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)|00025456|0.00|590| | |SC|42030|2|N
H5619|082|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)|00025456|0.00|590| | |SC|42040|2|N
H5619|082|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)|00025456|0.00|590| | |SC|42050|2|N
H5619|082|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)|00025456|0.00|590| | |SC|42060|2|N
H5619|082|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)|00025456|0.00|590| | |SC|42070|2|N
H5619|082|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)|00025456|0.00|590| | |SC|42080|2|N
H5619|082|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)|00025456|0.00|590| | |SC|42090|2|N
H5619|082|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)|00025456|0.00|590| | |SC|42100|2|N
H5619|082|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)|00025456|0.00|590| | |SC|42110|2|N
H5619|082|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)|00025456|0.00|590| | |SC|42120|2|N
H5619|082|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)|00025456|0.00|590| | |SC|42130|2|N
H5619|082|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)|00025456|0.00|590| | |SC|42140|2|N
H5619|082|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)|00025456|0.00|590| | |SC|42150|2|N
H5619|082|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)|00025456|0.00|590| | |SC|42160|2|N
H5619|082|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)|00025456|0.00|590| | |SC|42170|2|N
H5619|082|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)|00025456|0.00|590| | |SC|42180|2|N
H5619|082|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)|00025456|0.00|590| | |SC|42190|2|N
H5619|082|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)|00025456|0.00|590| | |SC|42200|2|N
H5619|082|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)|00025456|0.00|590| | |SC|42210|2|N
H5619|082|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)|00025456|0.00|590| | |SC|42220|2|N
H5619|082|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)|00025456|0.00|590| | |SC|42230|2|N
H5619|082|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)|00025456|0.00|590| | |SC|42240|2|N
H5619|082|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)|00025456|0.00|590| | |SC|42250|2|N
H5619|082|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)|00025456|0.00|590| | |SC|42260|2|N
H5619|082|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)|00025456|0.00|590| | |SC|42270|2|N
H5619|082|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)|00025456|0.00|590| | |SC|42280|2|N
H5619|082|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)|00025456|0.00|590| | |SC|42290|2|N
H5619|082|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)|00025456|0.00|590| | |SC|42300|2|N
H5619|082|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)|00025456|0.00|590| | |SC|42310|2|N
H5619|082|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)|00025456|0.00|590| | |SC|42320|2|N
H5619|082|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)|00025456|0.00|590| | |SC|42330|2|N
H5619|082|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)|00025456|0.00|590| | |SC|42340|2|N
H5619|082|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)|00025456|0.00|590| | |SC|42350|2|N
H5619|082|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)|00025456|0.00|590| | |SC|42360|2|N
H5619|082|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)|00025456|0.00|590| | |SC|42370|2|N
H5619|082|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)|00025456|0.00|590| | |SC|42380|2|N
H5619|082|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)|00025456|0.00|590| | |SC|42390|2|N
H5619|082|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)|00025456|0.00|590| | |SC|42400|2|N
H5619|082|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)|00025456|0.00|590| | |SC|42410|2|N
H5619|082|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)|00025456|0.00|590| | |SC|42420|2|N
H5619|082|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)|00025456|0.00|590| | |SC|42430|2|N
H5619|082|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)|00025456|0.00|590| | |SC|42440|2|N
H5619|082|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP)|00025456|0.00|590| | |SC|42450|2|N
H5619|083|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-083 (HMO)|00025456|1.00|350| | |SC|42070|0|N
H5619|083|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-083 (HMO)|00025456|1.00|350| | |SC|42090|0|N
H5619|083|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-083 (HMO)|00025456|1.00|350| | |SC|42140|0|N
H5619|083|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-083 (HMO)|00025456|1.00|350| | |SC|42170|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01000|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01010|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01020|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01030|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01040|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01050|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01060|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01070|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01080|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01090|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01100|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01110|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01120|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01130|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01140|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01150|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01160|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01170|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01180|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01190|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01200|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01210|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01220|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01230|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01240|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01250|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01260|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01270|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01280|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01290|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01300|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01310|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01320|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01330|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01340|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01350|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01360|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01370|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01380|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01390|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01400|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01410|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01420|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01430|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01440|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01450|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01460|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01470|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01480|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01490|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01500|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01510|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01520|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01530|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01540|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01550|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01560|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01570|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01580|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01590|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01600|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01610|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01620|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01630|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01640|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01650|0|N
H5619|089|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-089 (HMO)|00025458|0.00|590| | |AL|01660|0|N
H5619|090|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-090 (HMO)|00025458|0.00|0| | |VA|49111|0|N
H5619|090|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-090 (HMO)|00025458|0.00|0| | |VA|49130|0|N
H5619|090|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-090 (HMO)|00025458|0.00|0| | |VA|49250|0|N
H5619|090|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-090 (HMO)|00025458|0.00|0| | |VA|49380|0|N
H5619|090|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-090 (HMO)|00025458|0.00|0| | |VA|49520|0|N
H5619|090|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-090 (HMO)|00025458|0.00|0| | |VA|49661|0|N
H5619|090|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-090 (HMO)|00025458|0.00|0| | |VA|49830|0|N
H5619|090|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-090 (HMO)|00025458|0.00|0| | |VA|49840|0|N
H5619|090|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-090 (HMO)|00025458|0.00|0| | |VA|49860|0|N
H5619|090|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-090 (HMO)|00025458|0.00|0| | |VA|49920|0|N
H5619|090|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-090 (HMO)|00025458|0.00|0| | |VA|49950|0|N
H5619|090|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-090 (HMO)|00025458|0.00|0| | |VA|49970|0|N
H5619|090|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-090 (HMO)|00025458|0.00|0| | |VA|49980|0|N
H5619|091|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-091 (HMO)|00025458|0.00|350| | |VA|49111|0|N
H5619|091|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-091 (HMO)|00025458|0.00|350| | |VA|49130|0|N
H5619|091|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-091 (HMO)|00025458|0.00|350| | |VA|49250|0|N
H5619|091|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-091 (HMO)|00025458|0.00|350| | |VA|49380|0|N
H5619|091|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-091 (HMO)|00025458|0.00|350| | |VA|49520|0|N
H5619|091|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-091 (HMO)|00025458|0.00|350| | |VA|49661|0|N
H5619|091|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-091 (HMO)|00025458|0.00|350| | |VA|49830|0|N
H5619|091|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-091 (HMO)|00025458|0.00|350| | |VA|49840|0|N
H5619|091|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-091 (HMO)|00025458|0.00|350| | |VA|49860|0|N
H5619|091|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-091 (HMO)|00025458|0.00|350| | |VA|49920|0|N
H5619|091|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-091 (HMO)|00025458|0.00|350| | |VA|49950|0|N
H5619|091|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-091 (HMO)|00025458|0.00|350| | |VA|49970|0|N
H5619|091|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-091 (HMO)|00025458|0.00|350| | |VA|49980|0|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01000|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01010|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01020|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01030|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01040|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01050|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01060|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01070|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01080|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01100|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01110|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01120|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01130|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01140|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01150|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01160|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01170|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01180|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01190|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01200|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01210|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01220|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01230|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01250|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01260|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01270|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01280|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01290|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01300|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01310|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01320|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01330|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01340|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01360|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01370|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01380|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01390|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01400|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01410|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01420|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01430|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01440|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01450|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01460|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01470|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01480|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01490|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01500|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01510|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01520|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01530|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01540|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01550|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01560|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01570|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01580|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01590|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01600|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01610|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01630|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01640|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01650|2|N
H5619|093|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-093 (HMO D-SNP)|00025456|33.20|590| | |AL|01660|2|N
H5619|095|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-095 (HMO)|00025458|0.00|590| | |VA|49111|0|N
H5619|095|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-095 (HMO)|00025458|0.00|590| | |VA|49130|0|N
H5619|095|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-095 (HMO)|00025458|0.00|590| | |VA|49250|0|N
H5619|095|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-095 (HMO)|00025458|0.00|590| | |VA|49380|0|N
H5619|095|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-095 (HMO)|00025458|0.00|590| | |VA|49520|0|N
H5619|095|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-095 (HMO)|00025458|0.00|590| | |VA|49661|0|N
H5619|095|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-095 (HMO)|00025458|0.00|590| | |VA|49830|0|N
H5619|095|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-095 (HMO)|00025458|0.00|590| | |VA|49840|0|N
H5619|095|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-095 (HMO)|00025458|0.00|590| | |VA|49860|0|N
H5619|095|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-095 (HMO)|00025458|0.00|590| | |VA|49920|0|N
H5619|095|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-095 (HMO)|00025458|0.00|590| | |VA|49950|0|N
H5619|095|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-095 (HMO)|00025458|0.00|590| | |VA|49970|0|N
H5619|095|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-095 (HMO)|00025458|0.00|590| | |VA|49980|0|N
H5619|100|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-100 (HMO)|00025458|0.00|100| | |WA|50260|0|N
H5619|100|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-100 (HMO)|00025458|0.00|100| | |WA|50330|0|N
H5619|111|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-111 (HMO-POS)|00025456|0.00|200| | |AR|04000|0|N
H5619|111|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-111 (HMO-POS)|00025456|0.00|200| | |AR|04010|0|N
H5619|111|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-111 (HMO-POS)|00025456|0.00|200| | |AR|04020|0|N
H5619|111|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-111 (HMO-POS)|00025456|0.00|200| | |AR|04030|0|N
H5619|111|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-111 (HMO-POS)|00025456|0.00|200| | |AR|04040|0|N
H5619|111|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-111 (HMO-POS)|00025456|0.00|200| | |AR|04090|0|N
H5619|111|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-111 (HMO-POS)|00025456|0.00|200| | |AR|04110|0|N
H5619|111|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-111 (HMO-POS)|00025456|0.00|200| | |AR|04130|0|N
H5619|111|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-111 (HMO-POS)|00025456|0.00|200| | |AR|04140|0|N
H5619|111|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-111 (HMO-POS)|00025456|0.00|200| | |AR|04150|0|N
H5619|111|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-111 (HMO-POS)|00025456|0.00|200| | |AR|04160|0|N
H5619|111|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-111 (HMO-POS)|00025456|0.00|200| | |AR|04190|0|N
H5619|111|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-111 (HMO-POS)|00025456|0.00|200| | |AR|04220|0|N
H5619|111|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-111 (HMO-POS)|00025456|0.00|200| | |AR|04230|0|N
H5619|111|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-111 (HMO-POS)|00025456|0.00|200| | |AR|04240|0|N
H5619|111|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-111 (HMO-POS)|00025456|0.00|200| | |AR|04260|0|N
H5619|111|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-111 (HMO-POS)|00025456|0.00|200| | |AR|04270|0|N
H5619|111|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-111 (HMO-POS)|00025456|0.00|200| | |AR|04280|0|N
H5619|111|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-111 (HMO-POS)|00025456|0.00|200| | |AR|04290|0|N
H5619|111|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-111 (HMO-POS)|00025456|0.00|200| | |AR|04310|0|N
H5619|111|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-111 (HMO-POS)|00025456|0.00|200| | |AR|04320|0|N
H5619|111|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-111 (HMO-POS)|00025456|0.00|200| | |AR|04340|0|N
H5619|111|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-111 (HMO-POS)|00025456|0.00|200| | |AR|04350|0|N
H5619|111|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-111 (HMO-POS)|00025456|0.00|200| | |AR|04370|0|N
H5619|111|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-111 (HMO-POS)|00025456|0.00|200| | |AR|04400|0|N
H5619|111|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-111 (HMO-POS)|00025456|0.00|200| | |AR|04420|0|N
H5619|111|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-111 (HMO-POS)|00025456|0.00|200| | |AR|04430|0|N
H5619|111|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-111 (HMO-POS)|00025456|0.00|200| | |AR|04440|0|N
H5619|111|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-111 (HMO-POS)|00025456|0.00|200| | |AR|04450|0|N
H5619|111|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-111 (HMO-POS)|00025456|0.00|200| | |AR|04480|0|N
H5619|111|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-111 (HMO-POS)|00025456|0.00|200| | |AR|04490|0|N
H5619|111|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-111 (HMO-POS)|00025456|0.00|200| | |AR|04500|0|N
H5619|111|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-111 (HMO-POS)|00025456|0.00|200| | |AR|04510|0|N
H5619|111|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-111 (HMO-POS)|00025456|0.00|200| | |AR|04520|0|N
H5619|111|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-111 (HMO-POS)|00025456|0.00|200| | |AR|04540|0|N
H5619|111|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-111 (HMO-POS)|00025456|0.00|200| | |AR|04570|0|N
H5619|111|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-111 (HMO-POS)|00025456|0.00|200| | |AR|04580|0|N
H5619|111|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-111 (HMO-POS)|00025456|0.00|200| | |AR|04590|0|N
H5619|111|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-111 (HMO-POS)|00025456|0.00|200| | |AR|04600|0|N
H5619|111|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-111 (HMO-POS)|00025456|0.00|200| | |AR|04610|0|N
H5619|111|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-111 (HMO-POS)|00025456|0.00|200| | |AR|04620|0|N
H5619|111|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-111 (HMO-POS)|00025456|0.00|200| | |AR|04630|0|N
H5619|111|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-111 (HMO-POS)|00025456|0.00|200| | |AR|04640|0|N
H5619|111|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-111 (HMO-POS)|00025456|0.00|200| | |AR|04650|0|N
H5619|111|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-111 (HMO-POS)|00025456|0.00|200| | |AR|04660|0|N
H5619|111|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-111 (HMO-POS)|00025456|0.00|200| | |AR|04670|0|N
H5619|111|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-111 (HMO-POS)|00025456|0.00|200| | |AR|04690|0|N
H5619|111|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-111 (HMO-POS)|00025456|0.00|200| | |AR|04700|0|N
H5619|111|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-111 (HMO-POS)|00025456|0.00|200| | |AR|04710|0|N
H5619|111|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-111 (HMO-POS)|00025456|0.00|200| | |OK|37390|0|N
H5619|111|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-111 (HMO-POS)|00025456|0.00|200| | |OK|37670|0|N
H5619|113|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-113 (HMO-POS)|00025456|0.00|250| | |KY|18090|0|N
H5619|113|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-113 (HMO-POS)|00025456|0.00|250| | |KY|18210|0|N
H5619|113|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-113 (HMO-POS)|00025456|0.00|250| | |KY|18970|0|N
H5619|113|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-113 (HMO-POS)|00025456|0.00|250| | |WV|51000|0|N
H5619|113|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-113 (HMO-POS)|00025456|0.00|250| | |WV|51010|0|N
H5619|113|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-113 (HMO-POS)|00025456|0.00|250| | |WV|51020|0|N
H5619|113|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-113 (HMO-POS)|00025456|0.00|250| | |WV|51030|0|N
H5619|113|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-113 (HMO-POS)|00025456|0.00|250| | |WV|51050|0|N
H5619|113|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-113 (HMO-POS)|00025456|0.00|250| | |WV|51060|0|N
H5619|113|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-113 (HMO-POS)|00025456|0.00|250| | |WV|51070|0|N
H5619|113|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-113 (HMO-POS)|00025456|0.00|250| | |WV|51080|0|N
H5619|113|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-113 (HMO-POS)|00025456|0.00|250| | |WV|51090|0|N
H5619|113|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-113 (HMO-POS)|00025456|0.00|250| | |WV|51100|0|N
H5619|113|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-113 (HMO-POS)|00025456|0.00|250| | |WV|51110|0|N
H5619|113|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-113 (HMO-POS)|00025456|0.00|250| | |WV|51120|0|N
H5619|113|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-113 (HMO-POS)|00025456|0.00|250| | |WV|51150|0|N
H5619|113|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-113 (HMO-POS)|00025456|0.00|250| | |WV|51160|0|N
H5619|113|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-113 (HMO-POS)|00025456|0.00|250| | |WV|51170|0|N
H5619|113|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-113 (HMO-POS)|00025456|0.00|250| | |WV|51180|0|N
H5619|113|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-113 (HMO-POS)|00025456|0.00|250| | |WV|51190|0|N
H5619|113|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-113 (HMO-POS)|00025456|0.00|250| | |WV|51200|0|N
H5619|113|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-113 (HMO-POS)|00025456|0.00|250| | |WV|51210|0|N
H5619|113|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-113 (HMO-POS)|00025456|0.00|250| | |WV|51220|0|N
H5619|113|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-113 (HMO-POS)|00025456|0.00|250| | |WV|51240|0|N
H5619|113|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-113 (HMO-POS)|00025456|0.00|250| | |WV|51260|0|N
H5619|113|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-113 (HMO-POS)|00025456|0.00|250| | |WV|51290|0|N
H5619|113|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-113 (HMO-POS)|00025456|0.00|250| | |WV|51330|0|N
H5619|113|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-113 (HMO-POS)|00025456|0.00|250| | |WV|51350|0|N
H5619|113|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-113 (HMO-POS)|00025456|0.00|250| | |WV|51360|0|N
H5619|113|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-113 (HMO-POS)|00025456|0.00|250| | |WV|51370|0|N
H5619|113|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-113 (HMO-POS)|00025456|0.00|250| | |WV|51380|0|N
H5619|113|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-113 (HMO-POS)|00025456|0.00|250| | |WV|51390|0|N
H5619|113|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-113 (HMO-POS)|00025456|0.00|250| | |WV|51410|0|N
H5619|113|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-113 (HMO-POS)|00025456|0.00|250| | |WV|51420|0|N
H5619|113|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-113 (HMO-POS)|00025456|0.00|250| | |WV|51430|0|N
H5619|113|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-113 (HMO-POS)|00025456|0.00|250| | |WV|51450|0|N
H5619|113|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-113 (HMO-POS)|00025456|0.00|250| | |WV|51460|0|N
H5619|113|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-113 (HMO-POS)|00025456|0.00|250| | |WV|51470|0|N
H5619|113|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-113 (HMO-POS)|00025456|0.00|250| | |WV|51480|0|N
H5619|113|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-113 (HMO-POS)|00025456|0.00|250| | |WV|51490|0|N
H5619|113|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-113 (HMO-POS)|00025456|0.00|250| | |WV|51500|0|N
H5619|113|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-113 (HMO-POS)|00025456|0.00|250| | |WV|51510|0|N
H5619|113|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-113 (HMO-POS)|00025456|0.00|250| | |WV|51520|0|N
H5619|113|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-113 (HMO-POS)|00025456|0.00|250| | |WV|51530|0|N
H5619|116|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-116 (HMO)|00025458|0.00|0| | |CA|05140|0|N
H5619|119|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-119 (HMO)|00025456|0.00|0| | |CA|05500|0|N
H5619|122|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-122 (HMO)|00025456|13.00|200| | |AR|04000|0|N
H5619|122|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-122 (HMO)|00025456|13.00|200| | |AR|04110|0|N
H5619|122|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-122 (HMO)|00025456|13.00|200| | |AR|04140|0|N
H5619|122|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-122 (HMO)|00025456|13.00|200| | |AR|04150|0|N
H5619|122|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-122 (HMO)|00025456|13.00|200| | |AR|04220|0|N
H5619|122|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-122 (HMO)|00025456|13.00|200| | |AR|04250|0|N
H5619|122|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-122 (HMO)|00025456|13.00|200| | |AR|04260|0|N
H5619|122|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-122 (HMO)|00025456|13.00|200| | |AR|04270|0|N
H5619|122|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-122 (HMO)|00025456|13.00|200| | |AR|04290|0|N
H5619|122|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-122 (HMO)|00025456|13.00|200| | |AR|04320|0|N
H5619|122|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-122 (HMO)|00025456|13.00|200| | |AR|04370|0|N
H5619|122|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-122 (HMO)|00025456|13.00|200| | |AR|04420|0|N
H5619|122|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-122 (HMO)|00025456|13.00|200| | |AR|04480|0|N
H5619|122|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-122 (HMO)|00025456|13.00|200| | |AR|04510|0|N
H5619|122|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-122 (HMO)|00025456|13.00|200| | |AR|04520|0|N
H5619|122|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-122 (HMO)|00025456|13.00|200| | |AR|04550|0|N
H5619|122|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-122 (HMO)|00025456|13.00|200| | |AR|04580|0|N
H5619|122|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-122 (HMO)|00025456|13.00|200| | |AR|04590|0|N
H5619|122|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-122 (HMO)|00025456|13.00|200| | |AR|04600|0|N
H5619|122|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-122 (HMO)|00025456|13.00|200| | |AR|04620|0|N
H5619|122|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-122 (HMO)|00025456|13.00|200| | |AR|04700|0|N
H5619|123|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP)|00025456|0.00|590| | |AR|04000|2|N
H5619|123|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP)|00025456|0.00|590| | |AR|04010|2|N
H5619|123|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP)|00025456|0.00|590| | |AR|04020|2|N
H5619|123|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP)|00025456|0.00|590| | |AR|04030|2|N
H5619|123|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP)|00025456|0.00|590| | |AR|04040|2|N
H5619|123|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP)|00025456|0.00|590| | |AR|04070|2|N
H5619|123|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP)|00025456|0.00|590| | |AR|04090|2|N
H5619|123|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP)|00025456|0.00|590| | |AR|04110|2|N
H5619|123|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP)|00025456|0.00|590| | |AR|04130|2|N
H5619|123|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP)|00025456|0.00|590| | |AR|04140|2|N
H5619|123|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP)|00025456|0.00|590| | |AR|04150|2|N
H5619|123|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP)|00025456|0.00|590| | |AR|04160|2|N
H5619|123|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP)|00025456|0.00|590| | |AR|04190|2|N
H5619|123|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP)|00025456|0.00|590| | |AR|04220|2|N
H5619|123|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP)|00025456|0.00|590| | |AR|04230|2|N
H5619|123|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP)|00025456|0.00|590| | |AR|04240|2|N
H5619|123|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP)|00025456|0.00|590| | |AR|04250|2|N
H5619|123|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP)|00025456|0.00|590| | |AR|04260|2|N
H5619|123|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP)|00025456|0.00|590| | |AR|04270|2|N
H5619|123|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP)|00025456|0.00|590| | |AR|04280|2|N
H5619|123|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP)|00025456|0.00|590| | |AR|04290|2|N
H5619|123|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP)|00025456|0.00|590| | |AR|04310|2|N
H5619|123|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP)|00025456|0.00|590| | |AR|04340|2|N
H5619|123|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP)|00025456|0.00|590| | |AR|04350|2|N
H5619|123|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP)|00025456|0.00|590| | |AR|04370|2|N
H5619|123|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP)|00025456|0.00|590| | |AR|04400|2|N
H5619|123|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP)|00025456|0.00|590| | |AR|04420|2|N
H5619|123|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP)|00025456|0.00|590| | |AR|04430|2|N
H5619|123|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP)|00025456|0.00|590| | |AR|04450|2|N
H5619|123|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP)|00025456|0.00|590| | |AR|04460|2|N
H5619|123|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP)|00025456|0.00|590| | |AR|04480|2|N
H5619|123|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP)|00025456|0.00|590| | |AR|04490|2|N
H5619|123|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP)|00025456|0.00|590| | |AR|04500|2|N
H5619|123|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP)|00025456|0.00|590| | |AR|04510|2|N
H5619|123|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP)|00025456|0.00|590| | |AR|04520|2|N
H5619|123|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP)|00025456|0.00|590| | |AR|04540|2|N
H5619|123|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP)|00025456|0.00|590| | |AR|04550|2|N
H5619|123|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP)|00025456|0.00|590| | |AR|04570|2|N
H5619|123|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP)|00025456|0.00|590| | |AR|04580|2|N
H5619|123|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP)|00025456|0.00|590| | |AR|04590|2|N
H5619|123|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP)|00025456|0.00|590| | |AR|04600|2|N
H5619|123|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP)|00025456|0.00|590| | |AR|04610|2|N
H5619|123|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP)|00025456|0.00|590| | |AR|04620|2|N
H5619|123|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP)|00025456|0.00|590| | |AR|04630|2|N
H5619|123|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP)|00025456|0.00|590| | |AR|04640|2|N
H5619|123|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP)|00025456|0.00|590| | |AR|04650|2|N
H5619|123|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP)|00025456|0.00|590| | |AR|04660|2|N
H5619|123|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP)|00025456|0.00|590| | |AR|04670|2|N
H5619|123|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP)|00025456|0.00|590| | |AR|04690|2|N
H5619|123|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP)|00025456|0.00|590| | |AR|04700|2|N
H5619|123|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-123 (HMO-POS D-SNP)|00025456|0.00|590| | |AR|04710|2|N
H5619|126|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-126 (HMO-POS D-SNP)|00025456|24.10|590| | |WV|51000|2|N
H5619|126|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-126 (HMO-POS D-SNP)|00025456|24.10|590| | |WV|51010|2|N
H5619|126|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-126 (HMO-POS D-SNP)|00025456|24.10|590| | |WV|51020|2|N
H5619|126|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-126 (HMO-POS D-SNP)|00025456|24.10|590| | |WV|51030|2|N
H5619|126|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-126 (HMO-POS D-SNP)|00025456|24.10|590| | |WV|51050|2|N
H5619|126|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-126 (HMO-POS D-SNP)|00025456|24.10|590| | |WV|51060|2|N
H5619|126|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-126 (HMO-POS D-SNP)|00025456|24.10|590| | |WV|51070|2|N
H5619|126|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-126 (HMO-POS D-SNP)|00025456|24.10|590| | |WV|51080|2|N
H5619|126|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-126 (HMO-POS D-SNP)|00025456|24.10|590| | |WV|51090|2|N
H5619|126|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-126 (HMO-POS D-SNP)|00025456|24.10|590| | |WV|51100|2|N
H5619|126|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-126 (HMO-POS D-SNP)|00025456|24.10|590| | |WV|51110|2|N
H5619|126|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-126 (HMO-POS D-SNP)|00025456|24.10|590| | |WV|51120|2|N
H5619|126|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-126 (HMO-POS D-SNP)|00025456|24.10|590| | |WV|51150|2|N
H5619|126|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-126 (HMO-POS D-SNP)|00025456|24.10|590| | |WV|51160|2|N
H5619|126|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-126 (HMO-POS D-SNP)|00025456|24.10|590| | |WV|51170|2|N
H5619|126|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-126 (HMO-POS D-SNP)|00025456|24.10|590| | |WV|51180|2|N
H5619|126|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-126 (HMO-POS D-SNP)|00025456|24.10|590| | |WV|51190|2|N
H5619|126|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-126 (HMO-POS D-SNP)|00025456|24.10|590| | |WV|51200|2|N
H5619|126|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-126 (HMO-POS D-SNP)|00025456|24.10|590| | |WV|51210|2|N
H5619|126|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-126 (HMO-POS D-SNP)|00025456|24.10|590| | |WV|51220|2|N
H5619|126|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-126 (HMO-POS D-SNP)|00025456|24.10|590| | |WV|51240|2|N
H5619|126|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-126 (HMO-POS D-SNP)|00025456|24.10|590| | |WV|51260|2|N
H5619|126|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-126 (HMO-POS D-SNP)|00025456|24.10|590| | |WV|51290|2|N
H5619|126|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-126 (HMO-POS D-SNP)|00025456|24.10|590| | |WV|51300|2|N
H5619|126|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-126 (HMO-POS D-SNP)|00025456|24.10|590| | |WV|51330|2|N
H5619|126|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-126 (HMO-POS D-SNP)|00025456|24.10|590| | |WV|51350|2|N
H5619|126|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-126 (HMO-POS D-SNP)|00025456|24.10|590| | |WV|51360|2|N
H5619|126|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-126 (HMO-POS D-SNP)|00025456|24.10|590| | |WV|51370|2|N
H5619|126|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-126 (HMO-POS D-SNP)|00025456|24.10|590| | |WV|51380|2|N
H5619|126|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-126 (HMO-POS D-SNP)|00025456|24.10|590| | |WV|51390|2|N
H5619|126|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-126 (HMO-POS D-SNP)|00025456|24.10|590| | |WV|51410|2|N
H5619|126|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-126 (HMO-POS D-SNP)|00025456|24.10|590| | |WV|51420|2|N
H5619|126|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-126 (HMO-POS D-SNP)|00025456|24.10|590| | |WV|51430|2|N
H5619|126|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-126 (HMO-POS D-SNP)|00025456|24.10|590| | |WV|51450|2|N
H5619|126|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-126 (HMO-POS D-SNP)|00025456|24.10|590| | |WV|51460|2|N
H5619|126|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-126 (HMO-POS D-SNP)|00025456|24.10|590| | |WV|51470|2|N
H5619|126|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-126 (HMO-POS D-SNP)|00025456|24.10|590| | |WV|51480|2|N
H5619|126|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-126 (HMO-POS D-SNP)|00025456|24.10|590| | |WV|51490|2|N
H5619|126|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-126 (HMO-POS D-SNP)|00025456|24.10|590| | |WV|51500|2|N
H5619|126|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-126 (HMO-POS D-SNP)|00025456|24.10|590| | |WV|51510|2|N
H5619|126|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-126 (HMO-POS D-SNP)|00025456|24.10|590| | |WV|51520|2|N
H5619|126|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-126 (HMO-POS D-SNP)|00025456|24.10|590| | |WV|51530|2|N
H5619|130|001|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-130 (HMO)|00025458|32.10|0| | |CA|05520|0|N
H5619|130|002|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-130 (HMO)|00025458|0.00|0| | |CA|05660|0|N
H5619|131|000|ARCADIAN HEALTH PLAN, INC.|UC San Diego Health Humana (HMO)|00025458|0.00|0| | |CA|05470|0|N
H5619|133|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-133 (HMO)|00025456|0.00|300| | |WA|50020|0|N
H5619|133|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-133 (HMO)|00025456|0.00|300| | |WA|50100|0|N
H5619|133|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-133 (HMO)|00025456|0.00|300| | |WA|50350|0|N
H5619|134|000|ARCADIAN HEALTH PLAN, INC.|Humana Value Plus H5619-134 (HMO)|00025456|7.80|590| | |WA|50020|0|N
H5619|134|000|ARCADIAN HEALTH PLAN, INC.|Humana Value Plus H5619-134 (HMO)|00025456|7.80|590| | |WA|50050|0|N
H5619|134|000|ARCADIAN HEALTH PLAN, INC.|Humana Value Plus H5619-134 (HMO)|00025456|7.80|590| | |WA|50070|0|N
H5619|134|000|ARCADIAN HEALTH PLAN, INC.|Humana Value Plus H5619-134 (HMO)|00025456|7.80|590| | |WA|50140|0|N
H5619|134|000|ARCADIAN HEALTH PLAN, INC.|Humana Value Plus H5619-134 (HMO)|00025456|7.80|590| | |WA|50160|0|N
H5619|134|000|ARCADIAN HEALTH PLAN, INC.|Humana Value Plus H5619-134 (HMO)|00025456|7.80|590| | |WA|50170|0|N
H5619|134|000|ARCADIAN HEALTH PLAN, INC.|Humana Value Plus H5619-134 (HMO)|00025456|7.80|590| | |WA|50260|0|N
H5619|134|000|ARCADIAN HEALTH PLAN, INC.|Humana Value Plus H5619-134 (HMO)|00025456|7.80|590| | |WA|50280|0|N
H5619|134|000|ARCADIAN HEALTH PLAN, INC.|Humana Value Plus H5619-134 (HMO)|00025456|7.80|590| | |WA|50300|0|N
H5619|134|000|ARCADIAN HEALTH PLAN, INC.|Humana Value Plus H5619-134 (HMO)|00025456|7.80|590| | |WA|50310|0|N
H5619|134|000|ARCADIAN HEALTH PLAN, INC.|Humana Value Plus H5619-134 (HMO)|00025456|7.80|590| | |WA|50330|0|N
H5619|134|000|ARCADIAN HEALTH PLAN, INC.|Humana Value Plus H5619-134 (HMO)|00025456|7.80|590| | |WA|50350|0|N
H5619|134|000|ARCADIAN HEALTH PLAN, INC.|Humana Value Plus H5619-134 (HMO)|00025456|7.80|590| | |WA|50360|0|N
H5619|135|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-135 (HMO)|00025456|0.00|350| | |VA|49010|0|N
H5619|135|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-135 (HMO)|00025456|0.00|350| | |VA|49110|0|N
H5619|135|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-135 (HMO)|00025456|0.00|350| | |VA|49191|0|N
H5619|135|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-135 (HMO)|00025456|0.00|350| | |VA|49220|0|N
H5619|135|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-135 (HMO)|00025456|0.00|350| | |VA|49310|0|N
H5619|135|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-135 (HMO)|00025456|0.00|350| | |VA|49330|0|N
H5619|135|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-135 (HMO)|00025456|0.00|350| | |VA|49600|0|N
H5619|135|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-135 (HMO)|00025456|0.00|350| | |VA|49770|0|N
H5619|135|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-135 (HMO)|00025456|0.00|350| | |VA|49771|0|N
H5619|135|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-135 (HMO)|00025456|0.00|350| | |VA|49800|0|N
H5619|135|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-135 (HMO)|00025456|0.00|350| | |VA|49801|0|N
H5619|135|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-135 (HMO)|00025456|0.00|350| | |VA|49838|0|N
H5619|137|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-137 (HMO)|00025456|13.80|400| | |ME|20050|0|N
H5619|137|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-137 (HMO)|00025456|13.80|400| | |ME|20060|0|N
H5619|137|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-137 (HMO)|00025456|13.80|400| | |ME|20070|0|N
H5619|137|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-137 (HMO)|00025456|13.80|400| | |ME|20090|0|N
H5619|137|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-137 (HMO)|00025456|13.80|400| | |ME|20130|0|N
H5619|137|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-137 (HMO)|00025456|13.80|400| | |NH|30000|0|N
H5619|137|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-137 (HMO)|00025456|13.80|400| | |NH|30010|0|N
H5619|137|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-137 (HMO)|00025456|13.80|400| | |NH|30020|0|N
H5619|137|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-137 (HMO)|00025456|13.80|400| | |NH|30030|0|N
H5619|137|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-137 (HMO)|00025456|13.80|400| | |NH|30040|0|N
H5619|137|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-137 (HMO)|00025456|13.80|400| | |NH|30050|0|N
H5619|137|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-137 (HMO)|00025456|13.80|400| | |NH|30060|0|N
H5619|137|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-137 (HMO)|00025456|13.80|400| | |NH|30070|0|N
H5619|137|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-137 (HMO)|00025456|13.80|400| | |NH|30080|0|N
H5619|137|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-137 (HMO)|00025456|13.80|400| | |NH|30090|0|N
H5619|143|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-143 (HMO)|00025456|0.00|0| | |WA|50310|0|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49000|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49010|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49011|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49020|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49030|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49040|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49050|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49060|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49070|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49080|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49090|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49100|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49110|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49120|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49140|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49141|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49150|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49160|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49170|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49180|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49190|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49191|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49194|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49200|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49210|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49212|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49213|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49220|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49230|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49240|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49241|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49260|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49270|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49280|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49288|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49290|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49291|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49300|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49310|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49320|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49328|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49330|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49342|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49343|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49350|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49360|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49370|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49390|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49400|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49410|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49411|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49420|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49421|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49430|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49440|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49450|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49451|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49460|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49470|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49480|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49490|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49500|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49510|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49522|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49530|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49540|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49550|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49551|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49560|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49561|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49563|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49565|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49570|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49580|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49590|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49600|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49620|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49621|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49622|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49641|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49650|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49660|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49670|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49680|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49690|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49700|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49701|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49710|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49711|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49712|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49720|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49730|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49740|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49750|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49770|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49771|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49780|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49790|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49791|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49800|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49801|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49810|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49820|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49838|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49850|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49870|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49880|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49890|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49891|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49892|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49900|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49910|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49921|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49930|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49951|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49960|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49961|1|N
H5619|145|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025456|19.40|450| | |VA|49981|1|N
H5619|146|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-146 (HMO)|00025458|0.00|0| | |CA|05200|0|N
H5619|146|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-146 (HMO)|00025458|0.00|0| | |CA|05210|0|N
H5619|146|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-146 (HMO)|00025458|0.00|0| | |CA|05400|0|N
H5619|147|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-147 (HMO)|00025458|0.00|0| | |CA|05310|0|N
H5619|147|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-147 (HMO)|00025458|0.00|0| | |CA|05380|0|N
H5619|148|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-148 (HMO)|00025458|0.00|0| | |CA|05090|0|N
H5619|148|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-148 (HMO)|00025458|0.00|0| | |CA|05140|0|N
H5619|148|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-148 (HMO)|00025458|0.00|0| | |CA|05150|0|N
H5619|148|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-148 (HMO)|00025458|0.00|0| | |CA|05300|0|N
H5619|148|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-148 (HMO)|00025458|0.00|0| | |CA|05430|0|N
H5619|148|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-148 (HMO)|00025458|0.00|0| | |CA|05460|0|N
H5619|148|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-148 (HMO)|00025458|0.00|0| | |CA|05470|0|N
H5619|148|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-148 (HMO)|00025458|0.00|0| | |CA|05500|0|N
H5619|148|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-148 (HMO)|00025458|0.00|0| | |CA|05600|0|N
H5619|148|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-148 (HMO)|00025458|0.00|0| | |CA|05640|0|N
H5619|148|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-148 (HMO)|00025458|0.00|0| | |CA|05660|0|N
H5619|150|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-150 (HMO)|00025458|0.00|0| | |CA|05090|0|N
H5619|150|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-150 (HMO)|00025458|0.00|0| | |CA|05140|0|N
H5619|150|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-150 (HMO)|00025458|0.00|0| | |CA|05300|0|N
H5619|150|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-150 (HMO)|00025458|0.00|0| | |CA|05430|0|N
H5619|150|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-150 (HMO)|00025458|0.00|0| | |CA|05460|0|N
H5619|150|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-150 (HMO)|00025458|0.00|0| | |CA|05470|0|N
H5619|150|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-150 (HMO)|00025458|0.00|0| | |CA|05660|0|N
H5619|152|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-152 (HMO)|00025458|0.00|350| | |SC|42000|0|N
H5619|152|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-152 (HMO)|00025458|0.00|350| | |SC|42010|0|N
H5619|152|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-152 (HMO)|00025458|0.00|350| | |SC|42020|0|N
H5619|152|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-152 (HMO)|00025458|0.00|350| | |SC|42030|0|N
H5619|152|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-152 (HMO)|00025458|0.00|350| | |SC|42040|0|N
H5619|152|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-152 (HMO)|00025458|0.00|350| | |SC|42050|0|N
H5619|152|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-152 (HMO)|00025458|0.00|350| | |SC|42070|0|N
H5619|152|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-152 (HMO)|00025458|0.00|350| | |SC|42080|0|N
H5619|152|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-152 (HMO)|00025458|0.00|350| | |SC|42090|0|N
H5619|152|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-152 (HMO)|00025458|0.00|350| | |SC|42100|0|N
H5619|152|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-152 (HMO)|00025458|0.00|350| | |SC|42130|0|N
H5619|152|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-152 (HMO)|00025458|0.00|350| | |SC|42140|0|N
H5619|152|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-152 (HMO)|00025458|0.00|350| | |SC|42150|0|N
H5619|152|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-152 (HMO)|00025458|0.00|350| | |SC|42160|0|N
H5619|152|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-152 (HMO)|00025458|0.00|350| | |SC|42170|0|N
H5619|152|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-152 (HMO)|00025458|0.00|350| | |SC|42180|0|N
H5619|152|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-152 (HMO)|00025458|0.00|350| | |SC|42190|0|N
H5619|152|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-152 (HMO)|00025458|0.00|350| | |SC|42200|0|N
H5619|152|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-152 (HMO)|00025458|0.00|350| | |SC|42210|0|N
H5619|152|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-152 (HMO)|00025458|0.00|350| | |SC|42220|0|N
H5619|152|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-152 (HMO)|00025458|0.00|350| | |SC|42230|0|N
H5619|152|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-152 (HMO)|00025458|0.00|350| | |SC|42240|0|N
H5619|152|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-152 (HMO)|00025458|0.00|350| | |SC|42250|0|N
H5619|152|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-152 (HMO)|00025458|0.00|350| | |SC|42260|0|N
H5619|152|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-152 (HMO)|00025458|0.00|350| | |SC|42270|0|N
H5619|152|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-152 (HMO)|00025458|0.00|350| | |SC|42290|0|N
H5619|152|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-152 (HMO)|00025458|0.00|350| | |SC|42300|0|N
H5619|152|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-152 (HMO)|00025458|0.00|350| | |SC|42310|0|N
H5619|152|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-152 (HMO)|00025458|0.00|350| | |SC|42320|0|N
H5619|152|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-152 (HMO)|00025458|0.00|350| | |SC|42330|0|N
H5619|152|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-152 (HMO)|00025458|0.00|350| | |SC|42340|0|N
H5619|152|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-152 (HMO)|00025458|0.00|350| | |SC|42350|0|N
H5619|152|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-152 (HMO)|00025458|0.00|350| | |SC|42360|0|N
H5619|152|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-152 (HMO)|00025458|0.00|350| | |SC|42370|0|N
H5619|152|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-152 (HMO)|00025458|0.00|350| | |SC|42380|0|N
H5619|152|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-152 (HMO)|00025458|0.00|350| | |SC|42390|0|N
H5619|152|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-152 (HMO)|00025458|0.00|350| | |SC|42400|0|N
H5619|152|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-152 (HMO)|00025458|0.00|350| | |SC|42410|0|N
H5619|152|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-152 (HMO)|00025458|0.00|350| | |SC|42420|0|N
H5619|152|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-152 (HMO)|00025458|0.00|350| | |SC|42440|0|N
H5619|152|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-152 (HMO)|00025458|0.00|350| | |SC|42450|0|N
H5619|154|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes (HMO C-SNP)|00025464|0.00|350| | |WA|50050|1|N
H5619|154|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes (HMO C-SNP)|00025464|0.00|350| | |WA|50070|1|N
H5619|155|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-155 (HMO D-SNP)|00025456|0.00|590| | |WA|50160|2|N
H5619|155|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-155 (HMO D-SNP)|00025456|0.00|590| | |WA|50300|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15000|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15010|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15020|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15030|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15040|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15050|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15060|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15070|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15080|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15090|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15100|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15110|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15120|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15130|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15140|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15150|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15160|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15170|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15180|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15190|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15200|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15210|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15220|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15230|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15240|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15250|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15260|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15270|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15280|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15290|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15300|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15310|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15320|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15330|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15340|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15350|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15360|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15370|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15380|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15390|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15400|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15410|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15420|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15430|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15440|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15450|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15460|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15470|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15480|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15490|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15500|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15510|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15520|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15530|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15540|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15550|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15560|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15570|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15580|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15590|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15600|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15610|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15620|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15630|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15640|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15650|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15660|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15670|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15680|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15690|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15700|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15710|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15720|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15730|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15740|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15750|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15760|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15770|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15780|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15790|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15800|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15810|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15820|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15830|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15840|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15850|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15860|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15870|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15880|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15890|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15900|2|N
H5619|156|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-156 (HMO-POS D-SNP)|00025456|48.60|590| | |IN|15910|2|N
H5619|157|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-157 (HMO)|00025456|0.00|350| | |VA|49000|0|N
H5619|157|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-157 (HMO)|00025456|0.00|350| | |VA|49030|0|N
H5619|157|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-157 (HMO)|00025456|0.00|350| | |VA|49180|0|N
H5619|157|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-157 (HMO)|00025456|0.00|350| | |VA|49194|0|N
H5619|157|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-157 (HMO)|00025456|0.00|350| | |VA|49200|0|N
H5619|157|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-157 (HMO)|00025456|0.00|350| | |VA|49212|0|N
H5619|157|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-157 (HMO)|00025456|0.00|350| | |VA|49240|0|N
H5619|157|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-157 (HMO)|00025456|0.00|350| | |VA|49260|0|N
H5619|157|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-157 (HMO)|00025456|0.00|350| | |VA|49328|0|N
H5619|157|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-157 (HMO)|00025456|0.00|350| | |VA|49360|0|N
H5619|157|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-157 (HMO)|00025456|0.00|350| | |VA|49370|0|N
H5619|157|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-157 (HMO)|00025456|0.00|350| | |VA|49411|0|N
H5619|157|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-157 (HMO)|00025456|0.00|350| | |VA|49420|0|N
H5619|157|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-157 (HMO)|00025456|0.00|350| | |VA|49430|0|N
H5619|157|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-157 (HMO)|00025456|0.00|350| | |VA|49451|0|N
H5619|157|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-157 (HMO)|00025456|0.00|350| | |VA|49460|0|N
H5619|157|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-157 (HMO)|00025456|0.00|350| | |VA|49470|0|N
H5619|157|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-157 (HMO)|00025456|0.00|350| | |VA|49480|0|N
H5619|157|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-157 (HMO)|00025456|0.00|350| | |VA|49500|0|N
H5619|157|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-157 (HMO)|00025456|0.00|350| | |VA|49540|0|N
H5619|157|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-157 (HMO)|00025456|0.00|350| | |VA|49570|0|N
H5619|157|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-157 (HMO)|00025456|0.00|350| | |VA|49590|0|N
H5619|157|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-157 (HMO)|00025456|0.00|350| | |VA|49621|0|N
H5619|157|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-157 (HMO)|00025456|0.00|350| | |VA|49622|0|N
H5619|157|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-157 (HMO)|00025456|0.00|350| | |VA|49641|0|N
H5619|157|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-157 (HMO)|00025456|0.00|350| | |VA|49650|0|N
H5619|157|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-157 (HMO)|00025456|0.00|350| | |VA|49701|0|N
H5619|157|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-157 (HMO)|00025456|0.00|350| | |VA|49711|0|N
H5619|157|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-157 (HMO)|00025456|0.00|350| | |VA|49720|0|N
H5619|157|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-157 (HMO)|00025456|0.00|350| | |VA|49740|0|N
H5619|157|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-157 (HMO)|00025456|0.00|350| | |VA|49791|0|N
H5619|157|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-157 (HMO)|00025456|0.00|350| | |VA|49870|0|N
H5619|157|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-157 (HMO)|00025456|0.00|350| | |VA|49892|0|N
H5619|157|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-157 (HMO)|00025456|0.00|350| | |VA|49900|0|N
H5619|157|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-157 (HMO)|00025456|0.00|350| | |VA|49910|0|N
H5619|157|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-157 (HMO)|00025456|0.00|350| | |VA|49921|0|N
H5619|157|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-157 (HMO)|00025456|0.00|350| | |VA|49961|0|N
H5619|157|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-157 (HMO)|00025456|0.00|350| | |VA|49981|0|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15000|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15010|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15020|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15030|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15040|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15050|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15060|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15070|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15080|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15090|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15100|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15110|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15120|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15130|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15140|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15150|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15160|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15170|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15180|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15190|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15200|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15210|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15220|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15230|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15240|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15250|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15260|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15270|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15280|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15290|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15300|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15310|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15320|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15330|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15340|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15350|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15360|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15370|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15380|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15390|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15400|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15410|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15420|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15430|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15440|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15450|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15460|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15470|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15480|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15490|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15500|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15510|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15520|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15530|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15540|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15550|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15560|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15570|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15580|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15590|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15600|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15610|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15620|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15630|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15640|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15650|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15660|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15670|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15680|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15690|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15700|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15710|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15720|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15730|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15740|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15750|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15760|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15770|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15780|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15790|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15800|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15810|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15820|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15830|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15840|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15850|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15860|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15870|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15880|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15890|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15900|2|N
H5619|158|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-158 (HMO-POS D-SNP)|00025456|0.00|590| | |IN|15910|2|N
H5619|159|000|ARCADIAN HEALTH PLAN, INC.|Humana Community (HMO)|00025456|0.00|0| | |CA|05490|0|N
H5619|161|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |SC|42000|1|N
H5619|161|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |SC|42010|1|N
H5619|161|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |SC|42020|1|N
H5619|161|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |SC|42030|1|N
H5619|161|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |SC|42040|1|N
H5619|161|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |SC|42050|1|N
H5619|161|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |SC|42060|1|N
H5619|161|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |SC|42070|1|N
H5619|161|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |SC|42080|1|N
H5619|161|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |SC|42090|1|N
H5619|161|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |SC|42100|1|N
H5619|161|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |SC|42110|1|N
H5619|161|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |SC|42120|1|N
H5619|161|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |SC|42130|1|N
H5619|161|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |SC|42140|1|N
H5619|161|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |SC|42150|1|N
H5619|161|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |SC|42160|1|N
H5619|161|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |SC|42170|1|N
H5619|161|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |SC|42180|1|N
H5619|161|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |SC|42190|1|N
H5619|161|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |SC|42200|1|N
H5619|161|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |SC|42210|1|N
H5619|161|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |SC|42220|1|N
H5619|161|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |SC|42230|1|N
H5619|161|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |SC|42240|1|N
H5619|161|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |SC|42250|1|N
H5619|161|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |SC|42260|1|N
H5619|161|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |SC|42270|1|N
H5619|161|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |SC|42280|1|N
H5619|161|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |SC|42290|1|N
H5619|161|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |SC|42300|1|N
H5619|161|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |SC|42310|1|N
H5619|161|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |SC|42320|1|N
H5619|161|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |SC|42330|1|N
H5619|161|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |SC|42340|1|N
H5619|161|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |SC|42350|1|N
H5619|161|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |SC|42360|1|N
H5619|161|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |SC|42370|1|N
H5619|161|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |SC|42380|1|N
H5619|161|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |SC|42390|1|N
H5619|161|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |SC|42400|1|N
H5619|161|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |SC|42410|1|N
H5619|161|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |SC|42420|1|N
H5619|161|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |SC|42430|1|N
H5619|161|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |SC|42440|1|N
H5619|161|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |SC|42450|1|N
H5619|162|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP)|00025456|0.00|590| | |WV|51000|2|N
H5619|162|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP)|00025456|0.00|590| | |WV|51010|2|N
H5619|162|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP)|00025456|0.00|590| | |WV|51020|2|N
H5619|162|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP)|00025456|0.00|590| | |WV|51030|2|N
H5619|162|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP)|00025456|0.00|590| | |WV|51050|2|N
H5619|162|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP)|00025456|0.00|590| | |WV|51060|2|N
H5619|162|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP)|00025456|0.00|590| | |WV|51070|2|N
H5619|162|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP)|00025456|0.00|590| | |WV|51080|2|N
H5619|162|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP)|00025456|0.00|590| | |WV|51090|2|N
H5619|162|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP)|00025456|0.00|590| | |WV|51100|2|N
H5619|162|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP)|00025456|0.00|590| | |WV|51110|2|N
H5619|162|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP)|00025456|0.00|590| | |WV|51120|2|N
H5619|162|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP)|00025456|0.00|590| | |WV|51150|2|N
H5619|162|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP)|00025456|0.00|590| | |WV|51160|2|N
H5619|162|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP)|00025456|0.00|590| | |WV|51170|2|N
H5619|162|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP)|00025456|0.00|590| | |WV|51180|2|N
H5619|162|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP)|00025456|0.00|590| | |WV|51190|2|N
H5619|162|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP)|00025456|0.00|590| | |WV|51200|2|N
H5619|162|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP)|00025456|0.00|590| | |WV|51210|2|N
H5619|162|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP)|00025456|0.00|590| | |WV|51220|2|N
H5619|162|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP)|00025456|0.00|590| | |WV|51240|2|N
H5619|162|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP)|00025456|0.00|590| | |WV|51260|2|N
H5619|162|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP)|00025456|0.00|590| | |WV|51290|2|N
H5619|162|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP)|00025456|0.00|590| | |WV|51300|2|N
H5619|162|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP)|00025456|0.00|590| | |WV|51330|2|N
H5619|162|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP)|00025456|0.00|590| | |WV|51350|2|N
H5619|162|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP)|00025456|0.00|590| | |WV|51360|2|N
H5619|162|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP)|00025456|0.00|590| | |WV|51370|2|N
H5619|162|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP)|00025456|0.00|590| | |WV|51380|2|N
H5619|162|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP)|00025456|0.00|590| | |WV|51390|2|N
H5619|162|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP)|00025456|0.00|590| | |WV|51410|2|N
H5619|162|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP)|00025456|0.00|590| | |WV|51420|2|N
H5619|162|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP)|00025456|0.00|590| | |WV|51430|2|N
H5619|162|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP)|00025456|0.00|590| | |WV|51450|2|N
H5619|162|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP)|00025456|0.00|590| | |WV|51460|2|N
H5619|162|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP)|00025456|0.00|590| | |WV|51470|2|N
H5619|162|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP)|00025456|0.00|590| | |WV|51480|2|N
H5619|162|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP)|00025456|0.00|590| | |WV|51490|2|N
H5619|162|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP)|00025456|0.00|590| | |WV|51500|2|N
H5619|162|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP)|00025456|0.00|590| | |WV|51510|2|N
H5619|162|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP)|00025456|0.00|590| | |WV|51520|2|N
H5619|162|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-162 (HMO-POS D-SNP)|00025456|0.00|590| | |WV|51530|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18000|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18010|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18020|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18030|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18040|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18050|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18060|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18080|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18090|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18100|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18110|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18120|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18130|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18140|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18150|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18160|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18170|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18190|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18191|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18210|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18220|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18230|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18240|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18250|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18260|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18270|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18271|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18290|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18291|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18310|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18320|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18330|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18340|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18350|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18360|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18361|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18362|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18390|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18410|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18420|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18421|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18440|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18450|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18460|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18470|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18480|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18490|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18500|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18510|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18511|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18530|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18540|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18550|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18560|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18570|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18590|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18600|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18610|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18620|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18630|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18640|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18650|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18660|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18670|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18680|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18690|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18700|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18710|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18720|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18730|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18740|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18750|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18760|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18770|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18780|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18790|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18800|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18801|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18802|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18830|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18831|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18850|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18860|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18861|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18880|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18890|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18900|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18910|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18920|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18930|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18931|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18960|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18970|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18971|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18972|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18973|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18974|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18975|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18976|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18977|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18978|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18979|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18980|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18981|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18982|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18983|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18984|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18985|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18986|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18987|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18988|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18989|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18990|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18991|2|N
H5619|163|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-163 (HMO D-SNP)|00025456|0.00|590| | |KY|18992|2|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18000|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18010|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18020|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18030|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18040|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18050|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18060|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18080|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18090|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18100|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18110|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18120|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18130|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18140|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18150|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18160|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18170|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18190|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18191|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18210|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18220|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18230|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18240|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18250|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18260|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18270|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18271|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18290|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18291|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18310|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18320|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18330|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18340|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18350|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18360|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18361|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18362|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18390|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18410|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18420|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18421|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18440|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18450|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18460|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18470|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18480|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18490|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18510|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18511|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18530|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18540|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18550|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18560|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18570|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18590|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18600|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18610|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18620|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18630|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18640|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18650|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18660|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18670|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18680|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18690|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18700|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18710|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18720|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18730|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18740|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18750|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18760|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18770|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18780|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18790|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18800|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18801|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18802|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18830|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18831|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18850|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18860|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18861|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18880|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18890|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18900|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18910|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18920|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18930|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18931|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18960|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18970|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18971|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18972|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18973|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18974|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18975|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18976|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18977|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18978|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18979|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18980|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18981|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18982|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18983|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18984|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18985|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18986|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18987|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18988|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18989|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18990|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18991|1|N
H5619|164|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|150| | |KY|18992|1|N
H5619|165|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-165 (HMO D-SNP)|00025456|24.10|590| | |WA|50000|2|N
H5619|165|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-165 (HMO D-SNP)|00025456|24.10|590| | |WA|50020|2|N
H5619|165|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-165 (HMO D-SNP)|00025456|24.10|590| | |WA|50030|2|N
H5619|165|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-165 (HMO D-SNP)|00025456|24.10|590| | |WA|50050|2|N
H5619|165|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-165 (HMO D-SNP)|00025456|24.10|590| | |WA|50060|2|N
H5619|165|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-165 (HMO D-SNP)|00025456|24.10|590| | |WA|50070|2|N
H5619|165|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-165 (HMO D-SNP)|00025456|24.10|590| | |WA|50080|2|N
H5619|165|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-165 (HMO D-SNP)|00025456|24.10|590| | |WA|50090|2|N
H5619|165|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-165 (HMO D-SNP)|00025456|24.10|590| | |WA|50100|2|N
H5619|165|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-165 (HMO D-SNP)|00025456|24.10|590| | |WA|50110|2|N
H5619|165|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-165 (HMO D-SNP)|00025456|24.10|590| | |WA|50120|2|N
H5619|165|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-165 (HMO D-SNP)|00025456|24.10|590| | |WA|50140|2|N
H5619|165|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-165 (HMO D-SNP)|00025456|24.10|590| | |WA|50150|2|N
H5619|165|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-165 (HMO D-SNP)|00025456|24.10|590| | |WA|50160|2|N
H5619|165|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-165 (HMO D-SNP)|00025456|24.10|590| | |WA|50170|2|N
H5619|165|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-165 (HMO D-SNP)|00025456|24.10|590| | |WA|50180|2|N
H5619|165|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-165 (HMO D-SNP)|00025456|24.10|590| | |WA|50200|2|N
H5619|165|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-165 (HMO D-SNP)|00025456|24.10|590| | |WA|50210|2|N
H5619|165|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-165 (HMO D-SNP)|00025456|24.10|590| | |WA|50220|2|N
H5619|165|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-165 (HMO D-SNP)|00025456|24.10|590| | |WA|50230|2|N
H5619|165|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-165 (HMO D-SNP)|00025456|24.10|590| | |WA|50250|2|N
H5619|165|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-165 (HMO D-SNP)|00025456|24.10|590| | |WA|50260|2|N
H5619|165|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-165 (HMO D-SNP)|00025456|24.10|590| | |WA|50270|2|N
H5619|165|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-165 (HMO D-SNP)|00025456|24.10|590| | |WA|50280|2|N
H5619|165|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-165 (HMO D-SNP)|00025456|24.10|590| | |WA|50290|2|N
H5619|165|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-165 (HMO D-SNP)|00025456|24.10|590| | |WA|50300|2|N
H5619|165|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-165 (HMO D-SNP)|00025456|24.10|590| | |WA|50310|2|N
H5619|165|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-165 (HMO D-SNP)|00025456|24.10|590| | |WA|50330|2|N
H5619|165|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-165 (HMO D-SNP)|00025456|24.10|590| | |WA|50340|2|N
H5619|165|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-165 (HMO D-SNP)|00025456|24.10|590| | |WA|50350|2|N
H5619|165|000|ARCADIAN HEALTH PLAN, INC.|Humana Dual Select H5619-165 (HMO D-SNP)|00025456|24.10|590| | |WA|50360|2|N
H5619|166|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-166 (HMO D-SNP)|00025456|0.00|590| | |WA|50000|2|N
H5619|166|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-166 (HMO D-SNP)|00025456|0.00|590| | |WA|50020|2|N
H5619|166|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-166 (HMO D-SNP)|00025456|0.00|590| | |WA|50030|2|N
H5619|166|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-166 (HMO D-SNP)|00025456|0.00|590| | |WA|50050|2|N
H5619|166|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-166 (HMO D-SNP)|00025456|0.00|590| | |WA|50060|2|N
H5619|166|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-166 (HMO D-SNP)|00025456|0.00|590| | |WA|50070|2|N
H5619|166|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-166 (HMO D-SNP)|00025456|0.00|590| | |WA|50080|2|N
H5619|166|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-166 (HMO D-SNP)|00025456|0.00|590| | |WA|50090|2|N
H5619|166|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-166 (HMO D-SNP)|00025456|0.00|590| | |WA|50100|2|N
H5619|166|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-166 (HMO D-SNP)|00025456|0.00|590| | |WA|50110|2|N
H5619|166|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-166 (HMO D-SNP)|00025456|0.00|590| | |WA|50120|2|N
H5619|166|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-166 (HMO D-SNP)|00025456|0.00|590| | |WA|50140|2|N
H5619|166|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-166 (HMO D-SNP)|00025456|0.00|590| | |WA|50150|2|N
H5619|166|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-166 (HMO D-SNP)|00025456|0.00|590| | |WA|50160|2|N
H5619|166|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-166 (HMO D-SNP)|00025456|0.00|590| | |WA|50170|2|N
H5619|166|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-166 (HMO D-SNP)|00025456|0.00|590| | |WA|50180|2|N
H5619|166|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-166 (HMO D-SNP)|00025456|0.00|590| | |WA|50200|2|N
H5619|166|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-166 (HMO D-SNP)|00025456|0.00|590| | |WA|50210|2|N
H5619|166|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-166 (HMO D-SNP)|00025456|0.00|590| | |WA|50220|2|N
H5619|166|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-166 (HMO D-SNP)|00025456|0.00|590| | |WA|50230|2|N
H5619|166|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-166 (HMO D-SNP)|00025456|0.00|590| | |WA|50250|2|N
H5619|166|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-166 (HMO D-SNP)|00025456|0.00|590| | |WA|50260|2|N
H5619|166|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-166 (HMO D-SNP)|00025456|0.00|590| | |WA|50270|2|N
H5619|166|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-166 (HMO D-SNP)|00025456|0.00|590| | |WA|50280|2|N
H5619|166|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-166 (HMO D-SNP)|00025456|0.00|590| | |WA|50290|2|N
H5619|166|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-166 (HMO D-SNP)|00025456|0.00|590| | |WA|50300|2|N
H5619|166|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-166 (HMO D-SNP)|00025456|0.00|590| | |WA|50310|2|N
H5619|166|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-166 (HMO D-SNP)|00025456|0.00|590| | |WA|50330|2|N
H5619|166|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-166 (HMO D-SNP)|00025456|0.00|590| | |WA|50340|2|N
H5619|166|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-166 (HMO D-SNP)|00025456|0.00|590| | |WA|50350|2|N
H5619|166|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-166 (HMO D-SNP)|00025456|0.00|590| | |WA|50360|2|N
H5619|167|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-167 (HMO D-SNP)|00025456|0.00|590| | |WA|50000|2|N
H5619|167|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-167 (HMO D-SNP)|00025456|0.00|590| | |WA|50020|2|N
H5619|167|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-167 (HMO D-SNP)|00025456|0.00|590| | |WA|50030|2|N
H5619|167|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-167 (HMO D-SNP)|00025456|0.00|590| | |WA|50050|2|N
H5619|167|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-167 (HMO D-SNP)|00025456|0.00|590| | |WA|50060|2|N
H5619|167|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-167 (HMO D-SNP)|00025456|0.00|590| | |WA|50070|2|N
H5619|167|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-167 (HMO D-SNP)|00025456|0.00|590| | |WA|50080|2|N
H5619|167|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-167 (HMO D-SNP)|00025456|0.00|590| | |WA|50090|2|N
H5619|167|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-167 (HMO D-SNP)|00025456|0.00|590| | |WA|50100|2|N
H5619|167|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-167 (HMO D-SNP)|00025456|0.00|590| | |WA|50110|2|N
H5619|167|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-167 (HMO D-SNP)|00025456|0.00|590| | |WA|50120|2|N
H5619|167|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-167 (HMO D-SNP)|00025456|0.00|590| | |WA|50140|2|N
H5619|167|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-167 (HMO D-SNP)|00025456|0.00|590| | |WA|50150|2|N
H5619|167|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-167 (HMO D-SNP)|00025456|0.00|590| | |WA|50160|2|N
H5619|167|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-167 (HMO D-SNP)|00025456|0.00|590| | |WA|50170|2|N
H5619|167|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-167 (HMO D-SNP)|00025456|0.00|590| | |WA|50180|2|N
H5619|167|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-167 (HMO D-SNP)|00025456|0.00|590| | |WA|50200|2|N
H5619|167|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-167 (HMO D-SNP)|00025456|0.00|590| | |WA|50210|2|N
H5619|167|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-167 (HMO D-SNP)|00025456|0.00|590| | |WA|50220|2|N
H5619|167|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-167 (HMO D-SNP)|00025456|0.00|590| | |WA|50230|2|N
H5619|167|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-167 (HMO D-SNP)|00025456|0.00|590| | |WA|50250|2|N
H5619|167|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-167 (HMO D-SNP)|00025456|0.00|590| | |WA|50260|2|N
H5619|167|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-167 (HMO D-SNP)|00025456|0.00|590| | |WA|50270|2|N
H5619|167|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-167 (HMO D-SNP)|00025456|0.00|590| | |WA|50280|2|N
H5619|167|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-167 (HMO D-SNP)|00025456|0.00|590| | |WA|50290|2|N
H5619|167|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-167 (HMO D-SNP)|00025456|0.00|590| | |WA|50300|2|N
H5619|167|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-167 (HMO D-SNP)|00025456|0.00|590| | |WA|50310|2|N
H5619|167|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-167 (HMO D-SNP)|00025456|0.00|590| | |WA|50330|2|N
H5619|167|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-167 (HMO D-SNP)|00025456|0.00|590| | |WA|50340|2|N
H5619|167|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-167 (HMO D-SNP)|00025456|0.00|590| | |WA|50350|2|N
H5619|167|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-167 (HMO D-SNP)|00025456|0.00|590| | |WA|50360|2|N
H5619|168|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-168 (HMO D-SNP)|00025456|0.00|590| | |WA|50160|2|N
H5619|168|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus SNP-DE H5619-168 (HMO D-SNP)|00025456|0.00|590| | |WA|50300|2|N
H5619|169|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-169 (HMO)|00025456|0.00|450| | |SC|42000|0|N
H5619|169|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-169 (HMO)|00025456|0.00|450| | |SC|42010|0|N
H5619|169|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-169 (HMO)|00025456|0.00|450| | |SC|42020|0|N
H5619|169|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-169 (HMO)|00025456|0.00|450| | |SC|42030|0|N
H5619|169|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-169 (HMO)|00025456|0.00|450| | |SC|42040|0|N
H5619|169|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-169 (HMO)|00025456|0.00|450| | |SC|42050|0|N
H5619|169|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-169 (HMO)|00025456|0.00|450| | |SC|42070|0|N
H5619|169|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-169 (HMO)|00025456|0.00|450| | |SC|42080|0|N
H5619|169|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-169 (HMO)|00025456|0.00|450| | |SC|42090|0|N
H5619|169|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-169 (HMO)|00025456|0.00|450| | |SC|42100|0|N
H5619|169|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-169 (HMO)|00025456|0.00|450| | |SC|42130|0|N
H5619|169|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-169 (HMO)|00025456|0.00|450| | |SC|42140|0|N
H5619|169|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-169 (HMO)|00025456|0.00|450| | |SC|42150|0|N
H5619|169|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-169 (HMO)|00025456|0.00|450| | |SC|42160|0|N
H5619|169|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-169 (HMO)|00025456|0.00|450| | |SC|42170|0|N
H5619|169|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-169 (HMO)|00025456|0.00|450| | |SC|42180|0|N
H5619|169|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-169 (HMO)|00025456|0.00|450| | |SC|42190|0|N
H5619|169|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-169 (HMO)|00025456|0.00|450| | |SC|42200|0|N
H5619|169|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-169 (HMO)|00025456|0.00|450| | |SC|42210|0|N
H5619|169|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-169 (HMO)|00025456|0.00|450| | |SC|42220|0|N
H5619|169|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-169 (HMO)|00025456|0.00|450| | |SC|42230|0|N
H5619|169|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-169 (HMO)|00025456|0.00|450| | |SC|42240|0|N
H5619|169|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-169 (HMO)|00025456|0.00|450| | |SC|42250|0|N
H5619|169|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-169 (HMO)|00025456|0.00|450| | |SC|42260|0|N
H5619|169|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-169 (HMO)|00025456|0.00|450| | |SC|42270|0|N
H5619|169|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-169 (HMO)|00025456|0.00|450| | |SC|42290|0|N
H5619|169|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-169 (HMO)|00025456|0.00|450| | |SC|42300|0|N
H5619|169|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-169 (HMO)|00025456|0.00|450| | |SC|42310|0|N
H5619|169|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-169 (HMO)|00025456|0.00|450| | |SC|42320|0|N
H5619|169|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-169 (HMO)|00025456|0.00|450| | |SC|42330|0|N
H5619|169|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-169 (HMO)|00025456|0.00|450| | |SC|42340|0|N
H5619|169|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-169 (HMO)|00025456|0.00|450| | |SC|42350|0|N
H5619|169|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-169 (HMO)|00025456|0.00|450| | |SC|42360|0|N
H5619|169|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-169 (HMO)|00025456|0.00|450| | |SC|42370|0|N
H5619|169|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-169 (HMO)|00025456|0.00|450| | |SC|42380|0|N
H5619|169|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-169 (HMO)|00025456|0.00|450| | |SC|42390|0|N
H5619|169|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-169 (HMO)|00025456|0.00|450| | |SC|42400|0|N
H5619|169|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-169 (HMO)|00025456|0.00|450| | |SC|42410|0|N
H5619|169|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-169 (HMO)|00025456|0.00|450| | |SC|42420|0|N
H5619|169|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-169 (HMO)|00025456|0.00|450| | |SC|42440|0|N
H5619|169|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus Giveback H5619-169 (HMO)|00025456|0.00|450| | |SC|42450|0|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15000|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15010|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15020|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15030|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15040|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15050|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15060|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15070|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15080|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15090|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15100|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15110|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15120|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15130|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15140|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15150|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15160|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15170|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15180|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15190|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15200|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15210|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15220|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15230|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15240|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15250|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15260|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15270|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15280|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15290|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15300|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15310|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15320|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15330|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15340|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15350|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15360|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15370|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15380|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15390|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15400|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15410|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15420|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15430|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15440|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15450|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15460|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15470|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15480|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15490|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15500|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15510|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15520|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15530|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15540|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15550|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15560|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15570|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15580|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15590|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15600|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15610|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15620|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15630|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15640|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15650|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15660|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15670|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15680|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15690|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15700|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15710|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15720|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15730|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15740|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15750|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15760|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15770|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15780|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15790|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15800|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15810|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15820|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15830|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15840|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15850|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15860|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15870|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15880|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15890|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15900|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |IN|15910|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18000|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18010|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18020|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18030|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18040|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18050|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18060|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18080|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18090|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18100|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18110|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18120|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18130|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18140|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18150|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18160|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18170|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18190|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18191|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18210|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18220|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18230|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18240|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18250|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18260|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18270|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18271|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18290|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18291|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18310|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18320|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18330|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18340|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18350|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18360|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18361|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18362|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18390|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18410|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18420|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18421|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18440|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18450|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18460|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18470|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18480|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18490|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18500|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18510|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18511|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18530|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18540|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18550|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18560|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18570|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18590|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18600|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18610|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18620|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18630|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18640|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18650|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18660|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18670|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18680|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18690|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18700|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18710|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18720|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18730|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18740|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18750|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18760|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18770|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18780|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18790|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18800|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18801|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18802|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18830|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18831|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18850|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18860|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18861|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18880|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18890|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18900|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18910|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18920|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18930|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18931|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18960|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18970|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18971|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18972|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18973|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18974|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18975|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18976|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18977|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18978|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18979|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18980|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18981|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18982|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18983|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18984|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18985|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18986|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18987|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18988|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18989|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18990|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18991|1|N
H5619|170|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |KY|18992|1|N
H5619|171|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-171 (HMO)|00025456|0.00|450| | |SC|42000|0|N
H5619|171|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-171 (HMO)|00025456|0.00|450| | |SC|42010|0|N
H5619|171|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-171 (HMO)|00025456|0.00|450| | |SC|42020|0|N
H5619|171|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-171 (HMO)|00025456|0.00|450| | |SC|42030|0|N
H5619|171|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-171 (HMO)|00025456|0.00|450| | |SC|42040|0|N
H5619|171|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-171 (HMO)|00025456|0.00|450| | |SC|42050|0|N
H5619|171|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-171 (HMO)|00025456|0.00|450| | |SC|42070|0|N
H5619|171|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-171 (HMO)|00025456|0.00|450| | |SC|42080|0|N
H5619|171|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-171 (HMO)|00025456|0.00|450| | |SC|42090|0|N
H5619|171|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-171 (HMO)|00025456|0.00|450| | |SC|42100|0|N
H5619|171|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-171 (HMO)|00025456|0.00|450| | |SC|42130|0|N
H5619|171|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-171 (HMO)|00025456|0.00|450| | |SC|42140|0|N
H5619|171|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-171 (HMO)|00025456|0.00|450| | |SC|42150|0|N
H5619|171|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-171 (HMO)|00025456|0.00|450| | |SC|42160|0|N
H5619|171|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-171 (HMO)|00025456|0.00|450| | |SC|42170|0|N
H5619|171|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-171 (HMO)|00025456|0.00|450| | |SC|42180|0|N
H5619|171|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-171 (HMO)|00025456|0.00|450| | |SC|42190|0|N
H5619|171|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-171 (HMO)|00025456|0.00|450| | |SC|42200|0|N
H5619|171|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-171 (HMO)|00025456|0.00|450| | |SC|42210|0|N
H5619|171|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-171 (HMO)|00025456|0.00|450| | |SC|42220|0|N
H5619|171|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-171 (HMO)|00025456|0.00|450| | |SC|42230|0|N
H5619|171|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-171 (HMO)|00025456|0.00|450| | |SC|42240|0|N
H5619|171|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-171 (HMO)|00025456|0.00|450| | |SC|42250|0|N
H5619|171|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-171 (HMO)|00025456|0.00|450| | |SC|42260|0|N
H5619|171|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-171 (HMO)|00025456|0.00|450| | |SC|42270|0|N
H5619|171|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-171 (HMO)|00025456|0.00|450| | |SC|42290|0|N
H5619|171|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-171 (HMO)|00025456|0.00|450| | |SC|42300|0|N
H5619|171|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-171 (HMO)|00025456|0.00|450| | |SC|42310|0|N
H5619|171|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-171 (HMO)|00025456|0.00|450| | |SC|42320|0|N
H5619|171|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-171 (HMO)|00025456|0.00|450| | |SC|42330|0|N
H5619|171|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-171 (HMO)|00025456|0.00|450| | |SC|42340|0|N
H5619|171|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-171 (HMO)|00025456|0.00|450| | |SC|42350|0|N
H5619|171|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-171 (HMO)|00025456|0.00|450| | |SC|42360|0|N
H5619|171|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-171 (HMO)|00025456|0.00|450| | |SC|42370|0|N
H5619|171|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-171 (HMO)|00025456|0.00|450| | |SC|42380|0|N
H5619|171|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-171 (HMO)|00025456|0.00|450| | |SC|42390|0|N
H5619|171|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-171 (HMO)|00025456|0.00|450| | |SC|42400|0|N
H5619|171|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-171 (HMO)|00025456|0.00|450| | |SC|42410|0|N
H5619|171|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-171 (HMO)|00025456|0.00|450| | |SC|42420|0|N
H5619|171|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-171 (HMO)|00025456|0.00|450| | |SC|42440|0|N
H5619|171|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-171 (HMO)|00025456|0.00|450| | |SC|42450|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |IN|15090|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |IN|15210|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18000|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18020|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18030|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18050|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18060|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18080|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18100|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18110|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18120|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18130|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18140|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18170|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18190|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18220|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18230|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18240|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18250|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18260|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18270|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18271|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18290|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18310|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18330|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18340|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18360|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18361|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18362|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18410|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18420|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18470|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18511|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18530|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18540|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18550|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18560|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18570|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18590|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18600|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18610|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18630|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18640|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18650|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18660|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18670|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18680|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18690|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18710|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18720|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18730|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18740|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18750|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18760|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18770|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18780|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18790|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18800|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18802|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18860|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18861|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18880|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18890|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18900|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18930|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18931|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18960|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18971|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18972|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18973|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18974|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18975|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18976|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18977|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18980|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18981|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18982|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18987|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18988|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18989|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18990|0|N
H5619|172|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-172 (HMO)|00025456|11.00|590| | |KY|18992|0|N
H5619|173|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-173 (HMO)|00025456|0.00|590| | |KY|18010|0|N
H5619|173|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-173 (HMO)|00025456|0.00|590| | |KY|18040|0|N
H5619|173|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-173 (HMO)|00025456|0.00|590| | |KY|18150|0|N
H5619|173|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-173 (HMO)|00025456|0.00|590| | |KY|18490|0|N
H5619|173|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-173 (HMO)|00025456|0.00|590| | |KY|18700|0|N
H5619|173|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-173 (HMO)|00025456|0.00|590| | |KY|18831|0|N
H5619|173|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-173 (HMO)|00025456|0.00|590| | |KY|18979|0|N
H5619|173|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-173 (HMO)|00025456|0.00|590| | |KY|18986|0|N
H5619|174|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-174 (HMO)|00025456|0.00|0| | |WA|50050|0|N
H5619|174|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-174 (HMO)|00025456|0.00|0| | |WA|50070|0|N
H5619|175|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-175 (HMO)|00025456|0.00|150| | |WA|50030|0|N
H5619|175|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-175 (HMO)|00025456|0.00|150| | |WA|50080|0|N
H5619|175|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-175 (HMO)|00025456|0.00|150| | |WA|50120|0|N
H5619|175|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-175 (HMO)|00025456|0.00|150| | |WA|50230|0|N
H5619|177|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-177 (HMO)|00025456|0.00|0| | |ID|13000|0|N
H5619|177|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-177 (HMO)|00025456|0.00|0| | |ID|13070|0|N
H5619|177|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-177 (HMO)|00025456|0.00|0| | |ID|13130|0|N
H5619|177|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-177 (HMO)|00025456|0.00|0| | |ID|13190|0|N
H5619|177|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-177 (HMO)|00025456|0.00|0| | |ID|13220|0|N
H5619|177|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-177 (HMO)|00025456|0.00|0| | |ID|13360|0|N
H5619|177|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-177 (HMO)|00025456|0.00|0| | |ID|13370|0|N
H5619|177|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-177 (HMO)|00025456|0.00|0| | |ID|13420|0|N
H5619|177|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-177 (HMO)|00025456|0.00|0| | |ID|13430|0|N
H5619|178|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-178 (HMO)|00025458|0.00|0| | |CA|05430|0|N
H5619|178|000|ARCADIAN HEALTH PLAN, INC.|Humana Gold Plus H5619-178 (HMO)|00025458|0.00|0| | |CA|05460|0|N
H5628|001|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |UT|46000|2|N
H5628|001|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |UT|46010|2|N
H5628|001|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |UT|46020|2|N
H5628|001|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |UT|46050|2|N
H5628|001|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |UT|46060|2|N
H5628|001|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |UT|46070|2|N
H5628|001|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |UT|46080|2|N
H5628|001|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |UT|46100|2|N
H5628|001|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |UT|46110|2|N
H5628|001|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |UT|46120|2|N
H5628|001|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |UT|46130|2|N
H5628|001|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |UT|46140|2|N
H5628|001|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |UT|46150|2|N
H5628|001|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |UT|46160|2|N
H5628|001|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |UT|46170|2|N
H5628|001|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |UT|46190|2|N
H5628|001|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |UT|46200|2|N
H5628|001|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |UT|46220|2|N
H5628|001|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |UT|46240|2|N
H5628|001|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |UT|46250|2|N
H5628|001|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |UT|46260|2|N
H5628|001|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |UT|46270|2|N
H5628|001|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |UT|46280|2|N
H5628|008|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |ID|13000|2|N
H5628|008|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |ID|13010|2|N
H5628|008|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |ID|13020|2|N
H5628|008|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |ID|13040|2|N
H5628|008|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |ID|13050|2|N
H5628|008|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |ID|13060|2|N
H5628|008|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |ID|13070|2|N
H5628|008|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |ID|13080|2|N
H5628|008|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |ID|13090|2|N
H5628|008|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |ID|13100|2|N
H5628|008|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |ID|13130|2|N
H5628|008|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |ID|13150|2|N
H5628|008|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |ID|13160|2|N
H5628|008|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |ID|13170|2|N
H5628|008|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |ID|13190|2|N
H5628|008|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |ID|13210|2|N
H5628|008|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |ID|13220|2|N
H5628|008|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |ID|13230|2|N
H5628|008|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |ID|13240|2|N
H5628|008|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |ID|13250|2|N
H5628|008|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |ID|13260|2|N
H5628|008|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |ID|13270|2|N
H5628|008|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |ID|13280|2|N
H5628|008|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |ID|13310|2|N
H5628|008|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |ID|13320|2|N
H5628|008|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |ID|13330|2|N
H5628|008|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |ID|13340|2|N
H5628|008|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |ID|13360|2|N
H5628|008|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |ID|13370|2|N
H5628|008|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |ID|13380|2|N
H5628|008|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |ID|13390|2|N
H5628|008|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |ID|13410|2|N
H5628|008|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |ID|13420|2|N
H5628|008|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |ID|13430|2|N
H5628|011|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|21.50|590| | |ID|13000|2|N
H5628|011|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|21.50|590| | |ID|13010|2|N
H5628|011|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|21.50|590| | |ID|13020|2|N
H5628|011|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|21.50|590| | |ID|13040|2|N
H5628|011|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|21.50|590| | |ID|13050|2|N
H5628|011|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|21.50|590| | |ID|13060|2|N
H5628|011|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|21.50|590| | |ID|13070|2|N
H5628|011|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|21.50|590| | |ID|13080|2|N
H5628|011|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|21.50|590| | |ID|13090|2|N
H5628|011|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|21.50|590| | |ID|13100|2|N
H5628|011|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|21.50|590| | |ID|13130|2|N
H5628|011|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|21.50|590| | |ID|13150|2|N
H5628|011|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|21.50|590| | |ID|13160|2|N
H5628|011|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|21.50|590| | |ID|13170|2|N
H5628|011|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|21.50|590| | |ID|13190|2|N
H5628|011|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|21.50|590| | |ID|13210|2|N
H5628|011|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|21.50|590| | |ID|13220|2|N
H5628|011|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|21.50|590| | |ID|13230|2|N
H5628|011|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|21.50|590| | |ID|13240|2|N
H5628|011|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|21.50|590| | |ID|13250|2|N
H5628|011|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|21.50|590| | |ID|13260|2|N
H5628|011|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|21.50|590| | |ID|13270|2|N
H5628|011|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|21.50|590| | |ID|13280|2|N
H5628|011|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|21.50|590| | |ID|13310|2|N
H5628|011|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|21.50|590| | |ID|13320|2|N
H5628|011|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|21.50|590| | |ID|13330|2|N
H5628|011|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|21.50|590| | |ID|13340|2|N
H5628|011|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|21.50|590| | |ID|13360|2|N
H5628|011|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|21.50|590| | |ID|13370|2|N
H5628|011|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|21.50|590| | |ID|13380|2|N
H5628|011|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|21.50|590| | |ID|13390|2|N
H5628|011|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|21.50|590| | |ID|13410|2|N
H5628|011|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|21.50|590| | |ID|13420|2|N
H5628|011|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|21.50|590| | |ID|13430|2|N
H5628|012|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|0.00|590| | |UT|46000|2|N
H5628|012|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|0.00|590| | |UT|46010|2|N
H5628|012|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|0.00|590| | |UT|46020|2|N
H5628|012|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|0.00|590| | |UT|46050|2|N
H5628|012|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|0.00|590| | |UT|46060|2|N
H5628|012|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|0.00|590| | |UT|46070|2|N
H5628|012|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|0.00|590| | |UT|46080|2|N
H5628|012|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|0.00|590| | |UT|46100|2|N
H5628|012|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|0.00|590| | |UT|46110|2|N
H5628|012|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|0.00|590| | |UT|46120|2|N
H5628|012|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|0.00|590| | |UT|46130|2|N
H5628|012|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|0.00|590| | |UT|46140|2|N
H5628|012|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|0.00|590| | |UT|46150|2|N
H5628|012|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|0.00|590| | |UT|46160|2|N
H5628|012|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|0.00|590| | |UT|46170|2|N
H5628|012|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|0.00|590| | |UT|46190|2|N
H5628|012|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|0.00|590| | |UT|46200|2|N
H5628|012|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|0.00|590| | |UT|46220|2|N
H5628|012|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|0.00|590| | |UT|46240|2|N
H5628|012|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|0.00|590| | |UT|46250|2|N
H5628|012|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|0.00|590| | |UT|46260|2|N
H5628|012|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|0.00|590| | |UT|46270|2|N
H5628|012|000|MOLINA HEALTHCARE OF UTAH, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|0.00|590| | |UT|46280|2|N
H5649|001|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Medicare Plan (HMO)|00025317|0.00|0| | |CA|05200|0|N
H5649|001|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Medicare Plan (HMO)|00025317|0.00|0| | |CA|05210|0|N
H5649|001|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Medicare Plan (HMO)|00025317|0.00|0| | |CA|05400|0|N
H5649|001|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Medicare Plan (HMO)|00025317|0.00|0| | |CA|05430|0|N
H5649|001|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Medicare Plan (HMO)|00025317|0.00|0| | |CA|05460|0|N
H5649|002|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Medi-Medi Plan I (HMO D-SNP)|00025316|0.00|590| | |CA|05200|2|N
H5649|002|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Medi-Medi Plan I (HMO D-SNP)|00025316|0.00|590| | |CA|05210|2|N
H5649|002|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Medi-Medi Plan I (HMO D-SNP)|00025316|0.00|590| | |CA|05430|2|N
H5649|002|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Medi-Medi Plan I (HMO D-SNP)|00025316|0.00|590| | |CA|05440|2|N
H5649|002|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Medi-Medi Plan I (HMO D-SNP)|00025316|0.00|590| | |CA|05460|2|N
H5649|002|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Medi-Medi Plan I (HMO D-SNP)|00025316|0.00|590| | |CA|05470|2|N
H5649|006|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Focus Plan (HMO C-SNP)|00025317|0.00|0| | |CA|05000|1|N
H5649|006|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Focus Plan (HMO C-SNP)|00025317|0.00|0| | |CA|05060|1|N
H5649|006|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Focus Plan (HMO C-SNP)|00025317|0.00|0| | |CA|05090|1|N
H5649|006|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Focus Plan (HMO C-SNP)|00025317|0.00|0| | |CA|05200|1|N
H5649|006|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Focus Plan (HMO C-SNP)|00025317|0.00|0| | |CA|05210|1|N
H5649|006|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Focus Plan (HMO C-SNP)|00025317|0.00|0| | |CA|05400|1|N
H5649|006|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Focus Plan (HMO C-SNP)|00025317|0.00|0| | |CA|05460|1|N
H5649|006|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Focus Plan (HMO C-SNP)|00025317|0.00|0| | |CA|05490|1|N
H5649|006|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Focus Plan (HMO C-SNP)|00025317|0.00|0| | |CA|05530|1|N
H5649|008|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Ventura Medicare Plan (HMO)|00025317|0.00|0| | |CA|05660|0|N
H5649|009|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Medi-Medi Plan II (HMO D-SNP)|00025316|0.00|590| | |CA|05660|2|Y
H5649|018|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health San Mateo Medicare Plan (HMO)|00025317|0.00|0| | |CA|05510|0|N
H5649|019|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Savings Plan (HMO)|00025317|0.00|0| | |CA|05200|0|N
H5649|019|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Savings Plan (HMO)|00025317|0.00|0| | |CA|05210|0|N
H5649|019|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Savings Plan (HMO)|00025317|0.00|0| | |CA|05400|0|N
H5649|019|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Savings Plan (HMO)|00025317|0.00|0| | |CA|05430|0|N
H5649|019|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Savings Plan (HMO)|00025317|0.00|0| | |CA|05460|0|N
H5649|022|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Jade Plan (HMO)|00025317|0.00|0| | |CA|05200|0|N
H5649|022|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Jade Plan (HMO)|00025317|0.00|0| | |CA|05210|0|N
H5649|023|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Premier Plan I (HMO)|00025317|0.00|100| | |CA|05000|0|N
H5649|023|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Premier Plan I (HMO)|00025317|0.00|100| | |CA|05060|0|N
H5649|023|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Premier Plan I (HMO)|00025317|0.00|100| | |CA|05090|0|N
H5649|023|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Premier Plan I (HMO)|00025317|0.00|100| | |CA|05480|0|N
H5649|023|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Premier Plan I (HMO)|00025317|0.00|100| | |CA|05490|0|N
H5649|023|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Premier Plan I (HMO)|00025317|0.00|100| | |CA|05530|0|N
H5649|023|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Premier Plan I (HMO)|00025317|0.00|100| | |CA|05580|0|N
H5649|024|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Dual Access Plan (HMO D-SNP)|00025316|0.00|590| | |CA|05000|2|Y
H5649|024|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Dual Access Plan (HMO D-SNP)|00025316|0.00|590| | |CA|05060|2|Y
H5649|024|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Dual Access Plan (HMO D-SNP)|00025316|0.00|590| | |CA|05090|2|Y
H5649|024|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Dual Access Plan (HMO D-SNP)|00025316|0.00|590| | |CA|05120|2|Y
H5649|024|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Dual Access Plan (HMO D-SNP)|00025316|0.00|590| | |CA|05140|2|Y
H5649|024|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Dual Access Plan (HMO D-SNP)|00025316|0.00|590| | |CA|05150|2|Y
H5649|024|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Dual Access Plan (HMO D-SNP)|00025316|0.00|590| | |CA|05300|2|Y
H5649|024|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Dual Access Plan (HMO D-SNP)|00025316|0.00|590| | |CA|05400|2|Y
H5649|024|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Dual Access Plan (HMO D-SNP)|00025316|0.00|590| | |CA|05410|2|Y
H5649|024|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Dual Access Plan (HMO D-SNP)|00025316|0.00|590| | |CA|05480|2|Y
H5649|024|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Dual Access Plan (HMO D-SNP)|00025316|0.00|590| | |CA|05490|2|Y
H5649|024|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Dual Access Plan (HMO D-SNP)|00025316|0.00|590| | |CA|05510|2|Y
H5649|024|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Dual Access Plan (HMO D-SNP)|00025316|0.00|590| | |CA|05530|2|Y
H5649|024|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Dual Access Plan (HMO D-SNP)|00025316|0.00|590| | |CA|05580|2|Y
H5649|024|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Dual Access Plan (HMO D-SNP)|00025316|0.00|590| | |CA|05600|2|Y
H5649|024|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Dual Access Plan (HMO D-SNP)|00025316|0.00|590| | |CA|05640|2|Y
H5649|024|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Dual Access Plan (HMO D-SNP)|00025316|0.00|590| | |CA|05670|2|Y
H5649|025|001|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Embrace Care Plan (HMO C-SNP)|00025317|0.00|0| | |CA|05200|1|N
H5649|025|001|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Embrace Care Plan (HMO C-SNP)|00025317|0.00|0| | |CA|05210|1|N
H5649|025|001|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Embrace Care Plan (HMO C-SNP)|00025317|0.00|0| | |CA|05400|1|N
H5649|025|001|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Embrace Care Plan (HMO C-SNP)|00025317|0.00|0| | |CA|05430|1|N
H5649|025|001|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Embrace Care Plan (HMO C-SNP)|00025317|0.00|0| | |CA|05460|1|N
H5649|025|001|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Embrace Care Plan (HMO C-SNP)|00025317|0.00|0| | |CA|05470|1|N
H5649|025|002|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Embrace Care Plan (HMO C-SNP)|00025317|0.00|0| | |CA|05000|1|N
H5649|025|002|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Embrace Care Plan (HMO C-SNP)|00025317|0.00|0| | |CA|05060|1|N
H5649|025|002|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Embrace Care Plan (HMO C-SNP)|00025317|0.00|0| | |CA|05090|1|N
H5649|025|002|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Embrace Care Plan (HMO C-SNP)|00025317|0.00|0| | |CA|05120|1|N
H5649|025|002|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Embrace Care Plan (HMO C-SNP)|00025317|0.00|0| | |CA|05140|1|N
H5649|025|002|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Embrace Care Plan (HMO C-SNP)|00025317|0.00|0| | |CA|05150|1|N
H5649|025|002|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Embrace Care Plan (HMO C-SNP)|00025317|0.00|0| | |CA|05300|1|N
H5649|025|002|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Embrace Care Plan (HMO C-SNP)|00025317|0.00|0| | |CA|05410|1|N
H5649|025|002|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Embrace Care Plan (HMO C-SNP)|00025317|0.00|0| | |CA|05440|1|N
H5649|025|002|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Embrace Care Plan (HMO C-SNP)|00025317|0.00|0| | |CA|05480|1|N
H5649|025|002|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Embrace Care Plan (HMO C-SNP)|00025317|0.00|0| | |CA|05490|1|N
H5649|025|002|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Embrace Care Plan (HMO C-SNP)|00025317|0.00|0| | |CA|05510|1|N
H5649|025|002|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Embrace Care Plan (HMO C-SNP)|00025317|0.00|0| | |CA|05530|1|N
H5649|025|002|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Embrace Care Plan (HMO C-SNP)|00025317|0.00|0| | |CA|05580|1|N
H5649|025|002|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Embrace Care Plan (HMO C-SNP)|00025317|0.00|0| | |CA|05600|1|N
H5649|025|002|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Embrace Care Plan (HMO C-SNP)|00025317|0.00|0| | |CA|05640|1|N
H5649|025|002|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Embrace Care Plan (HMO C-SNP)|00025317|0.00|0| | |CA|05670|1|N
H5649|026|001|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Embrace Choice Plan (HMO C-SNP)|00025316|13.40|590| | |CA|05200|1|N
H5649|026|001|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Embrace Choice Plan (HMO C-SNP)|00025316|13.40|590| | |CA|05210|1|N
H5649|026|001|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Embrace Choice Plan (HMO C-SNP)|00025316|13.40|590| | |CA|05400|1|N
H5649|026|001|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Embrace Choice Plan (HMO C-SNP)|00025316|13.40|590| | |CA|05430|1|N
H5649|026|001|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Embrace Choice Plan (HMO C-SNP)|00025316|13.40|590| | |CA|05460|1|N
H5649|026|001|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Embrace Choice Plan (HMO C-SNP)|00025316|13.40|590| | |CA|05470|1|N
H5649|026|002|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Embrace Choice Plan (HMO C-SNP)|00025316|13.40|590| | |CA|05000|1|N
H5649|026|002|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Embrace Choice Plan (HMO C-SNP)|00025316|13.40|590| | |CA|05060|1|N
H5649|026|002|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Embrace Choice Plan (HMO C-SNP)|00025316|13.40|590| | |CA|05090|1|N
H5649|026|002|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Embrace Choice Plan (HMO C-SNP)|00025316|13.40|590| | |CA|05120|1|N
H5649|026|002|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Embrace Choice Plan (HMO C-SNP)|00025316|13.40|590| | |CA|05140|1|N
H5649|026|002|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Embrace Choice Plan (HMO C-SNP)|00025316|13.40|590| | |CA|05150|1|N
H5649|026|002|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Embrace Choice Plan (HMO C-SNP)|00025316|13.40|590| | |CA|05300|1|N
H5649|026|002|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Embrace Choice Plan (HMO C-SNP)|00025316|13.40|590| | |CA|05410|1|N
H5649|026|002|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Embrace Choice Plan (HMO C-SNP)|00025316|13.40|590| | |CA|05440|1|N
H5649|026|002|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Embrace Choice Plan (HMO C-SNP)|00025316|13.40|590| | |CA|05480|1|N
H5649|026|002|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Embrace Choice Plan (HMO C-SNP)|00025316|13.40|590| | |CA|05490|1|N
H5649|026|002|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Embrace Choice Plan (HMO C-SNP)|00025316|13.40|590| | |CA|05510|1|N
H5649|026|002|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Embrace Choice Plan (HMO C-SNP)|00025316|13.40|590| | |CA|05530|1|N
H5649|026|002|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Embrace Choice Plan (HMO C-SNP)|00025316|13.40|590| | |CA|05580|1|N
H5649|026|002|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Embrace Choice Plan (HMO C-SNP)|00025316|13.40|590| | |CA|05600|1|N
H5649|026|002|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Embrace Choice Plan (HMO C-SNP)|00025316|13.40|590| | |CA|05640|1|N
H5649|026|002|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Embrace Choice Plan (HMO C-SNP)|00025316|13.40|590| | |CA|05670|1|N
H5649|027|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Classic Care Plan I (HMO)|00025317|0.00|0| | |CA|05200|0|N
H5649|027|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Classic Care Plan I (HMO)|00025317|0.00|0| | |CA|05210|0|N
H5649|027|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Classic Care Plan I (HMO)|00025317|0.00|0| | |CA|05400|0|N
H5649|027|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Classic Care Plan I (HMO)|00025317|0.00|0| | |CA|05430|0|N
H5649|027|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Classic Care Plan I (HMO)|00025317|0.00|0| | |CA|05460|0|N
H5649|027|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Classic Care Plan I (HMO)|00025317|0.00|0| | |CA|05470|0|N
H5649|028|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Classic Care Plan II (HMO)|00025317|0.00|100| | |CA|05000|0|N
H5649|028|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Classic Care Plan II (HMO)|00025317|0.00|100| | |CA|05060|0|N
H5649|028|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Classic Care Plan II (HMO)|00025317|0.00|100| | |CA|05090|0|N
H5649|028|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Classic Care Plan II (HMO)|00025317|0.00|100| | |CA|05120|0|N
H5649|028|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Classic Care Plan II (HMO)|00025317|0.00|100| | |CA|05140|0|N
H5649|028|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Classic Care Plan II (HMO)|00025317|0.00|100| | |CA|05150|0|N
H5649|028|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Classic Care Plan II (HMO)|00025317|0.00|100| | |CA|05300|0|N
H5649|028|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Classic Care Plan II (HMO)|00025317|0.00|100| | |CA|05410|0|N
H5649|028|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Classic Care Plan II (HMO)|00025317|0.00|100| | |CA|05440|0|N
H5649|028|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Classic Care Plan II (HMO)|00025317|0.00|100| | |CA|05480|0|N
H5649|028|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Classic Care Plan II (HMO)|00025317|0.00|100| | |CA|05490|0|N
H5649|028|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Classic Care Plan II (HMO)|00025317|0.00|100| | |CA|05510|0|N
H5649|028|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Classic Care Plan II (HMO)|00025317|0.00|100| | |CA|05530|0|N
H5649|028|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Classic Care Plan II (HMO)|00025317|0.00|100| | |CA|05580|0|N
H5649|028|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Classic Care Plan II (HMO)|00025317|0.00|100| | |CA|05600|0|N
H5649|028|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Classic Care Plan II (HMO)|00025317|0.00|100| | |CA|05640|0|N
H5649|028|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Classic Care Plan II (HMO)|00025317|0.00|100| | |CA|05670|0|N
H5649|029|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Part B Savings Plan (HMO)|00025317|0.00|0| | |CA|05200|0|N
H5649|029|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Part B Savings Plan (HMO)|00025317|0.00|0| | |CA|05210|0|N
H5649|029|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Part B Savings Plan (HMO)|00025317|0.00|0| | |CA|05400|0|N
H5649|029|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Part B Savings Plan (HMO)|00025317|0.00|0| | |CA|05430|0|N
H5649|029|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Part B Savings Plan (HMO)|00025317|0.00|0| | |CA|05460|0|N
H5649|029|000|CENTRAL HEALTH PLAN OF CALIFORNIA, INC.|Central Health Part B Savings Plan (HMO)|00025317|0.00|0| | |CA|05470|0|N
H5652|001|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Signature (HMO-POS)|00025002|43.40|0| | |CO|06170|0|N
H5652|001|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Signature (HMO-POS)|00025002|43.40|0| | |FL|10100|0|N
H5652|001|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Signature (HMO-POS)|00025002|43.40|0| | |KS|17450|0|N
H5652|001|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Signature (HMO-POS)|00025002|43.40|0| | |MA|22040|0|N
H5652|001|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Signature (HMO-POS)|00025002|43.40|0| | |MA|22150|0|N
H5652|001|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Signature (HMO-POS)|00025002|43.40|0| | |MD|21020|0|N
H5652|001|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Signature (HMO-POS)|00025002|43.40|0| | |MD|21150|0|N
H5652|001|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Signature (HMO-POS)|00025002|43.40|0| | |MD|21160|0|N
H5652|001|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Signature (HMO-POS)|00025002|43.40|0| | |MI|23620|0|N
H5652|001|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Signature (HMO-POS)|00025002|43.40|0| | |NC|34590|0|N
H5652|001|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Signature (HMO-POS)|00025002|43.40|0| | |NJ|31290|0|N
H5652|001|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Signature (HMO-POS)|00025002|43.40|0| | |NJ|31300|0|N
H5652|001|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Signature (HMO-POS)|00025002|43.40|0| | |NJ|31370|0|N
H5652|001|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Signature (HMO-POS)|00025002|43.40|0| | |PA|39140|0|N
H5652|001|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Signature (HMO-POS)|00025002|43.40|0| | |PA|39290|0|N
H5652|001|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Signature (HMO-POS)|00025002|43.40|0| | |TX|45310|0|N
H5652|001|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Signature (HMO-POS)|00025002|43.40|0| | |TX|45610|0|N
H5652|001|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Signature (HMO-POS)|00025002|43.40|0| | |VA|49290|0|N
H5652|001|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Signature (HMO-POS)|00025002|43.40|0| | |VA|49370|0|N
H5652|001|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Signature (HMO-POS)|00025002|43.40|0| | |VA|49530|0|N
H5652|003|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Guardian (HMO-POS I-SNP)|00025002|0.00|0| | |CO|06170|3|N
H5652|003|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Guardian (HMO-POS I-SNP)|00025002|0.00|0| | |KS|17450|3|N
H5652|003|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Guardian (HMO-POS I-SNP)|00025002|0.00|0| | |MA|22040|3|N
H5652|003|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Guardian (HMO-POS I-SNP)|00025002|0.00|0| | |MA|22150|3|N
H5652|003|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Guardian (HMO-POS I-SNP)|00025002|0.00|0| | |MD|21020|3|N
H5652|003|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Guardian (HMO-POS I-SNP)|00025002|0.00|0| | |MD|21150|3|N
H5652|003|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Guardian (HMO-POS I-SNP)|00025002|0.00|0| | |MD|21160|3|N
H5652|003|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Guardian (HMO-POS I-SNP)|00025002|0.00|0| | |MI|23620|3|N
H5652|003|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Guardian (HMO-POS I-SNP)|00025002|0.00|0| | |NC|34590|3|N
H5652|003|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Guardian (HMO-POS I-SNP)|00025002|0.00|0| | |NJ|31290|3|N
H5652|003|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Guardian (HMO-POS I-SNP)|00025002|0.00|0| | |NJ|31300|3|N
H5652|003|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Guardian (HMO-POS I-SNP)|00025002|0.00|0| | |NJ|31370|3|N
H5652|003|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Guardian (HMO-POS I-SNP)|00025002|0.00|0| | |PA|39140|3|N
H5652|003|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Guardian (HMO-POS I-SNP)|00025002|0.00|0| | |PA|39290|3|N
H5652|003|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Guardian (HMO-POS I-SNP)|00025002|0.00|0| | |TX|45310|3|N
H5652|003|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Guardian (HMO-POS I-SNP)|00025002|0.00|0| | |TX|45610|3|N
H5652|003|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Guardian (HMO-POS I-SNP)|00025002|0.00|0| | |VA|49290|3|N
H5652|003|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Guardian (HMO-POS I-SNP)|00025002|0.00|0| | |VA|49530|3|N
H5652|004|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Champion (HMO-POS C-SNP)|00025003|21.80|0| | |CO|06170|1|N
H5652|004|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Champion (HMO-POS C-SNP)|00025003|21.80|0| | |FL|10100|1|N
H5652|004|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Champion (HMO-POS C-SNP)|00025003|21.80|0| | |KS|17450|1|N
H5652|004|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Champion (HMO-POS C-SNP)|00025003|21.80|0| | |MA|22040|1|N
H5652|004|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Champion (HMO-POS C-SNP)|00025003|21.80|0| | |MA|22150|1|N
H5652|004|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Champion (HMO-POS C-SNP)|00025003|21.80|0| | |MD|21020|1|N
H5652|004|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Champion (HMO-POS C-SNP)|00025003|21.80|0| | |MD|21150|1|N
H5652|004|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Champion (HMO-POS C-SNP)|00025003|21.80|0| | |MD|21160|1|N
H5652|004|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Champion (HMO-POS C-SNP)|00025003|21.80|0| | |MI|23620|1|N
H5652|004|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Champion (HMO-POS C-SNP)|00025003|21.80|0| | |NC|34590|1|N
H5652|004|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Champion (HMO-POS C-SNP)|00025003|21.80|0| | |NJ|31290|1|N
H5652|004|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Champion (HMO-POS C-SNP)|00025003|21.80|0| | |NJ|31300|1|N
H5652|004|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Champion (HMO-POS C-SNP)|00025003|21.80|0| | |NJ|31370|1|N
H5652|004|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Champion (HMO-POS C-SNP)|00025003|21.80|0| | |PA|39140|1|N
H5652|004|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Champion (HMO-POS C-SNP)|00025003|21.80|0| | |PA|39290|1|N
H5652|004|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Champion (HMO-POS C-SNP)|00025003|21.80|0| | |TX|45310|1|N
H5652|004|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Champion (HMO-POS C-SNP)|00025003|21.80|0| | |TX|45610|1|N
H5652|004|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Champion (HMO-POS C-SNP)|00025003|21.80|0| | |VA|49290|1|N
H5652|004|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Champion (HMO-POS C-SNP)|00025003|21.80|0| | |VA|49370|1|N
H5652|004|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Champion (HMO-POS C-SNP)|00025003|21.80|0| | |VA|49530|1|N
H5652|006|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Freedom (HMO-POS)|00025002|67.00|100| | |CO|06170|0|N
H5652|006|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Freedom (HMO-POS)|00025002|67.00|100| | |FL|10100|0|N
H5652|006|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Freedom (HMO-POS)|00025002|67.00|100| | |KS|17450|0|N
H5652|006|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Freedom (HMO-POS)|00025002|67.00|100| | |MA|22040|0|N
H5652|006|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Freedom (HMO-POS)|00025002|67.00|100| | |MA|22150|0|N
H5652|006|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Freedom (HMO-POS)|00025002|67.00|100| | |MD|21020|0|N
H5652|006|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Freedom (HMO-POS)|00025002|67.00|100| | |MD|21150|0|N
H5652|006|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Freedom (HMO-POS)|00025002|67.00|100| | |MD|21160|0|N
H5652|006|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Freedom (HMO-POS)|00025002|67.00|100| | |MI|23620|0|N
H5652|006|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Freedom (HMO-POS)|00025002|67.00|100| | |NC|34590|0|N
H5652|006|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Freedom (HMO-POS)|00025002|67.00|100| | |NJ|31290|0|N
H5652|006|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Freedom (HMO-POS)|00025002|67.00|100| | |NJ|31300|0|N
H5652|006|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Freedom (HMO-POS)|00025002|67.00|100| | |NJ|31370|0|N
H5652|006|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Freedom (HMO-POS)|00025002|67.00|100| | |PA|39140|0|N
H5652|006|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Freedom (HMO-POS)|00025002|67.00|100| | |PA|39290|0|N
H5652|006|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Freedom (HMO-POS)|00025002|67.00|100| | |TX|45310|0|N
H5652|006|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Freedom (HMO-POS)|00025002|67.00|100| | |TX|45610|0|N
H5652|006|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Freedom (HMO-POS)|00025002|67.00|100| | |VA|49290|0|N
H5652|006|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Freedom (HMO-POS)|00025002|67.00|100| | |VA|49370|0|N
H5652|006|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Freedom (HMO-POS)|00025002|67.00|100| | |VA|49530|0|N
H5652|008|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Liberty (HMO-POS)|00025002|0.00|200| | |CO|06170|0|N
H5652|008|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Liberty (HMO-POS)|00025002|0.00|200| | |FL|10100|0|N
H5652|008|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Liberty (HMO-POS)|00025002|0.00|200| | |KS|17450|0|N
H5652|008|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Liberty (HMO-POS)|00025002|0.00|200| | |MA|22040|0|N
H5652|008|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Liberty (HMO-POS)|00025002|0.00|200| | |MA|22150|0|N
H5652|008|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Liberty (HMO-POS)|00025002|0.00|200| | |MD|21020|0|N
H5652|008|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Liberty (HMO-POS)|00025002|0.00|200| | |MD|21150|0|N
H5652|008|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Liberty (HMO-POS)|00025002|0.00|200| | |MD|21160|0|N
H5652|008|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Liberty (HMO-POS)|00025002|0.00|200| | |MI|23620|0|N
H5652|008|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Liberty (HMO-POS)|00025002|0.00|200| | |NC|34590|0|N
H5652|008|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Liberty (HMO-POS)|00025002|0.00|200| | |NJ|31290|0|N
H5652|008|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Liberty (HMO-POS)|00025002|0.00|200| | |NJ|31300|0|N
H5652|008|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Liberty (HMO-POS)|00025002|0.00|200| | |NJ|31370|0|N
H5652|008|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Liberty (HMO-POS)|00025002|0.00|200| | |PA|39140|0|N
H5652|008|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Liberty (HMO-POS)|00025002|0.00|200| | |PA|39290|0|N
H5652|008|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Liberty (HMO-POS)|00025002|0.00|200| | |TX|45310|0|N
H5652|008|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Liberty (HMO-POS)|00025002|0.00|200| | |TX|45610|0|N
H5652|008|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Liberty (HMO-POS)|00025002|0.00|200| | |VA|49290|0|N
H5652|008|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Liberty (HMO-POS)|00025002|0.00|200| | |VA|49370|0|N
H5652|008|000|SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.|Erickson Advantage Liberty (HMO-POS)|00025002|0.00|200| | |VA|49530|0|N
H5703|001|000|SOUTH COUNTRY HEALTH ALLIANCE|AbilityCare (HMO D-SNP)|00025406|0.00|590| | |MN|24070|2|N
H5703|001|000|SOUTH COUNTRY HEALTH ALLIANCE|AbilityCare (HMO D-SNP)|00025406|0.00|590| | |MN|24190|2|N
H5703|001|000|SOUTH COUNTRY HEALTH ALLIANCE|AbilityCare (HMO D-SNP)|00025406|0.00|590| | |MN|24240|2|N
H5703|001|000|SOUTH COUNTRY HEALTH ALLIANCE|AbilityCare (HMO D-SNP)|00025406|0.00|590| | |MN|24710|2|N
H5703|001|000|SOUTH COUNTRY HEALTH ALLIANCE|AbilityCare (HMO D-SNP)|00025406|0.00|590| | |MN|24730|2|N
H5703|001|000|SOUTH COUNTRY HEALTH ALLIANCE|AbilityCare (HMO D-SNP)|00025406|0.00|590| | |MN|24780|2|N
H5703|001|000|SOUTH COUNTRY HEALTH ALLIANCE|AbilityCare (HMO D-SNP)|00025406|0.00|590| | |MN|24800|2|N
H5718|001|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18010|0|N
H5718|001|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18020|0|N
H5718|001|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18040|0|N
H5718|001|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18050|0|N
H5718|001|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18060|0|N
H5718|001|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18080|0|N
H5718|001|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18140|0|N
H5718|001|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18150|0|N
H5718|001|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18191|0|N
H5718|001|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18240|0|N
H5718|001|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18250|0|N
H5718|001|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18260|0|N
H5718|001|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18271|0|N
H5718|001|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18291|0|N
H5718|001|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18330|0|N
H5718|001|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18360|0|N
H5718|001|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18470|0|N
H5718|001|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18480|0|N
H5718|001|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18510|0|N
H5718|001|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18550|0|N
H5718|001|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18560|0|N
H5718|001|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18590|0|N
H5718|001|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18600|0|N
H5718|001|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18650|0|N
H5718|001|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18660|0|N
H5718|001|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18700|0|N
H5718|001|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18730|0|N
H5718|001|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18801|0|N
H5718|001|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18802|0|N
H5718|001|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18831|0|N
H5718|001|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18850|0|N
H5718|001|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18860|0|N
H5718|001|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18960|0|N
H5718|001|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18977|0|N
H5718|001|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18978|0|N
H5718|001|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18979|0|N
H5718|001|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18980|0|N
H5718|001|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18982|0|N
H5718|001|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18984|0|N
H5718|001|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18986|0|N
H5718|001|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18988|0|N
H5718|001|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18990|0|N
H5718|001|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18992|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18010|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18020|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18040|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18050|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18060|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18070|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18080|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18110|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18140|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18150|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18180|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18191|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18210|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18240|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18250|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18260|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18271|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18291|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18330|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18340|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18360|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18362|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18400|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18470|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18480|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18510|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18550|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18560|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18580|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18590|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18600|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18650|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18660|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18670|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18700|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18730|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18800|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18801|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18802|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18831|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18850|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18860|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18900|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18930|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18932|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18960|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18973|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18977|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18978|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18979|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18980|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18982|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18984|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18986|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18988|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18990|0|N
H5718|002|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE GIVEBACK Kentucky (PPO)|00025188|0.00|590| | |KY|18992|0|N
H5718|003|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18070|0|N
H5718|003|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18110|0|N
H5718|003|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18180|0|N
H5718|003|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18210|0|N
H5718|003|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18340|0|N
H5718|003|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18362|0|N
H5718|003|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18400|0|N
H5718|003|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18580|0|N
H5718|003|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18670|0|N
H5718|003|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18800|0|N
H5718|003|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18900|0|N
H5718|003|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18930|0|N
H5718|003|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18932|0|N
H5718|003|000|DEVOTED HEALTH INSURANCE COMPANY OF KENTUCKY INC|Devoted CHOICE Kentucky (PPO)|00025188|0.00|590| | |KY|18973|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40010|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40020|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40030|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40040|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40050|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40060|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40070|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40080|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40090|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40100|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40110|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40120|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40130|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40140|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40145|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40150|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40160|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40170|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40180|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40190|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40200|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40210|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40220|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40230|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40240|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40250|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40260|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40265|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40270|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40280|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40290|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40300|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40310|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40320|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40330|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40340|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40350|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40360|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40370|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40380|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40390|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40400|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40410|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40420|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40430|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40440|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40450|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40460|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40470|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40480|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40490|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40500|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40510|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40520|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40530|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40540|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40550|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40560|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40570|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40580|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40590|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40610|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40620|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40630|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40640|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40650|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40660|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40670|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40680|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40690|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40700|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40710|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40720|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40730|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40740|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40750|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40760|0|N
H5774|005|000|TRIPLE S ADVANTAGE, INC.|Real (HMO)|00025412|0.00|0| | |PR|40770|0|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40010|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40020|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40030|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40040|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40050|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40060|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40070|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40080|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40090|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40100|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40110|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40120|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40130|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40140|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40145|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40150|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40160|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40170|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40180|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40190|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40200|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40210|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40220|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40230|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40240|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40250|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40260|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40265|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40270|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40280|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40290|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40300|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40310|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40320|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40330|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40340|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40350|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40360|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40370|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40380|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40390|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40400|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40410|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40420|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40430|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40440|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40450|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40460|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40470|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40480|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40490|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40500|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40510|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40520|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40530|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40540|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40550|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40560|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40570|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40580|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40590|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40610|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40620|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40630|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40640|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40650|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40660|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40670|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40680|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40690|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40700|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40710|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40720|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40730|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40740|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40750|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40760|1|N
H5774|022|000|TRIPLE S ADVANTAGE, INC.|Contigo Plus (HMO C-SNP)|00025412|0.00|0| | |PR|40770|1|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40010|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40020|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40030|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40040|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40050|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40060|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40070|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40080|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40090|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40100|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40110|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40120|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40130|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40140|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40145|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40150|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40160|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40170|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40180|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40190|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40200|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40210|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40220|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40230|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40240|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40250|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40260|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40265|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40270|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40280|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40290|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40300|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40310|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40320|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40330|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40340|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40350|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40360|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40370|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40380|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40390|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40400|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40410|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40420|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40430|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40440|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40450|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40460|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40470|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40480|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40490|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40500|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40510|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40520|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40530|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40540|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40550|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40560|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40570|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40580|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40590|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40610|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40620|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40630|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40640|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40650|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40660|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40670|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40680|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40690|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40700|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40710|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40720|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40730|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40740|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40750|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40760|0|N
H5774|027|000|TRIPLE S ADVANTAGE, INC.|Magno (HMO-POS)|00025412|0.00|0| | |PR|40770|0|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40010|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40020|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40030|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40040|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40050|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40060|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40070|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40080|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40090|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40100|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40110|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40120|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40130|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40140|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40145|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40150|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40160|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40170|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40180|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40190|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40200|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40210|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40220|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40230|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40240|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40250|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40260|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40265|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40270|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40280|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40290|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40300|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40310|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40320|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40330|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40340|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40350|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40360|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40370|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40380|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40390|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40400|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40410|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40420|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40430|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40440|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40450|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40460|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40470|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40480|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40490|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40500|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40510|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40520|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40530|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40540|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40550|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40560|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40570|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40580|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40590|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40610|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40620|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40630|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40640|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40650|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40660|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40670|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40680|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40690|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40700|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40710|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40720|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40730|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40740|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40750|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40760|2|N
H5774|028|000|TRIPLE S ADVANTAGE, INC.|Platino Blindao (HMO D-SNP)|00025413|0.00|590| | |PR|40770|2|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40010|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40020|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40030|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40040|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40050|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40060|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40070|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40080|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40090|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40100|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40110|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40120|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40130|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40140|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40145|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40150|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40160|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40170|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40180|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40190|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40200|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40210|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40220|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40230|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40240|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40250|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40260|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40265|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40270|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40280|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40290|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40300|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40310|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40320|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40330|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40340|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40350|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40360|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40370|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40380|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40390|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40400|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40410|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40420|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40430|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40440|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40450|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40460|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40470|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40480|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40490|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40500|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40510|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40520|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40530|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40540|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40550|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40560|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40570|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40580|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40590|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40610|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40620|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40630|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40640|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40650|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40660|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40670|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40680|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40690|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40700|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40710|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40720|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40730|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40740|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40750|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40760|0|N
H5774|031|000|TRIPLE S ADVANTAGE, INC.|Brillante (HMO-POS)|00025412|0.00|0| | |PR|40770|0|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40010|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40020|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40030|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40040|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40050|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40060|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40070|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40080|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40090|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40100|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40110|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40120|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40130|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40140|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40145|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40150|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40160|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40170|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40180|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40190|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40200|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40210|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40220|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40230|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40240|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40250|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40260|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40265|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40270|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40280|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40290|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40300|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40310|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40320|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40330|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40340|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40350|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40360|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40370|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40380|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40390|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40400|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40410|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40420|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40430|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40440|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40450|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40460|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40470|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40480|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40490|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40500|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40510|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40520|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40530|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40540|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40550|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40560|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40570|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40580|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40590|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40610|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40620|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40630|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40640|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40650|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40660|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40670|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40680|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40690|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40700|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40710|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40720|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40730|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40740|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40750|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40760|2|N
H5774|035|000|TRIPLE S ADVANTAGE, INC.|Platino Enlace (HMO D-SNP)|00025413|0.00|590| | |PR|40770|2|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40010|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40020|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40030|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40040|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40050|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40060|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40070|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40080|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40090|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40100|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40110|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40120|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40130|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40140|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40145|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40150|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40160|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40170|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40180|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40190|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40200|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40210|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40220|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40230|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40240|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40250|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40260|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40265|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40270|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40280|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40290|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40300|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40310|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40320|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40330|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40340|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40350|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40360|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40370|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40380|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40390|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40400|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40410|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40420|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40430|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40440|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40450|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40460|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40470|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40480|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40490|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40500|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40510|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40520|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40530|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40540|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40550|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40560|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40570|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40580|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40590|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40610|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40620|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40630|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40640|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40650|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40660|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40670|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40680|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40690|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40700|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40710|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40720|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40730|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40740|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40750|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40760|0|N
H5774|038|000|TRIPLE S ADVANTAGE, INC.|Enlace Plus (HMO)|00025412|0.00|0| | |PR|40770|0|N
H5774|041|001|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40010|2|N
H5774|041|001|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40030|2|N
H5774|041|001|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40050|2|N
H5774|041|001|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40070|2|N
H5774|041|001|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40140|2|N
H5774|041|001|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40210|2|N
H5774|041|001|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40290|2|N
H5774|041|001|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40320|2|N
H5774|041|001|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40350|2|N
H5774|041|001|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40360|2|N
H5774|041|001|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40370|2|N
H5774|041|001|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40400|2|N
H5774|041|001|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40490|2|N
H5774|041|001|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40550|2|N
H5774|041|001|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40560|2|N
H5774|041|001|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40570|2|N
H5774|041|001|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40620|2|N
H5774|041|001|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40660|2|N
H5774|041|001|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40670|2|N
H5774|041|001|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40710|2|N
H5774|041|001|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40750|2|N
H5774|041|002|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40090|2|N
H5774|041|002|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40190|2|N
H5774|041|002|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40230|2|N
H5774|041|002|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40250|2|N
H5774|041|002|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40265|2|N
H5774|041|002|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40450|2|N
H5774|041|002|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40500|2|N
H5774|041|002|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40530|2|N
H5774|041|002|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40720|2|N
H5774|041|002|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40730|2|N
H5774|041|003|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40020|2|N
H5774|041|003|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40060|2|N
H5774|041|003|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40120|2|N
H5774|041|003|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40270|2|N
H5774|041|003|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40330|2|N
H5774|041|003|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40390|2|N
H5774|041|003|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40410|2|N
H5774|041|003|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40460|2|N
H5774|041|003|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40480|2|N
H5774|041|003|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40580|2|N
H5774|041|003|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40610|2|N
H5774|041|003|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40630|2|N
H5774|041|003|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40770|2|N
H5774|041|004|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40100|2|N
H5774|041|004|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40110|2|N
H5774|041|004|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40150|2|N
H5774|041|004|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40160|2|N
H5774|041|004|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40220|2|N
H5774|041|004|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40300|2|N
H5774|041|004|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40520|2|N
H5774|041|004|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40640|2|N
H5774|041|004|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40680|2|N
H5774|041|004|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40690|2|N
H5774|041|004|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40700|2|N
H5774|041|005|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40040|2|N
H5774|041|005|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40080|2|N
H5774|041|005|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40130|2|N
H5774|041|005|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40145|2|N
H5774|041|005|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40170|2|N
H5774|041|005|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40180|2|N
H5774|041|005|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40200|2|N
H5774|041|005|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40240|2|N
H5774|041|005|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40260|2|N
H5774|041|005|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40280|2|N
H5774|041|005|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40310|2|N
H5774|041|005|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40340|2|N
H5774|041|005|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40380|2|N
H5774|041|005|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40420|2|N
H5774|041|005|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40430|2|N
H5774|041|005|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40440|2|N
H5774|041|005|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40470|2|N
H5774|041|005|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40510|2|N
H5774|041|005|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40540|2|N
H5774|041|005|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40590|2|N
H5774|041|005|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40650|2|N
H5774|041|005|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40740|2|N
H5774|041|005|TRIPLE S ADVANTAGE, INC.|PLATINO ADVANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40760|2|N
H5774|042|001|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40010|2|N
H5774|042|001|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40030|2|N
H5774|042|001|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40050|2|N
H5774|042|001|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40070|2|N
H5774|042|001|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40140|2|N
H5774|042|001|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40210|2|N
H5774|042|001|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40290|2|N
H5774|042|001|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40320|2|N
H5774|042|001|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40350|2|N
H5774|042|001|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40360|2|N
H5774|042|001|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40370|2|N
H5774|042|001|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40400|2|N
H5774|042|001|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40490|2|N
H5774|042|001|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40550|2|N
H5774|042|001|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40560|2|N
H5774|042|001|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40570|2|N
H5774|042|001|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40620|2|N
H5774|042|001|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40660|2|N
H5774|042|001|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40670|2|N
H5774|042|001|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40710|2|N
H5774|042|001|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40750|2|N
H5774|042|002|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40090|2|N
H5774|042|002|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40190|2|N
H5774|042|002|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40230|2|N
H5774|042|002|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40250|2|N
H5774|042|002|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40265|2|N
H5774|042|002|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40450|2|N
H5774|042|002|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40500|2|N
H5774|042|002|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40530|2|N
H5774|042|002|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40720|2|N
H5774|042|002|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40730|2|N
H5774|042|003|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40020|2|N
H5774|042|003|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40060|2|N
H5774|042|003|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40120|2|N
H5774|042|003|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40270|2|N
H5774|042|003|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40330|2|N
H5774|042|003|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40390|2|N
H5774|042|003|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40410|2|N
H5774|042|003|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40460|2|N
H5774|042|003|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40480|2|N
H5774|042|003|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40580|2|N
H5774|042|003|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40610|2|N
H5774|042|003|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40630|2|N
H5774|042|003|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40770|2|N
H5774|042|004|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40100|2|N
H5774|042|004|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40110|2|N
H5774|042|004|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40150|2|N
H5774|042|004|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40160|2|N
H5774|042|004|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40220|2|N
H5774|042|004|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40300|2|N
H5774|042|004|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40520|2|N
H5774|042|004|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40640|2|N
H5774|042|004|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40680|2|N
H5774|042|004|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40690|2|N
H5774|042|004|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40700|2|N
H5774|042|005|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40040|2|N
H5774|042|005|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40080|2|N
H5774|042|005|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40130|2|N
H5774|042|005|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40145|2|N
H5774|042|005|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40170|2|N
H5774|042|005|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40180|2|N
H5774|042|005|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40200|2|N
H5774|042|005|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40240|2|N
H5774|042|005|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40260|2|N
H5774|042|005|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40280|2|N
H5774|042|005|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40310|2|N
H5774|042|005|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40340|2|N
H5774|042|005|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40380|2|N
H5774|042|005|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40420|2|N
H5774|042|005|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40430|2|N
H5774|042|005|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40440|2|N
H5774|042|005|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40470|2|N
H5774|042|005|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40510|2|N
H5774|042|005|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40540|2|N
H5774|042|005|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40590|2|N
H5774|042|005|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40650|2|N
H5774|042|005|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40740|2|N
H5774|042|005|TRIPLE S ADVANTAGE, INC.|PLATINO ALCANCE (HMO D-SNP)|00025413|0.00|590| | |PR|40760|2|N
H5774|043|001|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40010|2|N
H5774|043|001|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40030|2|N
H5774|043|001|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40050|2|N
H5774|043|001|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40070|2|N
H5774|043|001|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40140|2|N
H5774|043|001|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40210|2|N
H5774|043|001|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40290|2|N
H5774|043|001|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40320|2|N
H5774|043|001|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40350|2|N
H5774|043|001|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40360|2|N
H5774|043|001|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40370|2|N
H5774|043|001|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40400|2|N
H5774|043|001|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40490|2|N
H5774|043|001|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40550|2|N
H5774|043|001|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40560|2|N
H5774|043|001|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40570|2|N
H5774|043|001|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40620|2|N
H5774|043|001|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40660|2|N
H5774|043|001|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40670|2|N
H5774|043|001|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40710|2|N
H5774|043|001|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40750|2|N
H5774|043|002|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40090|2|N
H5774|043|002|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40190|2|N
H5774|043|002|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40230|2|N
H5774|043|002|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40250|2|N
H5774|043|002|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40265|2|N
H5774|043|002|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40450|2|N
H5774|043|002|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40500|2|N
H5774|043|002|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40530|2|N
H5774|043|002|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40720|2|N
H5774|043|002|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40730|2|N
H5774|043|003|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40020|2|N
H5774|043|003|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40060|2|N
H5774|043|003|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40120|2|N
H5774|043|003|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40270|2|N
H5774|043|003|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40330|2|N
H5774|043|003|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40390|2|N
H5774|043|003|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40410|2|N
H5774|043|003|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40460|2|N
H5774|043|003|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40480|2|N
H5774|043|003|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40580|2|N
H5774|043|003|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40610|2|N
H5774|043|003|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40630|2|N
H5774|043|003|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40770|2|N
H5774|043|004|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40100|2|N
H5774|043|004|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40110|2|N
H5774|043|004|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40150|2|N
H5774|043|004|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40160|2|N
H5774|043|004|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40220|2|N
H5774|043|004|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40300|2|N
H5774|043|004|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40520|2|N
H5774|043|004|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40640|2|N
H5774|043|004|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40680|2|N
H5774|043|004|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40690|2|N
H5774|043|004|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40700|2|N
H5774|043|005|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40040|2|N
H5774|043|005|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40080|2|N
H5774|043|005|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40130|2|N
H5774|043|005|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40145|2|N
H5774|043|005|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40170|2|N
H5774|043|005|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40180|2|N
H5774|043|005|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40200|2|N
H5774|043|005|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40240|2|N
H5774|043|005|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40260|2|N
H5774|043|005|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40280|2|N
H5774|043|005|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40310|2|N
H5774|043|005|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40340|2|N
H5774|043|005|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40380|2|N
H5774|043|005|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40420|2|N
H5774|043|005|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40430|2|N
H5774|043|005|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40440|2|N
H5774|043|005|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40470|2|N
H5774|043|005|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40510|2|N
H5774|043|005|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40540|2|N
H5774|043|005|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40590|2|N
H5774|043|005|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40650|2|N
H5774|043|005|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40740|2|N
H5774|043|005|TRIPLE S ADVANTAGE, INC.|PLATINO PLUS (HMO D-SNP)|00025413|0.00|590| | |PR|40760|2|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14000|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14020|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14030|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14040|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14050|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14060|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14070|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14080|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14090|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14100|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14110|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14120|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14130|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14140|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14141|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14150|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14160|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14170|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14180|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14190|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14250|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14310|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14320|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14330|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14340|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14350|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14360|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14370|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14380|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14390|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14400|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14410|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14420|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14421|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14440|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14450|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14460|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14470|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14480|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14490|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14500|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14520|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14530|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14540|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14550|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14560|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14580|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14600|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14610|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14620|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14630|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14640|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14650|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14660|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14670|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14680|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14690|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14700|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14710|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14730|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14740|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14750|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14760|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14770|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14780|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14790|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14800|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14810|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14820|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14830|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14831|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14850|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14860|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14870|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14880|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14890|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14900|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14910|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14920|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14921|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14940|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14950|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14960|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14970|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14980|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14981|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14982|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14984|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14985|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14986|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14987|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14988|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14989|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14991|0|N
H5779|002|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential (HMO)|00025084|0.00|420| | |IL|14992|0|N
H5779|007|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Exclusive (HMO)|00025076|0.00|420| | |IL|14141|0|N
H5779|007|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Exclusive (HMO)|00025076|0.00|420| | |IL|14530|0|N
H5779|007|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Exclusive (HMO)|00025076|0.00|420| | |IL|14989|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14000|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14020|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14030|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14040|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14050|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14060|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14070|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14080|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14090|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14100|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14110|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14120|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14130|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14140|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14141|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14150|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14160|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14170|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14180|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14190|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14250|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14310|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14320|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14330|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14340|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14350|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14360|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14370|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14380|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14390|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14400|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14410|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14420|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14421|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14440|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14450|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14460|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14470|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14480|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14490|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14500|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14520|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14530|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14540|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14550|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14560|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14580|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14600|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14610|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14620|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14630|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14640|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14650|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14660|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14670|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14680|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14690|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14700|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14710|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14730|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14740|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14750|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14760|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14770|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14780|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14790|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14800|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14810|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14820|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14830|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14831|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14850|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14860|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14870|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14880|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14890|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14900|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14910|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14920|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14921|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14940|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14950|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14960|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14970|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14980|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14981|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14982|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14984|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14985|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14986|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14987|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14988|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14989|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14991|0|N
H5779|009|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Wellcare Simple Essential Value (HMO)|00025084|0.00|420| | |IL|14992|0|N
H5793|001|000|AETNA HEALTH INC. (CT)|Aetna Medicare Value (HMO-POS)|00025101|19.00|590| | |CT|07000|0|N
H5793|001|000|AETNA HEALTH INC. (CT)|Aetna Medicare Value (HMO-POS)|00025101|19.00|590| | |CT|07010|0|N
H5793|001|000|AETNA HEALTH INC. (CT)|Aetna Medicare Value (HMO-POS)|00025101|19.00|590| | |CT|07020|0|N
H5793|001|000|AETNA HEALTH INC. (CT)|Aetna Medicare Value (HMO-POS)|00025101|19.00|590| | |CT|07030|0|N
H5793|001|000|AETNA HEALTH INC. (CT)|Aetna Medicare Value (HMO-POS)|00025101|19.00|590| | |CT|07040|0|N
H5793|001|000|AETNA HEALTH INC. (CT)|Aetna Medicare Value (HMO-POS)|00025101|19.00|590| | |CT|07050|0|N
H5793|001|000|AETNA HEALTH INC. (CT)|Aetna Medicare Value (HMO-POS)|00025101|19.00|590| | |CT|07060|0|N
H5793|001|000|AETNA HEALTH INC. (CT)|Aetna Medicare Value (HMO-POS)|00025101|19.00|590| | |CT|07070|0|N
H5793|010|000|AETNA HEALTH INC. (CT)|Aetna Medicare Elite (HMO-POS)|00025101|0.00|450| | |CT|07000|0|N
H5793|010|000|AETNA HEALTH INC. (CT)|Aetna Medicare Elite (HMO-POS)|00025101|0.00|450| | |CT|07010|0|N
H5793|010|000|AETNA HEALTH INC. (CT)|Aetna Medicare Elite (HMO-POS)|00025101|0.00|450| | |CT|07020|0|N
H5793|010|000|AETNA HEALTH INC. (CT)|Aetna Medicare Elite (HMO-POS)|00025101|0.00|450| | |CT|07030|0|N
H5793|010|000|AETNA HEALTH INC. (CT)|Aetna Medicare Elite (HMO-POS)|00025101|0.00|450| | |CT|07040|0|N
H5793|010|000|AETNA HEALTH INC. (CT)|Aetna Medicare Elite (HMO-POS)|00025101|0.00|450| | |CT|07050|0|N
H5793|010|000|AETNA HEALTH INC. (CT)|Aetna Medicare Elite (HMO-POS)|00025101|0.00|450| | |CT|07060|0|N
H5793|010|000|AETNA HEALTH INC. (CT)|Aetna Medicare Elite (HMO-POS)|00025101|0.00|450| | |CT|07070|0|N
H5793|014|000|AETNA HEALTH INC. (CT)|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |MA|22070|0|N
H5793|014|000|AETNA HEALTH INC. (CT)|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |MA|22080|0|N
H5793|014|000|AETNA HEALTH INC. (CT)|Aetna Medicare Value (HMO-POS)|00025101|0.00|590| | |MA|22170|0|N
H5793|015|000|AETNA HEALTH INC. (CT)|Aetna Medicare Elite (HMO-POS)|00025101|0.00|250| | |NH|30050|0|N
H5793|015|000|AETNA HEALTH INC. (CT)|Aetna Medicare Elite (HMO-POS)|00025101|0.00|250| | |NH|30070|0|N
H5793|017|000|AETNA HEALTH INC. (CT)|Aetna Medicare Assure Plus (HMO-POS D-SNP)|00025101|0.00|590| | |CT|07000|2|N
H5793|017|000|AETNA HEALTH INC. (CT)|Aetna Medicare Assure Plus (HMO-POS D-SNP)|00025101|0.00|590| | |CT|07010|2|N
H5793|017|000|AETNA HEALTH INC. (CT)|Aetna Medicare Assure Plus (HMO-POS D-SNP)|00025101|0.00|590| | |CT|07020|2|N
H5793|017|000|AETNA HEALTH INC. (CT)|Aetna Medicare Assure Plus (HMO-POS D-SNP)|00025101|0.00|590| | |CT|07030|2|N
H5793|017|000|AETNA HEALTH INC. (CT)|Aetna Medicare Assure Plus (HMO-POS D-SNP)|00025101|0.00|590| | |CT|07040|2|N
H5793|017|000|AETNA HEALTH INC. (CT)|Aetna Medicare Assure Plus (HMO-POS D-SNP)|00025101|0.00|590| | |CT|07050|2|N
H5793|017|000|AETNA HEALTH INC. (CT)|Aetna Medicare Assure Plus (HMO-POS D-SNP)|00025101|0.00|590| | |CT|07060|2|N
H5793|017|000|AETNA HEALTH INC. (CT)|Aetna Medicare Assure Plus (HMO-POS D-SNP)|00025101|0.00|590| | |CT|07070|2|N
H5793|018|000|AETNA HEALTH INC. (CT)|Aetna Medicare Value (HMO-POS)|00025101|0.00|450| | |MA|22020|0|N
H5793|018|000|AETNA HEALTH INC. (CT)|Aetna Medicare Value (HMO-POS)|00025101|0.00|450| | |MA|22040|0|N
H5793|018|000|AETNA HEALTH INC. (CT)|Aetna Medicare Value (HMO-POS)|00025101|0.00|450| | |MA|22090|0|N
H5793|018|000|AETNA HEALTH INC. (CT)|Aetna Medicare Value (HMO-POS)|00025101|0.00|450| | |MA|22130|0|N
H5793|018|000|AETNA HEALTH INC. (CT)|Aetna Medicare Value (HMO-POS)|00025101|0.00|450| | |MA|22150|0|N
H5793|018|000|AETNA HEALTH INC. (CT)|Aetna Medicare Value (HMO-POS)|00025101|0.00|450| | |MA|22160|0|N
H5793|019|000|AETNA HEALTH INC. (CT)|Aetna Medicare Prime (HMO-POS)|00025101|0.00|0| | |RI|41010|0|N
H5793|019|000|AETNA HEALTH INC. (CT)|Aetna Medicare Prime (HMO-POS)|00025101|0.00|0| | |RI|41030|0|N
H5793|020|000|AETNA HEALTH INC. (CT)|Aetna Medicare Assure (HMO-POS D-SNP)|00025101|0.00|590| | |CT|07000|2|N
H5793|020|000|AETNA HEALTH INC. (CT)|Aetna Medicare Assure (HMO-POS D-SNP)|00025101|0.00|590| | |CT|07010|2|N
H5793|020|000|AETNA HEALTH INC. (CT)|Aetna Medicare Assure (HMO-POS D-SNP)|00025101|0.00|590| | |CT|07020|2|N
H5793|020|000|AETNA HEALTH INC. (CT)|Aetna Medicare Assure (HMO-POS D-SNP)|00025101|0.00|590| | |CT|07030|2|N
H5793|020|000|AETNA HEALTH INC. (CT)|Aetna Medicare Assure (HMO-POS D-SNP)|00025101|0.00|590| | |CT|07040|2|N
H5793|020|000|AETNA HEALTH INC. (CT)|Aetna Medicare Assure (HMO-POS D-SNP)|00025101|0.00|590| | |CT|07050|2|N
H5793|020|000|AETNA HEALTH INC. (CT)|Aetna Medicare Assure (HMO-POS D-SNP)|00025101|0.00|590| | |CT|07060|2|N
H5793|020|000|AETNA HEALTH INC. (CT)|Aetna Medicare Assure (HMO-POS D-SNP)|00025101|0.00|590| | |CT|07070|2|N
H5810|014|000|MOLINA HEALTHCARE OF CALIFORNIA|Molina Medicare Choice Care (HMO)|00025349|0.00|0| | |CA|05120|0|N
H5810|014|000|MOLINA HEALTHCARE OF CALIFORNIA|Molina Medicare Choice Care (HMO)|00025349|0.00|0| | |CA|05200|0|N
H5810|014|000|MOLINA HEALTHCARE OF CALIFORNIA|Molina Medicare Choice Care (HMO)|00025349|0.00|0| | |CA|05210|0|N
H5810|014|000|MOLINA HEALTHCARE OF CALIFORNIA|Molina Medicare Choice Care (HMO)|00025349|0.00|0| | |CA|05430|0|N
H5810|014|000|MOLINA HEALTHCARE OF CALIFORNIA|Molina Medicare Choice Care (HMO)|00025349|0.00|0| | |CA|05460|0|N
H5810|014|000|MOLINA HEALTHCARE OF CALIFORNIA|Molina Medicare Choice Care (HMO)|00025349|0.00|0| | |CA|05470|0|N
H5823|006|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |WA|50000|2|N
H5823|006|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |WA|50010|2|N
H5823|006|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |WA|50020|2|N
H5823|006|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |WA|50030|2|N
H5823|006|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |WA|50040|2|N
H5823|006|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |WA|50050|2|N
H5823|006|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |WA|50060|2|N
H5823|006|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |WA|50070|2|N
H5823|006|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |WA|50080|2|N
H5823|006|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |WA|50090|2|N
H5823|006|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |WA|50100|2|N
H5823|006|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |WA|50110|2|N
H5823|006|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |WA|50120|2|N
H5823|006|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |WA|50130|2|N
H5823|006|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |WA|50140|2|N
H5823|006|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |WA|50150|2|N
H5823|006|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |WA|50160|2|N
H5823|006|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |WA|50170|2|N
H5823|006|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |WA|50180|2|N
H5823|006|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |WA|50190|2|N
H5823|006|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |WA|50200|2|N
H5823|006|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |WA|50210|2|N
H5823|006|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |WA|50220|2|N
H5823|006|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |WA|50230|2|N
H5823|006|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |WA|50240|2|N
H5823|006|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |WA|50250|2|N
H5823|006|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |WA|50260|2|N
H5823|006|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |WA|50270|2|N
H5823|006|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |WA|50280|2|N
H5823|006|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |WA|50290|2|N
H5823|006|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |WA|50300|2|N
H5823|006|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |WA|50310|2|N
H5823|006|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |WA|50320|2|N
H5823|006|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |WA|50330|2|N
H5823|006|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |WA|50340|2|N
H5823|006|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |WA|50350|2|N
H5823|006|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |WA|50360|2|N
H5823|006|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |WA|50370|2|N
H5823|006|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |WA|50380|2|N
H5823|010|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|4.40|590| | |WA|50000|2|N
H5823|010|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|4.40|590| | |WA|50010|2|N
H5823|010|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|4.40|590| | |WA|50020|2|N
H5823|010|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|4.40|590| | |WA|50030|2|N
H5823|010|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|4.40|590| | |WA|50040|2|N
H5823|010|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|4.40|590| | |WA|50050|2|N
H5823|010|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|4.40|590| | |WA|50060|2|N
H5823|010|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|4.40|590| | |WA|50070|2|N
H5823|010|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|4.40|590| | |WA|50080|2|N
H5823|010|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|4.40|590| | |WA|50090|2|N
H5823|010|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|4.40|590| | |WA|50100|2|N
H5823|010|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|4.40|590| | |WA|50110|2|N
H5823|010|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|4.40|590| | |WA|50120|2|N
H5823|010|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|4.40|590| | |WA|50130|2|N
H5823|010|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|4.40|590| | |WA|50140|2|N
H5823|010|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|4.40|590| | |WA|50150|2|N
H5823|010|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|4.40|590| | |WA|50160|2|N
H5823|010|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|4.40|590| | |WA|50170|2|N
H5823|010|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|4.40|590| | |WA|50180|2|N
H5823|010|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|4.40|590| | |WA|50190|2|N
H5823|010|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|4.40|590| | |WA|50200|2|N
H5823|010|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|4.40|590| | |WA|50210|2|N
H5823|010|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|4.40|590| | |WA|50220|2|N
H5823|010|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|4.40|590| | |WA|50230|2|N
H5823|010|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|4.40|590| | |WA|50240|2|N
H5823|010|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|4.40|590| | |WA|50250|2|N
H5823|010|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|4.40|590| | |WA|50260|2|N
H5823|010|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|4.40|590| | |WA|50270|2|N
H5823|010|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|4.40|590| | |WA|50280|2|N
H5823|010|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|4.40|590| | |WA|50290|2|N
H5823|010|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|4.40|590| | |WA|50300|2|N
H5823|010|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|4.40|590| | |WA|50310|2|N
H5823|010|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|4.40|590| | |WA|50320|2|N
H5823|010|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|4.40|590| | |WA|50330|2|N
H5823|010|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|4.40|590| | |WA|50340|2|N
H5823|010|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|4.40|590| | |WA|50350|2|N
H5823|010|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|4.40|590| | |WA|50360|2|N
H5823|010|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|4.40|590| | |WA|50370|2|N
H5823|010|000|MOLINA HEALTHCARE OF WASHINGTON, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025316|4.40|590| | |WA|50380|2|N
H5826|009|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA MA Plan 4 (HMO)|00025144|28.00|0| | |WA|50000|0|N
H5826|009|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA MA Plan 4 (HMO)|00025144|28.00|0| | |WA|50030|0|N
H5826|009|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA MA Plan 4 (HMO)|00025144|28.00|0| | |WA|50050|0|N
H5826|009|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA MA Plan 4 (HMO)|00025144|28.00|0| | |WA|50070|0|N
H5826|009|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA MA Plan 4 (HMO)|00025144|28.00|0| | |WA|50080|0|N
H5826|009|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA MA Plan 4 (HMO)|00025144|28.00|0| | |WA|50120|0|N
H5826|009|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA MA Plan 4 (HMO)|00025144|28.00|0| | |WA|50160|0|N
H5826|009|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA MA Plan 4 (HMO)|00025144|28.00|0| | |WA|50170|0|N
H5826|009|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA MA Plan 4 (HMO)|00025144|28.00|0| | |WA|50200|0|N
H5826|009|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA MA Plan 4 (HMO)|00025144|28.00|0| | |WA|50230|0|N
H5826|009|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA MA Plan 4 (HMO)|00025144|28.00|0| | |WA|50260|0|N
H5826|009|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA MA Plan 4 (HMO)|00025144|28.00|0| | |WA|50280|0|N
H5826|009|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA MA Plan 4 (HMO)|00025144|28.00|0| | |WA|50300|0|N
H5826|009|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA MA Plan 4 (HMO)|00025144|28.00|0| | |WA|50310|0|N
H5826|009|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA MA Plan 4 (HMO)|00025144|28.00|0| | |WA|50330|0|N
H5826|009|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA MA Plan 4 (HMO)|00025144|28.00|0| | |WA|50350|0|N
H5826|009|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA MA Plan 4 (HMO)|00025144|28.00|0| | |WA|50360|0|N
H5826|009|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA MA Plan 4 (HMO)|00025144|28.00|0| | |WA|50380|0|N
H5826|010|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA MA Plan 2 (HMO)|00025144|23.10|0| | |WA|50000|0|N
H5826|010|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA MA Plan 2 (HMO)|00025144|23.10|0| | |WA|50020|0|N
H5826|010|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA MA Plan 2 (HMO)|00025144|23.10|0| | |WA|50030|0|N
H5826|010|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA MA Plan 2 (HMO)|00025144|23.10|0| | |WA|50040|0|N
H5826|010|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA MA Plan 2 (HMO)|00025144|23.10|0| | |WA|50050|0|N
H5826|010|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA MA Plan 2 (HMO)|00025144|23.10|0| | |WA|50070|0|N
H5826|010|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA MA Plan 2 (HMO)|00025144|23.10|0| | |WA|50080|0|N
H5826|010|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA MA Plan 2 (HMO)|00025144|23.10|0| | |WA|50100|0|N
H5826|010|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA MA Plan 2 (HMO)|00025144|23.10|0| | |WA|50120|0|N
H5826|010|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA MA Plan 2 (HMO)|00025144|23.10|0| | |WA|50150|0|N
H5826|010|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA MA Plan 2 (HMO)|00025144|23.10|0| | |WA|50160|0|N
H5826|010|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA MA Plan 2 (HMO)|00025144|23.10|0| | |WA|50170|0|N
H5826|010|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA MA Plan 2 (HMO)|00025144|23.10|0| | |WA|50260|0|N
H5826|010|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA MA Plan 2 (HMO)|00025144|23.10|0| | |WA|50280|0|N
H5826|010|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA MA Plan 2 (HMO)|00025144|23.10|0| | |WA|50300|0|N
H5826|010|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA MA Plan 2 (HMO)|00025144|23.10|0| | |WA|50310|0|N
H5826|010|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA MA Plan 2 (HMO)|00025144|23.10|0| | |WA|50320|0|N
H5826|010|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA MA Plan 2 (HMO)|00025144|23.10|0| | |WA|50330|0|N
H5826|010|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA MA Plan 2 (HMO)|00025144|23.10|0| | |WA|50350|0|N
H5826|010|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA MA Plan 2 (HMO)|00025144|23.10|0| | |WA|50360|0|N
H5826|010|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA MA Plan 2 (HMO)|00025144|23.10|0| | |WA|50380|0|N
H5826|014|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Complete (HMO D-SNP)|00025141|0.00|590| | |WA|50000|2|N
H5826|014|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Complete (HMO D-SNP)|00025141|0.00|590| | |WA|50010|2|N
H5826|014|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Complete (HMO D-SNP)|00025141|0.00|590| | |WA|50020|2|N
H5826|014|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Complete (HMO D-SNP)|00025141|0.00|590| | |WA|50030|2|N
H5826|014|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Complete (HMO D-SNP)|00025141|0.00|590| | |WA|50040|2|N
H5826|014|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Complete (HMO D-SNP)|00025141|0.00|590| | |WA|50050|2|N
H5826|014|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Complete (HMO D-SNP)|00025141|0.00|590| | |WA|50060|2|N
H5826|014|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Complete (HMO D-SNP)|00025141|0.00|590| | |WA|50070|2|N
H5826|014|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Complete (HMO D-SNP)|00025141|0.00|590| | |WA|50080|2|N
H5826|014|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Complete (HMO D-SNP)|00025141|0.00|590| | |WA|50090|2|N
H5826|014|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Complete (HMO D-SNP)|00025141|0.00|590| | |WA|50100|2|N
H5826|014|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Complete (HMO D-SNP)|00025141|0.00|590| | |WA|50110|2|N
H5826|014|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Complete (HMO D-SNP)|00025141|0.00|590| | |WA|50120|2|N
H5826|014|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Complete (HMO D-SNP)|00025141|0.00|590| | |WA|50130|2|N
H5826|014|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Complete (HMO D-SNP)|00025141|0.00|590| | |WA|50140|2|N
H5826|014|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Complete (HMO D-SNP)|00025141|0.00|590| | |WA|50150|2|N
H5826|014|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Complete (HMO D-SNP)|00025141|0.00|590| | |WA|50160|2|N
H5826|014|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Complete (HMO D-SNP)|00025141|0.00|590| | |WA|50170|2|N
H5826|014|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Complete (HMO D-SNP)|00025141|0.00|590| | |WA|50180|2|N
H5826|014|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Complete (HMO D-SNP)|00025141|0.00|590| | |WA|50190|2|N
H5826|014|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Complete (HMO D-SNP)|00025141|0.00|590| | |WA|50200|2|N
H5826|014|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Complete (HMO D-SNP)|00025141|0.00|590| | |WA|50210|2|N
H5826|014|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Complete (HMO D-SNP)|00025141|0.00|590| | |WA|50220|2|N
H5826|014|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Complete (HMO D-SNP)|00025141|0.00|590| | |WA|50230|2|N
H5826|014|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Complete (HMO D-SNP)|00025141|0.00|590| | |WA|50240|2|N
H5826|014|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Complete (HMO D-SNP)|00025141|0.00|590| | |WA|50250|2|N
H5826|014|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Complete (HMO D-SNP)|00025141|0.00|590| | |WA|50260|2|N
H5826|014|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Complete (HMO D-SNP)|00025141|0.00|590| | |WA|50270|2|N
H5826|014|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Complete (HMO D-SNP)|00025141|0.00|590| | |WA|50280|2|N
H5826|014|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Complete (HMO D-SNP)|00025141|0.00|590| | |WA|50290|2|N
H5826|014|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Complete (HMO D-SNP)|00025141|0.00|590| | |WA|50300|2|N
H5826|014|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Complete (HMO D-SNP)|00025141|0.00|590| | |WA|50310|2|N
H5826|014|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Complete (HMO D-SNP)|00025141|0.00|590| | |WA|50320|2|N
H5826|014|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Complete (HMO D-SNP)|00025141|0.00|590| | |WA|50330|2|N
H5826|014|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Complete (HMO D-SNP)|00025141|0.00|590| | |WA|50340|2|N
H5826|014|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Complete (HMO D-SNP)|00025141|0.00|590| | |WA|50350|2|N
H5826|014|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Complete (HMO D-SNP)|00025141|0.00|590| | |WA|50360|2|N
H5826|014|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Complete (HMO D-SNP)|00025141|0.00|590| | |WA|50370|2|N
H5826|014|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Complete (HMO D-SNP)|00025141|0.00|590| | |WA|50380|2|N
H5826|017|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Select (HMO D-SNP)|00025141|0.00|590| | |WA|50000|2|N
H5826|017|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Select (HMO D-SNP)|00025141|0.00|590| | |WA|50020|2|N
H5826|017|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Select (HMO D-SNP)|00025141|0.00|590| | |WA|50030|2|N
H5826|017|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Select (HMO D-SNP)|00025141|0.00|590| | |WA|50040|2|N
H5826|017|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Select (HMO D-SNP)|00025141|0.00|590| | |WA|50050|2|N
H5826|017|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Select (HMO D-SNP)|00025141|0.00|590| | |WA|50070|2|N
H5826|017|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Select (HMO D-SNP)|00025141|0.00|590| | |WA|50080|2|N
H5826|017|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Select (HMO D-SNP)|00025141|0.00|590| | |WA|50100|2|N
H5826|017|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Select (HMO D-SNP)|00025141|0.00|590| | |WA|50120|2|N
H5826|017|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Select (HMO D-SNP)|00025141|0.00|590| | |WA|50130|2|N
H5826|017|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Select (HMO D-SNP)|00025141|0.00|590| | |WA|50150|2|N
H5826|017|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Select (HMO D-SNP)|00025141|0.00|590| | |WA|50160|2|N
H5826|017|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Select (HMO D-SNP)|00025141|0.00|590| | |WA|50170|2|N
H5826|017|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Select (HMO D-SNP)|00025141|0.00|590| | |WA|50180|2|N
H5826|017|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Select (HMO D-SNP)|00025141|0.00|590| | |WA|50200|2|N
H5826|017|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Select (HMO D-SNP)|00025141|0.00|590| | |WA|50220|2|N
H5826|017|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Select (HMO D-SNP)|00025141|0.00|590| | |WA|50230|2|N
H5826|017|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Select (HMO D-SNP)|00025141|0.00|590| | |WA|50240|2|N
H5826|017|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Select (HMO D-SNP)|00025141|0.00|590| | |WA|50250|2|N
H5826|017|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Select (HMO D-SNP)|00025141|0.00|590| | |WA|50260|2|N
H5826|017|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Select (HMO D-SNP)|00025141|0.00|590| | |WA|50280|2|N
H5826|017|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Select (HMO D-SNP)|00025141|0.00|590| | |WA|50300|2|N
H5826|017|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Select (HMO D-SNP)|00025141|0.00|590| | |WA|50310|2|N
H5826|017|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Select (HMO D-SNP)|00025141|0.00|590| | |WA|50320|2|N
H5826|017|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Select (HMO D-SNP)|00025141|0.00|590| | |WA|50330|2|N
H5826|017|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Select (HMO D-SNP)|00025141|0.00|590| | |WA|50340|2|N
H5826|017|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Select (HMO D-SNP)|00025141|0.00|590| | |WA|50350|2|N
H5826|017|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Select (HMO D-SNP)|00025141|0.00|590| | |WA|50360|2|N
H5826|017|000|COMMUNITY HEALTH PLAN OF WASHINGTON|Community Health Plan of WA Dual Select (HMO D-SNP)|00025141|0.00|590| | |WA|50380|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44000|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44010|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44020|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44030|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44040|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44050|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44060|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44070|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44080|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44090|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44100|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44110|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44120|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44130|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44140|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44150|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44160|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44170|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44180|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44190|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44200|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44210|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44220|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44230|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44240|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44250|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44260|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44270|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44280|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44290|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44300|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44310|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44320|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44330|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44340|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44350|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44360|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44370|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44380|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44390|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44400|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44410|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44420|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44430|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44440|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44450|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44460|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44470|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44480|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44490|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44500|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44510|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44520|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44530|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44540|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44550|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44560|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44570|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44580|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44590|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44600|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44610|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44620|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44630|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44640|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44650|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44660|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44670|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44680|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44690|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44700|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44710|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44720|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44730|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44740|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44750|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44760|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44770|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44780|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44790|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44800|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44810|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44820|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44830|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44840|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44850|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44860|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44870|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44880|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44890|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44900|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44910|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44920|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44930|2|N
H5828|001|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage Support (HMO D-SNP)|00025049|0.00|590| | |TN|44940|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44000|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44010|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44020|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44030|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44040|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44050|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44060|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44070|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44080|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44090|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44100|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44110|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44120|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44130|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44140|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44150|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44160|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44170|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44180|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44190|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44200|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44210|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44220|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44230|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44240|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44250|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44260|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44270|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44280|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44290|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44300|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44310|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44320|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44330|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44340|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44350|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44360|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44370|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44380|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44390|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44400|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44410|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44420|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44430|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44440|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44450|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44460|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44470|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44480|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44490|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44500|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44510|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44520|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44530|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44540|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44550|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44560|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44570|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44580|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44590|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44600|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44610|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44620|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44630|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44640|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44650|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44660|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44670|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44680|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44690|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44700|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44710|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44720|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44730|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44740|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44750|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44760|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44770|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44780|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44790|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44800|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44810|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44820|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44830|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44840|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44850|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44860|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44870|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44880|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44890|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44900|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44910|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44920|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44930|2|N
H5828|002|000|WELLPOINT TENNESSEE, INC.|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TN|44940|2|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44000|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44010|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44020|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44030|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44040|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44050|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44060|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44070|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44080|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44090|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44100|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44110|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44120|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44130|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44140|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44150|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44160|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44170|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44180|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44190|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44200|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44210|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44220|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44230|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44240|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44250|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44260|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44270|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44280|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44290|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44300|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44310|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44320|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44330|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44340|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44350|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44360|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44370|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44380|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44390|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44400|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44410|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44420|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44430|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44440|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44450|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44460|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44470|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44480|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44490|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44500|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44510|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44520|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44530|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44540|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44550|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44560|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44570|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44580|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44590|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44600|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44610|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44620|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44630|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44640|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44650|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44660|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44670|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44680|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44690|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44700|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44710|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44720|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44730|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44740|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44750|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44760|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44770|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44780|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44790|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44800|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44810|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44820|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44830|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44840|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44850|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44860|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44870|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44880|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44890|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44900|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44910|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44920|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44930|0|N
H5828|008|000|WELLPOINT TENNESSEE, INC.|Wellpoint Extra Help (HMO-POS)|00025049|9.10|590| | |TN|44940|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44000|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44010|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44020|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44030|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44040|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44050|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44060|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44070|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44080|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44090|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44100|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44110|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44120|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44130|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44140|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44150|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44160|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44170|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44180|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44190|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44200|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44210|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44220|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44230|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44240|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44250|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44260|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44270|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44280|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44290|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44300|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44310|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44320|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44330|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44340|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44350|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44360|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44370|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44380|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44390|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44400|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44410|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44420|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44430|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44440|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44450|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44460|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44470|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44480|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44490|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44500|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44510|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44520|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44530|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44540|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44550|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44560|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44570|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44580|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44590|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44600|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44610|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44620|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44630|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44640|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44650|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44660|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44670|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44680|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44690|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44700|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44710|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44720|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44730|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44740|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44750|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44760|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44770|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44780|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44790|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44800|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44810|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44820|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44830|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44840|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44850|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44860|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44870|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44880|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44890|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44900|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44910|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44920|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44930|0|N
H5828|013|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage (HMO-POS)|00025049|0.00|0| | |TN|44940|0|N
H5828|014|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44230|0|N
H5828|014|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44780|0|N
H5828|014|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44830|0|N
H5828|015|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44070|0|N
H5828|015|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44100|0|N
H5828|015|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44180|0|N
H5828|015|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44210|0|N
H5828|015|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44550|0|N
H5828|015|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44590|0|N
H5828|015|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44730|0|N
H5828|015|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44740|0|N
H5828|015|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44790|0|N
H5828|015|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44820|0|N
H5828|015|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44840|0|N
H5828|015|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44930|0|N
H5828|015|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44940|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44010|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44020|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44030|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44050|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44080|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44090|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44110|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44120|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44130|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44140|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44150|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44160|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44170|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44190|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44200|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44220|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44240|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44250|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44260|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44270|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44280|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44290|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44300|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44310|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44330|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44340|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44350|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44360|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44370|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44380|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44390|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44400|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44410|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44420|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44430|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44440|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44450|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44470|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44480|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44490|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44500|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44510|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44530|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44540|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44560|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44580|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44600|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44610|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44620|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44630|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44650|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44660|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44670|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44680|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44690|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44700|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44710|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44750|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44770|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44800|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44810|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44850|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44870|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44880|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44890|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44900|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44910|0|N
H5828|016|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44920|0|N
H5828|017|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44000|0|N
H5828|017|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44040|0|N
H5828|017|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44060|0|N
H5828|017|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44320|0|N
H5828|017|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44460|0|N
H5828|017|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44520|0|N
H5828|017|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44570|0|N
H5828|017|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44640|0|N
H5828|017|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44720|0|N
H5828|017|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44760|0|N
H5828|017|000|WELLPOINT TENNESSEE, INC.|Wellpoint Medicare Advantage 2 (HMO-POS)|00025037|0.00|0| | |TN|44860|0|N
H5843|001|000|BANNER HEALTH PLAN, INC.|Banner Medicare Advantage Prime (HMO)|00025138|0.00|0| | |AZ|03060|0|N
H5843|001|000|BANNER HEALTH PLAN, INC.|Banner Medicare Advantage Prime (HMO)|00025138|0.00|0| | |AZ|03100|0|N
H5843|002|000|BANNER HEALTH PLAN, INC.|Banner Medicare Advantage Prime (HMO)|00025138|0.00|0| | |AZ|03090|0|N
H5843|002|000|BANNER HEALTH PLAN, INC.|Banner Medicare Advantage Prime (HMO)|00025138|0.00|0| | |AZ|03110|0|N
H5843|005|000|BANNER HEALTH PLAN, INC.|Banner Medicare Advantage Prime (HMO)|00025138|0.00|0| | |AZ|03130|0|N
H5852|001|000|AIDS HEALTHCARE FOUNDATION|PHP (HMO C-SNP)|00025189|0.00|580| | |CA|05200|1|N
H5852|001|000|AIDS HEALTHCARE FOUNDATION|PHP (HMO C-SNP)|00025189|0.00|580| | |CA|05210|1|N
H5854|008|000|ANTHEM HEALTH PLANS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |CT|07000|2|N
H5854|008|000|ANTHEM HEALTH PLANS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |CT|07010|2|N
H5854|008|000|ANTHEM HEALTH PLANS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |CT|07020|2|N
H5854|008|000|ANTHEM HEALTH PLANS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |CT|07030|2|N
H5854|008|000|ANTHEM HEALTH PLANS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |CT|07040|2|N
H5854|008|000|ANTHEM HEALTH PLANS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |CT|07050|2|N
H5854|008|000|ANTHEM HEALTH PLANS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |CT|07060|2|N
H5854|008|000|ANTHEM HEALTH PLANS, INC.|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |CT|07070|2|N
H5854|009|000|ANTHEM HEALTH PLANS, INC.|Anthem Medicare Advantage (HMO)|00025049|18.70|380| | |CT|07000|0|N
H5854|009|000|ANTHEM HEALTH PLANS, INC.|Anthem Medicare Advantage (HMO)|00025049|18.70|380| | |CT|07010|0|N
H5854|009|000|ANTHEM HEALTH PLANS, INC.|Anthem Medicare Advantage (HMO)|00025049|18.70|380| | |CT|07020|0|N
H5854|009|000|ANTHEM HEALTH PLANS, INC.|Anthem Medicare Advantage (HMO)|00025049|18.70|380| | |CT|07030|0|N
H5854|009|000|ANTHEM HEALTH PLANS, INC.|Anthem Medicare Advantage (HMO)|00025049|18.70|380| | |CT|07040|0|N
H5854|009|000|ANTHEM HEALTH PLANS, INC.|Anthem Medicare Advantage (HMO)|00025049|18.70|380| | |CT|07070|0|N
H5854|010|000|ANTHEM HEALTH PLANS, INC.|Anthem Select (HMO-POS)|00025049|0.00|275| | |CT|07000|0|N
H5854|010|000|ANTHEM HEALTH PLANS, INC.|Anthem Select (HMO-POS)|00025049|0.00|275| | |CT|07010|0|N
H5854|010|000|ANTHEM HEALTH PLANS, INC.|Anthem Select (HMO-POS)|00025049|0.00|275| | |CT|07020|0|N
H5854|010|000|ANTHEM HEALTH PLANS, INC.|Anthem Select (HMO-POS)|00025049|0.00|275| | |CT|07030|0|N
H5854|010|000|ANTHEM HEALTH PLANS, INC.|Anthem Select (HMO-POS)|00025049|0.00|275| | |CT|07040|0|N
H5854|010|000|ANTHEM HEALTH PLANS, INC.|Anthem Select (HMO-POS)|00025049|0.00|275| | |CT|07070|0|N
H5854|011|000|ANTHEM HEALTH PLANS, INC.|Anthem Extra Help (HMO-POS)|00025049|15.60|590| | |CT|07000|0|N
H5854|011|000|ANTHEM HEALTH PLANS, INC.|Anthem Extra Help (HMO-POS)|00025049|15.60|590| | |CT|07010|0|N
H5854|011|000|ANTHEM HEALTH PLANS, INC.|Anthem Extra Help (HMO-POS)|00025049|15.60|590| | |CT|07020|0|N
H5854|011|000|ANTHEM HEALTH PLANS, INC.|Anthem Extra Help (HMO-POS)|00025049|15.60|590| | |CT|07030|0|N
H5854|011|000|ANTHEM HEALTH PLANS, INC.|Anthem Extra Help (HMO-POS)|00025049|15.60|590| | |CT|07040|0|N
H5854|011|000|ANTHEM HEALTH PLANS, INC.|Anthem Extra Help (HMO-POS)|00025049|15.60|590| | |CT|07050|0|N
H5854|011|000|ANTHEM HEALTH PLANS, INC.|Anthem Extra Help (HMO-POS)|00025049|15.60|590| | |CT|07060|0|N
H5854|011|000|ANTHEM HEALTH PLANS, INC.|Anthem Extra Help (HMO-POS)|00025049|15.60|590| | |CT|07070|0|N
H5854|012|000|ANTHEM HEALTH PLANS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|310| | |CT|07000|1|N
H5854|012|000|ANTHEM HEALTH PLANS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|310| | |CT|07010|1|N
H5854|012|000|ANTHEM HEALTH PLANS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|310| | |CT|07020|1|N
H5854|012|000|ANTHEM HEALTH PLANS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|310| | |CT|07030|1|N
H5854|012|000|ANTHEM HEALTH PLANS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|310| | |CT|07040|1|N
H5854|012|000|ANTHEM HEALTH PLANS, INC.|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|310| | |CT|07060|1|N
H5854|013|000|ANTHEM HEALTH PLANS, INC.|Anthem Full Dual Advantage Select (HMO D-SNP)|00025049|0.00|590| | |CT|07000|2|N
H5854|013|000|ANTHEM HEALTH PLANS, INC.|Anthem Full Dual Advantage Select (HMO D-SNP)|00025049|0.00|590| | |CT|07010|2|N
H5854|013|000|ANTHEM HEALTH PLANS, INC.|Anthem Full Dual Advantage Select (HMO D-SNP)|00025049|0.00|590| | |CT|07020|2|N
H5854|013|000|ANTHEM HEALTH PLANS, INC.|Anthem Full Dual Advantage Select (HMO D-SNP)|00025049|0.00|590| | |CT|07030|2|N
H5854|013|000|ANTHEM HEALTH PLANS, INC.|Anthem Full Dual Advantage Select (HMO D-SNP)|00025049|0.00|590| | |CT|07040|2|N
H5854|013|000|ANTHEM HEALTH PLANS, INC.|Anthem Full Dual Advantage Select (HMO D-SNP)|00025049|0.00|590| | |CT|07050|2|N
H5854|013|000|ANTHEM HEALTH PLANS, INC.|Anthem Full Dual Advantage Select (HMO D-SNP)|00025049|0.00|590| | |CT|07060|2|N
H5854|013|000|ANTHEM HEALTH PLANS, INC.|Anthem Full Dual Advantage Select (HMO D-SNP)|00025049|0.00|590| | |CT|07070|2|N
H5859|001|000|HEALTH PLAN OF CAREOREGON, INC.|CareOregon Advantage Plus (HMO-POS D-SNP)|00025497|0.00|590| | |OR|38020|2|N
H5859|001|000|HEALTH PLAN OF CAREOREGON, INC.|CareOregon Advantage Plus (HMO-POS D-SNP)|00025497|0.00|590| | |OR|38040|2|N
H5859|001|000|HEALTH PLAN OF CAREOREGON, INC.|CareOregon Advantage Plus (HMO-POS D-SNP)|00025497|0.00|590| | |OR|38140|2|N
H5859|001|000|HEALTH PLAN OF CAREOREGON, INC.|CareOregon Advantage Plus (HMO-POS D-SNP)|00025497|0.00|590| | |OR|38250|2|N
H5859|001|000|HEALTH PLAN OF CAREOREGON, INC.|CareOregon Advantage Plus (HMO-POS D-SNP)|00025497|0.00|590| | |OR|38280|2|N
H5859|001|000|HEALTH PLAN OF CAREOREGON, INC.|CareOregon Advantage Plus (HMO-POS D-SNP)|00025497|0.00|590| | |OR|38330|2|N
H5883|002|001|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23020|0|N
H5883|002|001|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23070|0|N
H5883|002|001|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23330|0|N
H5883|002|001|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23380|0|N
H5883|002|001|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23400|0|N
H5883|002|001|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23520|0|N
H5883|002|001|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23600|0|N
H5883|002|001|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23610|0|N
H5883|002|001|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23630|0|N
H5883|002|001|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23690|0|N
H5883|002|002|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23100|0|N
H5883|002|002|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23110|0|N
H5883|002|002|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23120|0|N
H5883|002|002|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23220|0|N
H5883|002|002|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23280|0|N
H5883|002|002|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23290|0|N
H5883|002|002|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23320|0|N
H5883|002|002|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23370|0|N
H5883|002|002|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23570|0|N
H5883|002|002|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23580|0|N
H5883|002|002|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23740|0|N
H5883|002|002|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23790|0|N
H5883|002|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23000|0|N
H5883|002|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23030|0|N
H5883|002|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23050|0|N
H5883|002|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23080|0|N
H5883|002|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23140|0|N
H5883|002|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23150|0|N
H5883|002|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23170|0|N
H5883|002|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23190|0|N
H5883|002|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23250|0|N
H5883|002|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23310|0|N
H5883|002|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23340|0|N
H5883|002|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23390|0|N
H5883|002|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23470|0|N
H5883|002|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23480|0|N
H5883|002|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23590|0|N
H5883|002|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23640|0|N
H5883|002|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23670|0|N
H5883|002|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23700|0|N
H5883|002|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23710|0|N
H5883|002|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23720|0|N
H5883|002|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23750|0|N
H5883|002|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23760|0|N
H5883|002|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23770|0|N
H5883|002|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23780|0|N
H5883|002|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23040|0|N
H5883|002|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23090|0|N
H5883|002|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23180|0|N
H5883|002|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23230|0|N
H5883|002|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23240|0|N
H5883|002|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23270|0|N
H5883|002|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23360|0|N
H5883|002|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23420|0|N
H5883|002|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23430|0|N
H5883|002|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23440|0|N
H5883|002|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23450|0|N
H5883|002|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23460|0|N
H5883|002|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23500|0|N
H5883|002|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23530|0|N
H5883|002|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23550|0|N
H5883|002|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23560|0|N
H5883|002|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23660|0|N
H5883|002|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23680|0|N
H5883|002|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23730|0|N
H5883|002|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23830|0|N
H5883|002|007|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23490|0|N
H5883|002|007|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23620|0|N
H5883|002|007|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23800|0|N
H5883|002|007|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Classic (HMO-POS)|00025350|16.80|0| | |MI|23810|0|N
H5883|003|001|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23020|0|N
H5883|003|001|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23070|0|N
H5883|003|001|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23330|0|N
H5883|003|001|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23380|0|N
H5883|003|001|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23400|0|N
H5883|003|001|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23520|0|N
H5883|003|001|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23600|0|N
H5883|003|001|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23610|0|N
H5883|003|001|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23630|0|N
H5883|003|001|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23690|0|N
H5883|003|002|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23100|0|N
H5883|003|002|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23110|0|N
H5883|003|002|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23120|0|N
H5883|003|002|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23220|0|N
H5883|003|002|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23280|0|N
H5883|003|002|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23290|0|N
H5883|003|002|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23320|0|N
H5883|003|002|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23370|0|N
H5883|003|002|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23570|0|N
H5883|003|002|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23580|0|N
H5883|003|002|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23740|0|N
H5883|003|002|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23790|0|N
H5883|003|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23000|0|N
H5883|003|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23030|0|N
H5883|003|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23050|0|N
H5883|003|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23080|0|N
H5883|003|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23140|0|N
H5883|003|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23150|0|N
H5883|003|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23170|0|N
H5883|003|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23190|0|N
H5883|003|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23250|0|N
H5883|003|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23310|0|N
H5883|003|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23340|0|N
H5883|003|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23390|0|N
H5883|003|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23470|0|N
H5883|003|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23480|0|N
H5883|003|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23590|0|N
H5883|003|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23640|0|N
H5883|003|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23670|0|N
H5883|003|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23700|0|N
H5883|003|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23710|0|N
H5883|003|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23720|0|N
H5883|003|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23750|0|N
H5883|003|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23760|0|N
H5883|003|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23770|0|N
H5883|003|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23780|0|N
H5883|003|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23040|0|N
H5883|003|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23090|0|N
H5883|003|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23180|0|N
H5883|003|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23230|0|N
H5883|003|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23240|0|N
H5883|003|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23270|0|N
H5883|003|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23360|0|N
H5883|003|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23420|0|N
H5883|003|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23430|0|N
H5883|003|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23440|0|N
H5883|003|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23450|0|N
H5883|003|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23460|0|N
H5883|003|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23500|0|N
H5883|003|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23530|0|N
H5883|003|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23550|0|N
H5883|003|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23560|0|N
H5883|003|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23660|0|N
H5883|003|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23680|0|N
H5883|003|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23730|0|N
H5883|003|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23830|0|N
H5883|003|005|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23490|0|N
H5883|003|005|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23620|0|N
H5883|003|005|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23800|0|N
H5883|003|005|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prestige (HMO-POS)|00025350|34.70|0| | |MI|23810|0|N
H5883|007|000|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO ConnectedCare (HMO)|00025351|0.00|0| | |MI|23050|0|N
H5883|007|000|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO ConnectedCare (HMO)|00025351|0.00|0| | |MI|23240|0|N
H5883|007|000|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO ConnectedCare (HMO)|00025351|0.00|0| | |MI|23340|0|N
H5883|007|000|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO ConnectedCare (HMO)|00025351|0.00|0| | |MI|23380|0|N
H5883|007|000|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO ConnectedCare (HMO)|00025351|0.00|0| | |MI|23460|0|N
H5883|007|000|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO ConnectedCare (HMO)|00025351|0.00|0| | |MI|23490|0|N
H5883|007|000|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO ConnectedCare (HMO)|00025351|0.00|0| | |MI|23620|0|N
H5883|007|000|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO ConnectedCare (HMO)|00025351|0.00|0| | |MI|23720|0|N
H5883|007|000|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO ConnectedCare (HMO)|00025351|0.00|0| | |MI|23730|0|N
H5883|007|000|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO ConnectedCare (HMO)|00025351|0.00|0| | |MI|23800|0|N
H5883|007|000|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO ConnectedCare (HMO)|00025351|0.00|0| | |MI|23810|0|N
H5883|012|001|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Community Value (HMO-POS)|00025351|11.70|0| | |MI|23240|0|N
H5883|012|001|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Community Value (HMO-POS)|00025351|11.70|0| | |MI|23460|0|N
H5883|012|001|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Community Value (HMO-POS)|00025351|11.70|0| | |MI|23730|0|N
H5883|012|002|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Community Value (HMO-POS)|00025351|11.70|0| | |MI|23490|0|N
H5883|012|002|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Community Value (HMO-POS)|00025351|11.70|0| | |MI|23620|0|N
H5883|012|002|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Community Value (HMO-POS)|00025351|11.70|0| | |MI|23800|0|N
H5883|012|002|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Community Value (HMO-POS)|00025351|11.70|0| | |MI|23810|0|N
H5883|014|001|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23020|0|N
H5883|014|001|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23070|0|N
H5883|014|001|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23330|0|N
H5883|014|001|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23380|0|N
H5883|014|001|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23400|0|N
H5883|014|001|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23520|0|N
H5883|014|001|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23600|0|N
H5883|014|001|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23610|0|N
H5883|014|001|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23630|0|N
H5883|014|001|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23690|0|N
H5883|014|002|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23100|0|N
H5883|014|002|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23110|0|N
H5883|014|002|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23120|0|N
H5883|014|002|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23220|0|N
H5883|014|002|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23280|0|N
H5883|014|002|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23290|0|N
H5883|014|002|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23320|0|N
H5883|014|002|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23370|0|N
H5883|014|002|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23570|0|N
H5883|014|002|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23580|0|N
H5883|014|002|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23740|0|N
H5883|014|002|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23790|0|N
H5883|014|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23000|0|N
H5883|014|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23030|0|N
H5883|014|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23050|0|N
H5883|014|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23080|0|N
H5883|014|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23140|0|N
H5883|014|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23150|0|N
H5883|014|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23170|0|N
H5883|014|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23190|0|N
H5883|014|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23250|0|N
H5883|014|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23310|0|N
H5883|014|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23340|0|N
H5883|014|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23390|0|N
H5883|014|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23470|0|N
H5883|014|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23480|0|N
H5883|014|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23590|0|N
H5883|014|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23640|0|N
H5883|014|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23670|0|N
H5883|014|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23700|0|N
H5883|014|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23710|0|N
H5883|014|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23720|0|N
H5883|014|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23750|0|N
H5883|014|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23760|0|N
H5883|014|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23770|0|N
H5883|014|003|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23780|0|N
H5883|014|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23040|0|N
H5883|014|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23090|0|N
H5883|014|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23180|0|N
H5883|014|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23230|0|N
H5883|014|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23240|0|N
H5883|014|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23270|0|N
H5883|014|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23360|0|N
H5883|014|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23420|0|N
H5883|014|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23430|0|N
H5883|014|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23440|0|N
H5883|014|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23450|0|N
H5883|014|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23460|0|N
H5883|014|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23500|0|N
H5883|014|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23530|0|N
H5883|014|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23550|0|N
H5883|014|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23560|0|N
H5883|014|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23660|0|N
H5883|014|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23680|0|N
H5883|014|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23730|0|N
H5883|014|004|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23830|0|N
H5883|014|005|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23490|0|N
H5883|014|005|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23620|0|N
H5883|014|005|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23800|0|N
H5883|014|005|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage HMO-POS Prime Value (HMO-POS)|00025351|0.00|0| | |MI|23810|0|N
H5883|015|000|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage Local (HMO)|00025351|0.00|0| | |MI|23490|0|N
H5883|015|000|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage Local (HMO)|00025351|0.00|0| | |MI|23620|0|N
H5883|015|000|BLUE CARE NETWORK OF MICHIGAN|BCN Advantage Local (HMO)|00025351|0.00|0| | |MI|23810|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16000|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16010|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16020|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16030|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16040|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16050|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16060|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16070|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16080|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16090|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16100|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16110|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16120|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16130|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16140|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16150|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16160|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16170|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16180|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16190|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16200|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16210|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16220|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16230|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16240|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16250|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16260|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16270|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16280|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16290|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16310|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16320|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16330|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16340|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16350|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16360|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16370|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16380|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16390|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16400|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16410|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16420|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16430|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16440|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16450|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16460|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16470|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16480|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16490|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16500|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16510|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16520|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16530|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16540|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16550|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16560|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16570|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16580|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16590|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16600|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16610|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16620|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16630|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16640|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16650|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16660|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16670|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16680|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16690|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16700|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16710|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16720|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16730|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16740|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16750|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16760|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16770|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16780|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16790|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16800|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16810|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16820|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16830|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16840|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16850|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16860|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16870|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16880|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16890|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16900|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16910|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16920|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16930|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16940|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16950|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16960|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16970|0|N
H5900|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |IA|16980|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16000|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16010|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16020|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16030|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16040|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16050|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16060|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16070|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16080|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16090|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16100|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16110|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16120|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16130|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16140|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16150|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16160|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16170|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16180|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16190|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16200|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16210|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16220|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16230|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16240|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16250|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16260|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16270|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16280|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16290|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16310|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16320|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16330|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16340|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16350|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16360|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16370|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16380|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16390|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16400|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16410|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16420|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16430|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16440|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16450|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16460|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16470|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16480|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16490|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16500|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16510|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16520|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16530|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16540|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16550|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16560|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16570|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16580|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16590|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16600|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16610|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16620|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16630|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16640|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16650|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16660|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16670|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16680|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16690|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16700|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16710|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16720|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16730|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16740|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16750|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16760|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16770|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16780|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16790|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16800|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16810|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16820|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16830|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16840|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16850|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16860|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16870|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16880|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16890|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16900|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16910|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16920|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16930|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16940|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16950|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16960|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16970|0|N
H5900|002|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|43.00|0| | |IA|16980|0|N
H5900|003|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |SD|43010|0|N
H5900|003|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |SD|43040|0|N
H5900|003|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |SD|43050|0|N
H5900|003|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |SD|43090|0|N
H5900|003|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |SD|43100|0|N
H5900|003|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |SD|43110|0|N
H5900|003|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |SD|43120|0|N
H5900|003|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |SD|43130|0|N
H5900|003|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |SD|43150|0|N
H5900|003|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |SD|43160|0|N
H5900|003|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |SD|43170|0|N
H5900|003|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |SD|43180|0|N
H5900|003|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |SD|43190|0|N
H5900|003|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |SD|43200|0|N
H5900|003|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |SD|43210|0|N
H5900|003|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |SD|43220|0|N
H5900|003|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |SD|43230|0|N
H5900|003|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |SD|43270|0|N
H5900|003|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |SD|43300|0|N
H5900|003|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |SD|43310|0|N
H5900|003|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |SD|43330|0|N
H5900|003|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |SD|43350|0|N
H5900|003|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |SD|43360|0|N
H5900|003|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |SD|43380|0|N
H5900|003|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |SD|43390|0|N
H5900|003|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |SD|43400|0|N
H5900|003|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |SD|43410|0|N
H5900|003|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |SD|43430|0|N
H5900|003|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |SD|43440|0|N
H5900|003|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |SD|43450|0|N
H5900|003|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |SD|43460|0|N
H5900|003|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |SD|43480|0|N
H5900|003|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |SD|43490|0|N
H5900|003|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |SD|43500|0|N
H5900|003|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |SD|43510|0|N
H5900|003|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |SD|43520|0|N
H5900|003|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |SD|43540|0|N
H5900|003|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |SD|43550|0|N
H5900|003|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |SD|43620|0|N
H5900|003|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |SD|43630|0|N
H5900|003|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |SD|43640|0|N
H5900|003|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |SD|43670|0|N
H5900|003|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO (PPO)|00025297|0.00|0| | |SD|43680|0|N
H5900|004|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|0.00|0| | |SD|43010|0|N
H5900|004|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|0.00|0| | |SD|43040|0|N
H5900|004|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|0.00|0| | |SD|43050|0|N
H5900|004|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|0.00|0| | |SD|43090|0|N
H5900|004|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|0.00|0| | |SD|43100|0|N
H5900|004|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|0.00|0| | |SD|43110|0|N
H5900|004|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|0.00|0| | |SD|43120|0|N
H5900|004|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|0.00|0| | |SD|43130|0|N
H5900|004|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|0.00|0| | |SD|43150|0|N
H5900|004|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|0.00|0| | |SD|43160|0|N
H5900|004|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|0.00|0| | |SD|43170|0|N
H5900|004|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|0.00|0| | |SD|43180|0|N
H5900|004|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|0.00|0| | |SD|43190|0|N
H5900|004|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|0.00|0| | |SD|43200|0|N
H5900|004|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|0.00|0| | |SD|43210|0|N
H5900|004|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|0.00|0| | |SD|43220|0|N
H5900|004|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|0.00|0| | |SD|43230|0|N
H5900|004|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|0.00|0| | |SD|43270|0|N
H5900|004|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|0.00|0| | |SD|43300|0|N
H5900|004|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|0.00|0| | |SD|43310|0|N
H5900|004|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|0.00|0| | |SD|43330|0|N
H5900|004|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|0.00|0| | |SD|43350|0|N
H5900|004|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|0.00|0| | |SD|43360|0|N
H5900|004|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|0.00|0| | |SD|43380|0|N
H5900|004|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|0.00|0| | |SD|43390|0|N
H5900|004|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|0.00|0| | |SD|43400|0|N
H5900|004|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|0.00|0| | |SD|43410|0|N
H5900|004|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|0.00|0| | |SD|43430|0|N
H5900|004|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|0.00|0| | |SD|43440|0|N
H5900|004|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|0.00|0| | |SD|43450|0|N
H5900|004|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|0.00|0| | |SD|43460|0|N
H5900|004|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|0.00|0| | |SD|43480|0|N
H5900|004|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|0.00|0| | |SD|43490|0|N
H5900|004|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|0.00|0| | |SD|43500|0|N
H5900|004|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|0.00|0| | |SD|43510|0|N
H5900|004|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|0.00|0| | |SD|43520|0|N
H5900|004|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|0.00|0| | |SD|43540|0|N
H5900|004|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|0.00|0| | |SD|43550|0|N
H5900|004|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|0.00|0| | |SD|43620|0|N
H5900|004|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|0.00|0| | |SD|43630|0|N
H5900|004|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|0.00|0| | |SD|43640|0|N
H5900|004|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|0.00|0| | |SD|43670|0|N
H5900|004|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage Enhanced PPO (PPO)|00025297|0.00|0| | |SD|43680|0|N
H5900|005|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO   Avera (PPO)|00025297|0.00|0| | |IA|16200|0|N
H5900|005|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO   Avera (PPO)|00025297|0.00|0| | |IA|16290|0|N
H5900|005|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO   Avera (PPO)|00025297|0.00|0| | |IA|16310|0|N
H5900|005|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO   Avera (PPO)|00025297|0.00|0| | |IA|16590|0|N
H5900|005|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO   Avera (PPO)|00025297|0.00|0| | |IA|16700|0|N
H5900|005|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO   Avera (PPO)|00025297|0.00|0| | |IA|16710|0|N
H5900|005|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO   Avera (PPO)|00025297|0.00|0| | |SD|43010|0|N
H5900|005|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO   Avera (PPO)|00025297|0.00|0| | |SD|43040|0|N
H5900|005|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO   Avera (PPO)|00025297|0.00|0| | |SD|43110|0|N
H5900|005|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO   Avera (PPO)|00025297|0.00|0| | |SD|43130|0|N
H5900|005|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO   Avera (PPO)|00025297|0.00|0| | |SD|43170|0|N
H5900|005|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO   Avera (PPO)|00025297|0.00|0| | |SD|43210|0|N
H5900|005|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO   Avera (PPO)|00025297|0.00|0| | |SD|43300|0|N
H5900|005|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO   Avera (PPO)|00025297|0.00|0| | |SD|43330|0|N
H5900|005|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO   Avera (PPO)|00025297|0.00|0| | |SD|43360|0|N
H5900|005|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO   Avera (PPO)|00025297|0.00|0| | |SD|43390|0|N
H5900|005|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO   Avera (PPO)|00025297|0.00|0| | |SD|43410|0|N
H5900|005|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO   Avera (PPO)|00025297|0.00|0| | |SD|43430|0|N
H5900|005|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO   Avera (PPO)|00025297|0.00|0| | |SD|43480|0|N
H5900|005|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO   Avera (PPO)|00025297|0.00|0| | |SD|43490|0|N
H5900|005|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO   Avera (PPO)|00025297|0.00|0| | |SD|43500|0|N
H5900|005|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO   Avera (PPO)|00025297|0.00|0| | |SD|43550|0|N
H5900|005|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO   Avera (PPO)|00025297|0.00|0| | |SD|43620|0|N
H5900|005|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO   Avera (PPO)|00025297|0.00|0| | |SD|43630|0|N
H5900|005|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage PPO   Avera (PPO)|00025297|0.00|0| | |SD|43670|0|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23000|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23020|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23030|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23040|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23050|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23070|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23080|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23090|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23110|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23120|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23140|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23150|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23170|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23190|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23230|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23240|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23250|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23270|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23280|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23290|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23310|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23340|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23360|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23370|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23380|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23390|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23400|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23420|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23430|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23440|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23450|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23460|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23490|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23500|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23520|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23530|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23550|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23560|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23570|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23580|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23590|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23600|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23610|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23620|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23630|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23640|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23660|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23670|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23680|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23690|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23700|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23710|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23720|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23730|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23750|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23770|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23780|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23800|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23810|2|N
H5926|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |MI|23830|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23000|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23020|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23030|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23040|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23050|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23070|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23080|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23090|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23110|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23120|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23140|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23150|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23170|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23190|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23230|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23240|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23250|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23270|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23280|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23290|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23310|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23340|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23360|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23370|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23380|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23390|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23400|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23420|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23430|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23440|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23450|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23460|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23490|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23500|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23520|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23530|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23550|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23560|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23570|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23580|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23590|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23600|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23610|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23620|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23630|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23640|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23660|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23670|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23680|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23690|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23700|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23710|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23720|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23730|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23750|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23770|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23780|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23800|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23810|2|N
H5926|005|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Medicare Complete Care Select (HMO D-SNP)|00025349|6.90|590| | |MI|23830|2|N
H5928|004|000|California Physicians' Service|Blue Shield AdvantageOptimum Plan (HMO)|00025355|0.00|0| | |CA|05200|0|N
H5928|004|000|California Physicians' Service|Blue Shield AdvantageOptimum Plan (HMO)|00025355|0.00|0| | |CA|05210|0|N
H5928|004|000|California Physicians' Service|Blue Shield AdvantageOptimum Plan (HMO)|00025355|0.00|0| | |CA|05400|0|N
H5928|010|000|California Physicians' Service|Blue Shield AdvantageOptimum Plan 1 (HMO)|00025355|0.00|0| | |CA|05470|0|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39000|2|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39010|2|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39070|2|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39080|2|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39100|2|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39110|2|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39120|2|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39130|2|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39150|2|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39160|2|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39180|2|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39190|2|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39200|2|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39220|2|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39230|2|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39240|2|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39260|2|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39270|2|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39280|2|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39310|2|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39320|2|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39330|2|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39340|2|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39350|2|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39360|2|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39370|2|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39380|2|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39390|2|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39400|2|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39410|2|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39440|2|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39450|2|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39460|2|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39470|2|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39510|2|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39520|2|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39530|2|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39540|2|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39550|2|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39580|2|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39590|2|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39610|2|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39640|2|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39650|2|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39670|2|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39680|2|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39690|2|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39700|2|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39710|2|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39720|2|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39730|2|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39740|2|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39750|2|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39760|2|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39770|2|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39790|2|N
H5932|001|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39800|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39000|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39010|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39070|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39080|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39100|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39110|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39120|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39130|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39150|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39160|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39180|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39190|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39200|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39220|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39230|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39240|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39260|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39270|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39280|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39310|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39320|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39330|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39340|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39350|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39360|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39370|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39380|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39390|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39400|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39410|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39440|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39450|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39460|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39470|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39510|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39520|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39530|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39540|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39550|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39580|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39590|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39610|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39640|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39650|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39670|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39680|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39690|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39700|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39710|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39720|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39730|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39740|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39750|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39760|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39770|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39790|2|N
H5932|009|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|48.40|590| | |PA|39800|2|N
H5932|012|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39140|2|N
H5932|012|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39210|2|N
H5932|012|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39290|2|N
H5932|012|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39560|2|N
H5932|012|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)|00025515|0.00|590| | |PA|39620|2|N
H5932|013|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|42.60|590| | |PA|39140|2|N
H5932|013|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|42.60|590| | |PA|39210|2|N
H5932|013|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|42.60|590| | |PA|39290|2|N
H5932|013|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|42.60|590| | |PA|39560|2|N
H5932|013|000|GATEWAY HEALTH PLAN, INC.|Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)|00025515|42.60|590| | |PA|39620|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24000|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24010|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24020|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24040|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24060|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24080|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24090|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24100|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24110|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24120|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24130|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24150|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24160|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24170|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24180|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24210|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24220|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24230|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24260|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24270|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24290|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24300|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24310|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24320|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24330|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24340|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24350|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24360|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24370|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24380|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24390|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24400|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24410|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24430|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24440|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24450|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24470|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24480|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24490|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24500|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24510|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24520|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24530|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24540|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24550|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24560|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24570|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24590|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24610|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24620|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24630|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24650|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24660|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24670|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24680|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24690|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24700|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24720|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24750|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24760|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24790|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24810|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24820|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24830|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24840|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24850|2|N
H5937|001|000|UCARE MINNESOTA|UCare Connect + Medicare (HMO D-SNP)|00025320|0.00|590| | |MN|24860|2|N
H5938|001|000|CAPITAL HEALTH PLAN|Capital Health Plan Advantage Plus (HMO)|00025145|5.50|250| | |FL|10060|0|N
H5938|001|000|CAPITAL HEALTH PLAN|Capital Health Plan Advantage Plus (HMO)|00025145|5.50|250| | |FL|10180|0|N
H5938|001|000|CAPITAL HEALTH PLAN|Capital Health Plan Advantage Plus (HMO)|00025145|5.50|250| | |FL|10190|0|N
H5938|001|000|CAPITAL HEALTH PLAN|Capital Health Plan Advantage Plus (HMO)|00025145|5.50|250| | |FL|10320|0|N
H5938|001|000|CAPITAL HEALTH PLAN|Capital Health Plan Advantage Plus (HMO)|00025145|5.50|250| | |FL|10360|0|N
H5938|001|000|CAPITAL HEALTH PLAN|Capital Health Plan Advantage Plus (HMO)|00025145|5.50|250| | |FL|10380|0|N
H5938|001|000|CAPITAL HEALTH PLAN|Capital Health Plan Advantage Plus (HMO)|00025145|5.50|250| | |FL|10390|0|N
H5938|001|000|CAPITAL HEALTH PLAN|Capital Health Plan Advantage Plus (HMO)|00025145|5.50|250| | |FL|10610|0|N
H5938|001|000|CAPITAL HEALTH PLAN|Capital Health Plan Advantage Plus (HMO)|00025145|5.50|250| | |FL|10640|0|N
H5938|006|000|CAPITAL HEALTH PLAN|Capital Health Plan Preferred Advantage (HMO)|00025145|46.70|200| | |FL|10060|0|N
H5938|006|000|CAPITAL HEALTH PLAN|Capital Health Plan Preferred Advantage (HMO)|00025145|46.70|200| | |FL|10180|0|N
H5938|006|000|CAPITAL HEALTH PLAN|Capital Health Plan Preferred Advantage (HMO)|00025145|46.70|200| | |FL|10190|0|N
H5938|006|000|CAPITAL HEALTH PLAN|Capital Health Plan Preferred Advantage (HMO)|00025145|46.70|200| | |FL|10320|0|N
H5938|006|000|CAPITAL HEALTH PLAN|Capital Health Plan Preferred Advantage (HMO)|00025145|46.70|200| | |FL|10360|0|N
H5938|006|000|CAPITAL HEALTH PLAN|Capital Health Plan Preferred Advantage (HMO)|00025145|46.70|200| | |FL|10380|0|N
H5938|006|000|CAPITAL HEALTH PLAN|Capital Health Plan Preferred Advantage (HMO)|00025145|46.70|200| | |FL|10390|0|N
H5938|006|000|CAPITAL HEALTH PLAN|Capital Health Plan Preferred Advantage (HMO)|00025145|46.70|200| | |FL|10610|0|N
H5938|006|000|CAPITAL HEALTH PLAN|Capital Health Plan Preferred Advantage (HMO)|00025145|46.70|200| | |FL|10640|0|N
H5938|008|000|CAPITAL HEALTH PLAN|Capital Health Plan Silver Advantage (HMO)|00025143|0.00|0| | |FL|10060|0|N
H5938|008|000|CAPITAL HEALTH PLAN|Capital Health Plan Silver Advantage (HMO)|00025143|0.00|0| | |FL|10180|0|N
H5938|008|000|CAPITAL HEALTH PLAN|Capital Health Plan Silver Advantage (HMO)|00025143|0.00|0| | |FL|10190|0|N
H5938|008|000|CAPITAL HEALTH PLAN|Capital Health Plan Silver Advantage (HMO)|00025143|0.00|0| | |FL|10320|0|N
H5938|008|000|CAPITAL HEALTH PLAN|Capital Health Plan Silver Advantage (HMO)|00025143|0.00|0| | |FL|10360|0|N
H5938|008|000|CAPITAL HEALTH PLAN|Capital Health Plan Silver Advantage (HMO)|00025143|0.00|0| | |FL|10380|0|N
H5938|008|000|CAPITAL HEALTH PLAN|Capital Health Plan Silver Advantage (HMO)|00025143|0.00|0| | |FL|10390|0|N
H5938|008|000|CAPITAL HEALTH PLAN|Capital Health Plan Silver Advantage (HMO)|00025143|0.00|0| | |FL|10610|0|N
H5938|008|000|CAPITAL HEALTH PLAN|Capital Health Plan Silver Advantage (HMO)|00025143|0.00|0| | |FL|10640|0|N
H5943|001|000|SCAN HEALTH PLAN|VillageHealth (HMO-POS C-SNP)|00025409|0.00|370| | |CA|05430|1|N
H5943|001|000|SCAN HEALTH PLAN|VillageHealth (HMO-POS C-SNP)|00025409|0.00|370| | |CA|05460|1|N
H5943|002|000|SCAN HEALTH PLAN|VillageHealth (HMO-POS C-SNP)|00025409|0.00|490| | |CA|05200|1|N
H5943|002|000|SCAN HEALTH PLAN|VillageHealth (HMO-POS C-SNP)|00025409|0.00|490| | |CA|05210|1|N
H5945|001|000|PROMINENCE HEALTHFIRST|Prominence Plus (HMO)|00025420|0.00|0| | |NV|29000|0|N
H5945|001|000|PROMINENCE HEALTHFIRST|Prominence Plus (HMO)|00025420|0.00|0| | |NV|29020|0|N
H5945|001|000|PROMINENCE HEALTHFIRST|Prominence Plus (HMO)|00025420|0.00|0| | |NV|29090|0|N
H5945|001|000|PROMINENCE HEALTHFIRST|Prominence Plus (HMO)|00025420|0.00|0| | |NV|29120|0|N
H5945|001|000|PROMINENCE HEALTHFIRST|Prominence Plus (HMO)|00025420|0.00|0| | |NV|29140|0|N
H5945|002|000|PROMINENCE HEALTHFIRST|Prominence Plus (HMO)|00025420|0.00|0| | |NV|29150|0|N
H5945|013|000|PROMINENCE HEALTHFIRST|Prominence Extra Help (HMO)|00025420|15.50|590| | |NV|29000|0|N
H5945|013|000|PROMINENCE HEALTHFIRST|Prominence Extra Help (HMO)|00025420|15.50|590| | |NV|29020|0|N
H5945|013|000|PROMINENCE HEALTHFIRST|Prominence Extra Help (HMO)|00025420|15.50|590| | |NV|29090|0|N
H5945|013|000|PROMINENCE HEALTHFIRST|Prominence Extra Help (HMO)|00025420|15.50|590| | |NV|29120|0|N
H5945|013|000|PROMINENCE HEALTHFIRST|Prominence Extra Help (HMO)|00025420|15.50|590| | |NV|29140|0|N
H5945|014|000|PROMINENCE HEALTHFIRST|Prominence Extra Help (HMO)|00025420|21.30|590| | |NV|29150|0|N
H5945|016|000|PROMINENCE HEALTHFIRST|Prominence Heart (HMO C-SNP)|00025421|0.00|0| | |NV|29150|1|N
H5945|017|000|PROMINENCE HEALTHFIRST|Prominence Dual (HMO D-SNP)|00025420|0.00|590| | |NV|29000|2|N
H5945|017|000|PROMINENCE HEALTHFIRST|Prominence Dual (HMO D-SNP)|00025420|0.00|590| | |NV|29020|2|N
H5945|017|000|PROMINENCE HEALTHFIRST|Prominence Dual (HMO D-SNP)|00025420|0.00|590| | |NV|29090|2|N
H5945|017|000|PROMINENCE HEALTHFIRST|Prominence Dual (HMO D-SNP)|00025420|0.00|590| | |NV|29120|2|N
H5945|017|000|PROMINENCE HEALTHFIRST|Prominence Dual (HMO D-SNP)|00025420|0.00|590| | |NV|29140|2|N
H5945|018|000|PROMINENCE HEALTHFIRST|Prominence Dual (HMO D-SNP)|00025420|0.00|590| | |NV|29150|2|N
H5945|027|000|PROMINENCE HEALTHFIRST|Prominence Giveback $75 (HMO)|00025420|0.00|590| | |NV|29150|0|N
H5959|009|000|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|33.90|0| | |MN|24060|0|N
H5959|009|000|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|33.90|0| | |MN|24190|0|N
H5959|009|000|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|33.90|0| | |MN|24210|0|N
H5959|009|000|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|33.90|0| | |MN|24220|0|N
H5959|009|000|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|33.90|0| | |MN|24230|0|N
H5959|009|000|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|33.90|0| | |MN|24270|0|N
H5959|009|000|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|33.90|0| | |MN|24450|0|N
H5959|009|000|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|33.90|0| | |MN|24490|0|N
H5959|009|000|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|33.90|0| | |MN|24510|0|N
H5959|009|000|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|33.90|0| | |MN|24540|0|N
H5959|009|000|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|33.90|0| | |MN|24730|0|N
H5959|009|000|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|33.90|0| | |MN|24780|0|N
H5959|009|000|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|33.90|0| | |MN|24800|0|N
H5959|009|000|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|33.90|0| | |MN|24820|0|N
H5959|009|000|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|33.90|0| | |MN|24840|0|N
H5959|010|001|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|140.70|0| | |MN|24010|0|N
H5959|010|001|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|140.70|0| | |MN|24090|0|N
H5959|010|001|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|140.70|0| | |MN|24120|0|N
H5959|010|001|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|140.70|0| | |MN|24180|0|N
H5959|010|001|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|140.70|0| | |MN|24260|0|N
H5959|010|001|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|140.70|0| | |MN|24290|0|N
H5959|010|001|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|140.70|0| | |MN|24610|0|N
H5959|010|001|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|140.70|0| | |MN|24690|0|N
H5959|010|001|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|140.70|0| | |MN|24700|0|N
H5959|010|001|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|140.70|0| | |MN|24810|0|N
H5959|010|001|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|140.70|0| | |MN|24850|0|N
H5959|010|002|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|140.70|0| | |MN|24020|0|N
H5959|010|002|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|140.70|0| | |MN|24030|0|N
H5959|010|002|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|140.70|0| | |MN|24040|0|N
H5959|010|002|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|140.70|0| | |MN|24050|0|N
H5959|010|002|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|140.70|0| | |MN|24070|0|N
H5959|010|002|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|140.70|0| | |MN|24100|0|N
H5959|010|002|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|140.70|0| | |MN|24110|0|N
H5959|010|002|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|140.70|0| | |MN|24130|0|N
H5959|010|002|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|140.70|0| | |MN|24140|0|N
H5959|010|002|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|140.70|0| | |MN|24160|0|N
H5959|010|002|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|140.70|0| | |MN|24170|0|N
H5959|010|002|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|140.70|0| | |MN|24200|0|N
H5959|010|002|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|140.70|0| | |MN|24250|0|N
H5959|010|002|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|140.70|0| | |MN|24280|0|N
H5959|010|002|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|140.70|0| | |MN|24310|0|N
H5959|010|002|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|140.70|0| | |MN|24330|0|N
H5959|010|002|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|140.70|0| | |MN|24340|0|N
H5959|010|002|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|140.70|0| | |MN|24360|0|N
H5959|010|002|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|140.70|0| | |MN|24380|0|N
H5959|010|002|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|140.70|0| | |MN|24400|0|N
H5959|010|002|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|140.70|0| | |MN|24410|0|N
H5959|010|002|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|140.70|0| | |MN|24430|0|N
H5959|010|002|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|140.70|0| | |MN|24440|0|N
H5959|010|002|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|140.70|0| | |MN|24480|0|N
H5959|010|002|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|140.70|0| | |MN|24500|0|N
H5959|010|002|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|140.70|0| | |MN|24520|0|N
H5959|010|002|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|140.70|0| | |MN|24530|0|N
H5959|010|002|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|140.70|0| | |MN|24550|0|N
H5959|010|002|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|140.70|0| | |MN|24560|0|N
H5959|010|002|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|140.70|0| | |MN|24590|0|N
H5959|010|002|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|140.70|0| | |MN|24600|0|N
H5959|010|002|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|140.70|0| | |MN|24620|0|N
H5959|010|002|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|140.70|0| | |MN|24630|0|N
H5959|010|002|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|140.70|0| | |MN|24640|0|N
H5959|010|002|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|140.70|0| | |MN|24670|0|N
H5959|010|002|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|140.70|0| | |MN|24720|0|N
H5959|010|002|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|140.70|0| | |MN|24750|0|N
H5959|010|002|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|140.70|0| | |MN|24760|0|N
H5959|010|002|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|140.70|0| | |MN|24790|0|N
H5959|010|002|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|140.70|0| | |MN|24830|0|N
H5959|011|000|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|83.10|0| | |MN|24060|0|N
H5959|011|000|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|83.10|0| | |MN|24190|0|N
H5959|011|000|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|83.10|0| | |MN|24210|0|N
H5959|011|000|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|83.10|0| | |MN|24220|0|N
H5959|011|000|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|83.10|0| | |MN|24230|0|N
H5959|011|000|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|83.10|0| | |MN|24270|0|N
H5959|011|000|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|83.10|0| | |MN|24450|0|N
H5959|011|000|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|83.10|0| | |MN|24490|0|N
H5959|011|000|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|83.10|0| | |MN|24510|0|N
H5959|011|000|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|83.10|0| | |MN|24540|0|N
H5959|011|000|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|83.10|0| | |MN|24730|0|N
H5959|011|000|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|83.10|0| | |MN|24780|0|N
H5959|011|000|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|83.10|0| | |MN|24800|0|N
H5959|011|000|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|83.10|0| | |MN|24820|0|N
H5959|011|000|BCBSM, Inc.|Blue Cross Medicare Advantage Complete (PPO)|00025305|83.10|0| | |MN|24840|0|N
H5959|012|000|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24060|0|N
H5959|012|000|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24190|0|N
H5959|012|000|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24210|0|N
H5959|012|000|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24220|0|N
H5959|012|000|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24230|0|N
H5959|012|000|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24270|0|N
H5959|012|000|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24450|0|N
H5959|012|000|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24490|0|N
H5959|012|000|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24510|0|N
H5959|012|000|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24540|0|N
H5959|012|000|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24730|0|N
H5959|012|000|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24780|0|N
H5959|012|000|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24800|0|N
H5959|012|000|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24820|0|N
H5959|012|000|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24840|0|N
H5959|013|001|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24010|0|N
H5959|013|001|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24090|0|N
H5959|013|001|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24120|0|N
H5959|013|001|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24180|0|N
H5959|013|001|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24260|0|N
H5959|013|001|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24290|0|N
H5959|013|001|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24610|0|N
H5959|013|001|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24690|0|N
H5959|013|001|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24700|0|N
H5959|013|001|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24810|0|N
H5959|013|001|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24850|0|N
H5959|013|002|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24020|0|N
H5959|013|002|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24030|0|N
H5959|013|002|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24040|0|N
H5959|013|002|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24050|0|N
H5959|013|002|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24070|0|N
H5959|013|002|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24100|0|N
H5959|013|002|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24110|0|N
H5959|013|002|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24130|0|N
H5959|013|002|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24140|0|N
H5959|013|002|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24160|0|N
H5959|013|002|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24170|0|N
H5959|013|002|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24200|0|N
H5959|013|002|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24250|0|N
H5959|013|002|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24280|0|N
H5959|013|002|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24310|0|N
H5959|013|002|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24330|0|N
H5959|013|002|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24340|0|N
H5959|013|002|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24360|0|N
H5959|013|002|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24380|0|N
H5959|013|002|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24400|0|N
H5959|013|002|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24410|0|N
H5959|013|002|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24430|0|N
H5959|013|002|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24440|0|N
H5959|013|002|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24480|0|N
H5959|013|002|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24500|0|N
H5959|013|002|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24520|0|N
H5959|013|002|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24530|0|N
H5959|013|002|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24550|0|N
H5959|013|002|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24560|0|N
H5959|013|002|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24590|0|N
H5959|013|002|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24600|0|N
H5959|013|002|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24620|0|N
H5959|013|002|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24630|0|N
H5959|013|002|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24640|0|N
H5959|013|002|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24670|0|N
H5959|013|002|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24720|0|N
H5959|013|002|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24750|0|N
H5959|013|002|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24760|0|N
H5959|013|002|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24790|0|N
H5959|013|002|BCBSM, Inc.|Blue Cross Medicare Advantage Core (PPO)|00025303|0.00|350| | |MN|24830|0|N
H5959|014|001|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|0.00|0| | |MN|24010|0|N
H5959|014|001|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|0.00|0| | |MN|24090|0|N
H5959|014|001|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|0.00|0| | |MN|24120|0|N
H5959|014|001|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|0.00|0| | |MN|24180|0|N
H5959|014|001|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|0.00|0| | |MN|24260|0|N
H5959|014|001|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|0.00|0| | |MN|24290|0|N
H5959|014|001|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|0.00|0| | |MN|24610|0|N
H5959|014|001|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|0.00|0| | |MN|24690|0|N
H5959|014|001|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|0.00|0| | |MN|24700|0|N
H5959|014|001|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|0.00|0| | |MN|24810|0|N
H5959|014|001|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|0.00|0| | |MN|24850|0|N
H5959|014|002|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|0.00|0| | |MN|24020|0|N
H5959|014|002|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|0.00|0| | |MN|24030|0|N
H5959|014|002|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|0.00|0| | |MN|24040|0|N
H5959|014|002|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|0.00|0| | |MN|24050|0|N
H5959|014|002|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|0.00|0| | |MN|24070|0|N
H5959|014|002|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|0.00|0| | |MN|24100|0|N
H5959|014|002|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|0.00|0| | |MN|24110|0|N
H5959|014|002|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|0.00|0| | |MN|24130|0|N
H5959|014|002|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|0.00|0| | |MN|24140|0|N
H5959|014|002|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|0.00|0| | |MN|24160|0|N
H5959|014|002|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|0.00|0| | |MN|24170|0|N
H5959|014|002|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|0.00|0| | |MN|24200|0|N
H5959|014|002|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|0.00|0| | |MN|24250|0|N
H5959|014|002|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|0.00|0| | |MN|24280|0|N
H5959|014|002|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|0.00|0| | |MN|24310|0|N
H5959|014|002|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|0.00|0| | |MN|24330|0|N
H5959|014|002|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|0.00|0| | |MN|24340|0|N
H5959|014|002|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|0.00|0| | |MN|24360|0|N
H5959|014|002|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|0.00|0| | |MN|24380|0|N
H5959|014|002|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|0.00|0| | |MN|24400|0|N
H5959|014|002|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|0.00|0| | |MN|24410|0|N
H5959|014|002|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|0.00|0| | |MN|24430|0|N
H5959|014|002|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|0.00|0| | |MN|24440|0|N
H5959|014|002|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|0.00|0| | |MN|24480|0|N
H5959|014|002|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|0.00|0| | |MN|24500|0|N
H5959|014|002|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|0.00|0| | |MN|24520|0|N
H5959|014|002|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|0.00|0| | |MN|24530|0|N
H5959|014|002|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|0.00|0| | |MN|24550|0|N
H5959|014|002|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|0.00|0| | |MN|24560|0|N
H5959|014|002|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|0.00|0| | |MN|24590|0|N
H5959|014|002|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|0.00|0| | |MN|24600|0|N
H5959|014|002|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|0.00|0| | |MN|24620|0|N
H5959|014|002|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|0.00|0| | |MN|24630|0|N
H5959|014|002|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|0.00|0| | |MN|24640|0|N
H5959|014|002|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|0.00|0| | |MN|24670|0|N
H5959|014|002|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|0.00|0| | |MN|24720|0|N
H5959|014|002|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|0.00|0| | |MN|24750|0|N
H5959|014|002|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|0.00|0| | |MN|24760|0|N
H5959|014|002|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|0.00|0| | |MN|24790|0|N
H5959|014|002|BCBSM, Inc.|Blue Cross Medicare Advantage Choice (PPO)|00025305|0.00|0| | |MN|24830|0|N
H5959|015|000|BCBSM, Inc.|Blue Cross Medicare Advantage Comfort (PPO)|00025303|0.00|300| | |MN|24010|0|N
H5959|015|000|BCBSM, Inc.|Blue Cross Medicare Advantage Comfort (PPO)|00025303|0.00|300| | |MN|24090|0|N
H5959|015|000|BCBSM, Inc.|Blue Cross Medicare Advantage Comfort (PPO)|00025303|0.00|300| | |MN|24120|0|N
H5959|015|000|BCBSM, Inc.|Blue Cross Medicare Advantage Comfort (PPO)|00025303|0.00|300| | |MN|24180|0|N
H5959|015|000|BCBSM, Inc.|Blue Cross Medicare Advantage Comfort (PPO)|00025303|0.00|300| | |MN|24260|0|N
H5959|015|000|BCBSM, Inc.|Blue Cross Medicare Advantage Comfort (PPO)|00025303|0.00|300| | |MN|24290|0|N
H5959|015|000|BCBSM, Inc.|Blue Cross Medicare Advantage Comfort (PPO)|00025303|0.00|300| | |MN|24610|0|N
H5959|015|000|BCBSM, Inc.|Blue Cross Medicare Advantage Comfort (PPO)|00025303|0.00|300| | |MN|24690|0|N
H5959|015|000|BCBSM, Inc.|Blue Cross Medicare Advantage Comfort (PPO)|00025303|0.00|300| | |MN|24700|0|N
H5959|015|000|BCBSM, Inc.|Blue Cross Medicare Advantage Comfort (PPO)|00025303|0.00|300| | |MN|24810|0|N
H5959|015|000|BCBSM, Inc.|Blue Cross Medicare Advantage Comfort (PPO)|00025303|0.00|300| | |MN|24850|0|N
H5959|016|000|BCBSM, Inc.|Blue Cross Medicare Advantage Comfort (PPO)|00025303|0.00|275| | |MN|24020|0|N
H5959|016|000|BCBSM, Inc.|Blue Cross Medicare Advantage Comfort (PPO)|00025303|0.00|275| | |MN|24030|0|N
H5959|016|000|BCBSM, Inc.|Blue Cross Medicare Advantage Comfort (PPO)|00025303|0.00|275| | |MN|24040|0|N
H5959|016|000|BCBSM, Inc.|Blue Cross Medicare Advantage Comfort (PPO)|00025303|0.00|275| | |MN|24050|0|N
H5959|016|000|BCBSM, Inc.|Blue Cross Medicare Advantage Comfort (PPO)|00025303|0.00|275| | |MN|24070|0|N
H5959|016|000|BCBSM, Inc.|Blue Cross Medicare Advantage Comfort (PPO)|00025303|0.00|275| | |MN|24100|0|N
H5959|016|000|BCBSM, Inc.|Blue Cross Medicare Advantage Comfort (PPO)|00025303|0.00|275| | |MN|24110|0|N
H5959|016|000|BCBSM, Inc.|Blue Cross Medicare Advantage Comfort (PPO)|00025303|0.00|275| | |MN|24130|0|N
H5959|016|000|BCBSM, Inc.|Blue Cross Medicare Advantage Comfort (PPO)|00025303|0.00|275| | |MN|24140|0|N
H5959|016|000|BCBSM, Inc.|Blue Cross Medicare Advantage Comfort (PPO)|00025303|0.00|275| | |MN|24160|0|N
H5959|016|000|BCBSM, Inc.|Blue Cross Medicare Advantage Comfort (PPO)|00025303|0.00|275| | |MN|24170|0|N
H5959|016|000|BCBSM, Inc.|Blue Cross Medicare Advantage Comfort (PPO)|00025303|0.00|275| | |MN|24200|0|N
H5959|016|000|BCBSM, Inc.|Blue Cross Medicare Advantage Comfort (PPO)|00025303|0.00|275| | |MN|24250|0|N
H5959|016|000|BCBSM, Inc.|Blue Cross Medicare Advantage Comfort (PPO)|00025303|0.00|275| | |MN|24280|0|N
H5959|016|000|BCBSM, Inc.|Blue Cross Medicare Advantage Comfort (PPO)|00025303|0.00|275| | |MN|24310|0|N
H5959|016|000|BCBSM, Inc.|Blue Cross Medicare Advantage Comfort (PPO)|00025303|0.00|275| | |MN|24330|0|N
H5959|016|000|BCBSM, Inc.|Blue Cross Medicare Advantage Comfort (PPO)|00025303|0.00|275| | |MN|24340|0|N
H5959|016|000|BCBSM, Inc.|Blue Cross Medicare Advantage Comfort (PPO)|00025303|0.00|275| | |MN|24360|0|N
H5959|016|000|BCBSM, Inc.|Blue Cross Medicare Advantage Comfort (PPO)|00025303|0.00|275| | |MN|24380|0|N
H5959|016|000|BCBSM, Inc.|Blue Cross Medicare Advantage Comfort (PPO)|00025303|0.00|275| | |MN|24400|0|N
H5959|016|000|BCBSM, Inc.|Blue Cross Medicare Advantage Comfort (PPO)|00025303|0.00|275| | |MN|24410|0|N
H5959|016|000|BCBSM, Inc.|Blue Cross Medicare Advantage Comfort (PPO)|00025303|0.00|275| | |MN|24430|0|N
H5959|016|000|BCBSM, Inc.|Blue Cross Medicare Advantage Comfort (PPO)|00025303|0.00|275| | |MN|24440|0|N
H5959|016|000|BCBSM, Inc.|Blue Cross Medicare Advantage Comfort (PPO)|00025303|0.00|275| | |MN|24480|0|N
H5959|016|000|BCBSM, Inc.|Blue Cross Medicare Advantage Comfort (PPO)|00025303|0.00|275| | |MN|24500|0|N
H5959|016|000|BCBSM, Inc.|Blue Cross Medicare Advantage Comfort (PPO)|00025303|0.00|275| | |MN|24520|0|N
H5959|016|000|BCBSM, Inc.|Blue Cross Medicare Advantage Comfort (PPO)|00025303|0.00|275| | |MN|24530|0|N
H5959|016|000|BCBSM, Inc.|Blue Cross Medicare Advantage Comfort (PPO)|00025303|0.00|275| | |MN|24550|0|N
H5959|016|000|BCBSM, Inc.|Blue Cross Medicare Advantage Comfort (PPO)|00025303|0.00|275| | |MN|24560|0|N
H5959|016|000|BCBSM, Inc.|Blue Cross Medicare Advantage Comfort (PPO)|00025303|0.00|275| | |MN|24590|0|N
H5959|016|000|BCBSM, Inc.|Blue Cross Medicare Advantage Comfort (PPO)|00025303|0.00|275| | |MN|24600|0|N
H5959|016|000|BCBSM, Inc.|Blue Cross Medicare Advantage Comfort (PPO)|00025303|0.00|275| | |MN|24620|0|N
H5959|016|000|BCBSM, Inc.|Blue Cross Medicare Advantage Comfort (PPO)|00025303|0.00|275| | |MN|24630|0|N
H5959|016|000|BCBSM, Inc.|Blue Cross Medicare Advantage Comfort (PPO)|00025303|0.00|275| | |MN|24640|0|N
H5959|016|000|BCBSM, Inc.|Blue Cross Medicare Advantage Comfort (PPO)|00025303|0.00|275| | |MN|24670|0|N
H5959|016|000|BCBSM, Inc.|Blue Cross Medicare Advantage Comfort (PPO)|00025303|0.00|275| | |MN|24720|0|N
H5959|016|000|BCBSM, Inc.|Blue Cross Medicare Advantage Comfort (PPO)|00025303|0.00|275| | |MN|24750|0|N
H5959|016|000|BCBSM, Inc.|Blue Cross Medicare Advantage Comfort (PPO)|00025303|0.00|275| | |MN|24760|0|N
H5959|016|000|BCBSM, Inc.|Blue Cross Medicare Advantage Comfort (PPO)|00025303|0.00|275| | |MN|24790|0|N
H5959|016|000|BCBSM, Inc.|Blue Cross Medicare Advantage Comfort (PPO)|00025303|0.00|275| | |MN|24830|0|N
H5965|002|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |WA|50000|0|N
H5965|002|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |WA|50010|0|N
H5965|002|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |WA|50020|0|N
H5965|002|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |WA|50030|0|N
H5965|002|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |WA|50040|0|N
H5965|002|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |WA|50050|0|N
H5965|002|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |WA|50060|0|N
H5965|002|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |WA|50070|0|N
H5965|002|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |WA|50080|0|N
H5965|002|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |WA|50090|0|N
H5965|002|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |WA|50100|0|N
H5965|002|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |WA|50110|0|N
H5965|002|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |WA|50120|0|N
H5965|002|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |WA|50130|0|N
H5965|002|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |WA|50140|0|N
H5965|002|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |WA|50150|0|N
H5965|002|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |WA|50160|0|N
H5965|002|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |WA|50170|0|N
H5965|002|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |WA|50180|0|N
H5965|002|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |WA|50190|0|N
H5965|002|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |WA|50200|0|N
H5965|002|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |WA|50210|0|N
H5965|002|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |WA|50220|0|N
H5965|002|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |WA|50230|0|N
H5965|002|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |WA|50240|0|N
H5965|002|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |WA|50250|0|N
H5965|002|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |WA|50260|0|N
H5965|002|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |WA|50270|0|N
H5965|002|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |WA|50280|0|N
H5965|002|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |WA|50290|0|N
H5965|002|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |WA|50300|0|N
H5965|002|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |WA|50310|0|N
H5965|002|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |WA|50320|0|N
H5965|002|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |WA|50330|0|N
H5965|002|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |WA|50340|0|N
H5965|002|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |WA|50350|0|N
H5965|002|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |WA|50360|0|N
H5965|002|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |WA|50370|0|N
H5965|002|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |WA|50380|0|N
H5965|004|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|0.00|590| | |WA|50000|2|N
H5965|004|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|0.00|590| | |WA|50010|2|N
H5965|004|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|0.00|590| | |WA|50020|2|N
H5965|004|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|0.00|590| | |WA|50030|2|N
H5965|004|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|0.00|590| | |WA|50040|2|N
H5965|004|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|0.00|590| | |WA|50050|2|N
H5965|004|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|0.00|590| | |WA|50060|2|N
H5965|004|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|0.00|590| | |WA|50070|2|N
H5965|004|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|0.00|590| | |WA|50080|2|N
H5965|004|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|0.00|590| | |WA|50090|2|N
H5965|004|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|0.00|590| | |WA|50100|2|N
H5965|004|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|0.00|590| | |WA|50110|2|N
H5965|004|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|0.00|590| | |WA|50120|2|N
H5965|004|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|0.00|590| | |WA|50130|2|N
H5965|004|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|0.00|590| | |WA|50140|2|N
H5965|004|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|0.00|590| | |WA|50150|2|N
H5965|004|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|0.00|590| | |WA|50160|2|N
H5965|004|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|0.00|590| | |WA|50170|2|N
H5965|004|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|0.00|590| | |WA|50180|2|N
H5965|004|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|0.00|590| | |WA|50190|2|N
H5965|004|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|0.00|590| | |WA|50200|2|N
H5965|004|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|0.00|590| | |WA|50210|2|N
H5965|004|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|0.00|590| | |WA|50220|2|N
H5965|004|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|0.00|590| | |WA|50230|2|N
H5965|004|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|0.00|590| | |WA|50240|2|N
H5965|004|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|0.00|590| | |WA|50250|2|N
H5965|004|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|0.00|590| | |WA|50260|2|N
H5965|004|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|0.00|590| | |WA|50270|2|N
H5965|004|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|0.00|590| | |WA|50280|2|N
H5965|004|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|0.00|590| | |WA|50290|2|N
H5965|004|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|0.00|590| | |WA|50300|2|N
H5965|004|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|0.00|590| | |WA|50310|2|N
H5965|004|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|0.00|590| | |WA|50320|2|N
H5965|004|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|0.00|590| | |WA|50330|2|N
H5965|004|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|0.00|590| | |WA|50340|2|N
H5965|004|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|0.00|590| | |WA|50350|2|N
H5965|004|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|0.00|590| | |WA|50360|2|N
H5965|004|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|0.00|590| | |WA|50370|2|N
H5965|004|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Liberty Open (PPO D-SNP)|00025035|0.00|590| | |WA|50380|2|N
H5965|006|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Access Open (PPO D-SNP)|00025035|0.00|590| | |WA|50000|2|N
H5965|006|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Access Open (PPO D-SNP)|00025035|0.00|590| | |WA|50010|2|N
H5965|006|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Access Open (PPO D-SNP)|00025035|0.00|590| | |WA|50020|2|N
H5965|006|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Access Open (PPO D-SNP)|00025035|0.00|590| | |WA|50030|2|N
H5965|006|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Access Open (PPO D-SNP)|00025035|0.00|590| | |WA|50040|2|N
H5965|006|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Access Open (PPO D-SNP)|00025035|0.00|590| | |WA|50050|2|N
H5965|006|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Access Open (PPO D-SNP)|00025035|0.00|590| | |WA|50060|2|N
H5965|006|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Access Open (PPO D-SNP)|00025035|0.00|590| | |WA|50070|2|N
H5965|006|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Access Open (PPO D-SNP)|00025035|0.00|590| | |WA|50080|2|N
H5965|006|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Access Open (PPO D-SNP)|00025035|0.00|590| | |WA|50090|2|N
H5965|006|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Access Open (PPO D-SNP)|00025035|0.00|590| | |WA|50100|2|N
H5965|006|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Access Open (PPO D-SNP)|00025035|0.00|590| | |WA|50110|2|N
H5965|006|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Access Open (PPO D-SNP)|00025035|0.00|590| | |WA|50120|2|N
H5965|006|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Access Open (PPO D-SNP)|00025035|0.00|590| | |WA|50130|2|N
H5965|006|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Access Open (PPO D-SNP)|00025035|0.00|590| | |WA|50140|2|N
H5965|006|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Access Open (PPO D-SNP)|00025035|0.00|590| | |WA|50150|2|N
H5965|006|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Access Open (PPO D-SNP)|00025035|0.00|590| | |WA|50160|2|N
H5965|006|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Access Open (PPO D-SNP)|00025035|0.00|590| | |WA|50170|2|N
H5965|006|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Access Open (PPO D-SNP)|00025035|0.00|590| | |WA|50180|2|N
H5965|006|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Access Open (PPO D-SNP)|00025035|0.00|590| | |WA|50190|2|N
H5965|006|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Access Open (PPO D-SNP)|00025035|0.00|590| | |WA|50200|2|N
H5965|006|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Access Open (PPO D-SNP)|00025035|0.00|590| | |WA|50210|2|N
H5965|006|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Access Open (PPO D-SNP)|00025035|0.00|590| | |WA|50220|2|N
H5965|006|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Access Open (PPO D-SNP)|00025035|0.00|590| | |WA|50230|2|N
H5965|006|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Access Open (PPO D-SNP)|00025035|0.00|590| | |WA|50240|2|N
H5965|006|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Access Open (PPO D-SNP)|00025035|0.00|590| | |WA|50250|2|N
H5965|006|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Access Open (PPO D-SNP)|00025035|0.00|590| | |WA|50260|2|N
H5965|006|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Access Open (PPO D-SNP)|00025035|0.00|590| | |WA|50270|2|N
H5965|006|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Access Open (PPO D-SNP)|00025035|0.00|590| | |WA|50280|2|N
H5965|006|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Access Open (PPO D-SNP)|00025035|0.00|590| | |WA|50290|2|N
H5965|006|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Access Open (PPO D-SNP)|00025035|0.00|590| | |WA|50300|2|N
H5965|006|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Access Open (PPO D-SNP)|00025035|0.00|590| | |WA|50310|2|N
H5965|006|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Access Open (PPO D-SNP)|00025035|0.00|590| | |WA|50320|2|N
H5965|006|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Access Open (PPO D-SNP)|00025035|0.00|590| | |WA|50330|2|N
H5965|006|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Access Open (PPO D-SNP)|00025035|0.00|590| | |WA|50340|2|N
H5965|006|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Access Open (PPO D-SNP)|00025035|0.00|590| | |WA|50350|2|N
H5965|006|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Access Open (PPO D-SNP)|00025035|0.00|590| | |WA|50360|2|N
H5965|006|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Access Open (PPO D-SNP)|00025035|0.00|590| | |WA|50370|2|N
H5965|006|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Dual Access Open (PPO D-SNP)|00025035|0.00|590| | |WA|50380|2|N
H5965|007|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Premium Enhanced Open (PPO)|00025076|0.00|420| | |WA|50000|0|N
H5965|007|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Premium Enhanced Open (PPO)|00025076|0.00|420| | |WA|50010|0|N
H5965|007|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Premium Enhanced Open (PPO)|00025076|0.00|420| | |WA|50020|0|N
H5965|007|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Premium Enhanced Open (PPO)|00025076|0.00|420| | |WA|50030|0|N
H5965|007|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Premium Enhanced Open (PPO)|00025076|0.00|420| | |WA|50040|0|N
H5965|007|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Premium Enhanced Open (PPO)|00025076|0.00|420| | |WA|50050|0|N
H5965|007|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Premium Enhanced Open (PPO)|00025076|0.00|420| | |WA|50060|0|N
H5965|007|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Premium Enhanced Open (PPO)|00025076|0.00|420| | |WA|50070|0|N
H5965|007|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Premium Enhanced Open (PPO)|00025076|0.00|420| | |WA|50080|0|N
H5965|007|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Premium Enhanced Open (PPO)|00025076|0.00|420| | |WA|50090|0|N
H5965|007|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Premium Enhanced Open (PPO)|00025076|0.00|420| | |WA|50100|0|N
H5965|007|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Premium Enhanced Open (PPO)|00025076|0.00|420| | |WA|50110|0|N
H5965|007|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Premium Enhanced Open (PPO)|00025076|0.00|420| | |WA|50120|0|N
H5965|007|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Premium Enhanced Open (PPO)|00025076|0.00|420| | |WA|50130|0|N
H5965|007|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Premium Enhanced Open (PPO)|00025076|0.00|420| | |WA|50140|0|N
H5965|007|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Premium Enhanced Open (PPO)|00025076|0.00|420| | |WA|50150|0|N
H5965|007|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Premium Enhanced Open (PPO)|00025076|0.00|420| | |WA|50160|0|N
H5965|007|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Premium Enhanced Open (PPO)|00025076|0.00|420| | |WA|50170|0|N
H5965|007|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Premium Enhanced Open (PPO)|00025076|0.00|420| | |WA|50180|0|N
H5965|007|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Premium Enhanced Open (PPO)|00025076|0.00|420| | |WA|50190|0|N
H5965|007|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Premium Enhanced Open (PPO)|00025076|0.00|420| | |WA|50200|0|N
H5965|007|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Premium Enhanced Open (PPO)|00025076|0.00|420| | |WA|50210|0|N
H5965|007|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Premium Enhanced Open (PPO)|00025076|0.00|420| | |WA|50220|0|N
H5965|007|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Premium Enhanced Open (PPO)|00025076|0.00|420| | |WA|50230|0|N
H5965|007|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Premium Enhanced Open (PPO)|00025076|0.00|420| | |WA|50240|0|N
H5965|007|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Premium Enhanced Open (PPO)|00025076|0.00|420| | |WA|50250|0|N
H5965|007|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Premium Enhanced Open (PPO)|00025076|0.00|420| | |WA|50260|0|N
H5965|007|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Premium Enhanced Open (PPO)|00025076|0.00|420| | |WA|50270|0|N
H5965|007|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Premium Enhanced Open (PPO)|00025076|0.00|420| | |WA|50280|0|N
H5965|007|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Premium Enhanced Open (PPO)|00025076|0.00|420| | |WA|50290|0|N
H5965|007|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Premium Enhanced Open (PPO)|00025076|0.00|420| | |WA|50300|0|N
H5965|007|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Premium Enhanced Open (PPO)|00025076|0.00|420| | |WA|50310|0|N
H5965|007|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Premium Enhanced Open (PPO)|00025076|0.00|420| | |WA|50320|0|N
H5965|007|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Premium Enhanced Open (PPO)|00025076|0.00|420| | |WA|50330|0|N
H5965|007|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Premium Enhanced Open (PPO)|00025076|0.00|420| | |WA|50340|0|N
H5965|007|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Premium Enhanced Open (PPO)|00025076|0.00|420| | |WA|50350|0|N
H5965|007|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Premium Enhanced Open (PPO)|00025076|0.00|420| | |WA|50360|0|N
H5965|007|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Premium Enhanced Open (PPO)|00025076|0.00|420| | |WA|50370|0|N
H5965|007|000|WELLCARE HEALTH INSURANCE COMPANY OF WASHINGTON|Wellcare Mutual of Omaha Premium Enhanced Open (PPO)|00025076|0.00|420| | |WA|50380|0|N
H5969|002|000|ALOHACARE|AlohaCare Advantage Plus (HMO D-SNP)|00025388|0.00|590| | |HI|12010|2|N
H5969|002|000|ALOHACARE|AlohaCare Advantage Plus (HMO D-SNP)|00025388|0.00|590| | |HI|12020|2|N
H5969|002|000|ALOHACARE|AlohaCare Advantage Plus (HMO D-SNP)|00025388|0.00|590| | |HI|12030|2|N
H5969|002|000|ALOHACARE|AlohaCare Advantage Plus (HMO D-SNP)|00025388|0.00|590| | |HI|12040|2|N
H5969|002|000|ALOHACARE|AlohaCare Advantage Plus (HMO D-SNP)|00025388|0.00|590| | |HI|12050|2|N
H5969|003|000|ALOHACARE|AlohaCare Advantage (HMO D-SNP)|00025388|0.00|590| | |HI|12010|2|N
H5969|003|000|ALOHACARE|AlohaCare Advantage (HMO D-SNP)|00025388|0.00|590| | |HI|12020|2|N
H5969|003|000|ALOHACARE|AlohaCare Advantage (HMO D-SNP)|00025388|0.00|590| | |HI|12030|2|N
H5969|003|000|ALOHACARE|AlohaCare Advantage (HMO D-SNP)|00025388|0.00|590| | |HI|12040|2|N
H5969|003|000|ALOHACARE|AlohaCare Advantage (HMO D-SNP)|00025388|0.00|590| | |HI|12050|2|N
H5970|020|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice SNP-DE H5970-020 (PPO D-SNP)|00025456|0.00|590| | |NY|33000|2|N
H5970|020|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice SNP-DE H5970-020 (PPO D-SNP)|00025456|0.00|590| | |NY|33010|2|N
H5970|020|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice SNP-DE H5970-020 (PPO D-SNP)|00025456|0.00|590| | |NY|33030|2|N
H5970|020|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice SNP-DE H5970-020 (PPO D-SNP)|00025456|0.00|590| | |NY|33040|2|N
H5970|020|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice SNP-DE H5970-020 (PPO D-SNP)|00025456|0.00|590| | |NY|33050|2|N
H5970|020|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice SNP-DE H5970-020 (PPO D-SNP)|00025456|0.00|590| | |NY|33060|2|N
H5970|020|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice SNP-DE H5970-020 (PPO D-SNP)|00025456|0.00|590| | |NY|33070|2|N
H5970|020|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice SNP-DE H5970-020 (PPO D-SNP)|00025456|0.00|590| | |NY|33080|2|N
H5970|020|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice SNP-DE H5970-020 (PPO D-SNP)|00025456|0.00|590| | |NY|33200|2|N
H5970|020|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice SNP-DE H5970-020 (PPO D-SNP)|00025456|0.00|590| | |NY|33210|2|N
H5970|020|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice SNP-DE H5970-020 (PPO D-SNP)|00025456|0.00|590| | |NY|33220|2|N
H5970|020|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice SNP-DE H5970-020 (PPO D-SNP)|00025456|0.00|590| | |NY|33230|2|N
H5970|020|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice SNP-DE H5970-020 (PPO D-SNP)|00025456|0.00|590| | |NY|33240|2|N
H5970|020|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice SNP-DE H5970-020 (PPO D-SNP)|00025456|0.00|590| | |NY|33280|2|N
H5970|020|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice SNP-DE H5970-020 (PPO D-SNP)|00025456|0.00|590| | |NY|33290|2|N
H5970|020|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice SNP-DE H5970-020 (PPO D-SNP)|00025456|0.00|590| | |NY|33300|2|N
H5970|020|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice SNP-DE H5970-020 (PPO D-SNP)|00025456|0.00|590| | |NY|33310|2|N
H5970|020|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice SNP-DE H5970-020 (PPO D-SNP)|00025456|0.00|590| | |NY|33320|2|N
H5970|020|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice SNP-DE H5970-020 (PPO D-SNP)|00025456|0.00|590| | |NY|33330|2|N
H5970|020|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice SNP-DE H5970-020 (PPO D-SNP)|00025456|0.00|590| | |NY|33340|2|N
H5970|020|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice SNP-DE H5970-020 (PPO D-SNP)|00025456|0.00|590| | |NY|33350|2|N
H5970|020|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice SNP-DE H5970-020 (PPO D-SNP)|00025456|0.00|590| | |NY|33360|2|N
H5970|020|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice SNP-DE H5970-020 (PPO D-SNP)|00025456|0.00|590| | |NY|33370|2|N
H5970|020|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice SNP-DE H5970-020 (PPO D-SNP)|00025456|0.00|590| | |NY|33380|2|N
H5970|020|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice SNP-DE H5970-020 (PPO D-SNP)|00025456|0.00|590| | |NY|33500|2|N
H5970|020|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice SNP-DE H5970-020 (PPO D-SNP)|00025456|0.00|590| | |NY|33510|2|N
H5970|020|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice SNP-DE H5970-020 (PPO D-SNP)|00025456|0.00|590| | |NY|33520|2|N
H5970|020|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice SNP-DE H5970-020 (PPO D-SNP)|00025456|0.00|590| | |NY|33540|2|N
H5970|020|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice SNP-DE H5970-020 (PPO D-SNP)|00025456|0.00|590| | |NY|33550|2|N
H5970|020|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice SNP-DE H5970-020 (PPO D-SNP)|00025456|0.00|590| | |NY|33560|2|N
H5970|020|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice SNP-DE H5970-020 (PPO D-SNP)|00025456|0.00|590| | |NY|33570|2|N
H5970|020|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice SNP-DE H5970-020 (PPO D-SNP)|00025456|0.00|590| | |NY|33580|2|N
H5970|020|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice SNP-DE H5970-020 (PPO D-SNP)|00025456|0.00|590| | |NY|33600|2|N
H5970|020|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice SNP-DE H5970-020 (PPO D-SNP)|00025456|0.00|590| | |NY|33620|2|N
H5970|020|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice SNP-DE H5970-020 (PPO D-SNP)|00025456|0.00|590| | |NY|33640|2|N
H5970|020|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice SNP-DE H5970-020 (PPO D-SNP)|00025456|0.00|590| | |NY|33650|2|N
H5970|020|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice SNP-DE H5970-020 (PPO D-SNP)|00025456|0.00|590| | |NY|33660|2|N
H5970|020|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice SNP-DE H5970-020 (PPO D-SNP)|00025456|0.00|590| | |NY|33670|2|N
H5970|020|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice SNP-DE H5970-020 (PPO D-SNP)|00025456|0.00|590| | |NY|33680|2|N
H5970|020|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice SNP-DE H5970-020 (PPO D-SNP)|00025456|0.00|590| | |NY|33690|2|N
H5970|020|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice SNP-DE H5970-020 (PPO D-SNP)|00025456|0.00|590| | |NY|33710|2|N
H5970|020|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice SNP-DE H5970-020 (PPO D-SNP)|00025456|0.00|590| | |NY|33720|2|N
H5970|020|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice SNP-DE H5970-020 (PPO D-SNP)|00025456|0.00|590| | |NY|33740|2|N
H5970|020|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice SNP-DE H5970-020 (PPO D-SNP)|00025456|0.00|590| | |NY|33750|2|N
H5970|020|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice SNP-DE H5970-020 (PPO D-SNP)|00025456|0.00|590| | |NY|33760|2|N
H5970|020|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice SNP-DE H5970-020 (PPO D-SNP)|00025456|0.00|590| | |NY|33800|2|N
H5970|020|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice SNP-DE H5970-020 (PPO D-SNP)|00025456|0.00|590| | |NY|33900|2|N
H5970|020|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice SNP-DE H5970-020 (PPO D-SNP)|00025456|0.00|590| | |NY|33910|2|N
H5970|028|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice H5970-028 (PPO)|00025456|0.00|425| | |NY|33020|0|N
H5970|028|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice H5970-028 (PPO)|00025456|0.00|425| | |NY|33331|0|N
H5970|028|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice H5970-028 (PPO)|00025456|0.00|425| | |NY|33420|0|N
H5970|028|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice H5970-028 (PPO)|00025456|0.00|425| | |NY|33590|0|N
H5970|029|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice H5970-029 (PPO)|00025456|28.00|590| | |NY|33000|0|N
H5970|029|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice H5970-029 (PPO)|00025456|28.00|590| | |NY|33010|0|N
H5970|029|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice H5970-029 (PPO)|00025456|28.00|590| | |NY|33030|0|N
H5970|029|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice H5970-029 (PPO)|00025456|28.00|590| | |NY|33040|0|N
H5970|029|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice H5970-029 (PPO)|00025456|28.00|590| | |NY|33050|0|N
H5970|029|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice H5970-029 (PPO)|00025456|28.00|590| | |NY|33060|0|N
H5970|029|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice H5970-029 (PPO)|00025456|28.00|590| | |NY|33070|0|N
H5970|029|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice H5970-029 (PPO)|00025456|28.00|590| | |NY|33080|0|N
H5970|029|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice H5970-029 (PPO)|00025456|28.00|590| | |NY|33200|0|N
H5970|029|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice H5970-029 (PPO)|00025456|28.00|590| | |NY|33210|0|N
H5970|029|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice H5970-029 (PPO)|00025456|28.00|590| | |NY|33230|0|N
H5970|029|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice H5970-029 (PPO)|00025456|28.00|590| | |NY|33240|0|N
H5970|029|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice H5970-029 (PPO)|00025456|28.00|590| | |NY|33280|0|N
H5970|029|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice H5970-029 (PPO)|00025456|28.00|590| | |NY|33290|0|N
H5970|029|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice H5970-029 (PPO)|00025456|28.00|590| | |NY|33300|0|N
H5970|029|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice H5970-029 (PPO)|00025456|28.00|590| | |NY|33310|0|N
H5970|029|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice H5970-029 (PPO)|00025456|28.00|590| | |NY|33320|0|N
H5970|029|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice H5970-029 (PPO)|00025456|28.00|590| | |NY|33330|0|N
H5970|029|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice H5970-029 (PPO)|00025456|28.00|590| | |NY|33340|0|N
H5970|029|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice H5970-029 (PPO)|00025456|28.00|590| | |NY|33350|0|N
H5970|029|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice H5970-029 (PPO)|00025456|28.00|590| | |NY|33360|0|N
H5970|029|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice H5970-029 (PPO)|00025456|28.00|590| | |NY|33370|0|N
H5970|029|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice H5970-029 (PPO)|00025456|28.00|590| | |NY|33380|0|N
H5970|029|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice H5970-029 (PPO)|00025456|28.00|590| | |NY|33400|0|N
H5970|029|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice H5970-029 (PPO)|00025456|28.00|590| | |NY|33500|0|N
H5970|029|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice H5970-029 (PPO)|00025456|28.00|590| | |NY|33510|0|N
H5970|029|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice H5970-029 (PPO)|00025456|28.00|590| | |NY|33520|0|N
H5970|029|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice H5970-029 (PPO)|00025456|28.00|590| | |NY|33540|0|N
H5970|029|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice H5970-029 (PPO)|00025456|28.00|590| | |NY|33550|0|N
H5970|029|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice H5970-029 (PPO)|00025456|28.00|590| | |NY|33560|0|N
H5970|029|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice H5970-029 (PPO)|00025456|28.00|590| | |NY|33570|0|N
H5970|029|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice H5970-029 (PPO)|00025456|28.00|590| | |NY|33580|0|N
H5970|029|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice H5970-029 (PPO)|00025456|28.00|590| | |NY|33600|0|N
H5970|029|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice H5970-029 (PPO)|00025456|28.00|590| | |NY|33620|0|N
H5970|029|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice H5970-029 (PPO)|00025456|28.00|590| | |NY|33630|0|N
H5970|029|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice H5970-029 (PPO)|00025456|28.00|590| | |NY|33640|0|N
H5970|029|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice H5970-029 (PPO)|00025456|28.00|590| | |NY|33650|0|N
H5970|029|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice H5970-029 (PPO)|00025456|28.00|590| | |NY|33660|0|N
H5970|029|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice H5970-029 (PPO)|00025456|28.00|590| | |NY|33670|0|N
H5970|029|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice H5970-029 (PPO)|00025456|28.00|590| | |NY|33680|0|N
H5970|029|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice H5970-029 (PPO)|00025456|28.00|590| | |NY|33690|0|N
H5970|029|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice H5970-029 (PPO)|00025456|28.00|590| | |NY|33700|0|N
H5970|029|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice H5970-029 (PPO)|00025456|28.00|590| | |NY|33710|0|N
H5970|029|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice H5970-029 (PPO)|00025456|28.00|590| | |NY|33720|0|N
H5970|029|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice H5970-029 (PPO)|00025456|28.00|590| | |NY|33740|0|N
H5970|029|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice H5970-029 (PPO)|00025456|28.00|590| | |NY|33750|0|N
H5970|029|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice H5970-029 (PPO)|00025456|28.00|590| | |NY|33760|0|N
H5970|029|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice H5970-029 (PPO)|00025456|28.00|590| | |NY|33800|0|N
H5970|029|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice H5970-029 (PPO)|00025456|28.00|590| | |NY|33900|0|N
H5970|029|000|HUMANA INSURANCE COMPANY OF NEW YORK|HumanaChoice H5970-029 (PPO)|00025456|28.00|590| | |NY|33910|0|N
H5989|011|000|HEALTHFIRST HEALTH PLAN, INC.|Healthfirst Signature (HMO)|00025210|0.00|590| | |NY|33020|0|N
H5989|011|000|HEALTHFIRST HEALTH PLAN, INC.|Healthfirst Signature (HMO)|00025210|0.00|590| | |NY|33331|0|N
H5989|011|000|HEALTHFIRST HEALTH PLAN, INC.|Healthfirst Signature (HMO)|00025210|0.00|590| | |NY|33400|0|N
H5989|011|000|HEALTHFIRST HEALTH PLAN, INC.|Healthfirst Signature (HMO)|00025210|0.00|590| | |NY|33420|0|N
H5989|011|000|HEALTHFIRST HEALTH PLAN, INC.|Healthfirst Signature (HMO)|00025210|0.00|590| | |NY|33590|0|N
H5989|011|000|HEALTHFIRST HEALTH PLAN, INC.|Healthfirst Signature (HMO)|00025210|0.00|590| | |NY|33610|0|N
H5991|010|000|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Dual Reserve (HMO D-SNP)|00025285|0.00|590| | |NY|33020|2|N
H5991|010|000|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Dual Reserve (HMO D-SNP)|00025285|0.00|590| | |NY|33331|2|N
H5991|010|000|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Dual Reserve (HMO D-SNP)|00025285|0.00|590| | |NY|33420|2|N
H5991|010|000|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Dual Reserve (HMO D-SNP)|00025285|0.00|590| | |NY|33590|2|N
H5991|012|001|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Dual (HMO D-SNP)|00025285|0.00|590| | |NY|33020|2|N
H5991|012|001|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Dual (HMO D-SNP)|00025285|0.00|590| | |NY|33331|2|N
H5991|012|001|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Dual (HMO D-SNP)|00025285|0.00|590| | |NY|33420|2|N
H5991|012|001|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Dual (HMO D-SNP)|00025285|0.00|590| | |NY|33590|2|N
H5991|012|002|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Dual (HMO D-SNP)|00025285|0.00|590| | |NY|33000|2|N
H5991|012|002|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Dual (HMO D-SNP)|00025285|0.00|590| | |NY|33030|2|N
H5991|012|002|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Dual (HMO D-SNP)|00025285|0.00|590| | |NY|33200|2|N
H5991|012|002|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Dual (HMO D-SNP)|00025285|0.00|590| | |NY|33220|2|N
H5991|012|002|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Dual (HMO D-SNP)|00025285|0.00|590| | |NY|33230|2|N
H5991|012|002|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Dual (HMO D-SNP)|00025285|0.00|590| | |NY|33300|2|N
H5991|012|002|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Dual (HMO D-SNP)|00025285|0.00|590| | |NY|33400|2|N
H5991|012|002|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Dual (HMO D-SNP)|00025285|0.00|590| | |NY|33540|2|N
H5991|012|002|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Dual (HMO D-SNP)|00025285|0.00|590| | |NY|33580|2|N
H5991|012|002|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Dual (HMO D-SNP)|00025285|0.00|590| | |NY|33600|2|N
H5991|012|002|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Dual (HMO D-SNP)|00025285|0.00|590| | |NY|33610|2|N
H5991|012|002|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Dual (HMO D-SNP)|00025285|0.00|590| | |NY|33620|2|N
H5991|012|002|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Dual (HMO D-SNP)|00025285|0.00|590| | |NY|33640|2|N
H5991|012|002|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Dual (HMO D-SNP)|00025285|0.00|590| | |NY|33650|2|N
H5991|012|002|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Dual (HMO D-SNP)|00025285|0.00|590| | |NY|33700|2|N
H5991|012|002|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Dual (HMO D-SNP)|00025285|0.00|590| | |NY|33710|2|N
H5991|012|002|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Dual (HMO D-SNP)|00025285|0.00|590| | |NY|33740|2|N
H5991|012|002|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Dual (HMO D-SNP)|00025285|0.00|590| | |NY|33750|2|N
H5991|012|002|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Dual (HMO D-SNP)|00025285|0.00|590| | |NY|33760|2|N
H5991|012|002|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Dual (HMO D-SNP)|00025285|0.00|590| | |NY|33800|2|N
H5991|013|001|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Dual Enhanced (HMO D-SNP)|00025285|0.00|590| | |NY|33020|2|N
H5991|013|001|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Dual Enhanced (HMO D-SNP)|00025285|0.00|590| | |NY|33331|2|N
H5991|013|001|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Dual Enhanced (HMO D-SNP)|00025285|0.00|590| | |NY|33420|2|N
H5991|013|001|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Dual Enhanced (HMO D-SNP)|00025285|0.00|590| | |NY|33590|2|N
H5991|013|002|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Dual Enhanced (HMO D-SNP)|00025285|0.00|590| | |NY|33400|2|N
H5991|013|002|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Dual Enhanced (HMO D-SNP)|00025285|0.00|590| | |NY|33610|2|N
H5991|013|002|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Dual Enhanced (HMO D-SNP)|00025285|0.00|590| | |NY|33700|2|N
H5991|013|002|HEALTH INSURANCE PLAN OF GREATER NEW YORK|EmblemHealth VIP Dual Enhanced (HMO D-SNP)|00025285|0.00|590| | |NY|33800|2|N
H5992|007|000|SENIOR WHOLE HEALTH OF NEW YORK, INC.|Senior Whole Health of New York NHC (HMO D-SNP)|00025316|0.00|540| | |NY|33020|2|N
H5992|007|000|SENIOR WHOLE HEALTH OF NEW YORK, INC.|Senior Whole Health of New York NHC (HMO D-SNP)|00025316|0.00|540| | |NY|33331|2|N
H5992|007|000|SENIOR WHOLE HEALTH OF NEW YORK, INC.|Senior Whole Health of New York NHC (HMO D-SNP)|00025316|0.00|540| | |NY|33400|2|N
H5992|007|000|SENIOR WHOLE HEALTH OF NEW YORK, INC.|Senior Whole Health of New York NHC (HMO D-SNP)|00025316|0.00|540| | |NY|33420|2|N
H5992|007|000|SENIOR WHOLE HEALTH OF NEW YORK, INC.|Senior Whole Health of New York NHC (HMO D-SNP)|00025316|0.00|540| | |NY|33540|2|N
H5992|007|000|SENIOR WHOLE HEALTH OF NEW YORK, INC.|Senior Whole Health of New York NHC (HMO D-SNP)|00025316|0.00|540| | |NY|33590|2|N
H5992|007|000|SENIOR WHOLE HEALTH OF NEW YORK, INC.|Senior Whole Health of New York NHC (HMO D-SNP)|00025316|0.00|540| | |NY|33610|2|N
H5992|007|000|SENIOR WHOLE HEALTH OF NEW YORK, INC.|Senior Whole Health of New York NHC (HMO D-SNP)|00025316|0.00|540| | |NY|33620|2|N
H5992|007|000|SENIOR WHOLE HEALTH OF NEW YORK, INC.|Senior Whole Health of New York NHC (HMO D-SNP)|00025316|0.00|540| | |NY|33800|2|N
H5992|009|001|SENIOR WHOLE HEALTH OF NEW YORK, INC.|Senior Whole Health Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NY|33020|2|N
H5992|009|001|SENIOR WHOLE HEALTH OF NEW YORK, INC.|Senior Whole Health Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NY|33400|2|N
H5992|009|001|SENIOR WHOLE HEALTH OF NEW YORK, INC.|Senior Whole Health Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NY|33420|2|N
H5992|009|001|SENIOR WHOLE HEALTH OF NEW YORK, INC.|Senior Whole Health Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NY|33540|2|N
H5992|009|001|SENIOR WHOLE HEALTH OF NEW YORK, INC.|Senior Whole Health Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NY|33590|2|N
H5992|009|001|SENIOR WHOLE HEALTH OF NEW YORK, INC.|Senior Whole Health Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NY|33610|2|N
H5992|009|001|SENIOR WHOLE HEALTH OF NEW YORK, INC.|Senior Whole Health Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NY|33620|2|N
H5992|009|001|SENIOR WHOLE HEALTH OF NEW YORK, INC.|Senior Whole Health Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NY|33800|2|N
H5992|009|002|SENIOR WHOLE HEALTH OF NEW YORK, INC.|Senior Whole Health Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NY|33331|2|N
H5995|004|000|ATRIO HEALTH PLANS|ATRIO Prime Rx (HMO)|00025197|0.00|350| | |OR|38230|0|N
H5995|004|000|ATRIO HEALTH PLANS|ATRIO Prime Rx (HMO)|00025197|0.00|350| | |OR|38260|0|N
H6018|001|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE Pennsylvania (PPO)|00025185|0.00|590| | |PA|39110|0|N
H6018|001|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE Pennsylvania (PPO)|00025185|0.00|590| | |PA|39140|0|N
H6018|001|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE Pennsylvania (PPO)|00025185|0.00|590| | |PA|39210|0|N
H6018|001|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE Pennsylvania (PPO)|00025185|0.00|590| | |PA|39290|0|N
H6018|001|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE Pennsylvania (PPO)|00025185|0.00|590| | |PA|39470|0|N
H6018|001|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE Pennsylvania (PPO)|00025185|0.00|590| | |PA|39560|0|N
H6018|001|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE Pennsylvania (PPO)|00025185|0.00|590| | |PA|39590|0|N
H6018|001|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE Pennsylvania (PPO)|00025185|0.00|590| | |PA|39620|0|N
H6018|002|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE PLUS Pennsylvania (PPO)|00025185|18.90|590| | |PA|39110|0|N
H6018|002|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE PLUS Pennsylvania (PPO)|00025185|18.90|590| | |PA|39140|0|N
H6018|002|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE PLUS Pennsylvania (PPO)|00025185|18.90|590| | |PA|39210|0|N
H6018|002|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE PLUS Pennsylvania (PPO)|00025185|18.90|590| | |PA|39290|0|N
H6018|002|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE PLUS Pennsylvania (PPO)|00025185|18.90|590| | |PA|39470|0|N
H6018|002|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE PLUS Pennsylvania (PPO)|00025185|18.90|590| | |PA|39560|0|N
H6018|002|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE PLUS Pennsylvania (PPO)|00025185|18.90|590| | |PA|39590|0|N
H6018|002|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE PLUS Pennsylvania (PPO)|00025185|18.90|590| | |PA|39620|0|N
H6018|003|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE GIVEBACK Pennsylvania (PPO)|00025185|0.00|590| | |PA|39110|0|N
H6018|003|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE GIVEBACK Pennsylvania (PPO)|00025185|0.00|590| | |PA|39140|0|N
H6018|003|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE GIVEBACK Pennsylvania (PPO)|00025185|0.00|590| | |PA|39210|0|N
H6018|003|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE GIVEBACK Pennsylvania (PPO)|00025185|0.00|590| | |PA|39290|0|N
H6018|003|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE GIVEBACK Pennsylvania (PPO)|00025185|0.00|590| | |PA|39470|0|N
H6018|003|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE GIVEBACK Pennsylvania (PPO)|00025185|0.00|590| | |PA|39560|0|N
H6018|003|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE GIVEBACK Pennsylvania (PPO)|00025185|0.00|590| | |PA|39590|0|N
H6018|003|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE GIVEBACK Pennsylvania (PPO)|00025185|0.00|590| | |PA|39620|0|N
H6018|007|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE Pennsylvania (PPO)|00025188|0.00|590| | |PA|39190|0|N
H6018|007|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE Pennsylvania (PPO)|00025188|0.00|590| | |PA|39420|0|N
H6018|007|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE Pennsylvania (PPO)|00025188|0.00|590| | |PA|39480|0|N
H6018|007|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE Pennsylvania (PPO)|00025188|0.00|590| | |PA|39550|0|N
H6018|007|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE Pennsylvania (PPO)|00025188|0.00|590| | |PA|39700|0|N
H6018|007|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE Pennsylvania (PPO)|00025188|0.00|590| | |PA|39790|0|N
H6018|008|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE GIVEBACK Pennsylvania (PPO)|00025188|0.00|590| | |PA|39190|0|N
H6018|008|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE GIVEBACK Pennsylvania (PPO)|00025188|0.00|590| | |PA|39420|0|N
H6018|008|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE GIVEBACK Pennsylvania (PPO)|00025188|0.00|590| | |PA|39480|0|N
H6018|008|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE GIVEBACK Pennsylvania (PPO)|00025188|0.00|590| | |PA|39550|0|N
H6018|008|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE GIVEBACK Pennsylvania (PPO)|00025188|0.00|590| | |PA|39700|0|N
H6018|008|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE GIVEBACK Pennsylvania (PPO)|00025188|0.00|590| | |PA|39790|0|N
H6018|010|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE Pennsylvania (PPO)|00025188|0.00|590| | |PA|39070|0|N
H6018|010|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE Pennsylvania (PPO)|00025188|0.00|590| | |PA|39100|0|N
H6018|010|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE Pennsylvania (PPO)|00025188|0.00|590| | |PA|39120|0|N
H6018|010|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE Pennsylvania (PPO)|00025188|0.00|590| | |PA|39220|0|N
H6018|010|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE Pennsylvania (PPO)|00025188|0.00|590| | |PA|39230|0|N
H6018|010|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE Pennsylvania (PPO)|00025188|0.00|590| | |PA|39240|0|N
H6018|010|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE Pennsylvania (PPO)|00025188|0.00|590| | |PA|39260|0|N
H6018|010|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE Pennsylvania (PPO)|00025188|0.00|590| | |PA|39310|0|N
H6018|010|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE Pennsylvania (PPO)|00025188|0.00|590| | |PA|39340|0|N
H6018|010|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE Pennsylvania (PPO)|00025188|0.00|590| | |PA|39360|0|N
H6018|010|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE Pennsylvania (PPO)|00025188|0.00|590| | |PA|39380|0|N
H6018|010|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE Pennsylvania (PPO)|00025188|0.00|590| | |PA|39400|0|N
H6018|010|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE Pennsylvania (PPO)|00025188|0.00|590| | |PA|39450|0|N
H6018|010|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE Pennsylvania (PPO)|00025188|0.00|590| | |PA|39680|0|N
H6018|011|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE GIVEBACK Pennsylvania (PPO)|00025188|0.00|590| | |PA|39070|0|N
H6018|011|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE GIVEBACK Pennsylvania (PPO)|00025188|0.00|590| | |PA|39100|0|N
H6018|011|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE GIVEBACK Pennsylvania (PPO)|00025188|0.00|590| | |PA|39120|0|N
H6018|011|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE GIVEBACK Pennsylvania (PPO)|00025188|0.00|590| | |PA|39220|0|N
H6018|011|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE GIVEBACK Pennsylvania (PPO)|00025188|0.00|590| | |PA|39230|0|N
H6018|011|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE GIVEBACK Pennsylvania (PPO)|00025188|0.00|590| | |PA|39240|0|N
H6018|011|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE GIVEBACK Pennsylvania (PPO)|00025188|0.00|590| | |PA|39260|0|N
H6018|011|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE GIVEBACK Pennsylvania (PPO)|00025188|0.00|590| | |PA|39310|0|N
H6018|011|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE GIVEBACK Pennsylvania (PPO)|00025188|0.00|590| | |PA|39340|0|N
H6018|011|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE GIVEBACK Pennsylvania (PPO)|00025188|0.00|590| | |PA|39360|0|N
H6018|011|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE GIVEBACK Pennsylvania (PPO)|00025188|0.00|590| | |PA|39380|0|N
H6018|011|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE GIVEBACK Pennsylvania (PPO)|00025188|0.00|590| | |PA|39400|0|N
H6018|011|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE GIVEBACK Pennsylvania (PPO)|00025188|0.00|590| | |PA|39450|0|N
H6018|011|000|DEVOTED HEALTH INSURANCE COMPANY OF PENNSYLVANIA INC|Devoted CHOICE GIVEBACK Pennsylvania (PPO)|00025188|0.00|590| | |PA|39680|0|N
H6019|001|000|SAN MATEO HEALTH COMMISSION|CareAdvantage (HMO D-SNP)|00025369|0.00|590| | |CA|05510|2|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14000|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14010|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14020|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14030|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14040|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14050|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14060|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14070|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14080|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14090|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14100|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14110|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14120|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14130|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14140|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14141|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14150|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14160|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14170|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14180|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14190|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14250|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14310|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14320|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14330|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14340|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14350|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14360|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14370|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14380|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14390|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14400|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14410|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14420|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14421|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14440|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14450|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14460|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14470|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14480|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14490|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14500|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14510|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14520|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14530|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14540|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14550|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14560|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14570|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14580|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14590|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14600|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14610|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14620|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14630|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14640|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14650|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14660|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14670|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14680|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14690|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14700|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14710|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14720|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14730|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14740|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14750|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14760|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14770|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14780|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14790|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14800|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14810|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14820|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14830|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14831|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14850|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14860|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14870|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14880|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14890|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14900|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14910|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14920|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14921|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14940|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14950|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14960|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14970|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14980|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14981|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14982|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14983|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14984|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14985|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14986|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14987|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14988|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14989|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14990|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14991|0|N
H6080|001|000|MERIDIAN HEALTH PLAN OF ILLINOIS, INC.|Meridian Medicare-Medicaid Plan (MMP) (Medicare-Medicaid Plan)|00025054|0.00|0| | |IL|14992|0|N
H6154|001|000|MEDICA HEALTH PLANS|Medica Advantage Solution H6154-001 (HMO-POS)|00025152|0.00|590| | |MN|24010|0|N
H6154|001|000|MEDICA HEALTH PLANS|Medica Advantage Solution H6154-001 (HMO-POS)|00025152|0.00|590| | |MN|24020|0|N
H6154|001|000|MEDICA HEALTH PLANS|Medica Advantage Solution H6154-001 (HMO-POS)|00025152|0.00|590| | |MN|24090|0|N
H6154|001|000|MEDICA HEALTH PLANS|Medica Advantage Solution H6154-001 (HMO-POS)|00025152|0.00|590| | |MN|24100|0|N
H6154|001|000|MEDICA HEALTH PLANS|Medica Advantage Solution H6154-001 (HMO-POS)|00025152|0.00|590| | |MN|24110|0|N
H6154|001|000|MEDICA HEALTH PLANS|Medica Advantage Solution H6154-001 (HMO-POS)|00025152|0.00|590| | |MN|24120|0|N
H6154|001|000|MEDICA HEALTH PLANS|Medica Advantage Solution H6154-001 (HMO-POS)|00025152|0.00|590| | |MN|24170|0|N
H6154|001|000|MEDICA HEALTH PLANS|Medica Advantage Solution H6154-001 (HMO-POS)|00025152|0.00|590| | |MN|24180|0|N
H6154|001|000|MEDICA HEALTH PLANS|Medica Advantage Solution H6154-001 (HMO-POS)|00025152|0.00|590| | |MN|24200|0|N
H6154|001|000|MEDICA HEALTH PLANS|Medica Advantage Solution H6154-001 (HMO-POS)|00025152|0.00|590| | |MN|24260|0|N
H6154|001|000|MEDICA HEALTH PLANS|Medica Advantage Solution H6154-001 (HMO-POS)|00025152|0.00|590| | |MN|24280|0|N
H6154|001|000|MEDICA HEALTH PLANS|Medica Advantage Solution H6154-001 (HMO-POS)|00025152|0.00|590| | |MN|24290|0|N
H6154|001|000|MEDICA HEALTH PLANS|Medica Advantage Solution H6154-001 (HMO-POS)|00025152|0.00|590| | |MN|24330|0|N
H6154|001|000|MEDICA HEALTH PLANS|Medica Advantage Solution H6154-001 (HMO-POS)|00025152|0.00|590| | |MN|24550|0|N
H6154|001|000|MEDICA HEALTH PLANS|Medica Advantage Solution H6154-001 (HMO-POS)|00025152|0.00|590| | |MN|24600|0|N
H6154|001|000|MEDICA HEALTH PLANS|Medica Advantage Solution H6154-001 (HMO-POS)|00025152|0.00|590| | |MN|24610|0|N
H6154|001|000|MEDICA HEALTH PLANS|Medica Advantage Solution H6154-001 (HMO-POS)|00025152|0.00|590| | |MN|24640|0|N
H6154|001|000|MEDICA HEALTH PLANS|Medica Advantage Solution H6154-001 (HMO-POS)|00025152|0.00|590| | |MN|24690|0|N
H6154|001|000|MEDICA HEALTH PLANS|Medica Advantage Solution H6154-001 (HMO-POS)|00025152|0.00|590| | |MN|24700|0|N
H6154|001|000|MEDICA HEALTH PLANS|Medica Advantage Solution H6154-001 (HMO-POS)|00025152|0.00|590| | |MN|24720|0|N
H6154|001|000|MEDICA HEALTH PLANS|Medica Advantage Solution H6154-001 (HMO-POS)|00025152|0.00|590| | |MN|24750|0|N
H6154|001|000|MEDICA HEALTH PLANS|Medica Advantage Solution H6154-001 (HMO-POS)|00025152|0.00|590| | |MN|24760|0|N
H6154|001|000|MEDICA HEALTH PLANS|Medica Advantage Solution H6154-001 (HMO-POS)|00025152|0.00|590| | |MN|24790|0|N
H6154|001|000|MEDICA HEALTH PLANS|Medica Advantage Solution H6154-001 (HMO-POS)|00025152|0.00|590| | |MN|24810|0|N
H6154|001|000|MEDICA HEALTH PLANS|Medica Advantage Solution H6154-001 (HMO-POS)|00025152|0.00|590| | |MN|24850|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04000|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04010|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04020|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04030|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04040|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04050|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04060|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04070|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04090|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04100|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04110|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04120|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04130|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04140|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04150|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04160|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04170|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04180|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04190|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04210|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04230|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04240|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04260|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04270|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04280|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04290|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04310|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04320|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04330|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04340|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04350|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04370|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04380|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04390|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04410|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04420|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04430|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04440|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04460|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04470|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04480|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04490|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04500|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04510|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04520|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04530|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04540|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04550|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04560|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04570|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04580|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04590|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04600|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04610|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04630|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04640|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04650|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04670|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04680|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04690|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04700|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04710|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04720|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04730|0|N
H6158|001|000|USABLE HMO, INC.|BlueMedicare Premier (HMO)|00025129|0.00|100| | |AR|04740|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04000|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04010|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04020|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04030|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04040|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04050|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04060|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04070|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04090|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04100|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04110|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04120|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04130|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04140|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04150|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04160|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04170|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04180|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04190|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04210|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04230|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04240|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04260|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04270|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04280|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04290|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04310|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04320|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04330|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04340|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04350|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04370|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04380|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04390|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04410|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04420|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04430|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04440|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04460|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04470|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04480|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04490|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04500|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04510|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04520|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04530|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04540|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04550|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04560|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04570|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04580|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04590|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04600|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04610|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04630|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04640|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04650|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04670|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04680|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04690|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04700|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04710|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04720|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04730|0|N
H6158|003|000|USABLE HMO, INC.|BlueMedicare Independence (HMO)|00025129|20.90|590| | |AR|04740|0|N
H6170|001|000|CHAMPION HEALTH PLAN OF CALIFORNIA INC|Champion Advantage (HMO-POS C-SNP)|00025245|0.00|0| | |CA|05090|1|N
H6170|001|000|CHAMPION HEALTH PLAN OF CALIFORNIA INC|Champion Advantage (HMO-POS C-SNP)|00025245|0.00|0| | |CA|05120|1|N
H6170|001|000|CHAMPION HEALTH PLAN OF CALIFORNIA INC|Champion Advantage (HMO-POS C-SNP)|00025245|0.00|0| | |CA|05140|1|N
H6170|001|000|CHAMPION HEALTH PLAN OF CALIFORNIA INC|Champion Advantage (HMO-POS C-SNP)|00025245|0.00|0| | |CA|05200|1|N
H6170|001|000|CHAMPION HEALTH PLAN OF CALIFORNIA INC|Champion Advantage (HMO-POS C-SNP)|00025245|0.00|0| | |CA|05210|1|N
H6170|001|000|CHAMPION HEALTH PLAN OF CALIFORNIA INC|Champion Advantage (HMO-POS C-SNP)|00025245|0.00|0| | |CA|05300|1|N
H6170|001|000|CHAMPION HEALTH PLAN OF CALIFORNIA INC|Champion Advantage (HMO-POS C-SNP)|00025245|0.00|0| | |CA|05400|1|N
H6170|001|000|CHAMPION HEALTH PLAN OF CALIFORNIA INC|Champion Advantage (HMO-POS C-SNP)|00025245|0.00|0| | |CA|05430|1|N
H6170|001|000|CHAMPION HEALTH PLAN OF CALIFORNIA INC|Champion Advantage (HMO-POS C-SNP)|00025245|0.00|0| | |CA|05460|1|N
H6170|001|000|CHAMPION HEALTH PLAN OF CALIFORNIA INC|Champion Advantage (HMO-POS C-SNP)|00025245|0.00|0| | |CA|05470|1|N
H6170|002|000|CHAMPION HEALTH PLAN OF CALIFORNIA INC|Champion Connect (HMO-POS C-SNP)|00025245|20.50|590| | |CA|05090|1|N
H6170|002|000|CHAMPION HEALTH PLAN OF CALIFORNIA INC|Champion Connect (HMO-POS C-SNP)|00025245|20.50|590| | |CA|05120|1|N
H6170|002|000|CHAMPION HEALTH PLAN OF CALIFORNIA INC|Champion Connect (HMO-POS C-SNP)|00025245|20.50|590| | |CA|05140|1|N
H6170|002|000|CHAMPION HEALTH PLAN OF CALIFORNIA INC|Champion Connect (HMO-POS C-SNP)|00025245|20.50|590| | |CA|05200|1|N
H6170|002|000|CHAMPION HEALTH PLAN OF CALIFORNIA INC|Champion Connect (HMO-POS C-SNP)|00025245|20.50|590| | |CA|05210|1|N
H6170|002|000|CHAMPION HEALTH PLAN OF CALIFORNIA INC|Champion Connect (HMO-POS C-SNP)|00025245|20.50|590| | |CA|05300|1|N
H6170|002|000|CHAMPION HEALTH PLAN OF CALIFORNIA INC|Champion Connect (HMO-POS C-SNP)|00025245|20.50|590| | |CA|05400|1|N
H6170|002|000|CHAMPION HEALTH PLAN OF CALIFORNIA INC|Champion Connect (HMO-POS C-SNP)|00025245|20.50|590| | |CA|05430|1|N
H6170|002|000|CHAMPION HEALTH PLAN OF CALIFORNIA INC|Champion Connect (HMO-POS C-SNP)|00025245|20.50|590| | |CA|05460|1|N
H6170|002|000|CHAMPION HEALTH PLAN OF CALIFORNIA INC|Champion Connect (HMO-POS C-SNP)|00025245|20.50|590| | |CA|05470|1|N
H6170|003|000|CHAMPION HEALTH PLAN OF CALIFORNIA INC|Champion Select (HMO-POS C-SNP)|00025245|13.20|0| | |CA|05090|1|N
H6170|003|000|CHAMPION HEALTH PLAN OF CALIFORNIA INC|Champion Select (HMO-POS C-SNP)|00025245|13.20|0| | |CA|05120|1|N
H6170|003|000|CHAMPION HEALTH PLAN OF CALIFORNIA INC|Champion Select (HMO-POS C-SNP)|00025245|13.20|0| | |CA|05140|1|N
H6170|003|000|CHAMPION HEALTH PLAN OF CALIFORNIA INC|Champion Select (HMO-POS C-SNP)|00025245|13.20|0| | |CA|05200|1|N
H6170|003|000|CHAMPION HEALTH PLAN OF CALIFORNIA INC|Champion Select (HMO-POS C-SNP)|00025245|13.20|0| | |CA|05210|1|N
H6170|003|000|CHAMPION HEALTH PLAN OF CALIFORNIA INC|Champion Select (HMO-POS C-SNP)|00025245|13.20|0| | |CA|05300|1|N
H6170|003|000|CHAMPION HEALTH PLAN OF CALIFORNIA INC|Champion Select (HMO-POS C-SNP)|00025245|13.20|0| | |CA|05400|1|N
H6170|003|000|CHAMPION HEALTH PLAN OF CALIFORNIA INC|Champion Select (HMO-POS C-SNP)|00025245|13.20|0| | |CA|05430|1|N
H6170|003|000|CHAMPION HEALTH PLAN OF CALIFORNIA INC|Champion Select (HMO-POS C-SNP)|00025245|13.20|0| | |CA|05460|1|N
H6170|003|000|CHAMPION HEALTH PLAN OF CALIFORNIA INC|Champion Select (HMO-POS C-SNP)|00025245|13.20|0| | |CA|05470|1|N
H6200|001|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |IL|14020|0|N
H6200|001|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |IL|14130|0|N
H6200|001|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |IL|14500|0|N
H6200|001|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |IL|14670|0|N
H6200|001|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |IL|14680|0|N
H6200|001|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |IL|14750|0|N
H6200|001|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |IL|14900|0|N
H6200|001|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |MO|26270|0|N
H6200|001|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |MO|26350|0|N
H6200|001|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |MO|26360|0|N
H6200|001|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |MO|26490|0|N
H6200|001|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |MO|26560|0|N
H6200|001|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |MO|26690|0|N
H6200|001|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |MO|26910|0|N
H6200|001|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |MO|26940|0|N
H6200|001|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |MO|26950|0|N
H6200|001|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |MO|26991|0|N
H6200|001|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |MO|26992|0|N
H6200|002|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice Plus (PPO)|00025174|4.50|0| | |IL|14020|0|N
H6200|002|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice Plus (PPO)|00025174|4.50|0| | |IL|14130|0|N
H6200|002|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice Plus (PPO)|00025174|4.50|0| | |IL|14500|0|N
H6200|002|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice Plus (PPO)|00025174|4.50|0| | |IL|14670|0|N
H6200|002|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice Plus (PPO)|00025174|4.50|0| | |IL|14680|0|N
H6200|002|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice Plus (PPO)|00025174|4.50|0| | |IL|14750|0|N
H6200|002|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice Plus (PPO)|00025174|4.50|0| | |IL|14900|0|N
H6200|002|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice Plus (PPO)|00025174|4.50|0| | |MO|26270|0|N
H6200|002|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice Plus (PPO)|00025174|4.50|0| | |MO|26350|0|N
H6200|002|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice Plus (PPO)|00025174|4.50|0| | |MO|26360|0|N
H6200|002|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice Plus (PPO)|00025174|4.50|0| | |MO|26490|0|N
H6200|002|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice Plus (PPO)|00025174|4.50|0| | |MO|26560|0|N
H6200|002|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice Plus (PPO)|00025174|4.50|0| | |MO|26690|0|N
H6200|002|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice Plus (PPO)|00025174|4.50|0| | |MO|26910|0|N
H6200|002|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice Plus (PPO)|00025174|4.50|0| | |MO|26940|0|N
H6200|002|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice Plus (PPO)|00025174|4.50|0| | |MO|26950|0|N
H6200|002|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice Plus (PPO)|00025174|4.50|0| | |MO|26991|0|N
H6200|002|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice Plus (PPO)|00025174|4.50|0| | |MO|26992|0|N
H6200|003|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |MO|26090|0|N
H6200|003|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |MO|26130|0|N
H6200|004|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |AR|04030|0|N
H6200|004|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |AR|04070|0|N
H6200|004|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |AR|04430|0|N
H6200|004|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |AR|04710|0|N
H6200|004|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |MO|26040|0|N
H6200|004|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |MO|26210|0|N
H6200|004|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |MO|26290|0|N
H6200|004|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |MO|26380|0|N
H6200|004|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |MO|26540|0|N
H6200|004|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |MO|26821|0|N
H6200|004|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |MO|26986|0|N
H6200|004|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |MO|26988|0|N
H6200|004|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |MO|26994|0|N
H6200|005|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |AR|04140|0|N
H6200|005|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |AR|04260|0|N
H6200|005|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |AR|04420|0|N
H6200|005|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |AR|04520|0|N
H6200|005|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |AR|04580|0|N
H6200|005|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |AR|04590|0|N
H6200|006|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |IN|15090|0|N
H6200|006|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |IN|15120|0|N
H6200|006|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |IN|15210|0|N
H6200|006|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |IN|15300|0|N
H6200|006|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |IN|15380|0|N
H6200|006|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |IN|15680|0|N
H6200|006|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |IN|15710|0|N
H6200|006|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |IN|15770|0|N
H6200|006|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |IN|15870|0|N
H6200|006|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |KY|18020|0|N
H6200|006|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |KY|18080|0|N
H6200|006|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |KY|18140|0|N
H6200|006|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |KY|18191|0|N
H6200|006|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |KY|18240|0|N
H6200|006|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |KY|18330|0|N
H6200|006|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |KY|18480|0|N
H6200|006|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |KY|18510|0|N
H6200|006|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |KY|18550|0|N
H6200|006|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |KY|18610|0|N
H6200|006|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |KY|18801|0|N
H6200|006|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |KY|18830|0|N
H6200|006|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |KY|18890|0|N
H6200|006|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |KY|18920|0|N
H6200|006|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |KY|18930|0|N
H6200|006|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |KY|18973|0|N
H6200|006|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |KY|18978|0|N
H6200|006|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |KY|18980|0|N
H6200|006|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |KY|18984|0|N
H6200|006|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |KY|18987|0|N
H6200|006|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |KY|18992|0|N
H6200|007|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|0| | |IN|15140|0|N
H6200|007|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|0| | |IN|15230|0|N
H6200|007|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|0| | |IN|15570|0|N
H6200|007|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|0| | |KY|18070|0|N
H6200|007|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|0| | |KY|18110|0|N
H6200|007|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|0| | |KY|18180|0|N
H6200|007|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|0| | |KY|18362|0|N
H6200|007|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|0| | |KY|18580|0|N
H6200|007|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|0| | |KY|18932|0|N
H6200|008|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Premier Plus (PPO)|00025174|24.40|590| | |IL|14020|0|N
H6200|008|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Premier Plus (PPO)|00025174|24.40|590| | |IL|14130|0|N
H6200|008|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Premier Plus (PPO)|00025174|24.40|590| | |IL|14500|0|N
H6200|008|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Premier Plus (PPO)|00025174|24.40|590| | |IL|14670|0|N
H6200|008|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Premier Plus (PPO)|00025174|24.40|590| | |IL|14680|0|N
H6200|008|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Premier Plus (PPO)|00025174|24.40|590| | |IL|14750|0|N
H6200|008|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Premier Plus (PPO)|00025174|24.40|590| | |IL|14900|0|N
H6200|008|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Premier Plus (PPO)|00025174|24.40|590| | |MO|26270|0|N
H6200|008|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Premier Plus (PPO)|00025174|24.40|590| | |MO|26350|0|N
H6200|008|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Premier Plus (PPO)|00025174|24.40|590| | |MO|26360|0|N
H6200|008|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Premier Plus (PPO)|00025174|24.40|590| | |MO|26490|0|N
H6200|008|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Premier Plus (PPO)|00025174|24.40|590| | |MO|26560|0|N
H6200|008|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Premier Plus (PPO)|00025174|24.40|590| | |MO|26690|0|N
H6200|008|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Premier Plus (PPO)|00025174|24.40|590| | |MO|26910|0|N
H6200|008|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Premier Plus (PPO)|00025174|24.40|590| | |MO|26940|0|N
H6200|008|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Premier Plus (PPO)|00025174|24.40|590| | |MO|26950|0|N
H6200|008|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Premier Plus (PPO)|00025174|24.40|590| | |MO|26991|0|N
H6200|008|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Premier Plus (PPO)|00025174|24.40|590| | |MO|26992|0|N
H6200|009|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |IL|14141|0|N
H6200|009|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |IL|14250|0|N
H6200|009|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice (PPO)|00025174|0.00|295| | |IL|14989|0|N
H6200|010|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice Plus (PPO)|00025174|15.80|0| | |IL|14141|0|N
H6200|010|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice Plus (PPO)|00025174|15.80|0| | |IL|14250|0|N
H6200|010|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Choice Plus (PPO)|00025174|15.80|0| | |IL|14989|0|N
H6200|011|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Premier Plus (PPO)|00025174|41.70|590| | |IL|14141|0|N
H6200|011|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Premier Plus (PPO)|00025174|41.70|590| | |IL|14250|0|N
H6200|011|000|ESSENCE HEALTHCARE PPO, INC.|Essence Advantage Premier Plus (PPO)|00025174|41.70|590| | |IL|14989|0|N
H6202|001|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Classic PPO (PPO)|00025379|0.00|340| | |ND|35000|0|N
H6202|001|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Classic PPO (PPO)|00025379|0.00|340| | |ND|35010|0|N
H6202|001|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Classic PPO (PPO)|00025379|0.00|340| | |ND|35020|0|N
H6202|001|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Classic PPO (PPO)|00025379|0.00|340| | |ND|35030|0|N
H6202|001|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Classic PPO (PPO)|00025379|0.00|340| | |ND|35040|0|N
H6202|001|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Classic PPO (PPO)|00025379|0.00|340| | |ND|35050|0|N
H6202|001|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Classic PPO (PPO)|00025379|0.00|340| | |ND|35060|0|N
H6202|001|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Classic PPO (PPO)|00025379|0.00|340| | |ND|35070|0|N
H6202|001|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Classic PPO (PPO)|00025379|0.00|340| | |ND|35080|0|N
H6202|001|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Classic PPO (PPO)|00025379|0.00|340| | |ND|35090|0|N
H6202|001|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Classic PPO (PPO)|00025379|0.00|340| | |ND|35100|0|N
H6202|001|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Classic PPO (PPO)|00025379|0.00|340| | |ND|35110|0|N
H6202|001|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Classic PPO (PPO)|00025379|0.00|340| | |ND|35120|0|N
H6202|001|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Classic PPO (PPO)|00025379|0.00|340| | |ND|35130|0|N
H6202|001|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Classic PPO (PPO)|00025379|0.00|340| | |ND|35140|0|N
H6202|001|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Classic PPO (PPO)|00025379|0.00|340| | |ND|35150|0|N
H6202|001|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Classic PPO (PPO)|00025379|0.00|340| | |ND|35160|0|N
H6202|001|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Classic PPO (PPO)|00025379|0.00|340| | |ND|35170|0|N
H6202|001|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Classic PPO (PPO)|00025379|0.00|340| | |ND|35180|0|N
H6202|001|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Classic PPO (PPO)|00025379|0.00|340| | |ND|35190|0|N
H6202|001|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Classic PPO (PPO)|00025379|0.00|340| | |ND|35200|0|N
H6202|001|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Classic PPO (PPO)|00025379|0.00|340| | |ND|35210|0|N
H6202|001|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Classic PPO (PPO)|00025379|0.00|340| | |ND|35220|0|N
H6202|001|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Classic PPO (PPO)|00025379|0.00|340| | |ND|35230|0|N
H6202|001|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Classic PPO (PPO)|00025379|0.00|340| | |ND|35240|0|N
H6202|001|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Classic PPO (PPO)|00025379|0.00|340| | |ND|35250|0|N
H6202|001|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Classic PPO (PPO)|00025379|0.00|340| | |ND|35260|0|N
H6202|001|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Classic PPO (PPO)|00025379|0.00|340| | |ND|35270|0|N
H6202|001|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Classic PPO (PPO)|00025379|0.00|340| | |ND|35280|0|N
H6202|001|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Classic PPO (PPO)|00025379|0.00|340| | |ND|35290|0|N
H6202|001|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Classic PPO (PPO)|00025379|0.00|340| | |ND|35300|0|N
H6202|001|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Classic PPO (PPO)|00025379|0.00|340| | |ND|35310|0|N
H6202|001|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Classic PPO (PPO)|00025379|0.00|340| | |ND|35320|0|N
H6202|001|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Classic PPO (PPO)|00025379|0.00|340| | |ND|35330|0|N
H6202|001|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Classic PPO (PPO)|00025379|0.00|340| | |ND|35340|0|N
H6202|001|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Classic PPO (PPO)|00025379|0.00|340| | |ND|35350|0|N
H6202|001|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Classic PPO (PPO)|00025379|0.00|340| | |ND|35360|0|N
H6202|001|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Classic PPO (PPO)|00025379|0.00|340| | |ND|35370|0|N
H6202|001|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Classic PPO (PPO)|00025379|0.00|340| | |ND|35380|0|N
H6202|001|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Classic PPO (PPO)|00025379|0.00|340| | |ND|35390|0|N
H6202|001|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Classic PPO (PPO)|00025379|0.00|340| | |ND|35400|0|N
H6202|001|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Classic PPO (PPO)|00025379|0.00|340| | |ND|35410|0|N
H6202|001|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Classic PPO (PPO)|00025379|0.00|340| | |ND|35420|0|N
H6202|001|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Classic PPO (PPO)|00025379|0.00|340| | |ND|35430|0|N
H6202|001|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Classic PPO (PPO)|00025379|0.00|340| | |ND|35440|0|N
H6202|001|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Classic PPO (PPO)|00025379|0.00|340| | |ND|35450|0|N
H6202|001|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Classic PPO (PPO)|00025379|0.00|340| | |ND|35460|0|N
H6202|001|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Classic PPO (PPO)|00025379|0.00|340| | |ND|35470|0|N
H6202|001|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Classic PPO (PPO)|00025379|0.00|340| | |ND|35480|0|N
H6202|001|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Classic PPO (PPO)|00025379|0.00|340| | |ND|35490|0|N
H6202|001|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Classic PPO (PPO)|00025379|0.00|340| | |ND|35500|0|N
H6202|001|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Classic PPO (PPO)|00025379|0.00|340| | |ND|35510|0|N
H6202|001|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Classic PPO (PPO)|00025379|0.00|340| | |ND|35520|0|N
H6202|002|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Premium PPO (PPO)|00025379|12.50|240| | |ND|35000|0|N
H6202|002|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Premium PPO (PPO)|00025379|12.50|240| | |ND|35010|0|N
H6202|002|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Premium PPO (PPO)|00025379|12.50|240| | |ND|35020|0|N
H6202|002|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Premium PPO (PPO)|00025379|12.50|240| | |ND|35030|0|N
H6202|002|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Premium PPO (PPO)|00025379|12.50|240| | |ND|35040|0|N
H6202|002|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Premium PPO (PPO)|00025379|12.50|240| | |ND|35050|0|N
H6202|002|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Premium PPO (PPO)|00025379|12.50|240| | |ND|35060|0|N
H6202|002|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Premium PPO (PPO)|00025379|12.50|240| | |ND|35070|0|N
H6202|002|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Premium PPO (PPO)|00025379|12.50|240| | |ND|35080|0|N
H6202|002|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Premium PPO (PPO)|00025379|12.50|240| | |ND|35090|0|N
H6202|002|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Premium PPO (PPO)|00025379|12.50|240| | |ND|35100|0|N
H6202|002|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Premium PPO (PPO)|00025379|12.50|240| | |ND|35110|0|N
H6202|002|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Premium PPO (PPO)|00025379|12.50|240| | |ND|35120|0|N
H6202|002|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Premium PPO (PPO)|00025379|12.50|240| | |ND|35130|0|N
H6202|002|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Premium PPO (PPO)|00025379|12.50|240| | |ND|35140|0|N
H6202|002|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Premium PPO (PPO)|00025379|12.50|240| | |ND|35150|0|N
H6202|002|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Premium PPO (PPO)|00025379|12.50|240| | |ND|35160|0|N
H6202|002|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Premium PPO (PPO)|00025379|12.50|240| | |ND|35170|0|N
H6202|002|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Premium PPO (PPO)|00025379|12.50|240| | |ND|35180|0|N
H6202|002|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Premium PPO (PPO)|00025379|12.50|240| | |ND|35190|0|N
H6202|002|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Premium PPO (PPO)|00025379|12.50|240| | |ND|35200|0|N
H6202|002|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Premium PPO (PPO)|00025379|12.50|240| | |ND|35210|0|N
H6202|002|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Premium PPO (PPO)|00025379|12.50|240| | |ND|35220|0|N
H6202|002|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Premium PPO (PPO)|00025379|12.50|240| | |ND|35230|0|N
H6202|002|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Premium PPO (PPO)|00025379|12.50|240| | |ND|35240|0|N
H6202|002|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Premium PPO (PPO)|00025379|12.50|240| | |ND|35250|0|N
H6202|002|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Premium PPO (PPO)|00025379|12.50|240| | |ND|35260|0|N
H6202|002|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Premium PPO (PPO)|00025379|12.50|240| | |ND|35270|0|N
H6202|002|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Premium PPO (PPO)|00025379|12.50|240| | |ND|35280|0|N
H6202|002|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Premium PPO (PPO)|00025379|12.50|240| | |ND|35290|0|N
H6202|002|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Premium PPO (PPO)|00025379|12.50|240| | |ND|35300|0|N
H6202|002|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Premium PPO (PPO)|00025379|12.50|240| | |ND|35310|0|N
H6202|002|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Premium PPO (PPO)|00025379|12.50|240| | |ND|35320|0|N
H6202|002|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Premium PPO (PPO)|00025379|12.50|240| | |ND|35330|0|N
H6202|002|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Premium PPO (PPO)|00025379|12.50|240| | |ND|35340|0|N
H6202|002|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Premium PPO (PPO)|00025379|12.50|240| | |ND|35350|0|N
H6202|002|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Premium PPO (PPO)|00025379|12.50|240| | |ND|35360|0|N
H6202|002|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Premium PPO (PPO)|00025379|12.50|240| | |ND|35370|0|N
H6202|002|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Premium PPO (PPO)|00025379|12.50|240| | |ND|35380|0|N
H6202|002|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Premium PPO (PPO)|00025379|12.50|240| | |ND|35390|0|N
H6202|002|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Premium PPO (PPO)|00025379|12.50|240| | |ND|35400|0|N
H6202|002|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Premium PPO (PPO)|00025379|12.50|240| | |ND|35410|0|N
H6202|002|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Premium PPO (PPO)|00025379|12.50|240| | |ND|35420|0|N
H6202|002|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Premium PPO (PPO)|00025379|12.50|240| | |ND|35430|0|N
H6202|002|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Premium PPO (PPO)|00025379|12.50|240| | |ND|35440|0|N
H6202|002|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Premium PPO (PPO)|00025379|12.50|240| | |ND|35450|0|N
H6202|002|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Premium PPO (PPO)|00025379|12.50|240| | |ND|35460|0|N
H6202|002|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Premium PPO (PPO)|00025379|12.50|240| | |ND|35470|0|N
H6202|002|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Premium PPO (PPO)|00025379|12.50|240| | |ND|35480|0|N
H6202|002|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Premium PPO (PPO)|00025379|12.50|240| | |ND|35490|0|N
H6202|002|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Premium PPO (PPO)|00025379|12.50|240| | |ND|35500|0|N
H6202|002|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Premium PPO (PPO)|00025379|12.50|240| | |ND|35510|0|N
H6202|002|000|NEXTBLUE OF NORTH DAKOTA INSURANCE COMPANY|NextBlue Premium PPO (PPO)|00025379|12.50|240| | |ND|35520|0|N
H6237|009|000|REGENCE BLUECROSS BLUESHIELD OF OREGON|Regence BlueAdvantage HMO (HMO)|00025106|0.00|0| | |OR|38190|0|N
H6248|001|000|COMMUNITY HEALTH GROUP|Community y Ms (HMO C-SNP)|00025202|0.00|0| | |CA|05470|1|N
H6306|005|000|FIRSTCAROLINACARE INSURANCE COMPANY|FirstMedicare Direct SmartHMO (HMO)|00025411|0.00|0| | |NC|34910|0|N
H6306|013|000|FIRSTCAROLINACARE INSURANCE COMPANY|New Hanover Health Advantage Select (HMO-POS)|00025411|0.00|100| | |NC|34090|0|N
H6306|013|000|FIRSTCAROLINACARE INSURANCE COMPANY|New Hanover Health Advantage Select (HMO-POS)|00025411|0.00|100| | |NC|34640|0|N
H6306|013|000|FIRSTCAROLINACARE INSURANCE COMPANY|New Hanover Health Advantage Select (HMO-POS)|00025411|0.00|100| | |NC|34700|0|N
H6306|014|000|FIRSTCAROLINACARE INSURANCE COMPANY|New Hanover Health Advantage Platinum (HMO-POS)|00025411|19.40|0| | |NC|34090|0|N
H6306|014|000|FIRSTCAROLINACARE INSURANCE COMPANY|New Hanover Health Advantage Platinum (HMO-POS)|00025411|19.40|0| | |NC|34640|0|N
H6306|014|000|FIRSTCAROLINACARE INSURANCE COMPANY|New Hanover Health Advantage Platinum (HMO-POS)|00025411|19.40|0| | |NC|34700|0|N
H6306|017|000|FIRSTCAROLINACARE INSURANCE COMPANY|FirstMedicare Direct POS Plus (HMO-POS)|00025411|12.70|0| | |NC|34180|0|N
H6306|017|000|FIRSTCAROLINACARE INSURANCE COMPANY|FirstMedicare Direct POS Plus (HMO-POS)|00025411|12.70|0| | |NC|34250|0|N
H6306|017|000|FIRSTCAROLINACARE INSURANCE COMPANY|FirstMedicare Direct POS Plus (HMO-POS)|00025411|12.70|0| | |NC|34420|0|N
H6306|017|000|FIRSTCAROLINACARE INSURANCE COMPANY|FirstMedicare Direct POS Plus (HMO-POS)|00025411|12.70|0| | |NC|34460|0|N
H6306|017|000|FIRSTCAROLINACARE INSURANCE COMPANY|FirstMedicare Direct POS Plus (HMO-POS)|00025411|12.70|0| | |NC|34500|0|N
H6306|017|000|FIRSTCAROLINACARE INSURANCE COMPANY|FirstMedicare Direct POS Plus (HMO-POS)|00025411|12.70|0| | |NC|34520|0|N
H6306|017|000|FIRSTCAROLINACARE INSURANCE COMPANY|FirstMedicare Direct POS Plus (HMO-POS)|00025411|12.70|0| | |NC|34610|0|N
H6306|017|000|FIRSTCAROLINACARE INSURANCE COMPANY|FirstMedicare Direct POS Plus (HMO-POS)|00025411|12.70|0| | |NC|34620|0|N
H6306|017|000|FIRSTCAROLINACARE INSURANCE COMPANY|FirstMedicare Direct POS Plus (HMO-POS)|00025411|12.70|0| | |NC|34760|0|N
H6306|017|000|FIRSTCAROLINACARE INSURANCE COMPANY|FirstMedicare Direct POS Plus (HMO-POS)|00025411|12.70|0| | |NC|34770|0|N
H6306|017|000|FIRSTCAROLINACARE INSURANCE COMPANY|FirstMedicare Direct POS Plus (HMO-POS)|00025411|12.70|0| | |NC|34820|0|N
H6306|017|000|FIRSTCAROLINACARE INSURANCE COMPANY|FirstMedicare Direct POS Plus (HMO-POS)|00025411|12.70|0| | |NC|34910|0|N
H6306|018|000|FIRSTCAROLINACARE INSURANCE COMPANY|FirstMedicare Direct POS Standard (HMO-POS)|00025411|0.00|0| | |NC|34180|0|N
H6306|018|000|FIRSTCAROLINACARE INSURANCE COMPANY|FirstMedicare Direct POS Standard (HMO-POS)|00025411|0.00|0| | |NC|34250|0|N
H6306|018|000|FIRSTCAROLINACARE INSURANCE COMPANY|FirstMedicare Direct POS Standard (HMO-POS)|00025411|0.00|0| | |NC|34420|0|N
H6306|018|000|FIRSTCAROLINACARE INSURANCE COMPANY|FirstMedicare Direct POS Standard (HMO-POS)|00025411|0.00|0| | |NC|34460|0|N
H6306|018|000|FIRSTCAROLINACARE INSURANCE COMPANY|FirstMedicare Direct POS Standard (HMO-POS)|00025411|0.00|0| | |NC|34500|0|N
H6306|018|000|FIRSTCAROLINACARE INSURANCE COMPANY|FirstMedicare Direct POS Standard (HMO-POS)|00025411|0.00|0| | |NC|34520|0|N
H6306|018|000|FIRSTCAROLINACARE INSURANCE COMPANY|FirstMedicare Direct POS Standard (HMO-POS)|00025411|0.00|0| | |NC|34610|0|N
H6306|018|000|FIRSTCAROLINACARE INSURANCE COMPANY|FirstMedicare Direct POS Standard (HMO-POS)|00025411|0.00|0| | |NC|34620|0|N
H6306|018|000|FIRSTCAROLINACARE INSURANCE COMPANY|FirstMedicare Direct POS Standard (HMO-POS)|00025411|0.00|0| | |NC|34760|0|N
H6306|018|000|FIRSTCAROLINACARE INSURANCE COMPANY|FirstMedicare Direct POS Standard (HMO-POS)|00025411|0.00|0| | |NC|34770|0|N
H6306|018|000|FIRSTCAROLINACARE INSURANCE COMPANY|FirstMedicare Direct POS Standard (HMO-POS)|00025411|0.00|0| | |NC|34820|0|N
H6306|018|000|FIRSTCAROLINACARE INSURANCE COMPANY|FirstMedicare Direct POS Standard (HMO-POS)|00025411|0.00|0| | |NC|34910|0|N
H6316|002|000|MISSOURI CARE, INCORPORATED|Healthy Blue Dual (HMO D-SNP)|00025049|0.00|590| | |MO|26210|2|N
H6316|002|000|MISSOURI CARE, INCORPORATED|Healthy Blue Dual (HMO D-SNP)|00025049|0.00|590| | |MO|26280|2|N
H6316|002|000|MISSOURI CARE, INCORPORATED|Healthy Blue Dual (HMO D-SNP)|00025049|0.00|590| | |MO|26380|2|N
H6316|002|000|MISSOURI CARE, INCORPORATED|Healthy Blue Dual (HMO D-SNP)|00025049|0.00|590| | |MO|26480|2|N
H6316|002|000|MISSOURI CARE, INCORPORATED|Healthy Blue Dual (HMO D-SNP)|00025049|0.00|590| | |MO|26540|2|N
H6316|002|000|MISSOURI CARE, INCORPORATED|Healthy Blue Dual (HMO D-SNP)|00025049|0.00|590| | |MO|26720|2|N
H6316|002|000|MISSOURI CARE, INCORPORATED|Healthy Blue Dual (HMO D-SNP)|00025049|0.00|590| | |MO|26821|2|N
H6316|002|000|MISSOURI CARE, INCORPORATED|Healthy Blue Dual (HMO D-SNP)|00025049|0.00|590| | |MO|26986|2|N
H6316|002|000|MISSOURI CARE, INCORPORATED|Healthy Blue Dual (HMO D-SNP)|00025049|0.00|590| | |MO|26988|2|N
H6316|002|000|MISSOURI CARE, INCORPORATED|Healthy Blue Dual (HMO D-SNP)|00025049|0.00|590| | |MO|26994|2|N
H6316|005|000|MISSOURI CARE, INCORPORATED|Healthy Blue Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |KS|17010|2|N
H6316|005|000|MISSOURI CARE, INCORPORATED|Healthy Blue Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |KS|17020|2|N
H6316|005|000|MISSOURI CARE, INCORPORATED|Healthy Blue Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |KS|17030|2|N
H6316|005|000|MISSOURI CARE, INCORPORATED|Healthy Blue Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |KS|17060|2|N
H6316|005|000|MISSOURI CARE, INCORPORATED|Healthy Blue Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |KS|17070|2|N
H6316|005|000|MISSOURI CARE, INCORPORATED|Healthy Blue Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |KS|17080|2|N
H6316|005|000|MISSOURI CARE, INCORPORATED|Healthy Blue Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |KS|17090|2|N
H6316|005|000|MISSOURI CARE, INCORPORATED|Healthy Blue Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |KS|17130|2|N
H6316|005|000|MISSOURI CARE, INCORPORATED|Healthy Blue Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |KS|17170|2|N
H6316|005|000|MISSOURI CARE, INCORPORATED|Healthy Blue Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |KS|17200|2|N
H6316|005|000|MISSOURI CARE, INCORPORATED|Healthy Blue Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |KS|17210|2|N
H6316|005|000|MISSOURI CARE, INCORPORATED|Healthy Blue Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |KS|17220|2|N
H6316|005|000|MISSOURI CARE, INCORPORATED|Healthy Blue Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |KS|17240|2|N
H6316|005|000|MISSOURI CARE, INCORPORATED|Healthy Blue Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |KS|17260|2|N
H6316|005|000|MISSOURI CARE, INCORPORATED|Healthy Blue Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |KS|17290|2|N
H6316|005|000|MISSOURI CARE, INCORPORATED|Healthy Blue Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |KS|17300|2|N
H6316|005|000|MISSOURI CARE, INCORPORATED|Healthy Blue Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |KS|17360|2|N
H6316|005|000|MISSOURI CARE, INCORPORATED|Healthy Blue Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |KS|17380|2|N
H6316|005|000|MISSOURI CARE, INCORPORATED|Healthy Blue Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |KS|17390|2|N
H6316|005|000|MISSOURI CARE, INCORPORATED|Healthy Blue Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |KS|17420|2|N
H6316|005|000|MISSOURI CARE, INCORPORATED|Healthy Blue Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |KS|17430|2|N
H6316|005|000|MISSOURI CARE, INCORPORATED|Healthy Blue Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |KS|17440|2|N
H6316|005|000|MISSOURI CARE, INCORPORATED|Healthy Blue Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |KS|17450|2|N
H6316|005|000|MISSOURI CARE, INCORPORATED|Healthy Blue Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |KS|17470|2|N
H6316|005|000|MISSOURI CARE, INCORPORATED|Healthy Blue Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |KS|17510|2|N
H6316|005|000|MISSOURI CARE, INCORPORATED|Healthy Blue Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |KS|17520|2|N
H6316|005|000|MISSOURI CARE, INCORPORATED|Healthy Blue Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |KS|17530|2|N
H6316|005|000|MISSOURI CARE, INCORPORATED|Healthy Blue Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |KS|17550|2|N
H6316|005|000|MISSOURI CARE, INCORPORATED|Healthy Blue Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |KS|17560|2|N
H6316|005|000|MISSOURI CARE, INCORPORATED|Healthy Blue Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |KS|17570|2|N
H6316|005|000|MISSOURI CARE, INCORPORATED|Healthy Blue Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |KS|17580|2|N
H6316|005|000|MISSOURI CARE, INCORPORATED|Healthy Blue Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |KS|17600|2|N
H6316|005|000|MISSOURI CARE, INCORPORATED|Healthy Blue Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |KS|17610|2|N
H6316|005|000|MISSOURI CARE, INCORPORATED|Healthy Blue Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |KS|17630|2|N
H6316|005|000|MISSOURI CARE, INCORPORATED|Healthy Blue Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |KS|17690|2|N
H6316|005|000|MISSOURI CARE, INCORPORATED|Healthy Blue Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |KS|17710|2|N
H6316|005|000|MISSOURI CARE, INCORPORATED|Healthy Blue Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |KS|17720|2|N
H6316|005|000|MISSOURI CARE, INCORPORATED|Healthy Blue Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |KS|17740|2|N
H6316|005|000|MISSOURI CARE, INCORPORATED|Healthy Blue Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |KS|17780|2|N
H6316|005|000|MISSOURI CARE, INCORPORATED|Healthy Blue Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |KS|17860|2|N
H6316|005|000|MISSOURI CARE, INCORPORATED|Healthy Blue Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |KS|17880|2|N
H6316|005|000|MISSOURI CARE, INCORPORATED|Healthy Blue Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |KS|17920|2|N
H6316|005|000|MISSOURI CARE, INCORPORATED|Healthy Blue Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |KS|17950|2|N
H6316|005|000|MISSOURI CARE, INCORPORATED|Healthy Blue Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |KS|17980|2|N
H6316|005|000|MISSOURI CARE, INCORPORATED|Healthy Blue Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |KS|17982|2|N
H6316|005|000|MISSOURI CARE, INCORPORATED|Healthy Blue Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |KS|17985|2|N
H6316|005|000|MISSOURI CARE, INCORPORATED|Healthy Blue Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |KS|17986|2|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23000|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23020|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23030|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23040|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23050|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23070|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23080|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23090|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23100|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23110|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23120|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23130|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23140|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23150|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23170|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23180|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23190|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23220|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23230|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23240|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23250|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23270|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23280|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23290|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23310|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23320|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23330|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23340|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23370|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23380|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23390|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23400|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23420|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23430|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23440|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23460|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23490|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23500|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23530|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23550|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23560|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23580|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23590|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23610|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23620|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23640|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23660|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23670|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23680|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23690|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23700|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23710|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23720|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23730|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23750|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23770|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23780|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23790|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23800|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23810|0|N
H6322|001|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire (HMO)|00025230|0.00|0| | |MI|23830|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23000|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23020|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23030|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23040|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23050|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23070|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23080|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23090|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23100|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23110|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23120|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23130|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23140|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23150|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23170|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23180|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23190|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23220|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23230|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23240|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23250|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23270|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23280|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23290|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23310|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23320|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23330|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23340|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23370|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23380|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23390|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23400|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23420|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23430|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23440|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23460|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23490|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23500|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23530|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23550|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23560|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23580|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23590|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23610|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23620|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23640|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23660|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23670|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23680|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23690|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23700|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23710|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23720|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23730|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23750|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23770|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23780|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23790|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23800|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23810|0|N
H6322|002|000|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Plus (HMO)|00025230|25.00|0| | |MI|23830|0|N
H6322|003|001|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|0.00|0| | |MI|23080|0|N
H6322|003|001|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|0.00|0| | |MI|23140|0|N
H6322|003|001|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|0.00|0| | |MI|23150|0|N
H6322|003|001|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|0.00|0| | |MI|23170|0|N
H6322|003|001|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|0.00|0| | |MI|23180|0|N
H6322|003|001|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|0.00|0| | |MI|23220|0|N
H6322|003|001|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|0.00|0| | |MI|23230|0|N
H6322|003|001|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|0.00|0| | |MI|23240|0|N
H6322|003|001|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|0.00|0| | |MI|23320|0|N
H6322|003|001|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|0.00|0| | |MI|23430|0|N
H6322|003|001|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|0.00|0| | |MI|23490|0|N
H6322|003|001|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|0.00|0| | |MI|23620|0|N
H6322|003|001|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|0.00|0| | |MI|23640|0|N
H6322|003|001|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|0.00|0| | |MI|23730|0|N
H6322|003|001|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|0.00|0| | |MI|23750|0|N
H6322|003|001|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|0.00|0| | |MI|23770|0|N
H6322|003|001|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|0.00|0| | |MI|23780|0|N
H6322|003|002|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|49.00|0| | |MI|23000|0|N
H6322|003|002|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|49.00|0| | |MI|23020|0|N
H6322|003|002|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|49.00|0| | |MI|23030|0|N
H6322|003|002|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|49.00|0| | |MI|23040|0|N
H6322|003|002|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|49.00|0| | |MI|23050|0|N
H6322|003|002|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|49.00|0| | |MI|23070|0|N
H6322|003|002|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|49.00|0| | |MI|23090|0|N
H6322|003|002|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|49.00|0| | |MI|23100|0|N
H6322|003|002|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|49.00|0| | |MI|23110|0|N
H6322|003|002|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|49.00|0| | |MI|23120|0|N
H6322|003|002|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|49.00|0| | |MI|23130|0|N
H6322|003|002|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|49.00|0| | |MI|23190|0|N
H6322|003|002|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|49.00|0| | |MI|23250|0|N
H6322|003|002|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|49.00|0| | |MI|23270|0|N
H6322|003|002|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|49.00|0| | |MI|23280|0|N
H6322|003|002|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|49.00|0| | |MI|23290|0|N
H6322|003|002|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|49.00|0| | |MI|23310|0|N
H6322|003|002|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|49.00|0| | |MI|23330|0|N
H6322|003|002|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|49.00|0| | |MI|23340|0|N
H6322|003|002|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|49.00|0| | |MI|23370|0|N
H6322|003|002|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|49.00|0| | |MI|23380|0|N
H6322|003|002|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|49.00|0| | |MI|23390|0|N
H6322|003|002|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|49.00|0| | |MI|23400|0|N
H6322|003|002|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|49.00|0| | |MI|23420|0|N
H6322|003|002|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|49.00|0| | |MI|23440|0|N
H6322|003|002|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|49.00|0| | |MI|23460|0|N
H6322|003|002|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|49.00|0| | |MI|23500|0|N
H6322|003|002|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|49.00|0| | |MI|23530|0|N
H6322|003|002|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|49.00|0| | |MI|23550|0|N
H6322|003|002|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|49.00|0| | |MI|23560|0|N
H6322|003|002|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|49.00|0| | |MI|23580|0|N
H6322|003|002|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|49.00|0| | |MI|23590|0|N
H6322|003|002|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|49.00|0| | |MI|23610|0|N
H6322|003|002|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|49.00|0| | |MI|23660|0|N
H6322|003|002|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|49.00|0| | |MI|23670|0|N
H6322|003|002|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|49.00|0| | |MI|23680|0|N
H6322|003|002|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|49.00|0| | |MI|23690|0|N
H6322|003|002|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|49.00|0| | |MI|23700|0|N
H6322|003|002|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|49.00|0| | |MI|23710|0|N
H6322|003|002|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|49.00|0| | |MI|23720|0|N
H6322|003|002|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|49.00|0| | |MI|23790|0|N
H6322|003|002|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|49.00|0| | |MI|23800|0|N
H6322|003|002|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|49.00|0| | |MI|23810|0|N
H6322|003|002|MCLAREN HEALTH PLAN, INC.|McLaren Medicare Inspire Flex (HMO-POS)|00025230|49.00|0| | |MI|23830|0|N
H6345|001|000|PRUITTHEALTH PREMIER NORTH CAROLINA, LLC|PruittHealth Premier (HMO I-SNP)|00025036|51.20|590| | |NC|34120|3|N
H6345|001|000|PRUITTHEALTH PREMIER NORTH CAROLINA, LLC|PruittHealth Premier (HMO I-SNP)|00025036|51.20|590| | |NC|34150|3|N
H6345|001|000|PRUITTHEALTH PREMIER NORTH CAROLINA, LLC|PruittHealth Premier (HMO I-SNP)|00025036|51.20|590| | |NC|34240|3|N
H6345|001|000|PRUITTHEALTH PREMIER NORTH CAROLINA, LLC|PruittHealth Premier (HMO I-SNP)|00025036|51.20|590| | |NC|34310|3|N
H6345|001|000|PRUITTHEALTH PREMIER NORTH CAROLINA, LLC|PruittHealth Premier (HMO I-SNP)|00025036|51.20|590| | |NC|34330|3|N
H6345|001|000|PRUITTHEALTH PREMIER NORTH CAROLINA, LLC|PruittHealth Premier (HMO I-SNP)|00025036|51.20|590| | |NC|34730|3|N
H6345|001|000|PRUITTHEALTH PREMIER NORTH CAROLINA, LLC|PruittHealth Premier (HMO I-SNP)|00025036|51.20|590| | |NC|34760|3|N
H6345|001|000|PRUITTHEALTH PREMIER NORTH CAROLINA, LLC|PruittHealth Premier (HMO I-SNP)|00025036|51.20|590| | |NC|34850|3|N
H6345|001|000|PRUITTHEALTH PREMIER NORTH CAROLINA, LLC|PruittHealth Premier (HMO I-SNP)|00025036|51.20|590| | |NC|34870|3|N
H6345|001|000|PRUITTHEALTH PREMIER NORTH CAROLINA, LLC|PruittHealth Premier (HMO I-SNP)|00025036|51.20|590| | |NC|34890|3|N
H6345|001|000|PRUITTHEALTH PREMIER NORTH CAROLINA, LLC|PruittHealth Premier (HMO I-SNP)|00025036|51.20|590| | |NC|34910|3|N
H6345|002|000|PRUITTHEALTH PREMIER NORTH CAROLINA, LLC|PruittHealth Premier (HMO I-SNP)|00025036|46.60|590| | |SC|42000|3|N
H6345|002|000|PRUITTHEALTH PREMIER NORTH CAROLINA, LLC|PruittHealth Premier (HMO I-SNP)|00025036|46.60|590| | |SC|42010|3|N
H6345|002|000|PRUITTHEALTH PREMIER NORTH CAROLINA, LLC|PruittHealth Premier (HMO I-SNP)|00025036|46.60|590| | |SC|42040|3|N
H6345|002|000|PRUITTHEALTH PREMIER NORTH CAROLINA, LLC|PruittHealth Premier (HMO I-SNP)|00025036|46.60|590| | |SC|42050|3|N
H6345|002|000|PRUITTHEALTH PREMIER NORTH CAROLINA, LLC|PruittHealth Premier (HMO I-SNP)|00025036|46.60|590| | |SC|42070|3|N
H6345|002|000|PRUITTHEALTH PREMIER NORTH CAROLINA, LLC|PruittHealth Premier (HMO I-SNP)|00025036|46.60|590| | |SC|42140|3|N
H6345|002|000|PRUITTHEALTH PREMIER NORTH CAROLINA, LLC|PruittHealth Premier (HMO I-SNP)|00025036|46.60|590| | |SC|42160|3|N
H6345|002|000|PRUITTHEALTH PREMIER NORTH CAROLINA, LLC|PruittHealth Premier (HMO I-SNP)|00025036|46.60|590| | |SC|42190|3|N
H6345|002|000|PRUITTHEALTH PREMIER NORTH CAROLINA, LLC|PruittHealth Premier (HMO I-SNP)|00025036|46.60|590| | |SC|42240|3|N
H6345|002|000|PRUITTHEALTH PREMIER NORTH CAROLINA, LLC|PruittHealth Premier (HMO I-SNP)|00025036|46.60|590| | |SC|42250|3|N
H6345|002|000|PRUITTHEALTH PREMIER NORTH CAROLINA, LLC|PruittHealth Premier (HMO I-SNP)|00025036|46.60|590| | |SC|42320|3|N
H6345|002|000|PRUITTHEALTH PREMIER NORTH CAROLINA, LLC|PruittHealth Premier (HMO I-SNP)|00025036|46.60|590| | |SC|42330|3|N
H6345|002|000|PRUITTHEALTH PREMIER NORTH CAROLINA, LLC|PruittHealth Premier (HMO I-SNP)|00025036|46.60|590| | |SC|42370|3|N
H6345|002|000|PRUITTHEALTH PREMIER NORTH CAROLINA, LLC|PruittHealth Premier (HMO I-SNP)|00025036|46.60|590| | |SC|42380|3|N
H6345|002|000|PRUITTHEALTH PREMIER NORTH CAROLINA, LLC|PruittHealth Premier (HMO I-SNP)|00025036|46.60|590| | |SC|42390|3|N
H6345|002|000|PRUITTHEALTH PREMIER NORTH CAROLINA, LLC|PruittHealth Premier (HMO I-SNP)|00025036|46.60|590| | |SC|42400|3|N
H6345|002|000|PRUITTHEALTH PREMIER NORTH CAROLINA, LLC|PruittHealth Premier (HMO I-SNP)|00025036|46.60|590| | |SC|42450|3|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15000|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15010|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15020|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15030|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15040|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15050|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15060|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15070|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15080|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15090|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15100|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15110|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15120|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15130|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15140|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15150|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15160|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15170|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15180|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15190|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15200|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15210|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15220|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15230|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15240|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15250|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15260|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15270|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15280|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15290|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15300|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15310|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15320|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15330|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15340|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15350|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15360|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15370|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15380|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15390|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15400|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15410|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15420|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15430|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15440|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15450|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15460|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15470|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15480|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15490|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15500|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15510|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15520|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15530|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15540|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15550|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15560|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15570|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15580|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15590|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15600|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15610|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15620|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15630|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15640|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15650|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15660|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15670|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15680|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15690|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15700|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15710|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15720|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15730|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15740|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15750|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15760|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15770|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15780|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15790|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15800|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15810|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15840|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15850|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15860|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15870|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15880|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15890|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15900|0|N
H6348|002|000|COORDINATED CARE CORPORATION|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IN|15910|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15000|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15010|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15020|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15030|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15040|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15050|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15060|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15070|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15080|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15090|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15100|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15110|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15120|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15130|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15140|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15150|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15160|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15170|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15180|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15190|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15200|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15210|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15220|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15230|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15240|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15250|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15260|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15270|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15280|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15290|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15300|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15310|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15320|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15330|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15340|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15350|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15360|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15370|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15380|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15390|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15400|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15410|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15420|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15430|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15440|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15450|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15460|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15470|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15480|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15490|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15500|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15510|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15520|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15530|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15540|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15550|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15560|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15570|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15580|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15590|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15600|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15610|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15620|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15630|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15640|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15650|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15660|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15670|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15680|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15690|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15700|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15710|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15720|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15730|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15740|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15750|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15760|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15770|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15780|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15790|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15800|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15810|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15840|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15850|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15860|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15870|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15880|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15890|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15900|0|N
H6348|008|000|COORDINATED CARE CORPORATION|Wellcare Giveback Open (PPO)|00025084|0.00|395| | |IN|15910|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15000|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15010|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15020|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15030|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15040|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15050|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15060|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15070|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15080|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15090|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15100|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15110|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15120|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15130|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15140|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15150|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15160|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15170|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15180|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15190|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15200|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15210|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15220|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15230|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15240|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15250|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15260|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15270|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15280|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15290|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15300|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15310|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15320|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15330|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15340|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15350|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15360|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15370|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15380|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15390|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15400|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15410|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15420|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15430|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15440|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15450|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15460|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15470|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15480|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15490|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15500|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15510|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15520|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15530|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15540|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15550|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15560|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15570|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15580|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15590|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15600|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15610|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15620|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15630|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15640|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15650|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15660|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15670|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15680|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15690|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15700|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15710|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15720|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15730|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15740|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15750|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15760|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15770|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15780|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15790|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15800|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15810|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15840|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15850|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15860|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15870|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15880|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15890|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15900|0|N
H6348|009|000|COORDINATED CARE CORPORATION|Wellcare Assist Open (PPO)|00025066|38.30|500| | |IN|15910|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15000|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15010|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15020|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15030|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15040|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15050|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15060|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15070|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15080|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15090|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15100|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15110|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15120|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15130|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15140|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15150|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15160|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15170|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15180|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15190|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15200|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15210|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15220|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15230|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15240|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15250|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15260|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15270|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15280|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15290|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15300|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15310|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15320|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15330|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15340|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15350|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15360|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15370|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15380|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15390|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15400|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15410|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15420|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15430|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15440|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15450|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15460|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15470|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15480|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15490|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15500|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15510|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15520|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15530|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15540|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15550|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15560|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15570|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15580|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15590|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15600|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15610|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15620|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15630|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15640|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15650|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15660|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15670|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15680|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15690|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15700|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15710|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15720|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15730|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15740|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15750|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15760|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15770|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15780|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15790|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15800|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15810|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15840|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15850|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15860|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15870|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15880|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15890|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15900|0|N
H6348|010|000|COORDINATED CARE CORPORATION|Wellcare Premium Enhanced Open (PPO)|00025084|7.00|420| | |IN|15910|0|N
H6351|001|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)|00025104|51.00|590| | |NC|34000|3|N
H6351|001|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)|00025104|51.00|590| | |NC|34070|3|N
H6351|001|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)|00025104|51.00|590| | |NC|34080|3|N
H6351|001|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)|00025104|51.00|590| | |NC|34090|3|N
H6351|001|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)|00025104|51.00|590| | |NC|34100|3|N
H6351|001|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)|00025104|51.00|590| | |NC|34110|3|N
H6351|001|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)|00025104|51.00|590| | |NC|34120|3|N
H6351|001|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)|00025104|51.00|590| | |NC|34130|3|N
H6351|001|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)|00025104|51.00|590| | |NC|34170|3|N
H6351|001|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)|00025104|51.00|590| | |NC|34180|3|N
H6351|001|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)|00025104|51.00|590| | |NC|34230|3|N
H6351|001|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)|00025104|51.00|590| | |NC|34250|3|N
H6351|001|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)|00025104|51.00|590| | |NC|34280|3|N
H6351|001|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)|00025104|51.00|590| | |NC|34290|3|N
H6351|001|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)|00025104|51.00|590| | |NC|34310|3|N
H6351|001|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)|00025104|51.00|590| | |NC|34330|3|N
H6351|001|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)|00025104|51.00|590| | |NC|34340|3|N
H6351|001|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)|00025104|51.00|590| | |NC|34380|3|N
H6351|001|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)|00025104|51.00|590| | |NC|34390|3|N
H6351|001|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)|00025104|51.00|590| | |NC|34400|3|N
H6351|001|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)|00025104|51.00|590| | |NC|34410|3|N
H6351|001|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)|00025104|51.00|590| | |NC|34420|3|N
H6351|001|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)|00025104|51.00|590| | |NC|34430|3|N
H6351|001|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)|00025104|51.00|590| | |NC|34440|3|N
H6351|001|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)|00025104|51.00|590| | |NC|34470|3|N
H6351|001|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)|00025104|51.00|590| | |NC|34500|3|N
H6351|001|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)|00025104|51.00|590| | |NC|34520|3|N
H6351|001|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)|00025104|51.00|590| | |NC|34530|3|N
H6351|001|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)|00025104|51.00|590| | |NC|34580|3|N
H6351|001|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)|00025104|51.00|590| | |NC|34590|3|N
H6351|001|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)|00025104|51.00|590| | |NC|34620|3|N
H6351|001|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)|00025104|51.00|590| | |NC|34640|3|N
H6351|001|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)|00025104|51.00|590| | |NC|34670|3|N
H6351|001|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)|00025104|51.00|590| | |NC|34700|3|N
H6351|001|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)|00025104|51.00|590| | |NC|34720|3|N
H6351|001|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)|00025104|51.00|590| | |NC|34730|3|N
H6351|001|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)|00025104|51.00|590| | |NC|34740|3|N
H6351|001|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)|00025104|51.00|590| | |NC|34750|3|N
H6351|001|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)|00025104|51.00|590| | |NC|34760|3|N
H6351|001|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)|00025104|51.00|590| | |NC|34770|3|N
H6351|001|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)|00025104|51.00|590| | |NC|34780|3|N
H6351|001|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)|00025104|51.00|590| | |NC|34790|3|N
H6351|001|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)|00025104|51.00|590| | |NC|34810|3|N
H6351|001|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)|00025104|51.00|590| | |NC|34820|3|N
H6351|001|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)|00025104|51.00|590| | |NC|34840|3|N
H6351|001|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)|00025104|51.00|590| | |NC|34890|3|N
H6351|001|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)|00025104|51.00|590| | |NC|34900|3|N
H6351|001|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)|00025104|51.00|590| | |NC|34910|3|N
H6351|001|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)|00025104|51.00|590| | |NC|34920|3|N
H6351|001|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)|00025104|51.00|590| | |NC|34940|3|N
H6351|001|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)|00025104|51.00|590| | |NC|34950|3|N
H6351|001|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)|00025104|51.00|590| | |NC|34960|3|N
H6351|001|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)|00025104|51.00|590| | |NC|34970|3|N
H6351|001|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage Nursing Home Plan (HMO I-SNP)|00025104|51.00|590| | |NC|34980|3|N
H6351|004|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage (HMO C-SNP)|00025109|0.00|0| | |NC|34000|1|N
H6351|004|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage (HMO C-SNP)|00025109|0.00|0| | |NC|34070|1|N
H6351|004|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage (HMO C-SNP)|00025109|0.00|0| | |NC|34080|1|N
H6351|004|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage (HMO C-SNP)|00025109|0.00|0| | |NC|34090|1|N
H6351|004|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage (HMO C-SNP)|00025109|0.00|0| | |NC|34100|1|N
H6351|004|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage (HMO C-SNP)|00025109|0.00|0| | |NC|34110|1|N
H6351|004|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage (HMO C-SNP)|00025109|0.00|0| | |NC|34120|1|N
H6351|004|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage (HMO C-SNP)|00025109|0.00|0| | |NC|34130|1|N
H6351|004|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage (HMO C-SNP)|00025109|0.00|0| | |NC|34170|1|N
H6351|004|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage (HMO C-SNP)|00025109|0.00|0| | |NC|34180|1|N
H6351|004|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage (HMO C-SNP)|00025109|0.00|0| | |NC|34230|1|N
H6351|004|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage (HMO C-SNP)|00025109|0.00|0| | |NC|34250|1|N
H6351|004|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage (HMO C-SNP)|00025109|0.00|0| | |NC|34280|1|N
H6351|004|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage (HMO C-SNP)|00025109|0.00|0| | |NC|34290|1|N
H6351|004|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage (HMO C-SNP)|00025109|0.00|0| | |NC|34310|1|N
H6351|004|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage (HMO C-SNP)|00025109|0.00|0| | |NC|34330|1|N
H6351|004|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage (HMO C-SNP)|00025109|0.00|0| | |NC|34340|1|N
H6351|004|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage (HMO C-SNP)|00025109|0.00|0| | |NC|34380|1|N
H6351|004|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage (HMO C-SNP)|00025109|0.00|0| | |NC|34390|1|N
H6351|004|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage (HMO C-SNP)|00025109|0.00|0| | |NC|34400|1|N
H6351|004|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage (HMO C-SNP)|00025109|0.00|0| | |NC|34410|1|N
H6351|004|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage (HMO C-SNP)|00025109|0.00|0| | |NC|34420|1|N
H6351|004|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage (HMO C-SNP)|00025109|0.00|0| | |NC|34430|1|N
H6351|004|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage (HMO C-SNP)|00025109|0.00|0| | |NC|34440|1|N
H6351|004|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage (HMO C-SNP)|00025109|0.00|0| | |NC|34470|1|N
H6351|004|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage (HMO C-SNP)|00025109|0.00|0| | |NC|34500|1|N
H6351|004|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage (HMO C-SNP)|00025109|0.00|0| | |NC|34520|1|N
H6351|004|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage (HMO C-SNP)|00025109|0.00|0| | |NC|34530|1|N
H6351|004|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage (HMO C-SNP)|00025109|0.00|0| | |NC|34580|1|N
H6351|004|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage (HMO C-SNP)|00025109|0.00|0| | |NC|34590|1|N
H6351|004|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage (HMO C-SNP)|00025109|0.00|0| | |NC|34620|1|N
H6351|004|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage (HMO C-SNP)|00025109|0.00|0| | |NC|34640|1|N
H6351|004|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage (HMO C-SNP)|00025109|0.00|0| | |NC|34670|1|N
H6351|004|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage (HMO C-SNP)|00025109|0.00|0| | |NC|34700|1|N
H6351|004|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage (HMO C-SNP)|00025109|0.00|0| | |NC|34720|1|N
H6351|004|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage (HMO C-SNP)|00025109|0.00|0| | |NC|34730|1|N
H6351|004|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage (HMO C-SNP)|00025109|0.00|0| | |NC|34740|1|N
H6351|004|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage (HMO C-SNP)|00025109|0.00|0| | |NC|34750|1|N
H6351|004|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage (HMO C-SNP)|00025109|0.00|0| | |NC|34760|1|N
H6351|004|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage (HMO C-SNP)|00025109|0.00|0| | |NC|34770|1|N
H6351|004|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage (HMO C-SNP)|00025109|0.00|0| | |NC|34780|1|N
H6351|004|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage (HMO C-SNP)|00025109|0.00|0| | |NC|34790|1|N
H6351|004|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage (HMO C-SNP)|00025109|0.00|0| | |NC|34810|1|N
H6351|004|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage (HMO C-SNP)|00025109|0.00|0| | |NC|34820|1|N
H6351|004|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage (HMO C-SNP)|00025109|0.00|0| | |NC|34840|1|N
H6351|004|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage (HMO C-SNP)|00025109|0.00|0| | |NC|34890|1|N
H6351|004|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage (HMO C-SNP)|00025109|0.00|0| | |NC|34900|1|N
H6351|004|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage (HMO C-SNP)|00025109|0.00|0| | |NC|34910|1|N
H6351|004|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage (HMO C-SNP)|00025109|0.00|0| | |NC|34920|1|N
H6351|004|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage (HMO C-SNP)|00025109|0.00|0| | |NC|34940|1|N
H6351|004|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage (HMO C-SNP)|00025109|0.00|0| | |NC|34950|1|N
H6351|004|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage (HMO C-SNP)|00025109|0.00|0| | |NC|34960|1|N
H6351|004|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage (HMO C-SNP)|00025109|0.00|0| | |NC|34970|1|N
H6351|004|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Advantage (HMO C-SNP)|00025109|0.00|0| | |NC|34980|1|N
H6351|005|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Dual Plan (HMO D-SNP)|00025104|24.30|590| | |NC|34000|2|N
H6351|005|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Dual Plan (HMO D-SNP)|00025104|24.30|590| | |NC|34070|2|N
H6351|005|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Dual Plan (HMO D-SNP)|00025104|24.30|590| | |NC|34080|2|N
H6351|005|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Dual Plan (HMO D-SNP)|00025104|24.30|590| | |NC|34090|2|N
H6351|005|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Dual Plan (HMO D-SNP)|00025104|24.30|590| | |NC|34100|2|N
H6351|005|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Dual Plan (HMO D-SNP)|00025104|24.30|590| | |NC|34110|2|N
H6351|005|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Dual Plan (HMO D-SNP)|00025104|24.30|590| | |NC|34120|2|N
H6351|005|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Dual Plan (HMO D-SNP)|00025104|24.30|590| | |NC|34130|2|N
H6351|005|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Dual Plan (HMO D-SNP)|00025104|24.30|590| | |NC|34170|2|N
H6351|005|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Dual Plan (HMO D-SNP)|00025104|24.30|590| | |NC|34180|2|N
H6351|005|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Dual Plan (HMO D-SNP)|00025104|24.30|590| | |NC|34230|2|N
H6351|005|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Dual Plan (HMO D-SNP)|00025104|24.30|590| | |NC|34250|2|N
H6351|005|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Dual Plan (HMO D-SNP)|00025104|24.30|590| | |NC|34280|2|N
H6351|005|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Dual Plan (HMO D-SNP)|00025104|24.30|590| | |NC|34290|2|N
H6351|005|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Dual Plan (HMO D-SNP)|00025104|24.30|590| | |NC|34310|2|N
H6351|005|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Dual Plan (HMO D-SNP)|00025104|24.30|590| | |NC|34330|2|N
H6351|005|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Dual Plan (HMO D-SNP)|00025104|24.30|590| | |NC|34340|2|N
H6351|005|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Dual Plan (HMO D-SNP)|00025104|24.30|590| | |NC|34380|2|N
H6351|005|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Dual Plan (HMO D-SNP)|00025104|24.30|590| | |NC|34390|2|N
H6351|005|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Dual Plan (HMO D-SNP)|00025104|24.30|590| | |NC|34400|2|N
H6351|005|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Dual Plan (HMO D-SNP)|00025104|24.30|590| | |NC|34410|2|N
H6351|005|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Dual Plan (HMO D-SNP)|00025104|24.30|590| | |NC|34420|2|N
H6351|005|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Dual Plan (HMO D-SNP)|00025104|24.30|590| | |NC|34430|2|N
H6351|005|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Dual Plan (HMO D-SNP)|00025104|24.30|590| | |NC|34440|2|N
H6351|005|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Dual Plan (HMO D-SNP)|00025104|24.30|590| | |NC|34470|2|N
H6351|005|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Dual Plan (HMO D-SNP)|00025104|24.30|590| | |NC|34500|2|N
H6351|005|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Dual Plan (HMO D-SNP)|00025104|24.30|590| | |NC|34520|2|N
H6351|005|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Dual Plan (HMO D-SNP)|00025104|24.30|590| | |NC|34530|2|N
H6351|005|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Dual Plan (HMO D-SNP)|00025104|24.30|590| | |NC|34580|2|N
H6351|005|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Dual Plan (HMO D-SNP)|00025104|24.30|590| | |NC|34590|2|N
H6351|005|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Dual Plan (HMO D-SNP)|00025104|24.30|590| | |NC|34620|2|N
H6351|005|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Dual Plan (HMO D-SNP)|00025104|24.30|590| | |NC|34640|2|N
H6351|005|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Dual Plan (HMO D-SNP)|00025104|24.30|590| | |NC|34670|2|N
H6351|005|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Dual Plan (HMO D-SNP)|00025104|24.30|590| | |NC|34700|2|N
H6351|005|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Dual Plan (HMO D-SNP)|00025104|24.30|590| | |NC|34720|2|N
H6351|005|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Dual Plan (HMO D-SNP)|00025104|24.30|590| | |NC|34730|2|N
H6351|005|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Dual Plan (HMO D-SNP)|00025104|24.30|590| | |NC|34740|2|N
H6351|005|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Dual Plan (HMO D-SNP)|00025104|24.30|590| | |NC|34750|2|N
H6351|005|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Dual Plan (HMO D-SNP)|00025104|24.30|590| | |NC|34760|2|N
H6351|005|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Dual Plan (HMO D-SNP)|00025104|24.30|590| | |NC|34770|2|N
H6351|005|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Dual Plan (HMO D-SNP)|00025104|24.30|590| | |NC|34780|2|N
H6351|005|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Dual Plan (HMO D-SNP)|00025104|24.30|590| | |NC|34790|2|N
H6351|005|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Dual Plan (HMO D-SNP)|00025104|24.30|590| | |NC|34810|2|N
H6351|005|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Dual Plan (HMO D-SNP)|00025104|24.30|590| | |NC|34820|2|N
H6351|005|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Dual Plan (HMO D-SNP)|00025104|24.30|590| | |NC|34840|2|N
H6351|005|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Dual Plan (HMO D-SNP)|00025104|24.30|590| | |NC|34890|2|N
H6351|005|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Dual Plan (HMO D-SNP)|00025104|24.30|590| | |NC|34900|2|N
H6351|005|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Dual Plan (HMO D-SNP)|00025104|24.30|590| | |NC|34910|2|N
H6351|005|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Dual Plan (HMO D-SNP)|00025104|24.30|590| | |NC|34920|2|N
H6351|005|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Dual Plan (HMO D-SNP)|00025104|24.30|590| | |NC|34940|2|N
H6351|005|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Dual Plan (HMO D-SNP)|00025104|24.30|590| | |NC|34950|2|N
H6351|005|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Dual Plan (HMO D-SNP)|00025104|24.30|590| | |NC|34960|2|N
H6351|005|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Dual Plan (HMO D-SNP)|00025104|24.30|590| | |NC|34970|2|N
H6351|005|000|LIBERTY ADVANTAGE, LLC|Liberty Medicare Dual Plan (HMO D-SNP)|00025104|24.30|590| | |NC|34980|2|N
H6378|001|000|AMERIHEALTH CARITAS FLORIDA INC|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025402|0.00|590| | |FL|10050|2|N
H6378|001|000|AMERIHEALTH CARITAS FLORIDA INC|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025402|0.00|590| | |FL|10120|2|N
H6378|001|000|AMERIHEALTH CARITAS FLORIDA INC|AmeriHealth Caritas VIP Care (HMO D-SNP)|00025402|0.00|590| | |FL|10490|2|N
H6379|001|000|CLEAR SPRING HEALTH (CO), INC.|Clear Spring Health Essential (HMO)|00025494|0.00|0| | |CO|06000|0|N
H6379|001|000|CLEAR SPRING HEALTH (CO), INC.|Clear Spring Health Essential (HMO)|00025494|0.00|0| | |CO|06020|0|N
H6379|001|000|CLEAR SPRING HEALTH (CO), INC.|Clear Spring Health Essential (HMO)|00025494|0.00|0| | |CO|06060|0|N
H6379|001|000|CLEAR SPRING HEALTH (CO), INC.|Clear Spring Health Essential (HMO)|00025494|0.00|0| | |CO|06090|0|N
H6379|001|000|CLEAR SPRING HEALTH (CO), INC.|Clear Spring Health Essential (HMO)|00025494|0.00|0| | |CO|06120|0|N
H6379|001|000|CLEAR SPRING HEALTH (CO), INC.|Clear Spring Health Essential (HMO)|00025494|0.00|0| | |CO|06130|0|N
H6379|001|000|CLEAR SPRING HEALTH (CO), INC.|Clear Spring Health Essential (HMO)|00025494|0.00|0| | |CO|06150|0|N
H6379|001|000|CLEAR SPRING HEALTH (CO), INC.|Clear Spring Health Essential (HMO)|00025494|0.00|0| | |CO|06170|0|N
H6379|001|000|CLEAR SPRING HEALTH (CO), INC.|Clear Spring Health Essential (HMO)|00025494|0.00|0| | |CO|06190|0|N
H6379|001|000|CLEAR SPRING HEALTH (CO), INC.|Clear Spring Health Essential (HMO)|00025494|0.00|0| | |CO|06200|0|N
H6379|001|000|CLEAR SPRING HEALTH (CO), INC.|Clear Spring Health Essential (HMO)|00025494|0.00|0| | |CO|06210|0|N
H6379|001|000|CLEAR SPRING HEALTH (CO), INC.|Clear Spring Health Essential (HMO)|00025494|0.00|0| | |CO|06230|0|N
H6379|001|000|CLEAR SPRING HEALTH (CO), INC.|Clear Spring Health Essential (HMO)|00025494|0.00|0| | |CO|06240|0|N
H6379|001|000|CLEAR SPRING HEALTH (CO), INC.|Clear Spring Health Essential (HMO)|00025494|0.00|0| | |CO|06270|0|N
H6379|001|000|CLEAR SPRING HEALTH (CO), INC.|Clear Spring Health Essential (HMO)|00025494|0.00|0| | |CO|06280|0|N
H6379|001|000|CLEAR SPRING HEALTH (CO), INC.|Clear Spring Health Essential (HMO)|00025494|0.00|0| | |CO|06290|0|N
H6379|001|000|CLEAR SPRING HEALTH (CO), INC.|Clear Spring Health Essential (HMO)|00025494|0.00|0| | |CO|06340|0|N
H6379|001|000|CLEAR SPRING HEALTH (CO), INC.|Clear Spring Health Essential (HMO)|00025494|0.00|0| | |CO|06430|0|N
H6379|001|000|CLEAR SPRING HEALTH (CO), INC.|Clear Spring Health Essential (HMO)|00025494|0.00|0| | |CO|06460|0|N
H6379|001|000|CLEAR SPRING HEALTH (CO), INC.|Clear Spring Health Essential (HMO)|00025494|0.00|0| | |CO|06500|0|N
H6379|001|000|CLEAR SPRING HEALTH (CO), INC.|Clear Spring Health Essential (HMO)|00025494|0.00|0| | |CO|06590|0|N
H6379|001|000|CLEAR SPRING HEALTH (CO), INC.|Clear Spring Health Essential (HMO)|00025494|0.00|0| | |CO|06600|0|N
H6379|001|000|CLEAR SPRING HEALTH (CO), INC.|Clear Spring Health Essential (HMO)|00025494|0.00|0| | |CO|06610|0|N
H6379|001|000|CLEAR SPRING HEALTH (CO), INC.|Clear Spring Health Essential (HMO)|00025494|0.00|0| | |CO|06630|0|N
H6379|002|000|CLEAR SPRING HEALTH (CO), INC.|Clear Spring Health Essential (HMO C-SNP)|00025494|0.00|250| | |CO|06000|1|N
H6379|002|000|CLEAR SPRING HEALTH (CO), INC.|Clear Spring Health Essential (HMO C-SNP)|00025494|0.00|250| | |CO|06020|1|N
H6379|002|000|CLEAR SPRING HEALTH (CO), INC.|Clear Spring Health Essential (HMO C-SNP)|00025494|0.00|250| | |CO|06060|1|N
H6379|002|000|CLEAR SPRING HEALTH (CO), INC.|Clear Spring Health Essential (HMO C-SNP)|00025494|0.00|250| | |CO|06090|1|N
H6379|002|000|CLEAR SPRING HEALTH (CO), INC.|Clear Spring Health Essential (HMO C-SNP)|00025494|0.00|250| | |CO|06120|1|N
H6379|002|000|CLEAR SPRING HEALTH (CO), INC.|Clear Spring Health Essential (HMO C-SNP)|00025494|0.00|250| | |CO|06130|1|N
H6379|002|000|CLEAR SPRING HEALTH (CO), INC.|Clear Spring Health Essential (HMO C-SNP)|00025494|0.00|250| | |CO|06150|1|N
H6379|002|000|CLEAR SPRING HEALTH (CO), INC.|Clear Spring Health Essential (HMO C-SNP)|00025494|0.00|250| | |CO|06170|1|N
H6379|002|000|CLEAR SPRING HEALTH (CO), INC.|Clear Spring Health Essential (HMO C-SNP)|00025494|0.00|250| | |CO|06190|1|N
H6379|002|000|CLEAR SPRING HEALTH (CO), INC.|Clear Spring Health Essential (HMO C-SNP)|00025494|0.00|250| | |CO|06200|1|N
H6379|002|000|CLEAR SPRING HEALTH (CO), INC.|Clear Spring Health Essential (HMO C-SNP)|00025494|0.00|250| | |CO|06210|1|N
H6379|002|000|CLEAR SPRING HEALTH (CO), INC.|Clear Spring Health Essential (HMO C-SNP)|00025494|0.00|250| | |CO|06230|1|N
H6379|002|000|CLEAR SPRING HEALTH (CO), INC.|Clear Spring Health Essential (HMO C-SNP)|00025494|0.00|250| | |CO|06240|1|N
H6379|002|000|CLEAR SPRING HEALTH (CO), INC.|Clear Spring Health Essential (HMO C-SNP)|00025494|0.00|250| | |CO|06270|1|N
H6379|002|000|CLEAR SPRING HEALTH (CO), INC.|Clear Spring Health Essential (HMO C-SNP)|00025494|0.00|250| | |CO|06280|1|N
H6379|002|000|CLEAR SPRING HEALTH (CO), INC.|Clear Spring Health Essential (HMO C-SNP)|00025494|0.00|250| | |CO|06290|1|N
H6379|002|000|CLEAR SPRING HEALTH (CO), INC.|Clear Spring Health Essential (HMO C-SNP)|00025494|0.00|250| | |CO|06340|1|N
H6379|002|000|CLEAR SPRING HEALTH (CO), INC.|Clear Spring Health Essential (HMO C-SNP)|00025494|0.00|250| | |CO|06430|1|N
H6379|002|000|CLEAR SPRING HEALTH (CO), INC.|Clear Spring Health Essential (HMO C-SNP)|00025494|0.00|250| | |CO|06460|1|N
H6379|002|000|CLEAR SPRING HEALTH (CO), INC.|Clear Spring Health Essential (HMO C-SNP)|00025494|0.00|250| | |CO|06500|1|N
H6379|002|000|CLEAR SPRING HEALTH (CO), INC.|Clear Spring Health Essential (HMO C-SNP)|00025494|0.00|250| | |CO|06590|1|N
H6379|002|000|CLEAR SPRING HEALTH (CO), INC.|Clear Spring Health Essential (HMO C-SNP)|00025494|0.00|250| | |CO|06600|1|N
H6379|002|000|CLEAR SPRING HEALTH (CO), INC.|Clear Spring Health Essential (HMO C-SNP)|00025494|0.00|250| | |CO|06610|1|N
H6379|002|000|CLEAR SPRING HEALTH (CO), INC.|Clear Spring Health Essential (HMO C-SNP)|00025494|0.00|250| | |CO|06630|1|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36000|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36010|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36020|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36030|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36040|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36050|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36060|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36070|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36080|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36090|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36100|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36110|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36120|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36130|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36140|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36150|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36160|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36170|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36190|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36200|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36210|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36220|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36230|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36240|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36250|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36260|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36270|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36280|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36290|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36300|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36310|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36330|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36340|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36350|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36360|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36370|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36380|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36390|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36400|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36410|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36420|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36440|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36450|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36460|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36470|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36480|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36490|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36500|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36510|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36520|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36530|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36540|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36550|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36560|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36570|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36580|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36590|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36600|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36610|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36620|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36630|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36640|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36650|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36660|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36670|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36680|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36690|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36700|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36710|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36720|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36730|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36740|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36750|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36760|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36770|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36780|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36790|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36800|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36810|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36820|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36830|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36840|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36850|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36860|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36870|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36880|2|N
H6396|005|000|CARESOURCE OHIO, INC.|CareSource Dual Advantage (HMO D-SNP)|00025339|0.00|590| | |OH|36890|2|N
H6399|001|000|AETNA BETTER HEALTH INC. (NJ)|Aetna Assure Premier Plus (HMO D-SNP)|00025101|0.00|590| | |NJ|31000|2|N
H6399|001|000|AETNA BETTER HEALTH INC. (NJ)|Aetna Assure Premier Plus (HMO D-SNP)|00025101|0.00|590| | |NJ|31100|2|N
H6399|001|000|AETNA BETTER HEALTH INC. (NJ)|Aetna Assure Premier Plus (HMO D-SNP)|00025101|0.00|590| | |NJ|31150|2|N
H6399|001|000|AETNA BETTER HEALTH INC. (NJ)|Aetna Assure Premier Plus (HMO D-SNP)|00025101|0.00|590| | |NJ|31160|2|N
H6399|001|000|AETNA BETTER HEALTH INC. (NJ)|Aetna Assure Premier Plus (HMO D-SNP)|00025101|0.00|590| | |NJ|31180|2|N
H6399|001|000|AETNA BETTER HEALTH INC. (NJ)|Aetna Assure Premier Plus (HMO D-SNP)|00025101|0.00|590| | |NJ|31190|2|N
H6399|001|000|AETNA BETTER HEALTH INC. (NJ)|Aetna Assure Premier Plus (HMO D-SNP)|00025101|0.00|590| | |NJ|31200|2|N
H6399|001|000|AETNA BETTER HEALTH INC. (NJ)|Aetna Assure Premier Plus (HMO D-SNP)|00025101|0.00|590| | |NJ|31220|2|N
H6399|001|000|AETNA BETTER HEALTH INC. (NJ)|Aetna Assure Premier Plus (HMO D-SNP)|00025101|0.00|590| | |NJ|31230|2|N
H6399|001|000|AETNA BETTER HEALTH INC. (NJ)|Aetna Assure Premier Plus (HMO D-SNP)|00025101|0.00|590| | |NJ|31250|2|N
H6399|001|000|AETNA BETTER HEALTH INC. (NJ)|Aetna Assure Premier Plus (HMO D-SNP)|00025101|0.00|590| | |NJ|31260|2|N
H6399|001|000|AETNA BETTER HEALTH INC. (NJ)|Aetna Assure Premier Plus (HMO D-SNP)|00025101|0.00|590| | |NJ|31270|2|N
H6399|001|000|AETNA BETTER HEALTH INC. (NJ)|Aetna Assure Premier Plus (HMO D-SNP)|00025101|0.00|590| | |NJ|31290|2|N
H6399|001|000|AETNA BETTER HEALTH INC. (NJ)|Aetna Assure Premier Plus (HMO D-SNP)|00025101|0.00|590| | |NJ|31300|2|N
H6399|001|000|AETNA BETTER HEALTH INC. (NJ)|Aetna Assure Premier Plus (HMO D-SNP)|00025101|0.00|590| | |NJ|31310|2|N
H6399|001|000|AETNA BETTER HEALTH INC. (NJ)|Aetna Assure Premier Plus (HMO D-SNP)|00025101|0.00|590| | |NJ|31320|2|N
H6399|001|000|AETNA BETTER HEALTH INC. (NJ)|Aetna Assure Premier Plus (HMO D-SNP)|00025101|0.00|590| | |NJ|31340|2|N
H6399|001|000|AETNA BETTER HEALTH INC. (NJ)|Aetna Assure Premier Plus (HMO D-SNP)|00025101|0.00|590| | |NJ|31350|2|N
H6399|001|000|AETNA BETTER HEALTH INC. (NJ)|Aetna Assure Premier Plus (HMO D-SNP)|00025101|0.00|590| | |NJ|31360|2|N
H6399|001|000|AETNA BETTER HEALTH INC. (NJ)|Aetna Assure Premier Plus (HMO D-SNP)|00025101|0.00|590| | |NJ|31370|2|N
H6399|001|000|AETNA BETTER HEALTH INC. (NJ)|Aetna Assure Premier Plus (HMO D-SNP)|00025101|0.00|590| | |NJ|31390|2|N
H6453|013|001|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19070|0|N
H6453|013|001|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19080|0|N
H6453|013|001|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19120|0|N
H6453|013|001|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19150|0|N
H6453|013|001|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19170|0|N
H6453|013|001|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19200|0|N
H6453|013|001|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19290|0|N
H6453|013|001|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19300|0|N
H6453|013|001|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19330|0|N
H6453|013|001|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19360|0|N
H6453|013|001|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19410|0|N
H6453|013|001|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19420|0|N
H6453|013|001|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19530|0|N
H6453|013|001|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19590|0|N
H6453|013|001|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19610|0|N
H6453|013|001|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19630|0|N
H6453|013|002|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19060|0|N
H6453|013|002|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19100|0|N
H6453|013|002|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19130|0|N
H6453|013|002|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19140|0|N
H6453|013|002|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19240|0|N
H6453|013|002|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19320|0|N
H6453|013|002|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19340|0|N
H6453|013|002|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19400|0|N
H6453|013|002|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19550|0|N
H6453|013|003|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19000|0|N
H6453|013|003|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19010|0|N
H6453|013|003|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19040|0|N
H6453|013|003|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19050|0|N
H6453|013|003|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19090|0|N
H6453|013|003|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19110|0|N
H6453|013|003|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19190|0|N
H6453|013|003|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19210|0|N
H6453|013|003|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19220|0|N
H6453|013|003|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19260|0|N
H6453|013|003|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19270|0|N
H6453|013|003|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19390|0|N
H6453|013|003|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19480|0|N
H6453|013|003|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19490|0|N
H6453|013|003|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19500|0|N
H6453|013|003|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19560|0|N
H6453|013|003|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19570|0|N
H6453|013|004|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19020|0|N
H6453|013|004|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19030|0|N
H6453|013|004|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19160|0|N
H6453|013|004|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19180|0|N
H6453|013|004|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19230|0|N
H6453|013|004|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19250|0|N
H6453|013|004|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19280|0|N
H6453|013|004|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19310|0|N
H6453|013|004|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19350|0|N
H6453|013|004|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19370|0|N
H6453|013|004|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19380|0|N
H6453|013|004|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19430|0|N
H6453|013|004|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19440|0|N
H6453|013|004|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19450|0|N
H6453|013|004|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19460|0|N
H6453|013|004|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19470|0|N
H6453|013|004|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19540|0|N
H6453|013|004|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19600|0|N
H6453|013|004|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19620|0|N
H6453|013|005|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19510|0|N
H6453|013|005|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19520|0|N
H6453|013|005|HMO LOUISIANA, INC.|Blue adVantage Classic (HMO-POS)|00025328|0.00|0| | |LA|19580|0|N
H6453|017|001|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19070|0|N
H6453|017|001|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19080|0|N
H6453|017|001|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19120|0|N
H6453|017|001|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19150|0|N
H6453|017|001|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19170|0|N
H6453|017|001|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19200|0|N
H6453|017|001|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19290|0|N
H6453|017|001|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19300|0|N
H6453|017|001|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19330|0|N
H6453|017|001|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19360|0|N
H6453|017|001|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19410|0|N
H6453|017|001|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19420|0|N
H6453|017|001|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19530|0|N
H6453|017|001|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19590|0|N
H6453|017|001|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19610|0|N
H6453|017|001|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19630|0|N
H6453|017|002|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19000|0|N
H6453|017|002|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19010|0|N
H6453|017|002|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19020|0|N
H6453|017|002|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19030|0|N
H6453|017|002|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19040|0|N
H6453|017|002|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19050|0|N
H6453|017|002|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19060|0|N
H6453|017|002|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19090|0|N
H6453|017|002|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19100|0|N
H6453|017|002|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19110|0|N
H6453|017|002|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19130|0|N
H6453|017|002|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19140|0|N
H6453|017|002|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19160|0|N
H6453|017|002|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19180|0|N
H6453|017|002|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19190|0|N
H6453|017|002|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19210|0|N
H6453|017|002|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19220|0|N
H6453|017|002|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19230|0|N
H6453|017|002|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19240|0|N
H6453|017|002|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19250|0|N
H6453|017|002|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19260|0|N
H6453|017|002|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19270|0|N
H6453|017|002|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19280|0|N
H6453|017|002|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19310|0|N
H6453|017|002|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19320|0|N
H6453|017|002|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19340|0|N
H6453|017|002|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19350|0|N
H6453|017|002|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19370|0|N
H6453|017|002|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19380|0|N
H6453|017|002|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19390|0|N
H6453|017|002|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19400|0|N
H6453|017|002|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19430|0|N
H6453|017|002|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19440|0|N
H6453|017|002|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19450|0|N
H6453|017|002|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19460|0|N
H6453|017|002|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19470|0|N
H6453|017|002|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19480|0|N
H6453|017|002|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19490|0|N
H6453|017|002|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19500|0|N
H6453|017|002|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19510|0|N
H6453|017|002|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19520|0|N
H6453|017|002|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19540|0|N
H6453|017|002|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19550|0|N
H6453|017|002|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19560|0|N
H6453|017|002|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19570|0|N
H6453|017|002|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19580|0|N
H6453|017|002|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19600|0|N
H6453|017|002|HMO LOUISIANA, INC.|Blue adVantage Reliance (HMO-POS)|00025328|55.60|0| | |LA|19620|0|N
H6453|018|001|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19070|0|N
H6453|018|001|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19080|0|N
H6453|018|001|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19120|0|N
H6453|018|001|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19150|0|N
H6453|018|001|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19170|0|N
H6453|018|001|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19200|0|N
H6453|018|001|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19290|0|N
H6453|018|001|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19300|0|N
H6453|018|001|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19330|0|N
H6453|018|001|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19360|0|N
H6453|018|001|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19410|0|N
H6453|018|001|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19420|0|N
H6453|018|001|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19530|0|N
H6453|018|001|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19590|0|N
H6453|018|001|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19610|0|N
H6453|018|001|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19630|0|N
H6453|018|002|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19000|0|N
H6453|018|002|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19010|0|N
H6453|018|002|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19020|0|N
H6453|018|002|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19030|0|N
H6453|018|002|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19040|0|N
H6453|018|002|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19050|0|N
H6453|018|002|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19060|0|N
H6453|018|002|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19090|0|N
H6453|018|002|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19100|0|N
H6453|018|002|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19110|0|N
H6453|018|002|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19130|0|N
H6453|018|002|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19140|0|N
H6453|018|002|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19160|0|N
H6453|018|002|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19180|0|N
H6453|018|002|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19190|0|N
H6453|018|002|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19210|0|N
H6453|018|002|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19220|0|N
H6453|018|002|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19230|0|N
H6453|018|002|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19240|0|N
H6453|018|002|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19250|0|N
H6453|018|002|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19260|0|N
H6453|018|002|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19270|0|N
H6453|018|002|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19280|0|N
H6453|018|002|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19310|0|N
H6453|018|002|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19320|0|N
H6453|018|002|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19340|0|N
H6453|018|002|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19350|0|N
H6453|018|002|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19370|0|N
H6453|018|002|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19380|0|N
H6453|018|002|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19390|0|N
H6453|018|002|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19400|0|N
H6453|018|002|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19430|0|N
H6453|018|002|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19440|0|N
H6453|018|002|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19450|0|N
H6453|018|002|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19460|0|N
H6453|018|002|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19470|0|N
H6453|018|002|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19480|0|N
H6453|018|002|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19490|0|N
H6453|018|002|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19500|0|N
H6453|018|002|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19510|0|N
H6453|018|002|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19520|0|N
H6453|018|002|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19540|0|N
H6453|018|002|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19550|0|N
H6453|018|002|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19560|0|N
H6453|018|002|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19570|0|N
H6453|018|002|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19580|0|N
H6453|018|002|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19600|0|N
H6453|018|002|HMO LOUISIANA, INC.|Blue adVantage Platinum (HMO-POS)|00025328|62.60|0| | |LA|19620|0|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19000|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19010|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19020|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19030|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19040|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19050|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19060|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19070|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19080|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19090|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19100|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19110|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19120|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19130|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19140|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19150|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19160|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19170|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19180|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19190|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19200|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19210|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19220|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19230|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19240|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19250|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19260|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19270|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19280|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19290|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19300|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19310|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19320|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19330|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19340|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19350|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19360|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19370|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19380|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19390|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19400|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19410|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19420|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19430|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19440|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19450|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19460|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19470|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19480|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19490|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19500|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19510|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19520|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19530|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19540|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19550|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19560|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19570|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19580|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19590|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19600|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19610|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19620|2|N
H6453|019|000|HMO LOUISIANA, INC.|Blue adVantage Dual Plus (HMO-POS D-SNP)|00025328|38.00|590| | |LA|19630|2|N
H6453|020|001|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19020|0|N
H6453|020|001|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19030|0|N
H6453|020|001|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19160|0|N
H6453|020|001|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19180|0|N
H6453|020|001|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19230|0|N
H6453|020|001|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19250|0|N
H6453|020|001|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19280|0|N
H6453|020|001|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19310|0|N
H6453|020|001|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19350|0|N
H6453|020|001|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19370|0|N
H6453|020|001|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19380|0|N
H6453|020|001|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19430|0|N
H6453|020|001|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19440|0|N
H6453|020|001|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19450|0|N
H6453|020|001|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19460|0|N
H6453|020|001|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19470|0|N
H6453|020|001|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19510|0|N
H6453|020|001|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19520|0|N
H6453|020|001|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19540|0|N
H6453|020|001|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19580|0|N
H6453|020|001|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19600|0|N
H6453|020|001|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19620|0|N
H6453|020|002|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19000|0|N
H6453|020|002|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19010|0|N
H6453|020|002|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19040|0|N
H6453|020|002|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19050|0|N
H6453|020|002|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19060|0|N
H6453|020|002|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19070|0|N
H6453|020|002|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19080|0|N
H6453|020|002|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19090|0|N
H6453|020|002|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19100|0|N
H6453|020|002|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19110|0|N
H6453|020|002|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19120|0|N
H6453|020|002|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19130|0|N
H6453|020|002|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19140|0|N
H6453|020|002|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19150|0|N
H6453|020|002|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19170|0|N
H6453|020|002|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19190|0|N
H6453|020|002|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19200|0|N
H6453|020|002|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19210|0|N
H6453|020|002|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19220|0|N
H6453|020|002|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19240|0|N
H6453|020|002|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19260|0|N
H6453|020|002|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19270|0|N
H6453|020|002|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19290|0|N
H6453|020|002|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19300|0|N
H6453|020|002|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19320|0|N
H6453|020|002|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19330|0|N
H6453|020|002|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19340|0|N
H6453|020|002|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19360|0|N
H6453|020|002|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19390|0|N
H6453|020|002|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19400|0|N
H6453|020|002|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19410|0|N
H6453|020|002|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19420|0|N
H6453|020|002|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19480|0|N
H6453|020|002|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19490|0|N
H6453|020|002|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19500|0|N
H6453|020|002|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19530|0|N
H6453|020|002|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19550|0|N
H6453|020|002|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19560|0|N
H6453|020|002|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19570|0|N
H6453|020|002|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19590|0|N
H6453|020|002|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19610|0|N
H6453|020|002|HMO LOUISIANA, INC.|Blue adVantage Giveback (HMO-POS)|00025328|0.00|195| | |LA|19630|0|N
H6474|001|000|RENAL PAYER SOLUTIONS INC|Champion Advantage (HMO-POS C-SNP)|00025245|0.00|0| | |NV|29000|1|N
H6474|001|000|RENAL PAYER SOLUTIONS INC|Champion Advantage (HMO-POS C-SNP)|00025245|0.00|0| | |NV|29010|1|N
H6474|001|000|RENAL PAYER SOLUTIONS INC|Champion Advantage (HMO-POS C-SNP)|00025245|0.00|0| | |NV|29120|1|N
H6474|001|000|RENAL PAYER SOLUTIONS INC|Champion Advantage (HMO-POS C-SNP)|00025245|0.00|0| | |NV|29150|1|N
H6474|002|000|RENAL PAYER SOLUTIONS INC|Champion Connect (HMO-POS C-SNP)|00025245|21.30|590| | |NV|29000|1|N
H6474|002|000|RENAL PAYER SOLUTIONS INC|Champion Connect (HMO-POS C-SNP)|00025245|21.30|590| | |NV|29010|1|N
H6474|002|000|RENAL PAYER SOLUTIONS INC|Champion Connect (HMO-POS C-SNP)|00025245|21.30|590| | |NV|29120|1|N
H6474|002|000|RENAL PAYER SOLUTIONS INC|Champion Connect (HMO-POS C-SNP)|00025245|21.30|590| | |NV|29150|1|N
H6474|003|000|RENAL PAYER SOLUTIONS INC|Champion Select (HMO-POS C-SNP)|00025245|16.10|0| | |NV|29000|1|N
H6474|003|000|RENAL PAYER SOLUTIONS INC|Champion Select (HMO-POS C-SNP)|00025245|16.10|0| | |NV|29010|1|N
H6474|003|000|RENAL PAYER SOLUTIONS INC|Champion Select (HMO-POS C-SNP)|00025245|16.10|0| | |NV|29120|1|N
H6474|003|000|RENAL PAYER SOLUTIONS INC|Champion Select (HMO-POS C-SNP)|00025245|16.10|0| | |NV|29150|1|N
H6529|001|001|SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.|MyTruAdvantage Select (HMO)|00025249|0.00|0| | |IN|15020|0|N
H6529|001|001|SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.|MyTruAdvantage Select (HMO)|00025249|0.00|0| | |IN|15060|0|N
H6529|001|001|SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.|MyTruAdvantage Select (HMO)|00025249|0.00|0| | |IN|15100|0|N
H6529|001|001|SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.|MyTruAdvantage Select (HMO)|00025249|0.00|0| | |IN|15350|0|N
H6529|001|001|SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.|MyTruAdvantage Select (HMO)|00025249|0.00|0| | |IN|15390|0|N
H6529|001|001|SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.|MyTruAdvantage Select (HMO)|00025249|0.00|0| | |IN|15600|0|N
H6529|001|001|SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.|MyTruAdvantage Select (HMO)|00025249|0.00|0| | |IN|15760|0|N
H6529|001|001|SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.|MyTruAdvantage Select (HMO)|00025249|0.00|0| | |IN|15820|0|N
H6529|001|001|SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.|MyTruAdvantage Select (HMO)|00025249|0.00|0| | |IN|15830|0|N
H6529|001|002|SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.|MyTruAdvantage Select (HMO)|00025249|0.00|0| | |IN|15280|0|N
H6529|001|002|SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.|MyTruAdvantage Select (HMO)|00025249|0.00|0| | |IN|15290|0|N
H6529|001|002|SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.|MyTruAdvantage Select (HMO)|00025249|0.00|0| | |IN|15330|0|N
H6529|001|002|SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.|MyTruAdvantage Select (HMO)|00025249|0.00|0| | |IN|15400|0|N
H6529|001|002|SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.|MyTruAdvantage Select (HMO)|00025249|0.00|0| | |IN|15470|0|N
H6529|001|002|SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.|MyTruAdvantage Select (HMO)|00025249|0.00|0| | |IN|15480|0|N
H6529|001|002|SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.|MyTruAdvantage Select (HMO)|00025249|0.00|0| | |IN|15640|0|N
H6529|001|002|SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.|MyTruAdvantage Select (HMO)|00025249|0.00|0| | |IN|15810|0|N
H6529|001|002|SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.|MyTruAdvantage Select (HMO)|00025249|0.00|0| | |IN|15860|0|N
H6529|002|000|SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.|MyTruAdvantage Select Plus (HMO)|00025249|0.00|200| | |IN|15020|0|N
H6529|002|000|SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.|MyTruAdvantage Select Plus (HMO)|00025249|0.00|200| | |IN|15060|0|N
H6529|002|000|SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.|MyTruAdvantage Select Plus (HMO)|00025249|0.00|200| | |IN|15100|0|N
H6529|002|000|SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.|MyTruAdvantage Select Plus (HMO)|00025249|0.00|200| | |IN|15280|0|N
H6529|002|000|SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.|MyTruAdvantage Select Plus (HMO)|00025249|0.00|200| | |IN|15290|0|N
H6529|002|000|SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.|MyTruAdvantage Select Plus (HMO)|00025249|0.00|200| | |IN|15330|0|N
H6529|002|000|SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.|MyTruAdvantage Select Plus (HMO)|00025249|0.00|200| | |IN|15350|0|N
H6529|002|000|SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.|MyTruAdvantage Select Plus (HMO)|00025249|0.00|200| | |IN|15390|0|N
H6529|002|000|SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.|MyTruAdvantage Select Plus (HMO)|00025249|0.00|200| | |IN|15400|0|N
H6529|002|000|SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.|MyTruAdvantage Select Plus (HMO)|00025249|0.00|200| | |IN|15470|0|N
H6529|002|000|SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.|MyTruAdvantage Select Plus (HMO)|00025249|0.00|200| | |IN|15480|0|N
H6529|002|000|SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.|MyTruAdvantage Select Plus (HMO)|00025249|0.00|200| | |IN|15600|0|N
H6529|002|000|SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.|MyTruAdvantage Select Plus (HMO)|00025249|0.00|200| | |IN|15640|0|N
H6529|002|000|SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.|MyTruAdvantage Select Plus (HMO)|00025249|0.00|200| | |IN|15760|0|N
H6529|002|000|SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.|MyTruAdvantage Select Plus (HMO)|00025249|0.00|200| | |IN|15810|0|N
H6529|002|000|SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.|MyTruAdvantage Select Plus (HMO)|00025249|0.00|200| | |IN|15820|0|N
H6529|002|000|SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.|MyTruAdvantage Select Plus (HMO)|00025249|0.00|200| | |IN|15830|0|N
H6529|002|000|SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.|MyTruAdvantage Select Plus (HMO)|00025249|0.00|200| | |IN|15860|0|N
H6545|001|000|Devoted Health Insurance of Illinois, Inc.|Devoted CHOICE Illinois (PPO)|00025188|0.00|590| | |IL|14141|0|N
H6545|001|000|Devoted Health Insurance of Illinois, Inc.|Devoted CHOICE Illinois (PPO)|00025188|0.00|590| | |IL|14250|0|N
H6545|001|000|Devoted Health Insurance of Illinois, Inc.|Devoted CHOICE Illinois (PPO)|00025188|0.00|590| | |IL|14530|0|N
H6545|001|000|Devoted Health Insurance of Illinois, Inc.|Devoted CHOICE Illinois (PPO)|00025188|0.00|590| | |IL|14540|0|N
H6545|001|000|Devoted Health Insurance of Illinois, Inc.|Devoted CHOICE Illinois (PPO)|00025188|0.00|590| | |IL|14550|0|N
H6545|001|000|Devoted Health Insurance of Illinois, Inc.|Devoted CHOICE Illinois (PPO)|00025188|0.00|590| | |IL|14570|0|N
H6545|001|000|Devoted Health Insurance of Illinois, Inc.|Devoted CHOICE Illinois (PPO)|00025188|0.00|590| | |IL|14640|0|N
H6545|001|000|Devoted Health Insurance of Illinois, Inc.|Devoted CHOICE Illinois (PPO)|00025188|0.00|590| | |IL|14989|0|N
H6550|003|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KS|17000|0|N
H6550|003|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KS|17010|0|N
H6550|003|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KS|17020|0|N
H6550|003|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KS|17050|0|N
H6550|003|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KS|17060|0|N
H6550|003|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KS|17070|0|N
H6550|003|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KS|17080|0|N
H6550|003|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KS|17090|0|N
H6550|003|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KS|17100|0|N
H6550|003|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KS|17150|0|N
H6550|003|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KS|17170|0|N
H6550|003|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KS|17180|0|N
H6550|003|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KS|17200|0|N
H6550|003|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KS|17210|0|N
H6550|003|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KS|17220|0|N
H6550|003|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KS|17240|0|N
H6550|003|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KS|17290|0|N
H6550|003|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KS|17300|0|N
H6550|003|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KS|17360|0|N
H6550|003|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KS|17390|0|N
H6550|003|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KS|17420|0|N
H6550|003|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KS|17430|0|N
H6550|003|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KS|17450|0|N
H6550|003|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KS|17470|0|N
H6550|003|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KS|17490|0|N
H6550|003|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KS|17510|0|N
H6550|003|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KS|17530|0|N
H6550|003|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KS|17550|0|N
H6550|003|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KS|17560|0|N
H6550|003|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KS|17570|0|N
H6550|003|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KS|17600|0|N
H6550|003|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KS|17620|0|N
H6550|003|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KS|17630|0|N
H6550|003|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KS|17650|0|N
H6550|003|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KS|17660|0|N
H6550|003|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KS|17690|0|N
H6550|003|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KS|17740|0|N
H6550|003|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KS|17770|0|N
H6550|003|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KS|17800|0|N
H6550|003|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KS|17840|0|N
H6550|003|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KS|17860|0|N
H6550|003|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KS|17880|0|N
H6550|003|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KS|17950|0|N
H6550|003|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KS|17980|0|N
H6550|003|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KS|17984|0|N
H6550|003|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KS|17985|0|N
H6550|003|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KS|17986|0|N
H6550|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17000|2|N
H6550|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17010|2|N
H6550|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17020|2|N
H6550|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17050|2|N
H6550|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17060|2|N
H6550|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17070|2|N
H6550|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17080|2|N
H6550|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17090|2|N
H6550|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17100|2|N
H6550|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17150|2|N
H6550|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17170|2|N
H6550|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17180|2|N
H6550|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17200|2|N
H6550|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17210|2|N
H6550|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17220|2|N
H6550|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17240|2|N
H6550|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17290|2|N
H6550|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17300|2|N
H6550|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17360|2|N
H6550|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17390|2|N
H6550|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17420|2|N
H6550|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17430|2|N
H6550|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17450|2|N
H6550|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17470|2|N
H6550|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17490|2|N
H6550|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17510|2|N
H6550|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17530|2|N
H6550|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17550|2|N
H6550|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17560|2|N
H6550|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17570|2|N
H6550|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17600|2|N
H6550|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17620|2|N
H6550|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17630|2|N
H6550|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17650|2|N
H6550|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17660|2|N
H6550|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17690|2|N
H6550|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17740|2|N
H6550|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17770|2|N
H6550|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17800|2|N
H6550|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17840|2|N
H6550|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17860|2|N
H6550|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17880|2|N
H6550|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17950|2|N
H6550|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17980|2|N
H6550|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17984|2|N
H6550|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17985|2|N
H6550|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17986|2|N
H6550|007|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KS|17000|0|N
H6550|007|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KS|17010|0|N
H6550|007|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KS|17020|0|N
H6550|007|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KS|17050|0|N
H6550|007|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KS|17060|0|N
H6550|007|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KS|17070|0|N
H6550|007|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KS|17080|0|N
H6550|007|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KS|17090|0|N
H6550|007|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KS|17100|0|N
H6550|007|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KS|17150|0|N
H6550|007|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KS|17170|0|N
H6550|007|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KS|17180|0|N
H6550|007|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KS|17200|0|N
H6550|007|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KS|17210|0|N
H6550|007|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KS|17220|0|N
H6550|007|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KS|17240|0|N
H6550|007|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KS|17290|0|N
H6550|007|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KS|17300|0|N
H6550|007|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KS|17360|0|N
H6550|007|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KS|17390|0|N
H6550|007|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KS|17420|0|N
H6550|007|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KS|17430|0|N
H6550|007|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KS|17450|0|N
H6550|007|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KS|17470|0|N
H6550|007|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KS|17490|0|N
H6550|007|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KS|17510|0|N
H6550|007|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KS|17530|0|N
H6550|007|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KS|17550|0|N
H6550|007|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KS|17560|0|N
H6550|007|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KS|17570|0|N
H6550|007|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KS|17600|0|N
H6550|007|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KS|17620|0|N
H6550|007|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KS|17630|0|N
H6550|007|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KS|17650|0|N
H6550|007|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KS|17660|0|N
H6550|007|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KS|17690|0|N
H6550|007|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KS|17740|0|N
H6550|007|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KS|17770|0|N
H6550|007|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KS|17800|0|N
H6550|007|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KS|17840|0|N
H6550|007|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KS|17860|0|N
H6550|007|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KS|17880|0|N
H6550|007|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KS|17950|0|N
H6550|007|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KS|17980|0|N
H6550|007|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KS|17984|0|N
H6550|007|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KS|17985|0|N
H6550|007|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KS|17986|0|N
H6550|009|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17000|2|N
H6550|009|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17010|2|N
H6550|009|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17020|2|N
H6550|009|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17050|2|N
H6550|009|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17060|2|N
H6550|009|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17070|2|N
H6550|009|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17080|2|N
H6550|009|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17090|2|N
H6550|009|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17100|2|N
H6550|009|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17150|2|N
H6550|009|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17170|2|N
H6550|009|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17180|2|N
H6550|009|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17200|2|N
H6550|009|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17210|2|N
H6550|009|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17220|2|N
H6550|009|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17240|2|N
H6550|009|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17290|2|N
H6550|009|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17300|2|N
H6550|009|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17360|2|N
H6550|009|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17390|2|N
H6550|009|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17420|2|N
H6550|009|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17430|2|N
H6550|009|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17450|2|N
H6550|009|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17470|2|N
H6550|009|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17490|2|N
H6550|009|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17510|2|N
H6550|009|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17530|2|N
H6550|009|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17550|2|N
H6550|009|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17560|2|N
H6550|009|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17570|2|N
H6550|009|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17600|2|N
H6550|009|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17620|2|N
H6550|009|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17630|2|N
H6550|009|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17650|2|N
H6550|009|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17660|2|N
H6550|009|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17690|2|N
H6550|009|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17740|2|N
H6550|009|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17770|2|N
H6550|009|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17800|2|N
H6550|009|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17840|2|N
H6550|009|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17860|2|N
H6550|009|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17880|2|N
H6550|009|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17950|2|N
H6550|009|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17980|2|N
H6550|009|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17984|2|N
H6550|009|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17985|2|N
H6550|009|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KS|17986|2|N
H6586|001|000|DEVOTED HEALTH INSURANCE COMPANY OF ARIZONA, INC.|Devoted CHOICE Arizona (PPO)|00025188|0.00|590| | |AZ|03060|0|N
H6586|001|000|DEVOTED HEALTH INSURANCE COMPANY OF ARIZONA, INC.|Devoted CHOICE Arizona (PPO)|00025188|0.00|590| | |AZ|03100|0|N
H6586|002|000|DEVOTED HEALTH INSURANCE COMPANY OF ARIZONA, INC.|Devoted CHOICE Arizona (PPO)|00025185|0.00|590| | |AZ|03010|0|N
H6586|002|000|DEVOTED HEALTH INSURANCE COMPANY OF ARIZONA, INC.|Devoted CHOICE Arizona (PPO)|00025185|0.00|590| | |AZ|03020|0|N
H6586|002|000|DEVOTED HEALTH INSURANCE COMPANY OF ARIZONA, INC.|Devoted CHOICE Arizona (PPO)|00025185|0.00|590| | |AZ|03040|0|N
H6586|002|000|DEVOTED HEALTH INSURANCE COMPANY OF ARIZONA, INC.|Devoted CHOICE Arizona (PPO)|00025185|0.00|590| | |AZ|03055|0|N
H6586|002|000|DEVOTED HEALTH INSURANCE COMPANY OF ARIZONA, INC.|Devoted CHOICE Arizona (PPO)|00025185|0.00|590| | |AZ|03110|0|N
H6586|002|000|DEVOTED HEALTH INSURANCE COMPANY OF ARIZONA, INC.|Devoted CHOICE Arizona (PPO)|00025185|0.00|590| | |AZ|03120|0|N
H6586|002|000|DEVOTED HEALTH INSURANCE COMPANY OF ARIZONA, INC.|Devoted CHOICE Arizona (PPO)|00025185|0.00|590| | |AZ|03130|0|N
H6586|003|000|DEVOTED HEALTH INSURANCE COMPANY OF ARIZONA, INC.|Devoted CHOICE Arizona (PPO)|00025185|0.00|500| | |AZ|03090|0|N
H6586|006|000|DEVOTED HEALTH INSURANCE COMPANY OF ARIZONA, INC.|Devoted CHOICE GIVEBACK Arizona (PPO)|00025185|0.00|590| | |AZ|03010|0|N
H6586|006|000|DEVOTED HEALTH INSURANCE COMPANY OF ARIZONA, INC.|Devoted CHOICE GIVEBACK Arizona (PPO)|00025185|0.00|590| | |AZ|03020|0|N
H6586|006|000|DEVOTED HEALTH INSURANCE COMPANY OF ARIZONA, INC.|Devoted CHOICE GIVEBACK Arizona (PPO)|00025185|0.00|590| | |AZ|03040|0|N
H6586|006|000|DEVOTED HEALTH INSURANCE COMPANY OF ARIZONA, INC.|Devoted CHOICE GIVEBACK Arizona (PPO)|00025185|0.00|590| | |AZ|03055|0|N
H6586|006|000|DEVOTED HEALTH INSURANCE COMPANY OF ARIZONA, INC.|Devoted CHOICE GIVEBACK Arizona (PPO)|00025185|0.00|590| | |AZ|03110|0|N
H6586|006|000|DEVOTED HEALTH INSURANCE COMPANY OF ARIZONA, INC.|Devoted CHOICE GIVEBACK Arizona (PPO)|00025185|0.00|590| | |AZ|03120|0|N
H6586|006|000|DEVOTED HEALTH INSURANCE COMPANY OF ARIZONA, INC.|Devoted CHOICE GIVEBACK Arizona (PPO)|00025185|0.00|590| | |AZ|03130|0|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18000|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18010|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18020|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18030|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18040|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18050|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18060|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18070|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18080|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18090|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18100|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18110|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18120|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18130|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18140|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18150|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18160|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18170|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18180|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18190|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18191|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18210|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18220|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18230|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18240|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18250|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18260|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18270|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18271|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18290|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18291|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18310|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18320|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18330|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18340|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18350|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18360|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18361|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18362|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18390|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18400|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18410|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18420|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18421|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18440|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18450|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18470|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18480|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18490|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18500|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18510|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18511|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18530|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18540|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18550|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18560|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18570|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18580|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18590|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18600|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18610|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18620|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18630|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18640|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18650|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18660|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18670|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18680|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18690|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18700|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18710|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18720|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18730|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18740|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18750|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18760|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18770|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18780|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18790|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18800|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18801|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18802|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18830|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18831|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18850|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18860|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18861|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18880|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18890|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18900|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18910|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18920|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18930|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18931|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18932|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18960|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18970|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18971|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18972|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18973|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18974|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18975|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18976|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18977|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18978|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18979|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18980|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18981|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18982|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18983|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18984|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18985|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18986|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18987|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18988|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18989|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18990|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18991|2|N
H6595|003|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-V001 (HMO-POS D-SNP)|00025002|49.60|590| | |KY|18992|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18000|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18010|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18020|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18030|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18040|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18050|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18060|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18070|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18080|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18090|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18100|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18110|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18120|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18130|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18140|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18150|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18160|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18170|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18180|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18190|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18191|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18210|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18220|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18230|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18240|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18250|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18260|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18270|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18271|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18290|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18291|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18310|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18320|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18330|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18340|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18350|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18360|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18361|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18362|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18390|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18400|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18410|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18420|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18421|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18440|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18450|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18470|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18480|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18490|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18500|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18510|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18511|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18530|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18540|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18550|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18560|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18570|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18580|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18590|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18600|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18610|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18620|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18630|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18640|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18650|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18660|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18670|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18680|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18690|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18700|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18710|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18720|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18730|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18740|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18750|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18760|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18770|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18780|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18790|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18800|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18801|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18802|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18830|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18831|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18850|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18860|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18861|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18880|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18890|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18900|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18910|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18920|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18930|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18931|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18932|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18960|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18970|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18971|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18972|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18973|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18974|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18975|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18976|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18977|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18978|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18979|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18980|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18981|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18982|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18983|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18984|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18985|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18986|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18987|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18988|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18989|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18990|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18991|2|N
H6595|004|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S002 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18992|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18000|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18010|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18020|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18030|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18040|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18050|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18060|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18070|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18080|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18090|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18100|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18110|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18120|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18130|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18140|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18150|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18160|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18170|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18180|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18190|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18191|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18210|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18220|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18230|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18240|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18250|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18260|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18270|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18271|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18290|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18291|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18310|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18320|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18330|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18340|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18350|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18360|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18361|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18362|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18390|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18400|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18410|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18420|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18421|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18440|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18450|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18470|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18480|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18490|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18500|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18510|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18511|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18530|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18540|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18550|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18560|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18570|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18580|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18590|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18600|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18610|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18620|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18630|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18640|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18650|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18660|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18670|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18680|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18690|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18700|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18710|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18720|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18730|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18740|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18750|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18760|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18770|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18780|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18790|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18800|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18801|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18802|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18830|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18831|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18850|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18860|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18861|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18880|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18890|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18900|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18910|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18920|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18930|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18931|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18932|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18960|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18970|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18971|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18972|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18973|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18974|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18975|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18976|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18977|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18978|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18979|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18980|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18981|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18982|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18983|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18984|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18985|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18986|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18987|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18988|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18989|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18990|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18991|2|N
H6595|005|000|UNITEDHEALTHCARE OF WISCONSIN, INC.|UHC Dual Complete KY-S4 (HMO-POS D-SNP)|00025002|0.00|590| | |KY|18992|2|N
H6622|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-001 (HMO)|00025456|0.00|250| | |WI|52040|0|N
H6622|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-001 (HMO)|00025456|0.00|250| | |WI|52070|0|N
H6622|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-001 (HMO)|00025456|0.00|250| | |WI|52120|0|N
H6622|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-001 (HMO)|00025456|0.00|250| | |WI|52190|0|N
H6622|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-001 (HMO)|00025456|0.00|250| | |WI|52270|0|N
H6622|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-001 (HMO)|00025456|0.00|250| | |WI|52290|0|N
H6622|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-001 (HMO)|00025456|0.00|250| | |WI|52300|0|N
H6622|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-001 (HMO)|00025456|0.00|250| | |WI|52350|0|N
H6622|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-001 (HMO)|00025456|0.00|250| | |WI|52370|0|N
H6622|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-001 (HMO)|00025456|0.00|250| | |WI|52380|0|N
H6622|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-001 (HMO)|00025456|0.00|250| | |WI|52390|0|N
H6622|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-001 (HMO)|00025456|0.00|250| | |WI|52410|0|N
H6622|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-001 (HMO)|00025456|0.00|250| | |WI|52430|0|N
H6622|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-001 (HMO)|00025456|0.00|250| | |WI|52440|0|N
H6622|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-001 (HMO)|00025456|0.00|250| | |WI|52500|0|N
H6622|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-001 (HMO)|00025456|0.00|250| | |WI|52520|0|N
H6622|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-001 (HMO)|00025456|0.00|250| | |WI|52570|0|N
H6622|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-001 (HMO)|00025456|0.00|250| | |WI|52580|0|N
H6622|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-001 (HMO)|00025456|0.00|250| | |WI|52630|0|N
H6622|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-001 (HMO)|00025456|0.00|250| | |WI|52650|0|N
H6622|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-001 (HMO)|00025456|0.00|250| | |WI|52660|0|N
H6622|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-001 (HMO)|00025456|0.00|250| | |WI|52670|0|N
H6622|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-001 (HMO)|00025456|0.00|250| | |WI|52680|0|N
H6622|001|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-001 (HMO)|00025456|0.00|250| | |WI|52690|0|N
H6622|004|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-004 (HMO)|00025456|0.00|350| | |VA|49000|0|N
H6622|004|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-004 (HMO)|00025456|0.00|350| | |VA|49180|0|N
H6622|004|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-004 (HMO)|00025456|0.00|350| | |VA|49194|0|N
H6622|004|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-004 (HMO)|00025456|0.00|350| | |VA|49200|0|N
H6622|004|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-004 (HMO)|00025456|0.00|350| | |VA|49212|0|N
H6622|004|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-004 (HMO)|00025456|0.00|350| | |VA|49260|0|N
H6622|004|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-004 (HMO)|00025456|0.00|350| | |VA|49360|0|N
H6622|004|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-004 (HMO)|00025456|0.00|350| | |VA|49411|0|N
H6622|004|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-004 (HMO)|00025456|0.00|350| | |VA|49420|0|N
H6622|004|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-004 (HMO)|00025456|0.00|350| | |VA|49430|0|N
H6622|004|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-004 (HMO)|00025456|0.00|350| | |VA|49451|0|N
H6622|004|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-004 (HMO)|00025456|0.00|350| | |VA|49460|0|N
H6622|004|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-004 (HMO)|00025456|0.00|350| | |VA|49470|0|N
H6622|004|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-004 (HMO)|00025456|0.00|350| | |VA|49570|0|N
H6622|004|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-004 (HMO)|00025456|0.00|350| | |VA|49622|0|N
H6622|004|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-004 (HMO)|00025456|0.00|350| | |VA|49641|0|N
H6622|004|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-004 (HMO)|00025456|0.00|350| | |VA|49650|0|N
H6622|004|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-004 (HMO)|00025456|0.00|350| | |VA|49701|0|N
H6622|004|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-004 (HMO)|00025456|0.00|350| | |VA|49711|0|N
H6622|004|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-004 (HMO)|00025456|0.00|350| | |VA|49712|0|N
H6622|004|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-004 (HMO)|00025456|0.00|350| | |VA|49740|0|N
H6622|004|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-004 (HMO)|00025456|0.00|350| | |VA|49791|0|N
H6622|004|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-004 (HMO)|00025456|0.00|350| | |VA|49892|0|N
H6622|004|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-004 (HMO)|00025456|0.00|350| | |VA|49900|0|N
H6622|004|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-004 (HMO)|00025456|0.00|350| | |VA|49910|0|N
H6622|004|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-004 (HMO)|00025456|0.00|350| | |VA|49921|0|N
H6622|004|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-004 (HMO)|00025456|0.00|350| | |VA|49961|0|N
H6622|004|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-004 (HMO)|00025456|0.00|350| | |VA|49981|0|N
H6622|007|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-007 (HMO)|00025456|10.70|200| | |MT|27010|0|N
H6622|007|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-007 (HMO)|00025456|10.70|200| | |MT|27030|0|N
H6622|007|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-007 (HMO)|00025456|10.70|200| | |MT|27060|0|N
H6622|007|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-007 (HMO)|00025456|10.70|200| | |MT|27070|0|N
H6622|007|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-007 (HMO)|00025456|10.70|200| | |MT|27110|0|N
H6622|007|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-007 (HMO)|00025456|10.70|200| | |MT|27140|0|N
H6622|007|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-007 (HMO)|00025456|10.70|200| | |MT|27170|0|N
H6622|007|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-007 (HMO)|00025456|10.70|200| | |MT|27180|0|N
H6622|007|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-007 (HMO)|00025456|10.70|200| | |MT|27210|0|N
H6622|007|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-007 (HMO)|00025456|10.70|200| | |MT|27230|0|N
H6622|007|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-007 (HMO)|00025456|10.70|200| | |MT|27240|0|N
H6622|007|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-007 (HMO)|00025456|10.70|200| | |MT|27260|0|N
H6622|007|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-007 (HMO)|00025456|10.70|200| | |MT|27310|0|N
H6622|007|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-007 (HMO)|00025456|10.70|200| | |MT|27320|0|N
H6622|007|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-007 (HMO)|00025456|10.70|200| | |MT|27330|0|N
H6622|007|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-007 (HMO)|00025456|10.70|200| | |MT|27360|0|N
H6622|007|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-007 (HMO)|00025456|10.70|200| | |MT|27380|0|N
H6622|007|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-007 (HMO)|00025456|10.70|200| | |MT|27400|0|N
H6622|007|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-007 (HMO)|00025456|10.70|200| | |MT|27430|0|N
H6622|007|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-007 (HMO)|00025456|10.70|200| | |MT|27440|0|N
H6622|007|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-007 (HMO)|00025456|10.70|200| | |MT|27460|0|N
H6622|007|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-007 (HMO)|00025456|10.70|200| | |MT|27470|0|N
H6622|007|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-007 (HMO)|00025456|10.70|200| | |MT|27490|0|N
H6622|007|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-007 (HMO)|00025456|10.70|200| | |MT|27500|0|N
H6622|007|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-007 (HMO)|00025456|10.70|200| | |MT|27510|0|N
H6622|007|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-007 (HMO)|00025456|10.70|200| | |MT|27550|0|N
H6622|008|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP)|00025456|0.00|590| | |MT|27000|2|N
H6622|008|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP)|00025456|0.00|590| | |MT|27010|2|N
H6622|008|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP)|00025456|0.00|590| | |MT|27030|2|N
H6622|008|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP)|00025456|0.00|590| | |MT|27040|2|N
H6622|008|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP)|00025456|0.00|590| | |MT|27060|2|N
H6622|008|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP)|00025456|0.00|590| | |MT|27070|2|N
H6622|008|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP)|00025456|0.00|590| | |MT|27080|2|N
H6622|008|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP)|00025456|0.00|590| | |MT|27110|2|N
H6622|008|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP)|00025456|0.00|590| | |MT|27130|2|N
H6622|008|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP)|00025456|0.00|590| | |MT|27140|2|N
H6622|008|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP)|00025456|0.00|590| | |MT|27150|2|N
H6622|008|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP)|00025456|0.00|590| | |MT|27170|2|N
H6622|008|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP)|00025456|0.00|590| | |MT|27180|2|N
H6622|008|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP)|00025456|0.00|590| | |MT|27190|2|N
H6622|008|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP)|00025456|0.00|590| | |MT|27210|2|N
H6622|008|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP)|00025456|0.00|590| | |MT|27220|2|N
H6622|008|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP)|00025456|0.00|590| | |MT|27230|2|N
H6622|008|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP)|00025456|0.00|590| | |MT|27240|2|N
H6622|008|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP)|00025456|0.00|590| | |MT|27250|2|N
H6622|008|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP)|00025456|0.00|590| | |MT|27260|2|N
H6622|008|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP)|00025456|0.00|590| | |MT|27280|2|N
H6622|008|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP)|00025456|0.00|590| | |MT|27290|2|N
H6622|008|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP)|00025456|0.00|590| | |MT|27300|2|N
H6622|008|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP)|00025456|0.00|590| | |MT|27310|2|N
H6622|008|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP)|00025456|0.00|590| | |MT|27320|2|N
H6622|008|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP)|00025456|0.00|590| | |MT|27330|2|N
H6622|008|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP)|00025456|0.00|590| | |MT|27360|2|N
H6622|008|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP)|00025456|0.00|590| | |MT|27380|2|N
H6622|008|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP)|00025456|0.00|590| | |MT|27400|2|N
H6622|008|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP)|00025456|0.00|590| | |MT|27430|2|N
H6622|008|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP)|00025456|0.00|590| | |MT|27440|2|N
H6622|008|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP)|00025456|0.00|590| | |MT|27460|2|N
H6622|008|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP)|00025456|0.00|590| | |MT|27470|2|N
H6622|008|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP)|00025456|0.00|590| | |MT|27480|2|N
H6622|008|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP)|00025456|0.00|590| | |MT|27490|2|N
H6622|008|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP)|00025456|0.00|590| | |MT|27500|2|N
H6622|008|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP)|00025456|0.00|590| | |MT|27510|2|N
H6622|008|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP)|00025456|0.00|590| | |MT|27530|2|N
H6622|008|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-008 (HMO D-SNP)|00025456|0.00|590| | |MT|27550|2|N
H6622|013|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-013 (HMO-POS)|00025456|0.00|250| | |OH|36110|0|N
H6622|013|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-013 (HMO-POS)|00025456|0.00|250| | |OH|36210|0|N
H6622|013|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-013 (HMO-POS)|00025456|0.00|250| | |OH|36230|0|N
H6622|013|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-013 (HMO-POS)|00025456|0.00|250| | |OH|36250|0|N
H6622|013|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-013 (HMO-POS)|00025456|0.00|250| | |OH|36430|0|N
H6622|013|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-013 (HMO-POS)|00025456|0.00|250| | |OH|36460|0|N
H6622|013|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-013 (HMO-POS)|00025456|0.00|250| | |OH|36500|0|N
H6622|013|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-013 (HMO-POS)|00025456|0.00|250| | |OH|36600|0|N
H6622|013|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-013 (HMO-POS)|00025456|0.00|250| | |OH|36660|0|N
H6622|013|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-013 (HMO-POS)|00025456|0.00|250| | |OH|36810|0|N
H6622|014|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-014 (HMO-POS)|00025456|0.00|250| | |OH|36020|0|N
H6622|014|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-014 (HMO-POS)|00025456|0.00|250| | |OH|36090|0|N
H6622|014|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-014 (HMO-POS)|00025456|0.00|250| | |OH|36140|0|N
H6622|014|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-014 (HMO-POS)|00025456|0.00|250| | |OH|36390|0|N
H6622|014|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-014 (HMO-POS)|00025456|0.00|250| | |OH|36510|0|N
H6622|014|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-014 (HMO-POS)|00025456|0.00|250| | |OH|36680|0|N
H6622|014|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-014 (HMO-POS)|00025456|0.00|250| | |OH|36770|0|N
H6622|014|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-014 (HMO-POS)|00025456|0.00|250| | |OH|36780|0|N
H6622|014|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-014 (HMO-POS)|00025456|0.00|250| | |OH|36790|0|N
H6622|014|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-014 (HMO-POS)|00025456|0.00|250| | |OH|36800|0|N
H6622|014|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-014 (HMO-POS)|00025456|0.00|250| | |OH|36860|0|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36010|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36020|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36050|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36070|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36080|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36090|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36100|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36110|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36120|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36130|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36140|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36170|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36190|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36200|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36210|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36220|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36230|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36250|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36260|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36280|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36290|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36310|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36330|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36340|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36360|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36390|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36430|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36440|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36460|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36470|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36480|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36490|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36500|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36510|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36520|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36530|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36560|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36580|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36600|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36630|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36640|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36660|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36680|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36690|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36700|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36730|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36750|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36760|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36770|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36780|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36790|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36800|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36810|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36820|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36840|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36860|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36870|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36880|2|N
H6622|015|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP)|00025456|0.00|590| | |OH|36890|2|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |KY|18070|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |KY|18180|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |KY|18400|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |KY|18580|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |KY|18932|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36010|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36020|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36050|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36070|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36080|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36090|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36100|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36110|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36120|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36130|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36140|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36170|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36190|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36200|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36210|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36220|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36230|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36250|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36260|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36280|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36290|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36310|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36330|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36340|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36360|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36390|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36430|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36440|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36460|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36470|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36480|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36490|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36500|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36510|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36530|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36560|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36580|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36600|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36630|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36640|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36660|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36680|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36690|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36700|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36730|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36750|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36760|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36770|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36780|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36790|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36800|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36810|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36820|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36840|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36860|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36870|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36880|1|N
H6622|017|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|200| | |OH|36890|1|N
H6622|018|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-018 (HMO D-SNP)|00025456|0.00|590| | |KY|18070|2|N
H6622|018|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-018 (HMO D-SNP)|00025456|0.00|590| | |KY|18180|2|N
H6622|018|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-018 (HMO D-SNP)|00025456|0.00|590| | |KY|18400|2|N
H6622|018|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-018 (HMO D-SNP)|00025456|0.00|590| | |KY|18580|2|N
H6622|018|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-018 (HMO D-SNP)|00025456|0.00|590| | |KY|18932|2|N
H6622|021|001|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-021 (HMO-POS)|00025456|0.00|250| | |KY|18070|0|N
H6622|021|001|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-021 (HMO-POS)|00025456|0.00|250| | |KY|18180|0|N
H6622|021|001|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-021 (HMO-POS)|00025456|0.00|250| | |KY|18400|0|N
H6622|021|001|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-021 (HMO-POS)|00025456|0.00|250| | |KY|18580|0|N
H6622|021|001|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-021 (HMO-POS)|00025456|0.00|250| | |KY|18932|0|N
H6622|021|002|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-021 (HMO-POS)|00025456|0.00|250| | |OH|36070|0|N
H6622|021|002|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-021 (HMO-POS)|00025456|0.00|250| | |OH|36080|0|N
H6622|021|002|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-021 (HMO-POS)|00025456|0.00|250| | |OH|36100|0|N
H6622|021|002|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-021 (HMO-POS)|00025456|0.00|250| | |OH|36110|0|N
H6622|021|002|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-021 (HMO-POS)|00025456|0.00|250| | |OH|36120|0|N
H6622|021|002|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-021 (HMO-POS)|00025456|0.00|250| | |OH|36130|0|N
H6622|021|002|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-021 (HMO-POS)|00025456|0.00|250| | |OH|36190|0|N
H6622|021|002|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-021 (HMO-POS)|00025456|0.00|250| | |OH|36290|0|N
H6622|021|002|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-021 (HMO-POS)|00025456|0.00|250| | |OH|36310|0|N
H6622|021|002|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-021 (HMO-POS)|00025456|0.00|250| | |OH|36470|0|N
H6622|021|002|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-021 (HMO-POS)|00025456|0.00|250| | |OH|36560|0|N
H6622|021|002|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-021 (HMO-POS)|00025456|0.00|250| | |OH|36580|0|N
H6622|021|002|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-021 (HMO-POS)|00025456|0.00|250| | |OH|36690|0|N
H6622|021|002|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-021 (HMO-POS)|00025456|0.00|250| | |OH|36760|0|N
H6622|021|002|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-021 (HMO-POS)|00025456|0.00|250| | |OH|36840|0|N
H6622|022|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-022 (HMO-POS)|00025456|0.00|250| | |OH|36010|0|N
H6622|022|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-022 (HMO-POS)|00025456|0.00|250| | |OH|36050|0|N
H6622|022|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-022 (HMO-POS)|00025456|0.00|250| | |OH|36170|0|N
H6622|022|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-022 (HMO-POS)|00025456|0.00|250| | |OH|36200|0|N
H6622|022|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-022 (HMO-POS)|00025456|0.00|250| | |OH|36220|0|N
H6622|022|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-022 (HMO-POS)|00025456|0.00|250| | |OH|36260|0|N
H6622|022|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-022 (HMO-POS)|00025456|0.00|250| | |OH|36280|0|N
H6622|022|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-022 (HMO-POS)|00025456|0.00|250| | |OH|36330|0|N
H6622|022|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-022 (HMO-POS)|00025456|0.00|250| | |OH|36340|0|N
H6622|022|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-022 (HMO-POS)|00025456|0.00|250| | |OH|36360|0|N
H6622|022|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-022 (HMO-POS)|00025456|0.00|250| | |OH|36440|0|N
H6622|022|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-022 (HMO-POS)|00025456|0.00|250| | |OH|36480|0|N
H6622|022|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-022 (HMO-POS)|00025456|0.00|250| | |OH|36490|0|N
H6622|022|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-022 (HMO-POS)|00025456|0.00|250| | |OH|36530|0|N
H6622|022|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-022 (HMO-POS)|00025456|0.00|250| | |OH|36630|0|N
H6622|022|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-022 (HMO-POS)|00025456|0.00|250| | |OH|36640|0|N
H6622|022|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-022 (HMO-POS)|00025456|0.00|250| | |OH|36700|0|N
H6622|022|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-022 (HMO-POS)|00025456|0.00|250| | |OH|36730|0|N
H6622|022|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-022 (HMO-POS)|00025456|0.00|250| | |OH|36750|0|N
H6622|022|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-022 (HMO-POS)|00025456|0.00|250| | |OH|36820|0|N
H6622|022|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-022 (HMO-POS)|00025456|0.00|250| | |OH|36870|0|N
H6622|022|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-022 (HMO-POS)|00025456|0.00|250| | |OH|36880|0|N
H6622|022|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-022 (HMO-POS)|00025456|0.00|250| | |OH|36890|0|N
H6622|023|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Cleveland Clinic Preferred (HMO-POS)|00025456|0.00|250| | |OH|36170|0|N
H6622|023|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Cleveland Clinic Preferred (HMO-POS)|00025456|0.00|250| | |OH|36440|0|N
H6622|023|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Cleveland Clinic Preferred (HMO-POS)|00025456|0.00|250| | |OH|36480|0|N
H6622|023|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Cleveland Clinic Preferred (HMO-POS)|00025456|0.00|250| | |OH|36530|0|N
H6622|023|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Cleveland Clinic Preferred (HMO-POS)|00025456|0.00|250| | |OH|36770|0|N
H6622|023|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Cleveland Clinic Preferred (HMO-POS)|00025456|0.00|250| | |OH|36780|0|N
H6622|025|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-025 (HMO-POS)|00025456|0.00|350| | |NC|34020|0|N
H6622|025|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-025 (HMO-POS)|00025456|0.00|350| | |NC|34040|0|N
H6622|025|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-025 (HMO-POS)|00025456|0.00|350| | |NC|34050|0|N
H6622|025|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-025 (HMO-POS)|00025456|0.00|350| | |NC|34100|0|N
H6622|025|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-025 (HMO-POS)|00025456|0.00|350| | |NC|34190|0|N
H6622|025|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-025 (HMO-POS)|00025456|0.00|350| | |NC|34210|0|N
H6622|025|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-025 (HMO-POS)|00025456|0.00|350| | |NC|34370|0|N
H6622|025|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-025 (HMO-POS)|00025456|0.00|350| | |NC|34430|0|N
H6622|025|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-025 (HMO-POS)|00025456|0.00|350| | |NC|34440|0|N
H6622|025|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-025 (HMO-POS)|00025456|0.00|350| | |NC|34550|0|N
H6622|025|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-025 (HMO-POS)|00025456|0.00|350| | |NC|34740|0|N
H6622|025|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-025 (HMO-POS)|00025456|0.00|350| | |NC|34800|0|N
H6622|025|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-025 (HMO-POS)|00025456|0.00|350| | |NC|34940|0|N
H6622|025|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-025 (HMO-POS)|00025456|0.00|350| | |NC|34981|0|N
H6622|026|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-026 (HMO-POS)|00025456|23.90|350| | |NC|34020|0|N
H6622|026|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-026 (HMO-POS)|00025456|23.90|350| | |NC|34040|0|N
H6622|026|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-026 (HMO-POS)|00025456|23.90|350| | |NC|34050|0|N
H6622|026|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-026 (HMO-POS)|00025456|23.90|350| | |NC|34100|0|N
H6622|026|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-026 (HMO-POS)|00025456|23.90|350| | |NC|34190|0|N
H6622|026|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-026 (HMO-POS)|00025456|23.90|350| | |NC|34210|0|N
H6622|026|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-026 (HMO-POS)|00025456|23.90|350| | |NC|34370|0|N
H6622|026|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-026 (HMO-POS)|00025456|23.90|350| | |NC|34430|0|N
H6622|026|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-026 (HMO-POS)|00025456|23.90|350| | |NC|34440|0|N
H6622|026|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-026 (HMO-POS)|00025456|23.90|350| | |NC|34490|0|N
H6622|026|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-026 (HMO-POS)|00025456|23.90|350| | |NC|34550|0|N
H6622|026|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-026 (HMO-POS)|00025456|23.90|350| | |NC|34560|0|N
H6622|026|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-026 (HMO-POS)|00025456|23.90|350| | |NC|34570|0|N
H6622|026|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-026 (HMO-POS)|00025456|23.90|350| | |NC|34800|0|N
H6622|026|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-026 (HMO-POS)|00025456|23.90|350| | |NC|34860|0|N
H6622|026|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-026 (HMO-POS)|00025456|23.90|350| | |NC|34870|0|N
H6622|026|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-026 (HMO-POS)|00025456|23.90|350| | |NC|34940|0|N
H6622|026|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-026 (HMO-POS)|00025456|23.90|350| | |NC|34981|0|N
H6622|027|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Select H6622-027 (HMO-POS D-SNP)|00025456|51.20|590| | |NC|34100|2|N
H6622|027|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Select H6622-027 (HMO-POS D-SNP)|00025456|51.20|590| | |NC|34190|2|N
H6622|027|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Select H6622-027 (HMO-POS D-SNP)|00025456|51.20|590| | |NC|34210|2|N
H6622|027|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Select H6622-027 (HMO-POS D-SNP)|00025456|51.20|590| | |NC|34370|2|N
H6622|027|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Select H6622-027 (HMO-POS D-SNP)|00025456|51.20|590| | |NC|34430|2|N
H6622|027|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Select H6622-027 (HMO-POS D-SNP)|00025456|51.20|590| | |NC|34440|2|N
H6622|027|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Select H6622-027 (HMO-POS D-SNP)|00025456|51.20|590| | |NC|34490|2|N
H6622|027|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Select H6622-027 (HMO-POS D-SNP)|00025456|51.20|590| | |NC|34550|2|N
H6622|027|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Select H6622-027 (HMO-POS D-SNP)|00025456|51.20|590| | |NC|34560|2|N
H6622|027|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Select H6622-027 (HMO-POS D-SNP)|00025456|51.20|590| | |NC|34570|2|N
H6622|027|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Select H6622-027 (HMO-POS D-SNP)|00025456|51.20|590| | |NC|34600|2|N
H6622|027|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Select H6622-027 (HMO-POS D-SNP)|00025456|51.20|590| | |NC|34740|2|N
H6622|027|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Select H6622-027 (HMO-POS D-SNP)|00025456|51.20|590| | |NC|34800|2|N
H6622|027|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Select H6622-027 (HMO-POS D-SNP)|00025456|51.20|590| | |NC|34860|2|N
H6622|027|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Select H6622-027 (HMO-POS D-SNP)|00025456|51.20|590| | |NC|34870|2|N
H6622|027|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Dual Select H6622-027 (HMO-POS D-SNP)|00025456|51.20|590| | |NC|34981|2|N
H6622|028|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-028 (HMO)|00025458|0.00|250| | |NV|29010|0|N
H6622|028|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-028 (HMO)|00025458|0.00|250| | |NV|29110|0|N
H6622|029|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025465|0.00|0| | |NV|29010|1|N
H6622|029|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025465|0.00|0| | |NV|29110|1|N
H6622|032|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-032 (HMO)|00025456|0.00|250| | |OK|37080|0|N
H6622|032|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-032 (HMO)|00025456|0.00|250| | |OK|37130|0|N
H6622|032|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-032 (HMO)|00025456|0.00|250| | |OK|37250|0|N
H6622|032|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-032 (HMO)|00025456|0.00|250| | |OK|37360|0|N
H6622|032|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-032 (HMO)|00025456|0.00|250| | |OK|37400|0|N
H6622|032|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-032 (HMO)|00025456|0.00|250| | |OK|37410|0|N
H6622|032|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-032 (HMO)|00025456|0.00|250| | |OK|37430|0|N
H6622|032|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-032 (HMO)|00025456|0.00|250| | |OK|37540|0|N
H6622|032|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-032 (HMO)|00025456|0.00|250| | |OK|37620|0|N
H6622|032|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-032 (HMO)|00025456|0.00|250| | |OK|37660|0|N
H6622|033|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-033 (HMO)|00025456|0.00|200| | |OK|37180|0|N
H6622|033|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-033 (HMO)|00025456|0.00|200| | |OK|37480|0|N
H6622|033|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-033 (HMO)|00025456|0.00|200| | |OK|37550|0|N
H6622|033|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-033 (HMO)|00025456|0.00|200| | |OK|37560|0|N
H6622|033|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-033 (HMO)|00025456|0.00|200| | |OK|37650|0|N
H6622|033|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-033 (HMO)|00025456|0.00|200| | |OK|37710|0|N
H6622|033|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-033 (HMO)|00025456|0.00|200| | |OK|37720|0|N
H6622|035|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-035 (HMO)|00025456|0.00|300| | |PA|39110|0|N
H6622|035|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-035 (HMO)|00025456|0.00|300| | |PA|39270|0|N
H6622|035|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-035 (HMO)|00025456|0.00|300| | |PA|39280|0|N
H6622|035|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-035 (HMO)|00025456|0.00|300| | |PA|39350|0|N
H6622|035|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-035 (HMO)|00025456|0.00|300| | |PA|39360|0|N
H6622|035|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-035 (HMO)|00025456|0.00|300| | |PA|39380|0|N
H6622|035|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-035 (HMO)|00025456|0.00|300| | |PA|39440|0|N
H6622|035|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-035 (HMO)|00025456|0.00|300| | |PA|39450|0|N
H6622|035|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-035 (HMO)|00025456|0.00|300| | |PA|39460|0|N
H6622|035|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-035 (HMO)|00025456|0.00|300| | |PA|39530|0|N
H6622|035|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-035 (HMO)|00025456|0.00|300| | |PA|39610|0|N
H6622|036|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-036 (HMO)|00025456|0.00|300| | |PA|39130|0|N
H6622|036|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-036 (HMO)|00025456|0.00|300| | |PA|39190|0|N
H6622|036|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-036 (HMO)|00025456|0.00|300| | |PA|39420|0|N
H6622|036|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-036 (HMO)|00025456|0.00|300| | |PA|39470|0|N
H6622|036|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-036 (HMO)|00025456|0.00|300| | |PA|39480|0|N
H6622|036|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-036 (HMO)|00025456|0.00|300| | |PA|39510|0|N
H6622|036|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-036 (HMO)|00025456|0.00|300| | |PA|39550|0|N
H6622|036|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-036 (HMO)|00025456|0.00|300| | |PA|39590|0|N
H6622|036|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-036 (HMO)|00025456|0.00|300| | |PA|39650|0|N
H6622|036|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-036 (HMO)|00025456|0.00|300| | |PA|39690|0|N
H6622|036|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-036 (HMO)|00025456|0.00|300| | |PA|39700|0|N
H6622|036|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-036 (HMO)|00025456|0.00|300| | |PA|39710|0|N
H6622|036|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-036 (HMO)|00025456|0.00|300| | |PA|39790|0|N
H6622|037|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-037 (HMO)|00025456|0.00|300| | |PA|39140|0|N
H6622|037|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-037 (HMO)|00025456|0.00|300| | |PA|39210|0|N
H6622|037|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-037 (HMO)|00025456|0.00|300| | |PA|39290|0|N
H6622|037|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-037 (HMO)|00025456|0.00|300| | |PA|39560|0|N
H6622|037|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-037 (HMO)|00025456|0.00|300| | |PA|39620|0|N
H6622|047|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-047 (HMO)|00025456|0.00|590| | |MS|25110|0|N
H6622|047|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-047 (HMO)|00025456|0.00|590| | |MS|25150|0|N
H6622|047|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-047 (HMO)|00025456|0.00|590| | |MS|25170|0|N
H6622|047|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-047 (HMO)|00025456|0.00|590| | |MS|25190|0|N
H6622|047|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-047 (HMO)|00025456|0.00|590| | |MS|25200|0|N
H6622|047|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-047 (HMO)|00025456|0.00|590| | |MS|25300|0|N
H6622|047|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-047 (HMO)|00025456|0.00|590| | |MS|25330|0|N
H6622|047|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-047 (HMO)|00025456|0.00|590| | |MS|25360|0|N
H6622|047|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-047 (HMO)|00025456|0.00|590| | |MS|25370|0|N
H6622|047|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-047 (HMO)|00025456|0.00|590| | |MS|25390|0|N
H6622|047|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-047 (HMO)|00025456|0.00|590| | |MS|25450|0|N
H6622|047|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-047 (HMO)|00025456|0.00|590| | |MS|25460|0|N
H6622|047|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-047 (HMO)|00025456|0.00|590| | |MS|25530|0|N
H6622|047|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-047 (HMO)|00025456|0.00|590| | |MS|25550|0|N
H6622|047|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-047 (HMO)|00025456|0.00|590| | |MS|25610|0|N
H6622|047|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-047 (HMO)|00025456|0.00|590| | |MS|25650|0|N
H6622|047|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-047 (HMO)|00025456|0.00|590| | |MS|25680|0|N
H6622|047|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-047 (HMO)|00025456|0.00|590| | |MS|25710|0|N
H6622|047|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-047 (HMO)|00025456|0.00|590| | |MS|25760|0|N
H6622|048|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP)|00025456|0.00|590| | |MS|25110|2|N
H6622|048|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP)|00025456|0.00|590| | |MS|25150|2|N
H6622|048|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP)|00025456|0.00|590| | |MS|25170|2|N
H6622|048|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP)|00025456|0.00|590| | |MS|25190|2|N
H6622|048|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP)|00025456|0.00|590| | |MS|25200|2|N
H6622|048|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP)|00025456|0.00|590| | |MS|25300|2|N
H6622|048|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP)|00025456|0.00|590| | |MS|25330|2|N
H6622|048|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP)|00025456|0.00|590| | |MS|25360|2|N
H6622|048|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP)|00025456|0.00|590| | |MS|25370|2|N
H6622|048|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP)|00025456|0.00|590| | |MS|25390|2|N
H6622|048|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP)|00025456|0.00|590| | |MS|25450|2|N
H6622|048|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP)|00025456|0.00|590| | |MS|25460|2|N
H6622|048|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP)|00025456|0.00|590| | |MS|25530|2|N
H6622|048|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP)|00025456|0.00|590| | |MS|25550|2|N
H6622|048|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP)|00025456|0.00|590| | |MS|25610|2|N
H6622|048|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP)|00025456|0.00|590| | |MS|25650|2|N
H6622|048|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP)|00025456|0.00|590| | |MS|25680|2|N
H6622|048|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP)|00025456|0.00|590| | |MS|25710|2|N
H6622|048|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-048 (HMO D-SNP)|00025456|0.00|590| | |MS|25760|2|N
H6622|054|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-054 (HMO)|00025456|0.00|300| | |PA|39010|0|N
H6622|054|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-054 (HMO)|00025456|0.00|300| | |PA|39080|0|N
H6622|054|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-054 (HMO)|00025456|0.00|300| | |PA|39150|0|N
H6622|054|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-054 (HMO)|00025456|0.00|300| | |PA|39220|0|N
H6622|054|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-054 (HMO)|00025456|0.00|300| | |PA|39230|0|N
H6622|054|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-054 (HMO)|00025456|0.00|300| | |PA|39260|0|N
H6622|054|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-054 (HMO)|00025456|0.00|300| | |PA|39310|0|N
H6622|054|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-054 (HMO)|00025456|0.00|300| | |PA|39320|0|N
H6622|054|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-054 (HMO)|00025456|0.00|300| | |PA|39330|0|N
H6622|054|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-054 (HMO)|00025456|0.00|300| | |PA|39370|0|N
H6622|054|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-054 (HMO)|00025456|0.00|300| | |PA|39400|0|N
H6622|054|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-054 (HMO)|00025456|0.00|300| | |PA|39450|0|N
H6622|054|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-054 (HMO)|00025456|0.00|300| | |PA|39530|0|N
H6622|054|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-054 (HMO)|00025456|0.00|300| | |PA|39750|0|N
H6622|054|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-054 (HMO)|00025456|0.00|300| | |PA|39770|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |KY|18070|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |KY|18180|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |KY|18400|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |KY|18580|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |KY|18932|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36010|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36020|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36050|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36070|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36080|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36090|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36100|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36110|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36120|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36130|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36140|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36170|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36190|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36200|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36210|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36220|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36230|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36250|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36260|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36280|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36290|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36310|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36330|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36340|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36360|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36390|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36430|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36440|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36460|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36470|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36480|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36490|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36500|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36510|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36520|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36530|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36560|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36580|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36600|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36630|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36640|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36660|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36680|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36690|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36700|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36730|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36750|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36760|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36770|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36780|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36790|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36800|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36810|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36820|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36840|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36860|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36870|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36880|0|N
H6622|055|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-055 (HMO)|00025456|22.30|200| | |OH|36890|0|N
H6622|056|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-056 (HMO)|00025458|0.00|0| | |NV|29010|0|N
H6622|056|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-056 (HMO)|00025458|0.00|0| | |NV|29110|0|N
H6622|057|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-057 (HMO-POS)|00025456|0.00|590| | |NC|34010|0|N
H6622|057|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-057 (HMO-POS)|00025456|0.00|590| | |NC|34220|0|N
H6622|057|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-057 (HMO-POS)|00025456|0.00|590| | |NC|34540|0|N
H6622|057|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-057 (HMO-POS)|00025456|0.00|590| | |NC|34890|0|N
H6622|060|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-060 (HMO-POS)|00025456|0.00|350| | |NC|34180|0|N
H6622|060|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-060 (HMO-POS)|00025456|0.00|350| | |NC|34250|0|N
H6622|060|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-060 (HMO-POS)|00025456|0.00|350| | |NC|34310|0|N
H6622|060|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-060 (HMO-POS)|00025456|0.00|350| | |NC|34340|0|N
H6622|060|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-060 (HMO-POS)|00025456|0.00|350| | |NC|34420|0|N
H6622|060|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-060 (HMO-POS)|00025456|0.00|350| | |NC|34500|0|N
H6622|060|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-060 (HMO-POS)|00025456|0.00|350| | |NC|34520|0|N
H6622|060|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-060 (HMO-POS)|00025456|0.00|350| | |NC|34620|0|N
H6622|060|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-060 (HMO-POS)|00025456|0.00|350| | |NC|34670|0|N
H6622|061|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-061 (HMO-POS)|00025456|0.00|350| | |NC|34080|0|N
H6622|061|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-061 (HMO-POS)|00025456|0.00|350| | |NC|34090|0|N
H6622|061|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-061 (HMO-POS)|00025456|0.00|350| | |NC|34230|0|N
H6622|061|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-061 (HMO-POS)|00025456|0.00|350| | |NC|34640|0|N
H6622|061|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-061 (HMO-POS)|00025456|0.00|350| | |NC|34700|0|N
H6622|063|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-063 (HMO)|00025456|0.00|225| | |NJ|31100|0|N
H6622|063|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-063 (HMO)|00025456|0.00|225| | |NJ|31200|0|N
H6622|063|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-063 (HMO)|00025456|0.00|225| | |NJ|31230|0|N
H6622|063|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-063 (HMO)|00025456|0.00|225| | |NJ|31250|0|N
H6622|063|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-063 (HMO)|00025456|0.00|225| | |NJ|31270|0|N
H6622|063|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-063 (HMO)|00025456|0.00|225| | |NJ|31290|0|N
H6622|063|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-063 (HMO)|00025456|0.00|225| | |NJ|31300|0|N
H6622|063|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-063 (HMO)|00025456|0.00|225| | |NJ|31310|0|N
H6622|063|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-063 (HMO)|00025456|0.00|225| | |NJ|31320|0|N
H6622|063|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-063 (HMO)|00025456|0.00|225| | |NJ|31350|0|N
H6622|063|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-063 (HMO)|00025456|0.00|225| | |NJ|31370|0|N
H6622|063|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-063 (HMO)|00025456|0.00|225| | |NJ|31390|0|N
H6622|066|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-066 (HMO)|00025456|0.00|300| | |NJ|31000|0|N
H6622|066|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-066 (HMO)|00025456|0.00|300| | |NJ|31150|0|N
H6622|066|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-066 (HMO)|00025456|0.00|300| | |NJ|31160|0|N
H6622|066|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-066 (HMO)|00025456|0.00|300| | |NJ|31180|0|N
H6622|066|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-066 (HMO)|00025456|0.00|300| | |NJ|31190|0|N
H6622|066|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-066 (HMO)|00025456|0.00|300| | |NJ|31220|0|N
H6622|066|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-066 (HMO)|00025456|0.00|300| | |NJ|31260|0|N
H6622|066|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-066 (HMO)|00025456|0.00|300| | |NJ|31340|0|N
H6622|071|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|0| | |OK|37080|1|N
H6622|071|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|0| | |OK|37130|1|N
H6622|071|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|0| | |OK|37180|1|N
H6622|071|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|0| | |OK|37250|1|N
H6622|071|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|0| | |OK|37360|1|N
H6622|071|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|0| | |OK|37400|1|N
H6622|071|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|0| | |OK|37410|1|N
H6622|071|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|0| | |OK|37430|1|N
H6622|071|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|0| | |OK|37480|1|N
H6622|071|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|0| | |OK|37540|1|N
H6622|071|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|0| | |OK|37550|1|N
H6622|071|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|0| | |OK|37560|1|N
H6622|071|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|0| | |OK|37620|1|N
H6622|071|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|0| | |OK|37650|1|N
H6622|071|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|0| | |OK|37660|1|N
H6622|071|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|0| | |OK|37710|1|N
H6622|071|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025460|0.00|0| | |OK|37720|1|N
H6622|073|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-073 (HMO-POS)|00025456|0.00|575| | |MN|24010|0|N
H6622|073|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-073 (HMO-POS)|00025456|0.00|575| | |MN|24090|0|N
H6622|073|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-073 (HMO-POS)|00025456|0.00|575| | |MN|24180|0|N
H6622|073|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-073 (HMO-POS)|00025456|0.00|575| | |MN|24260|0|N
H6622|073|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-073 (HMO-POS)|00025456|0.00|575| | |MN|24610|0|N
H6622|073|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-073 (HMO-POS)|00025456|0.00|575| | |MN|24690|0|N
H6622|073|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-073 (HMO-POS)|00025456|0.00|575| | |MN|24810|0|N
H6622|075|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-075 (HMO)|00025456|0.00|0| | |NV|29120|0|N
H6622|075|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-075 (HMO)|00025456|0.00|0| | |NV|29150|0|N
H6622|078|001|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP)|00025456|0.00|590| | |PA|39110|2|N
H6622|078|001|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP)|00025456|0.00|590| | |PA|39130|2|N
H6622|078|001|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP)|00025456|0.00|590| | |PA|39190|2|N
H6622|078|001|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP)|00025456|0.00|590| | |PA|39260|2|N
H6622|078|001|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP)|00025456|0.00|590| | |PA|39270|2|N
H6622|078|001|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP)|00025456|0.00|590| | |PA|39280|2|N
H6622|078|001|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP)|00025456|0.00|590| | |PA|39350|2|N
H6622|078|001|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP)|00025456|0.00|590| | |PA|39420|2|N
H6622|078|001|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP)|00025456|0.00|590| | |PA|39440|2|N
H6622|078|001|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP)|00025456|0.00|590| | |PA|39450|2|N
H6622|078|001|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP)|00025456|0.00|590| | |PA|39460|2|N
H6622|078|001|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP)|00025456|0.00|590| | |PA|39470|2|N
H6622|078|001|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP)|00025456|0.00|590| | |PA|39480|2|N
H6622|078|001|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP)|00025456|0.00|590| | |PA|39530|2|N
H6622|078|001|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP)|00025456|0.00|590| | |PA|39550|2|N
H6622|078|001|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP)|00025456|0.00|590| | |PA|39590|2|N
H6622|078|001|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP)|00025456|0.00|590| | |PA|39610|2|N
H6622|078|001|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP)|00025456|0.00|590| | |PA|39650|2|N
H6622|078|001|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP)|00025456|0.00|590| | |PA|39700|2|N
H6622|078|001|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP)|00025456|0.00|590| | |PA|39710|2|N
H6622|078|001|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP)|00025456|0.00|590| | |PA|39790|2|N
H6622|078|002|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP)|00025456|0.00|590| | |PA|39140|2|N
H6622|078|002|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP)|00025456|0.00|590| | |PA|39210|2|N
H6622|078|002|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP)|00025456|0.00|590| | |PA|39290|2|N
H6622|078|002|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP)|00025456|0.00|590| | |PA|39560|2|N
H6622|078|002|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP)|00025456|0.00|590| | |PA|39620|2|N
H6622|079|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-079 (HMO D-SNP)|00025456|0.00|520| | |NV|29010|2|N
H6622|079|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-079 (HMO D-SNP)|00025456|0.00|520| | |NV|29110|2|N
H6622|079|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-079 (HMO D-SNP)|00025456|0.00|520| | |NV|29120|2|N
H6622|079|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-079 (HMO D-SNP)|00025456|0.00|520| | |NV|29150|2|N
H6622|081|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-081 (HMO)|00025456|16.20|300| | |MD|21010|0|N
H6622|081|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-081 (HMO)|00025456|16.20|300| | |MD|21020|0|N
H6622|081|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-081 (HMO)|00025456|16.20|300| | |MD|21030|0|N
H6622|081|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-081 (HMO)|00025456|16.20|300| | |MD|21120|0|N
H6622|081|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-081 (HMO)|00025456|16.20|300| | |MD|21130|0|N
H6622|082|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus Giveback H6622-082 (HMO)|00025458|0.00|0| | |NV|29010|0|N
H6622|082|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus Giveback H6622-082 (HMO)|00025458|0.00|0| | |NV|29110|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49000|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49010|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49011|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49020|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49030|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49040|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49050|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49060|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49070|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49090|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49100|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49110|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49120|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49140|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49150|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49160|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49170|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49180|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49190|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49191|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49194|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49200|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49210|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49213|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49220|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49230|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49240|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49241|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49260|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49270|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49280|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49288|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49290|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49300|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49310|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49320|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49328|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49330|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49340|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49342|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49343|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49350|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49360|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49370|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49390|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49400|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49410|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49411|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49420|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49430|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49440|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49450|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49451|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49460|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49470|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49480|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49490|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49500|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49522|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49530|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49540|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49550|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49551|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49560|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49561|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49563|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49565|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49570|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49580|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49590|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49600|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49620|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49621|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49622|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49641|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49650|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49660|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49670|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49690|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49700|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49701|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49710|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49711|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49712|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49720|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49730|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49740|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49750|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49770|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49771|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49780|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49790|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49791|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49800|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49801|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49810|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49820|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49838|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49870|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49880|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49890|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49891|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49892|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49900|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49910|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49921|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49930|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49951|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49960|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49961|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49962|0|N
H6622|083|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-083 (HMO)|00025456|0.00|350| | |VA|49981|0|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49000|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49010|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49011|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49020|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49030|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49040|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49050|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49060|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49070|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49080|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49090|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49100|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49110|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49120|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49140|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49141|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49150|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49160|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49170|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49180|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49190|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49191|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49194|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49200|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49210|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49212|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49213|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49220|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49230|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49240|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49241|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49260|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49270|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49280|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49288|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49290|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49291|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49300|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49310|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49320|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49328|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49330|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49340|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49342|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49343|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49350|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49360|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49370|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49390|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49400|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49410|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49411|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49420|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49421|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49430|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49440|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49450|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49451|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49460|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49470|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49480|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49490|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49500|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49510|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49522|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49530|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49540|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49550|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49551|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49560|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49561|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49563|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49565|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49570|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49580|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49590|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49600|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49620|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49621|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49622|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49641|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49650|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49660|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49670|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49680|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49690|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49700|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49701|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49710|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49711|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49712|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49720|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49730|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49740|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49750|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49770|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49771|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49780|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49790|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49791|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49800|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49801|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49810|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49820|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49838|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49850|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49870|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49880|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49890|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49891|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49892|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49900|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49910|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49921|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49930|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49951|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49960|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49961|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49962|1|N
H6622|084|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus - Diabetes and Heart (HMO C-SNP)|00025458|0.00|450| | |VA|49981|1|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49000|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49010|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49011|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49020|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49030|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49050|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49060|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49070|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49080|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49100|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49110|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49120|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49140|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49141|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49160|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49170|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49180|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49190|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49191|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49194|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49200|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49210|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49212|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49213|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49220|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49230|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49240|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49241|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49260|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49270|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49280|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49288|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49290|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49291|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49300|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49310|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49320|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49328|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49330|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49342|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49343|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49350|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49360|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49370|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49390|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49400|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49410|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49411|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49420|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49421|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49430|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49440|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49450|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49451|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49460|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49470|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49480|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49490|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49500|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49510|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49522|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49530|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49540|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49550|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49560|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49561|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49563|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49565|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49570|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49580|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49590|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49600|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49620|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49621|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49622|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49641|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49650|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49660|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49670|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49680|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49700|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49701|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49710|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49711|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49712|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49720|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49740|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49750|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49770|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49771|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49780|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49790|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49791|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49800|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49801|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49810|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49820|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49838|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49870|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49880|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49890|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49891|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49892|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49900|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49910|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49921|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49951|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49960|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49961|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49980|0|N
H6622|085|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-085 (HMO)|00025456|19.70|590| | |VA|49981|0|N
H6622|086|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-086 (HMO D-SNP)|00025456|0.00|590| | |MD|21010|2|N
H6622|086|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-086 (HMO D-SNP)|00025456|0.00|590| | |MD|21020|2|N
H6622|086|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-086 (HMO D-SNP)|00025456|0.00|590| | |MD|21030|2|N
H6622|086|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-086 (HMO D-SNP)|00025456|0.00|590| | |MD|21120|2|N
H6622|086|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-086 (HMO D-SNP)|00025456|0.00|590| | |MD|21130|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36010|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36020|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36050|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36070|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36080|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36090|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36100|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36110|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36120|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36130|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36140|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36170|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36190|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36200|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36210|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36220|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36230|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36250|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36260|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36280|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36290|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36310|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36330|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36340|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36360|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36390|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36430|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36440|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36460|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36470|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36480|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36490|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36500|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36510|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36520|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36530|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36560|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36580|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36600|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36630|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36640|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36660|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36680|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36690|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36700|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36730|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36750|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36760|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36770|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36780|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36790|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36800|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36810|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36820|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36840|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36860|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36870|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36880|2|N
H6622|087|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus SNP-DE H6622-087 (HMO D-SNP)|00025456|0.00|590| | |OH|36890|2|N
H6622|090|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus Giveback H6622-090 (HMO)|00025456|0.00|450| | |VA|49000|0|N
H6622|090|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus Giveback H6622-090 (HMO)|00025456|0.00|450| | |VA|49194|0|N
H6622|090|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus Giveback H6622-090 (HMO)|00025456|0.00|450| | |VA|49328|0|N
H6622|090|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus Giveback H6622-090 (HMO)|00025456|0.00|450| | |VA|49360|0|N
H6622|090|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus Giveback H6622-090 (HMO)|00025456|0.00|450| | |VA|49411|0|N
H6622|090|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus Giveback H6622-090 (HMO)|00025456|0.00|450| | |VA|49460|0|N
H6622|090|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus Giveback H6622-090 (HMO)|00025456|0.00|450| | |VA|49470|0|N
H6622|090|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus Giveback H6622-090 (HMO)|00025456|0.00|450| | |VA|49570|0|N
H6622|090|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus Giveback H6622-090 (HMO)|00025456|0.00|450| | |VA|49590|0|N
H6622|090|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus Giveback H6622-090 (HMO)|00025456|0.00|450| | |VA|49622|0|N
H6622|090|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus Giveback H6622-090 (HMO)|00025456|0.00|450| | |VA|49641|0|N
H6622|090|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus Giveback H6622-090 (HMO)|00025456|0.00|450| | |VA|49650|0|N
H6622|090|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus Giveback H6622-090 (HMO)|00025456|0.00|450| | |VA|49711|0|N
H6622|090|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus Giveback H6622-090 (HMO)|00025456|0.00|450| | |VA|49712|0|N
H6622|090|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus Giveback H6622-090 (HMO)|00025456|0.00|450| | |VA|49870|0|N
H6622|090|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus Giveback H6622-090 (HMO)|00025456|0.00|450| | |VA|49892|0|N
H6622|090|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus Giveback H6622-090 (HMO)|00025456|0.00|450| | |VA|49900|0|N
H6622|090|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus Giveback H6622-090 (HMO)|00025456|0.00|450| | |VA|49921|0|N
H6622|090|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus Giveback H6622-090 (HMO)|00025456|0.00|450| | |VA|49961|0|N
H6622|090|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus Giveback H6622-090 (HMO)|00025456|0.00|450| | |VA|49981|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49000|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49010|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49011|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49020|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49030|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49040|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49050|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49060|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49070|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49090|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49100|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49110|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49120|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49140|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49150|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49160|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49170|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49180|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49190|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49191|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49194|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49200|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49210|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49213|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49220|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49230|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49240|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49241|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49260|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49270|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49280|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49288|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49290|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49300|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49310|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49320|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49328|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49330|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49340|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49342|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49343|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49350|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49360|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49370|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49390|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49400|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49410|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49411|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49420|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49430|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49440|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49450|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49451|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49460|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49470|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49480|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49490|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49500|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49522|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49530|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49540|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49550|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49551|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49560|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49561|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49563|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49565|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49570|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49580|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49590|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49600|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49620|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49621|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49622|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49641|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49650|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49660|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49670|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49690|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49700|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49701|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49710|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49711|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49712|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49720|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49730|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49740|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49750|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49770|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49771|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49780|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49790|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49791|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49800|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49801|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49810|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49820|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49838|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49870|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49880|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49890|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49891|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49892|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49900|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49910|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49921|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49930|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49951|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49960|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49961|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49962|0|N
H6622|091|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-091 (HMO)|00025456|0.00|450| | |VA|49981|0|N
H6622|095|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-095 (HMO)|00025456|0.00|590| | |MD|21010|0|N
H6622|095|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-095 (HMO)|00025456|0.00|590| | |MD|21120|0|N
H6622|095|000|HUMANA WI HEALTH ORGANIZATION INSURANCE CORP|Humana Gold Plus H6622-095 (HMO)|00025456|0.00|590| | |MD|21130|0|N
H6652|001|000|AMERICAN HEALTH PLAN OF FL, INC.|American Health Advantage of Florida (HMO I-SNP)|00025482|20.30|590| | |FL|10150|3|N
H6652|001|000|AMERICAN HEALTH PLAN OF FL, INC.|American Health Advantage of Florida (HMO I-SNP)|00025482|20.30|590| | |FL|10280|3|N
H6652|001|000|AMERICAN HEALTH PLAN OF FL, INC.|American Health Advantage of Florida (HMO I-SNP)|00025482|20.30|590| | |FL|10400|3|N
H6652|001|000|AMERICAN HEALTH PLAN OF FL, INC.|American Health Advantage of Florida (HMO I-SNP)|00025482|20.30|590| | |FL|10410|3|N
H6652|001|000|AMERICAN HEALTH PLAN OF FL, INC.|American Health Advantage of Florida (HMO I-SNP)|00025482|20.30|590| | |FL|10510|3|N
H6652|001|000|AMERICAN HEALTH PLAN OF FL, INC.|American Health Advantage of Florida (HMO I-SNP)|00025482|20.30|590| | |FL|10570|3|N
H6652|001|000|AMERICAN HEALTH PLAN OF FL, INC.|American Health Advantage of Florida (HMO I-SNP)|00025482|20.30|590| | |FL|10580|3|N
H6652|001|000|AMERICAN HEALTH PLAN OF FL, INC.|American Health Advantage of Florida (HMO I-SNP)|00025482|20.30|590| | |FL|10630|3|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11020|1|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11030|1|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11040|1|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11050|1|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11090|1|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11100|1|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11130|1|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11160|1|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11220|1|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11250|1|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11280|1|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11281|1|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11330|1|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11350|1|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11370|1|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11380|1|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11381|1|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11451|1|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11461|1|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11462|1|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11520|1|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11560|1|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11581|1|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11590|1|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11591|1|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11600|1|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11611|1|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11650|1|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11651|1|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11701|1|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11703|1|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11710|1|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11720|1|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11740|1|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11760|1|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11771|1|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11790|1|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11800|1|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11801|1|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11811|1|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11812|1|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11821|1|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11831|1|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11832|1|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11834|1|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11841|1|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11842|1|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11850|1|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11861|1|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11880|1|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11881|1|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11883|1|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11912|1|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11930|1|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11963|1|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11971|1|N
H6672|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Silver Plan (HMO C-SNP)|00025494|0.00|250| | |GA|11973|1|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11020|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11030|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11040|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11050|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11090|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11100|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11130|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11160|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11180|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11220|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11230|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11250|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11260|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11280|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11281|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11290|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11320|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11330|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11350|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11370|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11380|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11381|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11400|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11430|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11440|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11441|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11450|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11451|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11461|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11462|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11470|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11471|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11480|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11520|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11530|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11540|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11550|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11560|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11570|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11580|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11581|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11590|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11591|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11600|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11601|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11610|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11611|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11620|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11630|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11640|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11650|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11651|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11690|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11691|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11701|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11703|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11710|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11720|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11730|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11740|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11760|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11770|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11771|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11790|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11800|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11801|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11810|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11811|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11812|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11821|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11830|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11831|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11832|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11834|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11841|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11842|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11850|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11860|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11861|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11880|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11881|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11882|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11883|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11884|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11902|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11903|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11911|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11912|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11913|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11920|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11930|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11941|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11950|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11961|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11962|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11963|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11971|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11972|0|N
H6672|005|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Select Plus (HMO)|00025494|0.00|0| | |GA|11973|0|N
H6706|001|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC CO-0011 (HMO-POS)|00025002|0.00|420| | |CO|06000|0|N
H6706|001|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC CO-0011 (HMO-POS)|00025002|0.00|420| | |CO|06060|0|N
H6706|001|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC CO-0011 (HMO-POS)|00025002|0.00|420| | |CO|06090|0|N
H6706|001|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC CO-0011 (HMO-POS)|00025002|0.00|420| | |CO|06290|0|N
H6706|001|000|UnitedHealthcare Benefits of Texas, Inc.|AARP Medicare Advantage from UHC CO-0011 (HMO-POS)|00025002|0.00|420| | |CO|06630|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14000|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14020|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14030|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14040|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14050|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14060|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14070|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14080|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14090|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14100|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14110|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14120|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14130|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14140|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14141|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14150|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14160|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14170|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14180|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14190|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14250|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14310|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14320|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14330|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14340|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14350|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14360|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14370|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14380|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14390|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14400|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14410|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14420|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14421|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14440|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14450|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14460|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14470|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14480|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14490|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14500|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14520|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14530|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14540|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14550|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14560|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14580|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14600|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14610|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14620|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14630|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14640|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14650|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14660|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14670|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14680|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14690|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14700|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14710|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14730|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14740|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14750|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14760|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14770|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14780|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14790|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14800|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14810|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14820|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14830|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14831|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14850|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14860|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14880|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14890|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14900|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14910|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14920|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14921|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14940|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14950|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14960|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14970|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14980|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14981|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14982|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14984|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14985|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14986|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14987|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14988|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14989|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14991|0|N
H6713|001|000|WELLCARE OF ILLINOIS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |IL|14992|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14000|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14020|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14030|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14040|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14050|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14060|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14070|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14080|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14090|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14100|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14110|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14120|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14130|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14140|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14141|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14150|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14160|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14170|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14180|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14190|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14250|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14310|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14320|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14330|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14340|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14350|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14360|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14370|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14380|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14390|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14400|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14410|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14420|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14421|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14440|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14450|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14460|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14470|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14480|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14490|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14500|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14520|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14530|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14540|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14550|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14560|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14580|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14600|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14610|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14620|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14630|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14640|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14650|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14660|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14670|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14680|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14690|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14700|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14710|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14730|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14740|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14750|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14760|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14770|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14780|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14790|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14800|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14810|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14820|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14830|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14831|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14850|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14860|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14880|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14890|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14900|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14910|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14920|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14921|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14940|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14950|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14960|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14970|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14980|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14981|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14982|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14984|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14985|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14986|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14987|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14988|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14989|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14991|0|N
H6713|002|000|WELLCARE OF ILLINOIS, INC.|Wellcare Giveback Open (PPO)|00025076|0.00|420| | |IL|14992|0|N
H6723|001|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36020|0|N
H6723|001|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36090|0|N
H6723|001|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36140|0|N
H6723|001|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36170|0|N
H6723|001|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36280|0|N
H6723|001|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36390|0|N
H6723|001|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36440|0|N
H6723|001|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36480|0|N
H6723|001|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36510|0|N
H6723|001|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36530|0|N
H6723|001|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36680|0|N
H6723|001|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36770|0|N
H6723|001|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36780|0|N
H6723|001|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36790|0|N
H6723|001|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36800|0|N
H6723|001|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36860|0|N
H6723|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36000|0|N
H6723|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36010|0|N
H6723|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36050|0|N
H6723|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36100|0|N
H6723|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36130|0|N
H6723|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36150|0|N
H6723|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36160|0|N
H6723|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36190|0|N
H6723|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36200|0|N
H6723|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36220|0|N
H6723|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36240|0|N
H6723|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36270|0|N
H6723|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36300|0|N
H6723|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36340|0|N
H6723|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36350|0|N
H6723|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36360|0|N
H6723|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36370|0|N
H6723|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36400|0|N
H6723|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36410|0|N
H6723|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36430|0|N
H6723|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36470|0|N
H6723|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36550|0|N
H6723|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36570|0|N
H6723|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36620|0|N
H6723|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36630|0|N
H6723|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36640|0|N
H6723|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36670|0|N
H6723|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36690|0|N
H6723|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36700|0|N
H6723|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36710|0|N
H6723|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36720|0|N
H6723|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36730|0|N
H6723|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36740|0|N
H6723|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36760|0|N
H6723|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36820|0|N
H6723|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36830|0|N
H6723|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36850|0|N
H6723|001|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36870|0|N
H6723|001|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36070|0|N
H6723|001|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36080|0|N
H6723|001|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36110|0|N
H6723|001|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36120|0|N
H6723|001|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36210|0|N
H6723|001|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36230|0|N
H6723|001|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36250|0|N
H6723|001|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36260|0|N
H6723|001|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36290|0|N
H6723|001|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36310|0|N
H6723|001|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36330|0|N
H6723|001|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36380|0|N
H6723|001|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36460|0|N
H6723|001|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36490|0|N
H6723|001|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36500|0|N
H6723|001|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36520|0|N
H6723|001|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36560|0|N
H6723|001|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36580|0|N
H6723|001|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36590|0|N
H6723|001|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36600|0|N
H6723|001|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36610|0|N
H6723|001|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36650|0|N
H6723|001|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36660|0|N
H6723|001|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36750|0|N
H6723|001|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36810|0|N
H6723|001|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36840|0|N
H6723|001|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36880|0|N
H6723|001|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Classic (HMO)|00025323|0.00|95| | |OH|36890|0|N
H6723|002|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|40.00|55| | |OH|36020|0|N
H6723|002|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|40.00|55| | |OH|36090|0|N
H6723|002|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|40.00|55| | |OH|36140|0|N
H6723|002|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|40.00|55| | |OH|36170|0|N
H6723|002|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|40.00|55| | |OH|36280|0|N
H6723|002|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|40.00|55| | |OH|36390|0|N
H6723|002|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|40.00|55| | |OH|36440|0|N
H6723|002|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|40.00|55| | |OH|36480|0|N
H6723|002|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|40.00|55| | |OH|36510|0|N
H6723|002|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|40.00|55| | |OH|36530|0|N
H6723|002|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|40.00|55| | |OH|36680|0|N
H6723|002|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|40.00|55| | |OH|36770|0|N
H6723|002|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|40.00|55| | |OH|36780|0|N
H6723|002|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|40.00|55| | |OH|36790|0|N
H6723|002|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|40.00|55| | |OH|36800|0|N
H6723|002|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|40.00|55| | |OH|36860|0|N
H6723|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|81.00|55| | |OH|36000|0|N
H6723|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|81.00|55| | |OH|36010|0|N
H6723|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|81.00|55| | |OH|36050|0|N
H6723|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|81.00|55| | |OH|36100|0|N
H6723|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|81.00|55| | |OH|36130|0|N
H6723|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|81.00|55| | |OH|36150|0|N
H6723|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|81.00|55| | |OH|36160|0|N
H6723|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|81.00|55| | |OH|36190|0|N
H6723|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|81.00|55| | |OH|36200|0|N
H6723|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|81.00|55| | |OH|36220|0|N
H6723|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|81.00|55| | |OH|36240|0|N
H6723|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|81.00|55| | |OH|36270|0|N
H6723|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|81.00|55| | |OH|36300|0|N
H6723|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|81.00|55| | |OH|36340|0|N
H6723|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|81.00|55| | |OH|36350|0|N
H6723|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|81.00|55| | |OH|36360|0|N
H6723|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|81.00|55| | |OH|36370|0|N
H6723|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|81.00|55| | |OH|36400|0|N
H6723|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|81.00|55| | |OH|36410|0|N
H6723|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|81.00|55| | |OH|36430|0|N
H6723|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|81.00|55| | |OH|36470|0|N
H6723|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|81.00|55| | |OH|36550|0|N
H6723|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|81.00|55| | |OH|36570|0|N
H6723|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|81.00|55| | |OH|36620|0|N
H6723|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|81.00|55| | |OH|36630|0|N
H6723|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|81.00|55| | |OH|36640|0|N
H6723|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|81.00|55| | |OH|36670|0|N
H6723|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|81.00|55| | |OH|36690|0|N
H6723|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|81.00|55| | |OH|36700|0|N
H6723|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|81.00|55| | |OH|36710|0|N
H6723|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|81.00|55| | |OH|36720|0|N
H6723|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|81.00|55| | |OH|36730|0|N
H6723|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|81.00|55| | |OH|36740|0|N
H6723|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|81.00|55| | |OH|36760|0|N
H6723|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|81.00|55| | |OH|36820|0|N
H6723|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|81.00|55| | |OH|36830|0|N
H6723|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|81.00|55| | |OH|36850|0|N
H6723|002|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|81.00|55| | |OH|36870|0|N
H6723|002|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|40.00|55| | |OH|36070|0|N
H6723|002|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|40.00|55| | |OH|36080|0|N
H6723|002|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|40.00|55| | |OH|36110|0|N
H6723|002|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|40.00|55| | |OH|36120|0|N
H6723|002|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|40.00|55| | |OH|36210|0|N
H6723|002|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|40.00|55| | |OH|36230|0|N
H6723|002|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|40.00|55| | |OH|36250|0|N
H6723|002|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|40.00|55| | |OH|36260|0|N
H6723|002|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|40.00|55| | |OH|36290|0|N
H6723|002|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|40.00|55| | |OH|36310|0|N
H6723|002|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|40.00|55| | |OH|36330|0|N
H6723|002|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|40.00|55| | |OH|36380|0|N
H6723|002|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|40.00|55| | |OH|36460|0|N
H6723|002|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|40.00|55| | |OH|36490|0|N
H6723|002|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|40.00|55| | |OH|36500|0|N
H6723|002|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|40.00|55| | |OH|36520|0|N
H6723|002|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|40.00|55| | |OH|36560|0|N
H6723|002|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|40.00|55| | |OH|36580|0|N
H6723|002|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|40.00|55| | |OH|36590|0|N
H6723|002|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|40.00|55| | |OH|36600|0|N
H6723|002|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|40.00|55| | |OH|36610|0|N
H6723|002|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|40.00|55| | |OH|36650|0|N
H6723|002|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|40.00|55| | |OH|36660|0|N
H6723|002|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|40.00|55| | |OH|36750|0|N
H6723|002|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|40.00|55| | |OH|36810|0|N
H6723|002|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|40.00|55| | |OH|36840|0|N
H6723|002|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|40.00|55| | |OH|36880|0|N
H6723|002|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Choice (HMO)|00025323|40.00|55| | |OH|36890|0|N
H6723|003|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36020|0|N
H6723|003|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36090|0|N
H6723|003|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36140|0|N
H6723|003|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36170|0|N
H6723|003|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36280|0|N
H6723|003|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36390|0|N
H6723|003|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36440|0|N
H6723|003|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36480|0|N
H6723|003|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36510|0|N
H6723|003|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36530|0|N
H6723|003|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36680|0|N
H6723|003|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36770|0|N
H6723|003|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36780|0|N
H6723|003|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36790|0|N
H6723|003|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36800|0|N
H6723|003|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36860|0|N
H6723|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36000|0|N
H6723|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36010|0|N
H6723|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36050|0|N
H6723|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36100|0|N
H6723|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36130|0|N
H6723|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36150|0|N
H6723|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36160|0|N
H6723|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36190|0|N
H6723|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36200|0|N
H6723|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36220|0|N
H6723|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36240|0|N
H6723|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36270|0|N
H6723|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36300|0|N
H6723|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36340|0|N
H6723|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36350|0|N
H6723|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36360|0|N
H6723|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36370|0|N
H6723|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36400|0|N
H6723|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36410|0|N
H6723|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36430|0|N
H6723|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36470|0|N
H6723|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36550|0|N
H6723|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36570|0|N
H6723|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36620|0|N
H6723|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36630|0|N
H6723|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36640|0|N
H6723|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36670|0|N
H6723|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36690|0|N
H6723|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36700|0|N
H6723|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36710|0|N
H6723|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36720|0|N
H6723|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36730|0|N
H6723|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36740|0|N
H6723|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36760|0|N
H6723|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36820|0|N
H6723|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36830|0|N
H6723|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36850|0|N
H6723|003|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36870|0|N
H6723|003|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36070|0|N
H6723|003|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36080|0|N
H6723|003|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36110|0|N
H6723|003|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36120|0|N
H6723|003|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36210|0|N
H6723|003|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36230|0|N
H6723|003|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36250|0|N
H6723|003|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36260|0|N
H6723|003|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36290|0|N
H6723|003|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36310|0|N
H6723|003|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36330|0|N
H6723|003|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36380|0|N
H6723|003|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36460|0|N
H6723|003|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36490|0|N
H6723|003|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36500|0|N
H6723|003|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36520|0|N
H6723|003|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36560|0|N
H6723|003|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36580|0|N
H6723|003|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36590|0|N
H6723|003|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36600|0|N
H6723|003|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36610|0|N
H6723|003|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36650|0|N
H6723|003|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36660|0|N
H6723|003|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36750|0|N
H6723|003|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36810|0|N
H6723|003|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36840|0|N
H6723|003|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36880|0|N
H6723|003|003|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Plus (HMO)|00025323|13.60|55| | |OH|36890|0|N
H6723|005|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Secure (HMO-POS)|00025323|39.00|0| | |OH|36010|0|N
H6723|005|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Secure (HMO-POS)|00025323|39.00|0| | |OH|36020|0|N
H6723|005|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Secure (HMO-POS)|00025323|39.00|0| | |OH|36070|0|N
H6723|005|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Secure (HMO-POS)|00025323|39.00|0| | |OH|36080|0|N
H6723|005|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Secure (HMO-POS)|00025323|39.00|0| | |OH|36090|0|N
H6723|005|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Secure (HMO-POS)|00025323|39.00|0| | |OH|36110|0|N
H6723|005|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Secure (HMO-POS)|00025323|39.00|0| | |OH|36120|0|N
H6723|005|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Secure (HMO-POS)|00025323|39.00|0| | |OH|36140|0|N
H6723|005|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Secure (HMO-POS)|00025323|39.00|0| | |OH|36170|0|N
H6723|005|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Secure (HMO-POS)|00025323|39.00|0| | |OH|36200|0|N
H6723|005|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Secure (HMO-POS)|00025323|39.00|0| | |OH|36210|0|N
H6723|005|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Secure (HMO-POS)|00025323|39.00|0| | |OH|36220|0|N
H6723|005|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Secure (HMO-POS)|00025323|39.00|0| | |OH|36230|0|N
H6723|005|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Secure (HMO-POS)|00025323|39.00|0| | |OH|36250|0|N
H6723|005|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Secure (HMO-POS)|00025323|39.00|0| | |OH|36260|0|N
H6723|005|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Secure (HMO-POS)|00025323|39.00|0| | |OH|36280|0|N
H6723|005|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Secure (HMO-POS)|00025323|39.00|0| | |OH|36290|0|N
H6723|005|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Secure (HMO-POS)|00025323|39.00|0| | |OH|36300|0|N
H6723|005|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Secure (HMO-POS)|00025323|39.00|0| | |OH|36310|0|N
H6723|005|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Secure (HMO-POS)|00025323|39.00|0| | |OH|36330|0|N
H6723|005|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Secure (HMO-POS)|00025323|39.00|0| | |OH|36360|0|N
H6723|005|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Secure (HMO-POS)|00025323|39.00|0| | |OH|36380|0|N
H6723|005|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Secure (HMO-POS)|00025323|39.00|0| | |OH|36390|0|N
H6723|005|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Secure (HMO-POS)|00025323|39.00|0| | |OH|36440|0|N
H6723|005|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Secure (HMO-POS)|00025323|39.00|0| | |OH|36460|0|N
H6723|005|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Secure (HMO-POS)|00025323|39.00|0| | |OH|36480|0|N
H6723|005|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Secure (HMO-POS)|00025323|39.00|0| | |OH|36490|0|N
H6723|005|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Secure (HMO-POS)|00025323|39.00|0| | |OH|36500|0|N
H6723|005|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Secure (HMO-POS)|00025323|39.00|0| | |OH|36510|0|N
H6723|005|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Secure (HMO-POS)|00025323|39.00|0| | |OH|36520|0|N
H6723|005|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Secure (HMO-POS)|00025323|39.00|0| | |OH|36530|0|N
H6723|005|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Secure (HMO-POS)|00025323|39.00|0| | |OH|36560|0|N
H6723|005|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Secure (HMO-POS)|00025323|39.00|0| | |OH|36580|0|N
H6723|005|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Secure (HMO-POS)|00025323|39.00|0| | |OH|36600|0|N
H6723|005|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Secure (HMO-POS)|00025323|39.00|0| | |OH|36630|0|N
H6723|005|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Secure (HMO-POS)|00025323|39.00|0| | |OH|36650|0|N
H6723|005|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Secure (HMO-POS)|00025323|39.00|0| | |OH|36660|0|N
H6723|005|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Secure (HMO-POS)|00025323|39.00|0| | |OH|36680|0|N
H6723|005|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Secure (HMO-POS)|00025323|39.00|0| | |OH|36730|0|N
H6723|005|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Secure (HMO-POS)|00025323|39.00|0| | |OH|36750|0|N
H6723|005|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Secure (HMO-POS)|00025323|39.00|0| | |OH|36770|0|N
H6723|005|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Secure (HMO-POS)|00025323|39.00|0| | |OH|36780|0|N
H6723|005|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Secure (HMO-POS)|00025323|39.00|0| | |OH|36790|0|N
H6723|005|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Secure (HMO-POS)|00025323|39.00|0| | |OH|36800|0|N
H6723|005|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Secure (HMO-POS)|00025323|39.00|0| | |OH|36810|0|N
H6723|005|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Secure (HMO-POS)|00025323|39.00|0| | |OH|36840|0|N
H6723|005|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Secure (HMO-POS)|00025323|39.00|0| | |OH|36860|0|N
H6723|005|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Secure (HMO-POS)|00025323|39.00|0| | |OH|36880|0|N
H6723|005|001|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Secure (HMO-POS)|00025323|39.00|0| | |OH|36890|0|N
H6723|005|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Secure (HMO-POS)|00025323|30.00|0| | |OH|36590|0|N
H6723|005|002|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Secure (HMO-POS)|00025323|30.00|0| | |OH|36610|0|N
H6723|006|006|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Signature (HMO-POS)|00025324|0.00|0| | |OH|36010|0|N
H6723|006|006|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Signature (HMO-POS)|00025324|0.00|0| | |OH|36020|0|N
H6723|006|006|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Signature (HMO-POS)|00025324|0.00|0| | |OH|36070|0|N
H6723|006|006|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Signature (HMO-POS)|00025324|0.00|0| | |OH|36080|0|N
H6723|006|006|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Signature (HMO-POS)|00025324|0.00|0| | |OH|36090|0|N
H6723|006|006|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Signature (HMO-POS)|00025324|0.00|0| | |OH|36110|0|N
H6723|006|006|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Signature (HMO-POS)|00025324|0.00|0| | |OH|36120|0|N
H6723|006|006|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Signature (HMO-POS)|00025324|0.00|0| | |OH|36140|0|N
H6723|006|006|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Signature (HMO-POS)|00025324|0.00|0| | |OH|36170|0|N
H6723|006|006|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Signature (HMO-POS)|00025324|0.00|0| | |OH|36200|0|N
H6723|006|006|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Signature (HMO-POS)|00025324|0.00|0| | |OH|36210|0|N
H6723|006|006|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Signature (HMO-POS)|00025324|0.00|0| | |OH|36220|0|N
H6723|006|006|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Signature (HMO-POS)|00025324|0.00|0| | |OH|36230|0|N
H6723|006|006|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Signature (HMO-POS)|00025324|0.00|0| | |OH|36250|0|N
H6723|006|006|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Signature (HMO-POS)|00025324|0.00|0| | |OH|36260|0|N
H6723|006|006|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Signature (HMO-POS)|00025324|0.00|0| | |OH|36280|0|N
H6723|006|006|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Signature (HMO-POS)|00025324|0.00|0| | |OH|36290|0|N
H6723|006|006|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Signature (HMO-POS)|00025324|0.00|0| | |OH|36300|0|N
H6723|006|006|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Signature (HMO-POS)|00025324|0.00|0| | |OH|36310|0|N
H6723|006|006|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Signature (HMO-POS)|00025324|0.00|0| | |OH|36330|0|N
H6723|006|006|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Signature (HMO-POS)|00025324|0.00|0| | |OH|36360|0|N
H6723|006|006|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Signature (HMO-POS)|00025324|0.00|0| | |OH|36380|0|N
H6723|006|006|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Signature (HMO-POS)|00025324|0.00|0| | |OH|36390|0|N
H6723|006|006|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Signature (HMO-POS)|00025324|0.00|0| | |OH|36440|0|N
H6723|006|006|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Signature (HMO-POS)|00025324|0.00|0| | |OH|36460|0|N
H6723|006|006|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Signature (HMO-POS)|00025324|0.00|0| | |OH|36480|0|N
H6723|006|006|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Signature (HMO-POS)|00025324|0.00|0| | |OH|36490|0|N
H6723|006|006|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Signature (HMO-POS)|00025324|0.00|0| | |OH|36500|0|N
H6723|006|006|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Signature (HMO-POS)|00025324|0.00|0| | |OH|36510|0|N
H6723|006|006|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Signature (HMO-POS)|00025324|0.00|0| | |OH|36520|0|N
H6723|006|006|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Signature (HMO-POS)|00025324|0.00|0| | |OH|36530|0|N
H6723|006|006|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Signature (HMO-POS)|00025324|0.00|0| | |OH|36560|0|N
H6723|006|006|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Signature (HMO-POS)|00025324|0.00|0| | |OH|36580|0|N
H6723|006|006|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Signature (HMO-POS)|00025324|0.00|0| | |OH|36600|0|N
H6723|006|006|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Signature (HMO-POS)|00025324|0.00|0| | |OH|36630|0|N
H6723|006|006|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Signature (HMO-POS)|00025324|0.00|0| | |OH|36650|0|N
H6723|006|006|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Signature (HMO-POS)|00025324|0.00|0| | |OH|36660|0|N
H6723|006|006|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Signature (HMO-POS)|00025324|0.00|0| | |OH|36680|0|N
H6723|006|006|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Signature (HMO-POS)|00025324|0.00|0| | |OH|36730|0|N
H6723|006|006|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Signature (HMO-POS)|00025324|0.00|0| | |OH|36750|0|N
H6723|006|006|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Signature (HMO-POS)|00025324|0.00|0| | |OH|36770|0|N
H6723|006|006|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Signature (HMO-POS)|00025324|0.00|0| | |OH|36780|0|N
H6723|006|006|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Signature (HMO-POS)|00025324|0.00|0| | |OH|36790|0|N
H6723|006|006|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Signature (HMO-POS)|00025324|0.00|0| | |OH|36800|0|N
H6723|006|006|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Signature (HMO-POS)|00025324|0.00|0| | |OH|36810|0|N
H6723|006|006|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Signature (HMO-POS)|00025324|0.00|0| | |OH|36840|0|N
H6723|006|006|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Signature (HMO-POS)|00025324|0.00|0| | |OH|36860|0|N
H6723|006|006|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Signature (HMO-POS)|00025324|0.00|0| | |OH|36880|0|N
H6723|006|006|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Signature (HMO-POS)|00025324|0.00|0| | |OH|36890|0|N
H6723|006|007|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Signature (HMO-POS)|00025324|0.00|0| | |OH|36590|0|N
H6723|006|007|MEDICAL MUTUAL OF OHIO|MedMutual Advantage Signature (HMO-POS)|00025324|0.00|0| | |OH|36610|0|N
H6727|001|000|UNIVERSITY OF MICHIGAN HEALTH MEDICARE|University of Michigan Health Advantage Flex (PPO)|00025330|0.00|0| | |MI|23080|0|N
H6727|001|000|UNIVERSITY OF MICHIGAN HEALTH MEDICARE|University of Michigan Health Advantage Flex (PPO)|00025330|0.00|0| | |MI|23120|0|N
H6727|001|000|UNIVERSITY OF MICHIGAN HEALTH MEDICARE|University of Michigan Health Advantage Flex (PPO)|00025330|0.00|0| | |MI|23180|0|N
H6727|001|000|UNIVERSITY OF MICHIGAN HEALTH MEDICARE|University of Michigan Health Advantage Flex (PPO)|00025330|0.00|0| | |MI|23220|0|N
H6727|001|000|UNIVERSITY OF MICHIGAN HEALTH MEDICARE|University of Michigan Health Advantage Flex (PPO)|00025330|0.00|0| | |MI|23280|0|N
H6727|001|000|UNIVERSITY OF MICHIGAN HEALTH MEDICARE|University of Michigan Health Advantage Flex (PPO)|00025330|0.00|0| | |MI|23310|0|N
H6727|001|000|UNIVERSITY OF MICHIGAN HEALTH MEDICARE|University of Michigan Health Advantage Flex (PPO)|00025330|0.00|0| | |MI|23320|0|N
H6727|001|000|UNIVERSITY OF MICHIGAN HEALTH MEDICARE|University of Michigan Health Advantage Flex (PPO)|00025330|0.00|0| | |MI|23330|0|N
H6727|001|000|UNIVERSITY OF MICHIGAN HEALTH MEDICARE|University of Michigan Health Advantage Flex (PPO)|00025330|0.00|0| | |MI|23370|0|N
H6727|001|000|UNIVERSITY OF MICHIGAN HEALTH MEDICARE|University of Michigan Health Advantage Flex (PPO)|00025330|0.00|0| | |MI|23380|0|N
H6727|001|000|UNIVERSITY OF MICHIGAN HEALTH MEDICARE|University of Michigan Health Advantage Flex (PPO)|00025330|0.00|0| | |MI|23460|0|N
H6727|001|000|UNIVERSITY OF MICHIGAN HEALTH MEDICARE|University of Michigan Health Advantage Flex (PPO)|00025330|0.00|0| | |MI|23580|0|N
H6727|001|000|UNIVERSITY OF MICHIGAN HEALTH MEDICARE|University of Michigan Health Advantage Flex (PPO)|00025330|0.00|0| | |MI|23720|0|N
H6727|001|000|UNIVERSITY OF MICHIGAN HEALTH MEDICARE|University of Michigan Health Advantage Flex (PPO)|00025330|0.00|0| | |MI|23750|0|N
H6727|001|000|UNIVERSITY OF MICHIGAN HEALTH MEDICARE|University of Michigan Health Advantage Flex (PPO)|00025330|0.00|0| | |MI|23770|0|N
H6727|001|000|UNIVERSITY OF MICHIGAN HEALTH MEDICARE|University of Michigan Health Advantage Flex (PPO)|00025330|0.00|0| | |MI|23780|0|N
H6727|001|000|UNIVERSITY OF MICHIGAN HEALTH MEDICARE|University of Michigan Health Advantage Flex (PPO)|00025330|0.00|0| | |MI|23800|0|N
H6743|001|000|ATRIO HEALTH PLANS|ATRIO Choice Rx (PPO)|00025197|0.00|0| | |OR|38170|0|N
H6743|007|000|ATRIO HEALTH PLANS|ATRIO Choice Rx (PPO)|00025197|0.00|100| | |OR|38090|0|N
H6743|025|000|ATRIO HEALTH PLANS|ATRIO Choice Rx (PPO)|00025197|0.00|200| | |OR|38140|0|N
H6743|025|000|ATRIO HEALTH PLANS|ATRIO Choice Rx (PPO)|00025197|0.00|200| | |OR|38160|0|N
H6743|026|000|ATRIO HEALTH PLANS|ATRIO Prime Rx (PPO)|00025197|2.90|0| | |OR|38140|0|N
H6743|026|000|ATRIO HEALTH PLANS|ATRIO Prime Rx (PPO)|00025197|2.90|0| | |OR|38160|0|N
H6743|028|000|ATRIO HEALTH PLANS|ATRIO Prime Rx (PPO)|00025197|18.90|0| | |OR|38090|0|N
H6743|030|000|ATRIO HEALTH PLANS|ATRIO Prime Rx (PPO)|00025197|4.80|0| | |OR|38170|0|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16000|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16010|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16030|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16040|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16050|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16060|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16070|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16100|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16110|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16120|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16130|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16140|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16150|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16170|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16180|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16190|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16200|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16210|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16240|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16260|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16270|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16290|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16300|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16310|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16320|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16330|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16370|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16380|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16390|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16410|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16420|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16430|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16460|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16480|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16490|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16510|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16520|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16540|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16550|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16560|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16570|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16580|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16590|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16600|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16610|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16620|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16630|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16650|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16660|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16670|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16680|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16710|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16740|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16750|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16760|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16770|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16780|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16790|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16800|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16810|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16820|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16840|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16870|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16890|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16900|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16910|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16920|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16940|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16950|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16960|3|N
H6765|001|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage (HMO I-SNP)|00025482|50.60|590| | |IA|16970|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16000|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16010|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16030|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16040|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16050|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16060|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16070|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16100|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16110|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16120|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16130|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16140|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16150|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16170|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16180|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16190|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16200|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16210|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16240|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16260|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16270|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16290|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16300|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16310|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16320|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16330|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16370|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16380|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16390|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16410|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16420|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16430|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16460|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16480|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16490|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16510|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16520|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16540|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16550|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16560|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16570|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16580|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16590|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16600|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16610|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16620|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16630|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16650|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16660|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16670|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16680|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16710|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16740|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16750|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16760|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16770|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16780|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16790|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16800|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16810|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16820|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16840|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16870|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16890|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16900|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16910|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16920|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16940|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16950|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16960|3|N
H6765|002|000|AMERICAN HEALTH PLAN OF IOWA INC|Iowa Health Advantage Choice (HMO I-SNP)|00025482|50.60|590| | |IA|16970|3|N
H6776|001|000|ELDERSERVE HEALTH, INC.|RiverSpring Star (HMO I-SNP)|00025116|26.30|590| | |NY|33020|3|N
H6776|001|000|ELDERSERVE HEALTH, INC.|RiverSpring Star (HMO I-SNP)|00025116|26.30|590| | |NY|33331|3|N
H6776|001|000|ELDERSERVE HEALTH, INC.|RiverSpring Star (HMO I-SNP)|00025116|26.30|590| | |NY|33400|3|N
H6776|001|000|ELDERSERVE HEALTH, INC.|RiverSpring Star (HMO I-SNP)|00025116|26.30|590| | |NY|33420|3|N
H6776|001|000|ELDERSERVE HEALTH, INC.|RiverSpring Star (HMO I-SNP)|00025116|26.30|590| | |NY|33590|3|N
H6776|001|000|ELDERSERVE HEALTH, INC.|RiverSpring Star (HMO I-SNP)|00025116|26.30|590| | |NY|33610|3|N
H6776|001|000|ELDERSERVE HEALTH, INC.|RiverSpring Star (HMO I-SNP)|00025116|26.30|590| | |NY|33800|3|N
H6776|002|000|ELDERSERVE HEALTH, INC.|RiverSpring MAP (HMO D-SNP)|00025116|0.00|590| | |NY|33020|2|N
H6776|002|000|ELDERSERVE HEALTH, INC.|RiverSpring MAP (HMO D-SNP)|00025116|0.00|590| | |NY|33331|2|N
H6776|002|000|ELDERSERVE HEALTH, INC.|RiverSpring MAP (HMO D-SNP)|00025116|0.00|590| | |NY|33400|2|N
H6776|002|000|ELDERSERVE HEALTH, INC.|RiverSpring MAP (HMO D-SNP)|00025116|0.00|590| | |NY|33420|2|N
H6776|002|000|ELDERSERVE HEALTH, INC.|RiverSpring MAP (HMO D-SNP)|00025116|0.00|590| | |NY|33590|2|N
H6776|002|000|ELDERSERVE HEALTH, INC.|RiverSpring MAP (HMO D-SNP)|00025116|0.00|590| | |NY|33610|2|N
H6776|002|000|ELDERSERVE HEALTH, INC.|RiverSpring MAP (HMO D-SNP)|00025116|0.00|590| | |NY|33800|2|N
H6813|001|000|DEVOTED HEALTH INSURANCE COMPANY OF TEXAS INC|Devoted CHOICE GIVEBACK Austin (PPO)|00025185|0.00|590| | |TX|45140|0|N
H6813|001|000|DEVOTED HEALTH INSURANCE COMPANY OF TEXAS INC|Devoted CHOICE GIVEBACK Austin (PPO)|00025185|0.00|590| | |TX|45222|0|N
H6813|001|000|DEVOTED HEALTH INSURANCE COMPANY OF TEXAS INC|Devoted CHOICE GIVEBACK Austin (PPO)|00025185|0.00|590| | |TX|45223|0|N
H6813|001|000|DEVOTED HEALTH INSURANCE COMPANY OF TEXAS INC|Devoted CHOICE GIVEBACK Austin (PPO)|00025185|0.00|590| | |TX|45552|0|N
H6813|001|000|DEVOTED HEALTH INSURANCE COMPANY OF TEXAS INC|Devoted CHOICE GIVEBACK Austin (PPO)|00025185|0.00|590| | |TX|45631|0|N
H6813|001|000|DEVOTED HEALTH INSURANCE COMPANY OF TEXAS INC|Devoted CHOICE GIVEBACK Austin (PPO)|00025185|0.00|590| | |TX|45752|0|N
H6813|001|000|DEVOTED HEALTH INSURANCE COMPANY OF TEXAS INC|Devoted CHOICE GIVEBACK Austin (PPO)|00025185|0.00|590| | |TX|45755|0|N
H6813|001|000|DEVOTED HEALTH INSURANCE COMPANY OF TEXAS INC|Devoted CHOICE GIVEBACK Austin (PPO)|00025185|0.00|590| | |TX|45761|0|N
H6813|001|000|DEVOTED HEALTH INSURANCE COMPANY OF TEXAS INC|Devoted CHOICE GIVEBACK Austin (PPO)|00025185|0.00|590| | |TX|45785|0|N
H6813|001|000|DEVOTED HEALTH INSURANCE COMPANY OF TEXAS INC|Devoted CHOICE GIVEBACK Austin (PPO)|00025185|0.00|590| | |TX|45795|0|N
H6813|001|000|DEVOTED HEALTH INSURANCE COMPANY OF TEXAS INC|Devoted CHOICE GIVEBACK Austin (PPO)|00025185|0.00|590| | |TX|45796|0|N
H6813|001|000|DEVOTED HEALTH INSURANCE COMPANY OF TEXAS INC|Devoted CHOICE GIVEBACK Austin (PPO)|00025185|0.00|590| | |TX|45886|0|N
H6813|001|000|DEVOTED HEALTH INSURANCE COMPANY OF TEXAS INC|Devoted CHOICE GIVEBACK Austin (PPO)|00025185|0.00|590| | |TX|45940|0|N
H6813|001|000|DEVOTED HEALTH INSURANCE COMPANY OF TEXAS INC|Devoted CHOICE GIVEBACK Austin (PPO)|00025185|0.00|590| | |TX|45970|0|N
H6813|002|000|DEVOTED HEALTH INSURANCE COMPANY OF TEXAS INC|Devoted CHOICE Austin (PPO)|00025185|0.00|590| | |TX|45140|0|N
H6813|002|000|DEVOTED HEALTH INSURANCE COMPANY OF TEXAS INC|Devoted CHOICE Austin (PPO)|00025185|0.00|590| | |TX|45222|0|N
H6813|002|000|DEVOTED HEALTH INSURANCE COMPANY OF TEXAS INC|Devoted CHOICE Austin (PPO)|00025185|0.00|590| | |TX|45223|0|N
H6813|002|000|DEVOTED HEALTH INSURANCE COMPANY OF TEXAS INC|Devoted CHOICE Austin (PPO)|00025185|0.00|590| | |TX|45552|0|N
H6813|002|000|DEVOTED HEALTH INSURANCE COMPANY OF TEXAS INC|Devoted CHOICE Austin (PPO)|00025185|0.00|590| | |TX|45631|0|N
H6813|002|000|DEVOTED HEALTH INSURANCE COMPANY OF TEXAS INC|Devoted CHOICE Austin (PPO)|00025185|0.00|590| | |TX|45752|0|N
H6813|002|000|DEVOTED HEALTH INSURANCE COMPANY OF TEXAS INC|Devoted CHOICE Austin (PPO)|00025185|0.00|590| | |TX|45755|0|N
H6813|002|000|DEVOTED HEALTH INSURANCE COMPANY OF TEXAS INC|Devoted CHOICE Austin (PPO)|00025185|0.00|590| | |TX|45761|0|N
H6813|002|000|DEVOTED HEALTH INSURANCE COMPANY OF TEXAS INC|Devoted CHOICE Austin (PPO)|00025185|0.00|590| | |TX|45785|0|N
H6813|002|000|DEVOTED HEALTH INSURANCE COMPANY OF TEXAS INC|Devoted CHOICE Austin (PPO)|00025185|0.00|590| | |TX|45795|0|N
H6813|002|000|DEVOTED HEALTH INSURANCE COMPANY OF TEXAS INC|Devoted CHOICE Austin (PPO)|00025185|0.00|590| | |TX|45796|0|N
H6813|002|000|DEVOTED HEALTH INSURANCE COMPANY OF TEXAS INC|Devoted CHOICE Austin (PPO)|00025185|0.00|590| | |TX|45886|0|N
H6813|002|000|DEVOTED HEALTH INSURANCE COMPANY OF TEXAS INC|Devoted CHOICE Austin (PPO)|00025185|0.00|590| | |TX|45940|0|N
H6813|002|000|DEVOTED HEALTH INSURANCE COMPANY OF TEXAS INC|Devoted CHOICE Austin (PPO)|00025185|0.00|590| | |TX|45970|0|N
H6815|038|000|HEALTH NET HEALTH PLAN OF OREGON, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |OR|38010|0|N
H6815|038|000|HEALTH NET HEALTH PLAN OF OREGON, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |OR|38020|0|N
H6815|038|000|HEALTH NET HEALTH PLAN OF OREGON, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |OR|38040|0|N
H6815|038|000|HEALTH NET HEALTH PLAN OF OREGON, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |OR|38050|0|N
H6815|038|000|HEALTH NET HEALTH PLAN OF OREGON, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |OR|38090|0|N
H6815|038|000|HEALTH NET HEALTH PLAN OF OREGON, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |OR|38140|0|N
H6815|038|000|HEALTH NET HEALTH PLAN OF OREGON, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |OR|38160|0|N
H6815|038|000|HEALTH NET HEALTH PLAN OF OREGON, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |OR|38190|0|N
H6815|038|000|HEALTH NET HEALTH PLAN OF OREGON, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |OR|38210|0|N
H6815|038|000|HEALTH NET HEALTH PLAN OF OREGON, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |OR|38230|0|N
H6815|038|000|HEALTH NET HEALTH PLAN OF OREGON, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |OR|38250|0|N
H6815|038|000|HEALTH NET HEALTH PLAN OF OREGON, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |OR|38260|0|N
H6815|038|000|HEALTH NET HEALTH PLAN OF OREGON, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |OR|38330|0|N
H6815|038|000|HEALTH NET HEALTH PLAN OF OREGON, INC.|Wellcare Simple Value (HMO-POS)|00025084|0.00|420| | |OR|38350|0|N
H6815|039|000|HEALTH NET HEALTH PLAN OF OREGON, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |OR|38010|0|N
H6815|039|000|HEALTH NET HEALTH PLAN OF OREGON, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |OR|38020|0|N
H6815|039|000|HEALTH NET HEALTH PLAN OF OREGON, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |OR|38040|0|N
H6815|039|000|HEALTH NET HEALTH PLAN OF OREGON, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |OR|38210|0|N
H6815|039|000|HEALTH NET HEALTH PLAN OF OREGON, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |OR|38230|0|N
H6815|039|000|HEALTH NET HEALTH PLAN OF OREGON, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |OR|38250|0|N
H6815|039|000|HEALTH NET HEALTH PLAN OF OREGON, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |OR|38260|0|N
H6815|039|000|HEALTH NET HEALTH PLAN OF OREGON, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |OR|38330|0|N
H6815|039|000|HEALTH NET HEALTH PLAN OF OREGON, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |OR|38350|0|N
H6815|040|000|HEALTH NET HEALTH PLAN OF OREGON, INC.|Wellcare PeaceHealth Simple (HMO-POS)|00025084|0.00|420| | |OR|38190|0|N
H6830|001|000|CENTENE VENTURE COMPANY KANSAS|Wellcare Complete Simple Open (PPO)|00025084|0.00|420| | |KS|17070|0|N
H6830|001|000|CENTENE VENTURE COMPANY KANSAS|Wellcare Complete Simple Open (PPO)|00025084|0.00|420| | |KS|17170|0|N
H6830|001|000|CENTENE VENTURE COMPANY KANSAS|Wellcare Complete Simple Open (PPO)|00025084|0.00|420| | |KS|17390|0|N
H6830|001|000|CENTENE VENTURE COMPANY KANSAS|Wellcare Complete Simple Open (PPO)|00025084|0.00|420| | |KS|17470|0|N
H6830|001|000|CENTENE VENTURE COMPANY KANSAS|Wellcare Complete Simple Open (PPO)|00025084|0.00|420| | |KS|17860|0|N
H6830|001|000|CENTENE VENTURE COMPANY KANSAS|Wellcare Complete Simple Open (PPO)|00025084|0.00|420| | |KS|17950|0|N
H6832|001|000|ALIGN SENIOR CARE MI, LLC|Senior Care (HMO I-SNP)|00025048|26.60|590| | |MI|23020|3|N
H6832|001|000|ALIGN SENIOR CARE MI, LLC|Senior Care (HMO I-SNP)|00025048|26.60|590| | |MI|23240|3|N
H6832|001|000|ALIGN SENIOR CARE MI, LLC|Senior Care (HMO I-SNP)|00025048|26.60|590| | |MI|23370|3|N
H6832|001|000|ALIGN SENIOR CARE MI, LLC|Senior Care (HMO I-SNP)|00025048|26.60|590| | |MI|23380|3|N
H6832|001|000|ALIGN SENIOR CARE MI, LLC|Senior Care (HMO I-SNP)|00025048|26.60|590| | |MI|23400|3|N
H6832|001|000|ALIGN SENIOR CARE MI, LLC|Senior Care (HMO I-SNP)|00025048|26.60|590| | |MI|23460|3|N
H6832|001|000|ALIGN SENIOR CARE MI, LLC|Senior Care (HMO I-SNP)|00025048|26.60|590| | |MI|23490|3|N
H6832|001|000|ALIGN SENIOR CARE MI, LLC|Senior Care (HMO I-SNP)|00025048|26.60|590| | |MI|23570|3|N
H6832|001|000|ALIGN SENIOR CARE MI, LLC|Senior Care (HMO I-SNP)|00025048|26.60|590| | |MI|23580|3|N
H6832|001|000|ALIGN SENIOR CARE MI, LLC|Senior Care (HMO I-SNP)|00025048|26.60|590| | |MI|23600|3|N
H6832|001|000|ALIGN SENIOR CARE MI, LLC|Senior Care (HMO I-SNP)|00025048|26.60|590| | |MI|23610|3|N
H6832|001|000|ALIGN SENIOR CARE MI, LLC|Senior Care (HMO I-SNP)|00025048|26.60|590| | |MI|23620|3|N
H6832|001|000|ALIGN SENIOR CARE MI, LLC|Senior Care (HMO I-SNP)|00025048|26.60|590| | |MI|23630|3|N
H6832|001|000|ALIGN SENIOR CARE MI, LLC|Senior Care (HMO I-SNP)|00025048|26.60|590| | |MI|23690|3|N
H6832|001|000|ALIGN SENIOR CARE MI, LLC|Senior Care (HMO I-SNP)|00025048|26.60|590| | |MI|23800|3|N
H6832|001|000|ALIGN SENIOR CARE MI, LLC|Senior Care (HMO I-SNP)|00025048|26.60|590| | |MI|23810|3|N
H6832|003|000|ALIGN SENIOR CARE MI, LLC|Align Kidney Care (HMO-POS C-SNP)|00025051|26.60|590| | |MI|23020|1|N
H6832|003|000|ALIGN SENIOR CARE MI, LLC|Align Kidney Care (HMO-POS C-SNP)|00025051|26.60|590| | |MI|23240|1|N
H6832|003|000|ALIGN SENIOR CARE MI, LLC|Align Kidney Care (HMO-POS C-SNP)|00025051|26.60|590| | |MI|23370|1|N
H6832|003|000|ALIGN SENIOR CARE MI, LLC|Align Kidney Care (HMO-POS C-SNP)|00025051|26.60|590| | |MI|23380|1|N
H6832|003|000|ALIGN SENIOR CARE MI, LLC|Align Kidney Care (HMO-POS C-SNP)|00025051|26.60|590| | |MI|23400|1|N
H6832|003|000|ALIGN SENIOR CARE MI, LLC|Align Kidney Care (HMO-POS C-SNP)|00025051|26.60|590| | |MI|23460|1|N
H6832|003|000|ALIGN SENIOR CARE MI, LLC|Align Kidney Care (HMO-POS C-SNP)|00025051|26.60|590| | |MI|23490|1|N
H6832|003|000|ALIGN SENIOR CARE MI, LLC|Align Kidney Care (HMO-POS C-SNP)|00025051|26.60|590| | |MI|23570|1|N
H6832|003|000|ALIGN SENIOR CARE MI, LLC|Align Kidney Care (HMO-POS C-SNP)|00025051|26.60|590| | |MI|23580|1|N
H6832|003|000|ALIGN SENIOR CARE MI, LLC|Align Kidney Care (HMO-POS C-SNP)|00025051|26.60|590| | |MI|23600|1|N
H6832|003|000|ALIGN SENIOR CARE MI, LLC|Align Kidney Care (HMO-POS C-SNP)|00025051|26.60|590| | |MI|23610|1|N
H6832|003|000|ALIGN SENIOR CARE MI, LLC|Align Kidney Care (HMO-POS C-SNP)|00025051|26.60|590| | |MI|23620|1|N
H6832|003|000|ALIGN SENIOR CARE MI, LLC|Align Kidney Care (HMO-POS C-SNP)|00025051|26.60|590| | |MI|23630|1|N
H6832|003|000|ALIGN SENIOR CARE MI, LLC|Align Kidney Care (HMO-POS C-SNP)|00025051|26.60|590| | |MI|23690|1|N
H6832|003|000|ALIGN SENIOR CARE MI, LLC|Align Kidney Care (HMO-POS C-SNP)|00025051|26.60|590| | |MI|23800|1|N
H6832|003|000|ALIGN SENIOR CARE MI, LLC|Align Kidney Care (HMO-POS C-SNP)|00025051|26.60|590| | |MI|23810|1|N
H6832|004|000|ALIGN SENIOR CARE MI, LLC|Premier Care (HMO-POS I-SNP)|00025048|0.00|590| | |MI|23020|3|N
H6832|004|000|ALIGN SENIOR CARE MI, LLC|Premier Care (HMO-POS I-SNP)|00025048|0.00|590| | |MI|23240|3|N
H6832|004|000|ALIGN SENIOR CARE MI, LLC|Premier Care (HMO-POS I-SNP)|00025048|0.00|590| | |MI|23370|3|N
H6832|004|000|ALIGN SENIOR CARE MI, LLC|Premier Care (HMO-POS I-SNP)|00025048|0.00|590| | |MI|23380|3|N
H6832|004|000|ALIGN SENIOR CARE MI, LLC|Premier Care (HMO-POS I-SNP)|00025048|0.00|590| | |MI|23400|3|N
H6832|004|000|ALIGN SENIOR CARE MI, LLC|Premier Care (HMO-POS I-SNP)|00025048|0.00|590| | |MI|23460|3|N
H6832|004|000|ALIGN SENIOR CARE MI, LLC|Premier Care (HMO-POS I-SNP)|00025048|0.00|590| | |MI|23490|3|N
H6832|004|000|ALIGN SENIOR CARE MI, LLC|Premier Care (HMO-POS I-SNP)|00025048|0.00|590| | |MI|23570|3|N
H6832|004|000|ALIGN SENIOR CARE MI, LLC|Premier Care (HMO-POS I-SNP)|00025048|0.00|590| | |MI|23580|3|N
H6832|004|000|ALIGN SENIOR CARE MI, LLC|Premier Care (HMO-POS I-SNP)|00025048|0.00|590| | |MI|23600|3|N
H6832|004|000|ALIGN SENIOR CARE MI, LLC|Premier Care (HMO-POS I-SNP)|00025048|0.00|590| | |MI|23610|3|N
H6832|004|000|ALIGN SENIOR CARE MI, LLC|Premier Care (HMO-POS I-SNP)|00025048|0.00|590| | |MI|23620|3|N
H6832|004|000|ALIGN SENIOR CARE MI, LLC|Premier Care (HMO-POS I-SNP)|00025048|0.00|590| | |MI|23630|3|N
H6832|004|000|ALIGN SENIOR CARE MI, LLC|Premier Care (HMO-POS I-SNP)|00025048|0.00|590| | |MI|23690|3|N
H6832|004|000|ALIGN SENIOR CARE MI, LLC|Premier Care (HMO-POS I-SNP)|00025048|0.00|590| | |MI|23800|3|N
H6832|004|000|ALIGN SENIOR CARE MI, LLC|Premier Care (HMO-POS I-SNP)|00025048|0.00|590| | |MI|23810|3|N
H6847|001|000|Mass General Brigham Health Plan, Inc.|Mass General Brigham Advantage Secure (HMO-POS)|00025474|34.60|0| | |MA|22020|0|N
H6847|001|000|Mass General Brigham Health Plan, Inc.|Mass General Brigham Advantage Secure (HMO-POS)|00025474|34.60|0| | |MA|22030|0|N
H6847|001|000|Mass General Brigham Health Plan, Inc.|Mass General Brigham Advantage Secure (HMO-POS)|00025474|34.60|0| | |MA|22040|0|N
H6847|001|000|Mass General Brigham Health Plan, Inc.|Mass General Brigham Advantage Secure (HMO-POS)|00025474|34.60|0| | |MA|22090|0|N
H6847|001|000|Mass General Brigham Health Plan, Inc.|Mass General Brigham Advantage Secure (HMO-POS)|00025474|34.60|0| | |MA|22120|0|N
H6847|001|000|Mass General Brigham Health Plan, Inc.|Mass General Brigham Advantage Secure (HMO-POS)|00025474|34.60|0| | |MA|22130|0|N
H6847|001|000|Mass General Brigham Health Plan, Inc.|Mass General Brigham Advantage Secure (HMO-POS)|00025474|34.60|0| | |MA|22150|0|N
H6847|001|000|Mass General Brigham Health Plan, Inc.|Mass General Brigham Advantage Secure (HMO-POS)|00025474|34.60|0| | |MA|22160|0|N
H6847|001|000|Mass General Brigham Health Plan, Inc.|Mass General Brigham Advantage Secure (HMO-POS)|00025474|34.60|0| | |MA|22170|0|N
H6851|001|000|BOSTON MEDICAL CENTER HEALTH PLAN, INC.|WellSense Added Value (HMO)|00025347|33.80|590| | |NH|30000|0|N
H6851|001|000|BOSTON MEDICAL CENTER HEALTH PLAN, INC.|WellSense Added Value (HMO)|00025347|33.80|590| | |NH|30010|0|N
H6851|001|000|BOSTON MEDICAL CENTER HEALTH PLAN, INC.|WellSense Added Value (HMO)|00025347|33.80|590| | |NH|30020|0|N
H6851|001|000|BOSTON MEDICAL CENTER HEALTH PLAN, INC.|WellSense Added Value (HMO)|00025347|33.80|590| | |NH|30030|0|N
H6851|001|000|BOSTON MEDICAL CENTER HEALTH PLAN, INC.|WellSense Added Value (HMO)|00025347|33.80|590| | |NH|30040|0|N
H6851|001|000|BOSTON MEDICAL CENTER HEALTH PLAN, INC.|WellSense Added Value (HMO)|00025347|33.80|590| | |NH|30050|0|N
H6851|001|000|BOSTON MEDICAL CENTER HEALTH PLAN, INC.|WellSense Added Value (HMO)|00025347|33.80|590| | |NH|30060|0|N
H6851|001|000|BOSTON MEDICAL CENTER HEALTH PLAN, INC.|WellSense Added Value (HMO)|00025347|33.80|590| | |NH|30070|0|N
H6851|001|000|BOSTON MEDICAL CENTER HEALTH PLAN, INC.|WellSense Added Value (HMO)|00025347|33.80|590| | |NH|30080|0|N
H6851|001|000|BOSTON MEDICAL CENTER HEALTH PLAN, INC.|WellSense Added Value (HMO)|00025347|33.80|590| | |NH|30090|0|N
H6851|002|000|BOSTON MEDICAL CENTER HEALTH PLAN, INC.|WellSense Signature (HMO)|00025348|0.00|0| | |NH|30000|0|N
H6851|002|000|BOSTON MEDICAL CENTER HEALTH PLAN, INC.|WellSense Signature (HMO)|00025348|0.00|0| | |NH|30010|0|N
H6851|002|000|BOSTON MEDICAL CENTER HEALTH PLAN, INC.|WellSense Signature (HMO)|00025348|0.00|0| | |NH|30020|0|N
H6851|002|000|BOSTON MEDICAL CENTER HEALTH PLAN, INC.|WellSense Signature (HMO)|00025348|0.00|0| | |NH|30030|0|N
H6851|002|000|BOSTON MEDICAL CENTER HEALTH PLAN, INC.|WellSense Signature (HMO)|00025348|0.00|0| | |NH|30040|0|N
H6851|002|000|BOSTON MEDICAL CENTER HEALTH PLAN, INC.|WellSense Signature (HMO)|00025348|0.00|0| | |NH|30050|0|N
H6851|002|000|BOSTON MEDICAL CENTER HEALTH PLAN, INC.|WellSense Signature (HMO)|00025348|0.00|0| | |NH|30060|0|N
H6851|002|000|BOSTON MEDICAL CENTER HEALTH PLAN, INC.|WellSense Signature (HMO)|00025348|0.00|0| | |NH|30070|0|N
H6851|002|000|BOSTON MEDICAL CENTER HEALTH PLAN, INC.|WellSense Signature (HMO)|00025348|0.00|0| | |NH|30080|0|N
H6851|002|000|BOSTON MEDICAL CENTER HEALTH PLAN, INC.|WellSense Signature (HMO)|00025348|0.00|0| | |NH|30090|0|N
H6851|003|000|BOSTON MEDICAL CENTER HEALTH PLAN, INC.|WellSense Choice (HMO)|00025348|29.00|0| | |NH|30000|0|N
H6851|003|000|BOSTON MEDICAL CENTER HEALTH PLAN, INC.|WellSense Choice (HMO)|00025348|29.00|0| | |NH|30010|0|N
H6851|003|000|BOSTON MEDICAL CENTER HEALTH PLAN, INC.|WellSense Choice (HMO)|00025348|29.00|0| | |NH|30020|0|N
H6851|003|000|BOSTON MEDICAL CENTER HEALTH PLAN, INC.|WellSense Choice (HMO)|00025348|29.00|0| | |NH|30030|0|N
H6851|003|000|BOSTON MEDICAL CENTER HEALTH PLAN, INC.|WellSense Choice (HMO)|00025348|29.00|0| | |NH|30040|0|N
H6851|003|000|BOSTON MEDICAL CENTER HEALTH PLAN, INC.|WellSense Choice (HMO)|00025348|29.00|0| | |NH|30050|0|N
H6851|003|000|BOSTON MEDICAL CENTER HEALTH PLAN, INC.|WellSense Choice (HMO)|00025348|29.00|0| | |NH|30060|0|N
H6851|003|000|BOSTON MEDICAL CENTER HEALTH PLAN, INC.|WellSense Choice (HMO)|00025348|29.00|0| | |NH|30070|0|N
H6851|003|000|BOSTON MEDICAL CENTER HEALTH PLAN, INC.|WellSense Choice (HMO)|00025348|29.00|0| | |NH|30080|0|N
H6851|003|000|BOSTON MEDICAL CENTER HEALTH PLAN, INC.|WellSense Choice (HMO)|00025348|29.00|0| | |NH|30090|0|N
H6851|004|000|BOSTON MEDICAL CENTER HEALTH PLAN, INC.|WellSense Premium Savings (HMO)|00025348|0.00|295| | |NH|30000|0|N
H6851|004|000|BOSTON MEDICAL CENTER HEALTH PLAN, INC.|WellSense Premium Savings (HMO)|00025348|0.00|295| | |NH|30010|0|N
H6851|004|000|BOSTON MEDICAL CENTER HEALTH PLAN, INC.|WellSense Premium Savings (HMO)|00025348|0.00|295| | |NH|30020|0|N
H6851|004|000|BOSTON MEDICAL CENTER HEALTH PLAN, INC.|WellSense Premium Savings (HMO)|00025348|0.00|295| | |NH|30030|0|N
H6851|004|000|BOSTON MEDICAL CENTER HEALTH PLAN, INC.|WellSense Premium Savings (HMO)|00025348|0.00|295| | |NH|30040|0|N
H6851|004|000|BOSTON MEDICAL CENTER HEALTH PLAN, INC.|WellSense Premium Savings (HMO)|00025348|0.00|295| | |NH|30050|0|N
H6851|004|000|BOSTON MEDICAL CENTER HEALTH PLAN, INC.|WellSense Premium Savings (HMO)|00025348|0.00|295| | |NH|30060|0|N
H6851|004|000|BOSTON MEDICAL CENTER HEALTH PLAN, INC.|WellSense Premium Savings (HMO)|00025348|0.00|295| | |NH|30070|0|N
H6851|004|000|BOSTON MEDICAL CENTER HEALTH PLAN, INC.|WellSense Premium Savings (HMO)|00025348|0.00|295| | |NH|30080|0|N
H6851|004|000|BOSTON MEDICAL CENTER HEALTH PLAN, INC.|WellSense Premium Savings (HMO)|00025348|0.00|295| | |NH|30090|0|N
H6852|001|000|DEVOTED HEALTH PLAN OF PENNSYLVANIA INC|Devoted CORE Pennsylvania (HMO)|00025185|0.00|590| | |PA|39140|0|N
H6852|001|000|DEVOTED HEALTH PLAN OF PENNSYLVANIA INC|Devoted CORE Pennsylvania (HMO)|00025185|0.00|590| | |PA|39210|0|N
H6852|001|000|DEVOTED HEALTH PLAN OF PENNSYLVANIA INC|Devoted CORE Pennsylvania (HMO)|00025185|0.00|590| | |PA|39290|0|N
H6852|001|000|DEVOTED HEALTH PLAN OF PENNSYLVANIA INC|Devoted CORE Pennsylvania (HMO)|00025185|0.00|590| | |PA|39470|0|N
H6852|001|000|DEVOTED HEALTH PLAN OF PENNSYLVANIA INC|Devoted CORE Pennsylvania (HMO)|00025185|0.00|590| | |PA|39560|0|N
H6852|001|000|DEVOTED HEALTH PLAN OF PENNSYLVANIA INC|Devoted CORE Pennsylvania (HMO)|00025185|0.00|590| | |PA|39590|0|N
H6852|001|000|DEVOTED HEALTH PLAN OF PENNSYLVANIA INC|Devoted CORE Pennsylvania (HMO)|00025185|0.00|590| | |PA|39620|0|N
H6852|002|000|DEVOTED HEALTH PLAN OF PENNSYLVANIA INC|Devoted GIVEBACK Pennsylvania (HMO)|00025185|0.00|590| | |PA|39140|0|N
H6852|002|000|DEVOTED HEALTH PLAN OF PENNSYLVANIA INC|Devoted GIVEBACK Pennsylvania (HMO)|00025185|0.00|590| | |PA|39210|0|N
H6852|002|000|DEVOTED HEALTH PLAN OF PENNSYLVANIA INC|Devoted GIVEBACK Pennsylvania (HMO)|00025185|0.00|590| | |PA|39290|0|N
H6852|002|000|DEVOTED HEALTH PLAN OF PENNSYLVANIA INC|Devoted GIVEBACK Pennsylvania (HMO)|00025185|0.00|590| | |PA|39470|0|N
H6852|002|000|DEVOTED HEALTH PLAN OF PENNSYLVANIA INC|Devoted GIVEBACK Pennsylvania (HMO)|00025185|0.00|590| | |PA|39560|0|N
H6852|002|000|DEVOTED HEALTH PLAN OF PENNSYLVANIA INC|Devoted GIVEBACK Pennsylvania (HMO)|00025185|0.00|590| | |PA|39590|0|N
H6852|002|000|DEVOTED HEALTH PLAN OF PENNSYLVANIA INC|Devoted GIVEBACK Pennsylvania (HMO)|00025185|0.00|590| | |PA|39620|0|N
H6852|005|000|DEVOTED HEALTH PLAN OF PENNSYLVANIA INC|Devoted DUAL PLUS Pennsylvania (HMO D-SNP)|00025188|31.10|590| | |PA|39070|2|N
H6852|005|000|DEVOTED HEALTH PLAN OF PENNSYLVANIA INC|Devoted DUAL PLUS Pennsylvania (HMO D-SNP)|00025188|31.10|590| | |PA|39100|2|N
H6852|005|000|DEVOTED HEALTH PLAN OF PENNSYLVANIA INC|Devoted DUAL PLUS Pennsylvania (HMO D-SNP)|00025188|31.10|590| | |PA|39110|2|N
H6852|005|000|DEVOTED HEALTH PLAN OF PENNSYLVANIA INC|Devoted DUAL PLUS Pennsylvania (HMO D-SNP)|00025188|31.10|590| | |PA|39120|2|N
H6852|005|000|DEVOTED HEALTH PLAN OF PENNSYLVANIA INC|Devoted DUAL PLUS Pennsylvania (HMO D-SNP)|00025188|31.10|590| | |PA|39190|2|N
H6852|005|000|DEVOTED HEALTH PLAN OF PENNSYLVANIA INC|Devoted DUAL PLUS Pennsylvania (HMO D-SNP)|00025188|31.10|590| | |PA|39220|2|N
H6852|005|000|DEVOTED HEALTH PLAN OF PENNSYLVANIA INC|Devoted DUAL PLUS Pennsylvania (HMO D-SNP)|00025188|31.10|590| | |PA|39230|2|N
H6852|005|000|DEVOTED HEALTH PLAN OF PENNSYLVANIA INC|Devoted DUAL PLUS Pennsylvania (HMO D-SNP)|00025188|31.10|590| | |PA|39240|2|N
H6852|005|000|DEVOTED HEALTH PLAN OF PENNSYLVANIA INC|Devoted DUAL PLUS Pennsylvania (HMO D-SNP)|00025188|31.10|590| | |PA|39260|2|N
H6852|005|000|DEVOTED HEALTH PLAN OF PENNSYLVANIA INC|Devoted DUAL PLUS Pennsylvania (HMO D-SNP)|00025188|31.10|590| | |PA|39310|2|N
H6852|005|000|DEVOTED HEALTH PLAN OF PENNSYLVANIA INC|Devoted DUAL PLUS Pennsylvania (HMO D-SNP)|00025188|31.10|590| | |PA|39340|2|N
H6852|005|000|DEVOTED HEALTH PLAN OF PENNSYLVANIA INC|Devoted DUAL PLUS Pennsylvania (HMO D-SNP)|00025188|31.10|590| | |PA|39360|2|N
H6852|005|000|DEVOTED HEALTH PLAN OF PENNSYLVANIA INC|Devoted DUAL PLUS Pennsylvania (HMO D-SNP)|00025188|31.10|590| | |PA|39380|2|N
H6852|005|000|DEVOTED HEALTH PLAN OF PENNSYLVANIA INC|Devoted DUAL PLUS Pennsylvania (HMO D-SNP)|00025188|31.10|590| | |PA|39400|2|N
H6852|005|000|DEVOTED HEALTH PLAN OF PENNSYLVANIA INC|Devoted DUAL PLUS Pennsylvania (HMO D-SNP)|00025188|31.10|590| | |PA|39420|2|N
H6852|005|000|DEVOTED HEALTH PLAN OF PENNSYLVANIA INC|Devoted DUAL PLUS Pennsylvania (HMO D-SNP)|00025188|31.10|590| | |PA|39450|2|N
H6852|005|000|DEVOTED HEALTH PLAN OF PENNSYLVANIA INC|Devoted DUAL PLUS Pennsylvania (HMO D-SNP)|00025188|31.10|590| | |PA|39470|2|N
H6852|005|000|DEVOTED HEALTH PLAN OF PENNSYLVANIA INC|Devoted DUAL PLUS Pennsylvania (HMO D-SNP)|00025188|31.10|590| | |PA|39480|2|N
H6852|005|000|DEVOTED HEALTH PLAN OF PENNSYLVANIA INC|Devoted DUAL PLUS Pennsylvania (HMO D-SNP)|00025188|31.10|590| | |PA|39550|2|N
H6852|005|000|DEVOTED HEALTH PLAN OF PENNSYLVANIA INC|Devoted DUAL PLUS Pennsylvania (HMO D-SNP)|00025188|31.10|590| | |PA|39590|2|N
H6852|005|000|DEVOTED HEALTH PLAN OF PENNSYLVANIA INC|Devoted DUAL PLUS Pennsylvania (HMO D-SNP)|00025188|31.10|590| | |PA|39680|2|N
H6852|005|000|DEVOTED HEALTH PLAN OF PENNSYLVANIA INC|Devoted DUAL PLUS Pennsylvania (HMO D-SNP)|00025188|31.10|590| | |PA|39700|2|N
H6852|005|000|DEVOTED HEALTH PLAN OF PENNSYLVANIA INC|Devoted DUAL PLUS Pennsylvania (HMO D-SNP)|00025188|31.10|590| | |PA|39790|2|N
H6852|007|000|DEVOTED HEALTH PLAN OF PENNSYLVANIA INC|Devoted DUAL PLUS Pennsylvania (HMO D-SNP)|00025188|31.00|590| | |PA|39140|2|N
H6852|007|000|DEVOTED HEALTH PLAN OF PENNSYLVANIA INC|Devoted DUAL PLUS Pennsylvania (HMO D-SNP)|00025188|31.00|590| | |PA|39210|2|N
H6852|007|000|DEVOTED HEALTH PLAN OF PENNSYLVANIA INC|Devoted DUAL PLUS Pennsylvania (HMO D-SNP)|00025188|31.00|590| | |PA|39290|2|N
H6852|007|000|DEVOTED HEALTH PLAN OF PENNSYLVANIA INC|Devoted DUAL PLUS Pennsylvania (HMO D-SNP)|00025188|31.00|590| | |PA|39560|2|N
H6852|007|000|DEVOTED HEALTH PLAN OF PENNSYLVANIA INC|Devoted DUAL PLUS Pennsylvania (HMO D-SNP)|00025188|31.00|590| | |PA|39620|2|N
H6870|001|000|SUPERIOR HEALTHPLAN, INC.|Superior HealthPlan STAR+PLUS Medicare-Medicaid (Medicare-Medicaid Plan)|00025056|0.00|0| | |TX|45390|0|N
H6870|001|000|SUPERIOR HEALTHPLAN, INC.|Superior HealthPlan STAR+PLUS Medicare-Medicaid (Medicare-Medicaid Plan)|00025056|0.00|0| | |TX|45650|0|N
H6874|001|000|ASPIRUS HEALTH PLAN, INC.|Aspirus Health Plan Essential Rx (PPO)|00025322|0.00|245| | |WI|52000|0|N
H6874|001|000|ASPIRUS HEALTH PLAN, INC.|Aspirus Health Plan Essential Rx (PPO)|00025322|0.00|245| | |WI|52090|0|N
H6874|001|000|ASPIRUS HEALTH PLAN, INC.|Aspirus Health Plan Essential Rx (PPO)|00025322|0.00|245| | |WI|52100|0|N
H6874|001|000|ASPIRUS HEALTH PLAN, INC.|Aspirus Health Plan Essential Rx (PPO)|00025322|0.00|245| | |WI|52180|0|N
H6874|001|000|ASPIRUS HEALTH PLAN, INC.|Aspirus Health Plan Essential Rx (PPO)|00025322|0.00|245| | |WI|52200|0|N
H6874|001|000|ASPIRUS HEALTH PLAN, INC.|Aspirus Health Plan Essential Rx (PPO)|00025322|0.00|245| | |WI|52250|0|N
H6874|001|000|ASPIRUS HEALTH PLAN, INC.|Aspirus Health Plan Essential Rx (PPO)|00025322|0.00|245| | |WI|52280|0|N
H6874|001|000|ASPIRUS HEALTH PLAN, INC.|Aspirus Health Plan Essential Rx (PPO)|00025322|0.00|245| | |WI|52330|0|N
H6874|001|000|ASPIRUS HEALTH PLAN, INC.|Aspirus Health Plan Essential Rx (PPO)|00025322|0.00|245| | |WI|52340|0|N
H6874|001|000|ASPIRUS HEALTH PLAN, INC.|Aspirus Health Plan Essential Rx (PPO)|00025322|0.00|245| | |WI|52360|0|N
H6874|001|000|ASPIRUS HEALTH PLAN, INC.|Aspirus Health Plan Essential Rx (PPO)|00025322|0.00|245| | |WI|52380|0|N
H6874|001|000|ASPIRUS HEALTH PLAN, INC.|Aspirus Health Plan Essential Rx (PPO)|00025322|0.00|245| | |WI|52420|0|N
H6874|001|000|ASPIRUS HEALTH PLAN, INC.|Aspirus Health Plan Essential Rx (PPO)|00025322|0.00|245| | |WI|52480|0|N
H6874|001|000|ASPIRUS HEALTH PLAN, INC.|Aspirus Health Plan Essential Rx (PPO)|00025322|0.00|245| | |WI|52490|0|N
H6874|001|000|ASPIRUS HEALTH PLAN, INC.|Aspirus Health Plan Essential Rx (PPO)|00025322|0.00|245| | |WI|52550|0|N
H6874|001|000|ASPIRUS HEALTH PLAN, INC.|Aspirus Health Plan Essential Rx (PPO)|00025322|0.00|245| | |WI|52570|0|N
H6874|001|000|ASPIRUS HEALTH PLAN, INC.|Aspirus Health Plan Essential Rx (PPO)|00025322|0.00|245| | |WI|52590|0|N
H6874|001|000|ASPIRUS HEALTH PLAN, INC.|Aspirus Health Plan Essential Rx (PPO)|00025322|0.00|245| | |WI|52620|0|N
H6874|001|000|ASPIRUS HEALTH PLAN, INC.|Aspirus Health Plan Essential Rx (PPO)|00025322|0.00|245| | |WI|52670|0|N
H6874|001|000|ASPIRUS HEALTH PLAN, INC.|Aspirus Health Plan Essential Rx (PPO)|00025322|0.00|245| | |WI|52680|0|N
H6874|001|000|ASPIRUS HEALTH PLAN, INC.|Aspirus Health Plan Essential Rx (PPO)|00025322|0.00|245| | |WI|52700|0|N
H6876|001|000|ZING HEALTH OF MICHIGAN, INC.|Zing Open Choice MI (PPO)|00025302|0.00|0| | |MI|23460|0|N
H6876|001|000|ZING HEALTH OF MICHIGAN, INC.|Zing Open Choice MI (PPO)|00025302|0.00|0| | |MI|23490|0|N
H6876|001|000|ZING HEALTH OF MICHIGAN, INC.|Zing Open Choice MI (PPO)|00025302|0.00|0| | |MI|23620|0|N
H6876|001|000|ZING HEALTH OF MICHIGAN, INC.|Zing Open Choice MI (PPO)|00025302|0.00|0| | |MI|23800|0|N
H6876|001|000|ZING HEALTH OF MICHIGAN, INC.|Zing Open Choice MI (PPO)|00025302|0.00|0| | |MI|23810|0|N
H6876|002|000|ZING HEALTH OF MICHIGAN, INC.|Zing Dual Complete Open Choice MI (PPO D-SNP)|00025302|0.00|590| | |MI|23460|2|N
H6876|002|000|ZING HEALTH OF MICHIGAN, INC.|Zing Dual Complete Open Choice MI (PPO D-SNP)|00025302|0.00|590| | |MI|23490|2|N
H6876|002|000|ZING HEALTH OF MICHIGAN, INC.|Zing Dual Complete Open Choice MI (PPO D-SNP)|00025302|0.00|590| | |MI|23620|2|N
H6876|002|000|ZING HEALTH OF MICHIGAN, INC.|Zing Dual Complete Open Choice MI (PPO D-SNP)|00025302|0.00|590| | |MI|23800|2|N
H6876|002|000|ZING HEALTH OF MICHIGAN, INC.|Zing Dual Complete Open Choice MI (PPO D-SNP)|00025302|0.00|590| | |MI|23810|2|N
H6876|003|000|ZING HEALTH OF MICHIGAN, INC.|Zing Open Choice Diabetes & Heart MI (PPO C-SNP)|00025300|0.00|0| | |MI|23460|1|N
H6876|003|000|ZING HEALTH OF MICHIGAN, INC.|Zing Open Choice Diabetes & Heart MI (PPO C-SNP)|00025300|0.00|0| | |MI|23490|1|N
H6876|003|000|ZING HEALTH OF MICHIGAN, INC.|Zing Open Choice Diabetes & Heart MI (PPO C-SNP)|00025300|0.00|0| | |MI|23620|1|N
H6876|003|000|ZING HEALTH OF MICHIGAN, INC.|Zing Open Choice Diabetes & Heart MI (PPO C-SNP)|00025300|0.00|0| | |MI|23800|1|N
H6876|003|000|ZING HEALTH OF MICHIGAN, INC.|Zing Open Choice Diabetes & Heart MI (PPO C-SNP)|00025300|0.00|0| | |MI|23810|1|N
H6876|004|000|ZING HEALTH OF MICHIGAN, INC.|Zing Open Choice IN (PPO)|00025302|0.00|0| | |IN|15050|0|N
H6876|004|000|ZING HEALTH OF MICHIGAN, INC.|Zing Open Choice IN (PPO)|00025302|0.00|0| | |IN|15280|0|N
H6876|004|000|ZING HEALTH OF MICHIGAN, INC.|Zing Open Choice IN (PPO)|00025302|0.00|0| | |IN|15290|0|N
H6876|004|000|ZING HEALTH OF MICHIGAN, INC.|Zing Open Choice IN (PPO)|00025302|0.00|0| | |IN|15310|0|N
H6876|004|000|ZING HEALTH OF MICHIGAN, INC.|Zing Open Choice IN (PPO)|00025302|0.00|0| | |IN|15400|0|N
H6876|004|000|ZING HEALTH OF MICHIGAN, INC.|Zing Open Choice IN (PPO)|00025302|0.00|0| | |IN|15440|0|N
H6876|004|000|ZING HEALTH OF MICHIGAN, INC.|Zing Open Choice IN (PPO)|00025302|0.00|0| | |IN|15470|0|N
H6876|004|000|ZING HEALTH OF MICHIGAN, INC.|Zing Open Choice IN (PPO)|00025302|0.00|0| | |IN|15480|0|N
H6876|004|000|ZING HEALTH OF MICHIGAN, INC.|Zing Open Choice IN (PPO)|00025302|0.00|0| | |IN|15540|0|N
H6876|004|000|ZING HEALTH OF MICHIGAN, INC.|Zing Open Choice IN (PPO)|00025302|0.00|0| | |IN|15630|0|N
H6876|004|000|ZING HEALTH OF MICHIGAN, INC.|Zing Open Choice IN (PPO)|00025302|0.00|0| | |IN|15720|0|N
H6876|005|000|ZING HEALTH OF MICHIGAN, INC.|Zing Open Choice Diabetes & Heart IN (PPO C-SNP)|00025300|0.00|0| | |IN|15050|1|N
H6876|005|000|ZING HEALTH OF MICHIGAN, INC.|Zing Open Choice Diabetes & Heart IN (PPO C-SNP)|00025300|0.00|0| | |IN|15280|1|N
H6876|005|000|ZING HEALTH OF MICHIGAN, INC.|Zing Open Choice Diabetes & Heart IN (PPO C-SNP)|00025300|0.00|0| | |IN|15290|1|N
H6876|005|000|ZING HEALTH OF MICHIGAN, INC.|Zing Open Choice Diabetes & Heart IN (PPO C-SNP)|00025300|0.00|0| | |IN|15310|1|N
H6876|005|000|ZING HEALTH OF MICHIGAN, INC.|Zing Open Choice Diabetes & Heart IN (PPO C-SNP)|00025300|0.00|0| | |IN|15400|1|N
H6876|005|000|ZING HEALTH OF MICHIGAN, INC.|Zing Open Choice Diabetes & Heart IN (PPO C-SNP)|00025300|0.00|0| | |IN|15440|1|N
H6876|005|000|ZING HEALTH OF MICHIGAN, INC.|Zing Open Choice Diabetes & Heart IN (PPO C-SNP)|00025300|0.00|0| | |IN|15470|1|N
H6876|005|000|ZING HEALTH OF MICHIGAN, INC.|Zing Open Choice Diabetes & Heart IN (PPO C-SNP)|00025300|0.00|0| | |IN|15480|1|N
H6876|005|000|ZING HEALTH OF MICHIGAN, INC.|Zing Open Choice Diabetes & Heart IN (PPO C-SNP)|00025300|0.00|0| | |IN|15540|1|N
H6876|005|000|ZING HEALTH OF MICHIGAN, INC.|Zing Open Choice Diabetes & Heart IN (PPO C-SNP)|00025300|0.00|0| | |IN|15630|1|N
H6876|005|000|ZING HEALTH OF MICHIGAN, INC.|Zing Open Choice Diabetes & Heart IN (PPO C-SNP)|00025300|0.00|0| | |IN|15720|1|N
H6876|006|000|ZING HEALTH OF MICHIGAN, INC.|Zing Choice Diabetes & Heart Complete IN (PPO C-SNP)|00025300|4.40|590| | |IN|15050|1|N
H6876|006|000|ZING HEALTH OF MICHIGAN, INC.|Zing Choice Diabetes & Heart Complete IN (PPO C-SNP)|00025300|4.40|590| | |IN|15280|1|N
H6876|006|000|ZING HEALTH OF MICHIGAN, INC.|Zing Choice Diabetes & Heart Complete IN (PPO C-SNP)|00025300|4.40|590| | |IN|15290|1|N
H6876|006|000|ZING HEALTH OF MICHIGAN, INC.|Zing Choice Diabetes & Heart Complete IN (PPO C-SNP)|00025300|4.40|590| | |IN|15310|1|N
H6876|006|000|ZING HEALTH OF MICHIGAN, INC.|Zing Choice Diabetes & Heart Complete IN (PPO C-SNP)|00025300|4.40|590| | |IN|15400|1|N
H6876|006|000|ZING HEALTH OF MICHIGAN, INC.|Zing Choice Diabetes & Heart Complete IN (PPO C-SNP)|00025300|4.40|590| | |IN|15440|1|N
H6876|006|000|ZING HEALTH OF MICHIGAN, INC.|Zing Choice Diabetes & Heart Complete IN (PPO C-SNP)|00025300|4.40|590| | |IN|15470|1|N
H6876|006|000|ZING HEALTH OF MICHIGAN, INC.|Zing Choice Diabetes & Heart Complete IN (PPO C-SNP)|00025300|4.40|590| | |IN|15480|1|N
H6876|006|000|ZING HEALTH OF MICHIGAN, INC.|Zing Choice Diabetes & Heart Complete IN (PPO C-SNP)|00025300|4.40|590| | |IN|15540|1|N
H6876|006|000|ZING HEALTH OF MICHIGAN, INC.|Zing Choice Diabetes & Heart Complete IN (PPO C-SNP)|00025300|4.40|590| | |IN|15630|1|N
H6876|006|000|ZING HEALTH OF MICHIGAN, INC.|Zing Choice Diabetes & Heart Complete IN (PPO C-SNP)|00025300|4.40|590| | |IN|15720|1|N
H6876|007|000|ZING HEALTH OF MICHIGAN, INC.|Zing Open Choice Diabetes & Heart TN (PPO C-SNP)|00025300|0.00|0| | |TN|44180|1|N
H6876|007|000|ZING HEALTH OF MICHIGAN, INC.|Zing Open Choice Diabetes & Heart TN (PPO C-SNP)|00025300|0.00|0| | |TN|44230|1|N
H6876|007|000|ZING HEALTH OF MICHIGAN, INC.|Zing Open Choice Diabetes & Heart TN (PPO C-SNP)|00025300|0.00|0| | |TN|44780|1|N
H6876|008|000|ZING HEALTH OF MICHIGAN, INC.|Zing Choice Diabetes & Heart Complete TN (PPO C-SNP)|00025300|0.00|590| | |TN|44180|1|N
H6876|008|000|ZING HEALTH OF MICHIGAN, INC.|Zing Choice Diabetes & Heart Complete TN (PPO C-SNP)|00025300|0.00|590| | |TN|44230|1|N
H6876|008|000|ZING HEALTH OF MICHIGAN, INC.|Zing Choice Diabetes & Heart Complete TN (PPO C-SNP)|00025300|0.00|590| | |TN|44780|1|N
H6876|009|000|ZING HEALTH OF MICHIGAN, INC.|Zing Open Choice TN (PPO)|00025302|0.00|0| | |TN|44180|0|N
H6876|009|000|ZING HEALTH OF MICHIGAN, INC.|Zing Open Choice TN (PPO)|00025302|0.00|0| | |TN|44230|0|N
H6876|009|000|ZING HEALTH OF MICHIGAN, INC.|Zing Open Choice TN (PPO)|00025302|0.00|0| | |TN|44780|0|N
H6891|001|000|AMERICAN HEALTH PLAN OF TX, INC.|American Health Advantage of Texas (HMO I-SNP)|00025482|18.30|590| | |TX|45000|3|N
H6891|001|000|AMERICAN HEALTH PLAN OF TX, INC.|American Health Advantage of Texas (HMO I-SNP)|00025482|18.30|590| | |TX|45070|3|N
H6891|001|000|AMERICAN HEALTH PLAN OF TX, INC.|American Health Advantage of Texas (HMO I-SNP)|00025482|18.30|590| | |TX|45120|3|N
H6891|001|000|AMERICAN HEALTH PLAN OF TX, INC.|American Health Advantage of Texas (HMO I-SNP)|00025482|18.30|590| | |TX|45130|3|N
H6891|001|000|AMERICAN HEALTH PLAN OF TX, INC.|American Health Advantage of Texas (HMO I-SNP)|00025482|18.30|590| | |TX|45140|3|N
H6891|001|000|AMERICAN HEALTH PLAN OF TX, INC.|American Health Advantage of Texas (HMO I-SNP)|00025482|18.30|590| | |TX|45160|3|N
H6891|001|000|AMERICAN HEALTH PLAN OF TX, INC.|American Health Advantage of Texas (HMO I-SNP)|00025482|18.30|590| | |TX|45190|3|N
H6891|001|000|AMERICAN HEALTH PLAN OF TX, INC.|American Health Advantage of Texas (HMO I-SNP)|00025482|18.30|590| | |TX|45281|3|N
H6891|001|000|AMERICAN HEALTH PLAN OF TX, INC.|American Health Advantage of Texas (HMO I-SNP)|00025482|18.30|590| | |TX|45301|3|N
H6891|001|000|AMERICAN HEALTH PLAN OF TX, INC.|American Health Advantage of Texas (HMO I-SNP)|00025482|18.30|590| | |TX|45310|3|N
H6891|001|000|AMERICAN HEALTH PLAN OF TX, INC.|American Health Advantage of Texas (HMO I-SNP)|00025482|18.30|590| | |TX|45312|3|N
H6891|001|000|AMERICAN HEALTH PLAN OF TX, INC.|American Health Advantage of Texas (HMO I-SNP)|00025482|18.30|590| | |TX|45320|3|N
H6891|001|000|AMERICAN HEALTH PLAN OF TX, INC.|American Health Advantage of Texas (HMO I-SNP)|00025482|18.30|590| | |TX|45340|3|N
H6891|001|000|AMERICAN HEALTH PLAN OF TX, INC.|American Health Advantage of Texas (HMO I-SNP)|00025482|18.30|590| | |TX|45390|3|N
H6891|001|000|AMERICAN HEALTH PLAN OF TX, INC.|American Health Advantage of Texas (HMO I-SNP)|00025482|18.30|590| | |TX|45410|3|N
H6891|001|000|AMERICAN HEALTH PLAN OF TX, INC.|American Health Advantage of Texas (HMO I-SNP)|00025482|18.30|590| | |TX|45470|3|N
H6891|001|000|AMERICAN HEALTH PLAN OF TX, INC.|American Health Advantage of Texas (HMO I-SNP)|00025482|18.30|590| | |TX|45490|3|N
H6891|001|000|AMERICAN HEALTH PLAN OF TX, INC.|American Health Advantage of Texas (HMO I-SNP)|00025482|18.30|590| | |TX|45510|3|N
H6891|001|000|AMERICAN HEALTH PLAN OF TX, INC.|American Health Advantage of Texas (HMO I-SNP)|00025482|18.30|590| | |TX|45511|3|N
H6891|001|000|AMERICAN HEALTH PLAN OF TX, INC.|American Health Advantage of Texas (HMO I-SNP)|00025482|18.30|590| | |TX|45530|3|N
H6891|001|000|AMERICAN HEALTH PLAN OF TX, INC.|American Health Advantage of Texas (HMO I-SNP)|00025482|18.30|590| | |TX|45531|3|N
H6891|001|000|AMERICAN HEALTH PLAN OF TX, INC.|American Health Advantage of Texas (HMO I-SNP)|00025482|18.30|590| | |TX|45550|3|N
H6891|001|000|AMERICAN HEALTH PLAN OF TX, INC.|American Health Advantage of Texas (HMO I-SNP)|00025482|18.30|590| | |TX|45570|3|N
H6891|001|000|AMERICAN HEALTH PLAN OF TX, INC.|American Health Advantage of Texas (HMO I-SNP)|00025482|18.30|590| | |TX|45580|3|N
H6891|001|000|AMERICAN HEALTH PLAN OF TX, INC.|American Health Advantage of Texas (HMO I-SNP)|00025482|18.30|590| | |TX|45590|3|N
H6891|001|000|AMERICAN HEALTH PLAN OF TX, INC.|American Health Advantage of Texas (HMO I-SNP)|00025482|18.30|590| | |TX|45630|3|N
H6891|001|000|AMERICAN HEALTH PLAN OF TX, INC.|American Health Advantage of Texas (HMO I-SNP)|00025482|18.30|590| | |TX|45640|3|N
H6891|001|000|AMERICAN HEALTH PLAN OF TX, INC.|American Health Advantage of Texas (HMO I-SNP)|00025482|18.30|590| | |TX|45653|3|N
H6891|001|000|AMERICAN HEALTH PLAN OF TX, INC.|American Health Advantage of Texas (HMO I-SNP)|00025482|18.30|590| | |TX|45720|3|N
H6891|001|000|AMERICAN HEALTH PLAN OF TX, INC.|American Health Advantage of Texas (HMO I-SNP)|00025482|18.30|590| | |TX|45730|3|N
H6891|001|000|AMERICAN HEALTH PLAN OF TX, INC.|American Health Advantage of Texas (HMO I-SNP)|00025482|18.30|590| | |TX|45731|3|N
H6891|001|000|AMERICAN HEALTH PLAN OF TX, INC.|American Health Advantage of Texas (HMO I-SNP)|00025482|18.30|590| | |TX|45743|3|N
H6891|001|000|AMERICAN HEALTH PLAN OF TX, INC.|American Health Advantage of Texas (HMO I-SNP)|00025482|18.30|590| | |TX|45744|3|N
H6891|001|000|AMERICAN HEALTH PLAN OF TX, INC.|American Health Advantage of Texas (HMO I-SNP)|00025482|18.30|590| | |TX|45750|3|N
H6891|001|000|AMERICAN HEALTH PLAN OF TX, INC.|American Health Advantage of Texas (HMO I-SNP)|00025482|18.30|590| | |TX|45752|3|N
H6891|001|000|AMERICAN HEALTH PLAN OF TX, INC.|American Health Advantage of Texas (HMO I-SNP)|00025482|18.30|590| | |TX|45755|3|N
H6891|001|000|AMERICAN HEALTH PLAN OF TX, INC.|American Health Advantage of Texas (HMO I-SNP)|00025482|18.30|590| | |TX|45756|3|N
H6891|001|000|AMERICAN HEALTH PLAN OF TX, INC.|American Health Advantage of Texas (HMO I-SNP)|00025482|18.30|590| | |TX|45761|3|N
H6891|001|000|AMERICAN HEALTH PLAN OF TX, INC.|American Health Advantage of Texas (HMO I-SNP)|00025482|18.30|590| | |TX|45770|3|N
H6891|001|000|AMERICAN HEALTH PLAN OF TX, INC.|American Health Advantage of Texas (HMO I-SNP)|00025482|18.30|590| | |TX|45780|3|N
H6891|001|000|AMERICAN HEALTH PLAN OF TX, INC.|American Health Advantage of Texas (HMO I-SNP)|00025482|18.30|590| | |TX|45801|3|N
H6891|001|000|AMERICAN HEALTH PLAN OF TX, INC.|American Health Advantage of Texas (HMO I-SNP)|00025482|18.30|590| | |TX|45810|3|N
H6891|001|000|AMERICAN HEALTH PLAN OF TX, INC.|American Health Advantage of Texas (HMO I-SNP)|00025482|18.30|590| | |TX|45842|3|N
H6891|001|000|AMERICAN HEALTH PLAN OF TX, INC.|American Health Advantage of Texas (HMO I-SNP)|00025482|18.30|590| | |TX|45843|3|N
H6891|001|000|AMERICAN HEALTH PLAN OF TX, INC.|American Health Advantage of Texas (HMO I-SNP)|00025482|18.30|590| | |TX|45881|3|N
H6891|001|000|AMERICAN HEALTH PLAN OF TX, INC.|American Health Advantage of Texas (HMO I-SNP)|00025482|18.30|590| | |TX|45892|3|N
H6891|001|000|AMERICAN HEALTH PLAN OF TX, INC.|American Health Advantage of Texas (HMO I-SNP)|00025482|18.30|590| | |TX|45910|3|N
H6891|001|000|AMERICAN HEALTH PLAN OF TX, INC.|American Health Advantage of Texas (HMO I-SNP)|00025482|18.30|590| | |TX|45960|3|N
H6891|001|000|AMERICAN HEALTH PLAN OF TX, INC.|American Health Advantage of Texas (HMO I-SNP)|00025482|18.30|590| | |TX|45971|3|N
H6891|001|000|AMERICAN HEALTH PLAN OF TX, INC.|American Health Advantage of Texas (HMO I-SNP)|00025482|18.30|590| | |TX|45974|3|N
H6898|001|000|VERMONT BLUE ADVANTAGE, INC.|Vermont Blue Advantage Freedom PPO (PPO)|00025379|0.00|250| | |VT|47000|0|N
H6898|001|000|VERMONT BLUE ADVANTAGE, INC.|Vermont Blue Advantage Freedom PPO (PPO)|00025379|0.00|250| | |VT|47010|0|N
H6898|001|000|VERMONT BLUE ADVANTAGE, INC.|Vermont Blue Advantage Freedom PPO (PPO)|00025379|0.00|250| | |VT|47020|0|N
H6898|001|000|VERMONT BLUE ADVANTAGE, INC.|Vermont Blue Advantage Freedom PPO (PPO)|00025379|0.00|250| | |VT|47030|0|N
H6898|001|000|VERMONT BLUE ADVANTAGE, INC.|Vermont Blue Advantage Freedom PPO (PPO)|00025379|0.00|250| | |VT|47040|0|N
H6898|001|000|VERMONT BLUE ADVANTAGE, INC.|Vermont Blue Advantage Freedom PPO (PPO)|00025379|0.00|250| | |VT|47050|0|N
H6898|001|000|VERMONT BLUE ADVANTAGE, INC.|Vermont Blue Advantage Freedom PPO (PPO)|00025379|0.00|250| | |VT|47060|0|N
H6898|001|000|VERMONT BLUE ADVANTAGE, INC.|Vermont Blue Advantage Freedom PPO (PPO)|00025379|0.00|250| | |VT|47070|0|N
H6898|001|000|VERMONT BLUE ADVANTAGE, INC.|Vermont Blue Advantage Freedom PPO (PPO)|00025379|0.00|250| | |VT|47080|0|N
H6898|001|000|VERMONT BLUE ADVANTAGE, INC.|Vermont Blue Advantage Freedom PPO (PPO)|00025379|0.00|250| | |VT|47090|0|N
H6898|001|000|VERMONT BLUE ADVANTAGE, INC.|Vermont Blue Advantage Freedom PPO (PPO)|00025379|0.00|250| | |VT|47100|0|N
H6898|001|000|VERMONT BLUE ADVANTAGE, INC.|Vermont Blue Advantage Freedom PPO (PPO)|00025379|0.00|250| | |VT|47110|0|N
H6898|001|000|VERMONT BLUE ADVANTAGE, INC.|Vermont Blue Advantage Freedom PPO (PPO)|00025379|0.00|250| | |VT|47120|0|N
H6898|001|000|VERMONT BLUE ADVANTAGE, INC.|Vermont Blue Advantage Freedom PPO (PPO)|00025379|0.00|250| | |VT|47130|0|N
H6898|002|000|VERMONT BLUE ADVANTAGE, INC.|Vermont Blue Advantage Freedom Plus PPO (PPO)|00025379|41.30|225| | |VT|47000|0|N
H6898|002|000|VERMONT BLUE ADVANTAGE, INC.|Vermont Blue Advantage Freedom Plus PPO (PPO)|00025379|41.30|225| | |VT|47010|0|N
H6898|002|000|VERMONT BLUE ADVANTAGE, INC.|Vermont Blue Advantage Freedom Plus PPO (PPO)|00025379|41.30|225| | |VT|47020|0|N
H6898|002|000|VERMONT BLUE ADVANTAGE, INC.|Vermont Blue Advantage Freedom Plus PPO (PPO)|00025379|41.30|225| | |VT|47030|0|N
H6898|002|000|VERMONT BLUE ADVANTAGE, INC.|Vermont Blue Advantage Freedom Plus PPO (PPO)|00025379|41.30|225| | |VT|47040|0|N
H6898|002|000|VERMONT BLUE ADVANTAGE, INC.|Vermont Blue Advantage Freedom Plus PPO (PPO)|00025379|41.30|225| | |VT|47050|0|N
H6898|002|000|VERMONT BLUE ADVANTAGE, INC.|Vermont Blue Advantage Freedom Plus PPO (PPO)|00025379|41.30|225| | |VT|47060|0|N
H6898|002|000|VERMONT BLUE ADVANTAGE, INC.|Vermont Blue Advantage Freedom Plus PPO (PPO)|00025379|41.30|225| | |VT|47070|0|N
H6898|002|000|VERMONT BLUE ADVANTAGE, INC.|Vermont Blue Advantage Freedom Plus PPO (PPO)|00025379|41.30|225| | |VT|47080|0|N
H6898|002|000|VERMONT BLUE ADVANTAGE, INC.|Vermont Blue Advantage Freedom Plus PPO (PPO)|00025379|41.30|225| | |VT|47090|0|N
H6898|002|000|VERMONT BLUE ADVANTAGE, INC.|Vermont Blue Advantage Freedom Plus PPO (PPO)|00025379|41.30|225| | |VT|47100|0|N
H6898|002|000|VERMONT BLUE ADVANTAGE, INC.|Vermont Blue Advantage Freedom Plus PPO (PPO)|00025379|41.30|225| | |VT|47110|0|N
H6898|002|000|VERMONT BLUE ADVANTAGE, INC.|Vermont Blue Advantage Freedom Plus PPO (PPO)|00025379|41.30|225| | |VT|47120|0|N
H6898|002|000|VERMONT BLUE ADVANTAGE, INC.|Vermont Blue Advantage Freedom Plus PPO (PPO)|00025379|41.30|225| | |VT|47130|0|N
H6910|001|000|MOUNT CARMEL HEALTH PLAN OF IDAHO, INC.|Saint Alphonsus Health Plan No Premium (HMO)|00025291|0.00|0| | |ID|13000|0|N
H6910|001|000|MOUNT CARMEL HEALTH PLAN OF IDAHO, INC.|Saint Alphonsus Health Plan No Premium (HMO)|00025291|0.00|0| | |ID|13010|0|N
H6910|001|000|MOUNT CARMEL HEALTH PLAN OF IDAHO, INC.|Saint Alphonsus Health Plan No Premium (HMO)|00025291|0.00|0| | |ID|13070|0|N
H6910|001|000|MOUNT CARMEL HEALTH PLAN OF IDAHO, INC.|Saint Alphonsus Health Plan No Premium (HMO)|00025291|0.00|0| | |ID|13130|0|N
H6910|001|000|MOUNT CARMEL HEALTH PLAN OF IDAHO, INC.|Saint Alphonsus Health Plan No Premium (HMO)|00025291|0.00|0| | |ID|13190|0|N
H6910|001|000|MOUNT CARMEL HEALTH PLAN OF IDAHO, INC.|Saint Alphonsus Health Plan No Premium (HMO)|00025291|0.00|0| | |ID|13220|0|N
H6910|001|000|MOUNT CARMEL HEALTH PLAN OF IDAHO, INC.|Saint Alphonsus Health Plan No Premium (HMO)|00025291|0.00|0| | |ID|13360|0|N
H6910|001|000|MOUNT CARMEL HEALTH PLAN OF IDAHO, INC.|Saint Alphonsus Health Plan No Premium (HMO)|00025291|0.00|0| | |ID|13370|0|N
H6910|001|000|MOUNT CARMEL HEALTH PLAN OF IDAHO, INC.|Saint Alphonsus Health Plan No Premium (HMO)|00025291|0.00|0| | |ID|13420|0|N
H6910|001|000|MOUNT CARMEL HEALTH PLAN OF IDAHO, INC.|Saint Alphonsus Health Plan No Premium (HMO)|00025291|0.00|0| | |ID|13430|0|N
H6910|005|000|MOUNT CARMEL HEALTH PLAN OF IDAHO, INC.|Saint Alphonsus Health Plan Cash Back (HMO)|00025291|0.00|200| | |ID|13000|0|N
H6910|005|000|MOUNT CARMEL HEALTH PLAN OF IDAHO, INC.|Saint Alphonsus Health Plan Cash Back (HMO)|00025291|0.00|200| | |ID|13010|0|N
H6910|005|000|MOUNT CARMEL HEALTH PLAN OF IDAHO, INC.|Saint Alphonsus Health Plan Cash Back (HMO)|00025291|0.00|200| | |ID|13070|0|N
H6910|005|000|MOUNT CARMEL HEALTH PLAN OF IDAHO, INC.|Saint Alphonsus Health Plan Cash Back (HMO)|00025291|0.00|200| | |ID|13130|0|N
H6910|005|000|MOUNT CARMEL HEALTH PLAN OF IDAHO, INC.|Saint Alphonsus Health Plan Cash Back (HMO)|00025291|0.00|200| | |ID|13190|0|N
H6910|005|000|MOUNT CARMEL HEALTH PLAN OF IDAHO, INC.|Saint Alphonsus Health Plan Cash Back (HMO)|00025291|0.00|200| | |ID|13220|0|N
H6910|005|000|MOUNT CARMEL HEALTH PLAN OF IDAHO, INC.|Saint Alphonsus Health Plan Cash Back (HMO)|00025291|0.00|200| | |ID|13360|0|N
H6910|005|000|MOUNT CARMEL HEALTH PLAN OF IDAHO, INC.|Saint Alphonsus Health Plan Cash Back (HMO)|00025291|0.00|200| | |ID|13370|0|N
H6910|005|000|MOUNT CARMEL HEALTH PLAN OF IDAHO, INC.|Saint Alphonsus Health Plan Cash Back (HMO)|00025291|0.00|200| | |ID|13420|0|N
H6910|005|000|MOUNT CARMEL HEALTH PLAN OF IDAHO, INC.|Saint Alphonsus Health Plan Cash Back (HMO)|00025291|0.00|200| | |ID|13430|0|N
H6959|001|000|ISNP VENTURES, LLC|KeyCare Advantage (HMO I-SNP)|00025030|46.30|590| | |MD|21010|3|N
H6959|001|000|ISNP VENTURES, LLC|KeyCare Advantage (HMO I-SNP)|00025030|46.30|590| | |MD|21020|3|N
H6959|001|000|ISNP VENTURES, LLC|KeyCare Advantage (HMO I-SNP)|00025030|46.30|590| | |MD|21030|3|N
H6959|001|000|ISNP VENTURES, LLC|KeyCare Advantage (HMO I-SNP)|00025030|46.30|590| | |MD|21130|3|N
H6959|002|000|ISNP VENTURES, LLC|KeyCare Advantage Plus (HMO C-SNP)|00025041|0.00|300| | |MD|21010|1|N
H6959|002|000|ISNP VENTURES, LLC|KeyCare Advantage Plus (HMO C-SNP)|00025041|0.00|300| | |MD|21020|1|N
H6959|002|000|ISNP VENTURES, LLC|KeyCare Advantage Plus (HMO C-SNP)|00025041|0.00|300| | |MD|21030|1|N
H6959|002|000|ISNP VENTURES, LLC|KeyCare Advantage Plus (HMO C-SNP)|00025041|0.00|300| | |MD|21130|1|N
H6959|003|000|ISNP VENTURES, LLC|KeyCare Advantage Community (HMO I-SNP)|00025041|0.00|300| | |MD|21010|3|N
H6959|003|000|ISNP VENTURES, LLC|KeyCare Advantage Community (HMO I-SNP)|00025041|0.00|300| | |MD|21020|3|N
H6959|003|000|ISNP VENTURES, LLC|KeyCare Advantage Community (HMO I-SNP)|00025041|0.00|300| | |MD|21030|3|N
H6959|003|000|ISNP VENTURES, LLC|KeyCare Advantage Community (HMO I-SNP)|00025041|0.00|300| | |MD|21130|3|N
H6988|001|000|CENTERS PLAN FOR HEALTHY LIVING, LLC|Centers Plan for Medicare Advantage Care (HMO)|00025209|0.00|395| | |NY|33020|0|N
H6988|001|000|CENTERS PLAN FOR HEALTHY LIVING, LLC|Centers Plan for Medicare Advantage Care (HMO)|00025209|0.00|395| | |NY|33240|0|N
H6988|001|000|CENTERS PLAN FOR HEALTHY LIVING, LLC|Centers Plan for Medicare Advantage Care (HMO)|00025209|0.00|395| | |NY|33331|0|N
H6988|001|000|CENTERS PLAN FOR HEALTHY LIVING, LLC|Centers Plan for Medicare Advantage Care (HMO)|00025209|0.00|395| | |NY|33400|0|N
H6988|001|000|CENTERS PLAN FOR HEALTHY LIVING, LLC|Centers Plan for Medicare Advantage Care (HMO)|00025209|0.00|395| | |NY|33420|0|N
H6988|001|000|CENTERS PLAN FOR HEALTHY LIVING, LLC|Centers Plan for Medicare Advantage Care (HMO)|00025209|0.00|395| | |NY|33500|0|N
H6988|001|000|CENTERS PLAN FOR HEALTHY LIVING, LLC|Centers Plan for Medicare Advantage Care (HMO)|00025209|0.00|395| | |NY|33590|0|N
H6988|001|000|CENTERS PLAN FOR HEALTHY LIVING, LLC|Centers Plan for Medicare Advantage Care (HMO)|00025209|0.00|395| | |NY|33610|0|N
H6988|001|000|CENTERS PLAN FOR HEALTHY LIVING, LLC|Centers Plan for Medicare Advantage Care (HMO)|00025209|0.00|395| | |NY|33620|0|N
H6988|002|000|CENTERS PLAN FOR HEALTHY LIVING, LLC|Centers Plan for Dual Coverage Care (HMO D-SNP)|00025208|72.30|590| | |NY|33020|2|N
H6988|002|000|CENTERS PLAN FOR HEALTHY LIVING, LLC|Centers Plan for Dual Coverage Care (HMO D-SNP)|00025208|72.30|590| | |NY|33331|2|N
H6988|002|000|CENTERS PLAN FOR HEALTHY LIVING, LLC|Centers Plan for Dual Coverage Care (HMO D-SNP)|00025208|72.30|590| | |NY|33400|2|N
H6988|002|000|CENTERS PLAN FOR HEALTHY LIVING, LLC|Centers Plan for Dual Coverage Care (HMO D-SNP)|00025208|72.30|590| | |NY|33420|2|N
H6988|002|000|CENTERS PLAN FOR HEALTHY LIVING, LLC|Centers Plan for Dual Coverage Care (HMO D-SNP)|00025208|72.30|590| | |NY|33590|2|N
H6988|002|000|CENTERS PLAN FOR HEALTHY LIVING, LLC|Centers Plan for Dual Coverage Care (HMO D-SNP)|00025208|72.30|590| | |NY|33610|2|N
H6988|002|000|CENTERS PLAN FOR HEALTHY LIVING, LLC|Centers Plan for Dual Coverage Care (HMO D-SNP)|00025208|72.30|590| | |NY|33620|2|N
H6988|003|000|CENTERS PLAN FOR HEALTHY LIVING, LLC|Centers Plan for Nursing Home Care (HMO I-SNP)|00025208|72.30|590| | |NY|33020|3|N
H6988|003|000|CENTERS PLAN FOR HEALTHY LIVING, LLC|Centers Plan for Nursing Home Care (HMO I-SNP)|00025208|72.30|590| | |NY|33240|3|N
H6988|003|000|CENTERS PLAN FOR HEALTHY LIVING, LLC|Centers Plan for Nursing Home Care (HMO I-SNP)|00025208|72.30|590| | |NY|33331|3|N
H6988|003|000|CENTERS PLAN FOR HEALTHY LIVING, LLC|Centers Plan for Nursing Home Care (HMO I-SNP)|00025208|72.30|590| | |NY|33400|3|N
H6988|003|000|CENTERS PLAN FOR HEALTHY LIVING, LLC|Centers Plan for Nursing Home Care (HMO I-SNP)|00025208|72.30|590| | |NY|33420|3|N
H6988|003|000|CENTERS PLAN FOR HEALTHY LIVING, LLC|Centers Plan for Nursing Home Care (HMO I-SNP)|00025208|72.30|590| | |NY|33500|3|N
H6988|003|000|CENTERS PLAN FOR HEALTHY LIVING, LLC|Centers Plan for Nursing Home Care (HMO I-SNP)|00025208|72.30|590| | |NY|33590|3|N
H6988|003|000|CENTERS PLAN FOR HEALTHY LIVING, LLC|Centers Plan for Nursing Home Care (HMO I-SNP)|00025208|72.30|590| | |NY|33610|3|N
H6988|003|000|CENTERS PLAN FOR HEALTHY LIVING, LLC|Centers Plan for Nursing Home Care (HMO I-SNP)|00025208|72.30|590| | |NY|33620|3|N
H6988|003|000|CENTERS PLAN FOR HEALTHY LIVING, LLC|Centers Plan for Nursing Home Care (HMO I-SNP)|00025208|72.30|590| | |NY|33700|3|N
H6988|003|000|CENTERS PLAN FOR HEALTHY LIVING, LLC|Centers Plan for Nursing Home Care (HMO I-SNP)|00025208|72.30|590| | |NY|33800|3|N
H6988|004|000|CENTERS PLAN FOR HEALTHY LIVING, LLC|Centers Plan for Medicaid Advantage Plus (HMO D-SNP)|00025208|0.00|590| | |NY|33020|2|N
H6988|004|000|CENTERS PLAN FOR HEALTHY LIVING, LLC|Centers Plan for Medicaid Advantage Plus (HMO D-SNP)|00025208|0.00|590| | |NY|33240|2|N
H6988|004|000|CENTERS PLAN FOR HEALTHY LIVING, LLC|Centers Plan for Medicaid Advantage Plus (HMO D-SNP)|00025208|0.00|590| | |NY|33331|2|N
H6988|004|000|CENTERS PLAN FOR HEALTHY LIVING, LLC|Centers Plan for Medicaid Advantage Plus (HMO D-SNP)|00025208|0.00|590| | |NY|33400|2|N
H6988|004|000|CENTERS PLAN FOR HEALTHY LIVING, LLC|Centers Plan for Medicaid Advantage Plus (HMO D-SNP)|00025208|0.00|590| | |NY|33420|2|N
H6988|004|000|CENTERS PLAN FOR HEALTHY LIVING, LLC|Centers Plan for Medicaid Advantage Plus (HMO D-SNP)|00025208|0.00|590| | |NY|33500|2|N
H6988|004|000|CENTERS PLAN FOR HEALTHY LIVING, LLC|Centers Plan for Medicaid Advantage Plus (HMO D-SNP)|00025208|0.00|590| | |NY|33590|2|N
H6988|004|000|CENTERS PLAN FOR HEALTHY LIVING, LLC|Centers Plan for Medicaid Advantage Plus (HMO D-SNP)|00025208|0.00|590| | |NY|33610|2|N
H6988|004|000|CENTERS PLAN FOR HEALTHY LIVING, LLC|Centers Plan for Medicaid Advantage Plus (HMO D-SNP)|00025208|0.00|590| | |NY|33620|2|N
H6988|004|000|CENTERS PLAN FOR HEALTHY LIVING, LLC|Centers Plan for Medicaid Advantage Plus (HMO D-SNP)|00025208|0.00|590| | |NY|33700|2|N
H6988|004|000|CENTERS PLAN FOR HEALTHY LIVING, LLC|Centers Plan for Medicaid Advantage Plus (HMO D-SNP)|00025208|0.00|590| | |NY|33800|2|N
H7006|003|000|ATRIO HEALTH PLANS|ATRIO Prime Rx (PPO)|00025197|21.80|0| | |OR|38230|0|N
H7006|003|000|ATRIO HEALTH PLANS|ATRIO Prime Rx (PPO)|00025197|21.80|0| | |OR|38260|0|N
H7006|007|000|ATRIO HEALTH PLANS|ATRIO Choice Rx (PPO)|00025197|0.00|0| | |OR|38230|0|N
H7006|007|000|ATRIO HEALTH PLANS|ATRIO Choice Rx (PPO)|00025197|0.00|0| | |OR|38260|0|N
H7006|010|000|ATRIO HEALTH PLANS|ATRIO Choice Rx (PPO)|00025197|0.00|0| | |NV|29150|0|N
H7006|015|000|ATRIO HEALTH PLANS|ATRIO Select Rx (PPO)|00025197|0.00|0| | |NV|29000|0|N
H7006|015|000|ATRIO HEALTH PLANS|ATRIO Select Rx (PPO)|00025197|0.00|0| | |NV|29020|0|N
H7006|015|000|ATRIO HEALTH PLANS|ATRIO Select Rx (PPO)|00025197|0.00|0| | |NV|29090|0|N
H7006|015|000|ATRIO HEALTH PLANS|ATRIO Select Rx (PPO)|00025197|0.00|0| | |NV|29120|0|N
H7006|015|000|ATRIO HEALTH PLANS|ATRIO Select Rx (PPO)|00025197|0.00|0| | |NV|29140|0|N
H7006|018|000|ATRIO HEALTH PLANS|ATRIO Choice Rx (PPO)|00025197|0.00|0| | |OR|38020|0|N
H7006|018|000|ATRIO HEALTH PLANS|ATRIO Choice Rx (PPO)|00025197|0.00|0| | |OR|38190|0|N
H7006|018|000|ATRIO HEALTH PLANS|ATRIO Choice Rx (PPO)|00025197|0.00|0| | |OR|38250|0|N
H7006|018|000|ATRIO HEALTH PLANS|ATRIO Choice Rx (PPO)|00025197|0.00|0| | |OR|38330|0|N
H7006|018|000|ATRIO HEALTH PLANS|ATRIO Choice Rx (PPO)|00025197|0.00|0| | |OR|38350|0|N
H7006|019|000|ATRIO HEALTH PLANS|ATRIO Select Rx (PPO)|00025197|0.00|0| | |OR|38020|0|N
H7006|019|000|ATRIO HEALTH PLANS|ATRIO Select Rx (PPO)|00025197|0.00|0| | |OR|38190|0|N
H7006|019|000|ATRIO HEALTH PLANS|ATRIO Select Rx (PPO)|00025197|0.00|0| | |OR|38250|0|N
H7006|019|000|ATRIO HEALTH PLANS|ATRIO Select Rx (PPO)|00025197|0.00|0| | |OR|38330|0|N
H7006|019|000|ATRIO HEALTH PLANS|ATRIO Select Rx (PPO)|00025197|0.00|0| | |OR|38350|0|N
H7006|022|000|ATRIO HEALTH PLANS|ATRIO Support Rx (PPO C-SNP)|00025197|0.00|0| | |OR|38230|1|N
H7006|022|000|ATRIO HEALTH PLANS|ATRIO Support Rx (PPO C-SNP)|00025197|0.00|0| | |OR|38260|1|N
H7020|010|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |SC|42110|0|N
H7020|010|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |SC|42190|0|N
H7020|010|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |SC|42270|0|N
H7020|010|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |SC|42280|0|N
H7020|010|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |SC|42450|0|N
H7020|010|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |SC|42030|0|N
H7020|010|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |SC|42100|0|N
H7020|010|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |SC|42220|0|N
H7020|010|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |SC|42380|0|N
H7020|010|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |SC|42410|0|N
H7020|010|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |SC|42430|0|N
H7020|010|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |SC|42070|0|N
H7020|010|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |SC|42090|0|N
H7020|010|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |SC|42140|0|N
H7020|010|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |SC|42170|0|N
H7020|010|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |SC|42440|0|N
H7020|011|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |SC|42110|0|N
H7020|011|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |SC|42190|0|N
H7020|011|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |SC|42270|0|N
H7020|011|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |SC|42280|0|N
H7020|011|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |SC|42450|0|N
H7020|011|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |SC|42030|0|N
H7020|011|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |SC|42100|0|N
H7020|011|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |SC|42220|0|N
H7020|011|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |SC|42380|0|N
H7020|011|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |SC|42410|0|N
H7020|011|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |SC|42430|0|N
H7020|011|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |SC|42070|0|N
H7020|011|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |SC|42090|0|N
H7020|011|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |SC|42140|0|N
H7020|011|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |SC|42170|0|N
H7020|011|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |SC|42440|0|N
H7028|001|000|DEVOTED HEALTH INSURANCE COMPANY OF SOUTH CAROLINA INC|Devoted CHOICE South Carolina (PPO)|00025185|0.00|590| | |SC|42000|0|N
H7028|001|000|DEVOTED HEALTH INSURANCE COMPANY OF SOUTH CAROLINA INC|Devoted CHOICE South Carolina (PPO)|00025185|0.00|590| | |SC|42030|0|N
H7028|001|000|DEVOTED HEALTH INSURANCE COMPANY OF SOUTH CAROLINA INC|Devoted CHOICE South Carolina (PPO)|00025185|0.00|590| | |SC|42070|0|N
H7028|001|000|DEVOTED HEALTH INSURANCE COMPANY OF SOUTH CAROLINA INC|Devoted CHOICE South Carolina (PPO)|00025185|0.00|590| | |SC|42090|0|N
H7028|001|000|DEVOTED HEALTH INSURANCE COMPANY OF SOUTH CAROLINA INC|Devoted CHOICE South Carolina (PPO)|00025185|0.00|590| | |SC|42110|0|N
H7028|001|000|DEVOTED HEALTH INSURANCE COMPANY OF SOUTH CAROLINA INC|Devoted CHOICE South Carolina (PPO)|00025185|0.00|590| | |SC|42140|0|N
H7028|001|000|DEVOTED HEALTH INSURANCE COMPANY OF SOUTH CAROLINA INC|Devoted CHOICE South Carolina (PPO)|00025185|0.00|590| | |SC|42170|0|N
H7028|001|000|DEVOTED HEALTH INSURANCE COMPANY OF SOUTH CAROLINA INC|Devoted CHOICE South Carolina (PPO)|00025185|0.00|590| | |SC|42180|0|N
H7028|001|000|DEVOTED HEALTH INSURANCE COMPANY OF SOUTH CAROLINA INC|Devoted CHOICE South Carolina (PPO)|00025185|0.00|590| | |SC|42220|0|N
H7028|001|000|DEVOTED HEALTH INSURANCE COMPANY OF SOUTH CAROLINA INC|Devoted CHOICE South Carolina (PPO)|00025185|0.00|590| | |SC|42230|0|N
H7028|001|000|DEVOTED HEALTH INSURANCE COMPANY OF SOUTH CAROLINA INC|Devoted CHOICE South Carolina (PPO)|00025185|0.00|590| | |SC|42290|0|N
H7028|001|000|DEVOTED HEALTH INSURANCE COMPANY OF SOUTH CAROLINA INC|Devoted CHOICE South Carolina (PPO)|00025185|0.00|590| | |SC|42320|0|N
H7028|001|000|DEVOTED HEALTH INSURANCE COMPANY OF SOUTH CAROLINA INC|Devoted CHOICE South Carolina (PPO)|00025185|0.00|590| | |SC|42380|0|N
H7028|001|000|DEVOTED HEALTH INSURANCE COMPANY OF SOUTH CAROLINA INC|Devoted CHOICE South Carolina (PPO)|00025185|0.00|590| | |SC|42400|0|N
H7028|001|000|DEVOTED HEALTH INSURANCE COMPANY OF SOUTH CAROLINA INC|Devoted CHOICE South Carolina (PPO)|00025185|0.00|590| | |SC|42410|0|N
H7028|001|000|DEVOTED HEALTH INSURANCE COMPANY OF SOUTH CAROLINA INC|Devoted CHOICE South Carolina (PPO)|00025185|0.00|590| | |SC|42430|0|N
H7028|001|000|DEVOTED HEALTH INSURANCE COMPANY OF SOUTH CAROLINA INC|Devoted CHOICE South Carolina (PPO)|00025185|0.00|590| | |SC|42450|0|N
H7028|002|000|DEVOTED HEALTH INSURANCE COMPANY OF SOUTH CAROLINA INC|Devoted CHOICE GIVEBACK South Carolina (PPO)|00025185|0.00|590| | |SC|42000|0|N
H7028|002|000|DEVOTED HEALTH INSURANCE COMPANY OF SOUTH CAROLINA INC|Devoted CHOICE GIVEBACK South Carolina (PPO)|00025185|0.00|590| | |SC|42030|0|N
H7028|002|000|DEVOTED HEALTH INSURANCE COMPANY OF SOUTH CAROLINA INC|Devoted CHOICE GIVEBACK South Carolina (PPO)|00025185|0.00|590| | |SC|42070|0|N
H7028|002|000|DEVOTED HEALTH INSURANCE COMPANY OF SOUTH CAROLINA INC|Devoted CHOICE GIVEBACK South Carolina (PPO)|00025185|0.00|590| | |SC|42090|0|N
H7028|002|000|DEVOTED HEALTH INSURANCE COMPANY OF SOUTH CAROLINA INC|Devoted CHOICE GIVEBACK South Carolina (PPO)|00025185|0.00|590| | |SC|42110|0|N
H7028|002|000|DEVOTED HEALTH INSURANCE COMPANY OF SOUTH CAROLINA INC|Devoted CHOICE GIVEBACK South Carolina (PPO)|00025185|0.00|590| | |SC|42140|0|N
H7028|002|000|DEVOTED HEALTH INSURANCE COMPANY OF SOUTH CAROLINA INC|Devoted CHOICE GIVEBACK South Carolina (PPO)|00025185|0.00|590| | |SC|42170|0|N
H7028|002|000|DEVOTED HEALTH INSURANCE COMPANY OF SOUTH CAROLINA INC|Devoted CHOICE GIVEBACK South Carolina (PPO)|00025185|0.00|590| | |SC|42180|0|N
H7028|002|000|DEVOTED HEALTH INSURANCE COMPANY OF SOUTH CAROLINA INC|Devoted CHOICE GIVEBACK South Carolina (PPO)|00025185|0.00|590| | |SC|42220|0|N
H7028|002|000|DEVOTED HEALTH INSURANCE COMPANY OF SOUTH CAROLINA INC|Devoted CHOICE GIVEBACK South Carolina (PPO)|00025185|0.00|590| | |SC|42230|0|N
H7028|002|000|DEVOTED HEALTH INSURANCE COMPANY OF SOUTH CAROLINA INC|Devoted CHOICE GIVEBACK South Carolina (PPO)|00025185|0.00|590| | |SC|42290|0|N
H7028|002|000|DEVOTED HEALTH INSURANCE COMPANY OF SOUTH CAROLINA INC|Devoted CHOICE GIVEBACK South Carolina (PPO)|00025185|0.00|590| | |SC|42320|0|N
H7028|002|000|DEVOTED HEALTH INSURANCE COMPANY OF SOUTH CAROLINA INC|Devoted CHOICE GIVEBACK South Carolina (PPO)|00025185|0.00|590| | |SC|42380|0|N
H7028|002|000|DEVOTED HEALTH INSURANCE COMPANY OF SOUTH CAROLINA INC|Devoted CHOICE GIVEBACK South Carolina (PPO)|00025185|0.00|590| | |SC|42400|0|N
H7028|002|000|DEVOTED HEALTH INSURANCE COMPANY OF SOUTH CAROLINA INC|Devoted CHOICE GIVEBACK South Carolina (PPO)|00025185|0.00|590| | |SC|42410|0|N
H7028|002|000|DEVOTED HEALTH INSURANCE COMPANY OF SOUTH CAROLINA INC|Devoted CHOICE GIVEBACK South Carolina (PPO)|00025185|0.00|590| | |SC|42430|0|N
H7028|002|000|DEVOTED HEALTH INSURANCE COMPANY OF SOUTH CAROLINA INC|Devoted CHOICE GIVEBACK South Carolina (PPO)|00025185|0.00|590| | |SC|42450|0|N
H7063|001|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage (PPO)|00025182|0.00|0| | |KS|17080|0|N
H7063|001|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage (PPO)|00025182|0.00|0| | |KS|17150|0|N
H7063|001|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage (PPO)|00025182|0.00|0| | |KS|17220|0|N
H7063|001|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage (PPO)|00025182|0.00|0| | |KS|17290|0|N
H7063|001|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage (PPO)|00025182|0.00|0| | |KS|17300|0|N
H7063|001|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage (PPO)|00025182|0.00|0| | |KS|17420|0|N
H7063|001|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage (PPO)|00025182|0.00|0| | |KS|17430|0|N
H7063|001|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage (PPO)|00025182|0.00|0| | |KS|17510|0|N
H7063|001|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage (PPO)|00025182|0.00|0| | |KS|17530|0|N
H7063|001|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage (PPO)|00025182|0.00|0| | |KS|17550|0|N
H7063|001|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage (PPO)|00025182|0.00|0| | |KS|17600|0|N
H7063|001|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage (PPO)|00025182|0.00|0| | |KS|17630|0|N
H7063|001|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage (PPO)|00025182|0.00|0| | |KS|17690|0|N
H7063|001|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage (PPO)|00025182|0.00|0| | |KS|17740|0|N
H7063|001|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage (PPO)|00025182|0.00|0| | |KS|17800|0|N
H7063|001|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage (PPO)|00025182|0.00|0| | |KS|17880|0|N
H7063|001|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage (PPO)|00025182|0.00|0| | |KS|17980|0|N
H7063|006|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage (PPO)|00025182|0.00|0| | |KS|17070|0|N
H7063|006|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage (PPO)|00025182|0.00|0| | |KS|17170|0|N
H7063|006|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage (PPO)|00025182|0.00|0| | |KS|17200|0|N
H7063|006|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage (PPO)|00025182|0.00|0| | |KS|17390|0|N
H7063|006|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage (PPO)|00025182|0.00|0| | |KS|17470|0|N
H7063|006|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage (PPO)|00025182|0.00|0| | |KS|17560|0|N
H7063|006|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage (PPO)|00025182|0.00|0| | |KS|17570|0|N
H7063|006|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage (PPO)|00025182|0.00|0| | |KS|17770|0|N
H7063|006|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage (PPO)|00025182|0.00|0| | |KS|17860|0|N
H7063|006|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage (PPO)|00025182|0.00|0| | |KS|17950|0|N
H7063|007|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Comprehensive (PPO)|00025182|36.40|0| | |KS|17000|0|N
H7063|007|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Comprehensive (PPO)|00025182|36.40|0| | |KS|17010|0|N
H7063|007|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Comprehensive (PPO)|00025182|36.40|0| | |KS|17050|0|N
H7063|007|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Comprehensive (PPO)|00025182|36.40|0| | |KS|17070|0|N
H7063|007|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Comprehensive (PPO)|00025182|36.40|0| | |KS|17080|0|N
H7063|007|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Comprehensive (PPO)|00025182|36.40|0| | |KS|17090|0|N
H7063|007|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Comprehensive (PPO)|00025182|36.40|0| | |KS|17100|0|N
H7063|007|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Comprehensive (PPO)|00025182|36.40|0| | |KS|17150|0|N
H7063|007|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Comprehensive (PPO)|00025182|36.40|0| | |KS|17170|0|N
H7063|007|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Comprehensive (PPO)|00025182|36.40|0| | |KS|17180|0|N
H7063|007|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Comprehensive (PPO)|00025182|36.40|0| | |KS|17200|0|N
H7063|007|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Comprehensive (PPO)|00025182|36.40|0| | |KS|17220|0|N
H7063|007|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Comprehensive (PPO)|00025182|36.40|0| | |KS|17240|0|N
H7063|007|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Comprehensive (PPO)|00025182|36.40|0| | |KS|17290|0|N
H7063|007|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Comprehensive (PPO)|00025182|36.40|0| | |KS|17300|0|N
H7063|007|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Comprehensive (PPO)|00025182|36.40|0| | |KS|17360|0|N
H7063|007|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Comprehensive (PPO)|00025182|36.40|0| | |KS|17380|0|N
H7063|007|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Comprehensive (PPO)|00025182|36.40|0| | |KS|17390|0|N
H7063|007|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Comprehensive (PPO)|00025182|36.40|0| | |KS|17420|0|N
H7063|007|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Comprehensive (PPO)|00025182|36.40|0| | |KS|17430|0|N
H7063|007|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Comprehensive (PPO)|00025182|36.40|0| | |KS|17470|0|N
H7063|007|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Comprehensive (PPO)|00025182|36.40|0| | |KS|17490|0|N
H7063|007|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Comprehensive (PPO)|00025182|36.40|0| | |KS|17510|0|N
H7063|007|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Comprehensive (PPO)|00025182|36.40|0| | |KS|17530|0|N
H7063|007|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Comprehensive (PPO)|00025182|36.40|0| | |KS|17550|0|N
H7063|007|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Comprehensive (PPO)|00025182|36.40|0| | |KS|17560|0|N
H7063|007|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Comprehensive (PPO)|00025182|36.40|0| | |KS|17570|0|N
H7063|007|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Comprehensive (PPO)|00025182|36.40|0| | |KS|17600|0|N
H7063|007|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Comprehensive (PPO)|00025182|36.40|0| | |KS|17620|0|N
H7063|007|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Comprehensive (PPO)|00025182|36.40|0| | |KS|17630|0|N
H7063|007|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Comprehensive (PPO)|00025182|36.40|0| | |KS|17660|0|N
H7063|007|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Comprehensive (PPO)|00025182|36.40|0| | |KS|17690|0|N
H7063|007|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Comprehensive (PPO)|00025182|36.40|0| | |KS|17740|0|N
H7063|007|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Comprehensive (PPO)|00025182|36.40|0| | |KS|17770|0|N
H7063|007|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Comprehensive (PPO)|00025182|36.40|0| | |KS|17800|0|N
H7063|007|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Comprehensive (PPO)|00025182|36.40|0| | |KS|17860|0|N
H7063|007|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Comprehensive (PPO)|00025182|36.40|0| | |KS|17880|0|N
H7063|007|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Comprehensive (PPO)|00025182|36.40|0| | |KS|17950|0|N
H7063|007|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Comprehensive (PPO)|00025182|36.40|0| | |KS|17980|0|N
H7063|007|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Comprehensive (PPO)|00025182|36.40|0| | |KS|17984|0|N
H7063|007|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Comprehensive (PPO)|00025182|36.40|0| | |KS|17985|0|N
H7063|012|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Choice (PPO)|00025182|0.00|0| | |KS|17000|0|N
H7063|012|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Choice (PPO)|00025182|0.00|0| | |KS|17010|0|N
H7063|012|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Choice (PPO)|00025182|0.00|0| | |KS|17050|0|N
H7063|012|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Choice (PPO)|00025182|0.00|0| | |KS|17070|0|N
H7063|012|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Choice (PPO)|00025182|0.00|0| | |KS|17080|0|N
H7063|012|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Choice (PPO)|00025182|0.00|0| | |KS|17090|0|N
H7063|012|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Choice (PPO)|00025182|0.00|0| | |KS|17100|0|N
H7063|012|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Choice (PPO)|00025182|0.00|0| | |KS|17150|0|N
H7063|012|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Choice (PPO)|00025182|0.00|0| | |KS|17170|0|N
H7063|012|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Choice (PPO)|00025182|0.00|0| | |KS|17180|0|N
H7063|012|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Choice (PPO)|00025182|0.00|0| | |KS|17200|0|N
H7063|012|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Choice (PPO)|00025182|0.00|0| | |KS|17220|0|N
H7063|012|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Choice (PPO)|00025182|0.00|0| | |KS|17240|0|N
H7063|012|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Choice (PPO)|00025182|0.00|0| | |KS|17290|0|N
H7063|012|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Choice (PPO)|00025182|0.00|0| | |KS|17300|0|N
H7063|012|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Choice (PPO)|00025182|0.00|0| | |KS|17360|0|N
H7063|012|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Choice (PPO)|00025182|0.00|0| | |KS|17380|0|N
H7063|012|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Choice (PPO)|00025182|0.00|0| | |KS|17390|0|N
H7063|012|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Choice (PPO)|00025182|0.00|0| | |KS|17420|0|N
H7063|012|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Choice (PPO)|00025182|0.00|0| | |KS|17430|0|N
H7063|012|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Choice (PPO)|00025182|0.00|0| | |KS|17470|0|N
H7063|012|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Choice (PPO)|00025182|0.00|0| | |KS|17490|0|N
H7063|012|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Choice (PPO)|00025182|0.00|0| | |KS|17510|0|N
H7063|012|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Choice (PPO)|00025182|0.00|0| | |KS|17530|0|N
H7063|012|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Choice (PPO)|00025182|0.00|0| | |KS|17550|0|N
H7063|012|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Choice (PPO)|00025182|0.00|0| | |KS|17560|0|N
H7063|012|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Choice (PPO)|00025182|0.00|0| | |KS|17570|0|N
H7063|012|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Choice (PPO)|00025182|0.00|0| | |KS|17600|0|N
H7063|012|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Choice (PPO)|00025182|0.00|0| | |KS|17620|0|N
H7063|012|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Choice (PPO)|00025182|0.00|0| | |KS|17630|0|N
H7063|012|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Choice (PPO)|00025182|0.00|0| | |KS|17660|0|N
H7063|012|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Choice (PPO)|00025182|0.00|0| | |KS|17690|0|N
H7063|012|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Choice (PPO)|00025182|0.00|0| | |KS|17740|0|N
H7063|012|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Choice (PPO)|00025182|0.00|0| | |KS|17770|0|N
H7063|012|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Choice (PPO)|00025182|0.00|0| | |KS|17800|0|N
H7063|012|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Choice (PPO)|00025182|0.00|0| | |KS|17860|0|N
H7063|012|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Choice (PPO)|00025182|0.00|0| | |KS|17880|0|N
H7063|012|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Choice (PPO)|00025182|0.00|0| | |KS|17950|0|N
H7063|012|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Choice (PPO)|00025182|0.00|0| | |KS|17980|0|N
H7063|012|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Choice (PPO)|00025182|0.00|0| | |KS|17984|0|N
H7063|012|000|BLUECROSS BLUESHIELD KANSAS SOLUTIONS, INC.|Blue Medicare Advantage Choice (PPO)|00025182|0.00|0| | |KS|17985|0|N
H7074|001|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health AVA (PPO)|00025083|0.00|0| | |NC|34050|0|N
H7074|001|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health AVA (PPO)|00025083|0.00|0| | |NC|34100|0|N
H7074|001|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health AVA (PPO)|00025083|0.00|0| | |NC|34180|0|N
H7074|001|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health AVA (PPO)|00025083|0.00|0| | |NC|34280|0|N
H7074|001|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health AVA (PPO)|00025083|0.00|0| | |NC|34290|0|N
H7074|001|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health AVA (PPO)|00025083|0.00|0| | |NC|34330|0|N
H7074|001|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health AVA (PPO)|00025083|0.00|0| | |NC|34400|0|N
H7074|001|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health AVA (PPO)|00025083|0.00|0| | |NC|34440|0|N
H7074|001|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health AVA (PPO)|00025083|0.00|0| | |NC|34500|0|N
H7074|001|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health AVA (PPO)|00025083|0.00|0| | |NC|34550|0|N
H7074|001|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health AVA (PPO)|00025083|0.00|0| | |NC|34570|0|N
H7074|001|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health AVA (PPO)|00025083|0.00|0| | |NC|34600|0|N
H7074|001|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health AVA (PPO)|00025083|0.00|0| | |NC|34670|0|N
H7074|001|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health AVA (PPO)|00025083|0.00|0| | |NC|34870|0|N
H7074|001|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health AVA (PPO)|00025083|0.00|0| | |NC|34910|0|N
H7074|001|000|ALIGNMENT HEALTH PLAN OF NORTH CAROLINA, INC.|Alignment Health AVA (PPO)|00025083|0.00|0| | |NC|34960|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15000|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15010|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15020|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15030|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15040|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15050|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15060|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15070|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15080|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15090|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15100|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15110|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15120|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15130|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15140|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15150|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15160|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15170|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15180|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15190|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15200|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15210|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15220|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15230|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15240|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15250|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15260|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15270|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15280|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15290|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15300|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15310|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15320|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15330|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15340|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15350|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15360|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15370|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15380|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15390|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15400|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15410|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15420|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15430|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15440|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15450|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15460|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15470|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15480|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15490|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15500|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15510|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15520|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15530|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15540|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15550|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15560|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15570|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15580|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15590|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15600|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15610|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15620|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15630|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15640|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15650|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15660|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15670|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15680|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15690|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15700|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15710|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15720|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15730|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15740|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15750|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15760|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15770|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15780|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15790|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15800|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15810|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15820|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15830|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15840|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15850|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15860|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15870|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15880|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15890|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15900|0|N
H7093|002|000|COMMUNITY INSURANCE COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|95| | |IN|15910|0|N
H7115|001|000|MEMORIAL HERMANN HEALTH PLAN|Memorial Hermann Advantage (HMO)|00025471|0.00|0| | |TX|45180|0|N
H7115|001|000|MEMORIAL HERMANN HEALTH PLAN|Memorial Hermann Advantage (HMO)|00025471|0.00|0| | |TX|45530|0|N
H7115|001|000|MEMORIAL HERMANN HEALTH PLAN|Memorial Hermann Advantage (HMO)|00025471|0.00|0| | |TX|45550|0|N
H7115|001|000|MEMORIAL HERMANN HEALTH PLAN|Memorial Hermann Advantage (HMO)|00025471|0.00|0| | |TX|45610|0|N
H7115|001|000|MEMORIAL HERMANN HEALTH PLAN|Memorial Hermann Advantage (HMO)|00025471|0.00|0| | |TX|45757|0|N
H7115|001|000|MEMORIAL HERMANN HEALTH PLAN|Memorial Hermann Advantage (HMO)|00025471|0.00|0| | |TX|45801|0|N
H7115|005|000|MEMORIAL HERMANN HEALTH PLAN|Memorial Hermann Dual Advantage (HMO D-SNP)|00025471|0.00|590| | |TX|45180|2|N
H7115|005|000|MEMORIAL HERMANN HEALTH PLAN|Memorial Hermann Dual Advantage (HMO D-SNP)|00025471|0.00|590| | |TX|45530|2|N
H7115|005|000|MEMORIAL HERMANN HEALTH PLAN|Memorial Hermann Dual Advantage (HMO D-SNP)|00025471|0.00|590| | |TX|45610|2|N
H7115|005|000|MEMORIAL HERMANN HEALTH PLAN|Memorial Hermann Dual Advantage (HMO D-SNP)|00025471|0.00|590| | |TX|45757|2|N
H7115|005|000|MEMORIAL HERMANN HEALTH PLAN|Memorial Hermann Dual Advantage (HMO D-SNP)|00025471|0.00|590| | |TX|45801|2|N
H7123|001|000|UPMC HEALTH COVERAGE, INC.|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39140|2|N
H7123|001|000|UPMC HEALTH COVERAGE, INC.|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39210|2|N
H7123|001|000|UPMC HEALTH COVERAGE, INC.|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39290|2|N
H7123|001|000|UPMC HEALTH COVERAGE, INC.|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39560|2|N
H7123|001|000|UPMC HEALTH COVERAGE, INC.|UPMC for Life Complete Care (HMO D-SNP)|00025186|0.00|590| | |PA|39620|2|N
H7147|001|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted CORE Colorado (HMO)|00025185|0.00|495| | |CO|06120|0|N
H7147|001|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted CORE Colorado (HMO)|00025185|0.00|495| | |CO|06130|0|N
H7147|001|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted CORE Colorado (HMO)|00025185|0.00|495| | |CO|06200|0|N
H7147|001|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted CORE Colorado (HMO)|00025185|0.00|495| | |CO|06210|0|N
H7147|001|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted CORE Colorado (HMO)|00025185|0.00|495| | |CO|06270|0|N
H7147|001|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted CORE Colorado (HMO)|00025185|0.00|495| | |CO|06280|0|N
H7147|001|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted CORE Colorado (HMO)|00025185|0.00|495| | |CO|06340|0|N
H7147|001|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted CORE Colorado (HMO)|00025185|0.00|495| | |CO|06360|0|N
H7147|001|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted CORE Colorado (HMO)|00025185|0.00|495| | |CO|06500|0|N
H7147|001|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted CORE Colorado (HMO)|00025185|0.00|495| | |CO|06540|0|N
H7147|001|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted CORE Colorado (HMO)|00025185|0.00|495| | |CO|06590|0|N
H7147|001|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted CORE Colorado (HMO)|00025185|0.00|495| | |CO|06610|0|N
H7147|003|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted DUAL PLUS Colorado (HMO D-SNP)|00025185|23.50|590| | |CO|06000|2|N
H7147|003|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted DUAL PLUS Colorado (HMO D-SNP)|00025185|23.50|590| | |CO|06020|2|N
H7147|003|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted DUAL PLUS Colorado (HMO D-SNP)|00025185|23.50|590| | |CO|06060|2|N
H7147|003|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted DUAL PLUS Colorado (HMO D-SNP)|00025185|23.50|590| | |CO|06070|2|N
H7147|003|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted DUAL PLUS Colorado (HMO D-SNP)|00025185|23.50|590| | |CO|06090|2|N
H7147|003|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted DUAL PLUS Colorado (HMO D-SNP)|00025185|23.50|590| | |CO|06120|2|N
H7147|003|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted DUAL PLUS Colorado (HMO D-SNP)|00025185|23.50|590| | |CO|06130|2|N
H7147|003|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted DUAL PLUS Colorado (HMO D-SNP)|00025185|23.50|590| | |CO|06150|2|N
H7147|003|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted DUAL PLUS Colorado (HMO D-SNP)|00025185|23.50|590| | |CO|06170|2|N
H7147|003|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted DUAL PLUS Colorado (HMO D-SNP)|00025185|23.50|590| | |CO|06190|2|N
H7147|003|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted DUAL PLUS Colorado (HMO D-SNP)|00025185|23.50|590| | |CO|06200|2|N
H7147|003|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted DUAL PLUS Colorado (HMO D-SNP)|00025185|23.50|590| | |CO|06210|2|N
H7147|003|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted DUAL PLUS Colorado (HMO D-SNP)|00025185|23.50|590| | |CO|06230|2|N
H7147|003|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted DUAL PLUS Colorado (HMO D-SNP)|00025185|23.50|590| | |CO|06240|2|N
H7147|003|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted DUAL PLUS Colorado (HMO D-SNP)|00025185|23.50|590| | |CO|06270|2|N
H7147|003|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted DUAL PLUS Colorado (HMO D-SNP)|00025185|23.50|590| | |CO|06280|2|N
H7147|003|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted DUAL PLUS Colorado (HMO D-SNP)|00025185|23.50|590| | |CO|06290|2|N
H7147|003|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted DUAL PLUS Colorado (HMO D-SNP)|00025185|23.50|590| | |CO|06340|2|N
H7147|003|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted DUAL PLUS Colorado (HMO D-SNP)|00025185|23.50|590| | |CO|06360|2|N
H7147|003|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted DUAL PLUS Colorado (HMO D-SNP)|00025185|23.50|590| | |CO|06460|2|N
H7147|003|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted DUAL PLUS Colorado (HMO D-SNP)|00025185|23.50|590| | |CO|06500|2|N
H7147|003|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted DUAL PLUS Colorado (HMO D-SNP)|00025185|23.50|590| | |CO|06540|2|N
H7147|003|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted DUAL PLUS Colorado (HMO D-SNP)|00025185|23.50|590| | |CO|06590|2|N
H7147|003|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted DUAL PLUS Colorado (HMO D-SNP)|00025185|23.50|590| | |CO|06600|2|N
H7147|003|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted DUAL PLUS Colorado (HMO D-SNP)|00025185|23.50|590| | |CO|06610|2|N
H7147|003|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted DUAL PLUS Colorado (HMO D-SNP)|00025185|23.50|590| | |CO|06630|2|N
H7147|004|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted CORE Colorado (HMO)|00025185|0.00|590| | |CO|06000|0|N
H7147|004|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted CORE Colorado (HMO)|00025185|0.00|590| | |CO|06020|0|N
H7147|004|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted CORE Colorado (HMO)|00025185|0.00|590| | |CO|06060|0|N
H7147|004|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted CORE Colorado (HMO)|00025185|0.00|590| | |CO|06090|0|N
H7147|004|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted CORE Colorado (HMO)|00025185|0.00|590| | |CO|06150|0|N
H7147|004|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted CORE Colorado (HMO)|00025185|0.00|590| | |CO|06170|0|N
H7147|004|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted CORE Colorado (HMO)|00025185|0.00|590| | |CO|06190|0|N
H7147|004|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted CORE Colorado (HMO)|00025185|0.00|590| | |CO|06230|0|N
H7147|004|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted CORE Colorado (HMO)|00025185|0.00|590| | |CO|06290|0|N
H7147|004|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted CORE Colorado (HMO)|00025185|0.00|590| | |CO|06460|0|N
H7147|004|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted CORE Colorado (HMO)|00025185|0.00|590| | |CO|06630|0|N
H7147|005|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted GIVEBACK Colorado (HMO)|00025185|0.00|590| | |CO|06000|0|N
H7147|005|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted GIVEBACK Colorado (HMO)|00025185|0.00|590| | |CO|06020|0|N
H7147|005|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted GIVEBACK Colorado (HMO)|00025185|0.00|590| | |CO|06060|0|N
H7147|005|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted GIVEBACK Colorado (HMO)|00025185|0.00|590| | |CO|06090|0|N
H7147|005|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted GIVEBACK Colorado (HMO)|00025185|0.00|590| | |CO|06150|0|N
H7147|005|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted GIVEBACK Colorado (HMO)|00025185|0.00|590| | |CO|06170|0|N
H7147|005|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted GIVEBACK Colorado (HMO)|00025185|0.00|590| | |CO|06190|0|N
H7147|005|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted GIVEBACK Colorado (HMO)|00025185|0.00|590| | |CO|06230|0|N
H7147|005|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted GIVEBACK Colorado (HMO)|00025185|0.00|590| | |CO|06290|0|N
H7147|005|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted GIVEBACK Colorado (HMO)|00025185|0.00|590| | |CO|06460|0|N
H7147|005|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted GIVEBACK Colorado (HMO)|00025185|0.00|590| | |CO|06630|0|N
H7147|007|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted DUAL Colorado (HMO D-SNP)|00025185|25.50|590| | |CO|06000|2|N
H7147|007|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted DUAL Colorado (HMO D-SNP)|00025185|25.50|590| | |CO|06020|2|N
H7147|007|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted DUAL Colorado (HMO D-SNP)|00025185|25.50|590| | |CO|06060|2|N
H7147|007|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted DUAL Colorado (HMO D-SNP)|00025185|25.50|590| | |CO|06070|2|N
H7147|007|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted DUAL Colorado (HMO D-SNP)|00025185|25.50|590| | |CO|06090|2|N
H7147|007|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted DUAL Colorado (HMO D-SNP)|00025185|25.50|590| | |CO|06120|2|N
H7147|007|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted DUAL Colorado (HMO D-SNP)|00025185|25.50|590| | |CO|06130|2|N
H7147|007|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted DUAL Colorado (HMO D-SNP)|00025185|25.50|590| | |CO|06150|2|N
H7147|007|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted DUAL Colorado (HMO D-SNP)|00025185|25.50|590| | |CO|06170|2|N
H7147|007|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted DUAL Colorado (HMO D-SNP)|00025185|25.50|590| | |CO|06190|2|N
H7147|007|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted DUAL Colorado (HMO D-SNP)|00025185|25.50|590| | |CO|06200|2|N
H7147|007|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted DUAL Colorado (HMO D-SNP)|00025185|25.50|590| | |CO|06210|2|N
H7147|007|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted DUAL Colorado (HMO D-SNP)|00025185|25.50|590| | |CO|06230|2|N
H7147|007|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted DUAL Colorado (HMO D-SNP)|00025185|25.50|590| | |CO|06240|2|N
H7147|007|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted DUAL Colorado (HMO D-SNP)|00025185|25.50|590| | |CO|06270|2|N
H7147|007|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted DUAL Colorado (HMO D-SNP)|00025185|25.50|590| | |CO|06280|2|N
H7147|007|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted DUAL Colorado (HMO D-SNP)|00025185|25.50|590| | |CO|06290|2|N
H7147|007|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted DUAL Colorado (HMO D-SNP)|00025185|25.50|590| | |CO|06340|2|N
H7147|007|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted DUAL Colorado (HMO D-SNP)|00025185|25.50|590| | |CO|06360|2|N
H7147|007|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted DUAL Colorado (HMO D-SNP)|00025185|25.50|590| | |CO|06460|2|N
H7147|007|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted DUAL Colorado (HMO D-SNP)|00025185|25.50|590| | |CO|06500|2|N
H7147|007|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted DUAL Colorado (HMO D-SNP)|00025185|25.50|590| | |CO|06540|2|N
H7147|007|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted DUAL Colorado (HMO D-SNP)|00025185|25.50|590| | |CO|06590|2|N
H7147|007|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted DUAL Colorado (HMO D-SNP)|00025185|25.50|590| | |CO|06600|2|N
H7147|007|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted DUAL Colorado (HMO D-SNP)|00025185|25.50|590| | |CO|06610|2|N
H7147|007|000|DEVOTED HEALTH PLAN OF COLORADO INC|Devoted DUAL Colorado (HMO D-SNP)|00025185|25.50|590| | |CO|06630|2|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28000|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28010|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28030|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28050|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28070|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28080|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28090|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28100|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28110|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28120|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28130|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28160|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28170|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28180|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28190|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28200|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28210|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28250|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28260|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28270|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28290|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28300|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28310|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28320|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28330|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28350|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28360|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28380|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28390|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28400|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28410|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28440|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28460|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28470|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28480|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28490|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28520|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28530|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28540|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28570|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28590|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28600|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28610|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28620|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28630|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28640|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28650|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28660|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28680|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28690|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28700|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28710|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28730|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28740|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28750|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28760|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28770|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28790|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28810|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28830|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28840|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28860|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28870|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28880|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28890|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28900|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28910|0|N
H7149|001|000|AETNA HEALTH INC. (PA)|Aetna Medicare Premier (HMO-POS)|00025101|0.00|590| | |NE|28920|0|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28000|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28010|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28030|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28050|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28070|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28080|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28090|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28100|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28110|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28120|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28130|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28160|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28170|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28180|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28190|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28200|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28210|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28250|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28260|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28270|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28290|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28300|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28310|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28320|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28330|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28350|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28360|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28380|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28390|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28400|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28410|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28440|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28460|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28470|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28480|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28490|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28520|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28530|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28540|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28570|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28590|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28600|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28610|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28620|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28630|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28640|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28650|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28660|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28680|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28690|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28700|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28710|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28730|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28740|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28750|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28760|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28770|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28790|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28810|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28830|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28840|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28860|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28870|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28880|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28890|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28900|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28910|2|N
H7149|006|000|AETNA HEALTH INC. (PA)|Aetna Medicare Assure Premier (HMO D-SNP)|00025101|0.00|590| | |NE|28920|2|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28000|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28010|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28030|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28050|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28070|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28080|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28090|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28100|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28110|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28120|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28130|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28160|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28170|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28180|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28190|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28200|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28210|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28250|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28260|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28270|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28290|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28300|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28310|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28320|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28330|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28350|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28360|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28380|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28390|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28400|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28410|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28440|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28460|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28470|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28480|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28490|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28520|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28530|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28540|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28570|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28590|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28600|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28610|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28620|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28630|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28640|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28650|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28660|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28680|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28690|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28700|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28710|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28730|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28740|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28750|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28760|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28770|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28790|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28810|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28830|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28840|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28860|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28870|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28880|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28890|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28900|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28910|0|N
H7149|008|000|AETNA HEALTH INC. (PA)|Aetna Medicare Value Plus (HMO-POS)|00025101|49.00|590| | |NE|28920|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28000|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28010|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28030|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28050|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28070|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28080|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28090|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28100|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28110|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28120|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28130|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28160|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28170|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28180|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28190|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28200|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28210|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28250|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28260|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28270|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28290|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28300|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28310|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28320|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28330|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28350|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28360|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28380|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28390|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28400|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28410|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28440|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28460|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28470|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28480|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28490|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28520|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28530|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28540|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28570|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28590|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28600|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28610|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28620|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28630|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28640|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28650|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28660|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28680|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28690|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28700|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28710|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28730|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28740|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28750|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28760|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28770|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28790|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28810|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28830|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28840|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28860|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28870|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28880|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28890|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28900|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28910|0|N
H7149|009|000|AETNA HEALTH INC. (PA)|Aetna Medicare SmartFit (HMO-POS)|00025101|0.00|590| | |NE|28920|0|N
H7151|001|000|DEVOTED HEALTH PLAN OF ILLINOIS, INC.|Devoted CORE Illinois (HMO)|00025188|0.00|590| | |IL|14141|0|N
H7151|001|000|DEVOTED HEALTH PLAN OF ILLINOIS, INC.|Devoted CORE Illinois (HMO)|00025188|0.00|590| | |IL|14250|0|N
H7151|001|000|DEVOTED HEALTH PLAN OF ILLINOIS, INC.|Devoted CORE Illinois (HMO)|00025188|0.00|590| | |IL|14530|0|N
H7151|001|000|DEVOTED HEALTH PLAN OF ILLINOIS, INC.|Devoted CORE Illinois (HMO)|00025188|0.00|590| | |IL|14540|0|N
H7151|001|000|DEVOTED HEALTH PLAN OF ILLINOIS, INC.|Devoted CORE Illinois (HMO)|00025188|0.00|590| | |IL|14550|0|N
H7151|001|000|DEVOTED HEALTH PLAN OF ILLINOIS, INC.|Devoted CORE Illinois (HMO)|00025188|0.00|590| | |IL|14570|0|N
H7151|001|000|DEVOTED HEALTH PLAN OF ILLINOIS, INC.|Devoted CORE Illinois (HMO)|00025188|0.00|590| | |IL|14640|0|N
H7151|001|000|DEVOTED HEALTH PLAN OF ILLINOIS, INC.|Devoted CORE Illinois (HMO)|00025188|0.00|590| | |IL|14989|0|N
H7151|003|000|DEVOTED HEALTH PLAN OF ILLINOIS, INC.|Devoted GIVEBACK Illinois (HMO)|00025188|0.00|590| | |IL|14141|0|N
H7151|003|000|DEVOTED HEALTH PLAN OF ILLINOIS, INC.|Devoted GIVEBACK Illinois (HMO)|00025188|0.00|590| | |IL|14250|0|N
H7151|003|000|DEVOTED HEALTH PLAN OF ILLINOIS, INC.|Devoted GIVEBACK Illinois (HMO)|00025188|0.00|590| | |IL|14530|0|N
H7151|003|000|DEVOTED HEALTH PLAN OF ILLINOIS, INC.|Devoted GIVEBACK Illinois (HMO)|00025188|0.00|590| | |IL|14540|0|N
H7151|003|000|DEVOTED HEALTH PLAN OF ILLINOIS, INC.|Devoted GIVEBACK Illinois (HMO)|00025188|0.00|590| | |IL|14550|0|N
H7151|003|000|DEVOTED HEALTH PLAN OF ILLINOIS, INC.|Devoted GIVEBACK Illinois (HMO)|00025188|0.00|590| | |IL|14570|0|N
H7151|003|000|DEVOTED HEALTH PLAN OF ILLINOIS, INC.|Devoted GIVEBACK Illinois (HMO)|00025188|0.00|590| | |IL|14640|0|N
H7151|003|000|DEVOTED HEALTH PLAN OF ILLINOIS, INC.|Devoted GIVEBACK Illinois (HMO)|00025188|0.00|590| | |IL|14989|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25000|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25020|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25030|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25050|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25060|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25070|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25090|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25100|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25110|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25130|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25140|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25150|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25180|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25190|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25200|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25210|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25220|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25230|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25240|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25250|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25260|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25270|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25290|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25300|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25310|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25320|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25330|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25340|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25380|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25390|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25410|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25420|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25440|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25450|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25480|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25500|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25530|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25540|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25550|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25560|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25590|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25600|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25610|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25620|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25630|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25640|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25650|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25660|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25670|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25710|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25730|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25740|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25750|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25760|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25770|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25780|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25800|0|N
H7163|002|000|Primewell Health Services of Mississippi Inc.|Primewell Classic (HMO-POS)|00025328|0.00|0| | |MS|25810|0|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25000|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25020|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25030|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25050|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25060|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25070|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25090|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25100|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25110|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25130|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25140|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25150|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25180|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25190|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25200|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25210|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25220|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25230|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25240|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25250|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25260|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25270|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25290|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25300|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25310|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25320|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25330|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25340|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25380|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25390|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25410|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25420|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25440|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25450|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25480|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25500|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25530|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25540|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25550|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25560|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25590|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25600|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25610|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25620|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25630|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25640|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25650|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25660|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25670|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25710|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25730|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25740|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25750|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25760|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25770|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25780|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25800|2|N
H7163|003|000|Primewell Health Services of Mississippi Inc.|Primewell Dual Plus (HMO-POS D-SNP)|00025328|47.20|590| | |MS|25810|2|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25000|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25020|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25030|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25050|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25060|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25070|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25090|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25100|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25110|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25130|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25140|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25150|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25180|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25190|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25200|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25210|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25220|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25230|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25240|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25250|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25260|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25270|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25290|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25300|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25310|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25320|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25330|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25340|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25380|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25390|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25410|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25420|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25440|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25450|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25480|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25500|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25530|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25540|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25550|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25560|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25590|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25600|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25610|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25620|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25630|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25640|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25650|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25660|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25670|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25710|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25730|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25740|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25750|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25760|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25770|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25780|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25800|0|N
H7163|004|000|Primewell Health Services of Mississippi Inc.|Primewell Reliance (HMO-POS)|00025328|47.20|0| | |MS|25810|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25000|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25020|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25030|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25050|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25060|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25070|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25090|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25100|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25110|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25130|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25140|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25150|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25180|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25190|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25200|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25210|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25220|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25230|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25240|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25250|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25260|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25270|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25290|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25300|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25310|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25320|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25330|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25340|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25380|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25390|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25410|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25420|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25440|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25450|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25480|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25500|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25530|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25540|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25550|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25560|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25590|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25600|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25610|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25620|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25630|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25640|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25650|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25660|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25670|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25710|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25730|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25740|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25750|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25760|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25770|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25780|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25800|0|N
H7163|005|000|Primewell Health Services of Mississippi Inc.|Primewell Giveback (HMO-POS)|00025328|0.00|195| | |MS|25810|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36000|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36010|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36020|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36040|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36050|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36060|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36070|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36080|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36090|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36100|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36110|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36120|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36130|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36140|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36150|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36160|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36170|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36190|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36200|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36210|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36220|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36230|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36240|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36250|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36260|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36270|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36280|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36290|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36300|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36310|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36330|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36340|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36350|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36360|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36370|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36380|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36390|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36400|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36410|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36420|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36430|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36440|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36450|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36460|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36470|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36480|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36490|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36500|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36510|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36520|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36530|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36540|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36550|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36560|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36570|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36580|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36590|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36600|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36610|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36620|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36630|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36640|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36650|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36660|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36670|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36680|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36690|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36700|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36710|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36720|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36730|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36740|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36750|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36760|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36770|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36780|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36790|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36800|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36810|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36820|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36830|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36840|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36850|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36860|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36870|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36880|0|N
H7169|001|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |OH|36890|0|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36000|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36010|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36020|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36050|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36060|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36070|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36080|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36090|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36100|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36110|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36120|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36130|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36140|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36150|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36160|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36170|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36190|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36200|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36210|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36220|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36230|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36240|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36260|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36270|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36280|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36290|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36300|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36310|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36330|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36340|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36350|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36360|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36370|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36380|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36390|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36400|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36410|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36420|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36430|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36440|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36450|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36460|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36470|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36480|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36490|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36500|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36510|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36530|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36540|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36550|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36560|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36570|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36580|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36590|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36600|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36610|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36620|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36630|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36640|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36650|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36660|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36670|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36680|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36690|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36700|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36710|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36720|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36730|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36740|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36750|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36760|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36770|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36780|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36790|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36800|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36810|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36820|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36830|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36840|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36850|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36860|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36870|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36880|2|N
H7169|003|000|BUCKEYE HEALTH PLAN COMMUNITY SOLUTIONS, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|420| | |OH|36890|2|N
H7172|001|000|AETNA BETTER HEALTH INC. (OH)|Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)|00025126|0.00|0| | |OH|36080|0|N
H7172|001|000|AETNA BETTER HEALTH INC. (OH)|Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)|00025126|0.00|0| | |OH|36120|0|N
H7172|001|000|AETNA BETTER HEALTH INC. (OH)|Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)|00025126|0.00|0| | |OH|36130|0|N
H7172|001|000|AETNA BETTER HEALTH INC. (OH)|Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)|00025126|0.00|0| | |OH|36210|0|N
H7172|001|000|AETNA BETTER HEALTH INC. (OH)|Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)|00025126|0.00|0| | |OH|36250|0|N
H7172|001|000|AETNA BETTER HEALTH INC. (OH)|Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)|00025126|0.00|0| | |OH|36260|0|N
H7172|001|000|AETNA BETTER HEALTH INC. (OH)|Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)|00025126|0.00|0| | |OH|36310|0|N
H7172|001|000|AETNA BETTER HEALTH INC. (OH)|Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)|00025126|0.00|0| | |OH|36490|0|N
H7172|001|000|AETNA BETTER HEALTH INC. (OH)|Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)|00025126|0.00|0| | |OH|36500|0|N
H7172|001|000|AETNA BETTER HEALTH INC. (OH)|Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)|00025126|0.00|0| | |OH|36630|0|N
H7172|001|000|AETNA BETTER HEALTH INC. (OH)|Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)|00025126|0.00|0| | |OH|36660|0|N
H7172|001|000|AETNA BETTER HEALTH INC. (OH)|Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)|00025126|0.00|0| | |OH|36810|0|N
H7172|001|000|AETNA BETTER HEALTH INC. (OH)|Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)|00025126|0.00|0| | |OH|36840|0|N
H7172|001|000|AETNA BETTER HEALTH INC. (OH)|Aetna Better Health of Ohio, MyCare Ohio (Medicare-Medicaid Plan)|00025126|0.00|0| | |OH|36880|0|N
H7199|001|000|DEVOTED HEALTH  PLAN OF OREGON|Devoted CHOICE Oregon (PPO)|00025185|0.00|590| | |OR|38020|0|N
H7199|001|000|DEVOTED HEALTH  PLAN OF OREGON|Devoted CHOICE Oregon (PPO)|00025185|0.00|590| | |OR|38040|0|N
H7199|001|000|DEVOTED HEALTH  PLAN OF OREGON|Devoted CHOICE Oregon (PPO)|00025185|0.00|590| | |OR|38250|0|N
H7199|001|000|DEVOTED HEALTH  PLAN OF OREGON|Devoted CHOICE Oregon (PPO)|00025185|0.00|590| | |OR|38330|0|N
H7199|002|000|DEVOTED HEALTH  PLAN OF OREGON|Devoted CHOICE PLUS Oregon (PPO)|00025185|1.10|590| | |OR|38020|0|N
H7199|002|000|DEVOTED HEALTH  PLAN OF OREGON|Devoted CHOICE PLUS Oregon (PPO)|00025185|1.10|590| | |OR|38040|0|N
H7199|002|000|DEVOTED HEALTH  PLAN OF OREGON|Devoted CHOICE PLUS Oregon (PPO)|00025185|1.10|590| | |OR|38250|0|N
H7199|002|000|DEVOTED HEALTH  PLAN OF OREGON|Devoted CHOICE PLUS Oregon (PPO)|00025185|1.10|590| | |OR|38330|0|N
H7220|004|000|HealthKeepers, Inc.|IU Health Plans Medicare Choice (HMO-POS)|00025368|0.00|0| | |IN|15030|0|N
H7220|004|000|HealthKeepers, Inc.|IU Health Plans Medicare Choice (HMO-POS)|00025368|0.00|0| | |IN|15050|0|N
H7220|004|000|HealthKeepers, Inc.|IU Health Plans Medicare Choice (HMO-POS)|00025368|0.00|0| | |IN|15070|0|N
H7220|004|000|HealthKeepers, Inc.|IU Health Plans Medicare Choice (HMO-POS)|00025368|0.00|0| | |IN|15080|0|N
H7220|004|000|HealthKeepers, Inc.|IU Health Plans Medicare Choice (HMO-POS)|00025368|0.00|0| | |IN|15110|0|N
H7220|004|000|HealthKeepers, Inc.|IU Health Plans Medicare Choice (HMO-POS)|00025368|0.00|0| | |IN|15170|0|N
H7220|004|000|HealthKeepers, Inc.|IU Health Plans Medicare Choice (HMO-POS)|00025368|0.00|0| | |IN|15280|0|N
H7220|004|000|HealthKeepers, Inc.|IU Health Plans Medicare Choice (HMO-POS)|00025368|0.00|0| | |IN|15290|0|N
H7220|004|000|HealthKeepers, Inc.|IU Health Plans Medicare Choice (HMO-POS)|00025368|0.00|0| | |IN|15310|0|N
H7220|004|000|HealthKeepers, Inc.|IU Health Plans Medicare Choice (HMO-POS)|00025368|0.00|0| | |IN|15320|0|N
H7220|004|000|HealthKeepers, Inc.|IU Health Plans Medicare Choice (HMO-POS)|00025368|0.00|0| | |IN|15400|0|N
H7220|004|000|HealthKeepers, Inc.|IU Health Plans Medicare Choice (HMO-POS)|00025368|0.00|0| | |IN|15460|0|N
H7220|004|000|HealthKeepers, Inc.|IU Health Plans Medicare Choice (HMO-POS)|00025368|0.00|0| | |IN|15480|0|N
H7220|004|000|HealthKeepers, Inc.|IU Health Plans Medicare Choice (HMO-POS)|00025368|0.00|0| | |IN|15520|0|N
H7220|004|000|HealthKeepers, Inc.|IU Health Plans Medicare Choice (HMO-POS)|00025368|0.00|0| | |IN|15540|0|N
H7220|004|000|HealthKeepers, Inc.|IU Health Plans Medicare Choice (HMO-POS)|00025368|0.00|0| | |IN|15660|0|N
H7220|004|000|HealthKeepers, Inc.|IU Health Plans Medicare Choice (HMO-POS)|00025368|0.00|0| | |IN|15720|0|N
H7220|004|000|HealthKeepers, Inc.|IU Health Plans Medicare Choice (HMO-POS)|00025368|0.00|0| | |IN|15780|0|N
H7220|004|000|HealthKeepers, Inc.|IU Health Plans Medicare Choice (HMO-POS)|00025368|0.00|0| | |IN|15790|0|N
H7220|004|000|HealthKeepers, Inc.|IU Health Plans Medicare Choice (HMO-POS)|00025368|0.00|0| | |IN|15900|0|N
H7220|009|001|HealthKeepers, Inc.|IU Health Plans Medicare Select Plus (HMO)|00025368|0.00|0| | |IN|15030|0|N
H7220|009|001|HealthKeepers, Inc.|IU Health Plans Medicare Select Plus (HMO)|00025368|0.00|0| | |IN|15060|0|N
H7220|009|001|HealthKeepers, Inc.|IU Health Plans Medicare Select Plus (HMO)|00025368|0.00|0| | |IN|15070|0|N
H7220|009|001|HealthKeepers, Inc.|IU Health Plans Medicare Select Plus (HMO)|00025368|0.00|0| | |IN|15080|0|N
H7220|009|001|HealthKeepers, Inc.|IU Health Plans Medicare Select Plus (HMO)|00025368|0.00|0| | |IN|15170|0|N
H7220|009|001|HealthKeepers, Inc.|IU Health Plans Medicare Select Plus (HMO)|00025368|0.00|0| | |IN|15220|0|N
H7220|009|001|HealthKeepers, Inc.|IU Health Plans Medicare Select Plus (HMO)|00025368|0.00|0| | |IN|15270|0|N
H7220|009|001|HealthKeepers, Inc.|IU Health Plans Medicare Select Plus (HMO)|00025368|0.00|0| | |IN|15330|0|N
H7220|009|001|HealthKeepers, Inc.|IU Health Plans Medicare Select Plus (HMO)|00025368|0.00|0| | |IN|15370|0|N
H7220|009|001|HealthKeepers, Inc.|IU Health Plans Medicare Select Plus (HMO)|00025368|0.00|0| | |IN|15460|0|N
H7220|009|001|HealthKeepers, Inc.|IU Health Plans Medicare Select Plus (HMO)|00025368|0.00|0| | |IN|15530|0|N
H7220|009|001|HealthKeepers, Inc.|IU Health Plans Medicare Select Plus (HMO)|00025368|0.00|0| | |IN|15580|0|N
H7220|009|001|HealthKeepers, Inc.|IU Health Plans Medicare Select Plus (HMO)|00025368|0.00|0| | |IN|15590|0|N
H7220|009|001|HealthKeepers, Inc.|IU Health Plans Medicare Select Plus (HMO)|00025368|0.00|0| | |IN|15670|0|N
H7220|009|001|HealthKeepers, Inc.|IU Health Plans Medicare Select Plus (HMO)|00025368|0.00|0| | |IN|15790|0|N
H7220|009|001|HealthKeepers, Inc.|IU Health Plans Medicare Select Plus (HMO)|00025368|0.00|0| | |IN|15850|0|N
H7220|009|001|HealthKeepers, Inc.|IU Health Plans Medicare Select Plus (HMO)|00025368|0.00|0| | |IN|15900|0|N
H7220|009|002|HealthKeepers, Inc.|IU Health Plans Medicare Select Plus (HMO)|00025368|0.00|0| | |IN|15050|0|N
H7220|009|002|HealthKeepers, Inc.|IU Health Plans Medicare Select Plus (HMO)|00025368|0.00|0| | |IN|15110|0|N
H7220|009|002|HealthKeepers, Inc.|IU Health Plans Medicare Select Plus (HMO)|00025368|0.00|0| | |IN|15280|0|N
H7220|009|002|HealthKeepers, Inc.|IU Health Plans Medicare Select Plus (HMO)|00025368|0.00|0| | |IN|15290|0|N
H7220|009|002|HealthKeepers, Inc.|IU Health Plans Medicare Select Plus (HMO)|00025368|0.00|0| | |IN|15310|0|N
H7220|009|002|HealthKeepers, Inc.|IU Health Plans Medicare Select Plus (HMO)|00025368|0.00|0| | |IN|15400|0|N
H7220|009|002|HealthKeepers, Inc.|IU Health Plans Medicare Select Plus (HMO)|00025368|0.00|0| | |IN|15470|0|N
H7220|009|002|HealthKeepers, Inc.|IU Health Plans Medicare Select Plus (HMO)|00025368|0.00|0| | |IN|15480|0|N
H7220|009|002|HealthKeepers, Inc.|IU Health Plans Medicare Select Plus (HMO)|00025368|0.00|0| | |IN|15500|0|N
H7220|009|002|HealthKeepers, Inc.|IU Health Plans Medicare Select Plus (HMO)|00025368|0.00|0| | |IN|15520|0|N
H7220|009|002|HealthKeepers, Inc.|IU Health Plans Medicare Select Plus (HMO)|00025368|0.00|0| | |IN|15540|0|N
H7220|009|002|HealthKeepers, Inc.|IU Health Plans Medicare Select Plus (HMO)|00025368|0.00|0| | |IN|15780|0|N
H7220|009|003|HealthKeepers, Inc.|IU Health Plans Medicare Select Plus (HMO)|00025368|0.00|0| | |IN|15000|0|N
H7220|009|003|HealthKeepers, Inc.|IU Health Plans Medicare Select Plus (HMO)|00025368|0.00|0| | |IN|15010|0|N
H7220|009|003|HealthKeepers, Inc.|IU Health Plans Medicare Select Plus (HMO)|00025368|0.00|0| | |IN|15340|0|N
H7220|009|003|HealthKeepers, Inc.|IU Health Plans Medicare Select Plus (HMO)|00025368|0.00|0| | |IN|15890|0|N
H7220|009|003|HealthKeepers, Inc.|IU Health Plans Medicare Select Plus (HMO)|00025368|0.00|0| | |IN|15910|0|N
H7220|010|000|HealthKeepers, Inc.|IU Health Plans Medicare $0 Preferred (HMO)|00025368|0.00|0| | |IN|15000|0|N
H7220|010|000|HealthKeepers, Inc.|IU Health Plans Medicare $0 Preferred (HMO)|00025368|0.00|0| | |IN|15010|0|N
H7220|010|000|HealthKeepers, Inc.|IU Health Plans Medicare $0 Preferred (HMO)|00025368|0.00|0| | |IN|15030|0|N
H7220|010|000|HealthKeepers, Inc.|IU Health Plans Medicare $0 Preferred (HMO)|00025368|0.00|0| | |IN|15040|0|N
H7220|010|000|HealthKeepers, Inc.|IU Health Plans Medicare $0 Preferred (HMO)|00025368|0.00|0| | |IN|15050|0|N
H7220|010|000|HealthKeepers, Inc.|IU Health Plans Medicare $0 Preferred (HMO)|00025368|0.00|0| | |IN|15060|0|N
H7220|010|000|HealthKeepers, Inc.|IU Health Plans Medicare $0 Preferred (HMO)|00025368|0.00|0| | |IN|15070|0|N
H7220|010|000|HealthKeepers, Inc.|IU Health Plans Medicare $0 Preferred (HMO)|00025368|0.00|0| | |IN|15080|0|N
H7220|010|000|HealthKeepers, Inc.|IU Health Plans Medicare $0 Preferred (HMO)|00025368|0.00|0| | |IN|15110|0|N
H7220|010|000|HealthKeepers, Inc.|IU Health Plans Medicare $0 Preferred (HMO)|00025368|0.00|0| | |IN|15170|0|N
H7220|010|000|HealthKeepers, Inc.|IU Health Plans Medicare $0 Preferred (HMO)|00025368|0.00|0| | |IN|15220|0|N
H7220|010|000|HealthKeepers, Inc.|IU Health Plans Medicare $0 Preferred (HMO)|00025368|0.00|0| | |IN|15270|0|N
H7220|010|000|HealthKeepers, Inc.|IU Health Plans Medicare $0 Preferred (HMO)|00025368|0.00|0| | |IN|15280|0|N
H7220|010|000|HealthKeepers, Inc.|IU Health Plans Medicare $0 Preferred (HMO)|00025368|0.00|0| | |IN|15290|0|N
H7220|010|000|HealthKeepers, Inc.|IU Health Plans Medicare $0 Preferred (HMO)|00025368|0.00|0| | |IN|15310|0|N
H7220|010|000|HealthKeepers, Inc.|IU Health Plans Medicare $0 Preferred (HMO)|00025368|0.00|0| | |IN|15320|0|N
H7220|010|000|HealthKeepers, Inc.|IU Health Plans Medicare $0 Preferred (HMO)|00025368|0.00|0| | |IN|15330|0|N
H7220|010|000|HealthKeepers, Inc.|IU Health Plans Medicare $0 Preferred (HMO)|00025368|0.00|0| | |IN|15340|0|N
H7220|010|000|HealthKeepers, Inc.|IU Health Plans Medicare $0 Preferred (HMO)|00025368|0.00|0| | |IN|15370|0|N
H7220|010|000|HealthKeepers, Inc.|IU Health Plans Medicare $0 Preferred (HMO)|00025368|0.00|0| | |IN|15400|0|N
H7220|010|000|HealthKeepers, Inc.|IU Health Plans Medicare $0 Preferred (HMO)|00025368|0.00|0| | |IN|15460|0|N
H7220|010|000|HealthKeepers, Inc.|IU Health Plans Medicare $0 Preferred (HMO)|00025368|0.00|0| | |IN|15470|0|N
H7220|010|000|HealthKeepers, Inc.|IU Health Plans Medicare $0 Preferred (HMO)|00025368|0.00|0| | |IN|15480|0|N
H7220|010|000|HealthKeepers, Inc.|IU Health Plans Medicare $0 Preferred (HMO)|00025368|0.00|0| | |IN|15500|0|N
H7220|010|000|HealthKeepers, Inc.|IU Health Plans Medicare $0 Preferred (HMO)|00025368|0.00|0| | |IN|15520|0|N
H7220|010|000|HealthKeepers, Inc.|IU Health Plans Medicare $0 Preferred (HMO)|00025368|0.00|0| | |IN|15530|0|N
H7220|010|000|HealthKeepers, Inc.|IU Health Plans Medicare $0 Preferred (HMO)|00025368|0.00|0| | |IN|15540|0|N
H7220|010|000|HealthKeepers, Inc.|IU Health Plans Medicare $0 Preferred (HMO)|00025368|0.00|0| | |IN|15580|0|N
H7220|010|000|HealthKeepers, Inc.|IU Health Plans Medicare $0 Preferred (HMO)|00025368|0.00|0| | |IN|15590|0|N
H7220|010|000|HealthKeepers, Inc.|IU Health Plans Medicare $0 Preferred (HMO)|00025368|0.00|0| | |IN|15660|0|N
H7220|010|000|HealthKeepers, Inc.|IU Health Plans Medicare $0 Preferred (HMO)|00025368|0.00|0| | |IN|15670|0|N
H7220|010|000|HealthKeepers, Inc.|IU Health Plans Medicare $0 Preferred (HMO)|00025368|0.00|0| | |IN|15720|0|N
H7220|010|000|HealthKeepers, Inc.|IU Health Plans Medicare $0 Preferred (HMO)|00025368|0.00|0| | |IN|15780|0|N
H7220|010|000|HealthKeepers, Inc.|IU Health Plans Medicare $0 Preferred (HMO)|00025368|0.00|0| | |IN|15790|0|N
H7220|010|000|HealthKeepers, Inc.|IU Health Plans Medicare $0 Preferred (HMO)|00025368|0.00|0| | |IN|15850|0|N
H7220|010|000|HealthKeepers, Inc.|IU Health Plans Medicare $0 Preferred (HMO)|00025368|0.00|0| | |IN|15890|0|N
H7220|010|000|HealthKeepers, Inc.|IU Health Plans Medicare $0 Preferred (HMO)|00025368|0.00|0| | |IN|15900|0|N
H7220|010|000|HealthKeepers, Inc.|IU Health Plans Medicare $0 Preferred (HMO)|00025368|0.00|0| | |IN|15910|0|N
H7220|011|000|HealthKeepers, Inc.|IU Health Plans Medicare Flex Network (HMO-POS)|00025368|0.00|0| | |IN|15000|0|N
H7220|011|000|HealthKeepers, Inc.|IU Health Plans Medicare Flex Network (HMO-POS)|00025368|0.00|0| | |IN|15010|0|N
H7220|011|000|HealthKeepers, Inc.|IU Health Plans Medicare Flex Network (HMO-POS)|00025368|0.00|0| | |IN|15030|0|N
H7220|011|000|HealthKeepers, Inc.|IU Health Plans Medicare Flex Network (HMO-POS)|00025368|0.00|0| | |IN|15040|0|N
H7220|011|000|HealthKeepers, Inc.|IU Health Plans Medicare Flex Network (HMO-POS)|00025368|0.00|0| | |IN|15050|0|N
H7220|011|000|HealthKeepers, Inc.|IU Health Plans Medicare Flex Network (HMO-POS)|00025368|0.00|0| | |IN|15060|0|N
H7220|011|000|HealthKeepers, Inc.|IU Health Plans Medicare Flex Network (HMO-POS)|00025368|0.00|0| | |IN|15070|0|N
H7220|011|000|HealthKeepers, Inc.|IU Health Plans Medicare Flex Network (HMO-POS)|00025368|0.00|0| | |IN|15080|0|N
H7220|011|000|HealthKeepers, Inc.|IU Health Plans Medicare Flex Network (HMO-POS)|00025368|0.00|0| | |IN|15110|0|N
H7220|011|000|HealthKeepers, Inc.|IU Health Plans Medicare Flex Network (HMO-POS)|00025368|0.00|0| | |IN|15170|0|N
H7220|011|000|HealthKeepers, Inc.|IU Health Plans Medicare Flex Network (HMO-POS)|00025368|0.00|0| | |IN|15220|0|N
H7220|011|000|HealthKeepers, Inc.|IU Health Plans Medicare Flex Network (HMO-POS)|00025368|0.00|0| | |IN|15270|0|N
H7220|011|000|HealthKeepers, Inc.|IU Health Plans Medicare Flex Network (HMO-POS)|00025368|0.00|0| | |IN|15280|0|N
H7220|011|000|HealthKeepers, Inc.|IU Health Plans Medicare Flex Network (HMO-POS)|00025368|0.00|0| | |IN|15290|0|N
H7220|011|000|HealthKeepers, Inc.|IU Health Plans Medicare Flex Network (HMO-POS)|00025368|0.00|0| | |IN|15310|0|N
H7220|011|000|HealthKeepers, Inc.|IU Health Plans Medicare Flex Network (HMO-POS)|00025368|0.00|0| | |IN|15320|0|N
H7220|011|000|HealthKeepers, Inc.|IU Health Plans Medicare Flex Network (HMO-POS)|00025368|0.00|0| | |IN|15330|0|N
H7220|011|000|HealthKeepers, Inc.|IU Health Plans Medicare Flex Network (HMO-POS)|00025368|0.00|0| | |IN|15340|0|N
H7220|011|000|HealthKeepers, Inc.|IU Health Plans Medicare Flex Network (HMO-POS)|00025368|0.00|0| | |IN|15370|0|N
H7220|011|000|HealthKeepers, Inc.|IU Health Plans Medicare Flex Network (HMO-POS)|00025368|0.00|0| | |IN|15400|0|N
H7220|011|000|HealthKeepers, Inc.|IU Health Plans Medicare Flex Network (HMO-POS)|00025368|0.00|0| | |IN|15460|0|N
H7220|011|000|HealthKeepers, Inc.|IU Health Plans Medicare Flex Network (HMO-POS)|00025368|0.00|0| | |IN|15470|0|N
H7220|011|000|HealthKeepers, Inc.|IU Health Plans Medicare Flex Network (HMO-POS)|00025368|0.00|0| | |IN|15480|0|N
H7220|011|000|HealthKeepers, Inc.|IU Health Plans Medicare Flex Network (HMO-POS)|00025368|0.00|0| | |IN|15500|0|N
H7220|011|000|HealthKeepers, Inc.|IU Health Plans Medicare Flex Network (HMO-POS)|00025368|0.00|0| | |IN|15520|0|N
H7220|011|000|HealthKeepers, Inc.|IU Health Plans Medicare Flex Network (HMO-POS)|00025368|0.00|0| | |IN|15530|0|N
H7220|011|000|HealthKeepers, Inc.|IU Health Plans Medicare Flex Network (HMO-POS)|00025368|0.00|0| | |IN|15540|0|N
H7220|011|000|HealthKeepers, Inc.|IU Health Plans Medicare Flex Network (HMO-POS)|00025368|0.00|0| | |IN|15580|0|N
H7220|011|000|HealthKeepers, Inc.|IU Health Plans Medicare Flex Network (HMO-POS)|00025368|0.00|0| | |IN|15590|0|N
H7220|011|000|HealthKeepers, Inc.|IU Health Plans Medicare Flex Network (HMO-POS)|00025368|0.00|0| | |IN|15660|0|N
H7220|011|000|HealthKeepers, Inc.|IU Health Plans Medicare Flex Network (HMO-POS)|00025368|0.00|0| | |IN|15670|0|N
H7220|011|000|HealthKeepers, Inc.|IU Health Plans Medicare Flex Network (HMO-POS)|00025368|0.00|0| | |IN|15720|0|N
H7220|011|000|HealthKeepers, Inc.|IU Health Plans Medicare Flex Network (HMO-POS)|00025368|0.00|0| | |IN|15780|0|N
H7220|011|000|HealthKeepers, Inc.|IU Health Plans Medicare Flex Network (HMO-POS)|00025368|0.00|0| | |IN|15790|0|N
H7220|011|000|HealthKeepers, Inc.|IU Health Plans Medicare Flex Network (HMO-POS)|00025368|0.00|0| | |IN|15850|0|N
H7220|011|000|HealthKeepers, Inc.|IU Health Plans Medicare Flex Network (HMO-POS)|00025368|0.00|0| | |IN|15890|0|N
H7220|011|000|HealthKeepers, Inc.|IU Health Plans Medicare Flex Network (HMO-POS)|00025368|0.00|0| | |IN|15900|0|N
H7220|011|000|HealthKeepers, Inc.|IU Health Plans Medicare Flex Network (HMO-POS)|00025368|0.00|0| | |IN|15910|0|N
H7220|012|000|HealthKeepers, Inc.|IU Health Plans Medicare Kidney Care (HMO)|00025368|0.00|0| | |IN|15050|0|N
H7220|012|000|HealthKeepers, Inc.|IU Health Plans Medicare Kidney Care (HMO)|00025368|0.00|0| | |IN|15280|0|N
H7220|012|000|HealthKeepers, Inc.|IU Health Plans Medicare Kidney Care (HMO)|00025368|0.00|0| | |IN|15290|0|N
H7220|012|000|HealthKeepers, Inc.|IU Health Plans Medicare Kidney Care (HMO)|00025368|0.00|0| | |IN|15310|0|N
H7220|012|000|HealthKeepers, Inc.|IU Health Plans Medicare Kidney Care (HMO)|00025368|0.00|0| | |IN|15400|0|N
H7220|012|000|HealthKeepers, Inc.|IU Health Plans Medicare Kidney Care (HMO)|00025368|0.00|0| | |IN|15470|0|N
H7220|012|000|HealthKeepers, Inc.|IU Health Plans Medicare Kidney Care (HMO)|00025368|0.00|0| | |IN|15480|0|N
H7220|012|000|HealthKeepers, Inc.|IU Health Plans Medicare Kidney Care (HMO)|00025368|0.00|0| | |IN|15540|0|N
H7220|012|000|HealthKeepers, Inc.|IU Health Plans Medicare Kidney Care (HMO)|00025368|0.00|0| | |IN|15720|0|N
H7239|001|000|PROMINENCE HEALTHFIRST OF FLORIDA INC|Prominence Plus (HMO)|00025420|0.00|0| | |FL|10490|0|N
H7239|002|000|PROMINENCE HEALTHFIRST OF FLORIDA INC|Prominence Dual (HMO D-SNP)|00025422|0.00|590| | |FL|10490|2|N
H7239|003|000|PROMINENCE HEALTHFIRST OF FLORIDA INC|Prominence Extra Help (HMO)|00025423|3.30|590| | |FL|10490|0|N
H7284|001|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice Florida H7284-001 (PPO)|00025458|24.90|0| | |FL|10340|0|N
H7284|001|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice Florida H7284-001 (PPO)|00025458|24.90|0| | |FL|10410|0|N
H7284|001|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice Florida H7284-001 (PPO)|00025458|24.90|0| | |FL|10580|0|N
H7284|001|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice Florida H7284-001 (PPO)|00025458|24.90|0| | |FL|10590|0|N
H7284|003|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice SNP-DE H7284-003 (PPO D-SNP)|00025456|0.00|590| | |FL|10030|2|N
H7284|003|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice SNP-DE H7284-003 (PPO D-SNP)|00025456|0.00|590| | |FL|10060|2|N
H7284|003|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice SNP-DE H7284-003 (PPO D-SNP)|00025456|0.00|590| | |FL|10140|2|N
H7284|003|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice SNP-DE H7284-003 (PPO D-SNP)|00025456|0.00|590| | |FL|10180|2|N
H7284|003|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice SNP-DE H7284-003 (PPO D-SNP)|00025456|0.00|590| | |FL|10190|2|N
H7284|003|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice SNP-DE H7284-003 (PPO D-SNP)|00025456|0.00|590| | |FL|10200|2|N
H7284|003|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice SNP-DE H7284-003 (PPO D-SNP)|00025456|0.00|590| | |FL|10220|2|N
H7284|003|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice SNP-DE H7284-003 (PPO D-SNP)|00025456|0.00|590| | |FL|10230|2|N
H7284|003|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice SNP-DE H7284-003 (PPO D-SNP)|00025456|0.00|590| | |FL|10290|2|N
H7284|003|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice SNP-DE H7284-003 (PPO D-SNP)|00025456|0.00|590| | |FL|10310|2|N
H7284|003|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice SNP-DE H7284-003 (PPO D-SNP)|00025456|0.00|590| | |FL|10320|2|N
H7284|003|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice SNP-DE H7284-003 (PPO D-SNP)|00025456|0.00|590| | |FL|10330|2|N
H7284|003|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice SNP-DE H7284-003 (PPO D-SNP)|00025456|0.00|590| | |FL|10370|2|N
H7284|003|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice SNP-DE H7284-003 (PPO D-SNP)|00025456|0.00|590| | |FL|10380|2|N
H7284|003|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice SNP-DE H7284-003 (PPO D-SNP)|00025456|0.00|590| | |FL|10390|2|N
H7284|003|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice SNP-DE H7284-003 (PPO D-SNP)|00025456|0.00|590| | |FL|10600|2|N
H7284|003|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice SNP-DE H7284-003 (PPO D-SNP)|00025456|0.00|590| | |FL|10620|2|N
H7284|003|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice SNP-DE H7284-003 (PPO D-SNP)|00025456|0.00|590| | |FL|10640|2|N
H7284|003|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice SNP-DE H7284-003 (PPO D-SNP)|00025456|0.00|590| | |FL|10660|2|N
H7284|008|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice Florida H7284-008 (PPO)|00025458|0.00|150| | |FL|10050|0|N
H7284|008|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice Florida H7284-008 (PPO)|00025458|0.00|150| | |FL|10120|0|N
H7284|008|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice Florida H7284-008 (PPO)|00025458|0.00|150| | |FL|10490|0|N
H7284|009|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice Florida H7284-009 (PPO)|00025458|0.00|350| | |FL|10000|0|N
H7284|009|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice Florida H7284-009 (PPO)|00025458|0.00|350| | |FL|10010|0|N
H7284|009|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice Florida H7284-009 (PPO)|00025458|0.00|350| | |FL|10020|0|N
H7284|009|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice Florida H7284-009 (PPO)|00025458|0.00|350| | |FL|10060|0|N
H7284|009|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice Florida H7284-009 (PPO)|00025458|0.00|350| | |FL|10090|0|N
H7284|009|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice Florida H7284-009 (PPO)|00025458|0.00|350| | |FL|10110|0|N
H7284|009|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice Florida H7284-009 (PPO)|00025458|0.00|350| | |FL|10140|0|N
H7284|009|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice Florida H7284-009 (PPO)|00025458|0.00|350| | |FL|10150|0|N
H7284|009|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice Florida H7284-009 (PPO)|00025458|0.00|350| | |FL|10160|0|N
H7284|009|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice Florida H7284-009 (PPO)|00025458|0.00|350| | |FL|10170|0|N
H7284|009|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice Florida H7284-009 (PPO)|00025458|0.00|350| | |FL|10180|0|N
H7284|009|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice Florida H7284-009 (PPO)|00025458|0.00|350| | |FL|10190|0|N
H7284|009|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice Florida H7284-009 (PPO)|00025458|0.00|350| | |FL|10200|0|N
H7284|009|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice Florida H7284-009 (PPO)|00025458|0.00|350| | |FL|10220|0|N
H7284|009|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice Florida H7284-009 (PPO)|00025458|0.00|350| | |FL|10230|0|N
H7284|009|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice Florida H7284-009 (PPO)|00025458|0.00|350| | |FL|10290|0|N
H7284|009|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice Florida H7284-009 (PPO)|00025458|0.00|350| | |FL|10310|0|N
H7284|009|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice Florida H7284-009 (PPO)|00025458|0.00|350| | |FL|10320|0|N
H7284|009|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice Florida H7284-009 (PPO)|00025458|0.00|350| | |FL|10330|0|N
H7284|009|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice Florida H7284-009 (PPO)|00025458|0.00|350| | |FL|10370|0|N
H7284|009|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice Florida H7284-009 (PPO)|00025458|0.00|350| | |FL|10380|0|N
H7284|009|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice Florida H7284-009 (PPO)|00025458|0.00|350| | |FL|10390|0|N
H7284|009|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice Florida H7284-009 (PPO)|00025458|0.00|350| | |FL|10440|0|N
H7284|009|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice Florida H7284-009 (PPO)|00025458|0.00|350| | |FL|10530|0|N
H7284|009|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice Florida H7284-009 (PPO)|00025458|0.00|350| | |FL|10540|0|N
H7284|009|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice Florida H7284-009 (PPO)|00025458|0.00|350| | |FL|10560|0|N
H7284|009|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice Florida H7284-009 (PPO)|00025458|0.00|350| | |FL|10610|0|N
H7284|009|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice Florida H7284-009 (PPO)|00025458|0.00|350| | |FL|10630|0|N
H7284|009|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice Florida H7284-009 (PPO)|00025458|0.00|350| | |FL|10640|0|N
H7284|009|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice Florida H7284-009 (PPO)|00025458|0.00|350| | |FL|10650|0|N
H7284|009|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice Florida H7284-009 (PPO)|00025458|0.00|350| | |FL|10660|0|N
H7284|010|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice Florida SNP-DE H7284-010 (PPO D-SNP)|00025461|20.30|590| | |FL|10040|2|N
H7284|010|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice Florida SNP-DE H7284-010 (PPO D-SNP)|00025461|20.30|590| | |FL|10050|2|N
H7284|010|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice Florida SNP-DE H7284-010 (PPO D-SNP)|00025461|20.30|590| | |FL|10120|2|N
H7284|010|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice Florida SNP-DE H7284-010 (PPO D-SNP)|00025461|20.30|590| | |FL|10210|2|N
H7284|010|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice Florida SNP-DE H7284-010 (PPO D-SNP)|00025461|20.30|590| | |FL|10300|2|N
H7284|010|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice Florida SNP-DE H7284-010 (PPO D-SNP)|00025461|20.30|590| | |FL|10420|2|N
H7284|010|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice Florida SNP-DE H7284-010 (PPO D-SNP)|00025461|20.30|590| | |FL|10460|2|N
H7284|010|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice Florida SNP-DE H7284-010 (PPO D-SNP)|00025461|20.30|590| | |FL|10490|2|N
H7284|010|000|HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC.|HumanaChoice Florida SNP-DE H7284-010 (PPO D-SNP)|00025461|20.30|590| | |FL|10550|2|N
H7301|002|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier Advantra (PPO)|00025101|13.40|0| | |IL|14030|0|N
H7301|002|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier Advantra (PPO)|00025101|13.40|0| | |IL|14050|0|N
H7301|002|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier Advantra (PPO)|00025101|13.40|0| | |IL|14170|0|N
H7301|002|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier Advantra (PPO)|00025101|13.40|0| | |IL|14420|0|N
H7301|002|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier Advantra (PPO)|00025101|13.40|0| | |IL|14440|0|N
H7301|002|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier Advantra (PPO)|00025101|13.40|0| | |IL|14450|0|N
H7301|002|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier Advantra (PPO)|00025101|13.40|0| | |IL|14510|0|N
H7301|002|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier Advantra (PPO)|00025101|13.40|0| | |IL|14550|0|N
H7301|002|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier Advantra (PPO)|00025101|13.40|0| | |IL|14600|0|N
H7301|002|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier Advantra (PPO)|00025101|13.40|0| | |IL|14790|0|N
H7301|002|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier Advantra (PPO)|00025101|13.40|0| | |IL|14890|0|N
H7301|002|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier Advantra (PPO)|00025101|13.40|0| | |IL|14970|0|N
H7301|002|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier Advantra (PPO)|00025101|13.40|0| | |IL|14988|0|N
H7301|002|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier Advantra (PPO)|00025101|13.40|0| | |IL|14991|0|N
H7301|006|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value Advantra (PPO)|00025101|0.00|590| | |IL|14030|0|N
H7301|006|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value Advantra (PPO)|00025101|0.00|590| | |IL|14050|0|N
H7301|006|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value Advantra (PPO)|00025101|0.00|590| | |IL|14170|0|N
H7301|006|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value Advantra (PPO)|00025101|0.00|590| | |IL|14420|0|N
H7301|006|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value Advantra (PPO)|00025101|0.00|590| | |IL|14440|0|N
H7301|006|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value Advantra (PPO)|00025101|0.00|590| | |IL|14450|0|N
H7301|006|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value Advantra (PPO)|00025101|0.00|590| | |IL|14510|0|N
H7301|006|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value Advantra (PPO)|00025101|0.00|590| | |IL|14550|0|N
H7301|006|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value Advantra (PPO)|00025101|0.00|590| | |IL|14600|0|N
H7301|006|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value Advantra (PPO)|00025101|0.00|590| | |IL|14790|0|N
H7301|006|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value Advantra (PPO)|00025101|0.00|590| | |IL|14890|0|N
H7301|006|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value Advantra (PPO)|00025101|0.00|590| | |IL|14970|0|N
H7301|006|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value Advantra (PPO)|00025101|0.00|590| | |IL|14988|0|N
H7301|006|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value Advantra (PPO)|00025101|0.00|590| | |IL|14991|0|N
H7301|007|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IL|14000|0|N
H7301|007|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IL|14020|0|N
H7301|007|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IL|14040|0|N
H7301|007|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IL|14060|0|N
H7301|007|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IL|14080|0|N
H7301|007|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IL|14090|0|N
H7301|007|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IL|14100|0|N
H7301|007|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IL|14110|0|N
H7301|007|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IL|14120|0|N
H7301|007|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IL|14130|0|N
H7301|007|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IL|14140|0|N
H7301|007|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IL|14150|0|N
H7301|007|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IL|14160|0|N
H7301|007|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IL|14190|0|N
H7301|007|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IL|14310|0|N
H7301|007|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IL|14330|0|N
H7301|007|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IL|14340|0|N
H7301|007|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IL|14370|0|N
H7301|007|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IL|14390|0|N
H7301|007|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IL|14480|0|N
H7301|007|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IL|14500|0|N
H7301|007|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IL|14560|0|N
H7301|007|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IL|14580|0|N
H7301|007|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IL|14590|0|N
H7301|007|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IL|14630|0|N
H7301|007|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IL|14650|0|N
H7301|007|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IL|14660|0|N
H7301|007|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IL|14670|0|N
H7301|007|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IL|14680|0|N
H7301|007|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IL|14700|0|N
H7301|007|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IL|14710|0|N
H7301|007|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IL|14750|0|N
H7301|007|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IL|14760|0|N
H7301|007|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IL|14780|0|N
H7301|007|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IL|14800|0|N
H7301|007|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IL|14860|0|N
H7301|007|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IL|14900|0|N
H7301|007|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IL|14920|0|N
H7301|007|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IL|14921|0|N
H7301|007|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IL|14940|0|N
H7301|007|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IL|14950|0|N
H7301|007|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IL|14960|0|N
H7301|007|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IL|14980|0|N
H7301|007|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value (PPO)|00025101|0.00|590| | |IL|14982|0|N
H7301|009|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (PPO)|00025101|22.80|590| | |IL|14000|0|N
H7301|009|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (PPO)|00025101|22.80|590| | |IL|14020|0|N
H7301|009|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (PPO)|00025101|22.80|590| | |IL|14040|0|N
H7301|009|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (PPO)|00025101|22.80|590| | |IL|14060|0|N
H7301|009|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (PPO)|00025101|22.80|590| | |IL|14080|0|N
H7301|009|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (PPO)|00025101|22.80|590| | |IL|14090|0|N
H7301|009|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (PPO)|00025101|22.80|590| | |IL|14100|0|N
H7301|009|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (PPO)|00025101|22.80|590| | |IL|14110|0|N
H7301|009|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (PPO)|00025101|22.80|590| | |IL|14120|0|N
H7301|009|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (PPO)|00025101|22.80|590| | |IL|14130|0|N
H7301|009|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (PPO)|00025101|22.80|590| | |IL|14140|0|N
H7301|009|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (PPO)|00025101|22.80|590| | |IL|14150|0|N
H7301|009|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (PPO)|00025101|22.80|590| | |IL|14160|0|N
H7301|009|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (PPO)|00025101|22.80|590| | |IL|14190|0|N
H7301|009|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (PPO)|00025101|22.80|590| | |IL|14310|0|N
H7301|009|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (PPO)|00025101|22.80|590| | |IL|14330|0|N
H7301|009|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (PPO)|00025101|22.80|590| | |IL|14340|0|N
H7301|009|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (PPO)|00025101|22.80|590| | |IL|14370|0|N
H7301|009|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (PPO)|00025101|22.80|590| | |IL|14390|0|N
H7301|009|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (PPO)|00025101|22.80|590| | |IL|14480|0|N
H7301|009|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (PPO)|00025101|22.80|590| | |IL|14500|0|N
H7301|009|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (PPO)|00025101|22.80|590| | |IL|14560|0|N
H7301|009|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (PPO)|00025101|22.80|590| | |IL|14580|0|N
H7301|009|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (PPO)|00025101|22.80|590| | |IL|14590|0|N
H7301|009|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (PPO)|00025101|22.80|590| | |IL|14630|0|N
H7301|009|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (PPO)|00025101|22.80|590| | |IL|14650|0|N
H7301|009|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (PPO)|00025101|22.80|590| | |IL|14660|0|N
H7301|009|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (PPO)|00025101|22.80|590| | |IL|14670|0|N
H7301|009|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (PPO)|00025101|22.80|590| | |IL|14680|0|N
H7301|009|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (PPO)|00025101|22.80|590| | |IL|14700|0|N
H7301|009|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (PPO)|00025101|22.80|590| | |IL|14710|0|N
H7301|009|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (PPO)|00025101|22.80|590| | |IL|14750|0|N
H7301|009|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (PPO)|00025101|22.80|590| | |IL|14760|0|N
H7301|009|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (PPO)|00025101|22.80|590| | |IL|14780|0|N
H7301|009|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (PPO)|00025101|22.80|590| | |IL|14800|0|N
H7301|009|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (PPO)|00025101|22.80|590| | |IL|14860|0|N
H7301|009|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (PPO)|00025101|22.80|590| | |IL|14900|0|N
H7301|009|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (PPO)|00025101|22.80|590| | |IL|14920|0|N
H7301|009|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (PPO)|00025101|22.80|590| | |IL|14921|0|N
H7301|009|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (PPO)|00025101|22.80|590| | |IL|14940|0|N
H7301|009|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (PPO)|00025101|22.80|590| | |IL|14950|0|N
H7301|009|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (PPO)|00025101|22.80|590| | |IL|14960|0|N
H7301|009|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (PPO)|00025101|22.80|590| | |IL|14980|0|N
H7301|009|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Premier (PPO)|00025101|22.80|590| | |IL|14982|0|N
H7301|013|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Choice (PPO)|00025101|0.00|590| | |IL|14141|0|N
H7301|013|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Choice (PPO)|00025101|0.00|590| | |IL|14250|0|N
H7301|013|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Choice (PPO)|00025101|0.00|590| | |IL|14400|0|N
H7301|013|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Choice (PPO)|00025101|0.00|590| | |IL|14530|0|N
H7301|013|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Choice (PPO)|00025101|0.00|590| | |IL|14540|0|N
H7301|013|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Choice (PPO)|00025101|0.00|590| | |IL|14570|0|N
H7301|013|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Choice (PPO)|00025101|0.00|590| | |IL|14640|0|N
H7301|013|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Choice (PPO)|00025101|0.00|590| | |IL|14989|0|N
H7301|015|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Enhanced Select (PPO)|00025101|35.90|590| | |IL|14030|0|N
H7301|015|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Enhanced Select (PPO)|00025101|35.90|590| | |IL|14050|0|N
H7301|015|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Enhanced Select (PPO)|00025101|35.90|590| | |IL|14070|0|N
H7301|015|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Enhanced Select (PPO)|00025101|35.90|590| | |IL|14141|0|N
H7301|015|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Enhanced Select (PPO)|00025101|35.90|590| | |IL|14170|0|N
H7301|015|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Enhanced Select (PPO)|00025101|35.90|590| | |IL|14250|0|N
H7301|015|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Enhanced Select (PPO)|00025101|35.90|590| | |IL|14400|0|N
H7301|015|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Enhanced Select (PPO)|00025101|35.90|590| | |IL|14420|0|N
H7301|015|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Enhanced Select (PPO)|00025101|35.90|590| | |IL|14440|0|N
H7301|015|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Enhanced Select (PPO)|00025101|35.90|590| | |IL|14450|0|N
H7301|015|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Enhanced Select (PPO)|00025101|35.90|590| | |IL|14510|0|N
H7301|015|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Enhanced Select (PPO)|00025101|35.90|590| | |IL|14530|0|N
H7301|015|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Enhanced Select (PPO)|00025101|35.90|590| | |IL|14540|0|N
H7301|015|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Enhanced Select (PPO)|00025101|35.90|590| | |IL|14550|0|N
H7301|015|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Enhanced Select (PPO)|00025101|35.90|590| | |IL|14570|0|N
H7301|015|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Enhanced Select (PPO)|00025101|35.90|590| | |IL|14600|0|N
H7301|015|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Enhanced Select (PPO)|00025101|35.90|590| | |IL|14640|0|N
H7301|015|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Enhanced Select (PPO)|00025101|35.90|590| | |IL|14740|0|N
H7301|015|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Enhanced Select (PPO)|00025101|35.90|590| | |IL|14790|0|N
H7301|015|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Enhanced Select (PPO)|00025101|35.90|590| | |IL|14890|0|N
H7301|015|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Enhanced Select (PPO)|00025101|35.90|590| | |IL|14970|0|N
H7301|015|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Enhanced Select (PPO)|00025101|35.90|590| | |IL|14984|0|N
H7301|015|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Enhanced Select (PPO)|00025101|35.90|590| | |IL|14988|0|N
H7301|015|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Enhanced Select (PPO)|00025101|35.90|590| | |IL|14989|0|N
H7301|015|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Enhanced Select (PPO)|00025101|35.90|590| | |IL|14991|0|N
H7301|021|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IL|14030|0|N
H7301|021|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IL|14050|0|N
H7301|021|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IL|14170|0|N
H7301|021|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IL|14420|0|N
H7301|021|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IL|14440|0|N
H7301|021|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IL|14450|0|N
H7301|021|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IL|14510|0|N
H7301|021|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IL|14550|0|N
H7301|021|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IL|14600|0|N
H7301|021|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IL|14790|0|N
H7301|021|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IL|14890|0|N
H7301|021|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IL|14970|0|N
H7301|021|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IL|14988|0|N
H7301|021|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare SmartFit (PPO)|00025101|0.00|590| | |IL|14991|0|N
H7301|022|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value Plus (PPO)|00025100|14.50|590| | |IL|14030|0|N
H7301|022|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value Plus (PPO)|00025100|14.50|590| | |IL|14050|0|N
H7301|022|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value Plus (PPO)|00025100|14.50|590| | |IL|14070|0|N
H7301|022|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value Plus (PPO)|00025100|14.50|590| | |IL|14141|0|N
H7301|022|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value Plus (PPO)|00025100|14.50|590| | |IL|14170|0|N
H7301|022|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value Plus (PPO)|00025100|14.50|590| | |IL|14250|0|N
H7301|022|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value Plus (PPO)|00025100|14.50|590| | |IL|14400|0|N
H7301|022|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value Plus (PPO)|00025100|14.50|590| | |IL|14420|0|N
H7301|022|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value Plus (PPO)|00025100|14.50|590| | |IL|14440|0|N
H7301|022|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value Plus (PPO)|00025100|14.50|590| | |IL|14450|0|N
H7301|022|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value Plus (PPO)|00025100|14.50|590| | |IL|14510|0|N
H7301|022|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value Plus (PPO)|00025100|14.50|590| | |IL|14530|0|N
H7301|022|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value Plus (PPO)|00025100|14.50|590| | |IL|14540|0|N
H7301|022|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value Plus (PPO)|00025100|14.50|590| | |IL|14550|0|N
H7301|022|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value Plus (PPO)|00025100|14.50|590| | |IL|14570|0|N
H7301|022|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value Plus (PPO)|00025100|14.50|590| | |IL|14600|0|N
H7301|022|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value Plus (PPO)|00025100|14.50|590| | |IL|14640|0|N
H7301|022|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value Plus (PPO)|00025100|14.50|590| | |IL|14740|0|N
H7301|022|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value Plus (PPO)|00025100|14.50|590| | |IL|14790|0|N
H7301|022|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value Plus (PPO)|00025100|14.50|590| | |IL|14890|0|N
H7301|022|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value Plus (PPO)|00025100|14.50|590| | |IL|14970|0|N
H7301|022|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value Plus (PPO)|00025100|14.50|590| | |IL|14984|0|N
H7301|022|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value Plus (PPO)|00025100|14.50|590| | |IL|14988|0|N
H7301|022|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value Plus (PPO)|00025100|14.50|590| | |IL|14989|0|N
H7301|022|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Value Plus (PPO)|00025100|14.50|590| | |IL|14991|0|N
H7301|027|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Essential (PPO)|00025100|0.00|590| | |IL|14010|0|N
H7301|027|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Essential (PPO)|00025100|0.00|590| | |IL|14180|0|N
H7301|027|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Essential (PPO)|00025100|0.00|590| | |IL|14320|0|N
H7301|027|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Essential (PPO)|00025100|0.00|590| | |IL|14350|0|N
H7301|027|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Essential (PPO)|00025100|0.00|590| | |IL|14360|0|N
H7301|027|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Essential (PPO)|00025100|0.00|590| | |IL|14380|0|N
H7301|027|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Essential (PPO)|00025100|0.00|590| | |IL|14410|0|N
H7301|027|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Essential (PPO)|00025100|0.00|590| | |IL|14421|0|N
H7301|027|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Essential (PPO)|00025100|0.00|590| | |IL|14460|0|N
H7301|027|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Essential (PPO)|00025100|0.00|590| | |IL|14470|0|N
H7301|027|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Essential (PPO)|00025100|0.00|590| | |IL|14490|0|N
H7301|027|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Essential (PPO)|00025100|0.00|590| | |IL|14520|0|N
H7301|027|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Essential (PPO)|00025100|0.00|590| | |IL|14610|0|N
H7301|027|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Essential (PPO)|00025100|0.00|590| | |IL|14620|0|N
H7301|027|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Essential (PPO)|00025100|0.00|590| | |IL|14690|0|N
H7301|027|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Essential (PPO)|00025100|0.00|590| | |IL|14720|0|N
H7301|027|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Essential (PPO)|00025100|0.00|590| | |IL|14730|0|N
H7301|027|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Essential (PPO)|00025100|0.00|590| | |IL|14770|0|N
H7301|027|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Essential (PPO)|00025100|0.00|590| | |IL|14810|0|N
H7301|027|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Essential (PPO)|00025100|0.00|590| | |IL|14820|0|N
H7301|027|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Essential (PPO)|00025100|0.00|590| | |IL|14830|0|N
H7301|027|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Essential (PPO)|00025100|0.00|590| | |IL|14831|0|N
H7301|027|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Essential (PPO)|00025100|0.00|590| | |IL|14850|0|N
H7301|027|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Essential (PPO)|00025100|0.00|590| | |IL|14870|0|N
H7301|027|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Essential (PPO)|00025100|0.00|590| | |IL|14880|0|N
H7301|027|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Essential (PPO)|00025100|0.00|590| | |IL|14910|0|N
H7301|027|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Essential (PPO)|00025100|0.00|590| | |IL|14981|0|N
H7301|027|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Essential (PPO)|00025100|0.00|590| | |IL|14983|0|N
H7301|027|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Essential (PPO)|00025100|0.00|590| | |IL|14985|0|N
H7301|027|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Essential (PPO)|00025100|0.00|590| | |IL|14986|0|N
H7301|027|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Essential (PPO)|00025100|0.00|590| | |IL|14987|0|N
H7301|027|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Essential (PPO)|00025100|0.00|590| | |IL|14990|0|N
H7301|027|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Essential (PPO)|00025100|0.00|590| | |IL|14992|0|N
H7301|030|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Gold Advantra (PPO)|00025100|27.00|590| | |IL|14030|0|N
H7301|030|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Gold Advantra (PPO)|00025100|27.00|590| | |IL|14050|0|N
H7301|030|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Gold Advantra (PPO)|00025100|27.00|590| | |IL|14070|0|N
H7301|030|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Gold Advantra (PPO)|00025100|27.00|590| | |IL|14170|0|N
H7301|030|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Gold Advantra (PPO)|00025100|27.00|590| | |IL|14420|0|N
H7301|030|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Gold Advantra (PPO)|00025100|27.00|590| | |IL|14440|0|N
H7301|030|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Gold Advantra (PPO)|00025100|27.00|590| | |IL|14450|0|N
H7301|030|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Gold Advantra (PPO)|00025100|27.00|590| | |IL|14510|0|N
H7301|030|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Gold Advantra (PPO)|00025100|27.00|590| | |IL|14550|0|N
H7301|030|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Gold Advantra (PPO)|00025100|27.00|590| | |IL|14600|0|N
H7301|030|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Gold Advantra (PPO)|00025100|27.00|590| | |IL|14740|0|N
H7301|030|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Gold Advantra (PPO)|00025100|27.00|590| | |IL|14790|0|N
H7301|030|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Gold Advantra (PPO)|00025100|27.00|590| | |IL|14890|0|N
H7301|030|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Gold Advantra (PPO)|00025100|27.00|590| | |IL|14970|0|N
H7301|030|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Gold Advantra (PPO)|00025100|27.00|590| | |IL|14984|0|N
H7301|030|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Gold Advantra (PPO)|00025100|27.00|590| | |IL|14988|0|N
H7301|030|000|COVENTRY HEALTH CARE OF ILLINOIS, INC.|Aetna Medicare Gold Advantra (PPO)|00025100|27.00|590| | |IL|14991|0|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45060|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45070|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45090|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45100|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45130|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45140|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45180|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45210|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45221|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45222|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45223|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45240|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45280|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45310|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45312|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45320|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45340|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45390|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45410|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45470|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45480|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45510|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45511|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45530|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45541|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45550|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45561|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45562|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45580|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45581|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45590|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45600|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45610|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45631|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45650|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45651|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45653|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45680|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45700|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45710|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45720|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45731|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45732|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45752|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45755|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45757|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45761|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45770|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45781|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45785|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45790|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45792|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45795|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45796|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45801|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45840|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45843|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45850|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45876|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45879|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45884|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45886|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45893|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45900|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45910|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45940|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45941|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45949|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45950|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45953|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45954|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45962|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45970|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45971|2|N
H7323|005|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|500| | |TX|45973|2|N
H7323|006|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Rx Plus Open (PPO)|00025084|0.00|420| | |TX|45060|0|N
H7323|006|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Rx Plus Open (PPO)|00025084|0.00|420| | |TX|45070|0|N
H7323|006|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Rx Plus Open (PPO)|00025084|0.00|420| | |TX|45100|0|N
H7323|006|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Rx Plus Open (PPO)|00025084|0.00|420| | |TX|45130|0|N
H7323|006|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Rx Plus Open (PPO)|00025084|0.00|420| | |TX|45140|0|N
H7323|006|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Rx Plus Open (PPO)|00025084|0.00|420| | |TX|45180|0|N
H7323|006|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Rx Plus Open (PPO)|00025084|0.00|420| | |TX|45222|0|N
H7323|006|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Rx Plus Open (PPO)|00025084|0.00|420| | |TX|45223|0|N
H7323|006|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Rx Plus Open (PPO)|00025084|0.00|420| | |TX|45280|0|N
H7323|006|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Rx Plus Open (PPO)|00025084|0.00|420| | |TX|45310|0|N
H7323|006|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Rx Plus Open (PPO)|00025084|0.00|420| | |TX|45320|0|N
H7323|006|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Rx Plus Open (PPO)|00025084|0.00|420| | |TX|45340|0|N
H7323|006|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Rx Plus Open (PPO)|00025084|0.00|420| | |TX|45390|0|N
H7323|006|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Rx Plus Open (PPO)|00025084|0.00|420| | |TX|45410|0|N
H7323|006|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Rx Plus Open (PPO)|00025084|0.00|420| | |TX|45480|0|N
H7323|006|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Rx Plus Open (PPO)|00025084|0.00|420| | |TX|45530|0|N
H7323|006|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Rx Plus Open (PPO)|00025084|0.00|420| | |TX|45550|0|N
H7323|006|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Rx Plus Open (PPO)|00025084|0.00|420| | |TX|45581|0|N
H7323|006|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Rx Plus Open (PPO)|00025084|0.00|420| | |TX|45600|0|N
H7323|006|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Rx Plus Open (PPO)|00025084|0.00|420| | |TX|45610|0|N
H7323|006|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Rx Plus Open (PPO)|00025084|0.00|420| | |TX|45631|0|N
H7323|006|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Rx Plus Open (PPO)|00025084|0.00|420| | |TX|45650|0|N
H7323|006|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Rx Plus Open (PPO)|00025084|0.00|420| | |TX|45700|0|N
H7323|006|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Rx Plus Open (PPO)|00025084|0.00|420| | |TX|45720|0|N
H7323|006|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Rx Plus Open (PPO)|00025084|0.00|420| | |TX|45755|0|N
H7323|006|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Rx Plus Open (PPO)|00025084|0.00|420| | |TX|45757|0|N
H7323|006|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Rx Plus Open (PPO)|00025084|0.00|420| | |TX|45792|0|N
H7323|006|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Rx Plus Open (PPO)|00025084|0.00|420| | |TX|45795|0|N
H7323|006|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Rx Plus Open (PPO)|00025084|0.00|420| | |TX|45801|0|N
H7323|006|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Rx Plus Open (PPO)|00025084|0.00|420| | |TX|45840|0|N
H7323|006|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Rx Plus Open (PPO)|00025084|0.00|420| | |TX|45850|0|N
H7323|006|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Rx Plus Open (PPO)|00025084|0.00|420| | |TX|45879|0|N
H7323|006|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Rx Plus Open (PPO)|00025084|0.00|420| | |TX|45884|0|N
H7323|006|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Rx Plus Open (PPO)|00025084|0.00|420| | |TX|45900|0|N
H7323|006|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Rx Plus Open (PPO)|00025084|0.00|420| | |TX|45910|0|N
H7323|006|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Rx Plus Open (PPO)|00025084|0.00|420| | |TX|45940|0|N
H7323|006|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Rx Plus Open (PPO)|00025084|0.00|420| | |TX|45949|0|N
H7323|006|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Rx Plus Open (PPO)|00025084|0.00|420| | |TX|45950|0|N
H7323|006|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Rx Plus Open (PPO)|00025084|0.00|420| | |TX|45970|0|N
H7323|007|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |TX|45060|0|N
H7323|007|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |TX|45090|0|N
H7323|007|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |TX|45130|0|N
H7323|007|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |TX|45210|0|N
H7323|007|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |TX|45240|0|N
H7323|007|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |TX|45480|0|N
H7323|007|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |TX|45541|0|N
H7323|007|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |TX|45561|0|N
H7323|007|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |TX|45562|0|N
H7323|007|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |TX|45650|0|N
H7323|007|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |TX|45710|0|N
H7323|007|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |TX|45731|0|N
H7323|007|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |TX|45732|0|N
H7323|007|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |TX|45770|0|N
H7323|007|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |TX|45781|0|N
H7323|007|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |TX|45792|0|N
H7323|007|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |TX|45876|0|N
H7323|007|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |TX|45900|0|N
H7323|007|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |TX|45953|0|N
H7323|007|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |TX|45962|0|N
H7323|007|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Simple Open (PPO)|00025084|0.00|420| | |TX|45971|0|N
H7323|011|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Mutual of Omaha Simple Secure Open (PPO)|00025076|0.00|420| | |TX|45310|0|N
H7323|011|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Mutual of Omaha Simple Secure Open (PPO)|00025076|0.00|420| | |TX|45390|0|N
H7323|011|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Mutual of Omaha Simple Secure Open (PPO)|00025076|0.00|420| | |TX|45410|0|N
H7323|011|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Mutual of Omaha Simple Secure Open (PPO)|00025076|0.00|420| | |TX|45470|0|N
H7323|011|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Mutual of Omaha Simple Secure Open (PPO)|00025076|0.00|420| | |TX|45510|0|N
H7323|011|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Mutual of Omaha Simple Secure Open (PPO)|00025076|0.00|420| | |TX|45590|0|N
H7323|011|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Mutual of Omaha Simple Secure Open (PPO)|00025076|0.00|420| | |TX|45651|0|N
H7323|011|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Mutual of Omaha Simple Secure Open (PPO)|00025076|0.00|420| | |TX|45653|0|N
H7323|011|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Mutual of Omaha Simple Secure Open (PPO)|00025076|0.00|420| | |TX|45680|0|N
H7323|011|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Mutual of Omaha Simple Secure Open (PPO)|00025076|0.00|420| | |TX|45720|0|N
H7323|011|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Mutual of Omaha Simple Secure Open (PPO)|00025076|0.00|420| | |TX|45796|0|N
H7323|011|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Mutual of Omaha Simple Secure Open (PPO)|00025076|0.00|420| | |TX|45843|0|N
H7323|011|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Mutual of Omaha Simple Secure Open (PPO)|00025076|0.00|420| | |TX|45879|0|N
H7323|011|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Mutual of Omaha Simple Secure Open (PPO)|00025076|0.00|420| | |TX|45893|0|N
H7323|011|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Mutual of Omaha Simple Secure Open (PPO)|00025076|0.00|420| | |TX|45910|0|N
H7323|011|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Mutual of Omaha Simple Secure Open (PPO)|00025076|0.00|420| | |TX|45973|0|N
H7323|012|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Mutual of Omaha Simple Secure Open (PPO)|00025076|0.00|420| | |TX|45070|0|N
H7323|012|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Mutual of Omaha Simple Secure Open (PPO)|00025076|0.00|420| | |TX|45180|0|N
H7323|012|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Mutual of Omaha Simple Secure Open (PPO)|00025076|0.00|420| | |TX|45280|0|N
H7323|012|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Mutual of Omaha Simple Secure Open (PPO)|00025076|0.00|420| | |TX|45312|0|N
H7323|012|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Mutual of Omaha Simple Secure Open (PPO)|00025076|0.00|420| | |TX|45530|0|N
H7323|012|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Mutual of Omaha Simple Secure Open (PPO)|00025076|0.00|420| | |TX|45550|0|N
H7323|012|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Mutual of Omaha Simple Secure Open (PPO)|00025076|0.00|420| | |TX|45580|0|N
H7323|012|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Mutual of Omaha Simple Secure Open (PPO)|00025076|0.00|420| | |TX|45600|0|N
H7323|012|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Mutual of Omaha Simple Secure Open (PPO)|00025076|0.00|420| | |TX|45610|0|N
H7323|012|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Mutual of Omaha Simple Secure Open (PPO)|00025076|0.00|420| | |TX|45700|0|N
H7323|012|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Mutual of Omaha Simple Secure Open (PPO)|00025076|0.00|420| | |TX|45757|0|N
H7323|012|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Mutual of Omaha Simple Secure Open (PPO)|00025076|0.00|420| | |TX|45790|0|N
H7323|012|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Mutual of Omaha Simple Secure Open (PPO)|00025076|0.00|420| | |TX|45801|0|N
H7323|012|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Mutual of Omaha Simple Secure Open (PPO)|00025076|0.00|420| | |TX|45840|0|N
H7323|012|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Mutual of Omaha Simple Secure Open (PPO)|00025076|0.00|420| | |TX|45850|0|N
H7323|012|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Mutual of Omaha Simple Secure Open (PPO)|00025076|0.00|420| | |TX|45884|0|N
H7323|012|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Mutual of Omaha Simple Secure Open (PPO)|00025076|0.00|420| | |TX|45941|0|N
H7323|012|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Mutual of Omaha Simple Secure Open (PPO)|00025076|0.00|420| | |TX|45949|0|N
H7323|012|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Mutual of Omaha Simple Secure Open (PPO)|00025076|0.00|420| | |TX|45950|0|N
H7323|012|000|WELLCARE NATIONAL HEALTH INSURANCE COMPANY|Wellcare Mutual of Omaha Simple Secure Open (PPO)|00025076|0.00|420| | |TX|45954|0|N
H7326|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |SC|42000|0|N
H7326|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |SC|42010|0|N
H7326|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |SC|42020|0|N
H7326|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |SC|42030|0|N
H7326|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |SC|42040|0|N
H7326|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |SC|42050|0|N
H7326|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |SC|42060|0|N
H7326|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |SC|42070|0|N
H7326|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |SC|42080|0|N
H7326|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |SC|42090|0|N
H7326|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |SC|42100|0|N
H7326|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |SC|42110|0|N
H7326|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |SC|42120|0|N
H7326|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |SC|42130|0|N
H7326|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |SC|42140|0|N
H7326|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |SC|42150|0|N
H7326|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |SC|42160|0|N
H7326|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |SC|42170|0|N
H7326|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |SC|42180|0|N
H7326|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |SC|42190|0|N
H7326|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |SC|42200|0|N
H7326|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |SC|42210|0|N
H7326|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |SC|42220|0|N
H7326|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |SC|42230|0|N
H7326|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |SC|42240|0|N
H7326|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |SC|42250|0|N
H7326|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |SC|42260|0|N
H7326|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |SC|42270|0|N
H7326|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |SC|42280|0|N
H7326|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |SC|42290|0|N
H7326|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |SC|42300|0|N
H7326|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |SC|42310|0|N
H7326|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |SC|42320|0|N
H7326|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |SC|42330|0|N
H7326|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |SC|42340|0|N
H7326|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |SC|42350|0|N
H7326|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |SC|42360|0|N
H7326|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |SC|42370|0|N
H7326|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |SC|42380|0|N
H7326|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |SC|42390|0|N
H7326|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |SC|42400|0|N
H7326|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |SC|42410|0|N
H7326|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |SC|42420|0|N
H7326|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |SC|42430|0|N
H7326|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |SC|42440|0|N
H7326|001|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |SC|42450|0|N
H7326|003|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |SC|42000|0|N
H7326|003|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |SC|42010|0|N
H7326|003|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |SC|42020|0|N
H7326|003|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |SC|42030|0|N
H7326|003|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |SC|42040|0|N
H7326|003|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |SC|42050|0|N
H7326|003|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |SC|42060|0|N
H7326|003|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |SC|42070|0|N
H7326|003|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |SC|42080|0|N
H7326|003|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |SC|42090|0|N
H7326|003|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |SC|42100|0|N
H7326|003|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |SC|42110|0|N
H7326|003|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |SC|42120|0|N
H7326|003|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |SC|42130|0|N
H7326|003|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |SC|42140|0|N
H7326|003|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |SC|42150|0|N
H7326|003|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |SC|42160|0|N
H7326|003|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |SC|42170|0|N
H7326|003|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |SC|42180|0|N
H7326|003|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |SC|42190|0|N
H7326|003|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |SC|42200|0|N
H7326|003|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |SC|42210|0|N
H7326|003|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |SC|42220|0|N
H7326|003|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |SC|42230|0|N
H7326|003|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |SC|42240|0|N
H7326|003|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |SC|42250|0|N
H7326|003|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |SC|42260|0|N
H7326|003|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |SC|42270|0|N
H7326|003|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |SC|42280|0|N
H7326|003|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |SC|42290|0|N
H7326|003|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |SC|42300|0|N
H7326|003|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |SC|42310|0|N
H7326|003|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |SC|42320|0|N
H7326|003|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |SC|42330|0|N
H7326|003|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |SC|42340|0|N
H7326|003|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |SC|42350|0|N
H7326|003|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |SC|42360|0|N
H7326|003|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |SC|42370|0|N
H7326|003|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |SC|42380|0|N
H7326|003|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |SC|42390|0|N
H7326|003|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |SC|42400|0|N
H7326|003|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |SC|42410|0|N
H7326|003|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |SC|42420|0|N
H7326|003|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |SC|42430|0|N
H7326|003|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |SC|42440|0|N
H7326|003|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Giveback Open (PPO)|00025084|0.00|420| | |SC|42450|0|N
H7326|006|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025040|0.00|590| | |SC|42000|2|N
H7326|006|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025040|0.00|590| | |SC|42010|2|N
H7326|006|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025040|0.00|590| | |SC|42020|2|N
H7326|006|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025040|0.00|590| | |SC|42030|2|N
H7326|006|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025040|0.00|590| | |SC|42040|2|N
H7326|006|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025040|0.00|590| | |SC|42050|2|N
H7326|006|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025040|0.00|590| | |SC|42060|2|N
H7326|006|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025040|0.00|590| | |SC|42070|2|N
H7326|006|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025040|0.00|590| | |SC|42080|2|N
H7326|006|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025040|0.00|590| | |SC|42090|2|N
H7326|006|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025040|0.00|590| | |SC|42100|2|N
H7326|006|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025040|0.00|590| | |SC|42110|2|N
H7326|006|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025040|0.00|590| | |SC|42120|2|N
H7326|006|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025040|0.00|590| | |SC|42130|2|N
H7326|006|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025040|0.00|590| | |SC|42140|2|N
H7326|006|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025040|0.00|590| | |SC|42150|2|N
H7326|006|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025040|0.00|590| | |SC|42160|2|N
H7326|006|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025040|0.00|590| | |SC|42170|2|N
H7326|006|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025040|0.00|590| | |SC|42180|2|N
H7326|006|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025040|0.00|590| | |SC|42190|2|N
H7326|006|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025040|0.00|590| | |SC|42200|2|N
H7326|006|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025040|0.00|590| | |SC|42210|2|N
H7326|006|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025040|0.00|590| | |SC|42220|2|N
H7326|006|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025040|0.00|590| | |SC|42230|2|N
H7326|006|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025040|0.00|590| | |SC|42240|2|N
H7326|006|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025040|0.00|590| | |SC|42250|2|N
H7326|006|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025040|0.00|590| | |SC|42260|2|N
H7326|006|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025040|0.00|590| | |SC|42270|2|N
H7326|006|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025040|0.00|590| | |SC|42280|2|N
H7326|006|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025040|0.00|590| | |SC|42290|2|N
H7326|006|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025040|0.00|590| | |SC|42300|2|N
H7326|006|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025040|0.00|590| | |SC|42310|2|N
H7326|006|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025040|0.00|590| | |SC|42320|2|N
H7326|006|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025040|0.00|590| | |SC|42330|2|N
H7326|006|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025040|0.00|590| | |SC|42340|2|N
H7326|006|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025040|0.00|590| | |SC|42350|2|N
H7326|006|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025040|0.00|590| | |SC|42360|2|N
H7326|006|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025040|0.00|590| | |SC|42370|2|N
H7326|006|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025040|0.00|590| | |SC|42380|2|N
H7326|006|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025040|0.00|590| | |SC|42390|2|N
H7326|006|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025040|0.00|590| | |SC|42400|2|N
H7326|006|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025040|0.00|590| | |SC|42410|2|N
H7326|006|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025040|0.00|590| | |SC|42420|2|N
H7326|006|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025040|0.00|590| | |SC|42430|2|N
H7326|006|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025040|0.00|590| | |SC|42440|2|N
H7326|006|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Dual Liberty Open (PPO D-SNP)|00025040|0.00|590| | |SC|42450|2|N
H7326|007|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist Open (PPO)|00025066|22.90|590| | |SC|42000|0|N
H7326|007|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist Open (PPO)|00025066|22.90|590| | |SC|42010|0|N
H7326|007|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist Open (PPO)|00025066|22.90|590| | |SC|42020|0|N
H7326|007|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist Open (PPO)|00025066|22.90|590| | |SC|42030|0|N
H7326|007|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist Open (PPO)|00025066|22.90|590| | |SC|42040|0|N
H7326|007|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist Open (PPO)|00025066|22.90|590| | |SC|42050|0|N
H7326|007|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist Open (PPO)|00025066|22.90|590| | |SC|42060|0|N
H7326|007|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist Open (PPO)|00025066|22.90|590| | |SC|42070|0|N
H7326|007|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist Open (PPO)|00025066|22.90|590| | |SC|42080|0|N
H7326|007|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist Open (PPO)|00025066|22.90|590| | |SC|42090|0|N
H7326|007|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist Open (PPO)|00025066|22.90|590| | |SC|42100|0|N
H7326|007|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist Open (PPO)|00025066|22.90|590| | |SC|42110|0|N
H7326|007|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist Open (PPO)|00025066|22.90|590| | |SC|42120|0|N
H7326|007|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist Open (PPO)|00025066|22.90|590| | |SC|42130|0|N
H7326|007|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist Open (PPO)|00025066|22.90|590| | |SC|42140|0|N
H7326|007|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist Open (PPO)|00025066|22.90|590| | |SC|42150|0|N
H7326|007|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist Open (PPO)|00025066|22.90|590| | |SC|42160|0|N
H7326|007|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist Open (PPO)|00025066|22.90|590| | |SC|42170|0|N
H7326|007|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist Open (PPO)|00025066|22.90|590| | |SC|42180|0|N
H7326|007|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist Open (PPO)|00025066|22.90|590| | |SC|42190|0|N
H7326|007|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist Open (PPO)|00025066|22.90|590| | |SC|42200|0|N
H7326|007|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist Open (PPO)|00025066|22.90|590| | |SC|42210|0|N
H7326|007|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist Open (PPO)|00025066|22.90|590| | |SC|42220|0|N
H7326|007|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist Open (PPO)|00025066|22.90|590| | |SC|42230|0|N
H7326|007|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist Open (PPO)|00025066|22.90|590| | |SC|42240|0|N
H7326|007|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist Open (PPO)|00025066|22.90|590| | |SC|42250|0|N
H7326|007|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist Open (PPO)|00025066|22.90|590| | |SC|42260|0|N
H7326|007|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist Open (PPO)|00025066|22.90|590| | |SC|42270|0|N
H7326|007|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist Open (PPO)|00025066|22.90|590| | |SC|42280|0|N
H7326|007|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist Open (PPO)|00025066|22.90|590| | |SC|42290|0|N
H7326|007|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist Open (PPO)|00025066|22.90|590| | |SC|42300|0|N
H7326|007|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist Open (PPO)|00025066|22.90|590| | |SC|42310|0|N
H7326|007|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist Open (PPO)|00025066|22.90|590| | |SC|42320|0|N
H7326|007|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist Open (PPO)|00025066|22.90|590| | |SC|42330|0|N
H7326|007|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist Open (PPO)|00025066|22.90|590| | |SC|42340|0|N
H7326|007|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist Open (PPO)|00025066|22.90|590| | |SC|42350|0|N
H7326|007|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist Open (PPO)|00025066|22.90|590| | |SC|42360|0|N
H7326|007|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist Open (PPO)|00025066|22.90|590| | |SC|42370|0|N
H7326|007|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist Open (PPO)|00025066|22.90|590| | |SC|42380|0|N
H7326|007|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist Open (PPO)|00025066|22.90|590| | |SC|42390|0|N
H7326|007|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist Open (PPO)|00025066|22.90|590| | |SC|42400|0|N
H7326|007|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist Open (PPO)|00025066|22.90|590| | |SC|42410|0|N
H7326|007|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist Open (PPO)|00025066|22.90|590| | |SC|42420|0|N
H7326|007|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist Open (PPO)|00025066|22.90|590| | |SC|42430|0|N
H7326|007|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist Open (PPO)|00025066|22.90|590| | |SC|42440|0|N
H7326|007|000|WELLCARE OF SOUTH CAROLINA, INC.|Wellcare Assist Open (PPO)|00025066|22.90|590| | |SC|42450|0|N
H7330|001|000|ZING HEALTH, INC.|Zing Select Care IL (HMO)|00025302|0.00|0| | |IL|14030|0|N
H7330|001|000|ZING HEALTH, INC.|Zing Select Care IL (HMO)|00025302|0.00|0| | |IL|14141|0|N
H7330|001|000|ZING HEALTH, INC.|Zing Select Care IL (HMO)|00025302|0.00|0| | |IL|14170|0|N
H7330|001|000|ZING HEALTH, INC.|Zing Select Care IL (HMO)|00025302|0.00|0| | |IL|14250|0|N
H7330|001|000|ZING HEALTH, INC.|Zing Select Care IL (HMO)|00025302|0.00|0| | |IL|14530|0|N
H7330|001|000|ZING HEALTH, INC.|Zing Select Care IL (HMO)|00025302|0.00|0| | |IL|14540|0|N
H7330|001|000|ZING HEALTH, INC.|Zing Select Care IL (HMO)|00025302|0.00|0| | |IL|14570|0|N
H7330|001|000|ZING HEALTH, INC.|Zing Select Care IL (HMO)|00025302|0.00|0| | |IL|14640|0|N
H7330|001|000|ZING HEALTH, INC.|Zing Select Care IL (HMO)|00025302|0.00|0| | |IL|14790|0|N
H7330|001|000|ZING HEALTH, INC.|Zing Select Care IL (HMO)|00025302|0.00|0| | |IL|14989|0|N
H7330|001|000|ZING HEALTH, INC.|Zing Select Care IL (HMO)|00025302|0.00|0| | |IL|14991|0|N
H7355|001|000|DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI|Devoted CHOICE Mississippi (PPO)|00025188|0.00|590| | |MS|25040|0|N
H7355|001|000|DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI|Devoted CHOICE Mississippi (PPO)|00025188|0.00|590| | |MS|25160|0|N
H7355|001|000|DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI|Devoted CHOICE Mississippi (PPO)|00025188|0.00|590| | |MS|25220|0|N
H7355|001|000|DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI|Devoted CHOICE Mississippi (PPO)|00025188|0.00|590| | |MS|25230|0|N
H7355|001|000|DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI|Devoted CHOICE Mississippi (PPO)|00025188|0.00|590| | |MS|25240|0|N
H7355|001|000|DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI|Devoted CHOICE Mississippi (PPO)|00025188|0.00|590| | |MS|25440|0|N
H7355|001|000|DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI|Devoted CHOICE Mississippi (PPO)|00025188|0.00|590| | |MS|25460|0|N
H7355|001|000|DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI|Devoted CHOICE Mississippi (PPO)|00025188|0.00|590| | |MS|25530|0|N
H7355|001|000|DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI|Devoted CHOICE Mississippi (PPO)|00025188|0.00|590| | |MS|25600|0|N
H7355|001|000|DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI|Devoted CHOICE Mississippi (PPO)|00025188|0.00|590| | |MS|25680|0|N
H7355|001|000|DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI|Devoted CHOICE Mississippi (PPO)|00025188|0.00|590| | |MS|25690|0|N
H7355|001|000|DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI|Devoted CHOICE Mississippi (PPO)|00025188|0.00|590| | |MS|25710|0|N
H7355|002|000|DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI|Devoted CHOICE GIVEBACK Mississippi (PPO)|00025188|0.00|590| | |MS|25040|0|N
H7355|002|000|DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI|Devoted CHOICE GIVEBACK Mississippi (PPO)|00025188|0.00|590| | |MS|25160|0|N
H7355|002|000|DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI|Devoted CHOICE GIVEBACK Mississippi (PPO)|00025188|0.00|590| | |MS|25220|0|N
H7355|002|000|DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI|Devoted CHOICE GIVEBACK Mississippi (PPO)|00025188|0.00|590| | |MS|25230|0|N
H7355|002|000|DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI|Devoted CHOICE GIVEBACK Mississippi (PPO)|00025188|0.00|590| | |MS|25240|0|N
H7355|002|000|DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI|Devoted CHOICE GIVEBACK Mississippi (PPO)|00025188|0.00|590| | |MS|25440|0|N
H7355|002|000|DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI|Devoted CHOICE GIVEBACK Mississippi (PPO)|00025188|0.00|590| | |MS|25460|0|N
H7355|002|000|DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI|Devoted CHOICE GIVEBACK Mississippi (PPO)|00025188|0.00|590| | |MS|25530|0|N
H7355|002|000|DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI|Devoted CHOICE GIVEBACK Mississippi (PPO)|00025188|0.00|590| | |MS|25600|0|N
H7355|002|000|DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI|Devoted CHOICE GIVEBACK Mississippi (PPO)|00025188|0.00|590| | |MS|25680|0|N
H7355|002|000|DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI|Devoted CHOICE GIVEBACK Mississippi (PPO)|00025188|0.00|590| | |MS|25690|0|N
H7355|002|000|DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI|Devoted CHOICE GIVEBACK Mississippi (PPO)|00025188|0.00|590| | |MS|25710|0|N
H7355|003|000|DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI|Devoted CHOICE DUAL PLUS Mississippi (PPO D-SNP)|00025188|47.30|590| | |MS|25040|2|N
H7355|003|000|DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI|Devoted CHOICE DUAL PLUS Mississippi (PPO D-SNP)|00025188|47.30|590| | |MS|25160|2|N
H7355|003|000|DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI|Devoted CHOICE DUAL PLUS Mississippi (PPO D-SNP)|00025188|47.30|590| | |MS|25220|2|N
H7355|003|000|DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI|Devoted CHOICE DUAL PLUS Mississippi (PPO D-SNP)|00025188|47.30|590| | |MS|25230|2|N
H7355|003|000|DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI|Devoted CHOICE DUAL PLUS Mississippi (PPO D-SNP)|00025188|47.30|590| | |MS|25240|2|N
H7355|003|000|DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI|Devoted CHOICE DUAL PLUS Mississippi (PPO D-SNP)|00025188|47.30|590| | |MS|25440|2|N
H7355|003|000|DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI|Devoted CHOICE DUAL PLUS Mississippi (PPO D-SNP)|00025188|47.30|590| | |MS|25460|2|N
H7355|003|000|DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI|Devoted CHOICE DUAL PLUS Mississippi (PPO D-SNP)|00025188|47.30|590| | |MS|25530|2|N
H7355|003|000|DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI|Devoted CHOICE DUAL PLUS Mississippi (PPO D-SNP)|00025188|47.30|590| | |MS|25600|2|N
H7355|003|000|DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI|Devoted CHOICE DUAL PLUS Mississippi (PPO D-SNP)|00025188|47.30|590| | |MS|25680|2|N
H7355|003|000|DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI|Devoted CHOICE DUAL PLUS Mississippi (PPO D-SNP)|00025188|47.30|590| | |MS|25690|2|N
H7355|003|000|DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI|Devoted CHOICE DUAL PLUS Mississippi (PPO D-SNP)|00025188|47.30|590| | |MS|25710|2|N
H7355|004|000|DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI|Devoted CHOICE DUAL Mississippi (PPO D-SNP)|00025188|47.30|590| | |MS|25040|2|N
H7355|004|000|DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI|Devoted CHOICE DUAL Mississippi (PPO D-SNP)|00025188|47.30|590| | |MS|25160|2|N
H7355|004|000|DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI|Devoted CHOICE DUAL Mississippi (PPO D-SNP)|00025188|47.30|590| | |MS|25220|2|N
H7355|004|000|DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI|Devoted CHOICE DUAL Mississippi (PPO D-SNP)|00025188|47.30|590| | |MS|25230|2|N
H7355|004|000|DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI|Devoted CHOICE DUAL Mississippi (PPO D-SNP)|00025188|47.30|590| | |MS|25240|2|N
H7355|004|000|DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI|Devoted CHOICE DUAL Mississippi (PPO D-SNP)|00025188|47.30|590| | |MS|25440|2|N
H7355|004|000|DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI|Devoted CHOICE DUAL Mississippi (PPO D-SNP)|00025188|47.30|590| | |MS|25460|2|N
H7355|004|000|DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI|Devoted CHOICE DUAL Mississippi (PPO D-SNP)|00025188|47.30|590| | |MS|25530|2|N
H7355|004|000|DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI|Devoted CHOICE DUAL Mississippi (PPO D-SNP)|00025188|47.30|590| | |MS|25600|2|N
H7355|004|000|DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI|Devoted CHOICE DUAL Mississippi (PPO D-SNP)|00025188|47.30|590| | |MS|25680|2|N
H7355|004|000|DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI|Devoted CHOICE DUAL Mississippi (PPO D-SNP)|00025188|47.30|590| | |MS|25690|2|N
H7355|004|000|DEVOTED HEALTH INSURANCE COMPANY OF MISSISSIPPI|Devoted CHOICE DUAL Mississippi (PPO D-SNP)|00025188|47.30|590| | |MS|25710|2|N
H7379|001|000|CAREFIRST ADVANTAGE PPO, INC.|CareFirst BlueCross BlueShield Advantage Essential (PPO)|00025156|0.00|0| | |MD|21000|0|N
H7379|001|000|CAREFIRST ADVANTAGE PPO, INC.|CareFirst BlueCross BlueShield Advantage Essential (PPO)|00025156|0.00|0| | |MD|21010|0|N
H7379|001|000|CAREFIRST ADVANTAGE PPO, INC.|CareFirst BlueCross BlueShield Advantage Essential (PPO)|00025156|0.00|0| | |MD|21040|0|N
H7379|001|000|CAREFIRST ADVANTAGE PPO, INC.|CareFirst BlueCross BlueShield Advantage Essential (PPO)|00025156|0.00|0| | |MD|21050|0|N
H7379|001|000|CAREFIRST ADVANTAGE PPO, INC.|CareFirst BlueCross BlueShield Advantage Essential (PPO)|00025156|0.00|0| | |MD|21060|0|N
H7379|001|000|CAREFIRST ADVANTAGE PPO, INC.|CareFirst BlueCross BlueShield Advantage Essential (PPO)|00025156|0.00|0| | |MD|21070|0|N
H7379|001|000|CAREFIRST ADVANTAGE PPO, INC.|CareFirst BlueCross BlueShield Advantage Essential (PPO)|00025156|0.00|0| | |MD|21080|0|N
H7379|001|000|CAREFIRST ADVANTAGE PPO, INC.|CareFirst BlueCross BlueShield Advantage Essential (PPO)|00025156|0.00|0| | |MD|21090|0|N
H7379|001|000|CAREFIRST ADVANTAGE PPO, INC.|CareFirst BlueCross BlueShield Advantage Essential (PPO)|00025156|0.00|0| | |MD|21100|0|N
H7379|001|000|CAREFIRST ADVANTAGE PPO, INC.|CareFirst BlueCross BlueShield Advantage Essential (PPO)|00025156|0.00|0| | |MD|21110|0|N
H7379|001|000|CAREFIRST ADVANTAGE PPO, INC.|CareFirst BlueCross BlueShield Advantage Essential (PPO)|00025156|0.00|0| | |MD|21120|0|N
H7379|001|000|CAREFIRST ADVANTAGE PPO, INC.|CareFirst BlueCross BlueShield Advantage Essential (PPO)|00025156|0.00|0| | |MD|21130|0|N
H7379|001|000|CAREFIRST ADVANTAGE PPO, INC.|CareFirst BlueCross BlueShield Advantage Essential (PPO)|00025156|0.00|0| | |MD|21140|0|N
H7379|001|000|CAREFIRST ADVANTAGE PPO, INC.|CareFirst BlueCross BlueShield Advantage Essential (PPO)|00025156|0.00|0| | |MD|21150|0|N
H7379|001|000|CAREFIRST ADVANTAGE PPO, INC.|CareFirst BlueCross BlueShield Advantage Essential (PPO)|00025156|0.00|0| | |MD|21160|0|N
H7379|001|000|CAREFIRST ADVANTAGE PPO, INC.|CareFirst BlueCross BlueShield Advantage Essential (PPO)|00025156|0.00|0| | |MD|21170|0|N
H7379|001|000|CAREFIRST ADVANTAGE PPO, INC.|CareFirst BlueCross BlueShield Advantage Essential (PPO)|00025156|0.00|0| | |MD|21180|0|N
H7379|001|000|CAREFIRST ADVANTAGE PPO, INC.|CareFirst BlueCross BlueShield Advantage Essential (PPO)|00025156|0.00|0| | |MD|21190|0|N
H7379|001|000|CAREFIRST ADVANTAGE PPO, INC.|CareFirst BlueCross BlueShield Advantage Essential (PPO)|00025156|0.00|0| | |MD|21200|0|N
H7379|001|000|CAREFIRST ADVANTAGE PPO, INC.|CareFirst BlueCross BlueShield Advantage Essential (PPO)|00025156|0.00|0| | |MD|21210|0|N
H7379|001|000|CAREFIRST ADVANTAGE PPO, INC.|CareFirst BlueCross BlueShield Advantage Essential (PPO)|00025156|0.00|0| | |MD|21220|0|N
H7379|001|000|CAREFIRST ADVANTAGE PPO, INC.|CareFirst BlueCross BlueShield Advantage Essential (PPO)|00025156|0.00|0| | |MD|21230|0|N
H7379|002|000|CAREFIRST ADVANTAGE PPO, INC.|CareFirst BlueCross BlueShield Advantage Complete (PPO)|00025159|6.80|0| | |DC|09000|0|N
H7379|002|000|CAREFIRST ADVANTAGE PPO, INC.|CareFirst BlueCross BlueShield Advantage Complete (PPO)|00025159|6.80|0| | |MD|21000|0|N
H7379|002|000|CAREFIRST ADVANTAGE PPO, INC.|CareFirst BlueCross BlueShield Advantage Complete (PPO)|00025159|6.80|0| | |MD|21010|0|N
H7379|002|000|CAREFIRST ADVANTAGE PPO, INC.|CareFirst BlueCross BlueShield Advantage Complete (PPO)|00025159|6.80|0| | |MD|21020|0|N
H7379|002|000|CAREFIRST ADVANTAGE PPO, INC.|CareFirst BlueCross BlueShield Advantage Complete (PPO)|00025159|6.80|0| | |MD|21030|0|N
H7379|002|000|CAREFIRST ADVANTAGE PPO, INC.|CareFirst BlueCross BlueShield Advantage Complete (PPO)|00025159|6.80|0| | |MD|21040|0|N
H7379|002|000|CAREFIRST ADVANTAGE PPO, INC.|CareFirst BlueCross BlueShield Advantage Complete (PPO)|00025159|6.80|0| | |MD|21050|0|N
H7379|002|000|CAREFIRST ADVANTAGE PPO, INC.|CareFirst BlueCross BlueShield Advantage Complete (PPO)|00025159|6.80|0| | |MD|21060|0|N
H7379|002|000|CAREFIRST ADVANTAGE PPO, INC.|CareFirst BlueCross BlueShield Advantage Complete (PPO)|00025159|6.80|0| | |MD|21070|0|N
H7379|002|000|CAREFIRST ADVANTAGE PPO, INC.|CareFirst BlueCross BlueShield Advantage Complete (PPO)|00025159|6.80|0| | |MD|21080|0|N
H7379|002|000|CAREFIRST ADVANTAGE PPO, INC.|CareFirst BlueCross BlueShield Advantage Complete (PPO)|00025159|6.80|0| | |MD|21090|0|N
H7379|002|000|CAREFIRST ADVANTAGE PPO, INC.|CareFirst BlueCross BlueShield Advantage Complete (PPO)|00025159|6.80|0| | |MD|21100|0|N
H7379|002|000|CAREFIRST ADVANTAGE PPO, INC.|CareFirst BlueCross BlueShield Advantage Complete (PPO)|00025159|6.80|0| | |MD|21110|0|N
H7379|002|000|CAREFIRST ADVANTAGE PPO, INC.|CareFirst BlueCross BlueShield Advantage Complete (PPO)|00025159|6.80|0| | |MD|21120|0|N
H7379|002|000|CAREFIRST ADVANTAGE PPO, INC.|CareFirst BlueCross BlueShield Advantage Complete (PPO)|00025159|6.80|0| | |MD|21130|0|N
H7379|002|000|CAREFIRST ADVANTAGE PPO, INC.|CareFirst BlueCross BlueShield Advantage Complete (PPO)|00025159|6.80|0| | |MD|21140|0|N
H7379|002|000|CAREFIRST ADVANTAGE PPO, INC.|CareFirst BlueCross BlueShield Advantage Complete (PPO)|00025159|6.80|0| | |MD|21150|0|N
H7379|002|000|CAREFIRST ADVANTAGE PPO, INC.|CareFirst BlueCross BlueShield Advantage Complete (PPO)|00025159|6.80|0| | |MD|21160|0|N
H7379|002|000|CAREFIRST ADVANTAGE PPO, INC.|CareFirst BlueCross BlueShield Advantage Complete (PPO)|00025159|6.80|0| | |MD|21170|0|N
H7379|002|000|CAREFIRST ADVANTAGE PPO, INC.|CareFirst BlueCross BlueShield Advantage Complete (PPO)|00025159|6.80|0| | |MD|21180|0|N
H7379|002|000|CAREFIRST ADVANTAGE PPO, INC.|CareFirst BlueCross BlueShield Advantage Complete (PPO)|00025159|6.80|0| | |MD|21190|0|N
H7379|002|000|CAREFIRST ADVANTAGE PPO, INC.|CareFirst BlueCross BlueShield Advantage Complete (PPO)|00025159|6.80|0| | |MD|21200|0|N
H7379|002|000|CAREFIRST ADVANTAGE PPO, INC.|CareFirst BlueCross BlueShield Advantage Complete (PPO)|00025159|6.80|0| | |MD|21210|0|N
H7379|002|000|CAREFIRST ADVANTAGE PPO, INC.|CareFirst BlueCross BlueShield Advantage Complete (PPO)|00025159|6.80|0| | |MD|21220|0|N
H7379|002|000|CAREFIRST ADVANTAGE PPO, INC.|CareFirst BlueCross BlueShield Advantage Complete (PPO)|00025159|6.80|0| | |MD|21230|0|N
H7389|001|000|HealthSpring Life & Health Insurance Company, Inc.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |UT|46010|0|N
H7389|001|000|HealthSpring Life & Health Insurance Company, Inc.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |UT|46050|0|N
H7389|001|000|HealthSpring Life & Health Insurance Company, Inc.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |UT|46140|0|N
H7389|001|000|HealthSpring Life & Health Insurance Company, Inc.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |UT|46170|0|N
H7389|001|000|HealthSpring Life & Health Insurance Company, Inc.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |UT|46220|0|N
H7389|001|000|HealthSpring Life & Health Insurance Company, Inc.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |UT|46280|0|N
H7389|002|000|HealthSpring Life & Health Insurance Company, Inc.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |OR|38020|0|N
H7389|002|000|HealthSpring Life & Health Insurance Company, Inc.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |OR|38040|0|N
H7389|002|000|HealthSpring Life & Health Insurance Company, Inc.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |OR|38250|0|N
H7389|002|000|HealthSpring Life & Health Insurance Company, Inc.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |OR|38330|0|N
H7389|002|000|HealthSpring Life & Health Insurance Company, Inc.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |WA|50050|0|N
H7389|002|000|HealthSpring Life & Health Insurance Company, Inc.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |WA|50070|0|N
H7389|003|000|HealthSpring Life & Health Insurance Company, Inc.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |MO|26270|0|N
H7389|003|000|HealthSpring Life & Health Insurance Company, Inc.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |MO|26490|0|N
H7389|003|000|HealthSpring Life & Health Insurance Company, Inc.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |MO|26910|0|N
H7389|003|000|HealthSpring Life & Health Insurance Company, Inc.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |MO|26940|0|N
H7389|003|000|HealthSpring Life & Health Insurance Company, Inc.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |MO|26950|0|N
H7389|003|000|HealthSpring Life & Health Insurance Company, Inc.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |MO|26991|0|N
H7389|003|000|HealthSpring Life & Health Insurance Company, Inc.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |MO|26992|0|N
H7389|008|000|HealthSpring Life & Health Insurance Company, Inc.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |NV|29010|0|N
H7389|008|000|HealthSpring Life & Health Insurance Company, Inc.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |NV|29110|0|N
H7389|009|000|HealthSpring Life & Health Insurance Company, Inc.|Cigna TotalCare (HMO D-SNP)|00025271|31.80|590| | |MO|26270|2|N
H7389|009|000|HealthSpring Life & Health Insurance Company, Inc.|Cigna TotalCare (HMO D-SNP)|00025271|31.80|590| | |MO|26490|2|N
H7389|009|000|HealthSpring Life & Health Insurance Company, Inc.|Cigna TotalCare (HMO D-SNP)|00025271|31.80|590| | |MO|26910|2|N
H7389|009|000|HealthSpring Life & Health Insurance Company, Inc.|Cigna TotalCare (HMO D-SNP)|00025271|31.80|590| | |MO|26940|2|N
H7389|009|000|HealthSpring Life & Health Insurance Company, Inc.|Cigna TotalCare (HMO D-SNP)|00025271|31.80|590| | |MO|26950|2|N
H7389|009|000|HealthSpring Life & Health Insurance Company, Inc.|Cigna TotalCare (HMO D-SNP)|00025271|31.80|590| | |MO|26991|2|N
H7389|009|000|HealthSpring Life & Health Insurance Company, Inc.|Cigna TotalCare (HMO D-SNP)|00025271|31.80|590| | |MO|26992|2|N
H7389|010|000|HealthSpring Life & Health Insurance Company, Inc.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |MO|26270|2|N
H7389|010|000|HealthSpring Life & Health Insurance Company, Inc.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |MO|26490|2|N
H7389|010|000|HealthSpring Life & Health Insurance Company, Inc.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |MO|26910|2|N
H7389|010|000|HealthSpring Life & Health Insurance Company, Inc.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |MO|26940|2|N
H7389|010|000|HealthSpring Life & Health Insurance Company, Inc.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |MO|26950|2|N
H7389|010|000|HealthSpring Life & Health Insurance Company, Inc.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |MO|26991|2|N
H7389|010|000|HealthSpring Life & Health Insurance Company, Inc.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |MO|26992|2|N
H7389|011|000|HealthSpring Life & Health Insurance Company, Inc.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |WA|50310|0|N
H7397|001|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE Arkansas (PPO)|00025188|0.00|590| | |AR|04030|0|N
H7397|001|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE Arkansas (PPO)|00025188|0.00|590| | |AR|04070|0|N
H7397|001|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE Arkansas (PPO)|00025188|0.00|590| | |AR|04140|0|N
H7397|001|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE Arkansas (PPO)|00025188|0.00|590| | |AR|04170|0|N
H7397|001|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE Arkansas (PPO)|00025188|0.00|590| | |AR|04180|0|N
H7397|001|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE Arkansas (PPO)|00025188|0.00|590| | |AR|04190|0|N
H7397|001|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE Arkansas (PPO)|00025188|0.00|590| | |AR|04230|0|N
H7397|001|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE Arkansas (PPO)|00025188|0.00|590| | |AR|04260|0|N
H7397|001|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE Arkansas (PPO)|00025188|0.00|590| | |AR|04380|0|N
H7397|001|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE Arkansas (PPO)|00025188|0.00|590| | |AR|04420|0|N
H7397|001|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE Arkansas (PPO)|00025188|0.00|590| | |AR|04430|0|N
H7397|001|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE Arkansas (PPO)|00025188|0.00|590| | |AR|04460|0|N
H7397|001|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE Arkansas (PPO)|00025188|0.00|590| | |AR|04500|0|N
H7397|001|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE Arkansas (PPO)|00025188|0.00|590| | |AR|04520|0|N
H7397|001|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE Arkansas (PPO)|00025188|0.00|590| | |AR|04590|0|N
H7397|001|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE Arkansas (PPO)|00025188|0.00|590| | |AR|04610|0|N
H7397|001|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE Arkansas (PPO)|00025188|0.00|590| | |AR|04710|0|N
H7397|001|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE Arkansas (PPO)|00025188|0.00|590| | |AR|04740|0|N
H7397|002|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE GIVEBACK Arkansas (PPO)|00025188|0.00|590| | |AR|04030|0|N
H7397|002|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE GIVEBACK Arkansas (PPO)|00025188|0.00|590| | |AR|04070|0|N
H7397|002|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE GIVEBACK Arkansas (PPO)|00025188|0.00|590| | |AR|04140|0|N
H7397|002|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE GIVEBACK Arkansas (PPO)|00025188|0.00|590| | |AR|04170|0|N
H7397|002|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE GIVEBACK Arkansas (PPO)|00025188|0.00|590| | |AR|04180|0|N
H7397|002|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE GIVEBACK Arkansas (PPO)|00025188|0.00|590| | |AR|04190|0|N
H7397|002|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE GIVEBACK Arkansas (PPO)|00025188|0.00|590| | |AR|04230|0|N
H7397|002|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE GIVEBACK Arkansas (PPO)|00025188|0.00|590| | |AR|04260|0|N
H7397|002|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE GIVEBACK Arkansas (PPO)|00025188|0.00|590| | |AR|04380|0|N
H7397|002|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE GIVEBACK Arkansas (PPO)|00025188|0.00|590| | |AR|04420|0|N
H7397|002|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE GIVEBACK Arkansas (PPO)|00025188|0.00|590| | |AR|04430|0|N
H7397|002|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE GIVEBACK Arkansas (PPO)|00025188|0.00|590| | |AR|04460|0|N
H7397|002|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE GIVEBACK Arkansas (PPO)|00025188|0.00|590| | |AR|04500|0|N
H7397|002|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE GIVEBACK Arkansas (PPO)|00025188|0.00|590| | |AR|04520|0|N
H7397|002|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE GIVEBACK Arkansas (PPO)|00025188|0.00|590| | |AR|04590|0|N
H7397|002|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE GIVEBACK Arkansas (PPO)|00025188|0.00|590| | |AR|04610|0|N
H7397|002|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE GIVEBACK Arkansas (PPO)|00025188|0.00|590| | |AR|04710|0|N
H7397|002|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE GIVEBACK Arkansas (PPO)|00025188|0.00|590| | |AR|04740|0|N
H7397|003|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE DUAL PLUS Arkansas (PPO D-SNP)|00025188|0.00|590| | |AR|04030|2|N
H7397|003|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE DUAL PLUS Arkansas (PPO D-SNP)|00025188|0.00|590| | |AR|04070|2|N
H7397|003|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE DUAL PLUS Arkansas (PPO D-SNP)|00025188|0.00|590| | |AR|04140|2|N
H7397|003|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE DUAL PLUS Arkansas (PPO D-SNP)|00025188|0.00|590| | |AR|04170|2|N
H7397|003|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE DUAL PLUS Arkansas (PPO D-SNP)|00025188|0.00|590| | |AR|04180|2|N
H7397|003|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE DUAL PLUS Arkansas (PPO D-SNP)|00025188|0.00|590| | |AR|04190|2|N
H7397|003|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE DUAL PLUS Arkansas (PPO D-SNP)|00025188|0.00|590| | |AR|04230|2|N
H7397|003|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE DUAL PLUS Arkansas (PPO D-SNP)|00025188|0.00|590| | |AR|04260|2|N
H7397|003|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE DUAL PLUS Arkansas (PPO D-SNP)|00025188|0.00|590| | |AR|04380|2|N
H7397|003|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE DUAL PLUS Arkansas (PPO D-SNP)|00025188|0.00|590| | |AR|04420|2|N
H7397|003|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE DUAL PLUS Arkansas (PPO D-SNP)|00025188|0.00|590| | |AR|04430|2|N
H7397|003|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE DUAL PLUS Arkansas (PPO D-SNP)|00025188|0.00|590| | |AR|04460|2|N
H7397|003|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE DUAL PLUS Arkansas (PPO D-SNP)|00025188|0.00|590| | |AR|04500|2|N
H7397|003|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE DUAL PLUS Arkansas (PPO D-SNP)|00025188|0.00|590| | |AR|04520|2|N
H7397|003|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE DUAL PLUS Arkansas (PPO D-SNP)|00025188|0.00|590| | |AR|04590|2|N
H7397|003|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE DUAL PLUS Arkansas (PPO D-SNP)|00025188|0.00|590| | |AR|04610|2|N
H7397|003|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE DUAL PLUS Arkansas (PPO D-SNP)|00025188|0.00|590| | |AR|04710|2|N
H7397|003|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE DUAL PLUS Arkansas (PPO D-SNP)|00025188|0.00|590| | |AR|04740|2|N
H7397|004|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE DUAL Arkansas (PPO D-SNP)|00025188|20.90|590| | |AR|04030|2|N
H7397|004|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE DUAL Arkansas (PPO D-SNP)|00025188|20.90|590| | |AR|04070|2|N
H7397|004|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE DUAL Arkansas (PPO D-SNP)|00025188|20.90|590| | |AR|04140|2|N
H7397|004|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE DUAL Arkansas (PPO D-SNP)|00025188|20.90|590| | |AR|04170|2|N
H7397|004|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE DUAL Arkansas (PPO D-SNP)|00025188|20.90|590| | |AR|04180|2|N
H7397|004|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE DUAL Arkansas (PPO D-SNP)|00025188|20.90|590| | |AR|04190|2|N
H7397|004|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE DUAL Arkansas (PPO D-SNP)|00025188|20.90|590| | |AR|04230|2|N
H7397|004|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE DUAL Arkansas (PPO D-SNP)|00025188|20.90|590| | |AR|04260|2|N
H7397|004|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE DUAL Arkansas (PPO D-SNP)|00025188|20.90|590| | |AR|04380|2|N
H7397|004|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE DUAL Arkansas (PPO D-SNP)|00025188|20.90|590| | |AR|04420|2|N
H7397|004|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE DUAL Arkansas (PPO D-SNP)|00025188|20.90|590| | |AR|04430|2|N
H7397|004|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE DUAL Arkansas (PPO D-SNP)|00025188|20.90|590| | |AR|04460|2|N
H7397|004|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE DUAL Arkansas (PPO D-SNP)|00025188|20.90|590| | |AR|04500|2|N
H7397|004|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE DUAL Arkansas (PPO D-SNP)|00025188|20.90|590| | |AR|04520|2|N
H7397|004|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE DUAL Arkansas (PPO D-SNP)|00025188|20.90|590| | |AR|04590|2|N
H7397|004|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE DUAL Arkansas (PPO D-SNP)|00025188|20.90|590| | |AR|04610|2|N
H7397|004|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE DUAL Arkansas (PPO D-SNP)|00025188|20.90|590| | |AR|04710|2|N
H7397|004|000|DEVOTED HEALTH INSURANCE COMPANY OF ARKANSAS INC|Devoted CHOICE DUAL Arkansas (PPO D-SNP)|00025188|20.90|590| | |AR|04740|2|N
H7419|001|000|TUFTS HEALTH PUBLIC PLANS, INC.|Tufts Health One Care (Medicare-Medicaid Plan)|00025504|0.00|0| | |MA|22000|0|N
H7419|001|000|TUFTS HEALTH PUBLIC PLANS, INC.|Tufts Health One Care (Medicare-Medicaid Plan)|00025504|0.00|0| | |MA|22020|0|N
H7419|001|000|TUFTS HEALTH PUBLIC PLANS, INC.|Tufts Health One Care (Medicare-Medicaid Plan)|00025504|0.00|0| | |MA|22040|0|N
H7419|001|000|TUFTS HEALTH PUBLIC PLANS, INC.|Tufts Health One Care (Medicare-Medicaid Plan)|00025504|0.00|0| | |MA|22090|0|N
H7419|001|000|TUFTS HEALTH PUBLIC PLANS, INC.|Tufts Health One Care (Medicare-Medicaid Plan)|00025504|0.00|0| | |MA|22130|0|N
H7419|001|000|TUFTS HEALTH PUBLIC PLANS, INC.|Tufts Health One Care (Medicare-Medicaid Plan)|00025504|0.00|0| | |MA|22150|0|N
H7419|001|000|TUFTS HEALTH PUBLIC PLANS, INC.|Tufts Health One Care (Medicare-Medicaid Plan)|00025504|0.00|0| | |MA|22160|0|N
H7419|001|000|TUFTS HEALTH PUBLIC PLANS, INC.|Tufts Health One Care (Medicare-Medicaid Plan)|00025504|0.00|0| | |MA|22170|0|N
H7464|008|001|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-S002 (HMO D-SNP)|00025002|0.00|590| | |MD|21010|2|N
H7464|008|001|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-S002 (HMO D-SNP)|00025002|0.00|590| | |MD|21040|2|N
H7464|008|001|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-S002 (HMO D-SNP)|00025002|0.00|590| | |MD|21050|2|N
H7464|008|001|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-S002 (HMO D-SNP)|00025002|0.00|590| | |MD|21080|2|N
H7464|008|001|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-S002 (HMO D-SNP)|00025002|0.00|590| | |MD|21090|2|N
H7464|008|001|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-S002 (HMO D-SNP)|00025002|0.00|590| | |MD|21100|2|N
H7464|008|001|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-S002 (HMO D-SNP)|00025002|0.00|590| | |MD|21110|2|N
H7464|008|001|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-S002 (HMO D-SNP)|00025002|0.00|590| | |MD|21130|2|N
H7464|008|001|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-S002 (HMO D-SNP)|00025002|0.00|590| | |MD|21140|2|N
H7464|008|001|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-S002 (HMO D-SNP)|00025002|0.00|590| | |MD|21150|2|N
H7464|008|001|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-S002 (HMO D-SNP)|00025002|0.00|590| | |MD|21160|2|N
H7464|008|001|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-S002 (HMO D-SNP)|00025002|0.00|590| | |MD|21180|2|N
H7464|008|001|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-S002 (HMO D-SNP)|00025002|0.00|590| | |MD|21190|2|N
H7464|008|001|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-S002 (HMO D-SNP)|00025002|0.00|590| | |MD|21200|2|N
H7464|008|001|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-S002 (HMO D-SNP)|00025002|0.00|590| | |MD|21210|2|N
H7464|008|001|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-S002 (HMO D-SNP)|00025002|0.00|590| | |MD|21220|2|N
H7464|008|002|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-S002 (HMO D-SNP)|00025002|0.00|590| | |MD|21020|2|N
H7464|008|002|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-S002 (HMO D-SNP)|00025002|0.00|590| | |MD|21030|2|N
H7464|008|002|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-S002 (HMO D-SNP)|00025002|0.00|590| | |MD|21060|2|N
H7464|008|002|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-S002 (HMO D-SNP)|00025002|0.00|590| | |MD|21070|2|N
H7464|008|002|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-S002 (HMO D-SNP)|00025002|0.00|590| | |MD|21120|2|N
H7464|010|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Choice DC-Y001 (HMO D-SNP)|00025002|0.00|590| | |DC|09000|2|N
H7464|011|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-V001 (HMO-POS D-SNP)|00025002|35.60|590| | |MD|21010|2|N
H7464|011|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-V001 (HMO-POS D-SNP)|00025002|35.60|590| | |MD|21020|2|N
H7464|011|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-V001 (HMO-POS D-SNP)|00025002|35.60|590| | |MD|21030|2|N
H7464|011|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-V001 (HMO-POS D-SNP)|00025002|35.60|590| | |MD|21040|2|N
H7464|011|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-V001 (HMO-POS D-SNP)|00025002|35.60|590| | |MD|21050|2|N
H7464|011|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-V001 (HMO-POS D-SNP)|00025002|35.60|590| | |MD|21060|2|N
H7464|011|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-V001 (HMO-POS D-SNP)|00025002|35.60|590| | |MD|21070|2|N
H7464|011|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-V001 (HMO-POS D-SNP)|00025002|35.60|590| | |MD|21080|2|N
H7464|011|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-V001 (HMO-POS D-SNP)|00025002|35.60|590| | |MD|21090|2|N
H7464|011|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-V001 (HMO-POS D-SNP)|00025002|35.60|590| | |MD|21100|2|N
H7464|011|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-V001 (HMO-POS D-SNP)|00025002|35.60|590| | |MD|21110|2|N
H7464|011|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-V001 (HMO-POS D-SNP)|00025002|35.60|590| | |MD|21120|2|N
H7464|011|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-V001 (HMO-POS D-SNP)|00025002|35.60|590| | |MD|21130|2|N
H7464|011|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-V001 (HMO-POS D-SNP)|00025002|35.60|590| | |MD|21140|2|N
H7464|011|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-V001 (HMO-POS D-SNP)|00025002|35.60|590| | |MD|21150|2|N
H7464|011|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-V001 (HMO-POS D-SNP)|00025002|35.60|590| | |MD|21160|2|N
H7464|011|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-V001 (HMO-POS D-SNP)|00025002|35.60|590| | |MD|21180|2|N
H7464|011|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-V001 (HMO-POS D-SNP)|00025002|35.60|590| | |MD|21190|2|N
H7464|011|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-V001 (HMO-POS D-SNP)|00025002|35.60|590| | |MD|21200|2|N
H7464|011|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-V001 (HMO-POS D-SNP)|00025002|35.60|590| | |MD|21210|2|N
H7464|011|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-V001 (HMO-POS D-SNP)|00025002|35.60|590| | |MD|21220|2|N
H7464|012|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |MD|21010|2|N
H7464|012|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |MD|21020|2|N
H7464|012|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |MD|21030|2|N
H7464|012|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |MD|21040|2|N
H7464|012|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |MD|21050|2|N
H7464|012|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |MD|21060|2|N
H7464|012|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |MD|21070|2|N
H7464|012|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |MD|21080|2|N
H7464|012|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |MD|21090|2|N
H7464|012|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |MD|21100|2|N
H7464|012|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |MD|21110|2|N
H7464|012|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |MD|21120|2|N
H7464|012|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |MD|21130|2|N
H7464|012|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |MD|21140|2|N
H7464|012|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |MD|21150|2|N
H7464|012|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |MD|21160|2|N
H7464|012|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |MD|21180|2|N
H7464|012|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |MD|21190|2|N
H7464|012|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |MD|21200|2|N
H7464|012|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |MD|21210|2|N
H7464|012|000|UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC.|UHC Dual Complete MD-Q001 (HMO-POS D-SNP)|00025002|0.00|590| | |MD|21220|2|N
H7471|001|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE Indiana (PPO)|00025188|0.00|590| | |IN|15000|0|N
H7471|001|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE Indiana (PPO)|00025188|0.00|590| | |IN|15160|0|N
H7471|001|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE Indiana (PPO)|00025188|0.00|590| | |IN|15260|0|N
H7471|001|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE Indiana (PPO)|00025188|0.00|590| | |IN|15340|0|N
H7471|001|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE Indiana (PPO)|00025188|0.00|590| | |IN|15430|0|N
H7471|001|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE Indiana (PPO)|00025188|0.00|590| | |IN|15560|0|N
H7471|001|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE Indiana (PPO)|00025188|0.00|590| | |IN|15750|0|N
H7471|001|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE Indiana (PPO)|00025188|0.00|590| | |IN|15840|0|N
H7471|001|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE Indiana (PPO)|00025188|0.00|590| | |IN|15890|0|N
H7471|001|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE Indiana (PPO)|00025188|0.00|590| | |IN|15910|0|N
H7471|002|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE GIVEBACK Indiana (PPO)|00025188|0.00|590| | |IN|15000|0|N
H7471|002|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE GIVEBACK Indiana (PPO)|00025188|0.00|590| | |IN|15160|0|N
H7471|002|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE GIVEBACK Indiana (PPO)|00025188|0.00|590| | |IN|15260|0|N
H7471|002|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE GIVEBACK Indiana (PPO)|00025188|0.00|590| | |IN|15340|0|N
H7471|002|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE GIVEBACK Indiana (PPO)|00025188|0.00|590| | |IN|15430|0|N
H7471|002|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE GIVEBACK Indiana (PPO)|00025188|0.00|590| | |IN|15560|0|N
H7471|002|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE GIVEBACK Indiana (PPO)|00025188|0.00|590| | |IN|15750|0|N
H7471|002|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE GIVEBACK Indiana (PPO)|00025188|0.00|590| | |IN|15840|0|N
H7471|002|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE GIVEBACK Indiana (PPO)|00025188|0.00|590| | |IN|15890|0|N
H7471|002|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE GIVEBACK Indiana (PPO)|00025188|0.00|590| | |IN|15910|0|N
H7471|004|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE PLUS Indiana (PPO)|00025188|49.60|590| | |IN|15000|0|N
H7471|004|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE PLUS Indiana (PPO)|00025188|49.60|590| | |IN|15160|0|N
H7471|004|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE PLUS Indiana (PPO)|00025188|49.60|590| | |IN|15260|0|N
H7471|004|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE PLUS Indiana (PPO)|00025188|49.60|590| | |IN|15340|0|N
H7471|004|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE PLUS Indiana (PPO)|00025188|49.60|590| | |IN|15430|0|N
H7471|004|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE PLUS Indiana (PPO)|00025188|49.60|590| | |IN|15560|0|N
H7471|004|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE PLUS Indiana (PPO)|00025188|49.60|590| | |IN|15750|0|N
H7471|004|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE PLUS Indiana (PPO)|00025188|49.60|590| | |IN|15840|0|N
H7471|004|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE PLUS Indiana (PPO)|00025188|49.60|590| | |IN|15890|0|N
H7471|004|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE PLUS Indiana (PPO)|00025188|49.60|590| | |IN|15910|0|N
H7471|005|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE Indiana (PPO)|00025188|0.00|590| | |IN|15080|0|N
H7471|005|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE Indiana (PPO)|00025188|0.00|590| | |IN|15190|0|N
H7471|005|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE Indiana (PPO)|00025188|0.00|590| | |IN|15240|0|N
H7471|005|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE Indiana (PPO)|00025188|0.00|590| | |IN|15330|0|N
H7471|005|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE Indiana (PPO)|00025188|0.00|590| | |IN|15360|0|N
H7471|005|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE Indiana (PPO)|00025188|0.00|590| | |IN|15440|0|N
H7471|005|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE Indiana (PPO)|00025188|0.00|590| | |IN|15450|0|N
H7471|005|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE Indiana (PPO)|00025188|0.00|590| | |IN|15490|0|N
H7471|005|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE Indiana (PPO)|00025188|0.00|590| | |IN|15510|0|N
H7471|005|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE Indiana (PPO)|00025188|0.00|590| | |IN|15550|0|N
H7471|005|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE Indiana (PPO)|00025188|0.00|590| | |IN|15630|0|N
H7471|005|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE Indiana (PPO)|00025188|0.00|590| | |IN|15650|0|N
H7471|005|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE Indiana (PPO)|00025188|0.00|590| | |IN|15700|0|N
H7471|005|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE Indiana (PPO)|00025188|0.00|590| | |IN|15740|0|N
H7471|005|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE Indiana (PPO)|00025188|0.00|590| | |IN|15900|0|N
H7471|006|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE GIVEBACK Indiana (PPO)|00025188|0.00|590| | |IN|15080|0|N
H7471|006|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE GIVEBACK Indiana (PPO)|00025188|0.00|590| | |IN|15190|0|N
H7471|006|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE GIVEBACK Indiana (PPO)|00025188|0.00|590| | |IN|15240|0|N
H7471|006|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE GIVEBACK Indiana (PPO)|00025188|0.00|590| | |IN|15330|0|N
H7471|006|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE GIVEBACK Indiana (PPO)|00025188|0.00|590| | |IN|15360|0|N
H7471|006|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE GIVEBACK Indiana (PPO)|00025188|0.00|590| | |IN|15440|0|N
H7471|006|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE GIVEBACK Indiana (PPO)|00025188|0.00|590| | |IN|15450|0|N
H7471|006|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE GIVEBACK Indiana (PPO)|00025188|0.00|590| | |IN|15490|0|N
H7471|006|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE GIVEBACK Indiana (PPO)|00025188|0.00|590| | |IN|15510|0|N
H7471|006|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE GIVEBACK Indiana (PPO)|00025188|0.00|590| | |IN|15550|0|N
H7471|006|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE GIVEBACK Indiana (PPO)|00025188|0.00|590| | |IN|15630|0|N
H7471|006|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE GIVEBACK Indiana (PPO)|00025188|0.00|590| | |IN|15650|0|N
H7471|006|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE GIVEBACK Indiana (PPO)|00025188|0.00|590| | |IN|15700|0|N
H7471|006|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE GIVEBACK Indiana (PPO)|00025188|0.00|590| | |IN|15740|0|N
H7471|006|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE GIVEBACK Indiana (PPO)|00025188|0.00|590| | |IN|15900|0|N
H7471|007|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE PLUS Indiana (PPO)|00025188|49.60|590| | |IN|15080|0|N
H7471|007|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE PLUS Indiana (PPO)|00025188|49.60|590| | |IN|15190|0|N
H7471|007|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE PLUS Indiana (PPO)|00025188|49.60|590| | |IN|15240|0|N
H7471|007|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE PLUS Indiana (PPO)|00025188|49.60|590| | |IN|15330|0|N
H7471|007|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE PLUS Indiana (PPO)|00025188|49.60|590| | |IN|15360|0|N
H7471|007|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE PLUS Indiana (PPO)|00025188|49.60|590| | |IN|15440|0|N
H7471|007|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE PLUS Indiana (PPO)|00025188|49.60|590| | |IN|15450|0|N
H7471|007|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE PLUS Indiana (PPO)|00025188|49.60|590| | |IN|15490|0|N
H7471|007|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE PLUS Indiana (PPO)|00025188|49.60|590| | |IN|15510|0|N
H7471|007|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE PLUS Indiana (PPO)|00025188|49.60|590| | |IN|15550|0|N
H7471|007|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE PLUS Indiana (PPO)|00025188|49.60|590| | |IN|15630|0|N
H7471|007|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE PLUS Indiana (PPO)|00025188|49.60|590| | |IN|15650|0|N
H7471|007|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE PLUS Indiana (PPO)|00025188|49.60|590| | |IN|15700|0|N
H7471|007|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE PLUS Indiana (PPO)|00025188|49.60|590| | |IN|15740|0|N
H7471|007|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE PLUS Indiana (PPO)|00025188|49.60|590| | |IN|15900|0|N
H7471|008|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE Indiana (PPO)|00025188|0.00|590| | |IN|15090|0|N
H7471|008|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE Indiana (PPO)|00025188|0.00|590| | |IN|15140|0|N
H7471|008|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE Indiana (PPO)|00025188|0.00|590| | |IN|15200|0|N
H7471|008|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE Indiana (PPO)|00025188|0.00|590| | |IN|15210|0|N
H7471|008|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE Indiana (PPO)|00025188|0.00|590| | |IN|15230|0|N
H7471|008|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE Indiana (PPO)|00025188|0.00|590| | |IN|15300|0|N
H7471|008|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE Indiana (PPO)|00025188|0.00|590| | |IN|15570|0|N
H7471|008|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE Indiana (PPO)|00025188|0.00|590| | |IN|15680|0|N
H7471|008|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE Indiana (PPO)|00025188|0.00|590| | |IN|15770|0|N
H7471|008|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE Indiana (PPO)|00025188|0.00|590| | |IN|15800|0|N
H7471|008|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE Indiana (PPO)|00025188|0.00|590| | |IN|15870|0|N
H7471|009|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE GIVEBACK Indiana (PPO)|00025188|0.00|590| | |IN|15090|0|N
H7471|009|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE GIVEBACK Indiana (PPO)|00025188|0.00|590| | |IN|15140|0|N
H7471|009|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE GIVEBACK Indiana (PPO)|00025188|0.00|590| | |IN|15200|0|N
H7471|009|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE GIVEBACK Indiana (PPO)|00025188|0.00|590| | |IN|15210|0|N
H7471|009|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE GIVEBACK Indiana (PPO)|00025188|0.00|590| | |IN|15230|0|N
H7471|009|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE GIVEBACK Indiana (PPO)|00025188|0.00|590| | |IN|15300|0|N
H7471|009|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE GIVEBACK Indiana (PPO)|00025188|0.00|590| | |IN|15570|0|N
H7471|009|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE GIVEBACK Indiana (PPO)|00025188|0.00|590| | |IN|15680|0|N
H7471|009|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE GIVEBACK Indiana (PPO)|00025188|0.00|590| | |IN|15770|0|N
H7471|009|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE GIVEBACK Indiana (PPO)|00025188|0.00|590| | |IN|15800|0|N
H7471|009|000|DEVOTED HEALTH INSURANCE COMPANY OF INDIANA|Devoted CHOICE GIVEBACK Indiana (PPO)|00025188|0.00|590| | |IN|15870|0|N
H7511|001|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |NE|28000|3|N
H7511|001|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |NE|28010|3|N
H7511|001|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |NE|28050|3|N
H7511|001|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |NE|28070|3|N
H7511|001|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |NE|28090|3|N
H7511|001|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |NE|28100|3|N
H7511|001|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |NE|28110|3|N
H7511|001|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |NE|28120|3|N
H7511|001|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |NE|28130|3|N
H7511|001|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |NE|28170|3|N
H7511|001|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |NE|28180|3|N
H7511|001|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |NE|28190|3|N
H7511|001|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |NE|28200|3|N
H7511|001|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |NE|28210|3|N
H7511|001|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |NE|28250|3|N
H7511|001|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |NE|28260|3|N
H7511|001|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |NE|28270|3|N
H7511|001|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |NE|28290|3|N
H7511|001|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |NE|28300|3|N
H7511|001|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |NE|28320|3|N
H7511|001|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |NE|28330|3|N
H7511|001|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |NE|28360|3|N
H7511|001|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |NE|28390|3|N
H7511|001|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |NE|28400|3|N
H7511|001|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |NE|28410|3|N
H7511|001|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |NE|28440|3|N
H7511|001|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |NE|28460|3|N
H7511|001|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |NE|28470|3|N
H7511|001|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |NE|28490|3|N
H7511|001|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |NE|28530|3|N
H7511|001|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |NE|28540|3|N
H7511|001|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |NE|28590|3|N
H7511|001|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |NE|28600|3|N
H7511|001|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |NE|28620|3|N
H7511|001|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |NE|28630|3|N
H7511|001|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |NE|28640|3|N
H7511|001|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |NE|28650|3|N
H7511|001|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |NE|28680|3|N
H7511|001|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |NE|28690|3|N
H7511|001|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |NE|28700|3|N
H7511|001|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |NE|28710|3|N
H7511|001|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |NE|28750|3|N
H7511|001|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |NE|28760|3|N
H7511|001|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |NE|28770|3|N
H7511|001|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |NE|28790|3|N
H7511|001|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |NE|28810|3|N
H7511|001|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |NE|28830|3|N
H7511|001|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |NE|28870|3|N
H7511|001|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |NE|28880|3|N
H7511|001|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |NE|28890|3|N
H7511|001|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |NE|28900|3|N
H7511|001|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |NE|28920|3|N
H7511|002|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|1.50|0| | |NE|28000|3|N
H7511|002|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|1.50|0| | |NE|28010|3|N
H7511|002|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|1.50|0| | |NE|28050|3|N
H7511|002|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|1.50|0| | |NE|28070|3|N
H7511|002|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|1.50|0| | |NE|28090|3|N
H7511|002|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|1.50|0| | |NE|28100|3|N
H7511|002|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|1.50|0| | |NE|28110|3|N
H7511|002|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|1.50|0| | |NE|28120|3|N
H7511|002|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|1.50|0| | |NE|28130|3|N
H7511|002|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|1.50|0| | |NE|28170|3|N
H7511|002|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|1.50|0| | |NE|28180|3|N
H7511|002|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|1.50|0| | |NE|28190|3|N
H7511|002|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|1.50|0| | |NE|28200|3|N
H7511|002|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|1.50|0| | |NE|28210|3|N
H7511|002|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|1.50|0| | |NE|28250|3|N
H7511|002|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|1.50|0| | |NE|28260|3|N
H7511|002|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|1.50|0| | |NE|28270|3|N
H7511|002|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|1.50|0| | |NE|28290|3|N
H7511|002|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|1.50|0| | |NE|28300|3|N
H7511|002|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|1.50|0| | |NE|28320|3|N
H7511|002|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|1.50|0| | |NE|28330|3|N
H7511|002|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|1.50|0| | |NE|28360|3|N
H7511|002|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|1.50|0| | |NE|28390|3|N
H7511|002|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|1.50|0| | |NE|28400|3|N
H7511|002|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|1.50|0| | |NE|28410|3|N
H7511|002|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|1.50|0| | |NE|28440|3|N
H7511|002|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|1.50|0| | |NE|28460|3|N
H7511|002|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|1.50|0| | |NE|28470|3|N
H7511|002|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|1.50|0| | |NE|28490|3|N
H7511|002|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|1.50|0| | |NE|28530|3|N
H7511|002|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|1.50|0| | |NE|28540|3|N
H7511|002|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|1.50|0| | |NE|28590|3|N
H7511|002|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|1.50|0| | |NE|28600|3|N
H7511|002|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|1.50|0| | |NE|28620|3|N
H7511|002|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|1.50|0| | |NE|28630|3|N
H7511|002|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|1.50|0| | |NE|28640|3|N
H7511|002|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|1.50|0| | |NE|28650|3|N
H7511|002|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|1.50|0| | |NE|28680|3|N
H7511|002|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|1.50|0| | |NE|28690|3|N
H7511|002|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|1.50|0| | |NE|28700|3|N
H7511|002|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|1.50|0| | |NE|28710|3|N
H7511|002|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|1.50|0| | |NE|28750|3|N
H7511|002|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|1.50|0| | |NE|28760|3|N
H7511|002|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|1.50|0| | |NE|28770|3|N
H7511|002|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|1.50|0| | |NE|28790|3|N
H7511|002|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|1.50|0| | |NE|28810|3|N
H7511|002|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|1.50|0| | |NE|28830|3|N
H7511|002|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|1.50|0| | |NE|28870|3|N
H7511|002|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|1.50|0| | |NE|28880|3|N
H7511|002|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|1.50|0| | |NE|28890|3|N
H7511|002|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|1.50|0| | |NE|28900|3|N
H7511|002|000|GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA, INC.|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|1.50|0| | |NE|28920|3|N
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26030|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26040|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26050|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26060|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26070|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26090|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26130|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26140|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26180|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26190|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26210|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26230|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26240|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26250|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26260|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26270|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26280|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26290|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26320|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26330|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26350|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26360|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26380|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26410|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26411|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26450|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26460|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26470|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26480|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26490|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26500|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26520|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26530|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26540|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26560|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26590|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26620|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26650|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26670|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26690|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26700|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26720|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26740|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26750|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26751|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26800|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26820|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26821|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26840|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26880|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26881|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26910|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26911|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26940|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26950|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26960|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26983|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26986|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26988|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26989|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26990|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26991|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26992|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26994|0|Y
H7518|001|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Mutual of Omaha Simple Open (PPO)|00025076|0.00|420| | |MO|26996|0|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26030|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26040|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26050|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26060|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26070|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26090|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26130|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26140|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26180|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26190|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26210|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26230|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26240|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26250|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26260|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26270|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26280|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26290|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26320|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26330|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26350|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26360|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26380|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26410|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26411|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26450|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26460|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26470|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26480|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26490|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26500|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26520|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26530|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26540|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26560|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26590|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26620|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26650|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26670|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26690|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26700|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26720|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26740|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26750|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26751|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26800|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26820|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26821|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26840|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26880|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26881|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26910|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26911|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26940|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26950|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26960|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26983|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26986|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26988|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26989|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26990|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26991|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26992|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26994|2|Y
H7518|003|000|WELLCARE OF MISSOURI HEALTH INSURANCE COMPANY, INC|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|520| | |MO|26996|2|Y
H7524|001|000|EXCELLUS HEALTH PLAN COMMUNITY CARE LLC|Univera Medicare Dual (HMO D-SNP)|00025366|0.00|590| | |NY|33240|2|N
H7524|001|000|EXCELLUS HEALTH PLAN COMMUNITY CARE LLC|Univera Medicare Dual (HMO D-SNP)|00025366|0.00|590| | |NY|33550|2|N
H7524|002|000|EXCELLUS HEALTH PLAN COMMUNITY CARE LLC|Univera Medicare Total Care (HMO D-SNP)|00025366|0.00|590| | |NY|33240|2|Y
H7524|002|000|EXCELLUS HEALTH PLAN COMMUNITY CARE LLC|Univera Medicare Total Care (HMO D-SNP)|00025366|0.00|590| | |NY|33550|2|Y
H7524|003|000|EXCELLUS HEALTH PLAN COMMUNITY CARE LLC|Medicare Blue Dual (HMO D-SNP)|00025366|0.00|590| | |NY|33030|2|N
H7524|003|000|EXCELLUS HEALTH PLAN COMMUNITY CARE LLC|Medicare Blue Dual (HMO D-SNP)|00025366|0.00|590| | |NY|33320|2|N
H7524|003|000|EXCELLUS HEALTH PLAN COMMUNITY CARE LLC|Medicare Blue Dual (HMO D-SNP)|00025366|0.00|590| | |NY|33350|2|N
H7524|003|000|EXCELLUS HEALTH PLAN COMMUNITY CARE LLC|Medicare Blue Dual (HMO D-SNP)|00025366|0.00|590| | |NY|33370|2|N
H7524|003|000|EXCELLUS HEALTH PLAN COMMUNITY CARE LLC|Medicare Blue Dual (HMO D-SNP)|00025366|0.00|590| | |NY|33510|2|N
H7524|003|000|EXCELLUS HEALTH PLAN COMMUNITY CARE LLC|Medicare Blue Dual (HMO D-SNP)|00025366|0.00|590| | |NY|33520|2|N
H7524|003|000|EXCELLUS HEALTH PLAN COMMUNITY CARE LLC|Medicare Blue Dual (HMO D-SNP)|00025366|0.00|590| | |NY|33530|2|N
H7524|003|000|EXCELLUS HEALTH PLAN COMMUNITY CARE LLC|Medicare Blue Dual (HMO D-SNP)|00025366|0.00|590| | |NY|33570|2|N
H7524|003|000|EXCELLUS HEALTH PLAN COMMUNITY CARE LLC|Medicare Blue Dual (HMO D-SNP)|00025366|0.00|590| | |NY|33680|2|N
H7524|003|000|EXCELLUS HEALTH PLAN COMMUNITY CARE LLC|Medicare Blue Dual (HMO D-SNP)|00025366|0.00|590| | |NY|33770|2|N
H7524|003|000|EXCELLUS HEALTH PLAN COMMUNITY CARE LLC|Medicare Blue Dual (HMO D-SNP)|00025366|0.00|590| | |NY|33910|2|N
H7524|004|000|EXCELLUS HEALTH PLAN COMMUNITY CARE LLC|Medicare Blue Dual Secure (HMO D-SNP)|00025366|0.00|590| | |NY|33030|2|Y
H7524|004|000|EXCELLUS HEALTH PLAN COMMUNITY CARE LLC|Medicare Blue Dual Secure (HMO D-SNP)|00025366|0.00|590| | |NY|33320|2|Y
H7524|004|000|EXCELLUS HEALTH PLAN COMMUNITY CARE LLC|Medicare Blue Dual Secure (HMO D-SNP)|00025366|0.00|590| | |NY|33350|2|Y
H7524|004|000|EXCELLUS HEALTH PLAN COMMUNITY CARE LLC|Medicare Blue Dual Secure (HMO D-SNP)|00025366|0.00|590| | |NY|33370|2|Y
H7524|004|000|EXCELLUS HEALTH PLAN COMMUNITY CARE LLC|Medicare Blue Dual Secure (HMO D-SNP)|00025366|0.00|590| | |NY|33510|2|Y
H7524|004|000|EXCELLUS HEALTH PLAN COMMUNITY CARE LLC|Medicare Blue Dual Secure (HMO D-SNP)|00025366|0.00|590| | |NY|33520|2|Y
H7524|004|000|EXCELLUS HEALTH PLAN COMMUNITY CARE LLC|Medicare Blue Dual Secure (HMO D-SNP)|00025366|0.00|590| | |NY|33530|2|Y
H7524|004|000|EXCELLUS HEALTH PLAN COMMUNITY CARE LLC|Medicare Blue Dual Secure (HMO D-SNP)|00025366|0.00|590| | |NY|33570|2|Y
H7524|004|000|EXCELLUS HEALTH PLAN COMMUNITY CARE LLC|Medicare Blue Dual Secure (HMO D-SNP)|00025366|0.00|590| | |NY|33680|2|Y
H7524|004|000|EXCELLUS HEALTH PLAN COMMUNITY CARE LLC|Medicare Blue Dual Secure (HMO D-SNP)|00025366|0.00|590| | |NY|33770|2|Y
H7524|004|000|EXCELLUS HEALTH PLAN COMMUNITY CARE LLC|Medicare Blue Dual Secure (HMO D-SNP)|00025366|0.00|590| | |NY|33910|2|Y
H7557|001|000|LONGEVITY HEALTH PLAN OF MICHIGAN, INC.|Longevity Health Plan (HMO I-SNP)|00025394|26.60|590| | |MI|23080|3|N
H7557|001|000|LONGEVITY HEALTH PLAN OF MICHIGAN, INC.|Longevity Health Plan (HMO I-SNP)|00025394|26.60|590| | |MI|23120|3|N
H7557|001|000|LONGEVITY HEALTH PLAN OF MICHIGAN, INC.|Longevity Health Plan (HMO I-SNP)|00025394|26.60|590| | |MI|23170|3|N
H7557|001|000|LONGEVITY HEALTH PLAN OF MICHIGAN, INC.|Longevity Health Plan (HMO I-SNP)|00025394|26.60|590| | |MI|23220|3|N
H7557|001|000|LONGEVITY HEALTH PLAN OF MICHIGAN, INC.|Longevity Health Plan (HMO I-SNP)|00025394|26.60|590| | |MI|23240|3|N
H7557|001|000|LONGEVITY HEALTH PLAN OF MICHIGAN, INC.|Longevity Health Plan (HMO I-SNP)|00025394|26.60|590| | |MI|23270|3|N
H7557|001|000|LONGEVITY HEALTH PLAN OF MICHIGAN, INC.|Longevity Health Plan (HMO I-SNP)|00025394|26.60|590| | |MI|23320|3|N
H7557|001|000|LONGEVITY HEALTH PLAN OF MICHIGAN, INC.|Longevity Health Plan (HMO I-SNP)|00025394|26.60|590| | |MI|23370|3|N
H7557|001|000|LONGEVITY HEALTH PLAN OF MICHIGAN, INC.|Longevity Health Plan (HMO I-SNP)|00025394|26.60|590| | |MI|23380|3|N
H7557|001|000|LONGEVITY HEALTH PLAN OF MICHIGAN, INC.|Longevity Health Plan (HMO I-SNP)|00025394|26.60|590| | |MI|23400|3|N
H7557|001|000|LONGEVITY HEALTH PLAN OF MICHIGAN, INC.|Longevity Health Plan (HMO I-SNP)|00025394|26.60|590| | |MI|23430|3|N
H7557|001|000|LONGEVITY HEALTH PLAN OF MICHIGAN, INC.|Longevity Health Plan (HMO I-SNP)|00025394|26.60|590| | |MI|23460|3|N
H7557|001|000|LONGEVITY HEALTH PLAN OF MICHIGAN, INC.|Longevity Health Plan (HMO I-SNP)|00025394|26.60|590| | |MI|23490|3|N
H7557|001|000|LONGEVITY HEALTH PLAN OF MICHIGAN, INC.|Longevity Health Plan (HMO I-SNP)|00025394|26.60|590| | |MI|23550|3|N
H7557|001|000|LONGEVITY HEALTH PLAN OF MICHIGAN, INC.|Longevity Health Plan (HMO I-SNP)|00025394|26.60|590| | |MI|23570|3|N
H7557|001|000|LONGEVITY HEALTH PLAN OF MICHIGAN, INC.|Longevity Health Plan (HMO I-SNP)|00025394|26.60|590| | |MI|23600|3|N
H7557|001|000|LONGEVITY HEALTH PLAN OF MICHIGAN, INC.|Longevity Health Plan (HMO I-SNP)|00025394|26.60|590| | |MI|23620|3|N
H7557|001|000|LONGEVITY HEALTH PLAN OF MICHIGAN, INC.|Longevity Health Plan (HMO I-SNP)|00025394|26.60|590| | |MI|23630|3|N
H7557|001|000|LONGEVITY HEALTH PLAN OF MICHIGAN, INC.|Longevity Health Plan (HMO I-SNP)|00025394|26.60|590| | |MI|23640|3|N
H7557|001|000|LONGEVITY HEALTH PLAN OF MICHIGAN, INC.|Longevity Health Plan (HMO I-SNP)|00025394|26.60|590| | |MI|23690|3|N
H7557|001|000|LONGEVITY HEALTH PLAN OF MICHIGAN, INC.|Longevity Health Plan (HMO I-SNP)|00025394|26.60|590| | |MI|23720|3|N
H7557|001|000|LONGEVITY HEALTH PLAN OF MICHIGAN, INC.|Longevity Health Plan (HMO I-SNP)|00025394|26.60|590| | |MI|23730|3|N
H7557|001|000|LONGEVITY HEALTH PLAN OF MICHIGAN, INC.|Longevity Health Plan (HMO I-SNP)|00025394|26.60|590| | |MI|23770|3|N
H7557|001|000|LONGEVITY HEALTH PLAN OF MICHIGAN, INC.|Longevity Health Plan (HMO I-SNP)|00025394|26.60|590| | |MI|23780|3|N
H7557|001|000|LONGEVITY HEALTH PLAN OF MICHIGAN, INC.|Longevity Health Plan (HMO I-SNP)|00025394|26.60|590| | |MI|23800|3|N
H7557|001|000|LONGEVITY HEALTH PLAN OF MICHIGAN, INC.|Longevity Health Plan (HMO I-SNP)|00025394|26.60|590| | |MI|23810|3|N
H7598|003|000|GROUP HEALTH COOPERATIVE OF EAU CLAIRE|Cooperative Advantage (HMO D-SNP)|00025127|0.00|590| | |WI|52000|2|N
H7598|003|000|GROUP HEALTH COOPERATIVE OF EAU CLAIRE|Cooperative Advantage (HMO D-SNP)|00025127|0.00|590| | |WI|52010|2|N
H7598|003|000|GROUP HEALTH COOPERATIVE OF EAU CLAIRE|Cooperative Advantage (HMO D-SNP)|00025127|0.00|590| | |WI|52020|2|N
H7598|003|000|GROUP HEALTH COOPERATIVE OF EAU CLAIRE|Cooperative Advantage (HMO D-SNP)|00025127|0.00|590| | |WI|52030|2|N
H7598|003|000|GROUP HEALTH COOPERATIVE OF EAU CLAIRE|Cooperative Advantage (HMO D-SNP)|00025127|0.00|590| | |WI|52050|2|N
H7598|003|000|GROUP HEALTH COOPERATIVE OF EAU CLAIRE|Cooperative Advantage (HMO D-SNP)|00025127|0.00|590| | |WI|52060|2|N
H7598|003|000|GROUP HEALTH COOPERATIVE OF EAU CLAIRE|Cooperative Advantage (HMO D-SNP)|00025127|0.00|590| | |WI|52080|2|N
H7598|003|000|GROUP HEALTH COOPERATIVE OF EAU CLAIRE|Cooperative Advantage (HMO D-SNP)|00025127|0.00|590| | |WI|52090|2|N
H7598|003|000|GROUP HEALTH COOPERATIVE OF EAU CLAIRE|Cooperative Advantage (HMO D-SNP)|00025127|0.00|590| | |WI|52100|2|N
H7598|003|000|GROUP HEALTH COOPERATIVE OF EAU CLAIRE|Cooperative Advantage (HMO D-SNP)|00025127|0.00|590| | |WI|52110|2|N
H7598|003|000|GROUP HEALTH COOPERATIVE OF EAU CLAIRE|Cooperative Advantage (HMO D-SNP)|00025127|0.00|590| | |WI|52150|2|N
H7598|003|000|GROUP HEALTH COOPERATIVE OF EAU CLAIRE|Cooperative Advantage (HMO D-SNP)|00025127|0.00|590| | |WI|52160|2|N
H7598|003|000|GROUP HEALTH COOPERATIVE OF EAU CLAIRE|Cooperative Advantage (HMO D-SNP)|00025127|0.00|590| | |WI|52170|2|N
H7598|003|000|GROUP HEALTH COOPERATIVE OF EAU CLAIRE|Cooperative Advantage (HMO D-SNP)|00025127|0.00|590| | |WI|52200|2|N
H7598|003|000|GROUP HEALTH COOPERATIVE OF EAU CLAIRE|Cooperative Advantage (HMO D-SNP)|00025127|0.00|590| | |WI|52210|2|N
H7598|003|000|GROUP HEALTH COOPERATIVE OF EAU CLAIRE|Cooperative Advantage (HMO D-SNP)|00025127|0.00|590| | |WI|52220|2|N
H7598|003|000|GROUP HEALTH COOPERATIVE OF EAU CLAIRE|Cooperative Advantage (HMO D-SNP)|00025127|0.00|590| | |WI|52240|2|N
H7598|003|000|GROUP HEALTH COOPERATIVE OF EAU CLAIRE|Cooperative Advantage (HMO D-SNP)|00025127|0.00|590| | |WI|52250|2|N
H7598|003|000|GROUP HEALTH COOPERATIVE OF EAU CLAIRE|Cooperative Advantage (HMO D-SNP)|00025127|0.00|590| | |WI|52260|2|N
H7598|003|000|GROUP HEALTH COOPERATIVE OF EAU CLAIRE|Cooperative Advantage (HMO D-SNP)|00025127|0.00|590| | |WI|52280|2|N
H7598|003|000|GROUP HEALTH COOPERATIVE OF EAU CLAIRE|Cooperative Advantage (HMO D-SNP)|00025127|0.00|590| | |WI|52310|2|N
H7598|003|000|GROUP HEALTH COOPERATIVE OF EAU CLAIRE|Cooperative Advantage (HMO D-SNP)|00025127|0.00|590| | |WI|52320|2|N
H7598|003|000|GROUP HEALTH COOPERATIVE OF EAU CLAIRE|Cooperative Advantage (HMO D-SNP)|00025127|0.00|590| | |WI|52330|2|N
H7598|003|000|GROUP HEALTH COOPERATIVE OF EAU CLAIRE|Cooperative Advantage (HMO D-SNP)|00025127|0.00|590| | |WI|52340|2|N
H7598|003|000|GROUP HEALTH COOPERATIVE OF EAU CLAIRE|Cooperative Advantage (HMO D-SNP)|00025127|0.00|590| | |WI|52360|2|N
H7598|003|000|GROUP HEALTH COOPERATIVE OF EAU CLAIRE|Cooperative Advantage (HMO D-SNP)|00025127|0.00|590| | |WI|52400|2|N
H7598|003|000|GROUP HEALTH COOPERATIVE OF EAU CLAIRE|Cooperative Advantage (HMO D-SNP)|00025127|0.00|590| | |WI|52420|2|N
H7598|003|000|GROUP HEALTH COOPERATIVE OF EAU CLAIRE|Cooperative Advantage (HMO D-SNP)|00025127|0.00|590| | |WI|52450|2|N
H7598|003|000|GROUP HEALTH COOPERATIVE OF EAU CLAIRE|Cooperative Advantage (HMO D-SNP)|00025127|0.00|590| | |WI|52460|2|N
H7598|003|000|GROUP HEALTH COOPERATIVE OF EAU CLAIRE|Cooperative Advantage (HMO D-SNP)|00025127|0.00|590| | |WI|52470|2|N
H7598|003|000|GROUP HEALTH COOPERATIVE OF EAU CLAIRE|Cooperative Advantage (HMO D-SNP)|00025127|0.00|590| | |WI|52480|2|N
H7598|003|000|GROUP HEALTH COOPERATIVE OF EAU CLAIRE|Cooperative Advantage (HMO D-SNP)|00025127|0.00|590| | |WI|52490|2|N
H7598|003|000|GROUP HEALTH COOPERATIVE OF EAU CLAIRE|Cooperative Advantage (HMO D-SNP)|00025127|0.00|590| | |WI|52510|2|N
H7598|003|000|GROUP HEALTH COOPERATIVE OF EAU CLAIRE|Cooperative Advantage (HMO D-SNP)|00025127|0.00|590| | |WI|52530|2|N
H7598|003|000|GROUP HEALTH COOPERATIVE OF EAU CLAIRE|Cooperative Advantage (HMO D-SNP)|00025127|0.00|590| | |WI|52540|2|N
H7598|003|000|GROUP HEALTH COOPERATIVE OF EAU CLAIRE|Cooperative Advantage (HMO D-SNP)|00025127|0.00|590| | |WI|52550|2|N
H7598|003|000|GROUP HEALTH COOPERATIVE OF EAU CLAIRE|Cooperative Advantage (HMO D-SNP)|00025127|0.00|590| | |WI|52560|2|N
H7598|003|000|GROUP HEALTH COOPERATIVE OF EAU CLAIRE|Cooperative Advantage (HMO D-SNP)|00025127|0.00|590| | |WI|52570|2|N
H7598|003|000|GROUP HEALTH COOPERATIVE OF EAU CLAIRE|Cooperative Advantage (HMO D-SNP)|00025127|0.00|590| | |WI|52590|2|N
H7598|003|000|GROUP HEALTH COOPERATIVE OF EAU CLAIRE|Cooperative Advantage (HMO D-SNP)|00025127|0.00|590| | |WI|52600|2|N
H7598|003|000|GROUP HEALTH COOPERATIVE OF EAU CLAIRE|Cooperative Advantage (HMO D-SNP)|00025127|0.00|590| | |WI|52610|2|N
H7598|003|000|GROUP HEALTH COOPERATIVE OF EAU CLAIRE|Cooperative Advantage (HMO D-SNP)|00025127|0.00|590| | |WI|52620|2|N
H7598|003|000|GROUP HEALTH COOPERATIVE OF EAU CLAIRE|Cooperative Advantage (HMO D-SNP)|00025127|0.00|590| | |WI|52640|2|N
H7598|003|000|GROUP HEALTH COOPERATIVE OF EAU CLAIRE|Cooperative Advantage (HMO D-SNP)|00025127|0.00|590| | |WI|52700|2|N
H7605|001|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44000|0|N
H7605|001|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44040|0|N
H7605|001|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44060|0|N
H7605|001|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44120|0|N
H7605|001|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44140|0|N
H7605|001|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44170|0|N
H7605|001|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44280|0|N
H7605|001|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44310|0|N
H7605|001|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44440|0|N
H7605|001|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44460|0|N
H7605|001|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44520|0|N
H7605|001|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44610|0|N
H7605|001|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44640|0|N
H7605|001|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44720|0|N
H7605|001|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44750|0|N
H7605|001|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44770|0|N
H7605|001|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44860|0|N
H7605|002|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted GIVEBACK Tennessee (HMO)|00025185|0.00|590| | |TN|44000|0|N
H7605|002|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted GIVEBACK Tennessee (HMO)|00025185|0.00|590| | |TN|44040|0|N
H7605|002|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted GIVEBACK Tennessee (HMO)|00025185|0.00|590| | |TN|44060|0|N
H7605|002|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted GIVEBACK Tennessee (HMO)|00025185|0.00|590| | |TN|44120|0|N
H7605|002|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted GIVEBACK Tennessee (HMO)|00025185|0.00|590| | |TN|44140|0|N
H7605|002|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted GIVEBACK Tennessee (HMO)|00025185|0.00|590| | |TN|44170|0|N
H7605|002|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted GIVEBACK Tennessee (HMO)|00025185|0.00|590| | |TN|44280|0|N
H7605|002|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted GIVEBACK Tennessee (HMO)|00025185|0.00|590| | |TN|44310|0|N
H7605|002|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted GIVEBACK Tennessee (HMO)|00025185|0.00|590| | |TN|44440|0|N
H7605|002|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted GIVEBACK Tennessee (HMO)|00025185|0.00|590| | |TN|44460|0|N
H7605|002|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted GIVEBACK Tennessee (HMO)|00025185|0.00|590| | |TN|44520|0|N
H7605|002|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted GIVEBACK Tennessee (HMO)|00025185|0.00|590| | |TN|44610|0|N
H7605|002|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted GIVEBACK Tennessee (HMO)|00025185|0.00|590| | |TN|44640|0|N
H7605|002|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted GIVEBACK Tennessee (HMO)|00025185|0.00|590| | |TN|44720|0|N
H7605|002|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted GIVEBACK Tennessee (HMO)|00025185|0.00|590| | |TN|44750|0|N
H7605|002|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted GIVEBACK Tennessee (HMO)|00025185|0.00|590| | |TN|44770|0|N
H7605|002|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted GIVEBACK Tennessee (HMO)|00025185|0.00|590| | |TN|44860|0|N
H7605|004|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44230|0|N
H7605|004|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44340|0|N
H7605|004|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44370|0|N
H7605|004|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44780|0|N
H7605|004|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44830|0|N
H7605|005|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted GIVEBACK Tennessee (HMO)|00025185|0.00|590| | |TN|44230|0|N
H7605|005|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted GIVEBACK Tennessee (HMO)|00025185|0.00|590| | |TN|44340|0|N
H7605|005|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted GIVEBACK Tennessee (HMO)|00025185|0.00|590| | |TN|44370|0|N
H7605|005|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted GIVEBACK Tennessee (HMO)|00025185|0.00|590| | |TN|44780|0|N
H7605|005|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted GIVEBACK Tennessee (HMO)|00025185|0.00|590| | |TN|44830|0|N
H7605|006|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted BE WELL PLUS Tennessee (HMO C-SNP)|00025185|24.90|590| | |TN|44230|1|N
H7605|006|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted BE WELL PLUS Tennessee (HMO C-SNP)|00025185|24.90|590| | |TN|44780|1|N
H7605|006|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted BE WELL PLUS Tennessee (HMO C-SNP)|00025185|24.90|590| | |TN|44830|1|N
H7605|007|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44070|0|N
H7605|007|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44100|0|N
H7605|007|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44130|0|N
H7605|007|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44180|0|N
H7605|007|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44240|0|N
H7605|007|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44270|0|N
H7605|007|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44400|0|N
H7605|007|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44410|0|N
H7605|007|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44420|0|N
H7605|007|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44430|0|N
H7605|007|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44490|0|N
H7605|007|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44510|0|N
H7605|007|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44550|0|N
H7605|007|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44630|0|N
H7605|007|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44730|0|N
H7605|007|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44740|0|N
H7605|007|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44790|0|N
H7605|007|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44800|0|N
H7605|007|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44820|0|N
H7605|007|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44840|0|N
H7605|007|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44870|0|N
H7605|007|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44880|0|N
H7605|007|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44900|0|N
H7605|007|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44930|0|N
H7605|007|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44940|0|N
H7605|008|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted GIVEBACK Tennessee (HMO)|00025185|0.00|590| | |TN|44070|0|N
H7605|008|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted GIVEBACK Tennessee (HMO)|00025185|0.00|590| | |TN|44100|0|N
H7605|008|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted GIVEBACK Tennessee (HMO)|00025185|0.00|590| | |TN|44130|0|N
H7605|008|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted GIVEBACK Tennessee (HMO)|00025185|0.00|590| | |TN|44180|0|N
H7605|008|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted GIVEBACK Tennessee (HMO)|00025185|0.00|590| | |TN|44240|0|N
H7605|008|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted GIVEBACK Tennessee (HMO)|00025185|0.00|590| | |TN|44270|0|N
H7605|008|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted GIVEBACK Tennessee (HMO)|00025185|0.00|590| | |TN|44400|0|N
H7605|008|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted GIVEBACK Tennessee (HMO)|00025185|0.00|590| | |TN|44410|0|N
H7605|008|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted GIVEBACK Tennessee (HMO)|00025185|0.00|590| | |TN|44420|0|N
H7605|008|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted GIVEBACK Tennessee (HMO)|00025185|0.00|590| | |TN|44430|0|N
H7605|008|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted GIVEBACK Tennessee (HMO)|00025185|0.00|590| | |TN|44490|0|N
H7605|008|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted GIVEBACK Tennessee (HMO)|00025185|0.00|590| | |TN|44510|0|N
H7605|008|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted GIVEBACK Tennessee (HMO)|00025185|0.00|590| | |TN|44550|0|N
H7605|008|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted GIVEBACK Tennessee (HMO)|00025185|0.00|590| | |TN|44630|0|N
H7605|008|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted GIVEBACK Tennessee (HMO)|00025185|0.00|590| | |TN|44730|0|N
H7605|008|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted GIVEBACK Tennessee (HMO)|00025185|0.00|590| | |TN|44740|0|N
H7605|008|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted GIVEBACK Tennessee (HMO)|00025185|0.00|590| | |TN|44790|0|N
H7605|008|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted GIVEBACK Tennessee (HMO)|00025185|0.00|590| | |TN|44800|0|N
H7605|008|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted GIVEBACK Tennessee (HMO)|00025185|0.00|590| | |TN|44820|0|N
H7605|008|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted GIVEBACK Tennessee (HMO)|00025185|0.00|590| | |TN|44840|0|N
H7605|008|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted GIVEBACK Tennessee (HMO)|00025185|0.00|590| | |TN|44870|0|N
H7605|008|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted GIVEBACK Tennessee (HMO)|00025185|0.00|590| | |TN|44880|0|N
H7605|008|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted GIVEBACK Tennessee (HMO)|00025185|0.00|590| | |TN|44900|0|N
H7605|008|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted GIVEBACK Tennessee (HMO)|00025185|0.00|590| | |TN|44930|0|N
H7605|008|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted GIVEBACK Tennessee (HMO)|00025185|0.00|590| | |TN|44940|0|N
H7605|009|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44030|0|N
H7605|009|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44050|0|N
H7605|009|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44300|0|N
H7605|009|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44320|0|N
H7605|009|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44570|0|N
H7605|009|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44600|0|N
H7605|009|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44690|0|N
H7605|009|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44710|0|N
H7605|009|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44760|0|N
H7605|010|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44330|0|N
H7605|010|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44360|0|N
H7605|010|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44450|0|N
H7605|010|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44810|0|N
H7605|010|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44850|0|N
H7605|010|000|DEVOTED HEALTH PLAN OF TENNESSEE INC|Devoted CORE Tennessee (HMO)|00025185|0.00|590| | |TN|44890|0|N
H7607|002|001|CLEVER CARE OF GOLDEN STATE, INC.|Clever Care Longevity (HMO)|00025204|0.00|0| | |CA|05200|0|N
H7607|002|002|CLEVER CARE OF GOLDEN STATE, INC.|Clever Care Longevity (HMO)|00025204|0.00|0| | |CA|05400|0|N
H7607|002|003|CLEVER CARE OF GOLDEN STATE, INC.|Clever Care Longevity (HMO)|00025204|0.00|0| | |CA|05470|0|N
H7607|002|004|CLEVER CARE OF GOLDEN STATE, INC.|Clever Care Longevity (HMO)|00025204|0.00|0| | |CA|05460|0|N
H7607|002|005|CLEVER CARE OF GOLDEN STATE, INC.|Clever Care Longevity (HMO)|00025204|0.00|0| | |CA|05430|0|N
H7607|008|001|CLEVER CARE OF GOLDEN STATE, INC.|Clever Care Value (HMO)|00025204|0.00|0| | |CA|05200|0|N
H7607|008|002|CLEVER CARE OF GOLDEN STATE, INC.|Clever Care Value (HMO)|00025204|0.00|0| | |CA|05400|0|N
H7607|008|003|CLEVER CARE OF GOLDEN STATE, INC.|Clever Care Value (HMO)|00025204|0.00|0| | |CA|05470|0|N
H7607|008|004|CLEVER CARE OF GOLDEN STATE, INC.|Clever Care Value (HMO)|00025204|0.00|0| | |CA|05460|0|N
H7607|008|005|CLEVER CARE OF GOLDEN STATE, INC.|Clever Care Value (HMO)|00025204|0.00|0| | |CA|05430|0|N
H7607|011|001|CLEVER CARE OF GOLDEN STATE, INC.|Clever Care Total+ (HMO C-SNP)|00025204|18.40|590| | |CA|05200|1|N
H7607|011|002|CLEVER CARE OF GOLDEN STATE, INC.|Clever Care Total+ (HMO C-SNP)|00025204|18.40|590| | |CA|05400|1|N
H7607|011|003|CLEVER CARE OF GOLDEN STATE, INC.|Clever Care Total+ (HMO C-SNP)|00025204|18.40|590| | |CA|05470|1|N
H7607|011|004|CLEVER CARE OF GOLDEN STATE, INC.|Clever Care Total+ (HMO C-SNP)|00025204|18.40|590| | |CA|05460|1|N
H7607|011|005|CLEVER CARE OF GOLDEN STATE, INC.|Clever Care Total+ (HMO C-SNP)|00025204|18.40|590| | |CA|05430|1|N
H7646|001|000|UNIVERSITY OF MICHIGAN HEALTH MEDICARE|University of Michigan Health Advantage (HMO-POS)|00025331|0.00|0| | |MI|23120|0|N
H7646|001|000|UNIVERSITY OF MICHIGAN HEALTH MEDICARE|University of Michigan Health Advantage (HMO-POS)|00025331|0.00|0| | |MI|23180|0|N
H7646|001|000|UNIVERSITY OF MICHIGAN HEALTH MEDICARE|University of Michigan Health Advantage (HMO-POS)|00025331|0.00|0| | |MI|23220|0|N
H7646|001|000|UNIVERSITY OF MICHIGAN HEALTH MEDICARE|University of Michigan Health Advantage (HMO-POS)|00025331|0.00|0| | |MI|23280|0|N
H7646|001|000|UNIVERSITY OF MICHIGAN HEALTH MEDICARE|University of Michigan Health Advantage (HMO-POS)|00025331|0.00|0| | |MI|23320|0|N
H7646|001|000|UNIVERSITY OF MICHIGAN HEALTH MEDICARE|University of Michigan Health Advantage (HMO-POS)|00025331|0.00|0| | |MI|23330|0|N
H7646|001|000|UNIVERSITY OF MICHIGAN HEALTH MEDICARE|University of Michigan Health Advantage (HMO-POS)|00025331|0.00|0| | |MI|23370|0|N
H7646|001|000|UNIVERSITY OF MICHIGAN HEALTH MEDICARE|University of Michigan Health Advantage (HMO-POS)|00025331|0.00|0| | |MI|23380|0|N
H7646|001|000|UNIVERSITY OF MICHIGAN HEALTH MEDICARE|University of Michigan Health Advantage (HMO-POS)|00025331|0.00|0| | |MI|23460|0|N
H7646|001|000|UNIVERSITY OF MICHIGAN HEALTH MEDICARE|University of Michigan Health Advantage (HMO-POS)|00025331|0.00|0| | |MI|23580|0|N
H7646|001|000|UNIVERSITY OF MICHIGAN HEALTH MEDICARE|University of Michigan Health Advantage (HMO-POS)|00025331|0.00|0| | |MI|23770|0|N
H7646|001|000|UNIVERSITY OF MICHIGAN HEALTH MEDICARE|University of Michigan Health Advantage (HMO-POS)|00025331|0.00|0| | |MI|23800|0|N
H7646|002|000|UNIVERSITY OF MICHIGAN HEALTH MEDICARE|Covenant Advantage (HMO-POS)|00025331|0.00|0| | |MI|23080|0|N
H7646|002|000|UNIVERSITY OF MICHIGAN HEALTH MEDICARE|Covenant Advantage (HMO-POS)|00025331|0.00|0| | |MI|23310|0|N
H7646|002|000|UNIVERSITY OF MICHIGAN HEALTH MEDICARE|Covenant Advantage (HMO-POS)|00025331|0.00|0| | |MI|23720|0|N
H7646|002|000|UNIVERSITY OF MICHIGAN HEALTH MEDICARE|Covenant Advantage (HMO-POS)|00025331|0.00|0| | |MI|23750|0|N
H7646|002|000|UNIVERSITY OF MICHIGAN HEALTH MEDICARE|Covenant Advantage (HMO-POS)|00025331|0.00|0| | |MI|23780|0|N
H7646|004|000|UNIVERSITY OF MICHIGAN HEALTH MEDICARE|University of Michigan Health Advantage Plus (HMO-POS)|00025331|25.00|0| | |MI|23120|0|N
H7646|004|000|UNIVERSITY OF MICHIGAN HEALTH MEDICARE|University of Michigan Health Advantage Plus (HMO-POS)|00025331|25.00|0| | |MI|23180|0|N
H7646|004|000|UNIVERSITY OF MICHIGAN HEALTH MEDICARE|University of Michigan Health Advantage Plus (HMO-POS)|00025331|25.00|0| | |MI|23220|0|N
H7646|004|000|UNIVERSITY OF MICHIGAN HEALTH MEDICARE|University of Michigan Health Advantage Plus (HMO-POS)|00025331|25.00|0| | |MI|23280|0|N
H7646|004|000|UNIVERSITY OF MICHIGAN HEALTH MEDICARE|University of Michigan Health Advantage Plus (HMO-POS)|00025331|25.00|0| | |MI|23320|0|N
H7646|004|000|UNIVERSITY OF MICHIGAN HEALTH MEDICARE|University of Michigan Health Advantage Plus (HMO-POS)|00025331|25.00|0| | |MI|23330|0|N
H7646|004|000|UNIVERSITY OF MICHIGAN HEALTH MEDICARE|University of Michigan Health Advantage Plus (HMO-POS)|00025331|25.00|0| | |MI|23370|0|N
H7646|004|000|UNIVERSITY OF MICHIGAN HEALTH MEDICARE|University of Michigan Health Advantage Plus (HMO-POS)|00025331|25.00|0| | |MI|23380|0|N
H7646|004|000|UNIVERSITY OF MICHIGAN HEALTH MEDICARE|University of Michigan Health Advantage Plus (HMO-POS)|00025331|25.00|0| | |MI|23460|0|N
H7646|004|000|UNIVERSITY OF MICHIGAN HEALTH MEDICARE|University of Michigan Health Advantage Plus (HMO-POS)|00025331|25.00|0| | |MI|23580|0|N
H7646|004|000|UNIVERSITY OF MICHIGAN HEALTH MEDICARE|University of Michigan Health Advantage Plus (HMO-POS)|00025331|25.00|0| | |MI|23770|0|N
H7646|004|000|UNIVERSITY OF MICHIGAN HEALTH MEDICARE|University of Michigan Health Advantage Plus (HMO-POS)|00025331|25.00|0| | |MI|23800|0|N
H7646|005|000|UNIVERSITY OF MICHIGAN HEALTH MEDICARE|Covenant Advantage Plus (HMO-POS)|00025331|25.00|0| | |MI|23080|0|N
H7646|005|000|UNIVERSITY OF MICHIGAN HEALTH MEDICARE|Covenant Advantage Plus (HMO-POS)|00025331|25.00|0| | |MI|23310|0|N
H7646|005|000|UNIVERSITY OF MICHIGAN HEALTH MEDICARE|Covenant Advantage Plus (HMO-POS)|00025331|25.00|0| | |MI|23720|0|N
H7646|005|000|UNIVERSITY OF MICHIGAN HEALTH MEDICARE|Covenant Advantage Plus (HMO-POS)|00025331|25.00|0| | |MI|23750|0|N
H7646|005|000|UNIVERSITY OF MICHIGAN HEALTH MEDICARE|Covenant Advantage Plus (HMO-POS)|00025331|25.00|0| | |MI|23780|0|N
H7670|001|000|CENTRAL MASS HEALTH, LLC|Mass Advantage Basic (HMO)|00025020|0.00|0| | |MA|22170|0|N
H7670|002|000|CENTRAL MASS HEALTH, LLC|Mass Advantage Plus (HMO)|00025020|43.70|0| | |MA|22170|0|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45000|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45020|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45060|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45070|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45090|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45130|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45180|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45240|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45250|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45260|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45280|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45281|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45310|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45320|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45340|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45390|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45400|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45410|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45440|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45470|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45480|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45510|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45530|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45531|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45550|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45564|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45570|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45581|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45600|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45610|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45620|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45640|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45650|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45653|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45654|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45660|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45662|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45670|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45690|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45700|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45710|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45720|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45730|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45731|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45750|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45757|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45781|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45783|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45790|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45791|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45792|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45800|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45801|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45803|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45810|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45820|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45840|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45842|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45843|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45850|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45870|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45874|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45879|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45881|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45883|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45884|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45890|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45892|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45900|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45910|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45921|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45941|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45942|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45943|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45947|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45949|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45950|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45953|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45954|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45962|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45971|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45973|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45974|2|N
H7678|001|000|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025349|0.00|590| | |TX|45982|2|N
H7680|001|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Plus (HMO)|00025420|0.00|0| | |TX|45340|0|N
H7680|001|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Plus (HMO)|00025420|0.00|0| | |TX|45392|0|N
H7680|001|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Plus (HMO)|00025420|0.00|0| | |TX|45510|0|N
H7680|001|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Plus (HMO)|00025420|0.00|0| | |TX|45563|0|N
H7680|001|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Plus (HMO)|00025420|0.00|0| | |TX|45564|0|N
H7680|001|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Plus (HMO)|00025420|0.00|0| | |TX|45802|0|N
H7680|001|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Plus (HMO)|00025420|0.00|0| | |TX|45860|0|N
H7680|001|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Plus (HMO)|00025420|0.00|0| | |TX|45871|0|N
H7680|002|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Plus (HMO)|00025420|0.00|0| | |TX|45210|0|N
H7680|002|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Plus (HMO)|00025420|0.00|0| | |TX|45240|0|N
H7680|002|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Plus (HMO)|00025420|0.00|0| | |TX|45650|0|N
H7680|002|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Plus (HMO)|00025420|0.00|0| | |TX|45710|0|N
H7680|002|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Plus (HMO)|00025420|0.00|0| | |TX|45900|0|N
H7680|002|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Plus (HMO)|00025420|0.00|0| | |TX|45953|0|N
H7680|002|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Plus (HMO)|00025420|0.00|0| | |TX|45962|0|N
H7680|002|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Plus (HMO)|00025420|0.00|0| | |TX|45982|0|N
H7680|007|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Dual (HMO D-SNP)|00025423|0.00|590| | |TX|45210|2|N
H7680|007|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Dual (HMO D-SNP)|00025423|0.00|590| | |TX|45240|2|N
H7680|007|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Dual (HMO D-SNP)|00025423|0.00|590| | |TX|45650|2|N
H7680|007|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Dual (HMO D-SNP)|00025423|0.00|590| | |TX|45710|2|N
H7680|007|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Dual (HMO D-SNP)|00025423|0.00|590| | |TX|45900|2|N
H7680|007|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Dual (HMO D-SNP)|00025423|0.00|590| | |TX|45953|2|N
H7680|007|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Dual (HMO D-SNP)|00025423|0.00|590| | |TX|45962|2|N
H7680|007|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Dual (HMO D-SNP)|00025423|0.00|590| | |TX|45982|2|N
H7680|009|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Extra Help (HMO)|00025423|18.30|590| | |TX|45210|0|N
H7680|009|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Extra Help (HMO)|00025423|18.30|590| | |TX|45240|0|N
H7680|009|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Extra Help (HMO)|00025423|18.30|590| | |TX|45650|0|N
H7680|009|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Extra Help (HMO)|00025423|18.30|590| | |TX|45710|0|N
H7680|009|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Extra Help (HMO)|00025423|18.30|590| | |TX|45900|0|N
H7680|009|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Extra Help (HMO)|00025423|18.30|590| | |TX|45953|0|N
H7680|009|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Extra Help (HMO)|00025423|18.30|590| | |TX|45962|0|N
H7680|009|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Extra Help (HMO)|00025423|18.30|590| | |TX|45982|0|N
H7680|011|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Beyond (HMO)|00025420|0.00|0| | |TX|45210|0|N
H7680|011|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Beyond (HMO)|00025420|0.00|0| | |TX|45240|0|N
H7680|011|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Beyond (HMO)|00025420|0.00|0| | |TX|45650|0|N
H7680|011|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Beyond (HMO)|00025420|0.00|0| | |TX|45710|0|N
H7680|011|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Beyond (HMO)|00025420|0.00|0| | |TX|45900|0|N
H7680|011|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Beyond (HMO)|00025420|0.00|0| | |TX|45953|0|N
H7680|011|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Beyond (HMO)|00025420|0.00|0| | |TX|45962|0|N
H7680|011|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Beyond (HMO)|00025420|0.00|0| | |TX|45982|0|N
H7680|012|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Giveback $100 (HMO)|00025420|0.00|375| | |TX|45340|0|N
H7680|012|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Giveback $100 (HMO)|00025420|0.00|375| | |TX|45392|0|N
H7680|012|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Giveback $100 (HMO)|00025420|0.00|375| | |TX|45510|0|N
H7680|012|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Giveback $100 (HMO)|00025420|0.00|375| | |TX|45563|0|N
H7680|012|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Giveback $100 (HMO)|00025420|0.00|375| | |TX|45564|0|N
H7680|012|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Giveback $100 (HMO)|00025420|0.00|375| | |TX|45802|0|N
H7680|012|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Giveback $100 (HMO)|00025420|0.00|375| | |TX|45860|0|N
H7680|012|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Giveback $100 (HMO)|00025420|0.00|375| | |TX|45871|0|N
H7680|014|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Giveback (HMO)|00025420|0.00|250| | |TX|45210|0|N
H7680|014|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Giveback (HMO)|00025420|0.00|250| | |TX|45240|0|N
H7680|014|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Giveback (HMO)|00025420|0.00|250| | |TX|45650|0|N
H7680|014|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Giveback (HMO)|00025420|0.00|250| | |TX|45710|0|N
H7680|014|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Giveback (HMO)|00025420|0.00|250| | |TX|45900|0|N
H7680|014|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Giveback (HMO)|00025420|0.00|250| | |TX|45953|0|N
H7680|014|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Giveback (HMO)|00025420|0.00|250| | |TX|45962|0|N
H7680|014|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Giveback (HMO)|00025420|0.00|250| | |TX|45982|0|N
H7680|015|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Diabetes and Heart (HMO C-SNP)|00025424|0.00|0| | |TX|45340|1|N
H7680|015|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Diabetes and Heart (HMO C-SNP)|00025424|0.00|0| | |TX|45392|1|N
H7680|015|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Diabetes and Heart (HMO C-SNP)|00025424|0.00|0| | |TX|45510|1|N
H7680|015|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Diabetes and Heart (HMO C-SNP)|00025424|0.00|0| | |TX|45563|1|N
H7680|015|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Diabetes and Heart (HMO C-SNP)|00025424|0.00|0| | |TX|45564|1|N
H7680|015|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Diabetes and Heart (HMO C-SNP)|00025424|0.00|0| | |TX|45802|1|N
H7680|015|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Diabetes and Heart (HMO C-SNP)|00025424|0.00|0| | |TX|45860|1|N
H7680|015|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Diabetes and Heart (HMO C-SNP)|00025424|0.00|0| | |TX|45871|1|N
H7680|016|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Diabetes and Heart (HMO C-SNP)|00025424|0.00|0| | |TX|45210|1|N
H7680|016|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Diabetes and Heart (HMO C-SNP)|00025424|0.00|0| | |TX|45240|1|N
H7680|016|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Diabetes and Heart (HMO C-SNP)|00025424|0.00|0| | |TX|45650|1|N
H7680|016|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Diabetes and Heart (HMO C-SNP)|00025424|0.00|0| | |TX|45710|1|N
H7680|016|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Diabetes and Heart (HMO C-SNP)|00025424|0.00|0| | |TX|45900|1|N
H7680|016|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Diabetes and Heart (HMO C-SNP)|00025424|0.00|0| | |TX|45953|1|N
H7680|016|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Diabetes and Heart (HMO C-SNP)|00025424|0.00|0| | |TX|45962|1|N
H7680|016|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Diabetes and Heart (HMO C-SNP)|00025424|0.00|0| | |TX|45982|1|N
H7680|017|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Dual (HMO D-SNP)|00025423|0.00|590| | |TX|45340|2|N
H7680|017|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Dual (HMO D-SNP)|00025423|0.00|590| | |TX|45392|2|N
H7680|017|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Dual (HMO D-SNP)|00025423|0.00|590| | |TX|45510|2|N
H7680|017|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Dual (HMO D-SNP)|00025423|0.00|590| | |TX|45563|2|N
H7680|017|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Dual (HMO D-SNP)|00025423|0.00|590| | |TX|45564|2|N
H7680|017|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Dual (HMO D-SNP)|00025423|0.00|590| | |TX|45802|2|N
H7680|017|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Dual (HMO D-SNP)|00025423|0.00|590| | |TX|45860|2|N
H7680|017|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Dual (HMO D-SNP)|00025423|0.00|590| | |TX|45871|2|N
H7680|018|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Extra Help (HMO)|00025423|18.30|590| | |TX|45340|0|N
H7680|018|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Extra Help (HMO)|00025423|18.30|590| | |TX|45392|0|N
H7680|018|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Extra Help (HMO)|00025423|18.30|590| | |TX|45510|0|N
H7680|018|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Extra Help (HMO)|00025423|18.30|590| | |TX|45563|0|N
H7680|018|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Extra Help (HMO)|00025423|18.30|590| | |TX|45564|0|N
H7680|018|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Extra Help (HMO)|00025423|18.30|590| | |TX|45802|0|N
H7680|018|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Extra Help (HMO)|00025423|18.30|590| | |TX|45860|0|N
H7680|018|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Extra Help (HMO)|00025423|18.30|590| | |TX|45871|0|N
H7680|019|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Beyond (HMO-POS)|00025420|0.00|0| | |TX|45340|0|N
H7680|019|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Beyond (HMO-POS)|00025420|0.00|0| | |TX|45392|0|N
H7680|019|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Beyond (HMO-POS)|00025420|0.00|0| | |TX|45510|0|N
H7680|019|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Beyond (HMO-POS)|00025420|0.00|0| | |TX|45563|0|N
H7680|019|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Beyond (HMO-POS)|00025420|0.00|0| | |TX|45564|0|N
H7680|019|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Beyond (HMO-POS)|00025420|0.00|0| | |TX|45802|0|N
H7680|019|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Beyond (HMO-POS)|00025420|0.00|0| | |TX|45860|0|N
H7680|019|000|PROMINENCE HEALTHFIRST OF TEXAS|Prominence Beyond (HMO-POS)|00025420|0.00|0| | |TX|45871|0|N
H7710|001|000|HIGHMARK BCBSD, INC.|Highmark Health Options Duals (HMO D-SNP)|00025515|0.00|590| | |DE|08000|2|N
H7710|001|000|HIGHMARK BCBSD, INC.|Highmark Health Options Duals (HMO D-SNP)|00025515|0.00|590| | |DE|08010|2|N
H7710|001|000|HIGHMARK BCBSD, INC.|Highmark Health Options Duals (HMO D-SNP)|00025515|0.00|590| | |DE|08020|2|N
H7779|001|000|AMERICAN HEALTH PLAN, INC.|American Health Advantage of Tennessee (HMO I-SNP)|00025482|40.00|590| | |TN|44000|3|N
H7779|001|000|AMERICAN HEALTH PLAN, INC.|American Health Advantage of Tennessee (HMO I-SNP)|00025482|40.00|590| | |TN|44010|3|N
H7779|001|000|AMERICAN HEALTH PLAN, INC.|American Health Advantage of Tennessee (HMO I-SNP)|00025482|40.00|590| | |TN|44020|3|N
H7779|001|000|AMERICAN HEALTH PLAN, INC.|American Health Advantage of Tennessee (HMO I-SNP)|00025482|40.00|590| | |TN|44040|3|N
H7779|001|000|AMERICAN HEALTH PLAN, INC.|American Health Advantage of Tennessee (HMO I-SNP)|00025482|40.00|590| | |TN|44080|3|N
H7779|001|000|AMERICAN HEALTH PLAN, INC.|American Health Advantage of Tennessee (HMO I-SNP)|00025482|40.00|590| | |TN|44090|3|N
H7779|001|000|AMERICAN HEALTH PLAN, INC.|American Health Advantage of Tennessee (HMO I-SNP)|00025482|40.00|590| | |TN|44100|3|N
H7779|001|000|AMERICAN HEALTH PLAN, INC.|American Health Advantage of Tennessee (HMO I-SNP)|00025482|40.00|590| | |TN|44110|3|N
H7779|001|000|AMERICAN HEALTH PLAN, INC.|American Health Advantage of Tennessee (HMO I-SNP)|00025482|40.00|590| | |TN|44120|3|N
H7779|001|000|AMERICAN HEALTH PLAN, INC.|American Health Advantage of Tennessee (HMO I-SNP)|00025482|40.00|590| | |TN|44160|3|N
H7779|001|000|AMERICAN HEALTH PLAN, INC.|American Health Advantage of Tennessee (HMO I-SNP)|00025482|40.00|590| | |TN|44170|3|N
H7779|001|000|AMERICAN HEALTH PLAN, INC.|American Health Advantage of Tennessee (HMO I-SNP)|00025482|40.00|590| | |TN|44180|3|N
H7779|001|000|AMERICAN HEALTH PLAN, INC.|American Health Advantage of Tennessee (HMO I-SNP)|00025482|40.00|590| | |TN|44190|3|N
H7779|001|000|AMERICAN HEALTH PLAN, INC.|American Health Advantage of Tennessee (HMO I-SNP)|00025482|40.00|590| | |TN|44210|3|N
H7779|001|000|AMERICAN HEALTH PLAN, INC.|American Health Advantage of Tennessee (HMO I-SNP)|00025482|40.00|590| | |TN|44220|3|N
H7779|001|000|AMERICAN HEALTH PLAN, INC.|American Health Advantage of Tennessee (HMO I-SNP)|00025482|40.00|590| | |TN|44230|3|N
H7779|001|000|AMERICAN HEALTH PLAN, INC.|American Health Advantage of Tennessee (HMO I-SNP)|00025482|40.00|590| | |TN|44240|3|N
H7779|001|000|AMERICAN HEALTH PLAN, INC.|American Health Advantage of Tennessee (HMO I-SNP)|00025482|40.00|590| | |TN|44260|3|N
H7779|001|000|AMERICAN HEALTH PLAN, INC.|American Health Advantage of Tennessee (HMO I-SNP)|00025482|40.00|590| | |TN|44270|3|N
H7779|001|000|AMERICAN HEALTH PLAN, INC.|American Health Advantage of Tennessee (HMO I-SNP)|00025482|40.00|590| | |TN|44320|3|N
H7779|001|000|AMERICAN HEALTH PLAN, INC.|American Health Advantage of Tennessee (HMO I-SNP)|00025482|40.00|590| | |TN|44330|3|N
H7779|001|000|AMERICAN HEALTH PLAN, INC.|American Health Advantage of Tennessee (HMO I-SNP)|00025482|40.00|590| | |TN|44350|3|N
H7779|001|000|AMERICAN HEALTH PLAN, INC.|American Health Advantage of Tennessee (HMO I-SNP)|00025482|40.00|590| | |TN|44360|3|N
H7779|001|000|AMERICAN HEALTH PLAN, INC.|American Health Advantage of Tennessee (HMO I-SNP)|00025482|40.00|590| | |TN|44370|3|N
H7779|001|000|AMERICAN HEALTH PLAN, INC.|American Health Advantage of Tennessee (HMO I-SNP)|00025482|40.00|590| | |TN|44380|3|N
H7779|001|000|AMERICAN HEALTH PLAN, INC.|American Health Advantage of Tennessee (HMO I-SNP)|00025482|40.00|590| | |TN|44390|3|N
H7779|001|000|AMERICAN HEALTH PLAN, INC.|American Health Advantage of Tennessee (HMO I-SNP)|00025482|40.00|590| | |TN|44410|3|N
H7779|001|000|AMERICAN HEALTH PLAN, INC.|American Health Advantage of Tennessee (HMO I-SNP)|00025482|40.00|590| | |TN|44420|3|N
H7779|001|000|AMERICAN HEALTH PLAN, INC.|American Health Advantage of Tennessee (HMO I-SNP)|00025482|40.00|590| | |TN|44450|3|N
H7779|001|000|AMERICAN HEALTH PLAN, INC.|American Health Advantage of Tennessee (HMO I-SNP)|00025482|40.00|590| | |TN|44460|3|N
H7779|001|000|AMERICAN HEALTH PLAN, INC.|American Health Advantage of Tennessee (HMO I-SNP)|00025482|40.00|590| | |TN|44470|3|N
H7779|001|000|AMERICAN HEALTH PLAN, INC.|American Health Advantage of Tennessee (HMO I-SNP)|00025482|40.00|590| | |TN|44480|3|N
H7779|001|000|AMERICAN HEALTH PLAN, INC.|American Health Advantage of Tennessee (HMO I-SNP)|00025482|40.00|590| | |TN|44500|3|N
H7779|001|000|AMERICAN HEALTH PLAN, INC.|American Health Advantage of Tennessee (HMO I-SNP)|00025482|40.00|590| | |TN|44520|3|N
H7779|001|000|AMERICAN HEALTH PLAN, INC.|American Health Advantage of Tennessee (HMO I-SNP)|00025482|40.00|590| | |TN|44540|3|N
H7779|001|000|AMERICAN HEALTH PLAN, INC.|American Health Advantage of Tennessee (HMO I-SNP)|00025482|40.00|590| | |TN|44560|3|N
H7779|001|000|AMERICAN HEALTH PLAN, INC.|American Health Advantage of Tennessee (HMO I-SNP)|00025482|40.00|590| | |TN|44570|3|N
H7779|001|000|AMERICAN HEALTH PLAN, INC.|American Health Advantage of Tennessee (HMO I-SNP)|00025482|40.00|590| | |TN|44590|3|N
H7779|001|000|AMERICAN HEALTH PLAN, INC.|American Health Advantage of Tennessee (HMO I-SNP)|00025482|40.00|590| | |TN|44600|3|N
H7779|001|000|AMERICAN HEALTH PLAN, INC.|American Health Advantage of Tennessee (HMO I-SNP)|00025482|40.00|590| | |TN|44610|3|N
H7779|001|000|AMERICAN HEALTH PLAN, INC.|American Health Advantage of Tennessee (HMO I-SNP)|00025482|40.00|590| | |TN|44620|3|N
H7779|001|000|AMERICAN HEALTH PLAN, INC.|American Health Advantage of Tennessee (HMO I-SNP)|00025482|40.00|590| | |TN|44650|3|N
H7779|001|000|AMERICAN HEALTH PLAN, INC.|American Health Advantage of Tennessee (HMO I-SNP)|00025482|40.00|590| | |TN|44710|3|N
H7779|001|000|AMERICAN HEALTH PLAN, INC.|American Health Advantage of Tennessee (HMO I-SNP)|00025482|40.00|590| | |TN|44720|3|N
H7779|001|000|AMERICAN HEALTH PLAN, INC.|American Health Advantage of Tennessee (HMO I-SNP)|00025482|40.00|590| | |TN|44740|3|N
H7779|001|000|AMERICAN HEALTH PLAN, INC.|American Health Advantage of Tennessee (HMO I-SNP)|00025482|40.00|590| | |TN|44780|3|N
H7779|001|000|AMERICAN HEALTH PLAN, INC.|American Health Advantage of Tennessee (HMO I-SNP)|00025482|40.00|590| | |TN|44800|3|N
H7779|001|000|AMERICAN HEALTH PLAN, INC.|American Health Advantage of Tennessee (HMO I-SNP)|00025482|40.00|590| | |TN|44810|3|N
H7779|001|000|AMERICAN HEALTH PLAN, INC.|American Health Advantage of Tennessee (HMO I-SNP)|00025482|40.00|590| | |TN|44820|3|N
H7779|001|000|AMERICAN HEALTH PLAN, INC.|American Health Advantage of Tennessee (HMO I-SNP)|00025482|40.00|590| | |TN|44830|3|N
H7779|001|000|AMERICAN HEALTH PLAN, INC.|American Health Advantage of Tennessee (HMO I-SNP)|00025482|40.00|590| | |TN|44890|3|N
H7779|001|000|AMERICAN HEALTH PLAN, INC.|American Health Advantage of Tennessee (HMO I-SNP)|00025482|40.00|590| | |TN|44910|3|N
H7779|001|000|AMERICAN HEALTH PLAN, INC.|American Health Advantage of Tennessee (HMO I-SNP)|00025482|40.00|590| | |TN|44940|3|N
H7787|001|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |TX|45310|0|N
H7787|001|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |TX|45390|0|N
H7787|001|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |TX|45410|0|N
H7787|001|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |TX|45720|0|N
H7787|001|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |TX|45910|0|N
H7813|001|000|ICIRCLE SERVICES OF THE FINGER LAKES, INC.|iCircle Dual Advantage (HMO D-SNP)|00025259|0.00|590| | |NY|33030|2|Y
H7813|001|000|ICIRCLE SERVICES OF THE FINGER LAKES, INC.|iCircle Dual Advantage (HMO D-SNP)|00025259|0.00|590| | |NY|33050|2|Y
H7813|001|000|ICIRCLE SERVICES OF THE FINGER LAKES, INC.|iCircle Dual Advantage (HMO D-SNP)|00025259|0.00|590| | |NY|33080|2|Y
H7813|001|000|ICIRCLE SERVICES OF THE FINGER LAKES, INC.|iCircle Dual Advantage (HMO D-SNP)|00025259|0.00|590| | |NY|33210|2|Y
H7813|001|000|ICIRCLE SERVICES OF THE FINGER LAKES, INC.|iCircle Dual Advantage (HMO D-SNP)|00025259|0.00|590| | |NY|33350|2|Y
H7813|001|000|ICIRCLE SERVICES OF THE FINGER LAKES, INC.|iCircle Dual Advantage (HMO D-SNP)|00025259|0.00|590| | |NY|33370|2|Y
H7813|001|000|ICIRCLE SERVICES OF THE FINGER LAKES, INC.|iCircle Dual Advantage (HMO D-SNP)|00025259|0.00|590| | |NY|33520|2|Y
H7813|001|000|ICIRCLE SERVICES OF THE FINGER LAKES, INC.|iCircle Dual Advantage (HMO D-SNP)|00025259|0.00|590| | |NY|33530|2|Y
H7813|001|000|ICIRCLE SERVICES OF THE FINGER LAKES, INC.|iCircle Dual Advantage (HMO D-SNP)|00025259|0.00|590| | |NY|33550|2|Y
H7813|001|000|ICIRCLE SERVICES OF THE FINGER LAKES, INC.|iCircle Dual Advantage (HMO D-SNP)|00025259|0.00|590| | |NY|33680|2|Y
H7813|001|000|ICIRCLE SERVICES OF THE FINGER LAKES, INC.|iCircle Dual Advantage (HMO D-SNP)|00025259|0.00|590| | |NY|33690|2|Y
H7813|001|000|ICIRCLE SERVICES OF THE FINGER LAKES, INC.|iCircle Dual Advantage (HMO D-SNP)|00025259|0.00|590| | |NY|33720|2|Y
H7813|001|000|ICIRCLE SERVICES OF THE FINGER LAKES, INC.|iCircle Dual Advantage (HMO D-SNP)|00025259|0.00|590| | |NY|33900|2|Y
H7813|001|000|ICIRCLE SERVICES OF THE FINGER LAKES, INC.|iCircle Dual Advantage (HMO D-SNP)|00025259|0.00|590| | |NY|33910|2|Y
H7833|001|000|UNITEDHEALTHCARE COMMUNITY PLAN OF TEXAS, L.L.C.|UnitedHealthcare Connected (Medicare-Medicaid Plan)|00025133|0.00|0| | |TX|45610|0|N
H7844|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025288|0.00|0| | |MI|23490|0|N
H7844|001|000|MOLINA HEALTHCARE OF MICHIGAN, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025288|0.00|0| | |MI|23810|0|N
H7849|001|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |CO|06000|0|N
H7849|001|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |CO|06020|0|N
H7849|001|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |CO|06060|0|N
H7849|001|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |CO|06150|0|N
H7849|001|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |CO|06170|0|N
H7849|001|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |CO|06290|0|N
H7849|001|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |CO|06630|0|N
H7849|002|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |IL|14141|0|N
H7849|002|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |IL|14250|0|N
H7849|002|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |IL|14530|0|N
H7849|002|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |IL|14540|0|N
H7849|002|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |IL|14570|0|N
H7849|002|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |IL|14640|0|N
H7849|002|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |IL|14989|0|N
H7849|006|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |PA|39140|0|N
H7849|006|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |PA|39210|0|N
H7849|006|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |PA|39290|0|N
H7849|006|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |PA|39560|0|N
H7849|006|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |PA|39620|0|N
H7849|015|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |OH|36170|0|N
H7849|015|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |OH|36280|0|N
H7849|015|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |OH|36440|0|N
H7849|015|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |OH|36480|0|N
H7849|015|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |OH|36510|0|N
H7849|015|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |OH|36530|0|N
H7849|015|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |OH|36680|0|N
H7849|015|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |OH|36770|0|N
H7849|015|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |OH|36780|0|N
H7849|015|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |OH|36790|0|N
H7849|020|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |GA|11290|0|N
H7849|020|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |GA|11400|0|N
H7849|020|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |GA|11810|0|N
H7849|024|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |KS|17290|0|N
H7849|024|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |KS|17430|0|N
H7849|024|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |KS|17450|0|N
H7849|024|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |KS|17510|0|N
H7849|024|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |KS|17600|0|N
H7849|024|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |KS|17986|0|N
H7849|024|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |MO|26010|0|N
H7849|024|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |MO|26060|0|N
H7849|024|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |MO|26120|0|N
H7849|024|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |MO|26160|0|N
H7849|024|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |MO|26180|0|N
H7849|024|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |MO|26230|0|N
H7849|024|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |MO|26310|0|N
H7849|024|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |MO|26410|0|N
H7849|024|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |MO|26412|0|N
H7849|024|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |MO|26470|0|N
H7849|024|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |MO|26500|0|N
H7849|024|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |MO|26530|0|N
H7849|024|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |MO|26820|0|N
H7849|024|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |MO|26880|0|N
H7849|026|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |CO|06340|0|N
H7849|026|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |CO|06610|0|N
H7849|027|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |CO|06090|0|N
H7849|027|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |CO|06200|0|N
H7849|027|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |CO|06210|0|N
H7849|027|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |CO|06500|0|N
H7849|027|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |CO|06590|0|N
H7849|029|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |UT|46010|0|N
H7849|029|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |UT|46050|0|N
H7849|029|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |UT|46140|0|N
H7849|029|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |UT|46170|0|N
H7849|029|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |UT|46220|0|N
H7849|029|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |UT|46240|0|N
H7849|029|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |UT|46280|0|N
H7849|031|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |PA|39000|0|N
H7849|031|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |PA|39110|0|N
H7849|031|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |PA|39270|0|N
H7849|031|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |PA|39280|0|N
H7849|031|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |PA|39350|0|N
H7849|031|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |PA|39440|0|N
H7849|031|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |PA|39460|0|N
H7849|031|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |PA|39800|0|N
H7849|033|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NJ|31000|0|N
H7849|033|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NJ|31150|0|N
H7849|033|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NJ|31160|0|N
H7849|033|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NJ|31180|0|N
H7849|033|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NJ|31190|0|N
H7849|033|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NJ|31220|0|N
H7849|033|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NJ|31260|0|N
H7849|033|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NJ|31290|0|N
H7849|033|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NJ|31310|0|N
H7849|033|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NJ|31340|0|N
H7849|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44090|0|N
H7849|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44290|0|N
H7849|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44450|0|N
H7849|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44810|0|N
H7849|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44850|0|N
H7849|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44890|0|N
H7849|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |VA|49111|0|N
H7849|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |VA|49661|0|N
H7849|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |VA|49830|0|N
H7849|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |VA|49840|0|N
H7849|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |VA|49950|0|N
H7849|034|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |VA|49970|0|N
H7849|038|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TX|45020|0|N
H7849|038|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TX|45060|0|N
H7849|038|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TX|45090|0|N
H7849|038|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TX|45130|0|N
H7849|038|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TX|45180|0|N
H7849|038|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TX|45530|0|N
H7849|038|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TX|45550|0|N
H7849|038|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TX|45600|0|N
H7849|038|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TX|45610|0|N
H7849|038|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TX|45690|0|N
H7849|038|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TX|45700|0|N
H7849|038|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TX|45731|0|N
H7849|038|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TX|45757|0|N
H7849|038|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TX|45792|0|N
H7849|038|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TX|45801|0|N
H7849|038|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TX|45810|0|N
H7849|038|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TX|45840|0|N
H7849|038|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TX|45850|0|N
H7849|038|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TX|45884|0|N
H7849|038|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TX|45950|0|N
H7849|038|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TX|45971|0|N
H7849|039|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TX|45240|0|N
H7849|039|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TX|45650|0|N
H7849|039|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TX|45953|0|N
H7849|039|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TX|45962|0|N
H7849|041|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TX|45480|0|N
H7849|042|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |OK|37080|0|N
H7849|042|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |OK|37130|0|N
H7849|042|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |OK|37400|0|N
H7849|042|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |OK|37410|0|N
H7849|042|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |OK|37430|0|N
H7849|042|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |OK|37540|0|N
H7849|051|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |CO|06140|0|N
H7849|051|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |CO|06380|0|N
H7849|052|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |CT|07000|0|N
H7849|052|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |CT|07010|0|N
H7849|052|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |CT|07020|0|N
H7849|052|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |CT|07030|0|N
H7849|052|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |CT|07040|0|N
H7849|052|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |CT|07050|0|N
H7849|055|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |OR|38020|0|N
H7849|055|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |OR|38040|0|N
H7849|055|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |OR|38250|0|N
H7849|055|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |OR|38330|0|N
H7849|055|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |WA|50050|0|N
H7849|055|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |WA|50070|0|N
H7849|059|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |IL|14020|0|N
H7849|059|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |IL|14100|0|N
H7849|059|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |IL|14130|0|N
H7849|059|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |IL|14470|0|N
H7849|059|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |IL|14500|0|N
H7849|059|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |IL|14620|0|N
H7849|059|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |IL|14670|0|N
H7849|059|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |IL|14710|0|N
H7849|059|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |IL|14730|0|N
H7849|059|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |IL|14760|0|N
H7849|059|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |IL|14770|0|N
H7849|059|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |IL|14780|0|N
H7849|059|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |IL|14810|0|N
H7849|059|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |IL|14920|0|N
H7849|059|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |IL|14950|0|N
H7849|059|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |IL|14985|0|N
H7849|059|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |IL|14990|0|N
H7849|064|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Access Medicare (PPO)|00025271|0.00|0| | |AL|01000|0|N
H7849|064|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Access Medicare (PPO)|00025271|0.00|0| | |AL|01010|0|N
H7849|064|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Access Medicare (PPO)|00025271|0.00|0| | |AL|01030|0|N
H7849|064|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Access Medicare (PPO)|00025271|0.00|0| | |AL|01040|0|N
H7849|064|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Access Medicare (PPO)|00025271|0.00|0| | |AL|01090|0|N
H7849|064|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Access Medicare (PPO)|00025271|0.00|0| | |AL|01100|0|N
H7849|064|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Access Medicare (PPO)|00025271|0.00|0| | |AL|01180|0|N
H7849|064|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Access Medicare (PPO)|00025271|0.00|0| | |AL|01210|0|N
H7849|064|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Access Medicare (PPO)|00025271|0.00|0| | |AL|01230|0|N
H7849|064|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Access Medicare (PPO)|00025271|0.00|0| | |AL|01250|0|N
H7849|064|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Access Medicare (PPO)|00025271|0.00|0| | |AL|01270|0|N
H7849|064|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Access Medicare (PPO)|00025271|0.00|0| | |AL|01360|0|N
H7849|064|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Access Medicare (PPO)|00025271|0.00|0| | |AL|01420|0|N
H7849|064|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Access Medicare (PPO)|00025271|0.00|0| | |AL|01480|0|N
H7849|064|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Access Medicare (PPO)|00025271|0.00|0| | |AL|01500|0|N
H7849|064|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Access Medicare (PPO)|00025271|0.00|0| | |AL|01520|0|N
H7849|064|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Access Medicare (PPO)|00025271|0.00|0| | |AL|01570|0|N
H7849|064|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Access Medicare (PPO)|00025271|0.00|0| | |AL|01580|0|N
H7849|064|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Access Medicare (PPO)|00025271|0.00|0| | |AL|01600|0|N
H7849|064|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Access Medicare (PPO)|00025271|0.00|0| | |AL|01620|0|N
H7849|064|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Access Medicare (PPO)|00025271|0.00|0| | |AL|01630|0|N
H7849|064|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Access Medicare (PPO)|00025271|0.00|0| | |AL|01160|0|N
H7849|064|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Access Medicare (PPO)|00025271|0.00|0| | |AL|01240|0|N
H7849|064|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Access Medicare (PPO)|00025271|0.00|0| | |AL|01350|0|N
H7849|064|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Access Medicare (PPO)|00025271|0.00|0| | |AL|01390|0|N
H7849|064|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Access Medicare (PPO)|00025271|0.00|0| | |AL|01410|0|N
H7849|064|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Access Medicare (PPO)|00025271|0.00|0| | |AL|01440|0|N
H7849|064|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Access Medicare (PPO)|00025271|0.00|0| | |AL|01470|0|N
H7849|064|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Access Medicare (PPO)|00025271|0.00|0| | |AL|01510|0|N
H7849|064|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Access Medicare (PPO)|00025271|0.00|0| | |MS|25190|0|N
H7849|064|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Access Medicare (PPO)|00025271|0.00|0| | |MS|25220|0|N
H7849|064|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Access Medicare (PPO)|00025271|0.00|0| | |MS|25230|0|N
H7849|064|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Access Medicare (PPO)|00025271|0.00|0| | |MS|25240|0|N
H7849|064|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Access Medicare (PPO)|00025271|0.00|0| | |MS|25290|0|N
H7849|064|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Access Medicare (PPO)|00025271|0.00|0| | |MS|25330|0|N
H7849|064|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Access Medicare (PPO)|00025271|0.00|0| | |MS|25440|0|N
H7849|064|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Access Medicare (PPO)|00025271|0.00|0| | |MS|25600|0|N
H7849|064|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Access Medicare (PPO)|00025271|0.00|0| | |MS|25650|0|N
H7849|065|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AZ|03060|0|N
H7849|065|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AZ|03090|0|N
H7849|065|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AZ|03100|0|N
H7849|066|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |AZ|03060|0|N
H7849|066|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |AZ|03090|0|N
H7849|066|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |AZ|03100|0|N
H7849|067|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |GA|11130|0|N
H7849|067|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |GA|11220|0|N
H7849|067|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |GA|11421|0|N
H7849|068|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AL|01560|0|N
H7849|068|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |GA|11580|0|N
H7849|068|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |GA|11780|0|N
H7849|070|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|5.00|0| | |VA|49030|0|N
H7849|070|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|5.00|0| | |VA|49180|0|N
H7849|070|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|5.00|0| | |VA|49200|0|N
H7849|070|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|5.00|0| | |VA|49212|0|N
H7849|070|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|5.00|0| | |VA|49260|0|N
H7849|070|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|5.00|0| | |VA|49370|0|N
H7849|070|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|5.00|0| | |VA|49420|0|N
H7849|070|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|5.00|0| | |VA|49430|0|N
H7849|070|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|5.00|0| | |VA|49701|0|N
H7849|070|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|5.00|0| | |VA|49720|0|N
H7849|070|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|5.00|0| | |VA|49791|0|N
H7849|077|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |IL|14680|0|N
H7849|077|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |IL|14750|0|N
H7849|077|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |IL|14900|0|N
H7849|077|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |MO|26270|0|N
H7849|077|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |MO|26490|0|N
H7849|077|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |MO|26910|0|N
H7849|077|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |MO|26940|0|N
H7849|077|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |MO|26950|0|N
H7849|077|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |MO|26991|0|N
H7849|077|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |MO|26992|0|N
H7849|080|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |IL|14141|0|N
H7849|080|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |IL|14250|0|N
H7849|080|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |IL|14530|0|N
H7849|080|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |IL|14540|0|N
H7849|080|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |IL|14570|0|N
H7849|080|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |IL|14640|0|N
H7849|080|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |IL|14989|0|N
H7849|082|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NY|33020|0|N
H7849|082|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NY|33331|0|N
H7849|082|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NY|33420|0|N
H7849|082|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NY|33590|0|N
H7849|082|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NY|33610|0|N
H7849|083|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NY|33230|0|N
H7849|083|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NY|33540|0|N
H7849|083|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NY|33580|0|N
H7849|083|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NY|33620|0|N
H7849|083|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NY|33800|0|N
H7849|084|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NY|33400|0|N
H7849|084|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NY|33700|0|N
H7849|085|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|34.00|0| | |NY|33400|0|N
H7849|085|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|34.00|0| | |NY|33700|0|N
H7849|087|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |NY|33400|0|N
H7849|087|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |NY|33700|0|N
H7849|088|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |KY|18070|0|N
H7849|088|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |KY|18180|0|N
H7849|088|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |KY|18400|0|N
H7849|088|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |KY|18580|0|N
H7849|088|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |KY|18932|0|N
H7849|088|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |OH|36070|0|N
H7849|088|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |OH|36080|0|N
H7849|088|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |OH|36100|0|N
H7849|088|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |OH|36110|0|N
H7849|088|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |OH|36120|0|N
H7849|088|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |OH|36190|0|N
H7849|088|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |OH|36290|0|N
H7849|088|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |OH|36310|0|N
H7849|088|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |OH|36560|0|N
H7849|088|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |OH|36580|0|N
H7849|088|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |OH|36690|0|N
H7849|088|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |OH|36760|0|N
H7849|088|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |OH|36840|0|N
H7849|102|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AR|04100|0|N
H7849|102|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AR|04150|0|N
H7849|102|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AR|04170|0|N
H7849|102|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AR|04180|0|N
H7849|102|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AR|04270|0|N
H7849|102|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AR|04310|0|N
H7849|102|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AR|04330|0|N
H7849|102|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AR|04370|0|N
H7849|102|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AR|04380|0|N
H7849|102|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AR|04460|0|N
H7849|102|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AR|04550|0|N
H7849|102|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AR|04600|0|N
H7849|102|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AR|04610|0|N
H7849|102|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AR|04720|0|N
H7849|102|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AR|04730|0|N
H7849|102|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AR|04060|0|N
H7849|102|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AR|04090|0|N
H7849|102|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AR|04110|0|N
H7849|102|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AR|04140|0|N
H7849|102|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AR|04220|0|N
H7849|102|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AR|04250|0|N
H7849|102|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AR|04260|0|N
H7849|102|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AR|04290|0|N
H7849|102|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AR|04420|0|N
H7849|102|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AR|04520|0|N
H7849|102|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AR|04570|0|N
H7849|102|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AR|04580|0|N
H7849|102|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AR|04590|0|N
H7849|102|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AR|04620|0|N
H7849|102|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AR|04680|0|N
H7849|102|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AR|04700|0|N
H7849|102|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AR|04030|0|N
H7849|102|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AR|04070|0|N
H7849|102|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AR|04160|0|N
H7849|102|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AR|04230|0|N
H7849|102|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AR|04350|0|N
H7849|102|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AR|04410|0|N
H7849|102|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AR|04430|0|N
H7849|102|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AR|04480|0|N
H7849|102|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AR|04500|0|N
H7849|102|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AR|04630|0|N
H7849|102|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AR|04650|0|N
H7849|102|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AR|04710|0|N
H7849|102|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AR|04740|0|N
H7849|103|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TX|45830|0|N
H7849|104|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |PA|39470|0|N
H7849|104|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |PA|39590|0|N
H7849|105|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|27.00|0| | |PA|39470|0|N
H7849|105|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|27.00|0| | |PA|39590|0|N
H7849|106|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |PA|39010|0|N
H7849|106|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |PA|39070|0|N
H7849|106|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |PA|39080|0|N
H7849|106|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |PA|39150|0|N
H7849|106|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |PA|39220|0|N
H7849|106|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |PA|39450|0|N
H7849|106|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |PA|39750|0|N
H7849|106|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |PA|39770|0|N
H7849|107|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|27.00|0| | |PA|39010|0|N
H7849|107|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|27.00|0| | |PA|39070|0|N
H7849|107|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|27.00|0| | |PA|39080|0|N
H7849|107|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|27.00|0| | |PA|39150|0|N
H7849|107|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|27.00|0| | |PA|39220|0|N
H7849|107|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|27.00|0| | |PA|39450|0|N
H7849|107|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|27.00|0| | |PA|39750|0|N
H7849|107|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|27.00|0| | |PA|39770|0|N
H7849|108|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |PA|39260|0|N
H7849|108|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |PA|39530|0|N
H7849|108|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |PA|39730|0|N
H7849|109|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|26.00|0| | |PA|39260|0|N
H7849|109|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|26.00|0| | |PA|39530|0|N
H7849|109|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|26.00|0| | |PA|39730|0|N
H7849|110|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |NJ|31000|0|N
H7849|110|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |NJ|31150|0|N
H7849|110|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |NJ|31160|0|N
H7849|110|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |NJ|31180|0|N
H7849|110|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |NJ|31190|0|N
H7849|110|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |NJ|31220|0|N
H7849|110|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |NJ|31260|0|N
H7849|110|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |NJ|31340|0|N
H7849|112|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AL|01030|0|N
H7849|112|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AL|01040|0|N
H7849|112|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AL|01090|0|N
H7849|112|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AL|01100|0|N
H7849|112|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AL|01180|0|N
H7849|112|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AL|01210|0|N
H7849|112|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AL|01270|0|N
H7849|112|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AL|01360|0|N
H7849|112|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AL|01570|0|N
H7849|112|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AL|01580|0|N
H7849|112|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AL|01600|0|N
H7849|112|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AL|01620|0|N
H7849|112|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AL|01630|0|N
H7849|112|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AL|01160|0|N
H7849|112|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AL|01240|0|N
H7849|112|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AL|01350|0|N
H7849|112|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AL|01390|0|N
H7849|112|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AL|01410|0|N
H7849|112|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AL|01440|0|N
H7849|112|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AL|01470|0|N
H7849|112|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AL|01510|0|N
H7849|112|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AL|01010|0|N
H7849|112|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AL|01480|0|N
H7849|112|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AL|01000|0|N
H7849|112|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AL|01230|0|N
H7849|112|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AL|01250|0|N
H7849|112|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AL|01420|0|N
H7849|112|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AL|01500|0|N
H7849|112|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |AL|01520|0|N
H7849|113|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NC|34010|0|N
H7849|113|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NC|34030|0|N
H7849|113|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NC|34120|0|N
H7849|113|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NC|34170|0|N
H7849|113|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NC|34220|0|N
H7849|113|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NC|34350|0|N
H7849|113|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NC|34480|0|N
H7849|113|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NC|34540|0|N
H7849|113|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NC|34590|0|N
H7849|113|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NC|34790|0|N
H7849|113|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NC|34890|0|N
H7849|113|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NC|34050|0|N
H7849|113|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NC|34100|0|N
H7849|113|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NC|34110|0|N
H7849|113|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NC|34440|0|N
H7849|113|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NC|34550|0|N
H7849|113|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NC|34570|0|N
H7849|113|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NC|34600|0|N
H7849|113|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NC|34740|0|N
H7849|113|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NC|34870|0|N
H7849|113|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NC|34981|0|N
H7849|113|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NC|34020|0|N
H7849|113|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NC|34280|0|N
H7849|113|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NC|34290|0|N
H7849|113|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NC|34330|0|N
H7849|113|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NC|34400|0|N
H7849|113|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NC|34750|0|N
H7849|113|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NC|34780|0|N
H7849|113|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NC|34840|0|N
H7849|113|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NC|34960|0|N
H7849|113|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NC|34980|0|N
H7849|113|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NC|34000|0|N
H7849|113|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NC|34180|0|N
H7849|113|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NC|34310|0|N
H7849|113|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NC|34500|0|N
H7849|113|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NC|34670|0|N
H7849|113|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NC|34910|0|N
H7849|114|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|0.00|0| | |SC|42030|0|N
H7849|114|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|0.00|0| | |SC|42070|0|N
H7849|114|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|0.00|0| | |SC|42090|0|N
H7849|114|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|0.00|0| | |SC|42100|0|N
H7849|114|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|0.00|0| | |SC|42110|0|N
H7849|114|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|0.00|0| | |SC|42140|0|N
H7849|114|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|0.00|0| | |SC|42170|0|N
H7849|114|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|0.00|0| | |SC|42190|0|N
H7849|114|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|0.00|0| | |SC|42220|0|N
H7849|114|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|0.00|0| | |SC|42270|0|N
H7849|114|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|0.00|0| | |SC|42280|0|N
H7849|114|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|0.00|0| | |SC|42380|0|N
H7849|114|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|0.00|0| | |SC|42410|0|N
H7849|114|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|0.00|0| | |SC|42430|0|N
H7849|114|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|0.00|0| | |SC|42440|0|N
H7849|114|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|0.00|0| | |SC|42450|0|N
H7849|117|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |GA|11050|0|N
H7849|117|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |GA|11160|0|N
H7849|117|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |GA|11190|0|N
H7849|117|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |GA|11250|0|N
H7849|117|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |GA|11280|0|N
H7849|117|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |GA|11320|0|N
H7849|117|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |GA|11370|0|N
H7849|117|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |GA|11451|0|N
H7849|117|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |GA|11461|0|N
H7849|117|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |GA|11470|0|N
H7849|117|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |GA|11530|0|N
H7849|117|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |GA|11590|0|N
H7849|117|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |GA|11591|0|N
H7849|117|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |GA|11790|0|N
H7849|117|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |GA|11812|0|N
H7849|117|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |GA|11841|0|N
H7849|117|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |GA|11860|0|N
H7849|117|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |GA|11910|0|N
H7849|117|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |AL|01560|0|N
H7849|117|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |GA|11580|0|N
H7849|117|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |GA|11780|0|N
H7849|118|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |GA|11260|0|N
H7849|118|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |GA|11462|0|N
H7849|118|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |GA|11520|0|N
H7849|118|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |GA|11720|0|N
H7849|118|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |GA|11771|0|N
H7849|118|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |GA|11800|0|N
H7849|118|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |GA|11801|0|N
H7849|118|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |GA|11930|0|N
H7849|119|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |GA|11040|0|N
H7849|119|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |GA|11350|0|N
H7849|119|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |GA|11540|0|N
H7849|119|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |GA|11550|0|N
H7849|119|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |GA|11610|0|N
H7849|119|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |GA|11701|0|N
H7849|119|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |GA|11861|0|N
H7849|119|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |GA|11963|0|N
H7849|120|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |GA|11060|0|N
H7849|120|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |GA|11240|0|N
H7849|120|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |GA|11460|0|N
H7849|120|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |GA|11500|0|N
H7849|120|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |GA|11570|0|N
H7849|120|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |GA|11830|0|N
H7849|121|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |GA|11130|0|N
H7849|121|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |GA|11220|0|N
H7849|121|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Savings Medicare (PPO)|00025271|0.00|0| | |GA|11421|0|N
H7849|123|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice DE Medicare (PPO)|00025271|0.00|0| | |DE|08000|0|N
H7849|123|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice DE Medicare (PPO)|00025271|0.00|0| | |DE|08010|0|N
H7849|123|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice DE Medicare (PPO)|00025271|0.00|0| | |DE|08020|0|N
H7849|124|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |DE|08000|0|N
H7849|124|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |DE|08010|0|N
H7849|124|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |DE|08020|0|N
H7849|124|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|22.00|0| | |DC|09000|0|N
H7849|125|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|30.00|0| | |DE|08000|0|N
H7849|125|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|30.00|0| | |DE|08010|0|N
H7849|125|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|30.00|0| | |DE|08020|0|N
H7849|127|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|37.00|0| | |NY|33230|0|N
H7849|127|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|37.00|0| | |NY|33540|0|N
H7849|127|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|37.00|0| | |NY|33580|0|N
H7849|127|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|37.00|0| | |NY|33620|0|N
H7849|127|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|37.00|0| | |NY|33800|0|N
H7849|128|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|35.00|0| | |NY|33020|0|N
H7849|128|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|35.00|0| | |NY|33331|0|N
H7849|128|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|35.00|0| | |NY|33420|0|N
H7849|128|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|35.00|0| | |NY|33590|0|N
H7849|128|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|35.00|0| | |NY|33610|0|N
H7849|129|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NJ|31100|0|N
H7849|129|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NJ|31200|0|N
H7849|129|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NJ|31230|0|N
H7849|129|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NJ|31250|0|N
H7849|129|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NJ|31300|0|N
H7849|129|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NJ|31320|0|N
H7849|129|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NJ|31350|0|N
H7849|129|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NJ|31360|0|N
H7849|129|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NJ|31370|0|N
H7849|129|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |NJ|31390|0|N
H7849|130|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|38.00|0| | |NJ|31100|0|N
H7849|130|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|38.00|0| | |NJ|31200|0|N
H7849|130|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|38.00|0| | |NJ|31230|0|N
H7849|130|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|38.00|0| | |NJ|31250|0|N
H7849|130|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|38.00|0| | |NJ|31300|0|N
H7849|130|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|38.00|0| | |NJ|31320|0|N
H7849|130|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|38.00|0| | |NJ|31350|0|N
H7849|130|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|38.00|0| | |NJ|31360|0|N
H7849|130|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|38.00|0| | |NJ|31370|0|N
H7849|130|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|38.00|0| | |NJ|31390|0|N
H7849|131|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|39.00|0| | |NJ|31000|0|N
H7849|131|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|39.00|0| | |NJ|31150|0|N
H7849|131|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|39.00|0| | |NJ|31160|0|N
H7849|131|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|39.00|0| | |NJ|31180|0|N
H7849|131|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|39.00|0| | |NJ|31190|0|N
H7849|131|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|39.00|0| | |NJ|31220|0|N
H7849|131|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|39.00|0| | |NJ|31260|0|N
H7849|131|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|39.00|0| | |NJ|31290|0|N
H7849|131|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|39.00|0| | |NJ|31310|0|N
H7849|131|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Plus Medicare (PPO)|00025271|39.00|0| | |NJ|31340|0|N
H7849|133|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44100|0|N
H7849|133|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44180|0|N
H7849|133|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44730|0|N
H7849|133|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44740|0|N
H7849|133|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44820|0|N
H7849|133|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44840|0|N
H7849|133|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44930|0|N
H7849|133|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44940|0|N
H7849|133|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |GA|11200|0|N
H7849|133|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |GA|11341|0|N
H7849|133|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |GA|11921|0|N
H7849|133|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44030|0|N
H7849|133|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44050|0|N
H7849|133|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44300|0|N
H7849|133|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44320|0|N
H7849|133|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44570|0|N
H7849|133|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44690|0|N
H7849|133|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44760|0|N
H7849|133|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44000|0|N
H7849|133|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44040|0|N
H7849|133|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44060|0|N
H7849|133|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44120|0|N
H7849|133|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44140|0|N
H7849|133|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44280|0|N
H7849|133|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44310|0|N
H7849|133|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44330|0|N
H7849|133|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44440|0|N
H7849|133|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44460|0|N
H7849|133|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44520|0|N
H7849|133|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44600|0|N
H7849|133|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44610|0|N
H7849|133|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44640|0|N
H7849|133|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44710|0|N
H7849|133|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44750|0|N
H7849|133|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44770|0|N
H7849|133|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44860|0|N
H7849|133|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44010|0|N
H7849|133|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44070|0|N
H7849|133|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44130|0|N
H7849|133|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44150|0|N
H7849|133|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44170|0|N
H7849|133|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44200|0|N
H7849|133|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44210|0|N
H7849|133|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44240|0|N
H7849|133|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44270|0|N
H7849|133|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44400|0|N
H7849|133|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44410|0|N
H7849|133|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44420|0|N
H7849|133|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44430|0|N
H7849|133|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44490|0|N
H7849|133|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44500|0|N
H7849|133|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44510|0|N
H7849|133|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44550|0|N
H7849|133|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44580|0|N
H7849|133|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44590|0|N
H7849|133|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44630|0|N
H7849|133|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44660|0|N
H7849|133|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44670|0|N
H7849|133|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44680|0|N
H7849|133|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44700|0|N
H7849|133|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44790|0|N
H7849|133|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44800|0|N
H7849|133|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44870|0|N
H7849|133|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44880|0|N
H7849|133|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44900|0|N
H7849|133|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44920|0|N
H7849|134|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TX|45310|0|N
H7849|134|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TX|45390|0|N
H7849|134|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TX|45410|0|N
H7849|134|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TX|45653|0|N
H7849|134|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TX|45720|0|N
H7849|134|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TX|45843|0|N
H7849|134|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TX|45910|0|N
H7849|134|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TX|45973|0|N
H7849|134|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TX|45570|0|N
H7849|134|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TX|45620|0|N
H7849|134|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TX|45640|0|N
H7849|134|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TX|45881|0|N
H7849|134|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TX|45892|0|N
H7849|134|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TX|45943|0|N
H7849|134|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TX|45947|0|N
H7849|135|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |MS|25150|0|N
H7849|135|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |MS|25170|0|N
H7849|135|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |MS|25200|0|N
H7849|135|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |MS|25320|0|N
H7849|135|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |MS|25330|0|N
H7849|135|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |MS|25360|0|N
H7849|135|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |MS|25380|0|N
H7849|135|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |MS|25450|0|N
H7849|135|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |MS|25540|0|N
H7849|135|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |MS|25550|0|N
H7849|135|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |MS|25730|0|N
H7849|135|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |MS|25760|0|N
H7849|136|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |SC|42110|0|N
H7849|136|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |SC|42190|0|N
H7849|136|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |SC|42270|0|N
H7849|136|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |SC|42280|0|N
H7849|136|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |SC|42450|0|N
H7849|136|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |SC|42030|0|N
H7849|136|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |SC|42100|0|N
H7849|136|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |SC|42220|0|N
H7849|136|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |SC|42380|0|N
H7849|136|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |SC|42410|0|N
H7849|136|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |SC|42430|0|N
H7849|136|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |SC|42070|0|N
H7849|136|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |SC|42090|0|N
H7849|136|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |SC|42140|0|N
H7849|136|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |SC|42170|0|N
H7849|136|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |SC|42440|0|N
H7849|137|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |GA|11260|0|N
H7849|137|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |GA|11462|0|N
H7849|137|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |GA|11520|0|N
H7849|137|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |GA|11720|0|N
H7849|137|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |GA|11771|0|N
H7849|137|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |GA|11800|0|N
H7849|137|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |GA|11801|0|N
H7849|137|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |GA|11930|0|N
H7849|137|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |GA|11050|0|N
H7849|137|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |GA|11160|0|N
H7849|137|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |GA|11190|0|N
H7849|137|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |GA|11250|0|N
H7849|137|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |GA|11280|0|N
H7849|137|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |GA|11320|0|N
H7849|137|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |GA|11370|0|N
H7849|137|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |GA|11451|0|N
H7849|137|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |GA|11461|0|N
H7849|137|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |GA|11470|0|N
H7849|137|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |GA|11530|0|N
H7849|137|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |GA|11590|0|N
H7849|137|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |GA|11591|0|N
H7849|137|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |GA|11790|0|N
H7849|137|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |GA|11812|0|N
H7849|137|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |GA|11841|0|N
H7849|137|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |GA|11860|0|N
H7849|137|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |GA|11910|0|N
H7849|137|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |GA|11040|0|N
H7849|137|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |GA|11350|0|N
H7849|137|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |GA|11540|0|N
H7849|137|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |GA|11550|0|N
H7849|137|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |GA|11610|0|N
H7849|137|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |GA|11701|0|N
H7849|137|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |GA|11861|0|N
H7849|137|003|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |GA|11963|0|N
H7849|137|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |GA|11060|0|N
H7849|137|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |GA|11240|0|N
H7849|137|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |GA|11460|0|N
H7849|137|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |GA|11500|0|N
H7849|137|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |GA|11570|0|N
H7849|137|004|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |GA|11830|0|N
H7849|140|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |MS|25160|0|N
H7849|140|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |MS|25460|0|N
H7849|140|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |MS|25680|0|N
H7849|140|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |MS|25710|0|N
H7849|140|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44230|0|N
H7849|140|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44480|0|N
H7849|140|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44780|0|N
H7849|140|001|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44830|0|N
H7849|140|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44020|0|N
H7849|140|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44080|0|N
H7849|140|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44190|0|N
H7849|140|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44340|0|N
H7849|140|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44350|0|N
H7849|140|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44370|0|N
H7849|140|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44380|0|N
H7849|140|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44390|0|N
H7849|140|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44470|0|N
H7849|140|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44540|0|N
H7849|140|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44560|0|N
H7849|140|002|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna True Choice Medicare (PPO)|00025271|0.00|0| | |TN|44910|0|N
H7917|009|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|20.10|0| | |TN|44010|0|N
H7917|009|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|20.10|0| | |TN|44020|0|N
H7917|009|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|20.10|0| | |TN|44080|0|N
H7917|009|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|20.10|0| | |TN|44100|0|N
H7917|009|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|20.10|0| | |TN|44110|0|N
H7917|009|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|20.10|0| | |TN|44150|0|N
H7917|009|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|20.10|0| | |TN|44160|0|N
H7917|009|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|20.10|0| | |TN|44180|0|N
H7917|009|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|20.10|0| | |TN|44190|0|N
H7917|009|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|20.10|0| | |TN|44210|0|N
H7917|009|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|20.10|0| | |TN|44220|0|N
H7917|009|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|20.10|0| | |TN|44230|0|N
H7917|009|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|20.10|0| | |TN|44260|0|N
H7917|009|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|20.10|0| | |TN|44270|0|N
H7917|009|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|20.10|0| | |TN|44340|0|N
H7917|009|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|20.10|0| | |TN|44350|0|N
H7917|009|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|20.10|0| | |TN|44370|0|N
H7917|009|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|20.10|0| | |TN|44380|0|N
H7917|009|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|20.10|0| | |TN|44390|0|N
H7917|009|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|20.10|0| | |TN|44400|0|N
H7917|009|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|20.10|0| | |TN|44410|0|N
H7917|009|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|20.10|0| | |TN|44420|0|N
H7917|009|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|20.10|0| | |TN|44470|0|N
H7917|009|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|20.10|0| | |TN|44480|0|N
H7917|009|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|20.10|0| | |TN|44490|0|N
H7917|009|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|20.10|0| | |TN|44500|0|N
H7917|009|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|20.10|0| | |TN|44510|0|N
H7917|009|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|20.10|0| | |TN|44540|0|N
H7917|009|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|20.10|0| | |TN|44560|0|N
H7917|009|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|20.10|0| | |TN|44580|0|N
H7917|009|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|20.10|0| | |TN|44590|0|N
H7917|009|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|20.10|0| | |TN|44620|0|N
H7917|009|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|20.10|0| | |TN|44630|0|N
H7917|009|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|20.10|0| | |TN|44650|0|N
H7917|009|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|20.10|0| | |TN|44670|0|N
H7917|009|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|20.10|0| | |TN|44730|0|N
H7917|009|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|20.10|0| | |TN|44740|0|N
H7917|009|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|20.10|0| | |TN|44780|0|N
H7917|009|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|20.10|0| | |TN|44800|0|N
H7917|009|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|20.10|0| | |TN|44820|0|N
H7917|009|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|20.10|0| | |TN|44830|0|N
H7917|009|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|20.10|0| | |TN|44840|0|N
H7917|009|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|20.10|0| | |TN|44900|0|N
H7917|009|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|20.10|0| | |TN|44910|0|N
H7917|009|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|20.10|0| | |TN|44930|0|N
H7917|009|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|20.10|0| | |TN|44940|0|N
H7917|010|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|27.30|0| | |TN|44000|0|N
H7917|010|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|27.30|0| | |TN|44030|0|N
H7917|010|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|27.30|0| | |TN|44040|0|N
H7917|010|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|27.30|0| | |TN|44050|0|N
H7917|010|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|27.30|0| | |TN|44060|0|N
H7917|010|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|27.30|0| | |TN|44070|0|N
H7917|010|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|27.30|0| | |TN|44120|0|N
H7917|010|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|27.30|0| | |TN|44130|0|N
H7917|010|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|27.30|0| | |TN|44140|0|N
H7917|010|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|27.30|0| | |TN|44170|0|N
H7917|010|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|27.30|0| | |TN|44200|0|N
H7917|010|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|27.30|0| | |TN|44240|0|N
H7917|010|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|27.30|0| | |TN|44250|0|N
H7917|010|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|27.30|0| | |TN|44280|0|N
H7917|010|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|27.30|0| | |TN|44300|0|N
H7917|010|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|27.30|0| | |TN|44310|0|N
H7917|010|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|27.30|0| | |TN|44320|0|N
H7917|010|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|27.30|0| | |TN|44430|0|N
H7917|010|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|27.30|0| | |TN|44440|0|N
H7917|010|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|27.30|0| | |TN|44460|0|N
H7917|010|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|27.30|0| | |TN|44520|0|N
H7917|010|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|27.30|0| | |TN|44530|0|N
H7917|010|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|27.30|0| | |TN|44550|0|N
H7917|010|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|27.30|0| | |TN|44570|0|N
H7917|010|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|27.30|0| | |TN|44600|0|N
H7917|010|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|27.30|0| | |TN|44610|0|N
H7917|010|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|27.30|0| | |TN|44640|0|N
H7917|010|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|27.30|0| | |TN|44660|0|N
H7917|010|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|27.30|0| | |TN|44680|0|N
H7917|010|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|27.30|0| | |TN|44690|0|N
H7917|010|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|27.30|0| | |TN|44700|0|N
H7917|010|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|27.30|0| | |TN|44710|0|N
H7917|010|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|27.30|0| | |TN|44720|0|N
H7917|010|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|27.30|0| | |TN|44750|0|N
H7917|010|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|27.30|0| | |TN|44760|0|N
H7917|010|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|27.30|0| | |TN|44770|0|N
H7917|010|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|27.30|0| | |TN|44790|0|N
H7917|010|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|27.30|0| | |TN|44860|0|N
H7917|010|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|27.30|0| | |TN|44870|0|N
H7917|010|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|27.30|0| | |TN|44880|0|N
H7917|010|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|27.30|0| | |TN|44920|0|N
H7917|011|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|0.00|0| | |TN|44090|0|N
H7917|011|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|0.00|0| | |TN|44290|0|N
H7917|011|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|0.00|0| | |TN|44330|0|N
H7917|011|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|0.00|0| | |TN|44360|0|N
H7917|011|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|0.00|0| | |TN|44450|0|N
H7917|011|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|0.00|0| | |TN|44810|0|N
H7917|011|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|0.00|0| | |TN|44850|0|N
H7917|011|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Diamond (PPO)|00025457|0.00|0| | |TN|44890|0|N
H7917|012|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|31.00|0| | |TN|44020|0|N
H7917|012|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|31.00|0| | |TN|44080|0|N
H7917|012|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|31.00|0| | |TN|44110|0|N
H7917|012|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|31.00|0| | |TN|44160|0|N
H7917|012|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|31.00|0| | |TN|44190|0|N
H7917|012|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|31.00|0| | |TN|44220|0|N
H7917|012|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|31.00|0| | |TN|44230|0|N
H7917|012|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|31.00|0| | |TN|44260|0|N
H7917|012|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|31.00|0| | |TN|44340|0|N
H7917|012|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|31.00|0| | |TN|44350|0|N
H7917|012|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|31.00|0| | |TN|44370|0|N
H7917|012|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|31.00|0| | |TN|44380|0|N
H7917|012|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|31.00|0| | |TN|44390|0|N
H7917|012|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|31.00|0| | |TN|44470|0|N
H7917|012|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|31.00|0| | |TN|44480|0|N
H7917|012|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|31.00|0| | |TN|44540|0|N
H7917|012|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|31.00|0| | |TN|44560|0|N
H7917|012|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|31.00|0| | |TN|44650|0|N
H7917|012|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|31.00|0| | |TN|44780|0|N
H7917|012|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|31.00|0| | |TN|44830|0|N
H7917|012|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|31.00|0| | |TN|44910|0|N
H7917|013|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|6.80|0| | |TN|44010|0|N
H7917|013|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|6.80|0| | |TN|44100|0|N
H7917|013|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|6.80|0| | |TN|44150|0|N
H7917|013|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|6.80|0| | |TN|44180|0|N
H7917|013|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|6.80|0| | |TN|44210|0|N
H7917|013|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|6.80|0| | |TN|44270|0|N
H7917|013|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|6.80|0| | |TN|44400|0|N
H7917|013|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|6.80|0| | |TN|44410|0|N
H7917|013|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|6.80|0| | |TN|44420|0|N
H7917|013|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|6.80|0| | |TN|44490|0|N
H7917|013|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|6.80|0| | |TN|44500|0|N
H7917|013|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|6.80|0| | |TN|44510|0|N
H7917|013|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|6.80|0| | |TN|44580|0|N
H7917|013|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|6.80|0| | |TN|44590|0|N
H7917|013|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|6.80|0| | |TN|44620|0|N
H7917|013|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|6.80|0| | |TN|44630|0|N
H7917|013|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|6.80|0| | |TN|44670|0|N
H7917|013|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|6.80|0| | |TN|44730|0|N
H7917|013|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|6.80|0| | |TN|44740|0|N
H7917|013|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|6.80|0| | |TN|44800|0|N
H7917|013|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|6.80|0| | |TN|44820|0|N
H7917|013|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|6.80|0| | |TN|44840|0|N
H7917|013|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|6.80|0| | |TN|44900|0|N
H7917|013|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|6.80|0| | |TN|44930|0|N
H7917|013|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|6.80|0| | |TN|44940|0|N
H7917|014|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|21.30|0| | |TN|44000|0|N
H7917|014|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|21.30|0| | |TN|44030|0|N
H7917|014|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|21.30|0| | |TN|44040|0|N
H7917|014|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|21.30|0| | |TN|44050|0|N
H7917|014|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|21.30|0| | |TN|44060|0|N
H7917|014|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|21.30|0| | |TN|44070|0|N
H7917|014|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|21.30|0| | |TN|44120|0|N
H7917|014|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|21.30|0| | |TN|44130|0|N
H7917|014|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|21.30|0| | |TN|44140|0|N
H7917|014|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|21.30|0| | |TN|44170|0|N
H7917|014|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|21.30|0| | |TN|44200|0|N
H7917|014|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|21.30|0| | |TN|44240|0|N
H7917|014|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|21.30|0| | |TN|44250|0|N
H7917|014|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|21.30|0| | |TN|44280|0|N
H7917|014|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|21.30|0| | |TN|44300|0|N
H7917|014|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|21.30|0| | |TN|44310|0|N
H7917|014|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|21.30|0| | |TN|44320|0|N
H7917|014|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|21.30|0| | |TN|44430|0|N
H7917|014|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|21.30|0| | |TN|44440|0|N
H7917|014|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|21.30|0| | |TN|44460|0|N
H7917|014|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|21.30|0| | |TN|44520|0|N
H7917|014|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|21.30|0| | |TN|44530|0|N
H7917|014|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|21.30|0| | |TN|44550|0|N
H7917|014|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|21.30|0| | |TN|44570|0|N
H7917|014|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|21.30|0| | |TN|44600|0|N
H7917|014|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|21.30|0| | |TN|44610|0|N
H7917|014|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|21.30|0| | |TN|44640|0|N
H7917|014|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|21.30|0| | |TN|44660|0|N
H7917|014|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|21.30|0| | |TN|44680|0|N
H7917|014|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|21.30|0| | |TN|44690|0|N
H7917|014|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|21.30|0| | |TN|44700|0|N
H7917|014|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|21.30|0| | |TN|44710|0|N
H7917|014|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|21.30|0| | |TN|44720|0|N
H7917|014|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|21.30|0| | |TN|44750|0|N
H7917|014|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|21.30|0| | |TN|44760|0|N
H7917|014|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|21.30|0| | |TN|44770|0|N
H7917|014|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|21.30|0| | |TN|44790|0|N
H7917|014|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|21.30|0| | |TN|44860|0|N
H7917|014|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|21.30|0| | |TN|44870|0|N
H7917|014|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|21.30|0| | |TN|44880|0|N
H7917|014|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|21.30|0| | |TN|44920|0|N
H7917|015|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|3.80|0| | |TN|44090|0|N
H7917|015|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|3.80|0| | |TN|44290|0|N
H7917|015|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|3.80|0| | |TN|44330|0|N
H7917|015|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|3.80|0| | |TN|44360|0|N
H7917|015|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|3.80|0| | |TN|44450|0|N
H7917|015|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|3.80|0| | |TN|44810|0|N
H7917|015|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|3.80|0| | |TN|44850|0|N
H7917|015|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Ruby (PPO)|00025457|3.80|0| | |TN|44890|0|N
H7917|030|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Sapphire (PPO)|00025457|0.00|0| | |TN|44030|0|N
H7917|030|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Sapphire (PPO)|00025457|0.00|0| | |TN|44050|0|N
H7917|030|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Sapphire (PPO)|00025457|0.00|0| | |TN|44070|0|N
H7917|030|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Sapphire (PPO)|00025457|0.00|0| | |TN|44130|0|N
H7917|030|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Sapphire (PPO)|00025457|0.00|0| | |TN|44170|0|N
H7917|030|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Sapphire (PPO)|00025457|0.00|0| | |TN|44200|0|N
H7917|030|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Sapphire (PPO)|00025457|0.00|0| | |TN|44240|0|N
H7917|030|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Sapphire (PPO)|00025457|0.00|0| | |TN|44250|0|N
H7917|030|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Sapphire (PPO)|00025457|0.00|0| | |TN|44300|0|N
H7917|030|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Sapphire (PPO)|00025457|0.00|0| | |TN|44320|0|N
H7917|030|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Sapphire (PPO)|00025457|0.00|0| | |TN|44430|0|N
H7917|030|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Sapphire (PPO)|00025457|0.00|0| | |TN|44530|0|N
H7917|030|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Sapphire (PPO)|00025457|0.00|0| | |TN|44550|0|N
H7917|030|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Sapphire (PPO)|00025457|0.00|0| | |TN|44570|0|N
H7917|030|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Sapphire (PPO)|00025457|0.00|0| | |TN|44600|0|N
H7917|030|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Sapphire (PPO)|00025457|0.00|0| | |TN|44660|0|N
H7917|030|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Sapphire (PPO)|00025457|0.00|0| | |TN|44680|0|N
H7917|030|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Sapphire (PPO)|00025457|0.00|0| | |TN|44690|0|N
H7917|030|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Sapphire (PPO)|00025457|0.00|0| | |TN|44700|0|N
H7917|030|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Sapphire (PPO)|00025457|0.00|0| | |TN|44710|0|N
H7917|030|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Sapphire (PPO)|00025457|0.00|0| | |TN|44760|0|N
H7917|030|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Sapphire (PPO)|00025457|0.00|0| | |TN|44790|0|N
H7917|030|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Sapphire (PPO)|00025457|0.00|0| | |TN|44870|0|N
H7917|030|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Sapphire (PPO)|00025457|0.00|0| | |TN|44880|0|N
H7917|030|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Sapphire (PPO)|00025457|0.00|0| | |TN|44920|0|N
H7917|031|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Sapphire (PPO)|00025457|0.00|0| | |TN|44090|0|N
H7917|031|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Sapphire (PPO)|00025457|0.00|0| | |TN|44290|0|N
H7917|031|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Sapphire (PPO)|00025457|0.00|0| | |TN|44330|0|N
H7917|031|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Sapphire (PPO)|00025457|0.00|0| | |TN|44360|0|N
H7917|031|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Sapphire (PPO)|00025457|0.00|0| | |TN|44450|0|N
H7917|031|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Sapphire (PPO)|00025457|0.00|0| | |TN|44810|0|N
H7917|031|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Sapphire (PPO)|00025457|0.00|0| | |TN|44850|0|N
H7917|031|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Sapphire (PPO)|00025457|0.00|0| | |TN|44890|0|N
H7917|032|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Garnet (PPO)|00025457|0.00|0| | |TN|44010|0|N
H7917|032|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Garnet (PPO)|00025457|0.00|0| | |TN|44100|0|N
H7917|032|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Garnet (PPO)|00025457|0.00|0| | |TN|44150|0|N
H7917|032|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Garnet (PPO)|00025457|0.00|0| | |TN|44180|0|N
H7917|032|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Garnet (PPO)|00025457|0.00|0| | |TN|44210|0|N
H7917|032|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Garnet (PPO)|00025457|0.00|0| | |TN|44270|0|N
H7917|032|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Garnet (PPO)|00025457|0.00|0| | |TN|44400|0|N
H7917|032|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Garnet (PPO)|00025457|0.00|0| | |TN|44410|0|N
H7917|032|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Garnet (PPO)|00025457|0.00|0| | |TN|44420|0|N
H7917|032|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Garnet (PPO)|00025457|0.00|0| | |TN|44490|0|N
H7917|032|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Garnet (PPO)|00025457|0.00|0| | |TN|44500|0|N
H7917|032|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Garnet (PPO)|00025457|0.00|0| | |TN|44510|0|N
H7917|032|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Garnet (PPO)|00025457|0.00|0| | |TN|44580|0|N
H7917|032|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Garnet (PPO)|00025457|0.00|0| | |TN|44590|0|N
H7917|032|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Garnet (PPO)|00025457|0.00|0| | |TN|44620|0|N
H7917|032|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Garnet (PPO)|00025457|0.00|0| | |TN|44630|0|N
H7917|032|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Garnet (PPO)|00025457|0.00|0| | |TN|44670|0|N
H7917|032|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Garnet (PPO)|00025457|0.00|0| | |TN|44730|0|N
H7917|032|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Garnet (PPO)|00025457|0.00|0| | |TN|44740|0|N
H7917|032|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Garnet (PPO)|00025457|0.00|0| | |TN|44800|0|N
H7917|032|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Garnet (PPO)|00025457|0.00|0| | |TN|44820|0|N
H7917|032|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Garnet (PPO)|00025457|0.00|0| | |TN|44840|0|N
H7917|032|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Garnet (PPO)|00025457|0.00|0| | |TN|44900|0|N
H7917|032|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Garnet (PPO)|00025457|0.00|0| | |TN|44930|0|N
H7917|032|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Garnet (PPO)|00025457|0.00|0| | |TN|44940|0|N
H7917|033|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Garnet (PPO)|00025457|0.00|0| | |TN|44020|0|N
H7917|033|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Garnet (PPO)|00025457|0.00|0| | |TN|44080|0|N
H7917|033|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Garnet (PPO)|00025457|0.00|0| | |TN|44110|0|N
H7917|033|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Garnet (PPO)|00025457|0.00|0| | |TN|44160|0|N
H7917|033|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Garnet (PPO)|00025457|0.00|0| | |TN|44190|0|N
H7917|033|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Garnet (PPO)|00025457|0.00|0| | |TN|44220|0|N
H7917|033|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Garnet (PPO)|00025457|0.00|0| | |TN|44230|0|N
H7917|033|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Garnet (PPO)|00025457|0.00|0| | |TN|44260|0|N
H7917|033|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Garnet (PPO)|00025457|0.00|0| | |TN|44340|0|N
H7917|033|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Garnet (PPO)|00025457|0.00|0| | |TN|44350|0|N
H7917|033|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Garnet (PPO)|00025457|0.00|0| | |TN|44370|0|N
H7917|033|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Garnet (PPO)|00025457|0.00|0| | |TN|44380|0|N
H7917|033|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Garnet (PPO)|00025457|0.00|0| | |TN|44390|0|N
H7917|033|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Garnet (PPO)|00025457|0.00|0| | |TN|44470|0|N
H7917|033|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Garnet (PPO)|00025457|0.00|0| | |TN|44480|0|N
H7917|033|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Garnet (PPO)|00025457|0.00|0| | |TN|44540|0|N
H7917|033|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Garnet (PPO)|00025457|0.00|0| | |TN|44560|0|N
H7917|033|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Garnet (PPO)|00025457|0.00|0| | |TN|44650|0|N
H7917|033|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Garnet (PPO)|00025457|0.00|0| | |TN|44780|0|N
H7917|033|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Garnet (PPO)|00025457|0.00|0| | |TN|44830|0|N
H7917|033|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Garnet (PPO)|00025457|0.00|0| | |TN|44910|0|N
H7917|038|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Sapphire (PPO)|00025457|0.00|0| | |TN|44000|0|N
H7917|038|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Sapphire (PPO)|00025457|0.00|0| | |TN|44040|0|N
H7917|038|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Sapphire (PPO)|00025457|0.00|0| | |TN|44060|0|N
H7917|038|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Sapphire (PPO)|00025457|0.00|0| | |TN|44120|0|N
H7917|038|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Sapphire (PPO)|00025457|0.00|0| | |TN|44140|0|N
H7917|038|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Sapphire (PPO)|00025457|0.00|0| | |TN|44280|0|N
H7917|038|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Sapphire (PPO)|00025457|0.00|0| | |TN|44310|0|N
H7917|038|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Sapphire (PPO)|00025457|0.00|0| | |TN|44440|0|N
H7917|038|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Sapphire (PPO)|00025457|0.00|0| | |TN|44460|0|N
H7917|038|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Sapphire (PPO)|00025457|0.00|0| | |TN|44520|0|N
H7917|038|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Sapphire (PPO)|00025457|0.00|0| | |TN|44610|0|N
H7917|038|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Sapphire (PPO)|00025457|0.00|0| | |TN|44640|0|N
H7917|038|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Sapphire (PPO)|00025457|0.00|0| | |TN|44720|0|N
H7917|038|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Sapphire (PPO)|00025457|0.00|0| | |TN|44750|0|N
H7917|038|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Sapphire (PPO)|00025457|0.00|0| | |TN|44770|0|N
H7917|038|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Sapphire (PPO)|00025457|0.00|0| | |TN|44860|0|N
H7917|040|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Sapphire (PPO)|00025457|0.00|0| | |GA|11200|0|N
H7917|040|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Sapphire (PPO)|00025457|0.00|0| | |GA|11341|0|N
H7917|040|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Sapphire (PPO)|00025457|0.00|0| | |GA|11921|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |GA|11200|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |GA|11341|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |GA|11921|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44000|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44010|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44020|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44030|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44040|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44050|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44060|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44070|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44080|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44090|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44100|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44110|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44120|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44130|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44140|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44150|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44160|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44170|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44180|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44190|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44200|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44210|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44220|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44230|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44240|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44250|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44260|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44270|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44280|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44290|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44300|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44310|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44320|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44330|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44340|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44350|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44360|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44370|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44380|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44390|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44400|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44410|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44420|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44430|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44440|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44450|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44460|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44470|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44480|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44490|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44500|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44510|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44520|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44530|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44540|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44550|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44560|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44570|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44580|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44590|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44600|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44610|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44620|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44630|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44640|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44650|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44660|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44670|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44680|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44690|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44700|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44710|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44720|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44730|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44740|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44750|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44760|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44770|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44780|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44790|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44800|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44810|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44820|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44830|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44840|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44850|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44860|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44870|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44880|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44890|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44900|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44910|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44920|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44930|0|N
H7917|041|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Extra (PPO)|00025457|26.00|590| | |TN|44940|0|N
H7917|042|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|15.60|0| | |TN|44010|0|N
H7917|042|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|15.60|0| | |TN|44020|0|N
H7917|042|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|15.60|0| | |TN|44080|0|N
H7917|042|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|15.60|0| | |TN|44100|0|N
H7917|042|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|15.60|0| | |TN|44110|0|N
H7917|042|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|15.60|0| | |TN|44150|0|N
H7917|042|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|15.60|0| | |TN|44160|0|N
H7917|042|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|15.60|0| | |TN|44180|0|N
H7917|042|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|15.60|0| | |TN|44190|0|N
H7917|042|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|15.60|0| | |TN|44210|0|N
H7917|042|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|15.60|0| | |TN|44220|0|N
H7917|042|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|15.60|0| | |TN|44230|0|N
H7917|042|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|15.60|0| | |TN|44260|0|N
H7917|042|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|15.60|0| | |TN|44270|0|N
H7917|042|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|15.60|0| | |TN|44340|0|N
H7917|042|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|15.60|0| | |TN|44350|0|N
H7917|042|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|15.60|0| | |TN|44370|0|N
H7917|042|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|15.60|0| | |TN|44380|0|N
H7917|042|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|15.60|0| | |TN|44390|0|N
H7917|042|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|15.60|0| | |TN|44400|0|N
H7917|042|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|15.60|0| | |TN|44410|0|N
H7917|042|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|15.60|0| | |TN|44420|0|N
H7917|042|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|15.60|0| | |TN|44470|0|N
H7917|042|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|15.60|0| | |TN|44480|0|N
H7917|042|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|15.60|0| | |TN|44490|0|N
H7917|042|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|15.60|0| | |TN|44500|0|N
H7917|042|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|15.60|0| | |TN|44510|0|N
H7917|042|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|15.60|0| | |TN|44540|0|N
H7917|042|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|15.60|0| | |TN|44560|0|N
H7917|042|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|15.60|0| | |TN|44580|0|N
H7917|042|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|15.60|0| | |TN|44590|0|N
H7917|042|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|15.60|0| | |TN|44620|0|N
H7917|042|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|15.60|0| | |TN|44630|0|N
H7917|042|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|15.60|0| | |TN|44650|0|N
H7917|042|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|15.60|0| | |TN|44670|0|N
H7917|042|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|15.60|0| | |TN|44730|0|N
H7917|042|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|15.60|0| | |TN|44740|0|N
H7917|042|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|15.60|0| | |TN|44780|0|N
H7917|042|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|15.60|0| | |TN|44800|0|N
H7917|042|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|15.60|0| | |TN|44820|0|N
H7917|042|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|15.60|0| | |TN|44830|0|N
H7917|042|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|15.60|0| | |TN|44840|0|N
H7917|042|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|15.60|0| | |TN|44900|0|N
H7917|042|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|15.60|0| | |TN|44910|0|N
H7917|042|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|15.60|0| | |TN|44930|0|N
H7917|042|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|15.60|0| | |TN|44940|0|N
H7917|043|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|14.50|0| | |TN|44000|0|N
H7917|043|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|14.50|0| | |TN|44030|0|N
H7917|043|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|14.50|0| | |TN|44040|0|N
H7917|043|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|14.50|0| | |TN|44050|0|N
H7917|043|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|14.50|0| | |TN|44060|0|N
H7917|043|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|14.50|0| | |TN|44070|0|N
H7917|043|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|14.50|0| | |TN|44090|0|N
H7917|043|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|14.50|0| | |TN|44120|0|N
H7917|043|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|14.50|0| | |TN|44130|0|N
H7917|043|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|14.50|0| | |TN|44140|0|N
H7917|043|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|14.50|0| | |TN|44170|0|N
H7917|043|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|14.50|0| | |TN|44200|0|N
H7917|043|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|14.50|0| | |TN|44240|0|N
H7917|043|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|14.50|0| | |TN|44250|0|N
H7917|043|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|14.50|0| | |TN|44280|0|N
H7917|043|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|14.50|0| | |TN|44290|0|N
H7917|043|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|14.50|0| | |TN|44300|0|N
H7917|043|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|14.50|0| | |TN|44310|0|N
H7917|043|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|14.50|0| | |TN|44320|0|N
H7917|043|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|14.50|0| | |TN|44330|0|N
H7917|043|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|14.50|0| | |TN|44360|0|N
H7917|043|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|14.50|0| | |TN|44430|0|N
H7917|043|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|14.50|0| | |TN|44440|0|N
H7917|043|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|14.50|0| | |TN|44450|0|N
H7917|043|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|14.50|0| | |TN|44460|0|N
H7917|043|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|14.50|0| | |TN|44520|0|N
H7917|043|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|14.50|0| | |TN|44530|0|N
H7917|043|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|14.50|0| | |TN|44550|0|N
H7917|043|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|14.50|0| | |TN|44570|0|N
H7917|043|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|14.50|0| | |TN|44600|0|N
H7917|043|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|14.50|0| | |TN|44610|0|N
H7917|043|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|14.50|0| | |TN|44640|0|N
H7917|043|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|14.50|0| | |TN|44660|0|N
H7917|043|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|14.50|0| | |TN|44680|0|N
H7917|043|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|14.50|0| | |TN|44690|0|N
H7917|043|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|14.50|0| | |TN|44700|0|N
H7917|043|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|14.50|0| | |TN|44710|0|N
H7917|043|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|14.50|0| | |TN|44720|0|N
H7917|043|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|14.50|0| | |TN|44750|0|N
H7917|043|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|14.50|0| | |TN|44760|0|N
H7917|043|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|14.50|0| | |TN|44770|0|N
H7917|043|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|14.50|0| | |TN|44790|0|N
H7917|043|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|14.50|0| | |TN|44810|0|N
H7917|043|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|14.50|0| | |TN|44850|0|N
H7917|043|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|14.50|0| | |TN|44860|0|N
H7917|043|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|14.50|0| | |TN|44870|0|N
H7917|043|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|14.50|0| | |TN|44880|0|N
H7917|043|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|14.50|0| | |TN|44890|0|N
H7917|043|000|BLUECROSS BLUESHIELD OF TENNESSEE, INC.|BlueAdvantage Prime (PPO)|00025457|14.50|0| | |TN|44920|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15000|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15020|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15030|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15040|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15050|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15060|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15070|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15080|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15090|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15100|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15110|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15120|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15130|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15150|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15160|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15170|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15180|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15190|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15200|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15210|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15220|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15230|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15240|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15250|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15270|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15280|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15290|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15300|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15310|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15320|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15330|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15340|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15350|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15360|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15370|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15380|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15390|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15400|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15410|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15430|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15440|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15450|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15460|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15470|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15480|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15490|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15500|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15510|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15520|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15530|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15540|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15550|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15560|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15570|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15580|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15590|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15600|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15610|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15620|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15630|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15640|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15650|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15660|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15670|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15680|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15690|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15700|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15710|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15720|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15730|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15740|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15760|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15770|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15780|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15790|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15800|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15810|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15840|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15850|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15860|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15870|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15890|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15900|0|N
H7925|002|000|CENTENE VENTURE COMPANY INDIANA, INC.|Wellcare Complete Simple (HMO)|00025084|0.00|420| | |IN|15910|0|N
H7980|001|000|BOSTON MEDICAL CENTER HEALTH PLAN, INC.|WellSense Signature Access (PPO)|00025348|0.00|0| | |NH|30000|0|N
H7980|001|000|BOSTON MEDICAL CENTER HEALTH PLAN, INC.|WellSense Signature Access (PPO)|00025348|0.00|0| | |NH|30010|0|N
H7980|001|000|BOSTON MEDICAL CENTER HEALTH PLAN, INC.|WellSense Signature Access (PPO)|00025348|0.00|0| | |NH|30020|0|N
H7980|001|000|BOSTON MEDICAL CENTER HEALTH PLAN, INC.|WellSense Signature Access (PPO)|00025348|0.00|0| | |NH|30030|0|N
H7980|001|000|BOSTON MEDICAL CENTER HEALTH PLAN, INC.|WellSense Signature Access (PPO)|00025348|0.00|0| | |NH|30040|0|N
H7980|001|000|BOSTON MEDICAL CENTER HEALTH PLAN, INC.|WellSense Signature Access (PPO)|00025348|0.00|0| | |NH|30050|0|N
H7980|001|000|BOSTON MEDICAL CENTER HEALTH PLAN, INC.|WellSense Signature Access (PPO)|00025348|0.00|0| | |NH|30060|0|N
H7980|001|000|BOSTON MEDICAL CENTER HEALTH PLAN, INC.|WellSense Signature Access (PPO)|00025348|0.00|0| | |NH|30070|0|N
H7980|001|000|BOSTON MEDICAL CENTER HEALTH PLAN, INC.|WellSense Signature Access (PPO)|00025348|0.00|0| | |NH|30080|0|N
H7980|001|000|BOSTON MEDICAL CENTER HEALTH PLAN, INC.|WellSense Signature Access (PPO)|00025348|0.00|0| | |NH|30090|0|N
H7993|001|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted CORE Greater Houston (HMO)|00025190|0.00|590| | |TX|45280|0|N
H7993|001|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted CORE Greater Houston (HMO)|00025190|0.00|590| | |TX|45610|0|N
H7993|001|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted CORE Greater Houston (HMO)|00025190|0.00|590| | |TX|45700|0|N
H7993|001|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted CORE Greater Houston (HMO)|00025190|0.00|590| | |TX|45757|0|N
H7993|001|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted CORE Greater Houston (HMO)|00025190|0.00|590| | |TX|45840|0|N
H7993|002|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted PREMIUM Greater Houston (HMO)|00025190|7.20|590| | |TX|45280|0|N
H7993|002|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted PREMIUM Greater Houston (HMO)|00025190|7.20|590| | |TX|45610|0|N
H7993|002|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted PREMIUM Greater Houston (HMO)|00025190|7.20|590| | |TX|45700|0|N
H7993|002|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted PREMIUM Greater Houston (HMO)|00025190|7.20|590| | |TX|45757|0|N
H7993|002|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted PREMIUM Greater Houston (HMO)|00025190|7.20|590| | |TX|45840|0|N
H7993|003|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted CORE San Antonio (HMO)|00025185|0.00|590| | |TX|45060|0|N
H7993|003|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted CORE San Antonio (HMO)|00025185|0.00|590| | |TX|45090|0|N
H7993|003|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted CORE San Antonio (HMO)|00025185|0.00|590| | |TX|45130|0|N
H7993|003|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted CORE San Antonio (HMO)|00025185|0.00|590| | |TX|45320|0|N
H7993|003|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted CORE San Antonio (HMO)|00025185|0.00|590| | |TX|45541|0|N
H7993|003|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted CORE San Antonio (HMO)|00025185|0.00|590| | |TX|45562|0|N
H7993|003|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted CORE San Antonio (HMO)|00025185|0.00|590| | |TX|45581|0|N
H7993|003|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted CORE San Antonio (HMO)|00025185|0.00|590| | |TX|45722|0|N
H7993|003|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted CORE San Antonio (HMO)|00025185|0.00|590| | |TX|45731|0|N
H7993|003|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted CORE San Antonio (HMO)|00025185|0.00|590| | |TX|45734|0|N
H7993|003|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted CORE San Antonio (HMO)|00025185|0.00|590| | |TX|45753|0|N
H7993|003|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted CORE San Antonio (HMO)|00025185|0.00|590| | |TX|45781|0|N
H7993|003|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted CORE San Antonio (HMO)|00025185|0.00|590| | |TX|45792|0|N
H7993|003|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted CORE San Antonio (HMO)|00025185|0.00|590| | |TX|45873|0|N
H7993|003|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted CORE San Antonio (HMO)|00025185|0.00|590| | |TX|45971|0|N
H7993|004|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted EXTRA San Antonio (HMO)|00025185|0.00|590| | |TX|45060|0|N
H7993|004|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted EXTRA San Antonio (HMO)|00025185|0.00|590| | |TX|45090|0|N
H7993|004|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted EXTRA San Antonio (HMO)|00025185|0.00|590| | |TX|45130|0|N
H7993|004|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted EXTRA San Antonio (HMO)|00025185|0.00|590| | |TX|45320|0|N
H7993|004|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted EXTRA San Antonio (HMO)|00025185|0.00|590| | |TX|45541|0|N
H7993|004|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted EXTRA San Antonio (HMO)|00025185|0.00|590| | |TX|45562|0|N
H7993|004|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted EXTRA San Antonio (HMO)|00025185|0.00|590| | |TX|45581|0|N
H7993|004|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted EXTRA San Antonio (HMO)|00025185|0.00|590| | |TX|45722|0|N
H7993|004|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted EXTRA San Antonio (HMO)|00025185|0.00|590| | |TX|45731|0|N
H7993|004|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted EXTRA San Antonio (HMO)|00025185|0.00|590| | |TX|45734|0|N
H7993|004|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted EXTRA San Antonio (HMO)|00025185|0.00|590| | |TX|45753|0|N
H7993|004|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted EXTRA San Antonio (HMO)|00025185|0.00|590| | |TX|45781|0|N
H7993|004|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted EXTRA San Antonio (HMO)|00025185|0.00|590| | |TX|45792|0|N
H7993|004|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted EXTRA San Antonio (HMO)|00025185|0.00|590| | |TX|45873|0|N
H7993|004|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted EXTRA San Antonio (HMO)|00025185|0.00|590| | |TX|45971|0|N
H7993|005|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted BE WELL San Antonio (HMO C-SNP)|00025185|0.00|590| | |TX|45060|1|N
H7993|005|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted BE WELL San Antonio (HMO C-SNP)|00025185|0.00|590| | |TX|45090|1|N
H7993|005|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted BE WELL San Antonio (HMO C-SNP)|00025185|0.00|590| | |TX|45130|1|N
H7993|005|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted BE WELL San Antonio (HMO C-SNP)|00025185|0.00|590| | |TX|45320|1|N
H7993|005|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted BE WELL San Antonio (HMO C-SNP)|00025185|0.00|590| | |TX|45581|1|N
H7993|005|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted BE WELL San Antonio (HMO C-SNP)|00025185|0.00|590| | |TX|45731|1|N
H7993|005|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted BE WELL San Antonio (HMO C-SNP)|00025185|0.00|590| | |TX|45792|1|N
H7993|005|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted BE WELL San Antonio (HMO C-SNP)|00025185|0.00|590| | |TX|45971|1|N
H7993|006|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted GIVEBACK Greater Houston (HMO)|00025185|0.00|590| | |TX|45180|0|N
H7993|006|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted GIVEBACK Greater Houston (HMO)|00025185|0.00|590| | |TX|45280|0|N
H7993|006|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted GIVEBACK Greater Houston (HMO)|00025185|0.00|590| | |TX|45530|0|N
H7993|006|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted GIVEBACK Greater Houston (HMO)|00025185|0.00|590| | |TX|45550|0|N
H7993|006|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted GIVEBACK Greater Houston (HMO)|00025185|0.00|590| | |TX|45600|0|N
H7993|006|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted GIVEBACK Greater Houston (HMO)|00025185|0.00|590| | |TX|45610|0|N
H7993|006|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted GIVEBACK Greater Houston (HMO)|00025185|0.00|590| | |TX|45700|0|N
H7993|006|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted GIVEBACK Greater Houston (HMO)|00025185|0.00|590| | |TX|45757|0|N
H7993|006|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted GIVEBACK Greater Houston (HMO)|00025185|0.00|590| | |TX|45801|0|N
H7993|006|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted GIVEBACK Greater Houston (HMO)|00025185|0.00|590| | |TX|45840|0|N
H7993|006|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted GIVEBACK Greater Houston (HMO)|00025185|0.00|590| | |TX|45884|0|N
H7993|006|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted GIVEBACK Greater Houston (HMO)|00025185|0.00|590| | |TX|45950|0|N
H7993|007|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted CORE El Paso (HMO)|00025185|0.00|590| | |TX|45480|0|N
H7993|007|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted CORE El Paso (HMO)|00025185|0.00|590| | |TX|45662|0|N
H7993|008|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted GIVEBACK El Paso (HMO)|00025185|0.00|590| | |TX|45480|0|N
H7993|008|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted GIVEBACK El Paso (HMO)|00025185|0.00|590| | |TX|45662|0|N
H7993|010|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted DUAL PLUS Greater Houston (HMO D-SNP)|00025188|12.90|590| | |TX|45280|2|N
H7993|010|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted DUAL PLUS Greater Houston (HMO D-SNP)|00025188|12.90|590| | |TX|45600|2|N
H7993|010|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted DUAL PLUS Greater Houston (HMO D-SNP)|00025188|12.90|590| | |TX|45610|2|N
H7993|010|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted DUAL PLUS Greater Houston (HMO D-SNP)|00025188|12.90|590| | |TX|45700|2|N
H7993|010|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted DUAL PLUS Greater Houston (HMO D-SNP)|00025188|12.90|590| | |TX|45757|2|N
H7993|010|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted DUAL PLUS Greater Houston (HMO D-SNP)|00025188|12.90|590| | |TX|45840|2|N
H7993|012|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted DUAL PLUS San Antonio (HMO D-SNP)|00025188|12.60|590| | |TX|45060|2|N
H7993|012|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted DUAL PLUS San Antonio (HMO D-SNP)|00025188|12.60|590| | |TX|45090|2|N
H7993|012|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted DUAL PLUS San Antonio (HMO D-SNP)|00025188|12.60|590| | |TX|45130|2|N
H7993|012|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted DUAL PLUS San Antonio (HMO D-SNP)|00025188|12.60|590| | |TX|45320|2|N
H7993|012|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted DUAL PLUS San Antonio (HMO D-SNP)|00025188|12.60|590| | |TX|45541|2|N
H7993|012|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted DUAL PLUS San Antonio (HMO D-SNP)|00025188|12.60|590| | |TX|45562|2|N
H7993|012|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted DUAL PLUS San Antonio (HMO D-SNP)|00025188|12.60|590| | |TX|45581|2|N
H7993|012|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted DUAL PLUS San Antonio (HMO D-SNP)|00025188|12.60|590| | |TX|45722|2|N
H7993|012|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted DUAL PLUS San Antonio (HMO D-SNP)|00025188|12.60|590| | |TX|45731|2|N
H7993|012|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted DUAL PLUS San Antonio (HMO D-SNP)|00025188|12.60|590| | |TX|45734|2|N
H7993|012|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted DUAL PLUS San Antonio (HMO D-SNP)|00025188|12.60|590| | |TX|45753|2|N
H7993|012|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted DUAL PLUS San Antonio (HMO D-SNP)|00025188|12.60|590| | |TX|45781|2|N
H7993|012|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted DUAL PLUS San Antonio (HMO D-SNP)|00025188|12.60|590| | |TX|45792|2|N
H7993|012|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted DUAL PLUS San Antonio (HMO D-SNP)|00025188|12.60|590| | |TX|45873|2|N
H7993|012|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted DUAL PLUS San Antonio (HMO D-SNP)|00025188|12.60|590| | |TX|45971|2|N
H7993|014|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted CORE Austin (HMO)|00025188|0.00|590| | |TX|45140|0|N
H7993|014|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted CORE Austin (HMO)|00025188|0.00|590| | |TX|45222|0|N
H7993|014|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted CORE Austin (HMO)|00025188|0.00|590| | |TX|45223|0|N
H7993|014|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted CORE Austin (HMO)|00025188|0.00|590| | |TX|45552|0|N
H7993|014|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted CORE Austin (HMO)|00025188|0.00|590| | |TX|45631|0|N
H7993|014|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted CORE Austin (HMO)|00025188|0.00|590| | |TX|45752|0|N
H7993|014|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted CORE Austin (HMO)|00025188|0.00|590| | |TX|45755|0|N
H7993|014|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted CORE Austin (HMO)|00025188|0.00|590| | |TX|45761|0|N
H7993|014|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted CORE Austin (HMO)|00025188|0.00|590| | |TX|45785|0|N
H7993|014|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted CORE Austin (HMO)|00025188|0.00|590| | |TX|45795|0|N
H7993|014|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted CORE Austin (HMO)|00025188|0.00|590| | |TX|45796|0|N
H7993|014|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted CORE Austin (HMO)|00025188|0.00|590| | |TX|45886|0|N
H7993|014|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted CORE Austin (HMO)|00025188|0.00|590| | |TX|45940|0|N
H7993|014|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted CORE Austin (HMO)|00025188|0.00|590| | |TX|45970|0|N
H7993|015|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted DUAL PLUS Austin (HMO D-SNP)|00025188|12.60|590| | |TX|45140|2|N
H7993|015|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted DUAL PLUS Austin (HMO D-SNP)|00025188|12.60|590| | |TX|45222|2|N
H7993|015|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted DUAL PLUS Austin (HMO D-SNP)|00025188|12.60|590| | |TX|45223|2|N
H7993|015|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted DUAL PLUS Austin (HMO D-SNP)|00025188|12.60|590| | |TX|45552|2|N
H7993|015|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted DUAL PLUS Austin (HMO D-SNP)|00025188|12.60|590| | |TX|45631|2|N
H7993|015|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted DUAL PLUS Austin (HMO D-SNP)|00025188|12.60|590| | |TX|45752|2|N
H7993|015|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted DUAL PLUS Austin (HMO D-SNP)|00025188|12.60|590| | |TX|45755|2|N
H7993|015|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted DUAL PLUS Austin (HMO D-SNP)|00025188|12.60|590| | |TX|45761|2|N
H7993|015|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted DUAL PLUS Austin (HMO D-SNP)|00025188|12.60|590| | |TX|45785|2|N
H7993|015|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted DUAL PLUS Austin (HMO D-SNP)|00025188|12.60|590| | |TX|45795|2|N
H7993|015|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted DUAL PLUS Austin (HMO D-SNP)|00025188|12.60|590| | |TX|45796|2|N
H7993|015|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted DUAL PLUS Austin (HMO D-SNP)|00025188|12.60|590| | |TX|45886|2|N
H7993|015|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted DUAL PLUS Austin (HMO D-SNP)|00025188|12.60|590| | |TX|45940|2|N
H7993|015|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted DUAL PLUS Austin (HMO D-SNP)|00025188|12.60|590| | |TX|45970|2|N
H7993|017|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted DUAL PLUS El Paso (HMO D-SNP)|00025188|12.70|590| | |TX|45480|2|N
H7993|017|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted DUAL PLUS El Paso (HMO D-SNP)|00025188|12.70|590| | |TX|45662|2|N
H7993|019|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted EXTRA Greater Houston (HMO)|00025188|0.00|590| | |TX|45180|0|N
H7993|019|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted EXTRA Greater Houston (HMO)|00025188|0.00|590| | |TX|45280|0|N
H7993|019|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted EXTRA Greater Houston (HMO)|00025188|0.00|590| | |TX|45530|0|N
H7993|019|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted EXTRA Greater Houston (HMO)|00025188|0.00|590| | |TX|45550|0|N
H7993|019|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted EXTRA Greater Houston (HMO)|00025188|0.00|590| | |TX|45600|0|N
H7993|019|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted EXTRA Greater Houston (HMO)|00025188|0.00|590| | |TX|45610|0|N
H7993|019|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted EXTRA Greater Houston (HMO)|00025188|0.00|590| | |TX|45700|0|N
H7993|019|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted EXTRA Greater Houston (HMO)|00025188|0.00|590| | |TX|45757|0|N
H7993|019|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted EXTRA Greater Houston (HMO)|00025188|0.00|590| | |TX|45801|0|N
H7993|019|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted EXTRA Greater Houston (HMO)|00025188|0.00|590| | |TX|45840|0|N
H7993|019|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted EXTRA Greater Houston (HMO)|00025188|0.00|590| | |TX|45884|0|N
H7993|019|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted EXTRA Greater Houston (HMO)|00025188|0.00|590| | |TX|45950|0|N
H7993|021|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted GIVEBACK San Antonio (HMO)|00025188|0.00|590| | |TX|45060|0|N
H7993|021|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted GIVEBACK San Antonio (HMO)|00025188|0.00|590| | |TX|45090|0|N
H7993|021|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted GIVEBACK San Antonio (HMO)|00025188|0.00|590| | |TX|45130|0|N
H7993|021|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted GIVEBACK San Antonio (HMO)|00025188|0.00|590| | |TX|45320|0|N
H7993|021|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted GIVEBACK San Antonio (HMO)|00025188|0.00|590| | |TX|45541|0|N
H7993|021|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted GIVEBACK San Antonio (HMO)|00025188|0.00|590| | |TX|45562|0|N
H7993|021|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted GIVEBACK San Antonio (HMO)|00025188|0.00|590| | |TX|45581|0|N
H7993|021|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted GIVEBACK San Antonio (HMO)|00025188|0.00|590| | |TX|45722|0|N
H7993|021|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted GIVEBACK San Antonio (HMO)|00025188|0.00|590| | |TX|45731|0|N
H7993|021|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted GIVEBACK San Antonio (HMO)|00025188|0.00|590| | |TX|45734|0|N
H7993|021|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted GIVEBACK San Antonio (HMO)|00025188|0.00|590| | |TX|45753|0|N
H7993|021|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted GIVEBACK San Antonio (HMO)|00025188|0.00|590| | |TX|45781|0|N
H7993|021|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted GIVEBACK San Antonio (HMO)|00025188|0.00|590| | |TX|45792|0|N
H7993|021|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted GIVEBACK San Antonio (HMO)|00025188|0.00|590| | |TX|45873|0|N
H7993|021|000|DEVOTED HEALTH PLAN OF TEXAS, INC.|Devoted GIVEBACK San Antonio (HMO)|00025188|0.00|590| | |TX|45971|0|N
H8003|001|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Total (PPO)|00025383|25.00|0| | |SC|42030|0|N
H8003|001|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Total (PPO)|00025383|25.00|0| | |SC|42100|0|N
H8003|001|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Total (PPO)|00025383|25.00|0| | |SC|42220|0|N
H8003|001|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Total (PPO)|00025383|25.00|0| | |SC|42360|0|N
H8003|001|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Total (PPO)|00025383|25.00|0| | |SC|42380|0|N
H8003|001|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Total (PPO)|00025383|25.00|0| | |SC|42410|0|N
H8003|001|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Total (PPO)|00025383|25.00|0| | |SC|42450|0|N
H8003|002|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Total (PPO)|00025383|19.00|0| | |SC|42010|0|N
H8003|002|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Total (PPO)|00025383|19.00|0| | |SC|42080|0|N
H8003|002|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Total (PPO)|00025383|19.00|0| | |SC|42120|0|N
H8003|002|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Total (PPO)|00025383|19.00|0| | |SC|42160|0|N
H8003|002|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Total (PPO)|00025383|19.00|0| | |SC|42190|0|N
H8003|002|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Total (PPO)|00025383|19.00|0| | |SC|42200|0|N
H8003|002|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Total (PPO)|00025383|19.00|0| | |SC|42250|0|N
H8003|002|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Total (PPO)|00025383|19.00|0| | |SC|42270|0|N
H8003|002|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Total (PPO)|00025383|19.00|0| | |SC|42310|0|N
H8003|002|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Total (PPO)|00025383|19.00|0| | |SC|42330|0|N
H8003|002|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Total (PPO)|00025383|19.00|0| | |SC|42340|0|N
H8003|002|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Total (PPO)|00025383|19.00|0| | |SC|42350|0|N
H8003|002|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Total (PPO)|00025383|19.00|0| | |SC|42370|0|N
H8003|002|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Total (PPO)|00025383|19.00|0| | |SC|42390|0|N
H8003|002|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Total (PPO)|00025383|19.00|0| | |SC|42400|0|N
H8003|002|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Total (PPO)|00025383|19.00|0| | |SC|42420|0|N
H8003|003|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Total (PPO)|00025383|25.00|0| | |SC|42060|0|N
H8003|003|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Total (PPO)|00025383|25.00|0| | |SC|42070|0|N
H8003|003|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Total (PPO)|00025383|25.00|0| | |SC|42090|0|N
H8003|003|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Total (PPO)|00025383|25.00|0| | |SC|42170|0|N
H8003|003|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Total (PPO)|00025383|25.00|0| | |SC|42210|0|N
H8003|004|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Total Value (PPO)|00025384|0.00|200| | |SC|42030|0|N
H8003|004|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Total Value (PPO)|00025384|0.00|200| | |SC|42100|0|N
H8003|004|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Total Value (PPO)|00025384|0.00|200| | |SC|42220|0|N
H8003|004|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Total Value (PPO)|00025384|0.00|200| | |SC|42360|0|N
H8003|004|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Total Value (PPO)|00025384|0.00|200| | |SC|42380|0|N
H8003|004|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Total Value (PPO)|00025384|0.00|200| | |SC|42410|0|N
H8003|004|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Total Value (PPO)|00025384|0.00|200| | |SC|42450|0|N
H8003|005|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Total Value (PPO)|00025384|0.00|200| | |SC|42010|0|N
H8003|005|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Total Value (PPO)|00025384|0.00|200| | |SC|42080|0|N
H8003|005|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Total Value (PPO)|00025384|0.00|200| | |SC|42120|0|N
H8003|005|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Total Value (PPO)|00025384|0.00|200| | |SC|42160|0|N
H8003|005|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Total Value (PPO)|00025384|0.00|200| | |SC|42190|0|N
H8003|005|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Total Value (PPO)|00025384|0.00|200| | |SC|42200|0|N
H8003|005|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Total Value (PPO)|00025384|0.00|200| | |SC|42250|0|N
H8003|005|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Total Value (PPO)|00025384|0.00|200| | |SC|42270|0|N
H8003|005|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Total Value (PPO)|00025384|0.00|200| | |SC|42310|0|N
H8003|005|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Total Value (PPO)|00025384|0.00|200| | |SC|42330|0|N
H8003|005|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Total Value (PPO)|00025384|0.00|200| | |SC|42340|0|N
H8003|005|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Total Value (PPO)|00025384|0.00|200| | |SC|42350|0|N
H8003|005|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Total Value (PPO)|00025384|0.00|200| | |SC|42370|0|N
H8003|005|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Total Value (PPO)|00025384|0.00|200| | |SC|42390|0|N
H8003|005|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Total Value (PPO)|00025384|0.00|200| | |SC|42400|0|N
H8003|005|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Total Value (PPO)|00025384|0.00|200| | |SC|42420|0|N
H8003|006|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Total Value (PPO)|00025384|0.00|200| | |SC|42060|0|N
H8003|006|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Total Value (PPO)|00025384|0.00|200| | |SC|42070|0|N
H8003|006|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Total Value (PPO)|00025384|0.00|200| | |SC|42090|0|N
H8003|006|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Total Value (PPO)|00025384|0.00|200| | |SC|42170|0|N
H8003|006|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Total Value (PPO)|00025384|0.00|200| | |SC|42210|0|N
H8010|002|000|CLOVER HMO OF NEW JERSEY INC.|Clover Health Classic (HMO)|00025169|0.00|0| | |NJ|31000|0|N
H8010|002|000|CLOVER HMO OF NEW JERSEY INC.|Clover Health Classic (HMO)|00025169|0.00|0| | |NJ|31100|0|N
H8010|002|000|CLOVER HMO OF NEW JERSEY INC.|Clover Health Classic (HMO)|00025169|0.00|0| | |NJ|31200|0|N
H8010|002|000|CLOVER HMO OF NEW JERSEY INC.|Clover Health Classic (HMO)|00025169|0.00|0| | |NJ|31230|0|N
H8010|002|000|CLOVER HMO OF NEW JERSEY INC.|Clover Health Classic (HMO)|00025169|0.00|0| | |NJ|31320|0|N
H8010|002|000|CLOVER HMO OF NEW JERSEY INC.|Clover Health Classic (HMO)|00025169|0.00|0| | |NJ|31370|0|N
H8010|003|000|CLOVER HMO OF NEW JERSEY INC.|Clover Health Value (HMO)|00025169|39.30|280| | |NJ|31000|0|N
H8010|003|000|CLOVER HMO OF NEW JERSEY INC.|Clover Health Value (HMO)|00025169|39.30|280| | |NJ|31100|0|N
H8010|003|000|CLOVER HMO OF NEW JERSEY INC.|Clover Health Value (HMO)|00025169|39.30|280| | |NJ|31200|0|N
H8010|003|000|CLOVER HMO OF NEW JERSEY INC.|Clover Health Value (HMO)|00025169|39.30|280| | |NJ|31230|0|N
H8010|003|000|CLOVER HMO OF NEW JERSEY INC.|Clover Health Value (HMO)|00025169|39.30|280| | |NJ|31270|0|N
H8010|003|000|CLOVER HMO OF NEW JERSEY INC.|Clover Health Value (HMO)|00025169|39.30|280| | |NJ|31320|0|N
H8010|003|000|CLOVER HMO OF NEW JERSEY INC.|Clover Health Value (HMO)|00025169|39.30|280| | |NJ|31370|0|N
H8014|001|000|CLEAR SPRING HEALTH INSURANCE COMPANY|Clear Spring Health Essential (PPO)|00025494|0.00|0| | |CO|06000|0|N
H8014|001|000|CLEAR SPRING HEALTH INSURANCE COMPANY|Clear Spring Health Essential (PPO)|00025494|0.00|0| | |CO|06020|0|N
H8014|001|000|CLEAR SPRING HEALTH INSURANCE COMPANY|Clear Spring Health Essential (PPO)|00025494|0.00|0| | |CO|06060|0|N
H8014|001|000|CLEAR SPRING HEALTH INSURANCE COMPANY|Clear Spring Health Essential (PPO)|00025494|0.00|0| | |CO|06150|0|N
H8014|001|000|CLEAR SPRING HEALTH INSURANCE COMPANY|Clear Spring Health Essential (PPO)|00025494|0.00|0| | |CO|06170|0|N
H8014|001|000|CLEAR SPRING HEALTH INSURANCE COMPANY|Clear Spring Health Essential (PPO)|00025494|0.00|0| | |CO|06290|0|N
H8014|001|000|CLEAR SPRING HEALTH INSURANCE COMPANY|Clear Spring Health Essential (PPO)|00025494|0.00|0| | |CO|06340|0|N
H8014|001|000|CLEAR SPRING HEALTH INSURANCE COMPANY|Clear Spring Health Essential (PPO)|00025494|0.00|0| | |CO|06610|0|N
H8019|002|000|MEDICA CENTRAL HEALTH PLAN|Medica Advantage with SSM Value (HMO-POS)|00025089|0.00|0| | |IL|14680|0|N
H8019|002|000|MEDICA CENTRAL HEALTH PLAN|Medica Advantage with SSM Value (HMO-POS)|00025089|0.00|0| | |IL|14900|0|N
H8019|002|000|MEDICA CENTRAL HEALTH PLAN|Medica Advantage with SSM Value (HMO-POS)|00025089|0.00|0| | |MO|26910|0|N
H8019|002|000|MEDICA CENTRAL HEALTH PLAN|Medica Advantage with SSM Value (HMO-POS)|00025089|0.00|0| | |MO|26940|0|N
H8019|002|000|MEDICA CENTRAL HEALTH PLAN|Medica Advantage with SSM Value (HMO-POS)|00025089|0.00|0| | |MO|26950|0|N
H8019|002|000|MEDICA CENTRAL HEALTH PLAN|Medica Advantage with SSM Value (HMO-POS)|00025089|0.00|0| | |MO|26991|0|N
H8026|001|000|AETNA BETTER HEALTH OF MICHIGAN INC.|Aetna Better Health Premier Plan (Medicare-Medicaid Plan)|00025123|0.00|0| | |MI|23070|0|N
H8026|001|000|AETNA BETTER HEALTH OF MICHIGAN INC.|Aetna Better Health Premier Plan (Medicare-Medicaid Plan)|00025123|0.00|0| | |MI|23100|0|N
H8026|001|000|AETNA BETTER HEALTH OF MICHIGAN INC.|Aetna Better Health Premier Plan (Medicare-Medicaid Plan)|00025123|0.00|0| | |MI|23110|0|N
H8026|001|000|AETNA BETTER HEALTH OF MICHIGAN INC.|Aetna Better Health Premier Plan (Medicare-Medicaid Plan)|00025123|0.00|0| | |MI|23120|0|N
H8026|001|000|AETNA BETTER HEALTH OF MICHIGAN INC.|Aetna Better Health Premier Plan (Medicare-Medicaid Plan)|00025123|0.00|0| | |MI|23130|0|N
H8026|001|000|AETNA BETTER HEALTH OF MICHIGAN INC.|Aetna Better Health Premier Plan (Medicare-Medicaid Plan)|00025123|0.00|0| | |MI|23380|0|N
H8026|001|000|AETNA BETTER HEALTH OF MICHIGAN INC.|Aetna Better Health Premier Plan (Medicare-Medicaid Plan)|00025123|0.00|0| | |MI|23490|0|N
H8026|001|000|AETNA BETTER HEALTH OF MICHIGAN INC.|Aetna Better Health Premier Plan (Medicare-Medicaid Plan)|00025123|0.00|0| | |MI|23740|0|N
H8026|001|000|AETNA BETTER HEALTH OF MICHIGAN INC.|Aetna Better Health Premier Plan (Medicare-Medicaid Plan)|00025123|0.00|0| | |MI|23790|0|N
H8026|001|000|AETNA BETTER HEALTH OF MICHIGAN INC.|Aetna Better Health Premier Plan (Medicare-Medicaid Plan)|00025123|0.00|0| | |MI|23810|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14000|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14010|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14020|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14030|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14040|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14050|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14060|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14070|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14080|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14090|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14100|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14110|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14120|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14130|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14140|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14141|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14150|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14160|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14170|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14180|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14190|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14250|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14310|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14320|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14330|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14340|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14350|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14360|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14370|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14380|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14390|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14400|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14410|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14420|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14421|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14440|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14450|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14460|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14470|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14480|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14490|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14500|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14510|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14520|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14530|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14540|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14550|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14560|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14570|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14580|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14590|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14600|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14610|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14620|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14630|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14640|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14650|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14660|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14670|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14680|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14690|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14700|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14710|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14720|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14730|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14740|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14750|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14760|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14770|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14780|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14790|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14800|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14810|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14820|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14830|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14831|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14850|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14860|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14870|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14880|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14890|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14900|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14910|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14920|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14921|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14940|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14950|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14960|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14970|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14980|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14981|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14982|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14983|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14984|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14985|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14986|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14987|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14988|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14989|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14990|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14991|0|N
H8046|001|000|MOLINA HEALTHCARE OF ILLINOIS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025287|0.00|0| | |IL|14992|0|N
H8064|002|000|FIRSTCAROLINACARE INSURANCE COMPANY|FirstMedicare Direct PPO Plus (PPO)|00025411|4.60|0| | |NC|34180|0|N
H8064|002|000|FIRSTCAROLINACARE INSURANCE COMPANY|FirstMedicare Direct PPO Plus (PPO)|00025411|4.60|0| | |NC|34250|0|N
H8064|002|000|FIRSTCAROLINACARE INSURANCE COMPANY|FirstMedicare Direct PPO Plus (PPO)|00025411|4.60|0| | |NC|34420|0|N
H8064|002|000|FIRSTCAROLINACARE INSURANCE COMPANY|FirstMedicare Direct PPO Plus (PPO)|00025411|4.60|0| | |NC|34460|0|N
H8064|002|000|FIRSTCAROLINACARE INSURANCE COMPANY|FirstMedicare Direct PPO Plus (PPO)|00025411|4.60|0| | |NC|34500|0|N
H8064|002|000|FIRSTCAROLINACARE INSURANCE COMPANY|FirstMedicare Direct PPO Plus (PPO)|00025411|4.60|0| | |NC|34520|0|N
H8064|002|000|FIRSTCAROLINACARE INSURANCE COMPANY|FirstMedicare Direct PPO Plus (PPO)|00025411|4.60|0| | |NC|34610|0|N
H8064|002|000|FIRSTCAROLINACARE INSURANCE COMPANY|FirstMedicare Direct PPO Plus (PPO)|00025411|4.60|0| | |NC|34620|0|N
H8064|002|000|FIRSTCAROLINACARE INSURANCE COMPANY|FirstMedicare Direct PPO Plus (PPO)|00025411|4.60|0| | |NC|34760|0|N
H8064|002|000|FIRSTCAROLINACARE INSURANCE COMPANY|FirstMedicare Direct PPO Plus (PPO)|00025411|4.60|0| | |NC|34770|0|N
H8064|002|000|FIRSTCAROLINACARE INSURANCE COMPANY|FirstMedicare Direct PPO Plus (PPO)|00025411|4.60|0| | |NC|34820|0|N
H8067|001|000|PROVIDER PARTNERS HEALTH PLAN, INC.|Provider Partners Maryland Advantage Plan (HMO I-SNP)|00025261|46.30|590| | |MD|21000|3|N
H8067|001|000|PROVIDER PARTNERS HEALTH PLAN, INC.|Provider Partners Maryland Advantage Plan (HMO I-SNP)|00025261|46.30|590| | |MD|21010|3|N
H8067|001|000|PROVIDER PARTNERS HEALTH PLAN, INC.|Provider Partners Maryland Advantage Plan (HMO I-SNP)|00025261|46.30|590| | |MD|21020|3|N
H8067|001|000|PROVIDER PARTNERS HEALTH PLAN, INC.|Provider Partners Maryland Advantage Plan (HMO I-SNP)|00025261|46.30|590| | |MD|21030|3|N
H8067|001|000|PROVIDER PARTNERS HEALTH PLAN, INC.|Provider Partners Maryland Advantage Plan (HMO I-SNP)|00025261|46.30|590| | |MD|21050|3|N
H8067|001|000|PROVIDER PARTNERS HEALTH PLAN, INC.|Provider Partners Maryland Advantage Plan (HMO I-SNP)|00025261|46.30|590| | |MD|21060|3|N
H8067|001|000|PROVIDER PARTNERS HEALTH PLAN, INC.|Provider Partners Maryland Advantage Plan (HMO I-SNP)|00025261|46.30|590| | |MD|21090|3|N
H8067|001|000|PROVIDER PARTNERS HEALTH PLAN, INC.|Provider Partners Maryland Advantage Plan (HMO I-SNP)|00025261|46.30|590| | |MD|21100|3|N
H8067|001|000|PROVIDER PARTNERS HEALTH PLAN, INC.|Provider Partners Maryland Advantage Plan (HMO I-SNP)|00025261|46.30|590| | |MD|21110|3|N
H8067|001|000|PROVIDER PARTNERS HEALTH PLAN, INC.|Provider Partners Maryland Advantage Plan (HMO I-SNP)|00025261|46.30|590| | |MD|21120|3|N
H8067|001|000|PROVIDER PARTNERS HEALTH PLAN, INC.|Provider Partners Maryland Advantage Plan (HMO I-SNP)|00025261|46.30|590| | |MD|21130|3|N
H8067|001|000|PROVIDER PARTNERS HEALTH PLAN, INC.|Provider Partners Maryland Advantage Plan (HMO I-SNP)|00025261|46.30|590| | |MD|21140|3|N
H8067|001|000|PROVIDER PARTNERS HEALTH PLAN, INC.|Provider Partners Maryland Advantage Plan (HMO I-SNP)|00025261|46.30|590| | |MD|21170|3|N
H8067|001|000|PROVIDER PARTNERS HEALTH PLAN, INC.|Provider Partners Maryland Advantage Plan (HMO I-SNP)|00025261|46.30|590| | |MD|21200|3|N
H8067|001|000|PROVIDER PARTNERS HEALTH PLAN, INC.|Provider Partners Maryland Advantage Plan (HMO I-SNP)|00025261|46.30|590| | |MD|21210|3|N
H8067|001|000|PROVIDER PARTNERS HEALTH PLAN, INC.|Provider Partners Maryland Advantage Plan (HMO I-SNP)|00025261|46.30|590| | |MD|21230|3|N
H8067|003|000|PROVIDER PARTNERS HEALTH PLAN, INC.|Provider Partners Maryland Community Plan (HMO I-SNP)|00025261|0.00|590| | |MD|21000|3|N
H8067|003|000|PROVIDER PARTNERS HEALTH PLAN, INC.|Provider Partners Maryland Community Plan (HMO I-SNP)|00025261|0.00|590| | |MD|21010|3|N
H8067|003|000|PROVIDER PARTNERS HEALTH PLAN, INC.|Provider Partners Maryland Community Plan (HMO I-SNP)|00025261|0.00|590| | |MD|21020|3|N
H8067|003|000|PROVIDER PARTNERS HEALTH PLAN, INC.|Provider Partners Maryland Community Plan (HMO I-SNP)|00025261|0.00|590| | |MD|21030|3|N
H8067|003|000|PROVIDER PARTNERS HEALTH PLAN, INC.|Provider Partners Maryland Community Plan (HMO I-SNP)|00025261|0.00|590| | |MD|21050|3|N
H8067|003|000|PROVIDER PARTNERS HEALTH PLAN, INC.|Provider Partners Maryland Community Plan (HMO I-SNP)|00025261|0.00|590| | |MD|21060|3|N
H8067|003|000|PROVIDER PARTNERS HEALTH PLAN, INC.|Provider Partners Maryland Community Plan (HMO I-SNP)|00025261|0.00|590| | |MD|21090|3|N
H8067|003|000|PROVIDER PARTNERS HEALTH PLAN, INC.|Provider Partners Maryland Community Plan (HMO I-SNP)|00025261|0.00|590| | |MD|21100|3|N
H8067|003|000|PROVIDER PARTNERS HEALTH PLAN, INC.|Provider Partners Maryland Community Plan (HMO I-SNP)|00025261|0.00|590| | |MD|21110|3|N
H8067|003|000|PROVIDER PARTNERS HEALTH PLAN, INC.|Provider Partners Maryland Community Plan (HMO I-SNP)|00025261|0.00|590| | |MD|21120|3|N
H8067|003|000|PROVIDER PARTNERS HEALTH PLAN, INC.|Provider Partners Maryland Community Plan (HMO I-SNP)|00025261|0.00|590| | |MD|21130|3|N
H8067|003|000|PROVIDER PARTNERS HEALTH PLAN, INC.|Provider Partners Maryland Community Plan (HMO I-SNP)|00025261|0.00|590| | |MD|21140|3|N
H8067|003|000|PROVIDER PARTNERS HEALTH PLAN, INC.|Provider Partners Maryland Community Plan (HMO I-SNP)|00025261|0.00|590| | |MD|21170|3|N
H8067|003|000|PROVIDER PARTNERS HEALTH PLAN, INC.|Provider Partners Maryland Community Plan (HMO I-SNP)|00025261|0.00|590| | |MD|21200|3|N
H8067|003|000|PROVIDER PARTNERS HEALTH PLAN, INC.|Provider Partners Maryland Community Plan (HMO I-SNP)|00025261|0.00|590| | |MD|21210|3|N
H8067|003|000|PROVIDER PARTNERS HEALTH PLAN, INC.|Provider Partners Maryland Community Plan (HMO I-SNP)|00025261|0.00|590| | |MD|21230|3|N
H8067|004|000|PROVIDER PARTNERS HEALTH PLAN, INC.|Provider Partners Maryland Essential Plan (HMO I-SNP)|00025261|19.10|590| | |MD|21000|3|N
H8067|004|000|PROVIDER PARTNERS HEALTH PLAN, INC.|Provider Partners Maryland Essential Plan (HMO I-SNP)|00025261|19.10|590| | |MD|21010|3|N
H8067|004|000|PROVIDER PARTNERS HEALTH PLAN, INC.|Provider Partners Maryland Essential Plan (HMO I-SNP)|00025261|19.10|590| | |MD|21020|3|N
H8067|004|000|PROVIDER PARTNERS HEALTH PLAN, INC.|Provider Partners Maryland Essential Plan (HMO I-SNP)|00025261|19.10|590| | |MD|21030|3|N
H8067|004|000|PROVIDER PARTNERS HEALTH PLAN, INC.|Provider Partners Maryland Essential Plan (HMO I-SNP)|00025261|19.10|590| | |MD|21050|3|N
H8067|004|000|PROVIDER PARTNERS HEALTH PLAN, INC.|Provider Partners Maryland Essential Plan (HMO I-SNP)|00025261|19.10|590| | |MD|21060|3|N
H8067|004|000|PROVIDER PARTNERS HEALTH PLAN, INC.|Provider Partners Maryland Essential Plan (HMO I-SNP)|00025261|19.10|590| | |MD|21090|3|N
H8067|004|000|PROVIDER PARTNERS HEALTH PLAN, INC.|Provider Partners Maryland Essential Plan (HMO I-SNP)|00025261|19.10|590| | |MD|21100|3|N
H8067|004|000|PROVIDER PARTNERS HEALTH PLAN, INC.|Provider Partners Maryland Essential Plan (HMO I-SNP)|00025261|19.10|590| | |MD|21110|3|N
H8067|004|000|PROVIDER PARTNERS HEALTH PLAN, INC.|Provider Partners Maryland Essential Plan (HMO I-SNP)|00025261|19.10|590| | |MD|21120|3|N
H8067|004|000|PROVIDER PARTNERS HEALTH PLAN, INC.|Provider Partners Maryland Essential Plan (HMO I-SNP)|00025261|19.10|590| | |MD|21130|3|N
H8067|004|000|PROVIDER PARTNERS HEALTH PLAN, INC.|Provider Partners Maryland Essential Plan (HMO I-SNP)|00025261|19.10|590| | |MD|21140|3|N
H8067|004|000|PROVIDER PARTNERS HEALTH PLAN, INC.|Provider Partners Maryland Essential Plan (HMO I-SNP)|00025261|19.10|590| | |MD|21170|3|N
H8067|004|000|PROVIDER PARTNERS HEALTH PLAN, INC.|Provider Partners Maryland Essential Plan (HMO I-SNP)|00025261|19.10|590| | |MD|21200|3|N
H8067|004|000|PROVIDER PARTNERS HEALTH PLAN, INC.|Provider Partners Maryland Essential Plan (HMO I-SNP)|00025261|19.10|590| | |MD|21210|3|N
H8067|004|000|PROVIDER PARTNERS HEALTH PLAN, INC.|Provider Partners Maryland Essential Plan (HMO I-SNP)|00025261|19.10|590| | |MD|21230|3|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24000|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24010|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24020|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24030|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24040|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24050|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24060|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24070|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24080|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24090|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24100|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24110|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24120|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24130|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24140|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24150|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24160|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24170|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24180|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24190|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24200|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24210|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24220|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24230|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24240|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24250|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24260|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24270|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24280|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24290|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24300|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24310|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24320|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24330|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24340|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24350|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24360|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24370|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24380|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24390|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24400|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24410|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24420|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24430|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24440|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24450|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24460|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24470|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24480|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24490|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24500|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24510|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24520|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24530|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24540|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24550|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24560|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24570|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24580|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24590|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24600|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24610|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24620|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24630|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24640|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24650|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24660|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24670|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24680|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24690|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24700|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24710|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24720|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24730|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24740|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24750|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24760|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24770|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24780|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24790|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24800|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24810|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24820|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24830|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24840|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24850|0|N
H8070|001|000|UCARE MINNESOTA|UCare Your Choice (PPO)|00025321|0.00|0| | |MN|24860|0|N
H8070|002|000|UCARE MINNESOTA|UCare Your Choice Plus (PPO)|00025321|25.90|0| | |MN|24000|0|N
H8070|002|000|UCARE MINNESOTA|UCare Your Choice Plus (PPO)|00025321|25.90|0| | |MN|24010|0|N
H8070|002|000|UCARE MINNESOTA|UCare Your Choice Plus (PPO)|00025321|25.90|0| | |MN|24020|0|N
H8070|002|000|UCARE MINNESOTA|UCare Your Choice Plus (PPO)|00025321|25.90|0| | |MN|24030|0|N
H8070|002|000|UCARE MINNESOTA|UCare Your Choice Plus (PPO)|00025321|25.90|0| | |MN|24040|0|N
H8070|002|000|UCARE MINNESOTA|UCare Your Choice Plus (PPO)|00025321|25.90|0| | |MN|24080|0|N
H8070|002|000|UCARE MINNESOTA|UCare Your Choice Plus (PPO)|00025321|25.90|0| | |MN|24090|0|N
H8070|002|000|UCARE MINNESOTA|UCare Your Choice Plus (PPO)|00025321|25.90|0| | |MN|24100|0|N
H8070|002|000|UCARE MINNESOTA|UCare Your Choice Plus (PPO)|00025321|25.90|0| | |MN|24120|0|N
H8070|002|000|UCARE MINNESOTA|UCare Your Choice Plus (PPO)|00025321|25.90|0| | |MN|24130|0|N
H8070|002|000|UCARE MINNESOTA|UCare Your Choice Plus (PPO)|00025321|25.90|0| | |MN|24140|0|N
H8070|002|000|UCARE MINNESOTA|UCare Your Choice Plus (PPO)|00025321|25.90|0| | |MN|24150|0|N
H8070|002|000|UCARE MINNESOTA|UCare Your Choice Plus (PPO)|00025321|25.90|0| | |MN|24170|0|N
H8070|002|000|UCARE MINNESOTA|UCare Your Choice Plus (PPO)|00025321|25.90|0| | |MN|24180|0|N
H8070|002|000|UCARE MINNESOTA|UCare Your Choice Plus (PPO)|00025321|25.90|0| | |MN|24200|0|N
H8070|002|000|UCARE MINNESOTA|UCare Your Choice Plus (PPO)|00025321|25.90|0| | |MN|24250|0|N
H8070|002|000|UCARE MINNESOTA|UCare Your Choice Plus (PPO)|00025321|25.90|0| | |MN|24260|0|N
H8070|002|000|UCARE MINNESOTA|UCare Your Choice Plus (PPO)|00025321|25.90|0| | |MN|24280|0|N
H8070|002|000|UCARE MINNESOTA|UCare Your Choice Plus (PPO)|00025321|25.90|0| | |MN|24290|0|N
H8070|002|000|UCARE MINNESOTA|UCare Your Choice Plus (PPO)|00025321|25.90|0| | |MN|24300|0|N
H8070|002|000|UCARE MINNESOTA|UCare Your Choice Plus (PPO)|00025321|25.90|0| | |MN|24320|0|N
H8070|002|000|UCARE MINNESOTA|UCare Your Choice Plus (PPO)|00025321|25.90|0| | |MN|24340|0|N
H8070|002|000|UCARE MINNESOTA|UCare Your Choice Plus (PPO)|00025321|25.90|0| | |MN|24350|0|N
H8070|002|000|UCARE MINNESOTA|UCare Your Choice Plus (PPO)|00025321|25.90|0| | |MN|24370|0|N
H8070|002|000|UCARE MINNESOTA|UCare Your Choice Plus (PPO)|00025321|25.90|0| | |MN|24380|0|N
H8070|002|000|UCARE MINNESOTA|UCare Your Choice Plus (PPO)|00025321|25.90|0| | |MN|24430|0|N
H8070|002|000|UCARE MINNESOTA|UCare Your Choice Plus (PPO)|00025321|25.90|0| | |MN|24440|0|N
H8070|002|000|UCARE MINNESOTA|UCare Your Choice Plus (PPO)|00025321|25.90|0| | |MN|24470|0|N
H8070|002|000|UCARE MINNESOTA|UCare Your Choice Plus (PPO)|00025321|25.90|0| | |MN|24480|0|N
H8070|002|000|UCARE MINNESOTA|UCare Your Choice Plus (PPO)|00025321|25.90|0| | |MN|24530|0|N
H8070|002|000|UCARE MINNESOTA|UCare Your Choice Plus (PPO)|00025321|25.90|0| | |MN|24550|0|N
H8070|002|000|UCARE MINNESOTA|UCare Your Choice Plus (PPO)|00025321|25.90|0| | |MN|24560|0|N
H8070|002|000|UCARE MINNESOTA|UCare Your Choice Plus (PPO)|00025321|25.90|0| | |MN|24570|0|N
H8070|002|000|UCARE MINNESOTA|UCare Your Choice Plus (PPO)|00025321|25.90|0| | |MN|24590|0|N
H8070|002|000|UCARE MINNESOTA|UCare Your Choice Plus (PPO)|00025321|25.90|0| | |MN|24610|0|N
H8070|002|000|UCARE MINNESOTA|UCare Your Choice Plus (PPO)|00025321|25.90|0| | |MN|24620|0|N
H8070|002|000|UCARE MINNESOTA|UCare Your Choice Plus (PPO)|00025321|25.90|0| | |MN|24670|0|N
H8070|002|000|UCARE MINNESOTA|UCare Your Choice Plus (PPO)|00025321|25.90|0| | |MN|24680|0|N
H8070|002|000|UCARE MINNESOTA|UCare Your Choice Plus (PPO)|00025321|25.90|0| | |MN|24690|0|N
H8070|002|000|UCARE MINNESOTA|UCare Your Choice Plus (PPO)|00025321|25.90|0| | |MN|24700|0|N
H8070|002|000|UCARE MINNESOTA|UCare Your Choice Plus (PPO)|00025321|25.90|0| | |MN|24720|0|N
H8070|002|000|UCARE MINNESOTA|UCare Your Choice Plus (PPO)|00025321|25.90|0| | |MN|24760|0|N
H8070|002|000|UCARE MINNESOTA|UCare Your Choice Plus (PPO)|00025321|25.90|0| | |MN|24790|0|N
H8070|002|000|UCARE MINNESOTA|UCare Your Choice Plus (PPO)|00025321|25.90|0| | |MN|24810|0|N
H8070|002|000|UCARE MINNESOTA|UCare Your Choice Plus (PPO)|00025321|25.90|0| | |MN|24830|0|N
H8070|002|000|UCARE MINNESOTA|UCare Your Choice Plus (PPO)|00025321|25.90|0| | |MN|24850|0|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11000|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11011|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11020|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11030|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11040|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11050|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11060|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11070|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11080|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11090|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11100|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11110|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11120|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11130|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11140|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11150|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11161|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11180|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11220|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11230|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11240|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11250|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11260|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11270|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11280|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11281|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11291|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11300|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11310|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11320|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11330|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11340|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11341|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11350|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11380|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11390|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11400|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11420|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11440|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11441|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11451|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11460|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11461|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11462|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11471|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11480|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11500|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11520|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11540|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11560|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11580|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11581|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11590|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11591|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11600|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11601|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11610|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11611|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11612|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11620|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11630|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11640|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11650|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11651|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11660|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11670|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11680|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11690|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11691|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11701|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11702|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11703|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11710|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11720|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11730|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11740|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11741|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11750|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11760|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11770|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11780|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11790|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11800|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11801|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11810|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11811|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11812|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11820|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11830|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11831|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11832|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11833|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11835|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11840|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11841|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11842|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11850|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11860|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11861|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11862|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11870|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11880|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11881|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11882|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11883|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11884|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11885|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11900|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11901|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11903|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11911|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11912|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11920|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11930|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11940|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11941|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11950|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11960|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11961|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11962|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11971|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11972|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11973|3|N
H8093|001|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage (HMO I-SNP)|00025482|40.00|590| | |GA|11980|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11000|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11011|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11020|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11030|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11040|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11050|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11060|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11070|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11080|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11090|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11100|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11110|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11120|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11130|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11140|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11150|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11161|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11180|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11220|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11230|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11240|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11250|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11260|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11270|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11280|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11281|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11291|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11300|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11310|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11320|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11330|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11340|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11341|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11350|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11380|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11390|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11400|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11420|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11440|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11441|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11451|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11460|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11461|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11462|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11471|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11480|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11500|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11520|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11540|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11560|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11580|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11581|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11590|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11591|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11600|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11601|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11610|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11611|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11612|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11620|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11630|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11640|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11650|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11651|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11660|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11670|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11680|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11690|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11691|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11701|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11702|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11703|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11710|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11720|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11730|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11740|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11741|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11750|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11760|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11770|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11780|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11790|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11800|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11801|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11810|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11811|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11812|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11820|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11830|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11831|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11832|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11833|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11835|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11840|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11841|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11842|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11850|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11860|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11861|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11862|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11870|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11880|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11881|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11882|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11883|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11884|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11885|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11900|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11901|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11903|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11911|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11912|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11920|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11930|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11940|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11941|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11950|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11960|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11961|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11962|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11971|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11972|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11973|3|N
H8093|002|000|GEORGIA ASSURANCE, INC.|Georgia Health Advantage Choice (HMO I-SNP)|00025482|38.60|590| | |GA|11980|3|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16000|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16010|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16030|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16040|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16050|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16060|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16070|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16080|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16090|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16100|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16110|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16120|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16130|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16140|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16150|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16160|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16170|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16180|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16190|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16200|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16210|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16220|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16230|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16240|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16250|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16270|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16290|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16310|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16320|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16330|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16340|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16350|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16360|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16370|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16380|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16390|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16400|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16410|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16420|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16430|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16440|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16450|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16460|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16470|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16480|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16490|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16500|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16510|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16520|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16530|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16540|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16560|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16570|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16580|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16590|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16600|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16610|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16620|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16630|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16640|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16650|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16660|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16670|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16680|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16690|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16700|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16710|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16720|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16730|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16740|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16750|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16760|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16770|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16780|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16800|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16810|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16820|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16830|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16840|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16850|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16870|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16880|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16890|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16900|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16910|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16930|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16940|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16960|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16970|0|N
H8095|001|000|WELLMARK ADVANTAGE HEALTH PLAN, INC.|Blue Medicare Advantage HMO (HMO)|00025297|0.00|0| | |IA|16980|0|N
H8133|001|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |TX|45280|0|N
H8133|001|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |TX|45530|0|N
H8133|001|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |TX|45600|0|N
H8133|001|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |TX|45610|0|N
H8133|001|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |TX|45700|0|N
H8133|001|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |TX|45757|0|N
H8133|001|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |TX|45801|0|N
H8133|001|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Basic (HMO)|00025445|0.00|0| | |TX|45840|0|N
H8133|005|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Basic (HMO)|00025443|0.00|0| | |TX|45240|0|N
H8133|005|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Basic (HMO)|00025443|0.00|0| | |TX|45480|0|N
H8133|005|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Basic (HMO)|00025443|0.00|0| | |TX|45650|0|N
H8133|005|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Basic (HMO)|00025443|0.00|0| | |TX|45953|0|N
H8133|005|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Basic (HMO)|00025443|0.00|0| | |TX|45962|0|N
H8142|001|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx (HMO-POS)|00025473|0.00|0| | |TX|45100|0|N
H8142|001|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx (HMO-POS)|00025473|0.00|0| | |TX|45120|0|N
H8142|001|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx (HMO-POS)|00025473|0.00|0| | |TX|45140|0|N
H8142|001|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx (HMO-POS)|00025473|0.00|0| | |TX|45160|0|N
H8142|001|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx (HMO-POS)|00025473|0.00|0| | |TX|45190|0|N
H8142|001|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx (HMO-POS)|00025473|0.00|0| | |TX|45221|0|N
H8142|001|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx (HMO-POS)|00025473|0.00|0| | |TX|45222|0|N
H8142|001|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx (HMO-POS)|00025473|0.00|0| | |TX|45223|0|N
H8142|001|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx (HMO-POS)|00025473|0.00|0| | |TX|45312|0|N
H8142|001|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx (HMO-POS)|00025473|0.00|0| | |TX|45341|0|N
H8142|001|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx (HMO-POS)|00025473|0.00|0| | |TX|45490|0|N
H8142|001|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx (HMO-POS)|00025473|0.00|0| | |TX|45500|0|N
H8142|001|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx (HMO-POS)|00025473|0.00|0| | |TX|45511|0|N
H8142|001|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx (HMO-POS)|00025473|0.00|0| | |TX|45540|0|N
H8142|001|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx (HMO-POS)|00025473|0.00|0| | |TX|45552|0|N
H8142|001|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx (HMO-POS)|00025473|0.00|0| | |TX|45562|0|N
H8142|001|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx (HMO-POS)|00025473|0.00|0| | |TX|45580|0|N
H8142|001|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx (HMO-POS)|00025473|0.00|0| | |TX|45590|0|N
H8142|001|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx (HMO-POS)|00025473|0.00|0| | |TX|45651|0|N
H8142|001|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx (HMO-POS)|00025473|0.00|0| | |TX|45752|0|N
H8142|001|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx (HMO-POS)|00025473|0.00|0| | |TX|45755|0|N
H8142|001|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx (HMO-POS)|00025473|0.00|0| | |TX|45756|0|N
H8142|001|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx (HMO-POS)|00025473|0.00|0| | |TX|45758|0|N
H8142|001|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx (HMO-POS)|00025473|0.00|0| | |TX|45761|0|N
H8142|001|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx (HMO-POS)|00025473|0.00|0| | |TX|45780|0|N
H8142|001|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx (HMO-POS)|00025473|0.00|0| | |TX|45782|0|N
H8142|001|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx (HMO-POS)|00025473|0.00|0| | |TX|45795|0|N
H8142|001|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx (HMO-POS)|00025473|0.00|0| | |TX|45796|0|N
H8142|001|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx (HMO-POS)|00025473|0.00|0| | |TX|45820|0|N
H8142|001|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx (HMO-POS)|00025473|0.00|0| | |TX|45878|0|N
H8142|001|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx (HMO-POS)|00025473|0.00|0| | |TX|45886|0|N
H8142|001|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx (HMO-POS)|00025473|0.00|0| | |TX|45893|0|N
H8142|001|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx (HMO-POS)|00025473|0.00|0| | |TX|45952|0|N
H8142|001|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx (HMO-POS)|00025473|0.00|0| | |TX|45970|0|N
H8142|002|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Preferred Rx (HMO-POS)|00025473|9.50|0| | |TX|45100|0|N
H8142|002|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Preferred Rx (HMO-POS)|00025473|9.50|0| | |TX|45120|0|N
H8142|002|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Preferred Rx (HMO-POS)|00025473|9.50|0| | |TX|45140|0|N
H8142|002|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Preferred Rx (HMO-POS)|00025473|9.50|0| | |TX|45160|0|N
H8142|002|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Preferred Rx (HMO-POS)|00025473|9.50|0| | |TX|45190|0|N
H8142|002|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Preferred Rx (HMO-POS)|00025473|9.50|0| | |TX|45221|0|N
H8142|002|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Preferred Rx (HMO-POS)|00025473|9.50|0| | |TX|45222|0|N
H8142|002|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Preferred Rx (HMO-POS)|00025473|9.50|0| | |TX|45223|0|N
H8142|002|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Preferred Rx (HMO-POS)|00025473|9.50|0| | |TX|45312|0|N
H8142|002|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Preferred Rx (HMO-POS)|00025473|9.50|0| | |TX|45341|0|N
H8142|002|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Preferred Rx (HMO-POS)|00025473|9.50|0| | |TX|45490|0|N
H8142|002|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Preferred Rx (HMO-POS)|00025473|9.50|0| | |TX|45500|0|N
H8142|002|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Preferred Rx (HMO-POS)|00025473|9.50|0| | |TX|45511|0|N
H8142|002|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Preferred Rx (HMO-POS)|00025473|9.50|0| | |TX|45540|0|N
H8142|002|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Preferred Rx (HMO-POS)|00025473|9.50|0| | |TX|45552|0|N
H8142|002|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Preferred Rx (HMO-POS)|00025473|9.50|0| | |TX|45562|0|N
H8142|002|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Preferred Rx (HMO-POS)|00025473|9.50|0| | |TX|45580|0|N
H8142|002|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Preferred Rx (HMO-POS)|00025473|9.50|0| | |TX|45590|0|N
H8142|002|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Preferred Rx (HMO-POS)|00025473|9.50|0| | |TX|45651|0|N
H8142|002|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Preferred Rx (HMO-POS)|00025473|9.50|0| | |TX|45752|0|N
H8142|002|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Preferred Rx (HMO-POS)|00025473|9.50|0| | |TX|45755|0|N
H8142|002|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Preferred Rx (HMO-POS)|00025473|9.50|0| | |TX|45756|0|N
H8142|002|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Preferred Rx (HMO-POS)|00025473|9.50|0| | |TX|45758|0|N
H8142|002|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Preferred Rx (HMO-POS)|00025473|9.50|0| | |TX|45761|0|N
H8142|002|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Preferred Rx (HMO-POS)|00025473|9.50|0| | |TX|45780|0|N
H8142|002|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Preferred Rx (HMO-POS)|00025473|9.50|0| | |TX|45782|0|N
H8142|002|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Preferred Rx (HMO-POS)|00025473|9.50|0| | |TX|45795|0|N
H8142|002|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Preferred Rx (HMO-POS)|00025473|9.50|0| | |TX|45796|0|N
H8142|002|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Preferred Rx (HMO-POS)|00025473|9.50|0| | |TX|45820|0|N
H8142|002|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Preferred Rx (HMO-POS)|00025473|9.50|0| | |TX|45878|0|N
H8142|002|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Preferred Rx (HMO-POS)|00025473|9.50|0| | |TX|45886|0|N
H8142|002|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Preferred Rx (HMO-POS)|00025473|9.50|0| | |TX|45893|0|N
H8142|002|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Preferred Rx (HMO-POS)|00025473|9.50|0| | |TX|45952|0|N
H8142|002|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Preferred Rx (HMO-POS)|00025473|9.50|0| | |TX|45970|0|N
H8142|003|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Premium Rx (HMO-POS)|00025473|0.00|0| | |TX|45100|0|N
H8142|003|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Premium Rx (HMO-POS)|00025473|0.00|0| | |TX|45120|0|N
H8142|003|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Premium Rx (HMO-POS)|00025473|0.00|0| | |TX|45140|0|N
H8142|003|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Premium Rx (HMO-POS)|00025473|0.00|0| | |TX|45160|0|N
H8142|003|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Premium Rx (HMO-POS)|00025473|0.00|0| | |TX|45190|0|N
H8142|003|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Premium Rx (HMO-POS)|00025473|0.00|0| | |TX|45221|0|N
H8142|003|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Premium Rx (HMO-POS)|00025473|0.00|0| | |TX|45222|0|N
H8142|003|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Premium Rx (HMO-POS)|00025473|0.00|0| | |TX|45223|0|N
H8142|003|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Premium Rx (HMO-POS)|00025473|0.00|0| | |TX|45312|0|N
H8142|003|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Premium Rx (HMO-POS)|00025473|0.00|0| | |TX|45341|0|N
H8142|003|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Premium Rx (HMO-POS)|00025473|0.00|0| | |TX|45490|0|N
H8142|003|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Premium Rx (HMO-POS)|00025473|0.00|0| | |TX|45500|0|N
H8142|003|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Premium Rx (HMO-POS)|00025473|0.00|0| | |TX|45511|0|N
H8142|003|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Premium Rx (HMO-POS)|00025473|0.00|0| | |TX|45540|0|N
H8142|003|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Premium Rx (HMO-POS)|00025473|0.00|0| | |TX|45552|0|N
H8142|003|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Premium Rx (HMO-POS)|00025473|0.00|0| | |TX|45562|0|N
H8142|003|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Premium Rx (HMO-POS)|00025473|0.00|0| | |TX|45580|0|N
H8142|003|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Premium Rx (HMO-POS)|00025473|0.00|0| | |TX|45590|0|N
H8142|003|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Premium Rx (HMO-POS)|00025473|0.00|0| | |TX|45651|0|N
H8142|003|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Premium Rx (HMO-POS)|00025473|0.00|0| | |TX|45752|0|N
H8142|003|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Premium Rx (HMO-POS)|00025473|0.00|0| | |TX|45755|0|N
H8142|003|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Premium Rx (HMO-POS)|00025473|0.00|0| | |TX|45756|0|N
H8142|003|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Premium Rx (HMO-POS)|00025473|0.00|0| | |TX|45758|0|N
H8142|003|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Premium Rx (HMO-POS)|00025473|0.00|0| | |TX|45761|0|N
H8142|003|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Premium Rx (HMO-POS)|00025473|0.00|0| | |TX|45780|0|N
H8142|003|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Premium Rx (HMO-POS)|00025473|0.00|0| | |TX|45782|0|N
H8142|003|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Premium Rx (HMO-POS)|00025473|0.00|0| | |TX|45795|0|N
H8142|003|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Premium Rx (HMO-POS)|00025473|0.00|0| | |TX|45796|0|N
H8142|003|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Premium Rx (HMO-POS)|00025473|0.00|0| | |TX|45820|0|N
H8142|003|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Premium Rx (HMO-POS)|00025473|0.00|0| | |TX|45878|0|N
H8142|003|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Premium Rx (HMO-POS)|00025473|0.00|0| | |TX|45886|0|N
H8142|003|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Premium Rx (HMO-POS)|00025473|0.00|0| | |TX|45893|0|N
H8142|003|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Premium Rx (HMO-POS)|00025473|0.00|0| | |TX|45952|0|N
H8142|003|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Premium Rx (HMO-POS)|00025473|0.00|0| | |TX|45970|0|N
H8142|007|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx (HMO-POS)|00025473|0.00|0| | |TX|45310|0|N
H8142|007|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx (HMO-POS)|00025473|0.00|0| | |TX|45390|0|N
H8142|007|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx (HMO-POS)|00025473|0.00|0| | |TX|45410|0|N
H8142|007|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx (HMO-POS)|00025473|0.00|0| | |TX|45470|0|N
H8142|007|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx (HMO-POS)|00025473|0.00|0| | |TX|45879|0|N
H8142|007|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx (HMO-POS)|00025473|0.00|0| | |TX|45910|0|N
H8142|009|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx Assist (HMO-POS)|00025473|18.30|590| | |TX|45100|0|N
H8142|009|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx Assist (HMO-POS)|00025473|18.30|590| | |TX|45120|0|N
H8142|009|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx Assist (HMO-POS)|00025473|18.30|590| | |TX|45140|0|N
H8142|009|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx Assist (HMO-POS)|00025473|18.30|590| | |TX|45160|0|N
H8142|009|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx Assist (HMO-POS)|00025473|18.30|590| | |TX|45190|0|N
H8142|009|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx Assist (HMO-POS)|00025473|18.30|590| | |TX|45221|0|N
H8142|009|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx Assist (HMO-POS)|00025473|18.30|590| | |TX|45222|0|N
H8142|009|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx Assist (HMO-POS)|00025473|18.30|590| | |TX|45223|0|N
H8142|009|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx Assist (HMO-POS)|00025473|18.30|590| | |TX|45312|0|N
H8142|009|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx Assist (HMO-POS)|00025473|18.30|590| | |TX|45341|0|N
H8142|009|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx Assist (HMO-POS)|00025473|18.30|590| | |TX|45490|0|N
H8142|009|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx Assist (HMO-POS)|00025473|18.30|590| | |TX|45500|0|N
H8142|009|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx Assist (HMO-POS)|00025473|18.30|590| | |TX|45511|0|N
H8142|009|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx Assist (HMO-POS)|00025473|18.30|590| | |TX|45540|0|N
H8142|009|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx Assist (HMO-POS)|00025473|18.30|590| | |TX|45552|0|N
H8142|009|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx Assist (HMO-POS)|00025473|18.30|590| | |TX|45562|0|N
H8142|009|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx Assist (HMO-POS)|00025473|18.30|590| | |TX|45580|0|N
H8142|009|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx Assist (HMO-POS)|00025473|18.30|590| | |TX|45590|0|N
H8142|009|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx Assist (HMO-POS)|00025473|18.30|590| | |TX|45651|0|N
H8142|009|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx Assist (HMO-POS)|00025473|18.30|590| | |TX|45752|0|N
H8142|009|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx Assist (HMO-POS)|00025473|18.30|590| | |TX|45755|0|N
H8142|009|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx Assist (HMO-POS)|00025473|18.30|590| | |TX|45756|0|N
H8142|009|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx Assist (HMO-POS)|00025473|18.30|590| | |TX|45758|0|N
H8142|009|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx Assist (HMO-POS)|00025473|18.30|590| | |TX|45761|0|N
H8142|009|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx Assist (HMO-POS)|00025473|18.30|590| | |TX|45780|0|N
H8142|009|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx Assist (HMO-POS)|00025473|18.30|590| | |TX|45782|0|N
H8142|009|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx Assist (HMO-POS)|00025473|18.30|590| | |TX|45795|0|N
H8142|009|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx Assist (HMO-POS)|00025473|18.30|590| | |TX|45796|0|N
H8142|009|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx Assist (HMO-POS)|00025473|18.30|590| | |TX|45820|0|N
H8142|009|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx Assist (HMO-POS)|00025473|18.30|590| | |TX|45878|0|N
H8142|009|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx Assist (HMO-POS)|00025473|18.30|590| | |TX|45886|0|N
H8142|009|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx Assist (HMO-POS)|00025473|18.30|590| | |TX|45893|0|N
H8142|009|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx Assist (HMO-POS)|00025473|18.30|590| | |TX|45952|0|N
H8142|009|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx Assist (HMO-POS)|00025473|18.30|590| | |TX|45970|0|N
H8142|010|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx Assist (HMO-POS)|00025473|18.30|590| | |TX|45310|0|N
H8142|010|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx Assist (HMO-POS)|00025473|18.30|590| | |TX|45390|0|N
H8142|010|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx Assist (HMO-POS)|00025473|18.30|590| | |TX|45410|0|N
H8142|010|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx Assist (HMO-POS)|00025473|18.30|590| | |TX|45470|0|N
H8142|010|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx Assist (HMO-POS)|00025473|18.30|590| | |TX|45879|0|N
H8142|010|000|SCOTT AND WHITE HEALTH PLAN|BSW SeniorCare Advantage Select Rx Assist (HMO-POS)|00025473|18.30|590| | |TX|45910|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |NC|34030|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |NC|34050|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |NC|34100|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |NC|34160|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |NC|34170|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |NC|34280|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |NC|34290|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |NC|34330|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |NC|34350|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |NC|34360|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |NC|34440|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |NC|34570|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |NC|34590|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |NC|34790|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |NC|34820|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |NC|34940|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |NC|34981|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |VA|49011|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |VA|49040|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |VA|49050|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |VA|49110|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |VA|49120|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |VA|49170|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |VA|49194|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |VA|49200|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |VA|49220|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |VA|49270|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |VA|49280|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |VA|49291|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |VA|49310|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |VA|49342|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |VA|49343|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |VA|49360|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |VA|49400|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |VA|49410|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |VA|49411|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |VA|49420|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |VA|49421|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |VA|49430|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |VA|49460|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |VA|49490|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |VA|49580|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |VA|49590|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |VA|49641|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |VA|49650|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |VA|49670|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |VA|49700|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |VA|49701|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |VA|49710|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |VA|49711|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |VA|49720|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |VA|49730|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |VA|49770|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |VA|49790|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |VA|49791|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |VA|49800|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |VA|49801|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |VA|49820|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |VA|49838|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |VA|49870|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |VA|49880|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |VA|49890|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |VA|49921|0|N
H8145|004|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-004 (PFFS)|00025456|0.00|350| | |VA|49960|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IA|16010|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IA|16040|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IA|16100|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IA|16120|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IA|16130|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IA|16170|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IA|16290|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IA|16310|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IA|16420|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IA|16460|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IA|16570|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IA|16590|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IA|16750|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IA|16800|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IA|16830|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IA|16880|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IA|16930|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IL|14020|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IL|14030|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IL|14050|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IL|14070|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IL|14110|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IL|14130|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IL|14141|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IL|14150|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IL|14180|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IL|14190|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IL|14320|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IL|14380|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IL|14390|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IL|14400|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IL|14421|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IL|14460|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IL|14510|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IL|14520|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IL|14530|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IL|14540|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IL|14550|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IL|14560|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IL|14580|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IL|14590|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IL|14600|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IL|14620|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IL|14640|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IL|14650|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IL|14680|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IL|14710|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IL|14760|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IL|14790|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IL|14800|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IL|14830|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IL|14831|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IL|14880|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IL|14890|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IL|14900|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IL|14920|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IL|14921|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IL|14970|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IL|14980|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IL|14981|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IL|14983|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IL|14985|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IL|14986|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IL|14987|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |IL|14991|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |KS|17080|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |KS|17440|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |KS|17550|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |KS|17610|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |KS|17680|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |KS|17730|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |KS|17800|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |KS|17910|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MI|23020|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MI|23040|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MI|23070|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MI|23100|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MI|23120|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MI|23130|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MI|23200|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MI|23210|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MI|23220|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MI|23290|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MI|23300|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MI|23380|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MI|23390|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MI|23400|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MI|23450|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MI|23510|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MI|23540|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MI|23580|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MI|23600|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MI|23690|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MI|23740|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MI|23770|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MI|23790|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MI|23830|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MN|24060|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MN|24070|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MN|24190|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MN|24210|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MN|24220|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MN|24230|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MN|24240|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MN|24270|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MN|24450|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MN|24490|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MN|24510|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MN|24540|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MN|24650|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MN|24710|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MN|24730|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MN|24800|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MN|24840|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26020|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26040|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26070|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26080|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26090|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26110|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26130|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26140|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26160|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26170|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26190|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26200|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26210|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26230|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26250|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26270|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26280|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26290|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26310|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26330|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26380|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26390|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26410|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26411|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26412|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26470|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26480|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26490|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26520|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26540|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26541|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26600|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26630|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26631|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26650|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26660|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26690|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26720|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26751|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26770|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26780|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26800|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26810|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26820|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26821|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26840|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26860|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26881|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26910|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26911|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26940|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26950|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26985|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26986|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26988|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26990|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MO|26996|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MT|27040|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MT|27060|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MT|27070|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MT|27140|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MT|27220|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MT|27260|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MT|27360|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MT|27400|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MT|27430|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MT|27460|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |MT|27490|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |ND|35070|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |OK|37020|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |OK|37110|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |OK|37440|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |SD|43170|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |SD|43300|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |SD|43630|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |SD|43670|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |WI|52000|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |WI|52040|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |WI|52090|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |WI|52120|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |WI|52130|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |WI|52170|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |WI|52190|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |WI|52200|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |WI|52230|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |WI|52270|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |WI|52280|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |WI|52290|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |WI|52320|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |WI|52330|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |WI|52350|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |WI|52360|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |WI|52380|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |WI|52390|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |WI|52420|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |WI|52430|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |WI|52440|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |WI|52500|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |WI|52510|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |WI|52550|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |WI|52570|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |WI|52580|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |WI|52600|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |WI|52620|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |WI|52630|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |WI|52650|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |WI|52660|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |WI|52670|0|N
H8145|006|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-006 (PFFS)|00025456|26.90|590| | |WI|52690|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |IN|15050|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |IN|15060|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |IN|15110|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |IN|15140|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |IN|15150|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |IN|15200|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |IN|15220|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |IN|15230|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |IN|15250|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |IN|15280|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |IN|15310|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |IN|15330|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |IN|15350|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |IN|15380|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |IN|15460|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |IN|15480|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |IN|15500|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |IN|15530|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |IN|15590|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |IN|15620|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |IN|15640|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |IN|15660|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |IN|15670|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |IN|15680|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |IN|15700|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |IN|15710|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |IN|15770|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |IN|15800|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |IN|15810|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |IN|15850|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |IN|15860|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |OH|36020|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |OH|36040|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |OH|36050|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |OH|36080|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |OH|36100|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |OH|36110|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |OH|36120|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |OH|36150|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |OH|36160|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |OH|36210|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |OH|36230|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |OH|36250|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |OH|36290|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |OH|36310|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |OH|36330|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |OH|36390|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |OH|36430|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |OH|36460|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |OH|36470|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |OH|36560|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |OH|36580|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |OH|36610|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |OH|36690|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |OH|36720|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |OH|36760|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |OH|36800|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |OH|36840|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |OH|36860|0|N
H8145|032|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-032 (PFFS)|00025456|48.00|0| | |OH|36890|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |KY|18070|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |KY|18130|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |KY|18180|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |KY|18230|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |KY|18410|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |KY|18420|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |KY|18580|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |KY|18780|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |PA|39110|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |PA|39130|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |PA|39190|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |PA|39210|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |PA|39240|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |PA|39270|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |PA|39280|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |PA|39320|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |PA|39350|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |PA|39380|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |PA|39410|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |PA|39420|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |PA|39440|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |PA|39460|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |PA|39480|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |PA|39510|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |PA|39540|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |PA|39610|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |PA|39640|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |PA|39670|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |PA|39700|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |PA|39710|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |PA|39760|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |PA|39790|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |PA|39800|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |WV|51010|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |WV|51020|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |WV|51040|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |WV|51050|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |WV|51110|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |WV|51120|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |WV|51150|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |WV|51160|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |WV|51180|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |WV|51190|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |WV|51220|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |WV|51230|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |WV|51240|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |WV|51270|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |WV|51290|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |WV|51310|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |WV|51340|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |WV|51350|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |WV|51390|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |WV|51400|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |WV|51410|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |WV|51420|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |WV|51450|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |WV|51460|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |WV|51470|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |WV|51480|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |WV|51490|0|N
H8145|052|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-052 (PFFS)|00025456|0.00|360| | |WV|51500|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |GA|11010|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |GA|11020|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |GA|11050|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |GA|11070|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |GA|11110|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |GA|11180|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |GA|11220|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |GA|11240|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |GA|11280|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |GA|11281|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |GA|11340|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |GA|11370|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |GA|11430|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |GA|11461|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |GA|11462|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |GA|11470|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |GA|11471|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |GA|11480|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |GA|11530|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |GA|11540|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |GA|11560|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |GA|11581|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |GA|11590|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |GA|11591|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |GA|11601|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |GA|11610|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |GA|11620|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |GA|11630|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |GA|11690|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |GA|11771|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |GA|11780|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |GA|11830|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |GA|11831|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |GA|11833|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |GA|11841|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |GA|11880|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |GA|11881|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |GA|11885|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |GA|11900|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |GA|11902|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |GA|11903|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |GA|11911|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |GA|11920|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |GA|11930|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |GA|11941|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |GA|11950|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |GA|11963|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |GA|11971|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |GA|11972|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |SC|42000|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |SC|42010|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |SC|42030|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |SC|42040|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |SC|42180|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |SC|42220|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |SC|42260|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |SC|42300|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |SC|42360|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |SC|42390|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |SC|42410|0|N
H8145|069|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-069 (PFFS)|00025456|0.00|340| | |SC|42450|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45090|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45113|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45130|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45140|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45160|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45190|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45221|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45223|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45240|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45250|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45281|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45300|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45301|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45310|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45340|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45390|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45410|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45480|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45500|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45530|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45531|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45540|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45541|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45600|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45610|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45650|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45651|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45700|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45711|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45731|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45743|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45751|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45755|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45761|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45770|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45771|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45783|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45792|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45794|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45830|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45850|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45860|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45871|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45876|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45884|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45905|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45910|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45911|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45941|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45942|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45947|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45949|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45952|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45953|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45954|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45962|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45971|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45974|0|N
H8145|084|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-084 (PFFS)|00025456|13.00|250| | |TX|45983|0|N
H8145|091|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-091 (PFFS)|00025456|26.00|590| | |VA|49111|0|N
H8145|091|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-091 (PFFS)|00025456|26.00|590| | |VA|49130|0|N
H8145|091|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-091 (PFFS)|00025456|26.00|590| | |VA|49250|0|N
H8145|091|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-091 (PFFS)|00025456|26.00|590| | |VA|49380|0|N
H8145|091|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-091 (PFFS)|00025456|26.00|590| | |VA|49520|0|N
H8145|091|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-091 (PFFS)|00025456|26.00|590| | |VA|49830|0|N
H8145|091|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-091 (PFFS)|00025456|26.00|590| | |VA|49860|0|N
H8145|091|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-091 (PFFS)|00025456|26.00|590| | |VA|49920|0|N
H8145|091|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-091 (PFFS)|00025456|26.00|590| | |VA|49950|0|N
H8145|091|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-091 (PFFS)|00025456|26.00|590| | |VA|49970|0|N
H8145|091|000|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-091 (PFFS)|00025456|26.00|590| | |VA|49980|0|N
H8145|164|001|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-164 (PFFS)|00025456|0.00|300| | |CO|06000|0|N
H8145|164|001|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-164 (PFFS)|00025456|0.00|300| | |CO|06020|0|N
H8145|164|001|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-164 (PFFS)|00025456|0.00|300| | |CO|06060|0|N
H8145|164|001|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-164 (PFFS)|00025456|0.00|300| | |CO|06070|0|N
H8145|164|001|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-164 (PFFS)|00025456|0.00|300| | |CO|06110|0|N
H8145|164|001|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-164 (PFFS)|00025456|0.00|300| | |CO|06120|0|N
H8145|164|001|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-164 (PFFS)|00025456|0.00|300| | |CO|06130|0|N
H8145|164|001|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-164 (PFFS)|00025456|0.00|300| | |CO|06140|0|N
H8145|164|001|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-164 (PFFS)|00025456|0.00|300| | |CO|06150|0|N
H8145|164|001|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-164 (PFFS)|00025456|0.00|300| | |CO|06170|0|N
H8145|164|001|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-164 (PFFS)|00025456|0.00|300| | |CO|06190|0|N
H8145|164|001|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-164 (PFFS)|00025456|0.00|300| | |CO|06200|0|N
H8145|164|001|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-164 (PFFS)|00025456|0.00|300| | |CO|06210|0|N
H8145|164|001|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-164 (PFFS)|00025456|0.00|300| | |CO|06230|0|N
H8145|164|001|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-164 (PFFS)|00025456|0.00|300| | |CO|06240|0|N
H8145|164|001|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-164 (PFFS)|00025456|0.00|300| | |CO|06270|0|N
H8145|164|001|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-164 (PFFS)|00025456|0.00|300| | |CO|06290|0|N
H8145|164|001|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-164 (PFFS)|00025456|0.00|300| | |CO|06340|0|N
H8145|164|001|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-164 (PFFS)|00025456|0.00|300| | |CO|06380|0|N
H8145|164|001|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-164 (PFFS)|00025456|0.00|300| | |CO|06420|0|N
H8145|164|001|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-164 (PFFS)|00025456|0.00|300| | |CO|06430|0|N
H8145|164|001|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-164 (PFFS)|00025456|0.00|300| | |CO|06440|0|N
H8145|164|001|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-164 (PFFS)|00025456|0.00|300| | |CO|06460|0|N
H8145|164|001|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-164 (PFFS)|00025456|0.00|300| | |CO|06500|0|N
H8145|164|001|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-164 (PFFS)|00025456|0.00|300| | |CO|06610|0|N
H8145|164|001|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-164 (PFFS)|00025456|0.00|300| | |CO|06630|0|N
H8145|164|002|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-164 (PFFS)|00025456|0.00|300| | |NM|32000|0|N
H8145|164|002|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-164 (PFFS)|00025456|0.00|300| | |NM|32030|0|N
H8145|164|002|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-164 (PFFS)|00025456|0.00|300| | |NM|32060|0|N
H8145|164|002|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-164 (PFFS)|00025456|0.00|300| | |NM|32080|0|N
H8145|164|002|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-164 (PFFS)|00025456|0.00|300| | |NM|32130|0|N
H8145|164|002|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-164 (PFFS)|00025456|0.00|300| | |NM|32140|0|N
H8145|164|002|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-164 (PFFS)|00025456|0.00|300| | |NM|32190|0|N
H8145|164|002|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-164 (PFFS)|00025456|0.00|300| | |NM|32210|0|N
H8145|164|002|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-164 (PFFS)|00025456|0.00|300| | |NM|32230|0|N
H8145|164|002|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-164 (PFFS)|00025456|0.00|300| | |NM|32240|0|N
H8145|164|002|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-164 (PFFS)|00025456|0.00|300| | |NM|32250|0|N
H8145|164|002|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-164 (PFFS)|00025456|0.00|300| | |NM|32270|0|N
H8145|164|002|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-164 (PFFS)|00025456|0.00|300| | |NM|32280|0|N
H8145|164|002|HUMANA INSURANCE COMPANY|Humana Gold Choice H8145-164 (PFFS)|00025456|0.00|300| | |NM|32300|0|N
H8166|001|000|HIGHMARK BCBSD INC.|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |DE|08000|0|N
H8166|001|000|HIGHMARK BCBSD INC.|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |DE|08010|0|N
H8166|001|000|HIGHMARK BCBSD INC.|Freedom Blue PPO Signature (PPO)|00025023|0.00|0| | |DE|08020|0|N
H8166|002|000|HIGHMARK BCBSD INC.|Freedom Blue PPO Prestige (PPO)|00025023|25.00|0| | |DE|08000|0|N
H8166|002|000|HIGHMARK BCBSD INC.|Freedom Blue PPO Prestige (PPO)|00025023|25.00|0| | |DE|08010|0|N
H8166|002|000|HIGHMARK BCBSD INC.|Freedom Blue PPO Prestige (PPO)|00025023|25.00|0| | |DE|08020|0|N
H8166|004|000|HIGHMARK BCBSD INC.|Freedom Blue PPO Choice Deluxe (PPO)|00025023|13.00|0| | |DE|08000|0|N
H8166|004|000|HIGHMARK BCBSD INC.|Freedom Blue PPO Choice Deluxe (PPO)|00025023|13.00|0| | |DE|08010|0|N
H8166|004|000|HIGHMARK BCBSD INC.|Freedom Blue PPO Choice Deluxe (PPO)|00025023|13.00|0| | |DE|08020|0|N
H8173|001|000|DEVOTED HEALTH PLAN OF ARIZONA, INC.|Devoted CORE Arizona (HMO)|00025183|0.00|590| | |AZ|03060|0|N
H8173|001|000|DEVOTED HEALTH PLAN OF ARIZONA, INC.|Devoted CORE Arizona (HMO)|00025183|0.00|590| | |AZ|03100|0|N
H8173|002|000|DEVOTED HEALTH PLAN OF ARIZONA, INC.|Devoted SELECT Arizona (HMO)|00025183|2.90|590| | |AZ|03060|0|N
H8173|002|000|DEVOTED HEALTH PLAN OF ARIZONA, INC.|Devoted SELECT Arizona (HMO)|00025183|2.90|590| | |AZ|03100|0|N
H8173|007|000|DEVOTED HEALTH PLAN OF ARIZONA, INC.|Devoted CORE Arizona (HMO)|00025185|0.00|590| | |AZ|03020|0|N
H8173|007|000|DEVOTED HEALTH PLAN OF ARIZONA, INC.|Devoted CORE Arizona (HMO)|00025185|0.00|590| | |AZ|03120|0|N
H8173|011|000|DEVOTED HEALTH PLAN OF ARIZONA, INC.|Devoted BE WELL Arizona (HMO C-SNP)|00025183|0.00|590| | |AZ|03060|1|N
H8173|011|000|DEVOTED HEALTH PLAN OF ARIZONA, INC.|Devoted BE WELL Arizona (HMO C-SNP)|00025183|0.00|590| | |AZ|03100|1|N
H8173|013|000|DEVOTED HEALTH PLAN OF ARIZONA, INC.|Devoted GIVEBACK Arizona (HMO)|00025185|0.00|590| | |AZ|03090|0|N
H8173|014|000|DEVOTED HEALTH PLAN OF ARIZONA, INC.|Devoted BE WELL PLUS Arizona (HMO C-SNP)|00025183|4.50|590| | |AZ|03060|1|N
H8173|014|000|DEVOTED HEALTH PLAN OF ARIZONA, INC.|Devoted BE WELL PLUS Arizona (HMO C-SNP)|00025183|4.50|590| | |AZ|03100|1|N
H8173|016|000|DEVOTED HEALTH PLAN OF ARIZONA, INC.|Devoted CORE Arizona (HMO)|00025185|0.00|590| | |AZ|03090|0|N
H8173|019|000|DEVOTED HEALTH PLAN OF ARIZONA, INC.|Devoted GIVEBACK Arizona (HMO)|00025185|0.00|590| | |AZ|03060|0|N
H8173|019|000|DEVOTED HEALTH PLAN OF ARIZONA, INC.|Devoted GIVEBACK Arizona (HMO)|00025185|0.00|590| | |AZ|03100|0|N
H8173|020|000|DEVOTED HEALTH PLAN OF ARIZONA, INC.|Devoted EXTRA Arizona (HMO)|00025188|0.00|590| | |AZ|03060|0|N
H8173|020|000|DEVOTED HEALTH PLAN OF ARIZONA, INC.|Devoted EXTRA Arizona (HMO)|00025188|0.00|590| | |AZ|03100|0|N
H8173|021|000|DEVOTED HEALTH PLAN OF ARIZONA, INC.|Devoted PRIME Arizona (HMO)|00025188|2.60|590| | |AZ|03060|0|N
H8173|021|000|DEVOTED HEALTH PLAN OF ARIZONA, INC.|Devoted PRIME Arizona (HMO)|00025188|2.60|590| | |AZ|03100|0|N
H8176|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA,INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |SC|42000|2|N
H8176|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA,INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |SC|42010|2|N
H8176|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA,INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |SC|42020|2|N
H8176|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA,INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |SC|42030|2|N
H8176|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA,INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |SC|42040|2|N
H8176|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA,INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |SC|42050|2|N
H8176|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA,INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |SC|42060|2|N
H8176|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA,INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |SC|42070|2|N
H8176|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA,INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |SC|42080|2|N
H8176|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA,INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |SC|42090|2|N
H8176|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA,INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |SC|42100|2|N
H8176|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA,INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |SC|42110|2|N
H8176|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA,INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |SC|42120|2|N
H8176|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA,INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |SC|42130|2|N
H8176|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA,INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |SC|42140|2|N
H8176|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA,INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |SC|42150|2|N
H8176|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA,INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |SC|42160|2|N
H8176|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA,INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |SC|42170|2|N
H8176|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA,INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |SC|42180|2|N
H8176|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA,INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |SC|42190|2|N
H8176|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA,INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |SC|42200|2|N
H8176|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA,INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |SC|42210|2|N
H8176|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA,INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |SC|42220|2|N
H8176|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA,INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |SC|42230|2|N
H8176|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA,INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |SC|42240|2|N
H8176|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA,INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |SC|42250|2|N
H8176|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA,INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |SC|42260|2|N
H8176|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA,INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |SC|42270|2|N
H8176|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA,INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |SC|42280|2|N
H8176|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA,INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |SC|42290|2|N
H8176|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA,INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |SC|42300|2|N
H8176|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA,INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |SC|42310|2|N
H8176|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA,INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |SC|42320|2|N
H8176|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA,INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |SC|42330|2|N
H8176|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA,INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |SC|42340|2|N
H8176|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA,INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |SC|42350|2|N
H8176|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA,INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |SC|42360|2|N
H8176|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA,INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |SC|42370|2|N
H8176|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA,INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |SC|42380|2|N
H8176|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA,INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |SC|42390|2|N
H8176|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA,INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |SC|42400|2|N
H8176|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA,INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |SC|42410|2|N
H8176|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA,INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |SC|42420|2|N
H8176|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA,INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |SC|42430|2|N
H8176|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA,INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |SC|42440|2|N
H8176|001|000|MOLINA HEALTHCARE OF SOUTH CAROLINA,INC|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |SC|42450|2|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28000|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28010|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28020|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28040|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28050|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28090|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28100|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28110|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28120|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28130|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28140|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28170|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28180|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28190|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28200|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28230|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28240|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28260|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28270|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28280|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28290|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28300|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28310|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28320|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28330|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28340|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28350|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28360|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28370|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28380|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28390|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28400|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28410|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28420|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28430|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28440|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28450|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28460|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28470|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28480|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28490|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28500|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28530|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28540|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28550|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28560|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28570|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28580|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28590|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28600|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28620|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28630|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28640|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28650|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28660|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28670|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28680|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28690|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28700|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28710|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28720|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28750|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28760|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28770|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28790|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28810|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28830|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28840|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28850|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28860|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28870|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28880|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28890|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28900|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28910|0|N
H8181|001|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Access (PPO)|00025275|25.00|0| | |NE|28920|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28000|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28010|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28020|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28040|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28050|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28090|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28100|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28110|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28120|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28130|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28140|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28170|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28180|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28190|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28200|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28230|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28240|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28260|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28270|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28280|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28290|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28300|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28310|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28320|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28330|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28340|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28350|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28360|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28370|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28380|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28390|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28400|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28410|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28420|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28430|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28440|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28450|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28460|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28470|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28480|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28490|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28500|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28530|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28540|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28550|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28560|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28570|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28580|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28590|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28600|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28620|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28630|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28640|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28650|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28660|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28670|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28680|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28690|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28700|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28710|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28720|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28750|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28760|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28770|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28790|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28810|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28830|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28840|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28850|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28860|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28870|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28880|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28890|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28900|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28910|0|N
H8181|002|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield Nebraska MA Connect (PPO)|00025274|0.00|0| | |NE|28920|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28000|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28010|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28020|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28040|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28050|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28090|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28100|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28110|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28120|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28130|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28140|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28170|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28180|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28190|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28200|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28230|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28240|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28260|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28270|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28280|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28290|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28300|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28310|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28320|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28330|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28340|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28350|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28360|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28370|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28380|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28390|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28400|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28410|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28420|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28430|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28440|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28450|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28460|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28470|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28480|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28490|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28500|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28530|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28540|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28550|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28560|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28570|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28580|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28590|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28600|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28620|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28630|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28640|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28650|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28660|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28670|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28680|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28690|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28700|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28710|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28720|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28750|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28760|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28770|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28790|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28810|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28830|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28840|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28850|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28860|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28870|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28880|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28890|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28900|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28910|0|N
H8181|003|000|SAPPHIRE EDGE, INC.|Blue Cross Blue Shield of Nebraska MA Secure (PPO)|00025275|79.50|0| | |NE|28920|0|N
H8189|001|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |WI|52000|2|N
H8189|001|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |WI|52040|2|N
H8189|001|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |WI|52070|2|N
H8189|001|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |WI|52090|2|N
H8189|001|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |WI|52100|2|N
H8189|001|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |WI|52120|2|N
H8189|001|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |WI|52130|2|N
H8189|001|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |WI|52190|2|N
H8189|001|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |WI|52230|2|N
H8189|001|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |WI|52270|2|N
H8189|001|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |WI|52290|2|N
H8189|001|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |WI|52300|2|N
H8189|001|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |WI|52330|2|N
H8189|001|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |WI|52340|2|N
H8189|001|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |WI|52350|2|N
H8189|001|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |WI|52360|2|N
H8189|001|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |WI|52370|2|N
H8189|001|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |WI|52380|2|N
H8189|001|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |WI|52381|2|N
H8189|001|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |WI|52390|2|N
H8189|001|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |WI|52410|2|N
H8189|001|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |WI|52430|2|N
H8189|001|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |WI|52440|2|N
H8189|001|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |WI|52480|2|N
H8189|001|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |WI|52500|2|N
H8189|001|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |WI|52570|2|N
H8189|001|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |WI|52580|2|N
H8189|001|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |WI|52590|2|N
H8189|001|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |WI|52630|2|N
H8189|001|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |WI|52650|2|N
H8189|001|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |WI|52660|2|N
H8189|001|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |WI|52670|2|N
H8189|001|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |WI|52680|2|N
H8189|001|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |WI|52690|2|N
H8189|001|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |WI|52700|2|N
H8189|007|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|43.50|590| | |WI|52000|2|N
H8189|007|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|43.50|590| | |WI|52040|2|N
H8189|007|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|43.50|590| | |WI|52070|2|N
H8189|007|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|43.50|590| | |WI|52090|2|N
H8189|007|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|43.50|590| | |WI|52100|2|N
H8189|007|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|43.50|590| | |WI|52120|2|N
H8189|007|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|43.50|590| | |WI|52130|2|N
H8189|007|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|43.50|590| | |WI|52190|2|N
H8189|007|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|43.50|590| | |WI|52230|2|N
H8189|007|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|43.50|590| | |WI|52270|2|N
H8189|007|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|43.50|590| | |WI|52290|2|N
H8189|007|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|43.50|590| | |WI|52300|2|N
H8189|007|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|43.50|590| | |WI|52330|2|N
H8189|007|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|43.50|590| | |WI|52340|2|N
H8189|007|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|43.50|590| | |WI|52350|2|N
H8189|007|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|43.50|590| | |WI|52360|2|N
H8189|007|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|43.50|590| | |WI|52370|2|N
H8189|007|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|43.50|590| | |WI|52380|2|N
H8189|007|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|43.50|590| | |WI|52381|2|N
H8189|007|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|43.50|590| | |WI|52390|2|N
H8189|007|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|43.50|590| | |WI|52410|2|N
H8189|007|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|43.50|590| | |WI|52430|2|N
H8189|007|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|43.50|590| | |WI|52440|2|N
H8189|007|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|43.50|590| | |WI|52480|2|N
H8189|007|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|43.50|590| | |WI|52500|2|N
H8189|007|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|43.50|590| | |WI|52570|2|N
H8189|007|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|43.50|590| | |WI|52580|2|N
H8189|007|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|43.50|590| | |WI|52590|2|N
H8189|007|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|43.50|590| | |WI|52630|2|N
H8189|007|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|43.50|590| | |WI|52650|2|N
H8189|007|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|43.50|590| | |WI|52660|2|N
H8189|007|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|43.50|590| | |WI|52670|2|N
H8189|007|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|43.50|590| | |WI|52680|2|N
H8189|007|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|43.50|590| | |WI|52690|2|N
H8189|007|000|MANAGED HEALTH SERVICES INSURANCE CORP.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|43.50|590| | |WI|52700|2|N
H8197|002|001|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025286|0.00|0| | |TX|45390|0|N
H8197|002|001|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025286|0.00|0| | |TX|45480|0|N
H8197|002|001|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025286|0.00|0| | |TX|45650|0|N
H8197|002|002|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025286|0.00|0| | |TX|45130|0|N
H8197|002|002|MOLINA HEALTHCARE OF TEXAS, INC.|Molina Dual Options (Medicare-Medicaid Plan)|00025286|0.00|0| | |TX|45610|0|N
H8211|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0001 (PPO)|00025002|44.90|420| | |WV|51000|0|N
H8211|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0001 (PPO)|00025002|44.90|420| | |WV|51010|0|N
H8211|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0001 (PPO)|00025002|44.90|420| | |WV|51020|0|N
H8211|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0001 (PPO)|00025002|44.90|420| | |WV|51030|0|N
H8211|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0001 (PPO)|00025002|44.90|420| | |WV|51040|0|N
H8211|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0001 (PPO)|00025002|44.90|420| | |WV|51050|0|N
H8211|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0001 (PPO)|00025002|44.90|420| | |WV|51060|0|N
H8211|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0001 (PPO)|00025002|44.90|420| | |WV|51070|0|N
H8211|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0001 (PPO)|00025002|44.90|420| | |WV|51080|0|N
H8211|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0001 (PPO)|00025002|44.90|420| | |WV|51090|0|N
H8211|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0001 (PPO)|00025002|44.90|420| | |WV|51100|0|N
H8211|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0001 (PPO)|00025002|44.90|420| | |WV|51110|0|N
H8211|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0001 (PPO)|00025002|44.90|420| | |WV|51120|0|N
H8211|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0001 (PPO)|00025002|44.90|420| | |WV|51130|0|N
H8211|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0001 (PPO)|00025002|44.90|420| | |WV|51140|0|N
H8211|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0001 (PPO)|00025002|44.90|420| | |WV|51150|0|N
H8211|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0001 (PPO)|00025002|44.90|420| | |WV|51160|0|N
H8211|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0001 (PPO)|00025002|44.90|420| | |WV|51170|0|N
H8211|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0001 (PPO)|00025002|44.90|420| | |WV|51180|0|N
H8211|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0001 (PPO)|00025002|44.90|420| | |WV|51190|0|N
H8211|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0001 (PPO)|00025002|44.90|420| | |WV|51200|0|N
H8211|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0001 (PPO)|00025002|44.90|420| | |WV|51210|0|N
H8211|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0001 (PPO)|00025002|44.90|420| | |WV|51220|0|N
H8211|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0001 (PPO)|00025002|44.90|420| | |WV|51230|0|N
H8211|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0001 (PPO)|00025002|44.90|420| | |WV|51240|0|N
H8211|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0001 (PPO)|00025002|44.90|420| | |WV|51250|0|N
H8211|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0001 (PPO)|00025002|44.90|420| | |WV|51260|0|N
H8211|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0001 (PPO)|00025002|44.90|420| | |WV|51270|0|N
H8211|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0001 (PPO)|00025002|44.90|420| | |WV|51280|0|N
H8211|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0001 (PPO)|00025002|44.90|420| | |WV|51290|0|N
H8211|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0001 (PPO)|00025002|44.90|420| | |WV|51300|0|N
H8211|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0001 (PPO)|00025002|44.90|420| | |WV|51310|0|N
H8211|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0001 (PPO)|00025002|44.90|420| | |WV|51320|0|N
H8211|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0001 (PPO)|00025002|44.90|420| | |WV|51330|0|N
H8211|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0001 (PPO)|00025002|44.90|420| | |WV|51340|0|N
H8211|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0001 (PPO)|00025002|44.90|420| | |WV|51350|0|N
H8211|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0001 (PPO)|00025002|44.90|420| | |WV|51360|0|N
H8211|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0001 (PPO)|00025002|44.90|420| | |WV|51370|0|N
H8211|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0001 (PPO)|00025002|44.90|420| | |WV|51380|0|N
H8211|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0001 (PPO)|00025002|44.90|420| | |WV|51390|0|N
H8211|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0001 (PPO)|00025002|44.90|420| | |WV|51400|0|N
H8211|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0001 (PPO)|00025002|44.90|420| | |WV|51410|0|N
H8211|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0001 (PPO)|00025002|44.90|420| | |WV|51420|0|N
H8211|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0001 (PPO)|00025002|44.90|420| | |WV|51430|0|N
H8211|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0001 (PPO)|00025002|44.90|420| | |WV|51440|0|N
H8211|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0001 (PPO)|00025002|44.90|420| | |WV|51450|0|N
H8211|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0001 (PPO)|00025002|44.90|420| | |WV|51460|0|N
H8211|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0001 (PPO)|00025002|44.90|420| | |WV|51470|0|N
H8211|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0001 (PPO)|00025002|44.90|420| | |WV|51480|0|N
H8211|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0001 (PPO)|00025002|44.90|420| | |WV|51490|0|N
H8211|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0001 (PPO)|00025002|44.90|420| | |WV|51500|0|N
H8211|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0001 (PPO)|00025002|44.90|420| | |WV|51510|0|N
H8211|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0001 (PPO)|00025002|44.90|420| | |WV|51520|0|N
H8211|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0001 (PPO)|00025002|44.90|420| | |WV|51530|0|N
H8211|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0001 (PPO)|00025002|44.90|420| | |WV|51540|0|N
H8211|006|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0003 (PPO)|00025002|0.00|495| | |WV|51000|0|N
H8211|006|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0003 (PPO)|00025002|0.00|495| | |WV|51010|0|N
H8211|006|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0003 (PPO)|00025002|0.00|495| | |WV|51020|0|N
H8211|006|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0003 (PPO)|00025002|0.00|495| | |WV|51030|0|N
H8211|006|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0003 (PPO)|00025002|0.00|495| | |WV|51040|0|N
H8211|006|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0003 (PPO)|00025002|0.00|495| | |WV|51050|0|N
H8211|006|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0003 (PPO)|00025002|0.00|495| | |WV|51060|0|N
H8211|006|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0003 (PPO)|00025002|0.00|495| | |WV|51070|0|N
H8211|006|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0003 (PPO)|00025002|0.00|495| | |WV|51080|0|N
H8211|006|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0003 (PPO)|00025002|0.00|495| | |WV|51090|0|N
H8211|006|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0003 (PPO)|00025002|0.00|495| | |WV|51100|0|N
H8211|006|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0003 (PPO)|00025002|0.00|495| | |WV|51110|0|N
H8211|006|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0003 (PPO)|00025002|0.00|495| | |WV|51120|0|N
H8211|006|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0003 (PPO)|00025002|0.00|495| | |WV|51130|0|N
H8211|006|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0003 (PPO)|00025002|0.00|495| | |WV|51140|0|N
H8211|006|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0003 (PPO)|00025002|0.00|495| | |WV|51150|0|N
H8211|006|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0003 (PPO)|00025002|0.00|495| | |WV|51160|0|N
H8211|006|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0003 (PPO)|00025002|0.00|495| | |WV|51170|0|N
H8211|006|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0003 (PPO)|00025002|0.00|495| | |WV|51180|0|N
H8211|006|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0003 (PPO)|00025002|0.00|495| | |WV|51190|0|N
H8211|006|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0003 (PPO)|00025002|0.00|495| | |WV|51200|0|N
H8211|006|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0003 (PPO)|00025002|0.00|495| | |WV|51210|0|N
H8211|006|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0003 (PPO)|00025002|0.00|495| | |WV|51220|0|N
H8211|006|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0003 (PPO)|00025002|0.00|495| | |WV|51230|0|N
H8211|006|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0003 (PPO)|00025002|0.00|495| | |WV|51240|0|N
H8211|006|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0003 (PPO)|00025002|0.00|495| | |WV|51250|0|N
H8211|006|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0003 (PPO)|00025002|0.00|495| | |WV|51260|0|N
H8211|006|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0003 (PPO)|00025002|0.00|495| | |WV|51270|0|N
H8211|006|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0003 (PPO)|00025002|0.00|495| | |WV|51280|0|N
H8211|006|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0003 (PPO)|00025002|0.00|495| | |WV|51290|0|N
H8211|006|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0003 (PPO)|00025002|0.00|495| | |WV|51300|0|N
H8211|006|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0003 (PPO)|00025002|0.00|495| | |WV|51310|0|N
H8211|006|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0003 (PPO)|00025002|0.00|495| | |WV|51320|0|N
H8211|006|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0003 (PPO)|00025002|0.00|495| | |WV|51330|0|N
H8211|006|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0003 (PPO)|00025002|0.00|495| | |WV|51340|0|N
H8211|006|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0003 (PPO)|00025002|0.00|495| | |WV|51350|0|N
H8211|006|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0003 (PPO)|00025002|0.00|495| | |WV|51360|0|N
H8211|006|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0003 (PPO)|00025002|0.00|495| | |WV|51370|0|N
H8211|006|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0003 (PPO)|00025002|0.00|495| | |WV|51380|0|N
H8211|006|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0003 (PPO)|00025002|0.00|495| | |WV|51390|0|N
H8211|006|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0003 (PPO)|00025002|0.00|495| | |WV|51400|0|N
H8211|006|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0003 (PPO)|00025002|0.00|495| | |WV|51410|0|N
H8211|006|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0003 (PPO)|00025002|0.00|495| | |WV|51420|0|N
H8211|006|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0003 (PPO)|00025002|0.00|495| | |WV|51430|0|N
H8211|006|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0003 (PPO)|00025002|0.00|495| | |WV|51440|0|N
H8211|006|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0003 (PPO)|00025002|0.00|495| | |WV|51450|0|N
H8211|006|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0003 (PPO)|00025002|0.00|495| | |WV|51460|0|N
H8211|006|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0003 (PPO)|00025002|0.00|495| | |WV|51470|0|N
H8211|006|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0003 (PPO)|00025002|0.00|495| | |WV|51480|0|N
H8211|006|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0003 (PPO)|00025002|0.00|495| | |WV|51490|0|N
H8211|006|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0003 (PPO)|00025002|0.00|495| | |WV|51500|0|N
H8211|006|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0003 (PPO)|00025002|0.00|495| | |WV|51510|0|N
H8211|006|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0003 (PPO)|00025002|0.00|495| | |WV|51520|0|N
H8211|006|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0003 (PPO)|00025002|0.00|495| | |WV|51530|0|N
H8211|006|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0003 (PPO)|00025002|0.00|495| | |WV|51540|0|N
H8211|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0001 (PPO)|00025002|0.00|340| | |MT|27000|0|N
H8211|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0001 (PPO)|00025002|0.00|340| | |MT|27010|0|N
H8211|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0001 (PPO)|00025002|0.00|340| | |MT|27030|0|N
H8211|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0001 (PPO)|00025002|0.00|340| | |MT|27040|0|N
H8211|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0001 (PPO)|00025002|0.00|340| | |MT|27050|0|N
H8211|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0001 (PPO)|00025002|0.00|340| | |MT|27100|0|N
H8211|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0001 (PPO)|00025002|0.00|340| | |MT|27110|0|N
H8211|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0001 (PPO)|00025002|0.00|340| | |MT|27140|0|N
H8211|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0001 (PPO)|00025002|0.00|340| | |MT|27170|0|N
H8211|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0001 (PPO)|00025002|0.00|340| | |MT|27180|0|N
H8211|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0001 (PPO)|00025002|0.00|340| | |MT|27190|0|N
H8211|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0001 (PPO)|00025002|0.00|340| | |MT|27210|0|N
H8211|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0001 (PPO)|00025002|0.00|340| | |MT|27220|0|N
H8211|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0001 (PPO)|00025002|0.00|340| | |MT|27230|0|N
H8211|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0001 (PPO)|00025002|0.00|340| | |MT|27260|0|N
H8211|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0001 (PPO)|00025002|0.00|340| | |MT|27270|0|N
H8211|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0001 (PPO)|00025002|0.00|340| | |MT|27290|0|N
H8211|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0001 (PPO)|00025002|0.00|340| | |MT|27300|0|N
H8211|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0001 (PPO)|00025002|0.00|340| | |MT|27320|0|N
H8211|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0001 (PPO)|00025002|0.00|340| | |MT|27380|0|N
H8211|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0001 (PPO)|00025002|0.00|340| | |MT|27400|0|N
H8211|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0001 (PPO)|00025002|0.00|340| | |MT|27410|0|N
H8211|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0001 (PPO)|00025002|0.00|340| | |MT|27440|0|N
H8211|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0001 (PPO)|00025002|0.00|340| | |MT|27450|0|N
H8211|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0001 (PPO)|00025002|0.00|340| | |MT|27470|0|N
H8211|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0001 (PPO)|00025002|0.00|340| | |MT|27480|0|N
H8211|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0001 (PPO)|00025002|0.00|340| | |MT|27490|0|N
H8211|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0001 (PPO)|00025002|0.00|340| | |MT|27510|0|N
H8211|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0001 (PPO)|00025002|0.00|340| | |MT|27530|0|N
H8211|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0001 (PPO)|00025002|0.00|340| | |MT|27540|0|N
H8211|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0001 (PPO)|00025002|0.00|340| | |MT|27550|0|N
H8211|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0002 (PPO)|00025002|0.00|340| | |MT|27000|0|N
H8211|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0002 (PPO)|00025002|0.00|340| | |MT|27010|0|N
H8211|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0002 (PPO)|00025002|0.00|340| | |MT|27030|0|N
H8211|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0002 (PPO)|00025002|0.00|340| | |MT|27040|0|N
H8211|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0002 (PPO)|00025002|0.00|340| | |MT|27050|0|N
H8211|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0002 (PPO)|00025002|0.00|340| | |MT|27100|0|N
H8211|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0002 (PPO)|00025002|0.00|340| | |MT|27110|0|N
H8211|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0002 (PPO)|00025002|0.00|340| | |MT|27140|0|N
H8211|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0002 (PPO)|00025002|0.00|340| | |MT|27170|0|N
H8211|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0002 (PPO)|00025002|0.00|340| | |MT|27180|0|N
H8211|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0002 (PPO)|00025002|0.00|340| | |MT|27190|0|N
H8211|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0002 (PPO)|00025002|0.00|340| | |MT|27210|0|N
H8211|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0002 (PPO)|00025002|0.00|340| | |MT|27220|0|N
H8211|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0002 (PPO)|00025002|0.00|340| | |MT|27230|0|N
H8211|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0002 (PPO)|00025002|0.00|340| | |MT|27260|0|N
H8211|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0002 (PPO)|00025002|0.00|340| | |MT|27270|0|N
H8211|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0002 (PPO)|00025002|0.00|340| | |MT|27290|0|N
H8211|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0002 (PPO)|00025002|0.00|340| | |MT|27300|0|N
H8211|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0002 (PPO)|00025002|0.00|340| | |MT|27320|0|N
H8211|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0002 (PPO)|00025002|0.00|340| | |MT|27380|0|N
H8211|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0002 (PPO)|00025002|0.00|340| | |MT|27400|0|N
H8211|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0002 (PPO)|00025002|0.00|340| | |MT|27410|0|N
H8211|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0002 (PPO)|00025002|0.00|340| | |MT|27440|0|N
H8211|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0002 (PPO)|00025002|0.00|340| | |MT|27450|0|N
H8211|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0002 (PPO)|00025002|0.00|340| | |MT|27470|0|N
H8211|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0002 (PPO)|00025002|0.00|340| | |MT|27480|0|N
H8211|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0002 (PPO)|00025002|0.00|340| | |MT|27490|0|N
H8211|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0002 (PPO)|00025002|0.00|340| | |MT|27510|0|N
H8211|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0002 (PPO)|00025002|0.00|340| | |MT|27530|0|N
H8211|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0002 (PPO)|00025002|0.00|340| | |MT|27540|0|N
H8211|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MT-0002 (PPO)|00025002|0.00|340| | |MT|27550|0|N
H8211|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0004 (PPO)|00025002|0.00|420| | |WV|51000|0|N
H8211|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0004 (PPO)|00025002|0.00|420| | |WV|51010|0|N
H8211|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0004 (PPO)|00025002|0.00|420| | |WV|51020|0|N
H8211|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0004 (PPO)|00025002|0.00|420| | |WV|51030|0|N
H8211|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0004 (PPO)|00025002|0.00|420| | |WV|51040|0|N
H8211|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0004 (PPO)|00025002|0.00|420| | |WV|51050|0|N
H8211|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0004 (PPO)|00025002|0.00|420| | |WV|51060|0|N
H8211|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0004 (PPO)|00025002|0.00|420| | |WV|51070|0|N
H8211|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0004 (PPO)|00025002|0.00|420| | |WV|51080|0|N
H8211|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0004 (PPO)|00025002|0.00|420| | |WV|51090|0|N
H8211|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0004 (PPO)|00025002|0.00|420| | |WV|51100|0|N
H8211|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0004 (PPO)|00025002|0.00|420| | |WV|51110|0|N
H8211|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0004 (PPO)|00025002|0.00|420| | |WV|51120|0|N
H8211|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0004 (PPO)|00025002|0.00|420| | |WV|51130|0|N
H8211|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0004 (PPO)|00025002|0.00|420| | |WV|51140|0|N
H8211|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0004 (PPO)|00025002|0.00|420| | |WV|51150|0|N
H8211|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0004 (PPO)|00025002|0.00|420| | |WV|51160|0|N
H8211|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0004 (PPO)|00025002|0.00|420| | |WV|51170|0|N
H8211|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0004 (PPO)|00025002|0.00|420| | |WV|51180|0|N
H8211|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0004 (PPO)|00025002|0.00|420| | |WV|51190|0|N
H8211|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0004 (PPO)|00025002|0.00|420| | |WV|51200|0|N
H8211|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0004 (PPO)|00025002|0.00|420| | |WV|51210|0|N
H8211|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0004 (PPO)|00025002|0.00|420| | |WV|51220|0|N
H8211|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0004 (PPO)|00025002|0.00|420| | |WV|51230|0|N
H8211|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0004 (PPO)|00025002|0.00|420| | |WV|51240|0|N
H8211|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0004 (PPO)|00025002|0.00|420| | |WV|51250|0|N
H8211|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0004 (PPO)|00025002|0.00|420| | |WV|51260|0|N
H8211|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0004 (PPO)|00025002|0.00|420| | |WV|51270|0|N
H8211|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0004 (PPO)|00025002|0.00|420| | |WV|51280|0|N
H8211|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0004 (PPO)|00025002|0.00|420| | |WV|51290|0|N
H8211|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0004 (PPO)|00025002|0.00|420| | |WV|51300|0|N
H8211|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0004 (PPO)|00025002|0.00|420| | |WV|51310|0|N
H8211|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0004 (PPO)|00025002|0.00|420| | |WV|51320|0|N
H8211|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0004 (PPO)|00025002|0.00|420| | |WV|51330|0|N
H8211|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0004 (PPO)|00025002|0.00|420| | |WV|51340|0|N
H8211|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0004 (PPO)|00025002|0.00|420| | |WV|51350|0|N
H8211|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0004 (PPO)|00025002|0.00|420| | |WV|51360|0|N
H8211|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0004 (PPO)|00025002|0.00|420| | |WV|51370|0|N
H8211|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0004 (PPO)|00025002|0.00|420| | |WV|51380|0|N
H8211|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0004 (PPO)|00025002|0.00|420| | |WV|51390|0|N
H8211|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0004 (PPO)|00025002|0.00|420| | |WV|51400|0|N
H8211|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0004 (PPO)|00025002|0.00|420| | |WV|51410|0|N
H8211|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0004 (PPO)|00025002|0.00|420| | |WV|51420|0|N
H8211|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0004 (PPO)|00025002|0.00|420| | |WV|51430|0|N
H8211|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0004 (PPO)|00025002|0.00|420| | |WV|51440|0|N
H8211|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0004 (PPO)|00025002|0.00|420| | |WV|51450|0|N
H8211|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0004 (PPO)|00025002|0.00|420| | |WV|51460|0|N
H8211|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0004 (PPO)|00025002|0.00|420| | |WV|51470|0|N
H8211|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0004 (PPO)|00025002|0.00|420| | |WV|51480|0|N
H8211|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0004 (PPO)|00025002|0.00|420| | |WV|51490|0|N
H8211|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0004 (PPO)|00025002|0.00|420| | |WV|51500|0|N
H8211|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0004 (PPO)|00025002|0.00|420| | |WV|51510|0|N
H8211|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0004 (PPO)|00025002|0.00|420| | |WV|51520|0|N
H8211|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0004 (PPO)|00025002|0.00|420| | |WV|51530|0|N
H8211|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC WV-0004 (PPO)|00025002|0.00|420| | |WV|51540|0|N
H8211|012|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Access from UHC MT-3 (PPO)|00025002|37.40|570| | |MT|27000|0|N
H8211|012|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Access from UHC MT-3 (PPO)|00025002|37.40|570| | |MT|27010|0|N
H8211|012|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Access from UHC MT-3 (PPO)|00025002|37.40|570| | |MT|27030|0|N
H8211|012|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Access from UHC MT-3 (PPO)|00025002|37.40|570| | |MT|27040|0|N
H8211|012|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Access from UHC MT-3 (PPO)|00025002|37.40|570| | |MT|27050|0|N
H8211|012|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Access from UHC MT-3 (PPO)|00025002|37.40|570| | |MT|27100|0|N
H8211|012|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Access from UHC MT-3 (PPO)|00025002|37.40|570| | |MT|27110|0|N
H8211|012|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Access from UHC MT-3 (PPO)|00025002|37.40|570| | |MT|27140|0|N
H8211|012|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Access from UHC MT-3 (PPO)|00025002|37.40|570| | |MT|27170|0|N
H8211|012|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Access from UHC MT-3 (PPO)|00025002|37.40|570| | |MT|27180|0|N
H8211|012|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Access from UHC MT-3 (PPO)|00025002|37.40|570| | |MT|27190|0|N
H8211|012|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Access from UHC MT-3 (PPO)|00025002|37.40|570| | |MT|27210|0|N
H8211|012|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Access from UHC MT-3 (PPO)|00025002|37.40|570| | |MT|27220|0|N
H8211|012|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Access from UHC MT-3 (PPO)|00025002|37.40|570| | |MT|27230|0|N
H8211|012|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Access from UHC MT-3 (PPO)|00025002|37.40|570| | |MT|27260|0|N
H8211|012|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Access from UHC MT-3 (PPO)|00025002|37.40|570| | |MT|27270|0|N
H8211|012|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Access from UHC MT-3 (PPO)|00025002|37.40|570| | |MT|27290|0|N
H8211|012|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Access from UHC MT-3 (PPO)|00025002|37.40|570| | |MT|27300|0|N
H8211|012|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Access from UHC MT-3 (PPO)|00025002|37.40|570| | |MT|27320|0|N
H8211|012|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Access from UHC MT-3 (PPO)|00025002|37.40|570| | |MT|27380|0|N
H8211|012|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Access from UHC MT-3 (PPO)|00025002|37.40|570| | |MT|27400|0|N
H8211|012|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Access from UHC MT-3 (PPO)|00025002|37.40|570| | |MT|27410|0|N
H8211|012|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Access from UHC MT-3 (PPO)|00025002|37.40|570| | |MT|27440|0|N
H8211|012|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Access from UHC MT-3 (PPO)|00025002|37.40|570| | |MT|27450|0|N
H8211|012|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Access from UHC MT-3 (PPO)|00025002|37.40|570| | |MT|27470|0|N
H8211|012|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Access from UHC MT-3 (PPO)|00025002|37.40|570| | |MT|27480|0|N
H8211|012|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Access from UHC MT-3 (PPO)|00025002|37.40|570| | |MT|27490|0|N
H8211|012|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Access from UHC MT-3 (PPO)|00025002|37.40|570| | |MT|27510|0|N
H8211|012|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Access from UHC MT-3 (PPO)|00025002|37.40|570| | |MT|27530|0|N
H8211|012|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Access from UHC MT-3 (PPO)|00025002|37.40|570| | |MT|27540|0|N
H8211|012|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Access from UHC MT-3 (PPO)|00025002|37.40|570| | |MT|27550|0|N
H8213|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care Plus (Medicare-Medicaid Plan)|00025404|0.00|0| | |SC|42000|0|N
H8213|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care Plus (Medicare-Medicaid Plan)|00025404|0.00|0| | |SC|42010|0|N
H8213|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care Plus (Medicare-Medicaid Plan)|00025404|0.00|0| | |SC|42020|0|N
H8213|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care Plus (Medicare-Medicaid Plan)|00025404|0.00|0| | |SC|42030|0|N
H8213|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care Plus (Medicare-Medicaid Plan)|00025404|0.00|0| | |SC|42040|0|N
H8213|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care Plus (Medicare-Medicaid Plan)|00025404|0.00|0| | |SC|42050|0|N
H8213|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care Plus (Medicare-Medicaid Plan)|00025404|0.00|0| | |SC|42060|0|N
H8213|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care Plus (Medicare-Medicaid Plan)|00025404|0.00|0| | |SC|42070|0|N
H8213|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care Plus (Medicare-Medicaid Plan)|00025404|0.00|0| | |SC|42080|0|N
H8213|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care Plus (Medicare-Medicaid Plan)|00025404|0.00|0| | |SC|42090|0|N
H8213|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care Plus (Medicare-Medicaid Plan)|00025404|0.00|0| | |SC|42100|0|N
H8213|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care Plus (Medicare-Medicaid Plan)|00025404|0.00|0| | |SC|42110|0|N
H8213|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care Plus (Medicare-Medicaid Plan)|00025404|0.00|0| | |SC|42120|0|N
H8213|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care Plus (Medicare-Medicaid Plan)|00025404|0.00|0| | |SC|42130|0|N
H8213|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care Plus (Medicare-Medicaid Plan)|00025404|0.00|0| | |SC|42140|0|N
H8213|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care Plus (Medicare-Medicaid Plan)|00025404|0.00|0| | |SC|42160|0|N
H8213|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care Plus (Medicare-Medicaid Plan)|00025404|0.00|0| | |SC|42170|0|N
H8213|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care Plus (Medicare-Medicaid Plan)|00025404|0.00|0| | |SC|42180|0|N
H8213|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care Plus (Medicare-Medicaid Plan)|00025404|0.00|0| | |SC|42190|0|N
H8213|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care Plus (Medicare-Medicaid Plan)|00025404|0.00|0| | |SC|42200|0|N
H8213|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care Plus (Medicare-Medicaid Plan)|00025404|0.00|0| | |SC|42210|0|N
H8213|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care Plus (Medicare-Medicaid Plan)|00025404|0.00|0| | |SC|42220|0|N
H8213|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care Plus (Medicare-Medicaid Plan)|00025404|0.00|0| | |SC|42230|0|N
H8213|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care Plus (Medicare-Medicaid Plan)|00025404|0.00|0| | |SC|42240|0|N
H8213|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care Plus (Medicare-Medicaid Plan)|00025404|0.00|0| | |SC|42260|0|N
H8213|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care Plus (Medicare-Medicaid Plan)|00025404|0.00|0| | |SC|42270|0|N
H8213|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care Plus (Medicare-Medicaid Plan)|00025404|0.00|0| | |SC|42290|0|N
H8213|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care Plus (Medicare-Medicaid Plan)|00025404|0.00|0| | |SC|42300|0|N
H8213|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care Plus (Medicare-Medicaid Plan)|00025404|0.00|0| | |SC|42310|0|N
H8213|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care Plus (Medicare-Medicaid Plan)|00025404|0.00|0| | |SC|42320|0|N
H8213|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care Plus (Medicare-Medicaid Plan)|00025404|0.00|0| | |SC|42330|0|N
H8213|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care Plus (Medicare-Medicaid Plan)|00025404|0.00|0| | |SC|42340|0|N
H8213|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care Plus (Medicare-Medicaid Plan)|00025404|0.00|0| | |SC|42350|0|N
H8213|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care Plus (Medicare-Medicaid Plan)|00025404|0.00|0| | |SC|42360|0|N
H8213|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care Plus (Medicare-Medicaid Plan)|00025404|0.00|0| | |SC|42370|0|N
H8213|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care Plus (Medicare-Medicaid Plan)|00025404|0.00|0| | |SC|42380|0|N
H8213|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care Plus (Medicare-Medicaid Plan)|00025404|0.00|0| | |SC|42390|0|N
H8213|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care Plus (Medicare-Medicaid Plan)|00025404|0.00|0| | |SC|42400|0|N
H8213|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care Plus (Medicare-Medicaid Plan)|00025404|0.00|0| | |SC|42410|0|N
H8213|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care Plus (Medicare-Medicaid Plan)|00025404|0.00|0| | |SC|42420|0|N
H8213|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care Plus (Medicare-Medicaid Plan)|00025404|0.00|0| | |SC|42430|0|N
H8213|001|000|SELECT HEALTH OF SOUTH CAROLINA, INC.|First Choice VIP Care Plus (Medicare-Medicaid Plan)|00025404|0.00|0| | |SC|42440|0|N
H8298|001|000|HORIZON HEALTHCARE OF NEW JERSEY, INC.|Horizon NJ TotalCare (HMO D-SNP)|00025172|0.00|590| | |NJ|31000|2|N
H8298|001|000|HORIZON HEALTHCARE OF NEW JERSEY, INC.|Horizon NJ TotalCare (HMO D-SNP)|00025172|0.00|590| | |NJ|31100|2|N
H8298|001|000|HORIZON HEALTHCARE OF NEW JERSEY, INC.|Horizon NJ TotalCare (HMO D-SNP)|00025172|0.00|590| | |NJ|31150|2|N
H8298|001|000|HORIZON HEALTHCARE OF NEW JERSEY, INC.|Horizon NJ TotalCare (HMO D-SNP)|00025172|0.00|590| | |NJ|31160|2|N
H8298|001|000|HORIZON HEALTHCARE OF NEW JERSEY, INC.|Horizon NJ TotalCare (HMO D-SNP)|00025172|0.00|590| | |NJ|31180|2|N
H8298|001|000|HORIZON HEALTHCARE OF NEW JERSEY, INC.|Horizon NJ TotalCare (HMO D-SNP)|00025172|0.00|590| | |NJ|31190|2|N
H8298|001|000|HORIZON HEALTHCARE OF NEW JERSEY, INC.|Horizon NJ TotalCare (HMO D-SNP)|00025172|0.00|590| | |NJ|31200|2|N
H8298|001|000|HORIZON HEALTHCARE OF NEW JERSEY, INC.|Horizon NJ TotalCare (HMO D-SNP)|00025172|0.00|590| | |NJ|31220|2|N
H8298|001|000|HORIZON HEALTHCARE OF NEW JERSEY, INC.|Horizon NJ TotalCare (HMO D-SNP)|00025172|0.00|590| | |NJ|31230|2|N
H8298|001|000|HORIZON HEALTHCARE OF NEW JERSEY, INC.|Horizon NJ TotalCare (HMO D-SNP)|00025172|0.00|590| | |NJ|31250|2|N
H8298|001|000|HORIZON HEALTHCARE OF NEW JERSEY, INC.|Horizon NJ TotalCare (HMO D-SNP)|00025172|0.00|590| | |NJ|31260|2|N
H8298|001|000|HORIZON HEALTHCARE OF NEW JERSEY, INC.|Horizon NJ TotalCare (HMO D-SNP)|00025172|0.00|590| | |NJ|31270|2|N
H8298|001|000|HORIZON HEALTHCARE OF NEW JERSEY, INC.|Horizon NJ TotalCare (HMO D-SNP)|00025172|0.00|590| | |NJ|31290|2|N
H8298|001|000|HORIZON HEALTHCARE OF NEW JERSEY, INC.|Horizon NJ TotalCare (HMO D-SNP)|00025172|0.00|590| | |NJ|31300|2|N
H8298|001|000|HORIZON HEALTHCARE OF NEW JERSEY, INC.|Horizon NJ TotalCare (HMO D-SNP)|00025172|0.00|590| | |NJ|31310|2|N
H8298|001|000|HORIZON HEALTHCARE OF NEW JERSEY, INC.|Horizon NJ TotalCare (HMO D-SNP)|00025172|0.00|590| | |NJ|31320|2|N
H8298|001|000|HORIZON HEALTHCARE OF NEW JERSEY, INC.|Horizon NJ TotalCare (HMO D-SNP)|00025172|0.00|590| | |NJ|31340|2|N
H8298|001|000|HORIZON HEALTHCARE OF NEW JERSEY, INC.|Horizon NJ TotalCare (HMO D-SNP)|00025172|0.00|590| | |NJ|31350|2|N
H8298|001|000|HORIZON HEALTHCARE OF NEW JERSEY, INC.|Horizon NJ TotalCare (HMO D-SNP)|00025172|0.00|590| | |NJ|31360|2|N
H8298|001|000|HORIZON HEALTHCARE OF NEW JERSEY, INC.|Horizon NJ TotalCare (HMO D-SNP)|00025172|0.00|590| | |NJ|31370|2|N
H8298|001|000|HORIZON HEALTHCARE OF NEW JERSEY, INC.|Horizon NJ TotalCare (HMO D-SNP)|00025172|0.00|590| | |NJ|31390|2|N
H8320|001|000|Devoted of Illinois, Inc.|Devoted CHOICE Illinois (PPO)|00025188|0.00|590| | |IL|14080|0|N
H8320|001|000|Devoted of Illinois, Inc.|Devoted CHOICE Illinois (PPO)|00025188|0.00|590| | |IL|14100|0|N
H8320|001|000|Devoted of Illinois, Inc.|Devoted CHOICE Illinois (PPO)|00025188|0.00|590| | |IL|14180|0|N
H8320|001|000|Devoted of Illinois, Inc.|Devoted CHOICE Illinois (PPO)|00025188|0.00|590| | |IL|14620|0|N
H8320|001|000|Devoted of Illinois, Inc.|Devoted CHOICE Illinois (PPO)|00025188|0.00|590| | |IL|14670|0|N
H8320|001|000|Devoted of Illinois, Inc.|Devoted CHOICE Illinois (PPO)|00025188|0.00|590| | |IL|14730|0|N
H8320|001|000|Devoted of Illinois, Inc.|Devoted CHOICE Illinois (PPO)|00025188|0.00|590| | |IL|14760|0|N
H8320|001|000|Devoted of Illinois, Inc.|Devoted CHOICE Illinois (PPO)|00025188|0.00|590| | |IL|14920|0|N
H8320|001|000|Devoted of Illinois, Inc.|Devoted CHOICE Illinois (PPO)|00025188|0.00|590| | |IL|14940|0|N
H8320|001|000|Devoted of Illinois, Inc.|Devoted CHOICE Illinois (PPO)|00025188|0.00|590| | |IL|14950|0|N
H8320|002|000|Devoted of Illinois, Inc.|Devoted CHOICE GIVEBACK Illinois (PPO)|00025188|0.00|590| | |IL|14080|0|N
H8320|002|000|Devoted of Illinois, Inc.|Devoted CHOICE GIVEBACK Illinois (PPO)|00025188|0.00|590| | |IL|14100|0|N
H8320|002|000|Devoted of Illinois, Inc.|Devoted CHOICE GIVEBACK Illinois (PPO)|00025188|0.00|590| | |IL|14180|0|N
H8320|002|000|Devoted of Illinois, Inc.|Devoted CHOICE GIVEBACK Illinois (PPO)|00025188|0.00|590| | |IL|14620|0|N
H8320|002|000|Devoted of Illinois, Inc.|Devoted CHOICE GIVEBACK Illinois (PPO)|00025188|0.00|590| | |IL|14670|0|N
H8320|002|000|Devoted of Illinois, Inc.|Devoted CHOICE GIVEBACK Illinois (PPO)|00025188|0.00|590| | |IL|14730|0|N
H8320|002|000|Devoted of Illinois, Inc.|Devoted CHOICE GIVEBACK Illinois (PPO)|00025188|0.00|590| | |IL|14760|0|N
H8320|002|000|Devoted of Illinois, Inc.|Devoted CHOICE GIVEBACK Illinois (PPO)|00025188|0.00|590| | |IL|14920|0|N
H8320|002|000|Devoted of Illinois, Inc.|Devoted CHOICE GIVEBACK Illinois (PPO)|00025188|0.00|590| | |IL|14940|0|N
H8320|002|000|Devoted of Illinois, Inc.|Devoted CHOICE GIVEBACK Illinois (PPO)|00025188|0.00|590| | |IL|14950|0|N
H8320|003|000|Devoted of Illinois, Inc.|Devoted CHOICE Illinois (PPO)|00025188|0.00|590| | |IL|14030|0|N
H8320|003|000|Devoted of Illinois, Inc.|Devoted CHOICE Illinois (PPO)|00025188|0.00|590| | |IL|14790|0|N
H8320|003|000|Devoted of Illinois, Inc.|Devoted CHOICE Illinois (PPO)|00025188|0.00|590| | |IL|14991|0|N
H8320|004|000|Devoted of Illinois, Inc.|Devoted CHOICE GIVEBACK Illinois (PPO)|00025188|0.00|590| | |IL|14030|0|N
H8320|004|000|Devoted of Illinois, Inc.|Devoted CHOICE GIVEBACK Illinois (PPO)|00025188|0.00|590| | |IL|14790|0|N
H8320|004|000|Devoted of Illinois, Inc.|Devoted CHOICE GIVEBACK Illinois (PPO)|00025188|0.00|590| | |IL|14991|0|N
H8320|005|000|Devoted of Illinois, Inc.|Devoted CHOICE Illinois (PPO)|00025188|0.00|590| | |IL|14020|0|N
H8320|005|000|Devoted of Illinois, Inc.|Devoted CHOICE Illinois (PPO)|00025188|0.00|590| | |IL|14060|0|N
H8320|005|000|Devoted of Illinois, Inc.|Devoted CHOICE Illinois (PPO)|00025188|0.00|590| | |IL|14130|0|N
H8320|005|000|Devoted of Illinois, Inc.|Devoted CHOICE Illinois (PPO)|00025188|0.00|590| | |IL|14390|0|N
H8320|005|000|Devoted of Illinois, Inc.|Devoted CHOICE Illinois (PPO)|00025188|0.00|590| | |IL|14500|0|N
H8320|005|000|Devoted of Illinois, Inc.|Devoted CHOICE Illinois (PPO)|00025188|0.00|590| | |IL|14680|0|N
H8320|005|000|Devoted of Illinois, Inc.|Devoted CHOICE Illinois (PPO)|00025188|0.00|590| | |IL|14750|0|N
H8320|005|000|Devoted of Illinois, Inc.|Devoted CHOICE Illinois (PPO)|00025188|0.00|590| | |IL|14900|0|N
H8320|006|000|Devoted of Illinois, Inc.|Devoted CHOICE GIVEBACK Illinois (PPO)|00025188|0.00|590| | |IL|14020|0|N
H8320|006|000|Devoted of Illinois, Inc.|Devoted CHOICE GIVEBACK Illinois (PPO)|00025188|0.00|590| | |IL|14060|0|N
H8320|006|000|Devoted of Illinois, Inc.|Devoted CHOICE GIVEBACK Illinois (PPO)|00025188|0.00|590| | |IL|14130|0|N
H8320|006|000|Devoted of Illinois, Inc.|Devoted CHOICE GIVEBACK Illinois (PPO)|00025188|0.00|590| | |IL|14390|0|N
H8320|006|000|Devoted of Illinois, Inc.|Devoted CHOICE GIVEBACK Illinois (PPO)|00025188|0.00|590| | |IL|14500|0|N
H8320|006|000|Devoted of Illinois, Inc.|Devoted CHOICE GIVEBACK Illinois (PPO)|00025188|0.00|590| | |IL|14680|0|N
H8320|006|000|Devoted of Illinois, Inc.|Devoted CHOICE GIVEBACK Illinois (PPO)|00025188|0.00|590| | |IL|14750|0|N
H8320|006|000|Devoted of Illinois, Inc.|Devoted CHOICE GIVEBACK Illinois (PPO)|00025188|0.00|590| | |IL|14900|0|N
H8330|001|000|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Health Plan Senior Care Options (HMO D-SNP)|00025503|0.00|590| | |MA|22000|2|N
H8330|001|000|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Health Plan Senior Care Options (HMO D-SNP)|00025503|0.00|590| | |MA|22020|2|N
H8330|001|000|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Health Plan Senior Care Options (HMO D-SNP)|00025503|0.00|590| | |MA|22040|2|N
H8330|001|000|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Health Plan Senior Care Options (HMO D-SNP)|00025503|0.00|590| | |MA|22070|2|N
H8330|001|000|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Health Plan Senior Care Options (HMO D-SNP)|00025503|0.00|590| | |MA|22080|2|N
H8330|001|000|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Health Plan Senior Care Options (HMO D-SNP)|00025503|0.00|590| | |MA|22090|2|N
H8330|001|000|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Health Plan Senior Care Options (HMO D-SNP)|00025503|0.00|590| | |MA|22130|2|N
H8330|001|000|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Health Plan Senior Care Options (HMO D-SNP)|00025503|0.00|590| | |MA|22150|2|N
H8330|001|000|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Health Plan Senior Care Options (HMO D-SNP)|00025503|0.00|590| | |MA|22160|2|N
H8330|001|000|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Health Plan Senior Care Options (HMO D-SNP)|00025503|0.00|590| | |MA|22170|2|N
H8330|002|000|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Health Plan Senior Care Options CW (HMO D-SNP)|00025503|0.00|590| | |MA|22000|2|N
H8330|002|000|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Health Plan Senior Care Options CW (HMO D-SNP)|00025503|0.00|590| | |MA|22020|2|N
H8330|002|000|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Health Plan Senior Care Options CW (HMO D-SNP)|00025503|0.00|590| | |MA|22040|2|N
H8330|002|000|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Health Plan Senior Care Options CW (HMO D-SNP)|00025503|0.00|590| | |MA|22070|2|N
H8330|002|000|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Health Plan Senior Care Options CW (HMO D-SNP)|00025503|0.00|590| | |MA|22080|2|N
H8330|002|000|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Health Plan Senior Care Options CW (HMO D-SNP)|00025503|0.00|590| | |MA|22090|2|N
H8330|002|000|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Health Plan Senior Care Options CW (HMO D-SNP)|00025503|0.00|590| | |MA|22130|2|N
H8330|002|000|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Health Plan Senior Care Options CW (HMO D-SNP)|00025503|0.00|590| | |MA|22150|2|N
H8330|002|000|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Health Plan Senior Care Options CW (HMO D-SNP)|00025503|0.00|590| | |MA|22160|2|N
H8330|002|000|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Health Plan Senior Care Options CW (HMO D-SNP)|00025503|0.00|590| | |MA|22170|2|N
H8332|004|000|AETNA BETTER HEALTH OF KANSAS INC.|Aetna Medicare Value (HMO)|00025100|0.00|590| | |TX|45480|0|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23000|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23020|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23030|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23040|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23050|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23070|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23080|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23090|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23100|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23110|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23120|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23130|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23140|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23150|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23170|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23180|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23190|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23220|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23230|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23240|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23250|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23270|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23280|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23290|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23310|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23320|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23330|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23340|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23360|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23370|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23380|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23390|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23400|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23420|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23430|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23440|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23450|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23460|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23490|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23500|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23520|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23530|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23550|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23560|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23570|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23580|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23590|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23600|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23610|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23620|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23630|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23640|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23660|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23670|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23680|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23690|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23700|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23710|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23720|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23730|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23740|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23750|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23770|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23780|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23790|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23800|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23810|2|N
H8379|001|000|PRIORITY HEALTH CHOICE, INC.|PriorityMedicare D-SNP (HMO D-SNP)|00025361|0.00|590| | |MI|23830|2|N
H8385|001|000|SANFORD HEALTH PLAN|Align ChoiceElite (PPO)|00025382|27.20|150| | |IA|16590|0|N
H8385|001|000|SANFORD HEALTH PLAN|Align ChoiceElite (PPO)|00025382|27.20|150| | |IA|16700|0|N
H8385|001|000|SANFORD HEALTH PLAN|Align ChoiceElite (PPO)|00025382|27.20|150| | |IA|16710|0|N
H8385|001|000|SANFORD HEALTH PLAN|Align ChoiceElite (PPO)|00025382|27.20|150| | |IA|16830|0|N
H8385|001|000|SANFORD HEALTH PLAN|Align ChoiceElite (PPO)|00025382|27.20|150| | |SD|43050|0|N
H8385|001|000|SANFORD HEALTH PLAN|Align ChoiceElite (PPO)|00025382|27.20|150| | |SD|43120|0|N
H8385|001|000|SANFORD HEALTH PLAN|Align ChoiceElite (PPO)|00025382|27.20|150| | |SD|43130|0|N
H8385|001|000|SANFORD HEALTH PLAN|Align ChoiceElite (PPO)|00025382|27.20|150| | |SD|43180|0|N
H8385|001|000|SANFORD HEALTH PLAN|Align ChoiceElite (PPO)|00025382|27.20|150| | |SD|43190|0|N
H8385|001|000|SANFORD HEALTH PLAN|Align ChoiceElite (PPO)|00025382|27.20|150| | |SD|43210|0|N
H8385|001|000|SANFORD HEALTH PLAN|Align ChoiceElite (PPO)|00025382|27.20|150| | |SD|43300|0|N
H8385|001|000|SANFORD HEALTH PLAN|Align ChoiceElite (PPO)|00025382|27.20|150| | |SD|43330|0|N
H8385|001|000|SANFORD HEALTH PLAN|Align ChoiceElite (PPO)|00025382|27.20|150| | |SD|43380|0|N
H8385|001|000|SANFORD HEALTH PLAN|Align ChoiceElite (PPO)|00025382|27.20|150| | |SD|43390|0|N
H8385|001|000|SANFORD HEALTH PLAN|Align ChoiceElite (PPO)|00025382|27.20|150| | |SD|43410|0|N
H8385|001|000|SANFORD HEALTH PLAN|Align ChoiceElite (PPO)|00025382|27.20|150| | |SD|43430|0|N
H8385|001|000|SANFORD HEALTH PLAN|Align ChoiceElite (PPO)|00025382|27.20|150| | |SD|43450|0|N
H8385|001|000|SANFORD HEALTH PLAN|Align ChoiceElite (PPO)|00025382|27.20|150| | |SD|43480|0|N
H8385|001|000|SANFORD HEALTH PLAN|Align ChoiceElite (PPO)|00025382|27.20|150| | |SD|43490|0|N
H8385|001|000|SANFORD HEALTH PLAN|Align ChoiceElite (PPO)|00025382|27.20|150| | |SD|43500|0|N
H8385|001|000|SANFORD HEALTH PLAN|Align ChoiceElite (PPO)|00025382|27.20|150| | |SD|43540|0|N
H8385|001|000|SANFORD HEALTH PLAN|Align ChoiceElite (PPO)|00025382|27.20|150| | |SD|43550|0|N
H8385|001|000|SANFORD HEALTH PLAN|Align ChoiceElite (PPO)|00025382|27.20|150| | |SD|43620|0|N
H8385|002|000|SANFORD HEALTH PLAN|Align ChoiceElite (PPO)|00025382|32.20|150| | |ND|35010|0|N
H8385|002|000|SANFORD HEALTH PLAN|Align ChoiceElite (PPO)|00025382|32.20|150| | |ND|35070|0|N
H8385|002|000|SANFORD HEALTH PLAN|Align ChoiceElite (PPO)|00025382|32.20|150| | |ND|35080|0|N
H8385|002|000|SANFORD HEALTH PLAN|Align ChoiceElite (PPO)|00025382|32.20|150| | |ND|35170|0|N
H8385|002|000|SANFORD HEALTH PLAN|Align ChoiceElite (PPO)|00025382|32.20|150| | |ND|35190|0|N
H8385|002|000|SANFORD HEALTH PLAN|Align ChoiceElite (PPO)|00025382|32.20|150| | |ND|35270|0|N
H8385|002|000|SANFORD HEALTH PLAN|Align ChoiceElite (PPO)|00025382|32.20|150| | |ND|35280|0|N
H8385|002|000|SANFORD HEALTH PLAN|Align ChoiceElite (PPO)|00025382|32.20|150| | |ND|35290|0|N
H8385|002|000|SANFORD HEALTH PLAN|Align ChoiceElite (PPO)|00025382|32.20|150| | |ND|35310|0|N
H8385|002|000|SANFORD HEALTH PLAN|Align ChoiceElite (PPO)|00025382|32.20|150| | |ND|35320|0|N
H8385|002|000|SANFORD HEALTH PLAN|Align ChoiceElite (PPO)|00025382|32.20|150| | |ND|35350|0|N
H8385|002|000|SANFORD HEALTH PLAN|Align ChoiceElite (PPO)|00025382|32.20|150| | |ND|35360|0|N
H8385|002|000|SANFORD HEALTH PLAN|Align ChoiceElite (PPO)|00025382|32.20|150| | |ND|35380|0|N
H8385|002|000|SANFORD HEALTH PLAN|Align ChoiceElite (PPO)|00025382|32.20|150| | |ND|35450|0|N
H8385|002|000|SANFORD HEALTH PLAN|Align ChoiceElite (PPO)|00025382|32.20|150| | |ND|35460|0|N
H8385|002|000|SANFORD HEALTH PLAN|Align ChoiceElite (PPO)|00025382|32.20|150| | |ND|35480|0|N
H8385|002|000|SANFORD HEALTH PLAN|Align ChoiceElite (PPO)|00025382|32.20|150| | |ND|35490|0|N
H8385|003|000|SANFORD HEALTH PLAN|Align ChoicePlus (PPO)|00025382|0.00|200| | |IA|16590|0|N
H8385|003|000|SANFORD HEALTH PLAN|Align ChoicePlus (PPO)|00025382|0.00|200| | |IA|16700|0|N
H8385|003|000|SANFORD HEALTH PLAN|Align ChoicePlus (PPO)|00025382|0.00|200| | |IA|16710|0|N
H8385|003|000|SANFORD HEALTH PLAN|Align ChoicePlus (PPO)|00025382|0.00|200| | |IA|16830|0|N
H8385|003|000|SANFORD HEALTH PLAN|Align ChoicePlus (PPO)|00025382|0.00|200| | |SD|43050|0|N
H8385|003|000|SANFORD HEALTH PLAN|Align ChoicePlus (PPO)|00025382|0.00|200| | |SD|43120|0|N
H8385|003|000|SANFORD HEALTH PLAN|Align ChoicePlus (PPO)|00025382|0.00|200| | |SD|43130|0|N
H8385|003|000|SANFORD HEALTH PLAN|Align ChoicePlus (PPO)|00025382|0.00|200| | |SD|43180|0|N
H8385|003|000|SANFORD HEALTH PLAN|Align ChoicePlus (PPO)|00025382|0.00|200| | |SD|43190|0|N
H8385|003|000|SANFORD HEALTH PLAN|Align ChoicePlus (PPO)|00025382|0.00|200| | |SD|43210|0|N
H8385|003|000|SANFORD HEALTH PLAN|Align ChoicePlus (PPO)|00025382|0.00|200| | |SD|43300|0|N
H8385|003|000|SANFORD HEALTH PLAN|Align ChoicePlus (PPO)|00025382|0.00|200| | |SD|43330|0|N
H8385|003|000|SANFORD HEALTH PLAN|Align ChoicePlus (PPO)|00025382|0.00|200| | |SD|43380|0|N
H8385|003|000|SANFORD HEALTH PLAN|Align ChoicePlus (PPO)|00025382|0.00|200| | |SD|43390|0|N
H8385|003|000|SANFORD HEALTH PLAN|Align ChoicePlus (PPO)|00025382|0.00|200| | |SD|43410|0|N
H8385|003|000|SANFORD HEALTH PLAN|Align ChoicePlus (PPO)|00025382|0.00|200| | |SD|43430|0|N
H8385|003|000|SANFORD HEALTH PLAN|Align ChoicePlus (PPO)|00025382|0.00|200| | |SD|43450|0|N
H8385|003|000|SANFORD HEALTH PLAN|Align ChoicePlus (PPO)|00025382|0.00|200| | |SD|43480|0|N
H8385|003|000|SANFORD HEALTH PLAN|Align ChoicePlus (PPO)|00025382|0.00|200| | |SD|43490|0|N
H8385|003|000|SANFORD HEALTH PLAN|Align ChoicePlus (PPO)|00025382|0.00|200| | |SD|43500|0|N
H8385|003|000|SANFORD HEALTH PLAN|Align ChoicePlus (PPO)|00025382|0.00|200| | |SD|43540|0|N
H8385|003|000|SANFORD HEALTH PLAN|Align ChoicePlus (PPO)|00025382|0.00|200| | |SD|43550|0|N
H8385|003|000|SANFORD HEALTH PLAN|Align ChoicePlus (PPO)|00025382|0.00|200| | |SD|43620|0|N
H8385|004|000|SANFORD HEALTH PLAN|Align ChoicePlus (PPO)|00025382|0.00|150| | |ND|35010|0|N
H8385|004|000|SANFORD HEALTH PLAN|Align ChoicePlus (PPO)|00025382|0.00|150| | |ND|35070|0|N
H8385|004|000|SANFORD HEALTH PLAN|Align ChoicePlus (PPO)|00025382|0.00|150| | |ND|35080|0|N
H8385|004|000|SANFORD HEALTH PLAN|Align ChoicePlus (PPO)|00025382|0.00|150| | |ND|35170|0|N
H8385|004|000|SANFORD HEALTH PLAN|Align ChoicePlus (PPO)|00025382|0.00|150| | |ND|35190|0|N
H8385|004|000|SANFORD HEALTH PLAN|Align ChoicePlus (PPO)|00025382|0.00|150| | |ND|35270|0|N
H8385|004|000|SANFORD HEALTH PLAN|Align ChoicePlus (PPO)|00025382|0.00|150| | |ND|35280|0|N
H8385|004|000|SANFORD HEALTH PLAN|Align ChoicePlus (PPO)|00025382|0.00|150| | |ND|35290|0|N
H8385|004|000|SANFORD HEALTH PLAN|Align ChoicePlus (PPO)|00025382|0.00|150| | |ND|35310|0|N
H8385|004|000|SANFORD HEALTH PLAN|Align ChoicePlus (PPO)|00025382|0.00|150| | |ND|35320|0|N
H8385|004|000|SANFORD HEALTH PLAN|Align ChoicePlus (PPO)|00025382|0.00|150| | |ND|35350|0|N
H8385|004|000|SANFORD HEALTH PLAN|Align ChoicePlus (PPO)|00025382|0.00|150| | |ND|35360|0|N
H8385|004|000|SANFORD HEALTH PLAN|Align ChoicePlus (PPO)|00025382|0.00|150| | |ND|35380|0|N
H8385|004|000|SANFORD HEALTH PLAN|Align ChoicePlus (PPO)|00025382|0.00|150| | |ND|35450|0|N
H8385|004|000|SANFORD HEALTH PLAN|Align ChoicePlus (PPO)|00025382|0.00|150| | |ND|35460|0|N
H8385|004|000|SANFORD HEALTH PLAN|Align ChoicePlus (PPO)|00025382|0.00|150| | |ND|35480|0|N
H8385|004|000|SANFORD HEALTH PLAN|Align ChoicePlus (PPO)|00025382|0.00|150| | |ND|35490|0|N
H8390|015|000|CARESOURCE GEORGIA CO.|CareSource Dual Advantage (HMO D-SNP)|00025340|0.00|590| | |GA|11030|2|N
H8390|015|000|CARESOURCE GEORGIA CO.|CareSource Dual Advantage (HMO D-SNP)|00025340|0.00|590| | |GA|11050|2|N
H8390|015|000|CARESOURCE GEORGIA CO.|CareSource Dual Advantage (HMO D-SNP)|00025340|0.00|590| | |GA|11090|2|N
H8390|015|000|CARESOURCE GEORGIA CO.|CareSource Dual Advantage (HMO D-SNP)|00025340|0.00|590| | |GA|11250|2|N
H8390|015|000|CARESOURCE GEORGIA CO.|CareSource Dual Advantage (HMO D-SNP)|00025340|0.00|590| | |GA|11260|2|N
H8390|015|000|CARESOURCE GEORGIA CO.|CareSource Dual Advantage (HMO D-SNP)|00025340|0.00|590| | |GA|11280|2|N
H8390|015|000|CARESOURCE GEORGIA CO.|CareSource Dual Advantage (HMO D-SNP)|00025340|0.00|590| | |GA|11290|2|N
H8390|015|000|CARESOURCE GEORGIA CO.|CareSource Dual Advantage (HMO D-SNP)|00025340|0.00|590| | |GA|11320|2|N
H8390|015|000|CARESOURCE GEORGIA CO.|CareSource Dual Advantage (HMO D-SNP)|00025340|0.00|590| | |GA|11350|2|N
H8390|015|000|CARESOURCE GEORGIA CO.|CareSource Dual Advantage (HMO D-SNP)|00025340|0.00|590| | |GA|11400|2|N
H8390|015|000|CARESOURCE GEORGIA CO.|CareSource Dual Advantage (HMO D-SNP)|00025340|0.00|590| | |GA|11451|2|N
H8390|015|000|CARESOURCE GEORGIA CO.|CareSource Dual Advantage (HMO D-SNP)|00025340|0.00|590| | |GA|11461|2|N
H8390|015|000|CARESOURCE GEORGIA CO.|CareSource Dual Advantage (HMO D-SNP)|00025340|0.00|590| | |GA|11470|2|N
H8390|015|000|CARESOURCE GEORGIA CO.|CareSource Dual Advantage (HMO D-SNP)|00025340|0.00|590| | |GA|11520|2|N
H8390|015|000|CARESOURCE GEORGIA CO.|CareSource Dual Advantage (HMO D-SNP)|00025340|0.00|590| | |GA|11530|2|N
H8390|015|000|CARESOURCE GEORGIA CO.|CareSource Dual Advantage (HMO D-SNP)|00025340|0.00|590| | |GA|11540|2|N
H8390|015|000|CARESOURCE GEORGIA CO.|CareSource Dual Advantage (HMO D-SNP)|00025340|0.00|590| | |GA|11591|2|N
H8390|015|000|CARESOURCE GEORGIA CO.|CareSource Dual Advantage (HMO D-SNP)|00025340|0.00|590| | |GA|11600|2|N
H8390|015|000|CARESOURCE GEORGIA CO.|CareSource Dual Advantage (HMO D-SNP)|00025340|0.00|590| | |GA|11610|2|N
H8390|015|000|CARESOURCE GEORGIA CO.|CareSource Dual Advantage (HMO D-SNP)|00025340|0.00|590| | |GA|11701|2|N
H8390|015|000|CARESOURCE GEORGIA CO.|CareSource Dual Advantage (HMO D-SNP)|00025340|0.00|590| | |GA|11720|2|N
H8390|015|000|CARESOURCE GEORGIA CO.|CareSource Dual Advantage (HMO D-SNP)|00025340|0.00|590| | |GA|11760|2|N
H8390|015|000|CARESOURCE GEORGIA CO.|CareSource Dual Advantage (HMO D-SNP)|00025340|0.00|590| | |GA|11771|2|N
H8390|015|000|CARESOURCE GEORGIA CO.|CareSource Dual Advantage (HMO D-SNP)|00025340|0.00|590| | |GA|11790|2|N
H8390|015|000|CARESOURCE GEORGIA CO.|CareSource Dual Advantage (HMO D-SNP)|00025340|0.00|590| | |GA|11800|2|N
H8390|015|000|CARESOURCE GEORGIA CO.|CareSource Dual Advantage (HMO D-SNP)|00025340|0.00|590| | |GA|11801|2|N
H8390|015|000|CARESOURCE GEORGIA CO.|CareSource Dual Advantage (HMO D-SNP)|00025340|0.00|590| | |GA|11810|2|N
H8390|015|000|CARESOURCE GEORGIA CO.|CareSource Dual Advantage (HMO D-SNP)|00025340|0.00|590| | |GA|11811|2|N
H8390|015|000|CARESOURCE GEORGIA CO.|CareSource Dual Advantage (HMO D-SNP)|00025340|0.00|590| | |GA|11832|2|N
H8390|015|000|CARESOURCE GEORGIA CO.|CareSource Dual Advantage (HMO D-SNP)|00025340|0.00|590| | |GA|11841|2|N
H8390|015|000|CARESOURCE GEORGIA CO.|CareSource Dual Advantage (HMO D-SNP)|00025340|0.00|590| | |GA|11860|2|N
H8390|015|000|CARESOURCE GEORGIA CO.|CareSource Dual Advantage (HMO D-SNP)|00025340|0.00|590| | |GA|11861|2|N
H8390|015|000|CARESOURCE GEORGIA CO.|CareSource Dual Advantage (HMO D-SNP)|00025340|0.00|590| | |GA|11930|2|N
H8432|009|000|ANTHEM HP, LLC.|Anthem Medicare Advantage (HMO-POS)|00025037|55.00|325| | |NY|33620|0|N
H8432|009|000|ANTHEM HP, LLC.|Anthem Medicare Advantage (HMO-POS)|00025037|55.00|325| | |NY|33800|0|N
H8432|010|000|ANTHEM HP, LLC.|Anthem Medicare Advantage (HMO-POS)|00025037|44.80|395| | |NY|33400|0|N
H8432|011|000|ANTHEM HP, LLC.|Anthem Medicare Advantage (HMO-POS)|00025037|63.80|395| | |NY|33700|0|N
H8432|016|000|ANTHEM HP, LLC.|Anthem Medicare Advantage 2 (HMO-POS)|00025049|6.10|200| | |NY|33540|0|N
H8432|016|000|ANTHEM HP, LLC.|Anthem Medicare Advantage 2 (HMO-POS)|00025049|6.10|200| | |NY|33620|0|N
H8432|016|000|ANTHEM HP, LLC.|Anthem Medicare Advantage 2 (HMO-POS)|00025049|6.10|200| | |NY|33800|0|N
H8432|040|000|ANTHEM HP, LLC.|Anthem Medicare Advantage (HMO)|00025037|24.00|350| | |NY|33020|0|N
H8432|040|000|ANTHEM HP, LLC.|Anthem Medicare Advantage (HMO)|00025037|24.00|350| | |NY|33331|0|N
H8432|040|000|ANTHEM HP, LLC.|Anthem Medicare Advantage (HMO)|00025037|24.00|350| | |NY|33420|0|N
H8432|040|000|ANTHEM HP, LLC.|Anthem Medicare Advantage (HMO)|00025037|24.00|350| | |NY|33590|0|N
H8432|040|000|ANTHEM HP, LLC.|Anthem Medicare Advantage (HMO)|00025037|24.00|350| | |NY|33610|0|N
H8432|041|000|ANTHEM HP, LLC.|Anthem HealthPlus Full Dual Advantage LTSS (HMO D-SNP)|00025049|0.00|590| | |NY|33020|2|N
H8432|041|000|ANTHEM HP, LLC.|Anthem HealthPlus Full Dual Advantage LTSS (HMO D-SNP)|00025049|0.00|590| | |NY|33331|2|N
H8432|041|000|ANTHEM HP, LLC.|Anthem HealthPlus Full Dual Advantage LTSS (HMO D-SNP)|00025049|0.00|590| | |NY|33400|2|N
H8432|041|000|ANTHEM HP, LLC.|Anthem HealthPlus Full Dual Advantage LTSS (HMO D-SNP)|00025049|0.00|590| | |NY|33420|2|N
H8432|041|000|ANTHEM HP, LLC.|Anthem HealthPlus Full Dual Advantage LTSS (HMO D-SNP)|00025049|0.00|590| | |NY|33540|2|N
H8432|041|000|ANTHEM HP, LLC.|Anthem HealthPlus Full Dual Advantage LTSS (HMO D-SNP)|00025049|0.00|590| | |NY|33590|2|N
H8432|041|000|ANTHEM HP, LLC.|Anthem HealthPlus Full Dual Advantage LTSS (HMO D-SNP)|00025049|0.00|590| | |NY|33610|2|N
H8432|041|000|ANTHEM HP, LLC.|Anthem HealthPlus Full Dual Advantage LTSS (HMO D-SNP)|00025049|0.00|590| | |NY|33620|2|N
H8432|041|000|ANTHEM HP, LLC.|Anthem HealthPlus Full Dual Advantage LTSS (HMO D-SNP)|00025049|0.00|590| | |NY|33700|2|N
H8432|041|000|ANTHEM HP, LLC.|Anthem HealthPlus Full Dual Advantage LTSS (HMO D-SNP)|00025049|0.00|590| | |NY|33800|2|N
H8432|042|000|ANTHEM HP, LLC.|Anthem HealthPlus Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |NY|33020|2|N
H8432|042|000|ANTHEM HP, LLC.|Anthem HealthPlus Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |NY|33331|2|N
H8432|042|000|ANTHEM HP, LLC.|Anthem HealthPlus Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |NY|33400|2|N
H8432|042|000|ANTHEM HP, LLC.|Anthem HealthPlus Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |NY|33420|2|N
H8432|042|000|ANTHEM HP, LLC.|Anthem HealthPlus Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |NY|33540|2|N
H8432|042|000|ANTHEM HP, LLC.|Anthem HealthPlus Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |NY|33590|2|N
H8432|042|000|ANTHEM HP, LLC.|Anthem HealthPlus Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |NY|33610|2|N
H8432|042|000|ANTHEM HP, LLC.|Anthem HealthPlus Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |NY|33620|2|N
H8432|042|000|ANTHEM HP, LLC.|Anthem HealthPlus Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |NY|33700|2|N
H8432|042|000|ANTHEM HP, LLC.|Anthem HealthPlus Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |NY|33800|2|N
H8452|001|000|CARESOURCE OHIO, INC.|CareSource MyCare Ohio (Medicare-Medicaid Plan)|00025338|0.00|0| | |OH|36140|0|N
H8452|001|000|CARESOURCE OHIO, INC.|CareSource MyCare Ohio (Medicare-Medicaid Plan)|00025338|0.00|0| | |OH|36170|0|N
H8452|001|000|CARESOURCE OHIO, INC.|CareSource MyCare Ohio (Medicare-Medicaid Plan)|00025338|0.00|0| | |OH|36280|0|N
H8452|001|000|CARESOURCE OHIO, INC.|CareSource MyCare Ohio (Medicare-Medicaid Plan)|00025338|0.00|0| | |OH|36440|0|N
H8452|001|000|CARESOURCE OHIO, INC.|CareSource MyCare Ohio (Medicare-Medicaid Plan)|00025338|0.00|0| | |OH|36480|0|N
H8452|001|000|CARESOURCE OHIO, INC.|CareSource MyCare Ohio (Medicare-Medicaid Plan)|00025338|0.00|0| | |OH|36510|0|N
H8452|001|000|CARESOURCE OHIO, INC.|CareSource MyCare Ohio (Medicare-Medicaid Plan)|00025338|0.00|0| | |OH|36530|0|N
H8452|001|000|CARESOURCE OHIO, INC.|CareSource MyCare Ohio (Medicare-Medicaid Plan)|00025338|0.00|0| | |OH|36680|0|N
H8452|001|000|CARESOURCE OHIO, INC.|CareSource MyCare Ohio (Medicare-Medicaid Plan)|00025338|0.00|0| | |OH|36770|0|N
H8452|001|000|CARESOURCE OHIO, INC.|CareSource MyCare Ohio (Medicare-Medicaid Plan)|00025338|0.00|0| | |OH|36780|0|N
H8452|001|000|CARESOURCE OHIO, INC.|CareSource MyCare Ohio (Medicare-Medicaid Plan)|00025338|0.00|0| | |OH|36790|0|N
H8452|001|000|CARESOURCE OHIO, INC.|CareSource MyCare Ohio (Medicare-Medicaid Plan)|00025338|0.00|0| | |OH|36860|0|N
H8457|001|000|LONGEVITY HEALTH PLAN OF NEW YORK, INC.|Longevity Health Plan (HMO I-SNP)|00025394|72.30|590| | |NY|33020|3|N
H8457|001|000|LONGEVITY HEALTH PLAN OF NEW YORK, INC.|Longevity Health Plan (HMO I-SNP)|00025394|72.30|590| | |NY|33331|3|N
H8457|001|000|LONGEVITY HEALTH PLAN OF NEW YORK, INC.|Longevity Health Plan (HMO I-SNP)|00025394|72.30|590| | |NY|33400|3|N
H8457|001|000|LONGEVITY HEALTH PLAN OF NEW YORK, INC.|Longevity Health Plan (HMO I-SNP)|00025394|72.30|590| | |NY|33420|3|N
H8457|001|000|LONGEVITY HEALTH PLAN OF NEW YORK, INC.|Longevity Health Plan (HMO I-SNP)|00025394|72.30|590| | |NY|33590|3|N
H8457|001|000|LONGEVITY HEALTH PLAN OF NEW YORK, INC.|Longevity Health Plan (HMO I-SNP)|00025394|72.30|590| | |NY|33610|3|N
H8457|001|000|LONGEVITY HEALTH PLAN OF NEW YORK, INC.|Longevity Health Plan (HMO I-SNP)|00025394|72.30|590| | |NY|33700|3|N
H8457|001|000|LONGEVITY HEALTH PLAN OF NEW YORK, INC.|Longevity Health Plan (HMO I-SNP)|00025394|72.30|590| | |NY|33800|3|N
H8492|001|000|DIGNITY CARE CORPORATION|American Health Advantage of Louisiana (HMO I-SNP)|00025482|55.60|590| | |LA|19000|3|N
H8492|001|000|DIGNITY CARE CORPORATION|American Health Advantage of Louisiana (HMO I-SNP)|00025482|55.60|590| | |LA|19020|3|N
H8492|001|000|DIGNITY CARE CORPORATION|American Health Advantage of Louisiana (HMO I-SNP)|00025482|55.60|590| | |LA|19030|3|N
H8492|001|000|DIGNITY CARE CORPORATION|American Health Advantage of Louisiana (HMO I-SNP)|00025482|55.60|590| | |LA|19040|3|N
H8492|001|000|DIGNITY CARE CORPORATION|American Health Advantage of Louisiana (HMO I-SNP)|00025482|55.60|590| | |LA|19050|3|N
H8492|001|000|DIGNITY CARE CORPORATION|American Health Advantage of Louisiana (HMO I-SNP)|00025482|55.60|590| | |LA|19060|3|N
H8492|001|000|DIGNITY CARE CORPORATION|American Health Advantage of Louisiana (HMO I-SNP)|00025482|55.60|590| | |LA|19070|3|N
H8492|001|000|DIGNITY CARE CORPORATION|American Health Advantage of Louisiana (HMO I-SNP)|00025482|55.60|590| | |LA|19080|3|N
H8492|001|000|DIGNITY CARE CORPORATION|American Health Advantage of Louisiana (HMO I-SNP)|00025482|55.60|590| | |LA|19120|3|N
H8492|001|000|DIGNITY CARE CORPORATION|American Health Advantage of Louisiana (HMO I-SNP)|00025482|55.60|590| | |LA|19130|3|N
H8492|001|000|DIGNITY CARE CORPORATION|American Health Advantage of Louisiana (HMO I-SNP)|00025482|55.60|590| | |LA|19140|3|N
H8492|001|000|DIGNITY CARE CORPORATION|American Health Advantage of Louisiana (HMO I-SNP)|00025482|55.60|590| | |LA|19150|3|N
H8492|001|000|DIGNITY CARE CORPORATION|American Health Advantage of Louisiana (HMO I-SNP)|00025482|55.60|590| | |LA|19160|3|N
H8492|001|000|DIGNITY CARE CORPORATION|American Health Advantage of Louisiana (HMO I-SNP)|00025482|55.60|590| | |LA|19180|3|N
H8492|001|000|DIGNITY CARE CORPORATION|American Health Advantage of Louisiana (HMO I-SNP)|00025482|55.60|590| | |LA|19210|3|N
H8492|001|000|DIGNITY CARE CORPORATION|American Health Advantage of Louisiana (HMO I-SNP)|00025482|55.60|590| | |LA|19230|3|N
H8492|001|000|DIGNITY CARE CORPORATION|American Health Advantage of Louisiana (HMO I-SNP)|00025482|55.60|590| | |LA|19250|3|N
H8492|001|000|DIGNITY CARE CORPORATION|American Health Advantage of Louisiana (HMO I-SNP)|00025482|55.60|590| | |LA|19260|3|N
H8492|001|000|DIGNITY CARE CORPORATION|American Health Advantage of Louisiana (HMO I-SNP)|00025482|55.60|590| | |LA|19270|3|N
H8492|001|000|DIGNITY CARE CORPORATION|American Health Advantage of Louisiana (HMO I-SNP)|00025482|55.60|590| | |LA|19280|3|N
H8492|001|000|DIGNITY CARE CORPORATION|American Health Advantage of Louisiana (HMO I-SNP)|00025482|55.60|590| | |LA|19290|3|N
H8492|001|000|DIGNITY CARE CORPORATION|American Health Advantage of Louisiana (HMO I-SNP)|00025482|55.60|590| | |LA|19310|3|N
H8492|001|000|DIGNITY CARE CORPORATION|American Health Advantage of Louisiana (HMO I-SNP)|00025482|55.60|590| | |LA|19330|3|N
H8492|001|000|DIGNITY CARE CORPORATION|American Health Advantage of Louisiana (HMO I-SNP)|00025482|55.60|590| | |LA|19340|3|N
H8492|001|000|DIGNITY CARE CORPORATION|American Health Advantage of Louisiana (HMO I-SNP)|00025482|55.60|590| | |LA|19350|3|N
H8492|001|000|DIGNITY CARE CORPORATION|American Health Advantage of Louisiana (HMO I-SNP)|00025482|55.60|590| | |LA|19360|3|N
H8492|001|000|DIGNITY CARE CORPORATION|American Health Advantage of Louisiana (HMO I-SNP)|00025482|55.60|590| | |LA|19370|3|N
H8492|001|000|DIGNITY CARE CORPORATION|American Health Advantage of Louisiana (HMO I-SNP)|00025482|55.60|590| | |LA|19380|3|N
H8492|001|000|DIGNITY CARE CORPORATION|American Health Advantage of Louisiana (HMO I-SNP)|00025482|55.60|590| | |LA|19390|3|N
H8492|001|000|DIGNITY CARE CORPORATION|American Health Advantage of Louisiana (HMO I-SNP)|00025482|55.60|590| | |LA|19400|3|N
H8492|001|000|DIGNITY CARE CORPORATION|American Health Advantage of Louisiana (HMO I-SNP)|00025482|55.60|590| | |LA|19410|3|N
H8492|001|000|DIGNITY CARE CORPORATION|American Health Advantage of Louisiana (HMO I-SNP)|00025482|55.60|590| | |LA|19420|3|N
H8492|001|000|DIGNITY CARE CORPORATION|American Health Advantage of Louisiana (HMO I-SNP)|00025482|55.60|590| | |LA|19430|3|N
H8492|001|000|DIGNITY CARE CORPORATION|American Health Advantage of Louisiana (HMO I-SNP)|00025482|55.60|590| | |LA|19440|3|N
H8492|001|000|DIGNITY CARE CORPORATION|American Health Advantage of Louisiana (HMO I-SNP)|00025482|55.60|590| | |LA|19450|3|N
H8492|001|000|DIGNITY CARE CORPORATION|American Health Advantage of Louisiana (HMO I-SNP)|00025482|55.60|590| | |LA|19460|3|N
H8492|001|000|DIGNITY CARE CORPORATION|American Health Advantage of Louisiana (HMO I-SNP)|00025482|55.60|590| | |LA|19470|3|N
H8492|001|000|DIGNITY CARE CORPORATION|American Health Advantage of Louisiana (HMO I-SNP)|00025482|55.60|590| | |LA|19480|3|N
H8492|001|000|DIGNITY CARE CORPORATION|American Health Advantage of Louisiana (HMO I-SNP)|00025482|55.60|590| | |LA|19490|3|N
H8492|001|000|DIGNITY CARE CORPORATION|American Health Advantage of Louisiana (HMO I-SNP)|00025482|55.60|590| | |LA|19500|3|N
H8492|001|000|DIGNITY CARE CORPORATION|American Health Advantage of Louisiana (HMO I-SNP)|00025482|55.60|590| | |LA|19510|3|N
H8492|001|000|DIGNITY CARE CORPORATION|American Health Advantage of Louisiana (HMO I-SNP)|00025482|55.60|590| | |LA|19520|3|N
H8492|001|000|DIGNITY CARE CORPORATION|American Health Advantage of Louisiana (HMO I-SNP)|00025482|55.60|590| | |LA|19540|3|N
H8492|001|000|DIGNITY CARE CORPORATION|American Health Advantage of Louisiana (HMO I-SNP)|00025482|55.60|590| | |LA|19550|3|N
H8492|001|000|DIGNITY CARE CORPORATION|American Health Advantage of Louisiana (HMO I-SNP)|00025482|55.60|590| | |LA|19560|3|N
H8492|001|000|DIGNITY CARE CORPORATION|American Health Advantage of Louisiana (HMO I-SNP)|00025482|55.60|590| | |LA|19570|3|N
H8492|001|000|DIGNITY CARE CORPORATION|American Health Advantage of Louisiana (HMO I-SNP)|00025482|55.60|590| | |LA|19580|3|N
H8492|001|000|DIGNITY CARE CORPORATION|American Health Advantage of Louisiana (HMO I-SNP)|00025482|55.60|590| | |LA|19590|3|N
H8492|001|000|DIGNITY CARE CORPORATION|American Health Advantage of Louisiana (HMO I-SNP)|00025482|55.60|590| | |LA|19600|3|N
H8492|001|000|DIGNITY CARE CORPORATION|American Health Advantage of Louisiana (HMO I-SNP)|00025482|55.60|590| | |LA|19620|3|N
H8492|001|000|DIGNITY CARE CORPORATION|American Health Advantage of Louisiana (HMO I-SNP)|00025482|55.60|590| | |LA|19630|3|N
H8547|001|000|ILLINOIS BLUE CROSS BLUE SHIELD INSURANCE COMPANY|Blue Cross Medicare Advantage Secure (HMO)|00025445|0.00|0| | |IL|14141|0|N
H8547|001|000|ILLINOIS BLUE CROSS BLUE SHIELD INSURANCE COMPANY|Blue Cross Medicare Advantage Secure (HMO)|00025445|0.00|0| | |IL|14250|0|N
H8547|001|000|ILLINOIS BLUE CROSS BLUE SHIELD INSURANCE COMPANY|Blue Cross Medicare Advantage Secure (HMO)|00025445|0.00|0| | |IL|14530|0|N
H8547|001|000|ILLINOIS BLUE CROSS BLUE SHIELD INSURANCE COMPANY|Blue Cross Medicare Advantage Secure (HMO)|00025445|0.00|0| | |IL|14550|0|N
H8547|001|000|ILLINOIS BLUE CROSS BLUE SHIELD INSURANCE COMPANY|Blue Cross Medicare Advantage Secure (HMO)|00025445|0.00|0| | |IL|14570|0|N
H8547|001|000|ILLINOIS BLUE CROSS BLUE SHIELD INSURANCE COMPANY|Blue Cross Medicare Advantage Secure (HMO)|00025445|0.00|0| | |IL|14640|0|N
H8547|001|000|ILLINOIS BLUE CROSS BLUE SHIELD INSURANCE COMPANY|Blue Cross Medicare Advantage Secure (HMO)|00025445|0.00|0| | |IL|14989|0|N
H8552|028|000|ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY|Anthem Kidney Care (PPO C-SNP)|00025049|0.00|130| | |CA|05090|1|N
H8552|028|000|ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY|Anthem Kidney Care (PPO C-SNP)|00025049|0.00|130| | |CA|05140|1|N
H8552|028|000|ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY|Anthem Kidney Care (PPO C-SNP)|00025049|0.00|130| | |CA|05150|1|N
H8552|028|000|ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY|Anthem Kidney Care (PPO C-SNP)|00025049|0.00|130| | |CA|05300|1|N
H8552|028|000|ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY|Anthem Kidney Care (PPO C-SNP)|00025049|0.00|130| | |CA|05340|1|N
H8552|028|000|ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY|Anthem Kidney Care (PPO C-SNP)|00025049|0.00|130| | |CA|05370|1|N
H8552|028|000|ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY|Anthem Kidney Care (PPO C-SNP)|00025049|0.00|130| | |CA|05470|1|N
H8552|028|000|ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY|Anthem Kidney Care (PPO C-SNP)|00025049|0.00|130| | |CA|05490|1|N
H8552|028|000|ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY|Anthem Kidney Care (PPO C-SNP)|00025049|0.00|130| | |CA|05500|1|N
H8552|028|000|ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY|Anthem Kidney Care (PPO C-SNP)|00025049|0.00|130| | |CA|05600|1|N
H8552|028|000|ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY|Anthem Kidney Care (PPO C-SNP)|00025049|0.00|130| | |CA|05640|1|N
H8552|028|000|ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY|Anthem Kidney Care (PPO C-SNP)|00025049|0.00|130| | |CA|05660|1|N
H8552|029|000|ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|575| | |CA|05010|0|N
H8552|029|000|ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|575| | |CA|05020|0|N
H8552|029|000|ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|575| | |CA|05030|0|N
H8552|029|000|ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|575| | |CA|05040|0|N
H8552|029|000|ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|575| | |CA|05050|0|N
H8552|029|000|ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|575| | |CA|05060|0|N
H8552|029|000|ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|575| | |CA|05080|0|N
H8552|029|000|ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|575| | |CA|05100|0|N
H8552|029|000|ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|575| | |CA|05130|0|N
H8552|029|000|ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|575| | |CA|05320|0|N
H8552|029|000|ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|575| | |CA|05360|0|N
H8552|029|000|ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|575| | |CA|05380|0|N
H8552|029|000|ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|575| | |CA|05410|0|N
H8552|029|000|ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|575| | |CA|05420|0|N
H8552|029|000|ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|575| | |CA|05480|0|N
H8552|029|000|ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|575| | |CA|05550|0|N
H8552|029|000|ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|575| | |CA|05560|0|N
H8552|029|000|ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|575| | |CA|05580|0|N
H8552|029|000|ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|575| | |CA|05590|0|N
H8552|029|000|ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|575| | |CA|05610|0|N
H8552|029|000|ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|575| | |CA|05620|0|N
H8552|029|000|ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|575| | |CA|05650|0|N
H8552|029|000|ANTHEM BLUE CROSS LIFE AND HEALTH INS COMPANY|Anthem Medicare Advantage (PPO)|00025049|0.00|575| | |CA|05680|0|N
H8553|001|000|WELLCARE HEALTH INSURANCE OF THE SOUTHWEST, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |AZ|03010|0|N
H8553|001|000|WELLCARE HEALTH INSURANCE OF THE SOUTHWEST, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |AZ|03020|0|N
H8553|001|000|WELLCARE HEALTH INSURANCE OF THE SOUTHWEST, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |AZ|03030|0|N
H8553|001|000|WELLCARE HEALTH INSURANCE OF THE SOUTHWEST, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |AZ|03040|0|N
H8553|001|000|WELLCARE HEALTH INSURANCE OF THE SOUTHWEST, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |AZ|03055|0|N
H8553|001|000|WELLCARE HEALTH INSURANCE OF THE SOUTHWEST, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |AZ|03060|0|N
H8553|001|000|WELLCARE HEALTH INSURANCE OF THE SOUTHWEST, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |AZ|03070|0|N
H8553|001|000|WELLCARE HEALTH INSURANCE OF THE SOUTHWEST, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |AZ|03090|0|N
H8553|001|000|WELLCARE HEALTH INSURANCE OF THE SOUTHWEST, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |AZ|03100|0|N
H8553|001|000|WELLCARE HEALTH INSURANCE OF THE SOUTHWEST, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |AZ|03110|0|N
H8553|001|000|WELLCARE HEALTH INSURANCE OF THE SOUTHWEST, INC.|Wellcare Simple Open (PPO)|00025076|0.00|420| | |AZ|03120|0|N
H8554|001|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |TX|45060|0|N
H8554|001|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |TX|45090|0|N
H8554|001|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |TX|45130|0|N
H8554|001|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |TX|45240|0|N
H8554|001|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |TX|45320|0|N
H8554|001|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |TX|45480|0|N
H8554|001|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |TX|45650|0|N
H8554|001|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |TX|45731|0|N
H8554|001|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |TX|45792|0|N
H8554|001|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |TX|45962|0|N
H8554|001|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |TX|45971|0|N
H8554|003|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|49.80|590| | |OK|37050|2|N
H8554|003|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|49.80|590| | |OK|37060|2|N
H8554|003|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|49.80|590| | |OK|37080|2|N
H8554|003|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|49.80|590| | |OK|37090|2|N
H8554|003|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|49.80|590| | |OK|37100|2|N
H8554|003|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|49.80|590| | |OK|37130|2|N
H8554|003|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|49.80|590| | |OK|37180|2|N
H8554|003|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|49.80|590| | |OK|37190|2|N
H8554|003|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|49.80|590| | |OK|37230|2|N
H8554|003|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|49.80|590| | |OK|37240|2|N
H8554|003|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|49.80|590| | |OK|37250|2|N
H8554|003|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|49.80|590| | |OK|37310|2|N
H8554|003|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|49.80|590| | |OK|37340|2|N
H8554|003|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|49.80|590| | |OK|37350|2|N
H8554|003|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|49.80|590| | |OK|37360|2|N
H8554|003|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|49.80|590| | |OK|37400|2|N
H8554|003|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|49.80|590| | |OK|37410|2|N
H8554|003|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|49.80|590| | |OK|37420|2|N
H8554|003|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|49.80|590| | |OK|37430|2|N
H8554|003|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|49.80|590| | |OK|37450|2|N
H8554|003|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|49.80|590| | |OK|37470|2|N
H8554|003|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|49.80|590| | |OK|37480|2|N
H8554|003|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|49.80|590| | |OK|37520|2|N
H8554|003|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|49.80|590| | |OK|37530|2|N
H8554|003|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|49.80|590| | |OK|37540|2|N
H8554|003|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|49.80|590| | |OK|37550|2|N
H8554|003|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|49.80|590| | |OK|37560|2|N
H8554|003|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|49.80|590| | |OK|37580|2|N
H8554|003|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|49.80|590| | |OK|37590|2|N
H8554|003|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|49.80|590| | |OK|37600|2|N
H8554|003|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|49.80|590| | |OK|37610|2|N
H8554|003|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|49.80|590| | |OK|37620|2|N
H8554|003|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|49.80|590| | |OK|37660|2|N
H8554|003|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|49.80|590| | |OK|37710|2|N
H8554|003|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|49.80|590| | |OK|37730|2|N
H8554|004|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Saver (HMO)|00025443|0.00|590| | |TX|45060|0|N
H8554|004|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Saver (HMO)|00025443|0.00|590| | |TX|45090|0|N
H8554|004|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Saver (HMO)|00025443|0.00|590| | |TX|45130|0|N
H8554|004|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Saver (HMO)|00025443|0.00|590| | |TX|45320|0|N
H8554|004|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Saver (HMO)|00025443|0.00|590| | |TX|45480|0|N
H8554|004|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Saver (HMO)|00025443|0.00|590| | |TX|45731|0|N
H8554|004|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Saver (HMO)|00025443|0.00|590| | |TX|45792|0|N
H8554|004|000|GHS INSURANCE COMPANY|Blue Cross Medicare Advantage Saver (HMO)|00025443|0.00|590| | |TX|45971|0|N
H8578|001|000|HEALTH NEW ENGLAND, INC.|Health New England Medicare Premium (HMO)|00025345|13.90|350| | |MA|22010|0|N
H8578|001|000|HEALTH NEW ENGLAND, INC.|Health New England Medicare Premium (HMO)|00025345|13.90|350| | |MA|22060|0|N
H8578|001|000|HEALTH NEW ENGLAND, INC.|Health New England Medicare Premium (HMO)|00025345|13.90|350| | |MA|22070|0|N
H8578|001|000|HEALTH NEW ENGLAND, INC.|Health New England Medicare Premium (HMO)|00025345|13.90|350| | |MA|22080|0|N
H8578|004|000|HEALTH NEW ENGLAND, INC.|Health New England Medicare Plus (HMO)|00025345|14.20|350| | |MA|22010|0|N
H8578|004|000|HEALTH NEW ENGLAND, INC.|Health New England Medicare Plus (HMO)|00025345|14.20|350| | |MA|22060|0|N
H8578|004|000|HEALTH NEW ENGLAND, INC.|Health New England Medicare Plus (HMO)|00025345|14.20|350| | |MA|22070|0|N
H8578|004|000|HEALTH NEW ENGLAND, INC.|Health New England Medicare Plus (HMO)|00025345|14.20|350| | |MA|22080|0|N
H8578|012|000|HEALTH NEW ENGLAND, INC.|Health New England Medicare Value (HMO)|00025345|0.00|490| | |MA|22010|0|N
H8578|012|000|HEALTH NEW ENGLAND, INC.|Health New England Medicare Value (HMO)|00025345|0.00|490| | |MA|22060|0|N
H8578|012|000|HEALTH NEW ENGLAND, INC.|Health New England Medicare Value (HMO)|00025345|0.00|490| | |MA|22070|0|N
H8578|012|000|HEALTH NEW ENGLAND, INC.|Health New England Medicare Value (HMO)|00025345|0.00|490| | |MA|22080|0|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45030|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45060|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45090|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45113|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45120|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45130|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45170|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45210|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45221|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45222|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45223|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45224|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45240|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45260|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45281|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45312|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45320|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45321|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45341|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45420|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45440|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45451|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45480|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45490|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45500|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45511|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45561|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45562|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45570|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45581|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45590|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45620|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45640|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45650|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45660|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45681|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45690|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45710|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45711|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45722|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45731|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45732|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45743|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45750|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45752|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45754|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45755|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45756|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45760|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45770|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45782|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45783|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45791|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45792|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45794|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45795|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45803|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45810|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45821|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45830|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45842|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45860|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45870|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45871|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45874|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45876|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45878|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45881|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45883|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45892|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45900|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45921|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45930|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45942|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45943|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45947|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45953|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45962|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45971|2|N
H8597|001|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45974|2|N
H8597|002|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45160|2|N
H8597|002|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45310|2|N
H8597|002|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45390|2|N
H8597|002|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45410|2|N
H8597|002|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45470|2|N
H8597|002|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45510|2|N
H8597|002|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45564|2|N
H8597|002|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45651|2|N
H8597|002|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45653|2|N
H8597|002|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45670|2|N
H8597|002|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45720|2|N
H8597|002|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45730|2|N
H8597|002|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45758|2|N
H8597|002|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45780|2|N
H8597|002|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45800|2|N
H8597|002|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45820|2|N
H8597|002|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45843|2|N
H8597|002|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45879|2|N
H8597|002|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45893|2|N
H8597|002|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45910|2|N
H8597|002|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45973|2|N
H8597|003|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45070|2|N
H8597|003|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45180|2|N
H8597|003|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45190|2|N
H8597|003|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45280|2|N
H8597|003|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45530|2|N
H8597|003|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45580|2|N
H8597|003|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45600|2|N
H8597|003|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45610|2|N
H8597|003|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45700|2|N
H8597|003|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45757|2|N
H8597|003|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45790|2|N
H8597|003|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45801|2|N
H8597|003|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45850|2|N
H8597|003|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45884|2|N
H8597|003|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45948|2|N
H8597|003|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45949|2|N
H8597|003|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45950|2|N
H8597|003|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45952|2|N
H8597|003|000|AETNA BETTER HEALTH OF TEXAS INC.|Aetna Medicare Dual Complete (HMO D-SNP)|00025101|0.00|590| | |TX|45954|2|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36000|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36010|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36020|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36030|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36040|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36050|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36060|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36070|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36080|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36090|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36100|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36110|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36120|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36130|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36140|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36150|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36160|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36170|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36190|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36210|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36230|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36240|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36250|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36260|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36270|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36280|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36290|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36300|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36310|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36340|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36350|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36360|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36370|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36380|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36390|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36410|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36420|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36430|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36440|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36450|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36460|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36470|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36480|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36500|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36510|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36530|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36540|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36550|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36560|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36570|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36580|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36590|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36600|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36610|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36620|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36630|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36640|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36650|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36660|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36670|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36680|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36690|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36700|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36710|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36720|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36740|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36750|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36760|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36770|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36780|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36790|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36800|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36820|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36830|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36840|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36850|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36860|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |OH|36890|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |WV|51000|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |WV|51010|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |WV|51020|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |WV|51030|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |WV|51040|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |WV|51050|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |WV|51060|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |WV|51070|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |WV|51080|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |WV|51090|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |WV|51100|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |WV|51110|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |WV|51120|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |WV|51130|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |WV|51140|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |WV|51150|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |WV|51160|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |WV|51170|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |WV|51180|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |WV|51190|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |WV|51200|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |WV|51210|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |WV|51220|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |WV|51230|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |WV|51240|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |WV|51250|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |WV|51260|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |WV|51270|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |WV|51280|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |WV|51290|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |WV|51300|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |WV|51310|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |WV|51320|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |WV|51330|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |WV|51340|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |WV|51350|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |WV|51360|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |WV|51370|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |WV|51380|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |WV|51390|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |WV|51400|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |WV|51410|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |WV|51420|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |WV|51430|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |WV|51440|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |WV|51450|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |WV|51460|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |WV|51470|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |WV|51480|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |WV|51490|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |WV|51500|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |WV|51510|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |WV|51520|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |WV|51530|0|N
H8604|011|000|THP INSURANCE COMPANY|The Health Plan SecureChoice - Option II (PPO)|00025124|43.50|100| | |WV|51540|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36000|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36010|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36020|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36030|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36040|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36050|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36060|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36070|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36080|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36090|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36100|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36110|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36120|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36130|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36140|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36150|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36160|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36170|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36190|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36210|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36230|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36240|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36250|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36260|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36270|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36280|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36290|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36300|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36310|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36340|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36350|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36360|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36370|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36380|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36390|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36410|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36420|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36430|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36440|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36450|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36460|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36470|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36480|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36500|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36510|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36530|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36540|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36550|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36560|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36570|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36580|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36590|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36600|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36610|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36620|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36630|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36640|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36650|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36660|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36670|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36680|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36690|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36700|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36710|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36720|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36740|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36750|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36760|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36770|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36780|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36790|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36800|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36820|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36830|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36840|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36850|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36860|0|N
H8604|014|001|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |OH|36890|0|N
H8604|014|002|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |WV|51000|0|N
H8604|014|002|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |WV|51010|0|N
H8604|014|002|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |WV|51020|0|N
H8604|014|002|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |WV|51030|0|N
H8604|014|002|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |WV|51040|0|N
H8604|014|002|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |WV|51050|0|N
H8604|014|002|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |WV|51060|0|N
H8604|014|002|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |WV|51070|0|N
H8604|014|002|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |WV|51080|0|N
H8604|014|002|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |WV|51090|0|N
H8604|014|002|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |WV|51100|0|N
H8604|014|002|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |WV|51110|0|N
H8604|014|002|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |WV|51120|0|N
H8604|014|002|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |WV|51130|0|N
H8604|014|002|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |WV|51140|0|N
H8604|014|002|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |WV|51150|0|N
H8604|014|002|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |WV|51160|0|N
H8604|014|002|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |WV|51170|0|N
H8604|014|002|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |WV|51180|0|N
H8604|014|002|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |WV|51190|0|N
H8604|014|002|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |WV|51200|0|N
H8604|014|002|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |WV|51210|0|N
H8604|014|002|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |WV|51220|0|N
H8604|014|002|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |WV|51230|0|N
H8604|014|002|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |WV|51240|0|N
H8604|014|002|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |WV|51250|0|N
H8604|014|002|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |WV|51260|0|N
H8604|014|002|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |WV|51270|0|N
H8604|014|002|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |WV|51280|0|N
H8604|014|002|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |WV|51290|0|N
H8604|014|002|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |WV|51300|0|N
H8604|014|002|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |WV|51310|0|N
H8604|014|002|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |WV|51320|0|N
H8604|014|002|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |WV|51330|0|N
H8604|014|002|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |WV|51340|0|N
H8604|014|002|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |WV|51350|0|N
H8604|014|002|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |WV|51360|0|N
H8604|014|002|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |WV|51370|0|N
H8604|014|002|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |WV|51380|0|N
H8604|014|002|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |WV|51390|0|N
H8604|014|002|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |WV|51400|0|N
H8604|014|002|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |WV|51410|0|N
H8604|014|002|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |WV|51420|0|N
H8604|014|002|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |WV|51430|0|N
H8604|014|002|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |WV|51440|0|N
H8604|014|002|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |WV|51450|0|N
H8604|014|002|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |WV|51460|0|N
H8604|014|002|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |WV|51470|0|N
H8604|014|002|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |WV|51480|0|N
H8604|014|002|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |WV|51490|0|N
H8604|014|002|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |WV|51500|0|N
H8604|014|002|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |WV|51510|0|N
H8604|014|002|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |WV|51520|0|N
H8604|014|002|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |WV|51530|0|N
H8604|014|002|THP INSURANCE COMPANY|The Health Plan SecureChoice Optimum (PPO)|00025124|0.00|0| | |WV|51540|0|N
H8634|003|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|44.90|0| | |IL|14141|0|N
H8634|003|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|44.90|0| | |IL|14250|0|N
H8634|003|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|44.90|0| | |IL|14400|0|N
H8634|003|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|44.90|0| | |IL|14530|0|N
H8634|003|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|44.90|0| | |IL|14540|0|N
H8634|003|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|44.90|0| | |IL|14550|0|N
H8634|003|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|44.90|0| | |IL|14570|0|N
H8634|003|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|44.90|0| | |IL|14640|0|N
H8634|003|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Plus (PPO)|00025445|44.90|0| | |IL|14989|0|N
H8634|004|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Premier (PPO)|00025445|46.80|0| | |IL|14141|0|N
H8634|004|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Premier (PPO)|00025445|46.80|0| | |IL|14250|0|N
H8634|004|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Premier (PPO)|00025445|46.80|0| | |IL|14400|0|N
H8634|004|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Premier (PPO)|00025445|46.80|0| | |IL|14530|0|N
H8634|004|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Premier (PPO)|00025445|46.80|0| | |IL|14540|0|N
H8634|004|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Premier (PPO)|00025445|46.80|0| | |IL|14550|0|N
H8634|004|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Premier (PPO)|00025445|46.80|0| | |IL|14570|0|N
H8634|004|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Premier (PPO)|00025445|46.80|0| | |IL|14640|0|N
H8634|004|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Choice Premier (PPO)|00025445|46.80|0| | |IL|14989|0|N
H8634|008|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025443|0.00|250| | |IL|14141|0|N
H8634|008|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025443|0.00|250| | |IL|14250|0|N
H8634|008|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025443|0.00|250| | |IL|14400|0|N
H8634|008|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025443|0.00|250| | |IL|14530|0|N
H8634|008|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025443|0.00|250| | |IL|14540|0|N
H8634|008|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025443|0.00|250| | |IL|14550|0|N
H8634|008|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025443|0.00|250| | |IL|14570|0|N
H8634|008|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025443|0.00|250| | |IL|14640|0|N
H8634|008|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025443|0.00|250| | |IL|14989|0|N
H8634|009|000|HEALTH CARE SERVICE CORPORATION|Blue Cross MA Dual Care Plus Preferred (PPO D-SNP)|00025444|15.80|590| | |NM|32000|2|N
H8634|009|000|HEALTH CARE SERVICE CORPORATION|Blue Cross MA Dual Care Plus Preferred (PPO D-SNP)|00025444|15.80|590| | |NM|32010|2|N
H8634|009|000|HEALTH CARE SERVICE CORPORATION|Blue Cross MA Dual Care Plus Preferred (PPO D-SNP)|00025444|15.80|590| | |NM|32020|2|N
H8634|009|000|HEALTH CARE SERVICE CORPORATION|Blue Cross MA Dual Care Plus Preferred (PPO D-SNP)|00025444|15.80|590| | |NM|32025|2|N
H8634|009|000|HEALTH CARE SERVICE CORPORATION|Blue Cross MA Dual Care Plus Preferred (PPO D-SNP)|00025444|15.80|590| | |NM|32040|2|N
H8634|009|000|HEALTH CARE SERVICE CORPORATION|Blue Cross MA Dual Care Plus Preferred (PPO D-SNP)|00025444|15.80|590| | |NM|32060|2|N
H8634|009|000|HEALTH CARE SERVICE CORPORATION|Blue Cross MA Dual Care Plus Preferred (PPO D-SNP)|00025444|15.80|590| | |NM|32070|2|N
H8634|009|000|HEALTH CARE SERVICE CORPORATION|Blue Cross MA Dual Care Plus Preferred (PPO D-SNP)|00025444|15.80|590| | |NM|32080|2|N
H8634|009|000|HEALTH CARE SERVICE CORPORATION|Blue Cross MA Dual Care Plus Preferred (PPO D-SNP)|00025444|15.80|590| | |NM|32090|2|N
H8634|009|000|HEALTH CARE SERVICE CORPORATION|Blue Cross MA Dual Care Plus Preferred (PPO D-SNP)|00025444|15.80|590| | |NM|32100|2|N
H8634|009|000|HEALTH CARE SERVICE CORPORATION|Blue Cross MA Dual Care Plus Preferred (PPO D-SNP)|00025444|15.80|590| | |NM|32130|2|N
H8634|009|000|HEALTH CARE SERVICE CORPORATION|Blue Cross MA Dual Care Plus Preferred (PPO D-SNP)|00025444|15.80|590| | |NM|32131|2|N
H8634|009|000|HEALTH CARE SERVICE CORPORATION|Blue Cross MA Dual Care Plus Preferred (PPO D-SNP)|00025444|15.80|590| | |NM|32140|2|N
H8634|009|000|HEALTH CARE SERVICE CORPORATION|Blue Cross MA Dual Care Plus Preferred (PPO D-SNP)|00025444|15.80|590| | |NM|32150|2|N
H8634|009|000|HEALTH CARE SERVICE CORPORATION|Blue Cross MA Dual Care Plus Preferred (PPO D-SNP)|00025444|15.80|590| | |NM|32160|2|N
H8634|009|000|HEALTH CARE SERVICE CORPORATION|Blue Cross MA Dual Care Plus Preferred (PPO D-SNP)|00025444|15.80|590| | |NM|32170|2|N
H8634|009|000|HEALTH CARE SERVICE CORPORATION|Blue Cross MA Dual Care Plus Preferred (PPO D-SNP)|00025444|15.80|590| | |NM|32180|2|N
H8634|009|000|HEALTH CARE SERVICE CORPORATION|Blue Cross MA Dual Care Plus Preferred (PPO D-SNP)|00025444|15.80|590| | |NM|32190|2|N
H8634|009|000|HEALTH CARE SERVICE CORPORATION|Blue Cross MA Dual Care Plus Preferred (PPO D-SNP)|00025444|15.80|590| | |NM|32200|2|N
H8634|009|000|HEALTH CARE SERVICE CORPORATION|Blue Cross MA Dual Care Plus Preferred (PPO D-SNP)|00025444|15.80|590| | |NM|32210|2|N
H8634|009|000|HEALTH CARE SERVICE CORPORATION|Blue Cross MA Dual Care Plus Preferred (PPO D-SNP)|00025444|15.80|590| | |NM|32230|2|N
H8634|009|000|HEALTH CARE SERVICE CORPORATION|Blue Cross MA Dual Care Plus Preferred (PPO D-SNP)|00025444|15.80|590| | |NM|32240|2|N
H8634|009|000|HEALTH CARE SERVICE CORPORATION|Blue Cross MA Dual Care Plus Preferred (PPO D-SNP)|00025444|15.80|590| | |NM|32250|2|N
H8634|009|000|HEALTH CARE SERVICE CORPORATION|Blue Cross MA Dual Care Plus Preferred (PPO D-SNP)|00025444|15.80|590| | |NM|32260|2|N
H8634|009|000|HEALTH CARE SERVICE CORPORATION|Blue Cross MA Dual Care Plus Preferred (PPO D-SNP)|00025444|15.80|590| | |NM|32270|2|N
H8634|009|000|HEALTH CARE SERVICE CORPORATION|Blue Cross MA Dual Care Plus Preferred (PPO D-SNP)|00025444|15.80|590| | |NM|32280|2|N
H8634|009|000|HEALTH CARE SERVICE CORPORATION|Blue Cross MA Dual Care Plus Preferred (PPO D-SNP)|00025444|15.80|590| | |NM|32300|2|N
H8634|010|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |NM|32000|0|N
H8634|010|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |NM|32020|0|N
H8634|010|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |NM|32040|0|N
H8634|010|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |NM|32060|0|N
H8634|010|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |NM|32170|0|N
H8634|010|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |NM|32180|0|N
H8634|010|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |NM|32200|0|N
H8634|010|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |NM|32210|0|N
H8634|010|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |NM|32240|0|N
H8634|010|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |NM|32270|0|N
H8634|010|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |NM|32280|0|N
H8634|010|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|250| | |NM|32300|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14000|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14020|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14030|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14040|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14050|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14060|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14070|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14080|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14100|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14130|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14170|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14180|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14370|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14390|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14400|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14420|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14440|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14450|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14500|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14510|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14540|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14550|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14560|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14570|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14580|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14600|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14610|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14620|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14630|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14650|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14660|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14670|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14680|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14700|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14710|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14730|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14740|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14750|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14760|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14770|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14780|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14790|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14800|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14810|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14820|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14830|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14860|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14870|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14890|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14900|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14920|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14921|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14940|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14950|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14960|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14970|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14980|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14984|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14985|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14988|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14990|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14991|0|N
H8634|012|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Essential (PPO)|00025445|0.00|0| | |IL|14992|0|N
H8634|016|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Elite (PPO)|00025445|0.00|250| | |IL|14141|0|N
H8634|016|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Elite (PPO)|00025445|0.00|250| | |IL|14250|0|N
H8634|016|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Elite (PPO)|00025445|0.00|250| | |IL|14989|0|N
H8634|017|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |IL|14010|0|N
H8634|017|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |IL|14110|0|N
H8634|017|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |IL|14120|0|N
H8634|017|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |IL|14140|0|N
H8634|017|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |IL|14150|0|N
H8634|017|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |IL|14160|0|N
H8634|017|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |IL|14190|0|N
H8634|017|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |IL|14310|0|N
H8634|017|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |IL|14320|0|N
H8634|017|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |IL|14330|0|N
H8634|017|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |IL|14340|0|N
H8634|017|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |IL|14350|0|N
H8634|017|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |IL|14360|0|N
H8634|017|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |IL|14380|0|N
H8634|017|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |IL|14410|0|N
H8634|017|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |IL|14421|0|N
H8634|017|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |IL|14460|0|N
H8634|017|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |IL|14470|0|N
H8634|017|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |IL|14480|0|N
H8634|017|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |IL|14490|0|N
H8634|017|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |IL|14520|0|N
H8634|017|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |IL|14590|0|N
H8634|017|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |IL|14690|0|N
H8634|017|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |IL|14831|0|N
H8634|017|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |IL|14850|0|N
H8634|017|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |IL|14880|0|N
H8634|017|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |IL|14910|0|N
H8634|017|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |IL|14981|0|N
H8634|017|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |IL|14982|0|N
H8634|017|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |IL|14983|0|N
H8634|017|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |IL|14986|0|N
H8634|017|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Classic (PPO)|00025445|0.00|0| | |IL|14987|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14000|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14010|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14020|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14030|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14040|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14050|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14060|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14070|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14080|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14100|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14110|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14120|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14130|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14140|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14141|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14150|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14160|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14170|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14180|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14190|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14250|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14310|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14320|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14330|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14340|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14350|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14360|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14370|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14380|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14390|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14400|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14410|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14420|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14421|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14440|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14450|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14460|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14470|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14480|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14490|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14500|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14510|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14520|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14530|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14540|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14550|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14560|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14570|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14580|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14590|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14600|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14610|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14620|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14630|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14640|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14650|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14660|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14670|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14680|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14690|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14700|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14710|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14730|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14740|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14750|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14760|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14770|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14780|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14790|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14800|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14810|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14820|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14830|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14831|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14850|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14860|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14870|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14880|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14890|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14900|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14910|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14920|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14921|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14940|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14950|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14960|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14970|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14980|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14981|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14982|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14983|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14984|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14985|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14986|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14987|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14988|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14989|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14990|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14991|0|N
H8634|018|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Health Choice (PPO)|00025443|0.00|590| | |IL|14992|0|N
H8634|020|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |IL|14000|0|N
H8634|020|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |IL|14020|0|N
H8634|020|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |IL|14030|0|N
H8634|020|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |IL|14040|0|N
H8634|020|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |IL|14060|0|N
H8634|020|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |IL|14070|0|N
H8634|020|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |IL|14080|0|N
H8634|020|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |IL|14100|0|N
H8634|020|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |IL|14130|0|N
H8634|020|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |IL|14170|0|N
H8634|020|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |IL|14390|0|N
H8634|020|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |IL|14500|0|N
H8634|020|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |IL|14510|0|N
H8634|020|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |IL|14600|0|N
H8634|020|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |IL|14620|0|N
H8634|020|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |IL|14660|0|N
H8634|020|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |IL|14670|0|N
H8634|020|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |IL|14710|0|N
H8634|020|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |IL|14730|0|N
H8634|020|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |IL|14760|0|N
H8634|020|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |IL|14770|0|N
H8634|020|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |IL|14780|0|N
H8634|020|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |IL|14790|0|N
H8634|020|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |IL|14830|0|N
H8634|020|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |IL|14870|0|N
H8634|020|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |IL|14920|0|N
H8634|020|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |IL|14921|0|N
H8634|020|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |IL|14940|0|N
H8634|020|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |IL|14950|0|N
H8634|020|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |IL|14970|0|N
H8634|020|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |IL|14985|0|N
H8634|020|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Saver Plus (PPO)|00025443|0.00|590| | |IL|14991|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14000|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14010|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14020|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14030|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14040|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14050|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14060|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14070|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14080|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14100|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14110|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14120|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14130|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14140|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14141|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14150|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14160|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14170|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14180|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14190|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14250|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14310|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14320|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14330|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14340|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14350|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14360|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14370|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14380|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14390|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14400|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14410|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14420|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14421|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14440|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14450|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14460|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14470|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14480|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14490|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14500|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14510|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14520|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14530|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14540|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14550|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14560|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14570|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14580|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14590|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14600|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14610|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14620|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14630|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14640|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14650|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14660|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14670|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14680|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14690|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14700|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14710|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14730|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14740|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14750|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14760|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14770|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14780|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14790|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14800|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14810|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14820|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14830|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14831|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14850|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14860|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14870|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14880|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14890|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14900|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14910|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14920|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14921|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14940|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14950|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14960|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14970|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14980|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14981|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14982|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14983|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14984|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14985|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14986|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14987|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14988|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14989|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14990|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14991|0|N
H8634|021|000|HEALTH CARE SERVICE CORPORATION|Blue Cross Medicare Advantage Dental Premier (PPO)|00025443|0.00|590| | |IL|14992|0|N
H8649|003|000|AETNA HEALTH OF UTAH INC.|Aetna Medicare Advantra (HMO-POS)|00025101|0.00|590| | |UT|46010|0|N
H8649|003|000|AETNA HEALTH OF UTAH INC.|Aetna Medicare Advantra (HMO-POS)|00025101|0.00|590| | |UT|46020|0|N
H8649|003|000|AETNA HEALTH OF UTAH INC.|Aetna Medicare Advantra (HMO-POS)|00025101|0.00|590| | |UT|46050|0|N
H8649|003|000|AETNA HEALTH OF UTAH INC.|Aetna Medicare Advantra (HMO-POS)|00025101|0.00|590| | |UT|46100|0|N
H8649|003|000|AETNA HEALTH OF UTAH INC.|Aetna Medicare Advantra (HMO-POS)|00025101|0.00|590| | |UT|46140|0|N
H8649|003|000|AETNA HEALTH OF UTAH INC.|Aetna Medicare Advantra (HMO-POS)|00025101|0.00|590| | |UT|46160|0|N
H8649|003|000|AETNA HEALTH OF UTAH INC.|Aetna Medicare Advantra (HMO-POS)|00025101|0.00|590| | |UT|46170|0|N
H8649|003|000|AETNA HEALTH OF UTAH INC.|Aetna Medicare Advantra (HMO-POS)|00025101|0.00|590| | |UT|46210|0|N
H8649|003|000|AETNA HEALTH OF UTAH INC.|Aetna Medicare Advantra (HMO-POS)|00025101|0.00|590| | |UT|46220|0|N
H8649|003|000|AETNA HEALTH OF UTAH INC.|Aetna Medicare Advantra (HMO-POS)|00025101|0.00|590| | |UT|46240|0|N
H8649|003|000|AETNA HEALTH OF UTAH INC.|Aetna Medicare Advantra (HMO-POS)|00025101|0.00|590| | |UT|46260|0|N
H8649|003|000|AETNA HEALTH OF UTAH INC.|Aetna Medicare Advantra (HMO-POS)|00025101|0.00|590| | |UT|46280|0|N
H8649|008|000|AETNA HEALTH OF UTAH INC.|Aetna Medicare Advantra Select (HMO-POS)|00025101|22.00|590| | |UT|46030|0|N
H8649|008|000|AETNA HEALTH OF UTAH INC.|Aetna Medicare Advantra Select (HMO-POS)|00025101|22.00|590| | |UT|46060|0|N
H8649|008|000|AETNA HEALTH OF UTAH INC.|Aetna Medicare Advantra Select (HMO-POS)|00025101|22.00|590| | |UT|46110|0|N
H8649|008|000|AETNA HEALTH OF UTAH INC.|Aetna Medicare Advantra Select (HMO-POS)|00025101|22.00|590| | |UT|46230|0|N
H8649|008|000|AETNA HEALTH OF UTAH INC.|Aetna Medicare Advantra Select (HMO-POS)|00025101|22.00|590| | |WY|53200|0|N
H8649|010|000|AETNA HEALTH OF UTAH INC.|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |UT|46020|2|N
H8649|010|000|AETNA HEALTH OF UTAH INC.|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |UT|46050|2|N
H8649|010|000|AETNA HEALTH OF UTAH INC.|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |UT|46100|2|N
H8649|010|000|AETNA HEALTH OF UTAH INC.|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |UT|46140|2|N
H8649|010|000|AETNA HEALTH OF UTAH INC.|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |UT|46170|2|N
H8649|010|000|AETNA HEALTH OF UTAH INC.|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |UT|46210|2|N
H8649|010|000|AETNA HEALTH OF UTAH INC.|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |UT|46240|2|N
H8649|010|000|AETNA HEALTH OF UTAH INC.|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |UT|46260|2|N
H8649|010|000|AETNA HEALTH OF UTAH INC.|Aetna Medicare Dual Preferred (HMO D-SNP)|00025101|0.00|590| | |UT|46280|2|N
H8764|001|000|ASPIRE HEALTH PLAN|Aspire Health Advantage (HMO)|00025194|46.50|0| | |CA|05370|0|N
H8764|002|000|ASPIRE HEALTH PLAN|Aspire Health Plus (HMO-POS)|00025194|119.30|0| | |CA|05370|0|N
H8764|003|000|ASPIRE HEALTH PLAN|Aspire Health Value (HMO)|00025194|27.00|0| | |CA|05370|0|N
H8764|004|000|ASPIRE HEALTH PLAN|Aspire Health Protect (HMO)|00025194|0.00|200| | |CA|05370|0|N
H8768|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0003 (PPO)|00025002|48.00|420| | |IL|14030|0|N
H8768|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0003 (PPO)|00025002|48.00|420| | |IL|14040|0|N
H8768|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0003 (PPO)|00025002|48.00|420| | |IL|14050|0|N
H8768|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0003 (PPO)|00025002|48.00|420| | |IL|14070|0|N
H8768|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0003 (PPO)|00025002|48.00|420| | |IL|14080|0|N
H8768|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0003 (PPO)|00025002|48.00|420| | |IL|14100|0|N
H8768|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0003 (PPO)|00025002|48.00|420| | |IL|14110|0|N
H8768|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0003 (PPO)|00025002|48.00|420| | |IL|14120|0|N
H8768|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0003 (PPO)|00025002|48.00|420| | |IL|14140|0|N
H8768|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0003 (PPO)|00025002|48.00|420| | |IL|14150|0|N
H8768|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0003 (PPO)|00025002|48.00|420| | |IL|14160|0|N
H8768|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0003 (PPO)|00025002|48.00|420| | |IL|14180|0|N
H8768|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0003 (PPO)|00025002|48.00|420| | |IL|14190|0|N
H8768|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0003 (PPO)|00025002|48.00|420| | |IL|14310|0|N
H8768|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0003 (PPO)|00025002|48.00|420| | |IL|14320|0|N
H8768|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0003 (PPO)|00025002|48.00|420| | |IL|14360|0|N
H8768|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0003 (PPO)|00025002|48.00|420| | |IL|14370|0|N
H8768|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0003 (PPO)|00025002|48.00|420| | |IL|14410|0|N
H8768|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0003 (PPO)|00025002|48.00|420| | |IL|14420|0|N
H8768|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0003 (PPO)|00025002|48.00|420| | |IL|14440|0|N
H8768|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0003 (PPO)|00025002|48.00|420| | |IL|14480|0|N
H8768|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0003 (PPO)|00025002|48.00|420| | |IL|14490|0|N
H8768|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0003 (PPO)|00025002|48.00|420| | |IL|14510|0|N
H8768|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0003 (PPO)|00025002|48.00|420| | |IL|14560|0|N
H8768|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0003 (PPO)|00025002|48.00|420| | |IL|14590|0|N
H8768|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0003 (PPO)|00025002|48.00|420| | |IL|14600|0|N
H8768|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0003 (PPO)|00025002|48.00|420| | |IL|14620|0|N
H8768|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0003 (PPO)|00025002|48.00|420| | |IL|14630|0|N
H8768|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0003 (PPO)|00025002|48.00|420| | |IL|14650|0|N
H8768|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0003 (PPO)|00025002|48.00|420| | |IL|14660|0|N
H8768|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0003 (PPO)|00025002|48.00|420| | |IL|14700|0|N
H8768|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0003 (PPO)|00025002|48.00|420| | |IL|14710|0|N
H8768|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0003 (PPO)|00025002|48.00|420| | |IL|14730|0|N
H8768|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0003 (PPO)|00025002|48.00|420| | |IL|14770|0|N
H8768|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0003 (PPO)|00025002|48.00|420| | |IL|14780|0|N
H8768|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0003 (PPO)|00025002|48.00|420| | |IL|14790|0|N
H8768|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0003 (PPO)|00025002|48.00|420| | |IL|14800|0|N
H8768|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0003 (PPO)|00025002|48.00|420| | |IL|14820|0|N
H8768|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0003 (PPO)|00025002|48.00|420| | |IL|14860|0|N
H8768|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0003 (PPO)|00025002|48.00|420| | |IL|14880|0|N
H8768|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0003 (PPO)|00025002|48.00|420| | |IL|14920|0|N
H8768|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0003 (PPO)|00025002|48.00|420| | |IL|14921|0|N
H8768|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0003 (PPO)|00025002|48.00|420| | |IL|14940|0|N
H8768|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0003 (PPO)|00025002|48.00|420| | |IL|14950|0|N
H8768|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0003 (PPO)|00025002|48.00|420| | |IL|14960|0|N
H8768|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0003 (PPO)|00025002|48.00|420| | |IL|14970|0|N
H8768|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0003 (PPO)|00025002|48.00|420| | |IL|14980|0|N
H8768|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0003 (PPO)|00025002|48.00|420| | |IL|14982|0|N
H8768|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0003 (PPO)|00025002|48.00|420| | |IL|14983|0|N
H8768|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0003 (PPO)|00025002|48.00|420| | |IL|14984|0|N
H8768|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0003 (PPO)|00025002|48.00|420| | |IL|14986|0|N
H8768|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0003 (PPO)|00025002|48.00|420| | |IL|14987|0|N
H8768|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0003 (PPO)|00025002|48.00|420| | |IL|14988|0|N
H8768|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0003 (PPO)|00025002|48.00|420| | |IL|14991|0|N
H8768|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0003 (PPO)|00025002|48.00|420| | |IL|14992|0|N
H8768|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0004 (PPO)|00025002|42.50|495| | |IL|14141|0|N
H8768|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0004 (PPO)|00025002|42.50|495| | |IL|14170|0|N
H8768|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0004 (PPO)|00025002|42.50|495| | |IL|14250|0|N
H8768|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0004 (PPO)|00025002|42.50|495| | |IL|14350|0|N
H8768|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0004 (PPO)|00025002|42.50|495| | |IL|14400|0|N
H8768|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0004 (PPO)|00025002|42.50|495| | |IL|14460|0|N
H8768|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0004 (PPO)|00025002|42.50|495| | |IL|14530|0|N
H8768|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0004 (PPO)|00025002|42.50|495| | |IL|14540|0|N
H8768|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0004 (PPO)|00025002|42.50|495| | |IL|14550|0|N
H8768|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0004 (PPO)|00025002|42.50|495| | |IL|14570|0|N
H8768|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0004 (PPO)|00025002|42.50|495| | |IL|14580|0|N
H8768|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0004 (PPO)|00025002|42.50|495| | |IL|14610|0|N
H8768|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0004 (PPO)|00025002|42.50|495| | |IL|14640|0|N
H8768|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-0004 (PPO)|00025002|42.50|495| | |IL|14989|0|N
H8768|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0014 (PPO)|00025002|45.00|420| | |OH|36210|0|N
H8768|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0014 (PPO)|00025002|45.00|420| | |OH|36230|0|N
H8768|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0014 (PPO)|00025002|45.00|420| | |OH|36240|0|N
H8768|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0014 (PPO)|00025002|45.00|420| | |OH|36250|0|N
H8768|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0014 (PPO)|00025002|45.00|420| | |OH|36430|0|N
H8768|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0014 (PPO)|00025002|45.00|420| | |OH|36460|0|N
H8768|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0014 (PPO)|00025002|45.00|420| | |OH|36500|0|N
H8768|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0014 (PPO)|00025002|45.00|420| | |OH|36520|0|N
H8768|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0014 (PPO)|00025002|45.00|420| | |OH|36570|0|N
H8768|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0014 (PPO)|00025002|45.00|420| | |OH|36590|0|N
H8768|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0014 (PPO)|00025002|45.00|420| | |OH|36600|0|N
H8768|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0014 (PPO)|00025002|45.00|420| | |OH|36610|0|N
H8768|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0014 (PPO)|00025002|45.00|420| | |OH|36620|0|N
H8768|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0014 (PPO)|00025002|45.00|420| | |OH|36650|0|N
H8768|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0014 (PPO)|00025002|45.00|420| | |OH|36660|0|N
H8768|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0014 (PPO)|00025002|45.00|420| | |OH|36710|0|N
H8768|007|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0014 (PPO)|00025002|45.00|420| | |OH|36810|0|N
H8768|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0005 (PPO)|00025002|39.00|420| | |OK|37010|0|N
H8768|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0005 (PPO)|00025002|39.00|420| | |OK|37030|0|N
H8768|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0005 (PPO)|00025002|39.00|420| | |OK|37040|0|N
H8768|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0005 (PPO)|00025002|39.00|420| | |OK|37050|0|N
H8768|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0005 (PPO)|00025002|39.00|420| | |OK|37070|0|N
H8768|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0005 (PPO)|00025002|39.00|420| | |OK|37080|0|N
H8768|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0005 (PPO)|00025002|39.00|420| | |OK|37090|0|N
H8768|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0005 (PPO)|00025002|39.00|420| | |OK|37120|0|N
H8768|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0005 (PPO)|00025002|39.00|420| | |OK|37130|0|N
H8768|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0005 (PPO)|00025002|39.00|420| | |OK|37150|0|N
H8768|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0005 (PPO)|00025002|39.00|420| | |OK|37160|0|N
H8768|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0005 (PPO)|00025002|39.00|420| | |OK|37190|0|N
H8768|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0005 (PPO)|00025002|39.00|420| | |OK|37210|0|N
H8768|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0005 (PPO)|00025002|39.00|420| | |OK|37240|0|N
H8768|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0005 (PPO)|00025002|39.00|420| | |OK|37250|0|N
H8768|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0005 (PPO)|00025002|39.00|420| | |OK|37260|0|N
H8768|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0005 (PPO)|00025002|39.00|420| | |OK|37270|0|N
H8768|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0005 (PPO)|00025002|39.00|420| | |OK|37280|0|N
H8768|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0005 (PPO)|00025002|39.00|420| | |OK|37310|0|N
H8768|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0005 (PPO)|00025002|39.00|420| | |OK|37320|0|N
H8768|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0005 (PPO)|00025002|39.00|420| | |OK|37330|0|N
H8768|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0005 (PPO)|00025002|39.00|420| | |OK|37360|0|N
H8768|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0005 (PPO)|00025002|39.00|420| | |OK|37370|0|N
H8768|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0005 (PPO)|00025002|39.00|420| | |OK|37400|0|N
H8768|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0005 (PPO)|00025002|39.00|420| | |OK|37410|0|N
H8768|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0005 (PPO)|00025002|39.00|420| | |OK|37420|0|N
H8768|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0005 (PPO)|00025002|39.00|420| | |OK|37430|0|N
H8768|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0005 (PPO)|00025002|39.00|420| | |OK|37460|0|N
H8768|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0005 (PPO)|00025002|39.00|420| | |OK|37490|0|N
H8768|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0005 (PPO)|00025002|39.00|420| | |OK|37530|0|N
H8768|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0005 (PPO)|00025002|39.00|420| | |OK|37540|0|N
H8768|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0005 (PPO)|00025002|39.00|420| | |OK|37610|0|N
H8768|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0005 (PPO)|00025002|39.00|420| | |OK|37620|0|N
H8768|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0005 (PPO)|00025002|39.00|420| | |OK|37640|0|N
H8768|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0005 (PPO)|00025002|39.00|420| | |OK|37660|0|N
H8768|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0005 (PPO)|00025002|39.00|420| | |OK|37680|0|N
H8768|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0005 (PPO)|00025002|39.00|420| | |OK|37690|0|N
H8768|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0005 (PPO)|00025002|39.00|420| | |OK|37700|0|N
H8768|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0005 (PPO)|00025002|39.00|420| | |OK|37740|0|N
H8768|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0005 (PPO)|00025002|39.00|420| | |OK|37750|0|N
H8768|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0006 (PPO)|00025002|0.00|420| | |OK|37000|0|N
H8768|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0006 (PPO)|00025002|0.00|420| | |OK|37020|0|N
H8768|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0006 (PPO)|00025002|0.00|420| | |OK|37060|0|N
H8768|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0006 (PPO)|00025002|0.00|420| | |OK|37100|0|N
H8768|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0006 (PPO)|00025002|0.00|420| | |OK|37110|0|N
H8768|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0006 (PPO)|00025002|0.00|420| | |OK|37140|0|N
H8768|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0006 (PPO)|00025002|0.00|420| | |OK|37170|0|N
H8768|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0006 (PPO)|00025002|0.00|420| | |OK|37180|0|N
H8768|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0006 (PPO)|00025002|0.00|420| | |OK|37200|0|N
H8768|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0006 (PPO)|00025002|0.00|420| | |OK|37300|0|N
H8768|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0006 (PPO)|00025002|0.00|420| | |OK|37310|0|N
H8768|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0006 (PPO)|00025002|0.00|420| | |OK|37340|0|N
H8768|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0006 (PPO)|00025002|0.00|420| | |OK|37350|0|N
H8768|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0006 (PPO)|00025002|0.00|420| | |OK|37380|0|N
H8768|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0006 (PPO)|00025002|0.00|420| | |OK|37390|0|N
H8768|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0006 (PPO)|00025002|0.00|420| | |OK|37440|0|N
H8768|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0006 (PPO)|00025002|0.00|420| | |OK|37450|0|N
H8768|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0006 (PPO)|00025002|0.00|420| | |OK|37470|0|N
H8768|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0006 (PPO)|00025002|0.00|420| | |OK|37480|0|N
H8768|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0006 (PPO)|00025002|0.00|420| | |OK|37500|0|N
H8768|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0006 (PPO)|00025002|0.00|420| | |OK|37510|0|N
H8768|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0006 (PPO)|00025002|0.00|420| | |OK|37520|0|N
H8768|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0006 (PPO)|00025002|0.00|420| | |OK|37530|0|N
H8768|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0006 (PPO)|00025002|0.00|420| | |OK|37550|0|N
H8768|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0006 (PPO)|00025002|0.00|420| | |OK|37560|0|N
H8768|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0006 (PPO)|00025002|0.00|420| | |OK|37570|0|N
H8768|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0006 (PPO)|00025002|0.00|420| | |OK|37580|0|N
H8768|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0006 (PPO)|00025002|0.00|420| | |OK|37600|0|N
H8768|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0006 (PPO)|00025002|0.00|420| | |OK|37630|0|N
H8768|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0006 (PPO)|00025002|0.00|420| | |OK|37650|0|N
H8768|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0006 (PPO)|00025002|0.00|420| | |OK|37670|0|N
H8768|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0006 (PPO)|00025002|0.00|420| | |OK|37710|0|N
H8768|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0006 (PPO)|00025002|0.00|420| | |OK|37720|0|N
H8768|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-5 (PPO)|00025002|0.00|495| | |IL|14141|0|N
H8768|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-5 (PPO)|00025002|0.00|495| | |IL|14170|0|N
H8768|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-5 (PPO)|00025002|0.00|495| | |IL|14250|0|N
H8768|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-5 (PPO)|00025002|0.00|495| | |IL|14350|0|N
H8768|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-5 (PPO)|00025002|0.00|495| | |IL|14400|0|N
H8768|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-5 (PPO)|00025002|0.00|495| | |IL|14460|0|N
H8768|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-5 (PPO)|00025002|0.00|495| | |IL|14530|0|N
H8768|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-5 (PPO)|00025002|0.00|495| | |IL|14540|0|N
H8768|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-5 (PPO)|00025002|0.00|495| | |IL|14550|0|N
H8768|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-5 (PPO)|00025002|0.00|495| | |IL|14570|0|N
H8768|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-5 (PPO)|00025002|0.00|495| | |IL|14580|0|N
H8768|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-5 (PPO)|00025002|0.00|495| | |IL|14610|0|N
H8768|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-5 (PPO)|00025002|0.00|495| | |IL|14640|0|N
H8768|010|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-5 (PPO)|00025002|0.00|495| | |IL|14989|0|N
H8768|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-6 (PPO)|00025002|0.00|420| | |IL|14030|0|N
H8768|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-6 (PPO)|00025002|0.00|420| | |IL|14040|0|N
H8768|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-6 (PPO)|00025002|0.00|420| | |IL|14050|0|N
H8768|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-6 (PPO)|00025002|0.00|420| | |IL|14070|0|N
H8768|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-6 (PPO)|00025002|0.00|420| | |IL|14080|0|N
H8768|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-6 (PPO)|00025002|0.00|420| | |IL|14100|0|N
H8768|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-6 (PPO)|00025002|0.00|420| | |IL|14110|0|N
H8768|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-6 (PPO)|00025002|0.00|420| | |IL|14120|0|N
H8768|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-6 (PPO)|00025002|0.00|420| | |IL|14140|0|N
H8768|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-6 (PPO)|00025002|0.00|420| | |IL|14150|0|N
H8768|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-6 (PPO)|00025002|0.00|420| | |IL|14160|0|N
H8768|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-6 (PPO)|00025002|0.00|420| | |IL|14180|0|N
H8768|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-6 (PPO)|00025002|0.00|420| | |IL|14190|0|N
H8768|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-6 (PPO)|00025002|0.00|420| | |IL|14310|0|N
H8768|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-6 (PPO)|00025002|0.00|420| | |IL|14320|0|N
H8768|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-6 (PPO)|00025002|0.00|420| | |IL|14360|0|N
H8768|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-6 (PPO)|00025002|0.00|420| | |IL|14370|0|N
H8768|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-6 (PPO)|00025002|0.00|420| | |IL|14410|0|N
H8768|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-6 (PPO)|00025002|0.00|420| | |IL|14420|0|N
H8768|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-6 (PPO)|00025002|0.00|420| | |IL|14440|0|N
H8768|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-6 (PPO)|00025002|0.00|420| | |IL|14480|0|N
H8768|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-6 (PPO)|00025002|0.00|420| | |IL|14490|0|N
H8768|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-6 (PPO)|00025002|0.00|420| | |IL|14510|0|N
H8768|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-6 (PPO)|00025002|0.00|420| | |IL|14560|0|N
H8768|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-6 (PPO)|00025002|0.00|420| | |IL|14590|0|N
H8768|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-6 (PPO)|00025002|0.00|420| | |IL|14600|0|N
H8768|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-6 (PPO)|00025002|0.00|420| | |IL|14620|0|N
H8768|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-6 (PPO)|00025002|0.00|420| | |IL|14630|0|N
H8768|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-6 (PPO)|00025002|0.00|420| | |IL|14650|0|N
H8768|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-6 (PPO)|00025002|0.00|420| | |IL|14660|0|N
H8768|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-6 (PPO)|00025002|0.00|420| | |IL|14700|0|N
H8768|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-6 (PPO)|00025002|0.00|420| | |IL|14710|0|N
H8768|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-6 (PPO)|00025002|0.00|420| | |IL|14730|0|N
H8768|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-6 (PPO)|00025002|0.00|420| | |IL|14770|0|N
H8768|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-6 (PPO)|00025002|0.00|420| | |IL|14780|0|N
H8768|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-6 (PPO)|00025002|0.00|420| | |IL|14790|0|N
H8768|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-6 (PPO)|00025002|0.00|420| | |IL|14800|0|N
H8768|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-6 (PPO)|00025002|0.00|420| | |IL|14820|0|N
H8768|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-6 (PPO)|00025002|0.00|420| | |IL|14860|0|N
H8768|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-6 (PPO)|00025002|0.00|420| | |IL|14880|0|N
H8768|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-6 (PPO)|00025002|0.00|420| | |IL|14920|0|N
H8768|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-6 (PPO)|00025002|0.00|420| | |IL|14921|0|N
H8768|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-6 (PPO)|00025002|0.00|420| | |IL|14940|0|N
H8768|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-6 (PPO)|00025002|0.00|420| | |IL|14950|0|N
H8768|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-6 (PPO)|00025002|0.00|420| | |IL|14960|0|N
H8768|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-6 (PPO)|00025002|0.00|420| | |IL|14970|0|N
H8768|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-6 (PPO)|00025002|0.00|420| | |IL|14980|0|N
H8768|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-6 (PPO)|00025002|0.00|420| | |IL|14982|0|N
H8768|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-6 (PPO)|00025002|0.00|420| | |IL|14983|0|N
H8768|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-6 (PPO)|00025002|0.00|420| | |IL|14984|0|N
H8768|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-6 (PPO)|00025002|0.00|420| | |IL|14986|0|N
H8768|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-6 (PPO)|00025002|0.00|420| | |IL|14987|0|N
H8768|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-6 (PPO)|00025002|0.00|420| | |IL|14988|0|N
H8768|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-6 (PPO)|00025002|0.00|420| | |IL|14991|0|N
H8768|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IL-6 (PPO)|00025002|0.00|420| | |IL|14992|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18000|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18010|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18020|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18030|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18040|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18050|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18060|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18080|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18090|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18100|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18110|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18120|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18130|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18140|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18150|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18160|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18170|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18190|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18191|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18210|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18220|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18230|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18240|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18250|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18260|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18270|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18271|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18290|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18291|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18310|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18320|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18330|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18340|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18350|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18360|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18361|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18362|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18390|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18400|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18410|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18420|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18421|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18440|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18450|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18460|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18470|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18480|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18490|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18500|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18510|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18511|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18530|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18540|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18550|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18560|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18570|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18590|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18600|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18610|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18620|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18630|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18640|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18650|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18660|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18670|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18680|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18690|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18700|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18710|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18720|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18730|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18740|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18750|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18760|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18770|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18780|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18790|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18800|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18801|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18802|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18830|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18831|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18850|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18860|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18861|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18880|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18890|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18900|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18910|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18920|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18930|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18931|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18932|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18960|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18970|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18971|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18972|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18973|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18974|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18975|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18976|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18977|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18978|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18979|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18980|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18981|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18982|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18983|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18984|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18985|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18986|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18987|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18988|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18989|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18990|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18991|0|N
H8768|013|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KY-0003 (PPO)|00025002|0.00|420| | |KY|18992|0|N
H8768|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0004 (PPO)|00025002|0.00|420| | |OH|36020|0|N
H8768|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0004 (PPO)|00025002|0.00|420| | |OH|36030|0|N
H8768|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0004 (PPO)|00025002|0.00|420| | |OH|36060|0|N
H8768|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0004 (PPO)|00025002|0.00|420| | |OH|36090|0|N
H8768|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0004 (PPO)|00025002|0.00|420| | |OH|36140|0|N
H8768|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0004 (PPO)|00025002|0.00|420| | |OH|36150|0|N
H8768|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0004 (PPO)|00025002|0.00|420| | |OH|36170|0|N
H8768|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0004 (PPO)|00025002|0.00|420| | |OH|36280|0|N
H8768|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0004 (PPO)|00025002|0.00|420| | |OH|36300|0|N
H8768|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0004 (PPO)|00025002|0.00|420| | |OH|36350|0|N
H8768|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0004 (PPO)|00025002|0.00|420| | |OH|36390|0|N
H8768|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0004 (PPO)|00025002|0.00|420| | |OH|36420|0|N
H8768|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0004 (PPO)|00025002|0.00|420| | |OH|36440|0|N
H8768|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0004 (PPO)|00025002|0.00|420| | |OH|36480|0|N
H8768|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0004 (PPO)|00025002|0.00|420| | |OH|36510|0|N
H8768|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0004 (PPO)|00025002|0.00|420| | |OH|36530|0|N
H8768|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0004 (PPO)|00025002|0.00|420| | |OH|36680|0|N
H8768|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0004 (PPO)|00025002|0.00|420| | |OH|36770|0|N
H8768|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0004 (PPO)|00025002|0.00|420| | |OH|36780|0|N
H8768|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0004 (PPO)|00025002|0.00|420| | |OH|36790|0|N
H8768|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0004 (PPO)|00025002|0.00|420| | |OH|36800|0|N
H8768|014|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0004 (PPO)|00025002|0.00|420| | |OH|36860|0|N
H8768|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0007 (PPO)|00025002|0.00|420| | |OK|37010|0|N
H8768|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0007 (PPO)|00025002|0.00|420| | |OK|37030|0|N
H8768|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0007 (PPO)|00025002|0.00|420| | |OK|37040|0|N
H8768|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0007 (PPO)|00025002|0.00|420| | |OK|37050|0|N
H8768|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0007 (PPO)|00025002|0.00|420| | |OK|37070|0|N
H8768|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0007 (PPO)|00025002|0.00|420| | |OK|37080|0|N
H8768|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0007 (PPO)|00025002|0.00|420| | |OK|37090|0|N
H8768|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0007 (PPO)|00025002|0.00|420| | |OK|37120|0|N
H8768|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0007 (PPO)|00025002|0.00|420| | |OK|37130|0|N
H8768|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0007 (PPO)|00025002|0.00|420| | |OK|37150|0|N
H8768|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0007 (PPO)|00025002|0.00|420| | |OK|37160|0|N
H8768|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0007 (PPO)|00025002|0.00|420| | |OK|37190|0|N
H8768|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0007 (PPO)|00025002|0.00|420| | |OK|37210|0|N
H8768|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0007 (PPO)|00025002|0.00|420| | |OK|37240|0|N
H8768|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0007 (PPO)|00025002|0.00|420| | |OK|37250|0|N
H8768|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0007 (PPO)|00025002|0.00|420| | |OK|37260|0|N
H8768|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0007 (PPO)|00025002|0.00|420| | |OK|37270|0|N
H8768|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0007 (PPO)|00025002|0.00|420| | |OK|37280|0|N
H8768|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0007 (PPO)|00025002|0.00|420| | |OK|37310|0|N
H8768|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0007 (PPO)|00025002|0.00|420| | |OK|37320|0|N
H8768|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0007 (PPO)|00025002|0.00|420| | |OK|37330|0|N
H8768|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0007 (PPO)|00025002|0.00|420| | |OK|37360|0|N
H8768|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0007 (PPO)|00025002|0.00|420| | |OK|37370|0|N
H8768|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0007 (PPO)|00025002|0.00|420| | |OK|37400|0|N
H8768|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0007 (PPO)|00025002|0.00|420| | |OK|37410|0|N
H8768|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0007 (PPO)|00025002|0.00|420| | |OK|37420|0|N
H8768|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0007 (PPO)|00025002|0.00|420| | |OK|37430|0|N
H8768|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0007 (PPO)|00025002|0.00|420| | |OK|37460|0|N
H8768|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0007 (PPO)|00025002|0.00|420| | |OK|37490|0|N
H8768|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0007 (PPO)|00025002|0.00|420| | |OK|37530|0|N
H8768|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0007 (PPO)|00025002|0.00|420| | |OK|37540|0|N
H8768|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0007 (PPO)|00025002|0.00|420| | |OK|37610|0|N
H8768|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0007 (PPO)|00025002|0.00|420| | |OK|37620|0|N
H8768|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0007 (PPO)|00025002|0.00|420| | |OK|37640|0|N
H8768|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0007 (PPO)|00025002|0.00|420| | |OK|37660|0|N
H8768|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0007 (PPO)|00025002|0.00|420| | |OK|37680|0|N
H8768|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0007 (PPO)|00025002|0.00|420| | |OK|37690|0|N
H8768|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0007 (PPO)|00025002|0.00|420| | |OK|37700|0|N
H8768|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0007 (PPO)|00025002|0.00|420| | |OK|37740|0|N
H8768|016|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OK-0007 (PPO)|00025002|0.00|420| | |OK|37750|0|N
H8768|017|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16240|0|N
H8768|017|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16490|0|N
H8768|017|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16600|0|N
H8768|017|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16630|0|N
H8768|017|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16760|0|N
H8768|017|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16840|0|N
H8768|017|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16900|0|N
H8768|017|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16050|0|N
H8768|017|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16060|0|N
H8768|017|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16070|0|N
H8768|017|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16100|0|N
H8768|017|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16110|0|N
H8768|017|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16120|0|N
H8768|017|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16130|0|N
H8768|017|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16150|0|N
H8768|017|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16160|0|N
H8768|017|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16200|0|N
H8768|017|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16210|0|N
H8768|017|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16220|0|N
H8768|017|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16230|0|N
H8768|017|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16270|0|N
H8768|017|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16280|0|N
H8768|017|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16290|0|N
H8768|017|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16300|0|N
H8768|017|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16310|0|N
H8768|017|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16320|0|N
H8768|017|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16330|0|N
H8768|017|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16340|0|N
H8768|017|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16370|0|N
H8768|017|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16390|0|N
H8768|017|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16400|0|N
H8768|017|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16410|0|N
H8768|017|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16430|0|N
H8768|017|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16450|0|N
H8768|017|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16470|0|N
H8768|017|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16480|0|N
H8768|017|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16510|0|N
H8768|017|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16520|0|N
H8768|017|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16530|0|N
H8768|017|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16540|0|N
H8768|017|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16550|0|N
H8768|017|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16560|0|N
H8768|017|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16570|0|N
H8768|017|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16690|0|N
H8768|017|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16730|0|N
H8768|017|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16750|0|N
H8768|017|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16780|0|N
H8768|017|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16800|0|N
H8768|017|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16810|0|N
H8768|017|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16850|0|N
H8768|017|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16910|0|N
H8768|017|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16930|0|N
H8768|017|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16940|0|N
H8768|017|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16980|0|N
H8768|017|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IL|14450|0|N
H8768|017|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IL|14740|0|N
H8768|017|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IL|14890|0|N
H8768|017|003|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16000|0|N
H8768|017|003|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16010|0|N
H8768|017|003|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16020|0|N
H8768|017|003|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16030|0|N
H8768|017|003|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16040|0|N
H8768|017|003|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16080|0|N
H8768|017|003|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16090|0|N
H8768|017|003|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16180|0|N
H8768|017|003|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16190|0|N
H8768|017|003|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16250|0|N
H8768|017|003|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16260|0|N
H8768|017|003|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16360|0|N
H8768|017|003|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16380|0|N
H8768|017|003|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16440|0|N
H8768|017|003|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16500|0|N
H8768|017|003|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16580|0|N
H8768|017|003|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16610|0|N
H8768|017|003|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16620|0|N
H8768|017|003|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16650|0|N
H8768|017|003|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16670|0|N
H8768|017|003|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16790|0|N
H8768|017|003|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16860|0|N
H8768|017|003|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16870|0|N
H8768|017|003|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16880|0|N
H8768|017|003|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16890|0|N
H8768|017|003|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16920|0|N
H8768|017|003|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16950|0|N
H8768|017|003|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0003 (PPO)|00025002|0.00|495| | |IA|16970|0|N
H8768|022|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0004 (PPO)|00025002|0.00|420| | |NJ|31000|0|N
H8768|022|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0004 (PPO)|00025002|0.00|420| | |NJ|31100|0|N
H8768|022|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0004 (PPO)|00025002|0.00|420| | |NJ|31150|0|N
H8768|022|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0004 (PPO)|00025002|0.00|420| | |NJ|31160|0|N
H8768|022|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0004 (PPO)|00025002|0.00|420| | |NJ|31180|0|N
H8768|022|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0004 (PPO)|00025002|0.00|420| | |NJ|31190|0|N
H8768|022|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0004 (PPO)|00025002|0.00|420| | |NJ|31200|0|N
H8768|022|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0004 (PPO)|00025002|0.00|420| | |NJ|31220|0|N
H8768|022|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0004 (PPO)|00025002|0.00|420| | |NJ|31230|0|N
H8768|022|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0004 (PPO)|00025002|0.00|420| | |NJ|31250|0|N
H8768|022|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0004 (PPO)|00025002|0.00|420| | |NJ|31260|0|N
H8768|022|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0004 (PPO)|00025002|0.00|420| | |NJ|31270|0|N
H8768|022|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0004 (PPO)|00025002|0.00|420| | |NJ|31290|0|N
H8768|022|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0004 (PPO)|00025002|0.00|420| | |NJ|31300|0|N
H8768|022|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0004 (PPO)|00025002|0.00|420| | |NJ|31310|0|N
H8768|022|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0004 (PPO)|00025002|0.00|420| | |NJ|31320|0|N
H8768|022|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0004 (PPO)|00025002|0.00|420| | |NJ|31340|0|N
H8768|022|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0004 (PPO)|00025002|0.00|420| | |NJ|31350|0|N
H8768|022|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0004 (PPO)|00025002|0.00|420| | |NJ|31360|0|N
H8768|022|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0004 (PPO)|00025002|0.00|420| | |NJ|31370|0|N
H8768|022|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0004 (PPO)|00025002|0.00|420| | |NJ|31390|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |KS|17000|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |KS|17010|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |KS|17020|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |KS|17050|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |KS|17060|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |KS|17090|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |KS|17100|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |KS|17130|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |KS|17140|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |KS|17180|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |KS|17200|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |KS|17210|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |KS|17220|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |KS|17290|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |KS|17300|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |KS|17420|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |KS|17430|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |KS|17450|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |KS|17490|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |KS|17510|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |KS|17530|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |KS|17580|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |KS|17600|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |KS|17620|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |KS|17630|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |KS|17650|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |KS|17660|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |KS|17690|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |KS|17710|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |KS|17780|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |KS|17840|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |KS|17880|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |KS|17980|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |KS|17982|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |KS|17984|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |KS|17985|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |KS|17986|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |MO|26010|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |MO|26020|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |MO|26060|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |MO|26070|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |MO|26100|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |MO|26120|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |MO|26160|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |MO|26180|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |MO|26200|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |MO|26230|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |MO|26240|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |MO|26300|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |MO|26310|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |MO|26370|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |MO|26390|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |MO|26400|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |MO|26410|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |MO|26412|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |MO|26470|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |MO|26500|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |MO|26530|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |MO|26570|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |MO|26580|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |MO|26631|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |MO|26730|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |MO|26790|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |MO|26820|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |MO|26850|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |MO|26880|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |MO|26970|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |MO|26987|0|N
H8768|023|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Essentials from UHC KC-4 (PPO)|00025002|0.00|340| | |MO|26995|0|N
H8768|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KS-0003 (PPO)|00025002|0.00|420| | |KS|17030|0|N
H8768|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KS-0003 (PPO)|00025002|0.00|420| | |KS|17070|0|N
H8768|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KS-0003 (PPO)|00025002|0.00|420| | |KS|17080|0|N
H8768|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KS-0003 (PPO)|00025002|0.00|420| | |KS|17170|0|N
H8768|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KS-0003 (PPO)|00025002|0.00|420| | |KS|17230|0|N
H8768|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KS-0003 (PPO)|00025002|0.00|420| | |KS|17240|0|N
H8768|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KS-0003 (PPO)|00025002|0.00|420| | |KS|17260|0|N
H8768|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KS-0003 (PPO)|00025002|0.00|420| | |KS|17360|0|N
H8768|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KS-0003 (PPO)|00025002|0.00|420| | |KS|17380|0|N
H8768|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KS-0003 (PPO)|00025002|0.00|420| | |KS|17390|0|N
H8768|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KS-0003 (PPO)|00025002|0.00|420| | |KS|17440|0|N
H8768|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KS-0003 (PPO)|00025002|0.00|420| | |KS|17470|0|N
H8768|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KS-0003 (PPO)|00025002|0.00|420| | |KS|17480|0|N
H8768|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KS-0003 (PPO)|00025002|0.00|420| | |KS|17520|0|N
H8768|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KS-0003 (PPO)|00025002|0.00|420| | |KS|17550|0|N
H8768|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KS-0003 (PPO)|00025002|0.00|420| | |KS|17560|0|N
H8768|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KS-0003 (PPO)|00025002|0.00|420| | |KS|17570|0|N
H8768|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KS-0003 (PPO)|00025002|0.00|420| | |KS|17610|0|N
H8768|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KS-0003 (PPO)|00025002|0.00|420| | |KS|17700|0|N
H8768|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KS-0003 (PPO)|00025002|0.00|420| | |KS|17720|0|N
H8768|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KS-0003 (PPO)|00025002|0.00|420| | |KS|17730|0|N
H8768|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KS-0003 (PPO)|00025002|0.00|420| | |KS|17750|0|N
H8768|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KS-0003 (PPO)|00025002|0.00|420| | |KS|17770|0|N
H8768|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KS-0003 (PPO)|00025002|0.00|420| | |KS|17790|0|N
H8768|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KS-0003 (PPO)|00025002|0.00|420| | |KS|17810|0|N
H8768|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KS-0003 (PPO)|00025002|0.00|420| | |KS|17820|0|N
H8768|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KS-0003 (PPO)|00025002|0.00|420| | |KS|17830|0|N
H8768|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KS-0003 (PPO)|00025002|0.00|420| | |KS|17860|0|N
H8768|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KS-0003 (PPO)|00025002|0.00|420| | |KS|17910|0|N
H8768|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KS-0003 (PPO)|00025002|0.00|420| | |KS|17920|0|N
H8768|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC KS-0003 (PPO)|00025002|0.00|420| | |KS|17950|0|N
H8768|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0008 (PPO)|00025002|0.00|420| | |MO|26000|0|N
H8768|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0008 (PPO)|00025002|0.00|420| | |MO|26030|0|N
H8768|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0008 (PPO)|00025002|0.00|420| | |MO|26090|0|N
H8768|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0008 (PPO)|00025002|0.00|420| | |MO|26130|0|N
H8768|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0008 (PPO)|00025002|0.00|420| | |MO|26140|0|N
H8768|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0008 (PPO)|00025002|0.00|420| | |MO|26220|0|N
H8768|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0008 (PPO)|00025002|0.00|420| | |MO|26250|0|N
H8768|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0008 (PPO)|00025002|0.00|420| | |MO|26260|0|N
H8768|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0008 (PPO)|00025002|0.00|420| | |MO|26440|0|N
H8768|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0008 (PPO)|00025002|0.00|420| | |MO|26510|0|N
H8768|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0008 (PPO)|00025002|0.00|420| | |MO|26541|0|N
H8768|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0008 (PPO)|00025002|0.00|420| | |MO|26560|0|N
H8768|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0008 (PPO)|00025002|0.00|420| | |MO|26600|0|N
H8768|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0008 (PPO)|00025002|0.00|420| | |MO|26620|0|N
H8768|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0008 (PPO)|00025002|0.00|420| | |MO|26630|0|N
H8768|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0008 (PPO)|00025002|0.00|420| | |MO|26650|0|N
H8768|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0008 (PPO)|00025002|0.00|420| | |MO|26670|0|N
H8768|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0008 (PPO)|00025002|0.00|420| | |MO|26680|0|N
H8768|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0008 (PPO)|00025002|0.00|420| | |MO|26690|0|N
H8768|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0008 (PPO)|00025002|0.00|420| | |MO|26700|0|N
H8768|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0008 (PPO)|00025002|0.00|420| | |MO|26750|0|N
H8768|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0008 (PPO)|00025002|0.00|420| | |MO|26810|0|N
H8768|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0008 (PPO)|00025002|0.00|420| | |MO|26860|0|N
H8768|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0008 (PPO)|00025002|0.00|420| | |MO|26870|0|N
H8768|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0008 (PPO)|00025002|0.00|420| | |MO|26980|0|N
H8768|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0008 (PPO)|00025002|0.00|420| | |MO|26981|0|N
H8768|026|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0008 (PPO)|00025002|0.00|420| | |MO|26984|0|N
H8768|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0009 (PPO)|00025002|0.00|420| | |MO|26040|0|N
H8768|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0009 (PPO)|00025002|0.00|420| | |MO|26050|0|N
H8768|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0009 (PPO)|00025002|0.00|420| | |MO|26190|0|N
H8768|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0009 (PPO)|00025002|0.00|420| | |MO|26210|0|N
H8768|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0009 (PPO)|00025002|0.00|420| | |MO|26280|0|N
H8768|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0009 (PPO)|00025002|0.00|420| | |MO|26290|0|N
H8768|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0009 (PPO)|00025002|0.00|420| | |MO|26320|0|N
H8768|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0009 (PPO)|00025002|0.00|420| | |MO|26330|0|N
H8768|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0009 (PPO)|00025002|0.00|420| | |MO|26380|0|N
H8768|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0009 (PPO)|00025002|0.00|420| | |MO|26411|0|N
H8768|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0009 (PPO)|00025002|0.00|420| | |MO|26450|0|N
H8768|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0009 (PPO)|00025002|0.00|420| | |MO|26480|0|N
H8768|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0009 (PPO)|00025002|0.00|420| | |MO|26520|0|N
H8768|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0009 (PPO)|00025002|0.00|420| | |MO|26540|0|N
H8768|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0009 (PPO)|00025002|0.00|420| | |MO|26590|0|N
H8768|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0009 (PPO)|00025002|0.00|420| | |MO|26720|0|N
H8768|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0009 (PPO)|00025002|0.00|420| | |MO|26740|0|N
H8768|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0009 (PPO)|00025002|0.00|420| | |MO|26751|0|N
H8768|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0009 (PPO)|00025002|0.00|420| | |MO|26800|0|N
H8768|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0009 (PPO)|00025002|0.00|420| | |MO|26821|0|N
H8768|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0009 (PPO)|00025002|0.00|420| | |MO|26840|0|N
H8768|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0009 (PPO)|00025002|0.00|420| | |MO|26911|0|N
H8768|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0009 (PPO)|00025002|0.00|420| | |MO|26983|0|N
H8768|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0009 (PPO)|00025002|0.00|420| | |MO|26986|0|N
H8768|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0009 (PPO)|00025002|0.00|420| | |MO|26988|0|N
H8768|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0009 (PPO)|00025002|0.00|420| | |MO|26989|0|N
H8768|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0009 (PPO)|00025002|0.00|420| | |MO|26990|0|N
H8768|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0009 (PPO)|00025002|0.00|420| | |MO|26994|0|N
H8768|027|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MO-0009 (PPO)|00025002|0.00|420| | |MO|26996|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25010|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25020|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25030|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25040|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25050|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25060|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25070|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25080|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25090|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25100|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25110|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25120|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25130|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25140|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25150|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25160|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25170|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25180|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25190|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25200|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25220|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25230|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25240|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25250|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25260|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25270|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25280|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25290|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25300|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25310|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25320|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25330|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25340|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25350|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25370|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25380|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25390|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25400|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25410|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25420|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25440|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25450|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25460|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25470|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25480|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25490|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25500|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25510|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25520|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25530|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25540|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25550|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25560|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25570|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25580|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25590|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25600|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25610|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25620|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25630|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25640|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25650|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25660|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25670|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25680|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25690|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25700|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25710|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25720|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25730|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25740|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25750|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25760|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25770|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25780|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25790|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25800|0|N
H8768|030|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0002 (PPO)|00025002|37.00|420| | |MS|25810|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25010|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25020|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25030|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25040|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25050|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25060|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25070|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25080|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25090|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25100|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25110|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25120|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25130|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25140|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25150|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25160|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25170|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25180|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25190|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25200|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25220|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25230|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25240|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25250|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25260|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25270|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25280|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25290|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25300|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25310|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25320|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25330|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25340|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25350|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25370|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25380|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25390|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25400|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25410|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25420|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25440|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25450|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25460|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25470|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25480|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25490|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25500|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25510|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25520|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25530|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25540|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25550|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25560|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25570|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25580|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25590|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25600|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25610|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25620|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25630|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25640|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25650|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25660|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25670|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25680|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25690|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25700|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25710|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25720|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25730|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25740|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25750|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25760|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25770|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25780|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25790|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25800|0|N
H8768|034|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MS-0003 (PPO)|00025002|0.00|420| | |MS|25810|0|N
H8768|035|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0005 (PPO)|00025002|47.00|570| | |NJ|31000|0|N
H8768|035|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0005 (PPO)|00025002|47.00|570| | |NJ|31100|0|N
H8768|035|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0005 (PPO)|00025002|47.00|570| | |NJ|31150|0|N
H8768|035|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0005 (PPO)|00025002|47.00|570| | |NJ|31160|0|N
H8768|035|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0005 (PPO)|00025002|47.00|570| | |NJ|31180|0|N
H8768|035|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0005 (PPO)|00025002|47.00|570| | |NJ|31190|0|N
H8768|035|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0005 (PPO)|00025002|47.00|570| | |NJ|31200|0|N
H8768|035|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0005 (PPO)|00025002|47.00|570| | |NJ|31220|0|N
H8768|035|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0005 (PPO)|00025002|47.00|570| | |NJ|31230|0|N
H8768|035|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0005 (PPO)|00025002|47.00|570| | |NJ|31250|0|N
H8768|035|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0005 (PPO)|00025002|47.00|570| | |NJ|31260|0|N
H8768|035|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0005 (PPO)|00025002|47.00|570| | |NJ|31270|0|N
H8768|035|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0005 (PPO)|00025002|47.00|570| | |NJ|31290|0|N
H8768|035|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0005 (PPO)|00025002|47.00|570| | |NJ|31300|0|N
H8768|035|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0005 (PPO)|00025002|47.00|570| | |NJ|31310|0|N
H8768|035|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0005 (PPO)|00025002|47.00|570| | |NJ|31320|0|N
H8768|035|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0005 (PPO)|00025002|47.00|570| | |NJ|31340|0|N
H8768|035|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0005 (PPO)|00025002|47.00|570| | |NJ|31350|0|N
H8768|035|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0005 (PPO)|00025002|47.00|570| | |NJ|31360|0|N
H8768|035|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0005 (PPO)|00025002|47.00|570| | |NJ|31370|0|N
H8768|035|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-0005 (PPO)|00025002|47.00|570| | |NJ|31390|0|N
H8768|037|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0015 (PPO)|00025002|0.00|420| | |KY|18070|0|N
H8768|037|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0015 (PPO)|00025002|0.00|420| | |KY|18180|0|N
H8768|037|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0015 (PPO)|00025002|0.00|420| | |KY|18580|0|N
H8768|037|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0015 (PPO)|00025002|0.00|420| | |OH|36000|0|N
H8768|037|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0015 (PPO)|00025002|0.00|420| | |OH|36040|0|N
H8768|037|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0015 (PPO)|00025002|0.00|420| | |OH|36070|0|N
H8768|037|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0015 (PPO)|00025002|0.00|420| | |OH|36080|0|N
H8768|037|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0015 (PPO)|00025002|0.00|420| | |OH|36120|0|N
H8768|037|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0015 (PPO)|00025002|0.00|420| | |OH|36130|0|N
H8768|037|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0015 (PPO)|00025002|0.00|420| | |OH|36270|0|N
H8768|037|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0015 (PPO)|00025002|0.00|420| | |OH|36310|0|N
H8768|037|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0015 (PPO)|00025002|0.00|420| | |OH|36370|0|N
H8768|037|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0015 (PPO)|00025002|0.00|420| | |OH|36380|0|N
H8768|037|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0015 (PPO)|00025002|0.00|420| | |OH|36410|0|N
H8768|037|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0015 (PPO)|00025002|0.00|420| | |OH|36450|0|N
H8768|037|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0015 (PPO)|00025002|0.00|420| | |OH|36540|0|N
H8768|037|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0015 (PPO)|00025002|0.00|420| | |OH|36670|0|N
H8768|037|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0015 (PPO)|00025002|0.00|420| | |OH|36720|0|N
H8768|037|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0015 (PPO)|00025002|0.00|420| | |OH|36740|0|N
H8768|037|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0015 (PPO)|00025002|0.00|420| | |OH|36830|0|N
H8768|037|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0015 (PPO)|00025002|0.00|420| | |OH|36840|0|N
H8768|037|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0015 (PPO)|00025002|0.00|420| | |OH|36850|0|N
H8768|037|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0015 (PPO)|00025002|0.00|420| | |OH|36100|0|N
H8768|037|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0015 (PPO)|00025002|0.00|420| | |OH|36110|0|N
H8768|037|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0015 (PPO)|00025002|0.00|420| | |OH|36190|0|N
H8768|037|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0015 (PPO)|00025002|0.00|420| | |OH|36290|0|N
H8768|037|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0015 (PPO)|00025002|0.00|420| | |OH|36560|0|N
H8768|037|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0015 (PPO)|00025002|0.00|420| | |OH|36580|0|N
H8768|037|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0015 (PPO)|00025002|0.00|420| | |OH|36690|0|N
H8768|037|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0015 (PPO)|00025002|0.00|420| | |OH|36760|0|N
H8768|038|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0016 (PPO)|00025002|0.00|420| | |OH|36210|0|N
H8768|038|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0016 (PPO)|00025002|0.00|420| | |OH|36230|0|N
H8768|038|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0016 (PPO)|00025002|0.00|420| | |OH|36240|0|N
H8768|038|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0016 (PPO)|00025002|0.00|420| | |OH|36250|0|N
H8768|038|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0016 (PPO)|00025002|0.00|420| | |OH|36430|0|N
H8768|038|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0016 (PPO)|00025002|0.00|420| | |OH|36460|0|N
H8768|038|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0016 (PPO)|00025002|0.00|420| | |OH|36500|0|N
H8768|038|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0016 (PPO)|00025002|0.00|420| | |OH|36520|0|N
H8768|038|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0016 (PPO)|00025002|0.00|420| | |OH|36570|0|N
H8768|038|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0016 (PPO)|00025002|0.00|420| | |OH|36590|0|N
H8768|038|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0016 (PPO)|00025002|0.00|420| | |OH|36600|0|N
H8768|038|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0016 (PPO)|00025002|0.00|420| | |OH|36610|0|N
H8768|038|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0016 (PPO)|00025002|0.00|420| | |OH|36620|0|N
H8768|038|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0016 (PPO)|00025002|0.00|420| | |OH|36650|0|N
H8768|038|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0016 (PPO)|00025002|0.00|420| | |OH|36660|0|N
H8768|038|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0016 (PPO)|00025002|0.00|420| | |OH|36710|0|N
H8768|038|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0016 (PPO)|00025002|0.00|420| | |OH|36810|0|N
H8768|038|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0016 (PPO)|00025002|0.00|420| | |OH|36010|0|N
H8768|038|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0016 (PPO)|00025002|0.00|420| | |OH|36050|0|N
H8768|038|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0016 (PPO)|00025002|0.00|420| | |OH|36160|0|N
H8768|038|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0016 (PPO)|00025002|0.00|420| | |OH|36200|0|N
H8768|038|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0016 (PPO)|00025002|0.00|420| | |OH|36220|0|N
H8768|038|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0016 (PPO)|00025002|0.00|420| | |OH|36260|0|N
H8768|038|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0016 (PPO)|00025002|0.00|420| | |OH|36330|0|N
H8768|038|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0016 (PPO)|00025002|0.00|420| | |OH|36340|0|N
H8768|038|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0016 (PPO)|00025002|0.00|420| | |OH|36360|0|N
H8768|038|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0016 (PPO)|00025002|0.00|420| | |OH|36400|0|N
H8768|038|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0016 (PPO)|00025002|0.00|420| | |OH|36470|0|N
H8768|038|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0016 (PPO)|00025002|0.00|420| | |OH|36490|0|N
H8768|038|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0016 (PPO)|00025002|0.00|420| | |OH|36550|0|N
H8768|038|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0016 (PPO)|00025002|0.00|420| | |OH|36630|0|N
H8768|038|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0016 (PPO)|00025002|0.00|420| | |OH|36640|0|N
H8768|038|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0016 (PPO)|00025002|0.00|420| | |OH|36700|0|N
H8768|038|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0016 (PPO)|00025002|0.00|420| | |OH|36730|0|N
H8768|038|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0016 (PPO)|00025002|0.00|420| | |OH|36750|0|N
H8768|038|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0016 (PPO)|00025002|0.00|420| | |OH|36820|0|N
H8768|038|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0016 (PPO)|00025002|0.00|420| | |OH|36870|0|N
H8768|038|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0016 (PPO)|00025002|0.00|420| | |OH|36880|0|N
H8768|038|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC OH-0016 (PPO)|00025002|0.00|420| | |OH|36890|0|N
H8768|039|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC KC-5 (PPO)|00025002|0.00|420| | |KS|17220|0|N
H8768|039|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC KC-5 (PPO)|00025002|0.00|420| | |KS|17450|0|N
H8768|039|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC KC-5 (PPO)|00025002|0.00|420| | |KS|17510|0|N
H8768|039|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC KC-5 (PPO)|00025002|0.00|420| | |KS|17986|0|N
H8768|039|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC KC-5 (PPO)|00025002|0.00|420| | |MO|26100|0|N
H8768|039|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC KC-5 (PPO)|00025002|0.00|420| | |MO|26180|0|N
H8768|039|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC KC-5 (PPO)|00025002|0.00|420| | |MO|26230|0|N
H8768|039|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC KC-5 (PPO)|00025002|0.00|420| | |MO|26470|0|N
H8768|039|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Extras from UHC KC-5 (PPO)|00025002|0.00|420| | |MO|26820|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25010|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25020|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25030|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25040|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25050|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25060|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25070|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25080|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25090|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25100|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25110|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25120|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25130|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25140|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25150|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25160|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25170|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25180|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25190|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25200|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25220|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25230|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25240|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25250|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25260|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25270|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25280|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25290|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25300|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25310|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25320|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25330|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25340|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25350|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25370|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25380|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25390|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25400|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25410|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25420|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25440|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25450|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25460|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25470|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25480|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25490|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25500|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25510|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25520|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25530|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25540|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25550|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25560|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25570|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25580|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25590|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25600|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25610|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25620|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25630|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25640|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25650|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25660|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25670|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25680|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25690|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25700|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25710|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25720|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25730|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25740|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25750|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25760|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25770|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25780|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25790|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25800|0|N
H8768|040|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage Giveback from UHC MS-4 (PPO)|00025002|0.00|570| | |MS|25810|0|N
H8768|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CT-0004 (PPO)|00025002|0.00|495| | |CT|07000|0|N
H8768|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CT-0004 (PPO)|00025002|0.00|495| | |CT|07010|0|N
H8768|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CT-0004 (PPO)|00025002|0.00|495| | |CT|07020|0|N
H8768|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CT-0004 (PPO)|00025002|0.00|495| | |CT|07030|0|N
H8768|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CT-0004 (PPO)|00025002|0.00|495| | |CT|07040|0|N
H8768|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CT-0004 (PPO)|00025002|0.00|495| | |CT|07050|0|N
H8768|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CT-0004 (PPO)|00025002|0.00|495| | |CT|07060|0|N
H8768|042|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CT-0004 (PPO)|00025002|0.00|495| | |CT|07070|0|N
H8768|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC RI-0003 (PPO)|00025002|0.00|340| | |RI|41000|0|N
H8768|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC RI-0003 (PPO)|00025002|0.00|340| | |RI|41010|0|N
H8768|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC RI-0003 (PPO)|00025002|0.00|340| | |RI|41020|0|N
H8768|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC RI-0003 (PPO)|00025002|0.00|340| | |RI|41030|0|N
H8768|046|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC RI-0003 (PPO)|00025002|0.00|340| | |RI|41050|0|N
H8768|050|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CT-0005 (PPO)|00025002|0.00|495| | |CT|07000|0|N
H8768|050|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CT-0005 (PPO)|00025002|0.00|495| | |CT|07010|0|N
H8768|050|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CT-0005 (PPO)|00025002|0.00|495| | |CT|07020|0|N
H8768|050|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CT-0005 (PPO)|00025002|0.00|495| | |CT|07030|0|N
H8768|050|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CT-0005 (PPO)|00025002|0.00|495| | |CT|07040|0|N
H8768|050|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CT-0005 (PPO)|00025002|0.00|495| | |CT|07050|0|N
H8768|050|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CT-0005 (PPO)|00025002|0.00|495| | |CT|07060|0|N
H8768|050|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC CT-0005 (PPO)|00025002|0.00|495| | |CT|07070|0|N
H8768|052|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16050|0|N
H8768|052|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16060|0|N
H8768|052|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16070|0|N
H8768|052|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16100|0|N
H8768|052|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16110|0|N
H8768|052|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16120|0|N
H8768|052|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16130|0|N
H8768|052|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16150|0|N
H8768|052|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16160|0|N
H8768|052|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16200|0|N
H8768|052|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16210|0|N
H8768|052|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16220|0|N
H8768|052|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16230|0|N
H8768|052|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16270|0|N
H8768|052|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16280|0|N
H8768|052|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16290|0|N
H8768|052|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16300|0|N
H8768|052|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16310|0|N
H8768|052|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16320|0|N
H8768|052|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16330|0|N
H8768|052|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16340|0|N
H8768|052|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16370|0|N
H8768|052|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16390|0|N
H8768|052|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16400|0|N
H8768|052|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16410|0|N
H8768|052|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16430|0|N
H8768|052|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16450|0|N
H8768|052|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16470|0|N
H8768|052|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16480|0|N
H8768|052|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16510|0|N
H8768|052|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16520|0|N
H8768|052|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16530|0|N
H8768|052|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16540|0|N
H8768|052|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16550|0|N
H8768|052|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16560|0|N
H8768|052|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16570|0|N
H8768|052|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16690|0|N
H8768|052|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16730|0|N
H8768|052|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16750|0|N
H8768|052|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16780|0|N
H8768|052|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16800|0|N
H8768|052|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16810|0|N
H8768|052|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16850|0|N
H8768|052|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16910|0|N
H8768|052|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16930|0|N
H8768|052|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16940|0|N
H8768|052|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16980|0|N
H8768|052|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IL|14450|0|N
H8768|052|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IL|14740|0|N
H8768|052|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IL|14890|0|N
H8768|052|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16000|0|N
H8768|052|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16010|0|N
H8768|052|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16020|0|N
H8768|052|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16030|0|N
H8768|052|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16040|0|N
H8768|052|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16080|0|N
H8768|052|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16090|0|N
H8768|052|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16180|0|N
H8768|052|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16190|0|N
H8768|052|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16250|0|N
H8768|052|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16260|0|N
H8768|052|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16360|0|N
H8768|052|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16380|0|N
H8768|052|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16440|0|N
H8768|052|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16500|0|N
H8768|052|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16580|0|N
H8768|052|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16610|0|N
H8768|052|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16620|0|N
H8768|052|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16650|0|N
H8768|052|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16670|0|N
H8768|052|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16790|0|N
H8768|052|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16860|0|N
H8768|052|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16870|0|N
H8768|052|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16880|0|N
H8768|052|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16890|0|N
H8768|052|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16920|0|N
H8768|052|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16950|0|N
H8768|052|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC IA-0004 (PPO)|00025002|0.00|495| | |IA|16970|0|N
H8768|055|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MA-0006 (PPO)|00025002|0.00|420| | |MA|22060|0|N
H8768|055|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MA-0006 (PPO)|00025002|0.00|420| | |MA|22070|0|N
H8768|055|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MA-0006 (PPO)|00025002|0.00|420| | |MA|22080|0|N
H8768|055|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MA-0006 (PPO)|00025002|0.00|420| | |MA|22170|0|N
H8768|055|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MA-0006 (PPO)|00025002|0.00|420| | |MA|22020|0|N
H8768|055|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MA-0006 (PPO)|00025002|0.00|420| | |MA|22040|0|N
H8768|055|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MA-0006 (PPO)|00025002|0.00|420| | |MA|22090|0|N
H8768|055|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MA-0006 (PPO)|00025002|0.00|420| | |MA|22130|0|N
H8768|055|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MA-0006 (PPO)|00025002|0.00|420| | |MA|22150|0|N
H8768|055|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MA-0006 (PPO)|00025002|0.00|420| | |MA|22160|0|N
H8768|056|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NH-0004 (PPO)|00025002|0.00|495| | |NH|30050|0|N
H8768|056|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NH-0004 (PPO)|00025002|0.00|495| | |NH|30060|0|N
H8768|056|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NH-0004 (PPO)|00025002|0.00|495| | |NH|30070|0|N
H8768|056|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NH-0004 (PPO)|00025002|0.00|495| | |NH|30080|0|N
H8768|056|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NH-0004 (PPO)|00025002|0.00|495| | |NH|30000|0|N
H8768|056|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NH-0004 (PPO)|00025002|0.00|495| | |NH|30010|0|N
H8768|056|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NH-0004 (PPO)|00025002|0.00|495| | |NH|30020|0|N
H8768|056|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NH-0004 (PPO)|00025002|0.00|495| | |NH|30030|0|N
H8768|056|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NH-0004 (PPO)|00025002|0.00|495| | |NH|30040|0|N
H8768|056|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NH-0004 (PPO)|00025002|0.00|495| | |NH|30090|0|N
H8768|057|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NH-0003 (PPO)|00025002|45.00|420| | |NH|30050|0|N
H8768|057|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NH-0003 (PPO)|00025002|45.00|420| | |NH|30060|0|N
H8768|057|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NH-0003 (PPO)|00025002|45.00|420| | |NH|30070|0|N
H8768|057|001|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NH-0003 (PPO)|00025002|45.00|420| | |NH|30080|0|N
H8768|057|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NH-0003 (PPO)|00025002|46.00|420| | |NH|30000|0|N
H8768|057|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NH-0003 (PPO)|00025002|46.00|420| | |NH|30010|0|N
H8768|057|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NH-0003 (PPO)|00025002|46.00|420| | |NH|30020|0|N
H8768|057|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NH-0003 (PPO)|00025002|46.00|420| | |NH|30030|0|N
H8768|057|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NH-0003 (PPO)|00025002|46.00|420| | |NH|30040|0|N
H8768|057|002|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NH-0003 (PPO)|00025002|46.00|420| | |NH|30090|0|N
H8768|058|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-6 (PPO)|00025002|0.00|495| | |NJ|31000|0|N
H8768|058|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-6 (PPO)|00025002|0.00|495| | |NJ|31100|0|N
H8768|058|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-6 (PPO)|00025002|0.00|495| | |NJ|31150|0|N
H8768|058|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-6 (PPO)|00025002|0.00|495| | |NJ|31160|0|N
H8768|058|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-6 (PPO)|00025002|0.00|495| | |NJ|31180|0|N
H8768|058|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-6 (PPO)|00025002|0.00|495| | |NJ|31190|0|N
H8768|058|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-6 (PPO)|00025002|0.00|495| | |NJ|31200|0|N
H8768|058|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-6 (PPO)|00025002|0.00|495| | |NJ|31220|0|N
H8768|058|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-6 (PPO)|00025002|0.00|495| | |NJ|31230|0|N
H8768|058|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-6 (PPO)|00025002|0.00|495| | |NJ|31250|0|N
H8768|058|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-6 (PPO)|00025002|0.00|495| | |NJ|31260|0|N
H8768|058|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-6 (PPO)|00025002|0.00|495| | |NJ|31270|0|N
H8768|058|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-6 (PPO)|00025002|0.00|495| | |NJ|31290|0|N
H8768|058|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-6 (PPO)|00025002|0.00|495| | |NJ|31300|0|N
H8768|058|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-6 (PPO)|00025002|0.00|495| | |NJ|31310|0|N
H8768|058|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-6 (PPO)|00025002|0.00|495| | |NJ|31320|0|N
H8768|058|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-6 (PPO)|00025002|0.00|495| | |NJ|31340|0|N
H8768|058|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-6 (PPO)|00025002|0.00|495| | |NJ|31350|0|N
H8768|058|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-6 (PPO)|00025002|0.00|495| | |NJ|31360|0|N
H8768|058|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-6 (PPO)|00025002|0.00|495| | |NJ|31370|0|N
H8768|058|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC NJ-6 (PPO)|00025002|0.00|495| | |NJ|31390|0|N
H8783|001|000|UCARE HEALTH, INC.|EssentiaCare Secure (PPO)|00025319|0.00|95| | |MN|24000|0|N
H8783|001|000|UCARE HEALTH, INC.|EssentiaCare Secure (PPO)|00025319|0.00|95| | |MN|24020|0|N
H8783|001|000|UCARE HEALTH, INC.|EssentiaCare Secure (PPO)|00025319|0.00|95| | |MN|24080|0|N
H8783|001|000|UCARE HEALTH, INC.|EssentiaCare Secure (PPO)|00025319|0.00|95| | |MN|24100|0|N
H8783|001|000|UCARE HEALTH, INC.|EssentiaCare Secure (PPO)|00025319|0.00|95| | |MN|24130|0|N
H8783|001|000|UCARE HEALTH, INC.|EssentiaCare Secure (PPO)|00025319|0.00|95| | |MN|24170|0|N
H8783|001|000|UCARE HEALTH, INC.|EssentiaCare Secure (PPO)|00025319|0.00|95| | |MN|24280|0|N
H8783|001|000|UCARE HEALTH, INC.|EssentiaCare Secure (PPO)|00025319|0.00|95| | |MN|24300|0|N
H8783|001|000|UCARE HEALTH, INC.|EssentiaCare Secure (PPO)|00025319|0.00|95| | |MN|24370|0|N
H8783|001|000|UCARE HEALTH, INC.|EssentiaCare Secure (PPO)|00025319|0.00|95| | |MN|24570|0|N
H8783|001|000|UCARE HEALTH, INC.|EssentiaCare Secure (PPO)|00025319|0.00|95| | |MN|24680|0|N
H8783|001|000|UCARE HEALTH, INC.|EssentiaCare Secure (PPO)|00025319|0.00|95| | |WI|52030|0|N
H8783|001|000|UCARE HEALTH, INC.|EssentiaCare Secure (PPO)|00025319|0.00|95| | |WI|52150|0|N
H8783|001|000|UCARE HEALTH, INC.|EssentiaCare Secure (PPO)|00025319|0.00|95| | |WI|52640|0|N
H8783|002|000|UCARE HEALTH, INC.|EssentiaCare Grand (PPO)|00025319|0.10|0| | |MN|24000|0|N
H8783|002|000|UCARE HEALTH, INC.|EssentiaCare Grand (PPO)|00025319|0.10|0| | |MN|24020|0|N
H8783|002|000|UCARE HEALTH, INC.|EssentiaCare Grand (PPO)|00025319|0.10|0| | |MN|24080|0|N
H8783|002|000|UCARE HEALTH, INC.|EssentiaCare Grand (PPO)|00025319|0.10|0| | |MN|24100|0|N
H8783|002|000|UCARE HEALTH, INC.|EssentiaCare Grand (PPO)|00025319|0.10|0| | |MN|24130|0|N
H8783|002|000|UCARE HEALTH, INC.|EssentiaCare Grand (PPO)|00025319|0.10|0| | |MN|24170|0|N
H8783|002|000|UCARE HEALTH, INC.|EssentiaCare Grand (PPO)|00025319|0.10|0| | |MN|24280|0|N
H8783|002|000|UCARE HEALTH, INC.|EssentiaCare Grand (PPO)|00025319|0.10|0| | |MN|24300|0|N
H8783|002|000|UCARE HEALTH, INC.|EssentiaCare Grand (PPO)|00025319|0.10|0| | |MN|24370|0|N
H8783|002|000|UCARE HEALTH, INC.|EssentiaCare Grand (PPO)|00025319|0.10|0| | |MN|24570|0|N
H8783|002|000|UCARE HEALTH, INC.|EssentiaCare Grand (PPO)|00025319|0.10|0| | |MN|24680|0|N
H8783|002|000|UCARE HEALTH, INC.|EssentiaCare Grand (PPO)|00025319|0.10|0| | |WI|52030|0|N
H8783|002|000|UCARE HEALTH, INC.|EssentiaCare Grand (PPO)|00025319|0.10|0| | |WI|52150|0|N
H8783|002|000|UCARE HEALTH, INC.|EssentiaCare Grand (PPO)|00025319|0.10|0| | |WI|52640|0|N
H8783|003|000|UCARE HEALTH, INC.|EssentiaCare Access (PPO)|00025319|0.00|125| | |MN|24680|0|N
H8783|003|000|UCARE HEALTH, INC.|EssentiaCare Access (PPO)|00025319|0.00|125| | |WI|52030|0|N
H8783|003|000|UCARE HEALTH, INC.|EssentiaCare Access (PPO)|00025319|0.00|125| | |WI|52150|0|N
H8783|003|000|UCARE HEALTH, INC.|EssentiaCare Access (PPO)|00025319|0.00|125| | |WI|52640|0|N
H8794|001|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Dual Complete South P1 (HMO D-SNP)|00025415|0.00|590| | |CA|05200|2|N
H8794|001|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Dual Complete South P1 (HMO D-SNP)|00025415|0.00|590| | |CA|05210|2|N
H8794|001|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Dual Complete South P1 (HMO D-SNP)|00025415|0.00|590| | |CA|05400|2|N
H8794|001|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Dual Complete South P1 (HMO D-SNP)|00025415|0.00|590| | |CA|05430|2|N
H8794|001|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Dual Complete South P1 (HMO D-SNP)|00025415|0.00|590| | |CA|05460|2|N
H8794|001|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Dual Complete South P1 (HMO D-SNP)|00025415|0.00|590| | |CA|05470|2|N
H8794|002|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Dual Complete North P2 (HMO D-SNP)|00025415|0.00|0| | |CA|05090|2|N
H8794|002|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Dual Complete North P2 (HMO D-SNP)|00025415|0.00|0| | |CA|05150|2|N
H8794|002|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Dual Complete North P2 (HMO D-SNP)|00025415|0.00|0| | |CA|05300|2|N
H8794|002|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Dual Complete North P2 (HMO D-SNP)|00025415|0.00|0| | |CA|05440|2|N
H8794|002|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Dual Complete North P2 (HMO D-SNP)|00025415|0.00|0| | |CA|05510|2|N
H8794|002|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Dual Complete North P2 (HMO D-SNP)|00025415|0.00|0| | |CA|05530|2|N
H8794|004|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Dual Complete North P4 (HMO D-SNP)|00025415|0.00|0| | |CA|05000|2|N
H8794|004|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Dual Complete North P4 (HMO D-SNP)|00025415|0.00|0| | |CA|05020|2|N
H8794|004|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Dual Complete North P4 (HMO D-SNP)|00025415|0.00|0| | |CA|05060|2|N
H8794|004|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Dual Complete North P4 (HMO D-SNP)|00025415|0.00|0| | |CA|05080|2|N
H8794|004|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Dual Complete North P4 (HMO D-SNP)|00025415|0.00|0| | |CA|05310|2|N
H8794|004|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Dual Complete North P4 (HMO D-SNP)|00025415|0.00|0| | |CA|05320|2|N
H8794|004|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Dual Complete North P4 (HMO D-SNP)|00025415|0.00|0| | |CA|05380|2|N
H8794|004|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Dual Complete North P4 (HMO D-SNP)|00025415|0.00|0| | |CA|05410|2|N
H8794|004|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Dual Complete North P4 (HMO D-SNP)|00025415|0.00|0| | |CA|05480|2|N
H8794|004|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Dual Complete North P4 (HMO D-SNP)|00025415|0.00|0| | |CA|05490|2|N
H8794|004|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Dual Complete North P4 (HMO D-SNP)|00025415|0.00|0| | |CA|05540|2|N
H8794|004|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Dual Complete North P4 (HMO D-SNP)|00025415|0.00|0| | |CA|05580|2|N
H8794|004|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Dual Complete North P4 (HMO D-SNP)|00025415|0.00|0| | |CA|05590|2|N
H8794|004|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Dual Complete North P4 (HMO D-SNP)|00025415|0.00|0| | |CA|05600|2|N
H8794|004|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Dual Complete North P4 (HMO D-SNP)|00025415|0.00|0| | |CA|05640|2|N
H8794|004|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Dual Complete North P4 (HMO D-SNP)|00025415|0.00|0| | |CA|05670|2|N
H8794|004|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Dual Complete North P4 (HMO D-SNP)|00025415|0.00|0| | |CA|05680|2|N
H8794|005|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Dual Complete South P5 (HMO D-SNP)|00025415|0.00|590| | |CA|05140|2|N
H8794|005|000|KAISER FOUNDATION HP, INC.|Kaiser Permanente Dual Complete South P5 (HMO D-SNP)|00025415|0.00|590| | |CA|05660|2|N
H8797|001|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Strive (HMO I-SNP)|00025033|39.30|590| | |OH|36050|3|N
H8797|001|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Strive (HMO I-SNP)|00025033|39.30|590| | |OH|36080|3|N
H8797|001|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Strive (HMO I-SNP)|00025033|39.30|590| | |OH|36120|3|N
H8797|001|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Strive (HMO I-SNP)|00025033|39.30|590| | |OH|36130|3|N
H8797|001|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Strive (HMO I-SNP)|00025033|39.30|590| | |OH|36170|3|N
H8797|001|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Strive (HMO I-SNP)|00025033|39.30|590| | |OH|36190|3|N
H8797|001|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Strive (HMO I-SNP)|00025033|39.30|590| | |OH|36210|3|N
H8797|001|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Strive (HMO I-SNP)|00025033|39.30|590| | |OH|36220|3|N
H8797|001|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Strive (HMO I-SNP)|00025033|39.30|590| | |OH|36250|3|N
H8797|001|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Strive (HMO I-SNP)|00025033|39.30|590| | |OH|36280|3|N
H8797|001|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Strive (HMO I-SNP)|00025033|39.30|590| | |OH|36290|3|N
H8797|001|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Strive (HMO I-SNP)|00025033|39.30|590| | |OH|36310|3|N
H8797|001|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Strive (HMO I-SNP)|00025033|39.30|590| | |OH|36440|3|N
H8797|001|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Strive (HMO I-SNP)|00025033|39.30|590| | |OH|36490|3|N
H8797|001|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Strive (HMO I-SNP)|00025033|39.30|590| | |OH|36510|3|N
H8797|001|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Strive (HMO I-SNP)|00025033|39.30|590| | |OH|36530|3|N
H8797|001|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Strive (HMO I-SNP)|00025033|39.30|590| | |OH|36580|3|N
H8797|001|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Strive (HMO I-SNP)|00025033|39.30|590| | |OH|36630|3|N
H8797|001|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Strive (HMO I-SNP)|00025033|39.30|590| | |OH|36680|3|N
H8797|001|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Strive (HMO I-SNP)|00025033|39.30|590| | |OH|36760|3|N
H8797|001|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Strive (HMO I-SNP)|00025033|39.30|590| | |OH|36770|3|N
H8797|001|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Strive (HMO I-SNP)|00025033|39.30|590| | |OH|36780|3|N
H8797|001|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Strive (HMO I-SNP)|00025033|39.30|590| | |OH|36790|3|N
H8797|001|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Strive (HMO I-SNP)|00025033|39.30|590| | |OH|36840|3|N
H8797|001|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Strive (HMO I-SNP)|00025033|39.30|590| | |OH|36880|3|N
H8797|003|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Freedom (HMO-POS)|00025043|0.00|0| | |OH|36050|0|N
H8797|003|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Freedom (HMO-POS)|00025043|0.00|0| | |OH|36080|0|N
H8797|003|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Freedom (HMO-POS)|00025043|0.00|0| | |OH|36120|0|N
H8797|003|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Freedom (HMO-POS)|00025043|0.00|0| | |OH|36130|0|N
H8797|003|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Freedom (HMO-POS)|00025043|0.00|0| | |OH|36170|0|N
H8797|003|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Freedom (HMO-POS)|00025043|0.00|0| | |OH|36190|0|N
H8797|003|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Freedom (HMO-POS)|00025043|0.00|0| | |OH|36210|0|N
H8797|003|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Freedom (HMO-POS)|00025043|0.00|0| | |OH|36220|0|N
H8797|003|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Freedom (HMO-POS)|00025043|0.00|0| | |OH|36250|0|N
H8797|003|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Freedom (HMO-POS)|00025043|0.00|0| | |OH|36280|0|N
H8797|003|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Freedom (HMO-POS)|00025043|0.00|0| | |OH|36290|0|N
H8797|003|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Freedom (HMO-POS)|00025043|0.00|0| | |OH|36310|0|N
H8797|003|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Freedom (HMO-POS)|00025043|0.00|0| | |OH|36440|0|N
H8797|003|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Freedom (HMO-POS)|00025043|0.00|0| | |OH|36490|0|N
H8797|003|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Freedom (HMO-POS)|00025043|0.00|0| | |OH|36510|0|N
H8797|003|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Freedom (HMO-POS)|00025043|0.00|0| | |OH|36530|0|N
H8797|003|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Freedom (HMO-POS)|00025043|0.00|0| | |OH|36580|0|N
H8797|003|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Freedom (HMO-POS)|00025043|0.00|0| | |OH|36630|0|N
H8797|003|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Freedom (HMO-POS)|00025043|0.00|0| | |OH|36680|0|N
H8797|003|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Freedom (HMO-POS)|00025043|0.00|0| | |OH|36760|0|N
H8797|003|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Freedom (HMO-POS)|00025043|0.00|0| | |OH|36770|0|N
H8797|003|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Freedom (HMO-POS)|00025043|0.00|0| | |OH|36780|0|N
H8797|003|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Freedom (HMO-POS)|00025043|0.00|0| | |OH|36790|0|N
H8797|003|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Freedom (HMO-POS)|00025043|0.00|0| | |OH|36840|0|N
H8797|003|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Freedom (HMO-POS)|00025043|0.00|0| | |OH|36880|0|N
H8797|004|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Premier (HMO-POS I-SNP)|00025043|0.00|0| | |OH|36050|3|N
H8797|004|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Premier (HMO-POS I-SNP)|00025043|0.00|0| | |OH|36080|3|N
H8797|004|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Premier (HMO-POS I-SNP)|00025043|0.00|0| | |OH|36120|3|N
H8797|004|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Premier (HMO-POS I-SNP)|00025043|0.00|0| | |OH|36130|3|N
H8797|004|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Premier (HMO-POS I-SNP)|00025043|0.00|0| | |OH|36170|3|N
H8797|004|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Premier (HMO-POS I-SNP)|00025043|0.00|0| | |OH|36190|3|N
H8797|004|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Premier (HMO-POS I-SNP)|00025043|0.00|0| | |OH|36210|3|N
H8797|004|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Premier (HMO-POS I-SNP)|00025043|0.00|0| | |OH|36220|3|N
H8797|004|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Premier (HMO-POS I-SNP)|00025043|0.00|0| | |OH|36250|3|N
H8797|004|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Premier (HMO-POS I-SNP)|00025043|0.00|0| | |OH|36280|3|N
H8797|004|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Premier (HMO-POS I-SNP)|00025043|0.00|0| | |OH|36290|3|N
H8797|004|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Premier (HMO-POS I-SNP)|00025043|0.00|0| | |OH|36310|3|N
H8797|004|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Premier (HMO-POS I-SNP)|00025043|0.00|0| | |OH|36440|3|N
H8797|004|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Premier (HMO-POS I-SNP)|00025043|0.00|0| | |OH|36490|3|N
H8797|004|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Premier (HMO-POS I-SNP)|00025043|0.00|0| | |OH|36510|3|N
H8797|004|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Premier (HMO-POS I-SNP)|00025043|0.00|0| | |OH|36530|3|N
H8797|004|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Premier (HMO-POS I-SNP)|00025043|0.00|0| | |OH|36580|3|N
H8797|004|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Premier (HMO-POS I-SNP)|00025043|0.00|0| | |OH|36630|3|N
H8797|004|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Premier (HMO-POS I-SNP)|00025043|0.00|0| | |OH|36680|3|N
H8797|004|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Premier (HMO-POS I-SNP)|00025043|0.00|0| | |OH|36760|3|N
H8797|004|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Premier (HMO-POS I-SNP)|00025043|0.00|0| | |OH|36770|3|N
H8797|004|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Premier (HMO-POS I-SNP)|00025043|0.00|0| | |OH|36780|3|N
H8797|004|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Premier (HMO-POS I-SNP)|00025043|0.00|0| | |OH|36790|3|N
H8797|004|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Premier (HMO-POS I-SNP)|00025043|0.00|0| | |OH|36840|3|N
H8797|004|000|PERENNIAL ADVANTAGE OF OHIO, INC.|Perennial Advantage Premier (HMO-POS I-SNP)|00025043|0.00|0| | |OH|36880|3|N
H8823|001|000|SENTARA MEDICARE ADVANTAGE OF NORTH CAROLINA INC|Sentara Medicare Value (HMO)|00025518|0.00|150| | |NC|34690|0|N
H8832|001|000|ALIGNMENT HEALTH ADVANTAGE PLAN INC|Alignment Health Advantage PPO (PPO)|00025083|0.00|0| | |CA|05090|0|N
H8832|001|000|ALIGNMENT HEALTH ADVANTAGE PLAN INC|Alignment Health Advantage PPO (PPO)|00025083|0.00|0| | |CA|05200|0|N
H8832|001|000|ALIGNMENT HEALTH ADVANTAGE PLAN INC|Alignment Health Advantage PPO (PPO)|00025083|0.00|0| | |CA|05210|0|N
H8832|001|000|ALIGNMENT HEALTH ADVANTAGE PLAN INC|Alignment Health Advantage PPO (PPO)|00025083|0.00|0| | |CA|05300|0|N
H8832|001|000|ALIGNMENT HEALTH ADVANTAGE PLAN INC|Alignment Health Advantage PPO (PPO)|00025083|0.00|0| | |CA|05400|0|N
H8832|001|000|ALIGNMENT HEALTH ADVANTAGE PLAN INC|Alignment Health Advantage PPO (PPO)|00025083|0.00|0| | |CA|05470|0|N
H8832|001|000|ALIGNMENT HEALTH ADVANTAGE PLAN INC|Alignment Health Advantage PPO (PPO)|00025083|0.00|0| | |CA|05660|0|N
H8832|002|000|ALIGNMENT HEALTH ADVANTAGE PLAN INC|Alignment Health Advantage PPO (PPO)|00025083|0.00|0| | |CA|05530|0|N
H8832|003|000|ALIGNMENT HEALTH ADVANTAGE PLAN INC|Alignment Health Freedom (PPO)|00025086|23.10|590| | |CA|05470|0|N
H8832|003|000|ALIGNMENT HEALTH ADVANTAGE PLAN INC|Alignment Health Freedom (PPO)|00025086|23.10|590| | |CA|05490|0|N
H8832|003|000|ALIGNMENT HEALTH ADVANTAGE PLAN INC|Alignment Health Freedom (PPO)|00025086|23.10|590| | |CA|05600|0|N
H8845|001|000|MOLINA HEALTHCARE OF ARIZONA, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |AZ|03030|2|N
H8845|001|000|MOLINA HEALTHCARE OF ARIZONA, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |AZ|03060|2|N
H8845|001|000|MOLINA HEALTHCARE OF ARIZONA, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |AZ|03100|2|N
H8845|004|000|MOLINA HEALTHCARE OF ARIZONA, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |MS|25240|2|N
H8845|004|000|MOLINA HEALTHCARE OF ARIZONA, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |MS|25440|2|N
H8845|004|000|MOLINA HEALTHCARE OF ARIZONA, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |MS|25600|2|N
H8845|005|000|MOLINA HEALTHCARE OF ARIZONA, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |MS|25190|2|N
H8845|005|000|MOLINA HEALTHCARE OF ARIZONA, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |MS|25220|2|N
H8845|005|000|MOLINA HEALTHCARE OF ARIZONA, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |MS|25230|2|N
H8845|005|000|MOLINA HEALTHCARE OF ARIZONA, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |MS|25540|2|N
H8845|005|000|MOLINA HEALTHCARE OF ARIZONA, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |MS|25650|2|N
H8845|006|000|MOLINA HEALTHCARE OF ARIZONA, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NM|32000|2|N
H8845|006|000|MOLINA HEALTHCARE OF ARIZONA, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NM|32010|2|N
H8845|006|000|MOLINA HEALTHCARE OF ARIZONA, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NM|32020|2|N
H8845|006|000|MOLINA HEALTHCARE OF ARIZONA, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NM|32025|2|N
H8845|006|000|MOLINA HEALTHCARE OF ARIZONA, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NM|32030|2|N
H8845|006|000|MOLINA HEALTHCARE OF ARIZONA, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NM|32040|2|N
H8845|006|000|MOLINA HEALTHCARE OF ARIZONA, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NM|32050|2|N
H8845|006|000|MOLINA HEALTHCARE OF ARIZONA, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NM|32060|2|N
H8845|006|000|MOLINA HEALTHCARE OF ARIZONA, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NM|32070|2|N
H8845|006|000|MOLINA HEALTHCARE OF ARIZONA, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NM|32080|2|N
H8845|006|000|MOLINA HEALTHCARE OF ARIZONA, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NM|32090|2|N
H8845|006|000|MOLINA HEALTHCARE OF ARIZONA, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NM|32100|2|N
H8845|006|000|MOLINA HEALTHCARE OF ARIZONA, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NM|32110|2|N
H8845|006|000|MOLINA HEALTHCARE OF ARIZONA, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NM|32120|2|N
H8845|006|000|MOLINA HEALTHCARE OF ARIZONA, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NM|32130|2|N
H8845|006|000|MOLINA HEALTHCARE OF ARIZONA, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NM|32131|2|N
H8845|006|000|MOLINA HEALTHCARE OF ARIZONA, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NM|32140|2|N
H8845|006|000|MOLINA HEALTHCARE OF ARIZONA, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NM|32150|2|N
H8845|006|000|MOLINA HEALTHCARE OF ARIZONA, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NM|32160|2|N
H8845|006|000|MOLINA HEALTHCARE OF ARIZONA, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NM|32170|2|N
H8845|006|000|MOLINA HEALTHCARE OF ARIZONA, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NM|32180|2|N
H8845|006|000|MOLINA HEALTHCARE OF ARIZONA, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NM|32190|2|N
H8845|006|000|MOLINA HEALTHCARE OF ARIZONA, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NM|32200|2|N
H8845|006|000|MOLINA HEALTHCARE OF ARIZONA, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NM|32210|2|N
H8845|006|000|MOLINA HEALTHCARE OF ARIZONA, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NM|32220|2|N
H8845|006|000|MOLINA HEALTHCARE OF ARIZONA, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NM|32230|2|N
H8845|006|000|MOLINA HEALTHCARE OF ARIZONA, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NM|32240|2|N
H8845|006|000|MOLINA HEALTHCARE OF ARIZONA, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NM|32250|2|N
H8845|006|000|MOLINA HEALTHCARE OF ARIZONA, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NM|32260|2|N
H8845|006|000|MOLINA HEALTHCARE OF ARIZONA, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NM|32270|2|N
H8845|006|000|MOLINA HEALTHCARE OF ARIZONA, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NM|32280|2|N
H8845|006|000|MOLINA HEALTHCARE OF ARIZONA, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |NM|32300|2|N
H8849|001|000|WELLPOINT INSURANCE COMPANY|Wellpoint Chronic Care (HMO-POS C-SNP)|00025064|0.00|0| | |TX|45130|1|N
H8849|001|000|WELLPOINT INSURANCE COMPANY|Wellpoint Chronic Care (HMO-POS C-SNP)|00025064|0.00|0| | |TX|45310|1|N
H8849|001|000|WELLPOINT INSURANCE COMPANY|Wellpoint Chronic Care (HMO-POS C-SNP)|00025064|0.00|0| | |TX|45320|1|N
H8849|001|000|WELLPOINT INSURANCE COMPANY|Wellpoint Chronic Care (HMO-POS C-SNP)|00025064|0.00|0| | |TX|45390|1|N
H8849|001|000|WELLPOINT INSURANCE COMPANY|Wellpoint Chronic Care (HMO-POS C-SNP)|00025064|0.00|0| | |TX|45410|1|N
H8849|001|000|WELLPOINT INSURANCE COMPANY|Wellpoint Chronic Care (HMO-POS C-SNP)|00025064|0.00|0| | |TX|45581|1|N
H8849|001|000|WELLPOINT INSURANCE COMPANY|Wellpoint Chronic Care (HMO-POS C-SNP)|00025064|0.00|0| | |TX|45843|1|N
H8849|001|000|WELLPOINT INSURANCE COMPANY|Wellpoint Chronic Care (HMO-POS C-SNP)|00025064|0.00|0| | |TX|45879|1|N
H8849|001|000|WELLPOINT INSURANCE COMPANY|Wellpoint Chronic Care (HMO-POS C-SNP)|00025064|0.00|0| | |TX|45910|1|N
H8849|001|000|WELLPOINT INSURANCE COMPANY|Wellpoint Chronic Care (HMO-POS C-SNP)|00025064|0.00|0| | |TX|45940|1|N
H8849|001|000|WELLPOINT INSURANCE COMPANY|Wellpoint Chronic Care (HMO-POS C-SNP)|00025064|0.00|0| | |TX|45973|1|N
H8849|003|000|WELLPOINT INSURANCE COMPANY|Wellpoint Chronic Care (HMO-POS C-SNP)|00025064|0.00|0| | |TX|45610|1|N
H8849|005|000|WELLPOINT INSURANCE COMPANY|Wellpoint Lung Care (HMO-POS C-SNP)|00025064|0.00|0| | |TX|45610|1|N
H8849|006|000|WELLPOINT INSURANCE COMPANY|Wellpoint Select (HMO-POS)|00025049|0.00|0| | |TX|45130|0|N
H8849|009|000|WELLPOINT INSURANCE COMPANY|Wellpoint Select (HMO-POS)|00025049|0.00|0| | |TX|45530|0|N
H8849|009|000|WELLPOINT INSURANCE COMPANY|Wellpoint Select (HMO-POS)|00025049|0.00|0| | |TX|45610|0|N
H8849|009|000|WELLPOINT INSURANCE COMPANY|Wellpoint Select (HMO-POS)|00025049|0.00|0| | |TX|45801|0|N
H8849|010|001|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45020|2|N
H8849|010|001|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45070|2|N
H8849|010|001|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45180|2|N
H8849|010|001|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45280|2|N
H8849|010|001|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45312|2|N
H8849|010|001|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45530|2|N
H8849|010|001|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45550|2|N
H8849|010|001|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45580|2|N
H8849|010|001|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45600|2|N
H8849|010|001|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45610|2|N
H8849|010|001|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45690|2|N
H8849|010|001|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45700|2|N
H8849|010|001|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45757|2|N
H8849|010|001|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45790|2|N
H8849|010|001|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45801|2|N
H8849|010|001|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45810|2|N
H8849|010|001|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45840|2|N
H8849|010|001|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45850|2|N
H8849|010|001|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45884|2|N
H8849|010|001|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45949|2|N
H8849|010|001|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45950|2|N
H8849|010|001|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45954|2|N
H8849|010|002|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45000|2|N
H8849|010|002|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45040|2|N
H8849|010|002|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45250|2|N
H8849|010|002|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45281|2|N
H8849|010|002|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45291|2|N
H8849|010|002|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45310|2|N
H8849|010|002|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45340|2|N
H8849|010|002|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45390|2|N
H8849|010|002|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45400|2|N
H8849|010|002|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45410|2|N
H8849|010|002|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45470|2|N
H8849|010|002|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45531|2|N
H8849|010|002|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45564|2|N
H8849|010|002|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45570|2|N
H8849|010|002|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45640|2|N
H8849|010|002|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45653|2|N
H8849|010|002|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45654|2|N
H8849|010|002|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45670|2|N
H8849|010|002|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45680|2|N
H8849|010|002|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45720|2|N
H8849|010|002|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45730|2|N
H8849|010|002|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45800|2|N
H8849|010|002|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45820|2|N
H8849|010|002|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45841|2|N
H8849|010|002|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45843|2|N
H8849|010|002|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45870|2|N
H8849|010|002|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45879|2|N
H8849|010|002|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45881|2|N
H8849|010|002|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45892|2|N
H8849|010|002|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45910|2|N
H8849|010|002|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45920|2|N
H8849|010|002|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45921|2|N
H8849|010|002|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45943|2|N
H8849|010|002|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45947|2|N
H8849|010|002|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45973|2|N
H8849|010|002|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45974|2|N
H8849|010|004|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45480|2|N
H8849|010|004|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45662|2|N
H8849|010|005|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45080|2|N
H8849|010|005|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45201|2|N
H8849|010|005|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45270|2|N
H8849|010|005|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45292|2|N
H8849|010|005|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45362|2|N
H8849|010|005|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45421|2|N
H8849|010|005|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45521|2|N
H8849|010|005|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45551|2|N
H8849|010|005|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45582|2|N
H8849|010|005|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45652|2|N
H8849|010|005|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45751|2|N
H8849|010|005|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45770|2|N
H8849|010|005|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45771|2|N
H8849|010|005|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45804|2|N
H8849|010|005|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45905|2|N
H8849|010|005|WELLPOINT INSURANCE COMPANY|Wellpoint Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |TX|45913|2|N
H8849|011|001|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45020|2|N
H8849|011|001|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45070|2|N
H8849|011|001|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45180|2|N
H8849|011|001|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45280|2|N
H8849|011|001|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45312|2|N
H8849|011|001|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45530|2|N
H8849|011|001|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45550|2|N
H8849|011|001|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45580|2|N
H8849|011|001|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45600|2|N
H8849|011|001|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45610|2|N
H8849|011|001|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45690|2|N
H8849|011|001|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45700|2|N
H8849|011|001|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45757|2|N
H8849|011|001|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45790|2|N
H8849|011|001|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45801|2|N
H8849|011|001|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45810|2|N
H8849|011|001|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45840|2|N
H8849|011|001|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45850|2|N
H8849|011|001|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45884|2|N
H8849|011|001|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45949|2|N
H8849|011|001|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45950|2|N
H8849|011|001|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45954|2|N
H8849|011|002|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45000|2|N
H8849|011|002|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45040|2|N
H8849|011|002|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45250|2|N
H8849|011|002|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45281|2|N
H8849|011|002|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45291|2|N
H8849|011|002|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45310|2|N
H8849|011|002|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45340|2|N
H8849|011|002|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45390|2|N
H8849|011|002|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45400|2|N
H8849|011|002|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45410|2|N
H8849|011|002|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45470|2|N
H8849|011|002|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45531|2|N
H8849|011|002|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45564|2|N
H8849|011|002|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45570|2|N
H8849|011|002|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45640|2|N
H8849|011|002|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45653|2|N
H8849|011|002|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45654|2|N
H8849|011|002|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45670|2|N
H8849|011|002|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45680|2|N
H8849|011|002|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45720|2|N
H8849|011|002|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45730|2|N
H8849|011|002|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45800|2|N
H8849|011|002|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45820|2|N
H8849|011|002|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45841|2|N
H8849|011|002|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45843|2|N
H8849|011|002|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45870|2|N
H8849|011|002|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45879|2|N
H8849|011|002|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45881|2|N
H8849|011|002|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45892|2|N
H8849|011|002|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45910|2|N
H8849|011|002|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45920|2|N
H8849|011|002|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45921|2|N
H8849|011|002|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45943|2|N
H8849|011|002|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45947|2|N
H8849|011|002|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45973|2|N
H8849|011|002|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45974|2|N
H8849|011|003|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45060|2|N
H8849|011|003|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45090|2|N
H8849|011|003|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45130|2|N
H8849|011|003|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45320|2|N
H8849|011|003|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45562|2|N
H8849|011|003|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45581|2|N
H8849|011|003|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45731|2|N
H8849|011|003|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45753|2|N
H8849|011|003|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45792|2|N
H8849|011|003|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45873|2|N
H8849|011|003|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45971|2|N
H8849|011|003|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45983|2|N
H8849|011|004|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45480|2|N
H8849|011|004|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45662|2|N
H8849|011|005|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45080|2|N
H8849|011|005|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45201|2|N
H8849|011|005|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45270|2|N
H8849|011|005|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45292|2|N
H8849|011|005|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45362|2|N
H8849|011|005|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45421|2|N
H8849|011|005|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45521|2|N
H8849|011|005|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45551|2|N
H8849|011|005|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45582|2|N
H8849|011|005|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45652|2|N
H8849|011|005|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45751|2|N
H8849|011|005|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45770|2|N
H8849|011|005|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45771|2|N
H8849|011|005|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45804|2|N
H8849|011|005|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45905|2|N
H8849|011|005|WELLPOINT INSURANCE COMPANY|Wellpoint Dual Advantage (HMO D-SNP)|00025049|18.30|590| | |TX|45913|2|N
H8849|013|000|WELLPOINT INSURANCE COMPANY|Wellpoint Lung Care (HMO-POS C-SNP)|00025064|0.00|0| | |TX|45130|1|N
H8849|013|000|WELLPOINT INSURANCE COMPANY|Wellpoint Lung Care (HMO-POS C-SNP)|00025064|0.00|0| | |TX|45310|1|N
H8849|013|000|WELLPOINT INSURANCE COMPANY|Wellpoint Lung Care (HMO-POS C-SNP)|00025064|0.00|0| | |TX|45320|1|N
H8849|013|000|WELLPOINT INSURANCE COMPANY|Wellpoint Lung Care (HMO-POS C-SNP)|00025064|0.00|0| | |TX|45390|1|N
H8849|013|000|WELLPOINT INSURANCE COMPANY|Wellpoint Lung Care (HMO-POS C-SNP)|00025064|0.00|0| | |TX|45410|1|N
H8849|013|000|WELLPOINT INSURANCE COMPANY|Wellpoint Lung Care (HMO-POS C-SNP)|00025064|0.00|0| | |TX|45581|1|N
H8849|013|000|WELLPOINT INSURANCE COMPANY|Wellpoint Lung Care (HMO-POS C-SNP)|00025064|0.00|0| | |TX|45843|1|N
H8849|013|000|WELLPOINT INSURANCE COMPANY|Wellpoint Lung Care (HMO-POS C-SNP)|00025064|0.00|0| | |TX|45879|1|N
H8849|013|000|WELLPOINT INSURANCE COMPANY|Wellpoint Lung Care (HMO-POS C-SNP)|00025064|0.00|0| | |TX|45910|1|N
H8849|013|000|WELLPOINT INSURANCE COMPANY|Wellpoint Lung Care (HMO-POS C-SNP)|00025064|0.00|0| | |TX|45940|1|N
H8849|013|000|WELLPOINT INSURANCE COMPANY|Wellpoint Lung Care (HMO-POS C-SNP)|00025064|0.00|0| | |TX|45973|1|N
H8854|002|000|CAREFIRST ADVANTAGE DSNP, INC.|CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP)|00025162|0.00|590| | |MD|21000|2|N
H8854|002|000|CAREFIRST ADVANTAGE DSNP, INC.|CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP)|00025162|0.00|590| | |MD|21010|2|N
H8854|002|000|CAREFIRST ADVANTAGE DSNP, INC.|CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP)|00025162|0.00|590| | |MD|21020|2|N
H8854|002|000|CAREFIRST ADVANTAGE DSNP, INC.|CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP)|00025162|0.00|590| | |MD|21030|2|N
H8854|002|000|CAREFIRST ADVANTAGE DSNP, INC.|CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP)|00025162|0.00|590| | |MD|21040|2|N
H8854|002|000|CAREFIRST ADVANTAGE DSNP, INC.|CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP)|00025162|0.00|590| | |MD|21050|2|N
H8854|002|000|CAREFIRST ADVANTAGE DSNP, INC.|CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP)|00025162|0.00|590| | |MD|21060|2|N
H8854|002|000|CAREFIRST ADVANTAGE DSNP, INC.|CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP)|00025162|0.00|590| | |MD|21070|2|N
H8854|002|000|CAREFIRST ADVANTAGE DSNP, INC.|CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP)|00025162|0.00|590| | |MD|21080|2|N
H8854|002|000|CAREFIRST ADVANTAGE DSNP, INC.|CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP)|00025162|0.00|590| | |MD|21090|2|N
H8854|002|000|CAREFIRST ADVANTAGE DSNP, INC.|CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP)|00025162|0.00|590| | |MD|21100|2|N
H8854|002|000|CAREFIRST ADVANTAGE DSNP, INC.|CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP)|00025162|0.00|590| | |MD|21110|2|N
H8854|002|000|CAREFIRST ADVANTAGE DSNP, INC.|CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP)|00025162|0.00|590| | |MD|21120|2|N
H8854|002|000|CAREFIRST ADVANTAGE DSNP, INC.|CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP)|00025162|0.00|590| | |MD|21130|2|N
H8854|002|000|CAREFIRST ADVANTAGE DSNP, INC.|CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP)|00025162|0.00|590| | |MD|21140|2|N
H8854|002|000|CAREFIRST ADVANTAGE DSNP, INC.|CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP)|00025162|0.00|590| | |MD|21150|2|N
H8854|002|000|CAREFIRST ADVANTAGE DSNP, INC.|CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP)|00025162|0.00|590| | |MD|21160|2|N
H8854|002|000|CAREFIRST ADVANTAGE DSNP, INC.|CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP)|00025162|0.00|590| | |MD|21170|2|N
H8854|002|000|CAREFIRST ADVANTAGE DSNP, INC.|CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP)|00025162|0.00|590| | |MD|21180|2|N
H8854|002|000|CAREFIRST ADVANTAGE DSNP, INC.|CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP)|00025162|0.00|590| | |MD|21190|2|N
H8854|002|000|CAREFIRST ADVANTAGE DSNP, INC.|CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP)|00025162|0.00|590| | |MD|21200|2|N
H8854|002|000|CAREFIRST ADVANTAGE DSNP, INC.|CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP)|00025162|0.00|590| | |MD|21210|2|N
H8854|002|000|CAREFIRST ADVANTAGE DSNP, INC.|CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP)|00025162|0.00|590| | |MD|21220|2|N
H8854|002|000|CAREFIRST ADVANTAGE DSNP, INC.|CareFirst BlueCross BlueShield Advantage DualPrime (HMO D-SNP)|00025162|0.00|590| | |MD|21230|2|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25010|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25020|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25030|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25040|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25060|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25080|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25090|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25100|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25110|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25120|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25140|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25150|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25160|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25170|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25180|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25190|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25200|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25210|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25220|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25230|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25240|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25250|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25270|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25280|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25300|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25310|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25320|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25330|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25340|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25350|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25360|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25370|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25380|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25390|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25410|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25420|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25430|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25440|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25450|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25460|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25470|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25490|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25500|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25510|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25520|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25530|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25540|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25550|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25560|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25570|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25580|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25590|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25600|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25610|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25620|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25630|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25640|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25650|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25670|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25680|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25690|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25700|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25710|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25720|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25730|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25740|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25760|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25770|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25790|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25800|0|N
H8879|001|000|Healthy Mississippi, Inc.|Healthy Mississippi (HMO)|00025472|0.00|0| | |MS|25810|0|N
H8889|001|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-001 (PPO)|00025152|23.20|295| | |MN|24010|0|N
H8889|001|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-001 (PPO)|00025152|23.20|295| | |MN|24090|0|N
H8889|001|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-001 (PPO)|00025152|23.20|295| | |MN|24180|0|N
H8889|001|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-001 (PPO)|00025152|23.20|295| | |MN|24260|0|N
H8889|001|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-001 (PPO)|00025152|23.20|295| | |MN|24610|0|N
H8889|001|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-001 (PPO)|00025152|23.20|295| | |MN|24690|0|N
H8889|001|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-001 (PPO)|00025152|23.20|295| | |MN|24810|0|N
H8889|002|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-002 (PPO)|00025152|12.40|295| | |MN|24020|0|N
H8889|002|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-002 (PPO)|00025152|12.40|295| | |MN|24030|0|N
H8889|002|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-002 (PPO)|00025152|12.40|295| | |MN|24040|0|N
H8889|002|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-002 (PPO)|00025152|12.40|295| | |MN|24100|0|N
H8889|002|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-002 (PPO)|00025152|12.40|295| | |MN|24110|0|N
H8889|002|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-002 (PPO)|00025152|12.40|295| | |MN|24120|0|N
H8889|002|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-002 (PPO)|00025152|12.40|295| | |MN|24130|0|N
H8889|002|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-002 (PPO)|00025152|12.40|295| | |MN|24140|0|N
H8889|002|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-002 (PPO)|00025152|12.40|295| | |MN|24170|0|N
H8889|002|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-002 (PPO)|00025152|12.40|295| | |MN|24200|0|N
H8889|002|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-002 (PPO)|00025152|12.40|295| | |MN|24250|0|N
H8889|002|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-002 (PPO)|00025152|12.40|295| | |MN|24280|0|N
H8889|002|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-002 (PPO)|00025152|12.40|295| | |MN|24290|0|N
H8889|002|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-002 (PPO)|00025152|12.40|295| | |MN|24330|0|N
H8889|002|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-002 (PPO)|00025152|12.40|295| | |MN|24340|0|N
H8889|002|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-002 (PPO)|00025152|12.40|295| | |MN|24380|0|N
H8889|002|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-002 (PPO)|00025152|12.40|295| | |MN|24430|0|N
H8889|002|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-002 (PPO)|00025152|12.40|295| | |MN|24440|0|N
H8889|002|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-002 (PPO)|00025152|12.40|295| | |MN|24480|0|N
H8889|002|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-002 (PPO)|00025152|12.40|295| | |MN|24530|0|N
H8889|002|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-002 (PPO)|00025152|12.40|295| | |MN|24550|0|N
H8889|002|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-002 (PPO)|00025152|12.40|295| | |MN|24560|0|N
H8889|002|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-002 (PPO)|00025152|12.40|295| | |MN|24590|0|N
H8889|002|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-002 (PPO)|00025152|12.40|295| | |MN|24600|0|N
H8889|002|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-002 (PPO)|00025152|12.40|295| | |MN|24620|0|N
H8889|002|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-002 (PPO)|00025152|12.40|295| | |MN|24640|0|N
H8889|002|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-002 (PPO)|00025152|12.40|295| | |MN|24670|0|N
H8889|002|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-002 (PPO)|00025152|12.40|295| | |MN|24700|0|N
H8889|002|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-002 (PPO)|00025152|12.40|295| | |MN|24720|0|N
H8889|002|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-002 (PPO)|00025152|12.40|295| | |MN|24750|0|N
H8889|002|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-002 (PPO)|00025152|12.40|295| | |MN|24760|0|N
H8889|002|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-002 (PPO)|00025152|12.40|295| | |MN|24790|0|N
H8889|002|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-002 (PPO)|00025152|12.40|295| | |MN|24830|0|N
H8889|002|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-002 (PPO)|00025152|12.40|295| | |MN|24850|0|N
H8889|003|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-003 (PPO)|00025152|55.90|0| | |MN|24010|0|N
H8889|003|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-003 (PPO)|00025152|55.90|0| | |MN|24090|0|N
H8889|003|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-003 (PPO)|00025152|55.90|0| | |MN|24180|0|N
H8889|003|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-003 (PPO)|00025152|55.90|0| | |MN|24260|0|N
H8889|003|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-003 (PPO)|00025152|55.90|0| | |MN|24610|0|N
H8889|003|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-003 (PPO)|00025152|55.90|0| | |MN|24690|0|N
H8889|003|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-003 (PPO)|00025152|55.90|0| | |MN|24810|0|N
H8889|004|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-004 (PPO)|00025152|13.40|395| | |MN|24050|0|N
H8889|004|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-004 (PPO)|00025152|13.40|395| | |MN|24060|0|N
H8889|004|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-004 (PPO)|00025152|13.40|395| | |MN|24070|0|N
H8889|004|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-004 (PPO)|00025152|13.40|395| | |MN|24160|0|N
H8889|004|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-004 (PPO)|00025152|13.40|395| | |MN|24190|0|N
H8889|004|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-004 (PPO)|00025152|13.40|395| | |MN|24210|0|N
H8889|004|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-004 (PPO)|00025152|13.40|395| | |MN|24220|0|N
H8889|004|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-004 (PPO)|00025152|13.40|395| | |MN|24230|0|N
H8889|004|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-004 (PPO)|00025152|13.40|395| | |MN|24270|0|N
H8889|004|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-004 (PPO)|00025152|13.40|395| | |MN|24310|0|N
H8889|004|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-004 (PPO)|00025152|13.40|395| | |MN|24360|0|N
H8889|004|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-004 (PPO)|00025152|13.40|395| | |MN|24400|0|N
H8889|004|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-004 (PPO)|00025152|13.40|395| | |MN|24410|0|N
H8889|004|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-004 (PPO)|00025152|13.40|395| | |MN|24450|0|N
H8889|004|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-004 (PPO)|00025152|13.40|395| | |MN|24490|0|N
H8889|004|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-004 (PPO)|00025152|13.40|395| | |MN|24500|0|N
H8889|004|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-004 (PPO)|00025152|13.40|395| | |MN|24510|0|N
H8889|004|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-004 (PPO)|00025152|13.40|395| | |MN|24520|0|N
H8889|004|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-004 (PPO)|00025152|13.40|395| | |MN|24540|0|N
H8889|004|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-004 (PPO)|00025152|13.40|395| | |MN|24630|0|N
H8889|004|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-004 (PPO)|00025152|13.40|395| | |MN|24730|0|N
H8889|004|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-004 (PPO)|00025152|13.40|395| | |MN|24780|0|N
H8889|004|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-004 (PPO)|00025152|13.40|395| | |MN|24800|0|N
H8889|004|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-004 (PPO)|00025152|13.40|395| | |MN|24820|0|N
H8889|004|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-004 (PPO)|00025152|13.40|395| | |MN|24840|0|N
H8889|005|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-005 (PPO)|00025152|0.00|495| | |MN|24010|0|N
H8889|005|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-005 (PPO)|00025152|0.00|495| | |MN|24020|0|N
H8889|005|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-005 (PPO)|00025152|0.00|495| | |MN|24030|0|N
H8889|005|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-005 (PPO)|00025152|0.00|495| | |MN|24040|0|N
H8889|005|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-005 (PPO)|00025152|0.00|495| | |MN|24090|0|N
H8889|005|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-005 (PPO)|00025152|0.00|495| | |MN|24100|0|N
H8889|005|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-005 (PPO)|00025152|0.00|495| | |MN|24110|0|N
H8889|005|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-005 (PPO)|00025152|0.00|495| | |MN|24120|0|N
H8889|005|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-005 (PPO)|00025152|0.00|495| | |MN|24130|0|N
H8889|005|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-005 (PPO)|00025152|0.00|495| | |MN|24140|0|N
H8889|005|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-005 (PPO)|00025152|0.00|495| | |MN|24170|0|N
H8889|005|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-005 (PPO)|00025152|0.00|495| | |MN|24180|0|N
H8889|005|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-005 (PPO)|00025152|0.00|495| | |MN|24200|0|N
H8889|005|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-005 (PPO)|00025152|0.00|495| | |MN|24250|0|N
H8889|005|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-005 (PPO)|00025152|0.00|495| | |MN|24260|0|N
H8889|005|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-005 (PPO)|00025152|0.00|495| | |MN|24280|0|N
H8889|005|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-005 (PPO)|00025152|0.00|495| | |MN|24290|0|N
H8889|005|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-005 (PPO)|00025152|0.00|495| | |MN|24330|0|N
H8889|005|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-005 (PPO)|00025152|0.00|495| | |MN|24340|0|N
H8889|005|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-005 (PPO)|00025152|0.00|495| | |MN|24380|0|N
H8889|005|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-005 (PPO)|00025152|0.00|495| | |MN|24430|0|N
H8889|005|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-005 (PPO)|00025152|0.00|495| | |MN|24440|0|N
H8889|005|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-005 (PPO)|00025152|0.00|495| | |MN|24480|0|N
H8889|005|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-005 (PPO)|00025152|0.00|495| | |MN|24530|0|N
H8889|005|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-005 (PPO)|00025152|0.00|495| | |MN|24550|0|N
H8889|005|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-005 (PPO)|00025152|0.00|495| | |MN|24560|0|N
H8889|005|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-005 (PPO)|00025152|0.00|495| | |MN|24590|0|N
H8889|005|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-005 (PPO)|00025152|0.00|495| | |MN|24600|0|N
H8889|005|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-005 (PPO)|00025152|0.00|495| | |MN|24610|0|N
H8889|005|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-005 (PPO)|00025152|0.00|495| | |MN|24620|0|N
H8889|005|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-005 (PPO)|00025152|0.00|495| | |MN|24640|0|N
H8889|005|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-005 (PPO)|00025152|0.00|495| | |MN|24670|0|N
H8889|005|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-005 (PPO)|00025152|0.00|495| | |MN|24690|0|N
H8889|005|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-005 (PPO)|00025152|0.00|495| | |MN|24700|0|N
H8889|005|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-005 (PPO)|00025152|0.00|495| | |MN|24720|0|N
H8889|005|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-005 (PPO)|00025152|0.00|495| | |MN|24750|0|N
H8889|005|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-005 (PPO)|00025152|0.00|495| | |MN|24760|0|N
H8889|005|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-005 (PPO)|00025152|0.00|495| | |MN|24790|0|N
H8889|005|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-005 (PPO)|00025152|0.00|495| | |MN|24810|0|N
H8889|005|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-005 (PPO)|00025152|0.00|495| | |MN|24830|0|N
H8889|005|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-005 (PPO)|00025152|0.00|495| | |MN|24850|0|N
H8889|008|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-008 (PPO)|00025152|9.50|590| | |MN|24050|0|N
H8889|008|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-008 (PPO)|00025152|9.50|590| | |MN|24060|0|N
H8889|008|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-008 (PPO)|00025152|9.50|590| | |MN|24070|0|N
H8889|008|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-008 (PPO)|00025152|9.50|590| | |MN|24160|0|N
H8889|008|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-008 (PPO)|00025152|9.50|590| | |MN|24190|0|N
H8889|008|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-008 (PPO)|00025152|9.50|590| | |MN|24210|0|N
H8889|008|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-008 (PPO)|00025152|9.50|590| | |MN|24220|0|N
H8889|008|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-008 (PPO)|00025152|9.50|590| | |MN|24230|0|N
H8889|008|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-008 (PPO)|00025152|9.50|590| | |MN|24270|0|N
H8889|008|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-008 (PPO)|00025152|9.50|590| | |MN|24310|0|N
H8889|008|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-008 (PPO)|00025152|9.50|590| | |MN|24360|0|N
H8889|008|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-008 (PPO)|00025152|9.50|590| | |MN|24400|0|N
H8889|008|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-008 (PPO)|00025152|9.50|590| | |MN|24410|0|N
H8889|008|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-008 (PPO)|00025152|9.50|590| | |MN|24450|0|N
H8889|008|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-008 (PPO)|00025152|9.50|590| | |MN|24490|0|N
H8889|008|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-008 (PPO)|00025152|9.50|590| | |MN|24500|0|N
H8889|008|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-008 (PPO)|00025152|9.50|590| | |MN|24510|0|N
H8889|008|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-008 (PPO)|00025152|9.50|590| | |MN|24520|0|N
H8889|008|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-008 (PPO)|00025152|9.50|590| | |MN|24540|0|N
H8889|008|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-008 (PPO)|00025152|9.50|590| | |MN|24630|0|N
H8889|008|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-008 (PPO)|00025152|9.50|590| | |MN|24730|0|N
H8889|008|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-008 (PPO)|00025152|9.50|590| | |MN|24780|0|N
H8889|008|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-008 (PPO)|00025152|9.50|590| | |MN|24800|0|N
H8889|008|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-008 (PPO)|00025152|9.50|590| | |MN|24820|0|N
H8889|008|000|MEDICA HEALTH PLANS|Medica Advantage Solution H8889-008 (PPO)|00025152|9.50|590| | |MN|24840|0|N
H8889|010|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|0| | |IA|16420|0|N
H8889|010|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|0| | |IA|16640|0|N
H8889|010|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|0| | |IA|16770|0|N
H8889|010|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|0| | |NE|28000|0|N
H8889|010|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|0| | |NE|28010|0|N
H8889|010|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|0| | |NE|28050|0|N
H8889|010|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|0| | |NE|28090|0|N
H8889|010|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|0| | |NE|28110|0|N
H8889|010|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|0| | |NE|28120|0|N
H8889|010|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|0| | |NE|28130|0|N
H8889|010|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|0| | |NE|28170|0|N
H8889|010|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|0| | |NE|28190|0|N
H8889|010|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|0| | |NE|28200|0|N
H8889|010|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|0| | |NE|28250|0|N
H8889|010|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|0| | |NE|28260|0|N
H8889|010|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|0| | |NE|28270|0|N
H8889|010|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|0| | |NE|28300|0|N
H8889|010|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|0| | |NE|28310|0|N
H8889|010|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|0| | |NE|28320|0|N
H8889|010|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|0| | |NE|28350|0|N
H8889|010|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|0| | |NE|28360|0|N
H8889|010|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|0| | |NE|28380|0|N
H8889|010|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|0| | |NE|28390|0|N
H8889|010|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|0| | |NE|28400|0|N
H8889|010|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|0| | |NE|28410|0|N
H8889|010|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|0| | |NE|28440|0|N
H8889|010|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|0| | |NE|28460|0|N
H8889|010|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|0| | |NE|28470|0|N
H8889|010|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|0| | |NE|28490|0|N
H8889|010|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|0| | |NE|28530|0|N
H8889|010|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|0| | |NE|28540|0|N
H8889|010|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|0| | |NE|28590|0|N
H8889|010|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|0| | |NE|28600|0|N
H8889|010|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|0| | |NE|28620|0|N
H8889|010|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|0| | |NE|28630|0|N
H8889|010|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|0| | |NE|28640|0|N
H8889|010|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|0| | |NE|28660|0|N
H8889|010|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|0| | |NE|28680|0|N
H8889|010|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|0| | |NE|28690|0|N
H8889|010|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|0| | |NE|28700|0|N
H8889|010|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|0| | |NE|28760|0|N
H8889|010|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|0| | |NE|28770|0|N
H8889|010|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|0| | |NE|28810|0|N
H8889|010|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|0| | |NE|28830|0|N
H8889|010|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|0| | |NE|28840|0|N
H8889|010|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|0| | |NE|28860|0|N
H8889|010|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|0| | |NE|28870|0|N
H8889|010|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|0| | |NE|28880|0|N
H8889|010|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|0| | |NE|28890|0|N
H8889|010|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|0| | |NE|28900|0|N
H8889|010|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|0| | |NE|28910|0|N
H8889|011|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|31.80|0| | |IA|16420|0|N
H8889|011|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|31.80|0| | |IA|16640|0|N
H8889|011|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|31.80|0| | |IA|16770|0|N
H8889|011|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|31.80|0| | |NE|28000|0|N
H8889|011|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|31.80|0| | |NE|28010|0|N
H8889|011|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|31.80|0| | |NE|28050|0|N
H8889|011|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|31.80|0| | |NE|28090|0|N
H8889|011|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|31.80|0| | |NE|28110|0|N
H8889|011|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|31.80|0| | |NE|28120|0|N
H8889|011|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|31.80|0| | |NE|28130|0|N
H8889|011|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|31.80|0| | |NE|28170|0|N
H8889|011|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|31.80|0| | |NE|28190|0|N
H8889|011|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|31.80|0| | |NE|28200|0|N
H8889|011|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|31.80|0| | |NE|28250|0|N
H8889|011|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|31.80|0| | |NE|28260|0|N
H8889|011|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|31.80|0| | |NE|28270|0|N
H8889|011|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|31.80|0| | |NE|28300|0|N
H8889|011|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|31.80|0| | |NE|28310|0|N
H8889|011|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|31.80|0| | |NE|28320|0|N
H8889|011|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|31.80|0| | |NE|28350|0|N
H8889|011|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|31.80|0| | |NE|28360|0|N
H8889|011|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|31.80|0| | |NE|28380|0|N
H8889|011|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|31.80|0| | |NE|28390|0|N
H8889|011|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|31.80|0| | |NE|28400|0|N
H8889|011|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|31.80|0| | |NE|28410|0|N
H8889|011|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|31.80|0| | |NE|28440|0|N
H8889|011|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|31.80|0| | |NE|28460|0|N
H8889|011|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|31.80|0| | |NE|28470|0|N
H8889|011|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|31.80|0| | |NE|28490|0|N
H8889|011|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|31.80|0| | |NE|28530|0|N
H8889|011|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|31.80|0| | |NE|28540|0|N
H8889|011|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|31.80|0| | |NE|28590|0|N
H8889|011|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|31.80|0| | |NE|28600|0|N
H8889|011|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|31.80|0| | |NE|28620|0|N
H8889|011|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|31.80|0| | |NE|28630|0|N
H8889|011|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|31.80|0| | |NE|28640|0|N
H8889|011|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|31.80|0| | |NE|28660|0|N
H8889|011|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|31.80|0| | |NE|28680|0|N
H8889|011|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|31.80|0| | |NE|28690|0|N
H8889|011|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|31.80|0| | |NE|28700|0|N
H8889|011|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|31.80|0| | |NE|28760|0|N
H8889|011|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|31.80|0| | |NE|28770|0|N
H8889|011|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|31.80|0| | |NE|28810|0|N
H8889|011|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|31.80|0| | |NE|28830|0|N
H8889|011|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|31.80|0| | |NE|28840|0|N
H8889|011|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|31.80|0| | |NE|28860|0|N
H8889|011|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|31.80|0| | |NE|28870|0|N
H8889|011|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|31.80|0| | |NE|28880|0|N
H8889|011|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|31.80|0| | |NE|28890|0|N
H8889|011|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|31.80|0| | |NE|28900|0|N
H8889|011|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|31.80|0| | |NE|28910|0|N
H8889|012|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|24.60|250| | |ND|35070|0|N
H8889|012|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|24.60|250| | |ND|35170|0|N
H8889|012|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|24.60|250| | |ND|35290|0|N
H8889|012|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|24.60|250| | |ND|35460|0|N
H8889|012|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|24.60|250| | |SD|43050|0|N
H8889|012|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|24.60|250| | |SD|43120|0|N
H8889|012|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|24.60|250| | |SD|43140|0|N
H8889|012|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|24.60|250| | |SD|43170|0|N
H8889|012|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|24.60|250| | |SD|43180|0|N
H8889|012|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|24.60|250| | |SD|43190|0|N
H8889|012|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|24.60|250| | |SD|43280|0|N
H8889|012|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|24.60|250| | |SD|43380|0|N
H8889|012|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|24.60|250| | |SD|43450|0|N
H8889|012|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|24.60|250| | |SD|43540|0|N
H8889|012|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|24.60|250| | |SD|43550|0|N
H8889|012|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|24.60|250| | |SD|43570|0|N
H8889|013|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|41.30|0| | |ND|35070|0|N
H8889|013|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|41.30|0| | |ND|35170|0|N
H8889|013|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|41.30|0| | |ND|35290|0|N
H8889|013|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|41.30|0| | |ND|35460|0|N
H8889|013|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|41.30|0| | |SD|43050|0|N
H8889|013|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|41.30|0| | |SD|43120|0|N
H8889|013|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|41.30|0| | |SD|43140|0|N
H8889|013|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|41.30|0| | |SD|43170|0|N
H8889|013|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|41.30|0| | |SD|43180|0|N
H8889|013|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|41.30|0| | |SD|43190|0|N
H8889|013|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|41.30|0| | |SD|43280|0|N
H8889|013|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|41.30|0| | |SD|43380|0|N
H8889|013|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|41.30|0| | |SD|43450|0|N
H8889|013|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|41.30|0| | |SD|43540|0|N
H8889|013|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|41.30|0| | |SD|43550|0|N
H8889|013|000|MEDICA HEALTH PLANS|Medica Advantage Preferred (PPO)|00025152|41.30|0| | |SD|43570|0|N
H8889|014|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|495| | |ND|35070|0|N
H8889|014|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|495| | |ND|35170|0|N
H8889|014|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|495| | |ND|35290|0|N
H8889|014|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|495| | |ND|35460|0|N
H8889|014|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|495| | |SD|43050|0|N
H8889|014|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|495| | |SD|43120|0|N
H8889|014|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|495| | |SD|43140|0|N
H8889|014|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|495| | |SD|43170|0|N
H8889|014|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|495| | |SD|43180|0|N
H8889|014|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|495| | |SD|43190|0|N
H8889|014|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|495| | |SD|43280|0|N
H8889|014|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|495| | |SD|43380|0|N
H8889|014|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|495| | |SD|43450|0|N
H8889|014|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|495| | |SD|43540|0|N
H8889|014|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|495| | |SD|43550|0|N
H8889|014|000|MEDICA HEALTH PLANS|Medica Advantage Value (PPO)|00025152|0.00|495| | |SD|43570|0|N
H8889|015|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|17.50|0| | |IA|16420|0|N
H8889|015|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|17.50|0| | |IA|16640|0|N
H8889|015|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|17.50|0| | |IA|16770|0|N
H8889|015|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|17.50|0| | |NE|28000|0|N
H8889|015|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|17.50|0| | |NE|28010|0|N
H8889|015|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|17.50|0| | |NE|28050|0|N
H8889|015|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|17.50|0| | |NE|28090|0|N
H8889|015|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|17.50|0| | |NE|28110|0|N
H8889|015|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|17.50|0| | |NE|28120|0|N
H8889|015|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|17.50|0| | |NE|28130|0|N
H8889|015|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|17.50|0| | |NE|28170|0|N
H8889|015|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|17.50|0| | |NE|28190|0|N
H8889|015|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|17.50|0| | |NE|28200|0|N
H8889|015|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|17.50|0| | |NE|28250|0|N
H8889|015|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|17.50|0| | |NE|28260|0|N
H8889|015|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|17.50|0| | |NE|28270|0|N
H8889|015|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|17.50|0| | |NE|28300|0|N
H8889|015|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|17.50|0| | |NE|28310|0|N
H8889|015|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|17.50|0| | |NE|28320|0|N
H8889|015|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|17.50|0| | |NE|28350|0|N
H8889|015|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|17.50|0| | |NE|28360|0|N
H8889|015|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|17.50|0| | |NE|28380|0|N
H8889|015|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|17.50|0| | |NE|28390|0|N
H8889|015|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|17.50|0| | |NE|28400|0|N
H8889|015|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|17.50|0| | |NE|28410|0|N
H8889|015|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|17.50|0| | |NE|28440|0|N
H8889|015|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|17.50|0| | |NE|28460|0|N
H8889|015|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|17.50|0| | |NE|28470|0|N
H8889|015|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|17.50|0| | |NE|28490|0|N
H8889|015|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|17.50|0| | |NE|28530|0|N
H8889|015|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|17.50|0| | |NE|28540|0|N
H8889|015|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|17.50|0| | |NE|28590|0|N
H8889|015|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|17.50|0| | |NE|28600|0|N
H8889|015|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|17.50|0| | |NE|28620|0|N
H8889|015|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|17.50|0| | |NE|28630|0|N
H8889|015|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|17.50|0| | |NE|28640|0|N
H8889|015|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|17.50|0| | |NE|28660|0|N
H8889|015|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|17.50|0| | |NE|28680|0|N
H8889|015|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|17.50|0| | |NE|28690|0|N
H8889|015|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|17.50|0| | |NE|28700|0|N
H8889|015|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|17.50|0| | |NE|28760|0|N
H8889|015|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|17.50|0| | |NE|28770|0|N
H8889|015|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|17.50|0| | |NE|28810|0|N
H8889|015|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|17.50|0| | |NE|28830|0|N
H8889|015|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|17.50|0| | |NE|28840|0|N
H8889|015|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|17.50|0| | |NE|28860|0|N
H8889|015|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|17.50|0| | |NE|28870|0|N
H8889|015|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|17.50|0| | |NE|28880|0|N
H8889|015|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|17.50|0| | |NE|28890|0|N
H8889|015|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|17.50|0| | |NE|28900|0|N
H8889|015|000|MEDICA HEALTH PLANS|Medica Advantage Select (PPO)|00025152|17.50|0| | |NE|28910|0|N
H8889|016|000|MEDICA HEALTH PLANS|Medica Advantage Dual (PPO D-SNP)|00025152|0.00|590| | |ND|35070|2|N
H8889|016|000|MEDICA HEALTH PLANS|Medica Advantage Dual (PPO D-SNP)|00025152|0.00|590| | |ND|35080|2|N
H8889|016|000|MEDICA HEALTH PLANS|Medica Advantage Dual (PPO D-SNP)|00025152|0.00|590| | |ND|35170|2|N
H8889|016|000|MEDICA HEALTH PLANS|Medica Advantage Dual (PPO D-SNP)|00025152|0.00|590| | |ND|35290|2|N
H8889|016|000|MEDICA HEALTH PLANS|Medica Advantage Dual (PPO D-SNP)|00025152|0.00|590| | |ND|35460|2|N
H8894|001|000|Inland Empire Health Plan|IEHP DualChoice (HMO D-SNP)|00025448|0.00|590| | |CA|05430|2|N
H8894|001|000|Inland Empire Health Plan|IEHP DualChoice (HMO D-SNP)|00025448|0.00|590| | |CA|05460|2|N
H8902|001|000|SCAN HEALTH PLAN TEXAS, INC.|SCAN Classic (HMO)|00025409|0.00|0| | |TX|45130|0|N
H8902|002|000|SCAN HEALTH PLAN TEXAS, INC.|SCAN Balance (HMO C-SNP)|00025409|0.00|0| | |TX|45130|1|N
H8902|005|000|SCAN HEALTH PLAN TEXAS, INC.|SCAN Classic (HMO)|00025409|0.00|0| | |TX|45610|0|N
H8902|006|000|SCAN HEALTH PLAN TEXAS, INC.|SCAN Balance (HMO C-SNP)|00025409|0.00|0| | |TX|45610|1|N
H8902|009|000|SCAN HEALTH PLAN TEXAS, INC.|SCAN Strive (HMO C-SNP)|00025409|18.30|590| | |TX|45130|1|N
H8902|009|000|SCAN HEALTH PLAN TEXAS, INC.|SCAN Strive (HMO C-SNP)|00025409|18.30|590| | |TX|45610|1|N
H8902|010|000|SCAN HEALTH PLAN TEXAS, INC.|SCAN MyChoice (HMO)|00025409|0.00|0| | |TX|45130|0|N
H8902|011|000|SCAN HEALTH PLAN TEXAS, INC.|SCAN MyChoice (HMO)|00025409|0.00|0| | |TX|45610|0|N
H8908|001|000|HUMANA MEDICAL PLAN OF MICHIGAN, INC.|Humana Gold Plus H8908-001 (HMO-POS)|00025456|23.10|200| | |MI|23240|0|N
H8908|001|000|HUMANA MEDICAL PLAN OF MICHIGAN, INC.|Humana Gold Plus H8908-001 (HMO-POS)|00025456|23.10|200| | |MI|23320|0|N
H8908|001|000|HUMANA MEDICAL PLAN OF MICHIGAN, INC.|Humana Gold Plus H8908-001 (HMO-POS)|00025456|23.10|200| | |MI|23430|0|N
H8908|001|000|HUMANA MEDICAL PLAN OF MICHIGAN, INC.|Humana Gold Plus H8908-001 (HMO-POS)|00025456|23.10|200| | |MI|23460|0|N
H8908|001|000|HUMANA MEDICAL PLAN OF MICHIGAN, INC.|Humana Gold Plus H8908-001 (HMO-POS)|00025456|23.10|200| | |MI|23490|0|N
H8908|001|000|HUMANA MEDICAL PLAN OF MICHIGAN, INC.|Humana Gold Plus H8908-001 (HMO-POS)|00025456|23.10|200| | |MI|23620|0|N
H8908|001|000|HUMANA MEDICAL PLAN OF MICHIGAN, INC.|Humana Gold Plus H8908-001 (HMO-POS)|00025456|23.10|200| | |MI|23730|0|N
H8908|001|000|HUMANA MEDICAL PLAN OF MICHIGAN, INC.|Humana Gold Plus H8908-001 (HMO-POS)|00025456|23.10|200| | |MI|23800|0|N
H8908|001|000|HUMANA MEDICAL PLAN OF MICHIGAN, INC.|Humana Gold Plus H8908-001 (HMO-POS)|00025456|23.10|200| | |MI|23810|0|N
H8908|002|000|HUMANA MEDICAL PLAN OF MICHIGAN, INC.|Humana Gold Plus H8908-002 (HMO)|00025456|0.00|250| | |MI|23400|0|N
H8908|002|000|HUMANA MEDICAL PLAN OF MICHIGAN, INC.|Humana Gold Plus H8908-002 (HMO)|00025456|0.00|250| | |MI|23600|0|N
H8908|004|000|HUMANA MEDICAL PLAN OF MICHIGAN, INC.|Humana Gold Plus H8908-004 (HMO-POS)|00025456|0.00|250| | |MI|23240|0|N
H8908|004|000|HUMANA MEDICAL PLAN OF MICHIGAN, INC.|Humana Gold Plus H8908-004 (HMO-POS)|00025456|0.00|250| | |MI|23320|0|N
H8908|004|000|HUMANA MEDICAL PLAN OF MICHIGAN, INC.|Humana Gold Plus H8908-004 (HMO-POS)|00025456|0.00|250| | |MI|23430|0|N
H8908|004|000|HUMANA MEDICAL PLAN OF MICHIGAN, INC.|Humana Gold Plus H8908-004 (HMO-POS)|00025456|0.00|250| | |MI|23460|0|N
H8908|004|000|HUMANA MEDICAL PLAN OF MICHIGAN, INC.|Humana Gold Plus H8908-004 (HMO-POS)|00025456|0.00|250| | |MI|23490|0|N
H8908|004|000|HUMANA MEDICAL PLAN OF MICHIGAN, INC.|Humana Gold Plus H8908-004 (HMO-POS)|00025456|0.00|250| | |MI|23620|0|N
H8908|004|000|HUMANA MEDICAL PLAN OF MICHIGAN, INC.|Humana Gold Plus H8908-004 (HMO-POS)|00025456|0.00|250| | |MI|23730|0|N
H8908|004|000|HUMANA MEDICAL PLAN OF MICHIGAN, INC.|Humana Gold Plus H8908-004 (HMO-POS)|00025456|0.00|250| | |MI|23750|0|N
H8908|004|000|HUMANA MEDICAL PLAN OF MICHIGAN, INC.|Humana Gold Plus H8908-004 (HMO-POS)|00025456|0.00|250| | |MI|23780|0|N
H8908|004|000|HUMANA MEDICAL PLAN OF MICHIGAN, INC.|Humana Gold Plus H8908-004 (HMO-POS)|00025456|0.00|250| | |MI|23800|0|N
H8908|004|000|HUMANA MEDICAL PLAN OF MICHIGAN, INC.|Humana Gold Plus H8908-004 (HMO-POS)|00025456|0.00|250| | |MI|23810|0|N
H8908|005|000|HUMANA MEDICAL PLAN OF MICHIGAN, INC.|Humana Gold Plus SNP-DE H8908-005 (HMO D-SNP)|00025456|0.00|590| | |MI|23240|2|N
H8908|005|000|HUMANA MEDICAL PLAN OF MICHIGAN, INC.|Humana Gold Plus SNP-DE H8908-005 (HMO D-SNP)|00025456|0.00|590| | |MI|23320|2|N
H8908|005|000|HUMANA MEDICAL PLAN OF MICHIGAN, INC.|Humana Gold Plus SNP-DE H8908-005 (HMO D-SNP)|00025456|0.00|590| | |MI|23430|2|N
H8908|005|000|HUMANA MEDICAL PLAN OF MICHIGAN, INC.|Humana Gold Plus SNP-DE H8908-005 (HMO D-SNP)|00025456|0.00|590| | |MI|23460|2|N
H8908|005|000|HUMANA MEDICAL PLAN OF MICHIGAN, INC.|Humana Gold Plus SNP-DE H8908-005 (HMO D-SNP)|00025456|0.00|590| | |MI|23490|2|N
H8908|005|000|HUMANA MEDICAL PLAN OF MICHIGAN, INC.|Humana Gold Plus SNP-DE H8908-005 (HMO D-SNP)|00025456|0.00|590| | |MI|23620|2|N
H8908|005|000|HUMANA MEDICAL PLAN OF MICHIGAN, INC.|Humana Gold Plus SNP-DE H8908-005 (HMO D-SNP)|00025456|0.00|590| | |MI|23730|2|N
H8908|005|000|HUMANA MEDICAL PLAN OF MICHIGAN, INC.|Humana Gold Plus SNP-DE H8908-005 (HMO D-SNP)|00025456|0.00|590| | |MI|23750|2|N
H8908|005|000|HUMANA MEDICAL PLAN OF MICHIGAN, INC.|Humana Gold Plus SNP-DE H8908-005 (HMO D-SNP)|00025456|0.00|590| | |MI|23780|2|N
H8908|005|000|HUMANA MEDICAL PLAN OF MICHIGAN, INC.|Humana Gold Plus SNP-DE H8908-005 (HMO D-SNP)|00025456|0.00|590| | |MI|23800|2|N
H8908|005|000|HUMANA MEDICAL PLAN OF MICHIGAN, INC.|Humana Gold Plus SNP-DE H8908-005 (HMO D-SNP)|00025456|0.00|590| | |MI|23810|2|N
H8908|006|000|HUMANA MEDICAL PLAN OF MICHIGAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |MI|23240|1|N
H8908|006|000|HUMANA MEDICAL PLAN OF MICHIGAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |MI|23320|1|N
H8908|006|000|HUMANA MEDICAL PLAN OF MICHIGAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |MI|23430|1|N
H8908|006|000|HUMANA MEDICAL PLAN OF MICHIGAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |MI|23460|1|N
H8908|006|000|HUMANA MEDICAL PLAN OF MICHIGAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |MI|23490|1|N
H8908|006|000|HUMANA MEDICAL PLAN OF MICHIGAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |MI|23620|1|N
H8908|006|000|HUMANA MEDICAL PLAN OF MICHIGAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |MI|23730|1|N
H8908|006|000|HUMANA MEDICAL PLAN OF MICHIGAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |MI|23750|1|N
H8908|006|000|HUMANA MEDICAL PLAN OF MICHIGAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |MI|23780|1|N
H8908|006|000|HUMANA MEDICAL PLAN OF MICHIGAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |MI|23800|1|N
H8908|006|000|HUMANA MEDICAL PLAN OF MICHIGAN, INC.|Humana Gold Plus - End Stage Renal Disease (HMO C-SNP)|00025460|0.00|590| | |MI|23810|1|N
H8908|007|000|HUMANA MEDICAL PLAN OF MICHIGAN, INC.|Humana Gold Plus SNP-DE H8908-007 (HMO D-SNP)|00025456|0.00|590| | |MI|23240|2|N
H8908|007|000|HUMANA MEDICAL PLAN OF MICHIGAN, INC.|Humana Gold Plus SNP-DE H8908-007 (HMO D-SNP)|00025456|0.00|590| | |MI|23320|2|N
H8908|007|000|HUMANA MEDICAL PLAN OF MICHIGAN, INC.|Humana Gold Plus SNP-DE H8908-007 (HMO D-SNP)|00025456|0.00|590| | |MI|23430|2|N
H8908|007|000|HUMANA MEDICAL PLAN OF MICHIGAN, INC.|Humana Gold Plus SNP-DE H8908-007 (HMO D-SNP)|00025456|0.00|590| | |MI|23460|2|N
H8908|007|000|HUMANA MEDICAL PLAN OF MICHIGAN, INC.|Humana Gold Plus SNP-DE H8908-007 (HMO D-SNP)|00025456|0.00|590| | |MI|23490|2|N
H8908|007|000|HUMANA MEDICAL PLAN OF MICHIGAN, INC.|Humana Gold Plus SNP-DE H8908-007 (HMO D-SNP)|00025456|0.00|590| | |MI|23620|2|N
H8908|007|000|HUMANA MEDICAL PLAN OF MICHIGAN, INC.|Humana Gold Plus SNP-DE H8908-007 (HMO D-SNP)|00025456|0.00|590| | |MI|23730|2|N
H8908|007|000|HUMANA MEDICAL PLAN OF MICHIGAN, INC.|Humana Gold Plus SNP-DE H8908-007 (HMO D-SNP)|00025456|0.00|590| | |MI|23750|2|N
H8908|007|000|HUMANA MEDICAL PLAN OF MICHIGAN, INC.|Humana Gold Plus SNP-DE H8908-007 (HMO D-SNP)|00025456|0.00|590| | |MI|23780|2|N
H8908|007|000|HUMANA MEDICAL PLAN OF MICHIGAN, INC.|Humana Gold Plus SNP-DE H8908-007 (HMO D-SNP)|00025456|0.00|590| | |MI|23800|2|N
H8908|007|000|HUMANA MEDICAL PLAN OF MICHIGAN, INC.|Humana Gold Plus SNP-DE H8908-007 (HMO D-SNP)|00025456|0.00|590| | |MI|23810|2|N
H8917|001|000|DEVOTED HEALTH INSURANCE COMPANY OF WASHINGTON|Devoted CHOICE Washington (PPO)|00025188|0.00|590| | |WA|50050|0|N
H8917|001|000|DEVOTED HEALTH INSURANCE COMPANY OF WASHINGTON|Devoted CHOICE Washington (PPO)|00025188|0.00|590| | |WA|50070|0|N
H8917|001|000|DEVOTED HEALTH INSURANCE COMPANY OF WASHINGTON|Devoted CHOICE Washington (PPO)|00025188|0.00|590| | |WA|50150|0|N
H8917|001|000|DEVOTED HEALTH INSURANCE COMPANY OF WASHINGTON|Devoted CHOICE Washington (PPO)|00025188|0.00|590| | |WA|50170|0|N
H8917|001|000|DEVOTED HEALTH INSURANCE COMPANY OF WASHINGTON|Devoted CHOICE Washington (PPO)|00025188|0.00|590| | |WA|50260|0|N
H8917|001|000|DEVOTED HEALTH INSURANCE COMPANY OF WASHINGTON|Devoted CHOICE Washington (PPO)|00025188|0.00|590| | |WA|50290|0|N
H8917|001|000|DEVOTED HEALTH INSURANCE COMPANY OF WASHINGTON|Devoted CHOICE Washington (PPO)|00025188|0.00|590| | |WA|50340|0|N
H8917|002|000|DEVOTED HEALTH INSURANCE COMPANY OF WASHINGTON|Devoted CHOICE GIVEBACK Washington (PPO)|00025188|0.00|590| | |WA|50050|0|N
H8917|002|000|DEVOTED HEALTH INSURANCE COMPANY OF WASHINGTON|Devoted CHOICE GIVEBACK Washington (PPO)|00025188|0.00|590| | |WA|50070|0|N
H8917|002|000|DEVOTED HEALTH INSURANCE COMPANY OF WASHINGTON|Devoted CHOICE GIVEBACK Washington (PPO)|00025188|0.00|590| | |WA|50150|0|N
H8917|002|000|DEVOTED HEALTH INSURANCE COMPANY OF WASHINGTON|Devoted CHOICE GIVEBACK Washington (PPO)|00025188|0.00|590| | |WA|50170|0|N
H8917|002|000|DEVOTED HEALTH INSURANCE COMPANY OF WASHINGTON|Devoted CHOICE GIVEBACK Washington (PPO)|00025188|0.00|590| | |WA|50260|0|N
H8917|002|000|DEVOTED HEALTH INSURANCE COMPANY OF WASHINGTON|Devoted CHOICE GIVEBACK Washington (PPO)|00025188|0.00|590| | |WA|50290|0|N
H8917|002|000|DEVOTED HEALTH INSURANCE COMPANY OF WASHINGTON|Devoted CHOICE GIVEBACK Washington (PPO)|00025188|0.00|590| | |WA|50340|0|N
H8928|001|000|FALLON COMMUNITY HEALTH PLAN|NaviCare (HMO D-SNP)|00025373|0.00|590| | |MA|22000|2|N
H8928|001|000|FALLON COMMUNITY HEALTH PLAN|NaviCare (HMO D-SNP)|00025373|0.00|590| | |MA|22010|2|N
H8928|001|000|FALLON COMMUNITY HEALTH PLAN|NaviCare (HMO D-SNP)|00025373|0.00|590| | |MA|22020|2|N
H8928|001|000|FALLON COMMUNITY HEALTH PLAN|NaviCare (HMO D-SNP)|00025373|0.00|590| | |MA|22040|2|N
H8928|001|000|FALLON COMMUNITY HEALTH PLAN|NaviCare (HMO D-SNP)|00025373|0.00|590| | |MA|22060|2|N
H8928|001|000|FALLON COMMUNITY HEALTH PLAN|NaviCare (HMO D-SNP)|00025373|0.00|590| | |MA|22070|2|N
H8928|001|000|FALLON COMMUNITY HEALTH PLAN|NaviCare (HMO D-SNP)|00025373|0.00|590| | |MA|22080|2|N
H8928|001|000|FALLON COMMUNITY HEALTH PLAN|NaviCare (HMO D-SNP)|00025373|0.00|590| | |MA|22090|2|N
H8928|001|000|FALLON COMMUNITY HEALTH PLAN|NaviCare (HMO D-SNP)|00025373|0.00|590| | |MA|22130|2|N
H8928|001|000|FALLON COMMUNITY HEALTH PLAN|NaviCare (HMO D-SNP)|00025373|0.00|590| | |MA|22150|2|N
H8928|001|000|FALLON COMMUNITY HEALTH PLAN|NaviCare (HMO D-SNP)|00025373|0.00|590| | |MA|22160|2|N
H8928|001|000|FALLON COMMUNITY HEALTH PLAN|NaviCare (HMO D-SNP)|00025373|0.00|590| | |MA|22170|2|N
H8947|001|001|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Vista (PPO)|00025118|0.00|0| | |WV|51000|0|N
H8947|001|001|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Vista (PPO)|00025118|0.00|0| | |WV|51020|0|N
H8947|001|001|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Vista (PPO)|00025118|0.00|0| | |WV|51030|0|N
H8947|001|001|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Vista (PPO)|00025118|0.00|0| | |WV|51060|0|N
H8947|001|001|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Vista (PPO)|00025118|0.00|0| | |WV|51080|0|N
H8947|001|001|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Vista (PPO)|00025118|0.00|0| | |WV|51100|0|N
H8947|001|001|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Vista (PPO)|00025118|0.00|0| | |WV|51110|0|N
H8947|001|001|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Vista (PPO)|00025118|0.00|0| | |WV|51160|0|N
H8947|001|001|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Vista (PPO)|00025118|0.00|0| | |WV|51200|0|N
H8947|001|001|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Vista (PPO)|00025118|0.00|0| | |WV|51240|0|N
H8947|001|001|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Vista (PPO)|00025118|0.00|0| | |WV|51250|0|N
H8947|001|001|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Vista (PPO)|00025118|0.00|0| | |WV|51300|0|N
H8947|001|001|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Vista (PPO)|00025118|0.00|0| | |WV|51340|0|N
H8947|001|001|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Vista (PPO)|00025118|0.00|0| | |WV|51350|0|N
H8947|001|001|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Vista (PPO)|00025118|0.00|0| | |WV|51360|0|N
H8947|001|001|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Vista (PPO)|00025118|0.00|0| | |WV|51370|0|N
H8947|001|001|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Vista (PPO)|00025118|0.00|0| | |WV|51380|0|N
H8947|001|001|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Vista (PPO)|00025118|0.00|0| | |WV|51420|0|N
H8947|001|001|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Vista (PPO)|00025118|0.00|0| | |WV|51430|0|N
H8947|001|001|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Vista (PPO)|00025118|0.00|0| | |WV|51450|0|N
H8947|001|001|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Vista (PPO)|00025118|0.00|0| | |WV|51460|0|N
H8947|001|001|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Vista (PPO)|00025118|0.00|0| | |WV|51470|0|N
H8947|001|001|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Vista (PPO)|00025118|0.00|0| | |WV|51480|0|N
H8947|001|001|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Vista (PPO)|00025118|0.00|0| | |WV|51510|0|N
H8947|001|001|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Vista (PPO)|00025118|0.00|0| | |WV|51520|0|N
H8947|001|002|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Vista (PPO)|00025118|0.00|0| | |WV|51050|0|N
H8947|001|002|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Vista (PPO)|00025118|0.00|0| | |WV|51210|0|N
H8947|001|002|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Vista (PPO)|00025118|0.00|0| | |WV|51260|0|N
H8947|001|002|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Vista (PPO)|00025118|0.00|0| | |WV|51490|0|N
H8947|002|001|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Summit (PPO)|00025118|2.40|0| | |WV|51000|0|N
H8947|002|001|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Summit (PPO)|00025118|2.40|0| | |WV|51020|0|N
H8947|002|001|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Summit (PPO)|00025118|2.40|0| | |WV|51030|0|N
H8947|002|001|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Summit (PPO)|00025118|2.40|0| | |WV|51060|0|N
H8947|002|001|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Summit (PPO)|00025118|2.40|0| | |WV|51080|0|N
H8947|002|001|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Summit (PPO)|00025118|2.40|0| | |WV|51100|0|N
H8947|002|001|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Summit (PPO)|00025118|2.40|0| | |WV|51110|0|N
H8947|002|001|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Summit (PPO)|00025118|2.40|0| | |WV|51160|0|N
H8947|002|001|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Summit (PPO)|00025118|2.40|0| | |WV|51200|0|N
H8947|002|001|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Summit (PPO)|00025118|2.40|0| | |WV|51240|0|N
H8947|002|001|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Summit (PPO)|00025118|2.40|0| | |WV|51250|0|N
H8947|002|001|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Summit (PPO)|00025118|2.40|0| | |WV|51300|0|N
H8947|002|001|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Summit (PPO)|00025118|2.40|0| | |WV|51340|0|N
H8947|002|001|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Summit (PPO)|00025118|2.40|0| | |WV|51350|0|N
H8947|002|001|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Summit (PPO)|00025118|2.40|0| | |WV|51360|0|N
H8947|002|001|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Summit (PPO)|00025118|2.40|0| | |WV|51370|0|N
H8947|002|001|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Summit (PPO)|00025118|2.40|0| | |WV|51380|0|N
H8947|002|001|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Summit (PPO)|00025118|2.40|0| | |WV|51420|0|N
H8947|002|001|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Summit (PPO)|00025118|2.40|0| | |WV|51430|0|N
H8947|002|001|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Summit (PPO)|00025118|2.40|0| | |WV|51450|0|N
H8947|002|001|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Summit (PPO)|00025118|2.40|0| | |WV|51460|0|N
H8947|002|001|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Summit (PPO)|00025118|2.40|0| | |WV|51470|0|N
H8947|002|001|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Summit (PPO)|00025118|2.40|0| | |WV|51480|0|N
H8947|002|001|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Summit (PPO)|00025118|2.40|0| | |WV|51510|0|N
H8947|002|001|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Summit (PPO)|00025118|2.40|0| | |WV|51520|0|N
H8947|002|002|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Summit (PPO)|00025118|2.40|0| | |WV|51050|0|N
H8947|002|002|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Summit (PPO)|00025118|2.40|0| | |WV|51210|0|N
H8947|002|002|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Summit (PPO)|00025118|2.40|0| | |WV|51260|0|N
H8947|002|002|PEAK HEALTH INSURANCE CORPORATION|Peak Advantage Summit (PPO)|00025118|2.40|0| | |WV|51490|0|N
H8967|001|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |ND|35010|3|N
H8967|001|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |ND|35070|3|N
H8967|001|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |ND|35080|3|N
H8967|001|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |ND|35100|3|N
H8967|001|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |ND|35170|3|N
H8967|001|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |ND|35200|3|N
H8967|001|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |ND|35240|3|N
H8967|001|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |ND|35270|3|N
H8967|001|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |ND|35290|3|N
H8967|001|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |ND|35310|3|N
H8967|001|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |ND|35350|3|N
H8967|001|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |ND|35360|3|N
H8967|001|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |ND|35370|3|N
H8967|001|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |ND|35380|3|N
H8967|001|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |ND|35440|3|N
H8967|001|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |ND|35460|3|N
H8967|001|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |ND|35480|3|N
H8967|001|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |ND|35490|3|N
H8967|001|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage (HMO I-SNP)|00025382|50.60|590| | |ND|35500|3|N
H8967|002|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|33.80|0| | |ND|35010|3|N
H8967|002|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|33.80|0| | |ND|35070|3|N
H8967|002|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|33.80|0| | |ND|35080|3|N
H8967|002|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|33.80|0| | |ND|35100|3|N
H8967|002|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|33.80|0| | |ND|35170|3|N
H8967|002|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|33.80|0| | |ND|35200|3|N
H8967|002|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|33.80|0| | |ND|35240|3|N
H8967|002|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|33.80|0| | |ND|35270|3|N
H8967|002|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|33.80|0| | |ND|35290|3|N
H8967|002|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|33.80|0| | |ND|35310|3|N
H8967|002|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|33.80|0| | |ND|35350|3|N
H8967|002|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|33.80|0| | |ND|35360|3|N
H8967|002|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|33.80|0| | |ND|35370|3|N
H8967|002|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|33.80|0| | |ND|35380|3|N
H8967|002|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|33.80|0| | |ND|35440|3|N
H8967|002|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|33.80|0| | |ND|35460|3|N
H8967|002|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|33.80|0| | |ND|35480|3|N
H8967|002|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|33.80|0| | |ND|35490|3|N
H8967|002|000|SANFORD HEALTH PLAN|Great Plains Medicare Advantage Gold (HMO I-SNP)|00025382|33.80|0| | |ND|35500|3|N
H8967|003|000|SANFORD HEALTH PLAN|Align Dual Partnership (HMO D-SNP)|00025382|0.00|590| | |ND|35070|2|N
H8967|003|000|SANFORD HEALTH PLAN|Align Dual Partnership (HMO D-SNP)|00025382|0.00|590| | |ND|35080|2|N
H8967|003|000|SANFORD HEALTH PLAN|Align Dual Partnership (HMO D-SNP)|00025382|0.00|590| | |ND|35290|2|N
H9001|030|015|FALLON COMMUNITY HEALTH PLAN|Fallon Medicare Plus Green (HMO)|00025372|22.60|175| | |MA|22170|0|N
H9001|030|016|FALLON COMMUNITY HEALTH PLAN|Fallon Medicare Plus Green (HMO)|00025372|22.60|175| | |MA|22060|0|N
H9001|030|016|FALLON COMMUNITY HEALTH PLAN|Fallon Medicare Plus Green (HMO)|00025372|22.60|175| | |MA|22070|0|N
H9001|030|016|FALLON COMMUNITY HEALTH PLAN|Fallon Medicare Plus Green (HMO)|00025372|22.60|175| | |MA|22080|0|N
H9001|030|018|FALLON COMMUNITY HEALTH PLAN|Fallon Medicare Plus Green (HMO)|00025372|22.60|175| | |MA|22000|0|N
H9001|030|018|FALLON COMMUNITY HEALTH PLAN|Fallon Medicare Plus Green (HMO)|00025372|22.60|175| | |MA|22010|0|N
H9001|030|018|FALLON COMMUNITY HEALTH PLAN|Fallon Medicare Plus Green (HMO)|00025372|22.60|175| | |MA|22020|0|N
H9001|030|018|FALLON COMMUNITY HEALTH PLAN|Fallon Medicare Plus Green (HMO)|00025372|22.60|175| | |MA|22040|0|N
H9001|030|018|FALLON COMMUNITY HEALTH PLAN|Fallon Medicare Plus Green (HMO)|00025372|22.60|175| | |MA|22090|0|N
H9001|030|018|FALLON COMMUNITY HEALTH PLAN|Fallon Medicare Plus Green (HMO)|00025372|22.60|175| | |MA|22130|0|N
H9001|030|018|FALLON COMMUNITY HEALTH PLAN|Fallon Medicare Plus Green (HMO)|00025372|22.60|175| | |MA|22150|0|N
H9001|030|018|FALLON COMMUNITY HEALTH PLAN|Fallon Medicare Plus Green (HMO)|00025372|22.60|175| | |MA|22160|0|N
H9001|031|015|FALLON COMMUNITY HEALTH PLAN|Fallon Medicare Plus Blue (HMO)|00025372|46.90|0| | |MA|22170|0|N
H9001|031|016|FALLON COMMUNITY HEALTH PLAN|Fallon Medicare Plus Blue (HMO)|00025372|46.90|0| | |MA|22060|0|N
H9001|031|016|FALLON COMMUNITY HEALTH PLAN|Fallon Medicare Plus Blue (HMO)|00025372|46.90|0| | |MA|22070|0|N
H9001|031|016|FALLON COMMUNITY HEALTH PLAN|Fallon Medicare Plus Blue (HMO)|00025372|46.90|0| | |MA|22080|0|N
H9001|031|018|FALLON COMMUNITY HEALTH PLAN|Fallon Medicare Plus Blue (HMO)|00025372|46.90|0| | |MA|22000|0|N
H9001|031|018|FALLON COMMUNITY HEALTH PLAN|Fallon Medicare Plus Blue (HMO)|00025372|46.90|0| | |MA|22010|0|N
H9001|031|018|FALLON COMMUNITY HEALTH PLAN|Fallon Medicare Plus Blue (HMO)|00025372|46.90|0| | |MA|22020|0|N
H9001|031|018|FALLON COMMUNITY HEALTH PLAN|Fallon Medicare Plus Blue (HMO)|00025372|46.90|0| | |MA|22040|0|N
H9001|031|018|FALLON COMMUNITY HEALTH PLAN|Fallon Medicare Plus Blue (HMO)|00025372|46.90|0| | |MA|22090|0|N
H9001|031|018|FALLON COMMUNITY HEALTH PLAN|Fallon Medicare Plus Blue (HMO)|00025372|46.90|0| | |MA|22130|0|N
H9001|031|018|FALLON COMMUNITY HEALTH PLAN|Fallon Medicare Plus Blue (HMO)|00025372|46.90|0| | |MA|22150|0|N
H9001|031|018|FALLON COMMUNITY HEALTH PLAN|Fallon Medicare Plus Blue (HMO)|00025372|46.90|0| | |MA|22160|0|N
H9001|038|000|FALLON COMMUNITY HEALTH PLAN|Fallon Medicare Plus Orange (HMO)|00025372|0.00|200| | |MA|22000|0|N
H9001|038|000|FALLON COMMUNITY HEALTH PLAN|Fallon Medicare Plus Orange (HMO)|00025372|0.00|200| | |MA|22010|0|N
H9001|038|000|FALLON COMMUNITY HEALTH PLAN|Fallon Medicare Plus Orange (HMO)|00025372|0.00|200| | |MA|22020|0|N
H9001|038|000|FALLON COMMUNITY HEALTH PLAN|Fallon Medicare Plus Orange (HMO)|00025372|0.00|200| | |MA|22040|0|N
H9001|038|000|FALLON COMMUNITY HEALTH PLAN|Fallon Medicare Plus Orange (HMO)|00025372|0.00|200| | |MA|22060|0|N
H9001|038|000|FALLON COMMUNITY HEALTH PLAN|Fallon Medicare Plus Orange (HMO)|00025372|0.00|200| | |MA|22070|0|N
H9001|038|000|FALLON COMMUNITY HEALTH PLAN|Fallon Medicare Plus Orange (HMO)|00025372|0.00|200| | |MA|22080|0|N
H9001|038|000|FALLON COMMUNITY HEALTH PLAN|Fallon Medicare Plus Orange (HMO)|00025372|0.00|200| | |MA|22090|0|N
H9001|038|000|FALLON COMMUNITY HEALTH PLAN|Fallon Medicare Plus Orange (HMO)|00025372|0.00|200| | |MA|22130|0|N
H9001|038|000|FALLON COMMUNITY HEALTH PLAN|Fallon Medicare Plus Orange (HMO)|00025372|0.00|200| | |MA|22150|0|N
H9001|038|000|FALLON COMMUNITY HEALTH PLAN|Fallon Medicare Plus Orange (HMO)|00025372|0.00|200| | |MA|22160|0|N
H9001|038|000|FALLON COMMUNITY HEALTH PLAN|Fallon Medicare Plus Orange (HMO)|00025372|0.00|200| | |MA|22170|0|N
H9003|001|000|KAISER FOUNDATION HP OF THE N W|Kaiser Permanente Senior Advantage Enhanced (HMO-POS)|00025415|0.00|0| | |OR|38010|0|N
H9003|001|000|KAISER FOUNDATION HP OF THE N W|Kaiser Permanente Senior Advantage Enhanced (HMO-POS)|00025415|0.00|0| | |OR|38020|0|N
H9003|001|000|KAISER FOUNDATION HP OF THE N W|Kaiser Permanente Senior Advantage Enhanced (HMO-POS)|00025415|0.00|0| | |OR|38040|0|N
H9003|001|000|KAISER FOUNDATION HP OF THE N W|Kaiser Permanente Senior Advantage Enhanced (HMO-POS)|00025415|0.00|0| | |OR|38210|0|N
H9003|001|000|KAISER FOUNDATION HP OF THE N W|Kaiser Permanente Senior Advantage Enhanced (HMO-POS)|00025415|0.00|0| | |OR|38230|0|N
H9003|001|000|KAISER FOUNDATION HP OF THE N W|Kaiser Permanente Senior Advantage Enhanced (HMO-POS)|00025415|0.00|0| | |OR|38250|0|N
H9003|001|000|KAISER FOUNDATION HP OF THE N W|Kaiser Permanente Senior Advantage Enhanced (HMO-POS)|00025415|0.00|0| | |OR|38260|0|N
H9003|001|000|KAISER FOUNDATION HP OF THE N W|Kaiser Permanente Senior Advantage Enhanced (HMO-POS)|00025415|0.00|0| | |OR|38330|0|N
H9003|001|000|KAISER FOUNDATION HP OF THE N W|Kaiser Permanente Senior Advantage Enhanced (HMO-POS)|00025415|0.00|0| | |OR|38350|0|N
H9003|001|000|KAISER FOUNDATION HP OF THE N W|Kaiser Permanente Senior Advantage Enhanced (HMO-POS)|00025415|0.00|0| | |WA|50050|0|N
H9003|001|000|KAISER FOUNDATION HP OF THE N W|Kaiser Permanente Senior Advantage Enhanced (HMO-POS)|00025415|0.00|0| | |WA|50070|0|N
H9003|001|000|KAISER FOUNDATION HP OF THE N W|Kaiser Permanente Senior Advantage Enhanced (HMO-POS)|00025415|0.00|0| | |WA|50340|0|N
H9003|006|000|KAISER FOUNDATION HP OF THE N W|Kaiser Permanente Senior Advantage Standard (HMO-POS)|00025415|0.00|0| | |OR|38010|0|N
H9003|006|000|KAISER FOUNDATION HP OF THE N W|Kaiser Permanente Senior Advantage Standard (HMO-POS)|00025415|0.00|0| | |OR|38020|0|N
H9003|006|000|KAISER FOUNDATION HP OF THE N W|Kaiser Permanente Senior Advantage Standard (HMO-POS)|00025415|0.00|0| | |OR|38040|0|N
H9003|006|000|KAISER FOUNDATION HP OF THE N W|Kaiser Permanente Senior Advantage Standard (HMO-POS)|00025415|0.00|0| | |OR|38210|0|N
H9003|006|000|KAISER FOUNDATION HP OF THE N W|Kaiser Permanente Senior Advantage Standard (HMO-POS)|00025415|0.00|0| | |OR|38230|0|N
H9003|006|000|KAISER FOUNDATION HP OF THE N W|Kaiser Permanente Senior Advantage Standard (HMO-POS)|00025415|0.00|0| | |OR|38250|0|N
H9003|006|000|KAISER FOUNDATION HP OF THE N W|Kaiser Permanente Senior Advantage Standard (HMO-POS)|00025415|0.00|0| | |OR|38260|0|N
H9003|006|000|KAISER FOUNDATION HP OF THE N W|Kaiser Permanente Senior Advantage Standard (HMO-POS)|00025415|0.00|0| | |OR|38330|0|N
H9003|006|000|KAISER FOUNDATION HP OF THE N W|Kaiser Permanente Senior Advantage Standard (HMO-POS)|00025415|0.00|0| | |OR|38350|0|N
H9003|006|000|KAISER FOUNDATION HP OF THE N W|Kaiser Permanente Senior Advantage Standard (HMO-POS)|00025415|0.00|0| | |WA|50050|0|N
H9003|006|000|KAISER FOUNDATION HP OF THE N W|Kaiser Permanente Senior Advantage Standard (HMO-POS)|00025415|0.00|0| | |WA|50070|0|N
H9003|006|000|KAISER FOUNDATION HP OF THE N W|Kaiser Permanente Senior Advantage Standard (HMO-POS)|00025415|0.00|0| | |WA|50340|0|N
H9003|008|000|KAISER FOUNDATION HP OF THE N W|Kaiser Permanente Senior Advantage Value Lane (HMO-POS)|00025415|0.00|175| | |OR|38190|0|N
H9003|009|000|KAISER FOUNDATION HP OF THE N W|Kaiser Permanente Senior Advantage Value (HMO-POS)|00025415|0.00|0| | |OR|38010|0|N
H9003|009|000|KAISER FOUNDATION HP OF THE N W|Kaiser Permanente Senior Advantage Value (HMO-POS)|00025415|0.00|0| | |OR|38020|0|N
H9003|009|000|KAISER FOUNDATION HP OF THE N W|Kaiser Permanente Senior Advantage Value (HMO-POS)|00025415|0.00|0| | |OR|38040|0|N
H9003|009|000|KAISER FOUNDATION HP OF THE N W|Kaiser Permanente Senior Advantage Value (HMO-POS)|00025415|0.00|0| | |OR|38210|0|N
H9003|009|000|KAISER FOUNDATION HP OF THE N W|Kaiser Permanente Senior Advantage Value (HMO-POS)|00025415|0.00|0| | |OR|38230|0|N
H9003|009|000|KAISER FOUNDATION HP OF THE N W|Kaiser Permanente Senior Advantage Value (HMO-POS)|00025415|0.00|0| | |OR|38250|0|N
H9003|009|000|KAISER FOUNDATION HP OF THE N W|Kaiser Permanente Senior Advantage Value (HMO-POS)|00025415|0.00|0| | |OR|38260|0|N
H9003|009|000|KAISER FOUNDATION HP OF THE N W|Kaiser Permanente Senior Advantage Value (HMO-POS)|00025415|0.00|0| | |OR|38330|0|N
H9003|009|000|KAISER FOUNDATION HP OF THE N W|Kaiser Permanente Senior Advantage Value (HMO-POS)|00025415|0.00|0| | |OR|38350|0|N
H9003|009|000|KAISER FOUNDATION HP OF THE N W|Kaiser Permanente Senior Advantage Value (HMO-POS)|00025415|0.00|0| | |WA|50050|0|N
H9003|009|000|KAISER FOUNDATION HP OF THE N W|Kaiser Permanente Senior Advantage Value (HMO-POS)|00025415|0.00|0| | |WA|50070|0|N
H9003|009|000|KAISER FOUNDATION HP OF THE N W|Kaiser Permanente Senior Advantage Value (HMO-POS)|00025415|0.00|0| | |WA|50340|0|N
H9042|002|001|SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.|MyTruAdvantage Choice Plus (PPO)|00025249|0.00|200| | |IN|15020|0|N
H9042|002|001|SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.|MyTruAdvantage Choice Plus (PPO)|00025249|0.00|200| | |IN|15060|0|N
H9042|002|001|SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.|MyTruAdvantage Choice Plus (PPO)|00025249|0.00|200| | |IN|15100|0|N
H9042|002|001|SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.|MyTruAdvantage Choice Plus (PPO)|00025249|0.00|200| | |IN|15350|0|N
H9042|002|001|SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.|MyTruAdvantage Choice Plus (PPO)|00025249|0.00|200| | |IN|15390|0|N
H9042|002|001|SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.|MyTruAdvantage Choice Plus (PPO)|00025249|0.00|200| | |IN|15600|0|N
H9042|002|001|SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.|MyTruAdvantage Choice Plus (PPO)|00025249|0.00|200| | |IN|15760|0|N
H9042|002|001|SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.|MyTruAdvantage Choice Plus (PPO)|00025249|0.00|200| | |IN|15820|0|N
H9042|002|001|SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.|MyTruAdvantage Choice Plus (PPO)|00025249|0.00|200| | |IN|15830|0|N
H9042|002|002|SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.|MyTruAdvantage Choice Plus (PPO)|00025249|0.00|200| | |IN|15280|0|N
H9042|002|002|SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.|MyTruAdvantage Choice Plus (PPO)|00025249|0.00|200| | |IN|15290|0|N
H9042|002|002|SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.|MyTruAdvantage Choice Plus (PPO)|00025249|0.00|200| | |IN|15330|0|N
H9042|002|002|SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.|MyTruAdvantage Choice Plus (PPO)|00025249|0.00|200| | |IN|15400|0|N
H9042|002|002|SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.|MyTruAdvantage Choice Plus (PPO)|00025249|0.00|200| | |IN|15470|0|N
H9042|002|002|SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.|MyTruAdvantage Choice Plus (PPO)|00025249|0.00|200| | |IN|15480|0|N
H9042|002|002|SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.|MyTruAdvantage Choice Plus (PPO)|00025249|0.00|200| | |IN|15640|0|N
H9042|002|002|SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.|MyTruAdvantage Choice Plus (PPO)|00025249|0.00|200| | |IN|15810|0|N
H9042|002|002|SOUTHEASTERN INDIANA HEALTH ORGANIZATION, INC.|MyTruAdvantage Choice Plus (PPO)|00025249|0.00|200| | |IN|15860|0|N
H9047|013|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Extra Part B Only + Rx (HMO)|00025306|70.10|0| | |OR|38020|0|N
H9047|013|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Extra Part B Only + Rx (HMO)|00025306|70.10|0| | |OR|38040|0|N
H9047|013|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Extra Part B Only + Rx (HMO)|00025306|70.10|0| | |OR|38190|0|N
H9047|013|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Extra Part B Only + Rx (HMO)|00025306|70.10|0| | |OR|38230|0|N
H9047|013|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Extra Part B Only + Rx (HMO)|00025306|70.10|0| | |OR|38250|0|N
H9047|013|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Extra Part B Only + Rx (HMO)|00025306|70.10|0| | |OR|38260|0|N
H9047|013|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Extra Part B Only + Rx (HMO)|00025306|70.10|0| | |OR|38330|0|N
H9047|013|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Extra Part B Only + Rx (HMO)|00025306|70.10|0| | |OR|38350|0|N
H9047|037|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Prime + Rx (HMO)|00025306|0.00|250| | |OR|38020|0|N
H9047|037|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Prime + Rx (HMO)|00025306|0.00|250| | |OR|38250|0|N
H9047|037|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Prime + Rx (HMO)|00025306|0.00|250| | |OR|38330|0|N
H9047|037|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Prime + Rx (HMO)|00025306|0.00|250| | |OR|38350|0|N
H9047|043|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Dual Plus (HMO D-SNP)|00025306|0.00|590| | |OR|38020|2|N
H9047|043|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Dual Plus (HMO D-SNP)|00025306|0.00|590| | |OR|38250|2|N
H9047|043|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Dual Plus (HMO D-SNP)|00025306|0.00|590| | |OR|38330|2|N
H9047|054|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Timber + Rx (HMO)|00025306|0.00|250| | |OR|38040|0|N
H9047|054|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Timber + Rx (HMO)|00025306|0.00|250| | |OR|38060|0|N
H9047|054|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Timber + Rx (HMO)|00025306|0.00|250| | |OR|38080|0|N
H9047|054|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Timber + Rx (HMO)|00025306|0.00|250| | |OR|38130|0|N
H9047|054|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Timber + Rx (HMO)|00025306|0.00|250| | |OR|38150|0|N
H9047|054|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Timber + Rx (HMO)|00025306|0.00|250| | |OR|38190|0|N
H9047|054|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Timber + Rx (HMO)|00025306|0.00|250| | |OR|38230|0|N
H9047|054|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Timber + Rx (HMO)|00025306|0.00|250| | |OR|38260|0|N
H9047|054|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Timber + Rx (HMO)|00025306|0.00|250| | |OR|38340|0|N
H9047|054|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Timber + Rx (HMO)|00025306|0.00|250| | |WA|50050|0|N
H9047|059|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Bridge + Rx (HMO-POS)|00025306|28.70|0| | |OR|38020|0|N
H9047|059|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Bridge + Rx (HMO-POS)|00025306|28.70|0| | |OR|38040|0|N
H9047|059|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Bridge + Rx (HMO-POS)|00025306|28.70|0| | |OR|38060|0|N
H9047|059|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Bridge + Rx (HMO-POS)|00025306|28.70|0| | |OR|38080|0|N
H9047|059|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Bridge + Rx (HMO-POS)|00025306|28.70|0| | |OR|38130|0|N
H9047|059|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Bridge + Rx (HMO-POS)|00025306|28.70|0| | |OR|38150|0|N
H9047|059|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Bridge + Rx (HMO-POS)|00025306|28.70|0| | |OR|38190|0|N
H9047|059|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Bridge + Rx (HMO-POS)|00025306|28.70|0| | |OR|38230|0|N
H9047|059|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Bridge + Rx (HMO-POS)|00025306|28.70|0| | |OR|38250|0|N
H9047|059|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Bridge + Rx (HMO-POS)|00025306|28.70|0| | |OR|38260|0|N
H9047|059|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Bridge + Rx (HMO-POS)|00025306|28.70|0| | |OR|38330|0|N
H9047|059|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Bridge + Rx (HMO-POS)|00025306|28.70|0| | |OR|38340|0|N
H9047|059|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Bridge + Rx (HMO-POS)|00025306|28.70|0| | |OR|38350|0|N
H9047|059|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Bridge + Rx (HMO-POS)|00025306|28.70|0| | |WA|50050|0|N
H9047|062|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Cottonwood + Rx (HMO-POS)|00025306|27.10|0| | |WA|50020|0|N
H9047|062|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Cottonwood + Rx (HMO-POS)|00025306|27.10|0| | |WA|50100|0|N
H9047|062|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Cottonwood + Rx (HMO-POS)|00025306|27.10|0| | |WA|50300|0|N
H9047|062|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Cottonwood + Rx (HMO-POS)|00025306|27.10|0| | |WA|50310|0|N
H9047|062|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Cottonwood + Rx (HMO-POS)|00025306|27.10|0| | |WA|50350|0|N
H9047|063|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Pine + Rx (HMO)|00025306|0.00|195| | |WA|50020|0|N
H9047|063|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Pine + Rx (HMO)|00025306|0.00|195| | |WA|50100|0|N
H9047|063|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Pine + Rx (HMO)|00025306|0.00|195| | |WA|50300|0|N
H9047|063|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Pine + Rx (HMO)|00025306|0.00|195| | |WA|50310|0|N
H9047|063|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Pine + Rx (HMO)|00025306|0.00|195| | |WA|50350|0|N
H9047|064|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Extra + Rx (HMO)|00025306|14.40|0| | |OR|38010|0|N
H9047|064|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Extra + Rx (HMO)|00025306|14.40|0| | |OR|38020|0|N
H9047|064|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Extra + Rx (HMO)|00025306|14.40|0| | |OR|38040|0|N
H9047|064|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Extra + Rx (HMO)|00025306|14.40|0| | |OR|38060|0|N
H9047|064|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Extra + Rx (HMO)|00025306|14.40|0| | |OR|38080|0|N
H9047|064|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Extra + Rx (HMO)|00025306|14.40|0| | |OR|38130|0|N
H9047|064|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Extra + Rx (HMO)|00025306|14.40|0| | |OR|38150|0|N
H9047|064|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Extra + Rx (HMO)|00025306|14.40|0| | |OR|38190|0|N
H9047|064|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Extra + Rx (HMO)|00025306|14.40|0| | |OR|38210|0|N
H9047|064|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Extra + Rx (HMO)|00025306|14.40|0| | |OR|38230|0|N
H9047|064|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Extra + Rx (HMO)|00025306|14.40|0| | |OR|38250|0|N
H9047|064|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Extra + Rx (HMO)|00025306|14.40|0| | |OR|38260|0|N
H9047|064|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Extra + Rx (HMO)|00025306|14.40|0| | |OR|38330|0|N
H9047|064|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Extra + Rx (HMO)|00025306|14.40|0| | |OR|38340|0|N
H9047|064|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Extra + Rx (HMO)|00025306|14.40|0| | |OR|38350|0|N
H9047|064|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Extra + Rx (HMO)|00025306|14.40|0| | |WA|50050|0|N
H9047|065|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Choice + Rx (HMO-POS)|00025306|44.40|0| | |OR|38020|0|N
H9047|065|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Choice + Rx (HMO-POS)|00025306|44.40|0| | |OR|38040|0|N
H9047|065|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Choice + Rx (HMO-POS)|00025306|44.40|0| | |OR|38060|0|N
H9047|065|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Choice + Rx (HMO-POS)|00025306|44.40|0| | |OR|38080|0|N
H9047|065|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Choice + Rx (HMO-POS)|00025306|44.40|0| | |OR|38130|0|N
H9047|065|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Choice + Rx (HMO-POS)|00025306|44.40|0| | |OR|38150|0|N
H9047|065|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Choice + Rx (HMO-POS)|00025306|44.40|0| | |OR|38190|0|N
H9047|065|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Choice + Rx (HMO-POS)|00025306|44.40|0| | |OR|38230|0|N
H9047|065|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Choice + Rx (HMO-POS)|00025306|44.40|0| | |OR|38250|0|N
H9047|065|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Choice + Rx (HMO-POS)|00025306|44.40|0| | |OR|38260|0|N
H9047|065|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Choice + Rx (HMO-POS)|00025306|44.40|0| | |OR|38330|0|N
H9047|065|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Choice + Rx (HMO-POS)|00025306|44.40|0| | |OR|38340|0|N
H9047|065|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Choice + Rx (HMO-POS)|00025306|44.40|0| | |OR|38350|0|N
H9047|065|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Choice + Rx (HMO-POS)|00025306|44.40|0| | |WA|50050|0|N
H9047|066|000|PROVIDENCE HEALTH ASSURANCE|Providence Medicare Sycamore + Rx (HMO)|00025306|0.00|0| | |CA|05400|0|N
H9065|001|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Dual Plus (HMO D-SNP)|00025049|0.00|590| | |ME|20000|2|N
H9065|001|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Dual Plus (HMO D-SNP)|00025049|0.00|590| | |ME|20010|2|N
H9065|001|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Dual Plus (HMO D-SNP)|00025049|0.00|590| | |ME|20020|2|N
H9065|001|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Dual Plus (HMO D-SNP)|00025049|0.00|590| | |ME|20030|2|N
H9065|001|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Dual Plus (HMO D-SNP)|00025049|0.00|590| | |ME|20040|2|N
H9065|001|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Dual Plus (HMO D-SNP)|00025049|0.00|590| | |ME|20050|2|N
H9065|001|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Dual Plus (HMO D-SNP)|00025049|0.00|590| | |ME|20060|2|N
H9065|001|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Dual Plus (HMO D-SNP)|00025049|0.00|590| | |ME|20070|2|N
H9065|001|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Dual Plus (HMO D-SNP)|00025049|0.00|590| | |ME|20080|2|N
H9065|001|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Dual Plus (HMO D-SNP)|00025049|0.00|590| | |ME|20090|2|N
H9065|001|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Dual Plus (HMO D-SNP)|00025049|0.00|590| | |ME|20100|2|N
H9065|001|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Dual Plus (HMO D-SNP)|00025049|0.00|590| | |ME|20110|2|N
H9065|001|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Dual Plus (HMO D-SNP)|00025049|0.00|590| | |ME|20120|2|N
H9065|001|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Dual Plus (HMO D-SNP)|00025049|0.00|590| | |ME|20130|2|N
H9065|001|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Dual Plus (HMO D-SNP)|00025049|0.00|590| | |ME|20140|2|N
H9065|001|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Dual Plus (HMO D-SNP)|00025049|0.00|590| | |ME|20150|2|N
H9065|002|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Choice (HMO-POS)|00025049|0.00|300| | |ME|20020|0|N
H9065|002|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Choice (HMO-POS)|00025049|0.00|300| | |ME|20150|0|N
H9065|003|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Choice (HMO-POS)|00025049|22.00|300| | |ME|20000|0|N
H9065|003|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Choice (HMO-POS)|00025049|22.00|300| | |ME|20010|0|N
H9065|003|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Choice (HMO-POS)|00025049|22.00|300| | |ME|20030|0|N
H9065|003|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Choice (HMO-POS)|00025049|22.00|300| | |ME|20040|0|N
H9065|003|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Choice (HMO-POS)|00025049|22.00|300| | |ME|20050|0|N
H9065|003|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Choice (HMO-POS)|00025049|22.00|300| | |ME|20060|0|N
H9065|003|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Choice (HMO-POS)|00025049|22.00|300| | |ME|20070|0|N
H9065|003|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Choice (HMO-POS)|00025049|22.00|300| | |ME|20080|0|N
H9065|003|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Choice (HMO-POS)|00025049|22.00|300| | |ME|20090|0|N
H9065|003|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Choice (HMO-POS)|00025049|22.00|300| | |ME|20100|0|N
H9065|003|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Choice (HMO-POS)|00025049|22.00|300| | |ME|20110|0|N
H9065|003|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Choice (HMO-POS)|00025049|22.00|300| | |ME|20120|0|N
H9065|003|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Choice (HMO-POS)|00025049|22.00|300| | |ME|20130|0|N
H9065|003|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Choice (HMO-POS)|00025049|22.00|300| | |ME|20140|0|N
H9065|006|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Extra (HMO-POS)|00025049|0.00|420| | |ME|20000|0|N
H9065|006|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Extra (HMO-POS)|00025049|0.00|420| | |ME|20020|0|N
H9065|006|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Extra (HMO-POS)|00025049|0.00|420| | |ME|20030|0|N
H9065|006|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Extra (HMO-POS)|00025049|0.00|420| | |ME|20050|0|N
H9065|006|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Extra (HMO-POS)|00025049|0.00|420| | |ME|20060|0|N
H9065|006|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Extra (HMO-POS)|00025049|0.00|420| | |ME|20070|0|N
H9065|006|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Extra (HMO-POS)|00025049|0.00|420| | |ME|20080|0|N
H9065|006|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Extra (HMO-POS)|00025049|0.00|420| | |ME|20110|0|N
H9065|006|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Extra (HMO-POS)|00025049|0.00|420| | |ME|20120|0|N
H9065|006|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Extra (HMO-POS)|00025049|0.00|420| | |ME|20130|0|N
H9065|006|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Extra (HMO-POS)|00025049|0.00|420| | |ME|20150|0|N
H9065|007|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Extra (HMO-POS)|00025049|0.00|590| | |ME|20010|0|N
H9065|007|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Extra (HMO-POS)|00025049|0.00|590| | |ME|20040|0|N
H9065|007|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Extra (HMO-POS)|00025049|0.00|590| | |ME|20090|0|N
H9065|007|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Extra (HMO-POS)|00025049|0.00|590| | |ME|20100|0|N
H9065|007|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Extra (HMO-POS)|00025049|0.00|590| | |ME|20140|0|N
H9065|008|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Plus (HMO-POS)|00025049|0.00|300| | |ME|20000|0|N
H9065|008|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Plus (HMO-POS)|00025049|0.00|300| | |ME|20030|0|N
H9065|008|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Plus (HMO-POS)|00025049|0.00|300| | |ME|20050|0|N
H9065|008|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Plus (HMO-POS)|00025049|0.00|300| | |ME|20060|0|N
H9065|008|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Plus (HMO-POS)|00025049|0.00|300| | |ME|20070|0|N
H9065|008|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Plus (HMO-POS)|00025049|0.00|300| | |ME|20080|0|N
H9065|008|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Plus (HMO-POS)|00025049|0.00|300| | |ME|20090|0|N
H9065|008|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Plus (HMO-POS)|00025049|0.00|300| | |ME|20110|0|N
H9065|008|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Plus (HMO-POS)|00025049|0.00|300| | |ME|20120|0|N
H9065|008|000|AMH HEALTH, LLC|Anthem I MaineHealth Advantage Plus (HMO-POS)|00025049|0.00|300| | |ME|20130|0|N
H9066|001|000|VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK|Nascentia Medicaid Advantage Plus (HMO D-SNP)|00025260|0.00|590| | |NY|33000|2|Y
H9066|001|000|VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK|Nascentia Medicaid Advantage Plus (HMO D-SNP)|00025260|0.00|590| | |NY|33030|2|Y
H9066|001|000|VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK|Nascentia Medicaid Advantage Plus (HMO D-SNP)|00025260|0.00|590| | |NY|33200|2|Y
H9066|001|000|VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK|Nascentia Medicaid Advantage Plus (HMO D-SNP)|00025260|0.00|590| | |NY|33220|2|Y
H9066|001|000|VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK|Nascentia Medicaid Advantage Plus (HMO D-SNP)|00025260|0.00|590| | |NY|33240|2|Y
H9066|001|000|VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK|Nascentia Medicaid Advantage Plus (HMO D-SNP)|00025260|0.00|590| | |NY|33300|2|Y
H9066|001|000|VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK|Nascentia Medicaid Advantage Plus (HMO D-SNP)|00025260|0.00|590| | |NY|33360|2|Y
H9066|001|000|VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK|Nascentia Medicaid Advantage Plus (HMO D-SNP)|00025260|0.00|590| | |NY|33370|2|Y
H9066|001|000|VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK|Nascentia Medicaid Advantage Plus (HMO D-SNP)|00025260|0.00|590| | |NY|33500|2|Y
H9066|001|000|VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK|Nascentia Medicaid Advantage Plus (HMO D-SNP)|00025260|0.00|590| | |NY|33510|2|Y
H9066|001|000|VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK|Nascentia Medicaid Advantage Plus (HMO D-SNP)|00025260|0.00|590| | |NY|33520|2|Y
H9066|001|000|VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK|Nascentia Medicaid Advantage Plus (HMO D-SNP)|00025260|0.00|590| | |NY|33570|2|Y
H9066|001|000|VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK|Nascentia Medicaid Advantage Plus (HMO D-SNP)|00025260|0.00|590| | |NY|33600|2|Y
H9066|001|000|VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK|Nascentia Medicaid Advantage Plus (HMO D-SNP)|00025260|0.00|590| | |NY|33640|2|Y
H9066|001|000|VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK|Nascentia Medicaid Advantage Plus (HMO D-SNP)|00025260|0.00|590| | |NY|33650|2|Y
H9066|002|000|VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK|Nascentia Skilled Nursing Facility (HMO I-SNP)|00025260|72.30|590| | |NY|33000|3|N
H9066|002|000|VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK|Nascentia Skilled Nursing Facility (HMO I-SNP)|00025260|72.30|590| | |NY|33030|3|N
H9066|002|000|VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK|Nascentia Skilled Nursing Facility (HMO I-SNP)|00025260|72.30|590| | |NY|33200|3|N
H9066|002|000|VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK|Nascentia Skilled Nursing Facility (HMO I-SNP)|00025260|72.30|590| | |NY|33220|3|N
H9066|002|000|VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK|Nascentia Skilled Nursing Facility (HMO I-SNP)|00025260|72.30|590| | |NY|33240|3|N
H9066|002|000|VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK|Nascentia Skilled Nursing Facility (HMO I-SNP)|00025260|72.30|590| | |NY|33300|3|N
H9066|002|000|VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK|Nascentia Skilled Nursing Facility (HMO I-SNP)|00025260|72.30|590| | |NY|33360|3|N
H9066|002|000|VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK|Nascentia Skilled Nursing Facility (HMO I-SNP)|00025260|72.30|590| | |NY|33370|3|N
H9066|002|000|VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK|Nascentia Skilled Nursing Facility (HMO I-SNP)|00025260|72.30|590| | |NY|33500|3|N
H9066|002|000|VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK|Nascentia Skilled Nursing Facility (HMO I-SNP)|00025260|72.30|590| | |NY|33510|3|N
H9066|002|000|VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK|Nascentia Skilled Nursing Facility (HMO I-SNP)|00025260|72.30|590| | |NY|33520|3|N
H9066|002|000|VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK|Nascentia Skilled Nursing Facility (HMO I-SNP)|00025260|72.30|590| | |NY|33570|3|N
H9066|002|000|VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK|Nascentia Skilled Nursing Facility (HMO I-SNP)|00025260|72.30|590| | |NY|33600|3|N
H9066|002|000|VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK|Nascentia Skilled Nursing Facility (HMO I-SNP)|00025260|72.30|590| | |NY|33640|3|N
H9066|002|000|VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK|Nascentia Skilled Nursing Facility (HMO I-SNP)|00025260|72.30|590| | |NY|33650|3|N
H9066|003|000|VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK|Nascentia Dual Advantage (HMO D-SNP)|00025260|0.00|590| | |NY|33000|2|N
H9066|003|000|VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK|Nascentia Dual Advantage (HMO D-SNP)|00025260|0.00|590| | |NY|33030|2|N
H9066|003|000|VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK|Nascentia Dual Advantage (HMO D-SNP)|00025260|0.00|590| | |NY|33200|2|N
H9066|003|000|VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK|Nascentia Dual Advantage (HMO D-SNP)|00025260|0.00|590| | |NY|33220|2|N
H9066|003|000|VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK|Nascentia Dual Advantage (HMO D-SNP)|00025260|0.00|590| | |NY|33240|2|N
H9066|003|000|VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK|Nascentia Dual Advantage (HMO D-SNP)|00025260|0.00|590| | |NY|33300|2|N
H9066|003|000|VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK|Nascentia Dual Advantage (HMO D-SNP)|00025260|0.00|590| | |NY|33360|2|N
H9066|003|000|VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK|Nascentia Dual Advantage (HMO D-SNP)|00025260|0.00|590| | |NY|33370|2|N
H9066|003|000|VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK|Nascentia Dual Advantage (HMO D-SNP)|00025260|0.00|590| | |NY|33500|2|N
H9066|003|000|VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK|Nascentia Dual Advantage (HMO D-SNP)|00025260|0.00|590| | |NY|33510|2|N
H9066|003|000|VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK|Nascentia Dual Advantage (HMO D-SNP)|00025260|0.00|590| | |NY|33520|2|N
H9066|003|000|VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK|Nascentia Dual Advantage (HMO D-SNP)|00025260|0.00|590| | |NY|33570|2|N
H9066|003|000|VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK|Nascentia Dual Advantage (HMO D-SNP)|00025260|0.00|590| | |NY|33600|2|N
H9066|003|000|VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK|Nascentia Dual Advantage (HMO D-SNP)|00025260|0.00|590| | |NY|33640|2|N
H9066|003|000|VISITING NURSE ASSOCIATION OF CENTRAL NEW YORK|Nascentia Dual Advantage (HMO D-SNP)|00025260|0.00|590| | |NY|33650|2|N
H9096|001|000|DEAN HEALTH PLAN, INC.|Dean Advantage Assurance (HMO-POS)|00025089|53.00|300| | |WI|52100|0|N
H9096|001|000|DEAN HEALTH PLAN, INC.|Dean Advantage Assurance (HMO-POS)|00025089|53.00|300| | |WI|52120|0|N
H9096|001|000|DEAN HEALTH PLAN, INC.|Dean Advantage Assurance (HMO-POS)|00025089|53.00|300| | |WI|52130|0|N
H9096|001|000|DEAN HEALTH PLAN, INC.|Dean Advantage Assurance (HMO-POS)|00025089|53.00|300| | |WI|52190|0|N
H9096|001|000|DEAN HEALTH PLAN, INC.|Dean Advantage Assurance (HMO-POS)|00025089|53.00|300| | |WI|52220|0|N
H9096|001|000|DEAN HEALTH PLAN, INC.|Dean Advantage Assurance (HMO-POS)|00025089|53.00|300| | |WI|52240|0|N
H9096|001|000|DEAN HEALTH PLAN, INC.|Dean Advantage Assurance (HMO-POS)|00025089|53.00|300| | |WI|52270|0|N
H9096|001|000|DEAN HEALTH PLAN, INC.|Dean Advantage Assurance (HMO-POS)|00025089|53.00|300| | |WI|52520|0|N
H9096|001|000|DEAN HEALTH PLAN, INC.|Dean Advantage Assurance (HMO-POS)|00025089|53.00|300| | |WI|52550|0|N
H9096|002|000|DEAN HEALTH PLAN, INC.|Dean Advantage Balance (HMO-POS)|00025089|102.00|200| | |WI|52100|0|N
H9096|002|000|DEAN HEALTH PLAN, INC.|Dean Advantage Balance (HMO-POS)|00025089|102.00|200| | |WI|52120|0|N
H9096|002|000|DEAN HEALTH PLAN, INC.|Dean Advantage Balance (HMO-POS)|00025089|102.00|200| | |WI|52130|0|N
H9096|002|000|DEAN HEALTH PLAN, INC.|Dean Advantage Balance (HMO-POS)|00025089|102.00|200| | |WI|52190|0|N
H9096|002|000|DEAN HEALTH PLAN, INC.|Dean Advantage Balance (HMO-POS)|00025089|102.00|200| | |WI|52220|0|N
H9096|002|000|DEAN HEALTH PLAN, INC.|Dean Advantage Balance (HMO-POS)|00025089|102.00|200| | |WI|52240|0|N
H9096|002|000|DEAN HEALTH PLAN, INC.|Dean Advantage Balance (HMO-POS)|00025089|102.00|200| | |WI|52270|0|N
H9096|002|000|DEAN HEALTH PLAN, INC.|Dean Advantage Balance (HMO-POS)|00025089|102.00|200| | |WI|52520|0|N
H9096|002|000|DEAN HEALTH PLAN, INC.|Dean Advantage Balance (HMO-POS)|00025089|102.00|200| | |WI|52550|0|N
H9096|004|000|DEAN HEALTH PLAN, INC.|Dean Advantage Essential (HMO)|00025089|0.00|420| | |WI|52100|0|N
H9096|004|000|DEAN HEALTH PLAN, INC.|Dean Advantage Essential (HMO)|00025089|0.00|420| | |WI|52120|0|N
H9096|004|000|DEAN HEALTH PLAN, INC.|Dean Advantage Essential (HMO)|00025089|0.00|420| | |WI|52130|0|N
H9096|004|000|DEAN HEALTH PLAN, INC.|Dean Advantage Essential (HMO)|00025089|0.00|420| | |WI|52190|0|N
H9096|004|000|DEAN HEALTH PLAN, INC.|Dean Advantage Essential (HMO)|00025089|0.00|420| | |WI|52220|0|N
H9096|004|000|DEAN HEALTH PLAN, INC.|Dean Advantage Essential (HMO)|00025089|0.00|420| | |WI|52240|0|N
H9096|004|000|DEAN HEALTH PLAN, INC.|Dean Advantage Essential (HMO)|00025089|0.00|420| | |WI|52270|0|N
H9096|004|000|DEAN HEALTH PLAN, INC.|Dean Advantage Essential (HMO)|00025089|0.00|420| | |WI|52520|0|N
H9096|004|000|DEAN HEALTH PLAN, INC.|Dean Advantage Essential (HMO)|00025089|0.00|420| | |WI|52550|0|N
H9096|005|000|DEAN HEALTH PLAN, INC.|Dean Advantage Complete (HMO)|00025089|120.90|0| | |WI|52100|0|N
H9096|005|000|DEAN HEALTH PLAN, INC.|Dean Advantage Complete (HMO)|00025089|120.90|0| | |WI|52120|0|N
H9096|005|000|DEAN HEALTH PLAN, INC.|Dean Advantage Complete (HMO)|00025089|120.90|0| | |WI|52130|0|N
H9096|005|000|DEAN HEALTH PLAN, INC.|Dean Advantage Complete (HMO)|00025089|120.90|0| | |WI|52190|0|N
H9096|005|000|DEAN HEALTH PLAN, INC.|Dean Advantage Complete (HMO)|00025089|120.90|0| | |WI|52220|0|N
H9096|005|000|DEAN HEALTH PLAN, INC.|Dean Advantage Complete (HMO)|00025089|120.90|0| | |WI|52240|0|N
H9096|005|000|DEAN HEALTH PLAN, INC.|Dean Advantage Complete (HMO)|00025089|120.90|0| | |WI|52270|0|N
H9096|005|000|DEAN HEALTH PLAN, INC.|Dean Advantage Complete (HMO)|00025089|120.90|0| | |WI|52520|0|N
H9096|005|000|DEAN HEALTH PLAN, INC.|Dean Advantage Complete (HMO)|00025089|120.90|0| | |WI|52550|0|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34000|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34010|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34020|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34030|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34040|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34050|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34060|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34070|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34080|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34090|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34100|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34110|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34120|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34130|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34140|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34150|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34160|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34170|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34180|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34190|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34200|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34210|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34220|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34230|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34240|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34250|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34251|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34270|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34280|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34290|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34300|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34310|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34320|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34330|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34340|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34350|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34360|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34370|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34380|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34390|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34400|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34410|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34420|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34430|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34440|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34450|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34460|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34470|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34480|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34490|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34500|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34510|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34520|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34530|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34540|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34550|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34560|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34570|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34580|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34590|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34600|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34610|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34620|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34630|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34640|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34650|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34660|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34670|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34680|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34690|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34700|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34710|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34720|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34730|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34740|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34750|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34760|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34770|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34780|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34790|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34800|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34810|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34820|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34830|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34840|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34850|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34860|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34870|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34880|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34890|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34900|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34910|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34920|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34930|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34940|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34950|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34960|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34970|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34980|2|N
H9147|001|000|BLUE CROSS AND BLUE SHIELD OF NC SENIOR HEALTH|Healthy Blue + Medicare (HMO-POS D-SNP)|00025078|0.00|590| | |NC|34981|2|N
H9153|001|000|WEST VIRGINIA SENIOR ADVANTAGE, INC.|WV Senior Advantage (HMO I-SNP)|00025267|48.40|590| | |WV|51000|3|N
H9153|001|000|WEST VIRGINIA SENIOR ADVANTAGE, INC.|WV Senior Advantage (HMO I-SNP)|00025267|48.40|590| | |WV|51010|3|N
H9153|001|000|WEST VIRGINIA SENIOR ADVANTAGE, INC.|WV Senior Advantage (HMO I-SNP)|00025267|48.40|590| | |WV|51020|3|N
H9153|001|000|WEST VIRGINIA SENIOR ADVANTAGE, INC.|WV Senior Advantage (HMO I-SNP)|00025267|48.40|590| | |WV|51030|3|N
H9153|001|000|WEST VIRGINIA SENIOR ADVANTAGE, INC.|WV Senior Advantage (HMO I-SNP)|00025267|48.40|590| | |WV|51040|3|N
H9153|001|000|WEST VIRGINIA SENIOR ADVANTAGE, INC.|WV Senior Advantage (HMO I-SNP)|00025267|48.40|590| | |WV|51050|3|N
H9153|001|000|WEST VIRGINIA SENIOR ADVANTAGE, INC.|WV Senior Advantage (HMO I-SNP)|00025267|48.40|590| | |WV|51060|3|N
H9153|001|000|WEST VIRGINIA SENIOR ADVANTAGE, INC.|WV Senior Advantage (HMO I-SNP)|00025267|48.40|590| | |WV|51070|3|N
H9153|001|000|WEST VIRGINIA SENIOR ADVANTAGE, INC.|WV Senior Advantage (HMO I-SNP)|00025267|48.40|590| | |WV|51080|3|N
H9153|001|000|WEST VIRGINIA SENIOR ADVANTAGE, INC.|WV Senior Advantage (HMO I-SNP)|00025267|48.40|590| | |WV|51090|3|N
H9153|001|000|WEST VIRGINIA SENIOR ADVANTAGE, INC.|WV Senior Advantage (HMO I-SNP)|00025267|48.40|590| | |WV|51100|3|N
H9153|001|000|WEST VIRGINIA SENIOR ADVANTAGE, INC.|WV Senior Advantage (HMO I-SNP)|00025267|48.40|590| | |WV|51110|3|N
H9153|001|000|WEST VIRGINIA SENIOR ADVANTAGE, INC.|WV Senior Advantage (HMO I-SNP)|00025267|48.40|590| | |WV|51120|3|N
H9153|001|000|WEST VIRGINIA SENIOR ADVANTAGE, INC.|WV Senior Advantage (HMO I-SNP)|00025267|48.40|590| | |WV|51130|3|N
H9153|001|000|WEST VIRGINIA SENIOR ADVANTAGE, INC.|WV Senior Advantage (HMO I-SNP)|00025267|48.40|590| | |WV|51140|3|N
H9153|001|000|WEST VIRGINIA SENIOR ADVANTAGE, INC.|WV Senior Advantage (HMO I-SNP)|00025267|48.40|590| | |WV|51150|3|N
H9153|001|000|WEST VIRGINIA SENIOR ADVANTAGE, INC.|WV Senior Advantage (HMO I-SNP)|00025267|48.40|590| | |WV|51160|3|N
H9153|001|000|WEST VIRGINIA SENIOR ADVANTAGE, INC.|WV Senior Advantage (HMO I-SNP)|00025267|48.40|590| | |WV|51170|3|N
H9153|001|000|WEST VIRGINIA SENIOR ADVANTAGE, INC.|WV Senior Advantage (HMO I-SNP)|00025267|48.40|590| | |WV|51180|3|N
H9153|001|000|WEST VIRGINIA SENIOR ADVANTAGE, INC.|WV Senior Advantage (HMO I-SNP)|00025267|48.40|590| | |WV|51190|3|N
H9153|001|000|WEST VIRGINIA SENIOR ADVANTAGE, INC.|WV Senior Advantage (HMO I-SNP)|00025267|48.40|590| | |WV|51200|3|N
H9153|001|000|WEST VIRGINIA SENIOR ADVANTAGE, INC.|WV Senior Advantage (HMO I-SNP)|00025267|48.40|590| | |WV|51210|3|N
H9153|001|000|WEST VIRGINIA SENIOR ADVANTAGE, INC.|WV Senior Advantage (HMO I-SNP)|00025267|48.40|590| | |WV|51220|3|N
H9153|001|000|WEST VIRGINIA SENIOR ADVANTAGE, INC.|WV Senior Advantage (HMO I-SNP)|00025267|48.40|590| | |WV|51230|3|N
H9153|001|000|WEST VIRGINIA SENIOR ADVANTAGE, INC.|WV Senior Advantage (HMO I-SNP)|00025267|48.40|590| | |WV|51240|3|N
H9153|001|000|WEST VIRGINIA SENIOR ADVANTAGE, INC.|WV Senior Advantage (HMO I-SNP)|00025267|48.40|590| | |WV|51250|3|N
H9153|001|000|WEST VIRGINIA SENIOR ADVANTAGE, INC.|WV Senior Advantage (HMO I-SNP)|00025267|48.40|590| | |WV|51260|3|N
H9153|001|000|WEST VIRGINIA SENIOR ADVANTAGE, INC.|WV Senior Advantage (HMO I-SNP)|00025267|48.40|590| | |WV|51270|3|N
H9153|001|000|WEST VIRGINIA SENIOR ADVANTAGE, INC.|WV Senior Advantage (HMO I-SNP)|00025267|48.40|590| | |WV|51280|3|N
H9153|001|000|WEST VIRGINIA SENIOR ADVANTAGE, INC.|WV Senior Advantage (HMO I-SNP)|00025267|48.40|590| | |WV|51290|3|N
H9153|001|000|WEST VIRGINIA SENIOR ADVANTAGE, INC.|WV Senior Advantage (HMO I-SNP)|00025267|48.40|590| | |WV|51300|3|N
H9153|001|000|WEST VIRGINIA SENIOR ADVANTAGE, INC.|WV Senior Advantage (HMO I-SNP)|00025267|48.40|590| | |WV|51310|3|N
H9153|001|000|WEST VIRGINIA SENIOR ADVANTAGE, INC.|WV Senior Advantage (HMO I-SNP)|00025267|48.40|590| | |WV|51320|3|N
H9153|001|000|WEST VIRGINIA SENIOR ADVANTAGE, INC.|WV Senior Advantage (HMO I-SNP)|00025267|48.40|590| | |WV|51330|3|N
H9153|001|000|WEST VIRGINIA SENIOR ADVANTAGE, INC.|WV Senior Advantage (HMO I-SNP)|00025267|48.40|590| | |WV|51340|3|N
H9153|001|000|WEST VIRGINIA SENIOR ADVANTAGE, INC.|WV Senior Advantage (HMO I-SNP)|00025267|48.40|590| | |WV|51350|3|N
H9153|001|000|WEST VIRGINIA SENIOR ADVANTAGE, INC.|WV Senior Advantage (HMO I-SNP)|00025267|48.40|590| | |WV|51360|3|N
H9153|001|000|WEST VIRGINIA SENIOR ADVANTAGE, INC.|WV Senior Advantage (HMO I-SNP)|00025267|48.40|590| | |WV|51370|3|N
H9153|001|000|WEST VIRGINIA SENIOR ADVANTAGE, INC.|WV Senior Advantage (HMO I-SNP)|00025267|48.40|590| | |WV|51380|3|N
H9153|001|000|WEST VIRGINIA SENIOR ADVANTAGE, INC.|WV Senior Advantage (HMO I-SNP)|00025267|48.40|590| | |WV|51390|3|N
H9153|001|000|WEST VIRGINIA SENIOR ADVANTAGE, INC.|WV Senior Advantage (HMO I-SNP)|00025267|48.40|590| | |WV|51400|3|N
H9153|001|000|WEST VIRGINIA SENIOR ADVANTAGE, INC.|WV Senior Advantage (HMO I-SNP)|00025267|48.40|590| | |WV|51410|3|N
H9153|001|000|WEST VIRGINIA SENIOR ADVANTAGE, INC.|WV Senior Advantage (HMO I-SNP)|00025267|48.40|590| | |WV|51420|3|N
H9153|001|000|WEST VIRGINIA SENIOR ADVANTAGE, INC.|WV Senior Advantage (HMO I-SNP)|00025267|48.40|590| | |WV|51430|3|N
H9153|001|000|WEST VIRGINIA SENIOR ADVANTAGE, INC.|WV Senior Advantage (HMO I-SNP)|00025267|48.40|590| | |WV|51440|3|N
H9153|001|000|WEST VIRGINIA SENIOR ADVANTAGE, INC.|WV Senior Advantage (HMO I-SNP)|00025267|48.40|590| | |WV|51450|3|N
H9153|001|000|WEST VIRGINIA SENIOR ADVANTAGE, INC.|WV Senior Advantage (HMO I-SNP)|00025267|48.40|590| | |WV|51460|3|N
H9153|001|000|WEST VIRGINIA SENIOR ADVANTAGE, INC.|WV Senior Advantage (HMO I-SNP)|00025267|48.40|590| | |WV|51470|3|N
H9153|001|000|WEST VIRGINIA SENIOR ADVANTAGE, INC.|WV Senior Advantage (HMO I-SNP)|00025267|48.40|590| | |WV|51480|3|N
H9153|001|000|WEST VIRGINIA SENIOR ADVANTAGE, INC.|WV Senior Advantage (HMO I-SNP)|00025267|48.40|590| | |WV|51490|3|N
H9153|001|000|WEST VIRGINIA SENIOR ADVANTAGE, INC.|WV Senior Advantage (HMO I-SNP)|00025267|48.40|590| | |WV|51500|3|N
H9153|001|000|WEST VIRGINIA SENIOR ADVANTAGE, INC.|WV Senior Advantage (HMO I-SNP)|00025267|48.40|590| | |WV|51510|3|N
H9153|001|000|WEST VIRGINIA SENIOR ADVANTAGE, INC.|WV Senior Advantage (HMO I-SNP)|00025267|48.40|590| | |WV|51520|3|N
H9153|001|000|WEST VIRGINIA SENIOR ADVANTAGE, INC.|WV Senior Advantage (HMO I-SNP)|00025267|48.40|590| | |WV|51530|3|N
H9153|001|000|WEST VIRGINIA SENIOR ADVANTAGE, INC.|WV Senior Advantage (HMO I-SNP)|00025267|48.40|590| | |WV|51540|3|N
H9179|001|000|TRINITY HEALTH PLAN OF MICHIGAN INC|Trinity Health Plan of Michigan No Premium (HMO)|00025291|0.00|0| | |MI|23280|0|N
H9179|001|000|TRINITY HEALTH PLAN OF MICHIGAN INC|Trinity Health Plan of Michigan No Premium (HMO)|00025291|0.00|0| | |MI|23400|0|N
H9179|001|000|TRINITY HEALTH PLAN OF MICHIGAN INC|Trinity Health Plan of Michigan No Premium (HMO)|00025291|0.00|0| | |MI|23420|0|N
H9179|001|000|TRINITY HEALTH PLAN OF MICHIGAN INC|Trinity Health Plan of Michigan No Premium (HMO)|00025291|0.00|0| | |MI|23460|0|N
H9179|001|000|TRINITY HEALTH PLAN OF MICHIGAN INC|Trinity Health Plan of Michigan No Premium (HMO)|00025291|0.00|0| | |MI|23520|0|N
H9179|001|000|TRINITY HEALTH PLAN OF MICHIGAN INC|Trinity Health Plan of Michigan No Premium (HMO)|00025291|0.00|0| | |MI|23530|0|N
H9179|001|000|TRINITY HEALTH PLAN OF MICHIGAN INC|Trinity Health Plan of Michigan No Premium (HMO)|00025291|0.00|0| | |MI|23570|0|N
H9179|001|000|TRINITY HEALTH PLAN OF MICHIGAN INC|Trinity Health Plan of Michigan No Premium (HMO)|00025291|0.00|0| | |MI|23580|0|N
H9179|001|000|TRINITY HEALTH PLAN OF MICHIGAN INC|Trinity Health Plan of Michigan No Premium (HMO)|00025291|0.00|0| | |MI|23600|0|N
H9179|001|000|TRINITY HEALTH PLAN OF MICHIGAN INC|Trinity Health Plan of Michigan No Premium (HMO)|00025291|0.00|0| | |MI|23610|0|N
H9179|001|000|TRINITY HEALTH PLAN OF MICHIGAN INC|Trinity Health Plan of Michigan No Premium (HMO)|00025291|0.00|0| | |MI|23620|0|N
H9179|001|000|TRINITY HEALTH PLAN OF MICHIGAN INC|Trinity Health Plan of Michigan No Premium (HMO)|00025291|0.00|0| | |MI|23630|0|N
H9179|001|000|TRINITY HEALTH PLAN OF MICHIGAN INC|Trinity Health Plan of Michigan No Premium (HMO)|00025291|0.00|0| | |MI|23660|0|N
H9179|001|000|TRINITY HEALTH PLAN OF MICHIGAN INC|Trinity Health Plan of Michigan No Premium (HMO)|00025291|0.00|0| | |MI|23690|0|N
H9179|001|000|TRINITY HEALTH PLAN OF MICHIGAN INC|Trinity Health Plan of Michigan No Premium (HMO)|00025291|0.00|0| | |MI|23750|0|N
H9179|001|000|TRINITY HEALTH PLAN OF MICHIGAN INC|Trinity Health Plan of Michigan No Premium (HMO)|00025291|0.00|0| | |MI|23800|0|N
H9179|001|000|TRINITY HEALTH PLAN OF MICHIGAN INC|Trinity Health Plan of Michigan No Premium (HMO)|00025291|0.00|0| | |MI|23810|0|N
H9179|002|000|TRINITY HEALTH PLAN OF MICHIGAN INC|Trinity Health Plan of Michigan Cash Back (HMO)|00025291|0.00|350| | |MI|23280|0|N
H9179|002|000|TRINITY HEALTH PLAN OF MICHIGAN INC|Trinity Health Plan of Michigan Cash Back (HMO)|00025291|0.00|350| | |MI|23400|0|N
H9179|002|000|TRINITY HEALTH PLAN OF MICHIGAN INC|Trinity Health Plan of Michigan Cash Back (HMO)|00025291|0.00|350| | |MI|23420|0|N
H9179|002|000|TRINITY HEALTH PLAN OF MICHIGAN INC|Trinity Health Plan of Michigan Cash Back (HMO)|00025291|0.00|350| | |MI|23460|0|N
H9179|002|000|TRINITY HEALTH PLAN OF MICHIGAN INC|Trinity Health Plan of Michigan Cash Back (HMO)|00025291|0.00|350| | |MI|23520|0|N
H9179|002|000|TRINITY HEALTH PLAN OF MICHIGAN INC|Trinity Health Plan of Michigan Cash Back (HMO)|00025291|0.00|350| | |MI|23530|0|N
H9179|002|000|TRINITY HEALTH PLAN OF MICHIGAN INC|Trinity Health Plan of Michigan Cash Back (HMO)|00025291|0.00|350| | |MI|23570|0|N
H9179|002|000|TRINITY HEALTH PLAN OF MICHIGAN INC|Trinity Health Plan of Michigan Cash Back (HMO)|00025291|0.00|350| | |MI|23580|0|N
H9179|002|000|TRINITY HEALTH PLAN OF MICHIGAN INC|Trinity Health Plan of Michigan Cash Back (HMO)|00025291|0.00|350| | |MI|23600|0|N
H9179|002|000|TRINITY HEALTH PLAN OF MICHIGAN INC|Trinity Health Plan of Michigan Cash Back (HMO)|00025291|0.00|350| | |MI|23610|0|N
H9179|002|000|TRINITY HEALTH PLAN OF MICHIGAN INC|Trinity Health Plan of Michigan Cash Back (HMO)|00025291|0.00|350| | |MI|23620|0|N
H9179|002|000|TRINITY HEALTH PLAN OF MICHIGAN INC|Trinity Health Plan of Michigan Cash Back (HMO)|00025291|0.00|350| | |MI|23630|0|N
H9179|002|000|TRINITY HEALTH PLAN OF MICHIGAN INC|Trinity Health Plan of Michigan Cash Back (HMO)|00025291|0.00|350| | |MI|23660|0|N
H9179|002|000|TRINITY HEALTH PLAN OF MICHIGAN INC|Trinity Health Plan of Michigan Cash Back (HMO)|00025291|0.00|350| | |MI|23690|0|N
H9179|002|000|TRINITY HEALTH PLAN OF MICHIGAN INC|Trinity Health Plan of Michigan Cash Back (HMO)|00025291|0.00|350| | |MI|23750|0|N
H9179|002|000|TRINITY HEALTH PLAN OF MICHIGAN INC|Trinity Health Plan of Michigan Cash Back (HMO)|00025291|0.00|350| | |MI|23800|0|N
H9179|002|000|TRINITY HEALTH PLAN OF MICHIGAN INC|Trinity Health Plan of Michigan Cash Back (HMO)|00025291|0.00|350| | |MI|23810|0|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26030|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26040|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26090|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26110|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26120|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26130|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26140|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26150|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26160|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26190|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26200|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26210|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26230|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26240|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26250|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26270|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26280|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26290|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26310|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26320|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26330|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26350|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26380|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26410|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26411|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26440|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26460|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26470|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26480|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26490|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26520|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26530|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26540|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26560|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26580|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26590|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26601|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26620|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26650|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26660|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26670|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26690|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26710|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26800|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26820|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26821|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26840|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26880|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26881|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26900|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26910|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26930|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26940|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26950|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26970|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26982|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26985|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26986|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26988|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26989|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26990|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26991|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26992|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26994|3|N
H9191|001|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Advantage Plan (HMO I-SNP)|00025261|51.00|590| | |MO|26996|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26030|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26040|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26090|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26110|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26120|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26130|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26140|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26150|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26160|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26190|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26200|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26210|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26230|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26240|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26250|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26270|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26280|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26290|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26310|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26320|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26330|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26350|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26380|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26410|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26411|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26440|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26460|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26470|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26480|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26490|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26520|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26530|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26540|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26560|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26580|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26590|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26601|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26620|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26650|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26660|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26670|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26690|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26710|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26800|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26820|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26821|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26840|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26880|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26881|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26900|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26910|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26930|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26940|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26950|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26970|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26982|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26985|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26986|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26988|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26989|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26990|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26991|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26992|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26994|3|N
H9191|004|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Community Plan (HMO I-SNP)|00025261|0.00|590| | |MO|26996|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26030|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26040|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26090|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26110|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26120|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26130|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26140|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26150|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26160|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26190|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26200|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26210|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26230|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26240|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26250|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26270|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26280|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26290|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26310|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26320|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26330|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26350|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26380|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26410|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26411|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26440|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26460|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26470|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26480|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26490|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26520|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26530|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26540|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26560|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26580|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26590|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26601|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26620|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26650|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26660|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26670|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26690|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26710|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26800|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26820|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26821|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26840|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26880|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26881|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26900|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26910|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26930|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26940|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26950|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26970|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26982|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26985|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26986|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26988|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26989|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26990|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26991|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26992|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26994|3|N
H9191|005|000|PROVIDER PARTNERS HEALTH PLAN OF MISSOURI, INC.|Provider Partners Missouri Essential Plan (HMO I-SNP)|00025261|37.20|590| | |MO|26996|3|N
H9207|002|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Prime (HMO)|00025396|40.90|0| | |PA|39000|0|N
H9207|002|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Prime (HMO)|00025396|40.90|0| | |PA|39110|0|N
H9207|002|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Prime (HMO)|00025396|40.90|0| | |PA|39130|0|N
H9207|002|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Prime (HMO)|00025396|40.90|0| | |PA|39140|0|N
H9207|002|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Prime (HMO)|00025396|40.90|0| | |PA|39190|0|N
H9207|002|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Prime (HMO)|00025396|40.90|0| | |PA|39210|0|N
H9207|002|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Prime (HMO)|00025396|40.90|0| | |PA|39270|0|N
H9207|002|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Prime (HMO)|00025396|40.90|0| | |PA|39280|0|N
H9207|002|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Prime (HMO)|00025396|40.90|0| | |PA|39290|0|N
H9207|002|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Prime (HMO)|00025396|40.90|0| | |PA|39350|0|N
H9207|002|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Prime (HMO)|00025396|40.90|0| | |PA|39440|0|N
H9207|002|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Prime (HMO)|00025396|40.90|0| | |PA|39460|0|N
H9207|002|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Prime (HMO)|00025396|40.90|0| | |PA|39470|0|N
H9207|002|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Prime (HMO)|00025396|40.90|0| | |PA|39550|0|N
H9207|002|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Prime (HMO)|00025396|40.90|0| | |PA|39560|0|N
H9207|002|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Prime (HMO)|00025396|40.90|0| | |PA|39590|0|N
H9207|002|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Prime (HMO)|00025396|40.90|0| | |PA|39610|0|N
H9207|002|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Prime (HMO)|00025396|40.90|0| | |PA|39620|0|N
H9207|002|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Prime (HMO)|00025396|40.90|0| | |PA|39650|0|N
H9207|002|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Prime (HMO)|00025396|40.90|0| | |PA|39800|0|N
H9207|004|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Special (HMO D-SNP)|00025397|0.00|590| | |PA|39000|2|N
H9207|004|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Special (HMO D-SNP)|00025397|0.00|590| | |PA|39010|2|N
H9207|004|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Special (HMO D-SNP)|00025397|0.00|590| | |PA|39110|2|N
H9207|004|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Special (HMO D-SNP)|00025397|0.00|590| | |PA|39130|2|N
H9207|004|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Special (HMO D-SNP)|00025397|0.00|590| | |PA|39140|2|N
H9207|004|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Special (HMO D-SNP)|00025397|0.00|590| | |PA|39190|2|N
H9207|004|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Special (HMO D-SNP)|00025397|0.00|590| | |PA|39210|2|N
H9207|004|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Special (HMO D-SNP)|00025397|0.00|590| | |PA|39270|2|N
H9207|004|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Special (HMO D-SNP)|00025397|0.00|590| | |PA|39280|2|N
H9207|004|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Special (HMO D-SNP)|00025397|0.00|590| | |PA|39290|2|N
H9207|004|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Special (HMO D-SNP)|00025397|0.00|590| | |PA|39320|2|N
H9207|004|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Special (HMO D-SNP)|00025397|0.00|590| | |PA|39350|2|N
H9207|004|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Special (HMO D-SNP)|00025397|0.00|590| | |PA|39440|2|N
H9207|004|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Special (HMO D-SNP)|00025397|0.00|590| | |PA|39460|2|N
H9207|004|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Special (HMO D-SNP)|00025397|0.00|590| | |PA|39470|2|N
H9207|004|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Special (HMO D-SNP)|00025397|0.00|590| | |PA|39550|2|N
H9207|004|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Special (HMO D-SNP)|00025397|0.00|590| | |PA|39560|2|N
H9207|004|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Special (HMO D-SNP)|00025397|0.00|590| | |PA|39590|2|N
H9207|004|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Special (HMO D-SNP)|00025397|0.00|590| | |PA|39610|2|N
H9207|004|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Special (HMO D-SNP)|00025397|0.00|590| | |PA|39620|2|N
H9207|004|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Special (HMO D-SNP)|00025397|0.00|590| | |PA|39650|2|N
H9207|004|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Special (HMO D-SNP)|00025397|0.00|590| | |PA|39800|2|N
H9207|012|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Complete (HMO)|00025396|0.00|0| | |PA|39000|0|N
H9207|012|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Complete (HMO)|00025396|0.00|0| | |PA|39110|0|N
H9207|012|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Complete (HMO)|00025396|0.00|0| | |PA|39130|0|N
H9207|012|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Complete (HMO)|00025396|0.00|0| | |PA|39140|0|N
H9207|012|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Complete (HMO)|00025396|0.00|0| | |PA|39190|0|N
H9207|012|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Complete (HMO)|00025396|0.00|0| | |PA|39210|0|N
H9207|012|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Complete (HMO)|00025396|0.00|0| | |PA|39270|0|N
H9207|012|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Complete (HMO)|00025396|0.00|0| | |PA|39280|0|N
H9207|012|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Complete (HMO)|00025396|0.00|0| | |PA|39290|0|N
H9207|012|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Complete (HMO)|00025396|0.00|0| | |PA|39350|0|N
H9207|012|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Complete (HMO)|00025396|0.00|0| | |PA|39440|0|N
H9207|012|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Complete (HMO)|00025396|0.00|0| | |PA|39460|0|N
H9207|012|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Complete (HMO)|00025396|0.00|0| | |PA|39470|0|N
H9207|012|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Complete (HMO)|00025396|0.00|0| | |PA|39550|0|N
H9207|012|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Complete (HMO)|00025396|0.00|0| | |PA|39560|0|N
H9207|012|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Complete (HMO)|00025396|0.00|0| | |PA|39590|0|N
H9207|012|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Complete (HMO)|00025396|0.00|0| | |PA|39610|0|N
H9207|012|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Complete (HMO)|00025396|0.00|0| | |PA|39620|0|N
H9207|012|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Complete (HMO)|00025396|0.00|0| | |PA|39650|0|N
H9207|012|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Complete (HMO)|00025396|0.00|0| | |PA|39800|0|N
H9207|013|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Silver (HMO)|00025396|0.00|0| | |NJ|31000|0|N
H9207|013|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Silver (HMO)|00025396|0.00|0| | |NJ|31150|0|N
H9207|013|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Silver (HMO)|00025396|0.00|0| | |NJ|31160|0|N
H9207|013|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Silver (HMO)|00025396|0.00|0| | |NJ|31190|0|N
H9207|013|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Silver (HMO)|00025396|0.00|0| | |NJ|31220|0|N
H9207|013|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Silver (HMO)|00025396|0.00|0| | |NJ|31260|0|N
H9207|013|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Silver (HMO)|00025396|0.00|0| | |NJ|31340|0|N
H9207|014|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Platinum (HMO)|00025396|30.00|0| | |NJ|31000|0|N
H9207|014|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Platinum (HMO)|00025396|30.00|0| | |NJ|31150|0|N
H9207|014|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Platinum (HMO)|00025396|30.00|0| | |NJ|31160|0|N
H9207|014|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Platinum (HMO)|00025396|30.00|0| | |NJ|31190|0|N
H9207|014|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Platinum (HMO)|00025396|30.00|0| | |NJ|31220|0|N
H9207|014|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Platinum (HMO)|00025396|30.00|0| | |NJ|31260|0|N
H9207|014|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Platinum (HMO)|00025396|30.00|0| | |NJ|31340|0|N
H9207|015|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Giveback (HMO)|00025398|0.00|590| | |PA|39000|0|N
H9207|015|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Giveback (HMO)|00025398|0.00|590| | |PA|39110|0|N
H9207|015|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Giveback (HMO)|00025398|0.00|590| | |PA|39130|0|N
H9207|015|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Giveback (HMO)|00025398|0.00|590| | |PA|39140|0|N
H9207|015|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Giveback (HMO)|00025398|0.00|590| | |PA|39190|0|N
H9207|015|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Giveback (HMO)|00025398|0.00|590| | |PA|39210|0|N
H9207|015|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Giveback (HMO)|00025398|0.00|590| | |PA|39270|0|N
H9207|015|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Giveback (HMO)|00025398|0.00|590| | |PA|39280|0|N
H9207|015|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Giveback (HMO)|00025398|0.00|590| | |PA|39290|0|N
H9207|015|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Giveback (HMO)|00025398|0.00|590| | |PA|39350|0|N
H9207|015|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Giveback (HMO)|00025398|0.00|590| | |PA|39440|0|N
H9207|015|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Giveback (HMO)|00025398|0.00|590| | |PA|39460|0|N
H9207|015|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Giveback (HMO)|00025398|0.00|590| | |PA|39470|0|N
H9207|015|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Giveback (HMO)|00025398|0.00|590| | |PA|39550|0|N
H9207|015|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Giveback (HMO)|00025398|0.00|590| | |PA|39560|0|N
H9207|015|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Giveback (HMO)|00025398|0.00|590| | |PA|39590|0|N
H9207|015|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Giveback (HMO)|00025398|0.00|590| | |PA|39610|0|N
H9207|015|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Giveback (HMO)|00025398|0.00|590| | |PA|39620|0|N
H9207|015|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Giveback (HMO)|00025398|0.00|590| | |PA|39650|0|N
H9207|015|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Giveback (HMO)|00025398|0.00|590| | |PA|39800|0|N
H9207|016|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Dual Pearl (HMO D-SNP)|00025397|0.00|590| | |PA|39000|2|N
H9207|016|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Dual Pearl (HMO D-SNP)|00025397|0.00|590| | |PA|39010|2|N
H9207|016|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Dual Pearl (HMO D-SNP)|00025397|0.00|590| | |PA|39110|2|N
H9207|016|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Dual Pearl (HMO D-SNP)|00025397|0.00|590| | |PA|39130|2|N
H9207|016|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Dual Pearl (HMO D-SNP)|00025397|0.00|590| | |PA|39140|2|N
H9207|016|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Dual Pearl (HMO D-SNP)|00025397|0.00|590| | |PA|39190|2|N
H9207|016|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Dual Pearl (HMO D-SNP)|00025397|0.00|590| | |PA|39210|2|N
H9207|016|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Dual Pearl (HMO D-SNP)|00025397|0.00|590| | |PA|39270|2|N
H9207|016|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Dual Pearl (HMO D-SNP)|00025397|0.00|590| | |PA|39280|2|N
H9207|016|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Dual Pearl (HMO D-SNP)|00025397|0.00|590| | |PA|39290|2|N
H9207|016|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Dual Pearl (HMO D-SNP)|00025397|0.00|590| | |PA|39320|2|N
H9207|016|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Dual Pearl (HMO D-SNP)|00025397|0.00|590| | |PA|39350|2|N
H9207|016|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Dual Pearl (HMO D-SNP)|00025397|0.00|590| | |PA|39440|2|N
H9207|016|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Dual Pearl (HMO D-SNP)|00025397|0.00|590| | |PA|39460|2|N
H9207|016|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Dual Pearl (HMO D-SNP)|00025397|0.00|590| | |PA|39470|2|N
H9207|016|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Dual Pearl (HMO D-SNP)|00025397|0.00|590| | |PA|39550|2|N
H9207|016|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Dual Pearl (HMO D-SNP)|00025397|0.00|590| | |PA|39560|2|N
H9207|016|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Dual Pearl (HMO D-SNP)|00025397|0.00|590| | |PA|39590|2|N
H9207|016|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Dual Pearl (HMO D-SNP)|00025397|0.00|590| | |PA|39610|2|N
H9207|016|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Dual Pearl (HMO D-SNP)|00025397|0.00|590| | |PA|39620|2|N
H9207|016|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Dual Pearl (HMO D-SNP)|00025397|0.00|590| | |PA|39650|2|N
H9207|016|000|HEALTH PARTNERS PLANS, INC.|Jefferson Health Plans Dual Pearl (HMO D-SNP)|00025397|0.00|590| | |PA|39800|2|N
H9219|001|000|AMH HEALTH PLANS OF MAINE, INC.|Anthem I MaineHealth Advantage Access (PPO)|00025049|1.50|400| | |ME|20000|0|N
H9219|001|000|AMH HEALTH PLANS OF MAINE, INC.|Anthem I MaineHealth Advantage Access (PPO)|00025049|1.50|400| | |ME|20010|0|N
H9219|001|000|AMH HEALTH PLANS OF MAINE, INC.|Anthem I MaineHealth Advantage Access (PPO)|00025049|1.50|400| | |ME|20020|0|N
H9219|001|000|AMH HEALTH PLANS OF MAINE, INC.|Anthem I MaineHealth Advantage Access (PPO)|00025049|1.50|400| | |ME|20030|0|N
H9219|001|000|AMH HEALTH PLANS OF MAINE, INC.|Anthem I MaineHealth Advantage Access (PPO)|00025049|1.50|400| | |ME|20040|0|N
H9219|001|000|AMH HEALTH PLANS OF MAINE, INC.|Anthem I MaineHealth Advantage Access (PPO)|00025049|1.50|400| | |ME|20050|0|N
H9219|001|000|AMH HEALTH PLANS OF MAINE, INC.|Anthem I MaineHealth Advantage Access (PPO)|00025049|1.50|400| | |ME|20060|0|N
H9219|001|000|AMH HEALTH PLANS OF MAINE, INC.|Anthem I MaineHealth Advantage Access (PPO)|00025049|1.50|400| | |ME|20070|0|N
H9219|001|000|AMH HEALTH PLANS OF MAINE, INC.|Anthem I MaineHealth Advantage Access (PPO)|00025049|1.50|400| | |ME|20080|0|N
H9219|001|000|AMH HEALTH PLANS OF MAINE, INC.|Anthem I MaineHealth Advantage Access (PPO)|00025049|1.50|400| | |ME|20090|0|N
H9219|001|000|AMH HEALTH PLANS OF MAINE, INC.|Anthem I MaineHealth Advantage Access (PPO)|00025049|1.50|400| | |ME|20100|0|N
H9219|001|000|AMH HEALTH PLANS OF MAINE, INC.|Anthem I MaineHealth Advantage Access (PPO)|00025049|1.50|400| | |ME|20110|0|N
H9219|001|000|AMH HEALTH PLANS OF MAINE, INC.|Anthem I MaineHealth Advantage Access (PPO)|00025049|1.50|400| | |ME|20120|0|N
H9219|001|000|AMH HEALTH PLANS OF MAINE, INC.|Anthem I MaineHealth Advantage Access (PPO)|00025049|1.50|400| | |ME|20130|0|N
H9219|001|000|AMH HEALTH PLANS OF MAINE, INC.|Anthem I MaineHealth Advantage Access (PPO)|00025049|1.50|400| | |ME|20140|0|N
H9219|001|000|AMH HEALTH PLANS OF MAINE, INC.|Anthem I MaineHealth Advantage Access (PPO)|00025049|1.50|400| | |ME|20150|0|N
H9231|001|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44070|0|N
H9231|001|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44100|0|N
H9231|001|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44130|0|N
H9231|001|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44180|0|N
H9231|001|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44240|0|N
H9231|001|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44270|0|N
H9231|001|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44400|0|N
H9231|001|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44410|0|N
H9231|001|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44420|0|N
H9231|001|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44430|0|N
H9231|001|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44490|0|N
H9231|001|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44510|0|N
H9231|001|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44550|0|N
H9231|001|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44630|0|N
H9231|001|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44730|0|N
H9231|001|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44740|0|N
H9231|001|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44790|0|N
H9231|001|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44800|0|N
H9231|001|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44820|0|N
H9231|001|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44840|0|N
H9231|001|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44870|0|N
H9231|001|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44880|0|N
H9231|001|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44900|0|N
H9231|001|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44930|0|N
H9231|001|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44940|0|N
H9231|002|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44000|0|N
H9231|002|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44030|0|N
H9231|002|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44040|0|N
H9231|002|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44050|0|N
H9231|002|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44060|0|N
H9231|002|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44120|0|N
H9231|002|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44140|0|N
H9231|002|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44170|0|N
H9231|002|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44280|0|N
H9231|002|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44300|0|N
H9231|002|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44310|0|N
H9231|002|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44320|0|N
H9231|002|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44440|0|N
H9231|002|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44460|0|N
H9231|002|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44520|0|N
H9231|002|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44570|0|N
H9231|002|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44600|0|N
H9231|002|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44610|0|N
H9231|002|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44640|0|N
H9231|002|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44690|0|N
H9231|002|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44710|0|N
H9231|002|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44720|0|N
H9231|002|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44750|0|N
H9231|002|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44760|0|N
H9231|002|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44770|0|N
H9231|002|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44860|0|N
H9231|005|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44070|0|N
H9231|005|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44100|0|N
H9231|005|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44130|0|N
H9231|005|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44180|0|N
H9231|005|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44240|0|N
H9231|005|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44270|0|N
H9231|005|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44400|0|N
H9231|005|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44410|0|N
H9231|005|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44420|0|N
H9231|005|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44430|0|N
H9231|005|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44490|0|N
H9231|005|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44510|0|N
H9231|005|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44550|0|N
H9231|005|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44630|0|N
H9231|005|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44730|0|N
H9231|005|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44740|0|N
H9231|005|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44790|0|N
H9231|005|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44800|0|N
H9231|005|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44820|0|N
H9231|005|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44840|0|N
H9231|005|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44870|0|N
H9231|005|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44880|0|N
H9231|005|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44900|0|N
H9231|005|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44930|0|N
H9231|005|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44940|0|N
H9231|006|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44330|0|N
H9231|006|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44360|0|N
H9231|006|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44450|0|N
H9231|006|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44810|0|N
H9231|006|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44850|0|N
H9231|006|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025185|0.00|590| | |TN|44890|0|N
H9231|007|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44000|0|N
H9231|007|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44030|0|N
H9231|007|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44040|0|N
H9231|007|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44050|0|N
H9231|007|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44060|0|N
H9231|007|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44120|0|N
H9231|007|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44140|0|N
H9231|007|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44170|0|N
H9231|007|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44280|0|N
H9231|007|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44300|0|N
H9231|007|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44310|0|N
H9231|007|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44320|0|N
H9231|007|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44440|0|N
H9231|007|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44460|0|N
H9231|007|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44520|0|N
H9231|007|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44570|0|N
H9231|007|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44600|0|N
H9231|007|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44610|0|N
H9231|007|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44640|0|N
H9231|007|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44690|0|N
H9231|007|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44710|0|N
H9231|007|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44720|0|N
H9231|007|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44750|0|N
H9231|007|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44760|0|N
H9231|007|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44770|0|N
H9231|007|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44860|0|N
H9231|010|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44330|0|N
H9231|010|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44360|0|N
H9231|010|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44450|0|N
H9231|010|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44810|0|N
H9231|010|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44850|0|N
H9231|010|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025185|0.00|590| | |TN|44890|0|N
H9231|011|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025188|0.00|590| | |TN|44230|0|N
H9231|011|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025188|0.00|590| | |TN|44340|0|N
H9231|011|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025188|0.00|590| | |TN|44370|0|N
H9231|011|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE Tennessee (PPO)|00025188|0.00|590| | |TN|44780|0|N
H9231|012|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025188|0.00|590| | |TN|44230|0|N
H9231|012|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025188|0.00|590| | |TN|44340|0|N
H9231|012|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025188|0.00|590| | |TN|44370|0|N
H9231|012|000|DEVOTED HEALTH INSURANCE COMPANY OF TENNESSEE INC|Devoted CHOICE GIVEBACK Tennessee (PPO)|00025188|0.00|590| | |TN|44780|0|N
H9239|001|000|UNITEDHEALTHCARE INSURANCE COMPANY|UnitedHealthcare Connected for One Care (Medicare-Medicaid Plan)|00025006|0.00|0| | |MA|22020|0|N
H9239|001|000|UNITEDHEALTHCARE INSURANCE COMPANY|UnitedHealthcare Connected for One Care (Medicare-Medicaid Plan)|00025006|0.00|0| | |MA|22040|0|N
H9239|001|000|UNITEDHEALTHCARE INSURANCE COMPANY|UnitedHealthcare Connected for One Care (Medicare-Medicaid Plan)|00025006|0.00|0| | |MA|22060|0|N
H9239|001|000|UNITEDHEALTHCARE INSURANCE COMPANY|UnitedHealthcare Connected for One Care (Medicare-Medicaid Plan)|00025006|0.00|0| | |MA|22070|0|N
H9239|001|000|UNITEDHEALTHCARE INSURANCE COMPANY|UnitedHealthcare Connected for One Care (Medicare-Medicaid Plan)|00025006|0.00|0| | |MA|22080|0|N
H9239|001|000|UNITEDHEALTHCARE INSURANCE COMPANY|UnitedHealthcare Connected for One Care (Medicare-Medicaid Plan)|00025006|0.00|0| | |MA|22090|0|N
H9239|001|000|UNITEDHEALTHCARE INSURANCE COMPANY|UnitedHealthcare Connected for One Care (Medicare-Medicaid Plan)|00025006|0.00|0| | |MA|22130|0|N
H9239|001|000|UNITEDHEALTHCARE INSURANCE COMPANY|UnitedHealthcare Connected for One Care (Medicare-Medicaid Plan)|00025006|0.00|0| | |MA|22150|0|N
H9239|001|000|UNITEDHEALTHCARE INSURANCE COMPANY|UnitedHealthcare Connected for One Care (Medicare-Medicaid Plan)|00025006|0.00|0| | |MA|22160|0|N
H9239|001|000|UNITEDHEALTHCARE INSURANCE COMPANY|UnitedHealthcare Connected for One Care (Medicare-Medicaid Plan)|00025006|0.00|0| | |MA|22170|0|N
H9306|002|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Choice Plus (HMO)|00025489|5.80|0| | |MD|21010|0|N
H9306|002|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Choice Plus (HMO)|00025489|5.80|0| | |MD|21020|0|N
H9306|002|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Choice Plus (HMO)|00025489|5.80|0| | |MD|21030|0|N
H9306|002|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Choice Plus (HMO)|00025489|5.80|0| | |MD|21050|0|N
H9306|002|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Choice Plus (HMO)|00025489|5.80|0| | |MD|21060|0|N
H9306|002|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Choice Plus (HMO)|00025489|5.80|0| | |MD|21070|0|N
H9306|002|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Choice Plus (HMO)|00025489|5.80|0| | |MD|21080|0|N
H9306|002|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Choice Plus (HMO)|00025489|5.80|0| | |MD|21090|0|N
H9306|002|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Choice Plus (HMO)|00025489|5.80|0| | |MD|21100|0|N
H9306|002|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Choice Plus (HMO)|00025489|5.80|0| | |MD|21120|0|N
H9306|002|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Choice Plus (HMO)|00025489|5.80|0| | |MD|21130|0|N
H9306|002|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Choice Plus (HMO)|00025489|5.80|0| | |MD|21140|0|N
H9306|002|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Choice Plus (HMO)|00025489|5.80|0| | |MD|21150|0|N
H9306|002|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Choice Plus (HMO)|00025489|5.80|0| | |MD|21160|0|N
H9306|002|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Choice Plus (HMO)|00025489|5.80|0| | |MD|21170|0|N
H9306|002|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Choice Plus (HMO)|00025489|5.80|0| | |MD|21190|0|N
H9306|002|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Choice Plus (HMO)|00025489|5.80|0| | |MD|21200|0|N
H9306|002|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Choice Plus (HMO)|00025489|5.80|0| | |MD|21210|0|N
H9306|002|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Choice Plus (HMO)|00025489|5.80|0| | |MD|21220|0|N
H9306|002|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Choice Plus (HMO)|00025489|5.80|0| | |MD|21230|0|N
H9306|004|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Dual Secure (HMO D-SNP)|00025487|0.00|590| | |MD|21010|2|N
H9306|004|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Dual Secure (HMO D-SNP)|00025487|0.00|590| | |MD|21020|2|N
H9306|004|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Dual Secure (HMO D-SNP)|00025487|0.00|590| | |MD|21030|2|N
H9306|004|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Dual Secure (HMO D-SNP)|00025487|0.00|590| | |MD|21050|2|N
H9306|004|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Dual Secure (HMO D-SNP)|00025487|0.00|590| | |MD|21060|2|N
H9306|004|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Dual Secure (HMO D-SNP)|00025487|0.00|590| | |MD|21070|2|N
H9306|004|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Dual Secure (HMO D-SNP)|00025487|0.00|590| | |MD|21080|2|N
H9306|004|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Dual Secure (HMO D-SNP)|00025487|0.00|590| | |MD|21090|2|N
H9306|004|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Dual Secure (HMO D-SNP)|00025487|0.00|590| | |MD|21100|2|N
H9306|004|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Dual Secure (HMO D-SNP)|00025487|0.00|590| | |MD|21120|2|N
H9306|004|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Dual Secure (HMO D-SNP)|00025487|0.00|590| | |MD|21130|2|N
H9306|004|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Dual Secure (HMO D-SNP)|00025487|0.00|590| | |MD|21140|2|N
H9306|004|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Dual Secure (HMO D-SNP)|00025487|0.00|590| | |MD|21150|2|N
H9306|004|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Dual Secure (HMO D-SNP)|00025487|0.00|590| | |MD|21160|2|N
H9306|004|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Dual Secure (HMO D-SNP)|00025487|0.00|590| | |MD|21170|2|N
H9306|004|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Dual Secure (HMO D-SNP)|00025487|0.00|590| | |MD|21190|2|N
H9306|004|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Dual Secure (HMO D-SNP)|00025487|0.00|590| | |MD|21200|2|N
H9306|004|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Dual Secure (HMO D-SNP)|00025487|0.00|590| | |MD|21210|2|N
H9306|004|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Dual Secure (HMO D-SNP)|00025487|0.00|590| | |MD|21220|2|N
H9306|004|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Dual Secure (HMO D-SNP)|00025487|0.00|590| | |MD|21230|2|N
H9306|007|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Dual Value (HMO D-SNP)|00025487|36.90|590| | |MD|21010|2|N
H9306|007|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Dual Value (HMO D-SNP)|00025487|36.90|590| | |MD|21020|2|N
H9306|007|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Dual Value (HMO D-SNP)|00025487|36.90|590| | |MD|21030|2|N
H9306|007|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Dual Value (HMO D-SNP)|00025487|36.90|590| | |MD|21050|2|N
H9306|007|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Dual Value (HMO D-SNP)|00025487|36.90|590| | |MD|21060|2|N
H9306|007|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Dual Value (HMO D-SNP)|00025487|36.90|590| | |MD|21070|2|N
H9306|007|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Dual Value (HMO D-SNP)|00025487|36.90|590| | |MD|21080|2|N
H9306|007|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Dual Value (HMO D-SNP)|00025487|36.90|590| | |MD|21090|2|N
H9306|007|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Dual Value (HMO D-SNP)|00025487|36.90|590| | |MD|21100|2|N
H9306|007|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Dual Value (HMO D-SNP)|00025487|36.90|590| | |MD|21120|2|N
H9306|007|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Dual Value (HMO D-SNP)|00025487|36.90|590| | |MD|21130|2|N
H9306|007|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Dual Value (HMO D-SNP)|00025487|36.90|590| | |MD|21140|2|N
H9306|007|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Dual Value (HMO D-SNP)|00025487|36.90|590| | |MD|21150|2|N
H9306|007|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Dual Value (HMO D-SNP)|00025487|36.90|590| | |MD|21160|2|N
H9306|007|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Dual Value (HMO D-SNP)|00025487|36.90|590| | |MD|21170|2|N
H9306|007|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Dual Value (HMO D-SNP)|00025487|36.90|590| | |MD|21190|2|N
H9306|007|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Dual Value (HMO D-SNP)|00025487|36.90|590| | |MD|21200|2|N
H9306|007|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Dual Value (HMO D-SNP)|00025487|36.90|590| | |MD|21210|2|N
H9306|007|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Dual Value (HMO D-SNP)|00025487|36.90|590| | |MD|21220|2|N
H9306|007|000|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Dual Value (HMO D-SNP)|00025487|36.90|590| | |MD|21230|2|N
H9306|008|001|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Choice (HMO)|00025488|5.00|0| | |MD|21010|0|N
H9306|008|001|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Choice (HMO)|00025488|5.00|0| | |MD|21020|0|N
H9306|008|001|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Choice (HMO)|00025488|5.00|0| | |MD|21050|0|N
H9306|008|001|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Choice (HMO)|00025488|5.00|0| | |MD|21060|0|N
H9306|008|001|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Choice (HMO)|00025488|5.00|0| | |MD|21070|0|N
H9306|008|001|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Choice (HMO)|00025488|5.00|0| | |MD|21080|0|N
H9306|008|001|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Choice (HMO)|00025488|5.00|0| | |MD|21090|0|N
H9306|008|001|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Choice (HMO)|00025488|5.00|0| | |MD|21100|0|N
H9306|008|001|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Choice (HMO)|00025488|5.00|0| | |MD|21120|0|N
H9306|008|001|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Choice (HMO)|00025488|5.00|0| | |MD|21130|0|N
H9306|008|001|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Choice (HMO)|00025488|5.00|0| | |MD|21140|0|N
H9306|008|001|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Choice (HMO)|00025488|5.00|0| | |MD|21150|0|N
H9306|008|001|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Choice (HMO)|00025488|5.00|0| | |MD|21160|0|N
H9306|008|001|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Choice (HMO)|00025488|5.00|0| | |MD|21170|0|N
H9306|008|001|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Choice (HMO)|00025488|5.00|0| | |MD|21190|0|N
H9306|008|001|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Choice (HMO)|00025488|5.00|0| | |MD|21200|0|N
H9306|008|001|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Choice (HMO)|00025488|5.00|0| | |MD|21210|0|N
H9306|008|001|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Choice (HMO)|00025488|5.00|0| | |MD|21220|0|N
H9306|008|001|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Choice (HMO)|00025488|5.00|0| | |MD|21230|0|N
H9306|008|002|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Choice (HMO)|00025488|5.00|0| | |MD|21030|0|N
H9306|009|001|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Select (HMO)|00025488|0.00|295| | |MD|21010|0|N
H9306|009|001|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Select (HMO)|00025488|0.00|295| | |MD|21020|0|N
H9306|009|001|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Select (HMO)|00025488|0.00|295| | |MD|21050|0|N
H9306|009|001|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Select (HMO)|00025488|0.00|295| | |MD|21060|0|N
H9306|009|001|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Select (HMO)|00025488|0.00|295| | |MD|21070|0|N
H9306|009|001|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Select (HMO)|00025488|0.00|295| | |MD|21080|0|N
H9306|009|001|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Select (HMO)|00025488|0.00|295| | |MD|21090|0|N
H9306|009|001|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Select (HMO)|00025488|0.00|295| | |MD|21100|0|N
H9306|009|001|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Select (HMO)|00025488|0.00|295| | |MD|21120|0|N
H9306|009|001|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Select (HMO)|00025488|0.00|295| | |MD|21130|0|N
H9306|009|001|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Select (HMO)|00025488|0.00|295| | |MD|21140|0|N
H9306|009|001|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Select (HMO)|00025488|0.00|295| | |MD|21150|0|N
H9306|009|001|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Select (HMO)|00025488|0.00|295| | |MD|21160|0|N
H9306|009|001|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Select (HMO)|00025488|0.00|295| | |MD|21170|0|N
H9306|009|001|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Select (HMO)|00025488|0.00|295| | |MD|21190|0|N
H9306|009|001|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Select (HMO)|00025488|0.00|295| | |MD|21200|0|N
H9306|009|001|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Select (HMO)|00025488|0.00|295| | |MD|21210|0|N
H9306|009|001|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Select (HMO)|00025488|0.00|295| | |MD|21220|0|N
H9306|009|001|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Select (HMO)|00025488|0.00|295| | |MD|21230|0|N
H9306|009|002|ALTERWOOD ADVANTAGE, INC.|Alterwood Advantage Select (HMO)|00025488|0.00|295| | |MD|21030|0|N
H9364|001|000|WELLCARE OF MAINE, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |ME|20000|0|N
H9364|001|000|WELLCARE OF MAINE, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |ME|20010|0|N
H9364|001|000|WELLCARE OF MAINE, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |ME|20020|0|N
H9364|001|000|WELLCARE OF MAINE, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |ME|20030|0|N
H9364|001|000|WELLCARE OF MAINE, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |ME|20040|0|N
H9364|001|000|WELLCARE OF MAINE, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |ME|20050|0|N
H9364|001|000|WELLCARE OF MAINE, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |ME|20060|0|N
H9364|001|000|WELLCARE OF MAINE, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |ME|20070|0|N
H9364|001|000|WELLCARE OF MAINE, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |ME|20080|0|N
H9364|001|000|WELLCARE OF MAINE, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |ME|20090|0|N
H9364|001|000|WELLCARE OF MAINE, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |ME|20100|0|N
H9364|001|000|WELLCARE OF MAINE, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |ME|20110|0|N
H9364|001|000|WELLCARE OF MAINE, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |ME|20120|0|N
H9364|001|000|WELLCARE OF MAINE, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |ME|20130|0|N
H9364|001|000|WELLCARE OF MAINE, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |ME|20140|0|N
H9364|001|000|WELLCARE OF MAINE, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |ME|20150|0|N
H9364|002|000|WELLCARE OF MAINE, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |ME|20000|2|N
H9364|002|000|WELLCARE OF MAINE, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |ME|20010|2|N
H9364|002|000|WELLCARE OF MAINE, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |ME|20020|2|N
H9364|002|000|WELLCARE OF MAINE, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |ME|20030|2|N
H9364|002|000|WELLCARE OF MAINE, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |ME|20040|2|N
H9364|002|000|WELLCARE OF MAINE, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |ME|20050|2|N
H9364|002|000|WELLCARE OF MAINE, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |ME|20060|2|N
H9364|002|000|WELLCARE OF MAINE, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |ME|20070|2|N
H9364|002|000|WELLCARE OF MAINE, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |ME|20080|2|N
H9364|002|000|WELLCARE OF MAINE, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |ME|20090|2|N
H9364|002|000|WELLCARE OF MAINE, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |ME|20100|2|N
H9364|002|000|WELLCARE OF MAINE, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |ME|20110|2|N
H9364|002|000|WELLCARE OF MAINE, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |ME|20120|2|N
H9364|002|000|WELLCARE OF MAINE, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |ME|20130|2|N
H9364|002|000|WELLCARE OF MAINE, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |ME|20140|2|N
H9364|002|000|WELLCARE OF MAINE, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |ME|20150|2|N
H9364|003|000|WELLCARE OF MAINE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |ME|20000|2|N
H9364|003|000|WELLCARE OF MAINE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |ME|20010|2|N
H9364|003|000|WELLCARE OF MAINE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |ME|20020|2|N
H9364|003|000|WELLCARE OF MAINE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |ME|20030|2|N
H9364|003|000|WELLCARE OF MAINE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |ME|20040|2|N
H9364|003|000|WELLCARE OF MAINE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |ME|20050|2|N
H9364|003|000|WELLCARE OF MAINE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |ME|20060|2|N
H9364|003|000|WELLCARE OF MAINE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |ME|20070|2|N
H9364|003|000|WELLCARE OF MAINE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |ME|20080|2|N
H9364|003|000|WELLCARE OF MAINE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |ME|20090|2|N
H9364|003|000|WELLCARE OF MAINE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |ME|20100|2|N
H9364|003|000|WELLCARE OF MAINE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |ME|20110|2|N
H9364|003|000|WELLCARE OF MAINE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |ME|20120|2|N
H9364|003|000|WELLCARE OF MAINE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |ME|20130|2|N
H9364|003|000|WELLCARE OF MAINE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |ME|20140|2|N
H9364|003|000|WELLCARE OF MAINE, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025040|0.00|590| | |ME|20150|2|N
H9364|004|000|WELLCARE OF MAINE, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |ME|20000|0|N
H9364|004|000|WELLCARE OF MAINE, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |ME|20010|0|N
H9364|004|000|WELLCARE OF MAINE, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |ME|20020|0|N
H9364|004|000|WELLCARE OF MAINE, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |ME|20030|0|N
H9364|004|000|WELLCARE OF MAINE, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |ME|20040|0|N
H9364|004|000|WELLCARE OF MAINE, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |ME|20050|0|N
H9364|004|000|WELLCARE OF MAINE, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |ME|20060|0|N
H9364|004|000|WELLCARE OF MAINE, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |ME|20070|0|N
H9364|004|000|WELLCARE OF MAINE, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |ME|20080|0|N
H9364|004|000|WELLCARE OF MAINE, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |ME|20090|0|N
H9364|004|000|WELLCARE OF MAINE, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |ME|20100|0|N
H9364|004|000|WELLCARE OF MAINE, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |ME|20110|0|N
H9364|004|000|WELLCARE OF MAINE, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |ME|20120|0|N
H9364|004|000|WELLCARE OF MAINE, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |ME|20130|0|N
H9364|004|000|WELLCARE OF MAINE, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |ME|20140|0|N
H9364|004|000|WELLCARE OF MAINE, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |ME|20150|0|N
H9387|001|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KS|17000|0|N
H9387|001|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KS|17010|0|N
H9387|001|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KS|17020|0|N
H9387|001|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KS|17050|0|N
H9387|001|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KS|17060|0|N
H9387|001|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KS|17070|0|N
H9387|001|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KS|17080|0|N
H9387|001|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KS|17090|0|N
H9387|001|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KS|17100|0|N
H9387|001|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KS|17150|0|N
H9387|001|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KS|17170|0|N
H9387|001|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KS|17180|0|N
H9387|001|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KS|17200|0|N
H9387|001|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KS|17210|0|N
H9387|001|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KS|17220|0|N
H9387|001|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KS|17240|0|N
H9387|001|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KS|17290|0|N
H9387|001|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KS|17300|0|N
H9387|001|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KS|17360|0|N
H9387|001|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KS|17390|0|N
H9387|001|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KS|17420|0|N
H9387|001|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KS|17430|0|N
H9387|001|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KS|17450|0|N
H9387|001|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KS|17470|0|N
H9387|001|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KS|17490|0|N
H9387|001|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KS|17510|0|N
H9387|001|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KS|17530|0|N
H9387|001|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KS|17550|0|N
H9387|001|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KS|17560|0|N
H9387|001|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KS|17570|0|N
H9387|001|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KS|17600|0|N
H9387|001|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KS|17620|0|N
H9387|001|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KS|17630|0|N
H9387|001|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KS|17650|0|N
H9387|001|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KS|17660|0|N
H9387|001|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KS|17690|0|N
H9387|001|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KS|17740|0|N
H9387|001|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KS|17770|0|N
H9387|001|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KS|17800|0|N
H9387|001|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KS|17840|0|N
H9387|001|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KS|17860|0|N
H9387|001|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KS|17880|0|N
H9387|001|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KS|17950|0|N
H9387|001|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KS|17980|0|N
H9387|001|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KS|17984|0|N
H9387|001|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KS|17985|0|N
H9387|001|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Simple Open (PPO)|00025084|0.00|420| | |KS|17986|0|N
H9387|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|590| | |KS|17000|2|N
H9387|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|590| | |KS|17010|2|N
H9387|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|590| | |KS|17020|2|N
H9387|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|590| | |KS|17050|2|N
H9387|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|590| | |KS|17060|2|N
H9387|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|590| | |KS|17070|2|N
H9387|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|590| | |KS|17080|2|N
H9387|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|590| | |KS|17090|2|N
H9387|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|590| | |KS|17100|2|N
H9387|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|590| | |KS|17150|2|N
H9387|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|590| | |KS|17170|2|N
H9387|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|590| | |KS|17180|2|N
H9387|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|590| | |KS|17200|2|N
H9387|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|590| | |KS|17210|2|N
H9387|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|590| | |KS|17220|2|N
H9387|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|590| | |KS|17240|2|N
H9387|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|590| | |KS|17290|2|N
H9387|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|590| | |KS|17300|2|N
H9387|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|590| | |KS|17360|2|N
H9387|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|590| | |KS|17390|2|N
H9387|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|590| | |KS|17420|2|N
H9387|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|590| | |KS|17430|2|N
H9387|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|590| | |KS|17450|2|N
H9387|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|590| | |KS|17470|2|N
H9387|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|590| | |KS|17490|2|N
H9387|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|590| | |KS|17510|2|N
H9387|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|590| | |KS|17530|2|N
H9387|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|590| | |KS|17550|2|N
H9387|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|590| | |KS|17560|2|N
H9387|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|590| | |KS|17570|2|N
H9387|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|590| | |KS|17600|2|N
H9387|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|590| | |KS|17620|2|N
H9387|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|590| | |KS|17630|2|N
H9387|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|590| | |KS|17650|2|N
H9387|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|590| | |KS|17660|2|N
H9387|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|590| | |KS|17690|2|N
H9387|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|590| | |KS|17740|2|N
H9387|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|590| | |KS|17770|2|N
H9387|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|590| | |KS|17800|2|N
H9387|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|590| | |KS|17840|2|N
H9387|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|590| | |KS|17860|2|N
H9387|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|590| | |KS|17880|2|N
H9387|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|590| | |KS|17950|2|N
H9387|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|590| | |KS|17980|2|N
H9387|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|590| | |KS|17984|2|N
H9387|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|590| | |KS|17985|2|N
H9387|004|000|SUNFLOWER STATE HEALTH PLAN, INC.|Wellcare Dual Access Open (PPO D-SNP)|00025066|0.00|590| | |KS|17986|2|N
H9431|014|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |ND|35010|0|N
H9431|014|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |ND|35070|0|N
H9431|014|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |ND|35080|0|N
H9431|014|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |ND|35100|0|N
H9431|014|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |ND|35130|0|N
H9431|014|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |ND|35140|0|N
H9431|014|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |ND|35150|0|N
H9431|014|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |ND|35170|0|N
H9431|014|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |ND|35180|0|N
H9431|014|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |ND|35190|0|N
H9431|014|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |ND|35210|0|N
H9431|014|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |ND|35220|0|N
H9431|014|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |ND|35230|0|N
H9431|014|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |ND|35250|0|N
H9431|014|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |ND|35270|0|N
H9431|014|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |ND|35280|0|N
H9431|014|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |ND|35290|0|N
H9431|014|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |ND|35310|0|N
H9431|014|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |ND|35320|0|N
H9431|014|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |ND|35360|0|N
H9431|014|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |ND|35380|0|N
H9431|014|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |ND|35400|0|N
H9431|014|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |ND|35410|0|N
H9431|014|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |ND|35420|0|N
H9431|014|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |ND|35450|0|N
H9431|014|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |ND|35460|0|N
H9431|014|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |ND|35480|0|N
H9431|014|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |ND|35490|0|N
H9431|014|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Elite (PPO)|00025101|0.00|590| | |ND|35510|0|N
H9431|018|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.40|250| | |ND|35010|0|N
H9431|018|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.40|250| | |ND|35070|0|N
H9431|018|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.40|250| | |ND|35080|0|N
H9431|018|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.40|250| | |ND|35100|0|N
H9431|018|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.40|250| | |ND|35130|0|N
H9431|018|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.40|250| | |ND|35140|0|N
H9431|018|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.40|250| | |ND|35150|0|N
H9431|018|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.40|250| | |ND|35170|0|N
H9431|018|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.40|250| | |ND|35180|0|N
H9431|018|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.40|250| | |ND|35190|0|N
H9431|018|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.40|250| | |ND|35210|0|N
H9431|018|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.40|250| | |ND|35220|0|N
H9431|018|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.40|250| | |ND|35230|0|N
H9431|018|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.40|250| | |ND|35250|0|N
H9431|018|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.40|250| | |ND|35270|0|N
H9431|018|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.40|250| | |ND|35280|0|N
H9431|018|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.40|250| | |ND|35290|0|N
H9431|018|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.40|250| | |ND|35310|0|N
H9431|018|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.40|250| | |ND|35320|0|N
H9431|018|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.40|250| | |ND|35360|0|N
H9431|018|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.40|250| | |ND|35380|0|N
H9431|018|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.40|250| | |ND|35400|0|N
H9431|018|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.40|250| | |ND|35410|0|N
H9431|018|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.40|250| | |ND|35420|0|N
H9431|018|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.40|250| | |ND|35450|0|N
H9431|018|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.40|250| | |ND|35460|0|N
H9431|018|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.40|250| | |ND|35480|0|N
H9431|018|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.40|250| | |ND|35490|0|N
H9431|018|000|FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY|Aetna Medicare Enhanced Select (PPO)|00025101|48.40|250| | |ND|35510|0|N
H9460|001|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |KS|17290|0|N
H9460|001|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |KS|17430|0|N
H9460|001|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |KS|17450|0|N
H9460|001|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |KS|17510|0|N
H9460|001|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |KS|17600|0|N
H9460|001|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |KS|17986|0|N
H9460|001|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |MO|26010|0|N
H9460|001|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |MO|26060|0|N
H9460|001|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |MO|26120|0|N
H9460|001|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |MO|26160|0|N
H9460|001|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |MO|26180|0|N
H9460|001|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |MO|26230|0|N
H9460|001|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |MO|26310|0|N
H9460|001|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |MO|26410|0|N
H9460|001|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |MO|26412|0|N
H9460|001|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |MO|26470|0|N
H9460|001|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |MO|26500|0|N
H9460|001|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |MO|26530|0|N
H9460|001|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |MO|26820|0|N
H9460|001|000|HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |MO|26880|0|N
H9469|001|000|WELLPOINT LIFE AND HEALTH INSURANCE COMPANY|Simply Freedom (PPO)|00025102|0.00|125| | |FL|10050|0|N
H9469|001|000|WELLPOINT LIFE AND HEALTH INSURANCE COMPANY|Simply Freedom (PPO)|00025102|0.00|125| | |FL|10120|0|N
H9469|001|000|WELLPOINT LIFE AND HEALTH INSURANCE COMPANY|Simply Freedom (PPO)|00025102|0.00|125| | |FL|10490|0|N
H9469|002|000|WELLPOINT LIFE AND HEALTH INSURANCE COMPANY|Simply Freedom (PPO)|00025102|0.00|150| | |FL|10040|0|N
H9469|002|000|WELLPOINT LIFE AND HEALTH INSURANCE COMPANY|Simply Freedom (PPO)|00025102|0.00|150| | |FL|10300|0|N
H9469|002|000|WELLPOINT LIFE AND HEALTH INSURANCE COMPANY|Simply Freedom (PPO)|00025102|0.00|150| | |FL|10420|0|N
H9469|002|000|WELLPOINT LIFE AND HEALTH INSURANCE COMPANY|Simply Freedom (PPO)|00025102|0.00|150| | |FL|10550|0|N
H9469|003|000|WELLPOINT LIFE AND HEALTH INSURANCE COMPANY|Simply Freedom (PPO)|00025102|0.00|150| | |FL|10090|0|N
H9469|003|000|WELLPOINT LIFE AND HEALTH INSURANCE COMPANY|Simply Freedom (PPO)|00025102|0.00|150| | |FL|10150|0|N
H9469|003|000|WELLPOINT LIFE AND HEALTH INSURANCE COMPANY|Simply Freedom (PPO)|00025102|0.00|150| | |FL|10170|0|N
H9469|003|000|WELLPOINT LIFE AND HEALTH INSURANCE COMPANY|Simply Freedom (PPO)|00025102|0.00|150| | |FL|10530|0|N
H9469|003|000|WELLPOINT LIFE AND HEALTH INSURANCE COMPANY|Simply Freedom (PPO)|00025102|0.00|150| | |FL|10540|0|N
H9469|006|000|WELLPOINT LIFE AND HEALTH INSURANCE COMPANY|Simply Freedom (PPO)|00025102|0.00|150| | |FL|10470|0|N
H9469|006|000|WELLPOINT LIFE AND HEALTH INSURANCE COMPANY|Simply Freedom (PPO)|00025102|0.00|150| | |FL|10480|0|N
H9469|006|000|WELLPOINT LIFE AND HEALTH INSURANCE COMPANY|Simply Freedom (PPO)|00025102|0.00|150| | |FL|10580|0|N
H9469|006|000|WELLPOINT LIFE AND HEALTH INSURANCE COMPANY|Simply Freedom (PPO)|00025102|0.00|150| | |FL|10630|0|N
H9469|007|000|WELLPOINT LIFE AND HEALTH INSURANCE COMPANY|Simply Freedom (PPO)|00025102|0.00|125| | |FL|10070|0|N
H9469|007|000|WELLPOINT LIFE AND HEALTH INSURANCE COMPANY|Simply Freedom (PPO)|00025102|0.00|125| | |FL|10100|0|N
H9469|007|000|WELLPOINT LIFE AND HEALTH INSURANCE COMPANY|Simply Freedom (PPO)|00025102|0.00|125| | |FL|10350|0|N
H9469|007|000|WELLPOINT LIFE AND HEALTH INSURANCE COMPANY|Simply Freedom (PPO)|00025102|0.00|125| | |FL|10400|0|N
H9469|007|000|WELLPOINT LIFE AND HEALTH INSURANCE COMPANY|Simply Freedom (PPO)|00025102|0.00|125| | |FL|10570|0|N
H9469|008|000|WELLPOINT LIFE AND HEALTH INSURANCE COMPANY|Simply Freedom (PPO)|00025102|0.00|150| | |FL|10080|0|N
H9469|008|000|WELLPOINT LIFE AND HEALTH INSURANCE COMPANY|Simply Freedom (PPO)|00025102|0.00|150| | |FL|10260|0|N
H9469|008|000|WELLPOINT LIFE AND HEALTH INSURANCE COMPANY|Simply Freedom (PPO)|00025102|0.00|150| | |FL|10280|0|N
H9469|008|000|WELLPOINT LIFE AND HEALTH INSURANCE COMPANY|Simply Freedom (PPO)|00025102|0.00|150| | |FL|10500|0|N
H9469|008|000|WELLPOINT LIFE AND HEALTH INSURANCE COMPANY|Simply Freedom (PPO)|00025102|0.00|150| | |FL|10510|0|N
H9469|008|000|WELLPOINT LIFE AND HEALTH INSURANCE COMPANY|Simply Freedom (PPO)|00025102|0.00|150| | |FL|10520|0|N
H9469|009|000|WELLPOINT LIFE AND HEALTH INSURANCE COMPANY|Simply Freedom (PPO)|00025102|0.00|125| | |FL|10340|0|N
H9469|009|000|WELLPOINT LIFE AND HEALTH INSURANCE COMPANY|Simply Freedom (PPO)|00025102|0.00|125| | |FL|10410|0|N
H9469|009|000|WELLPOINT LIFE AND HEALTH INSURANCE COMPANY|Simply Freedom (PPO)|00025102|0.00|125| | |FL|10590|0|N
H9485|001|000|Mass General Brigham Health Plan, Inc.|Mass General Brigham Advantage (PPO)|00025475|0.00|0| | |MA|22020|0|N
H9485|001|000|Mass General Brigham Health Plan, Inc.|Mass General Brigham Advantage (PPO)|00025475|0.00|0| | |MA|22030|0|N
H9485|001|000|Mass General Brigham Health Plan, Inc.|Mass General Brigham Advantage (PPO)|00025475|0.00|0| | |MA|22040|0|N
H9485|001|000|Mass General Brigham Health Plan, Inc.|Mass General Brigham Advantage (PPO)|00025475|0.00|0| | |MA|22090|0|N
H9485|001|000|Mass General Brigham Health Plan, Inc.|Mass General Brigham Advantage (PPO)|00025475|0.00|0| | |MA|22120|0|N
H9485|001|000|Mass General Brigham Health Plan, Inc.|Mass General Brigham Advantage (PPO)|00025475|0.00|0| | |MA|22130|0|N
H9485|001|000|Mass General Brigham Health Plan, Inc.|Mass General Brigham Advantage (PPO)|00025475|0.00|0| | |MA|22150|0|N
H9485|001|000|Mass General Brigham Health Plan, Inc.|Mass General Brigham Advantage (PPO)|00025475|0.00|0| | |MA|22160|0|N
H9485|001|000|Mass General Brigham Health Plan, Inc.|Mass General Brigham Advantage (PPO)|00025475|0.00|0| | |MA|22170|0|N
H9485|002|000|Mass General Brigham Health Plan, Inc.|Mass General Brigham Advantage Premier (PPO)|00025475|65.80|0| | |MA|22020|0|N
H9485|002|000|Mass General Brigham Health Plan, Inc.|Mass General Brigham Advantage Premier (PPO)|00025475|65.80|0| | |MA|22030|0|N
H9485|002|000|Mass General Brigham Health Plan, Inc.|Mass General Brigham Advantage Premier (PPO)|00025475|65.80|0| | |MA|22040|0|N
H9485|002|000|Mass General Brigham Health Plan, Inc.|Mass General Brigham Advantage Premier (PPO)|00025475|65.80|0| | |MA|22090|0|N
H9485|002|000|Mass General Brigham Health Plan, Inc.|Mass General Brigham Advantage Premier (PPO)|00025475|65.80|0| | |MA|22120|0|N
H9485|002|000|Mass General Brigham Health Plan, Inc.|Mass General Brigham Advantage Premier (PPO)|00025475|65.80|0| | |MA|22130|0|N
H9485|002|000|Mass General Brigham Health Plan, Inc.|Mass General Brigham Advantage Premier (PPO)|00025475|65.80|0| | |MA|22150|0|N
H9485|002|000|Mass General Brigham Health Plan, Inc.|Mass General Brigham Advantage Premier (PPO)|00025475|65.80|0| | |MA|22160|0|N
H9485|002|000|Mass General Brigham Health Plan, Inc.|Mass General Brigham Advantage Premier (PPO)|00025475|65.80|0| | |MA|22170|0|N
H9485|003|000|Mass General Brigham Health Plan, Inc.|Mass General Brigham Advantage Signature (PPO)|00025475|55.70|0| | |MA|22020|0|N
H9485|003|000|Mass General Brigham Health Plan, Inc.|Mass General Brigham Advantage Signature (PPO)|00025475|55.70|0| | |MA|22030|0|N
H9485|003|000|Mass General Brigham Health Plan, Inc.|Mass General Brigham Advantage Signature (PPO)|00025475|55.70|0| | |MA|22040|0|N
H9485|003|000|Mass General Brigham Health Plan, Inc.|Mass General Brigham Advantage Signature (PPO)|00025475|55.70|0| | |MA|22090|0|N
H9485|003|000|Mass General Brigham Health Plan, Inc.|Mass General Brigham Advantage Signature (PPO)|00025475|55.70|0| | |MA|22120|0|N
H9485|003|000|Mass General Brigham Health Plan, Inc.|Mass General Brigham Advantage Signature (PPO)|00025475|55.70|0| | |MA|22130|0|N
H9485|003|000|Mass General Brigham Health Plan, Inc.|Mass General Brigham Advantage Signature (PPO)|00025475|55.70|0| | |MA|22150|0|N
H9485|003|000|Mass General Brigham Health Plan, Inc.|Mass General Brigham Advantage Signature (PPO)|00025475|55.70|0| | |MA|22160|0|N
H9485|003|000|Mass General Brigham Health Plan, Inc.|Mass General Brigham Advantage Signature (PPO)|00025475|55.70|0| | |MA|22170|0|N
H9489|001|000|VERMONT BLUE ADVANTAGE, INC.|Vermont Blue Advantage Unity HMO (HMO)|00025379|0.00|250| | |VT|47000|0|N
H9489|001|000|VERMONT BLUE ADVANTAGE, INC.|Vermont Blue Advantage Unity HMO (HMO)|00025379|0.00|250| | |VT|47010|0|N
H9489|001|000|VERMONT BLUE ADVANTAGE, INC.|Vermont Blue Advantage Unity HMO (HMO)|00025379|0.00|250| | |VT|47020|0|N
H9489|001|000|VERMONT BLUE ADVANTAGE, INC.|Vermont Blue Advantage Unity HMO (HMO)|00025379|0.00|250| | |VT|47030|0|N
H9489|001|000|VERMONT BLUE ADVANTAGE, INC.|Vermont Blue Advantage Unity HMO (HMO)|00025379|0.00|250| | |VT|47040|0|N
H9489|001|000|VERMONT BLUE ADVANTAGE, INC.|Vermont Blue Advantage Unity HMO (HMO)|00025379|0.00|250| | |VT|47050|0|N
H9489|001|000|VERMONT BLUE ADVANTAGE, INC.|Vermont Blue Advantage Unity HMO (HMO)|00025379|0.00|250| | |VT|47060|0|N
H9489|001|000|VERMONT BLUE ADVANTAGE, INC.|Vermont Blue Advantage Unity HMO (HMO)|00025379|0.00|250| | |VT|47070|0|N
H9489|001|000|VERMONT BLUE ADVANTAGE, INC.|Vermont Blue Advantage Unity HMO (HMO)|00025379|0.00|250| | |VT|47080|0|N
H9489|001|000|VERMONT BLUE ADVANTAGE, INC.|Vermont Blue Advantage Unity HMO (HMO)|00025379|0.00|250| | |VT|47090|0|N
H9489|001|000|VERMONT BLUE ADVANTAGE, INC.|Vermont Blue Advantage Unity HMO (HMO)|00025379|0.00|250| | |VT|47100|0|N
H9489|001|000|VERMONT BLUE ADVANTAGE, INC.|Vermont Blue Advantage Unity HMO (HMO)|00025379|0.00|250| | |VT|47110|0|N
H9489|001|000|VERMONT BLUE ADVANTAGE, INC.|Vermont Blue Advantage Unity HMO (HMO)|00025379|0.00|250| | |VT|47120|0|N
H9489|001|000|VERMONT BLUE ADVANTAGE, INC.|Vermont Blue Advantage Unity HMO (HMO)|00025379|0.00|250| | |VT|47130|0|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52000|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52010|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52020|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52030|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52040|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52050|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52060|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52070|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52080|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52090|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52100|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52110|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52120|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52130|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52140|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52150|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52160|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52170|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52180|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52190|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52200|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52210|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52220|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52230|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52240|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52250|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52260|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52270|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52280|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52290|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52300|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52310|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52320|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52330|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52340|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52350|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52360|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52370|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52380|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52381|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52390|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52400|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52410|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52420|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52430|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52440|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52450|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52460|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52470|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52480|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52490|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52500|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52510|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52520|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52530|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52540|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52550|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52560|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52570|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52580|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52590|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52600|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52610|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52620|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52630|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52640|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52650|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52660|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52670|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52680|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52690|2|N
H9525|003|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage (HMO D-SNP)|00025049|0.00|590| | |WI|52700|2|N
H9525|004|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52000|0|N
H9525|004|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52010|0|N
H9525|004|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52030|0|N
H9525|004|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52090|0|N
H9525|004|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52150|0|N
H9525|004|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52180|0|N
H9525|004|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52200|0|N
H9525|004|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52220|0|N
H9525|004|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52240|0|N
H9525|004|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52250|0|N
H9525|004|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52270|0|N
H9525|004|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52280|0|N
H9525|004|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52290|0|N
H9525|004|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52320|0|N
H9525|004|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52330|0|N
H9525|004|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52340|0|N
H9525|004|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52360|0|N
H9525|004|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52370|0|N
H9525|004|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52390|0|N
H9525|004|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52420|0|N
H9525|004|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52480|0|N
H9525|004|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52490|0|N
H9525|004|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52500|0|N
H9525|004|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52520|0|N
H9525|004|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52590|0|N
H9525|004|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52620|0|N
H9525|004|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52630|0|N
H9525|004|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52660|0|N
H9525|004|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52700|0|N
H9525|006|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52020|0|N
H9525|006|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52040|0|N
H9525|006|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52050|0|N
H9525|006|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52060|0|N
H9525|006|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52070|0|N
H9525|006|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52080|0|N
H9525|006|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52110|0|N
H9525|006|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52130|0|N
H9525|006|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52140|0|N
H9525|006|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52160|0|N
H9525|006|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52170|0|N
H9525|006|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52190|0|N
H9525|006|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52210|0|N
H9525|006|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52230|0|N
H9525|006|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52260|0|N
H9525|006|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52300|0|N
H9525|006|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52310|0|N
H9525|006|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52350|0|N
H9525|006|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52380|0|N
H9525|006|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52381|0|N
H9525|006|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52400|0|N
H9525|006|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52410|0|N
H9525|006|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52430|0|N
H9525|006|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52440|0|N
H9525|006|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52450|0|N
H9525|006|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52460|0|N
H9525|006|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52470|0|N
H9525|006|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52510|0|N
H9525|006|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52530|0|N
H9525|006|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52540|0|N
H9525|006|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52560|0|N
H9525|006|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52570|0|N
H9525|006|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52580|0|N
H9525|006|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52600|0|N
H9525|006|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52610|0|N
H9525|006|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52640|0|N
H9525|006|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52650|0|N
H9525|006|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52670|0|N
H9525|006|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52680|0|N
H9525|006|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52690|0|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18000|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18010|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18020|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18030|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18040|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18050|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18060|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18070|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18080|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18090|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18100|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18110|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18120|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18130|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18140|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18150|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18160|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18170|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18180|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18190|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18191|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18210|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18220|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18230|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18240|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18250|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18260|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18270|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18271|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18290|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18291|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18310|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18320|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18330|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18340|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18350|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18360|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18361|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18362|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18390|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18400|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18410|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18420|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18421|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18440|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18450|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18460|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18470|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18480|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18490|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18500|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18510|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18511|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18530|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18540|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18550|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18560|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18570|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18580|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18590|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18600|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18610|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18620|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18630|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18640|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18650|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18660|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18670|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18680|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18690|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18700|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18710|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18720|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18730|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18740|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18750|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18760|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18770|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18780|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18790|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18800|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18801|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18802|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18830|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18831|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18850|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18860|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18861|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18880|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18890|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18900|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18910|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18920|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18930|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18931|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18932|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18960|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18970|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18971|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18972|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18973|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18974|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18975|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18976|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18977|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18978|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18979|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18980|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18981|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18982|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18983|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18984|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18985|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18986|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18987|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18988|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18989|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18990|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18991|1|N
H9525|011|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Kidney Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18992|1|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52000|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52010|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52020|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52030|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52040|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52050|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52060|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52070|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52080|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52090|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52100|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52110|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52120|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52130|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52140|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52150|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52160|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52170|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52180|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52190|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52200|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52210|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52220|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52230|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52240|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52250|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52260|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52270|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52280|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52290|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52300|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52310|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52320|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52330|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52340|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52350|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52360|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52370|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52380|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52381|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52390|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52400|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52410|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52420|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52430|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52440|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52450|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52460|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52470|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52480|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52490|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52500|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52510|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52520|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52530|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52540|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52550|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52560|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52570|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52580|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52590|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52600|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52610|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52620|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52630|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52640|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52650|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52660|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52670|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52680|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52690|2|N
H9525|012|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Dual Advantage (HMO D-SNP)|00025049|4.50|590| | |WI|52700|2|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18000|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18020|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18030|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18040|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18050|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18060|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18090|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18100|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18120|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18130|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18160|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18170|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18190|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18191|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18210|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18220|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18230|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18250|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18260|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18270|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18271|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18310|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18320|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18340|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18350|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18360|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18361|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18390|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18410|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18420|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18421|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18440|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18450|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18460|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18470|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18480|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18490|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18511|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18530|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18540|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18570|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18590|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18600|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18610|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18620|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18630|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18640|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18650|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18660|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18670|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18680|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18690|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18700|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18710|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18730|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18740|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18760|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18770|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18780|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18790|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18800|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18802|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18830|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18831|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18850|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18860|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18861|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18880|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18900|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18910|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18930|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18931|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18960|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18970|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18971|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18972|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18973|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18974|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18975|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18976|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18979|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18981|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18982|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18983|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18985|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18987|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18988|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18989|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18990|0|N
H9525|013|001|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18991|0|N
H9525|013|002|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18140|0|N
H9525|013|002|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18510|0|N
H9525|013|002|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18550|0|N
H9525|013|002|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18801|0|N
H9525|013|002|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18890|0|N
H9525|013|002|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18920|0|N
H9525|013|002|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18978|0|N
H9525|013|002|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18980|0|N
H9525|013|002|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18984|0|N
H9525|013|003|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18080|0|N
H9525|013|003|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18240|0|N
H9525|013|003|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18330|0|N
H9525|013|003|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18560|0|N
H9525|013|003|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18750|0|N
H9525|013|003|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18977|0|N
H9525|013|003|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18992|0|N
H9525|013|004|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18010|0|N
H9525|013|004|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18070|0|N
H9525|013|004|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18110|0|N
H9525|013|004|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18150|0|N
H9525|013|004|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18180|0|N
H9525|013|004|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18290|0|N
H9525|013|004|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18291|0|N
H9525|013|004|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18362|0|N
H9525|013|004|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18400|0|N
H9525|013|004|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18500|0|N
H9525|013|004|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18580|0|N
H9525|013|004|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18720|0|N
H9525|013|004|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18932|0|N
H9525|013|004|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|0| | |KY|18986|0|N
H9525|015|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52100|0|N
H9525|015|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52120|0|N
H9525|015|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Medicare Advantage (HMO-POS)|00025049|0.00|150| | |WI|52550|0|N
H9525|017|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Chronic Care (HMO-POS C-SNP)|00025049|0.00|0| | |KY|18550|1|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52000|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52010|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52020|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52030|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52040|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52050|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52060|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52070|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52080|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52090|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52100|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52110|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52120|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52130|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52140|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52150|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52160|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52170|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52180|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52190|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52200|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52210|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52220|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52230|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52240|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52250|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52260|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52270|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52280|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52290|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52300|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52310|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52320|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52330|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52340|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52350|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52360|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52370|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52380|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52381|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52390|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52400|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52410|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52420|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52430|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52440|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52450|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52460|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52470|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52480|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52490|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52500|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52510|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52520|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52530|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52540|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52550|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52560|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52570|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52580|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52590|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52600|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52610|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52620|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52630|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52640|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52650|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52660|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52670|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52680|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52690|2|N
H9525|018|000|COMPCARE HEALTH SERVICES INSURANCE CORPORATION|Anthem Full Dual Advantage 2 (HMO D-SNP)|00025049|0.00|590| | |WI|52700|2|N
H9572|001|001|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23020|0|N
H9572|001|001|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23070|0|N
H9572|001|001|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23330|0|N
H9572|001|001|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23380|0|N
H9572|001|001|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23520|0|N
H9572|001|001|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23600|0|N
H9572|001|001|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23610|0|N
H9572|001|001|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23630|0|N
H9572|001|001|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23690|0|N
H9572|001|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23100|0|N
H9572|001|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23110|0|N
H9572|001|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23120|0|N
H9572|001|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23220|0|N
H9572|001|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23280|0|N
H9572|001|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23290|0|N
H9572|001|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23320|0|N
H9572|001|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23370|0|N
H9572|001|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23570|0|N
H9572|001|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23580|0|N
H9572|001|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23740|0|N
H9572|001|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23790|0|N
H9572|001|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23000|0|N
H9572|001|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23010|0|N
H9572|001|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23030|0|N
H9572|001|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23050|0|N
H9572|001|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23060|0|N
H9572|001|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23080|0|N
H9572|001|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23140|0|N
H9572|001|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23150|0|N
H9572|001|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23160|0|N
H9572|001|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23170|0|N
H9572|001|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23190|0|N
H9572|001|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23250|0|N
H9572|001|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23310|0|N
H9572|001|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23340|0|N
H9572|001|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23390|0|N
H9572|001|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23410|0|N
H9572|001|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23470|0|N
H9572|001|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23480|0|N
H9572|001|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23590|0|N
H9572|001|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23640|0|N
H9572|001|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23650|0|N
H9572|001|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23670|0|N
H9572|001|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23700|0|N
H9572|001|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23710|0|N
H9572|001|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23720|0|N
H9572|001|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23750|0|N
H9572|001|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23760|0|N
H9572|001|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23770|0|N
H9572|001|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23780|0|N
H9572|001|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23040|0|N
H9572|001|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23090|0|N
H9572|001|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23130|0|N
H9572|001|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23180|0|N
H9572|001|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23200|0|N
H9572|001|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23210|0|N
H9572|001|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23230|0|N
H9572|001|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23240|0|N
H9572|001|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23260|0|N
H9572|001|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23270|0|N
H9572|001|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23300|0|N
H9572|001|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23350|0|N
H9572|001|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23360|0|N
H9572|001|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23400|0|N
H9572|001|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23420|0|N
H9572|001|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23430|0|N
H9572|001|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23440|0|N
H9572|001|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23450|0|N
H9572|001|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23460|0|N
H9572|001|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23500|0|N
H9572|001|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23510|0|N
H9572|001|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23530|0|N
H9572|001|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23540|0|N
H9572|001|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23550|0|N
H9572|001|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23560|0|N
H9572|001|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23660|0|N
H9572|001|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23680|0|N
H9572|001|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23730|0|N
H9572|001|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23830|0|N
H9572|001|006|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23490|0|N
H9572|001|006|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23620|0|N
H9572|001|006|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23800|0|N
H9572|001|006|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Signature (PPO)|00025350|26.40|0| | |MI|23810|0|N
H9572|002|001|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23020|0|N
H9572|002|001|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23070|0|N
H9572|002|001|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23330|0|N
H9572|002|001|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23380|0|N
H9572|002|001|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23520|0|N
H9572|002|001|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23600|0|N
H9572|002|001|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23610|0|N
H9572|002|001|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23630|0|N
H9572|002|001|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23690|0|N
H9572|002|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23100|0|N
H9572|002|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23110|0|N
H9572|002|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23120|0|N
H9572|002|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23220|0|N
H9572|002|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23280|0|N
H9572|002|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23290|0|N
H9572|002|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23320|0|N
H9572|002|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23370|0|N
H9572|002|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23570|0|N
H9572|002|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23580|0|N
H9572|002|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23740|0|N
H9572|002|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23790|0|N
H9572|002|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23000|0|N
H9572|002|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23010|0|N
H9572|002|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23030|0|N
H9572|002|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23050|0|N
H9572|002|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23060|0|N
H9572|002|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23080|0|N
H9572|002|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23140|0|N
H9572|002|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23150|0|N
H9572|002|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23160|0|N
H9572|002|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23170|0|N
H9572|002|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23190|0|N
H9572|002|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23250|0|N
H9572|002|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23310|0|N
H9572|002|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23340|0|N
H9572|002|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23390|0|N
H9572|002|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23410|0|N
H9572|002|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23470|0|N
H9572|002|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23480|0|N
H9572|002|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23590|0|N
H9572|002|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23640|0|N
H9572|002|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23650|0|N
H9572|002|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23670|0|N
H9572|002|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23700|0|N
H9572|002|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23710|0|N
H9572|002|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23720|0|N
H9572|002|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23750|0|N
H9572|002|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23760|0|N
H9572|002|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23770|0|N
H9572|002|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23780|0|N
H9572|002|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23040|0|N
H9572|002|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23090|0|N
H9572|002|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23130|0|N
H9572|002|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23180|0|N
H9572|002|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23200|0|N
H9572|002|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23210|0|N
H9572|002|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23230|0|N
H9572|002|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23240|0|N
H9572|002|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23260|0|N
H9572|002|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23270|0|N
H9572|002|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23300|0|N
H9572|002|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23350|0|N
H9572|002|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23360|0|N
H9572|002|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23400|0|N
H9572|002|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23420|0|N
H9572|002|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23430|0|N
H9572|002|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23440|0|N
H9572|002|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23450|0|N
H9572|002|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23460|0|N
H9572|002|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23500|0|N
H9572|002|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23510|0|N
H9572|002|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23530|0|N
H9572|002|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23540|0|N
H9572|002|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23550|0|N
H9572|002|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23560|0|N
H9572|002|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23660|0|N
H9572|002|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23680|0|N
H9572|002|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23730|0|N
H9572|002|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23830|0|N
H9572|002|006|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23490|0|N
H9572|002|006|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23620|0|N
H9572|002|006|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23800|0|N
H9572|002|006|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Vitality (PPO)|00025350|7.90|0| | |MI|23810|0|N
H9572|003|001|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23020|0|N
H9572|003|001|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23070|0|N
H9572|003|001|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23330|0|N
H9572|003|001|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23380|0|N
H9572|003|001|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23520|0|N
H9572|003|001|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23600|0|N
H9572|003|001|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23610|0|N
H9572|003|001|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23630|0|N
H9572|003|001|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23690|0|N
H9572|003|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23100|0|N
H9572|003|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23110|0|N
H9572|003|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23120|0|N
H9572|003|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23220|0|N
H9572|003|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23280|0|N
H9572|003|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23290|0|N
H9572|003|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23320|0|N
H9572|003|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23370|0|N
H9572|003|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23570|0|N
H9572|003|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23580|0|N
H9572|003|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23740|0|N
H9572|003|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23790|0|N
H9572|003|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23000|0|N
H9572|003|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23010|0|N
H9572|003|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23030|0|N
H9572|003|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23050|0|N
H9572|003|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23060|0|N
H9572|003|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23080|0|N
H9572|003|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23140|0|N
H9572|003|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23150|0|N
H9572|003|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23160|0|N
H9572|003|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23170|0|N
H9572|003|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23190|0|N
H9572|003|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23250|0|N
H9572|003|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23310|0|N
H9572|003|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23340|0|N
H9572|003|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23390|0|N
H9572|003|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23410|0|N
H9572|003|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23470|0|N
H9572|003|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23480|0|N
H9572|003|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23590|0|N
H9572|003|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23640|0|N
H9572|003|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23650|0|N
H9572|003|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23670|0|N
H9572|003|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23700|0|N
H9572|003|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23710|0|N
H9572|003|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23720|0|N
H9572|003|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23750|0|N
H9572|003|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23760|0|N
H9572|003|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23770|0|N
H9572|003|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23780|0|N
H9572|003|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23040|0|N
H9572|003|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23090|0|N
H9572|003|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23130|0|N
H9572|003|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23180|0|N
H9572|003|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23200|0|N
H9572|003|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23210|0|N
H9572|003|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23230|0|N
H9572|003|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23240|0|N
H9572|003|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23260|0|N
H9572|003|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23270|0|N
H9572|003|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23300|0|N
H9572|003|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23350|0|N
H9572|003|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23360|0|N
H9572|003|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23400|0|N
H9572|003|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23420|0|N
H9572|003|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23430|0|N
H9572|003|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23440|0|N
H9572|003|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23450|0|N
H9572|003|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23460|0|N
H9572|003|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23500|0|N
H9572|003|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23510|0|N
H9572|003|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23530|0|N
H9572|003|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23540|0|N
H9572|003|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23550|0|N
H9572|003|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23560|0|N
H9572|003|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23660|0|N
H9572|003|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23680|0|N
H9572|003|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23730|0|N
H9572|003|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23830|0|N
H9572|003|006|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23490|0|N
H9572|003|006|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23620|0|N
H9572|003|006|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23800|0|N
H9572|003|006|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Assure (PPO)|00025350|84.20|0| | |MI|23810|0|N
H9572|004|001|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23020|0|N
H9572|004|001|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23070|0|N
H9572|004|001|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23330|0|N
H9572|004|001|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23380|0|N
H9572|004|001|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23520|0|N
H9572|004|001|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23600|0|N
H9572|004|001|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23610|0|N
H9572|004|001|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23630|0|N
H9572|004|001|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23690|0|N
H9572|004|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23100|0|N
H9572|004|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23110|0|N
H9572|004|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23120|0|N
H9572|004|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23220|0|N
H9572|004|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23280|0|N
H9572|004|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23290|0|N
H9572|004|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23320|0|N
H9572|004|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23370|0|N
H9572|004|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23570|0|N
H9572|004|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23580|0|N
H9572|004|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23740|0|N
H9572|004|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23790|0|N
H9572|004|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23000|0|N
H9572|004|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23010|0|N
H9572|004|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23030|0|N
H9572|004|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23050|0|N
H9572|004|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23060|0|N
H9572|004|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23080|0|N
H9572|004|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23140|0|N
H9572|004|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23150|0|N
H9572|004|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23160|0|N
H9572|004|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23170|0|N
H9572|004|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23190|0|N
H9572|004|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23250|0|N
H9572|004|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23310|0|N
H9572|004|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23340|0|N
H9572|004|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23390|0|N
H9572|004|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23410|0|N
H9572|004|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23470|0|N
H9572|004|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23480|0|N
H9572|004|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23590|0|N
H9572|004|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23640|0|N
H9572|004|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23650|0|N
H9572|004|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23670|0|N
H9572|004|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23700|0|N
H9572|004|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23710|0|N
H9572|004|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23720|0|N
H9572|004|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23750|0|N
H9572|004|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23760|0|N
H9572|004|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23770|0|N
H9572|004|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23780|0|N
H9572|004|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23040|0|N
H9572|004|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23090|0|N
H9572|004|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23130|0|N
H9572|004|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23180|0|N
H9572|004|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23200|0|N
H9572|004|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23210|0|N
H9572|004|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23230|0|N
H9572|004|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23240|0|N
H9572|004|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23260|0|N
H9572|004|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23270|0|N
H9572|004|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23300|0|N
H9572|004|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23350|0|N
H9572|004|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23360|0|N
H9572|004|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23400|0|N
H9572|004|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23420|0|N
H9572|004|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23430|0|N
H9572|004|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23440|0|N
H9572|004|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23450|0|N
H9572|004|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23460|0|N
H9572|004|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23500|0|N
H9572|004|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23510|0|N
H9572|004|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23530|0|N
H9572|004|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23540|0|N
H9572|004|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23550|0|N
H9572|004|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23560|0|N
H9572|004|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23660|0|N
H9572|004|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23680|0|N
H9572|004|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23730|0|N
H9572|004|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23830|0|N
H9572|004|006|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23490|0|N
H9572|004|006|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23620|0|N
H9572|004|006|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23800|0|N
H9572|004|006|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Essential (PPO)|00025351|0.00|0| | |MI|23810|0|N
H9572|006|001|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23020|0|N
H9572|006|001|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23070|0|N
H9572|006|001|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23330|0|N
H9572|006|001|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23380|0|N
H9572|006|001|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23520|0|N
H9572|006|001|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23600|0|N
H9572|006|001|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23610|0|N
H9572|006|001|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23630|0|N
H9572|006|001|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23690|0|N
H9572|006|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23100|0|N
H9572|006|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23110|0|N
H9572|006|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23120|0|N
H9572|006|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23220|0|N
H9572|006|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23280|0|N
H9572|006|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23290|0|N
H9572|006|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23320|0|N
H9572|006|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23370|0|N
H9572|006|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23570|0|N
H9572|006|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23580|0|N
H9572|006|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23740|0|N
H9572|006|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23790|0|N
H9572|006|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23000|0|N
H9572|006|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23010|0|N
H9572|006|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23030|0|N
H9572|006|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23050|0|N
H9572|006|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23060|0|N
H9572|006|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23080|0|N
H9572|006|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23140|0|N
H9572|006|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23150|0|N
H9572|006|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23160|0|N
H9572|006|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23170|0|N
H9572|006|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23190|0|N
H9572|006|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23250|0|N
H9572|006|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23310|0|N
H9572|006|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23340|0|N
H9572|006|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23390|0|N
H9572|006|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23410|0|N
H9572|006|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23470|0|N
H9572|006|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23480|0|N
H9572|006|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23590|0|N
H9572|006|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23640|0|N
H9572|006|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23650|0|N
H9572|006|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23670|0|N
H9572|006|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23700|0|N
H9572|006|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23710|0|N
H9572|006|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23720|0|N
H9572|006|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23750|0|N
H9572|006|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23760|0|N
H9572|006|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23770|0|N
H9572|006|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23780|0|N
H9572|006|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23040|0|N
H9572|006|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23090|0|N
H9572|006|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23130|0|N
H9572|006|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23180|0|N
H9572|006|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23200|0|N
H9572|006|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23210|0|N
H9572|006|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23230|0|N
H9572|006|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23240|0|N
H9572|006|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23260|0|N
H9572|006|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23270|0|N
H9572|006|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23300|0|N
H9572|006|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23350|0|N
H9572|006|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23360|0|N
H9572|006|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23400|0|N
H9572|006|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23420|0|N
H9572|006|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23430|0|N
H9572|006|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23440|0|N
H9572|006|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23450|0|N
H9572|006|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23460|0|N
H9572|006|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23500|0|N
H9572|006|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23510|0|N
H9572|006|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23530|0|N
H9572|006|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23540|0|N
H9572|006|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23550|0|N
H9572|006|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23560|0|N
H9572|006|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23660|0|N
H9572|006|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23680|0|N
H9572|006|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23730|0|N
H9572|006|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23830|0|N
H9572|006|006|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23490|0|N
H9572|006|006|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23620|0|N
H9572|006|006|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23800|0|N
H9572|006|006|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue PPO Part B Credit (PPO)|00025351|0.00|0| | |MI|23810|0|N
H9572|007|001|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23020|0|N
H9572|007|001|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23070|0|N
H9572|007|001|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23330|0|N
H9572|007|001|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23380|0|N
H9572|007|001|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23520|0|N
H9572|007|001|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23600|0|N
H9572|007|001|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23610|0|N
H9572|007|001|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23630|0|N
H9572|007|001|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23690|0|N
H9572|007|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23100|0|N
H9572|007|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23110|0|N
H9572|007|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23120|0|N
H9572|007|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23220|0|N
H9572|007|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23280|0|N
H9572|007|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23290|0|N
H9572|007|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23320|0|N
H9572|007|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23370|0|N
H9572|007|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23570|0|N
H9572|007|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23580|0|N
H9572|007|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23740|0|N
H9572|007|002|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23790|0|N
H9572|007|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23000|0|N
H9572|007|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23010|0|N
H9572|007|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23030|0|N
H9572|007|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23050|0|N
H9572|007|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23060|0|N
H9572|007|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23080|0|N
H9572|007|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23140|0|N
H9572|007|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23150|0|N
H9572|007|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23160|0|N
H9572|007|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23170|0|N
H9572|007|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23190|0|N
H9572|007|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23250|0|N
H9572|007|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23310|0|N
H9572|007|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23340|0|N
H9572|007|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23390|0|N
H9572|007|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23410|0|N
H9572|007|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23470|0|N
H9572|007|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23480|0|N
H9572|007|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23590|0|N
H9572|007|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23640|0|N
H9572|007|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23650|0|N
H9572|007|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23670|0|N
H9572|007|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23700|0|N
H9572|007|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23710|0|N
H9572|007|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23720|0|N
H9572|007|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23750|0|N
H9572|007|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23760|0|N
H9572|007|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23770|0|N
H9572|007|003|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23780|0|N
H9572|007|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23040|0|N
H9572|007|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23090|0|N
H9572|007|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23130|0|N
H9572|007|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23180|0|N
H9572|007|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23200|0|N
H9572|007|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23210|0|N
H9572|007|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23230|0|N
H9572|007|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23240|0|N
H9572|007|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23260|0|N
H9572|007|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23270|0|N
H9572|007|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23300|0|N
H9572|007|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23350|0|N
H9572|007|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23360|0|N
H9572|007|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23400|0|N
H9572|007|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23420|0|N
H9572|007|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23430|0|N
H9572|007|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23440|0|N
H9572|007|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23450|0|N
H9572|007|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23460|0|N
H9572|007|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23500|0|N
H9572|007|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23510|0|N
H9572|007|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23530|0|N
H9572|007|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23540|0|N
H9572|007|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23550|0|N
H9572|007|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23560|0|N
H9572|007|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23660|0|N
H9572|007|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23680|0|N
H9572|007|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23730|0|N
H9572|007|004|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23830|0|N
H9572|007|006|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23490|0|N
H9572|007|006|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23620|0|N
H9572|007|006|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23800|0|N
H9572|007|006|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Medicare Plus Blue + Meijer (PPO)|00025351|0.00|0| | |MI|23810|0|N
H9576|001|000|NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND|Neighborhood INTEGRITY (Medicare-Medicaid Plan)|00025293|0.00|0| | |RI|41000|0|N
H9576|001|000|NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND|Neighborhood INTEGRITY (Medicare-Medicaid Plan)|00025293|0.00|0| | |RI|41010|0|N
H9576|001|000|NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND|Neighborhood INTEGRITY (Medicare-Medicaid Plan)|00025293|0.00|0| | |RI|41020|0|N
H9576|001|000|NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND|Neighborhood INTEGRITY (Medicare-Medicaid Plan)|00025293|0.00|0| | |RI|41030|0|N
H9576|001|000|NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND|Neighborhood INTEGRITY (Medicare-Medicaid Plan)|00025293|0.00|0| | |RI|41050|0|N
H9585|001|000|BOSTON MEDICAL CENTER HEALTH PLAN, INC.|WellSense Senior Care Options (HMO D-SNP)|00025346|0.00|590| | |MA|22000|2|Y
H9585|001|000|BOSTON MEDICAL CENTER HEALTH PLAN, INC.|WellSense Senior Care Options (HMO D-SNP)|00025346|0.00|590| | |MA|22020|2|Y
H9585|001|000|BOSTON MEDICAL CENTER HEALTH PLAN, INC.|WellSense Senior Care Options (HMO D-SNP)|00025346|0.00|590| | |MA|22070|2|Y
H9585|001|000|BOSTON MEDICAL CENTER HEALTH PLAN, INC.|WellSense Senior Care Options (HMO D-SNP)|00025346|0.00|590| | |MA|22150|2|Y
H9585|001|000|BOSTON MEDICAL CENTER HEALTH PLAN, INC.|WellSense Senior Care Options (HMO D-SNP)|00025346|0.00|590| | |MA|22160|2|Y
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11020|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11030|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11040|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11050|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11090|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11100|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11130|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11160|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11180|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11220|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11230|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11250|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11260|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11280|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11281|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11290|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11320|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11330|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11350|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11370|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11380|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11381|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11400|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11430|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11440|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11441|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11450|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11451|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11461|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11462|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11470|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11471|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11480|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11520|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11530|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11540|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11550|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11560|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11570|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11580|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11581|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11590|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11591|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11600|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11601|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11610|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11611|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11620|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11630|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11640|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11650|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11651|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11690|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11691|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11701|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11703|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11710|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11720|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11730|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11740|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11760|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11770|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11771|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11790|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11800|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11801|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11810|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11811|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11812|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11821|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11830|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11831|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11832|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11834|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11841|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11842|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11850|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11860|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11861|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11880|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11881|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11882|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11883|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11884|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11902|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11903|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11911|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11912|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11913|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11920|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11930|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11941|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11950|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11961|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11962|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11963|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11971|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11972|0|N
H9589|003|000|CLEAR SPRING HEALTH (GA), INC.|Clear Spring Health Choice Plan (PPO)|00025494|0.00|250| | |GA|11973|0|N
H9590|001|000|LONGEVITY HEALTH PLAN OF ILLINOIS, INC.|Longevity Health Plan (HMO I-SNP)|00025394|22.80|590| | |IL|14141|3|N
H9590|001|000|LONGEVITY HEALTH PLAN OF ILLINOIS, INC.|Longevity Health Plan (HMO I-SNP)|00025394|22.80|590| | |IL|14250|3|N
H9590|001|000|LONGEVITY HEALTH PLAN OF ILLINOIS, INC.|Longevity Health Plan (HMO I-SNP)|00025394|22.80|590| | |IL|14530|3|N
H9590|001|000|LONGEVITY HEALTH PLAN OF ILLINOIS, INC.|Longevity Health Plan (HMO I-SNP)|00025394|22.80|590| | |IL|14570|3|N
H9590|001|000|LONGEVITY HEALTH PLAN OF ILLINOIS, INC.|Longevity Health Plan (HMO I-SNP)|00025394|22.80|590| | |IL|14989|3|N
H9615|007|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect Plus with Part D (PPO)|00025352|63.10|0| | |NY|33000|0|N
H9615|007|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect Plus with Part D (PPO)|00025352|63.10|0| | |NY|33010|0|N
H9615|007|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect Plus with Part D (PPO)|00025352|63.10|0| | |NY|33030|0|N
H9615|007|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect Plus with Part D (PPO)|00025352|63.10|0| | |NY|33040|0|N
H9615|007|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect Plus with Part D (PPO)|00025352|63.10|0| | |NY|33050|0|N
H9615|007|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect Plus with Part D (PPO)|00025352|63.10|0| | |NY|33060|0|N
H9615|007|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect Plus with Part D (PPO)|00025352|63.10|0| | |NY|33070|0|N
H9615|007|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect Plus with Part D (PPO)|00025352|63.10|0| | |NY|33080|0|N
H9615|007|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect Plus with Part D (PPO)|00025352|63.10|0| | |NY|33200|0|N
H9615|007|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect Plus with Part D (PPO)|00025352|63.10|0| | |NY|33210|0|N
H9615|007|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect Plus with Part D (PPO)|00025352|63.10|0| | |NY|33220|0|N
H9615|007|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect Plus with Part D (PPO)|00025352|63.10|0| | |NY|33280|0|N
H9615|007|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect Plus with Part D (PPO)|00025352|63.10|0| | |NY|33300|0|N
H9615|007|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect Plus with Part D (PPO)|00025352|63.10|0| | |NY|33320|0|N
H9615|007|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect Plus with Part D (PPO)|00025352|63.10|0| | |NY|33330|0|N
H9615|007|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect Plus with Part D (PPO)|00025352|63.10|0| | |NY|33340|0|N
H9615|007|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect Plus with Part D (PPO)|00025352|63.10|0| | |NY|33360|0|N
H9615|007|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect Plus with Part D (PPO)|00025352|63.10|0| | |NY|33380|0|N
H9615|007|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect Plus with Part D (PPO)|00025352|63.10|0| | |NY|33510|0|N
H9615|007|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect Plus with Part D (PPO)|00025352|63.10|0| | |NY|33520|0|N
H9615|007|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect Plus with Part D (PPO)|00025352|63.10|0| | |NY|33560|0|N
H9615|007|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect Plus with Part D (PPO)|00025352|63.10|0| | |NY|33570|0|N
H9615|007|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect Plus with Part D (PPO)|00025352|63.10|0| | |NY|33600|0|N
H9615|007|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect Plus with Part D (PPO)|00025352|63.10|0| | |NY|33640|0|N
H9615|007|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect Plus with Part D (PPO)|00025352|63.10|0| | |NY|33650|0|N
H9615|007|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect Plus with Part D (PPO)|00025352|63.10|0| | |NY|33660|0|N
H9615|007|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect Plus with Part D (PPO)|00025352|63.10|0| | |NY|33670|0|N
H9615|007|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect Plus with Part D (PPO)|00025352|63.10|0| | |NY|33690|0|N
H9615|007|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect Plus with Part D (PPO)|00025352|63.10|0| | |NY|33720|0|N
H9615|007|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect Plus with Part D (PPO)|00025352|63.10|0| | |NY|33730|0|N
H9615|007|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect Plus with Part D (PPO)|00025352|63.10|0| | |NY|33750|0|N
H9615|007|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect Plus with Part D (PPO)|00025352|63.10|0| | |NY|33760|0|N
H9615|008|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect with Part D (PPO)|00025352|0.00|350| | |NY|33000|0|N
H9615|008|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect with Part D (PPO)|00025352|0.00|350| | |NY|33010|0|N
H9615|008|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect with Part D (PPO)|00025352|0.00|350| | |NY|33030|0|N
H9615|008|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect with Part D (PPO)|00025352|0.00|350| | |NY|33040|0|N
H9615|008|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect with Part D (PPO)|00025352|0.00|350| | |NY|33050|0|N
H9615|008|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect with Part D (PPO)|00025352|0.00|350| | |NY|33060|0|N
H9615|008|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect with Part D (PPO)|00025352|0.00|350| | |NY|33070|0|N
H9615|008|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect with Part D (PPO)|00025352|0.00|350| | |NY|33080|0|N
H9615|008|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect with Part D (PPO)|00025352|0.00|350| | |NY|33200|0|N
H9615|008|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect with Part D (PPO)|00025352|0.00|350| | |NY|33210|0|N
H9615|008|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect with Part D (PPO)|00025352|0.00|350| | |NY|33220|0|N
H9615|008|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect with Part D (PPO)|00025352|0.00|350| | |NY|33280|0|N
H9615|008|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect with Part D (PPO)|00025352|0.00|350| | |NY|33300|0|N
H9615|008|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect with Part D (PPO)|00025352|0.00|350| | |NY|33320|0|N
H9615|008|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect with Part D (PPO)|00025352|0.00|350| | |NY|33330|0|N
H9615|008|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect with Part D (PPO)|00025352|0.00|350| | |NY|33340|0|N
H9615|008|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect with Part D (PPO)|00025352|0.00|350| | |NY|33360|0|N
H9615|008|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect with Part D (PPO)|00025352|0.00|350| | |NY|33380|0|N
H9615|008|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect with Part D (PPO)|00025352|0.00|350| | |NY|33510|0|N
H9615|008|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect with Part D (PPO)|00025352|0.00|350| | |NY|33520|0|N
H9615|008|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect with Part D (PPO)|00025352|0.00|350| | |NY|33560|0|N
H9615|008|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect with Part D (PPO)|00025352|0.00|350| | |NY|33570|0|N
H9615|008|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect with Part D (PPO)|00025352|0.00|350| | |NY|33600|0|N
H9615|008|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect with Part D (PPO)|00025352|0.00|350| | |NY|33640|0|N
H9615|008|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect with Part D (PPO)|00025352|0.00|350| | |NY|33650|0|N
H9615|008|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect with Part D (PPO)|00025352|0.00|350| | |NY|33660|0|N
H9615|008|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect with Part D (PPO)|00025352|0.00|350| | |NY|33670|0|N
H9615|008|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect with Part D (PPO)|00025352|0.00|350| | |NY|33690|0|N
H9615|008|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect with Part D (PPO)|00025352|0.00|350| | |NY|33720|0|N
H9615|008|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect with Part D (PPO)|00025352|0.00|350| | |NY|33730|0|N
H9615|008|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect with Part D (PPO)|00025352|0.00|350| | |NY|33750|0|N
H9615|008|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect with Part D (PPO)|00025352|0.00|350| | |NY|33760|0|N
H9615|010|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect with Part D (PPO)|00025352|0.00|500| | |NY|33230|0|N
H9615|010|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect with Part D (PPO)|00025352|0.00|500| | |NY|33540|0|N
H9615|010|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect with Part D (PPO)|00025352|0.00|500| | |NY|33580|0|N
H9615|010|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect with Part D (PPO)|00025352|0.00|500| | |NY|33620|0|N
H9615|010|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect with Part D (PPO)|00025352|0.00|500| | |NY|33710|0|N
H9615|010|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect with Part D (PPO)|00025352|0.00|500| | |NY|33740|0|N
H9615|010|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect with Part D (PPO)|00025352|0.00|500| | |NY|33800|0|N
H9615|012|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect Plus with Part D (PPO)|00025352|29.70|250| | |NY|33240|0|N
H9615|012|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect Plus with Part D (PPO)|00025352|29.70|250| | |NY|33290|0|N
H9615|012|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect Plus with Part D (PPO)|00025352|29.70|250| | |NY|33350|0|N
H9615|012|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect Plus with Part D (PPO)|00025352|29.70|250| | |NY|33370|0|N
H9615|012|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect Plus with Part D (PPO)|00025352|29.70|250| | |NY|33500|0|N
H9615|012|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect Plus with Part D (PPO)|00025352|29.70|250| | |NY|33530|0|N
H9615|012|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect Plus with Part D (PPO)|00025352|29.70|250| | |NY|33550|0|N
H9615|012|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect Plus with Part D (PPO)|00025352|29.70|250| | |NY|33680|0|N
H9615|012|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect Plus with Part D (PPO)|00025352|29.70|250| | |NY|33770|0|N
H9615|012|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect Plus with Part D (PPO)|00025352|29.70|250| | |NY|33900|0|N
H9615|012|000|MVP HEALTH PLAN, INC.|MVP Medicare WellSelect Plus with Part D (PPO)|00025352|29.70|250| | |NY|33910|0|N
H9615|015|000|MVP HEALTH PLAN, INC.|UVM Health Advantage Select (PPO)|00025352|0.00|350| | |NY|33090|0|N
H9615|015|000|MVP HEALTH PLAN, INC.|UVM Health Advantage Select (PPO)|00025352|0.00|350| | |NY|33260|0|N
H9615|015|000|MVP HEALTH PLAN, INC.|UVM Health Advantage Select (PPO)|00025352|0.00|350| | |NY|33270|0|N
H9615|015|000|MVP HEALTH PLAN, INC.|UVM Health Advantage Select (PPO)|00025352|0.00|350| | |NY|33310|0|N
H9615|015|000|MVP HEALTH PLAN, INC.|UVM Health Advantage Select (PPO)|00025352|0.00|350| | |NY|33630|0|N
H9615|018|000|MVP HEALTH PLAN, INC.|MVP Medicare Patriot Plan with Part D (PPO)|00025352|0.00|350| | |NY|33000|0|N
H9615|018|000|MVP HEALTH PLAN, INC.|MVP Medicare Patriot Plan with Part D (PPO)|00025352|0.00|350| | |NY|33010|0|N
H9615|018|000|MVP HEALTH PLAN, INC.|MVP Medicare Patriot Plan with Part D (PPO)|00025352|0.00|350| | |NY|33030|0|N
H9615|018|000|MVP HEALTH PLAN, INC.|MVP Medicare Patriot Plan with Part D (PPO)|00025352|0.00|350| | |NY|33040|0|N
H9615|018|000|MVP HEALTH PLAN, INC.|MVP Medicare Patriot Plan with Part D (PPO)|00025352|0.00|350| | |NY|33050|0|N
H9615|018|000|MVP HEALTH PLAN, INC.|MVP Medicare Patriot Plan with Part D (PPO)|00025352|0.00|350| | |NY|33060|0|N
H9615|018|000|MVP HEALTH PLAN, INC.|MVP Medicare Patriot Plan with Part D (PPO)|00025352|0.00|350| | |NY|33070|0|N
H9615|018|000|MVP HEALTH PLAN, INC.|MVP Medicare Patriot Plan with Part D (PPO)|00025352|0.00|350| | |NY|33080|0|N
H9615|018|000|MVP HEALTH PLAN, INC.|MVP Medicare Patriot Plan with Part D (PPO)|00025352|0.00|350| | |NY|33200|0|N
H9615|018|000|MVP HEALTH PLAN, INC.|MVP Medicare Patriot Plan with Part D (PPO)|00025352|0.00|350| | |NY|33210|0|N
H9615|018|000|MVP HEALTH PLAN, INC.|MVP Medicare Patriot Plan with Part D (PPO)|00025352|0.00|350| | |NY|33220|0|N
H9615|018|000|MVP HEALTH PLAN, INC.|MVP Medicare Patriot Plan with Part D (PPO)|00025352|0.00|350| | |NY|33230|0|N
H9615|018|000|MVP HEALTH PLAN, INC.|MVP Medicare Patriot Plan with Part D (PPO)|00025352|0.00|350| | |NY|33280|0|N
H9615|018|000|MVP HEALTH PLAN, INC.|MVP Medicare Patriot Plan with Part D (PPO)|00025352|0.00|350| | |NY|33300|0|N
H9615|018|000|MVP HEALTH PLAN, INC.|MVP Medicare Patriot Plan with Part D (PPO)|00025352|0.00|350| | |NY|33320|0|N
H9615|018|000|MVP HEALTH PLAN, INC.|MVP Medicare Patriot Plan with Part D (PPO)|00025352|0.00|350| | |NY|33330|0|N
H9615|018|000|MVP HEALTH PLAN, INC.|MVP Medicare Patriot Plan with Part D (PPO)|00025352|0.00|350| | |NY|33340|0|N
H9615|018|000|MVP HEALTH PLAN, INC.|MVP Medicare Patriot Plan with Part D (PPO)|00025352|0.00|350| | |NY|33360|0|N
H9615|018|000|MVP HEALTH PLAN, INC.|MVP Medicare Patriot Plan with Part D (PPO)|00025352|0.00|350| | |NY|33380|0|N
H9615|018|000|MVP HEALTH PLAN, INC.|MVP Medicare Patriot Plan with Part D (PPO)|00025352|0.00|350| | |NY|33510|0|N
H9615|018|000|MVP HEALTH PLAN, INC.|MVP Medicare Patriot Plan with Part D (PPO)|00025352|0.00|350| | |NY|33520|0|N
H9615|018|000|MVP HEALTH PLAN, INC.|MVP Medicare Patriot Plan with Part D (PPO)|00025352|0.00|350| | |NY|33540|0|N
H9615|018|000|MVP HEALTH PLAN, INC.|MVP Medicare Patriot Plan with Part D (PPO)|00025352|0.00|350| | |NY|33560|0|N
H9615|018|000|MVP HEALTH PLAN, INC.|MVP Medicare Patriot Plan with Part D (PPO)|00025352|0.00|350| | |NY|33570|0|N
H9615|018|000|MVP HEALTH PLAN, INC.|MVP Medicare Patriot Plan with Part D (PPO)|00025352|0.00|350| | |NY|33580|0|N
H9615|018|000|MVP HEALTH PLAN, INC.|MVP Medicare Patriot Plan with Part D (PPO)|00025352|0.00|350| | |NY|33600|0|N
H9615|018|000|MVP HEALTH PLAN, INC.|MVP Medicare Patriot Plan with Part D (PPO)|00025352|0.00|350| | |NY|33620|0|N
H9615|018|000|MVP HEALTH PLAN, INC.|MVP Medicare Patriot Plan with Part D (PPO)|00025352|0.00|350| | |NY|33640|0|N
H9615|018|000|MVP HEALTH PLAN, INC.|MVP Medicare Patriot Plan with Part D (PPO)|00025352|0.00|350| | |NY|33650|0|N
H9615|018|000|MVP HEALTH PLAN, INC.|MVP Medicare Patriot Plan with Part D (PPO)|00025352|0.00|350| | |NY|33660|0|N
H9615|018|000|MVP HEALTH PLAN, INC.|MVP Medicare Patriot Plan with Part D (PPO)|00025352|0.00|350| | |NY|33670|0|N
H9615|018|000|MVP HEALTH PLAN, INC.|MVP Medicare Patriot Plan with Part D (PPO)|00025352|0.00|350| | |NY|33690|0|N
H9615|018|000|MVP HEALTH PLAN, INC.|MVP Medicare Patriot Plan with Part D (PPO)|00025352|0.00|350| | |NY|33710|0|N
H9615|018|000|MVP HEALTH PLAN, INC.|MVP Medicare Patriot Plan with Part D (PPO)|00025352|0.00|350| | |NY|33720|0|N
H9615|018|000|MVP HEALTH PLAN, INC.|MVP Medicare Patriot Plan with Part D (PPO)|00025352|0.00|350| | |NY|33730|0|N
H9615|018|000|MVP HEALTH PLAN, INC.|MVP Medicare Patriot Plan with Part D (PPO)|00025352|0.00|350| | |NY|33740|0|N
H9615|018|000|MVP HEALTH PLAN, INC.|MVP Medicare Patriot Plan with Part D (PPO)|00025352|0.00|350| | |NY|33750|0|N
H9615|018|000|MVP HEALTH PLAN, INC.|MVP Medicare Patriot Plan with Part D (PPO)|00025352|0.00|350| | |NY|33760|0|N
H9615|018|000|MVP HEALTH PLAN, INC.|MVP Medicare Patriot Plan with Part D (PPO)|00025352|0.00|350| | |NY|33800|0|N
H9615|020|000|MVP HEALTH PLAN, INC.|MVP Medicare Complete Wellness with Part D (PPO)|00025352|0.00|550| | |NY|33240|0|N
H9615|020|000|MVP HEALTH PLAN, INC.|MVP Medicare Complete Wellness with Part D (PPO)|00025352|0.00|550| | |NY|33290|0|N
H9615|020|000|MVP HEALTH PLAN, INC.|MVP Medicare Complete Wellness with Part D (PPO)|00025352|0.00|550| | |NY|33350|0|N
H9615|020|000|MVP HEALTH PLAN, INC.|MVP Medicare Complete Wellness with Part D (PPO)|00025352|0.00|550| | |NY|33370|0|N
H9615|020|000|MVP HEALTH PLAN, INC.|MVP Medicare Complete Wellness with Part D (PPO)|00025352|0.00|550| | |NY|33500|0|N
H9615|020|000|MVP HEALTH PLAN, INC.|MVP Medicare Complete Wellness with Part D (PPO)|00025352|0.00|550| | |NY|33530|0|N
H9615|020|000|MVP HEALTH PLAN, INC.|MVP Medicare Complete Wellness with Part D (PPO)|00025352|0.00|550| | |NY|33550|0|N
H9615|020|000|MVP HEALTH PLAN, INC.|MVP Medicare Complete Wellness with Part D (PPO)|00025352|0.00|550| | |NY|33680|0|N
H9615|020|000|MVP HEALTH PLAN, INC.|MVP Medicare Complete Wellness with Part D (PPO)|00025352|0.00|550| | |NY|33770|0|N
H9615|020|000|MVP HEALTH PLAN, INC.|MVP Medicare Complete Wellness with Part D (PPO)|00025352|0.00|550| | |NY|33900|0|N
H9615|020|000|MVP HEALTH PLAN, INC.|MVP Medicare Complete Wellness with Part D (PPO)|00025352|0.00|550| | |NY|33910|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04000|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04010|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04020|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04030|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04040|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04050|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04060|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04070|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04080|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04090|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04100|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04110|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04120|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04130|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04140|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04150|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04160|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04170|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04180|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04190|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04200|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04210|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04220|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04230|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04240|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04250|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04260|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04270|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04280|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04290|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04300|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04310|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04320|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04330|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04340|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04350|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04360|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04370|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04380|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04390|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04400|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04410|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04420|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04430|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04440|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04450|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04460|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04470|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04480|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04490|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04500|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04510|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04520|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04530|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04540|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04550|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04560|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04570|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04580|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04590|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04600|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04610|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04620|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04630|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04640|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04650|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04660|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04670|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04680|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04690|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04700|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04710|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04720|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04730|0|N
H9630|002|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |AR|04740|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04000|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04010|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04020|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04030|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04040|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04050|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04060|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04070|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04080|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04090|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04100|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04110|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04120|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04130|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04140|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04150|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04160|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04170|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04180|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04190|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04200|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04210|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04220|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04230|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04240|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04250|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04260|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04270|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04280|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04290|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04300|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04310|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04320|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04330|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04340|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04350|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04360|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04370|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04380|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04390|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04400|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04410|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04420|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04430|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04440|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04450|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04460|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04470|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04480|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04490|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04500|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04510|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04520|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04530|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04540|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04550|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04560|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04570|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04580|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04590|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04600|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04610|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04620|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04630|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04640|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04650|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04660|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04670|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04680|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04690|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04700|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04710|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04720|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04730|0|N
H9630|005|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Assist (HMO-POS)|00025066|18.40|580| | |AR|04740|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04000|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04010|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04020|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04030|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04040|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04050|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04060|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04070|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04080|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04090|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04100|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04110|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04120|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04130|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04140|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04150|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04160|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04170|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04180|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04190|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04200|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04210|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04220|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04230|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04240|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04250|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04260|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04270|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04280|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04290|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04300|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04310|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04320|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04330|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04340|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04350|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04360|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04370|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04380|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04390|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04400|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04410|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04420|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04430|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04440|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04450|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04460|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04470|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04480|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04490|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04500|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04510|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04520|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04530|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04540|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04550|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04560|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04570|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04580|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04590|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04600|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04610|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04620|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04630|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04640|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04650|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04660|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04670|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04680|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04690|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04700|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04710|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04720|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04730|0|N
H9630|008|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |AR|04740|0|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04000|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04010|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04020|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04030|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04040|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04050|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04060|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04070|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04080|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04090|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04100|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04110|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04120|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04130|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04140|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04150|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04160|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04170|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04180|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04190|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04200|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04210|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04220|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04230|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04240|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04250|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04260|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04270|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04280|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04290|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04300|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04310|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04320|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04330|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04340|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04350|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04360|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04370|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04380|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04390|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04400|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04410|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04420|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04430|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04440|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04450|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04460|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04470|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04480|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04490|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04500|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04510|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04520|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04530|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04540|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04550|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04560|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04570|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04580|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04590|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04600|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04610|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04620|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04630|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04640|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04650|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04660|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04670|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04680|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04690|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04700|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04710|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04720|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04730|2|N
H9630|010|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Access (HMO-POS D-SNP)|00025040|20.90|590| | |AR|04740|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04000|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04010|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04020|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04030|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04040|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04050|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04060|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04070|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04080|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04090|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04100|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04110|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04120|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04130|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04140|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04150|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04160|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04170|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04180|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04190|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04200|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04210|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04220|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04230|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04240|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04250|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04260|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04270|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04280|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04290|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04300|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04310|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04320|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04330|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04340|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04350|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04360|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04370|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04380|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04390|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04400|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04410|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04420|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04430|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04440|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04450|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04460|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04470|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04480|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04490|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04500|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04510|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04520|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04530|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04540|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04550|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04560|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04570|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04580|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04590|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04600|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04610|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04620|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04630|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04640|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04650|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04660|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04670|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04680|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04690|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04700|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04710|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04720|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04730|2|N
H9630|011|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|19.10|590| | |AR|04740|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04000|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04010|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04020|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04030|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04040|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04050|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04060|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04070|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04080|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04090|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04100|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04110|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04120|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04130|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04140|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04150|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04160|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04170|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04180|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04190|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04200|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04210|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04220|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04230|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04240|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04250|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04260|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04270|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04280|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04290|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04300|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04310|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04320|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04330|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04340|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04350|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04360|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04370|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04380|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04390|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04400|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04410|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04420|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04430|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04440|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04450|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04460|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04470|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04480|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04490|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04500|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04510|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04520|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04530|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04540|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04550|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04560|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04570|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04580|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04590|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04600|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04610|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04620|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04630|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04640|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04650|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04660|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04670|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04680|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04690|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04700|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04710|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04720|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04730|2|N
H9630|014|000|ARKANSAS HEALTH & WELLNESS HEALTH PLAN, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025035|17.90|590| | |AR|04740|2|N
H9678|001|000|HEALTHFIRST INSURANCE COMPANY, INC.|Healthfirst Signature (PPO)|00025210|0.00|590| | |NY|33020|0|N
H9678|001|000|HEALTHFIRST INSURANCE COMPANY, INC.|Healthfirst Signature (PPO)|00025210|0.00|590| | |NY|33331|0|N
H9678|001|000|HEALTHFIRST INSURANCE COMPANY, INC.|Healthfirst Signature (PPO)|00025210|0.00|590| | |NY|33400|0|N
H9678|001|000|HEALTHFIRST INSURANCE COMPANY, INC.|Healthfirst Signature (PPO)|00025210|0.00|590| | |NY|33420|0|N
H9678|001|000|HEALTHFIRST INSURANCE COMPANY, INC.|Healthfirst Signature (PPO)|00025210|0.00|590| | |NY|33590|0|N
H9678|001|000|HEALTHFIRST INSURANCE COMPANY, INC.|Healthfirst Signature (PPO)|00025210|0.00|590| | |NY|33610|0|N
H9678|001|000|HEALTHFIRST INSURANCE COMPANY, INC.|Healthfirst Signature (PPO)|00025210|0.00|590| | |NY|33620|0|N
H9678|001|000|HEALTHFIRST INSURANCE COMPANY, INC.|Healthfirst Signature (PPO)|00025210|0.00|590| | |NY|33700|0|N
H9678|001|000|HEALTHFIRST INSURANCE COMPANY, INC.|Healthfirst Signature (PPO)|00025210|0.00|590| | |NY|33800|0|N
H9686|004|000|ALIGNMENT HEALTH PLAN OF NEVADA, INC.|Alignment Health Heart & Diabetes (HMO C-SNP)|00025083|0.00|0| | |NV|29010|1|N
H9686|004|000|ALIGNMENT HEALTH PLAN OF NEVADA, INC.|Alignment Health Heart & Diabetes (HMO C-SNP)|00025083|0.00|0| | |NV|29150|1|N
H9686|005|000|ALIGNMENT HEALTH PLAN OF NEVADA, INC.|Alignment Health the ONE (HMO D-SNP)|00025083|0.00|590| | |NV|29010|2|N
H9686|005|000|ALIGNMENT HEALTH PLAN OF NEVADA, INC.|Alignment Health the ONE (HMO D-SNP)|00025083|0.00|590| | |NV|29150|2|N
H9690|001|000|AMERICAN HEALTH PLAN OF INDIANA INC|American Health Advantage of Indiana (HMO I-SNP)|00025482|49.60|590| | |IN|15010|3|N
H9690|001|000|AMERICAN HEALTH PLAN OF INDIANA INC|American Health Advantage of Indiana (HMO I-SNP)|00025482|49.60|590| | |IN|15150|3|N
H9690|001|000|AMERICAN HEALTH PLAN OF INDIANA INC|American Health Advantage of Indiana (HMO I-SNP)|00025482|49.60|590| | |IN|15200|3|N
H9690|001|000|AMERICAN HEALTH PLAN OF INDIANA INC|American Health Advantage of Indiana (HMO I-SNP)|00025482|49.60|590| | |IN|15280|3|N
H9690|001|000|AMERICAN HEALTH PLAN OF INDIANA INC|American Health Advantage of Indiana (HMO I-SNP)|00025482|49.60|590| | |IN|15290|3|N
H9690|001|000|AMERICAN HEALTH PLAN OF INDIANA INC|American Health Advantage of Indiana (HMO I-SNP)|00025482|49.60|590| | |IN|15310|3|N
H9690|001|000|AMERICAN HEALTH PLAN OF INDIANA INC|American Health Advantage of Indiana (HMO I-SNP)|00025482|49.60|590| | |IN|15330|3|N
H9690|001|000|AMERICAN HEALTH PLAN OF INDIANA INC|American Health Advantage of Indiana (HMO I-SNP)|00025482|49.60|590| | |IN|15390|3|N
H9690|001|000|AMERICAN HEALTH PLAN OF INDIANA INC|American Health Advantage of Indiana (HMO I-SNP)|00025482|49.60|590| | |IN|15460|3|N
H9690|001|000|AMERICAN HEALTH PLAN OF INDIANA INC|American Health Advantage of Indiana (HMO I-SNP)|00025482|49.60|590| | |IN|15480|3|N
H9690|001|000|AMERICAN HEALTH PLAN OF INDIANA INC|American Health Advantage of Indiana (HMO I-SNP)|00025482|49.60|590| | |IN|15520|3|N
H9690|001|000|AMERICAN HEALTH PLAN OF INDIANA INC|American Health Advantage of Indiana (HMO I-SNP)|00025482|49.60|590| | |IN|15830|3|N
H9699|007|000|USABLE HMO, INC.|BlueMedicare Classic Plus (HMO)|00025129|0.00|250| | |AR|04030|0|N
H9699|007|000|USABLE HMO, INC.|BlueMedicare Classic Plus (HMO)|00025129|0.00|250| | |AR|04070|0|N
H9699|007|000|USABLE HMO, INC.|BlueMedicare Classic Plus (HMO)|00025129|0.00|250| | |AR|04110|0|N
H9699|007|000|USABLE HMO, INC.|BlueMedicare Classic Plus (HMO)|00025129|0.00|250| | |AR|04140|0|N
H9699|007|000|USABLE HMO, INC.|BlueMedicare Classic Plus (HMO)|00025129|0.00|250| | |AR|04160|0|N
H9699|007|000|USABLE HMO, INC.|BlueMedicare Classic Plus (HMO)|00025129|0.00|250| | |AR|04220|0|N
H9699|007|000|USABLE HMO, INC.|BlueMedicare Classic Plus (HMO)|00025129|0.00|250| | |AR|04230|0|N
H9699|007|000|USABLE HMO, INC.|BlueMedicare Classic Plus (HMO)|00025129|0.00|250| | |AR|04260|0|N
H9699|007|000|USABLE HMO, INC.|BlueMedicare Classic Plus (HMO)|00025129|0.00|250| | |AR|04340|0|N
H9699|007|000|USABLE HMO, INC.|BlueMedicare Classic Plus (HMO)|00025129|0.00|250| | |AR|04350|0|N
H9699|007|000|USABLE HMO, INC.|BlueMedicare Classic Plus (HMO)|00025129|0.00|250| | |AR|04410|0|N
H9699|007|000|USABLE HMO, INC.|BlueMedicare Classic Plus (HMO)|00025129|0.00|250| | |AR|04420|0|N
H9699|007|000|USABLE HMO, INC.|BlueMedicare Classic Plus (HMO)|00025129|0.00|250| | |AR|04430|0|N
H9699|007|000|USABLE HMO, INC.|BlueMedicare Classic Plus (HMO)|00025129|0.00|250| | |AR|04520|0|N
H9699|007|000|USABLE HMO, INC.|BlueMedicare Classic Plus (HMO)|00025129|0.00|250| | |AR|04570|0|N
H9699|007|000|USABLE HMO, INC.|BlueMedicare Classic Plus (HMO)|00025129|0.00|250| | |AR|04590|0|N
H9699|007|000|USABLE HMO, INC.|BlueMedicare Classic Plus (HMO)|00025129|0.00|250| | |AR|04620|0|N
H9699|007|000|USABLE HMO, INC.|BlueMedicare Classic Plus (HMO)|00025129|0.00|250| | |AR|04630|0|N
H9699|007|000|USABLE HMO, INC.|BlueMedicare Classic Plus (HMO)|00025129|0.00|250| | |AR|04650|0|N
H9699|007|000|USABLE HMO, INC.|BlueMedicare Classic Plus (HMO)|00025129|0.00|250| | |AR|04700|0|N
H9699|007|000|USABLE HMO, INC.|BlueMedicare Classic Plus (HMO)|00025129|0.00|250| | |AR|04710|0|N
H9699|007|000|USABLE HMO, INC.|BlueMedicare Classic Plus (HMO)|00025129|0.00|250| | |AR|04720|0|N
H9699|007|000|USABLE HMO, INC.|BlueMedicare Classic Plus (HMO)|00025129|0.00|250| | |AR|04740|0|N
H9700|001|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE North Carolina (PPO)|00025188|0.00|590| | |NC|34010|0|N
H9700|001|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE North Carolina (PPO)|00025188|0.00|590| | |NC|34030|0|N
H9700|001|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE North Carolina (PPO)|00025188|0.00|590| | |NC|34120|0|N
H9700|001|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE North Carolina (PPO)|00025188|0.00|590| | |NC|34170|0|N
H9700|001|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE North Carolina (PPO)|00025188|0.00|590| | |NC|34220|0|N
H9700|001|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE North Carolina (PPO)|00025188|0.00|590| | |NC|34350|0|N
H9700|001|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE North Carolina (PPO)|00025188|0.00|590| | |NC|34480|0|N
H9700|001|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE North Carolina (PPO)|00025188|0.00|590| | |NC|34540|0|N
H9700|001|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE North Carolina (PPO)|00025188|0.00|590| | |NC|34590|0|N
H9700|001|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE North Carolina (PPO)|00025188|0.00|590| | |NC|34790|0|N
H9700|001|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE North Carolina (PPO)|00025188|0.00|590| | |NC|34890|0|N
H9700|002|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE GIVEBACK North Carolina (PPO)|00025188|0.00|590| | |NC|34010|0|N
H9700|002|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE GIVEBACK North Carolina (PPO)|00025188|0.00|590| | |NC|34030|0|N
H9700|002|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE GIVEBACK North Carolina (PPO)|00025188|0.00|590| | |NC|34120|0|N
H9700|002|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE GIVEBACK North Carolina (PPO)|00025188|0.00|590| | |NC|34170|0|N
H9700|002|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE GIVEBACK North Carolina (PPO)|00025188|0.00|590| | |NC|34220|0|N
H9700|002|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE GIVEBACK North Carolina (PPO)|00025188|0.00|590| | |NC|34350|0|N
H9700|002|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE GIVEBACK North Carolina (PPO)|00025188|0.00|590| | |NC|34480|0|N
H9700|002|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE GIVEBACK North Carolina (PPO)|00025188|0.00|590| | |NC|34540|0|N
H9700|002|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE GIVEBACK North Carolina (PPO)|00025188|0.00|590| | |NC|34590|0|N
H9700|002|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE GIVEBACK North Carolina (PPO)|00025188|0.00|590| | |NC|34790|0|N
H9700|002|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE GIVEBACK North Carolina (PPO)|00025188|0.00|590| | |NC|34890|0|N
H9700|003|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE North Carolina (PPO)|00025188|0.00|590| | |NC|34000|0|N
H9700|003|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE North Carolina (PPO)|00025188|0.00|590| | |NC|34160|0|N
H9700|003|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE North Carolina (PPO)|00025188|0.00|590| | |NC|34280|0|N
H9700|003|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE North Carolina (PPO)|00025188|0.00|590| | |NC|34290|0|N
H9700|003|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE North Carolina (PPO)|00025188|0.00|590| | |NC|34330|0|N
H9700|003|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE North Carolina (PPO)|00025188|0.00|590| | |NC|34400|0|N
H9700|003|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE North Carolina (PPO)|00025188|0.00|590| | |NC|34720|0|N
H9700|003|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE North Carolina (PPO)|00025188|0.00|590| | |NC|34750|0|N
H9700|003|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE North Carolina (PPO)|00025188|0.00|590| | |NC|34780|0|N
H9700|003|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE North Carolina (PPO)|00025188|0.00|590| | |NC|34840|0|N
H9700|003|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE North Carolina (PPO)|00025188|0.00|590| | |NC|34980|0|N
H9700|004|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE GIVEBACK North Carolina (PPO)|00025188|0.00|590| | |NC|34000|0|N
H9700|004|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE GIVEBACK North Carolina (PPO)|00025188|0.00|590| | |NC|34160|0|N
H9700|004|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE GIVEBACK North Carolina (PPO)|00025188|0.00|590| | |NC|34280|0|N
H9700|004|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE GIVEBACK North Carolina (PPO)|00025188|0.00|590| | |NC|34290|0|N
H9700|004|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE GIVEBACK North Carolina (PPO)|00025188|0.00|590| | |NC|34330|0|N
H9700|004|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE GIVEBACK North Carolina (PPO)|00025188|0.00|590| | |NC|34400|0|N
H9700|004|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE GIVEBACK North Carolina (PPO)|00025188|0.00|590| | |NC|34720|0|N
H9700|004|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE GIVEBACK North Carolina (PPO)|00025188|0.00|590| | |NC|34750|0|N
H9700|004|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE GIVEBACK North Carolina (PPO)|00025188|0.00|590| | |NC|34780|0|N
H9700|004|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE GIVEBACK North Carolina (PPO)|00025188|0.00|590| | |NC|34840|0|N
H9700|004|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE GIVEBACK North Carolina (PPO)|00025188|0.00|590| | |NC|34980|0|N
H9700|005|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE North Carolina (PPO)|00025188|0.00|590| | |NC|34050|0|N
H9700|005|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE North Carolina (PPO)|00025188|0.00|590| | |NC|34100|0|N
H9700|005|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE North Carolina (PPO)|00025188|0.00|590| | |NC|34190|0|N
H9700|005|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE North Carolina (PPO)|00025188|0.00|590| | |NC|34210|0|N
H9700|005|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE North Carolina (PPO)|00025188|0.00|590| | |NC|34370|0|N
H9700|005|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE North Carolina (PPO)|00025188|0.00|590| | |NC|34430|0|N
H9700|005|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE North Carolina (PPO)|00025188|0.00|590| | |NC|34440|0|N
H9700|005|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE North Carolina (PPO)|00025188|0.00|590| | |NC|34490|0|N
H9700|005|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE North Carolina (PPO)|00025188|0.00|590| | |NC|34550|0|N
H9700|005|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE North Carolina (PPO)|00025188|0.00|590| | |NC|34570|0|N
H9700|005|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE North Carolina (PPO)|00025188|0.00|590| | |NC|34600|0|N
H9700|005|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE North Carolina (PPO)|00025188|0.00|590| | |NC|34740|0|N
H9700|005|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE North Carolina (PPO)|00025188|0.00|590| | |NC|34800|0|N
H9700|005|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE North Carolina (PPO)|00025188|0.00|590| | |NC|34860|0|N
H9700|005|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE North Carolina (PPO)|00025188|0.00|590| | |NC|34870|0|N
H9700|005|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE North Carolina (PPO)|00025188|0.00|590| | |NC|34981|0|N
H9700|006|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE GIVEBACK North Carolina (PPO)|00025188|0.00|590| | |NC|34050|0|N
H9700|006|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE GIVEBACK North Carolina (PPO)|00025188|0.00|590| | |NC|34100|0|N
H9700|006|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE GIVEBACK North Carolina (PPO)|00025188|0.00|590| | |NC|34190|0|N
H9700|006|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE GIVEBACK North Carolina (PPO)|00025188|0.00|590| | |NC|34210|0|N
H9700|006|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE GIVEBACK North Carolina (PPO)|00025188|0.00|590| | |NC|34370|0|N
H9700|006|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE GIVEBACK North Carolina (PPO)|00025188|0.00|590| | |NC|34430|0|N
H9700|006|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE GIVEBACK North Carolina (PPO)|00025188|0.00|590| | |NC|34440|0|N
H9700|006|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE GIVEBACK North Carolina (PPO)|00025188|0.00|590| | |NC|34490|0|N
H9700|006|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE GIVEBACK North Carolina (PPO)|00025188|0.00|590| | |NC|34550|0|N
H9700|006|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE GIVEBACK North Carolina (PPO)|00025188|0.00|590| | |NC|34570|0|N
H9700|006|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE GIVEBACK North Carolina (PPO)|00025188|0.00|590| | |NC|34600|0|N
H9700|006|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE GIVEBACK North Carolina (PPO)|00025188|0.00|590| | |NC|34740|0|N
H9700|006|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE GIVEBACK North Carolina (PPO)|00025188|0.00|590| | |NC|34800|0|N
H9700|006|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE GIVEBACK North Carolina (PPO)|00025188|0.00|590| | |NC|34860|0|N
H9700|006|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE GIVEBACK North Carolina (PPO)|00025188|0.00|590| | |NC|34870|0|N
H9700|006|000|DEVOTED HEALTH PLAN OF NORTH CAROLINA INC|Devoted CHOICE GIVEBACK North Carolina (PPO)|00025188|0.00|590| | |NC|34981|0|N
H9706|001|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |TX|45000|0|N
H9706|001|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |TX|45170|0|N
H9706|001|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |TX|45250|0|N
H9706|001|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |TX|45260|0|N
H9706|001|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |TX|45281|0|N
H9706|001|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |TX|45310|0|N
H9706|001|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |TX|45390|0|N
H9706|001|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |TX|45400|0|N
H9706|001|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |TX|45410|0|N
H9706|001|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |TX|45470|0|N
H9706|001|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |TX|45490|0|N
H9706|001|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |TX|45531|0|N
H9706|001|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |TX|45564|0|N
H9706|001|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |TX|45570|0|N
H9706|001|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |TX|45620|0|N
H9706|001|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |TX|45640|0|N
H9706|001|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |TX|45654|0|N
H9706|001|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |TX|45720|0|N
H9706|001|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |TX|45730|0|N
H9706|001|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |TX|45750|0|N
H9706|001|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |TX|45783|0|N
H9706|001|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |TX|45803|0|N
H9706|001|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |TX|45810|0|N
H9706|001|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |TX|45842|0|N
H9706|001|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |TX|45843|0|N
H9706|001|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |TX|45870|0|N
H9706|001|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |TX|45874|0|N
H9706|001|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |TX|45879|0|N
H9706|001|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |TX|45881|0|N
H9706|001|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |TX|45883|0|N
H9706|001|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |TX|45890|0|N
H9706|001|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |TX|45892|0|N
H9706|001|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |TX|45910|0|N
H9706|001|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |TX|45921|0|N
H9706|001|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |TX|45943|0|N
H9706|001|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025445|0.00|0| | |TX|45974|0|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45000|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45010|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45040|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45050|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45060|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45070|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45080|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45090|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45100|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45110|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45113|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45120|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45130|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45140|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45150|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45160|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45170|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45180|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45190|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45200|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45201|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45210|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45221|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45222|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45223|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45240|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45250|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45251|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45260|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45270|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45280|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45281|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45290|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45291|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45292|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45300|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45301|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45310|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45312|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45320|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45330|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45340|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45341|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45360|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45362|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45370|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45380|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45390|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45391|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45392|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45400|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45410|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45420|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45421|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45430|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45431|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45440|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45470|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45480|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45490|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45500|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45510|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45511|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45520|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45521|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45522|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45530|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45531|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45540|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45541|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45542|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45550|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45551|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45552|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45560|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45561|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45562|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45564|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45570|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45580|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45581|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45582|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45583|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45590|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45591|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45592|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45600|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45610|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45620|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45621|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45630|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45631|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45640|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45650|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45651|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45652|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45653|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45654|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45660|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45661|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45662|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45671|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45672|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45680|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45681|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45691|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45700|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45710|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45711|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45720|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45722|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45730|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45731|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45732|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45733|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45740|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45741|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45742|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45743|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45744|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45750|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45751|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45752|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45753|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45754|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45755|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45756|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45757|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45758|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45760|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45761|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45762|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45770|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45771|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45772|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45780|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45781|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45782|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45783|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45784|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45785|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45790|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45792|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45793|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45794|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45795|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45796|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45797|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45800|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45801|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45802|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45803|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45804|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45810|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45820|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45832|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45840|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45841|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45842|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45843|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45845|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45850|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45860|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45861|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45870|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45871|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45872|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45873|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45874|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45875|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45876|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45877|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45878|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45879|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45880|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45881|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45883|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45884|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45886|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45887|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45889|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45890|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45891|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45892|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45893|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45901|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45902|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45903|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45904|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45905|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45910|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45913|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45920|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45921|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45930|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45940|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45941|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45942|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45943|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45944|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45947|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45948|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45949|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45950|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45952|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45953|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45954|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45962|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45970|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45971|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45972|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45973|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45974|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45980|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45981|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45982|2|N
H9706|002|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dual Care Plus (HMO D-SNP)|00025444|10.80|590| | |TX|45983|2|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45010|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45030|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45050|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45080|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45100|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45110|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45113|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45150|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45180|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45201|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45222|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45223|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45224|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45251|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45270|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45290|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45292|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45300|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45301|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45330|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45360|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45362|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45380|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45391|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45392|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45421|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45431|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45520|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45521|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45522|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45542|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45550|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45551|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45560|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45582|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45583|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45591|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45592|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45610|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45621|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45630|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45631|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45652|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45661|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45671|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45672|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45681|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45711|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45733|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45741|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45743|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45744|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45751|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45755|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45760|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45770|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45771|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45784|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45790|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45794|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45797|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45800|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45802|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45804|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45830|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45832|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45860|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45871|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45872|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45877|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45880|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45885|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45891|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45901|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45902|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45903|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45905|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45913|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45930|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45940|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45944|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45948|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45950|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45970|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45980|0|N
H9706|005|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45981|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45000|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45010|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45030|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45050|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45060|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45080|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45090|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45100|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45110|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45113|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45130|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45150|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45170|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45180|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45200|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45201|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45222|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45223|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45224|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45250|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45251|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45260|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45270|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45281|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45290|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45292|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45300|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45301|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45310|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45320|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45330|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45360|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45362|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45370|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45380|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45390|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45391|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45392|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45400|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45410|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45421|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45431|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45470|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45490|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45520|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45521|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45522|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45531|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45541|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45542|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45550|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45551|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45552|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45560|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45564|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45570|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45582|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45583|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45591|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45592|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45610|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45620|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45621|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45630|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45631|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45640|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45652|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45654|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45661|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45671|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45672|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45681|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45691|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45711|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45720|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45730|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45731|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45733|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45740|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45741|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45742|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45743|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45744|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45750|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45751|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45755|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45760|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45762|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45770|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45771|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45783|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45784|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45790|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45792|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45793|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45794|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45797|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45800|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45802|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45803|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45804|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45810|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45830|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45832|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45842|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45843|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45845|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45860|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45861|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45870|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45871|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45872|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45874|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45875|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45877|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45879|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45880|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45881|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45883|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45885|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45887|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45890|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45891|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45892|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45901|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45902|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45903|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45904|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45905|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45910|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45913|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45921|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45930|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45940|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45943|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45944|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45948|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45950|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45970|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45971|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45972|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45974|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45980|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45981|0|N
H9706|007|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Dental Value (HMO)|00025443|0.00|590| | |TX|45983|0|N
H9706|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver (HMO)|00025443|0.00|0| | |TX|45030|0|N
H9706|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver (HMO)|00025443|0.00|0| | |TX|45100|0|N
H9706|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver (HMO)|00025443|0.00|0| | |TX|45170|0|N
H9706|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver (HMO)|00025443|0.00|0| | |TX|45180|0|N
H9706|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver (HMO)|00025443|0.00|0| | |TX|45222|0|N
H9706|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver (HMO)|00025443|0.00|0| | |TX|45223|0|N
H9706|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver (HMO)|00025443|0.00|0| | |TX|45224|0|N
H9706|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver (HMO)|00025443|0.00|0| | |TX|45250|0|N
H9706|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver (HMO)|00025443|0.00|0| | |TX|45260|0|N
H9706|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver (HMO)|00025443|0.00|0| | |TX|45310|0|N
H9706|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver (HMO)|00025443|0.00|0| | |TX|45390|0|N
H9706|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver (HMO)|00025443|0.00|0| | |TX|45410|0|N
H9706|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver (HMO)|00025443|0.00|0| | |TX|45470|0|N
H9706|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver (HMO)|00025443|0.00|0| | |TX|45531|0|N
H9706|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver (HMO)|00025443|0.00|0| | |TX|45550|0|N
H9706|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver (HMO)|00025443|0.00|0| | |TX|45564|0|N
H9706|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver (HMO)|00025443|0.00|0| | |TX|45570|0|N
H9706|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver (HMO)|00025443|0.00|0| | |TX|45610|0|N
H9706|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver (HMO)|00025443|0.00|0| | |TX|45631|0|N
H9706|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver (HMO)|00025443|0.00|0| | |TX|45654|0|N
H9706|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver (HMO)|00025443|0.00|0| | |TX|45720|0|N
H9706|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver (HMO)|00025443|0.00|0| | |TX|45730|0|N
H9706|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver (HMO)|00025443|0.00|0| | |TX|45750|0|N
H9706|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver (HMO)|00025443|0.00|0| | |TX|45755|0|N
H9706|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver (HMO)|00025443|0.00|0| | |TX|45790|0|N
H9706|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver (HMO)|00025443|0.00|0| | |TX|45803|0|N
H9706|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver (HMO)|00025443|0.00|0| | |TX|45830|0|N
H9706|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver (HMO)|00025443|0.00|0| | |TX|45843|0|N
H9706|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver (HMO)|00025443|0.00|0| | |TX|45860|0|N
H9706|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver (HMO)|00025443|0.00|0| | |TX|45871|0|N
H9706|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver (HMO)|00025443|0.00|0| | |TX|45874|0|N
H9706|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver (HMO)|00025443|0.00|0| | |TX|45879|0|N
H9706|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver (HMO)|00025443|0.00|0| | |TX|45881|0|N
H9706|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver (HMO)|00025443|0.00|0| | |TX|45885|0|N
H9706|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver (HMO)|00025443|0.00|0| | |TX|45892|0|N
H9706|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver (HMO)|00025443|0.00|0| | |TX|45910|0|N
H9706|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver (HMO)|00025443|0.00|0| | |TX|45921|0|N
H9706|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver (HMO)|00025443|0.00|0| | |TX|45930|0|N
H9706|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver (HMO)|00025443|0.00|0| | |TX|45940|0|N
H9706|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver (HMO)|00025443|0.00|0| | |TX|45943|0|N
H9706|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver (HMO)|00025443|0.00|0| | |TX|45950|0|N
H9706|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver (HMO)|00025443|0.00|0| | |TX|45970|0|N
H9706|008|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Saver (HMO)|00025443|0.00|0| | |TX|45974|0|N
H9706|009|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45060|0|N
H9706|009|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45090|0|N
H9706|009|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45130|0|N
H9706|009|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45200|0|N
H9706|009|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45320|0|N
H9706|009|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45370|0|N
H9706|009|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45541|0|N
H9706|009|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45552|0|N
H9706|009|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45691|0|N
H9706|009|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45731|0|N
H9706|009|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45740|0|N
H9706|009|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45742|0|N
H9706|009|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45762|0|N
H9706|009|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45792|0|N
H9706|009|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45793|0|N
H9706|009|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45845|0|N
H9706|009|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45861|0|N
H9706|009|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45875|0|N
H9706|009|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45887|0|N
H9706|009|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45904|0|N
H9706|009|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45971|0|N
H9706|009|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45972|0|N
H9706|009|000|HCSC INSURANCE SERVICES COMPANY|Blue Cross Medicare Advantage Value (HMO)|00025443|0.00|0| | |TX|45983|0|N
H9712|001|000|HAP CareSource|HAP CareSource MI Health Link (Medicare-Medicaid Plan)|00025364|0.00|0| | |MI|23490|0|N
H9712|001|000|HAP CareSource|HAP CareSource MI Health Link (Medicare-Medicaid Plan)|00025364|0.00|0| | |MI|23810|0|N
H9725|003|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|40.50|590| | |NC|34000|2|N
H9725|003|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|40.50|590| | |NC|34010|2|N
H9725|003|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|40.50|590| | |NC|34020|2|N
H9725|003|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|40.50|590| | |NC|34030|2|N
H9725|003|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|40.50|590| | |NC|34050|2|N
H9725|003|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|40.50|590| | |NC|34100|2|N
H9725|003|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|40.50|590| | |NC|34110|2|N
H9725|003|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|40.50|590| | |NC|34120|2|N
H9725|003|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|40.50|590| | |NC|34170|2|N
H9725|003|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|40.50|590| | |NC|34180|2|N
H9725|003|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|40.50|590| | |NC|34220|2|N
H9725|003|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|40.50|590| | |NC|34280|2|N
H9725|003|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|40.50|590| | |NC|34290|2|N
H9725|003|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|40.50|590| | |NC|34310|2|N
H9725|003|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|40.50|590| | |NC|34330|2|N
H9725|003|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|40.50|590| | |NC|34350|2|N
H9725|003|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|40.50|590| | |NC|34400|2|N
H9725|003|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|40.50|590| | |NC|34440|2|N
H9725|003|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|40.50|590| | |NC|34480|2|N
H9725|003|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|40.50|590| | |NC|34500|2|N
H9725|003|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|40.50|590| | |NC|34540|2|N
H9725|003|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|40.50|590| | |NC|34550|2|N
H9725|003|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|40.50|590| | |NC|34570|2|N
H9725|003|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|40.50|590| | |NC|34590|2|N
H9725|003|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|40.50|590| | |NC|34600|2|N
H9725|003|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|40.50|590| | |NC|34670|2|N
H9725|003|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|40.50|590| | |NC|34740|2|N
H9725|003|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|40.50|590| | |NC|34750|2|N
H9725|003|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|40.50|590| | |NC|34780|2|N
H9725|003|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|40.50|590| | |NC|34790|2|N
H9725|003|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|40.50|590| | |NC|34840|2|N
H9725|003|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|40.50|590| | |NC|34870|2|N
H9725|003|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|40.50|590| | |NC|34890|2|N
H9725|003|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|40.50|590| | |NC|34910|2|N
H9725|003|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|40.50|590| | |NC|34960|2|N
H9725|003|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|40.50|590| | |NC|34980|2|N
H9725|003|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare (HMO D-SNP)|00025271|40.50|590| | |NC|34981|2|N
H9725|006|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.00|0| | |NC|34000|0|N
H9725|006|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.00|0| | |NC|34010|0|N
H9725|006|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.00|0| | |NC|34020|0|N
H9725|006|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.00|0| | |NC|34030|0|N
H9725|006|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.00|0| | |NC|34050|0|N
H9725|006|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.00|0| | |NC|34100|0|N
H9725|006|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.00|0| | |NC|34110|0|N
H9725|006|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.00|0| | |NC|34120|0|N
H9725|006|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.00|0| | |NC|34170|0|N
H9725|006|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.00|0| | |NC|34180|0|N
H9725|006|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.00|0| | |NC|34220|0|N
H9725|006|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.00|0| | |NC|34280|0|N
H9725|006|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.00|0| | |NC|34290|0|N
H9725|006|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.00|0| | |NC|34310|0|N
H9725|006|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.00|0| | |NC|34330|0|N
H9725|006|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.00|0| | |NC|34350|0|N
H9725|006|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.00|0| | |NC|34400|0|N
H9725|006|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.00|0| | |NC|34440|0|N
H9725|006|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.00|0| | |NC|34480|0|N
H9725|006|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.00|0| | |NC|34500|0|N
H9725|006|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.00|0| | |NC|34540|0|N
H9725|006|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.00|0| | |NC|34550|0|N
H9725|006|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.00|0| | |NC|34570|0|N
H9725|006|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.00|0| | |NC|34590|0|N
H9725|006|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.00|0| | |NC|34600|0|N
H9725|006|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.00|0| | |NC|34670|0|N
H9725|006|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.00|0| | |NC|34740|0|N
H9725|006|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.00|0| | |NC|34750|0|N
H9725|006|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.00|0| | |NC|34780|0|N
H9725|006|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.00|0| | |NC|34790|0|N
H9725|006|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.00|0| | |NC|34840|0|N
H9725|006|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.00|0| | |NC|34870|0|N
H9725|006|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.00|0| | |NC|34890|0|N
H9725|006|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.00|0| | |NC|34910|0|N
H9725|006|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.00|0| | |NC|34960|0|N
H9725|006|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.00|0| | |NC|34980|0|N
H9725|006|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Plus Medicare (HMO)|00025272|11.00|0| | |NC|34981|0|N
H9725|008|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |VA|49111|0|N
H9725|008|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |VA|49661|0|N
H9725|008|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |VA|49830|0|N
H9725|008|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |VA|49840|0|N
H9725|008|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |VA|49950|0|N
H9725|008|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |VA|49970|0|N
H9725|009|001|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |NC|34010|0|N
H9725|009|001|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |NC|34030|0|N
H9725|009|001|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |NC|34120|0|N
H9725|009|001|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |NC|34170|0|N
H9725|009|001|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |NC|34220|0|N
H9725|009|001|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |NC|34350|0|N
H9725|009|001|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |NC|34480|0|N
H9725|009|001|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |NC|34540|0|N
H9725|009|001|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |NC|34590|0|N
H9725|009|001|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |NC|34790|0|N
H9725|009|001|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |NC|34890|0|N
H9725|009|002|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |NC|34050|0|N
H9725|009|002|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |NC|34100|0|N
H9725|009|002|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |NC|34110|0|N
H9725|009|002|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |NC|34440|0|N
H9725|009|002|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |NC|34550|0|N
H9725|009|002|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |NC|34570|0|N
H9725|009|002|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |NC|34600|0|N
H9725|009|002|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |NC|34740|0|N
H9725|009|002|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |NC|34870|0|N
H9725|009|002|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |NC|34981|0|N
H9725|009|003|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |NC|34020|0|N
H9725|009|003|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |NC|34280|0|N
H9725|009|003|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |NC|34290|0|N
H9725|009|003|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |NC|34330|0|N
H9725|009|003|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |NC|34400|0|N
H9725|009|003|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |NC|34750|0|N
H9725|009|003|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |NC|34780|0|N
H9725|009|003|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |NC|34840|0|N
H9725|009|003|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |NC|34960|0|N
H9725|009|003|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |NC|34980|0|N
H9725|009|004|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |NC|34000|0|N
H9725|009|004|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |NC|34180|0|N
H9725|009|004|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |NC|34310|0|N
H9725|009|004|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |NC|34500|0|N
H9725|009|004|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |NC|34670|0|N
H9725|009|004|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025272|0.00|0| | |NC|34910|0|N
H9725|010|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |VA|49030|0|N
H9725|010|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |VA|49180|0|N
H9725|010|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |VA|49200|0|N
H9725|010|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |VA|49212|0|N
H9725|010|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |VA|49260|0|N
H9725|010|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |VA|49370|0|N
H9725|010|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |VA|49420|0|N
H9725|010|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |VA|49430|0|N
H9725|010|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |VA|49701|0|N
H9725|010|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |VA|49720|0|N
H9725|010|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Medicare (HMO)|00025271|0.00|0| | |VA|49791|0|N
H9725|013|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |NC|34000|2|N
H9725|013|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |NC|34010|2|N
H9725|013|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |NC|34020|2|N
H9725|013|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |NC|34030|2|N
H9725|013|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |NC|34050|2|N
H9725|013|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |NC|34100|2|N
H9725|013|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |NC|34110|2|N
H9725|013|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |NC|34120|2|N
H9725|013|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |NC|34170|2|N
H9725|013|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |NC|34180|2|N
H9725|013|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |NC|34220|2|N
H9725|013|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |NC|34280|2|N
H9725|013|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |NC|34290|2|N
H9725|013|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |NC|34310|2|N
H9725|013|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |NC|34330|2|N
H9725|013|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |NC|34350|2|N
H9725|013|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |NC|34400|2|N
H9725|013|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |NC|34440|2|N
H9725|013|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |NC|34480|2|N
H9725|013|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |NC|34500|2|N
H9725|013|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |NC|34540|2|N
H9725|013|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |NC|34550|2|N
H9725|013|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |NC|34570|2|N
H9725|013|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |NC|34590|2|N
H9725|013|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |NC|34600|2|N
H9725|013|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |NC|34670|2|N
H9725|013|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |NC|34740|2|N
H9725|013|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |NC|34750|2|N
H9725|013|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |NC|34780|2|N
H9725|013|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |NC|34790|2|N
H9725|013|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |NC|34840|2|N
H9725|013|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |NC|34870|2|N
H9725|013|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |NC|34890|2|N
H9725|013|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |NC|34910|2|N
H9725|013|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |NC|34960|2|N
H9725|013|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |NC|34980|2|N
H9725|013|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna TotalCare Plus (HMO D-SNP)|00025271|0.00|590| | |NC|34981|2|N
H9725|014|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Select Medicare (HMO)|00025272|0.00|0| | |NC|34000|0|N
H9725|014|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Select Medicare (HMO)|00025272|0.00|0| | |NC|34310|0|N
H9725|014|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Select Medicare (HMO)|00025272|0.00|0| | |NC|34330|0|N
H9725|014|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Select Medicare (HMO)|00025272|0.00|0| | |NC|34400|0|N
H9725|014|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Select Medicare (HMO)|00025272|0.00|0| | |NC|34590|0|N
H9725|014|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Select Medicare (HMO)|00025272|0.00|0| | |NC|34670|0|N
H9725|014|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Select Medicare (HMO)|00025272|0.00|0| | |NC|34890|0|N
H9725|014|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Select Medicare (HMO)|00025272|0.00|0| | |NC|34910|0|N
H9725|015|001|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Savings Medicare (HMO)|00025272|0.00|0| | |NC|34010|0|N
H9725|015|001|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Savings Medicare (HMO)|00025272|0.00|0| | |NC|34030|0|N
H9725|015|001|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Savings Medicare (HMO)|00025272|0.00|0| | |NC|34120|0|N
H9725|015|001|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Savings Medicare (HMO)|00025272|0.00|0| | |NC|34170|0|N
H9725|015|001|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Savings Medicare (HMO)|00025272|0.00|0| | |NC|34220|0|N
H9725|015|001|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Savings Medicare (HMO)|00025272|0.00|0| | |NC|34350|0|N
H9725|015|001|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Savings Medicare (HMO)|00025272|0.00|0| | |NC|34480|0|N
H9725|015|001|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Savings Medicare (HMO)|00025272|0.00|0| | |NC|34540|0|N
H9725|015|001|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Savings Medicare (HMO)|00025272|0.00|0| | |NC|34590|0|N
H9725|015|001|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Savings Medicare (HMO)|00025272|0.00|0| | |NC|34790|0|N
H9725|015|001|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Savings Medicare (HMO)|00025272|0.00|0| | |NC|34890|0|N
H9725|015|002|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Savings Medicare (HMO)|00025272|0.00|0| | |NC|34050|0|N
H9725|015|002|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Savings Medicare (HMO)|00025272|0.00|0| | |NC|34100|0|N
H9725|015|002|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Savings Medicare (HMO)|00025272|0.00|0| | |NC|34110|0|N
H9725|015|002|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Savings Medicare (HMO)|00025272|0.00|0| | |NC|34440|0|N
H9725|015|002|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Savings Medicare (HMO)|00025272|0.00|0| | |NC|34550|0|N
H9725|015|002|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Savings Medicare (HMO)|00025272|0.00|0| | |NC|34570|0|N
H9725|015|002|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Savings Medicare (HMO)|00025272|0.00|0| | |NC|34600|0|N
H9725|015|002|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Savings Medicare (HMO)|00025272|0.00|0| | |NC|34740|0|N
H9725|015|002|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Savings Medicare (HMO)|00025272|0.00|0| | |NC|34870|0|N
H9725|015|002|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Savings Medicare (HMO)|00025272|0.00|0| | |NC|34981|0|N
H9725|015|003|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Savings Medicare (HMO)|00025272|0.00|0| | |NC|34020|0|N
H9725|015|003|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Savings Medicare (HMO)|00025272|0.00|0| | |NC|34280|0|N
H9725|015|003|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Savings Medicare (HMO)|00025272|0.00|0| | |NC|34290|0|N
H9725|015|003|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Savings Medicare (HMO)|00025272|0.00|0| | |NC|34330|0|N
H9725|015|003|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Savings Medicare (HMO)|00025272|0.00|0| | |NC|34400|0|N
H9725|015|003|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Savings Medicare (HMO)|00025272|0.00|0| | |NC|34750|0|N
H9725|015|003|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Savings Medicare (HMO)|00025272|0.00|0| | |NC|34780|0|N
H9725|015|003|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Savings Medicare (HMO)|00025272|0.00|0| | |NC|34840|0|N
H9725|015|003|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Savings Medicare (HMO)|00025272|0.00|0| | |NC|34960|0|N
H9725|015|003|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Savings Medicare (HMO)|00025272|0.00|0| | |NC|34980|0|N
H9725|015|004|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Savings Medicare (HMO)|00025272|0.00|0| | |NC|34000|0|N
H9725|015|004|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Savings Medicare (HMO)|00025272|0.00|0| | |NC|34180|0|N
H9725|015|004|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Savings Medicare (HMO)|00025272|0.00|0| | |NC|34310|0|N
H9725|015|004|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Savings Medicare (HMO)|00025272|0.00|0| | |NC|34500|0|N
H9725|015|004|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Savings Medicare (HMO)|00025272|0.00|0| | |NC|34670|0|N
H9725|015|004|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Savings Medicare (HMO)|00025272|0.00|0| | |NC|34910|0|N
H9725|016|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |VA|49030|0|N
H9725|016|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |VA|49180|0|N
H9725|016|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |VA|49200|0|N
H9725|016|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |VA|49212|0|N
H9725|016|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |VA|49260|0|N
H9725|016|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |VA|49370|0|N
H9725|016|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |VA|49420|0|N
H9725|016|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |VA|49430|0|N
H9725|016|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |VA|49701|0|N
H9725|016|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |VA|49720|0|N
H9725|016|000|BRAVO HEALTH PENNSYLVANIA, INC.|Cigna Preferred Savings Medicare (HMO)|00025271|0.00|0| | |VA|49791|0|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18000|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18010|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18020|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18030|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18040|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18050|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18060|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18070|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18080|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18090|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18100|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18110|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18120|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18130|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18140|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18150|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18160|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18170|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18180|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18190|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18191|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18210|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18220|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18230|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18240|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18250|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18260|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18270|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18271|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18290|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18291|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18310|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18320|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18330|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18340|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18350|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18360|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18361|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18362|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18390|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18400|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18410|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18420|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18421|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18440|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18450|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18460|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18470|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18480|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18490|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18500|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18510|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18511|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18530|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18540|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18550|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18560|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18570|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18580|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18590|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18600|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18610|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18620|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18630|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18640|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18650|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18660|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18670|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18680|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18690|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18700|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18710|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18720|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18730|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18740|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18750|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18760|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18770|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18780|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18790|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18800|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18801|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18802|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18830|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18831|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18850|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18860|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18861|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18880|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18890|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18900|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18910|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18920|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18930|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18931|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18932|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18960|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18970|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18971|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18972|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18973|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18974|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18975|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18976|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18977|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18978|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18979|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18980|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18981|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18982|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18983|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18984|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18985|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18986|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18987|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18988|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18989|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18990|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18991|2|N
H9730|003|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Access (HMO-POS D-SNP)|00025040|0.00|590| | |KY|18992|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18000|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18010|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18020|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18030|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18040|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18050|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18060|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18070|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18080|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18090|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18100|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18110|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18120|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18130|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18140|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18150|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18160|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18170|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18180|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18190|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18191|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18210|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18220|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18230|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18240|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18250|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18260|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18270|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18271|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18290|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18291|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18310|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18320|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18330|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18340|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18350|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18360|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18361|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18362|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18390|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18400|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18410|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18420|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18421|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18440|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18450|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18460|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18470|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18480|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18490|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18500|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18510|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18511|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18530|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18540|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18550|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18560|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18570|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18580|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18590|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18600|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18610|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18620|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18630|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18640|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18650|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18660|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18670|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18680|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18690|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18700|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18710|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18720|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18730|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18740|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18750|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18760|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18770|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18780|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18790|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18800|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18801|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18802|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18830|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18831|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18850|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18860|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18861|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18880|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18890|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18900|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18910|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18920|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18930|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18931|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18932|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18960|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18970|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18971|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18972|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18973|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18974|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18975|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18976|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18977|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18978|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18979|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18980|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18981|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18982|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18983|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18984|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18985|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18986|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18987|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18988|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18989|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18990|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18991|2|N
H9730|004|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Liberty (HMO-POS D-SNP)|00025035|0.00|590| | |KY|18992|2|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18000|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18010|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18020|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18030|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18040|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18050|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18060|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18070|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18080|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18090|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18100|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18110|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18120|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18130|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18140|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18150|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18160|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18170|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18180|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18190|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18191|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18210|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18220|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18230|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18240|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18250|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18260|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18270|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18271|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18290|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18291|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18310|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18320|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18330|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18340|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18350|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18360|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18361|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18362|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18390|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18400|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18410|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18420|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18421|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18440|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18450|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18460|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18470|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18480|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18490|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18500|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18510|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18511|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18530|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18540|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18550|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18560|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18570|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18580|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18590|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18600|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18610|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18620|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18630|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18640|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18650|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18660|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18670|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18680|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18690|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18700|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18710|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18720|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18730|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18740|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18750|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18760|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18770|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18780|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18790|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18800|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18801|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18802|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18830|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18831|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18850|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18860|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18861|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18880|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18890|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18900|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18910|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18920|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18930|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18931|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18932|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18960|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18970|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18971|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18972|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18973|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18974|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18975|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18976|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18977|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18978|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18979|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18980|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18981|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18982|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18983|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18984|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18985|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18986|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18987|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18988|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18989|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18990|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18991|0|N
H9730|007|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Giveback (HMO-POS)|00025076|0.00|420| | |KY|18992|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18000|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18010|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18020|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18030|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18040|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18050|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18060|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18070|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18080|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18090|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18100|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18110|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18120|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18130|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18140|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18150|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18160|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18170|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18180|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18190|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18191|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18210|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18220|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18230|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18240|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18250|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18260|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18270|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18271|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18290|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18291|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18310|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18320|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18330|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18340|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18350|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18360|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18361|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18362|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18390|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18400|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18410|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18420|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18421|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18440|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18450|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18460|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18470|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18480|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18490|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18500|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18510|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18511|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18530|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18540|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18550|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18560|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18570|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18580|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18590|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18600|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18610|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18620|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18630|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18640|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18650|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18660|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18670|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18680|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18690|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18700|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18710|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18720|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18730|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18740|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18750|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18760|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18770|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18780|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18790|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18800|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18801|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18802|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18830|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18831|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18850|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18860|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18861|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18880|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18890|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18900|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18910|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18920|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18930|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18931|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18932|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18960|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18970|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18971|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18972|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18973|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18974|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18975|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18976|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18977|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18978|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18979|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18980|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18981|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18982|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18983|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18984|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18985|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18986|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18987|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18988|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18989|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18990|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18991|0|N
H9730|009|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |KY|18992|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18000|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18010|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18020|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18030|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18040|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18050|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18060|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18070|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18080|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18090|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18100|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18110|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18120|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18130|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18140|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18150|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18160|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18170|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18180|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18190|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18191|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18210|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18220|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18230|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18240|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18250|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18260|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18270|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18271|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18290|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18291|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18310|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18320|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18330|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18340|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18350|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18360|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18361|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18362|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18390|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18400|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18410|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18420|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18421|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18440|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18450|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18460|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18470|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18480|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18490|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18500|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18510|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18511|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18530|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18540|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18550|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18560|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18570|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18580|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18590|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18600|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18610|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18620|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18630|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18640|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18650|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18660|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18670|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18680|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18690|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18700|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18710|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18720|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18730|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18740|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18750|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18760|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18770|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18780|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18790|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18800|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18801|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18802|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18830|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18831|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18850|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18860|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18861|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18880|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18890|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18900|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18910|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18920|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18930|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18931|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18932|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18960|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18970|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18971|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18972|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18973|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18974|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18975|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18976|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18977|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18978|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18979|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18980|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18981|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18982|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18983|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18984|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18985|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18986|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18987|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18988|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18989|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18990|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18991|0|N
H9730|010|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Assist (HMO-POS)|00025066|37.40|590| | |KY|18992|0|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18000|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18010|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18020|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18030|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18040|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18050|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18060|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18070|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18080|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18090|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18100|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18110|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18120|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18130|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18140|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18150|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18160|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18170|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18180|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18190|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18191|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18210|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18220|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18230|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18240|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18250|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18260|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18270|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18271|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18290|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18291|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18310|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18320|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18330|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18340|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18350|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18360|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18361|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18362|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18390|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18400|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18410|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18420|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18421|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18440|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18450|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18460|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18470|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18480|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18490|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18500|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18510|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18511|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18530|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18540|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18550|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18560|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18570|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18580|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18590|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18600|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18610|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18620|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18630|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18640|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18650|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18660|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18670|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18680|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18690|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18700|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18710|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18720|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18730|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18740|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18750|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18760|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18770|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18780|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18790|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18800|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18801|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18802|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18830|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18831|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18850|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18860|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18861|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18880|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18890|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18900|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18910|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18920|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18930|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18931|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18932|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18960|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18970|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18971|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18972|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18973|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18974|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18975|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18976|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18977|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18978|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18979|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18980|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18981|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18982|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18983|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18984|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18985|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18986|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18987|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18988|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18989|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18990|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18991|2|N
H9730|011|000|WELLCARE HEALTH INSURANCE COMPANY OF KENTUCKY, INC|Wellcare Dual Reserve (HMO-POS D-SNP)|00025040|49.60|590| | |KY|18992|2|N
H9763|003|001|OCHSNER HEALTH PLAN, INC.|Ochsner Health Plan Premier (HMO)|00025240|0.00|0| | |LA|19020|0|N
H9763|003|001|OCHSNER HEALTH PLAN, INC.|Ochsner Health Plan Premier (HMO)|00025240|0.00|0| | |LA|19160|0|N
H9763|003|001|OCHSNER HEALTH PLAN, INC.|Ochsner Health Plan Premier (HMO)|00025240|0.00|0| | |LA|19180|0|N
H9763|003|001|OCHSNER HEALTH PLAN, INC.|Ochsner Health Plan Premier (HMO)|00025240|0.00|0| | |LA|19230|0|N
H9763|003|001|OCHSNER HEALTH PLAN, INC.|Ochsner Health Plan Premier (HMO)|00025240|0.00|0| | |LA|19250|0|N
H9763|003|001|OCHSNER HEALTH PLAN, INC.|Ochsner Health Plan Premier (HMO)|00025240|0.00|0| | |LA|19280|0|N
H9763|003|001|OCHSNER HEALTH PLAN, INC.|Ochsner Health Plan Premier (HMO)|00025240|0.00|0| | |LA|19310|0|N
H9763|003|001|OCHSNER HEALTH PLAN, INC.|Ochsner Health Plan Premier (HMO)|00025240|0.00|0| | |LA|19350|0|N
H9763|003|001|OCHSNER HEALTH PLAN, INC.|Ochsner Health Plan Premier (HMO)|00025240|0.00|0| | |LA|19370|0|N
H9763|003|001|OCHSNER HEALTH PLAN, INC.|Ochsner Health Plan Premier (HMO)|00025240|0.00|0| | |LA|19430|0|N
H9763|003|001|OCHSNER HEALTH PLAN, INC.|Ochsner Health Plan Premier (HMO)|00025240|0.00|0| | |LA|19440|0|N
H9763|003|001|OCHSNER HEALTH PLAN, INC.|Ochsner Health Plan Premier (HMO)|00025240|0.00|0| | |LA|19470|0|N
H9763|003|001|OCHSNER HEALTH PLAN, INC.|Ochsner Health Plan Premier (HMO)|00025240|0.00|0| | |LA|19600|0|N
H9763|003|002|OCHSNER HEALTH PLAN, INC.|Ochsner Health Plan Premier (HMO)|00025240|0.00|0| | |LA|19510|0|N
H9763|004|001|OCHSNER HEALTH PLAN, INC.|Ochsner Health Plan Freedom (HMO-POS)|00025240|0.00|0| | |LA|19020|0|N
H9763|004|001|OCHSNER HEALTH PLAN, INC.|Ochsner Health Plan Freedom (HMO-POS)|00025240|0.00|0| | |LA|19160|0|N
H9763|004|001|OCHSNER HEALTH PLAN, INC.|Ochsner Health Plan Freedom (HMO-POS)|00025240|0.00|0| | |LA|19180|0|N
H9763|004|001|OCHSNER HEALTH PLAN, INC.|Ochsner Health Plan Freedom (HMO-POS)|00025240|0.00|0| | |LA|19230|0|N
H9763|004|001|OCHSNER HEALTH PLAN, INC.|Ochsner Health Plan Freedom (HMO-POS)|00025240|0.00|0| | |LA|19250|0|N
H9763|004|001|OCHSNER HEALTH PLAN, INC.|Ochsner Health Plan Freedom (HMO-POS)|00025240|0.00|0| | |LA|19280|0|N
H9763|004|001|OCHSNER HEALTH PLAN, INC.|Ochsner Health Plan Freedom (HMO-POS)|00025240|0.00|0| | |LA|19310|0|N
H9763|004|001|OCHSNER HEALTH PLAN, INC.|Ochsner Health Plan Freedom (HMO-POS)|00025240|0.00|0| | |LA|19350|0|N
H9763|004|001|OCHSNER HEALTH PLAN, INC.|Ochsner Health Plan Freedom (HMO-POS)|00025240|0.00|0| | |LA|19370|0|N
H9763|004|001|OCHSNER HEALTH PLAN, INC.|Ochsner Health Plan Freedom (HMO-POS)|00025240|0.00|0| | |LA|19430|0|N
H9763|004|001|OCHSNER HEALTH PLAN, INC.|Ochsner Health Plan Freedom (HMO-POS)|00025240|0.00|0| | |LA|19440|0|N
H9763|004|001|OCHSNER HEALTH PLAN, INC.|Ochsner Health Plan Freedom (HMO-POS)|00025240|0.00|0| | |LA|19470|0|N
H9763|004|001|OCHSNER HEALTH PLAN, INC.|Ochsner Health Plan Freedom (HMO-POS)|00025240|0.00|0| | |LA|19600|0|N
H9763|004|002|OCHSNER HEALTH PLAN, INC.|Ochsner Health Plan Freedom (HMO-POS)|00025240|0.00|0| | |LA|19510|0|N
H9763|005|000|OCHSNER HEALTH PLAN, INC.|Ochsner Health Plan Premier (HMO)|00025240|0.00|0| | |LA|19000|0|N
H9763|005|000|OCHSNER HEALTH PLAN, INC.|Ochsner Health Plan Premier (HMO)|00025240|0.00|0| | |LA|19260|0|N
H9763|005|000|OCHSNER HEALTH PLAN, INC.|Ochsner Health Plan Premier (HMO)|00025240|0.00|0| | |LA|19270|0|N
H9763|005|000|OCHSNER HEALTH PLAN, INC.|Ochsner Health Plan Premier (HMO)|00025240|0.00|0| | |LA|19480|0|N
H9763|005|000|OCHSNER HEALTH PLAN, INC.|Ochsner Health Plan Premier (HMO)|00025240|0.00|0| | |LA|19490|0|N
H9763|005|000|OCHSNER HEALTH PLAN, INC.|Ochsner Health Plan Premier (HMO)|00025240|0.00|0| | |LA|19560|0|N
H9763|007|000|OCHSNER HEALTH PLAN, INC.|Ochsner Health Plan Dual (HMO D-SNP)|00025238|0.00|590| | |LA|19250|2|N
H9763|007|000|OCHSNER HEALTH PLAN, INC.|Ochsner Health Plan Dual (HMO D-SNP)|00025238|0.00|590| | |LA|19350|2|N
H9763|007|000|OCHSNER HEALTH PLAN, INC.|Ochsner Health Plan Dual (HMO D-SNP)|00025238|0.00|590| | |LA|19370|2|N
H9763|007|000|OCHSNER HEALTH PLAN, INC.|Ochsner Health Plan Dual (HMO D-SNP)|00025238|0.00|590| | |LA|19430|2|N
H9763|007|000|OCHSNER HEALTH PLAN, INC.|Ochsner Health Plan Dual (HMO D-SNP)|00025238|0.00|590| | |LA|19440|2|N
H9808|004|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Plan I (PPO)|00025417|0.00|0| | |NC|34000|0|N
H9808|004|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Plan I (PPO)|00025417|0.00|0| | |NC|34160|0|N
H9808|004|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Plan I (PPO)|00025417|0.00|0| | |NC|34280|0|N
H9808|004|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Plan I (PPO)|00025417|0.00|0| | |NC|34290|0|N
H9808|004|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Plan I (PPO)|00025417|0.00|0| | |NC|34330|0|N
H9808|004|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Plan I (PPO)|00025417|0.00|0| | |NC|34400|0|N
H9808|004|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Plan I (PPO)|00025417|0.00|0| | |NC|34610|0|N
H9808|004|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Plan I (PPO)|00025417|0.00|0| | |NC|34670|0|N
H9808|004|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Plan I (PPO)|00025417|0.00|0| | |NC|34750|0|N
H9808|004|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Plan I (PPO)|00025417|0.00|0| | |NC|34780|0|N
H9808|004|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Plan I (PPO)|00025417|0.00|0| | |NC|34840|0|N
H9808|004|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Plan I (PPO)|00025417|0.00|0| | |NC|34980|0|N
H9808|005|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Plan II (PPO)|00025417|44.00|0| | |NC|34000|0|N
H9808|005|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Plan II (PPO)|00025417|44.00|0| | |NC|34160|0|N
H9808|005|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Plan II (PPO)|00025417|44.00|0| | |NC|34280|0|N
H9808|005|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Plan II (PPO)|00025417|44.00|0| | |NC|34290|0|N
H9808|005|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Plan II (PPO)|00025417|44.00|0| | |NC|34330|0|N
H9808|005|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Plan II (PPO)|00025417|44.00|0| | |NC|34400|0|N
H9808|005|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Plan II (PPO)|00025417|44.00|0| | |NC|34610|0|N
H9808|005|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Plan II (PPO)|00025417|44.00|0| | |NC|34670|0|N
H9808|005|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Plan II (PPO)|00025417|44.00|0| | |NC|34750|0|N
H9808|005|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Plan II (PPO)|00025417|44.00|0| | |NC|34780|0|N
H9808|005|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Plan II (PPO)|00025417|44.00|0| | |NC|34840|0|N
H9808|005|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Plan II (PPO)|00025417|44.00|0| | |NC|34980|0|N
H9808|010|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Vitality Plan (PPO)|00025417|0.00|150| | |NC|34000|0|N
H9808|010|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Vitality Plan (PPO)|00025417|0.00|150| | |NC|34010|0|N
H9808|010|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Vitality Plan (PPO)|00025417|0.00|150| | |NC|34020|0|N
H9808|010|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Vitality Plan (PPO)|00025417|0.00|150| | |NC|34030|0|N
H9808|010|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Vitality Plan (PPO)|00025417|0.00|150| | |NC|34080|0|N
H9808|010|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Vitality Plan (PPO)|00025417|0.00|150| | |NC|34090|0|N
H9808|010|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Vitality Plan (PPO)|00025417|0.00|150| | |NC|34120|0|N
H9808|010|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Vitality Plan (PPO)|00025417|0.00|150| | |NC|34160|0|N
H9808|010|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Vitality Plan (PPO)|00025417|0.00|150| | |NC|34180|0|N
H9808|010|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Vitality Plan (PPO)|00025417|0.00|150| | |NC|34230|0|N
H9808|010|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Vitality Plan (PPO)|00025417|0.00|150| | |NC|34280|0|N
H9808|010|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Vitality Plan (PPO)|00025417|0.00|150| | |NC|34290|0|N
H9808|010|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Vitality Plan (PPO)|00025417|0.00|150| | |NC|34310|0|N
H9808|010|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Vitality Plan (PPO)|00025417|0.00|150| | |NC|34330|0|N
H9808|010|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Vitality Plan (PPO)|00025417|0.00|150| | |NC|34350|0|N
H9808|010|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Vitality Plan (PPO)|00025417|0.00|150| | |NC|34400|0|N
H9808|010|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Vitality Plan (PPO)|00025417|0.00|150| | |NC|34480|0|N
H9808|010|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Vitality Plan (PPO)|00025417|0.00|150| | |NC|34540|0|N
H9808|010|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Vitality Plan (PPO)|00025417|0.00|150| | |NC|34590|0|N
H9808|010|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Vitality Plan (PPO)|00025417|0.00|150| | |NC|34610|0|N
H9808|010|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Vitality Plan (PPO)|00025417|0.00|150| | |NC|34640|0|N
H9808|010|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Vitality Plan (PPO)|00025417|0.00|150| | |NC|34670|0|N
H9808|010|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Vitality Plan (PPO)|00025417|0.00|150| | |NC|34700|0|N
H9808|010|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Vitality Plan (PPO)|00025417|0.00|150| | |NC|34720|0|N
H9808|010|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Vitality Plan (PPO)|00025417|0.00|150| | |NC|34750|0|N
H9808|010|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Vitality Plan (PPO)|00025417|0.00|150| | |NC|34760|0|N
H9808|010|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Vitality Plan (PPO)|00025417|0.00|150| | |NC|34780|0|N
H9808|010|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Vitality Plan (PPO)|00025417|0.00|150| | |NC|34790|0|N
H9808|010|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Vitality Plan (PPO)|00025417|0.00|150| | |NC|34820|0|N
H9808|010|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Vitality Plan (PPO)|00025417|0.00|150| | |NC|34840|0|N
H9808|010|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Vitality Plan (PPO)|00025417|0.00|150| | |NC|34890|0|N
H9808|010|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Vitality Plan (PPO)|00025417|0.00|150| | |NC|34960|0|N
H9808|010|000|CARE N' CARE INSURANCE COMPANY OF NORTH CAROLINA|HealthTeam Advantage Vitality Plan (PPO)|00025417|0.00|150| | |NC|34980|0|N
H9826|002|001|COMMUNITY HEALTH CHOICE TEXAS, INC.|Community Health Choice (HMO D-SNP)|00025055|0.00|590| | |TX|45070|2|N
H9826|002|001|COMMUNITY HEALTH CHOICE TEXAS, INC.|Community Health Choice (HMO D-SNP)|00025055|0.00|590| | |TX|45790|2|N
H9826|002|001|COMMUNITY HEALTH CHOICE TEXAS, INC.|Community Health Choice (HMO D-SNP)|00025055|0.00|590| | |TX|45950|2|N
H9826|002|001|COMMUNITY HEALTH CHOICE TEXAS, INC.|Community Health Choice (HMO D-SNP)|00025055|0.00|590| | |TX|45954|2|N
H9826|002|002|COMMUNITY HEALTH CHOICE TEXAS, INC.|Community Health Choice (HMO D-SNP)|00025055|0.00|590| | |TX|45180|2|N
H9826|002|002|COMMUNITY HEALTH CHOICE TEXAS, INC.|Community Health Choice (HMO D-SNP)|00025055|0.00|590| | |TX|45280|2|N
H9826|002|002|COMMUNITY HEALTH CHOICE TEXAS, INC.|Community Health Choice (HMO D-SNP)|00025055|0.00|590| | |TX|45530|2|N
H9826|002|002|COMMUNITY HEALTH CHOICE TEXAS, INC.|Community Health Choice (HMO D-SNP)|00025055|0.00|590| | |TX|45550|2|N
H9826|002|002|COMMUNITY HEALTH CHOICE TEXAS, INC.|Community Health Choice (HMO D-SNP)|00025055|0.00|590| | |TX|45610|2|N
H9826|002|002|COMMUNITY HEALTH CHOICE TEXAS, INC.|Community Health Choice (HMO D-SNP)|00025055|0.00|590| | |TX|45700|2|N
H9826|002|002|COMMUNITY HEALTH CHOICE TEXAS, INC.|Community Health Choice (HMO D-SNP)|00025055|0.00|590| | |TX|45757|2|N
H9826|002|002|COMMUNITY HEALTH CHOICE TEXAS, INC.|Community Health Choice (HMO D-SNP)|00025055|0.00|590| | |TX|45801|2|N
H9826|002|003|COMMUNITY HEALTH CHOICE TEXAS, INC.|Community Health Choice (HMO D-SNP)|00025055|0.00|590| | |TX|45600|2|N
H9826|002|003|COMMUNITY HEALTH CHOICE TEXAS, INC.|Community Health Choice (HMO D-SNP)|00025055|0.00|590| | |TX|45690|2|N
H9826|002|003|COMMUNITY HEALTH CHOICE TEXAS, INC.|Community Health Choice (HMO D-SNP)|00025055|0.00|590| | |TX|45821|2|N
H9826|002|003|COMMUNITY HEALTH CHOICE TEXAS, INC.|Community Health Choice (HMO D-SNP)|00025055|0.00|590| | |TX|45840|2|N
H9826|002|003|COMMUNITY HEALTH CHOICE TEXAS, INC.|Community Health Choice (HMO D-SNP)|00025055|0.00|590| | |TX|45850|2|N
H9826|002|003|COMMUNITY HEALTH CHOICE TEXAS, INC.|Community Health Choice (HMO D-SNP)|00025055|0.00|590| | |TX|45884|2|N
H9826|002|003|COMMUNITY HEALTH CHOICE TEXAS, INC.|Community Health Choice (HMO D-SNP)|00025055|0.00|590| | |TX|45942|2|N
H9826|002|003|COMMUNITY HEALTH CHOICE TEXAS, INC.|Community Health Choice (HMO D-SNP)|00025055|0.00|590| | |TX|45949|2|N
H9827|001|000|MOUNT CARMEL HEALTH PLAN OF NEW YORK, INC.|Trinity Health Plan New York No Premium (HMO)|00025291|0.00|0| | |NY|33000|0|N
H9827|001|000|MOUNT CARMEL HEALTH PLAN OF NEW YORK, INC.|Trinity Health Plan New York No Premium (HMO)|00025291|0.00|0| | |NY|33340|0|N
H9827|001|000|MOUNT CARMEL HEALTH PLAN OF NEW YORK, INC.|Trinity Health Plan New York No Premium (HMO)|00025291|0.00|0| | |NY|33360|0|N
H9827|001|000|MOUNT CARMEL HEALTH PLAN OF NEW YORK, INC.|Trinity Health Plan New York No Premium (HMO)|00025291|0.00|0| | |NY|33380|0|N
H9827|001|000|MOUNT CARMEL HEALTH PLAN OF NEW YORK, INC.|Trinity Health Plan New York No Premium (HMO)|00025291|0.00|0| | |NY|33510|0|N
H9827|001|000|MOUNT CARMEL HEALTH PLAN OF NEW YORK, INC.|Trinity Health Plan New York No Premium (HMO)|00025291|0.00|0| | |NY|33520|0|N
H9827|001|000|MOUNT CARMEL HEALTH PLAN OF NEW YORK, INC.|Trinity Health Plan New York No Premium (HMO)|00025291|0.00|0| | |NY|33600|0|N
H9827|001|000|MOUNT CARMEL HEALTH PLAN OF NEW YORK, INC.|Trinity Health Plan New York No Premium (HMO)|00025291|0.00|0| | |NY|33650|0|N
H9827|004|000|MOUNT CARMEL HEALTH PLAN OF NEW YORK, INC.|Trinity Health Plan New York Cash Back (HMO)|00025291|0.00|350| | |NY|33000|0|N
H9827|004|000|MOUNT CARMEL HEALTH PLAN OF NEW YORK, INC.|Trinity Health Plan New York Cash Back (HMO)|00025291|0.00|350| | |NY|33340|0|N
H9827|004|000|MOUNT CARMEL HEALTH PLAN OF NEW YORK, INC.|Trinity Health Plan New York Cash Back (HMO)|00025291|0.00|350| | |NY|33360|0|N
H9827|004|000|MOUNT CARMEL HEALTH PLAN OF NEW YORK, INC.|Trinity Health Plan New York Cash Back (HMO)|00025291|0.00|350| | |NY|33380|0|N
H9827|004|000|MOUNT CARMEL HEALTH PLAN OF NEW YORK, INC.|Trinity Health Plan New York Cash Back (HMO)|00025291|0.00|350| | |NY|33510|0|N
H9827|004|000|MOUNT CARMEL HEALTH PLAN OF NEW YORK, INC.|Trinity Health Plan New York Cash Back (HMO)|00025291|0.00|350| | |NY|33520|0|N
H9827|004|000|MOUNT CARMEL HEALTH PLAN OF NEW YORK, INC.|Trinity Health Plan New York Cash Back (HMO)|00025291|0.00|350| | |NY|33600|0|N
H9827|004|000|MOUNT CARMEL HEALTH PLAN OF NEW YORK, INC.|Trinity Health Plan New York Cash Back (HMO)|00025291|0.00|350| | |NY|33650|0|N
H9834|001|000|QUARTZ HEALTH PLAN MN CORPORATION|Gundersen MN Quartz Med Advantage Elite D (w/Rx) (HMO)|00025414|92.60|200| | |MN|24220|0|N
H9834|001|000|QUARTZ HEALTH PLAN MN CORPORATION|Gundersen MN Quartz Med Advantage Elite D (w/Rx) (HMO)|00025414|92.60|200| | |MN|24270|0|N
H9834|001|000|QUARTZ HEALTH PLAN MN CORPORATION|Gundersen MN Quartz Med Advantage Elite D (w/Rx) (HMO)|00025414|92.60|200| | |MN|24780|0|N
H9834|001|000|QUARTZ HEALTH PLAN MN CORPORATION|Gundersen MN Quartz Med Advantage Elite D (w/Rx) (HMO)|00025414|92.60|200| | |MN|24840|0|N
H9834|003|000|QUARTZ HEALTH PLAN MN CORPORATION|Gundersen MN Quartz Med Advantage Value D (w/Rx) (HMO)|00025414|44.70|225| | |MN|24220|0|N
H9834|003|000|QUARTZ HEALTH PLAN MN CORPORATION|Gundersen MN Quartz Med Advantage Value D (w/Rx) (HMO)|00025414|44.70|225| | |MN|24270|0|N
H9834|003|000|QUARTZ HEALTH PLAN MN CORPORATION|Gundersen MN Quartz Med Advantage Value D (w/Rx) (HMO)|00025414|44.70|225| | |MN|24780|0|N
H9834|003|000|QUARTZ HEALTH PLAN MN CORPORATION|Gundersen MN Quartz Med Advantage Value D (w/Rx) (HMO)|00025414|44.70|225| | |MN|24840|0|N
H9834|006|000|QUARTZ HEALTH PLAN MN CORPORATION|Gundersen MN Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|225| | |MN|24220|0|N
H9834|006|000|QUARTZ HEALTH PLAN MN CORPORATION|Gundersen MN Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|225| | |MN|24270|0|N
H9834|006|000|QUARTZ HEALTH PLAN MN CORPORATION|Gundersen MN Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|225| | |MN|24780|0|N
H9834|006|000|QUARTZ HEALTH PLAN MN CORPORATION|Gundersen MN Quartz Med Advantage Core D (w/Rx) (HMO)|00025414|0.00|225| | |MN|24840|0|N
H9869|001|000|PARTNERS HEALTH PLAN, INC.|PHP Care Complete FIDA-IDD Plan (Medicare-Medicaid Plan)|00025242|0.00|0| | |NY|33020|0|N
H9869|001|000|PARTNERS HEALTH PLAN, INC.|PHP Care Complete FIDA-IDD Plan (Medicare-Medicaid Plan)|00025242|0.00|0| | |NY|33331|0|N
H9869|001|000|PARTNERS HEALTH PLAN, INC.|PHP Care Complete FIDA-IDD Plan (Medicare-Medicaid Plan)|00025242|0.00|0| | |NY|33400|0|N
H9869|001|000|PARTNERS HEALTH PLAN, INC.|PHP Care Complete FIDA-IDD Plan (Medicare-Medicaid Plan)|00025242|0.00|0| | |NY|33420|0|N
H9869|001|000|PARTNERS HEALTH PLAN, INC.|PHP Care Complete FIDA-IDD Plan (Medicare-Medicaid Plan)|00025242|0.00|0| | |NY|33590|0|N
H9869|001|000|PARTNERS HEALTH PLAN, INC.|PHP Care Complete FIDA-IDD Plan (Medicare-Medicaid Plan)|00025242|0.00|0| | |NY|33610|0|N
H9869|001|000|PARTNERS HEALTH PLAN, INC.|PHP Care Complete FIDA-IDD Plan (Medicare-Medicaid Plan)|00025242|0.00|0| | |NY|33620|0|N
H9869|001|000|PARTNERS HEALTH PLAN, INC.|PHP Care Complete FIDA-IDD Plan (Medicare-Medicaid Plan)|00025242|0.00|0| | |NY|33700|0|N
H9869|001|000|PARTNERS HEALTH PLAN, INC.|PHP Care Complete FIDA-IDD Plan (Medicare-Medicaid Plan)|00025242|0.00|0| | |NY|33800|0|N
H9884|008|000|DEVOTED HEALTH INSURANCE COMPANY|Devoted CHOICE GIVEBACK Florida (PPO)|00025188|0.00|590| | |FL|10040|0|N
H9884|008|000|DEVOTED HEALTH INSURANCE COMPANY|Devoted CHOICE GIVEBACK Florida (PPO)|00025188|0.00|590| | |FL|10260|0|N
H9884|008|000|DEVOTED HEALTH INSURANCE COMPANY|Devoted CHOICE GIVEBACK Florida (PPO)|00025188|0.00|590| | |FL|10280|0|N
H9884|008|000|DEVOTED HEALTH INSURANCE COMPANY|Devoted CHOICE GIVEBACK Florida (PPO)|00025188|0.00|590| | |FL|10300|0|N
H9884|008|000|DEVOTED HEALTH INSURANCE COMPANY|Devoted CHOICE GIVEBACK Florida (PPO)|00025188|0.00|590| | |FL|10420|0|N
H9884|008|000|DEVOTED HEALTH INSURANCE COMPANY|Devoted CHOICE GIVEBACK Florida (PPO)|00025188|0.00|590| | |FL|10500|0|N
H9884|008|000|DEVOTED HEALTH INSURANCE COMPANY|Devoted CHOICE GIVEBACK Florida (PPO)|00025188|0.00|590| | |FL|10510|0|N
H9884|008|000|DEVOTED HEALTH INSURANCE COMPANY|Devoted CHOICE GIVEBACK Florida (PPO)|00025188|0.00|590| | |FL|10550|0|N
H9884|011|000|DEVOTED HEALTH INSURANCE COMPANY|Devoted CHOICE Florida (PPO)|00025185|0.00|590| | |FL|10160|0|N
H9884|011|000|DEVOTED HEALTH INSURANCE COMPANY|Devoted CHOICE Florida (PPO)|00025185|0.00|590| | |FL|10560|0|N
H9884|013|000|DEVOTED HEALTH INSURANCE COMPANY|Devoted CHOICE GIVEBACK Florida (PPO)|00025185|0.00|590| | |FL|10160|0|N
H9884|013|000|DEVOTED HEALTH INSURANCE COMPANY|Devoted CHOICE GIVEBACK Florida (PPO)|00025185|0.00|590| | |FL|10560|0|N
H9888|001|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE Alabama (PPO)|00025185|0.00|590| | |AL|01000|0|N
H9888|001|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE Alabama (PPO)|00025185|0.00|590| | |AL|01010|0|N
H9888|001|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE Alabama (PPO)|00025185|0.00|590| | |AL|01030|0|N
H9888|001|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE Alabama (PPO)|00025185|0.00|590| | |AL|01040|0|N
H9888|001|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE Alabama (PPO)|00025185|0.00|590| | |AL|01050|0|N
H9888|001|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE Alabama (PPO)|00025185|0.00|590| | |AL|01060|0|N
H9888|001|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE Alabama (PPO)|00025185|0.00|590| | |AL|01080|0|N
H9888|001|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE Alabama (PPO)|00025185|0.00|590| | |AL|01090|0|N
H9888|001|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE Alabama (PPO)|00025185|0.00|590| | |AL|01100|0|N
H9888|001|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE Alabama (PPO)|00025185|0.00|590| | |AL|01130|0|N
H9888|001|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE Alabama (PPO)|00025185|0.00|590| | |AL|01140|0|N
H9888|001|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE Alabama (PPO)|00025185|0.00|590| | |AL|01180|0|N
H9888|001|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE Alabama (PPO)|00025185|0.00|590| | |AL|01210|0|N
H9888|001|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE Alabama (PPO)|00025185|0.00|590| | |AL|01230|0|N
H9888|001|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE Alabama (PPO)|00025185|0.00|590| | |AL|01240|0|N
H9888|001|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE Alabama (PPO)|00025185|0.00|590| | |AL|01250|0|N
H9888|001|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE Alabama (PPO)|00025185|0.00|590| | |AL|01260|0|N
H9888|001|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE Alabama (PPO)|00025185|0.00|590| | |AL|01270|0|N
H9888|001|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE Alabama (PPO)|00025185|0.00|590| | |AL|01360|0|N
H9888|001|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE Alabama (PPO)|00025185|0.00|590| | |AL|01420|0|N
H9888|001|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE Alabama (PPO)|00025185|0.00|590| | |AL|01430|0|N
H9888|001|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE Alabama (PPO)|00025185|0.00|590| | |AL|01480|0|N
H9888|001|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE Alabama (PPO)|00025185|0.00|590| | |AL|01500|0|N
H9888|001|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE Alabama (PPO)|00025185|0.00|590| | |AL|01540|0|N
H9888|001|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE Alabama (PPO)|00025185|0.00|590| | |AL|01550|0|N
H9888|001|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE Alabama (PPO)|00025185|0.00|590| | |AL|01560|0|N
H9888|001|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE Alabama (PPO)|00025185|0.00|590| | |AL|01570|0|N
H9888|001|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE Alabama (PPO)|00025185|0.00|590| | |AL|01580|0|N
H9888|001|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE Alabama (PPO)|00025185|0.00|590| | |AL|01600|0|N
H9888|001|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE Alabama (PPO)|00025185|0.00|590| | |AL|01610|0|N
H9888|001|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE Alabama (PPO)|00025185|0.00|590| | |AL|01630|0|N
H9888|002|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE Alabama (PPO)|00025185|0.00|590| | |AL|01160|0|N
H9888|002|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE Alabama (PPO)|00025185|0.00|590| | |AL|01350|0|N
H9888|002|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE Alabama (PPO)|00025185|0.00|590| | |AL|01380|0|N
H9888|002|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE Alabama (PPO)|00025185|0.00|590| | |AL|01390|0|N
H9888|002|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE Alabama (PPO)|00025185|0.00|590| | |AL|01410|0|N
H9888|002|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE Alabama (PPO)|00025185|0.00|590| | |AL|01440|0|N
H9888|002|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE Alabama (PPO)|00025185|0.00|590| | |AL|01470|0|N
H9888|002|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE Alabama (PPO)|00025185|0.00|590| | |AL|01510|0|N
H9888|002|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE Alabama (PPO)|00025185|0.00|590| | |AL|01660|0|N
H9888|005|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE GIVEBACK Alabama (PPO)|00025188|0.00|590| | |AL|01000|0|N
H9888|005|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE GIVEBACK Alabama (PPO)|00025188|0.00|590| | |AL|01010|0|N
H9888|005|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE GIVEBACK Alabama (PPO)|00025188|0.00|590| | |AL|01030|0|N
H9888|005|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE GIVEBACK Alabama (PPO)|00025188|0.00|590| | |AL|01040|0|N
H9888|005|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE GIVEBACK Alabama (PPO)|00025188|0.00|590| | |AL|01050|0|N
H9888|005|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE GIVEBACK Alabama (PPO)|00025188|0.00|590| | |AL|01060|0|N
H9888|005|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE GIVEBACK Alabama (PPO)|00025188|0.00|590| | |AL|01080|0|N
H9888|005|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE GIVEBACK Alabama (PPO)|00025188|0.00|590| | |AL|01090|0|N
H9888|005|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE GIVEBACK Alabama (PPO)|00025188|0.00|590| | |AL|01100|0|N
H9888|005|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE GIVEBACK Alabama (PPO)|00025188|0.00|590| | |AL|01130|0|N
H9888|005|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE GIVEBACK Alabama (PPO)|00025188|0.00|590| | |AL|01140|0|N
H9888|005|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE GIVEBACK Alabama (PPO)|00025188|0.00|590| | |AL|01180|0|N
H9888|005|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE GIVEBACK Alabama (PPO)|00025188|0.00|590| | |AL|01210|0|N
H9888|005|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE GIVEBACK Alabama (PPO)|00025188|0.00|590| | |AL|01230|0|N
H9888|005|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE GIVEBACK Alabama (PPO)|00025188|0.00|590| | |AL|01240|0|N
H9888|005|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE GIVEBACK Alabama (PPO)|00025188|0.00|590| | |AL|01250|0|N
H9888|005|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE GIVEBACK Alabama (PPO)|00025188|0.00|590| | |AL|01260|0|N
H9888|005|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE GIVEBACK Alabama (PPO)|00025188|0.00|590| | |AL|01270|0|N
H9888|005|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE GIVEBACK Alabama (PPO)|00025188|0.00|590| | |AL|01360|0|N
H9888|005|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE GIVEBACK Alabama (PPO)|00025188|0.00|590| | |AL|01420|0|N
H9888|005|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE GIVEBACK Alabama (PPO)|00025188|0.00|590| | |AL|01430|0|N
H9888|005|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE GIVEBACK Alabama (PPO)|00025188|0.00|590| | |AL|01480|0|N
H9888|005|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE GIVEBACK Alabama (PPO)|00025188|0.00|590| | |AL|01500|0|N
H9888|005|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE GIVEBACK Alabama (PPO)|00025188|0.00|590| | |AL|01540|0|N
H9888|005|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE GIVEBACK Alabama (PPO)|00025188|0.00|590| | |AL|01550|0|N
H9888|005|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE GIVEBACK Alabama (PPO)|00025188|0.00|590| | |AL|01560|0|N
H9888|005|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE GIVEBACK Alabama (PPO)|00025188|0.00|590| | |AL|01570|0|N
H9888|005|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE GIVEBACK Alabama (PPO)|00025188|0.00|590| | |AL|01580|0|N
H9888|005|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE GIVEBACK Alabama (PPO)|00025188|0.00|590| | |AL|01600|0|N
H9888|005|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE GIVEBACK Alabama (PPO)|00025188|0.00|590| | |AL|01610|0|N
H9888|005|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE GIVEBACK Alabama (PPO)|00025188|0.00|590| | |AL|01630|0|N
H9888|006|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE GIVEBACK Alabama (PPO)|00025188|0.00|590| | |AL|01160|0|N
H9888|006|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE GIVEBACK Alabama (PPO)|00025188|0.00|590| | |AL|01350|0|N
H9888|006|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE GIVEBACK Alabama (PPO)|00025188|0.00|590| | |AL|01380|0|N
H9888|006|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE GIVEBACK Alabama (PPO)|00025188|0.00|590| | |AL|01390|0|N
H9888|006|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE GIVEBACK Alabama (PPO)|00025188|0.00|590| | |AL|01410|0|N
H9888|006|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE GIVEBACK Alabama (PPO)|00025188|0.00|590| | |AL|01440|0|N
H9888|006|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE GIVEBACK Alabama (PPO)|00025188|0.00|590| | |AL|01470|0|N
H9888|006|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE GIVEBACK Alabama (PPO)|00025188|0.00|590| | |AL|01510|0|N
H9888|006|000|DEVOTED HEALTH INSURANCE COMPANY OF ALABAMA INC|Devoted CHOICE GIVEBACK Alabama (PPO)|00025188|0.00|590| | |AL|01660|0|N
H9900|001|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |OK|37000|0|N
H9900|001|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |OK|37070|0|N
H9900|001|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |OK|37080|0|N
H9900|001|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |OK|37100|0|N
H9900|001|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |OK|37130|0|N
H9900|001|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |OK|37150|0|N
H9900|001|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |OK|37180|0|N
H9900|001|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |OK|37200|0|N
H9900|001|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |OK|37230|0|N
H9900|001|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |OK|37240|0|N
H9900|001|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |OK|37250|0|N
H9900|001|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |OK|37350|0|N
H9900|001|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |OK|37390|0|N
H9900|001|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |OK|37400|0|N
H9900|001|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |OK|37410|0|N
H9900|001|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |OK|37430|0|N
H9900|001|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |OK|37450|0|N
H9900|001|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |OK|37480|0|N
H9900|001|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |OK|37500|0|N
H9900|001|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |OK|37540|0|N
H9900|001|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |OK|37550|0|N
H9900|001|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |OK|37560|0|N
H9900|001|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |OK|37570|0|N
H9900|001|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |OK|37600|0|N
H9900|001|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |OK|37620|0|N
H9900|001|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |OK|37650|0|N
H9900|001|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |OK|37660|0|N
H9900|001|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |OK|37670|0|N
H9900|001|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |OK|37710|0|N
H9900|001|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Giveback (HMO-POS)|00025084|0.00|420| | |OK|37720|0|N
H9900|003|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|43.60|450| | |OK|37000|2|N
H9900|003|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|43.60|450| | |OK|37070|2|N
H9900|003|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|43.60|450| | |OK|37080|2|N
H9900|003|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|43.60|450| | |OK|37100|2|N
H9900|003|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|43.60|450| | |OK|37130|2|N
H9900|003|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|43.60|450| | |OK|37150|2|N
H9900|003|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|43.60|450| | |OK|37180|2|N
H9900|003|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|43.60|450| | |OK|37200|2|N
H9900|003|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|43.60|450| | |OK|37230|2|N
H9900|003|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|43.60|450| | |OK|37240|2|N
H9900|003|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|43.60|450| | |OK|37250|2|N
H9900|003|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|43.60|450| | |OK|37350|2|N
H9900|003|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|43.60|450| | |OK|37390|2|N
H9900|003|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|43.60|450| | |OK|37400|2|N
H9900|003|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|43.60|450| | |OK|37410|2|N
H9900|003|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|43.60|450| | |OK|37430|2|N
H9900|003|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|43.60|450| | |OK|37450|2|N
H9900|003|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|43.60|450| | |OK|37480|2|N
H9900|003|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|43.60|450| | |OK|37500|2|N
H9900|003|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|43.60|450| | |OK|37540|2|N
H9900|003|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|43.60|450| | |OK|37550|2|N
H9900|003|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|43.60|450| | |OK|37560|2|N
H9900|003|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|43.60|450| | |OK|37570|2|N
H9900|003|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|43.60|450| | |OK|37600|2|N
H9900|003|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|43.60|450| | |OK|37620|2|N
H9900|003|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|43.60|450| | |OK|37650|2|N
H9900|003|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|43.60|450| | |OK|37660|2|N
H9900|003|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|43.60|450| | |OK|37670|2|N
H9900|003|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|43.60|450| | |OK|37710|2|N
H9900|003|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Liberty (HMO-POS D-SNP)|00025066|43.60|450| | |OK|37720|2|N
H9900|005|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |OK|37000|0|N
H9900|005|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |OK|37070|0|N
H9900|005|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |OK|37080|0|N
H9900|005|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |OK|37100|0|N
H9900|005|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |OK|37130|0|N
H9900|005|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |OK|37150|0|N
H9900|005|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |OK|37180|0|N
H9900|005|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |OK|37200|0|N
H9900|005|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |OK|37230|0|N
H9900|005|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |OK|37240|0|N
H9900|005|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |OK|37250|0|N
H9900|005|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |OK|37350|0|N
H9900|005|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |OK|37390|0|N
H9900|005|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |OK|37400|0|N
H9900|005|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |OK|37410|0|N
H9900|005|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |OK|37430|0|N
H9900|005|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |OK|37450|0|N
H9900|005|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |OK|37480|0|N
H9900|005|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |OK|37500|0|N
H9900|005|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |OK|37540|0|N
H9900|005|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |OK|37550|0|N
H9900|005|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |OK|37560|0|N
H9900|005|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |OK|37570|0|N
H9900|005|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |OK|37600|0|N
H9900|005|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |OK|37620|0|N
H9900|005|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |OK|37650|0|N
H9900|005|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |OK|37660|0|N
H9900|005|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |OK|37670|0|N
H9900|005|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |OK|37710|0|N
H9900|005|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Simple (HMO-POS)|00025084|0.00|420| | |OK|37720|0|N
H9900|006|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Assist (HMO-POS)|00025066|34.70|590| | |OK|37000|0|N
H9900|006|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Assist (HMO-POS)|00025066|34.70|590| | |OK|37070|0|N
H9900|006|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Assist (HMO-POS)|00025066|34.70|590| | |OK|37080|0|N
H9900|006|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Assist (HMO-POS)|00025066|34.70|590| | |OK|37100|0|N
H9900|006|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Assist (HMO-POS)|00025066|34.70|590| | |OK|37130|0|N
H9900|006|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Assist (HMO-POS)|00025066|34.70|590| | |OK|37150|0|N
H9900|006|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Assist (HMO-POS)|00025066|34.70|590| | |OK|37180|0|N
H9900|006|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Assist (HMO-POS)|00025066|34.70|590| | |OK|37200|0|N
H9900|006|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Assist (HMO-POS)|00025066|34.70|590| | |OK|37230|0|N
H9900|006|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Assist (HMO-POS)|00025066|34.70|590| | |OK|37240|0|N
H9900|006|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Assist (HMO-POS)|00025066|34.70|590| | |OK|37250|0|N
H9900|006|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Assist (HMO-POS)|00025066|34.70|590| | |OK|37350|0|N
H9900|006|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Assist (HMO-POS)|00025066|34.70|590| | |OK|37390|0|N
H9900|006|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Assist (HMO-POS)|00025066|34.70|590| | |OK|37400|0|N
H9900|006|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Assist (HMO-POS)|00025066|34.70|590| | |OK|37410|0|N
H9900|006|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Assist (HMO-POS)|00025066|34.70|590| | |OK|37430|0|N
H9900|006|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Assist (HMO-POS)|00025066|34.70|590| | |OK|37450|0|N
H9900|006|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Assist (HMO-POS)|00025066|34.70|590| | |OK|37480|0|N
H9900|006|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Assist (HMO-POS)|00025066|34.70|590| | |OK|37500|0|N
H9900|006|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Assist (HMO-POS)|00025066|34.70|590| | |OK|37540|0|N
H9900|006|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Assist (HMO-POS)|00025066|34.70|590| | |OK|37550|0|N
H9900|006|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Assist (HMO-POS)|00025066|34.70|590| | |OK|37560|0|N
H9900|006|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Assist (HMO-POS)|00025066|34.70|590| | |OK|37570|0|N
H9900|006|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Assist (HMO-POS)|00025066|34.70|590| | |OK|37600|0|N
H9900|006|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Assist (HMO-POS)|00025066|34.70|590| | |OK|37620|0|N
H9900|006|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Assist (HMO-POS)|00025066|34.70|590| | |OK|37650|0|N
H9900|006|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Assist (HMO-POS)|00025066|34.70|590| | |OK|37660|0|N
H9900|006|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Assist (HMO-POS)|00025066|34.70|590| | |OK|37670|0|N
H9900|006|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Assist (HMO-POS)|00025066|34.70|590| | |OK|37710|0|N
H9900|006|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Assist (HMO-POS)|00025066|34.70|590| | |OK|37720|0|N
H9900|009|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|42.80|520| | |OK|37000|2|N
H9900|009|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|42.80|520| | |OK|37070|2|N
H9900|009|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|42.80|520| | |OK|37080|2|N
H9900|009|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|42.80|520| | |OK|37100|2|N
H9900|009|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|42.80|520| | |OK|37130|2|N
H9900|009|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|42.80|520| | |OK|37150|2|N
H9900|009|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|42.80|520| | |OK|37180|2|N
H9900|009|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|42.80|520| | |OK|37200|2|N
H9900|009|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|42.80|520| | |OK|37230|2|N
H9900|009|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|42.80|520| | |OK|37240|2|N
H9900|009|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|42.80|520| | |OK|37250|2|N
H9900|009|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|42.80|520| | |OK|37350|2|N
H9900|009|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|42.80|520| | |OK|37390|2|N
H9900|009|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|42.80|520| | |OK|37400|2|N
H9900|009|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|42.80|520| | |OK|37410|2|N
H9900|009|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|42.80|520| | |OK|37430|2|N
H9900|009|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|42.80|520| | |OK|37450|2|N
H9900|009|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|42.80|520| | |OK|37480|2|N
H9900|009|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|42.80|520| | |OK|37500|2|N
H9900|009|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|42.80|520| | |OK|37540|2|N
H9900|009|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|42.80|520| | |OK|37550|2|N
H9900|009|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|42.80|520| | |OK|37560|2|N
H9900|009|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|42.80|520| | |OK|37570|2|N
H9900|009|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|42.80|520| | |OK|37600|2|N
H9900|009|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|42.80|520| | |OK|37620|2|N
H9900|009|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|42.80|520| | |OK|37650|2|N
H9900|009|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|42.80|520| | |OK|37660|2|N
H9900|009|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|42.80|520| | |OK|37670|2|N
H9900|009|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|42.80|520| | |OK|37710|2|N
H9900|009|000|WELLCARE OF OKLAHOMA, INC.|Wellcare Dual Reserve (HMO-POS D-SNP)|00025066|42.80|520| | |OK|37720|2|N
H9904|001|000|CENTRAL MASS HEALTH, LLC|Mass Advantage Premiere (PPO)|00025020|0.00|0| | |MA|22170|0|N
H9904|002|000|CENTRAL MASS HEALTH, LLC|Mass Advantage Extra (PPO)|00025020|0.00|0| | |MA|22170|0|N
H9907|001|000|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred Access Rx (PPO)|00025502|0.00|0| | |MA|22020|0|N
H9907|001|000|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred Access Rx (PPO)|00025502|0.00|0| | |MA|22040|0|N
H9907|001|000|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred Access Rx (PPO)|00025502|0.00|0| | |MA|22070|0|N
H9907|001|000|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred Access Rx (PPO)|00025502|0.00|0| | |MA|22080|0|N
H9907|001|000|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred Access Rx (PPO)|00025502|0.00|0| | |MA|22090|0|N
H9907|001|000|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred Access Rx (PPO)|00025502|0.00|0| | |MA|22130|0|N
H9907|001|000|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred Access Rx (PPO)|00025502|0.00|0| | |MA|22150|0|N
H9907|001|000|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred Access Rx (PPO)|00025502|0.00|0| | |MA|22160|0|N
H9907|001|000|TUFTS ASSOCIATED HEALTH MAINTENANCE ORGANIZATION|Tufts Medicare Preferred Access Rx (PPO)|00025502|0.00|0| | |MA|22170|0|N
H9909|001|000|AMERICAN HEALTH PLAN OF MS, INC.|American Health Advantage of Mississippi (HMO I-SNP)|00025482|47.30|590| | |MS|25000|3|N
H9909|001|000|AMERICAN HEALTH PLAN OF MS, INC.|American Health Advantage of Mississippi (HMO I-SNP)|00025482|47.30|590| | |MS|25010|3|N
H9909|001|000|AMERICAN HEALTH PLAN OF MS, INC.|American Health Advantage of Mississippi (HMO I-SNP)|00025482|47.30|590| | |MS|25020|3|N
H9909|001|000|AMERICAN HEALTH PLAN OF MS, INC.|American Health Advantage of Mississippi (HMO I-SNP)|00025482|47.30|590| | |MS|25050|3|N
H9909|001|000|AMERICAN HEALTH PLAN OF MS, INC.|American Health Advantage of Mississippi (HMO I-SNP)|00025482|47.30|590| | |MS|25060|3|N
H9909|001|000|AMERICAN HEALTH PLAN OF MS, INC.|American Health Advantage of Mississippi (HMO I-SNP)|00025482|47.30|590| | |MS|25070|3|N
H9909|001|000|AMERICAN HEALTH PLAN OF MS, INC.|American Health Advantage of Mississippi (HMO I-SNP)|00025482|47.30|590| | |MS|25120|3|N
H9909|001|000|AMERICAN HEALTH PLAN OF MS, INC.|American Health Advantage of Mississippi (HMO I-SNP)|00025482|47.30|590| | |MS|25160|3|N
H9909|001|000|AMERICAN HEALTH PLAN OF MS, INC.|American Health Advantage of Mississippi (HMO I-SNP)|00025482|47.30|590| | |MS|25210|3|N
H9909|001|000|AMERICAN HEALTH PLAN OF MS, INC.|American Health Advantage of Mississippi (HMO I-SNP)|00025482|47.30|590| | |MS|25230|3|N
H9909|001|000|AMERICAN HEALTH PLAN OF MS, INC.|American Health Advantage of Mississippi (HMO I-SNP)|00025482|47.30|590| | |MS|25240|3|N
H9909|001|000|AMERICAN HEALTH PLAN OF MS, INC.|American Health Advantage of Mississippi (HMO I-SNP)|00025482|47.30|590| | |MS|25280|3|N
H9909|001|000|AMERICAN HEALTH PLAN OF MS, INC.|American Health Advantage of Mississippi (HMO I-SNP)|00025482|47.30|590| | |MS|25290|3|N
H9909|001|000|AMERICAN HEALTH PLAN OF MS, INC.|American Health Advantage of Mississippi (HMO I-SNP)|00025482|47.30|590| | |MS|25410|3|N
H9909|001|000|AMERICAN HEALTH PLAN OF MS, INC.|American Health Advantage of Mississippi (HMO I-SNP)|00025482|47.30|590| | |MS|25440|3|N
H9909|001|000|AMERICAN HEALTH PLAN OF MS, INC.|American Health Advantage of Mississippi (HMO I-SNP)|00025482|47.30|590| | |MS|25450|3|N
H9909|001|000|AMERICAN HEALTH PLAN OF MS, INC.|American Health Advantage of Mississippi (HMO I-SNP)|00025482|47.30|590| | |MS|25460|3|N
H9909|001|000|AMERICAN HEALTH PLAN OF MS, INC.|American Health Advantage of Mississippi (HMO I-SNP)|00025482|47.30|590| | |MS|25470|3|N
H9909|001|000|AMERICAN HEALTH PLAN OF MS, INC.|American Health Advantage of Mississippi (HMO I-SNP)|00025482|47.30|590| | |MS|25480|3|N
H9909|001|000|AMERICAN HEALTH PLAN OF MS, INC.|American Health Advantage of Mississippi (HMO I-SNP)|00025482|47.30|590| | |MS|25490|3|N
H9909|001|000|AMERICAN HEALTH PLAN OF MS, INC.|American Health Advantage of Mississippi (HMO I-SNP)|00025482|47.30|590| | |MS|25540|3|N
H9909|001|000|AMERICAN HEALTH PLAN OF MS, INC.|American Health Advantage of Mississippi (HMO I-SNP)|00025482|47.30|590| | |MS|25560|3|N
H9909|001|000|AMERICAN HEALTH PLAN OF MS, INC.|American Health Advantage of Mississippi (HMO I-SNP)|00025482|47.30|590| | |MS|25580|3|N
H9909|001|000|AMERICAN HEALTH PLAN OF MS, INC.|American Health Advantage of Mississippi (HMO I-SNP)|00025482|47.30|590| | |MS|25600|3|N
H9909|001|000|AMERICAN HEALTH PLAN OF MS, INC.|American Health Advantage of Mississippi (HMO I-SNP)|00025482|47.30|590| | |MS|25660|3|N
H9909|001|000|AMERICAN HEALTH PLAN OF MS, INC.|American Health Advantage of Mississippi (HMO I-SNP)|00025482|47.30|590| | |MS|25700|3|N
H9909|001|000|AMERICAN HEALTH PLAN OF MS, INC.|American Health Advantage of Mississippi (HMO I-SNP)|00025482|47.30|590| | |MS|25740|3|N
H9909|001|000|AMERICAN HEALTH PLAN OF MS, INC.|American Health Advantage of Mississippi (HMO I-SNP)|00025482|47.30|590| | |MS|25760|3|N
H9909|001|000|AMERICAN HEALTH PLAN OF MS, INC.|American Health Advantage of Mississippi (HMO I-SNP)|00025482|47.30|590| | |MS|25810|3|N
H9917|001|000|ALIGN SENIOR CARE FLORIDA, INC.|Senior Care (HMO I-SNP)|00025048|20.30|590| | |FL|10000|3|N
H9917|001|000|ALIGN SENIOR CARE FLORIDA, INC.|Senior Care (HMO I-SNP)|00025048|20.30|590| | |FL|10120|3|N
H9917|001|000|ALIGN SENIOR CARE FLORIDA, INC.|Senior Care (HMO I-SNP)|00025048|20.30|590| | |FL|10280|3|N
H9917|001|000|ALIGN SENIOR CARE FLORIDA, INC.|Senior Care (HMO I-SNP)|00025048|20.30|590| | |FL|10350|3|N
H9917|001|000|ALIGN SENIOR CARE FLORIDA, INC.|Senior Care (HMO I-SNP)|00025048|20.30|590| | |FL|10470|3|N
H9917|001|000|ALIGN SENIOR CARE FLORIDA, INC.|Senior Care (HMO I-SNP)|00025048|20.30|590| | |FL|10510|3|N
H9917|001|000|ALIGN SENIOR CARE FLORIDA, INC.|Senior Care (HMO I-SNP)|00025048|20.30|590| | |FL|10590|3|N
H9917|003|000|ALIGN SENIOR CARE FLORIDA, INC.|Align Kidney Care (HMO C-SNP)|00025051|20.30|590| | |FL|10000|1|N
H9917|003|000|ALIGN SENIOR CARE FLORIDA, INC.|Align Kidney Care (HMO C-SNP)|00025051|20.30|590| | |FL|10280|1|N
H9917|003|000|ALIGN SENIOR CARE FLORIDA, INC.|Align Kidney Care (HMO C-SNP)|00025051|20.30|590| | |FL|10350|1|N
H9917|003|000|ALIGN SENIOR CARE FLORIDA, INC.|Align Kidney Care (HMO C-SNP)|00025051|20.30|590| | |FL|10470|1|N
H9917|003|000|ALIGN SENIOR CARE FLORIDA, INC.|Align Kidney Care (HMO C-SNP)|00025051|20.30|590| | |FL|10510|1|N
H9917|003|000|ALIGN SENIOR CARE FLORIDA, INC.|Align Kidney Care (HMO C-SNP)|00025051|20.30|590| | |FL|10590|1|N
H9917|004|000|ALIGN SENIOR CARE FLORIDA, INC.|Premier Care (HMO I-SNP)|00025048|0.00|400| | |FL|10000|3|N
H9917|004|000|ALIGN SENIOR CARE FLORIDA, INC.|Premier Care (HMO I-SNP)|00025048|0.00|400| | |FL|10120|3|N
H9917|004|000|ALIGN SENIOR CARE FLORIDA, INC.|Premier Care (HMO I-SNP)|00025048|0.00|400| | |FL|10280|3|N
H9917|004|000|ALIGN SENIOR CARE FLORIDA, INC.|Premier Care (HMO I-SNP)|00025048|0.00|400| | |FL|10350|3|N
H9917|004|000|ALIGN SENIOR CARE FLORIDA, INC.|Premier Care (HMO I-SNP)|00025048|0.00|400| | |FL|10470|3|N
H9917|004|000|ALIGN SENIOR CARE FLORIDA, INC.|Premier Care (HMO I-SNP)|00025048|0.00|400| | |FL|10510|3|N
H9917|004|000|ALIGN SENIOR CARE FLORIDA, INC.|Premier Care (HMO I-SNP)|00025048|0.00|400| | |FL|10590|3|N
H9917|005|000|ALIGN SENIOR CARE FLORIDA, INC.|Advantage Care (HMO)|00025048|0.00|400| | |FL|10000|0|N
H9917|005|000|ALIGN SENIOR CARE FLORIDA, INC.|Advantage Care (HMO)|00025048|0.00|400| | |FL|10120|0|N
H9917|005|000|ALIGN SENIOR CARE FLORIDA, INC.|Advantage Care (HMO)|00025048|0.00|400| | |FL|10280|0|N
H9917|005|000|ALIGN SENIOR CARE FLORIDA, INC.|Advantage Care (HMO)|00025048|0.00|400| | |FL|10350|0|N
H9917|005|000|ALIGN SENIOR CARE FLORIDA, INC.|Advantage Care (HMO)|00025048|0.00|400| | |FL|10470|0|N
H9917|005|000|ALIGN SENIOR CARE FLORIDA, INC.|Advantage Care (HMO)|00025048|0.00|400| | |FL|10510|0|N
H9917|005|000|ALIGN SENIOR CARE FLORIDA, INC.|Advantage Care (HMO)|00025048|0.00|400| | |FL|10590|0|N
H9942|001|000|LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP|Longevity Health Plan (PPO I-SNP)|00025394|56.90|590| | |NJ|31000|3|N
H9942|001|000|LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP|Longevity Health Plan (PPO I-SNP)|00025394|56.90|590| | |NJ|31100|3|N
H9942|001|000|LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP|Longevity Health Plan (PPO I-SNP)|00025394|56.90|590| | |NJ|31150|3|N
H9942|001|000|LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP|Longevity Health Plan (PPO I-SNP)|00025394|56.90|590| | |NJ|31160|3|N
H9942|001|000|LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP|Longevity Health Plan (PPO I-SNP)|00025394|56.90|590| | |NJ|31180|3|N
H9942|001|000|LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP|Longevity Health Plan (PPO I-SNP)|00025394|56.90|590| | |NJ|31200|3|N
H9942|001|000|LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP|Longevity Health Plan (PPO I-SNP)|00025394|56.90|590| | |NJ|31220|3|N
H9942|001|000|LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP|Longevity Health Plan (PPO I-SNP)|00025394|56.90|590| | |NJ|31230|3|N
H9942|001|000|LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP|Longevity Health Plan (PPO I-SNP)|00025394|56.90|590| | |NJ|31250|3|N
H9942|001|000|LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP|Longevity Health Plan (PPO I-SNP)|00025394|56.90|590| | |NJ|31260|3|N
H9942|001|000|LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP|Longevity Health Plan (PPO I-SNP)|00025394|56.90|590| | |NJ|31270|3|N
H9942|001|000|LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP|Longevity Health Plan (PPO I-SNP)|00025394|56.90|590| | |NJ|31290|3|N
H9942|001|000|LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP|Longevity Health Plan (PPO I-SNP)|00025394|56.90|590| | |NJ|31300|3|N
H9942|001|000|LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP|Longevity Health Plan (PPO I-SNP)|00025394|56.90|590| | |NJ|31310|3|N
H9942|001|000|LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP|Longevity Health Plan (PPO I-SNP)|00025394|56.90|590| | |NJ|31320|3|N
H9942|001|000|LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP|Longevity Health Plan (PPO I-SNP)|00025394|56.90|590| | |NJ|31350|3|N
H9942|001|000|LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP|Longevity Health Plan (PPO I-SNP)|00025394|56.90|590| | |NJ|31370|3|N
H9942|001|000|LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP|Longevity Health Plan (PPO I-SNP)|00025394|56.90|590| | |NJ|31390|3|N
H9942|002|000|LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP|Longevity Health Plan (PPO I-SNP)|00025394|172.00|590| | |NJ|31000|3|N
H9942|002|000|LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP|Longevity Health Plan (PPO I-SNP)|00025394|172.00|590| | |NJ|31100|3|N
H9942|002|000|LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP|Longevity Health Plan (PPO I-SNP)|00025394|172.00|590| | |NJ|31150|3|N
H9942|002|000|LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP|Longevity Health Plan (PPO I-SNP)|00025394|172.00|590| | |NJ|31160|3|N
H9942|002|000|LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP|Longevity Health Plan (PPO I-SNP)|00025394|172.00|590| | |NJ|31180|3|N
H9942|002|000|LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP|Longevity Health Plan (PPO I-SNP)|00025394|172.00|590| | |NJ|31200|3|N
H9942|002|000|LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP|Longevity Health Plan (PPO I-SNP)|00025394|172.00|590| | |NJ|31220|3|N
H9942|002|000|LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP|Longevity Health Plan (PPO I-SNP)|00025394|172.00|590| | |NJ|31230|3|N
H9942|002|000|LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP|Longevity Health Plan (PPO I-SNP)|00025394|172.00|590| | |NJ|31250|3|N
H9942|002|000|LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP|Longevity Health Plan (PPO I-SNP)|00025394|172.00|590| | |NJ|31260|3|N
H9942|002|000|LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP|Longevity Health Plan (PPO I-SNP)|00025394|172.00|590| | |NJ|31270|3|N
H9942|002|000|LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP|Longevity Health Plan (PPO I-SNP)|00025394|172.00|590| | |NJ|31290|3|N
H9942|002|000|LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP|Longevity Health Plan (PPO I-SNP)|00025394|172.00|590| | |NJ|31300|3|N
H9942|002|000|LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP|Longevity Health Plan (PPO I-SNP)|00025394|172.00|590| | |NJ|31310|3|N
H9942|002|000|LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP|Longevity Health Plan (PPO I-SNP)|00025394|172.00|590| | |NJ|31320|3|N
H9942|002|000|LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP|Longevity Health Plan (PPO I-SNP)|00025394|172.00|590| | |NJ|31350|3|N
H9942|002|000|LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP|Longevity Health Plan (PPO I-SNP)|00025394|172.00|590| | |NJ|31370|3|N
H9942|002|000|LONGEVITY HEALTH PLAN OF NEW JERSEY INSURANCE COMP|Longevity Health Plan (PPO I-SNP)|00025394|172.00|590| | |NJ|31390|3|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25010|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25020|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25030|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25040|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25050|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25060|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25070|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25080|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25090|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25100|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25110|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25120|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25130|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25140|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25150|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25160|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25180|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25190|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25200|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25210|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25220|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25230|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25240|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25250|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25260|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25270|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25280|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25290|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25300|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25310|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25320|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25330|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25340|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25350|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25370|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25380|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25390|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25400|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25410|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25430|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25440|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25450|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25460|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25470|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25480|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25490|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25500|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25510|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25530|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25540|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25550|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25560|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25570|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25580|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25590|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25600|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25610|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25620|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25630|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25640|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25650|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25660|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25670|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25680|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25690|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25700|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25710|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25720|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25730|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25740|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25750|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25760|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25770|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25790|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25800|2|N
H9946|001|000|SHARED HEALTH MISSISSIPPI, INC.|Shared Health Dual Freedom (PPO D-SNP)|00025468|0.00|590| | |MS|25810|2|N
H9952|001|000|MEDICA HEALTH PLANS|Medica AccessAbility Solution Enhanced (HMO D-SNP)|00025341|0.00|590| | |MN|24000|2|N
H9952|001|000|MEDICA HEALTH PLANS|Medica AccessAbility Solution Enhanced (HMO D-SNP)|00025341|0.00|590| | |MN|24010|2|N
H9952|001|000|MEDICA HEALTH PLANS|Medica AccessAbility Solution Enhanced (HMO D-SNP)|00025341|0.00|590| | |MN|24020|2|N
H9952|001|000|MEDICA HEALTH PLANS|Medica AccessAbility Solution Enhanced (HMO D-SNP)|00025341|0.00|590| | |MN|24080|2|N
H9952|001|000|MEDICA HEALTH PLANS|Medica AccessAbility Solution Enhanced (HMO D-SNP)|00025341|0.00|590| | |MN|24090|2|N
H9952|001|000|MEDICA HEALTH PLANS|Medica AccessAbility Solution Enhanced (HMO D-SNP)|00025341|0.00|590| | |MN|24120|2|N
H9952|001|000|MEDICA HEALTH PLANS|Medica AccessAbility Solution Enhanced (HMO D-SNP)|00025341|0.00|590| | |MN|24150|2|N
H9952|001|000|MEDICA HEALTH PLANS|Medica AccessAbility Solution Enhanced (HMO D-SNP)|00025341|0.00|590| | |MN|24170|2|N
H9952|001|000|MEDICA HEALTH PLANS|Medica AccessAbility Solution Enhanced (HMO D-SNP)|00025341|0.00|590| | |MN|24180|2|N
H9952|001|000|MEDICA HEALTH PLANS|Medica AccessAbility Solution Enhanced (HMO D-SNP)|00025341|0.00|590| | |MN|24220|2|N
H9952|001|000|MEDICA HEALTH PLANS|Medica AccessAbility Solution Enhanced (HMO D-SNP)|00025341|0.00|590| | |MN|24230|2|N
H9952|001|000|MEDICA HEALTH PLANS|Medica AccessAbility Solution Enhanced (HMO D-SNP)|00025341|0.00|590| | |MN|24260|2|N
H9952|001|000|MEDICA HEALTH PLANS|Medica AccessAbility Solution Enhanced (HMO D-SNP)|00025341|0.00|590| | |MN|24290|2|N
H9952|001|000|MEDICA HEALTH PLANS|Medica AccessAbility Solution Enhanced (HMO D-SNP)|00025341|0.00|590| | |MN|24320|2|N
H9952|001|000|MEDICA HEALTH PLANS|Medica AccessAbility Solution Enhanced (HMO D-SNP)|00025341|0.00|590| | |MN|24330|2|N
H9952|001|000|MEDICA HEALTH PLANS|Medica AccessAbility Solution Enhanced (HMO D-SNP)|00025341|0.00|590| | |MN|24340|2|N
H9952|001|000|MEDICA HEALTH PLANS|Medica AccessAbility Solution Enhanced (HMO D-SNP)|00025341|0.00|590| | |MN|24350|2|N
H9952|001|000|MEDICA HEALTH PLANS|Medica AccessAbility Solution Enhanced (HMO D-SNP)|00025341|0.00|590| | |MN|24370|2|N
H9952|001|000|MEDICA HEALTH PLANS|Medica AccessAbility Solution Enhanced (HMO D-SNP)|00025341|0.00|590| | |MN|24390|2|N
H9952|001|000|MEDICA HEALTH PLANS|Medica AccessAbility Solution Enhanced (HMO D-SNP)|00025341|0.00|590| | |MN|24430|2|N
H9952|001|000|MEDICA HEALTH PLANS|Medica AccessAbility Solution Enhanced (HMO D-SNP)|00025341|0.00|590| | |MN|24470|2|N
H9952|001|000|MEDICA HEALTH PLANS|Medica AccessAbility Solution Enhanced (HMO D-SNP)|00025341|0.00|590| | |MN|24480|2|N
H9952|001|000|MEDICA HEALTH PLANS|Medica AccessAbility Solution Enhanced (HMO D-SNP)|00025341|0.00|590| | |MN|24500|2|N
H9952|001|000|MEDICA HEALTH PLANS|Medica AccessAbility Solution Enhanced (HMO D-SNP)|00025341|0.00|590| | |MN|24510|2|N
H9952|001|000|MEDICA HEALTH PLANS|Medica AccessAbility Solution Enhanced (HMO D-SNP)|00025341|0.00|590| | |MN|24530|2|N
H9952|001|000|MEDICA HEALTH PLANS|Medica AccessAbility Solution Enhanced (HMO D-SNP)|00025341|0.00|590| | |MN|24540|2|N
H9952|001|000|MEDICA HEALTH PLANS|Medica AccessAbility Solution Enhanced (HMO D-SNP)|00025341|0.00|590| | |MN|24610|2|N
H9952|001|000|MEDICA HEALTH PLANS|Medica AccessAbility Solution Enhanced (HMO D-SNP)|00025341|0.00|590| | |MN|24620|2|N
H9952|001|000|MEDICA HEALTH PLANS|Medica AccessAbility Solution Enhanced (HMO D-SNP)|00025341|0.00|590| | |MN|24650|2|N
H9952|001|000|MEDICA HEALTH PLANS|Medica AccessAbility Solution Enhanced (HMO D-SNP)|00025341|0.00|590| | |MN|24660|2|N
H9952|001|000|MEDICA HEALTH PLANS|Medica AccessAbility Solution Enhanced (HMO D-SNP)|00025341|0.00|590| | |MN|24680|2|N
H9952|001|000|MEDICA HEALTH PLANS|Medica AccessAbility Solution Enhanced (HMO D-SNP)|00025341|0.00|590| | |MN|24690|2|N
H9952|001|000|MEDICA HEALTH PLANS|Medica AccessAbility Solution Enhanced (HMO D-SNP)|00025341|0.00|590| | |MN|24700|2|N
H9952|001|000|MEDICA HEALTH PLANS|Medica AccessAbility Solution Enhanced (HMO D-SNP)|00025341|0.00|590| | |MN|24760|2|N
H9952|001|000|MEDICA HEALTH PLANS|Medica AccessAbility Solution Enhanced (HMO D-SNP)|00025341|0.00|590| | |MN|24790|2|N
H9952|001|000|MEDICA HEALTH PLANS|Medica AccessAbility Solution Enhanced (HMO D-SNP)|00025341|0.00|590| | |MN|24810|2|N
H9952|001|000|MEDICA HEALTH PLANS|Medica AccessAbility Solution Enhanced (HMO D-SNP)|00025341|0.00|590| | |MN|24830|2|N
H9952|001|000|MEDICA HEALTH PLANS|Medica AccessAbility Solution Enhanced (HMO D-SNP)|00025341|0.00|590| | |MN|24850|2|N
H9955|006|001|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36080|2|N
H9955|006|001|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36110|2|N
H9955|006|001|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36120|2|N
H9955|006|001|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36170|2|N
H9955|006|001|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36210|2|N
H9955|006|001|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36250|2|N
H9955|006|001|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36290|2|N
H9955|006|001|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36310|2|N
H9955|006|001|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36480|2|N
H9955|006|001|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36490|2|N
H9955|006|001|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36500|2|N
H9955|006|001|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36510|2|N
H9955|006|001|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36580|2|N
H9955|006|001|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36660|2|N
H9955|006|001|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36770|2|N
H9955|006|001|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36810|2|N
H9955|006|001|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36840|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36000|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36010|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36020|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36030|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36040|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36050|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36060|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36070|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36090|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36100|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36130|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36140|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36150|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36160|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36190|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36200|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36220|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36230|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36240|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36260|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36270|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36280|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36300|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36330|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36340|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36350|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36360|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36370|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36380|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36390|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36400|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36410|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36420|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36430|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36440|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36450|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36460|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36470|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36520|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36530|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36540|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36550|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36560|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36570|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36590|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36600|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36610|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36620|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36630|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36640|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36650|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36670|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36680|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36690|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36700|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36710|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36720|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36730|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36740|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36750|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36760|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36780|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36790|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36800|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36820|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36830|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36850|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36860|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36870|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36880|2|N
H9955|006|002|MOLINA HEALTHCARE OF OHIO, INC.|Molina Medicare Complete Care (HMO D-SNP)|00025316|0.00|590| | |OH|36890|2|N
H9968|001|000|AMERICAN HEALTH PLAN OF PENNSYLVANIA INC|American Health Advantage of Pennsylvania (HMO I-SNP)|00025482|48.40|590| | |PA|39010|3|N
H9968|001|000|AMERICAN HEALTH PLAN OF PENNSYLVANIA INC|American Health Advantage of Pennsylvania (HMO I-SNP)|00025482|48.40|590| | |PA|39070|3|N
H9968|001|000|AMERICAN HEALTH PLAN OF PENNSYLVANIA INC|American Health Advantage of Pennsylvania (HMO I-SNP)|00025482|48.40|590| | |PA|39080|3|N
H9968|001|000|AMERICAN HEALTH PLAN OF PENNSYLVANIA INC|American Health Advantage of Pennsylvania (HMO I-SNP)|00025482|48.40|590| | |PA|39110|3|N
H9968|001|000|AMERICAN HEALTH PLAN OF PENNSYLVANIA INC|American Health Advantage of Pennsylvania (HMO I-SNP)|00025482|48.40|590| | |PA|39150|3|N
H9968|001|000|AMERICAN HEALTH PLAN OF PENNSYLVANIA INC|American Health Advantage of Pennsylvania (HMO I-SNP)|00025482|48.40|590| | |PA|39270|3|N
H9968|001|000|AMERICAN HEALTH PLAN OF PENNSYLVANIA INC|American Health Advantage of Pennsylvania (HMO I-SNP)|00025482|48.40|590| | |PA|39280|3|N
H9968|001|000|AMERICAN HEALTH PLAN OF PENNSYLVANIA INC|American Health Advantage of Pennsylvania (HMO I-SNP)|00025482|48.40|590| | |PA|39320|3|N
H9968|001|000|AMERICAN HEALTH PLAN OF PENNSYLVANIA INC|American Health Advantage of Pennsylvania (HMO I-SNP)|00025482|48.40|590| | |PA|39680|3|N
H9968|001|000|AMERICAN HEALTH PLAN OF PENNSYLVANIA INC|American Health Advantage of Pennsylvania (HMO I-SNP)|00025482|48.40|590| | |PA|39740|3|N
H9968|001|000|AMERICAN HEALTH PLAN OF PENNSYLVANIA INC|American Health Advantage of Pennsylvania (HMO I-SNP)|00025482|48.40|590| | |PA|39750|3|N
H9968|001|000|AMERICAN HEALTH PLAN OF PENNSYLVANIA INC|American Health Advantage of Pennsylvania (HMO I-SNP)|00025482|48.40|590| | |PA|39770|3|N
H9986|001|000|HPMP OF FLORIDA, INC.|Florida Complete Care (HMO I-SNP)|00025196|20.30|590| | |FL|10000|3|N
H9986|001|000|HPMP OF FLORIDA, INC.|Florida Complete Care (HMO I-SNP)|00025196|20.30|590| | |FL|10040|3|N
H9986|001|000|HPMP OF FLORIDA, INC.|Florida Complete Care (HMO I-SNP)|00025196|20.30|590| | |FL|10050|3|N
H9986|001|000|HPMP OF FLORIDA, INC.|Florida Complete Care (HMO I-SNP)|00025196|20.30|590| | |FL|10120|3|N
H9986|001|000|HPMP OF FLORIDA, INC.|Florida Complete Care (HMO I-SNP)|00025196|20.30|590| | |FL|10150|3|N
H9986|001|000|HPMP OF FLORIDA, INC.|Florida Complete Care (HMO I-SNP)|00025196|20.30|590| | |FL|10160|3|N
H9986|001|000|HPMP OF FLORIDA, INC.|Florida Complete Care (HMO I-SNP)|00025196|20.30|590| | |FL|10280|3|N
H9986|001|000|HPMP OF FLORIDA, INC.|Florida Complete Care (HMO I-SNP)|00025196|20.30|590| | |FL|10300|3|N
H9986|001|000|HPMP OF FLORIDA, INC.|Florida Complete Care (HMO I-SNP)|00025196|20.30|590| | |FL|10350|3|N
H9986|001|000|HPMP OF FLORIDA, INC.|Florida Complete Care (HMO I-SNP)|00025196|20.30|590| | |FL|10410|3|N
H9986|001|000|HPMP OF FLORIDA, INC.|Florida Complete Care (HMO I-SNP)|00025196|20.30|590| | |FL|10420|3|N
H9986|001|000|HPMP OF FLORIDA, INC.|Florida Complete Care (HMO I-SNP)|00025196|20.30|590| | |FL|10470|3|N
H9986|001|000|HPMP OF FLORIDA, INC.|Florida Complete Care (HMO I-SNP)|00025196|20.30|590| | |FL|10480|3|N
H9986|001|000|HPMP OF FLORIDA, INC.|Florida Complete Care (HMO I-SNP)|00025196|20.30|590| | |FL|10490|3|N
H9986|001|000|HPMP OF FLORIDA, INC.|Florida Complete Care (HMO I-SNP)|00025196|20.30|590| | |FL|10500|3|N
H9986|001|000|HPMP OF FLORIDA, INC.|Florida Complete Care (HMO I-SNP)|00025196|20.30|590| | |FL|10510|3|N
H9986|001|000|HPMP OF FLORIDA, INC.|Florida Complete Care (HMO I-SNP)|00025196|20.30|590| | |FL|10520|3|N
H9986|001|000|HPMP OF FLORIDA, INC.|Florida Complete Care (HMO I-SNP)|00025196|20.30|590| | |FL|10550|3|N
H9986|001|000|HPMP OF FLORIDA, INC.|Florida Complete Care (HMO I-SNP)|00025196|20.30|590| | |FL|10560|3|N
H9986|001|000|HPMP OF FLORIDA, INC.|Florida Complete Care (HMO I-SNP)|00025196|20.30|590| | |FL|10570|3|N
H9986|001|000|HPMP OF FLORIDA, INC.|Florida Complete Care (HMO I-SNP)|00025196|20.30|590| | |FL|10580|3|N
H9986|001|000|HPMP OF FLORIDA, INC.|Florida Complete Care (HMO I-SNP)|00025196|20.30|590| | |FL|10630|3|N
H9986|002|000|HPMP OF FLORIDA, INC.|Florida Complete Care- In The Community (HMO-POS I-SNP)|00025196|20.30|590| | |FL|10000|3|N
H9986|002|000|HPMP OF FLORIDA, INC.|Florida Complete Care- In The Community (HMO-POS I-SNP)|00025196|20.30|590| | |FL|10040|3|N
H9986|002|000|HPMP OF FLORIDA, INC.|Florida Complete Care- In The Community (HMO-POS I-SNP)|00025196|20.30|590| | |FL|10050|3|N
H9986|002|000|HPMP OF FLORIDA, INC.|Florida Complete Care- In The Community (HMO-POS I-SNP)|00025196|20.30|590| | |FL|10120|3|N
H9986|002|000|HPMP OF FLORIDA, INC.|Florida Complete Care- In The Community (HMO-POS I-SNP)|00025196|20.30|590| | |FL|10150|3|N
H9986|002|000|HPMP OF FLORIDA, INC.|Florida Complete Care- In The Community (HMO-POS I-SNP)|00025196|20.30|590| | |FL|10160|3|N
H9986|002|000|HPMP OF FLORIDA, INC.|Florida Complete Care- In The Community (HMO-POS I-SNP)|00025196|20.30|590| | |FL|10280|3|N
H9986|002|000|HPMP OF FLORIDA, INC.|Florida Complete Care- In The Community (HMO-POS I-SNP)|00025196|20.30|590| | |FL|10300|3|N
H9986|002|000|HPMP OF FLORIDA, INC.|Florida Complete Care- In The Community (HMO-POS I-SNP)|00025196|20.30|590| | |FL|10350|3|N
H9986|002|000|HPMP OF FLORIDA, INC.|Florida Complete Care- In The Community (HMO-POS I-SNP)|00025196|20.30|590| | |FL|10410|3|N
H9986|002|000|HPMP OF FLORIDA, INC.|Florida Complete Care- In The Community (HMO-POS I-SNP)|00025196|20.30|590| | |FL|10420|3|N
H9986|002|000|HPMP OF FLORIDA, INC.|Florida Complete Care- In The Community (HMO-POS I-SNP)|00025196|20.30|590| | |FL|10470|3|N
H9986|002|000|HPMP OF FLORIDA, INC.|Florida Complete Care- In The Community (HMO-POS I-SNP)|00025196|20.30|590| | |FL|10480|3|N
H9986|002|000|HPMP OF FLORIDA, INC.|Florida Complete Care- In The Community (HMO-POS I-SNP)|00025196|20.30|590| | |FL|10490|3|N
H9986|002|000|HPMP OF FLORIDA, INC.|Florida Complete Care- In The Community (HMO-POS I-SNP)|00025196|20.30|590| | |FL|10500|3|N
H9986|002|000|HPMP OF FLORIDA, INC.|Florida Complete Care- In The Community (HMO-POS I-SNP)|00025196|20.30|590| | |FL|10510|3|N
H9986|002|000|HPMP OF FLORIDA, INC.|Florida Complete Care- In The Community (HMO-POS I-SNP)|00025196|20.30|590| | |FL|10520|3|N
H9986|002|000|HPMP OF FLORIDA, INC.|Florida Complete Care- In The Community (HMO-POS I-SNP)|00025196|20.30|590| | |FL|10550|3|N
H9986|002|000|HPMP OF FLORIDA, INC.|Florida Complete Care- In The Community (HMO-POS I-SNP)|00025196|20.30|590| | |FL|10560|3|N
H9986|002|000|HPMP OF FLORIDA, INC.|Florida Complete Care- In The Community (HMO-POS I-SNP)|00025196|20.30|590| | |FL|10570|3|N
H9986|002|000|HPMP OF FLORIDA, INC.|Florida Complete Care- In The Community (HMO-POS I-SNP)|00025196|20.30|590| | |FL|10580|3|N
H9986|002|000|HPMP OF FLORIDA, INC.|Florida Complete Care- In The Community (HMO-POS I-SNP)|00025196|20.30|590| | |FL|10630|3|N
H9986|004|001|HPMP OF FLORIDA, INC.|Florida Complete Care-Duals VIP (HMO-POS D-SNP)|00025196|0.00|590| | |FL|10040|2|N
H9986|004|001|HPMP OF FLORIDA, INC.|Florida Complete Care-Duals VIP (HMO-POS D-SNP)|00025196|0.00|590| | |FL|10120|2|N
H9986|004|001|HPMP OF FLORIDA, INC.|Florida Complete Care-Duals VIP (HMO-POS D-SNP)|00025196|0.00|590| | |FL|10160|2|N
H9986|004|001|HPMP OF FLORIDA, INC.|Florida Complete Care-Duals VIP (HMO-POS D-SNP)|00025196|0.00|590| | |FL|10520|2|N
H9986|004|001|HPMP OF FLORIDA, INC.|Florida Complete Care-Duals VIP (HMO-POS D-SNP)|00025196|0.00|590| | |FL|10580|2|N
H9986|004|001|HPMP OF FLORIDA, INC.|Florida Complete Care-Duals VIP (HMO-POS D-SNP)|00025196|0.00|590| | |FL|10630|2|N
H9986|004|002|HPMP OF FLORIDA, INC.|Florida Complete Care-Duals VIP (HMO-POS D-SNP)|00025196|0.00|590| | |FL|10050|2|N
H9986|004|002|HPMP OF FLORIDA, INC.|Florida Complete Care-Duals VIP (HMO-POS D-SNP)|00025196|0.00|590| | |FL|10150|2|N
H9986|004|002|HPMP OF FLORIDA, INC.|Florida Complete Care-Duals VIP (HMO-POS D-SNP)|00025196|0.00|590| | |FL|10280|2|N
H9986|004|002|HPMP OF FLORIDA, INC.|Florida Complete Care-Duals VIP (HMO-POS D-SNP)|00025196|0.00|590| | |FL|10300|2|N
H9986|004|002|HPMP OF FLORIDA, INC.|Florida Complete Care-Duals VIP (HMO-POS D-SNP)|00025196|0.00|590| | |FL|10410|2|N
H9986|004|002|HPMP OF FLORIDA, INC.|Florida Complete Care-Duals VIP (HMO-POS D-SNP)|00025196|0.00|590| | |FL|10470|2|N
H9986|004|002|HPMP OF FLORIDA, INC.|Florida Complete Care-Duals VIP (HMO-POS D-SNP)|00025196|0.00|590| | |FL|10480|2|N
H9986|004|002|HPMP OF FLORIDA, INC.|Florida Complete Care-Duals VIP (HMO-POS D-SNP)|00025196|0.00|590| | |FL|10490|2|N
H9986|004|002|HPMP OF FLORIDA, INC.|Florida Complete Care-Duals VIP (HMO-POS D-SNP)|00025196|0.00|590| | |FL|10510|2|N
H9986|004|002|HPMP OF FLORIDA, INC.|Florida Complete Care-Duals VIP (HMO-POS D-SNP)|00025196|0.00|590| | |FL|10550|2|N
H9986|004|003|HPMP OF FLORIDA, INC.|Florida Complete Care-Duals VIP (HMO-POS D-SNP)|00025196|0.00|590| | |FL|10000|2|N
H9986|004|003|HPMP OF FLORIDA, INC.|Florida Complete Care-Duals VIP (HMO-POS D-SNP)|00025196|0.00|590| | |FL|10350|2|N
H9986|004|003|HPMP OF FLORIDA, INC.|Florida Complete Care-Duals VIP (HMO-POS D-SNP)|00025196|0.00|590| | |FL|10420|2|N
H9986|004|003|HPMP OF FLORIDA, INC.|Florida Complete Care-Duals VIP (HMO-POS D-SNP)|00025196|0.00|590| | |FL|10500|2|N
H9986|004|003|HPMP OF FLORIDA, INC.|Florida Complete Care-Duals VIP (HMO-POS D-SNP)|00025196|0.00|590| | |FL|10560|2|N
H9986|004|003|HPMP OF FLORIDA, INC.|Florida Complete Care-Duals VIP (HMO-POS D-SNP)|00025196|0.00|590| | |FL|10570|2|N
R0110|003|000|HUMANA INSURANCE COMPANY|Humana Full Access R0110-003 (Regional PPO)|00025456|56.60|350|16| | | |0|N
R0110|005|000|HUMANA INSURANCE COMPANY|Humana Full Access R0110-005 (Regional PPO)|00025456|57.60|480|07| | | |0|N
R0110|008|000|HUMANA INSURANCE COMPANY|HumanaChoice R0110-008 (Regional PPO)|00025456|46.20|0|06| | | |0|N
R0110|012|000|HUMANA INSURANCE COMPANY|HumanaChoice R0110-012 (Regional PPO)|00025456|38.60|245|13| | | |0|N
R0110|014|000|HUMANA INSURANCE COMPANY|Humana Full Access R0110-014 (Regional PPO)|00025456|16.90|590|11| | | |0|N
R0110|016|000|HUMANA INSURANCE COMPANY|HumanaChoice R0110-016 (Regional PPO)|00025456|27.00|590|12| | | |0|N
R0110|018|000|HUMANA INSURANCE COMPANY|HumanaChoice R0110-018 (Regional PPO)|00025456|67.20|590|10| | | |0|N
R0110|020|000|HUMANA INSURANCE COMPANY|Humana Full Access R0110-020 (Regional PPO)|00025456|76.80|340|08| | | |0|N
R0759|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC FL-0031 (Regional PPO)|00025002|23.00|570|09| | | |0|N
R0759|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete FL-D005 (Regional PPO D-SNP)|00025002|20.30|590|09| | | |2|N
R1532|002|000|HUMANA INSURANCE COMPANY|HumanaChoice R1532-002 (Regional PPO)|00025456|46.90|590|15| | | |0|N
R2604|001|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage GS-0001 (Regional PPO)|00025002|87.00|570|08| | | |0|N
R2604|002|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support GS-1A (Regional PPO C-SNP)|00025003|41.10|590|08| | | |1|N
R2604|003|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care GS-2 (Regional PPO C-SNP)|00025003|28.00|495|08| | | |1|N
R3444|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support AM-1A (Regional PPO C-SNP)|00025003|25.60|590|15| | | |1|N
R3444|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care AM-1 (Regional PPO C-SNP)|00025003|25.40|420|15| | | |1|N
R3444|012|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage AM-0002 (Regional PPO)|00025002|48.40|495|15| | | |0|N
R3444|024|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|AARP Medicare Advantage from UHC MH-0001 (Regional PPO)|00025002|49.50|495|01| | | |0|N
R4182|003|000|HUMANA INSURANCE COMPANY|HumanaChoice R4182-003 (Regional PPO)|00025456|66.10|275|17| | | |0|N
R4182|004|000|HUMANA INSURANCE COMPANY|HumanaChoice R4182-004 (Regional PPO)|00025456|27.20|350|17| | | |0|N
R4487|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (Regional PPO)|00025049|33.00|0|13| | | |0|N
R5342|005|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage NY-0021 (Regional PPO)|00025002|75.00|570|03| | | |0|N
R5361|002|000|HUMANA INSURANCE COMPANY|HumanaChoice R5361-002 (Regional PPO)|00025456|61.00|590|14| | | |0|N
R5826|005|000|HUMANA INSURANCE COMPANY|HumanaChoice R5826-005 (Regional PPO)|00025458|60.90|100|09| | | |0|N
R5826|074|000|HUMANA INSURANCE COMPANY|HumanaChoice R5826-074 (Regional PPO)|00025458|21.40|395|09| | | |0|N
R5941|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Medicare Advantage (Regional PPO)|00025049|20.80|50|12| | | |0|N
R6694|003|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier Plus 1 (Regional PPO)|00025101|64.20|0|12| | | |0|N
R6694|006|000|AETNA LIFE INSURANCE COMPANY|Aetna Medicare Premier (Regional PPO)|00025101|108.30|590|04| | | |0|N
R6801|008|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care Support TX-1A (Regional PPO C-SNP)|00025003|9.60|590|17| | | |1|N
R6801|009|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Complete Care TX-29 (Regional PPO C-SNP)|00025003|19.30|495|17| | | |1|N
R6801|011|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Dual Complete TX-S001 (Regional PPO D-SNP)|00025002|0.00|590|17| | | |2|N
R6801|012|000|CARE IMPROVEMENT PLUS SOUTH CENTRAL INSURANCE CO.|UHC Medicare Advantage TX-0030 (Regional PPO)|00025002|54.70|570|17| | | |0|N
R7220|002|000|HUMANA INSURANCE COMPANY|HumanaChoice R7220-002 (Regional PPO)|00025456|0.00|590|21| | | |0|N
S1030|001|000|BCBS OF ALABAMA & UTIC INSURANCE COMPANY|BlueRx Enhanced Plus (PDP)|00025427|129.30|0| |12| | |0|N
S1030|006|000|BCBS OF ALABAMA & UTIC INSURANCE COMPANY|BlueRx Essential (PDP)|00025426|63.20|590| |12| | |0|N
S2468|003|000|CALIFORNIA PHYSICIANS' SERVICE|Blue Shield Rx Plus (PDP)|00025356|161.70|590| |32| | |0|N
S2468|004|000|CALIFORNIA PHYSICIANS' SERVICE|Blue Shield Rx Enhanced (PDP)|00025357|183.50|0| |32| | |0|N
S2893|001|000|ANTHEM INSURANCE CO. & BCBSMA & BCBSRI & BCBSVT|Blue MedicareRx Value Plus (PDP)|00025326|49.60|590| |02| | |0|N
S2893|003|000|ANTHEM INSURANCE CO. & BCBSMA & BCBSRI & BCBSVT|Blue MedicareRx Premier (PDP)|00025327|190.80|0| |02| | |0|N
S4802|012|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Classic (PDP)|00025059|24.30|590| |21| | |0|N
S4802|013|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Classic (PDP)|00025059|3.30|590| |22| | |0|N
S4802|014|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Classic (PDP)|00025059|24.30|590| |23| | |0|N
S4802|020|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Classic (PDP)|00025059|6.30|590| |30| | |0|N
S4802|021|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Classic (PDP)|00025059|27.30|590| |31| | |0|N
S4802|069|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Classic (PDP)|00025059|11.30|590| |07| | |0|N
S4802|070|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Classic (PDP)|00025059|21.30|590| |09| | |0|N
S4802|071|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Classic (PDP)|00025059|20.30|590| |12| | |0|N
S4802|072|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Classic (PDP)|00025059|27.30|590| |18| | |0|N
S4802|073|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Classic (PDP)|00025059|0.00|590| |19| | |0|N
S4802|074|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Classic (PDP)|00025059|12.30|590| |20| | |0|N
S4802|075|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Classic (PDP)|00025059|15.30|590| |01| | |0|N
S4802|076|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Classic (PDP)|00025059|28.30|590| |02| | |0|N
S4802|077|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Classic (PDP)|00025059|55.30|590| |03| | |0|N
S4802|078|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Classic (PDP)|00025059|38.30|590| |04| | |0|N
S4802|079|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Classic (PDP)|00025059|11.30|590| |05| | |0|N
S4802|080|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Classic (PDP)|00025059|20.30|590| |06| | |0|N
S4802|081|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Classic (PDP)|00025059|23.30|590| |08| | |0|N
S4802|082|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Classic (PDP)|00025059|15.30|590| |10| | |0|N
S4802|083|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Classic (PDP)|00025059|5.30|590| |11| | |0|N
S4802|084|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Classic (PDP)|00025059|8.30|590| |13| | |0|N
S4802|085|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Classic (PDP)|00025059|24.30|590| |14| | |0|N
S4802|086|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Classic (PDP)|00025059|32.30|590| |15| | |0|N
S4802|087|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Classic (PDP)|00025059|3.30|590| |17| | |0|N
S4802|088|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Classic (PDP)|00025059|24.30|590| |24| | |0|N
S4802|089|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Classic (PDP)|00025059|22.30|590| |25| | |0|N
S4802|090|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Classic (PDP)|00025059|0.00|590| |26| | |0|N
S4802|091|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Classic (PDP)|00025059|17.30|590| |27| | |0|N
S4802|092|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Classic (PDP)|00025059|0.80|590| |28| | |0|N
S4802|093|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Classic (PDP)|00025059|6.30|590| |29| | |0|N
S4802|094|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Classic (PDP)|00025059|16.80|590| |32| | |0|N
S4802|095|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Classic (PDP)|00025059|19.30|590| |33| | |0|N
S4802|096|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Classic (PDP)|00025059|74.40|590| |34| | |0|N
S4802|097|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Classic (PDP)|00025059|22.30|590| |16| | |0|N
S4802|132|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Value Script (PDP)|00025061|0.00|590| |16| | |0|N
S4802|133|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Value Script (PDP)|00025061|0.00|590| |21| | |0|N
S4802|134|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Value Script (PDP)|00025061|0.00|590| |28| | |0|N
S4802|135|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Value Script (PDP)|00025061|0.00|590| |30| | |0|N
S4802|136|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Value Script (PDP)|00025061|0.00|590| |01| | |0|N
S4802|137|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Value Script (PDP)|00025061|12.40|590| |02| | |0|N
S4802|138|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Value Script (PDP)|00025061|38.70|590| |03| | |0|N
S4802|139|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Value Script (PDP)|00025061|2.30|590| |04| | |0|N
S4802|140|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Value Script (PDP)|00025061|0.00|590| |05| | |0|N
S4802|141|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Value Script (PDP)|00025061|0.00|590| |06| | |0|N
S4802|142|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Value Script (PDP)|00025061|0.00|590| |07| | |0|N
S4802|143|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Value Script (PDP)|00025061|0.00|590| |08| | |0|N
S4802|144|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Value Script (PDP)|00025061|0.00|590| |09| | |0|N
S4802|145|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Value Script (PDP)|00025061|0.00|590| |10| | |0|N
S4802|146|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Value Script (PDP)|00025061|0.00|590| |11| | |0|N
S4802|147|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Value Script (PDP)|00025061|0.00|590| |12| | |0|N
S4802|148|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Value Script (PDP)|00025061|0.00|590| |13| | |0|N
S4802|149|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Value Script (PDP)|00025061|0.00|590| |14| | |0|N
S4802|150|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Value Script (PDP)|00025061|0.00|590| |15| | |0|N
S4802|151|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Value Script (PDP)|00025061|0.00|590| |17| | |0|N
S4802|152|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Value Script (PDP)|00025061|0.00|590| |18| | |0|N
S4802|153|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Value Script (PDP)|00025061|0.00|590| |19| | |0|N
S4802|154|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Value Script (PDP)|00025061|0.00|590| |20| | |0|N
S4802|155|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Value Script (PDP)|00025061|0.00|590| |22| | |0|N
S4802|156|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Value Script (PDP)|00025061|0.00|590| |23| | |0|N
S4802|157|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Value Script (PDP)|00025061|0.00|590| |24| | |0|N
S4802|158|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Value Script (PDP)|00025061|0.00|590| |25| | |0|N
S4802|159|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Value Script (PDP)|00025061|0.00|590| |26| | |0|N
S4802|160|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Value Script (PDP)|00025061|0.00|590| |27| | |0|N
S4802|161|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Value Script (PDP)|00025061|0.00|590| |29| | |0|N
S4802|162|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Value Script (PDP)|00025061|0.00|590| |31| | |0|N
S4802|163|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Value Script (PDP)|00025061|17.40|590| |32| | |0|N
S4802|164|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Value Script (PDP)|00025061|0.00|590| |33| | |0|N
S4802|165|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Value Script (PDP)|00025061|22.30|590| |34| | |0|N
S4802|204|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Medicare Rx Value Plus (PDP)|00025063|112.40|590| |01| | |0|N
S4802|205|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Medicare Rx Value Plus (PDP)|00025063|112.30|590| |02| | |0|N
S4802|206|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Medicare Rx Value Plus (PDP)|00025063|126.80|590| |03| | |0|N
S4802|207|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Medicare Rx Value Plus (PDP)|00025063|107.30|590| |04| | |0|N
S4802|208|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Medicare Rx Value Plus (PDP)|00025063|102.40|590| |05| | |0|N
S4802|209|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Medicare Rx Value Plus (PDP)|00025063|107.40|590| |06| | |0|N
S4802|210|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Medicare Rx Value Plus (PDP)|00025063|102.30|590| |07| | |0|N
S4802|211|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Medicare Rx Value Plus (PDP)|00025063|107.30|590| |08| | |0|N
S4802|212|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Medicare Rx Value Plus (PDP)|00025063|113.90|590| |09| | |0|N
S4802|213|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Medicare Rx Value Plus (PDP)|00025063|112.30|590| |10| | |0|N
S4802|214|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Medicare Rx Value Plus (PDP)|00025063|107.30|590| |11| | |0|N
S4802|215|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Medicare Rx Value Plus (PDP)|00025063|102.40|590| |12| | |0|N
S4802|216|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Medicare Rx Value Plus (PDP)|00025063|102.40|590| |13| | |0|N
S4802|217|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Medicare Rx Value Plus (PDP)|00025063|102.30|590| |14| | |0|N
S4802|218|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Medicare Rx Value Plus (PDP)|00025063|102.30|590| |15| | |0|N
S4802|219|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Medicare Rx Value Plus (PDP)|00025063|102.40|590| |16| | |0|N
S4802|220|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Medicare Rx Value Plus (PDP)|00025063|102.40|590| |17| | |0|N
S4802|221|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Medicare Rx Value Plus (PDP)|00025063|102.40|590| |18| | |0|N
S4802|222|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Medicare Rx Value Plus (PDP)|00025063|102.30|590| |19| | |0|N
S4802|223|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Medicare Rx Value Plus (PDP)|00025063|117.30|590| |20| | |0|N
S4802|224|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Medicare Rx Value Plus (PDP)|00025063|107.40|590| |21| | |0|N
S4802|225|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Medicare Rx Value Plus (PDP)|00025063|102.30|590| |22| | |0|N
S4802|226|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Medicare Rx Value Plus (PDP)|00025063|122.30|590| |23| | |0|N
S4802|227|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Medicare Rx Value Plus (PDP)|00025063|113.90|590| |24| | |0|N
S4802|228|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Medicare Rx Value Plus (PDP)|00025063|107.30|590| |25| | |0|N
S4802|229|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Medicare Rx Value Plus (PDP)|00025063|102.30|590| |26| | |0|N
S4802|230|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Medicare Rx Value Plus (PDP)|00025063|117.20|590| |27| | |0|N
S4802|231|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Medicare Rx Value Plus (PDP)|00025063|102.40|590| |28| | |0|N
S4802|232|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Medicare Rx Value Plus (PDP)|00025063|102.40|590| |29| | |0|N
S4802|233|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Medicare Rx Value Plus (PDP)|00025063|102.40|590| |30| | |0|N
S4802|234|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Medicare Rx Value Plus (PDP)|00025063|102.30|590| |31| | |0|N
S4802|235|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Medicare Rx Value Plus (PDP)|00025063|117.60|590| |32| | |0|N
S4802|236|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Medicare Rx Value Plus (PDP)|00025063|107.30|590| |33| | |0|N
S4802|237|000|WELLCARE PRESCRIPTION INSURANCE, INC.|Wellcare Medicare Rx Value Plus (PDP)|00025063|107.30|590| |34| | |0|N
S5540|002|000|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Rx Standard (PDP)|00025070|103.40|590| |08| | |0|N
S5540|004|000|BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA|Blue Medicare Rx Enhanced (PDP)|00025072|113.20|0| |08| | |0|N
S5552|004|000|HUMANA INSURANCE COMPANY OF NEW YORK|Humana Basic Rx Plan (PDP)|00025428|120.60|590| |03| | |0|N
S5552|005|000|HUMANA INSURANCE COMPANY OF NEW YORK|Humana Premier Rx Plan (PDP)|00025452|170.40|0| |03| | |0|N
S5552|006|000|HUMANA INSURANCE COMPANY OF NEW YORK|Humana Value Rx Plan (PDP)|00025450|108.90|573| |03| | |0|N
S5584|001|000|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Prescription Blue Select (PDP)|00025351|122.80|590| |13| | |0|N
S5584|002|000|BCBS OF MICHIGAN MUTUAL INSURANCE COMPANY|Prescription Blue Premium (PDP)|00025351|138.90|0| |13| | |0|N
S5593|002|000|HM HEALTH INSURANCE COMPANY|Blue Rx PDP Plus (PDP)|00025022|143.20|590| |06| | |0|N
S5593|003|000|HM HEALTH INSURANCE COMPANY|Blue Rx PDP Complete (PDP)|00025022|168.20|0| |06| | |0|N
S5596|001|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem MediBlue Rx Plus (PDP)|00025074|83.70|515| |01| | |0|N
S5596|005|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem MediBlue Rx Standard (PDP)|00025071|76.80|590| |07| | |0|N
S5596|006|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem MediBlue Rx Plus (PDP)|00025074|58.40|590| |07| | |0|N
S5596|013|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem MediBlue Rx Standard (PDP)|00025071|101.80|590| |14| | |0|N
S5596|014|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem MediBlue Rx Plus (PDP)|00025074|72.10|555| |14| | |0|N
S5596|017|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem MediBlue Rx Standard (PDP)|00025071|89.70|590| |15| | |0|N
S5596|018|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem MediBlue Rx Plus (PDP)|00025074|87.10|465| |15| | |0|N
S5596|043|000|ANTHEM INSURANCE COMPANIES, INC.|Blue MedicareRx Value (PDP)|00025071|91.40|590| |18| | |0|N
S5596|044|000|ANTHEM INSURANCE COMPANIES, INC.|Blue MedicareRx Plus (PDP)|00025074|76.10|590| |18| | |0|N
S5596|046|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem MediBlue Rx Standard (PDP)|00025071|112.70|590| |01| | |0|N
S5596|056|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem MediBlue Rx Standard (PDP)|00025071|118.60|590| |16| | |0|N
S5596|057|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem MediBlue Rx Plus (PDP)|00025074|39.30|590| |16| | |0|N
S5596|059|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem MediBlue Rx Standard (PDP)|00025071|115.40|590| |27| | |0|N
S5596|060|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem MediBlue Rx Plus (PDP)|00025074|151.00|150| |27| | |0|N
S5596|062|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem MediBlue Rx Standard (PDP)|00025071|132.60|590| |29| | |0|N
S5596|063|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem MediBlue Rx Plus (PDP)|00025074|155.80|170| |29| | |0|N
S5596|085|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem MediBlue Rx Standard (PDP)|00025071|144.30|590| |10| | |0|N
S5596|086|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem MediBlue Rx Plus (PDP)|00025074|159.80|155| |10| | |0|N
S5596|087|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Blue Cross MediBlue Rx Standard (PDP)|00025071|135.60|590| |32| | |0|N
S5596|088|000|ANTHEM INSURANCE COMPANIES, INC.|Anthem Blue Cross MediBlue Rx Plus (PDP)|00025074|164.90|120| |32| | |0|N
S5601|002|000|SILVERSCRIPT INSURANCE COMPANY|SilverScript Choice (PDP)|00025093|44.90|590| |01| | |0|N
S5601|004|000|SILVERSCRIPT INSURANCE COMPANY|SilverScript Choice (PDP)|00025093|50.70|590| |02| | |0|N
S5601|006|000|SILVERSCRIPT INSURANCE COMPANY|SilverScript Choice (PDP)|00025093|66.00|590| |03| | |0|N
S5601|008|000|SILVERSCRIPT INSURANCE COMPANY|SilverScript Choice (PDP)|00025093|47.40|590| |04| | |0|N
S5601|010|000|SILVERSCRIPT INSURANCE COMPANY|SilverScript Choice (PDP)|00025093|47.40|590| |05| | |0|N
S5601|012|000|SILVERSCRIPT INSURANCE COMPANY|SilverScript Choice (PDP)|00025093|44.90|590| |06| | |0|N
S5601|014|000|SILVERSCRIPT INSURANCE COMPANY|SilverScript Choice (PDP)|00025096|28.20|590| |07| | |0|N
S5601|016|000|SILVERSCRIPT INSURANCE COMPANY|SilverScript Choice (PDP)|00025093|40.20|590| |08| | |0|N
S5601|018|000|SILVERSCRIPT INSURANCE COMPANY|SilverScript Choice (PDP)|00025093|48.40|590| |09| | |0|N
S5601|020|000|SILVERSCRIPT INSURANCE COMPANY|SilverScript Choice (PDP)|00025093|50.70|590| |10| | |0|N
S5601|022|000|SILVERSCRIPT INSURANCE COMPANY|SilverScript Choice (PDP)|00025093|48.30|590| |11| | |0|N
S5601|024|000|SILVERSCRIPT INSURANCE COMPANY|SilverScript Choice (PDP)|00025093|47.30|590| |12| | |0|N
S5601|026|000|SILVERSCRIPT INSURANCE COMPANY|SilverScript Choice (PDP)|00025096|28.30|590| |13| | |0|N
S5601|028|000|SILVERSCRIPT INSURANCE COMPANY|SilverScript Choice (PDP)|00025093|40.30|590| |14| | |0|N
S5601|030|000|SILVERSCRIPT INSURANCE COMPANY|SilverScript Choice (PDP)|00025093|44.90|590| |15| | |0|N
S5601|032|000|SILVERSCRIPT INSURANCE COMPANY|SilverScript Choice (PDP)|00025096|32.30|590| |16| | |0|N
S5601|034|000|SILVERSCRIPT INSURANCE COMPANY|SilverScript Choice (PDP)|00025093|44.90|590| |17| | |0|N
S5601|036|000|SILVERSCRIPT INSURANCE COMPANY|SilverScript Choice (PDP)|00025093|44.90|590| |18| | |0|N
S5601|038|000|SILVERSCRIPT INSURANCE COMPANY|SilverScript Choice (PDP)|00025096|23.50|590| |19| | |0|N
S5601|040|000|SILVERSCRIPT INSURANCE COMPANY|SilverScript Choice (PDP)|00025093|48.30|590| |20| | |0|N
S5601|042|000|SILVERSCRIPT INSURANCE COMPANY|SilverScript Choice (PDP)|00025093|48.90|590| |21| | |0|N
S5601|044|000|SILVERSCRIPT INSURANCE COMPANY|SilverScript Choice (PDP)|00025093|44.80|590| |22| | |0|N
S5601|046|000|SILVERSCRIPT INSURANCE COMPANY|SilverScript Choice (PDP)|00025093|44.90|590| |23| | |0|N
S5601|048|000|SILVERSCRIPT INSURANCE COMPANY|SilverScript Choice (PDP)|00025096|38.30|590| |24| | |0|N
S5601|050|000|SILVERSCRIPT INSURANCE COMPANY|SilverScript Choice (PDP)|00025096|40.30|590| |25| | |0|N
S5601|052|000|SILVERSCRIPT INSURANCE COMPANY|SilverScript Choice (PDP)|00025093|54.00|590| |26| | |0|N
S5601|054|000|SILVERSCRIPT INSURANCE COMPANY|SilverScript Choice (PDP)|00025093|55.10|590| |27| | |0|N
S5601|056|000|SILVERSCRIPT INSURANCE COMPANY|SilverScript Choice (PDP)|00025093|44.90|590| |28| | |0|N
S5601|058|000|SILVERSCRIPT INSURANCE COMPANY|SilverScript Choice (PDP)|00025093|47.40|590| |29| | |0|N
S5601|060|000|SILVERSCRIPT INSURANCE COMPANY|SilverScript Choice (PDP)|00025096|35.90|590| |30| | |0|N
S5601|062|000|SILVERSCRIPT INSURANCE COMPANY|SilverScript Choice (PDP)|00025093|44.90|590| |31| | |0|N
S5601|064|000|SILVERSCRIPT INSURANCE COMPANY|SilverScript Choice (PDP)|00025093|53.60|590| |32| | |0|N
S5601|066|000|SILVERSCRIPT INSURANCE COMPANY|SilverScript Choice (PDP)|00025096|32.70|590| |33| | |0|N
S5601|068|000|SILVERSCRIPT INSURANCE COMPANY|SilverScript Choice (PDP)|00025093|44.90|590| |34| | |0|N
S5617|003|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Assurance Rx (PDP)|00025268|9.00|590| |01| | |0|N
S5617|008|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Assurance Rx (PDP)|00025268|89.30|590| |02| | |0|N
S5617|013|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Assurance Rx (PDP)|00025268|48.90|590| |03| | |0|N
S5617|018|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Assurance Rx (PDP)|00025268|94.30|590| |04| | |0|N
S5617|053|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Assurance Rx (PDP)|00025268|94.70|590| |11| | |0|N
S5617|068|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Assurance Rx (PDP)|00025268|86.50|590| |14| | |0|N
S5617|088|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Assurance Rx (PDP)|00025268|91.50|590| |18| | |0|N
S5617|103|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Assurance Rx (PDP)|00025268|77.30|590| |21| | |0|N
S5617|108|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Assurance Rx (PDP)|00025268|61.40|590| |22| | |0|N
S5617|113|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Assurance Rx (PDP)|00025268|86.40|590| |23| | |0|N
S5617|118|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Assurance Rx (PDP)|00025268|16.00|590| |24| | |0|N
S5617|123|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Assurance Rx (PDP)|00025268|75.90|590| |25| | |0|N
S5617|128|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Assurance Rx (PDP)|00025268|0.00|590| |26| | |0|N
S5617|133|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Assurance Rx (PDP)|00025268|11.70|590| |27| | |0|N
S5617|138|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Assurance Rx (PDP)|00025268|0.00|590| |28| | |0|N
S5617|143|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Assurance Rx (PDP)|00025268|84.80|590| |29| | |0|N
S5617|148|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Assurance Rx (PDP)|00025268|0.00|590| |30| | |0|N
S5617|153|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Assurance Rx (PDP)|00025268|92.40|590| |31| | |0|N
S5617|158|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Assurance Rx (PDP)|00025268|1.80|590| |32| | |0|N
S5617|163|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Assurance Rx (PDP)|00025268|48.90|590| |33| | |0|N
S5617|214|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Assurance Rx (PDP)|00025268|54.00|590| |05| | |0|N
S5617|215|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Assurance Rx (PDP)|00025268|64.40|590| |06| | |0|N
S5617|216|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Assurance Rx (PDP)|00025268|89.70|590| |07| | |0|N
S5617|217|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Assurance Rx (PDP)|00025268|78.00|590| |08| | |0|N
S5617|218|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Assurance Rx (PDP)|00025268|102.50|590| |09| | |0|N
S5617|219|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Assurance Rx (PDP)|00025268|99.30|590| |10| | |0|N
S5617|220|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Assurance Rx (PDP)|00025268|78.10|590| |12| | |0|N
S5617|221|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Assurance Rx (PDP)|00025268|0.00|590| |13| | |0|N
S5617|222|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Assurance Rx (PDP)|00025268|87.60|590| |15| | |0|N
S5617|223|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Assurance Rx (PDP)|00025268|14.60|590| |16| | |0|N
S5617|224|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Assurance Rx (PDP)|00025268|65.40|590| |17| | |0|N
S5617|225|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Assurance Rx (PDP)|00025268|0.00|590| |19| | |0|N
S5617|226|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Assurance Rx (PDP)|00025268|70.80|590| |20| | |0|N
S5617|227|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Assurance Rx (PDP)|00025268|4.20|590| |34| | |0|N
S5617|246|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Extra Rx (PDP)|00025270|128.20|175| |01| | |0|N
S5617|247|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Extra Rx (PDP)|00025270|112.90|175| |02| | |0|N
S5617|248|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Extra Rx (PDP)|00025270|146.60|175| |03| | |0|N
S5617|249|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Extra Rx (PDP)|00025270|112.30|175| |04| | |0|N
S5617|250|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Extra Rx (PDP)|00025270|99.30|175| |05| | |0|N
S5617|251|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Extra Rx (PDP)|00025270|95.30|175| |06| | |0|N
S5617|252|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Extra Rx (PDP)|00025270|111.90|175| |07| | |0|N
S5617|253|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Extra Rx (PDP)|00025270|102.30|175| |08| | |0|N
S5617|254|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Extra Rx (PDP)|00025270|131.70|175| |09| | |0|N
S5617|255|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Extra Rx (PDP)|00025270|112.40|175| |10| | |0|N
S5617|256|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Extra Rx (PDP)|00025270|114.80|175| |11| | |0|N
S5617|257|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Extra Rx (PDP)|00025270|113.20|175| |12| | |0|N
S5617|258|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Extra Rx (PDP)|00025270|61.00|175| |13| | |0|N
S5617|259|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Extra Rx (PDP)|00025270|60.80|175| |14| | |0|N
S5617|260|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Extra Rx (PDP)|00025270|111.20|175| |15| | |0|N
S5617|261|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Extra Rx (PDP)|00025270|76.90|175| |16| | |0|N
S5617|262|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Extra Rx (PDP)|00025270|101.60|175| |17| | |0|N
S5617|263|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Extra Rx (PDP)|00025270|127.00|175| |18| | |0|N
S5617|264|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Extra Rx (PDP)|00025270|125.60|175| |19| | |0|N
S5617|265|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Extra Rx (PDP)|00025270|95.20|175| |20| | |0|N
S5617|266|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Extra Rx (PDP)|00025270|121.60|175| |21| | |0|N
S5617|267|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Extra Rx (PDP)|00025270|94.20|175| |22| | |0|N
S5617|268|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Extra Rx (PDP)|00025270|96.40|175| |23| | |0|N
S5617|269|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Extra Rx (PDP)|00025270|85.10|175| |24| | |0|N
S5617|270|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Extra Rx (PDP)|00025270|102.90|175| |25| | |0|N
S5617|271|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Extra Rx (PDP)|00025270|91.00|175| |26| | |0|N
S5617|272|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Extra Rx (PDP)|00025270|130.10|175| |27| | |0|N
S5617|273|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Extra Rx (PDP)|00025270|57.90|175| |28| | |0|N
S5617|274|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Extra Rx (PDP)|00025270|83.90|175| |29| | |0|N
S5617|275|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Extra Rx (PDP)|00025270|67.20|175| |30| | |0|N
S5617|276|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Extra Rx (PDP)|00025270|78.60|175| |31| | |0|N
S5617|277|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Extra Rx (PDP)|00025270|140.90|175| |32| | |0|N
S5617|278|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Extra Rx (PDP)|00025270|90.10|175| |33| | |0|N
S5617|279|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Extra Rx (PDP)|00025270|35.60|175| |34| | |0|N
S5617|348|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Assurance Rx (PDP)|00025268|15.70|590| |38| | |0|N
S5617|349|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Extra Rx (PDP)|00025270|21.00|175| |38| | |0|N
S5617|351|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Saver Rx (PDP)|00025269|3.10|590| |01| | |0|N
S5617|352|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Saver Rx (PDP)|00025269|28.80|590| |02| | |0|N
S5617|353|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Saver Rx (PDP)|00025269|41.60|590| |03| | |0|N
S5617|354|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Saver Rx (PDP)|00025269|9.90|590| |04| | |0|N
S5617|355|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Saver Rx (PDP)|00025269|16.60|590| |05| | |0|N
S5617|356|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Saver Rx (PDP)|00025269|12.60|590| |06| | |0|N
S5617|357|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Saver Rx (PDP)|00025269|17.80|590| |07| | |0|N
S5617|358|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Saver Rx (PDP)|00025269|28.00|590| |08| | |0|N
S5617|359|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Saver Rx (PDP)|00025269|21.20|590| |09| | |0|N
S5617|360|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Saver Rx (PDP)|00025269|21.20|590| |10| | |0|N
S5617|361|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Saver Rx (PDP)|00025269|27.10|590| |11| | |0|N
S5617|362|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Saver Rx (PDP)|00025269|27.50|590| |12| | |0|N
S5617|363|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Saver Rx (PDP)|00025269|0.40|590| |13| | |0|N
S5617|364|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Saver Rx (PDP)|00025269|15.70|590| |14| | |0|N
S5617|365|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Saver Rx (PDP)|00025269|28.20|590| |15| | |0|N
S5617|366|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Saver Rx (PDP)|00025269|6.30|590| |16| | |0|N
S5617|367|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Saver Rx (PDP)|00025269|16.60|590| |17| | |0|N
S5617|368|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Saver Rx (PDP)|00025269|20.70|590| |18| | |0|N
S5617|369|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Saver Rx (PDP)|00025269|4.50|590| |19| | |0|N
S5617|370|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Saver Rx (PDP)|00025269|27.10|590| |20| | |0|N
S5617|371|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Saver Rx (PDP)|00025269|10.60|590| |21| | |0|N
S5617|372|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Saver Rx (PDP)|00025269|20.00|590| |22| | |0|N
S5617|373|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Saver Rx (PDP)|00025269|15.40|590| |23| | |0|N
S5617|374|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Saver Rx (PDP)|00025269|3.10|590| |24| | |0|N
S5617|375|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Saver Rx (PDP)|00025269|16.50|590| |25| | |0|N
S5617|376|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Saver Rx (PDP)|00025269|0.00|590| |26| | |0|N
S5617|377|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Saver Rx (PDP)|00025269|20.70|590| |27| | |0|N
S5617|378|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Saver Rx (PDP)|00025269|16.40|590| |28| | |0|N
S5617|379|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Saver Rx (PDP)|00025269|2.60|590| |29| | |0|N
S5617|380|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Saver Rx (PDP)|00025269|0.00|590| |30| | |0|N
S5617|381|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Saver Rx (PDP)|00025269|6.30|590| |31| | |0|N
S5617|382|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Saver Rx (PDP)|00025269|20.60|590| |32| | |0|N
S5617|383|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Saver Rx (PDP)|00025269|21.50|590| |33| | |0|N
S5617|384|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Saver Rx (PDP)|00025269|29.80|590| |34| | |0|N
S5617|385|000|MEDCO CONTAINMENT LIFE AND MEDCO CONTAINMENT NY|Cigna Healthcare Saver Rx (PDP)|00025269|0.00|590| |38| | |0|N
S5715|001|000|Health Care Service Corporation|Blue Cross MedicareRx Value (PDP)|00025442|81.40|590| |17| | |0|N
S5715|003|000|Health Care Service Corporation|Blue Cross MedicareRx Value (PDP)|00025442|99.20|590| |26| | |0|N
S5715|005|000|Health Care Service Corporation|Blue Cross MedicareRx Value (PDP)|00025442|117.40|590| |22| | |0|N
S5715|010|000|Health Care Service Corporation|Blue Cross MedicareRx Value (PDP)|00025442|117.30|590| |23| | |0|N
S5715|012|000|Health Care Service Corporation|Blue Cross MedicareRx Basic (PDP)|00025439|83.40|590| |17| | |0|N
S5715|013|000|Health Care Service Corporation|Blue Cross MedicareRx Basic (PDP)|00025439|95.40|590| |26| | |0|N
S5715|014|000|Health Care Service Corporation|Blue Cross MedicareRx Basic (PDP)|00025439|101.00|590| |22| | |0|N
S5715|015|000|Health Care Service Corporation|Blue Cross MedicareRx Basic (PDP)|00025439|7.80|590| |23| | |0|N
S5715|018|000|Health Care Service Corporation|Blue Cross MedicareRx Choice (PDP)|00025441|59.80|590| |23| | |0|N
S5715|019|000|Health Care Service Corporation|Blue Cross MedicareRx Choice (PDP)|00025441|51.30|590| |17| | |0|N
S5715|020|000|Health Care Service Corporation|Blue Cross MedicareRx Choice (PDP)|00025441|61.30|590| |26| | |0|N
S5715|021|000|Health Care Service Corporation|Blue Cross MedicareRx Choice (PDP)|00025441|60.60|590| |22| | |0|N
S5726|013|000|BLUE CROSS AND BLUE SHIELD OF KANSAS|Blue MedicareRx Value (PDP)|00025179|39.60|590| |24| | |0|N
S5726|014|000|BLUE CROSS AND BLUE SHIELD OF KANSAS|Blue MedicareRx Plus (PDP)|00025181|61.60|0| |24| | |0|N
S5726|020|000|BLUE CROSS AND BLUE SHIELD OF KANSAS|Blue MedicareRx Essentials (PDP)|00025180|0.00|425| |24| | |0|N
S5743|001|000|WELLMARK  IA & SD, & BCBS MN, MT, NE, ND,& WY|MedicareBlue Rx Standard (PDP)|00025151|51.00|590| |25| | |0|N
S5743|004|000|WELLMARK  IA & SD, & BCBS MN, MT, NE, ND,& WY|MedicareBlue Rx Premier (PDP)|00025155|116.90|0| |25| | |0|N
S5795|002|000|USABLE MUTUAL INSURANCE COMPANY|BlueMedicare Premier Rx (PDP)|00025134|158.90|0| |19| | |0|N
S5795|003|000|USABLE MUTUAL INSURANCE COMPANY|BlueMedicare Value Rx (PDP)|00025137|48.90|590| |19| | |0|N
S5820|034|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Rx Preferred from UHC (PDP)|00025000|4.90|590| |35| | |0|N
S5820|035|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Rx Preferred from UHC (PDP)|00025000|0.80|590| |36| | |0|N
S5820|036|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Rx Preferred from UHC (PDP)|00025000|6.80|590| |37| | |0|N
S5820|037|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Rx Preferred from UHC (PDP)|00025000|109.50|590| |38| | |0|N
S5820|038|000|UNITEDHEALTHCARE INSURANCE COMPANY|AARP Medicare Rx Preferred from UHC (PDP)|00025000|94.00|590| |39| | |0|N
S5884|101|000|HUMANA INSURANCE COMPANY|Humana Basic Rx Plan (PDP)|00025428|0.00|590| |01| | |0|N
S5884|102|000|HUMANA INSURANCE COMPANY|Humana Basic Rx Plan (PDP)|00025428|102.50|590| |02| | |0|N
S5884|103|000|HUMANA INSURANCE COMPANY|Humana Basic Rx Plan (PDP)|00025428|67.80|590| |05| | |0|N
S5884|104|000|HUMANA INSURANCE COMPANY|Humana Basic Rx Plan (PDP)|00025428|70.60|590| |06| | |0|N
S5884|105|000|HUMANA INSURANCE COMPANY|Humana Basic Rx Plan (PDP)|00025428|116.70|590| |11| | |0|N
S5884|106|000|HUMANA INSURANCE COMPANY|Humana Basic Rx Plan (PDP)|00025428|15.50|590| |12| | |0|N
S5884|107|000|HUMANA INSURANCE COMPANY|Humana Basic Rx Plan (PDP)|00025428|61.90|590| |17| | |0|N
S5884|108|000|HUMANA INSURANCE COMPANY|Humana Basic Rx Plan (PDP)|00025428|25.80|590| |21| | |0|N
S5884|109|000|HUMANA INSURANCE COMPANY|Humana Basic Rx Plan (PDP)|00025428|68.50|590| |24| | |0|N
S5884|110|000|HUMANA INSURANCE COMPANY|Humana Basic Rx Plan (PDP)|00025428|0.20|590| |26| | |0|N
S5884|111|000|HUMANA INSURANCE COMPANY|Humana Basic Rx Plan (PDP)|00025428|15.00|590| |27| | |0|N
S5884|112|000|HUMANA INSURANCE COMPANY|Humana Basic Rx Plan (PDP)|00025428|72.20|590| |29| | |0|N
S5884|113|000|HUMANA INSURANCE COMPANY|Humana Basic Rx Plan (PDP)|00025428|7.90|590| |30| | |0|N
S5884|114|000|HUMANA INSURANCE COMPANY|Humana Basic Rx Plan (PDP)|00025428|110.20|590| |32| | |0|N
S5884|115|000|HUMANA INSURANCE COMPANY|Humana Basic Rx Plan (PDP)|00025428|49.80|590| |33| | |0|N
S5884|116|000|HUMANA INSURANCE COMPANY|Humana Basic Rx Plan (PDP)|00025428|0.00|590| |34| | |0|N
S5884|131|000|HUMANA INSURANCE COMPANY|Humana Basic Rx Plan (PDP)|00025428|12.10|590| |04| | |0|N
S5884|132|000|HUMANA INSURANCE COMPANY|Humana Basic Rx Plan (PDP)|00025428|5.20|590| |07| | |0|N
S5884|133|000|HUMANA INSURANCE COMPANY|Humana Basic Rx Plan (PDP)|00025428|23.10|590| |08| | |0|N
S5884|134|000|HUMANA INSURANCE COMPANY|Humana Basic Rx Plan (PDP)|00025428|71.60|590| |09| | |0|N
S5884|135|000|HUMANA INSURANCE COMPANY|Humana Basic Rx Plan (PDP)|00025428|16.50|590| |10| | |0|N
S5884|136|000|HUMANA INSURANCE COMPANY|Humana Basic Rx Plan (PDP)|00025428|3.20|590| |13| | |0|N
S5884|137|000|HUMANA INSURANCE COMPANY|Humana Basic Rx Plan (PDP)|00025428|83.20|590| |14| | |0|N
S5884|138|000|HUMANA INSURANCE COMPANY|Humana Basic Rx Plan (PDP)|00025428|56.10|590| |15| | |0|N
S5884|139|000|HUMANA INSURANCE COMPANY|Humana Basic Rx Plan (PDP)|00025428|23.00|590| |16| | |0|N
S5884|140|000|HUMANA INSURANCE COMPANY|Humana Basic Rx Plan (PDP)|00025428|69.80|590| |18| | |0|N
S5884|141|000|HUMANA INSURANCE COMPANY|Humana Basic Rx Plan (PDP)|00025428|1.40|590| |19| | |0|N
S5884|142|000|HUMANA INSURANCE COMPANY|Humana Basic Rx Plan (PDP)|00025428|18.30|590| |20| | |0|N
S5884|143|000|HUMANA INSURANCE COMPANY|Humana Basic Rx Plan (PDP)|00025428|62.40|590| |22| | |0|N
S5884|144|000|HUMANA INSURANCE COMPANY|Humana Basic Rx Plan (PDP)|00025428|13.70|590| |23| | |0|N
S5884|145|000|HUMANA INSURANCE COMPANY|Humana Basic Rx Plan (PDP)|00025428|69.00|590| |25| | |0|N
S5884|146|000|HUMANA INSURANCE COMPANY|Humana Basic Rx Plan (PDP)|00025428|64.40|590| |28| | |0|N
S5884|147|000|HUMANA INSURANCE COMPANY|Humana Basic Rx Plan (PDP)|00025428|15.10|590| |31| | |0|N
S5884|148|000|HUMANA INSURANCE COMPANY|Humana Premier Rx Plan (PDP)|00025452|156.60|0| |01| | |0|N
S5884|149|000|HUMANA INSURANCE COMPANY|Humana Premier Rx Plan (PDP)|00025452|143.40|0| |02| | |0|N
S5884|150|000|HUMANA INSURANCE COMPANY|Humana Premier Rx Plan (PDP)|00025452|118.30|0| |04| | |0|N
S5884|151|000|HUMANA INSURANCE COMPANY|Humana Premier Rx Plan (PDP)|00025452|119.80|0| |05| | |0|N
S5884|152|000|HUMANA INSURANCE COMPANY|Humana Premier Rx Plan (PDP)|00025452|128.90|0| |06| | |0|N
S5884|153|000|HUMANA INSURANCE COMPANY|Humana Premier Rx Plan (PDP)|00025452|105.40|0| |07| | |0|N
S5884|154|000|HUMANA INSURANCE COMPANY|Humana Premier Rx Plan (PDP)|00025452|126.50|0| |08| | |0|N
S5884|155|000|HUMANA INSURANCE COMPANY|Humana Premier Rx Plan (PDP)|00025452|151.90|0| |09| | |0|N
S5884|156|000|HUMANA INSURANCE COMPANY|Humana Premier Rx Plan (PDP)|00025452|135.90|0| |10| | |0|N
S5884|157|000|HUMANA INSURANCE COMPANY|Humana Premier Rx Plan (PDP)|00025452|132.30|0| |11| | |0|N
S5884|158|000|HUMANA INSURANCE COMPANY|Humana Premier Rx Plan (PDP)|00025452|120.90|0| |12| | |0|N
S5884|159|000|HUMANA INSURANCE COMPANY|Humana Premier Rx Plan (PDP)|00025452|110.10|0| |13| | |0|N
S5884|160|000|HUMANA INSURANCE COMPANY|Humana Premier Rx Plan (PDP)|00025452|124.00|0| |14| | |0|N
S5884|161|000|HUMANA INSURANCE COMPANY|Humana Premier Rx Plan (PDP)|00025452|131.60|0| |15| | |0|N
S5884|162|000|HUMANA INSURANCE COMPANY|Humana Premier Rx Plan (PDP)|00025452|130.80|0| |16| | |0|N
S5884|163|000|HUMANA INSURANCE COMPANY|Humana Premier Rx Plan (PDP)|00025452|125.80|0| |17| | |0|N
S5884|164|000|HUMANA INSURANCE COMPANY|Humana Premier Rx Plan (PDP)|00025452|142.20|0| |18| | |0|N
S5884|165|000|HUMANA INSURANCE COMPANY|Humana Premier Rx Plan (PDP)|00025452|99.90|0| |19| | |0|N
S5884|166|000|HUMANA INSURANCE COMPANY|Humana Premier Rx Plan (PDP)|00025452|117.00|0| |20| | |0|N
S5884|167|000|HUMANA INSURANCE COMPANY|Humana Premier Rx Plan (PDP)|00025452|124.60|0| |21| | |0|N
S5884|168|000|HUMANA INSURANCE COMPANY|Humana Premier Rx Plan (PDP)|00025452|124.60|0| |22| | |0|N
S5884|169|000|HUMANA INSURANCE COMPANY|Humana Premier Rx Plan (PDP)|00025452|111.40|0| |23| | |0|N
S5884|170|000|HUMANA INSURANCE COMPANY|Humana Premier Rx Plan (PDP)|00025452|112.70|0| |24| | |0|N
S5884|171|000|HUMANA INSURANCE COMPANY|Humana Premier Rx Plan (PDP)|00025452|117.40|0| |25| | |0|N
S5884|172|000|HUMANA INSURANCE COMPANY|Humana Premier Rx Plan (PDP)|00025452|77.10|0| |26| | |0|N
S5884|173|000|HUMANA INSURANCE COMPANY|Humana Premier Rx Plan (PDP)|00025452|143.40|0| |27| | |0|N
S5884|174|000|HUMANA INSURANCE COMPANY|Humana Premier Rx Plan (PDP)|00025452|133.30|0| |28| | |0|N
S5884|175|000|HUMANA INSURANCE COMPANY|Humana Premier Rx Plan (PDP)|00025452|145.00|0| |29| | |0|N
S5884|176|000|HUMANA INSURANCE COMPANY|Humana Premier Rx Plan (PDP)|00025452|110.10|0| |30| | |0|N
S5884|177|000|HUMANA INSURANCE COMPANY|Humana Premier Rx Plan (PDP)|00025452|121.90|0| |31| | |0|N
S5884|178|000|HUMANA INSURANCE COMPANY|Humana Premier Rx Plan (PDP)|00025452|164.20|0| |32| | |0|N
S5884|179|000|HUMANA INSURANCE COMPANY|Humana Premier Rx Plan (PDP)|00025452|151.60|0| |33| | |0|N
S5884|180|000|HUMANA INSURANCE COMPANY|Humana Premier Rx Plan (PDP)|00025452|138.70|0| |34| | |0|N
S5884|181|000|HUMANA INSURANCE COMPANY|Humana Value Rx Plan (PDP)|00025450|59.80|573| |01| | |0|N
S5884|182|000|HUMANA INSURANCE COMPANY|Humana Value Rx Plan (PDP)|00025450|64.90|573| |02| | |0|N
S5884|183|000|HUMANA INSURANCE COMPANY|Humana Value Rx Plan (PDP)|00025450|28.80|573| |04| | |0|N
S5884|184|000|HUMANA INSURANCE COMPANY|Humana Value Rx Plan (PDP)|00025450|24.70|573| |05| | |0|N
S5884|185|000|HUMANA INSURANCE COMPANY|Humana Value Rx Plan (PDP)|00025450|39.80|573| |06| | |0|N
S5884|186|000|HUMANA INSURANCE COMPANY|Humana Value Rx Plan (PDP)|00025450|16.00|573| |07| | |0|N
S5884|187|000|HUMANA INSURANCE COMPANY|Humana Value Rx Plan (PDP)|00025450|37.30|573| |08| | |0|N
S5884|188|000|HUMANA INSURANCE COMPANY|Humana Value Rx Plan (PDP)|00025450|58.30|573| |09| | |0|N
S5884|189|000|HUMANA INSURANCE COMPANY|Humana Value Rx Plan (PDP)|00025450|41.80|573| |10| | |0|N
S5884|190|000|HUMANA INSURANCE COMPANY|Humana Value Rx Plan (PDP)|00025450|41.20|573| |11| | |0|N
S5884|191|000|HUMANA INSURANCE COMPANY|Humana Value Rx Plan (PDP)|00025450|43.40|573| |12| | |0|N
S5884|192|000|HUMANA INSURANCE COMPANY|Humana Value Rx Plan (PDP)|00025450|16.30|573| |13| | |0|N
S5884|193|000|HUMANA INSURANCE COMPANY|Humana Value Rx Plan (PDP)|00025450|29.20|573| |14| | |0|N
S5884|194|000|HUMANA INSURANCE COMPANY|Humana Value Rx Plan (PDP)|00025450|30.30|573| |15| | |0|N
S5884|195|000|HUMANA INSURANCE COMPANY|Humana Value Rx Plan (PDP)|00025450|16.50|573| |16| | |0|N
S5884|196|000|HUMANA INSURANCE COMPANY|Humana Value Rx Plan (PDP)|00025450|20.90|573| |17| | |0|N
S5884|197|000|HUMANA INSURANCE COMPANY|Humana Value Rx Plan (PDP)|00025450|37.30|573| |18| | |0|N
S5884|198|000|HUMANA INSURANCE COMPANY|Humana Value Rx Plan (PDP)|00025450|14.20|573| |19| | |0|N
S5884|199|000|HUMANA INSURANCE COMPANY|Humana Value Rx Plan (PDP)|00025450|37.50|573| |20| | |0|N
S5884|200|000|HUMANA INSURANCE COMPANY|Humana Value Rx Plan (PDP)|00025450|29.70|573| |21| | |0|N
S5884|201|000|HUMANA INSURANCE COMPANY|Humana Value Rx Plan (PDP)|00025450|43.30|573| |22| | |0|N
S5884|202|000|HUMANA INSURANCE COMPANY|Humana Value Rx Plan (PDP)|00025450|29.80|573| |23| | |0|N
S5884|203|000|HUMANA INSURANCE COMPANY|Humana Value Rx Plan (PDP)|00025450|34.20|573| |24| | |0|N
S5884|204|000|HUMANA INSURANCE COMPANY|Humana Value Rx Plan (PDP)|00025450|41.20|573| |25| | |0|N
S5884|205|000|HUMANA INSURANCE COMPANY|Humana Value Rx Plan (PDP)|00025450|54.80|573| |26| | |0|N
S5884|206|000|HUMANA INSURANCE COMPANY|Humana Value Rx Plan (PDP)|00025450|63.90|573| |27| | |0|N
S5884|207|000|HUMANA INSURANCE COMPANY|Humana Value Rx Plan (PDP)|00025450|27.90|573| |28| | |0|N
S5884|208|000|HUMANA INSURANCE COMPANY|Humana Value Rx Plan (PDP)|00025450|54.10|573| |29| | |0|N
S5884|209|000|HUMANA INSURANCE COMPANY|Humana Value Rx Plan (PDP)|00025450|22.40|573| |30| | |0|N
S5884|210|000|HUMANA INSURANCE COMPANY|Humana Value Rx Plan (PDP)|00025450|29.80|573| |31| | |0|N
S5884|211|000|HUMANA INSURANCE COMPANY|Humana Value Rx Plan (PDP)|00025450|94.00|573| |32| | |0|N
S5884|212|000|HUMANA INSURANCE COMPANY|Humana Value Rx Plan (PDP)|00025450|72.00|573| |33| | |0|N
S5884|213|000|HUMANA INSURANCE COMPANY|Humana Value Rx Plan (PDP)|00025450|33.00|573| |34| | |0|N
S5884|214|000|HUMANA INSURANCE COMPANY|Humana Basic Rx Plan (PDP)|00025428|34.70|590| |38| | |0|N
S5884|215|000|HUMANA INSURANCE COMPANY|Humana Premier Rx Plan (PDP)|00025452|104.20|0| |38| | |0|N
S5904|001|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Premier Rx (PDP)|00025157|51.60|590| |11| | |0|N
S5904|002|000|BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.|BlueMedicare Complete Rx (PDP)|00025161|167.00|0| |11| | |0|N
S5921|348|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Saver from UHC (PDP)|00025001|69.50|590| |02| | |0|N
S5921|349|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Saver from UHC (PDP)|00025001|93.10|590| |04| | |0|N
S5921|350|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Saver from UHC (PDP)|00025001|60.50|590| |05| | |0|N
S5921|351|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Saver from UHC (PDP)|00025001|64.00|590| |06| | |0|N
S5921|352|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Saver from UHC (PDP)|00025001|59.50|590| |07| | |0|N
S5921|353|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Saver from UHC (PDP)|00025001|76.60|590| |08| | |0|N
S5921|354|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Saver from UHC (PDP)|00025001|113.80|590| |09| | |0|N
S5921|355|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Saver from UHC (PDP)|00025001|82.00|590| |10| | |0|N
S5921|356|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Saver from UHC (PDP)|00025001|112.60|590| |11| | |0|N
S5921|357|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Saver from UHC (PDP)|00025001|54.60|590| |12| | |0|N
S5921|358|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Saver from UHC (PDP)|00025001|32.80|590| |13| | |0|N
S5921|359|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Saver from UHC (PDP)|00025001|74.70|590| |14| | |0|N
S5921|360|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Saver from UHC (PDP)|00025001|75.00|590| |15| | |0|N
S5921|361|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Saver from UHC (PDP)|00025001|5.00|590| |16| | |0|N
S5921|362|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Saver from UHC (PDP)|00025001|42.20|590| |17| | |0|N
S5921|363|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Saver from UHC (PDP)|00025001|54.80|590| |18| | |0|N
S5921|364|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Saver from UHC (PDP)|00025001|26.20|590| |19| | |0|N
S5921|365|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Saver from UHC (PDP)|00025001|78.30|590| |20| | |0|N
S5921|366|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Saver from UHC (PDP)|00025001|71.40|590| |21| | |0|N
S5921|367|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Saver from UHC (PDP)|00025001|76.30|590| |22| | |0|N
S5921|368|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Saver from UHC (PDP)|00025001|57.60|590| |23| | |0|N
S5921|369|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Saver from UHC (PDP)|00025001|96.90|590| |24| | |0|N
S5921|370|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Saver from UHC (PDP)|00025001|36.20|590| |25| | |0|N
S5921|371|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Saver from UHC (PDP)|00025001|0.00|590| |26| | |0|N
S5921|372|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Saver from UHC (PDP)|00025001|96.30|590| |27| | |0|N
S5921|373|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Saver from UHC (PDP)|00025001|111.60|590| |29| | |0|N
S5921|374|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Saver from UHC (PDP)|00025001|37.40|590| |30| | |0|N
S5921|375|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Saver from UHC (PDP)|00025001|71.90|590| |31| | |0|N
S5921|376|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Saver from UHC (PDP)|00025001|124.80|590| |32| | |0|N
S5921|377|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Saver from UHC (PDP)|00025001|81.80|590| |34| | |0|N
S5921|378|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Saver from UHC (PDP)|00025001|111.00|590| |01| | |0|N
S5921|379|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Saver from UHC (PDP)|00025001|128.10|590| |03| | |0|N
S5921|380|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Saver from UHC (PDP)|00025001|47.90|590| |28| | |0|N
S5921|381|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Saver from UHC (PDP)|00025001|0.00|590| |33| | |0|N
S5921|382|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Preferred from UHC (PDP)|00025000|113.70|0| |03| | |0|N
S5921|383|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Preferred from UHC (PDP)|00025000|92.20|0| |11| | |0|N
S5921|384|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Preferred from UHC (PDP)|00025000|105.30|0| |01| | |0|N
S5921|385|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Preferred from UHC (PDP)|00025000|107.50|0| |02| | |0|N
S5921|386|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Preferred from UHC (PDP)|00025000|89.20|0| |04| | |0|N
S5921|387|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Preferred from UHC (PDP)|00025000|89.20|0| |05| | |0|N
S5921|388|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Preferred from UHC (PDP)|00025000|103.50|0| |06| | |0|N
S5921|389|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Preferred from UHC (PDP)|00025000|84.30|0| |07| | |0|N
S5921|390|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Preferred from UHC (PDP)|00025000|93.20|0| |08| | |0|N
S5921|391|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Preferred from UHC (PDP)|00025000|89.20|0| |09| | |0|N
S5921|392|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Preferred from UHC (PDP)|00025000|100.00|0| |10| | |0|N
S5921|393|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Preferred from UHC (PDP)|00025000|94.60|0| |12| | |0|N
S5921|394|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Preferred from UHC (PDP)|00025000|86.40|0| |13| | |0|N
S5921|395|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Preferred from UHC (PDP)|00025000|89.20|0| |14| | |0|N
S5921|396|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Preferred from UHC (PDP)|00025000|89.20|0| |15| | |0|N
S5921|397|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Preferred from UHC (PDP)|00025000|89.20|0| |16| | |0|N
S5921|398|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Preferred from UHC (PDP)|00025000|81.10|0| |17| | |0|N
S5921|399|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Preferred from UHC (PDP)|00025000|91.30|0| |18| | |0|N
S5921|400|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Preferred from UHC (PDP)|00025000|80.90|0| |19| | |0|N
S5921|401|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Preferred from UHC (PDP)|00025000|98.10|0| |20| | |0|N
S5921|402|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Preferred from UHC (PDP)|00025000|90.20|0| |21| | |0|N
S5921|403|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Preferred from UHC (PDP)|00025000|89.20|0| |22| | |0|N
S5921|404|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Preferred from UHC (PDP)|00025000|71.00|0| |23| | |0|N
S5921|405|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Preferred from UHC (PDP)|00025000|97.00|0| |24| | |0|N
S5921|406|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Preferred from UHC (PDP)|00025000|97.00|0| |25| | |0|N
S5921|407|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Preferred from UHC (PDP)|00025000|85.10|0| |26| | |0|N
S5921|408|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Preferred from UHC (PDP)|00025000|104.70|0| |27| | |0|N
S5921|409|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Preferred from UHC (PDP)|00025000|82.10|0| |28| | |0|N
S5921|410|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Preferred from UHC (PDP)|00025000|89.10|0| |29| | |0|N
S5921|411|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Preferred from UHC (PDP)|00025000|83.80|0| |30| | |0|N
S5921|412|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Preferred from UHC (PDP)|00025000|86.80|0| |31| | |0|N
S5921|413|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Preferred from UHC (PDP)|00025000|115.40|0| |32| | |0|N
S5921|414|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Preferred from UHC (PDP)|00025000|89.20|0| |33| | |0|N
S5921|415|000|UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY|AARP Medicare Rx Preferred from UHC (PDP)|00025000|84.90|0| |34| | |0|N
S5953|001|000|BLUECROSS AND BLUESHIELD OF SOUTH CAROLINA|BlueCross Rx Value (PDP)|00025385|89.70|590| |09| | |0|N
S5993|001|000|HORIZON INSURANCE COMPANY|Horizon Medicare Blue Rx Standard (PDP)|00025170|18.20|590| |04| | |0|N
S5993|003|000|HORIZON INSURANCE COMPANY|Horizon Medicare Blue Rx Enhanced (PDP)|00025171|86.40|0| |04| | |0|N
